Procedures & surgery prices at Montgomery General Hospital (Montgomery, WV)

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

Compare against other hospitals interactively →

Procedure	Posted cash	Posted gross	× Medicare
Abd paracentesis w/imaging (49083) range across 5 matching MRF lines	$577.50–$1,699.50	$770–$2,266	varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines	$121.67–$283.89	$162.23–$378.53	varies
Ablate inf turbinate submuc (30802)	$1,116.84	$1,489.12	0.8×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)	$817.69	$1,090.26	0.5×
Adding Walker Previously Applied Cast (29440)	$231.75	$309	1.5×
Amputation metatarsal with toe single (28810) range across 2 matching MRF lines	$807.07–$2,703.75	$1,076.09–$3,605	varies
Amputation thigh through femur any level (27590) range across 3 matching MRF lines	$1,545–$1,931.25	$2,060–$2,575	varies
Amputation toe interphalangeal joint (28825)	$2,703.75	$3,605	0.9×
Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines	$347.63–$2,703.75	$463.50–$3,605	varies
Amputation, leg, through tibia and fibula; (27880) range across 3 matching MRF lines	$1,158.75–$1,931.25	$1,545–$2,575	varies
Anal/Urinary Muscle Study (51784)	$243.34	$324.45	2.0×
Anoscopy diagnostic (46600) range across 3 matching MRF lines	$50.41–$193.13	$67.21–$257.50	varies
Anoscopy W/Rmvl Foreign Body (46608)	$809.19	$1,078.93	0.9×
Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines	$463.50–$927	$618–$1,236	varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 3 matching MRF lines	$386.25–$5,021.25	$515–$6,695	varies
Appendectomy (44950) range across 3 matching MRF lines	$1,236–$3,862.50	$1,648–$5,150	varies
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)	$231.75	$309	1.5×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325)	$386.25	$515	1.4×
Application cast elbow finger short arm (29075)	$386.25	$515	1.4×
Application Cast Finger (29086)	$231.75	$309	1.5×
Application Cast Shoulder Spica (29055)	$386.25	$515	1.4×
Application Finger Splint Dynamic (29131) range across 4 matching MRF lines	$96.56–$131.25	$128.75–$175	varies
Application finger splint static (29130)	$193.13	$257.50	1.5×
Application Hip Spica Cast 1 Leg (29305)	$386.25	$515	1.4×
Application long arm splint shoulder hand (29105) range across 4 matching MRF lines	$231.75–$236.25	$309–$315	varies
Application Long Leg Cast Brace (29358) range across 2 matching MRF lines	$225.76–$386.25	$301.02–$515	varies
Application Long Leg Cast Walker/Ambulatory Type (29355)	$386.25	$515	1.4×
Application Long Leg Splint (29505) range across 4 matching MRF lines	$76.67–$231.75	$102.23–$309	varies
Application of cylinder cast (thigh to ankle) (29365)	$386.25	$515	1.4×
Application of long leg cast (29345)	$386.25	$515	1.4×
Application of rigid total contact leg cast (29445)	$386.25	$515	1.4×
Application Patellar Tendon Bearing Cast (29435)	$386.25	$515	1.4×
Application Short Arm Splint Dynamic (29126)	$193.13	$257.50	1.5×
Application short arm splint forearm-hand static (29125)	$193.13	$257.50	1.5×
Application short leg splint calf foot (29515) range across 4 matching MRF lines	$76.67–$231.75	$102.23–$309	varies
Apply hand/wrist cast (29085)	$231.75	$309	1.5×
Apply long arm cast (29065) range across 2 matching MRF lines	$254.93–$386.25	$339.90–$515	varies
Apply Short Leg Cast (29405)	$386.25	$515	1.4×
Apply short leg cast (29425)	$386.25	$515	1.4×
Apply shoulder cast,plastr velpeau (29058)	$386.25	$515	1.4×
Arterial puncture (36600) range across 2 matching MRF lines	$25.11–$29.93	$33.48–$39.91	varies
Arteriovenous Anastomosis Open Direct (36821)	$892.24	$1,189.65	0.3×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) likely a partial charge, not the full procedure	$1,095.02	$1,460.03	0.2×
Artery-vein autograft (36825) likely a partial charge, not the full procedure	$973.35	$1,297.80	0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines	$93.86–$540.75	$125.15–$721	varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines	$85.17–$540.75	$113.56–$721	varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines	$347.63–$540.75	$463.50–$721	varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines	$135.19–$540.75	$180.25–$721	varies
Arthrodesis triple (28715) unusually low: confirm this is the full procedure	$5,961.77	$7,949.03	0.5×
Arthroplasty glenohumeral joint total shoulder (23472) range across 4 matching MRF lines	$2,858.25–$25,492.50	$3,811–$33,990	varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) range across 4 matching MRF lines	$2,858.25–$25,492.50	$3,811–$33,990	varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) range across 2 matching MRF lines	$1,158.75–$5,793.75	$1,545–$7,725	varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 2 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines	$981.08–$5,793.75	$1,308.10–$7,725	varies
Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines	$915.41–$4,557.75	$1,220.55–$6,077	varies
Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines	$2,212.50–$11,737.50	$2,950–$15,650	varies
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines	$1,931.25–$5,793.75	$2,575–$7,725	varies
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines	$1,390.50–$5,793.75	$1,854–$7,725	varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines	$2,085.75–$12,360	$2,781–$16,480	varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines	$1,931.25–$12,746.25	$2,575–$16,995	varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 3 matching MRF lines	$2,124.38–$13,132.50	$2,832.50–$17,510	varies
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 4 matching MRF lines	$3,090–$25,492.50	$4,120–$33,990	varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)	$6,300	$8,400	2.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines	$2,163–$12,746.25	$2,884–$16,995	varies
Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines	$1,158.75–$5,793.75	$1,545–$7,725	varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines	$1,313.25–$5,793.75	$1,751–$7,725	varies
Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines	$303.79–$1,158.75	$405.05–$1,545	varies
Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines	$153.34–$1,158.75	$204.46–$1,545	varies
Aspirate/Inj Ganglion Cyst (20612)	$144.84	$193.13	0.5×
Aspiration bladder insert suprapubic catheter (51102)	$527.23	$702.98	0.3×
Av Fistula Revision Open (36832) likely a partial charge, not the full procedure	$973.35	$1,297.80	0.2×
Av Fuse Uppr Arm Basilic (36819) likely a partial charge, not the full procedure	$1,378.91	$1,838.55	0.3×
Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines	$102.36–$424.88	$136.48–$566.50	varies
Biopsy external ear (69100)	$146	$194.67	0.6×
Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines	$458.29–$3,476.25	$611.05–$4,635	varies
Biopsy of foot joint lining (28052) range across 2 matching MRF lines	$965.63–$5,793.75	$1,287.50–$7,725	varies
Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines	$754.35–$2,027.81	$1,005.80–$2,703.75	varies
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) range across 2 matching MRF lines	$772.50–$5,021.25	$1,030–$6,695	varies
Biopsy soft tissue thigh/knee area superficial (27323)	$259.56	$346.08	0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)	$95.79	$127.72	0.1×
Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines	$1,081.50–$6,566.25	$1,442–$8,755	varies
Bladder Irrigation (51700) range across 2 matching MRF lines	$60.83–$181.34	$81.11–$241.79	varies
Bladder Scan (51798) range across 2 matching MRF lines	$30.90–$115.88	$41.20–$154.50	varies
Blepharoplasty Lower Eyelid (15820)	$261.30	$348.40	0.1×
Blepharoplasty upper eyelid (15822)	$261.30	$348.40	0.1×
Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines	$212.44–$234.07	$283.25–$312.09	varies
Blood Transfusion Service (36430)	$558.32	$744.43	1.3×
Breast augmentation with implant (19325) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Breast Reduction (19318) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines	$618–$2,703.75	$824–$3,605	varies
Bx breast needle core w/o imaging guidance spx (19100) range across 3 matching MRF lines	$231.75–$2,896.88	$309–$3,862.50	varies
Bx/exc lymph node open deep axillary node (38525)	$1,158.75	$1,545	0.3×
Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines	$502.13–$3,476.25	$669.50–$4,635	varies
Carpal Tunnel Surgery (64721) range across 2 matching MRF lines	$927–$3,476.25	$1,236–$4,635	varies
Cataract surgery complex (66982)	$3,090	$4,120	1.4×
Catheter aspiration nasotracheal spx (31720)	$115.88	$154.50	0.6×
Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines	$102.36–$197.37	$136.48–$263.17	varies
Change of Windpipe Airway (31502)	$197.37	$263.17	0.9×
