Procedures & surgery prices at Mitchell County Hospital Health Systems
Beloit, KS · every code in this section with a posted price and a Medicare benchmark.
769 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 6 matching MRF lines |
$105.30–$939.60 | $117–$1,044 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$88.20–$775.80 | $98–$862 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $1,057.50 | $1,175 | 0.3× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $974.70 | $1,083 | 0.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 4 matching MRF lines |
$248.40–$1,242.90 | $276–$1,381 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $809.10 | $899 | 0.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $911.70 | $1,013 | 0.5× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $890.10 | $989 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,059.30 | $1,177 | 0.4× |
| Amputate Metacarpal Bone (26910) | $845.10 | $939 | 0.3× |
| Amputation foot transmetarsal (28805) | $863.10 | $959 | 0.3× |
| Amputation metatarsal with toe single (28810) | $603 | $670 | 0.2× |
| Amputation thigh through femur any level (27590) | $928.80 | $1,032 | 0.3× |
| Amputation toe interphalangeal joint (28825) | $486 | $540 | 0.2× |
| Amputation toe metatarsophalangeal joint (28820) | $465.30 | $517 | 0.2× |
| Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,064.70 | $1,183 | 0.2× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) | $696.60 | $774 | 0.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $764.10 | $849 | 0.3× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $185.40 | $206 | 0.1× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$821.70 | $913 | 0.1× |
| Application cast elbow finger short arm (29075) | $583.20 | $648 | 2.3× |
| Application Cast Finger (29086) | $95.40 | $106 | 0.6× |
| Application Finger Splint Dynamic (29131) | $112.50 | $125 | 2.1× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$35.10–$251.10 | $39–$279 | varies |
| Application long arm splint shoulder hand (29105) | $150.30 | $167 | 1.0× |
| Application Long Leg Cast Brace (29358) | $375.30 | $417 | 1.5× |
| Application Long Leg Splint (29505) | $310.50 | $345 | 2.1× |
| Application of cylinder cast (thigh to ankle) (29365) | $583.20 | $648 | 2.3× |
| Application of long leg cast (29345) | $375.30 | $417 | 1.5× |
| Application Short Arm Splint Dynamic (29126) | $251.10 | $279 | 2.1× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$60.30–$293.40 | $67–$326 | varies |
| Application short leg splint calf foot (29515) | $58.50 | $65 | 0.4× |
| Apply hand/wrist cast (29085) | $583.20 | $648 | 3.9× |
| Apply long arm cast (29065) | $583.20 | $648 | 2.3× |
| Apply Short Leg Cast (29405) | $375.30 | $417 | 1.5× |
| Apply short leg cast (29425) | $375.30 | $417 | 1.5× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) | $138.60 | $154 | 0.0× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$76.50–$81 | $85–$90 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$45–$510.30 | $50–$567 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$148.50–$480.60 | $165–$534 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$54.90–$585.90 | $61–$651 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$135–$818.10 | $150–$909 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$18.90–$481.50 | $21–$535 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $587.70 | $653 | 0.4× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$150.30–$1,164.60 | $167–$1,294 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 5 matching MRF lines |
$83.70–$999.90 | $93–$1,111 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$20.70–$105.30 | $23–$117 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) | $192.60 | $214 | 0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$39.60–$197.10 | $44–$219 | varies |
| Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$1,022.40 | $1,136 | 0.2× |
| Biopsy Abdominal Mass (49180) range across 4 matching MRF lines |
$60.30–$298.80 | $67–$332 | varies |
| Biopsy bone open deep (20245) | $472.50 | $525 | 0.2× |
| Biopsy bone open superficial (20240) | $171.90 | $191 | 0.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $107.10 | $119 | 0.1× |
| Biopsy external ear (69100) range across 4 matching MRF lines |
$23.40–$117 | $26–$130 | varies |
| Biopsy muscle percutaneous needle (20206) range across 3 matching MRF lines |
$82.80–$413.10 | $92–$459 | varies |
| Biopsy nail unit (11755) range across 3 matching MRF lines |
$41.40–$208.80 | $46–$232 | varies |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$121.50–$2,734.20 | $135–$3,038 | varies |
| Biopsy Salivary Gland Incisional (42405) | $266.40 | $296 | 0.2× |
| Biopsy Salivary Gland Needle (42400) | $63.90 | $71 | 0.1× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) range across 3 matching MRF lines |
$194.40–$972 | $216–$1,080 | varies |
| Biopsy soft tissue leg/ankle area superficial (27613) range across 3 matching MRF lines |
$86.40–$432 | $96–$480 | varies |
| Biopsy soft tissue neck/thorax (21550) range across 3 matching MRF lines |
$92.70–$461.70 | $103–$513 | varies |
| Biopsy Soft Tissue Shoulder Deep (23066) range across 4 matching MRF lines |
$192.60–$964.80 | $214–$1,072 | varies |
| Biopsy Soft Tissue Shoulder Superficial (23065) range across 3 matching MRF lines |
$75.60–$379.80 | $84–$422 | varies |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) range across 3 matching MRF lines |
$93.60–$468 | $104–$520 | varies |
| Biopsy soft tissue thigh/knee area superficial (27323) range across 3 matching MRF lines |
$93.60–$467.10 | $104–$519 | varies |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) range across 3 matching MRF lines |
$90–$450 | $100–$500 | varies |
| Biopsy Tongue Posterior One-Third (41105) | $176.40 | $196 | 0.1× |
| Biopsy Vaginal Mucosa Simple (57100) | $79.20 | $88 | 0.1× |
| Biopsy/removal lymph nodes (38510) | $644.40 | $716 | 0.2× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$97.20–$421.20 | $108–$468 | varies |
| Bladder Scan (51798) | $91.80 | $102 | 1.7× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $807.30 | $897 | 0.4× |
| Blood Transfusion Service (36430) | $672.30 | $747 | 1.7× |
| Bone Marrow Biopsy (38221) | $83.70 | $93 | 0.1× |
| Bone Marrow; Aspiration Only (38220) | $82.80 | $92 | 0.1× |
| Breast Reduction (19318) likely a partial charge, not the full procedure |
$1,355.40 | $1,506 | 0.2× |
| Brnchsc Brushing/Protected Brushings (31623) | $160.20 | $178 | 0.1× |
| Bronchoscopy Clear Airways (31645) | $179.10 | $199 | 0.1× |
| Bronchoscopy W/Biopsy(S) (31625) range across 2 matching MRF lines |
$188.10–$2,334.60 | $209–$2,594 | varies |
| Bronchoscopy W/Removal Foreign Body (31635) | $263.70 | $293 | 0.2× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $239.40 | $266 | 0.1× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) range across 3 matching MRF lines |
$209.70–$1,047.60 | $233–$1,164 | varies |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$40.50–$203.40 | $45–$226 | varies |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$204.30–$1,021.50 | $227–$1,135 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 4 matching MRF lines |
$52.20–$261 | $58–$290 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $619.20 | $688 | 0.2× |
| Bx/exc lymph node open superficial (38500) range across 4 matching MRF lines |
$109.80–$548.10 | $122–$609 | varies |
| Carpal Tunnel Surgery (64721) | $542.70 | $603 | 0.3× |
| Change Cystostomy Tube Simple (51705) | $63.90 | $71 | 0.3× |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$42.30–$72.90 | $47–$81 | varies |
| Chemical Cautery Tissue (17250) range across 4 matching MRF lines |
$31.50–$157.50 | $35–$175 | varies |
| Chemical Pleurodesis (32560) | $958.50 | $1,065 | 1.7× |
| Chemodenerv 1 extrem 5/> mus (64644) range across 2 matching MRF lines |
