Procedures & surgery prices at Morrison Community Hospital
Morrison, IL · every code in this section with a posted price and a Medicare benchmark.
743 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,406.50 | $1,406.50 | 1.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $4,337 | $4,337 | 2.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $4,978 | $4,978 | 2.3× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $5,458 | $5,458 | 2.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $8,889.50 | $8,889.50 | 2.3× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $6,258.25 | $6,258.25 | 2.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $5,353.50 | $5,353.50 | 2.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $8,229 | $8,229 | 3.7× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $5,238.50 | $5,238.50 | 2.4× |
| Amputation Foot Midtarsal (28800) | $9,096 | $9,096 | 2.6× |
| Amputation foot transmetarsal (28805) | $4,398.75 | $4,398.75 | 1.3× |
| Amputation metatarsal with toe single (28810) | $5,931.25 | $5,931.25 | 1.7× |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$2,668.25–$5,335.75 | $2,668.25–$5,335.75 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $5,931.25 | $5,931.25 | 1.7× |
| Anal/Urinary Muscle Study (51784) | $354.75 | $354.75 | 2.6× |
| Anoscopy diagnostic (46600) | $257 | $257 | 1.8× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $5,607.25 | $5,607.25 | 1.9× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $4,392.50 | $4,392.50 | 0.8× |
| Appendectomy (44950) | $11,051.25 | $11,051.25 | 1.6× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $212 | $212 | 1.2× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$91–$116.75 | $91–$116.75 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$26.51–$201.25 | $26.51–$201.25 | varies |
| Application Long Leg Splint (29505) | $281.50 | $281.50 | 1.6× |
| Application multiplane external fixation system (20692) | $25,733.75 | $25,733.75 | 1.9× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$195.50–$251.50 | $195.50–$251.50 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$182–$264.50 | $182–$264.50 | varies |
| Application uniplane external fixation system (20690) | $10,279.50 | $10,279.50 | 1.3× |
| Apply hand/wrist cast (29085) | $174 | $174 | 1.0× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$230–$235.25 | $230–$235.25 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$170.75–$281 | $170.75–$281 | varies |
| Arterial puncture (36600) | $89 | $89 | 0.6× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) | $17,245.50 | $17,245.50 | 1.3× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $13,291.25 | $13,291.25 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$164.50–$218.50 | $164.50–$218.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$176–$611 | $176–$611 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $255.75 | $255.75 | 0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$116.75–$795.75 | $116.75–$795.75 | varies |
| Arthrodesis ankle open (27870) | $17,079.50 | $17,079.50 | 1.2× |
| Arthrodesis great toe interphalangeal joint (28755) | $7,007 | $7,007 | 0.9× |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $8,408 | $8,408 | 1.1× |
| Arthrodesis Posterior Interbody Lumbar (22630) | $17,904.25 | $17,904.25 | 0.6× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) | $17,904.25 | $17,904.25 | 1.0× |
| Arthrodesis subtalar (28725) | $17,079.50 | $17,079.50 | 1.2× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) | $15,925.50 | $15,925.50 | 0.5× |
| Arthroplasty Ankle W/Implant (27702) | $18,918.25 | $18,918.25 | 0.7× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $9,818.75 | $9,818.75 | 2.8× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $8,926.50 | $8,926.50 | 2.5× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $8,797.50 | $8,797.50 | 2.5× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $12,117.75 | $12,117.75 | 3.5× |
| Arthroscopy Knee Osteochondral Allograft (29867) | $19,122.50 | $19,122.50 | 1.4× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $11,786.50 | $11,786.50 | 3.4× |
| Arthroscopy knee synovectomy limited spx (29875) | $10,714.75 | $10,714.75 | 3.1× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $8,797.50 | $8,797.50 | 2.5× |
| Arthroscopy shoulder distal claviculectomy (29824) | $8,797.50 | $8,797.50 | 2.5× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $15,080 | $15,080 | 1.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) | $8,926.50 | $8,926.50 | 2.5× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) | $16,951 | $16,951 | 2.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $12,272 | $12,272 | 3.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $11,960 | $11,960 | 3.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $14,352 | $14,352 | 1.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $13,360.50 | $13,360.50 | 3.8× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $11,133.75 | $11,133.75 | 3.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $12,682 | $12,682 | 1.6× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) | $8,797.50 | $8,797.50 | 2.5× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $8,797.50 | $8,797.50 | 2.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $15,431.75 | $15,431.75 | 2.0× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | $7,141.25 | $7,141.25 | 2.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $17,181 | $17,181 | 2.2× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $8,926.50 | $8,926.50 | 2.5× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $10,753.25 | $10,753.25 | 3.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $9,775.50 | $9,775.50 | 2.8× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) | $9,622.50 | $9,622.50 | 2.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $11,232 | $11,232 | 3.2× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $8,926.50 | $8,926.50 | 2.5× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $4,778 | $4,778 | 2.8× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $8,926.50 | $8,926.50 | 2.5× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) | $6,647 | $6,647 | 1.9× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$173.25–$604.25 | $173.25–$604.25 | varies |
| Aspiration Bladder Needle (51100) | $242.50 | $242.50 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$153–$340.25 | $153–$340.25 | varies |
| Biopsy bone open deep (20245) | $8,586.25 | $8,586.25 | 2.8× |
| Biopsy bone open superficial (20240) | $5,889 | $5,889 | 1.9× |
| Biopsy External Auditory Canal (69105) | $2,168.50 | $2,168.50 | 1.3× |
| Biopsy muscle percutaneous needle (20206) | $1,590.25 | $1,590.25 | 0.9× |
| Biopsy nail unit (11755) | $2,111 | $2,111 | 2.8× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) | $3,664.50 | $3,664.50 | 1.0× |
| Biopsy of upper nose/throat (42806) | $4,397.25 | $4,397.25 | 1.2× |
| Biopsy Oropharynx (42800) | $4,347.75 | $4,347.75 | 2.6× |
| Biopsy Salivary Gland Incisional (42405) | $4,347.75 | $4,347.75 | 2.6× |
| Biopsy soft tissue back/flank deep (21925) | $4,860.75 | $4,860.75 | 2.7× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $1,441.25 | $1,441.25 | 2.5× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$405.75–$811.25 | $405.75–$811.25 | varies |
| Biopsy, vestibule of mouth (40808) | $1,527.75 | $1,527.75 | 2.6× |
