Procedures & surgery prices at Mobridge Regional Hospital - Cah

Mobridge, SD · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,245–$1,602 $1,245–$1,602 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $783–$1,166 $783–$1,166 varies
Acne surgery (10040)
range across 2 matching MRF lines		 $252–$260 $252–$260 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)
range across 2 matching MRF lines		 $2,085–$2,429 $2,085–$2,429 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,254 $2,254 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,585 $2,585 0.8×
Amputate Metacarpal Bone (26910) $2,924 $2,924 0.9×
Amputate Thigh,Re-Amputatn (27596) $3,647 $3,647 1.1×
Amputation foot transmetarsal (28805) $2,075 $2,075 0.6×
Amputation metatarsal with toe single (28810) $1,914 $1,914 0.6×
Amputation thigh through femur any level (27590) $3,645 $3,645 1.1×
Amputation toe interphalangeal joint (28825) $1,526 $1,526 0.5×
Amputation toe metatarsophalangeal joint (28820) $1,709 $1,709 0.5×
Amputation, leg, through tibia and fibula; (27880) $4,106 $4,106 0.6×
Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) $4,505 $4,505 1.3×
Anorectal myomectomy (45108) $1,130 $1,130 0.4×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $711 $711 0.3×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $170–$176 $170–$176 varies
Anoscopy; with biopsy, single or multiple (46606) $302 $302 0.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $475 $475 0.2×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $4,112 $4,112 0.8×
Anterior colporraphy rpr cystocele w/cysto (57240) $2,707 $2,707 0.5×
Appendectomy (44950)
unusually low: confirm this is the full procedure		 $2,785 $2,785 0.4×
Application cast elbow finger short arm (29075) $308 $308 1.1×
Application Cast Finger (29086) $299 $299 1.8×
Application finger splint static (29130)
range across 2 matching MRF lines		 $116–$140 $116–$140 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $262–$284 $262–$284 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $306–$330 $306–$330 varies
Application of long leg cast (29345)
range across 2 matching MRF lines		 $539–$580 $539–$580 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $403–$941 $403–$941 varies
Application short arm splint forearm-hand static (29125) $236 $236 1.7×
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $230–$540 $230–$540 varies
Apply hand/wrist cast (29085) $283 $283 1.7×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $377–$408 $377–$408 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $203–$540 $203–$540 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $361–$387 $361–$387 varies
Apply short leg cast (29425) $425 $425 1.5×
Arterial puncture (36600)
range across 3 matching MRF lines		 $110–$142 $110–$142 varies
Arteriovenous Anastomosis Open Direct (36821) $2,672 $2,672 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $283–$1,023 $283–$1,023 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $272–$1,025 $272–$1,025 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $262–$989 $262–$989 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $3,558 $3,558 2.2×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $824–$1,481 $824–$1,481 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $590–$1,166 $590–$1,166 varies
Aspirate/Inj Ganglion Cyst (20612) $161 $161 0.5×
Aspiration bladder insert suprapubic catheter (51102) $279 $279 0.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $300–$706 $300–$706 varies
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure		 $2,705 $2,705 0.4×
Biopsy bone open superficial (20240) $790 $790 0.3×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $873–$5,519 $873–$5,519 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $746–$5,485 $746–$5,485 varies
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $576–$1,432 $576–$1,432 varies
Biopsy of liver, needle; percutaneous (47000) $931 $931 0.6×
Biopsy of rectum (45100) $1,071 $1,071 0.4×
Biopsy Testis Incisional Separate Procedure (54505) $900 $900 0.2×
Biopsy Vaginal Mucosa Extensive (57105) $397 $397 0.1×
Biopsy Vaginal Mucosa Simple (57100) $381 $381 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $407 $407 0.4×
Biopsy/removal lymph nodes (38510) $1,661 $1,661 0.4×
Bladder instillation anticarcinogenic agent (51720) $331 $331 0.5×
Bladder Irrigation (51700) $260 $260 1.0×
Bladder Scan (51798)
range across 3 matching MRF lines		 $80–$328 $80–$328 varies
Blepharotomy drainage abscess eyelid (67700) $746 $746 2.3×
Blood Transfusion Service (36430) $1,794 $1,794 4.0×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $865–$1,458 $865–$1,458 varies
Bone Marrow; Aspiration Only (38220)
range across 3 matching MRF lines		 $645–$1,585 $645–$1,585 varies
Bx breast needle core w/o imaging guidance spx (19100) $341 $341 0.2×
Bx Cervix (57500) $584 $584 0.6×
Bx/exc lymph node open deep axillary node (38525) $1,790 $1,790 0.4×
Bx/exc lymph node open superficial (38500) $1,077 $1,077 0.3×
Carpal Tunnel Surgery (64721) $2,678 $2,678 1.3×
Cataract surgery complex (66982) $655 $655 0.3×
Catheter aspiration nasotracheal spx (31720) $381 $381 1.7×
Cautery Cervix Cryocautery Initial/Repeat (57511) $534 $534 1.7×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $183–$706 $183–$706 varies
Chemical Pleurodesis (32560) $887 $887 1.4×
Chest tube placement (32551)
range across 2 matching MRF lines		 $559–$573 $559–$573 varies
Circumcision 28 days or older (54161) $1,071 $1,071 0.5×
Circumcision Neonate (54160) $622 $622 0.9×
