Procedures & surgery prices at Mount Graham Regional Medical Center
Safford, AZ · every code in this section with a posted price and a Medicare benchmark.
642 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 3 matching MRF lines |
— | $776–$2,300 | — |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | — | $1,954.50 | — |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | — | $1,954.50 | — |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | — | $1,628.75 | — |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | — | $1,303 | — |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 3 matching MRF lines |
— | $1,193.66–$4,386 | — |
| Amputation foot transmetarsal (28805) range across 2 matching MRF lines |
— | $1,628.75–$1,954.50 | — |
| Amputation metatarsal with toe single (28810) range across 3 matching MRF lines |
— | $1,628.75–$2,606 | — |
| Amputation toe interphalangeal joint (28825) range across 3 matching MRF lines |
— | $977.25–$2,606 | — |
| Amputation toe metatarsophalangeal joint (28820) range across 3 matching MRF lines |
— | $651.50–$1,954.50 | — |
| Amputation, leg, through tibia and fibula; (27880) range across 3 matching MRF lines |
— | $1,701.11–$5,212 | — |
| Anoscopy; with biopsy, single or multiple (46606) | — | $1,954.50 | — |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | — | $200.51 | — |
| Anterior colporraphy rpr cystocele w/cysto (57240) range across 4 matching MRF lines |
— | $1,200–$4,706.50 | — |
| Appendectomy (44950) | — | $1,203.46 | — |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
— | $145–$267 | — |
| Application finger splint static (29130) | — | $238 | — |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
— | $140–$354 | — |
| Application Long Leg Splint (29505) | — | $321 | — |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
— | $90–$305 | — |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
— | $135–$320 | — |
| Application uniplane external fixation system (20690) | — | $819.68 | — |
| Apply long arm cast (29065) | — | $165 | — |
| Apply Short Leg Cast (29405) | — | $160 | — |
| Arterial puncture (36600) | — | $135 | — |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | — | $4,560.50 | — |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | — | $118 | — |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
— | $118–$236 | — |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
— | $120–$1,954.50 | — |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 7 matching MRF lines |
— | $69.66–$1,175.20 | — |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
— | $100–$651.50 | — |
| Arthrodesis ankle open (27870) | — | $4,886.25 | — |
| Arthrodesis great toe interphalangeal joint (28755) | — | $3,257.50 | — |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 4 matching MRF lines |
— | $2,171.66–$3,909 | — |
| Arthrodesis subtalar (28725) range across 2 matching MRF lines |
— | $5,212–$5,863.50 | — |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 8 matching MRF lines |
— | $1,100–$13,203.50 | — |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) range across 2 matching MRF lines |
— | $3,704.07–$4,413 | — |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) range across 5 matching MRF lines |
— | $1,050.71–$3,309.75 | — |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | — | $2,606 | — |
| Arthroscopy knee synovectomy limited spx (29875) range across 3 matching MRF lines |
— | $977.25–$2,606 | — |
| Arthroscopy shoulder distal claviculectomy (29824) range across 5 matching MRF lines |
— | $1,085.83–$2,520.16 | — |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 5 matching MRF lines |
— | $2,000–$4,560.50 | — |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) | — | $2,171.68 | — |
| Arthroscopy, knee, surgical; with lateral release (29873) | — | $1,206 | — |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | — | $2,606 | — |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 5 matching MRF lines |
— | $2,606–$5,212 | — |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 3 matching MRF lines |
— | $1,085.83–$2,666.17 | — |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 9 matching MRF lines |
— | $1,000–$3,538.50 | — |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 4 matching MRF lines |
— | $977.25–$1,303 | — |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 4 matching MRF lines |
— | $977.25–$3,106.37 | — |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 7 matching MRF lines |
— | $1,737.33–$5,493 | — |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 11 matching MRF lines |
— | $1,872.50–$11,619.50 | — |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) range across 4 matching MRF lines |
— | $2,642.80–$4,841.50 | — |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 9 matching MRF lines |
— | $2,200–$8,677.50 | — |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | — | $2,942 | — |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 7 matching MRF lines |
— | $977.25–$2,606 | — |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 4 matching MRF lines |
— | $1,624–$4,303 | — |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 6 matching MRF lines |
— | $1,954.50–$4,954.50 | — |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | — | $1,954.50 | — |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) range across 2 matching MRF lines |
— | $488.62–$3,257.50 | — |
| Artificial insemination intra-uterine (58322) | — | $622.14 | — |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
— | $783–$1,957.80 | — |
| Aspirate Pleura W/O Imaging (32554) | — | $1,116 | — |
| Aspirate/Inj Ganglion Cyst (20612) | — | $272 | — |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
— | $174–$977.25 | — |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
— | $920–$2,301 | — |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
— | $488.62–$488.64 | — |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
— | $1,319–$3,297 | — |
| Biopsy muscle percutaneous needle (20206) | — | $2,580.94 | — |
| Biopsy of breast; open, incisional (19101) | — | $1,303 | — |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
— | $992–$2,479 | — |
| Biopsy Salivary Gland Needle (42400) | — | $2,221.91 | — |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) range across 2 matching MRF lines |
— | $1,444–$3,611 | — |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | — | $170 | — |
| Bladder Irrigation (51700) | — | $400 | — |