Chemical Cautery Tissue (17250) range across 2 matching MRF lines	$73–$98.11	$97.34–$130.81	varies
Chest tube placement (32551) range across 4 matching MRF lines	$283.89–$309	$378.53–$412	varies
Circumcision 28 days or older (54161)	$447.28	$596.37	0.2×
Circumcision w/clamp/oth dev w/block (54150)	$202.78	$270.38	0.1×
Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines	$181.34–$811.13	$241.79–$1,081.50	varies
Clear outer ear canal (69200) range across 3 matching MRF lines	$85.17–$93.28	$113.56–$124.37	varies
Closed Rx Metacarpal Fx,Percut (26608) range across 4 matching MRF lines	$965.63–$5,793.75	$1,287.50–$7,725	varies
Closed Treatment Sesamoid Fracture (28530)	$181.34	$241.79	0.8×
Closed Treatment Ulnar Styloid Fracture (25650)	$181.34	$241.79	0.8×
Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines	$181.34–$545.19	$241.79–$726.92	varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines	$181.34–$730.01	$241.79–$973.35	varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines	$181.34–$425.84	$241.79–$567.79	varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)	$181.34	$241.79	0.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)	$170.34	$227.12	0.7×
Closed tx knee dislocation w/o anesthesia (27550)	$181.34	$241.79	0.8×
Closed tx metatarsal fracture w/o manipulation (28470)	$181.34	$241.79	0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)	$1,001.35	$1,335.14	0.3×
Closed tx patellar dislocation w/anesthesia (27562)	$772.50	$1,030	3.3×
Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines	$181.34–$553.69	$241.79–$738.25	varies
Closed Tx Patellar Fracture W/O Manipulation (27520)	$193.32	$257.76	0.8×
Closed tx radial head/neck fx w/o manipulation (24650)	$181.34	$241.79	0.8×
Closed tx radial shaft fracture w/manipulation (25505)	$181.34	$241.79	0.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)	$181.34	$241.79	0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)	$181.34	$241.79	0.1×
Closed tx talotarsal joint dislc w/o anes (28570)	$181.34	$241.79	0.8×
Closed tx talus fracture w/o manipulation (28430)	$181.34	$241.79	0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480)	$213.02	$284.02	0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)	$193.32	$257.76	0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530)	$181.34	$241.79	0.8×
Closure Gastrostomy Surg (43870)	$973.35	$1,297.80	0.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)	$1,001.35	$1,335.14	1.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)	$136.73	$182.31	0.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505)	$193.32	$257.76	0.1×
Clsd tx clavicular fracture w/o manipulation (23500)	$298.19	$397.58	1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines	$634.80–$1,447.86	$846.40–$1,930.48	varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines	$298.19–$340.67	$397.58–$454.23	varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)	$137.31	$183.08	0.1×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)	$181.34	$241.79	0.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines	$181.34–$567.79	$241.79–$757.05	varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)	$298.19	$397.58	1.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)	$181.34	$241.79	0.8×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675)	$648.90	$865.20	0.4×
Cltx dstl fibular fx lat malls w/manj (27788)	$596.18	$794.90	2.5×
Cltx dstl fibular fx lat malls w/o manj (27786)	$181.34	$241.79	0.8×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)	$298.19	$397.58	1.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines	$170.34–$238.51	$227.12–$318.01	varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)	$181.34	$241.79	0.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines	$181.34–$851.68	$241.79–$1,135.58	varies
Cltx Fem Fx Prox End Nck W/O Manj (27230)	$193.32	$257.76	0.8×
Cltx fx grt toe phlx/phlg w/manj (28495)	$136.73	$182.31	0.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines	$136.73–$170.34	$182.31–$227.12	varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines	$255.50–$298.19	$340.67–$397.58	varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines	$170.34–$298.19	$227.12–$397.58	varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)	$181.34	$241.79	0.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)	$181.34	$241.79	0.8×
Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines	$1,351.88–$1,467.75	$1,802.50–$1,957	varies
Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines	$347.63–$386.25	$463.50–$515	varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines	$243.34–$298.19	$324.45–$397.58	varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines	$486.68–$574.93	$648.90–$766.58	varies
Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines	$298.19–$425.84	$397.58–$567.79	varies
Cltx Medial Ankle Fx (27760)	$234.26	$312.35	1.0×
Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines	$193.32–$425.84	$257.76–$567.79	varies
Cltx metacarpal fx w/o manipulation each bone (26600)	$181.34	$241.79	0.8×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines	$535.34–$617.61	$713.79–$823.49	varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines	$298.19–$527.23	$397.58–$702.98	varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines	$238.51–$298.19	$318.01–$397.58	varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)	$181.34	$241.79	0.1×
Cltx prox tibfib jt dislc w/o anes (27830)	$181.34	$241.79	0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines	$181.34–$191.77	$241.79–$255.70	varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)	$1,000	$1,333.34	0.6×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)	$213.02	$284.02	0.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)	$181.34	$241.79	0.8×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)	$181.34	$241.79	0.8×
Cltx tibial fx proximal w/o manipulation (27530)	$181.34	$241.79	0.8×
Cltx tibial shaft fx w/o manipulation (27750)	$181.34	$241.79	0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines	$181.34–$787.95	$241.79–$1,050.60	varies
Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines	$2.51–$6.57	$3.35–$8.76	varies
Colonoscopy Stoma Control Bleeding (44391) range across 2 matching MRF lines	$444.19–$1,931.25	$592.25–$2,575	varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392)	$323.68	$431.57	0.3×
Colonoscopy Stoma W/Rmvl Foreign Body (44390)	$323.68	$431.57	0.4×
Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines	$794.90–$798.96	$1,059.87–$1,065.28	varies
Colonoscopy thru stoma (44388)	$713.79	$951.72	0.8×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) range across 2 matching MRF lines	$811.13–$1,158.75	$1,081.50–$1,545	varies
Colonoscopy w/ablation (45388) range across 2 matching MRF lines	$540.75–$5,021.25	$721–$6,695	varies
Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines	$2,085.75–$2,163	$2,781–$2,884	varies
Colonoscopy w/fb removal (45379)	$391.85	$522.47	0.3×
Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines	$347.63–$830.44	$463.50–$1,107.25	varies
Colpocentesis (57020)	$744.11	$992.15	0.2×
Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Colpopexy vaginal intraperitoneal approach (57283) range across 2 matching MRF lines	$2.34–$9.36	$3.12–$12.48	varies
Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines	$457.51–$1,236	$610.02–$1,648	varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)	$1,492.47	$1,989.96	1.3×
Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines	$1,057.75–$1,467.75	$1,410.33–$1,957	varies
Complex Cystometrogram (51726)	$973.35	$1,297.80	4.1×
Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines	$140.60–$184.43	$187.46–$245.91	varies
Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines	$102.36–$231.75	$136.48–$309	varies
Control oropharyngeal hemorrhage simple (42960)	$184.43	$245.91	0.4×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) range across 2 matching MRF lines	$3,862.50–$24,720	$5,150–$32,960	varies
Correction hammertoe (28285) range across 3 matching MRF lines	$1,248.75–$5,021.25	$1,665–$6,695	varies
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) likely a partial charge, not the full procedure	$1,216.69	$1,622.25	0.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines	$183.28–$184.43	$244.37–$245.91	varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines	$184.43–$238.51	$245.91–$318.01	varies
Cysto Bladder W/Ureteral Catheterization (52005)	$270.38	$360.50	0.1×
Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines	$675.94–$772.50	$901.25–$1,030	varies
Cysto w/complex removal stone & stent (52315) range across 2 matching MRF lines	$270.38–$3,553.50	$360.50–$4,738	varies
Cysto w/insert ureteral stent (52332)	$1,388.38	$1,851.17	0.4×