$139.50–$1,169.10 | $155–$1,299 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 2 matching MRF lines |
$128.70–$1,169.10 | $143–$1,299 | varies |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$299.70–$413.10 | $333–$459 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$264.60–$413.10 | $294–$459 | varies |
| Chemodenerv trunk musc 1-5 (64646) range across 2 matching MRF lines |
$138.60–$1,169.10 | $154–$1,299 | varies |
| Chemodenerv trunk musc 6/> (64647) range across 2 matching MRF lines |
$157.50–$1,169.10 | $175–$1,299 | varies |
| Chemodenervation of internal anal sphincter (46505) | $341.10 | $379 | 0.3× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$267.30–$958.50 | $297–$1,065 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $391.50 | $435 | 0.1× |
| Circumcision 28 days or older (54161) | $235.80 | $262 | 0.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $382.50 | $425 | 0.2× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,455.30 | $1,617 | 1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,963.80 | $2,182 | 1.3× |
| Clear outer ear canal (69200) | $325.80 | $362 | 2.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $1,092.60 | $1,214 | 4.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,963.80 | $2,182 | 8.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $1,963.80 | $2,182 | 8.7× |
| Closed Treatment Sesamoid Fracture (28530) | $1,963.80 | $2,182 | 8.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $1,963.80 | $2,182 | 8.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,092.60 | $1,214 | 4.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,963.80 | $2,182 | 1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $1,963.80 | $2,182 | 8.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,963.80 | $2,182 | 1.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $1,963.80 | $2,182 | 8.7× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,455.30 | $1,617 | 1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,092.60 | $1,214 | 4.8× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,092.60 | $1,214 | 0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,963.80 | $2,182 | 8.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,835.90 | $3,151 | 1.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,639.70 | $2,933 | 1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $2,661.30 | $2,957 | 0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) | $3,410.10 | $3,789 | 15.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,092.60 | $1,214 | 4.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $1,963.80 | $2,182 | 8.7× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,508.40 | $1,676 | 1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $1,092.60 | $1,214 | 4.8× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,963.80 | $2,182 | 1.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $1,963.80 | $2,182 | 8.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,963.80 | $2,182 | 1.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $1,963.80 | $2,182 | 8.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $1,092.60 | $1,214 | 4.8× |
| Closed tx septal&nose fx (21337) | $834.30 | $927 | 0.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,092.60 | $1,214 | 4.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $1,092.60 | $1,214 | 4.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $2,182.50 | $2,425 | 1.5× |
| Closed tx talus fracture w/o manipulation (28430) | $1,963.80 | $2,182 | 8.7× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $1,455.30 | $1,617 | 6.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $1,092.60 | $1,214 | 4.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,963.80 | $2,182 | 1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $1,963.80 | $2,182 | 8.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $1,963.80 | $2,182 | 8.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,092.60 | $1,214 | 4.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $1,092.60 | $1,214 | 4.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,092.60 | $1,214 | 0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $1,092.60 | $1,214 | 4.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $521.10 | $579 | 0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $466.20 | $518 | 2.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $1,092.60 | $1,214 | 0.7× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) | $646.20 | $718 | 0.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $715.50 | $795 | 0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $3,396.60 | $3,774 | 2.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $1,092.60 | $1,214 | 4.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $730.80 | $812 | 0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $730.80 | $812 | 3.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,092.60 | $1,214 | 4.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,963.80 | $2,182 | 8.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,963.80 | $2,182 | 8.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $730.80 | $812 | 3.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $583.20 | $648 | 2.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $337.50 | $375 | 1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,935.90 | $2,151 | 1.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,963.80 | $2,182 | 1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,963.80 | $2,182 | 8.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $2,182.50 | $2,425 | 9.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $1,963.80 | $2,182 | 8.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $583.20 | $648 | 2.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $583.20 | $648 | 2.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,168.10 | $2,409 | 1.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $1,963.80 | $2,182 | 8.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $1,963.80 | $2,182 | 8.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,963.80 | $2,182 | 1.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $885.60 | $984 | 0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $730.80 | $812 | 3.2× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $1,963.80 | $2,182 | 8.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,963.80 | $2,182 | 1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,963.80 | $2,182 | 1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $1,963.80 | $2,182 | 8.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $1,455.30 | $1,617 | 5.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $1,092.60 | $1,214 | 4.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,092.60 | $1,214 | 4.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,092.60 | $1,214 | 4.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,963.80 | $2,182 | 1.3× |
| Cltx Medial Ankle Fx (27760) | $1,963.80 | $2,182 | 8.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,092.60 | $1,214 | 4.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $583.20 | $648 | 2.6× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,092.60 | $1,214 | 0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,535.40 | $1,706 | 6.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $1,092.60 | $1,214 | 4.8× |