| Biopsy/removal lymph nodes (38510) | $7,383.50 | $7,383.50 | 1.8× |
| Bladder instillation anticarcinogenic agent (51720) | $391.25 | $391.25 | 0.5× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$346–$370.50 | $346–$370.50 | varies |
| Bladder Scan (51798) range across 3 matching MRF lines |
$85–$119 | $85–$119 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$760–$982 | $760–$982 | varies |
| Bone Graft Any Donor Area Major/Large (20902) | $16,084.75 | $16,084.75 | 2.1× |
| Bone Graft Any Donor Area Minor/Small (20900) | $14,623 | $14,623 | 1.9× |
| Bone Marrow Harvest Autolog (38232) | $2,153.25 | $2,153.25 | 0.5× |
| Bronchoscopy W/Biopsy(S) (31625) | $2,951 | $2,951 | 1.5× |
| Bronchoscopy W/Removal Foreign Body (31635) | $3,154.50 | $3,154.50 | 1.7× |
| Bx breast 1st lesion us imag (19083) | $2,649.50 | $2,649.50 | 1.5× |
| Bx Cervix (57500) | $2,195 | $2,195 | 2.2× |
| Bx/exc lymph node open deep axillary node (38525) | $7,383.50 | $7,383.50 | 1.8× |
| Bx/exc lymph node open superficial (38500) | $5,132.50 | $5,132.50 | 1.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $3,125.75 | $3,125.75 | 0.9× |
| Carpal Tunnel Surgery (64721) | $6,093 | $6,093 | 2.9× |
| Catheter aspiration nasotracheal spx (31720) | $169 | $169 | 0.7× |
| Cerv artific diskectomy (22856) | $12,269.25 | $12,269.25 | 0.7× |
| Cervical lymphadenectomy (complete) (38720) | $12,307 | $12,307 | 1.7× |
| Change Cystostomy Tube Simple (51705) | $256.50 | $256.50 | 1.0× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$183.25–$215.50 | $183.25–$215.50 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,105 | $1,105 | 1.5× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,004.75 | $1,004.75 | 1.3× |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$421.25–$736.25 | $421.25–$736.25 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$420.25–$697.75 | $420.25–$697.75 | varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $424.50 | $424.50 | 1.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $443 | $443 | 1.3× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$651.50–$4,519.50 | $651.50–$4,519.50 | varies |
| Circumcision 28 days or older (54161) | $5,722.75 | $5,722.75 | 2.6× |
| Circumcision w/clamp/oth dev w/block (54150) | $5,083.75 | $5,083.75 | 2.3× |
| Claviculectomy partial (23120) | $6,396 | $6,396 | 1.8× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$318.25–$461 | $318.25–$461 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $785 | $785 | 3.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $360 | $360 | 1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) | $378 | $378 | 1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $606 | $606 | 2.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $4,482 | $4,482 | 1.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $371 | $371 | 1.4× |
| Closed tx talus fracture w/o manipulation (28430) | $660 | $660 | 2.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $337.25 | $337.25 | 1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $608.50 | $608.50 | 2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,508 | $2,508 | 1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,099 | $1,099 | 4.2× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $1,600 | $1,600 | 0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $714.50 | $714.50 | 2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,654.50 | $1,654.50 | 1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
$332–$663 | $332–$663 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$317.25–$371 | $317.25–$371 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $404.75 | $404.75 | 1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) | $337.25 | $337.25 | 1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$252.50–$363 | $252.50–$363 | varies |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $5,545.50 | $5,545.50 | 1.0× |
| Collection of venous blood by venipuncture (36415) | $17 | $17 | 1.8× |
| Colonoscopy W/Band Ligation (45398) | $3,227.75 | $3,227.75 | 2.5× |
| Colpopexy extraperitoneal (57282) unusually low: confirm this is the full procedure |
$2,718.75 | $2,718.75 | 0.3× |
| Colpopexy vaginal intraperitoneal approach (57283) unusually low: confirm this is the full procedure |
$2,990.75 | $2,990.75 | 0.4× |
| Colporrhaphy (57200) | $2,456.75 | $2,456.75 | 0.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$462–$923.75 | $462–$923.75 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) range across 2 matching MRF lines |
$463.50–$926.75 | $463.50–$926.75 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) | $280 | $280 | 1.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $477 | $477 | 1.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $9,538.75 | $9,538.75 | 2.7× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $4,180.50 | $4,180.50 | 1.2× |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$455.75–$911.25 | $455.75–$911.25 | varies |
| Colposcopy of vulva (56820) | $296.50 | $296.50 | 1.4× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $2,020.25 | $2,020.25 | 2.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $3,030.25 | $3,030.25 | 2.4× |
| Combined anteroposterior colporrhaphy; (57260) | $7,253 | $7,253 | 1.4× |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$553.25–$4,773.25 | $553.25–$4,773.25 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $4,180.50 | $4,180.50 | 1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$207.50–$1,038.50 | $207.50–$1,038.50 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$157.50–$390.25 | $157.50–$390.25 | varies |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$3,156.50–$6,313 | $3,156.50–$6,313 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $8,895.25 | $8,895.25 | 2.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $9,459.50 | $9,459.50 | 0.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $9,459.50 | $9,459.50 | 1.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $8,084 | $8,084 | 2.3× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $8,926.50 | $8,926.50 | 1.1× |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$448–$710.50 | $448–$710.50 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $958.50 | $958.50 | 6.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $654.75 | $654.75 | 2.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $4,292.75 | $4,292.75 | 1.9× |
| Cystometrogram W/Vp&Up (51729) | $813.50 | $813.50 | 1.1× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$1,153.50–$2,306.75 | $1,153.50–$2,306.75 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) range across 2 matching MRF lines |
$1,587.25–$3,174.25 | $1,587.25–$3,174.25 | varies |
| Cystourethroscopy w/dil bladder general anesth (52260) | $5,787.50 | $5,787.50 | 2.6× |
| Cystourethroscopy with biopsy (52204) | $4,660.25 | $4,660.25 | 2.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$1,688–$4,724.75 | $1,688–$4,724.75 | varies |
| Debride nail 1-5 (11720) range across 4 matching MRF lines |
$94.50–$122.25 | $94.50–$122.25 | varies |
| Debride nail 6 or more (11721) range across 6 matching MRF lines |
$136.25–$165 | $136.25–$165 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $3,179.50 | $3,179.50 | 1.8× |
| Debridement Mastoidectomy Cavity Simple (69220) range across 2 matching MRF lines |