| Bladder Scan (51798) | — | $141 | — |
| Blepharotomy drainage abscess eyelid (67700) | — | $3,235.50 | — |
| Blood Transfusion Service (36430) range across 7 matching MRF lines |
— | $1,005–$3,776.25 | — |
| Bone Marrow Biopsy (38221) | — | $2,560.75 | — |
| Bx breast 1st lesion strtctc (19081) | — | $3,908 | — |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
— | $1,280–$3,201 | — |
| Bx Cervix (57500) | — | $1,954.50 | — |
| Bx/exc lymph node open deep axillary node (38525) range across 3 matching MRF lines |
— | $1,303–$5,606 | — |
| Bx/exc lymph node open superficial (38500) | — | $1,954.50 | — |
| Canthotomy Separate Procedure (67715) | — | $2,174 | — |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) range across 2 matching MRF lines |
— | $781.80–$1,225.83 | — |
| Capsulotomy Iphal Joint Each Joint Spx (28272) range across 2 matching MRF lines |
— | $814.37–$814.39 | — |
| Carpal Tunnel Surgery (64721) range across 4 matching MRF lines |
— | $651.50–$1,591.27 | — |
| Catheter aspiration nasotracheal spx (31720) | — | $244 | — |
| Cerclage cervix pregnancy vaginal (59320) range across 3 matching MRF lines |
— | $304–$4,303 | — |
| Chest tube placement (32551) | — | $1,000 | — |
| Circumcision 28 days or older (54161) | — | $3,257.50 | — |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
— | $1,287–$3,257.50 | — |
| Claviculectomy partial (23120) range across 4 matching MRF lines |
— | $950–$4,841.50 | — |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
— | $238–$437 | — |
| Closed Rx Metacarpal Fx,Percut (26608) range across 3 matching MRF lines |
— | $700–$4,303 | — |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | — | $600 | — |
| Closed Treatment Ulnar Styloid Fracture (25650) | — | $979.64 | — |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
— | $1,020–$3,375.31 | — |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | — | $640 | — |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | — | $570 | — |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | — | $1,105 | — |
| Closed tx knee dislocation w/o anesthesia (27550) | — | $876 | — |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
— | $445–$1,335 | — |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
— | $1,554–$3,375.31 | — |
| Closed tx patellar dislocation w/o anesthesia (27560) | — | $834 | — |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | — | $625 | — |
| Closed tx radial head/neck fx w/o manipulation (24650) | — | $485 | — |
| Closed tx radial shaft fracture w/manipulation (25505) | — | $1,713 | — |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | — | $246 | — |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
— | $1,242–$1,741 | — |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | — | $500 | — |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | — | $505 | — |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | — | $525 | — |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
— | $1,490–$1,506.74 | — |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | — | $555 | — |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | — | $485 | — |
| Closure Gastrostomy Surg (43870) | — | $1,332.17 | — |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | — | $1,954.50 | — |
| Clsd tx clavicular fracture w/o manipulation (23500) | — | $460 | — |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | — | $1,795 | — |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
— | $691–$1,283.38 | — |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | — | $544.87 | — |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | — | $585 | — |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
— | $900–$1,446 | — |
| Cltx dstl fibular fx lat malls w/o manj (27786) | — | $615 | — |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | — | $787 | — |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | — | $555 | — |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 6 matching MRF lines |
— | $1,246–$4,433.75 | — |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | — | $1,645.60 | — |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
— | $1,503–$1,910 | — |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | — | $382 | — |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | — | $660 | — |
| Cltx greater humeral tuberosity fx w/o manj (23620) | — | $560 | — |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | — | $765 | — |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | — | $952.68 | — |
| Cltx Medial Ankle Fx (27760) | — | $650 | — |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
— | $640–$1,246 | — |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
— | $455–$2,280.25 | — |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
— | $651.50–$860 | — |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
— | $819–$899 | — |
| Cltx prox fibula/shft fx w/o manj (27780) | — | $580 | — |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
— | $230–$547 | — |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | — | $745 | — |
| Cltx tibial fx proximal w/o manipulation (27530) | — | $805 | — |
| Cltx tibial shaft fx w/o manipulation (27750) | — | $695 | — |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
— | $1,431–$3,375.31 | — |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | — | $1,201.81 | — |
| Collection of venous blood by venipuncture (36415) range across 11 matching MRF lines |
— | $31–$13,716.10 | — |
| Colonoscopy Flexible With Decompression (45393) | — | $640 | — |
| Colonoscopy w/ablation (45388) range across 3 matching MRF lines |
— | $1,080–$2,160 | — |
| Colonoscopy W/Band Ligation (45398) range across 7 matching MRF lines |
— | $1,285–$2,621.13 | — |
| Colonoscopy W/Resection (45390) | — | $2,160 | — |
| Colonoscopy w/submucosal inj (45381) range across 5 matching MRF lines |
— | $720–$2,160 | — |
| Colporrhaphy (57200) | — | $6,820.95 | — |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | — | $314 | — |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | — | $1,954.50 | — |
| Colposcopy entire vagina w/cervix if present (57420) | — | $242 | — |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | — | $324 | — |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
— | $1,080–$1,165 | — |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
— | $852.23–$2,105 | — |
| Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
— | $2,606–$3,208.33 | — |