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $331–$750 $331–$750 varies
Cl Tx Tib Shft Fx W Manip (27752) $1,770 $1,770 1.1×
Clear outer ear canal (69200) $275 $275 2.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $3,257 $3,257 12.9×
Closed Treatment Ulnar Styloid Fracture (25650) $1,172 $1,172 4.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,089 $1,089 0.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $932 $932 3.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,087 $1,087 4.3×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,745 $1,745 1.1×
Closed tx knee dislocation w/o anesthesia (27550) $1,868 $1,868 7.4×
Closed tx metatarsal fracture w/o manipulation (28470) $704 $704 2.8×
Closed tx patellar dislocation w/anesthesia (27562) $1,419 $1,419 5.6×
Closed tx patellar dislocation w/o anesthesia (27560) $843 $843 3.3×
Closed tx radial head/neck fx w/o manipulation (24650) $814 $814 3.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $959 $959 3.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,280 $2,280 1.4×
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,158 $1,158 4.6×
Closed Tx Scapular Fracture W/O Manipulation (23570) $657 $657 2.6×
Closed tx talus fracture w/o manipulation (28430) $910 $910 3.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $363 $363 1.4×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,027 $1,027 4.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $1,013 $1,013 4.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,541 $1,541 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $653 $653 2.6×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $894–$1,167 $894–$1,167 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $915 $915 3.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,367 $1,367 0.8×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $767 $767 3.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $969 $969 3.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,063 $1,063 4.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $717 $717 2.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $566 $566 2.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,098 $1,098 4.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,772 $1,772 1.1×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $2,190 $2,190 8.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,648 $3,648 2.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $451 $451 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $433 $433 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $407 $407 1.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,382 $1,382 5.5×
Cltx hip dislocation traumatic req anesthesia (27252) $2,236 $2,236 1.4×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $909 $909 3.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,071 $1,071 3.7×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $909–$1,059 $909–$1,059 varies
Cltx Medial Ankle Fx (27760) $1,026 $1,026 4.1×
Cltx metacarpal fx w/manipulation each bone (26605) $1,174 $1,174 4.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $785 $785 3.1×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,077 $1,077 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $960 $960 3.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $566 $566 2.2×
Cltx post hip arthrp dislc req anes (27266) $2,234 $2,234 1.4×
Cltx prox fibula/shft fx w/o manj (27780) $813 $813 3.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,620 $1,620 1.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,853 $1,853 7.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $594 $594 2.4×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,013 $1,013 4.0×
Cltx tibial shaft fx w/o manipulation (27750) $1,694 $1,694 6.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,098 $1,098 4.4×
Collect Blood From Catheter Venous Nos (36592) $92 $92 0.7×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $30–$72 $30–$72 varies
Colonoscopy Flexible With Decompression (45393)
range across 2 matching MRF lines		 $1,411–$1,625 $1,411–$1,625 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,958 $1,958 1.6×
Colonoscopy thru stoma (44388) $1,451 $1,451 1.5×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,730–$1,979 $1,730–$1,979 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $1,508 $1,508 0.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $710 $710 2.3×
Colposcopy cervix upper/adjacent vagina (57452) $467 $467 2.3×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $518 $518 1.7×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $887 $887 0.3×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $711 $711 0.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,492 $2,492 2.0×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $2,309–$2,884 $2,309–$2,884 varies
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $2,027 $2,027 0.4×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $580–$9,480 $580–$9,480 varies
Control Nasal Hemorrhage Anterior Simple (30901) $323 $323 2.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $338 $338 0.2×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $219 $219 3.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $718 $718 5.3×
Curettage postpartum (59160) $1,255 $1,255 0.4×
Cysto calibration dilat urtl strix/stenosis (52281) $1,099 $1,099 0.5×
Cysto w/irrig & evac multple obstructing clots (52001) $1,504 $1,504 0.4×
Cysto w/removal of lesions small (52224) $3,628 $3,628 1.0×