Cysto w/removal of tumors small (52234)	$386.06	$514.74	0.1×
Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines	$664.35–$3,553.50	$885.80–$4,738	varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352) range across 2 matching MRF lines	$270.38–$675.94	$360.50–$901.25	varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)	$425.84	$567.79	0.1×
Cysto/uretero w/up stricture (52345)	$701.04	$934.73	0.2×
Cystometrogram W/Up (51727)	$272.69	$363.59	0.4×
Cystometrogram W/Vp (51728)	$152.38	$203.17	0.2×
Cystourethroscopy (52000) range across 2 matching MRF lines	$154.50–$1,236	$206–$1,648	varies
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330)	$270.38	$360.50	0.1×
Cystourethroscopy w/rmvl ureteral calculus (52320)	$270.38	$360.50	0.1×
Cystourethroscopy with biopsy (52204)	$270.38	$360.50	0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines	$70.68–$147.55	$94.25–$196.73	varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)	$1,040.94	$1,387.93	1.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines	$289.69–$2,703.75	$386.25–$3,605	varies
Debride nail 1-5 (11720) range across 2 matching MRF lines	$36.50–$62.19	$48.67–$82.92	varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines	$579.38–$1,776.75	$772.50–$2,369	varies
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines	$76.67–$386.25	$102.23–$515	varies
Declot vascular device (36593) range across 2 matching MRF lines	$204.71–$506.95	$272.95–$675.94	varies
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) range across 4 matching MRF lines	$1,158.75–$5,793.75	$1,545–$7,725	varies
Decompression of tibia nerve (28035) range across 2 matching MRF lines	$1,313.25–$3,476.25	$1,751–$4,635	varies
Deep Muscle Biopsy (20205)	$540.75	$721	0.2×
Delivery of placenta (59414)	$1,447.86	$1,930.48	0.5×
Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines	$81.11–$204.71	$108.15–$272.95	varies
Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines	$141.95–$251.06	$189.26–$334.75	varies
Destruction Internal Hemorrhoid Thermal Energy (46930)	$231.75	$309	0.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261)	$154.11	$205.49	0.8×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)	$193.13	$257.50	1.0×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)	$215.91	$287.89	1.1×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264)	$233.68	$311.58	0.6×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266)	$274.24	$365.65	0.7×
Destruction malignant lesion t/a/l 0.5 cm/< (17260)	$126.69	$168.92	0.7×
Destruction of skin lesions (17106)	$528.97	$705.29	1.4×
Destruction Premalignant Lesion 15/> (17004)	$109.50	$146	0.3×
Destruction premalignant lesion 1st (17000)	$68.95	$91.93	0.4×
Diagnostic sigmoidoscopy (45330) range across 4 matching MRF lines	$214.95–$1,545	$286.60–$2,060	varies
Dilate Urethra Stricture (53600)	$255.50	$340.67	1.1×
Drain Cerebro Spinal Fluid (62272)	$431.25	$575	0.6×
Drainage external ear abscess/hematoma cmplx (69005) range across 2 matching MRF lines	$309–$1,618.19	$412–$2,157.59	varies
Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines	$167.63–$255.50	$223.51–$340.67	varies
Drainage Finger Abscess Complicated (26011) range across 3 matching MRF lines	$340.67–$1,545	$454.23–$2,060	varies
Drainage of finger abscess simple (26010) range across 4 matching MRF lines	$40.56–$502.13	$54.08–$669.50	varies
Drainage of gum lesion (41800) range across 2 matching MRF lines	$213.02–$223.06	$284.02–$297.41	varies
Drainage of hematoma/fluid (10140) range across 4 matching MRF lines	$213.02–$2,896.88	$284.02–$3,862.50	varies
Drainage of nose lesion (30000)	$213.02	$284.02	0.9×
Drainage of rectal abscess (45005)	$1,616.65	$2,155.53	1.4×
Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines	$340.67–$1,618.19	$454.23–$2,157.59	varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines	$170.34–$213.02	$227.12–$284.02	varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)	$147.55	$196.73	0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines	$154.11–$340.67	$205.49–$454.23	varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines	$89.61–$147.55	$119.48–$196.73	varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107)	$940.91	$1,254.54	1.3×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108)	$1,307.65	$1,743.53	0.7×
Dstrj lesion anus simple surg excision (46922) range across 2 matching MRF lines	$194.67–$2,703.75	$259.56–$3,605	varies
Dstrj Lesion Anus Smpl Eltrdsiccation (46910)	$189.84	$253.12	0.1×
Dstrj Lesion Penis Simple Cryosurgery (54056)	$162.23	$216.30	0.8×
Dstrj lesion penis simple surg excision (54060)	$309	$412	0.2×
Egd Balloon Dil Esoph30 Mm/> (43233)	$386.25	$515	0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 3 matching MRF lines	$347.24–$2,085.75	$462.99–$2,781	varies
Egd cautery tumor polyp (43250)	$377.17	$502.90	0.2×
Egd control bleeding any (43255) range across 3 matching MRF lines	$555.62–$1,313.25	$740.83–$1,751	varies
Egd dilation gastric/duodenal stricture (43245)	$628.62	$838.16	0.3×
Egd Flexible Foreign Body Removal (43247)	$502.90	$670.53	0.6×
Egd guide wire insertion (43248)	$264.58	$352.78	0.3×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243)	$384.51	$512.68	0.2×
Egd place gastrostomy tube (43246) range across 3 matching MRF lines	$298.19–$1,931.25	$397.58–$2,575	varies
Egd remove lesion snare (43251) range across 3 matching MRF lines	$433.95–$1,931.25	$578.60–$2,575	varies
Egd Tube/Cath Insertion (43241)	$220.74	$294.32	0.1×
Egd us exam duodenum/jejunum (43259)	$404.79	$539.72	0.2×
Egd Varices Ligation (43244)	$579.95	$773.27	0.3×
Electro-Uroflowmetry First (51741)	$243.34	$324.45	1.2×
Endoscopy Upper Small Intestine (44360) range across 2 matching MRF lines	$324.45–$3,360.38	$432.60–$4,480.50	varies
Enterorrhaphy single perforation (44602)	$811.13	$1,081.50	0.2×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376)	$657.98	$877.30	0.4×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) likely a partial charge, not the full procedure	$1,139.63	$1,519.51	0.2×
Ercp Dx Collection Specimen Brushing/Washing (43260) range across 2 matching MRF lines	$689.46–$3,862.50	$919.28–$5,150	varies
Ercp remove calculi/debris biliary/pancreas duct (43264) range across 2 matching MRF lines	$1,017.96–$2,472	$1,357.28–$3,296	varies
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278)	$1,524.53	$2,032.71	0.4×
Ercp W/Biopsy Single/Multiple (43261)	$508.69	$678.26	0.1×
Ercp w/pressure measurement sphincter of oddi (43263)	$584.01	$778.68	0.3×
Ercp,Sphincterotomy (43262) range across 2 matching MRF lines	$604.29–$4,248.75	$805.72–$5,665	varies
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220)	$185.01	$246.69	0.1×
Esophagoscopy Flex Transoral Injection Varices (43204)	$313.25	$417.67	0.2×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217)	$245.08	$326.77	0.1×
Esophagoscopy Flexible Guide Wire Dilation (43226)	$202.01	$269.35	0.1×
Esophagoscopy Flexible Transoral Diagnostic (43200)	$159.14	$212.18	0.2×
Esophagoscopy Flexible W/Bleeding Control (43227)	$299.34	$399.13	0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)	$173.62	$231.49	0.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)	$223.06	$297.41	0.1×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216)	$207.80	$277.07	0.1×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205)	$462.92	$617.23	0.3×
Evacuation of subungual hematoma (11740) range across 3 matching MRF lines	$28.58–$62.19	$38.11–$82.92	varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) range across 3 matching MRF lines	$937.50–$3,037.50	$1,250–$4,050	varies
Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines	$1,004.25–$2,896.88	$1,339–$3,862.50	varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines	$193.13–$540.75	$257.50–$721	varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines	$216.30–$1,158.75	$288.40–$1,545	varies
Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines	$1,004.25–$3,090	$1,339–$4,120	varies
Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines	$1,467.75–$2,549.25	$1,957–$3,399	varies
Exc back tum deep < 5 cm (21932) range across 2 matching MRF lines	$1,274.63–$5,021.25	$1,699.50–$6,695	varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 3 matching MRF lines	$559.68–$5,310.94	$746.24–$7,081.25	varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines	$274.24–$275.78	$365.65–$367.71	varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines	$348.01–$348.78	$464.02–$465.05	varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)	$524.14	$698.86	0.3×
Exc Face Les Sbq 2 Cm/> (21012) range across 2 matching MRF lines	$502.13–$2,008.50	$669.50–$2,678	varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines	$186.56–$502.13	$248.75–$669.50	varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines	$223.06–$540.75	$297.41–$721	varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines	$174.78–$1,236	$233.04–$1,648	varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)	$424.88	$566.50	0.3×
