Procedures & surgery prices at Monroe Regional Hospital

Aberdeen, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,358 $2,358 3.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $361.50–$1,688.20 $361.50–$1,688.20 varies
Acne surgery (10040)
range across 2 matching MRF lines		 $108–$525 $108–$525 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,716.95 $1,716.95 1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,841–$4,868.50 $1,841–$4,868.50 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,159.70 $2,159.70 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $1,276–$4,868.50 $1,276–$4,868.50 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines		 $1,590.50–$4,868.50 $1,590.50–$4,868.50 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $2,170.05–$8,212.35 $2,170.05–$8,212.35 varies
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $2,618.55–$8,212.50 $2,618.55–$8,212.50 varies
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $1,007.40–$8,212.50 $1,007.40–$8,212.50 varies
Amputation thigh through femur any level (27590) $2,858.90 $2,858.90 1.0×
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $1,276.50–$8,212.50 $1,276.50–$8,212.50 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $902.75–$5,339.45 $902.75–$5,339.45 varies
Anoscopy Ablation Lesion (46615) $300 $300 0.1×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $76–$310 $76–$310 varies
Ant Vesicourethropexy/Urethropexy Smpl (51840) $1,500 $1,500 0.3×
Anterior colporraphy rpr cystocele w/cysto (57240) $12,815 $12,815 3.0×
Appendectomy (44950)
range across 2 matching MRF lines		 $1,207.50–$9,328 $1,207.50–$9,328 varies
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $157–$619.85 $157–$619.85 varies
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $77.05–$272.55 $77.05–$272.55 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $64.40–$272.55 $64.40–$272.55 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $150–$272.55 $150–$272.55 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $110.40–$272.55 $110.40–$272.55 varies
Application of long leg cast (29345)
range across 3 matching MRF lines		 $246–$619.85 $246–$619.85 varies
Application of rigid total contact leg cast (29445) $242.65 $242.65 1.0×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $110.40–$272.55 $110.40–$272.55 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $154–$490 $154–$490 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $111.55–$405 $111.55–$405 varies
Application, cast; figure-of-eight Facility (29049)
range across 2 matching MRF lines		 $152.95–$272.55 $152.95–$272.55 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $150.65–$272.55 $150.65–$272.55 varies
Apply long arm cast (29065)
range across 3 matching MRF lines		 $173.50–$619.85 $173.50–$619.85 varies
Apply Multlay Comprs Lwr Leg (29581) $28.75 $28.75 0.2×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $211.60–$619.85 $211.60–$619.85 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $56.50–$270 $56.50–$270 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $94–$1,047 $94–$1,047 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $172.50–$1,139 $172.50–$1,139 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $67.90–$1,047 $67.90–$1,047 varies
Arthroscopy ankle w/removal loose/foreign body (29894)
range across 2 matching MRF lines		 $1,758.35–$8,212.50 $1,758.35–$8,212.50 varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $8,212.50 $8,212.50 2.9×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $2,263.20 $2,263.20 0.8×
Arthroscopy knee synovectomy limited spx (29875) $1,702 $1,702 0.6×
Arthroscopy shoulder distal claviculectomy (29824) $1,524.90 $1,524.90 0.5×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $3,545.45–$17,946 $3,545.45–$17,946 varies
Arthroscopy Wrist Surgical Synovectomy Complete (29845) $1,297.20 $1,297.20 0.5×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
range across 2 matching MRF lines		 $2,779.55–$17,946 $2,779.55–$17,946 varies
Arthroscopy, knee, surgical; with lateral release (29873)
range across 2 matching MRF lines		 $1,864.15–$8,212.50 $1,864.15–$8,212.50 varies
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $1,899.80 $1,899.80 0.7×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,574.35 $1,574.35 0.6×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $2,083.80 $2,083.80 0.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $1,415.65 $1,415.65 0.5×
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $1,952.70–$8,400 $1,952.70–$8,400 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure		 $2,336.80 $2,336.80 0.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $2,439.15 $2,439.15 0.4×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $1,176.45 $1,176.45 0.4×
Arthrotomy biopsy interphalangeal joint each (26110) $1,035 $1,035 0.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,493.85 $1,493.85 0.5×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,401.85 $1,401.85 0.5×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $1,289.15 $1,289.15 0.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $1,317.90–$4,314.80 $1,317.90–$4,314.80 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075)
range across 2 matching MRF lines		 $1,068.35–$8,212.50 $1,068.35–$8,212.50 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $400.20–$3,735.60 $400.20–$3,735.60 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $357.50–$1,891.50 $357.50–$1,891.50 varies
Aspirate/Inj Ganglion Cyst (20612) $785.50 $785.50 3.0×
Av fusion/forearm vein (36820)
range across 2 matching MRF lines		 $1,352–$13,788 $1,352–$13,788 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $198–$700 $198–$700 varies
Axillary lymphadenectomy; complete (38745)
range across 2 matching MRF lines		 $2,941.70–$14,500 $2,941.70–$14,500 varies
Biopsy bone open deep (20245)
range across 2 matching MRF lines		 $700–$6,957 $700–$6,957 varies
Biopsy external ear (69100) $178.60 $178.60 0.9×
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $225–$1,850 $225–$1,850 varies
Biopsy of breast; open, incisional (19101) $756.70 $756.70 0.2×
Biopsy of liver, needle; percutaneous (47000) $560 $560 0.4×
Biopsy soft tissue forearm&/wrist deep (25066) $1,212.10 $1,212.10 0.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,276 $1,276 1.6×
Biopsy/removal lymph nodes (38510) $960.25 $960.25 0.3×
Bladder Irrigation (51700) $103.50 $103.50 0.5×
Blepharoplasty Lower Eyelid (15820) $1,160.35 $1,160.35 0.7×
Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) $1,233.95 $1,233.95 0.7×
Blepharoplasty upper eyelid (15822) $879.75 $879.75 0.5×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,251.20 $1,251.20 0.7×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $443.90–$1,029.25 $443.90–$1,029.25 varies
Blood Transfusion Service (36430) $74.75 $74.75 0.2×
Bone Marrow Biopsy (38221) $4,118 $4,118 2.9×
Bone Marrow; Aspiration Only (38220) $4,118 $4,118 2.9×
Bx breast 1st lesion us imag (19083) $378 $378 0.3×
Bx Cervix (57500) $327.50 $327.50 0.4×
Bx/exc lymph node open deep axillary node (38525) $975.20 $975.20 0.3×
Bx/exc lymph node open superficial (38500) $605 $605 0.2×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525)
range across 2 matching MRF lines		 $2,098.75–$4,314.80 $2,098.75–$4,314.80 varies
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $1,185.65 $1,185.65 0.4×
Carpal Tunnel Surgery (64721) $952.20 $952.20 0.6×
Catheter aspiration nasotracheal spx (31720) $552 $552 2.9×
Cautery Cervix Cryocautery Initial/Repeat (57511) $288 $288 1.1×
Change Cystostomy Tube Simple (51705) $117.30 $117.30 0.5×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $147–$700 $147–$700 varies
Chemodenerv 1 extrem 5/> mus (64644) $468.25 $468.25 0.8×
Chemodenerv Musc Migraine (64615) $408.25 $408.25 1.5×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $408.25–$653 $408.25–$653 varies
Chemodenerv trunk musc 1-5 (64646) $433.26 $433.26 0.7×
Chemodenerv trunk musc 6/> (64647) $495.36 $495.36 0.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $366.25 $366.25 1.4×
Chest tube placement (32551)
range across 2 matching MRF lines		 $395.60–$4,893.50 $395.60–$4,893.50 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $376–$5,315 $376–$5,315 varies
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $488.75–$5,313 $488.75–$5,313 varies
Cl Tx Scapular Fx; W Manip (23575)