$345.50–$394.75 | $345.50–$394.75 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$353–$4,500.25 | $353–$4,500.25 | varies |
| Declot vascular device (36593) | $311 | $311 | 0.9× |
| Decompression of tibia nerve (28035) | $5,435.25 | $5,435.25 | 2.6× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$157.50–$310.50 | $157.50–$310.50 | varies |
| Destruction Benign Lesions 15/> (17111) range across 3 matching MRF lines |
$198.50–$434 | $198.50–$434 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $530.50 | $530.50 | 2.5× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $583.50 | $583.50 | 2.7× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $633 | $633 | 1.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$239.25–$306.75 | $239.25–$306.75 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $287.25 | $287.25 | 1.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $345 | $345 | 1.6× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $525.25 | $525.25 | 1.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $630.25 | $630.25 | 1.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $525.25 | $525.25 | 1.2× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $629.75 | $629.75 | 1.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $208.75 | $208.75 | 1.0× |
| Destruction of skin lesions (17106) | $1,112 | $1,112 | 2.6× |
| Destruction Premalignant Lesion 15/> (17004) range across 3 matching MRF lines |
$397.50–$434.75 | $397.50–$434.75 | varies |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$144–$285.50 | $144–$285.50 | varies |
| Destruction Vaginal Lesions Simple (57061) | $3,267.50 | $3,267.50 | 0.9× |
| Diagnostic sigmoidoscopy (45330) | $1,529.50 | $1,529.50 | 1.5× |
| Dilat female urethra general/cndj spinal anes (53665) | $5,705.50 | $5,705.50 | 2.5× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $219.50 | $219.50 | 1.6× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $176 | $176 | 1.2× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $176 | $176 | 1.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$1,326–$2,652 | $1,326–$2,652 | varies |
| Dilation Esophagus Guide Wire (43453) | $3,983.75 | $3,983.75 | 1.9× |
| Drain Cerebro Spinal Fluid (62272) | $1,039 | $1,039 | 1.4× |
| Drainage external ear abscess/hematoma cmplx (69005) | $4,522 | $4,522 | 2.6× |
| Drainage of hematoma/fluid (10140) range across 6 matching MRF lines |
$354–$2,998.50 | $354–$2,998.50 | varies |
| Drainage of hydrocele (55000) | $351 | $351 | 0.5× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$482.50–$930.75 | $482.50–$930.75 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $368.75 | $368.75 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $550.75 | $550.75 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $319.25 | $319.25 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $187.50 | $187.50 | 0.9× |
| Dstrj les/scar vestibule mouth physical meths (40820) | $4,209 | $4,209 | 1.2× |
| Dstrj Lesion Penis Simple Chemical (54050) | $391.25 | $391.25 | 0.9× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $403.75 | $403.75 | 1.9× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $2,647 | $2,647 | 1.2× |
| Dx Bronchoscope/Lavage (31624) | $4,598 | $4,598 | 2.4× |
| Dx Bronchoscope/Wash (31622) | $2,838.75 | $2,838.75 | 1.5× |
| Dx Laryngoscopy Excl Nb (31525) range across 3 matching MRF lines |
$560.25–$4,598 | $560.25–$4,598 | varies |
| Dx laryngoscopy w/oper scope (31526) | $4,809 | $4,809 | 2.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $3,900 | $3,900 | 1.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,342.75 | $2,342.75 | 1.1× |
| Egd cautery tumor polyp (43250) | $2,588 | $2,588 | 1.3× |
| Egd control bleeding any (43255) | $2,810.75 | $2,810.75 | 1.4× |
| Egd dilation gastric/duodenal stricture (43245) | $5,691 | $5,691 | 2.8× |
| Egd guide wire insertion (43248) | $2,526.25 | $2,526.25 | 2.6× |
| Egd remove lesion snare (43251) | $1,779 | $1,779 | 0.9× |
| Egd Varices Ligation (43244) | $5,691 | $5,691 | 2.8× |
| Electro-Uroflowmetry First (51741) | $229.50 | $229.50 | 1.0× |
| Endometrial Biopsy (58100) | $280 | $280 | 1.3× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $4,561 | $4,561 | 1.3× |
| Endoven ther chem adhes 1st (36482) | $7,992.25 | $7,992.25 | 1.3× |
| Epididymectomy unilateral (54860) | $4,902.25 | $4,902.25 | 1.3× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) | $397.75 | $397.75 | 0.4× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $2,526.25 | $2,526.25 | 2.6× |
| Esophagoscopy rigid trnso dx (43191) | $5,223 | $5,223 | 2.5× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) | $8,173 | $8,173 | 1.3× |
| Ethmoidectomy Intranasal Anterior (31200) | $12,438.50 | $12,438.50 | 2.0× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$118.75–$193.50 | $118.75–$193.50 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $5,727.50 | $5,727.50 | 3.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$265.50–$820 | $265.50–$820 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$709–$1,417.75 | $709–$1,417.75 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) | $8,198 | $8,198 | 2.6× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $5,122 | $5,122 | 1.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,623 | $1,623 | 2.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$974–$1,948 | $974–$1,948 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $4,578 | $4,578 | 2.6× |
| Exc Face Les Sbq 2 Cm/> (21012) | $5,004 | $5,004 | 2.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$487–$974 | $487–$974 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$584.50–$1,169 | $584.50–$1,169 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$387.25–$1,403 | $387.25–$1,403 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$842–$1,684 | $842–$1,684 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,010.50 | $1,010.50 | 0.6× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $5,459 | $5,459 | 3.1× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $6,032 | $6,032 | 1.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$410–$819.75 | $410–$819.75 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$492–$984 | $492–$984 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$375.75–$1,181 | $375.75–$1,181 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $2,602.25 | $2,602.25 | 2.4× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$2,278.25–$4,556.25 | $2,278.25–$4,556.25 | varies |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $2,819.50 | $2,819.50 | 1.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$709–$1,417.75 | $709–$1,417.75 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$850.75–$1,701.50 | $850.75–$1,701.50 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$1,021.25–$2,042.25 | $1,021.25–$2,042.25 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$1,021.25–$2,042.25 | $1,021.25–$2,042.25 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,425.50 | $2,425.50 | 0.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$2,518.50–$5,037 | $2,518.50–$5,037 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $5,727.50 | $5,727.50 | 1.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$2,128.50–$4,773.25 | $2,128.50–$4,773.25 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$2,466.25–$4,932 | $2,466.25–$4,932 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,652.50 | $1,652.50 | 1.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$326.25–$984 | $326.25–$984 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$367–$1,181 | $367–$1,181 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$850.75–$1,701.50 | $850.75–$1,701.50 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$1,961.50–$7,845.25 | $1,961.50–$7,845.25 | varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $5,078 | $5,078 | 1.6× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $6,730 | $6,730 | 2.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $5,728 | $5,728 | 1.8× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $6,210.50 | $6,210.50 | 2.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $5,055.25 | $5,055.25 | 2.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $7,555.50 | $7,555.50 | 2.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$2,275–$4,549 | $2,275–$4,549 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $6,300.50 | $6,300.50 | 2.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $4,329 | $4,329 | 2.5× |