Cysto w/removal of tumors small (52234) $1,199 $1,199 0.3×
Cysto w/ureteroscopy w/lithotripsy (52353)
unusually low: confirm this is the full procedure		 $2,432 $2,432 0.4×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $2,148 $2,148 0.2×
Cystostomy Cystotomy W/Drainage (51040) $709 $709 0.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $3,257 $3,257 1.5×
Cystourethroscopy (52000) $954 $954 1.3×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $1,830 $1,830 0.5×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
unusually low: confirm this is the full procedure		 $2,632 $2,632 0.5×
Cystourethroscopy with biopsy (52204) $1,755 $1,755 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $193 $193 0.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,593 $3,593 1.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,921 $1,921 2.7×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,379 $2,379 3.3×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $6,096 $6,096 1.8×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $1,336 $1,336 0.4×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $2,834 $2,834 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $1,273–$1,929 $1,273–$1,929 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $133–$239 $133–$239 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $57–$260 $57–$260 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $647–$1,929 $647–$1,929 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $476–$1,256 $476–$1,256 varies
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495)
unusually low: confirm this is the full procedure		 $3,628 $3,628 0.5×
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) $1,822 $1,822 1.1×
Delivery of placenta (59414) $580 $580 0.2×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $229–$331 $229–$331 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $267–$364 $267–$364 varies
Destruction Lesions Vulva Extensive (56515) $790 $790 0.4×
Destruction Lesions Vulva Simple (56501) $506 $506 0.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $458 $458 2.2×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 2 matching MRF lines		 $434–$657 $434–$657 varies
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $696 $696 1.7×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $753 $753 1.0×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $1,445 $1,445 1.9×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $323 $323 1.6×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $394 $394 1.9×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $444 $444 2.2×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $480 $480 1.2×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 2 matching MRF lines		 $441–$591 $441–$591 varies
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $418 $418 2.0×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $352 $352 1.7×
Destruction of skin lesions (17106) $1,157 $1,157 2.8×
Destruction Premalignant Lesion 15/> (17004)
range across 2 matching MRF lines		 $734–$990 $734–$990 varies
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $209–$221 $209–$221 varies
Destruction Vaginal Lesions Simple (57061) $506 $506 0.2×
Diagnostic sigmoidoscopy (45330) $476 $476 0.5×
Diaphragm or cervical cap fitting with instructions (57170) $324 $324 1.6×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $1,603 $1,603 1.3×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $428 $428 3.3×
Dilation & curettage dx&/ther nonobstetric (58120) $1,231 $1,231 0.4×
Dilation Cervical Canal (57800) $328 $328 0.1×
Drain Cerebro Spinal Fluid (62272) $566 $566 0.8×
Drain Hand Tendon Sheath (26020) $1,473 $1,473 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $300 $300 0.4×
Drainage Finger Abscess Complicated (26011) $878 $878 0.5×
Drainage of finger abscess simple (26010) $192 $192 0.9×
Drainage of gum lesion (41800) $580 $580 4.3×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $453–$5,485 $453–$5,485 varies
Drainage of hydrocele (55000) $453 $453 0.6×
Drainage of rectal abscess (45005) $746 $746 0.6×
Drainage of scrotal wall abscess (55100) $746 $746 0.4×
Dressing Change Under Anesthesia (15852) $600 $600 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $324 $324 0.4×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $479 $479 0.9×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $1,382 $1,382 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $649–$1,256 $649–$1,256 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $433–$740 $433–$740 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $219–$706 $219–$706 varies
Dstrj lesion anus simple surg excision (46922) $649 $649 0.2×
Dstrj Lesion Penis Simple Chemical (54050) $331 $331 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $645 $645 3.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $542–$1,015 $542–$1,015 varies
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $944–$1,950 $944–$1,950 varies
Dx Laryngoscopy Excl Nb (31525) $1,047 $1,047 0.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,818–$2,256 $1,818–$2,256 varies
Egd control bleeding any (43255) $574 $574 0.3×
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $1,292–$1,524 $1,292–$1,524 varies
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,103–$1,217 $1,103–$1,217 varies
Egd place gastrostomy tube (43246) $2,885 $2,885 1.5×
Endocervical curettage (57505) $456 $456 0.5×