Exc Forearm Tum Deep 3 Cm/> (25073) range across 2 matching MRF lines	$1,042.88–$5,021.25	$1,390.50–$6,695	varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines	$170.34–$1,545	$227.12–$2,060	varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines	$309–$1,236	$412–$1,648	varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines	$200.85–$1,158.75	$267.80–$1,545	varies
Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines	$993.75–$3,037.50	$1,325–$4,050	varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)	$235.23	$313.64	0.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)	$576.86	$769.15	0.4×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)	$545.96	$727.95	0.4×
Exc Rct Tum Not Incl Muscularis Propria (45171) range across 2 matching MRF lines	$1,197.38–$2,781	$1,596.50–$3,708	varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines	$262.84–$772.50	$350.46–$1,030	varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines	$235.61–$324.45	$314.15–$432.60	varies
Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines	$309–$433.95	$412–$578.60	varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines	$289.69–$618	$386.25–$824	varies
Exc Skin Benig >4cm Face,Facial (11446)	$486.68	$648.90	0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)	$346.47	$461.96	0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 3 matching MRF lines	$409.62–$2,896.88	$546.16–$3,862.50	varies
Exc tendon shth lesion leg/ankle (27630)	$730.01	$973.35	0.2×
Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines	$849.75–$1,931.25	$1,133–$2,575	varies
Exc thigh/knee tum dep 5cm/> (27339) range across 2 matching MRF lines	$1,390.50–$1,931.25	$1,854–$2,575	varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines	$422.94–$2,938.40	$563.93–$3,917.86	varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines	$186.56–$309	$248.75–$412	varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines	$213.40–$1,004.25	$284.54–$1,339	varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines	$309–$1,158.75	$412–$1,545	varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines	$927–$5,021.25	$1,236–$6,695	varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) range across 2 matching MRF lines	$540.75–$1,931.25	$721–$2,575	varies
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) range across 2 matching MRF lines	$958.87–$2,896.88	$1,278.49–$3,862.50	varies
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)	$393.40	$524.53	0.1×
Exc tumor soft tiss shoulder subfasc <5cm (23076)	$919.08	$1,225.44	0.3×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076)	$730.01	$973.35	0.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900)	$611.05	$814.73	0.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines	$695.25–$2,935.50	$927–$3,914	varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines	$1,081.50–$2,896.88	$1,442–$3,862.50	varies
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) range across 2 matching MRF lines	$1,125–$4,125	$1,500–$5,500	varies
Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 4 matching MRF lines	$1,125–$3,037.50	$1,500–$4,050	varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines	$1,062.19–$2,896.88	$1,416.25–$3,862.50	varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)	$730.01	$973.35	0.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)	$5,366.25	$7,155	1.9×
Exchange Intraocular Lens (66986)	$1,660.88	$2,214.50	0.8×
Excise excessive skin arm (15836)	$261.30	$348.40	0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 5 matching MRF lines	$424.88–$1,390.50	$566.50–$1,854	varies
Excision Distal Ulna Partial/Complete (25240) range across 2 matching MRF lines	$1,023.56–$5,793.75	$1,364.75–$7,725	varies
Excision Excessive Skin & Subq Tissue Other Area (15839)	$261.30	$348.40	0.1×
Excision External Ear Partial Simple Repair (69110)	$579.38	$772.50	0.2×
Excision Lesion Conjunctiva </1 Cm (68110)	$502.13	$669.50	0.2×
Excision lesion conjunctiva > 1 cm (68115)	$2,394.75	$3,193	1.1×
Excision Lesion Cornea Xcp Pterygium (65400)	$1,274.63	$1,699.50	1.3×
Excision lesion meniscus/capsule knee (27347) range across 2 matching MRF lines	$1,081.50–$5,793.75	$1,442–$7,725	varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)	$212.63	$283.51	0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines	$424.88–$1,236	$566.50–$1,648	varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines	$347.63–$575.51	$463.50–$767.35	varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 3 matching MRF lines	$323.68–$1,320	$431.57–$1,760	varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)	$219	$292.01	0.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines	$408.07–$408.85	$544.10–$545.13	varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)	$657.01	$876.02	0.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)	$231.75	$309	0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)	$248.36	$331.15	0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines	$374.66–$1,236	$499.55–$1,648	varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 3 matching MRF lines	$405.56–$2,896.88	$540.75–$3,862.50	varies
Excision Multiple External Papillae/Tags Anus (46230) range across 2 matching MRF lines	$849.75–$5,021.25	$1,133–$6,695	varies
Excision of bartholin's gland or cyst (56740)	$442.06	$589.42	0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines	$559.68–$2,703.75	$746.24–$3,605	varies
Excision of hydrocele; unilateral (55040)	$816.92	$1,089.23	0.2×
Excision of pilonidal cyst or sinus; simple (11770) range across 3 matching MRF lines	$424.88–$463.50	$566.50–$618	varies
Excision of single external papilla or tag, anus (46220)	$162.23	$216.30	0.1×
Excision olecranon bursa (24105) range across 5 matching MRF lines	$733.88–$5,793.75	$978.50–$7,725	varies
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) range across 2 matching MRF lines	$900–$6,150	$1,200–$8,200	varies
Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines	$1,100.81–$2,394.75	$1,467.75–$3,193	varies
Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines	$927–$2,317.50	$1,236–$3,090	varies
Excision Skin Abd Infraumbilical Panniculectomy (15830) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines	$927–$1,313.25	$1,236–$1,751	varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines	$693.75–$2,475	$925–$3,300	varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines	$772.50–$1,622.25	$1,030–$2,163	varies
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832)	$261.30	$348.40	0.1×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines	$865.20–$5,021.25	$1,153.60–$6,695	varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) range across 2 matching MRF lines	$772.50–$2,935.50	$1,030–$3,914	varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) range across 2 matching MRF lines	$849.75–$4,712.25	$1,133–$6,283	varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines	$927–$2,549.25	$1,236–$3,399	varies
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) range across 2 matching MRF lines	$1,390.50–$2,703.75	$1,854–$3,605	varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)	$313.25	$417.67	0.2×
Expl po hemrrg thrombosis/infctj xtr (35860) range across 2 matching MRF lines	$733.88–$2,317.50	$978.50–$3,090	varies
Explo/Drain Breast Abscess (19020) range across 3 matching MRF lines	$425.84–$1,652.38	$567.79–$2,203.17	varies
Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines	$560.06–$1,243.53	$746.75–$1,658.04	varies
Exploration Penetrating Wound Spx Neck (20100)	$1,243.53	$1,658.04	2.4×
Explore/Treat Hand Joint (26070) range across 3 matching MRF lines	$772.50–$2,703.75	$1,030–$3,605	varies
Fasciotomy Iliotibial Open (27305) range across 2 matching MRF lines	$965.63–$5,793.75	$1,287.50–$7,725	varies
Fasciotomy palmar open partial (26045) range across 2 matching MRF lines	$1,158.75–$5,793.75	$1,545–$7,725	varies
Fasciotomy palmar percutaneous (26040) range across 2 matching MRF lines	$772.50–$2,781	$1,030–$3,708	varies
Fasciotomy, hip or thigh, any type (27025) range across 2 matching MRF lines	$1,931.25–$2,317.50	$2,575–$3,090	varies
Fine needle aspiration without imaging guidance (10021)	$81.11	$108.15	0.2×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840)	$2,896.88	$3,862.50	0.8×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) range across 2 matching MRF lines	$927–$973.35	$1,236–$1,297.80	varies