range across 3 matching MRF lines		 $825.70–$4,066 $825.70–$4,066 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,068.35–$4,628.75 $1,068.35–$4,628.75 varies
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $1,100–$8,887.20 $1,100–$8,887.20 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $132.25–$218 $132.25–$218 varies
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $886–$8,212.35 $886–$8,212.35 varies
Closed Rx Spontaneous Hip Disloc (27256)
range across 2 matching MRF lines		 $363.40–$539.35 $363.40–$539.35 varies
Closed rx talotarsal disloc,anesth (28575)
range across 2 matching MRF lines		 $724.50–$4,628.75 $724.50–$4,628.75 varies
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $629.05–$1,230.50 $629.05–$1,230.50 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $862.50–$891.25 $862.50–$891.25 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $862.50–$1,009.70 $862.50–$1,009.70 varies
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines		 $226.55–$363.40 $226.55–$363.40 varies
Closed Treatment Sternum Fracture (21820)
range across 2 matching MRF lines		 $317.40–$862.50 $317.40–$862.50 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $662.40–$862.50 $662.40–$862.50 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $363.40–$819.95 $363.40–$819.95 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $962.55–$1,355.50 $962.55–$1,355.50 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $504.85 $504.85 2.4×
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $953.35–$5,341.50 $953.35–$5,341.50 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $608.35–$862.50 $608.35–$862.50 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $1,025.80–$1,230.50 $1,025.80–$1,230.50 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $1,403–$3,734.05 $1,403–$3,734.05 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $363.40–$1,028.10 $363.40–$1,028.10 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $1,063.75–$5,341.50 $1,063.75–$5,341.50 varies
Closed tx mandibular fracture w/manipulation (21451)
range across 2 matching MRF lines		 $1,412.20–$1,802.05 $1,412.20–$1,802.05 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $363.40–$425.50 $363.40–$425.50 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,235.10–$5,421.50 $1,235.10–$5,421.50 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $348.45–$5,397 $348.45–$5,397 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $1,020.05–$3,734.05 $1,020.05–$3,734.05 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $363.40–$775.10 $363.40–$775.10 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $363.40–$650.90 $363.40–$650.90 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $737.50–$5,341.50 $737.50–$5,341.50 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $525.55–$862.50 $525.55–$862.50 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $915–$5,641.25 $915–$5,641.25 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $546.25–$862.50 $546.25–$862.50 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $942–$5,641.50 $942–$5,641.50 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $545.10–$862.50 $545.10–$862.50 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $363.40–$524.40 $363.40–$524.40 varies
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $672.75–$4,076.75 $672.75–$4,076.75 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines		 $769.35–$1,230.50 $769.35–$1,230.50 varies
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines		 $317.40–$363.40 $317.40–$363.40 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $585.35–$1,340 $585.35–$1,340 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $363.40–$463.45 $363.40–$463.45 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605)
range across 2 matching MRF lines		 $363.40–$633.65 $363.40–$633.65 varies
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $363.40–$417.45 $363.40–$417.45 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $73.60–$258.75 $73.60–$258.75 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $929.20–$5,341.50 $929.20–$5,341.50 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $577.30–$862.50 $577.30–$862.50 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $792.35–$862.50 $792.35–$862.50 varies
Closure Gastrostomy Surg (43870) $1,335 $1,335 0.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $377.20–$752.10 $377.20–$752.10 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $512.90–$1,802.05 $512.90–$1,802.05 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $678.50–$1,230.50 $678.50–$1,230.50 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $363.40–$499.10 $363.40–$499.10 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $730.25–$5,421.50 $730.25–$5,421.50 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $487.60–$862.50 $487.60–$862.50 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $879.75–$5,421.50 $879.75–$5,421.50 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $629.05–$862.50 $629.05–$862.50 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines		 $510.60–$5,421.50 $510.60–$5,421.50 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 2 matching MRF lines		 $363.40–$1,175.30 $363.40–$1,175.30 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,064.90–$3,734.05 $1,064.90–$3,734.05 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $745.20–$5,421.50 $745.20–$5,421.50 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $471.50–$862.50 $471.50–$862.50 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $906.20–$5,341.50 $906.20–$5,341.50 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $618.70–$5,341.50 $618.70–$5,341.50 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $669.30–$862.50 $669.30–$862.50 varies
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516)
range across 2 matching MRF lines		 $363.40–$1,055.70 $363.40–$1,055.70 varies
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517)
range across 2 matching MRF lines		 $1,355.50–$1,535.25 $1,355.50–$1,535.25 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $363.40–$865.95 $363.40–$865.95 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $363.40–$633.65 $363.40–$633.65 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $363.40–$608.35 $363.40–$608.35 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $363.40–$403.65 $363.40–$403.65 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $658.95–$862.50 $658.95–$862.50 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $988.50–$5,341.50 $988.50–$5,341.50 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,355.50–$1,565.15 $1,355.50–$1,565.15 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $363.40–$1,058 $363.40–$1,058 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,730.75 $1,730.75 1.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $363.40–$1,051.10 $363.40–$1,051.10 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $1,757.20–$4,628.75 $1,757.20–$4,628.75 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $338.10–$363.40 $338.10–$363.40 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $276–$363.40 $276–$363.40 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $316.25–$363.40 $316.25–$363.40 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $264.50–$363.40 $264.50–$363.40 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,068.35–$4,628.75 $1,068.35–$4,628.75 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $363.40–$672.75 $363.40–$672.75 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $363.40–$564.65 $363.40–$564.65 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $862.50–$1,230.50 $862.50–$1,230.50 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $780.85–$4,628.75 $780.85–$4,628.75 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $363.40–$443.90 $363.40–$443.90 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $669.30–$862.50 $669.30–$862.50 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $1,067.20–$5,421.50 $1,067.20–$5,421.50 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $1,028.10–$5,421.50 $1,028.10–$5,421.50 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $631.35–$862.50 $631.35–$862.50 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $1,025.80–$1,355.50 $1,025.80–$1,355.50 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines		 $300.15–$3,734.05 $300.15–$3,734.05 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $200.10–$363.40 $200.10–$363.40 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,164.30 $2,164.30 1.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $770.50–$1,460.50 $770.50–$1,460.50 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $363.40–$560.05 $363.40–$560.05 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $985.55–$4,628.75 $985.55–$4,628.75 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $363.40–$675.05 $363.40–$675.05 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $647.45–$862.50 $647.45–$862.50 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $602.60–$862.50 $602.60–$862.50 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)