| Cltx post hip arthrp dislc req anes (27266) | $1,455.30 | $1,617 | 1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,092.60 | $1,214 | 4.8× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,963.80 | $2,182 | 1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) | $1,963.80 | $2,182 | 8.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $3,754.80 | $4,172 | 2.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $1,963.80 | $2,182 | 8.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $1,092.60 | $1,214 | 4.8× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,963.80 | $2,182 | 1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,092.60 | $1,214 | 0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,092.60 | $1,214 | 0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,963.80 | $2,182 | 1.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,963.80 | $2,182 | 8.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,963.80 | $2,182 | 1.3× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $1,092.60 | $1,214 | 0.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $1,092.60 | $1,214 | 4.8× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,963.80 | $2,182 | 8.7× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,963.80 | $2,182 | 8.7× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $1,092.60 | $1,214 | 4.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,586.60 | $2,874 | 1.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $1,963.80 | $2,182 | 8.7× |
| Collect Blood From Catheter Venous Nos (36592) | $165.60 | $184 | 1.4× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$22.50–$112.50 | $25–$125 | varies |
| Colonoscopy Flexible With Decompression (45393) | $330.30 | $367 | 0.3× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $207 | $230 | 0.2× |
| Colonoscopy thru stoma (44388) | $187.20 | $208 | 0.2× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $271.80 | $302 | 0.2× |
| Colonoscopy w/ablation (45388) | $409.50 | $455 | 0.4× |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$282.60–$540 | $314–$600 | varies |
| Colonoscopy w/submucosal inj (45381) | $407.70 | $453 | 0.4× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $356.40 | $396 | 0.3× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $249.30 | $277 | 0.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $342 | $380 | 0.3× |
| Complex drainage wound (10180) range across 4 matching MRF lines |
$88.20–$441.90 | $98–$491 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $91.80 | $102 | 0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $67.50 | $75 | 0.6× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $177.30 | $197 | 0.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $228.60 | $254 | 0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $478.80 | $532 | 3.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $283.50 | $315 | 1.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,252.70 | $2,503 | 1.2× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) likely a partial charge, not the full procedure |
$945 | $1,050 | 0.1× |
| Cystourethroscopy (52000) | $1,022.40 | $1,136 | 1.6× |
| Cystourethroscopy with biopsy (52204) | $191.70 | $213 | 0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 4 matching MRF lines |
$19.80–$98.10 | $22–$109 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $4,164.30 | $4,627 | 1.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,057.50 | $1,175 | 1.6× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,057.50 | $1,175 | 1.6× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) | $556.20 | $618 | 0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$76.50–$381.60 | $85–$424 | varies |
| Debride nail 1-5 (11720) | $93.60 | $104 | 1.7× |
| Debride nail 6 or more (11721) | $93.60 | $104 | 1.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$99–$495.90 | $110–$551 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$45–$609.30 | $50–$677 | varies |
| Declot vascular device (36593) | $192.60 | $214 | 0.6× |
| Decomp forearm,1 compart,w/o debride (25020) | $734.40 | $816 | 0.5× |
| Deep Muscle Biopsy (20205) | $231.30 | $257 | 0.1× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$572.40–$2,032.20 | $636–$2,258 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$566.10–$2,032.20 | $629–$2,258 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$39.60–$198 | $44–$220 | varies |
| Destruction Benign Lesions 15/> (17111) range across 3 matching MRF lines |
$45.90–$229.50 | $51–$255 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) range across 2 matching MRF lines |
$223.20–$744.30 | $248–$827 | varies |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 3 matching MRF lines |
$50.40–$252.90 | $56–$281 | varies |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) range across 3 matching MRF lines |
$65.70–$326.70 | $73–$363 | varies |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 3 matching MRF lines |
$47.70–$238.50 | $53–$265 | varies |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 3 matching MRF lines |
$34.20–$169.20 | $38–$188 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$375.30–$2,032.20 | $417–$2,258 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 3 matching MRF lines |
$57.60–$289.80 | $64–$322 | varies |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$22.50–$113.40 | $25–$126 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$102.60–$103.50 | $114–$115 | varies |
| Disarticulation At Knee (27598) | $957.60 | $1,064 | 0.3× |
| Drain Cerebro Spinal Fluid (62272) | $585 | $650 | 0.9× |
| Drain Hand Tendon Sheath (26020) | $807.30 | $897 | 0.3× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$139.50–$548.10 | $155–$609 | varies |
| Drainage of finger abscess simple (26010) | $172.80 | $192 | 0.9× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$57.60–$288 | $64–$320 | varies |
| Drainage of hydrocele (55000) range across 4 matching MRF lines |
$39.60–$198 | $44–$220 | varies |
| Drainage of scrotal wall abscess (55100) | $197.10 | $219 | 0.1× |
| Drainage of scrotum (54700) | $253.80 | $282 | 0.1× |
| Draw Blood Off Venous Device (36591) | $143.10 | $159 | 1.2× |
| Dressing Change Under Anesthesia (15852) | $104.40 | $116 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $153.90 | $171 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$28.80–$143.10 | $32–$159 | varies |
| Dstrj lesion anus simple surg excision (46922) | $159.30 | $177 | 0.1× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $164.70 | $183 | 0.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 5 matching MRF lines |
$86.40–$959.40 | $96–$1,066 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $109.80 | $122 | 0.0× |
| Dx Bronchoscope/Lavage (31624) range across 2 matching MRF lines |
$170.10–$1,800.90 | $189–$2,001 | varies |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$172.80–$1,972.80 | $192–$2,192 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $6,030.90 | $6,701 | 3.7× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $342.90 | $381 | 0.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $353.70 | $393 | 0.2× |
| Egd cautery tumor polyp (43250) | $210.60 | $234 | 0.1× |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$243–$276.30 | $270–$307 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $266.40 | $296 | 0.2× |
| Egd Flexible Foreign Body Removal (43247) | $450 | $500 | 0.5× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $361.80 | $402 | 0.2× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$272.70–$301.50 | $303–$335 | varies |
| Egd remove lesion snare (43251) | $236.70 | $263 | 0.1× |
| Egd Tube/Cath Insertion (43241) range across 2 matching MRF lines |
$171.90–$1,233.90 | $191–$1,371 | varies |
| Egd Varices Ligation (43244) | $337.50 | $375 | 0.2× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) likely a partial charge, not the full procedure |
$1,176.30 | $1,307 | 0.2× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 4 matching MRF lines |
$330.30–$1,965.60 | $367–$2,184 | varies |
| Endoven ther chem adhes 1st (36482) range across 3 matching MRF lines |
$630–$3,148.20 | $700–$3,498 | varies |