Grafting of autologous fat by lipo 50 cc or less (15771)	$261.30	$348.40	0.1×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)	$13,387.50	$17,850	1.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines	$1,255.31–$5,021.25	$1,673.75–$6,695	varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250)	$527.23	$702.98	0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines	$875.82–$4,635	$1,167.76–$6,180	varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines	$340.67–$1,622.25	$454.23–$2,163	varies
I&d abscess peritonsillar (42700) range across 2 matching MRF lines	$213.02–$276.94	$284.02–$369.26	varies
I&d abscess simple (10060) range across 6 matching MRF lines	$127.85–$231.75	$170.47–$309	varies
I&d deep absc bursa/hematoma thigh/knee region (27301) range across 5 matching MRF lines	$754.35–$5,021.25	$1,005.80–$6,695	varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) range across 4 matching MRF lines	$1,390.50–$5,793.75	$1,854–$7,725	varies
I&D Ischiorct/Intramural Absc W/WO Seton (46060)	$2,384.71	$3,179.61	0.9×
I&d perianal abscess superficial (46050) range across 4 matching MRF lines	$202.78–$1,405.37	$270.38–$1,873.83	varies
I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines	$328.31–$1,183.86	$437.75–$1,578.48	varies
I&d pilonidal cyst simple (10080) range across 4 matching MRF lines	$140.60–$521.44	$187.46–$695.25	varies
I&d upper arm/elbow deep abscess/hematoma (23930) range across 5 matching MRF lines	$527.23–$5,021.25	$702.98–$6,695	varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)	$113.56	$151.41	0.1×
Immediate breast prosthesis (19340) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Implant Spine Infusion Pump (62362) likely a partial charge, not the full procedure	$421.21	$561.61	0.0×
Incise external hemorrhoid (46083) range across 4 matching MRF lines	$135.19–$340.67	$180.25–$454.23	varies
Incise finger tendon sheath (26055) range across 11 matching MRF lines	$1,313.25–$2,935.50	$1,751–$3,914	varies
Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines	$167.63–$405.56	$223.51–$540.75	varies
Incision & drainage leg/ankle abscess/hematoma (27603) range across 5 matching MRF lines	$1,042.88–$5,021.25	$1,390.50–$6,695	varies
Incision & removal foreign body subq tiss compl (10121) range across 4 matching MRF lines	$298.19–$2,781	$397.58–$3,708	varies
Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines	$95.02–$167.63	$126.69–$223.51	varies
Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines	$198.15–$243.75	$264.20–$325	varies
Incision and drainage of vulva or perineal abscess (56405) range across 4 matching MRF lines	$119.35–$386.25	$159.14–$515	varies
Incision extensor tendon sheath wrist (25000) range across 4 matching MRF lines	$695.25–$2,781	$927–$3,708	varies
Incision of Foot Tendon (28234) range across 2 matching MRF lines	$592.50–$3,000	$790–$4,000	varies
Incision of rectal abscess (46040) range across 4 matching MRF lines	$476.25–$2,212.50	$635–$2,950	varies
Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines	$405.56–$560.06	$540.75–$746.75	varies
Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines	$80.92–$147.55	$107.89–$196.73	varies
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines	$67.40–$450	$89.87–$600	varies
Injection single tendon origin/insertion (20551)	$96.56	$128.75	0.3×
Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines	$89.22–$115.88	$118.97–$154.50	varies
Injection single/mlt trigger point 3/> muscles (20553)	$150.64	$200.85	0.5×
Injection therapeutic carpal tunnel (20526)	$154.50	$206	0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines	$170.34–$1,313.25	$45.58–$1,751	varies
Injection, intralesional; up to and including 7 lesions (11900)	$115.88	$154.50	0.6×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281)	$608.92	$811.90	0.7×
Ins endovas vena cava filtr (37191) likely a partial charge, not the full procedure	$502.13	$669.50	0.1×
Insert Bladder Cath Complex (51703)	$105.83	$141.11	0.9×
Insert cath pleura w/o image (32556) range across 3 matching MRF lines	$328.31–$2,625	$437.75–$3,500	varies
Insert non-tunnel cv cath (36556) range across 6 matching MRF lines	$527.23–$926.03	$702.98–$1,234.71	varies
Insert pessary/other device (57160)	$170.34	$227.12	0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 4 matching MRF lines	$656.63–$3,090	$875.50–$4,120	varies
Insert Temp Bladder Cath (51702) range across 4 matching MRF lines	$127.85–$196.02	$170.47–$261.36	varies
Insert tunneled cv cath (36561) range across 2 matching MRF lines	$2,317.50–$5,793.75	$3,090–$7,725	varies
Insert tunneled cv cath (36563) likely a partial charge, not the full procedure	$567.79	$757.05	0.1×
Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines	$121.67–$126.11	$162.23–$168.15	varies
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) likely a partial charge, not the full procedure	$255.50	$340.67	0.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 3 matching MRF lines	$656.63–$3,090	$875.50–$4,120	varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines	$213.02–$2,751.07	$284.02–$3,668.09	varies
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) range across 2 matching MRF lines	$695.25–$772.50	$927–$1,030	varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)	$478.56	$638.09	0.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines	$298.19–$5,621.10	$397.58–$7,494.80	varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines	$203.36–$443.03	$271.15–$590.71	varies
Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines	$203.36–$553.69	$271.15–$738.25	varies
Intraoral i&d tongue/floor submental space (41007)	$1,703.36	$2,271.15	1.1×
Intro Gastrointestinal Tube (44500)	$927	$1,236	1.1×
Intubation endotracheal emergency procedure (31500) range across 6 matching MRF lines	$191.77–$425.84	$255.70–$567.79	varies
Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines	$431.25–$468.75	$575–$625	varies
Lap insert tunnel ip cath (49324) range across 2 matching MRF lines	$772.50–$5,407.50	$1,030–$7,210	varies
Lap revision perm ip cath (49325) range across 2 matching MRF lines	$811.13–$5,021.25	$1,081.50–$6,695	varies
Laparoscopy aspiration (49322) likely a partial charge, not the full procedure	$849.75	$1,133	0.1×
Laparoscopy Enterolysis Separate Procedure (44180) likely a partial charge, not the full procedure	$1,273.47	$1,697.96	0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines	$813.64–$5,793.75	$1,084.85–$7,725	varies
Laparoscopy W/Lysis Of Adhesions (58660) likely a partial charge, not the full procedure	$1,448.24	$1,930.99	0.2×
Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines	$1,351.88–$9,656.25	$1,802.50–$12,875	varies
Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines	$1,158.75–$4,635	$1,545–$6,180	varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 3 matching MRF lines	$1,236–$8,111.25	$1,648–$10,815	varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure	$753.57	$1,004.77	0.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure	$713.21	$950.95	0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 3 matching MRF lines	$482.62–$7,875	$643.49–$10,500	varies
Laryngoscopy diagnostic (31505) range across 2 matching MRF lines	$106.03–$121.67	$141.37–$162.23	varies
Laryngoscopy Indirect W/Removal Foreign Body (31511)	$144.84	$193.13	0.8×
Ligate/strip short leg vein (37718)	$608.34	$811.13	0.2×
Ligation of a-v fistula (37607)	$648.90	$865.20	0.2×
Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines	$446.12–$1,931.25	$594.83–$2,575	varies
Lithotripsy, extracorporeal shock wave (50590)	$1,158.75	$1,545	0.3×
Lmtd lmphadec staging spx pel&para-aortic (38562) likely a partial charge, not the full procedure	$973.35	$1,297.80	0.1×
Lysis/excision penile postcircumcision adhesions (54162)	$158.21	$210.94	0.1×
Manipulation knee joint under general anesthesia (27570) range across 3 matching MRF lines	$356.25–$3,075	$475–$4,100	varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 3 matching MRF lines	$328.13–$3,000	$437.50–$4,000	varies
Mast mod rad (19307) likely a partial charge, not the full procedure	$1,482.04	$1,976.06	0.2×
Mastectomy for gynecomastia (19300) range across 2 matching MRF lines	$1,158.75–$6,566.25	$1,545–$8,755	varies
Mastectomy partial (19301)	$618.19	$824.26	0.2×
Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure	$1,216.69	$1,622.25	0.2×
Mastectomy simple complete (19303) unusually low: confirm this is the full procedure	$1,931.25	$2,575	0.3×
Mastopexy (19316) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Muscle-skin graft trunk (15734) range across 2 matching MRF lines	$3,090–$6,952.50	$4,120–$9,270	varies
N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines	$270.38–$1,313.25	$360.50–$1,751	varies
N Block Inj Pudendal (64430)	$293.94	$391.92	0.3×
Nasal/Orogastric W/Tube Plmt (43752)	$60.83	$81.11	0.1×