| Complex drainage wound (10180) range across 3 matching MRF lines |
— | $498–$5,606 | — |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
— | $1,954.50–$2,606 | — |
| Conization of cervix (57520) | — | $4,303 | — |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
— | $174–$331 | — |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) range across 2 matching MRF lines |
— | $5,695.99–$6,137.92 | — |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
— | $1,585–$3,962.74 | — |
| Correction hammertoe (28285) range across 6 matching MRF lines |
— | $781.80–$5,735.50 | — |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | — | $1,954.50 | — |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) range across 6 matching MRF lines |
— | $2,280.25–$8,677.50 | — |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) range across 2 matching MRF lines |
— | $1,628.75–$1,954.50 | — |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
— | $1,628.75–$3,257.50 | — |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | — | $5,863.50 | — |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
— | $440.84–$522 | — |
| Curettage postpartum (59160) | — | $2,606 | — |
| Cystourethroscopy (52000) | — | $1,954.50 | — |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
— | $1,925.98–$4,468 | — |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 3 matching MRF lines |
— | $651.50–$2,685 | — |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 5 matching MRF lines |
— | $426.99–$3,257.50 | — |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | — | $2,151.50 | — |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 14 matching MRF lines |
— | $245.35–$7,468 | — |
| Declot vascular device (36593) range across 2 matching MRF lines |
— | $482–$3,696.14 | — |
| Decompression of tibia nerve (28035) range across 3 matching MRF lines |
— | $651.50–$1,868.68 | — |
| Delay Flap/Sectioning Flap Trunk (15600) | — | $689.88 | — |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
— | $425–$637.50 | — |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
— | $426–$639 | — |
| Destruct B9 Lesion 1-14 (17110) | — | $223 | — |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
— | $324–$486 | — |
| Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
— | $1,045–$2,035 | — |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | — | $1,303 | — |
| Dilate Esophagus 1/Mult Pass (43450) range across 4 matching MRF lines |
— | $410–$2,095 | — |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 3 matching MRF lines |
— | $651.50–$977.25 | — |
| Drain Hand Tendon Sheath (26020) | — | $1,303 | — |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
— | $100–$200 | — |
| Drainage External Ear Abscess/Hematoma Simple (69000) | — | $793 | — |
| Drainage Finger Abscess Complicated (26011) | — | $3,495 | — |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
— | $608–$1,195.59 | — |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
— | $472–$486.16 | — |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
— | $1,954.50–$2,414 | — |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
— | $977.25–$1,947 | — |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
— | $155–$1,972 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
— | $160–$1,303 | — |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | — | $382 | — |
| Dstrj Lesion Anus Simple Chemical (46900) | — | $474 | — |
| Egd Balloon Dil Esoph30 Mm/> (43233) | — | $2,220 | — |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 6 matching MRF lines |
— | $1,047.50–$3,600 | — |
| Egd control bleeding any (43255) range across 3 matching MRF lines |
— | $683.33–$2,700.21 | — |
| Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
— | $1,132.50–$2,095 | — |
| Egd Flexible Foreign Body Removal (43247) range across 5 matching MRF lines |
— | $665.01–$5,460 | — |
| Egd lesion ablation (43270) range across 2 matching MRF lines |
— | $2,848–$3,018 | — |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) range across 3 matching MRF lines |
— | $815.67–$2,942 | — |
| Egd place gastrostomy tube (43246) | — | $3,300 | — |
| Egd remove lesion snare (43251) range across 4 matching MRF lines |
— | $683.33–$2,050 | — |
| Egd Tube/Cath Insertion (43241) | — | $271.58 | — |
| Egd Varices Ligation (43244) range across 6 matching MRF lines |
— | $1,230–$2,715.60 | — |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) range across 4 matching MRF lines |
— | $868.66–$4,303 | — |
| Endometrial Biopsy (58100) | — | $186 | — |
| Epidural Blood Patch (62273) | — | $1,480 | — |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) range across 2 matching MRF lines |
— | $1,520.18–$2,206.50 | — |
| Ercp duct stent placement (43274) range across 3 matching MRF lines |
— | $1,032–$2,500 | — |
| Ercp remove calculi/debris biliary/pancreas duct (43264) range across 4 matching MRF lines |
— | $812–$4,500 | — |
| Ercp remove forgn body duct (43275) range across 3 matching MRF lines |
— | $1,250–$4,500 | — |
| Ercp Stent Exchange W/Dilate (43276) | — | $373.51 | — |
| Ercp,Sphincterotomy (43262) range across 2 matching MRF lines |
— | $796–$833.34 | — |
| Esophagogastroduodenoscopy Submucosal Injection (43236) range across 2 matching MRF lines |
— | $649.73–$1,047.50 | — |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
— | $56–$173.04 | — |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | — | $1,303 | — |
| Exc arm/elbow les sc < 3 cm (24075) | — | $1,303 | — |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
— | $868.68–$1,456.61 | — |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
— | $2,737.33–$2,737.34 | — |
| Exc Back Tum Deep 5 Cm/> (21933) | — | $1,303 | — |
| Exc back tum deep < 5 cm (21932) | — | $1,954.50 | — |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | — | $3,257.50 | — |
| Exc Face Les Sbq 2 Cm/> (21012) range across 2 matching MRF lines |
— | $296.13–$3,257.50 | — |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | — | $284 | — |
| Exc Forearm Tum Deep 3 Cm/> (25073) | — | $1,954.50 | — |
| Exc ganglion wrist recurrent (25112) | — | $1,303 | — |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
— | $175–$1,954.50 | — |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 3 matching MRF lines |
— | $962.36–$3,000 | — |
| Exc hydrocele sprmatic cord uni spx (55500) | — | $2,606 | — |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 4 matching MRF lines |