range across 2 matching MRF lines		 $308.20–$3,734.05 $308.20–$3,734.05 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $647–$677.35 $647–$677.35 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $403.65–$862.50 $403.65–$862.50 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $506.75–$895.85 $506.75–$895.85 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $880.90–$4,628.75 $880.90–$4,628.75 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $363.40–$612.95 $363.40–$612.95 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $4,628.75 $4,628.75 3.3×
Cltx prox tibfib jt dislc req anes (27831)
range across 2 matching MRF lines		 $882.05–$4,628.75 $882.05–$4,628.75 varies
Cltx prox tibfib jt dislc w/o anes (27830)
range across 2 matching MRF lines		 $363.40–$776.25 $363.40–$776.25 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $862.50–$909.65 $862.50–$909.65 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $207–$862.50 $207–$862.50 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines		 $1,186.80–$5,341.50 $1,186.80–$5,341.50 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 3 matching MRF lines		 $877.45–$5,421.50 $877.45–$5,421.50 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $1,068.35–$5,421.50 $1,068.35–$5,421.50 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $1,269.60–$5,421.50 $1,269.60–$5,421.50 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $760.15–$862.50 $760.15–$862.50 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 2 matching MRF lines		 $1,355.50–$1,804.35 $1,355.50–$1,804.35 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 2 matching MRF lines		 $363.40–$1,068.35 $363.40–$1,068.35 varies
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545)
range across 2 matching MRF lines		 $564.65–$6,321.55 $564.65–$6,321.55 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $363.40–$412.85 $363.40–$412.85 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $363.40–$632.50 $363.40–$632.50 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $363.40–$702.65 $363.40–$702.65 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 2 matching MRF lines		 $862.50–$1,058 $862.50–$1,058 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $980.95–$1,355 $980.95–$1,355 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $363.40–$632.50 $363.40–$632.50 varies
Collect Blood From Catheter Venous Nos (36592) $250 $250 2.2×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $10.35–$19 $10.35–$19 varies
Colonoscopy Flexible With Decompression (45393) $3,012 $3,012 2.9×
Colonoscopy Stoma Control Bleeding (44391)
range across 2 matching MRF lines		 $1,222–$3,012 $1,222–$3,012 varies
Colonoscopy Stoma W/Rmvl Foreign Body (44390)
range across 2 matching MRF lines		 $778.55–$2,385.10 $778.55–$2,385.10 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $728 $728 0.7×
Colonoscopy thru stoma (44388) $384.10 $384.10 0.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $880.90–$3,012 $880.90–$3,012 varies
Colonoscopy w/fb removal (45379) $783 $783 0.8×
Colonoscopy w/submucosal inj (45381) $771 $771 0.7×
Colporrhaphy (57200) $7,494.50 $7,494.50 2.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $295 $295 1.1×
Colposcopy cervix upper/adjacent vagina (57452) $498.50 $498.50 2.9×
Colposcopy entire vagina w/cervix if present (57420) $812.50 $812.50 3.1×
Colposcopy of vulva (56820) $498 $498 2.9×
Colsc Flexible W/Control Bleeding Any Method (45382) $765.90 $765.90 0.7×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $864.75–$3,012 $864.75–$3,012 varies
Complex drainage wound (10180)
range across 2 matching MRF lines		 $400.20–$455 $400.20–$455 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $633 $633 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $186.30–$258.75 $186.30–$258.75 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $131.10–$450 $131.10–$450 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $235.75–$500 $235.75–$500 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $258.75–$307.05 $258.75–$307.05 varies
Curettage postpartum (59160) $7,494.50 $7,494.50 2.7×
Cysto w/irrig & evac multple obstructing clots (52001) $776 $776 0.3×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $506–$5,315 $506–$5,315 varies
Cystourethroscopy (52000) $382 $382 0.6×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $697.50–$6,925.30 $697.50–$6,925.30 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $1,503.05–$6,957 $1,503.05–$6,957 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $638.25–$1,240 $638.25–$1,240 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $361.10–$1,988 $361.10–$1,988 varies
Debride nail 1-5 (11720)
range across 4 matching MRF lines		 $34.50–$220 $34.50–$220 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $58.65–$93 $58.65–$93 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,600 $3,600 2.5×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $208–$285 $208–$285 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $64.40–$68 $64.40–$68 varies
Decompressive fasciotomy hand (26037)
range across 2 matching MRF lines		 $1,284.55–$10,950 $1,284.55–$10,950 varies
Delivery of placenta (59414)
range across 2 matching MRF lines		 $2,130.95–$4,986.40 $2,130.95–$4,986.40 varies
Destr penis lesion(s) (54065) $3,430.75 $3,430.75 1.9×
Destruct B9 Lesion 1-14 (17110) $273 $273 1.6×
Destruction Benign Lesions 15/> (17111) $215 $215 1.2×
Destruction Internal Hemorrhoid Thermal Energy (46930) $499.10 $499.10 0.5×
Destruction Lesions Vulva Simple (56501) $600 $600 0.3×
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $629–$1,278 $629–$1,278 varies
Destruction Premalignant Lesion 15/> (17004)
range across 2 matching MRF lines		 $300.15–$449 $300.15–$449 varies
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $126.50–$133 $126.50–$133 varies
Diagnostic sigmoidoscopy (45330) $315 $315 0.4×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $130 $130 1.2×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $128 $128 1.1×
Dilat rct strix spx under anes oth/thn local (45910) $441.60 $441.60 0.4×
Dilat Urethral Strix Dilator Male Sbsq (53601) $150 $150 1.3×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $256 $256 1.2×
Dilate Esophagus 1/Mult Pass (43450) $310 $310 0.4×
Dilate Urethra Stricture (53620) $275 $275 0.5×
Dilate Urethra Stricture (53600) $148.35 $148.35 0.7×
Dilation & curettage dx&/ther nonobstetric (58120) $7,494.50 $7,494.50 2.7×
Dilation And Curettage Of Cervical Stump (57558) $7,494.50 $7,494.50 2.7×
Dilation Esophagus Guide Wire (43453) $1,559 $1,559 0.9×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $328.90–$650 $328.90–$650 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $273.70–$650 $273.70–$650 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $784–$5,490.50 $784–$5,490.50 varies
Drainage of finger abscess simple (26010)
range across 3 matching MRF lines		 $154–$699 $154–$699 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $325.45–$342.70 $325.45–$342.70 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $370–$6,212.50 $370–$6,212.50 varies
Drainage of scrotal wall abscess (55100) $381.80 $381.80 0.3×
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $492.20–$5,700.55 $492.20–$5,700.55 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $296.70–$342.70 $296.70–$342.70 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $355–$1,278 $355–$1,278 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $254.15–$700 $254.15–$700 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $185–$700 $185–$700 varies
Dstrj lesion anus simple surg excision (46922) $530 $530 0.2×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $470 $470 0.3×
Dx gastr intub w/asp spec (43754)