| Enterorrhaphy single perforation (44602) | $1,863.90 | $2,071 | 0.5× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | $361.80 | $402 | 0.2× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$291.60–$732.60 | $324–$814 | varies |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $191.70 | $213 | 0.2× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $141.30 | $157 | 0.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $1,233.90 | $1,371 | 0.7× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) likely a partial charge, not the full procedure |
$646.20 | $718 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$19.80–$99.90 | $22–$111 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) range across 3 matching MRF lines |
$97.20–$486.90 | $108–$541 | varies |
| Exc arm/elbow les sc < 3 cm (24075) range across 3 matching MRF lines |
$183.60–$918.90 | $204–$1,021 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$44.10–$222.30 | $49–$247 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$182.70–$343.80 | $203–$382 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 3 matching MRF lines |
$167.40–$837.90 | $186–$931 | varies |
| Exc back tum deep < 5 cm (21932) | $917.10 | $1,019 | 0.3× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $533.70 | $593 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 4 matching MRF lines |
$80.10–$401.40 | $89–$446 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 4 matching MRF lines |
$90–$450 | $100–$500 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 4 matching MRF lines |
$127.80–$640.80 | $142–$712 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) range across 4 matching MRF lines |
$96.30–$483.30 | $107–$537 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 4 matching MRF lines |
$49.50–$249.30 | $55–$277 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 4 matching MRF lines |
$59.40–$297 | $66–$330 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 4 matching MRF lines |
$65.70–$327.60 | $73–$364 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 4 matching MRF lines |
$224.10–$380.70 | $85–$423 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
$93.60–$468.90 | $104–$521 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) | $495 | $550 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$106.20–$220.50 | $118–$245 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$54–$271.80 | $60–$302 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$171–$304.20 | $190–$338 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines |
$190.80–$952.20 | $212–$1,058 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 3 matching MRF lines |
$98.10–$489.60 | $109–$544 | varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $332.10 | $369 | 0.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) | $1,026.90 | $1,141 | 0.6× |
| Exc Rct Tum Incl Muscularis Propria (45172) | $1,033.20 | $1,148 | 0.4× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) range across 2 matching MRF lines |
$706.50–$990 | $785–$1,100 | varies |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,078.20 | $1,198 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 4 matching MRF lines |
$66.60–$333.90 | $74–$371 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$78.30–$390.60 | $87–$434 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$422.10–$541.80 | $469–$602 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 4 matching MRF lines |
$104.40–$522.90 | $116–$581 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 4 matching MRF lines |
$126–$629.10 | $140–$699 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 4 matching MRF lines |
$99–$493.20 | $110–$548 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 4 matching MRF lines |
$133.20–$666 | $148–$740 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 4 matching MRF lines |
$146.70–$731.70 | $163–$813 | varies |
| Exc tendon shth lesion leg/ankle (27630) | $576.90 | $641 | 0.2× |
| Exc thigh/knee les sc 3 cm/> (27337) range across 3 matching MRF lines |
$97.20–$487.80 | $108–$542 | varies |
| Exc thigh/knee tum dep 5cm/> (27339) range across 3 matching MRF lines |
$209.70–$1,047.60 | $233–$1,164 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $131.40 | $146 | 0.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 4 matching MRF lines |
$54–$268.20 | $60–$298 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$58.50–$294.30 | $65–$327 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$301.50–$377.10 | $335–$419 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 3 matching MRF lines |
$153.90–$770.40 | $171–$856 | varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) range across 3 matching MRF lines |
$122.40–$610.20 | $136–$678 | varies |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) range across 3 matching MRF lines |
$178.20–$891.90 | $198–$991 | varies |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $617.40 | $686 | 0.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $676.80 | $752 | 0.3× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $800.10 | $889 | 0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $670.50 | $745 | 0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $782.10 | $869 | 0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $420.30 | $467 | 0.3× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 4 matching MRF lines |
$180–$900 | $200–$1,000 | varies |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $795.60 | $884 | 0.3× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $573.30 | $637 | 0.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 4 matching MRF lines |
$167.40–$838.80 | $186–$932 | varies |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $887.40 | $986 | 0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 4 matching MRF lines |
$146.70–$733.50 | $163–$815 | varies |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) range across 3 matching MRF lines |
$165.60–$826.20 | $184–$918 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 4 matching MRF lines |
$94.50–$525.60 | $105–$584 | varies |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 3 matching MRF lines |
$69.30–$344.70 | $77–$383 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 4 matching MRF lines |
$93.60–$466.20 | $104–$518 | varies |
| Excision Chest Wall Tumor Including Ribs (21601) | $1,404.90 | $1,561 | 0.5× |
| Excision External Ear Partial Simple Repair (69110) range across 3 matching MRF lines |
$158.40–$793.80 | $176–$882 | varies |
| Excision Hidradenitis Axillary Complex Repair (11451) range across 3 matching MRF lines |
$179.10–$897.30 | $199–$997 | varies |
| Excision lesion meniscus/capsule knee (27347) | $859.50 | $955 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 4 matching MRF lines |
$67.50–$339.30 | $75–$377 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$77.40–$387.90 | $86–$431 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 4 matching MRF lines |
$82.80–$414 | $92–$460 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 4 matching MRF lines |
$103.50–$518.40 | $115–$576 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
$69.30–$348.30 | $77–$387 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 4 matching MRF lines |
$104.40–$522.90 | $116–$581 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 4 matching MRF lines |
$163.80–$819 | $182–$910 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 4 matching MRF lines |
$68.40–$340.20 | $76–$378 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 4 matching MRF lines |
$78.30–$389.70 | $87–$433 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 4 matching MRF lines |
$85.50–$426.60 | $95–$474 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 4 matching MRF lines |
$111.60–$558.90 | $124–$621 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $272.70 | $303 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 3 matching MRF lines |
$90–$450.90 | $100–$501 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) range across 4 matching MRF lines |