— | $1,064.78–$1,954.50 | — |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | — | $3,909 | — |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | — | $393 | — |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
— | $915.43–$1,303 | — |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 5 matching MRF lines |
— | $634–$7,355 | — |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
— | $755.17–$2,942 | — |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | — | $4,303 | — |
| Exc tendon shth lesion leg/ankle (27630) | — | $1,050.74 | — |
| Exc thigh/knee les sc 3 cm/> (27337) | — | $1,954.50 | — |
| Exc thigh/knee tum dep 5cm/> (27339) range across 3 matching MRF lines |
— | $703.18–$2,606 | — |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | — | $423 | — |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | — | $296.20 | — |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | — | $977.25 | — |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | — | $1,947.10 | — |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | — | $1,303 | — |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) range across 3 matching MRF lines |
— | $985.04–$1,838.75 | — |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) range across 2 matching MRF lines |
— | $1,009.24–$1,381.80 | — |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | — | $2,606 | — |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 4 matching MRF lines |
— | $195.45–$2,493.63 | — |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | — | $4,954.50 | — |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 2 matching MRF lines |
— | $857.86–$1,303 | — |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 4 matching MRF lines |
— | $195.45–$3,908.75 | — |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | — | $1,303 | — |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | — | $868.66 | — |
| Excision Lesion Tongue W/O Closure (41110) | — | $1,954.50 | — |
| Excision of bartholin's gland or cyst (56740) | — | $2,606 | — |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 3 matching MRF lines |
— | $977.25–$2,606 | — |
| Excision of hydrocele; unilateral (55040) | — | $1,085.83 | — |
| Excision of pilonidal cyst or sinus; simple (11770) | — | $4,303 | — |
| Excision of single external papilla or tag, anus (46220) | — | $402.96 | — |
| Excision of vaginal cyst or tumor (57135) | — | $1,954.50 | — |
| Excision olecranon bursa (24105) range across 3 matching MRF lines |
— | $810–$3,257.50 | — |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | — | $1,954.50 | — |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
— | $1,300.66–$3,257.50 | — |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | — | $3,257.50 | — |
| Excision prepatellar bursa (27340) range across 2 matching MRF lines |
— | $1,458.27–$1,571.42 | — |
| Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) | — | $5,148.50 | — |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 4 matching MRF lines |
— | $876.91–$1,954.50 | — |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | — | $1,303 | — |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | — | $1,954.50 | — |
| Excision, interdigital (morton) neuroma, single, each (28080) | — | $1,954.50 | — |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | — | $1,303 | — |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | — | $868.66 | — |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | — | $1,303 | — |
| Exploration penetrating wound spx extremity (20103) | — | $1,467.72 | — |
| Explore/Treat Knee Joint (27331) | — | $3,257.50 | — |
| External cephalic version (59412) | — | $412.38 | — |
| Fasciectomy Palm Only (26121) | — | $2,375 | — |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 4 matching MRF lines |
— | $977.25–$2,606 | — |
| Fasciotomy Plantar Fascia Radical Spx (28062) | — | $1,085.83 | — |
| Fetal non-stress test (59025) range across 4 matching MRF lines |
— | $449–$1,796 | — |
| Fine needle aspiration without imaging guidance (10021) | — | $586 | — |
| Fluid Pressure Muscle (20950) | — | $299.87 | — |
| Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
— | $342–$1,571.26 | — |
| Fusion of foot bones (28740) range across 6 matching MRF lines |
— | $1,303–$5,212 | — |
| Gastrocnemius recession (27687) range across 7 matching MRF lines |
— | $1,085.84–$2,606 | — |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) range across 2 matching MRF lines |
— | $2,548.57–$10,148.50 | — |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
— | $757–$1,892.80 | — |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) | — | $3,909 | — |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
— | $3,651.50–$4,303 | — |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | — | $2,151.50 | — |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
— | $1,954.50–$4,303 | — |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) | — | $2,606 | — |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | — | $504.30 | — |
| Hemorrhoidopexy by stapling (46947) range across 2 matching MRF lines |
— | $3,257.50–$3,909 | — |
| Hysteroscopy Biopsy (58558) range across 5 matching MRF lines |
— | $1,303–$4,303 | — |
| Hysteroscopy Dx Sep Proc (58555) | — | $1,225.83 | — |
| Hysteroscopy Endometrial Ablation (58563) range across 6 matching MRF lines |
— | $977.25–$3,603.25 | — |
| Hysteroscopy Removal Impacted Foreign Body (58562) range across 3 matching MRF lines |
— | $730–$3,651.50 | — |
| I&d abscess peritonsillar (42700) range across 4 matching MRF lines |
— | $281–$1,195.59 | — |
| I&d abscess simple (10060) range across 6 matching MRF lines |
— | $242–$1,303 | — |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
— | $2,574.81–$2,774.58 | — |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
— | $1,706.71–$3,314 | — |
| I&d pilonidal cyst complicated (10081) | — | $1,954.50 | — |
| I&d pilonidal cyst simple (10080) | — | $640 | — |
| Image Cath Fluid Colxn Visc (49405) | — | $3,538 | — |
| Image Cath Fluid Peri/Retro (49406) | — | $3,658 | — |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
— | $918–$1,836 | — |
| Incise external hemorrhoid (46083) | — | $736 | — |
| Incise finger tendon sheath (26055) range across 5 matching MRF lines |
— | $651.50–$2,314.59 | — |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
— | $651.50–$2,606 | — |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
— | $1,954.50–$3,257.50 | — |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