Endometrial Biopsy (58100) $396 $396 1.9×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $1,165 $1,165 0.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $1,079 $1,079 0.3×
Enterorrhaphy single perforation (44602) $3,978 $3,978 1.0×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 2 matching MRF lines		 $3,390–$6,174 $3,390–$6,174 varies
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $2,659–$6,174 $2,659–$6,174 varies
Epidural Blood Patch (62273) $1,813 $1,813 2.5×
Episiotomy or vaginal repair (59300) $534 $534 0.2×
Escharotomy; initial incision (16035) $717 $717 1.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,771 $1,771 0.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $566–$1,157 $566–$1,157 varies
Evacuate mole of uterus (59870) $1,672 $1,672 0.5×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $146–$429 $146–$429 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $364 $364 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $871 $871 0.5×
Exc Back Les Sc < 3 Cm (21930) $1,502 $1,502 0.9×
Exc Back Tum Deep 5 Cm/> (21933) $2,520 $2,520 0.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,988 $1,988 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,029 $1,029 1.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,285 $1,285 1.8×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,795 $1,795 1.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $451 $451 0.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $596 $596 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $630–$804 $630–$804 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $873 $873 0.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,015 $1,015 0.6×
Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) $590 $590 0.4×
Exc ganglion wrist recurrent (25112)
range across 2 matching MRF lines		 $1,740–$2,085 $1,740–$2,085 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $362 $362 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $539 $539 0.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $675 $675 0.4×
Exc hydrocele sprmatic cord uni spx (55500) $541 $541 0.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $921 $921 0.9×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $590 $590 0.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $867 $867 0.3×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $879 $879 0.3×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $3,358 $3,358 1.7×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
unusually low: confirm this is the full procedure		 $2,200 $2,200 0.4×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,082 $2,082 0.7×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,400 $2,400 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $675 $675 0.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,061 $1,061 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,306 $1,306 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,346 $1,346 0.8×
Exc Skin Benig >4cm Face,Facial (11446) $1,528 $1,528 0.5×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,088 $1,088 0.6×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,441 $1,441 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,564 $1,564 0.9×
Exc thigh/knee les sc 3 cm/> (27337) $2,190 $2,190 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $678 $678 0.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $462 $462 1.1×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $549 $549 0.8×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $959 $959 0.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,440 $2,440 0.8×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,835 $2,835 1.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,196 $1,196 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,496 $1,496 0.9×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $2,076 $2,076 0.6×
Excis Mouth Mucosa/Sub,No Repair (40810) $413 $413 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $956 $956 1.3×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,861 $1,861 0.6×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $1,379 $1,379 0.5×
Excision Lingual Frenum Frenectomy (41115) $832 $832 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $549 $549 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $645 $645 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $844 $844 2.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,026 $1,026 1.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $706 $706 1.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,541 $1,541 0.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,830 $1,830 0.6×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $617 $617 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $758 $758 1.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $891 $891 1.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,209 $1,209 0.7×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $1,469–$1,806 $1,469–$1,806 varies
Excision of hydrocele; bilateral (55041) $2,095 $2,095 0.6×
Excision of hydrocele; unilateral (55040) $2,033 $2,033 0.6×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,182 $1,182 0.6×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $5,622 $5,622 0.9×
Excision of pilonidal cyst or sinus; simple (11770) $1,441 $1,441 0.5×
Excision of single external papilla or tag, anus (46220) $423 $423 0.3×
Excision olecranon bursa (24105) $961 $961 0.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,516 $1,516 0.5×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,657 $1,657 0.6×