| Excis Mouth Mucosa/Sub,No Repair (40810) range across 2 matching MRF lines |
$442.50–$3,952.75 | $442.50–$3,952.75 | varies |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $4,347.75 | $4,347.75 | 2.6× |
| Excise intraspinal lesion (63267) | $15,299.75 | $15,299.75 | 2.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$921–$1,842 | $921–$1,842 | varies |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $7,617 | $7,617 | 2.4× |
| Excision External Ear Partial Simple Repair (69110) | $7,452.25 | $7,452.25 | 2.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $5,078 | $5,078 | 1.6× |
| Excision lesion meniscus/capsule knee (27347) | $4,548.50 | $4,548.50 | 1.3× |
| Excision lesion mouth roof (42104) | $4,358.75 | $4,358.75 | 1.2× |
| Excision Lesion Tongue W/O Closure (41110) | $4,397.25 | $4,397.25 | 1.2× |
| Excision Lingual Frenum Frenectomy (41115) | $4,347.75 | $4,347.75 | 2.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $412 | $412 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$476.75–$1,534 | $476.75–$1,534 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 3 matching MRF lines |
$510.25–$1,278.25 | $510.25–$1,278.25 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 4 matching MRF lines |
$623–$3,068 | $623–$3,068 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
$422.25–$1,353.50 | $422.25–$1,353.50 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$1,590.25–$3,814.75 | $1,590.25–$3,814.75 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $4,773.25 | $4,773.25 | 1.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$991.75–$1,983.50 | $991.75–$1,983.50 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$2,289.25–$4,578.50 | $2,289.25–$4,578.50 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $5,539.25 | $5,539.25 | 3.1× |
| Excision Nasal Polyp Extensive (30115) | $9,729.25 | $9,729.25 | 2.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $4,399.25 | $4,399.25 | 2.6× |
| Excision of hydrocele; bilateral (55041) | $10,587.25 | $10,587.25 | 2.8× |
| Excision of hydrocele; unilateral (55040) | $8,900.75 | $8,900.75 | 2.3× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) | $11,330.50 | $11,330.50 | 1.8× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) | $15,588.25 | $15,588.25 | 2.5× |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$1,614.25–$3,227.75 | $1,614.25–$3,227.75 | varies |
| Excision of sublingual gland (42450) | $8,103.25 | $8,103.25 | 1.3× |
| Excision of submandibular (submaxillary) gland (42440) | $10,896.75 | $10,896.75 | 1.7× |
| Excision of vaginal cyst or tumor (57135) range across 2 matching MRF lines |
$1,470.75–$2,941.25 | $1,470.75–$2,941.25 | varies |
| Excision olecranon bursa (24105) | $5,790.25 | $5,790.25 | 1.7× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $7,840.75 | $7,840.75 | 2.2× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) | $6,534 | $6,534 | 0.8× |
| Excision or fulguration; Skene's glands Facility (53270) | $4,898.75 | $4,898.75 | 1.3× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $7,845.25 | $7,845.25 | 2.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $6,749.75 | $6,749.75 | 2.2× |
| Excision prepatellar bursa (27340) | $8,797.50 | $8,797.50 | 2.5× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $8,379 | $8,379 | 1.2× |
| Excision soft tissue lesion, external auditory canal (69145) | $7,617 | $7,617 | 2.4× |
| Excision spermatocele w/wo epididymectomy (54840) | $7,571.25 | $7,571.25 | 3.4× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $5,905.75 | $5,905.75 | 0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$2,863.75–$5,727.50 | $2,863.75–$5,727.50 | varies |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $3,778 | $3,778 | 1.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $4,773.25 | $4,773.25 | 2.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$2,339.50–$6,300.50 | $2,339.50–$6,300.50 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$2,241.75–$4,483.50 | $2,241.75–$4,483.50 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) | $5,730 | $5,730 | 3.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $5,250.50 | $5,250.50 | 1.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $6,730 | $6,730 | 2.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $4,707.75 | $4,707.75 | 1.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $4,678.75 | $4,678.75 | 2.6× |
| Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
$4,397.25–$8,794.25 | $4,397.25–$8,794.25 | varies |
| Excision/surgical planing skin nose rhinophyma (30120) | $8,418 | $8,418 | 2.4× |
| Explo/Drain Breast Abscess (19020) | $4,819.75 | $4,819.75 | 2.7× |
| Exploration maxillary sinus (31020) | $9,729.25 | $9,729.25 | 2.7× |
| Exploration of knee joint (27310) | $8,831 | $8,831 | 2.5× |
| Exploration penetrating wound spx extremity (20103) | $980.75 | $980.75 | 0.6× |
| Fascia lata graft; by stripper Facility (20920) | $5,513.25 | $5,513.25 | 2.5× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $7,141.25 | $7,141.25 | 2.0× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$525.25–$1,027.75 | $525.25–$1,027.75 | varies |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$980.75–$1,961 | $980.75–$1,961 | varies |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$225.75–$437 | $225.75–$437 | varies |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $4,352.50 | $4,352.50 | 1.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $5,513.25 | $5,513.25 | 2.5× |
| Fusion of foot bones (28740) | $8,109 | $8,109 | 1.0× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) | $3,460.25 | $3,460.25 | 0.5× |
| Grafting of autologous soft tiss by direct exc (15769) | $4,784 | $4,784 | 1.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) | $11,780.75 | $11,780.75 | 1.5× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $8,227.25 | $8,227.25 | 2.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$1,227.75–$2,455.50 | $1,227.75–$2,455.50 | varies |
| Hemorrhoidopexy by stapling (46947) | $4,008.50 | $4,008.50 | 1.3× |
| Hysteroscopy Biopsy (58558) | $7,291 | $7,291 | 2.1× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) | $7,025.50 | $7,025.50 | 1.3× |
| Hysteroscopy Dx Sep Proc (58555) | $4,411 | $4,411 | 1.3× |