$124.20–$621.90 | $138–$691 | varies |
| Excision of single external papilla or tag, anus (46220) | $139.50 | $155 | 0.1× |
| Excision olecranon bursa (24105) | $448.20 | $498 | 0.1× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $812.70 | $903 | 0.3× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $618.30 | $687 | 0.2× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) likely a partial charge, not the full procedure |
$1,373.40 | $1,526 | 0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 3 matching MRF lines |
$121.50–$608.40 | $135–$676 | varies |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) range across 3 matching MRF lines |
$161.10–$807.30 | $179–$897 | varies |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) range across 3 matching MRF lines |
$128.70–$641.70 | $143–$713 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $390.60 | $434 | 0.3× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 3 matching MRF lines |
$172.80–$864 | $192–$960 | varies |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) | $720.90 | $801 | 0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $683.10 | $759 | 0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) range across 4 matching MRF lines |
$127.80–$637.20 | $142–$708 | varies |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) range across 4 matching MRF lines |
$107.10–$536.40 | $119–$596 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 3 matching MRF lines |
$144–$720 | $160–$800 | varies |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 3 matching MRF lines |
$177.30–$888.30 | $197–$987 | varies |
| Explo/Drain Breast Abscess (19020) | $357.30 | $397 | 0.2× |
| Exploration penetrating wound spx chest (20101) | $418.50 | $465 | 0.2× |
| Exploration penetrating wound spx extremity (20103) | $407.70 | $453 | 0.3× |
| Exploration Penetrating Wound Spx Neck (20100) | $418.50 | $465 | 0.8× |
| Explore/Treat Hand Joint (26070) | $369.90 | $411 | 0.3× |
| Fetal non-stress test (59025) | $378 | $420 | 2.0× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$34.20–$171 | $38–$190 | varies |
| Fluid Pressure Muscle (20950) | $123.30 | $137 | 0.2× |
| Fna bx w/us gdn 1st les (10005) range across 4 matching MRF lines |
$46.80–$231.30 | $52–$257 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $1,007.10 | $1,119 | 0.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $720 | $800 | 0.4× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $1,593 | $1,770 | 0.4× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $809.10 | $899 | 0.5× |
| Guide Cathet Fluid Drainage (10030) range across 3 matching MRF lines |
$238.50–$1,193.40 | $265–$1,326 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $451.80 | $502 | 0.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $750.60 | $834 | 0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $764.10 | $849 | 0.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $225 | $250 | 0.3× |
| Hysteroscopy Biopsy (58558) | $274.50 | $305 | 0.1× |
| Hysteroscopy Dx Sep Proc (58555) | $180 | $200 | 0.1× |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$42.30–$294.30 | $47–$327 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $404.10 | $449 | 0.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 4 matching MRF lines |
$223.20–$1,116 | $248–$1,240 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 4 matching MRF lines |
$165.60–$826.20 | $184–$918 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,013.40 | $1,126 | 0.3× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $702.90 | $781 | 0.3× |
| I&d perianal abscess superficial (46050) range across 4 matching MRF lines |
$84.60–$422.10 | $94–$469 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$128.70–$644.40 | $143–$716 | varies |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$90.90–$456.30 | $101–$507 | varies |
| Image Cath Fluid Colxn Visc (49405) | $239.40 | $266 | 0.2× |
| Image Cath Fluid Peri/Retro (49406) range across 4 matching MRF lines |
$239.40–$1,640.70 | $266–$1,823 | varies |
| Image Cath Fluid Trns/Vgnl (49407) | $253.80 | $282 | 0.2× |
| Incise external hemorrhoid (46083) range across 4 matching MRF lines |
$73.80–$367.20 | $82–$408 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
$70.20–$2,004.30 | $78–$2,227 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $630 | $700 | 0.2× |
| Incision & drainage leg/ankle infected bursa (27604) | $418.50 | $465 | 0.1× |
| Incision & removal foreign body subq tiss compl (10121) range across 4 matching MRF lines |
$91.80–$459 | $102–$510 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$51.30–$257.40 | $57–$286 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $133.20 | $148 | 0.5× |
| Incision of rectal abscess (46040) | $533.70 | $593 | 0.5× |
| Incision&drainage bursa foot (28001) | $1,963.80 | $2,182 | 1.3× |
| Incisional biopsy eyelid skin & lid margin (67810) range across 3 matching MRF lines |
$33.30–$167.40 | $37–$186 | varies |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$55.80–$276.30 | $62–$307 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$270–$634.50 | $300–$705 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$334.80–$859.50 | $372–$955 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 6 matching MRF lines |
$18.90–$203.40 | $21–$226 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$158.40–$436.50 | $176–$485 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$210.60–$765.90 | $234–$851 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$66.60–$1,063.80 | $74–$1,182 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$205.20–$765.90 | $228–$851 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$63.90–$388.80 | $71–$432 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$240.30–$1,380.60 | $267–$1,534 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) range across 2 matching MRF lines |
$321.30–$666 | $357–$740 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$196.20–$436.50 | $218–$485 | varies |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$40.50–$1,840.50 | $45–$2,045 | varies |
| Injection of sclerosing solution, hemorrhoids (46500) | $224.10 | $249 | 0.3× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$102.60–$203.40 | $114–$226 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$52.20–$488.70 | $58–$543 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$110.70–$488.70 | $123–$543 | varies |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $376.20 | $418 | 0.3× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$144–$195.30 | $160–$217 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$168.30–$418.50 | $187–$465 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$137.70–$436.50 | $153–$485 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$58.50–$1,206.90 | $65–$1,341 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$18.90–$96.30 | $21–$107 | varies |
| Insert Bladder Cath Complex (51703) | $248.40 | $276 | 2.1× |
| Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$181.80–$1,164.60 | $202–$1,294 | varies |
| Insert cath pleura w/o image (32556) range across 4 matching MRF lines |
$111.60–$1,170 | $124–$1,300 | varies |
| Insert cervical dilator (59200) | $524.70 | $583 | 1.9× |
| Insert Gastrostomy Tube Percutaneous (49440) | $248.40 | $276 | 0.1× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$207–$3,600 | $230–$4,000 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$30.60–$176.40 | $34–$196 | varies |
| Insert tissue expander(s) (11960) | $1,646.10 | $1,829 | 0.5× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$949.50–$1,796.40 | $1,055–$1,996 | varies |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) likely a partial charge, not the full procedure |
$370.80 | $412 | 0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $184.50 | $205 | 1.5× |