Excision spermatocele w/wo epididymectomy (54840) $1,448 $1,448 0.7×
Excision synovial cyst popliteal space (27345) $2,506 $2,506 0.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $1,544–$1,757 $1,544–$1,757 varies
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $3,368 $3,368 1.1×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $3,573 $3,573 1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,454 $1,454 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,265 $1,265 0.7×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $5,181 $5,181 1.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $769 $769 0.5×
Explo/Drain Breast Abscess (19020) $1,222 $1,222 0.7×
Exploration penetrating wound spx chest (20101) $977 $977 0.5×
Exploration penetrating wound spx extremity (20103) $1,502 $1,502 0.9×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $3,871 $3,871 0.6×
Explore/Treat Hand Joint (26070) $945 $945 0.6×
Fetal non-stress test (59025)
range across 4 matching MRF lines		 $174–$268 $174–$268 varies
Fine needle aspiration without imaging guidance (10021) $445 $445 1.1×
Foreskin manipulation (54450) $302 $302 1.2×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $3,549 $3,549 1.7×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,242 $3,242 1.5×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,684 $2,684 1.3×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $4,025 $4,025 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,228 $2,228 0.8×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,736 $1,736 0.6×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,178 $1,178 0.4×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $1,865 $1,865 0.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $545 $545 0.6×
Hemorrhoidopexy by stapling (46947) $1,313 $1,313 0.5×
Hepcidin-25 elisa serum or plasma (0251U) $291 $291 16.9×
Hysterotomy Abdominal (59100) $3,872 $3,872 0.8×
I&d abscess peritonsillar (42700) $468 $468 1.9×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $300–$706 $300–$706 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,971–$2,095 $1,971–$2,095 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,182 $1,182 0.4×
I&D Intramural Im/Absc Transanal Anes (46045) $716 $716 0.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $2,632 $2,632 0.8×
I&d perianal abscess superficial (46050) $521 $521 0.5×
I&d pilonidal cyst complicated (10081) $645 $645 0.9×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $356–$2,313 $356–$2,313 varies
I&d shoulder deep abscess/hematoma (23030) $959 $959 0.3×
Incise external hemorrhoid (46083) $687 $687 2.7×
Incise finger tendon sheath (26055) $1,672 $1,672 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $722–$1,256 $722–$1,256 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $2,036 $2,036 0.7×
Incision & removal foreign body subq tiss compl (10121) $792 $792 0.5×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $300–$1,256 $300–$1,256 varies
Incision and drainage of bartholin's gland abscess (56420) $476 $476 2.3×
Incision and drainage of vulva or perineal abscess (56405) $496 $496 1.6×
Incision of labial frenum (frenotomy) (40806) $172 $172 0.3×
Incision of rectal abscess (46040) $1,381 $1,381 1.1×
Incision&drainage bursa foot (28001)
range across 2 matching MRF lines		 $501–$5,485 $501–$5,485 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,237 $1,237 0.7×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $628–$1,256 $628–$1,256 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $196–$706 $196–$706 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $900–$1,800 $900–$1,800 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $272 $272 0.9×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,331 $1,331 1.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $566–$900 $566–$900 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $268–$435 $268–$435 varies
Injection enzyme palmar fascial cord (20527) $436 $436 1.4×
Injection single tendon origin/insertion (20551) $262 $262 0.8×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $262–$275 $262–$275 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $260–$403 $260–$403 varies
Injection therapeutic carpal tunnel (20526) $308 $308 1.0×
Injection, anesthetic agent; brachial plexus, single (64415) $1,178 $1,178 1.3×
Injection, anesthetic agent; femoral nerve, single (64447) $1,193 $1,193 1.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $401 $401 0.6×
Injection, intralesional; up to and including 7 lesions (11900) $174 $174 0.8×
Insert cath pleura w/o image (32556) $1,395 $1,395 0.7×
Insert Drug Implant Device (11981) $408 $408 3.0×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $559–$769 $559–$769 varies
Insert pessary/other device (57160) $324 $324 1.6×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $302–$570 $302–$570 varies
Insert tunneled cv cath (36561) $1,071 $1,071 0.3×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $162–$413 $162–$413 varies
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,977 $2,977 1.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $876 $876 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $769–$855 $769–$855 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $772 $772 0.2×
Int hrhc by ligation single hroid w/o img gdn (46945) $680 $680 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,573 $1,573 3.8×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $602–$632 $602–$632 varies