| Hysteroscopy Endometrial Ablation (58563) | $11,096 | $11,096 | 2.1× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) | $8,020 | $8,020 | 1.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $8,822 | $8,822 | 2.5× |
| I&d abscess peritonsillar (42700) | $348.50 | $348.50 | 1.4× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$222–$570.50 | $222–$570.50 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $4,498 | $4,498 | 1.4× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$480–$1,687.75 | $480–$1,687.75 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$377.75–$490.50 | $377.75–$490.50 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $4,820.75 | $4,820.75 | 1.5× |
| Implant Neuroelectrodes (64561) | $7,711.25 | $7,711.25 | 1.1× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $17,294.75 | $17,294.75 | 0.8× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$403.75–$1,396.75 | $403.75–$1,396.75 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$805–$6,243.25 | $805–$6,243.25 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$400.50–$544.50 | $400.50–$544.50 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $3,533.50 | $3,533.50 | 1.1× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$689–$4,773.25 | $689–$4,773.25 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$314–$650.75 | $314–$650.75 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 4 matching MRF lines |
$324–$824.75 | $324–$824.75 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$439–$878 | $439–$878 | varies |
| Incision extensor tendon sheath wrist (25000) | $4,356.25 | $4,356.25 | 2.5× |
| Incision of eardrum (69421) | $4,080.50 | $4,080.50 | 1.1× |
| Incision of Foot Tendon (28234) | $5,931.25 | $5,931.25 | 3.4× |
| Incision of labial frenum (frenotomy) (40806) | $1,484.75 | $1,484.75 | 2.6× |
| Incision of lingual frenum (frenotomy) (41010) | $4,444 | $4,444 | 2.7× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$321.50–$505 | $321.50–$505 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $204 | $204 | 0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 6 matching MRF lines |
$156–$611 | $156–$611 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,047.25 | $1,047.25 | 1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$311–$1,031.75 | $311–$1,031.75 | varies |
| Injection for identification of sentinel node (38792) | $592 | $592 | 1.4× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$183.75–$421.25 | $183.75–$421.25 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$111–$453 | $111–$453 | varies |
| Injection therapeutic carpal tunnel (20526) | $223.50 | $223.50 | 0.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,340.25 | $1,340.25 | 1.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,031.75 | $1,031.75 | 1.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$271–$1,107 | $271–$1,107 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $144.25 | $144.25 | 0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$98.25–$561.75 | $98.25–$561.75 | varies |
| Insert Drug Implant Device (11981) | $339.25 | $339.25 | 2.4× |
| Insert Nasal Septal Button (30220) | $2,155.50 | $2,155.50 | 1.3× |
| Insert non-tunnel cv cath (36556) | $834 | $834 | 0.2× |
| Insert Temp Bladder Cath (51702) range across 6 matching MRF lines |
$170–$386 | $170–$386 | varies |
| Insert tunneled cv cath (36561) | $3,792.50 | $3,792.50 | 1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$178–$200.50 | $178–$200.50 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $4,453.50 | $4,453.50 | 1.3× |
| Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) likely a partial charge, not the full procedure |
$7,447.50 | $7,447.50 | 0.2× |
| Insrt/Redo Neurostim 1 Array (61885) likely a partial charge, not the full procedure |
$6,770.50 | $6,770.50 | 0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,579.25 | $1,579.25 | 3.6× |
| Intranasal Biopsy (30100) | $2,174.25 | $2,174.25 | 1.3× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$290–$521.50 | $290–$521.50 | varies |
| Knee Arthroscopy/Surgery (29885) | $10,557.25 | $10,557.25 | 1.4× |
| Knee Arthroscopy/Surgery (29874) | $9,740.75 | $9,740.75 | 2.8× |
| Labyrinthotomy Transcanal (69801) | $459.75 | $459.75 | 0.3× |
| Lam facetec & foramot lumbar (63047) | $14,557 | $14,557 | 1.9× |
| Lap paraesophag hern repair (43281) | $14,190.75 | $14,190.75 | 1.2× |
| Laparo-vag hyst incl t/o (58552) | $11,517 | $11,517 | 1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $10,124 | $10,124 | 1.6× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $10,981.50 | $10,981.50 | 1.7× |
| Laparoscopy w/rmvl adnexal structures (58661) | $11,088.50 | $11,088.50 | 1.7× |
| Laparoscopy, surgical, appendectomy (44970) | $12,376.75 | $12,376.75 | 1.9× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) | $13,592.50 | $13,592.50 | 1.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) | $10,736.50 | $10,736.50 | 0.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $10,873.25 | $10,873.25 | 1.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) | $11,960.75 | $11,960.75 | 1.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $16,201.75 | $16,201.75 | 2.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $13,502 | $13,502 | 2.1× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) | $7,602.25 | $7,602.25 | 1.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $12,232.50 | $12,232.50 | 1.9× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $9,677.75 | $9,677.75 | 1.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $13,502 | $13,502 | 2.1× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $9,784.25 | $9,784.25 | 2.4× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $13,820.75 | $13,820.75 | 1.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) | $4,978.50 | $4,978.50 | 1.2× |
| Laryngoplasty Medialization Unliateral (31591) | $14,441.50 | $14,441.50 | 2.3× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) | $6,638 | $6,638 | 1.7× |
| Laryngoscopy flexible diagnostic (31575) | $479 | $479 | 2.2× |
| Laryngoscopy W/Biopsy (31535) | $4,210 | $4,210 | 1.1× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $4,631.25 | $4,631.25 | 1.2× |
| Larynscop w/tumr exc + scope (31541) | $5,191.25 | $5,191.25 | 1.3× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$2,729–$7,213.50 | $2,729–$7,213.50 | varies |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $11,144.50 | $11,144.50 | 1.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $6,890.75 | $6,890.75 | 2.0× |
| Lithotripsy, extracorporeal shock wave (50590) | $11,452 | $11,452 | 3.0× |
| Low Back Disk Surgery (63030) | $11,779.75 | $11,779.75 | 1.5× |
| Lumbar spine fusion combined (22633) | $19,798 | $19,798 | 0.7× |
| Lysis Intranasal Synechia (30560) | $1,420.25 | $1,420.25 | 2.5× |
| Lysis of labial adhesions (56441) | $4,647 | $4,647 | 1.3× |
| Lysis/excision penile postcircumcision adhesions (54162) | $613.25 | $613.25 | 0.3× |
| Manipulation knee joint under general anesthesia (27570) | $4,356.25 | $4,356.25 | 2.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $4,356.25 | $4,356.25 | 2.5× |
| Marsupialization of bartholin's gland cyst (56440) | $2,877.75 | $2,877.75 | 0.8× |
| Mastectomy partial (19301) | $7,383.50 | $7,383.50 | 1.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) | $12,307 | $12,307 | 1.7× |
| Mastectomy simple complete (19303) | $13,660.50 | $13,660.50 | 1.9× |