Ndsc eval intstinal pouch w/bx single/multiple (44386)	$656.63	$875.50	0.7×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 6 matching MRF lines	$811.13–$3,476.25	$1,081.50–$4,635	varies
Neurp major prph nrv opn arm/leg sciatic nrv (64712) range across 2 matching MRF lines	$900–$3,825	$1,200–$5,100	varies
Nipple/areola reconstruction (19350)	$261.30	$348.40	0.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines	$162.23–$283.89	$216.30–$378.53	varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)	$90	$120	0.1×
Occipital Nerve Block (64405) range across 2 matching MRF lines	$104.29–$154.50	$139.05–$206	varies
Omntc Epiploectomy Rescj Omentum Spx (49255) range across 2 matching MRF lines	$1,042.88–$1,699.50	$1,390.50–$2,266	varies
Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines	$1,004.25–$6,566.25	$1,339–$8,755	varies
Open bowel to skin (44300)	$1,081.50	$1,442	0.6×
Open Repair of Rotator Cuff Acute (23410) range across 3 matching MRF lines	$1,875–$14,100	$2,500–$18,800	varies
Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines	$1,931.25–$13,132.50	$2,575–$17,510	varies
Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines	$1,545–$13,905	$2,060–$18,540	varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 3 matching MRF lines	$1,622.25–$10,197	$2,163–$13,596	varies
Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines	$1,575–$9,937.50	$2,100–$13,250	varies
Open treatment of ulnar styloid fracture (25652) range across 2 matching MRF lines	$1,236–$13,132.50	$1,648–$17,510	varies
Open treatment posterior malleolus fracture (27769) range across 3 matching MRF lines	$1,593.75–$13,125	$2,125–$17,500	varies
Open Treatment Proximal Humeral Fracture (23615) range across 2 matching MRF lines	$1,776.75–$25,492.50	$2,369–$33,990	varies
Open Treatment Radial Shaft Fracture (25515) range across 2 matching MRF lines	$1,545–$13,132.50	$2,060–$17,510	varies
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) range across 2 matching MRF lines	$1,467.75–$1,545	$1,957–$2,060	varies
Open tx carpal scaphoid navicular fracture (25628) range across 2 matching MRF lines	$1,429.13–$12,746.25	$1,905.50–$16,995	varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines	$1,545–$13,905	$2,060–$18,540	varies
Open Tx Distal Phalangeal Fracture Each (26765) range across 4 matching MRF lines	$511.01–$5,793.75	$681.35–$7,725	varies
Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines	$1,776.75–$12,746.25	$2,369–$16,995	varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) range across 2 matching MRF lines	$888.38–$5,600.63	$1,184.50–$7,467.50	varies
Open tx humeral supracondylar fracture w/o xtn (24545) unusually low: confirm this is the full procedure	$3,832.57	$5,110.09	0.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines	$695.25–$5,716.50	$927–$7,622	varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Open Tx Tibial Fracture Proximal Unicondylar (27535) range across 2 matching MRF lines	$1,776.75–$5,793.75	$2,369–$7,725	varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines	$1,931.25–$12,746.25	$2,575–$16,995	varies
Open tx ulnar fx proximal end (24685) range across 3 matching MRF lines	$1,390.50–$10,428.75	$1,854–$13,905	varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 4 matching MRF lines	$1,699.50–$13,132.50	$2,266–$17,510	varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 4 matching MRF lines	$2,356.13–$6,952.50	$3,141.50–$9,270	varies
Optx tibial fx prox bicondylar w/wo int fixj (27536) unusually low: confirm this is the full procedure	$2,317.50	$3,090	0.3×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) range across 2 matching MRF lines	$2,085.75–$24,720	$2,781–$32,960	varies
Ostc prtl exostc/condylc metar head (28288) range across 2 matching MRF lines	$927–$3,090	$1,236–$4,120	varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines	$849.75–$2,703.75	$1,133–$3,605	varies
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) range across 2 matching MRF lines	$2.34–$9.36	$3.12–$12.48	varies
Partial excision bone olecranon process (24147) range across 2 matching MRF lines	$1,313.25–$5,793.75	$1,751–$7,725	varies
Partical Excision Bone Phalanx Toe (28124)	$2,703.75	$3,605	0.9×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) range across 2 matching MRF lines	$695.25–$5,484.75	$927–$7,313	varies
Peritoneal Lavage (49084) range across 2 matching MRF lines	$187.50–$1,312.50	$250–$1,750	varies
Perq device breast 1st imag (19281) range across 5 matching MRF lines	$62.57–$927	$83.43–$1,236	varies
Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines	$1,351.88–$5,793.75	$1,802.50–$7,725	varies
Placement of needle for intraosseous infusion (36680) range across 4 matching MRF lines	$121.67–$2,858.25	$162.23–$3,811	varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 5 matching MRF lines	$110.85–$1,622.25	$49.96–$2,163	varies
Proctosgmdsc Rigid Control Bleeding (45317)	$132.29	$176.39	0.1×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308)	$76.28	$101.71	0.0×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309)	$167.25	$223	0.1×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315)	$124.95	$166.60	0.1×
Proctosgmdsc rigid w/dilation (45303)	$154.11	$205.49	0.1×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)	$2,035.54	$2,714.05	0.8×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320)	$138.86	$185.14	0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305)	$86.91	$115.88	0.1×
Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321)	$105.45	$140.60	0.0×
Prq skel fixj femoral fx prox end neck (27235) range across 2 matching MRF lines	$1,854–$12,746.25	$2,472–$16,995	varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 2 matching MRF lines	$1,158.75–$2,703.75	$1,545–$3,605	varies
Punch biopsy skin single lesion (11104)	$193.13	$257.50	0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines	$149.09–$167.63	$198.79–$223.51	varies
Puncture Aspiration Cyst Breast (19000)	$69.91	$93.22	0.1×
Relieve Pressure on Nerve(S) (64722) range across 2 matching MRF lines	$444.19–$2,781	$592.25–$3,708	varies
Removal Embedded Foreign Body Eyelid (67938)	$234.07	$312.09	0.8×
Removal Foreign Body Deep Thigh/Knee (27372)	$1,958.87	$2,611.82	0.7×
Removal Foreign Body Foot Complicated (28193)	$871.38	$1,161.84	0.6×
Removal foreign body foot deep (28192) range across 2 matching MRF lines	$648.90–$1,447.86	$865.20–$1,930.48	varies
Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines	$150.06–$333.72	$200.08–$444.96	varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines	$298.57–$333.72	$398.10–$444.96	varies
Removal foreign body, intranasal; requiring general anesthesia (30310)	$328.31	$437.75	0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) range across 7 matching MRF lines	$57.94–$95.60	$77.25–$127.46	varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines	$55.43–$95.60	$73.90–$127.46	varies
Removal Implant Deep (20680) range across 2 matching MRF lines	$772.50–$2,896.88	$1,030–$3,862.50	varies
Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines	$772.50–$2,896.88	$1,030–$3,862.50	varies
Removal of bladder cyst (51500) likely a partial charge, not the full procedure	$952.30	$1,269.73	0.2×
Removal of bone lesion (23140)	$770.57	$1,027.43	0.2×
Removal of foreign body from pharynx (42809)	$140.60	$187.46	0.3×
Removal of nail bed (11750) range across 4 matching MRF lines	$156.62–$695.25	$208.83–$927	varies
Removal of testis (54520)	$534.96	$713.28	0.2×
Removal of tunneled intraperitoneal catheter (49422) range across 2 matching MRF lines	$849.75–$3,090	$1,133–$4,120	varies
Removal or bivalving full arm or full leg cast (29705)	$90.96	$121.28	0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines	$93.86–$309	$125.15–$412	varies
Removal sweat gland lesion (11450)	$228.85	$305.14	0.1×
Removal/bivalving gauntlet boot/body cast (29700)	$93.86	$125.15	0.3×
Remove drug implant device (11982) range across 2 matching MRF lines	$270.38–$579.38	$360.50–$772.50	varies
Remove elbow lesion (24120) range across 2 matching MRF lines	$1,236–$5,793.75	$1,648–$7,725	varies
Remove femur lesion/graft (27356) unusually low: confirm this is the full procedure	$5,793.75	$7,725	0.5×
Remove Forearm Foreign Body (25248) range across 5 matching MRF lines	$791.81–$3,000	$1,055.75–$4,000	varies
Remove foreign body from eye (65205) range across 2 matching MRF lines	$63.92–$220.16	$85.23–$293.55	varies
Remove hip pressure sore (15940)	$973.35	$1,297.80	0.3×
Remove Intrauterine Device (58301)	$242.76	$323.68	0.8×
Remove Nasal Foreign Body (30300) range across 4 matching MRF lines	$93.28–$231.75	$124.37–$309	varies
Remove Peritoneal Foreign Body (49402) range across 2 matching MRF lines	$1,699.50–$6,875.25	$2,266–$9,167	varies