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,702 $2,702 0.4×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,804 $1,804 0.3×
Laparoscopy salpingostomy (58673)
unusually low: confirm this is the full procedure		 $3,354 $3,354 0.3×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,778 $1,778 0.3×
Laparoscopy W/Lysis Of Adhesions (58660) $3,132 $3,132 0.5×
Laparoscopy w/rmvl adnexal structures (58661) $3,301 $3,301 0.5×
Laparoscopy, surgical, appendectomy (44970) $3,173 $3,173 0.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,330 $5,330 0.9×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure		 $2,489 $2,489 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $1,529 $1,529 0.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
unusually low: confirm this is the full procedure		 $2,842 $2,842 0.5×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure		 $2,948 $2,948 0.5×
Laryngoscopy flexible diagnostic (31575) $449 $449 2.2×
Late closure of wound (13160) $1,698 $1,698 0.5×
Ligation of hemorrhoids (46946) $1,171 $1,171 0.4×
Ligation or biopsy temporal artery (37609) $1,117 $1,117 0.7×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $1,432 $1,432 0.4×
Lysis of labial adhesions (56441) $580 $580 0.2×
Lysis/excision penile postcircumcision adhesions (54162) $852 $852 0.4×
Manipulation knee joint under general anesthesia (27570) $515 $515 0.3×
Marsupialization of bartholin's gland cyst (56440) $600 $600 0.2×
Mast mod rad (19307) $4,701 $4,701 0.7×
Mastectomy partial (19301) $1,804 $1,804 0.5×
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,835 $1,835 0.3×
Mastectomy simple complete (19303) $5,168 $5,168 0.8×
Maternity Care Procedure (59899) $620 $620 3.0×
N Block Inj Ilio-Ing/Hypogi (64425) $496 $496 0.7×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $550–$800 $550–$800 varies
Nasal/Orogastric W/Tube Plmt (43752) $133 $133 0.3×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,101 $1,101 1.2×
Needle Biopsy Lymph Nodes (38505) $534 $534 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $67 $67 2.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $497–$1,421 $497–$1,421 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,421 $1,421 2.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,421 $1,421 2.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,384 $1,384 1.5×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $637 $637 1.5×
Njx Sclrsnt Spider Veins (36468) $362 $362 0.9×
Occipital Nerve Block (64405) $748 $748 2.4×
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure		 $2,020 $2,020 0.3×
Open Tx Distal Phalangeal Fracture Each (26765) $1,578 $1,578 0.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,161 $2,161 0.6×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,144 $2,144 0.6×
Orchiectomy radical tumor inguinal approach (54530) $3,140 $3,140 0.9×
Orchiopexy Ingun/Scrot Appr (54640) $2,992 $2,992 0.8×
Ovarian cystectomy, unilateral or bilateral (58925) $3,636 $3,636 0.7×
Partial Excision Distal Phalanx Finger (26236) $1,718 $1,718 1.0×
Partial excision of lip (40520) $1,523 $1,523 0.4×
Partial removal of thyroid (60220) $4,458 $4,458 0.7×
Pelvic examination under anesthesia (other than local) (57410) $414 $414 0.1×
Penile venous occlusive procedure Facility (37790) $2,625 $2,625 0.7×
Phleb Veins - Extrem 20+ (37766) $1,714 $1,714 0.5×
Placement of seton (46020) $993 $993 0.4×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
unusually low: confirm this is the full procedure		 $2,508 $2,508 0.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $306 $306 0.3×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $193 $193 0.1×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $844 $844 0.3×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $460 $460 0.4×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,182 $1,182 0.4×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $502–$706 $502–$706 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $262–$1,256 $262–$1,256 varies
Puncture Aspiration Cyst Breast (19000) $341 $341 0.5×
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,845 $1,845 0.5×
Reconstruction Nail Bed W/Graft (11762) $1,028 $1,028 0.5×
Removal Embedded Foreign Body Eyelid (67938) $342 $342 1.1×
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $2,168–$2,205 $2,168–$2,205 varies
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $1,544–$1,755 $1,544–$1,755 varies
Removal foreign body foot deep (28192) $1,050 $1,050 0.6×
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $567–$2,313 $567–$2,313 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $790 $790 0.5×
Removal foreign body, intranasal; requiring general anesthesia (30310) $591 $591 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $75 $75 1.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $136–$142 $136–$142 varies
Removal Implant Deep (20680) $1,995 $1,995 0.7×
Removal Implant Superficial Separate Procedure (20670) $550 $550 0.3×
Removal implantable contraceptive capsules (11976) $462 $462 0.6×
Removal of foreign body from pharynx (42809) $750 $750 1.6×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $646–$1,256 $646–$1,256 varies
Removal of residual cervix (57550)
likely a partial charge, not the full procedure		 $1,278 $1,278 0.3×
Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) $2,977 $2,977 1.3×
Removal of sperm cord lesion (55520) $1,821 $1,821 0.5×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $1,342 $1,342 0.2×
Removal of tonsils (42826) $1,557 $1,557 0.5×