| Middle ear expl thru postaur/ear canal inc (69440) | $5,611.50 | $5,611.50 | 1.6× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) | $9,568 | $9,568 | 2.5× |
| Muscle-skin graft trunk (15734) | $11,220.50 | $11,220.50 | 3.0× |
| Myringoplasty (69620) range across 2 matching MRF lines |
$4,208–$8,418 | $4,208–$8,418 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,031.75 | $1,031.75 | 1.4× |
| N Block Inj Plantar Digit (64455) range across 5 matching MRF lines |
$119.50–$795.75 | $119.50–$795.75 | varies |
| Nasal Endoscopy Dx (31231) range across 3 matching MRF lines |
$583–$2,573.50 | $583–$2,573.50 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 3 matching MRF lines |
$626–$4,809 | $626–$4,809 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $4,598 | $4,598 | 2.4× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) | $9,356.50 | $9,356.50 | 1.2× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) | $6,315 | $6,315 | 0.8× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $10,292 | $10,292 | 1.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $7,400.25 | $7,400.25 | 4.3× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$2,206–$4,411.75 | $2,206–$4,411.75 | varies |
| Neuroeltrd Stim Post Tibial (64566) | $378.75 | $378.75 | 1.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $8,175.50 | $8,175.50 | 3.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $5,638.50 | $5,638.50 | 2.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $419.50 | $419.50 | 1.3× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $1,820 | $1,820 | 0.8× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $550.75 | $550.75 | 1.3× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 2 matching MRF lines |
$661–$901.25 | $661–$901.25 | varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $4,841.75 | $4,841.75 | 0.6× |
| Occipital Nerve Block (64405) | $227.75 | $227.75 | 0.7× |
| Open Implantation Nea Sacral Nerve (64581) | $7,186 | $7,186 | 1.1× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) unusually low: confirm this is the full procedure |
$22,956 | $22,956 | 0.5× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $11,488.50 | $11,488.50 | 1.5× |
| Open treatment calcaneal fracture (28415) | $9,572.25 | $9,572.25 | 1.2× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $14,023.50 | $14,023.50 | 1.0× |
| Open treatment fracture distal tibia only (27827) | $12,748.50 | $12,748.50 | 0.9× |
| Open Treatment Medial Malleolus Fracture (27766) | $15,565.25 | $15,565.25 | 2.0× |
| Open treatment metatarsal fracture each (28485) | $7,655.50 | $7,655.50 | 1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) | $9,247.75 | $9,247.75 | 1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $6,794 | $6,794 | 0.9× |
| Open treatment posterior malleolus fracture (27769) | $16,089 | $16,089 | 2.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $11,654.25 | $11,654.25 | 1.5× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $14,690.75 | $14,690.75 | 1.9× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) | $9,773.50 | $9,773.50 | 0.7× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $4,557.50 | $4,557.50 | 1.3× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) | $4,827.75 | $4,827.75 | 0.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $17,976.50 | $17,976.50 | 2.3× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) | $19,787.75 | $19,787.75 | 1.4× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) | $6,435 | $6,435 | 2.5× |
| Ostc prtl exostc/condylc metar head (28288) | $7,596.25 | $7,596.25 | 2.2× |
| Ostectomy calcaneus (28118) | $8,926.50 | $8,926.50 | 2.5× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $7,997.75 | $7,997.75 | 2.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $8,797.50 | $8,797.50 | 2.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $6,378.50 | $6,378.50 | 1.8× |
| Osteochondral allograft knee open (27415) | $20,235.50 | $20,235.50 | 1.5× |
| Osteochondral talus autogrft (28446) | $10,164.50 | $10,164.50 | 1.3× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) | $14,287.50 | $14,287.50 | 1.8× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) | $8,084 | $8,084 | 1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $6,749.75 | $6,749.75 | 1.9× |
| Osteotomy calcaneus w/wo internal fixation (28300) | $6,355.50 | $6,355.50 | 0.8× |
| Osteotomy talus (28302) | $6,991.50 | $6,991.50 | 0.9× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) | $11,072 | $11,072 | 1.4× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $7,750.75 | $7,750.75 | 1.4× |
| Palatopharyngoplasty (42145) | $8,173 | $8,173 | 1.3× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) | $8,050 | $8,050 | 1.3× |
| Part remv talus or calcaneus (28120) | $8,926.50 | $8,926.50 | 2.5× |
| Partial hymenectomy or revision of hymenal ring (56700) | $8,822 | $8,822 | 2.5× |
| Partial removal of fibula (27641) | $8,797.50 | $8,797.50 | 2.5× |
| Partial removal of thyroid (60220) | $14,851.75 | $14,851.75 | 2.3× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $10,519.25 | $10,519.25 | 1.6× |
| Partical Excision Bone Phalanx Toe (28124) | $5,727 | $5,727 | 1.6× |
| Pelvic examination under anesthesia (other than local) (57410) | $4,306.25 | $4,306.25 | 1.2× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$980.75–$1,961.50 | $980.75–$1,961.50 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,046 | $1,046 | 1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $21,431.25 | $21,431.25 | 2.8× |
| Perq Vertebral Augmentation (22513) | $21,431.25 | $21,431.25 | 2.8× |
| Phalangectomy toe each toe (28150) | $3,611 | $3,611 | 1.0× |
| Placement of needle for intraosseous infusion (36680) | $227 | $227 | 0.5× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $4,755 | $4,755 | 0.9× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $8,926.50 | $8,926.50 | 2.5× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$259.75–$328.25 | $259.75–$328.25 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$329.25–$722 | $329.25–$722 | varies |
| Puncture Aspiration Cyst Breast (19000) | $980.75 | $980.75 | 1.3× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,031.75 | $1,031.75 | 1.4× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) | $10,896.75 | $10,896.75 | 1.7× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $7,750.75 | $7,750.75 | 1.0× |
| Reconstruct lip with flap (40527) | $8,873.50 | $8,873.50 | 1.4× |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) | $10,896.75 | $10,896.75 | 1.7× |
| Reconstruction Toe Polydactyly (28344) | $9,024.25 | $9,024.25 | 2.6× |
| Release of big toe (28240) | $8,233.25 | $8,233.25 | 2.3× |
| Removal foreign body foot deep (28192) | $4,085.25 | $4,085.25 | 2.3× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$637–$2,025 | $637–$2,025 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $4,573 | $4,573 | 1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$30–$105.50 | $30–$105.50 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 6 matching MRF lines |
$88.50–$265.75 | $88.50–$265.75 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$3,000.50–$6,000 | $3,000.50–$6,000 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $4,860.75 | $4,860.75 | 2.7× |
| Removal implantable contraceptive capsules (11976) | $386 | $386 | 0.5× |
| Removal of adenoids (42831) | $5,080 | $5,080 | 1.4× |