Remove Shoulder Foreign Body (23330)	$702.78	$937.04	0.4×
Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines	$1,236–$2,781	$1,648–$3,708	varies
Remove thyroid lesion (60200) range across 2 matching MRF lines	$1,448.44–$10,042.50	$1,931.25–$13,390	varies
Repair Achilles Tendon (27650) range across 4 matching MRF lines	$1,875–$13,500	$2,500–$18,000	varies
Repair Blood Vessel Direct Hand Finger (35207)	$1,149.87	$1,533.16	0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)	$311.90	$415.86	0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)	$511.01	$681.35	0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines	$311.90–$425.84	$415.86–$567.79	varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines	$311.90–$733.88	$415.86–$978.50	varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)	$311.90	$415.86	0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 5 matching MRF lines	$311.90–$1,158.75	$415.86–$1,545	varies
Repair complex trunk 1.1-2.5 cm (13100)	$511.01	$681.35	0.7×
Repair complex trunk 2.6-7.5 cm (13101)	$511.01	$681.35	0.7×
Repair Ectropion Extensive (67917)	$4,094.25	$5,459	1.8×
Repair Finger/Hand Tendon (26350) range across 4 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Repair Hallux Rigidus (28289) range across 2 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Repair Hand Joint (26540) range across 2 matching MRF lines	$1,158.75–$5,639.25	$1,545–$7,519	varies
Repair initial femoral hernia, any age; reducible (49550)	$775.59	$1,034.12	0.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 3 matching MRF lines	$1,047.51–$3,090	$1,396.68–$4,120	varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines	$203.36–$283.89	$271.15–$378.53	varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines	$203.36–$272.69	$271.15–$363.59	varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines	$203.36–$306.68	$271.15–$408.91	varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines	$203.36–$340.67	$271.15–$454.23	varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)	$1,009.27	$1,345.70	2.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines	$203.36–$608.34	$271.15–$811.13	varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines	$181.54–$310.93	$242.05–$414.58	varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 5 matching MRF lines	$203.36–$733.88	$271.15–$978.50	varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)	$203.36	$271.15	0.3×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines	$261.30–$1,009.27	$348.40–$1,345.70	varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines	$203.36–$349.36	$271.15–$465.82	varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines	$203.36–$579.38	$271.15–$772.50	varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines	$203.36–$2,190.04	$271.15–$2,920.05	varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines	$203.36–$425.84	$271.15–$567.79	varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines	$203.36–$298.19	$271.15–$397.58	varies
Repair intermediate s/a/t/e >30.0 cm (12037) range across 3 matching MRF lines	$261.30–$1,009.27	$348.40–$1,345.70	varies
Repair of nail bed (11760)	$203.36	$271.15	0.3×
Repair paravag defect vag (57285) range across 2 matching MRF lines	$2.34–$9.36	$3.12–$12.48	varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure	$1,135.58	$1,514.10	0.2×
Repair Rotator Cuff Chronic (23412) range across 3 matching MRF lines	$1,762.50–$13,425	$2,350–$17,900	varies
Repair secondary achilles tendon w/wo graft (27654) range across 4 matching MRF lines	$2,025–$14,250	$2,700–$19,000	varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 4 matching MRF lines	$1,467.75–$13,132.50	$1,957–$17,510	varies
Repair tongue laceration (41252)	$1,001.35	$1,335.14	4.4×
Repair tongue laceration (41250) range across 2 matching MRF lines	$213.02–$304.17	$284.02–$405.56	varies
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) likely a partial charge, not the full procedure	$1,010.82	$1,347.76	0.2×
Repair/graft achilles tendon (27652) range across 4 matching MRF lines	$1,950–$15,000	$2,600–$20,000	varies
Repositioning Io Lens Prosthesis Req Inc Spx (66825)	$2,124.38	$2,832.50	1.0×
Rerepair ing hernia reduce (49520)	$886.64	$1,182.18	0.3×
Revise ulnar nerve at wrist (64719) range across 4 matching MRF lines	$811.13–$3,476.25	$1,081.50–$4,635	varies
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) range across 2 matching MRF lines	$2,201.63–$2,510.63	$2,935.50–$3,347.50	varies
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314)	$2,124.38	$2,832.50	0.6×
Revision of nose (30462) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Revision of reconstructed breast (19380) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) range across 4 matching MRF lines	$2,858.25–$17,381.25	$3,811–$23,175	varies
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) range across 4 matching MRF lines	$3,090–$19,312.50	$4,120–$25,750	varies
Revj tot hip arthrp bth w/wo agrft/algrft (27134) range across 4 matching MRF lines	$3,862.50–$15,450	$5,150–$20,600	varies
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 3 matching MRF lines	$3,375–$14,625	$4,500–$19,500	varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 3 matching MRF lines	$3,090–$11,587.50	$4,120–$15,450	varies
Rhinoplasty primary w/major septal repair (30420) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Rhinoplasty Secondary Intermediate Revision (30435) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Rhinoplasty Secondary Major Revision (30450) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Rhinoplasty Secondary Minor Revision (30430) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Rhinp Dfrm W/Colum Lngth Tip Only (30460) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Rhinp Prim Complete Xtrnl Parts (30410) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)	$140.60	$187.46	0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines	$85.17–$220.16	$113.56–$293.55	varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines	$153.75–$220.16	$205–$293.55	varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)	$220.16	$293.55	0.5×
Rmvl fecal impaction/fb spx under anes (45915)	$424.88	$566.50	0.4×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320)	$656.63	$875.50	0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 3 matching MRF lines	$405.56–$1,703.36	$540.75–$2,271.15	varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)	$333.72	$444.96	0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines	$540.75–$3,476.25	$721–$4,635	varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines	$283.89–$927	$378.53–$1,236	varies
Rmvl Vitreous Ant Appr Partial Removal (67005)	$2,317.50	$3,090	1.0×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710)	$225.76	$301.02	0.8×
Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines	$92.51–$405.56	$123.34–$540.75	varies
Rplcmt cath ctr vad subq port/pmp (36578)	$405.56	$540.75	0.1×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)	$540.75	$721	0.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 3 matching MRF lines	$656.63–$3,090	$875.50–$4,120	varies
Rplcmt compl tun ctr vad w/subq port (36582)	$1,460.03	$1,946.70	0.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 2 matching MRF lines	$1,931.25–$5,793.75	$2,575–$7,725	varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines	$1,545–$10,815	$2,060–$14,420	varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines	$695.25–$7,029.75	$927–$9,373	varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) range across 2 matching MRF lines	$1,622.25–$7,029.75	$2,163–$9,373	varies
Rpr aa hernia recr 3-10 cm reducible (49615) range across 2 matching MRF lines	$1,313.25–$7,029.75	$1,751–$9,373	varies
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) range across 2 matching MRF lines	$1,158.75–$10,815	$1,545–$14,420	varies
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines	$849.75–$7,029.75	$1,133–$9,373	varies
Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines	$1,236–$7,029.75	$1,648–$9,373	varies
Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines	$927–$10,815	$1,236–$14,420	varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines	$203.36–$298.19	$271.15–$397.58	varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)	$203.36	$271.15	0.3×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) range across 2 matching MRF lines	$618–$849.75	$824–$1,133	varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) range across 2 matching MRF lines	$1,125–$6,150	$1,500–$8,200	varies