Removal of tunneled intraperitoneal catheter (49422) $662 $662 0.2×
Removal or bivalving full arm or full leg cast (29705) $193 $193 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $262 $262 1.3×
Removal Sutures/Staples Requiring Anesthesia (15851) $456 $456 0.2×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $192–$941 $192–$941 varies
Remove armpit lymph nodes (38740)
unusually low: confirm this is the full procedure		 $1,916 $1,916 0.3×
Remove drug implant device (11982) $462 $462 1.0×
Remove foreign body from eye (65205) $297 $297 2.2×
Remove groin lymph nodes (38760)
unusually low: confirm this is the full procedure		 $2,509 $2,509 0.4×
Remove Intrauterine Device (58301) $339 $339 1.1×
Remove Nasal Foreign Body (30300) $431 $431 3.2×
Remove Peritoneal Foreign Body (49402) $3,713 $3,713 1.0×
Remove Tendon Sheath Lesion (26160) $534 $534 0.3×
Remove/Insert Drug Implant (11983) $670 $670 1.5×
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure		 $1,740 $1,740 0.1×
Repair Blood Vessel Direct Hand Finger (35207) $6,246 $6,246 1.9×
Repair Blood Vessel Direct Upper Extremity (35206) $4,514 $4,514 1.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,245 $1,245 1.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,884 $1,884 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $746 $746 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $931 $931 2.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,052 $1,052 2.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,446 $1,446 3.5×
Repair complex trunk 2.6-7.5 cm (13101) $1,348 $1,348 1.8×
Repair extensor tendon finger w/o graft each (26418) $2,222 $2,222 1.4×
Repair Finger/Hand Tendon (26350) $3,457 $3,457 1.0×
Repair forearm tendon/muscle (25265) $2,996 $2,996 0.9×
Repair inguinal hernia, sliding, any age (49525) $2,111 $2,111 0.6×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $2,681 $2,681 0.7×
Repair initial femoral hernia, any age; reducible (49550) $2,681 $2,681 0.7×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,276 $3,276 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $783 $783 1.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $850 $850 2.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $828 $828 2.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,312 $1,312 3.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,118 $1,118 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $584 $584 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $749 $749 1.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,458 $1,458 1.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,095 $1,095 2.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $491 $491 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $658 $658 1.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,152 $1,152 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $865 $865 2.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,348 $1,348 0.6×
Repair lumbar hernia (49540)
unusually low: confirm this is the full procedure		 $2,911 $2,911 0.5×
Repair of enterocele, vaginal approach (separate procedure) (57268)
unusually low: confirm this is the full procedure		 $2,392 $2,392 0.5×
Repair of nail bed (11760) $894 $894 1.2×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $3,330 $3,330 0.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $2,823 $2,823 0.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $3,160 $3,160 0.4×
Replace G-J Tube Perc (49452) $2,049 $2,049 2.2×
Replace g/c tube perc (49450) $1,946 $1,946 2.1×
Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) $8,264 $8,264 5.0×
Reposition Gastrostomy Tube (43761) $341 $341 1.3×
Rerepair ing hernia reduce (49520) $2,947 $2,947 0.8×
Resect enlarged toe (28341) $2,474 $2,474 0.7×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $3,785 $3,785 1.0×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,865 $1,865 0.5×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $1,759 $1,759 0.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $638 $638 0.7×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $459 $459 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $718 $718 1.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $342 $342 0.7×
Rmvl fecal impaction/fb spx under anes (45915) $1,266 $1,266 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,365 $1,365 0.5×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $665 $665 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,026 $1,026 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $637 $637 1.0×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $1,092–$1,342 $1,092–$1,342 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $235 $235 0.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure		 $2,444 $2,444 0.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,475 $2,475 0.7×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure		 $2,938 $2,938 0.4×
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low: confirm this is the full procedure		 $2,982 $2,982 0.5×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure		 $2,706 $2,706 0.4×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure		 $2,213 $2,213 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $913 $913 4.5×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,159 $1,159 1.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,381 $1,381 1.1×