| Removal of adenoids (42830) | $5,288.50 | $5,288.50 | 1.5× |
| Removal of ankle implant (27704) | $5,341.50 | $5,341.50 | 1.5× |
| Removal of bone lesion (23140) | $9,096 | $9,096 | 2.6× |
| Removal of cervix (57530) unusually low: confirm this is the full procedure |
$1,638 | $1,638 | 0.3× |
| Removal of foreign body from pharynx (42809) | $416 | $416 | 0.9× |
| Removal of heel spur (28119) | $7,555.75 | $7,555.75 | 2.2× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$319.25–$1,068.25 | $319.25–$1,068.25 | varies |
| Removal of sesamoid bone (28315) | $9,096 | $9,096 | 2.6× |
| Removal of sperm cord lesion (55520) | $4,094 | $4,094 | 1.1× |
| Removal of thyroid (60271) | $16,344.75 | $16,344.75 | 2.6× |
| Removal of tonsils (42825) | $5,134 | $5,134 | 0.8× |
| Removal of tonsils (42826) | $5,567.25 | $5,567.25 | 1.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$121.50–$399.50 | $121.50–$399.50 | varies |
| Removal, under anesthesia, of external fixation system (20694) | $7,234.25 | $7,234.25 | 4.2× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$378.75–$757.25 | $378.75–$757.25 | varies |
| Remove foreign body from eye (65205) | $170.50 | $170.50 | 1.2× |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$295.25–$651.25 | $295.25–$651.25 | varies |
| Remove knee joint lining (27334) | $9,096 | $9,096 | 2.6× |
| Remove Lower Leg Bone Lesion (27635) | $4,643.75 | $4,643.75 | 1.3× |
| Remove mastoid structures (69505) | $15,588.25 | $15,588.25 | 2.5× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$523.50–$673.50 | $523.50–$673.50 | varies |
| Remove spine fixation device (22850) | $5,682.75 | $5,682.75 | 0.7× |
| Remove Tendon Sheath Lesion (26160) | $4,356.25 | $4,356.25 | 2.5× |
| Remove/Insert Drug Implant (11983) | $564.75 | $564.75 | 1.2× |
| Reopen fallopian tube (58350) | $5,580.25 | $5,580.25 | 1.0× |
| Repair Achilles Tendon (27650) | $8,926.50 | $8,926.50 | 1.1× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $13,887.75 | $13,887.75 | 1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$918.25–$1,685 | $918.25–$1,685 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,022 | $2,022 | 2.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $615 | $615 | 1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $2,276.75 | $2,276.75 | 5.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,010 | $1,010 | 2.3× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $6,749.75 | $6,749.75 | 1.9× |
| Repair Foot Dislocation (28615) | $17,120.50 | $17,120.50 | 2.2× |
| Repair Hallux Rigidus (28289) | $8,033.50 | $8,033.50 | 2.3× |
| Repair initial femoral hernia, any age; reducible (49550) | $10,285 | $10,285 | 2.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $9,824 | $9,824 | 2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$667.75–$1,335 | $667.75–$1,335 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$636.50–$1,273 | $636.50–$1,273 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $898 | $898 | 2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,316.25 | $1,316.25 | 3.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$514–$741.50 | $514–$741.50 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$556–$1,112 | $556–$1,112 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $760.25 | $760.25 | 1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $895.50 | $895.50 | 2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$319.50–$372 | $319.50–$372 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$445.75–$816.50 | $445.75–$816.50 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$535.25–$674 | $535.25–$674 | varies |
| Repair Nasal Vestibular Stenosis (30465) | $8,103.25 | $8,103.25 | 1.3× |
| Repair of hydrocele (55060) | $7,571.25 | $7,571.25 | 2.0× |
| Repair of metatarsals (28322) | $10,066.75 | $10,066.75 | 1.3× |
| Repair of Ruptured Tendon (24342) | $6,197.50 | $6,197.50 | 0.8× |
| Repair paravag defect vag (57285) | $9,889.75 | $9,889.75 | 1.2× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $10,806.50 | $10,806.50 | 1.6× |
| Repair secondary achilles tendon w/wo graft (27654) | $6,160.50 | $6,160.50 | 0.8× |
| Repair shoulder capsule (23462) | $13,705.75 | $13,705.75 | 1.8× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $8,233.25 | $8,233.25 | 2.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $9,561.25 | $9,561.25 | 1.2× |
| Repair/graft achilles tendon (27652) | $6,640.50 | $6,640.50 | 0.9× |
| Reposition Venous Catheter (36597) | $2,912 | $2,912 | 1.7× |
| Rerepair ing hernia reduce (49520) | $9,993.50 | $9,993.50 | 2.6× |
| Resect enlarged toe tissue (28340) | $9,096 | $9,096 | 2.6× |
| Resection of scrotum (55150) | $9,700.75 | $9,700.75 | 2.6× |
| Rev/rmv prph sac/gstr npg/r (64595) | $5,554.25 | $5,554.25 | 1.5× |
| Revise Hand/Foot Nerve (64704) | $5,126.25 | $5,126.25 | 2.4× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) | $4,392.50 | $4,392.50 | 1.3× |
| Revision of big toe (28310) | $8,926.50 | $8,926.50 | 1.1× |
| Revision of foot (28116) | $8,926.50 | $8,926.50 | 2.5× |
| Revision of foot bones (28737) | $12,603.25 | $12,603.25 | 0.9× |
| Revision of lower leg tendon (27685) | $8,115.25 | $8,115.25 | 2.3× |
| Revision of urethra (57220) | $7,025.50 | $7,025.50 | 1.3× |
| Revision/replmt neurostimlator eltrd cranial nrv (64569) | $23,885.75 | $23,885.75 | 2.0× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) | $11,013.25 | $11,013.25 | 0.8× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $10,317.25 | $10,317.25 | 2.8× |
| Revj/rmvl neurostimulator pulse generator (61888) | $19,883.25 | $19,883.25 | 1.7× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $5,486.75 | $5,486.75 | 1.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $2,763 | $2,763 | 1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$140.75–$174.50 | $140.75–$174.50 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $3,537.25 | $3,537.25 | 2.8× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $4,773.25 | $4,773.25 | 1.5× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $5,858.50 | $5,858.50 | 2.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,456–$2,912 | $1,456–$2,912 | varies |
| Rmvl/revj sling stress incontinence (57287) range across 2 matching MRF lines |
$2,090.25–$4,180.50 | $2,090.25–$4,180.50 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$146–$388 | $146–$388 | varies |
| Rplcmt compl tun ctr vad w/subq port (36582) | $4,598.50 | $4,598.50 | 1.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $12,716.25 | $12,716.25 | 2.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $10,596.50 | $10,596.50 | 2.8× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $12,822 | $12,822 | 1.8× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $12,822 | $12,822 | 1.8× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $10,587.25 | $10,587.25 | 2.8× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $11,656.25 | $11,656.25 | 1.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $11,560.25 | $11,560.25 | 1.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,874.25 | $1,874.25 | 1.1× |
| Rpr flexor tendon leg secondary w/o graft each (27659) | $6,749.75 | $6,749.75 | 0.9× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) | $11,473.75 | $11,473.75 | 1.5× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $8,926.50 | $8,926.50 | 2.5× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) | $7,485 | $7,485 | 1.0× |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) | $11,413.50 | $11,413.50 | 1.5× |