range across 2 matching MRF lines		 $322.50–$759.50 $322.50–$759.50 varies
Dx gastr intub w/asp specs (43755)
range across 2 matching MRF lines		 $133.40–$225.40 $133.40–$225.40 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $371.45–$6,800 $371.45–$6,800 varies
Egd Balloon Dil Esoph30 Mm/> (43233)
range across 2 matching MRF lines		 $852.15–$4,672 $852.15–$4,672 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,938–$4,672 $1,938–$4,672 varies
Egd cautery tumor polyp (43250) $783.50 $783.50 0.5×
Egd control bleeding any (43255) $1,182 $1,182 0.7×
Egd dilation gastric/duodenal stricture (43245) $1,059.50 $1,059.50 0.6×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $656–$3,800 $656–$3,800 varies
Egd guide wire insertion (43248) $707 $707 0.9×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $619.85 $619.85 0.4×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $583.05–$4,672.50 $583.05–$4,672.50 varies
Egd remove lesion snare (43251) $865.50 $865.50 0.5×
Egd Tube/Cath Insertion (43241) $361.10 $361.10 0.2×
Egd Varices Ligation (43244) $684.25 $684.25 0.4×
Endometrial Biopsy (58100) $132 $132 0.8×
Endoscopy Upper Small Intestine (44360)
range across 2 matching MRF lines		 $538.20–$4,673 $538.20–$4,673 varies
Endoscopy upper small intestine w/biopsy (44361)
range across 2 matching MRF lines		 $591.10–$4,671 $591.10–$4,671 varies
Enterorrhaphy single perforation (44602) $2,440.50 $2,440.50 0.7×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363)
range across 2 matching MRF lines		 $710.70–$4,671 $710.70–$4,671 varies
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365)
range across 2 matching MRF lines		 $672.75–$4,671 $672.75–$4,671 varies
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364)
range across 2 matching MRF lines		 $754.40–$4,671 $754.40–$4,671 varies
Epidural Blood Patch (62273) $261.05 $261.05 0.4×
Episiotomy or vaginal repair (59300) $5,350.95 $5,350.95 1.9×
Esoph Scope W/Submucous Inj (43201) $438 $438 0.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $676.50 $676.50 0.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $294.40 $294.40 0.2×
Esophagoscopy Flex Transoral Injection Varices (43204) $509.45 $509.45 0.3×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $728 $728 0.4×
Esophagoscopy Flexible Guide Wire Dilation (43226) $645 $645 0.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $435 $435 0.6×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,115 $1,115 0.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $608 $608 0.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $693.50 $693.50 0.4×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $334.65 $334.65 0.2×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $520.95 $520.95 0.3×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $72.50–$436 $72.50–$436 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 2 matching MRF lines		 $773–$4,118 $773–$4,118 varies
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $1,125.85–$4,118 $1,125.85–$4,118 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $150 $150 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $300 $300 0.2×
Exc Back Les Sc < 3 Cm (21930) $899 $899 0.6×
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines		 $5,730.45–$6,956.75 $5,730.45–$6,956.75 varies
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) $14,551.75 $14,551.75 2.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $356.50 $356.50 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $594.50 $594.50 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $750.50 $750.50 0.5×
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines		 $1,196–$4,118 $1,196–$4,118 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $191–$2,440 $191–$2,440 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $242 $242 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $267.75–$327.75 $267.75–$327.75 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $268–$415 $268–$415 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $420–$522 $420–$522 varies
Exc Forearm Les Sc 3 Cm/> (25071) $777.50 $777.50 0.5×
Exc Frenum Labial/Buccal (40819) $4,058.50 $4,058.50 3.0×
Exc ganglion wrist recurrent (25112)
range across 2 matching MRF lines		 $1,302.95–$5,654.55 $1,302.95–$5,654.55 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $151.80 $151.80 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $204.50 $204.50 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $251.30–$5,490 $251.30–$5,490 varies
Exc Hand Les Sc < 1.5 Cm (26115) $756.70 $756.70 0.5×
Exc neuroma hand/foot xcp digital nerve (64782) $1,026.95 $1,026.95 0.6×
Exc Rct Tum Not Incl Muscularis Propria (45171)
range across 2 matching MRF lines		 $1,491.55–$7,032.50 $1,491.55–$7,032.50 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $272–$3,755 $272–$3,755 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 3 matching MRF lines		 $332–$5,490 $332–$5,490 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $509 $509 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $453.50–$5,490 $453.50–$5,490 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $602–$986 $602–$986 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $481.85 $481.85 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $750.50 $750.50 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $721.05 $721.05 0.5×
Exc tendon shth lesion leg/ankle (27630) $8,212.35 $8,212.35 2.9×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $992.45–$6,957 $992.45–$6,957 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $249.55–$5,894.90 $249.55–$5,894.90 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 4 matching MRF lines		 $150–$2,488 $150–$2,488 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $212–$2,440 $212–$2,440 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 3 matching MRF lines		 $300–$5,490 $300–$5,490 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $830–$6,956.75 $830–$6,956.75 varies
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $6,956.75 $6,956.75 2.8×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $1,171.85–$4,627.60 $1,171.85–$4,627.60 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,068.35 $1,068.35 0.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $1,047.65–$4,118 $1,047.65–$4,118 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)
range across 2 matching MRF lines		 $1,161–$6,957 $1,161–$6,957 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $1,380–$6,957 $1,380–$6,957 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $292.10 $292.10 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $717.60 $717.60 0.5×
Excise mandible lesion (21040) $1,081 $1,081 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines		 $441.60–$691.15 $441.60–$691.15 varies
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,043 $2,043 0.8×
Excision H/P/P/U Complex Repair (11471) $779.70 $779.70 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $625.60 $625.60 0.2×
Excision Hidradenitis Axillary Complex Repair (11451) $721.05 $721.05 0.3×
Excision Hidradenitis Inguinal Complex Repair (11463) $726.80 $726.80 0.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $718 $718 0.3×
Excision Infected Graft Extremity (35903) $9,821 $9,821 3.6×
Excision lesion mouth roof (42104) $4,128 $4,128 1.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $360 $360 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $336.95–$378 $336.95–$378 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $452 $452 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $486.45 $486.45 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $282.90 $282.90 0.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $589 $589 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $907.35 $907.35 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $271.40 $271.40 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $420 $420 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $389.85 $389.85 0.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $622–$4,117.80 $622–$4,117.80 varies
Excision Multiple External Papillae/Tags Anus (46230) $537 $537 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $713 $713 0.5×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $885.50 $885.50 0.5×
Excision of pilonidal cyst or sinus; simple (11770) $410.55 $410.55 0.2×
Excision of single external papilla or tag, anus (46220) $414 $414 0.4×