— | $302–$2,280.25 | — |
| Incision and drainage of bartholin's gland abscess (56420) | — | $517 | — |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
— | $968–$1,954.50 | — |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
— | $1,400–$3,651.50 | — |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
— | $250–$375 | — |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | — | $720 | — |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
— | $100–$651.50 | — |
| Injection aa&/strd axillary nerve w/img gdn (64417) | — | $1,647 | — |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
— | $185–$277.50 | — |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | — | $420 | — |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
— | $125–$500 | — |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | — | $1,036 | — |
| Injection enzyme palmar fascial cord (20527) | — | $140 | — |
| Injection for identification of sentinel node (38792) | — | $1,626.30 | — |
| Injection single tendon origin/insertion (20551) | — | $124 | — |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
— | $107–$500.58 | — |
| Injection single/mlt trigger point 3/> muscles (20553) | — | $100 | — |
| Injection therapeutic carpal tunnel (20526) | — | $140 | — |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
— | $154–$1,584 | — |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
— | $139–$1,189 | — |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
— | $95–$1,056 | — |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
— | $150–$651.50 | — |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) range across 2 matching MRF lines |
— | $510.75–$1,572 | — |
| Insert and remove bone pin (20650) | — | $1,058 | — |
| Insert cath pleura w/ image (32557) | — | $2,102.47 | — |
| Insert cath pleura w/o image (32556) | — | $2,017.75 | — |
| Insert Drug Implant Device (11981) | — | $282 | — |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
— | $1,844–$3,051 | — |
| Insert pessary/other device (57160) | — | $126 | — |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
— | $268–$2,491.82 | — |
| Insert tun ip cath perc (49418) | — | $6,688.86 | — |
| Insert tunneled cv cath (36561) range across 5 matching MRF lines |
— | $1,628.75–$4,303 | — |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
— | $222–$500 | — |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | — | $2,234 | — |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | — | $8,790.52 | — |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | — | $5,212 | — |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | — | $754 | — |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | — | $25,310 | — |
| Insrt heart pm atrial & vent (33208) | — | $37,279 | — |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
— | $320–$1,277 | — |
| Knee Arthroscopy/Surgery (29874) | — | $1,954.50 | — |
| Lap paraesoph her rpr w/mesh (43282) range across 4 matching MRF lines |
— | $2,095–$8,826 | — |
| Lap paraesophag hern repair (43281) | — | $7,355 | — |
| Laparo-vag hyst incl t/o (58552) range across 10 matching MRF lines |
— | $1,976–$8,677.50 | — |
| Laparoscopy aspiration (49322) range across 4 matching MRF lines |
— | $334.87–$7,206.50 | — |
| Laparoscopy Enterolysis Separate Procedure (44180) | — | $4,560.50 | — |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 10 matching MRF lines |
— | $802.10–$5,212 | — |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 3 matching MRF lines |
— | $3,909–$5,212 | — |
| Laparoscopy w/rmvl adnexal structures (58661) range across 13 matching MRF lines |
— | $868.66–$7,206.50 | — |
| Laparoscopy, surgical, appendectomy (44970) range across 10 matching MRF lines |
— | $1,218–$7,942 | — |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) | — | $2,055 | — |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 4 matching MRF lines |
— | $2,024.54–$10,884 | — |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | — | $3,677.50 | — |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) range across 2 matching MRF lines |
— | $2,931.75–$5,148.50 | — |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) | — | $5,863.50 | — |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 17 matching MRF lines |
— | $1,303–$17,005.31 | — |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) range across 4 matching MRF lines |
— | $3,909–$7,166.50 | — |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 5 matching MRF lines |
— | $1,043.74–$4,560.50 | — |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 5 matching MRF lines |
— | $977.25–$3,603.25 | — |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 4 matching MRF lines |
— | $2,206.50–$7,206.50 | — |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | — | $3,257.50 | — |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) range across 4 matching MRF lines |
— | $2,648–$9,413 | — |
| Late closure of wound (13160) range across 2 matching MRF lines |
— | $1,085.83–$1,954.50 | — |
| Ligation or biopsy temporal artery (37609) | — | $4,560.50 | — |
| Maniplatn palar fascial crd post inj single cord (26341) | — | $120 | — |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
— | $2,518–$3,408.10 | — |
| Marsupialization of bartholin's gland cyst (56440) | — | $1,954.50 | — |
| Mast mod rad (19307) range across 4 matching MRF lines |
— | $2,236.22–$6,619.50 | — |
| Mastectomy partial (19301) range across 2 matching MRF lines |
— | $1,954.50–$2,606 | — |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
— | $1,954.50–$5,863.50 | — |
| N Block Inj Ilio-Ing/Hypogi (64425) | — | $220 | — |
| N block inj intercost sng (64420) | — | $150 | — |
| N Block Lumbar/Thoracic (64520) | — | $175 | — |
| Nasal/Orogastric W/Tube Plmt (43752) | — | $483 | — |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
— | $243.91–$2,396 | — |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 5 matching MRF lines |
— | $977.25–$2,606 | — |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
— | $185–$277.50 | — |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | — | $237 | — |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | — | $219 | — |
| Occipital Nerve Block (64405) | — | $191 | — |
| Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
— | $2,802.13–$6,144.50 | — |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 4 matching MRF lines |
— | $1,954.50–$5,606 | — |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | — | $9,515 | — |