| Sclerotx Fluid Collection (49185) | $999.50 | $999.50 | 0.6× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $8,418 | $8,418 | 2.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $2,507 | $2,507 | 2.0× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$214.75–$247 | $214.75–$247 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$256.75–$381.25 | $256.75–$381.25 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $209 | $209 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $296.50 | $296.50 | 1.4× |
| Shoulder Arthroscopy/Surgery (29825) | $8,797.50 | $8,797.50 | 2.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $457.75 | $457.75 | 2.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $514 | $514 | 1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$253–$296.50 | $253–$296.50 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $285 | $285 | 1.3× |
| Sigmoidoscopy & Polypectomy (45333) | $2,433.75 | $2,433.75 | 2.4× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $2,586.75 | $2,586.75 | 2.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,835.25 | $1,835.25 | 1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$366.50–$470.50 | $366.50–$470.50 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$400.75–$908 | $400.75–$908 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $557.50 | $557.50 | 2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$185.25–$778 | $185.25–$778 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$509.50–$891.50 | $509.50–$891.50 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$557–$1,120.75 | $557–$1,120.75 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $5,513.25 | $5,513.25 | 2.5× |
| Skin sub graft face/nk/hf/g (15275) | $2,374.50 | $2,374.50 | 3.0× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$2,374.50–$4,762.25 | $2,374.50–$4,762.25 | varies |
| Skin sub grft t/arm/lg child (15273) | $6,554.50 | $6,554.50 | 3.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $7,865 | $7,865 | 1.5× |
| Slitting of prepuce (54001) | $2,881.50 | $2,881.50 | 1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$414.25–$534 | $414.25–$534 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$616.75–$694 | $616.75–$694 | varies |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) | $3,892.25 | $3,892.25 | 1.3× |
| Sphincterotomy anal division sphincter spx (46080) | $5,861 | $5,861 | 2.0× |
| Sphnctrop Anal Levator Musc Imbrcj (46761) | $7,784.75 | $7,784.75 | 2.6× |
| Spinal puncture lumbar diagnostic (62270) | $561.50 | $561.50 | 0.7× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $5,513.25 | $5,513.25 | 2.5× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$95.50–$125.50 | $95.50–$125.50 | varies |
| Strapping elbow or wrist (29260) | $190 | $190 | 3.0× |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$57–$62.50 | $57–$62.50 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$96.50–$127 | $96.50–$127 | varies |
| Strapping thorax (29200) | $148.50 | $148.50 | 0.9× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$177.50–$229 | $177.50–$229 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $7,871.25 | $7,871.25 | 2.2× |
| Suture infrapatellar tendon primary (27380) | $7,034.75 | $7,034.75 | 0.9× |
| Tangential biopsy skin single lesion (11102) | $298 | $298 | 0.7× |
| Tenodesis long tendon biceps (23430) | $6,321.75 | $6,321.75 | 0.8× |
| Tenolysis extensor foot single tendon (28225) | $7,485 | $7,485 | 2.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines |
$1,174.75–$2,349.50 | $1,174.75–$2,349.50 | varies |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) | $8,926.50 | $8,926.50 | 2.5× |
| Thrombolytic Therapy Stroke (37195) | $4,550 | $4,550 | 12.9× |
| Thyroidectomy Post Prev Thyr Surg (60260) | $11,273 | $11,273 | 1.8× |
| Thyroidectomy, total or complete (60240) | $16,262.50 | $16,262.50 | 2.5× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) | $11,606 | $11,606 | 1.8× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $5,215.25 | $5,215.25 | 2.4× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $9,096 | $9,096 | 2.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $9,729.25 | $9,729.25 | 2.7× |
| Total Knee Arthroplasty (27447) | $20,824.50 | $20,824.50 | 1.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $380.75 | $380.75 | 0.7× |
| Treat ankle fracture (28445) | $5,723.25 | $5,723.25 | 0.7× |
| Treat Big Toe Fracture (28505) | $7,840.75 | $7,840.75 | 2.2× |
| Treat Knuckle Dislocation (26700) | $337.25 | $337.25 | 1.3× |
| Treat Thumb Dislocation (26641) | $534.25 | $534.25 | 2.0× |
| Treat/graft heel fracture (28420) | $10,529.50 | $10,529.50 | 0.8× |
| Treatment mouth roof lesion (42160) | $8,418 | $8,418 | 2.4× |
| Treatment of foot infection (28003) | $4,512 | $4,512 | 1.3× |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$56.25–$120.75 | $56.25–$120.75 | varies |
| Trim skin lesions 2 to 4 (11056) range across 5 matching MRF lines |
$128.25–$156 | $128.25–$156 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$164–$274.75 | $164–$274.75 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$31–$95.25 | $31–$95.25 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$2,456–$4,556.25 | $2,456–$4,556.25 | varies |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $2,278.25 | $2,278.25 | 1.3× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $4,337 | $4,337 | 2.6× |
| Tympanoplasty (69631) | $8,784.50 | $8,784.50 | 1.4× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) | $12,281.50 | $12,281.50 | 1.9× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) | $16,344.75 | $16,344.75 | 2.6× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) | $9,663 | $9,663 | 1.5× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$2,168.50–$4,337 | $2,168.50–$4,337 | varies |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $5,279.75 | $5,279.75 | 1.4× |
| Unlisted laparoscopy procedure stomach (43659) | $6,403.50 | $6,403.50 | 1.0× |
| Unlisted procedure breast (19499) | $4,525.25 | $4,525.25 | 1.1× |
| Unlisted Procedure External Ear (69399) range across 3 matching MRF lines |
$327.75–$654.75 | $327.75–$654.75 | varies |
| Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
$10,319–$10,402.75 | $10,319–$10,402.75 | varies |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$420.25–$1,031.75 | $420.25–$1,031.75 | varies |
| Unlisted Procedure Trachea Bronchi (31899) | $451.50 | $451.50 | 2.1× |
| Unlisted px female genital system nonobstetrical (58999) range across 2 matching MRF lines |
$4,306.25–$4,411 | $4,306.25–$4,411 | varies |
| Vag hyst complex (58290) | $10,287.25 | $10,287.25 | 1.3× |
| Vag hyst incl t/o complex (58291) | $14,809.50 | $14,809.50 | 2.8× |
| Vaginal delivery only (59409) | $3,862.50 | $3,862.50 | 1.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$731.75–$1,738.50 | $731.75–$1,738.50 | varies |
| Ventilating tube removal requiring general anesthesia (69424) | $1,339.75 | $1,339.75 | 0.4× |
| Wedge excision skin nail fold (11765) | $382.50 | $382.50 | 0.9× |
| Wound Prep F/N/Hf/G (15004) | $1,685 | $1,685 | 3.9× |
| Xfer Single Deep Low Leg Tendon (27691) | $15,276.75 | $15,276.75 | 2.0× |
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.