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $1,181.05–$8,212.50 $1,181.05–$8,212.50 varies
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,576 $1,576 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $1,446.70–$6,957 $1,446.70–$6,957 varies
Excision Skin Abd Infraumbilical Panniculectomy (15830)
range across 2 matching MRF lines		 $2,780.70–$15,712 $2,780.70–$15,712 varies
Excision soft tissue lesion, external auditory canal (69145) $856.75 $856.75 0.3×
Excision synovial cyst popliteal space (27345) $896 $896 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,620.35 $1,620.35 1.1×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $1,440.95–$5,991.50 $1,440.95–$5,991.50 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $4,117.80 $4,117.80 2.9×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $1,605.40 $1,605.40 0.6×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $817–$6,956 $817–$6,956 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $4,118 $4,118 2.9×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines		 $1,416.80–$6,956.70 $1,416.80–$6,956.70 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $872–$6,957 $872–$6,957 varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $912 $912 0.6×
Excision/Transposition Pterygium W/Grafg (65426) $1,064.90 $1,064.90 0.5×
Excision/Transposition Pterygium W/O Graft (65420) $831.45 $831.45 0.4×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $760.15–$4,855.30 $760.15–$4,855.30 varies
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $972.90–$5,643.05 $972.90–$5,643.05 varies
Exploration penetrating wound spx chest (20101)
range across 2 matching MRF lines		 $701.50–$5,153.15 $701.50–$5,153.15 varies
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,057.74–$2,440 $1,057.74–$2,440 varies
Exploratory elbow surgery (24000)
range across 2 matching MRF lines		 $1,582.40–$8,887.20 $1,582.40–$8,887.20 varies
Explore/Treat Hand Joint (26070)
range across 2 matching MRF lines		 $695.75–$5,421.50 $695.75–$5,421.50 varies
Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) $600 $600 0.4×
Fasciotomy palmar open partial (26045)
range across 2 matching MRF lines		 $1,592.75–$8,212.50 $1,592.75–$8,212.50 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $1,551.50–$8,212.50 $1,551.50–$8,212.50 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $3,153.30 $3,153.30 1.8×
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $469–$2,440 $469–$2,440 varies
Fna bx w/us gdn 1st les (10005) $233.50 $233.50 0.4×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,995 $1,995 1.1×
Fusion Finger Joint (26860)
range across 2 matching MRF lines		 $1,058–$8,212.35 $1,058–$8,212.35 varies
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $2,504.70 $2,504.70 1.5×
Guide Cathet Fluid Drainage (10030) $1,742 $1,742 2.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $1,175.30–$7,032.50 $1,175.30–$7,032.50 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $1,035–$7,032.50 $1,035–$7,032.50 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $1,574.35–$9,150 $1,574.35–$9,150 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $501 $501 0.6×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $316.25–$752.10 $316.25–$752.10 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $244–$700 $244–$700 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,125.85–$4,968 $1,125.85–$4,968 varies
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines		 $1,397.25–$5,332.55 $1,397.25–$5,332.55 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $394.50–$2,292 $394.50–$2,292 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $386.40–$2,440 $386.40–$2,440 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $400–$2,440 $400–$2,440 varies
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $573.85–$9,275.50 $573.85–$9,275.50 varies
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $486.45–$5,421.50 $486.45–$5,421.50 varies
Ileoscopy Stoma W/Bx Single/Multiple (44382)
range across 2 matching MRF lines		 $279.45–$2,589.80 $279.45–$2,589.80 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 2 matching MRF lines		 $328–$2,589.80 $328–$2,589.80 varies
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $198–$587.75 $198–$587.75 varies
Incise finger tendon sheath (26055) $684.25 $684.25 0.5×
Incise/Drain Conjunctiva (68020) $248.40 $248.40 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $380–$454 $380–$454 varies
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $978–$6,956 $978–$6,956 varies
Incision & drainage leg/ankle infected bursa (27604)
range across 2 matching MRF lines		 $875–$8,212.35 $875–$8,212.35 varies
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $419.75–$5,490 $419.75–$5,490 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $209.30–$1,278 $209.30–$1,278 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $179.50–$421.50 $179.50–$421.50 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $250–$382.95 $250–$382.95 varies
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991)
range across 2 matching MRF lines		 $1,179.90–$5,332.55 $1,179.90–$5,332.55 varies
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines		 $1,063.75–$5,365.90 $1,063.75–$5,365.90 varies
Incision of lingual frenum (frenotomy) (41010) $2,763.25 $2,763.25 2.1×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,000.50–$5,894.90 $1,000.50–$5,894.90 varies
Incision&drainage bursa foot (28001) $520.40 $520.40 0.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 3 matching MRF lines		 $356.50–$5,490.50 $356.50–$5,490.50 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $105.80–$700 $105.80–$700 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $125.35–$673.90 $125.35–$673.90 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines		 $98.50–$1,047 $98.50–$1,047 varies
Injection of sclerosing solution, hemorrhoids (46500)
range across 2 matching MRF lines		 $462.30–$2,292 $462.30–$2,292 varies
Injection single tendon origin/insertion (20551) $149 $149 0.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $136–$1,047 $136–$1,047 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $154–$2,858.25 $154–$2,858.25 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $190.90–$1,047 $190.90–$1,047 varies
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $188.60–$300 $188.60–$300 varies
Insert cath pleura w/ image (32557) $2,778 $2,778 2.0×
Insert Drug Implant Device (11981) $358 $358 3.1×
Insert Gastrostomy Tube Percutaneous (49440) $1,664 $1,664 1.0×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $282.90–$2,678.35 $282.90–$2,678.35 varies
Insert pessary/other device (57160) $195 $195 1.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $179.50–$1,891.50 $179.50–$1,891.50 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $69–$350 $69–$350 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $1,939.50–$7,715.35 $1,939.50–$7,715.35 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $63.25–$250 $63.25–$250 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,350 $1,350 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $285.20–$2,678.35 $285.20–$2,678.35 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $741.75–$8,313.50 $741.75–$8,313.50 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,875 $2,875 2.1×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $8,313.50 $8,313.50 3.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $767.05–$8,314 $767.05–$8,314 varies
Int hrhc by ligation single hroid w/o img gdn (46945) $1,236.28 $1,236.28 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $786.60–$868 $786.60–$868 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $1,022.50–$1,278 $1,022.50–$1,278 varies
Intraoral i&d tongue/floor sublngl supfc (41005)
range across 2 matching MRF lines		 $426.65–$900.45 $426.65–$900.45 varies
Intro Gastrointestinal Tube (44500)
range across 2 matching MRF lines		 $56.35–$1,500.75 $56.35–$1,500.75 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $255.30–$1,150 $255.30–$1,150 varies
Iridotomy/irridectomy laser surg per session (66761) $800.40 $800.40 1.7×
Knee Arthroscopy/Surgery (29874) $1,212.10 $1,212.10 0.4×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $3,094.50 $3,094.50 0.3×
Laparo-vag hyst incl t/o (58552) $25,239.50 $25,239.50 2.8×
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $877–$14,500 $877–$14,500 varies