| Insertion indwelling tunneled pleural catheter (32550) range across 4 matching MRF lines |
$247.50–$1,461.60 | $275–$1,624 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 5 matching MRF lines |
$305.10–$4,140.90 | $339–$4,601 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $505.80 | $562 | 0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $459.90 | $511 | 1.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,844.10 | $2,049 | 4.9× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$207–$331.20 | $230–$368 | varies |
| Lap paraesoph her rpr w/mesh (43282) likely a partial charge, not the full procedure |
$2,294.10 | $2,549 | 0.2× |
| Lap paraesophag hern repair (43281) likely a partial charge, not the full procedure |
$1,872 | $2,080 | 0.2× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$511.20 | $568 | 0.1× |
| Laparoscopy Enterolysis Separate Procedure (44180) likely a partial charge, not the full procedure |
$1,078.20 | $1,198 | 0.2× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$426.60 | $474 | 0.1× |
| Laparoscopy gastrostomy (43653) likely a partial charge, not the full procedure |
$800.10 | $889 | 0.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$741.60–$1,043.10 | $824–$1,159 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,072.80 | $1,192 | 0.2× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) likely a partial charge, not the full procedure |
$872.10 | $969 | 0.2× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,064.70 | $1,183 | 0.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$1,265.40 | $1,406 | 0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,222.20 | $1,358 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$1,447.20 | $1,608 | 0.1× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) likely a partial charge, not the full procedure |
$884.70 | $983 | 0.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$714.60 | $794 | 0.1× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$404.10 | $449 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$450 | $500 | 0.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$832.50 | $925 | 0.1× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $1,124.10 | $1,249 | 0.3× |
| Laps pelvic lymphadec (38573) likely a partial charge, not the full procedure |
$1,599.30 | $1,777 | 0.2× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) range across 2 matching MRF lines |
$602.10–$669.60 | $669–$744 | varies |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) likely a partial charge, not the full procedure |
$1,980 | $2,200 | 0.2× |
| Laryngoscopy diagnostic (31505) | $77.40 | $86 | 0.4× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$78.30–$290.70 | $87–$323 | varies |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $145.80 | $162 | 0.1× |
| Laryngoscopy W/Foreign Body Removal (31530) | $269.10 | $299 | 0.2× |
| Late closure of wound (13160) | $921.60 | $1,024 | 0.3× |
| Ligate/strip short leg vein (37718) | $474.30 | $527 | 0.2× |
| Ligation of hemorrhoids (46946) | $477 | $530 | 0.2× |
| Ligation or biopsy temporal artery (37609) range across 4 matching MRF lines |
$104.40–$523.80 | $116–$582 | varies |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) range across 3 matching MRF lines |
$115.20–$576 | $128–$640 | varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $532.80 | $592 | 0.4× |
| Mast mod rad (19307) likely a partial charge, not the full procedure |
$1,395.90 | $1,551 | 0.2× |
| Mastectomy for gynecomastia (19300) | $620.10 | $689 | 0.2× |
| Mastectomy partial (19301) | $761.40 | $846 | 0.2× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$1,116.90–$1,448.10 | $1,241–$1,609 | varies |
| Muscle-skin graft trunk (15734) | $2,261.70 | $2,513 | 0.7× |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$237.60–$436.50 | $264–$485 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$142.20–$435.60 | $158–$484 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$78.30–$436.50 | $87–$485 | varies |
| N Block Inj Paracervical (64435) | $388.80 | $432 | 0.6× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$90.90–$436.50 | $101–$485 | varies |
| N Block Inj Pudendal (64430) | $388.80 | $432 | 0.5× |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$210.60–$666 | $234–$740 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$49.50–$534.60 | $55–$594 | varies |
| Needle Biopsy Lymph Nodes (38505) range across 4 matching MRF lines |
$61.20–$306.90 | $68–$341 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $585 | $650 | 1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$191.70–$1,004.40 | $213–$1,116 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$155.70–$507.60 | $173–$564 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $447.30 | $497 | 0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$344.70–$1,637.10 | $383–$1,819 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) range across 2 matching MRF lines |
$139.50–$1,297.80 | $155–$1,442 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$275.40–$1,442.70 | $306–$1,603 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) range across 2 matching MRF lines |
$135–$1,297.80 | $150–$1,442 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$255.60–$1,442.70 | $284–$1,603 | varies |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) range across 3 matching MRF lines |
$496.80–$2,482.20 | $552–$2,758 | varies |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) range across 3 matching MRF lines |
$547.20–$2,736 | $608–$3,040 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) range across 3 matching MRF lines |
$39.60–$198.90 | $44–$221 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 3 matching MRF lines |
$102.60–$513.90 | $114–$571 | varies |
| Njx Sclrsnt Spider Veins (36468) | $90 | $100 | 0.2× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$180.90–$448.20 | $201–$498 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,002.60 | $1,114 | 0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) | $681.30 | $757 | 0.2× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $1,834.20 | $2,038 | 0.6× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $5,183.10 | $5,759 | 0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $632.70 | $703 | 0.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $2,912.40 | $3,236 | 1.0× |
| Open tx interphalangeal joint dislocation (26785) | $637.20 | $708 | 0.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $862.20 | $958 | 0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $415.80 | $462 | 0.1× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) unusually low: confirm this is the full procedure |
$1,716.30 | $1,907 | 0.3× |
| Partial Excision Distal Phalanx Finger (26236) | $548.10 | $609 | 0.4× |
| Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,080 | $1,200 | 0.2× |
| Partical Excision Bone Phalanx Toe (28124) | $395.10 | $439 | 0.1× |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$127.80–$580.50 | $142–$645 | varies |
| Perq dev breast 1st us imag (19285) | $127.80 | $142 | 0.2× |
| Perq device breast 1st imag (19281) | $119.70 | $133 | 0.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 3 matching MRF lines |
$135.90–$679.50 | $151–$755 | varies |
| Placement of seton (46020) | $275.40 | $306 | 0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $1,090.80 | $1,212 | 0.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $360.90 | $401 | 0.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $3,253.50 | $3,615 | 1.1× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) unusually low: confirm this is the full procedure |
$2,827.80 | $3,142 | 0.4× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $702 | $780 | 0.2× |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