| Open Treatment Medial Malleolus Fracture (27766) | — | $3,309.75 | — |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
— | $1,954.50–$4,954.50 | — |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 7 matching MRF lines |
— | $2,287.14–$7,560.50 | — |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) range across 3 matching MRF lines |
— | $4,627.73–$6,619.50 | — |
| Open Treatment of Ulnar Shaft Fracture (25545) range across 3 matching MRF lines |
— | $1,817–$5,556 | — |
| Open Treatment Proximal Humeral Fracture (23615) range across 3 matching MRF lines |
— | $2,168.89–$3,909 | — |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 6 matching MRF lines |
— | $1,954.50–$6,257.50 | — |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
— | $700–$4,688 | — |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 4 matching MRF lines |
— | $1,578–$2,931.75 | — |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) range across 3 matching MRF lines |
— | $2,864.27–$7,355 | — |
| Open Tx Humeral Epicondylar Fracture (24575) | — | $4,954.50 | — |
| Open tx humeral supracondylar fracture w/o xtn (24545) range across 2 matching MRF lines |
— | $631.50–$3,257.50 | — |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 7 matching MRF lines |
— | $651.50–$3,257.50 | — |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | — | $2,606 | — |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) | — | $2,606 | — |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 4 matching MRF lines |
— | $2,070–$5,212 | — |
| Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
— | $857.50–$6,909 | — |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 5 matching MRF lines |
— | $2,000–$4,954.50 | — |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 6 matching MRF lines |
— | $3,257.50–$7,166.50 | — |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 2 matching MRF lines |
— | $3,905.34–$4,208.34 | — |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) range across 2 matching MRF lines |
— | $3,361.58–$3,622.39 | — |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | — | $5,212 | — |
| Ostectomy, complete excision; fifth metatarsal head (28113) | — | $1,954.50 | — |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | — | $7,818 | — |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 4 matching MRF lines |
— | $2,280.25–$5,606 | — |
| Osteotomy calcaneus w/wo internal fixation (28300) | — | $2,171.66 | — |
| Part remv talus or calcaneus (28120) range across 14 matching MRF lines |
— | $977.25–$6,257.50 | — |
| Partial Excision Distal Phalanx Finger (26236) | — | $1,954.50 | — |
| Partial Excision Proximal/Middle Phalanx Finger (26235) | — | $1,464.11 | — |
| Partial hymenectomy or revision of hymenal ring (56700) | — | $1,954.50 | — |
| Partial removal of fibula (27641) | — | $1,050.71 | — |
| Partial removal of thyroid (60220) range across 3 matching MRF lines |
— | $1,318.22–$5,884 | — |
| Partial removal of tibia (27640) | — | $1,050.71 | — |
| Partical Excision Bone Phalanx Toe (28124) range across 7 matching MRF lines |
— | $651.50–$3,651.50 | — |
| Pelvic examination under anesthesia (other than local) (57410) range across 2 matching MRF lines |
— | $325.75–$651.50 | — |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | — | $1,303 | — |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) | — | $1,303 | — |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) | — | $476.27 | — |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) | — | $1,954.50 | — |
| Peri-Implant Capsulectomy Breast Complete (19371) range across 2 matching MRF lines |
— | $1,464.33–$4,560.50 | — |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | — | $2,606 | — |
| Perq dev breast 1st us imag (19285) | — | $1,830.40 | — |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | — | $1,303 | — |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | — | $1,042 | — |
| Perq Vertebral Augmentation (22513) | — | $1,118 | — |
| Phalangectomy toe each toe (28150) | — | $1,628.75 | — |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | — | $1,520.18 | — |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | — | $1,303 | — |
| Prq skel fixj femoral fx prox end neck (27235) | — | $3,425 | — |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) | — | $1,954.50 | — |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 6 matching MRF lines |
— | $868.66–$2,606 | — |
| Punch biopsy skin single lesion (11104) | — | $274 | — |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
— | $165–$445 | — |
| Puncture Aspiration Cyst Breast (19000) | — | $1,209 | — |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) | — | $5,212 | — |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | — | $432 | — |
| Rcnstj angular dfrm toe soft tiss px only (28313) range across 2 matching MRF lines |
— | $651.50–$1,303 | — |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) range across 2 matching MRF lines |
— | $1,628.75–$5,212 | — |
| Realignment extensor tendon hand each tendon (26437) | — | $977.25 | — |
| Reconstruct ulna/radioulnar (25337) | — | $3,909 | — |
| Removal foreign body foot deep (28192) | — | $1,954.50 | — |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
— | $520–$1,979.66 | — |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | — | $977.25 | — |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
— | $29–$108.15 | — |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
— | $95–$105 | — |
| Removal Implant Deep (20680) range across 10 matching MRF lines |
— | $936–$4,886.25 | — |
| Removal Implant Superficial Separate Procedure (20670) | — | $960.78 | — |
| Removal intact breast implant (19328) | — | $1,628.75 | — |
| Removal of anal fissure (46200) range across 2 matching MRF lines |
— | $1,954.50–$2,151.50 | — |
| Removal of heel spur (28119) | — | $1,954.50 | — |
| Removal of nail bed (11750) range across 3 matching MRF lines |
— | $350–$2,606 | — |
| Removal of sperm cord lesion (55520) range across 7 matching MRF lines |
— | $848.55–$3,603.25 | — |
| Removal of testis (54520) | — | $3,257.50 | — |
| Removal of tonsils (42826) range across 4 matching MRF lines |
— | $1,954.50–$3,651.50 | — |
| Removal or bivalving full arm or full leg cast (29705) | — | $186.37 | — |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
— | $177–$1,838.75 | — |
| Removal sweat gland lesion (11450) range across 2 matching MRF lines |