Shave skin lesion 0.5 cm/< (11300) $239 $239 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $281 $281 1.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $426 $426 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $263 $263 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $327 $327 1.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $283 $283 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $333 $333 1.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $378 $378 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $302 $302 1.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $366 $366 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $239–$318 $239–$318 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $735 $735 0.2×
Sigmoidoscopy & decompress (45337) $496 $496 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $676 $676 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,075 $1,075 2.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $431 $431 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $521 $521 2.5×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,672 $1,672 4.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $681 $681 3.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $378–$706 $378–$706 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,026 $1,026 5.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $680 $680 3.3×
Skin Full Grft Face/Genit/Hf (15240) $2,908 $2,908 1.4×
Skin Pinch Graft (15050) $1,432 $1,432 1.9×
Skin sub graft face/nk/hf/g (15275) $625 $625 0.8×
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $768–$4,051 $768–$4,051 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $431–$740 $431–$740 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $740 $740 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $796 $796 1.9×
Sphincterotomy anal division sphincter spx (46080) $1,217 $1,217 0.4×
Spinal puncture lumbar diagnostic (62270) $566 $566 0.8×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines		 $2,848–$11,028 $2,848–$11,028 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines		 $2,726–$6,174 $2,726–$6,174 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,409 $1,409 0.4×
Strapping elbow or wrist (29260) $129 $129 2.1×
Strapping knee (29530) $167 $167 1.2×
Strapping shoulder (29240) $219 $219 1.6×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $167–$540 $167–$540 varies
Surg tx anal fistula subq (46270) $1,736 $1,736 0.6×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,299 $2,299 0.8×
Suture digital nerve hand/foot 1 nerve (64831) $2,104 $2,104 1.1×
Suture pharynx for wound or injury (42900) $1,672 $1,672 1.1×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $542–$706 $542–$706 varies
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $2,475 $2,475 0.7×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $687–$5,238 $687–$5,238 varies
Thyroid biopsy (60100) $518 $518 0.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,446 $3,446 1.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,632 $1,632 0.5×
Tooth extraction (41899) $151 $151 0.6×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,445 $1,445 0.4×
Transfer skin pedicle flap (15650) $1,653 $1,653 0.8×
Transur electr resection of prostate (52601) $3,358 $3,358 0.6×
Transurethral resection bladder neck (52500) $2,380 $2,380 0.7×
Treat Big Toe Fracture (28505) $1,847 $1,847 0.6×
Treat humerus fracture (24500) $959 $959 3.8×
Treat Humerus Fracture (24505) $1,045 $1,045 0.6×
Treat humerus fracture (23600) $891 $891 3.5×
Treat Knuckle Dislocation (26700) $1,058 $1,058 4.2×
Treat metacarpal fracture (26607) $1,951 $1,951 0.6×
Treat Metatarsal Fracture (28475) $735 $735 2.9×
Treat Thumb Dislocation (26641) $1,128 $1,128 4.5×
Treat Thumb Fracture (26645) $1,222 $1,222 0.7×
Treat Vaginal Bleeding (57180) $502 $502 2.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,653 $1,653 1.0×
Treatment closed elbow dislocation w/o anes (24600) $1,276 $1,276 5.1×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $105–$609 $105–$609 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $135–$740 $135–$740 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $142–$772 $142–$772 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $86–$227 $86–$227 varies
Tubal ligation (58600) $3,328 $3,328 1.0×
Tx Gastro Intub W/Asp (43753) $135 $135 0.6×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,423 $1,423 0.4×
Tx Missed Abortion First Trimester Surgical (59820) $1,503 $1,503 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,719 $1,719 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $872–$1,929 $872–$1,929 varies
Tx superficial wound dehiscence w/packing (12021) $686 $686 1.7×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $4,262 $4,262 0.7×
Unlisted procedure anus (46999) $594 $594 0.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $12 $12 0.0×
Vaginal delivery only (59409) $2,707 $2,707 0.8×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $5,412 $5,412 1.1×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $3,612 $3,612 0.7×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,264 $1,264 0.6×
Vein Access Cutdown < 1 Yr (36420) $203 $203 1.5×
Venous Cutdown >1 Y/O (36425) $209 $209 0.5×
Vulvectomy simple partial (56620) $2,506 $2,506 0.8×
Wedge excision skin nail fold (11765) $283 $283 0.7×
Wedging of cast (29740) $145 $145 0.5×
Windowing of cast (29730) $183 $183 1.1×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $1,329–$1,929 $1,329–$1,929 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $1,199–$6,174 $1,199–$6,174 varies

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.