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,606 $2,606 0.5×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $1,431.75–$14,500 $1,431.75–$14,500 varies
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $25,239.50 $25,239.50 2.8×
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $2,321.85–$14,501.25 $2,321.85–$14,501.25 varies
Laparoscopy w/rmvl adnexal structures (58661) $14,501.25 $14,501.25 2.8×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,347.80 $1,347.80 0.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure		 $2,762 $2,762 0.3×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772)
range across 2 matching MRF lines		 $1,786–$8,997.50 $1,786–$8,997.50 varies
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $25,239.50 $25,239.50 2.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $2,015–$14,501 $2,015–$14,501 varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
range across 2 matching MRF lines		 $2,090–$14,501 $2,090–$14,501 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $1,866.45–$14,500 $1,866.45–$14,500 varies
Laparoscopy, Tubal Block (58671) $14,501.25 $14,501.25 2.8×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $882.05 $882.05 0.2×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $1,320–$14,501.25 $1,320–$14,501.25 varies
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $25,239.50 $25,239.50 2.8×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $112.70–$259.90 $112.70–$259.90 varies
Laryngoscopy flexible diagnostic (31575) $470 $470 2.7×
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines		 $300.15–$450.80 $300.15–$450.80 varies
Laryngoscopy W/Foreign Body Removal (31530) $546.25 $546.25 0.4×
Laryngoscopy w/wo tracheoscopy aspiration (31515)
range across 2 matching MRF lines		 $255.30–$5,156.60 $255.30–$5,156.60 varies
Ligation of hemorrhoids (46946) $700 $700 0.3×
Ligation or biopsy temporal artery (37609) $479.55 $479.55 0.3×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $953.35 $953.35 0.4×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $512.90–$4,066 $512.90–$4,066 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $669.30 $669.30 0.5×
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines		 $627.90–$7,494.50 $627.90–$7,494.50 varies
Mast mod rad (19307)
range across 2 matching MRF lines		 $4,067.55–$11,164.20 $4,067.55–$11,164.20 varies
Mastectomy partial (19301)
range across 2 matching MRF lines		 $2,170.05–$6,160.55 $2,170.05–$6,160.55 varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $3,364.90–$8,069.55 $3,364.90–$8,069.55 varies
Mastopexy (19316)
unusually low: confirm this is the full procedure		 $1,815.85 $1,815.85 0.3×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $5,996.50 $5,996.50 2.1×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $93.15–$375 $93.15–$375 varies
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385)
range across 2 matching MRF lines		 $366.85–$2,385.10 $366.85–$2,385.10 varies
Ndsc eval intstinal pouch w/bx single/multiple (44386)
range across 2 matching MRF lines		 $440.45–$2,385.10 $440.45–$2,385.10 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,145.40 $1,145.40 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $141.85 $141.85 5.7×
Needle insertion w/o injection 3 or more muscles (20561) $141.85 $141.85 5.7×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,026.30 $2,026.30 1.2×
Nipple/areola reconstruction (19350) $1,437.50 $1,437.50 0.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $785 $785 3.0×
Occipital Nerve Block (64405) $146.49 $146.49 0.6×
Omntc Epiploectomy Rescj Omentum Spx (49255)
range across 2 matching MRF lines		 $2,814.05–$4,585.05 $2,814.05–$4,585.05 varies
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $1,600 $1,600 0.3×
Open treatment interphalangeal joint dislocation (28675)
range across 2 matching MRF lines		 $929.20–$6,321.55 $929.20–$6,321.55 varies
Open treatment metacarpophalangeal dislocation (26715)
range across 2 matching MRF lines		 $1,278.80–$10,950 $1,278.80–$10,950 varies
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519)
unusually low: confirm this is the full procedure		 $2,030.90 $2,030.90 0.3×
Open treatment of nasal fracture; uncomplicated Facility (21325)
range across 2 matching MRF lines		 $1,068.35–$6,017.95 $1,068.35–$6,017.95 varies
Open treatment of nasal septal fracture, with or without stabilization Facility (21336)
range across 2 matching MRF lines		 $1,476.60–$6,321.55 $1,476.60–$6,321.55 varies
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531)
range across 2 matching MRF lines		 $433.55–$6,321.55 $433.55–$6,321.55 varies
Open treatment of temporomandibular dislocation Facility (21490)
range across 2 matching MRF lines		 $2,106.80–$10,918.10 $2,106.80–$10,918.10 varies
Open Treatment Proximal Fibula/Shaft Fracture (27784)
range across 2 matching MRF lines		 $1,610–$12,057.75 $1,610–$12,057.75 varies
Open Tx Acute/Chronic Elbow Dislocation (24615)
range across 2 matching MRF lines		 $1,599.65–$23,928 $1,599.65–$23,928 varies
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $926.50–$8,212.35 $926.50–$8,212.35 varies
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $2,273.55 $2,273.55 0.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525)
range across 2 matching MRF lines		 $907.35–$6,321.55 $907.35–$6,321.55 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $1,065–$8,212.35 $1,065–$8,212.35 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $1,102–$8,212.35 $1,102–$8,212.35 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $4,068.70–$8,669.85 $4,068.70–$8,669.85 varies
Ovarian cystectomy, unilateral or bilateral (58925)
range across 2 matching MRF lines		 $2,618.55–$12,814.75 $2,618.55–$12,814.75 varies
Part exc bone femur prox tibia (27360) $1,630 $1,630 0.6×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $1,481.20–$4,089.40 $1,481.20–$4,089.40 varies
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $2,527.70–$14,501.15 $2,527.70–$14,501.15 varies
Perineoplasty rpr perineum nonobstetrical spx (56810) $613.50 $613.50 0.2×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $354.20–$2,358 $354.20–$2,358 varies
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $2,281.60–$8,212.50 $2,281.60–$8,212.50 varies
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $138–$388.70 $138–$388.70 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $12,815 $12,815 3.0×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $282.90 $282.90 0.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)
range across 2 matching MRF lines		 $777–$8,212.35 $777–$8,212.35 varies
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650)
range across 2 matching MRF lines		 $882.50–$8,212.35 $882.50–$8,212.35 varies
Punch biopsy skin single lesion (11104) $800 $800 2.3×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $240–$1,278 $240–$1,278 varies
Puncture Aspiration Cyst Breast (19000) $1,830 $1,830 3.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $2,040.10 $2,040.10 0.7×
Radical styloidectomy separate procedure (25230) $969.45 $969.45 0.3×
Reconstruction Nail Bed W/Graft (11762)
range across 2 matching MRF lines		 $424.35–$6,488 $424.35–$6,488 varies
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $259.90–$489.90 $259.90–$489.90 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $1,095–$6,957 $1,095–$6,957 varies
Removal Foreign Body Foot Subcutaneous (28190) $589 $589 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $386–$5,490 $386–$5,490 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $139 $139 2.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $74.75–$230 $74.75–$230 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $7,494.50 $7,494.50 2.7×
Removal Implant Deep (20680) $960.25 $960.25 0.4×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $1,124.50–$3,869.75 $1,124.50–$3,869.75 varies
Removal of anal fissure (46200) $840 $840 0.4×
Removal of cervix (57530) $12,815 $12,815 3.0×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $304.75–$375 $304.75–$375 varies
Removal of nail bed (11750)
range across 4 matching MRF lines		 $391–$3,895 $391–$3,895 varies
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines		 $1,545.60–$9,055 $1,545.60–$9,055 varies
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $1,238.55–$8,314 $1,238.55–$8,314 varies