$44.10–$222.30 | $49–$247 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$43.20–$217.80 | $48–$242 | varies |
| Puncture Aspiration Cyst Breast (19000) | $556.20 | $618 | 0.9× |
| Push Transfusion Blood 2 Yr/Under (36440) | $62.10 | $69 | 0.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$225–$747 | $250–$830 | varies |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) | $1,510.20 | $1,678 | 0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$496.80–$2,032.20 | $552–$2,258 | varies |
| Reconstruction Nail Bed W/Graft (11762) | $502.20 | $558 | 0.3× |
| Removal Embedded Foreign Body Eyelid (67938) | $468 | $520 | 1.6× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $6,417.90 | $7,131 | 2.4× |
| Removal Foreign Body Foot Complicated (28193) | $2,076.30 | $2,307 | 1.4× |
| Removal foreign body foot deep (28192) | $1,683 | $1,870 | 1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$83.70–$416.70 | $93–$463 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $818.10 | $909 | 0.5× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $1,092.60 | $1,214 | 0.4× |
| Removal foreign body upper arm/elbow deep (24201) | $730.80 | $812 | 0.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $234.90 | $261 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $792 | $880 | 14.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $733.50 | $815 | 13.5× |
| Removal intact breast implant (19328) | $873.90 | $971 | 0.2× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$54.90–$272.70 | $61–$303 | varies |
| Removal of sperm cord lesion (55520) range across 4 matching MRF lines |
$142.20–$707.40 | $158–$786 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $375.30 | $417 | 1.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$30.60–$153 | $34–$170 | varies |
| Removal sweat gland lesion (11450) range across 3 matching MRF lines |
$149.40–$746.10 | $166–$829 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $375.30 | $417 | 1.5× |
| Remove Forearm Foreign Body (25248) | $730.80 | $812 | 0.5× |
| Remove foreign body from eye (65235) | $749.70 | $833 | 0.4× |
| Remove foreign body from eye (65205) | $418.50 | $465 | 3.4× |
| Remove lung catheter (32552) | $187.20 | $208 | 0.3× |
| Remove Nasal Foreign Body (30300) | $1,266.30 | $1,407 | 10.3× |
| Remove Peritoneal Foreign Body (49402) | $1,276.20 | $1,418 | 0.4× |
| Remove Tendon Sheath Lesion (26160) range across 3 matching MRF lines |
$217.80–$1,090.80 | $242–$1,212 | varies |
| Renal Biopsy Perq (50200) | $157.50 | $175 | 0.1× |
| Repair Blood Vessel Direct Hand Finger (35207) | $1,060.20 | $1,178 | 0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,775.70 | $1,973 | 2.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $607.50 | $675 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $294.30 | $327 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $557.10 | $619 | 1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $418.50 | $465 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $361.80 | $402 | 1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) | $418.50 | $465 | 0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $728.10 | $809 | 1.1× |
| Repair extensor tendon finger w/o graft each (26418) | $728.10 | $809 | 0.5× |
| Repair inguinal hernia, sliding, any age (49525) | $733.50 | $815 | 0.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $738.90 | $821 | 0.2× |
| Repair initial femoral hernia, any age; reducible (49550) | $698.40 | $776 | 0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $761.40 | $846 | 0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 4 matching MRF lines |
$98.10–$488.70 | $109–$543 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
$108–$538.20 | $120–$598 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 4 matching MRF lines |
$124.20–$622.80 | $138–$692 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $334.80 | $372 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $2,454.30 | $2,727 | 6.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,467 | $1,630 | 2.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$91.80–$457.20 | $102–$508 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
$106.20–$530.10 | $118–$589 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 4 matching MRF lines |
$130.50–$652.50 | $145–$725 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $2,076.30 | $2,307 | 1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $373.50 | $415 | 1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 5 matching MRF lines |
$91.80–$609.30 | $102–$677 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 5 matching MRF lines |
$104.40–$609.30 | $116–$677 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $328.50 | $365 | 0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$114.30–$569.70 | $127–$633 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $3,519 | $3,910 | 1.9× |
| Repair intrinsic muscles hand each muscle (26591) | $755.10 | $839 | 0.3× |
| Repair Laceration Palate </2 Cm (42180) | $418.50 | $465 | 0.8× |
| Repair Laceration Palate >2 Cm/Complex (42182) likely a partial charge, not the full procedure |
$609.30 | $677 | 0.1× |
| Repair lumbar hernia (49540) likely a partial charge, not the full procedure |
$927 | $1,030 | 0.2× |
| Repair of nail bed (11760) range across 4 matching MRF lines |
$64.80–$322.20 | $72–$358 | varies |
| Repair of rectum (45505) | $697.50 | $775 | 0.3× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$838.80 | $932 | 0.1× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $457.20 | $508 | 0.2× |
| Repair tongue laceration (41250) | $187.20 | $208 | 0.5× |
| Replace G-J Tube Perc (49452) range across 4 matching MRF lines |
$66.60–$331.20 | $74–$368 | varies |
| Reposition Venous Catheter (36597) | $72 | $80 | 0.0× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$738.90–$882.90 | $821–$981 | varies |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) | $687.60 | $764 | 0.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $127.80 | $142 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $730.80 | $812 | 1.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $704.70 | $783 | 5.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $418.50 | $465 | 1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $3,089.70 | $3,433 | 1.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $418.50 | $465 | 0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 3 matching MRF lines |
$71.10–$354.60 | $79–$394 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$358.20–$2,574 | $398–$2,860 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 5 matching MRF lines |
$53.10–$1,294.20 | $59–$1,438 | varies |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$84.60–$422.10 | $94–$469 | varies |
| Rplc gtube revj gstrst trc (43763) | $624.60 | $694 | 2.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $351.90 | $391 | 0.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$1,260 | $1,400 | 0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $584.10 | $649 | 0.2× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) likely a partial charge, not the full procedure |
$1,304.10 | $1,449 | 0.2× |
| Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,083.60 | $1,204 | 0.2× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$969.30 | $1,077 | 0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $720 | $800 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$972 | $1,080 | 0.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$806.40 | $896 | 0.1× |
| Rpr blood vessel direct lower extremity (35226) | $954.90 | $1,061 | 1.5× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $252 | $280 | 0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $1,092.60 | $1,214 | 5.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $2,076.30 | $2,307 | 3.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,562.40 | $1,736 | 3.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $2,711.70 | $3,013 | 5.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,562.40 | $1,736 | 1.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $103.50 | $115 | 0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $245.70 | $273 | 0.2× |