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)	$10,042.50	$13,390	1.4×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) range across 4 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) range across 4 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) range across 4 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) range across 4 matching MRF lines	$1,545–$5,793.75	$2,060–$7,725	varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) range across 2 matching MRF lines	$579.38–$695.25	$772.50–$927	varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)	$381.23	$508.31	0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)	$115.88	$154.50	0.6×
Shoulder arthroscopy diagnostic (29805) range across 4 matching MRF lines	$927–$5,793.75	$1,236–$7,725	varies
Sigmoidoscopy & decompress (45337)	$193.13	$257.50	0.2×
Sigmoidoscopy & Polypectomy (45333)	$151.02	$201.37	0.2×
Sigmoidoscopy flx tndsc balo dilat (45340) range across 2 matching MRF lines	$927–$1,931.25	$1,236–$2,575	varies
Sigmoidoscopy Flx With With Band Ligation(S) (45350) range across 2 matching MRF lines	$386.25–$2,089.61	$515–$2,786.15	varies
Sigmoidoscopy w/fb removal (45332)	$147.74	$196.99	0.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 3 matching MRF lines	$247.39–$695.25	$329.86–$927	varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) range across 2 matching MRF lines	$222.29–$1,672.46	$296.38–$2,229.95	varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines	$203.36–$349.36	$271.15–$465.82	varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines	$170.34–$225.57	$227.12–$300.76	varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines	$196.02–$203.36	$261.36–$271.15	varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines	$203.36–$425.84	$271.15–$567.79	varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines	$203.36–$238.51	$271.15–$318.01	varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines	$203.36–$511.01	$271.15–$681.35	varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines	$166.09–$212.63	$221.45–$283.51	varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines	$203.36–$511.01	$271.15–$681.35	varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 4 matching MRF lines	$203.36–$347.63	$271.15–$463.50	varies
Skin sub graft face/nk/hf/g (15275) range across 5 matching MRF lines	$347.63–$3,862.50	$463.50–$5,150	varies
Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines	$347.63–$3,399	$463.50–$4,532	varies
Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines	$656.63–$6,334.50	$875.50–$8,446	varies
Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines	$695.25–$3,399	$927–$4,532	varies
Small bowel endoscopy (44366)	$527.23	$702.98	0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines	$170.34–$227.12	$227.12–$302.82	varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines	$203.36–$276.94	$271.15–$369.26	varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines	$319.43–$447.28	$425.91–$596.37	varies
Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines	$241.79–$5,141.25	$322.39–$6,855	varies
Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines	$110.85–$249.90	$147.81–$333.21	varies
Strapping ankle (29540) range across 4 matching MRF lines	$71.25–$231.75	$95–$309	varies
Strapping elbow or wrist (29260) range across 3 matching MRF lines	$85.17–$96.56	$113.56–$128.75	varies
Strapping hand/finger (29280) range across 3 matching MRF lines	$85.17–$96.56	$113.56–$128.75	varies
Strapping Hip (29520) range across 3 matching MRF lines	$85.17–$193.13	$113.56–$257.50	varies
Strapping knee (29530) range across 3 matching MRF lines	$85.17–$193.13	$113.56–$257.50	varies
Strapping shoulder (29240) range across 3 matching MRF lines	$85.17–$193.13	$113.56–$257.50	varies
Strapping thorax (29200) range across 2 matching MRF lines	$85.17–$231.75	$113.56–$309	varies
Strapping toes (29550) range across 3 matching MRF lines	$85.17–$96.56	$113.56–$128.75	varies
Strapping Unna Boot (29580) range across 3 matching MRF lines	$66.63–$231.75	$88.84–$309	varies
Suction assisted lipectomy; head and neck (15876)	$261.30	$348.40	0.1×
Suction assisted lipectomy; trunk (15877)	$261.30	$348.40	0.1×
Suction assisted lipectomy; upper extremity (15878)	$261.30	$348.40	0.1×
Suction Lipectomy Lwr Extrem (15879)	$261.30	$348.40	0.1×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)	$1,703.36	$2,271.15	0.7×
Suture digital nerve hand/foot 1 nerve (64831)	$3,151.22	$4,201.63	1.7×
Suture of quadriceps or hamstring muscle rupture primary (27385) range across 4 matching MRF lines	$1,462.50–$13,500	$1,950–$18,000	varies
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) range across 2 matching MRF lines	$1,173.75–$3,150	$1,565–$4,200	varies
Tangential biopsy skin single lesion (11102)	$154.50	$206	0.4×
Tenodesis long tendon biceps (23430) range across 3 matching MRF lines	$1,687.50–$13,350	$2,250–$17,800	varies
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) likely a partial charge, not the full procedure	$1,004.25	$1,339	0.2×
Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure	$1,494.21	$1,992.28	0.3×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) likely a partial charge, not the full procedure	$1,216.69	$1,622.25	0.2×
Tissue Expander Placement Breast Reconstruction (19357) likely a partial charge, not the full procedure	$261.30	$348.40	0.0×
Tooth extraction (41899)	$1,001.35	$1,335.14	4.4×
Total Knee Arthroplasty (27447) range across 3 matching MRF lines	$3,090–$24,720	$4,120–$32,960	varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) likely a partial charge, not the full procedure	$1,309.97	$1,746.62	0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605)	$1,116.84	$1,489.12	4.9×
Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines	$400.35–$817.69	$533.80–$1,090.26	varies
Tracheostomy planned (31600) range across 4 matching MRF lines	$618–$5,562	$824–$7,416	varies
Transur electr resection of prostate (52601) likely a partial charge, not the full procedure	$675.94	$901.25	0.1×
Treat ankle fracture (28445) range across 3 matching MRF lines	$2,085.75–$12,746.25	$2,781–$16,995	varies
Treat dislocation/fracture (23670)	$3,832.57	$5,110.09	0.6×
Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines	$1,545–$12,746.25	$2,060–$16,995	varies
Treat humerus fracture (24500)	$181.34	$241.79	0.8×
Treat humerus fracture (23600)	$193.32	$257.76	0.8×
Treat knee fracture (27532) range across 2 matching MRF lines	$1,236–$5,793.75	$1,648–$7,725	varies
Treat Knee Fracture(S) (27538)	$298.19	$397.58	1.3×
Treat Kneecap Fracture (27524) range across 2 matching MRF lines	$1,506.38–$12,746.25	$2,008.50–$16,995	varies
Treat Knuckle Dislocation (26700) range across 2 matching MRF lines	$298.19–$425.84	$397.58–$567.79	varies
Treat scapula fracture (23585) range across 2 matching MRF lines	$2,062.50–$11,587.50	$2,750–$15,450	varies
Treat Tail Bone Fracture (27200)	$136.73	$182.31	0.6×
Treat Thumb Dislocation (26641)	$255.50	$340.67	1.1×
Treat Thumb Fracture (26645)	$181.34	$241.79	0.1×
Treat toe dislocation (28630) range across 2 matching MRF lines	$136.73–$255.50	$182.31–$340.67	varies
Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines	$681.35–$1,447.86	$908.46–$1,930.48	varies
Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines	$181.34–$511.01	$241.79–$681.35	varies
Tx Gastro Intub W/Asp (43753)	$239.67	$319.56	1.2×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) range across 2 matching MRF lines	$1,575–$20,250	$2,100–$27,000	varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 4 matching MRF lines	$2,472–$5,793.75	$3,296–$7,725	varies
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines	$243.34–$587.68	$324.45–$783.57	varies
Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines	$251.06–$587.68	$334.75–$783.57	varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)	$193.32	$257.76	0.1×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)	$193.32	$257.76	0.8×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) range across 4 matching MRF lines	$2,703.75–$23,175	$3,605–$30,900	varies
Unlisted laparoscopy procedure stomach (43659)	$8,883.75	$11,845	1.5×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)	$10,428.75	$13,905	1.8×
Unlisted Procedure Casting/Strapping (29799)	$85.17	$113.56	0.5×
Unlisted procedure femur or knee (27599)	$193.32	$257.76	0.8×
Unlisted Procedure Leg/Ankle (27899)	$579.95	$773.27	2.5×
Unlisted Procedure Tongue Floor Mouth (41599)	$213.02	$284.02	0.9×
Vaginal delivery only (59409) range across 2 matching MRF lines	$1,473.54–$2,086.72	$1,964.73–$2,782.29	varies
Vasectomy uni/bi spx w/postop semen exams (55250)	$386.25	$515	0.2×
Venous Cutdown >1 Y/O (36425)	$76.67	$102.23	0.2×
Wedge excision skin nail fold (11765)	$93.28	$124.37	0.2×
Wedging of cast (29740)	$110.85	$147.81	0.4×
Windowing of cast (29730)	$90.96	$121.28	0.6×

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.