Removal of wrist bone (25210) $1,658.30 $1,658.30 0.6×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $106.95–$272.55 $106.95–$272.55 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines		 $142.50–$700 $142.50–$700 varies
Removal sweat gland lesion (11450) $738 $738 0.3×
Removal, under anesthesia, of external fixation system (20694) $1,155.75 $1,155.75 0.8×
Removal/bivalving gauntlet boot/body cast (29700) $78.20 $78.20 0.3×
Remove armpit lymph nodes (38740) $14,500 $14,500 2.8×
Remove drug implant device (11982) $408 $408 1.1×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $70–$436 $70–$436 varies
Remove Intrauterine Device (58301) $126 $126 0.5×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $157.55–$285.20 $157.55–$285.20 varies
Remove Peritoneal Foreign Body (49402) $9,328 $9,328 3.0×
Remove Shoulder Foreign Body (23330)
range across 2 matching MRF lines		 $341.55–$2,440 $341.55–$2,440 varies
Remove Skin Nerve Lesion (64774)
range across 2 matching MRF lines		 $1,477.75–$4,774.80 $1,477.75–$4,774.80 varies
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $1,031.50–$4,006.50 $1,031.50–$4,006.50 varies
Remove/Insert Drug Implant (11983) $909 $909 2.4×
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $2,605.90–$11,287.25 $2,605.90–$11,287.25 varies
Repair brow ptosis (67900) $1,513.40 $1,513.40 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $721.05–$1,988 $721.05–$1,988 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $966–$1,988 $966–$1,988 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $711–$1,278 $711–$1,278 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $877–$1,988 $877–$1,988 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 3 matching MRF lines		 $645.75–$1,988 $645.75–$1,988 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $787.50–$1,988 $787.50–$1,988 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $618–$1,988 $618–$1,988 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $728.30–$2,195.75 $728.30–$2,195.75 varies
Repair Ectropion Excision Tarsal Wedge (67916) $976.35 $976.35 0.5×
Repair Elbow Perc (24357) $1,501.90 $1,501.90 0.5×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,273.05–$5,421.50 $1,273.05–$5,421.50 varies
Repair Hand Joint (26540)
range across 2 matching MRF lines		 $1,235–$8,212.35 $1,235–$8,212.35 varies
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $1,248.90–$5,421.50 $1,248.90–$5,421.50 varies
Repair inguinal hernia, sliding, any age (49525) $1,286.85 $1,286.85 0.4×
Repair initial femoral hernia, any age; reducible (49550) $1,293.75 $1,293.75 0.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,320.20 $1,320.20 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $483–$4,223.75 $483–$4,223.75 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $548–$2,954.25 $548–$2,954.25 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $650–$958.50 $650–$958.50 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $685–$958.50 $685–$958.50 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $1,087–$1,278 $1,087–$1,278 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $733–$1,988 $733–$1,988 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $398–$1,278 $398–$1,278 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $538–$1,278 $538–$1,278 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $539–$1,988 $539–$1,988 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $957–$6,490 $957–$6,490 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $703–$1,278 $703–$1,278 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $550–$1,278 $550–$1,278 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $445–$1,567.25 $445–$1,567.25 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $786–$1,991 $786–$1,991 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $580–$2,422.50 $580–$2,422.50 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $742.90–$6,490 $742.90–$6,490 varies
Repair of nail bed (11760)
range across 2 matching MRF lines		 $355–$1,988 $355–$1,988 varies
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $2,588.65–$13,046.75 $2,588.65–$13,046.75 varies
Repair of shoulder (23420)
unusually low: confirm this is the full procedure		 $2,187.30 $2,187.30 0.3×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $1,627.25 $1,627.25 0.5×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,345 $1,345 0.2×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure		 $2,941.70 $2,941.70 0.5×
Repair Spica/Body/Jacket Cast (29720)
range across 2 matching MRF lines		 $98.90–$272.55 $98.90–$272.55 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $488.75–$1,802.05 $488.75–$1,802.05 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $258.75–$345 $258.75–$345 varies
Reposition Venous Catheter (36597) $244 $244 0.2×
Rerepair ing hernia reduce (49520) $1,183 $1,183 0.4×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $5,339.45 $5,339.45 1.9×
Revise external ear (69300) $1,361.60 $1,361.60 0.5×
Revise Hand/Foot Nerve (64704)
range across 2 matching MRF lines		 $1,054.55–$5,158.25 $1,054.55–$5,158.25 varies
Revise/Repair Finger/Toe Nerve (64702) $1,695.10 $1,695.10 1.0×
Rhytidectomy Forehead (15824) $4,868.50 $4,868.50 2.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $303.60–$1,875 $303.60–$1,875 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $96.60–$375 $96.60–$375 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $132.25–$255.30 $132.25–$255.30 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $121.90–$375 $121.90–$375 varies
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $506–$3,736.35 $506–$3,736.35 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $862–$9,275 $862–$9,275 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)
range across 2 matching MRF lines		 $334.65–$2,319 $334.65–$2,319 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $311.65–$5,490.50 $311.65–$5,490.50 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $710.70–$2,711.70 $710.70–$2,711.70 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $480.70–$1,892 $480.70–$1,892 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $1,026.95 $1,026.95 0.5×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710)
range across 2 matching MRF lines		 $179.40–$619.85 $179.40–$619.85 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $398.80–$705 $398.80–$705 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $303–$448.50 $303–$448.50 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $871–$1,278 $871–$1,278 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $814.20–$1,802.05 $814.20–$1,802.05 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $675.05–$1,802.05 $675.05–$1,802.05 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $978.65–$1,802.05 $978.65–$1,802.05 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines		 $82.80–$1,500.75 $82.80–$1,500.75 varies
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $7,858 $7,858 2.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $476 $476 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $504 $504 0.5×
Shave skin lesion 0.5 cm/< (11300)
range across 3 matching MRF lines		 $180–$700 $180–$700 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 3 matching MRF lines		 $121–$700 $121–$700 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $257 $257 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 3 matching MRF lines		 $192–$700 $192–$700 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $307 $307 1.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $170 $170 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $240 $240 0.7×
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure		 $1,859.55 $1,859.55 0.3×
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines		 $1,952.70–$15,038.55 $1,952.70–$15,038.55 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $167 $167 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $289 $289 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $220.50 $220.50 1.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $190 $190 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $356 $356 2.1×
Sigmoidoscopy & decompress (45337) $328.90 $328.90 0.4×
Sigmoidoscopy & Polypectomy (45333) $562 $562 0.7×