| Shave skin lesion 0.5 cm/< (11300) | $609.30 | $677 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 3 matching MRF lines |
$44.10–$222.30 | $49–$247 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $100.80 | $112 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $92.70 | $103 | 0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $294.30 | $327 | 1.6× |
| Sigmoidoscopy & decompress (45337) | $174.60 | $194 | 0.2× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $92.70 | $103 | 0.1× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $1,090.80 | $1,212 | 1.0× |
| Sigmoidoscopy w/fb removal (45332) | $268.20 | $298 | 0.2× |
| Sigmoidoscopy W/Resection (45349) | $273.60 | $304 | 0.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$95.40–$130.50 | $106–$145 | varies |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $142.20 | $158 | 0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $184.50 | $205 | 0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $65.70 | $73 | 0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $76.50 | $85 | 0.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $2,076.30 | $2,307 | 5.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $89.10 | $99 | 0.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $2,076.30 | $2,307 | 11.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 5 matching MRF lines |
$58.50–$516.60 | $65–$574 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $2,076.30 | $2,307 | 11.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$96.30–$779.40 | $107–$866 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $937.80 | $1,042 | 0.5× |
| Skin sub graft face/nk/hf/g (15275) | $128.70 | $143 | 0.2× |
| Skin sub graft trnk/arm/leg (15271) | $99.90 | $111 | 0.1× |
| Skin sub grft t/arm/lg child (15273) | $213.30 | $237 | 0.1× |
| Skin Tissue Procedure (17999) | $285.30 | $317 | 1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 5 matching MRF lines |
$37.80–$617.40 | $42–$686 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$112.50–$1,092.60 | $125–$1,214 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $153.90 | $171 | 0.4× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) | $1,050.30 | $1,167 | 0.4× |
| Spinal puncture lumbar diagnostic (62270) | $585 | $650 | 0.9× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $859.50 | $955 | 0.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $926.10 | $1,029 | 0.5× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $270 | $300 | 0.1× |
| Strapping ankle (29540) | $375.30 | $417 | 2.5× |
| Strapping elbow or wrist (29260) | $375.30 | $417 | 6.9× |
| Strapping hand/finger (29280) | $375.30 | $417 | 6.9× |
| Strapping Hip (29520) | $375.30 | $417 | 3.1× |
| Strapping knee (29530) | $375.30 | $417 | 3.1× |
| Strapping shoulder (29240) | $375.30 | $417 | 3.1× |
| Strapping toes (29550) | $375.30 | $417 | 6.9× |
| Strapping Unna Boot (29580) | $32.40 | $36 | 0.2× |
| Surg tx anal fistula subq (46270) | $459.90 | $511 | 0.2× |
| Suture digital nerve hand/foot 1 nerve (64831) | $990 | $1,100 | 0.6× |
| Tangential biopsy skin single lesion (11102) range across 4 matching MRF lines |
$36–$179.10 | $40–$199 | varies |
| Thrombolytic Therapy Stroke (37195) | $895.50 | $995 | 2.9× |
| Thyroid biopsy (60100) range across 3 matching MRF lines |
$36–$177.30 | $40–$197 | varies |
| Thyroidectomy Post Prev Thyr Surg (60260) likely a partial charge, not the full procedure |
$1,259.10 | $1,399 | 0.2× |
| Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$1,077.30 | $1,197 | 0.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $789.30 | $877 | 0.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $159.30 | $177 | 0.3× |
| Tracheostomy planned (31600) | $365.40 | $406 | 0.1× |
| Treat Big Toe Fracture (28505) | $707.40 | $786 | 0.2× |
| Treat ectopic pregnancy (59151) likely a partial charge, not the full procedure |
$1,084.50 | $1,205 | 0.2× |
| Treat Finger Fracture Each (26727) | $5,183.10 | $5,759 | 1.7× |
| Treat fracture radius/ulna (25575) | $5,183.10 | $5,759 | 0.8× |
| Treat humerus fracture (24500) | $1,963.80 | $2,182 | 8.7× |
| Treat Humerus Fracture (24505) | $1,963.80 | $2,182 | 1.3× |
| Treat humerus fracture (23600) | $1,963.80 | $2,182 | 8.7× |
| Treat knee fracture (27532) | $1,963.80 | $2,182 | 0.7× |
| Treat Knee Fracture(S) (27538) | $1,963.80 | $2,182 | 8.7× |
| Treat Knuckle Dislocation (26700) | $1,092.60 | $1,214 | 4.8× |
| Treat Metatarsal Fracture (28475) | $2,182.50 | $2,425 | 9.6× |
| Treat Thumb Dislocation (26641) | $1,092.60 | $1,214 | 4.8× |
| Treat Thumb Fracture (26645) | $1,092.60 | $1,214 | 0.7× |
| Treat thumb fracture (26665) | $1,963.80 | $2,182 | 0.7× |
| Treat toe dislocation (28630) | $1,092.60 | $1,214 | 4.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,508.40 | $1,676 | 1.0× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,092.60 | $1,214 | 4.8× |
| Treatment of anal fissure (46940) | $198.90 | $221 | 0.1× |
| Treatment of foot infection (28003) | $666 | $740 | 0.2× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) | $5,183.10 | $5,759 | 0.8× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$24.30–$128.70 | $27–$143 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$27.90–$145.80 | $31–$162 | varies |
| Trim skin lesions over 4 (11057) range across 3 matching MRF lines |
$31.50–$158.40 | $35–$176 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 4 matching MRF lines |
$101.70–$509.40 | $113–$566 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $161.10 | $179 | 0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $2,182.50 | $2,425 | 1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $1,963.80 | $2,182 | 8.7× |
| Unlisted laparoscopic procedure liver (47379) likely a partial charge, not the full procedure |
$1,444.50 | $1,605 | 0.3× |
| Unlisted laparoscopy procedure stomach (43659) likely a partial charge, not the full procedure |
$877.50 | $975 | 0.2× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) likely a partial charge, not the full procedure |
$588.60 | $654 | 0.1× |
| Unlisted laparoscopy procedure, biliary tract (47579) likely a partial charge, not the full procedure |
$841.50 | $935 | 0.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$966.60 | $1,074 | 0.2× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) unusually low: confirm this is the full procedure |
$1,805.40 | $2,006 | 0.3× |
| Unlisted procedure anus (46999) | $422.10 | $469 | 0.5× |
| Unlisted procedure colon (45399) | $571.50 | $635 | 0.7× |
| Unlisted Procedure Endocrine System (60699) likely a partial charge, not the full procedure |
$1,574.10 | $1,749 | 0.3× |
| Unlisted procedure excision pressure ulcer (15999) | $816.30 | $907 | 1.3× |
| Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
$102.60–$203.40 | $114–$226 | varies |
| Unlisted Procedure Hands/Fingers (26989) | $269.10 | $299 | 1.2× |
| Unlisted procedure pancreas (48999) | $1,817.10 | $2,019 | 2.8× |
| Unlisted Procedure Vascular Surgery (37799) range across 4 matching MRF lines |
$74.70–$748.80 | $83–$832 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $808.20 | $898 | 1.0× |
| Unlisted px female genital system nonobstetrical (58999) | $180 | $200 | 1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 5 matching MRF lines |
$284.40–$1,620 | $316–$1,800 | varies |
| Venous Cutdown >1 Y/O (36425) | $47.70 | $53 | 0.1× |
| Vermilionectomy lip shv w/mucosal advmnt (40500) | $426.60 | $474 | 0.1× |
| Wound Prep Trk/Arm/Leg (15002) | $264.60 | $294 | 0.4× |
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.