— | $728.05–$2,606 | — |
| Removal/bivalving gauntlet boot/body cast (29700) | — | $275.01 | — |
| Remove drug implant device (11982) range across 7 matching MRF lines |
— | $316–$4,338.75 | — |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
— | $244–$251.32 | — |
| Remove hip pressure sore (15940) | — | $4,220 | — |
| Remove Intrauterine Device (58301) range across 6 matching MRF lines |
— | $215–$1,471 | — |
| Remove lung catheter (32552) | — | $631.75 | — |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
— | $289–$320 | — |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
— | $1,079.51–$1,303 | — |
| Remove/Insert Drug Implant (11983) | — | $462 | — |
| Reopen fallopian tube (58350) range across 2 matching MRF lines |
— | $1,225.83–$3,603.25 | — |
| Repair Achilles Tendon (27650) range across 4 matching MRF lines |
— | $1,303–$3,257.50 | — |
| Repair Blood Vessel Direct Upper Extremity (35206) | — | $5,212 | — |
| Repair Collat Ankle Ligmnt,Secondary (27698) range across 6 matching MRF lines |
— | $1,050.71–$2,942 | — |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
— | $1,085.83–$1,986.87 | — |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
— | $1,085.84–$1,954.50 | — |
| Repair extensor tendon finger w/o graft each (26418) range across 4 matching MRF lines |
— | $977.25–$2,803 | — |
| Repair Finger/Hand Tendon (26350) range across 2 matching MRF lines |
— | $825–$3,257.50 | — |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | — | $1,172.70 | — |
| Repair Foot Dislocation (28615) | — | $4,560.50 | — |
| Repair Hallux Rigidus (28289) range across 3 matching MRF lines |
— | $1,050.71–$4,954.50 | — |
| Repair Hand Tendon (26410) range across 3 matching MRF lines |
— | $651.50–$4,954.50 | — |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | — | $4,413 | — |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 5 matching MRF lines |
— | $1,096.65–$5,212 | — |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | — | $746 | — |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | — | $764 | — |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | — | $2,942 | — |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
— | $655–$793.10 | — |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
— | $726–$821.71 | — |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | — | $1,205 | — |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | — | $770 | — |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
— | $466–$977.25 | — |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
— | $478–$1,303 | — |
| Repair intrinsic muscles hand each muscle (26591) | — | $1,978.02 | — |
| Repair of nail bed (11760) range across 3 matching MRF lines |
— | $315–$1,043 | — |
| Repair of Ruptured Tendon (24342) range across 5 matching MRF lines |
— | $2,205.37–$5,606 | — |
| Repair secondary achilles tendon w/wo graft (27654) range across 2 matching MRF lines |
— | $1,520.18–$2,520.18 | — |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 4 matching MRF lines |
— | $2,276.85–$4,904.50 | — |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) range across 2 matching MRF lines |
— | $355–$5,148.50 | — |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | — | $1,961.34 | — |
| Repair/graft achilles tendon (27652) range across 2 matching MRF lines |
— | $1,628.75–$3,780.25 | — |
| Replace elbow joint (24363) | — | $4,000 | — |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
— | $1,303–$8,677.50 | — |
| Resection of scrotum (55150) | — | $280 | — |
| Revis reconst shoulder joint (23473) range across 3 matching MRF lines |
— | $3,382.98–$8,090.50 | — |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) range across 3 matching MRF lines |
— | $3,676.48–$5,884 | — |
| Revise lower leg tendon (27690) range across 3 matching MRF lines |
— | $1,890.12–$2,280.25 | — |
| Revise Lower Leg Tendons (27686) | — | $1,303 | — |
| Revision of foot (28116) | — | $7,942 | — |
| Revision of lower leg tendon (27685) range across 3 matching MRF lines |
— | $868.66–$2,171.68 | — |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) range across 2 matching MRF lines |
— | $1,127.41–$3,257.50 | — |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) range across 2 matching MRF lines |
— | $1,000–$2,000 | — |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 2 matching MRF lines |
— | $6,124.42–$10,297 | — |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | — | $665 | — |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | — | $344 | — |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | — | $730 | — |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 5 matching MRF lines |
— | $1,303–$3,322.31 | — |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
— | $306.41–$1,988.96 | — |
| Rplcmt compl tun ctr vad w/subq port (36582) | — | $2,606 | — |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 6 matching MRF lines |
— | $1,681–$5,212 | — |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 10 matching MRF lines |
— | $780–$7,942 | — |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | — | $1,736 | — |
| Rpr aa hernia recr 3-10 cm reducible (49615) range across 4 matching MRF lines |
— | $1,441–$3,909 | — |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines |
— | $949–$1,628.75 | — |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 3 matching MRF lines |
— | $1,520.18–$3,677.50 | — |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 7 matching MRF lines |
— | $1,071–$3,909 | — |
| Rpr blood vessel direct lower extremity (35226) | — | $1,396.30 | — |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) | — | $6,257.50 | — |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | — | $549 | — |
| Rpr flexor tendon leg secondary w/o graft each (27659) range across 2 matching MRF lines |
— | $1,140.14–$1,520.18 | — |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | — | $607 | — |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | — | $2,280.25 | — |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | — | $1,085.84 | — |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | — | $807.96 | — |
| Sigmoidoscopy & decompress (45337) | — | $394.66 | — |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
— | $1,215–$2,160 | — |
| Simple Cystometrogram (51725) | — | $400 | — |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
— | $253–$1,049.50 | — |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