Sigmoidoscopy w/fb removal (45332) $479 $479 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $492.50 $492.50 0.6×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $944 $944 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $383–$1,278 $383–$1,278 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $200.10–$700 $200.10–$700 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $208–$700 $208–$700 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $286.50–$1,278 $286.50–$1,278 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $250–$700 $250–$700 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $433.55–$700 $433.55–$700 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $162.50–$700 $162.50–$700 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $411–$700 $411–$700 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $293.40–$700 $293.40–$700 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,715–$4,868.50 $1,715–$4,868.50 varies
Skin sub graft face/nk/hf/g (15275) $341.55 $341.55 0.5×
Skin sub graft trnk/arm/leg (15271) $4,868.50 $4,868.50 7.6×
Skin sub grft t/arm/lg child (15273) $8,932 $8,932 5.0×
Skn sub grft f/n/hf/g child (15277) $4,868.50 $4,868.50 2.7×
Small bowel endoscopy (44366)
range across 2 matching MRF lines		 $888.95–$4,671 $888.95–$4,671 varies
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369)
range across 2 matching MRF lines		 $908.50–$4,671 $908.50–$4,671 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $207–$700 $207–$700 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $383–$1,278 $383–$1,278 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $358–$1,278 $358–$1,278 varies
Sphincterotomy anal division sphincter spx (46080)
range across 2 matching MRF lines		 $546.25–$7,032.50 $546.25–$7,032.50 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines		 $1,572–$8,932 $1,572–$8,932 varies
Strabismus Any Superior Oblique Muscle (67318) $1,529.50 $1,529.50 0.7×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $1,348.95 $1,348.95 0.7×
Strabismus Recession/Rescj 1 Ver Musc (67314) $1,518 $1,518 0.7×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $1,630.70 $1,630.70 0.5×
Strabismus Recession/Rescj 2/More Ver Musc (67316) $1,834.25 $1,834.25 0.9×
Strapping ankle (29540)
range across 2 matching MRF lines		 $59.80–$272.55 $59.80–$272.55 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $83.95–$272.55 $83.95–$272.55 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $81.65–$272.55 $81.65–$272.55 varies
Strapping Hip (29520) $213 $213 1.9×
Strapping knee (29530)
range across 2 matching MRF lines		 $85.10–$272.55 $85.10–$272.55 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $97.75–$272.55 $97.75–$272.55 varies
Strapping thorax (29200)
range across 2 matching MRF lines		 $89.70–$342 $89.70–$342 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $44.85–$272.55 $44.85–$272.55 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $81.65–$570 $81.65–$570 varies
Subcutaneous Hormone Pellet Implantation (11980) $325 $325 0.8×
Suction assisted lipectomy; head and neck (15876) $8,932 $8,932 2.9×
Suction assisted lipectomy; trunk (15877) $8,932 $8,932 2.9×
Suction Lipectomy Lwr Extrem (15879) $8,932 $8,932 2.9×
Surg tx anal fistula subq (46270)
range across 2 matching MRF lines		 $958–$7,032.50 $958–$7,032.50 varies
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $1,090–$19,945 $1,090–$19,945 varies
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145)
range across 2 matching MRF lines		 $1,691.65–$4,314.80 $1,691.65–$4,314.80 varies
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $1,414.50–$23,927.50 $1,414.50–$23,927.50 varies
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $556.60–$1,313.30 $556.60–$1,313.30 varies
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $2,500.10 $2,500.10 0.5×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,868.50 $4,868.50 2.7×
Tnot elbow lateral/medial debride open (24358)
range across 2 matching MRF lines		 $1,799.75–$7,828.05 $1,799.75–$7,828.05 varies
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $2,265.50–$8,887.20 $2,265.50–$8,887.20 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $422.05 $422.05 2.1×
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines		 $516.35–$1,802.05 $516.35–$1,802.05 varies
Transfer skin pedicle flap (15650)
range across 2 matching MRF lines		 $1,305.25–$5,209.50 $1,305.25–$5,209.50 varies
Treat clavicle dislocation (23530)
range across 2 matching MRF lines		 $1,265–$12,057.75 $1,265–$12,057.75 varies
Treat Finger Fracture Each (26727)
range across 2 matching MRF lines		 $875–$8,212.35 $875–$8,212.35 varies
Treat Hip Socket Fracture (27222) $2,208 $2,208 10.4×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $715.30–$862.50 $715.30–$862.50 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,008.55–$5,421.50 $1,008.55–$5,421.50 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $363.40–$668.15 $363.40–$668.15 varies
Treat knee fracture (27532)
range across 2 matching MRF lines		 $1,294.90–$4,628.75 $1,294.90–$4,628.75 varies
Treat Knee Fracture(S) (27538)
range across 2 matching MRF lines		 $363.40–$985.55 $363.40–$985.55 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $665.85–$862.50 $665.85–$862.50 varies
Treat metacarpal fracture (26607)
range across 2 matching MRF lines		 $1,015.45–$10,950 $1,015.45–$10,950 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $363.40–$519.80 $363.40–$519.80 varies
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $363.40–$410.55 $363.40–$410.55 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $738.30–$862.50 $738.30–$862.50 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $861.35–$5,341.50 $861.35–$5,341.50 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $248.40–$363.40 $248.40–$363.40 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $865.50 $865.50 0.6×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $741.75–$862.50 $741.75–$862.50 varies
Trim skin lesion (11055)
range across 3 matching MRF lines		 $74–$700 $74–$700 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $95–$435 $95–$435 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $150–$540 $150–$540 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 4 matching MRF lines		 $27–$220 $27–$220 varies
Tubal ligation (58600) $7,494.50 $7,494.50 2.7×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $47.15–$495 $47.15–$495 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $7,494.50 $7,494.50 2.7×
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $2,832.50–$5,996.50 $2,832.50–$5,996.50 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $486–$1,988 $486–$1,988 varies
Tx superficial wound dehiscence w/packing (12021) $360 $360 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $587.65–$1,355 $587.65–$1,355 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $363.40–$428.95 $363.40–$428.95 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250)
range across 2 matching MRF lines		 $1,562.85–$6,335.35 $1,562.85–$6,335.35 varies
Unlisted laparoscopy procedure stomach (43659) $14,499 $14,499 2.8×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $1,118.95–$14,500 $1,118.95–$14,500 varies
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
unusually low: confirm this is the full procedure		 $1,953.95 $1,953.95 0.4×
Unlisted procedure anus (46999)
range across 2 matching MRF lines		 $366.85–$2,292 $366.85–$2,292 varies
Unlisted Procedure Casting/Strapping (29799) $575 $575 4.1×
Unlisted procedure foot or toes (28899) $647 $647 3.0×
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines		 $1,952.70–$7,285.25 $1,952.70–$7,285.25 varies
Unlisted procedure stomach (43999) $965 $965 1.2×
Vaginal Delivery After Cesarean Delivery (59612) $4,986.40 $4,986.40 1.8×
Vaginal delivery only (59409) $4,986.40 $4,986.40 1.8×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $12,814.75 $12,814.75 3.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $430.50 $430.50 0.2×
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $65.55–$92 $65.55–$92 varies
Wedge excision skin nail fold (11765)
range across 5 matching MRF lines		 $237–$1,278 $237–$1,278 varies
Wedging of cast (29740)
range across 2 matching MRF lines		 $148.35–$272.55 $148.35–$272.55 varies
Wedging of clubfoot cast (29750)
range across 2 matching MRF lines		 $174.80–$272.55 $174.80–$272.55 varies
Windowing of cast (29730)
range across 2 matching MRF lines		 $102.35–$272.55 $102.35–$272.55 varies
Wound Prep F/N/Hf/G (15004) $619.85 $619.85 1.8×
Wound Prep Trk/Arm/Leg (15002) $517.50 $517.50 0.8×

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.