— | $436–$647.87 | — |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
— | $487–$781 | — |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
— | $247–$651.50 | — |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
— | $365–$2,014 | — |
| Skin sub graft face/nk/hf/g (15275) range across 4 matching MRF lines |
— | $977.25–$4,800 | — |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
— | $1,155.28–$3,500 | — |
| Skin sub grft t/arm/lg child (15273) | — | $680.02 | — |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
— | $1,954.50–$2,280.25 | — |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
— | $309–$812 | — |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | — | $563 | — |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | — | $629 | — |
| Spinal puncture lumbar diagnostic (62270) | — | $962 | — |
| Strapping ankle (29540) | — | $278 | — |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
— | $201.88–$206 | — |
| Strapping hand/finger (29280) | — | $252 | — |
| Strapping knee (29530) | — | $239 | — |
| Strapping shoulder (29240) range across 2 matching MRF lines |
— | $241–$248.23 | — |
| Surg tx anal fistula subq (46270) | — | $1,303 | — |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | — | $3,257.50 | — |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
— | $381.31–$2,542.08 | — |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) range across 3 matching MRF lines |
— | $1,140.12–$3,909 | — |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | — | $2,009.16 | — |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) | — | $1,954.50 | — |
| Tenotomy shoulder area single tendon (23405) range across 2 matching MRF lines |
— | $2,462.44–$3,677.50 | — |
| Thyroidectomy, total or complete (60240) | — | $9,561.50 | — |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) range across 2 matching MRF lines |
— | $1,954.50–$2,606 | — |
| Total Knee Arthroplasty (27447) range across 16 matching MRF lines |
— | $4,023.49–$11,486 | — |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) range across 2 matching MRF lines |
— | $526.59–$1,954.50 | — |
| Treat Big Toe Fracture (28505) | — | $651.50 | — |
| Treat dislocation/fracture (23670) range across 2 matching MRF lines |
— | $2,095.34–$5,863.50 | — |
| Treat dislocation/fracture (23680) range across 3 matching MRF lines |
— | $752.26–$8,099 | — |
| Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
— | $2,942–$3,677.50 | — |
| Treat elbow fracture (24586) | — | $4,110.30 | — |
| Treat Finger Fracture Each (26727) range across 3 matching MRF lines |
— | $1,260–$2,606 | — |
| Treat fracture radius/ulna (25575) | — | $3,257.50 | — |
| Treat Fx Rad Extra-Articul (25607) range across 4 matching MRF lines |
— | $1,695.85–$4,841.50 | — |
| Treat humerus fracture (24500) | — | $680 | — |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
— | $1,706–$1,954.50 | — |
| Treat humerus fracture (23600) | — | $670 | — |
| Treat knee fracture (27532) | — | $2,606 | — |
| Treat kneecap dislocation (27566) | — | $2,280.25 | — |
| Treat Knuckle Dislocation (26700) | — | $736 | — |
| Treat Metatarsal Fracture (28475) | — | $2,237 | — |
| Treatment Closed Elbow Dislocation Req Anes (24605) | — | $2,078 | — |
| Treatment closed elbow dislocation w/o anes (24600) | — | $871 | — |
| Treatment of ankle fracture (27823) | — | $3,909 | — |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) range across 2 matching MRF lines |
— | $4,232.46–$4,560.85 | — |
| Treatment of tibia fracture (27756) | — | $5,606 | — |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 5 matching MRF lines |
— | $1,303–$4,303 | — |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 8 matching MRF lines |
— | $2,500–$4,560.50 | — |
| Tx Missed Abortion First Trimester Surgical (59820) range across 3 matching MRF lines |
— | $1,303–$4,303 | — |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 5 matching MRF lines |
— | $1,303–$3,257.50 | — |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | — | $977.25 | — |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | — | $1,825 | — |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | — | $2,606 | — |
| Unlisted hysteroscopy procedure, uterus (58579) | — | $3,000 | — |
| Unlisted laparoscopy procedure appendix (44979) | — | $2,206.50 | — |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 3 matching MRF lines |
— | $1,803.75–$3,208.34 | — |
| Unlisted laparoscopy procedure, esophagus (43289) range across 2 matching MRF lines |
— | $1,838.75–$9,802.46 | — |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | — | $4,413 | — |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) range across 2 matching MRF lines |
— | $4,560.50–$4,881.51 | — |
| Unlisted laparoscopy procedure, rectum (45499) | — | $1,100 | — |
| Unlisted laparoscopy procedure, spermatic cord (55559) range across 2 matching MRF lines |
— | $1,838.75–$2,606 | — |
| Unlisted procedure anus (46999) range across 3 matching MRF lines |
— | $900–$1,954.50 | — |
| Unlisted procedure arthroscopy (29999) range across 4 matching MRF lines |
— | $1,303–$2,803 | — |
| Unlisted procedure colon (45399) | — | $8,634.60 | — |
| Unlisted procedure femur or knee (27599) | — | $6,317 | — |
| Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
— | $1,954.50–$3,235.50 | — |
| Unlisted procedure forearm or wrist (25999) | — | $4,106 | — |
| Unlisted procedure humerus/elbow (24999) | — | $1,994 | — |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
— | $155–$2,606 | — |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | — | $1,800 | — |
| Uvulectomy excision of uvula (42140) | — | $2,803 | — |
| Vag hyst incl t/o complex (58291) range across 2 matching MRF lines |
— | $3,257.50–$5,212 | — |
| Vaginal delivery only (59409) | — | $1,632 | — |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) range across 8 matching MRF lines |
— | $2,606–$7,942 | — |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) | — | $4,706.50 | — |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) range across 5 matching MRF lines |
— | $1,842–$4,560.50 | — |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 5 matching MRF lines |
— | $1,303–$4,303 | — |
| Vulvectomy simple partial (56620) | — | $1,303 | — |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
— | $1,155.27–$4,413 | — |
| Xfer Single Deep Low Leg Tendon (27691) | — | $4,338.75 | — |
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.