Procedures & surgery prices at Mountrail County Medical Center Inc
Stanley, ND · every code in this section with a posted price and a Medicare benchmark.
416 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) | $1,287 | $1,430 | 1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,287 | $1,430 | 1.4× |
| Acne surgery (10040) | $236 | $262 | 1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,081 | $2,312 | 0.6× |
| Anoscopy diagnostic (46600) | $257 | $285 | 1.9× |
| Anoscopy W/Rmvl Foreign Body (46608) | $2,011 | $2,234 | 2.1× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $283 | $314 | 1.7× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$275–$587 | $306–$652 | varies |
| Application Cast Finger (29086) | $208 | $231 | 1.3× |
| Application Finger Splint Dynamic (29131) | $193 | $214 | 3.2× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$143–$203 | $159–$389 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$306–$464 | $340–$515 | varies |
| Application Long Leg Cast Brace (29358) | $679 | $754 | 2.4× |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$320–$497 | $356–$552 | varies |
| Application of long leg cast (29345) | $649 | $721 | 2.3× |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$202–$275 | $224–$305 | varies |
| Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
$224–$440 | $249–$489 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$250–$460 | $278–$511 | varies |
| Application, cast; figure-of-eight Facility (29049) | $494 | $549 | 1.7× |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$299–$617 | $332–$685 | varies |
| Apply long arm cast (29065) | $587 | $652 | 2.1× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$173–$199 | $192–$221 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$293–$556 | $325–$618 | varies |
| Apply short leg cast (29425) | $464 | $515 | 1.6× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$266–$277 | $295–$308 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$176–$606 | $195–$673 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$211–$631 | $234–$701 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$152–$555 | $169–$617 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $2,262 | $2,513 | 1.4× |
| Artificial insemination intra-uterine (58322) | $437 | $485 | 2.1× |
| Aspirate pleura w/ imaging (32555) | $1,350 | $1,500 | 2.1× |
| Aspirate Pleura W/O Imaging (32554) | $1,350 | $1,500 | 2.1× |
| Aspirate/Inj Ganglion Cyst (20612) | $583 | $648 | 1.9× |
| Aspiration bladder insert suprapubic catheter (51102) | $464 | $515 | 0.2× |
| Aspiration Bladder Needle (51100) | $590 | $656 | 2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$362–$440 | $402–$489 | varies |
| Bladder Irrigation (51700) range across 4 matching MRF lines |
$35–$590 | $39–$656 | varies |
| Bladder Scan (51798) | $258 | $287 | 4.3× |
| Blepharotomy drainage abscess eyelid (67700) | $824 | $915 | 2.5× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$1,081–$1,854 | $1,201–$2,060 | varies |
| Change Cystostomy Tube Complicated (51710) | $905 | $1,005 | 1.3× |
| Change Cystostomy Tube Simple (51705) | $590 | $656 | 2.3× |
| Change of Windpipe Airway (31502) | $239 | $266 | 1.0× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$285–$308 | $317–$342 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$409–$1,351 | $454–$1,501 | varies |
| Circumcision Neonate (54160) | $491 | $546 | 0.7× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,884 | $3,204 | 1.8× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,579 | $2,865 | 1.6× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$257–$285 | $286–$317 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $501 | $557 | 2.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,884 | $3,204 | 1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $590 | $656 | 2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$1,011–$1,403 | $1,123–$1,559 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,502–$1,577 | $1,669–$1,752 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $590 | $656 | 2.3× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $590 | $656 | 2.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $708 | $787 | 2.8× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$563–$696 | $625–$773 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $2,617 | $2,908 | 1.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $590 | $656 | 2.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,839 | $3,154 | 1.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,391 | $1,545 | 0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,854 | $2,060 | 0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) | $647 | $719 | 2.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$649–$880 | $721–$978 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $356 | $396 | 1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$1,491–$1,742 | $1,657–$1,936 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,831 | $2,034 | 1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,794 | $1,993 | 1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $467 | $519 | 1.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $563 | $625 | 2.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $2,899 | $3,221 | 1.8× |
| Closed tx talus fracture w/o manipulation (28430) | $467 | $519 | 1.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $467 | $519 | 1.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $358 | $398 | 1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,296–$2,884 | $1,440–$3,204 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $467 | $519 | 1.9× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $1,003 | $1,114 | 4.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,785 | $1,983 | 3.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $644 | $715 | 2.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $467 | $519 | 1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,020 | $1,133 | 0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$590–$1,088 | $656–$1,209 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,133 | $2,370 | 1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 3 matching MRF lines |
$1,442–$2,884 | $1,602–$3,204 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,884 | $3,204 | 1.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $590 | $656 | 2.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$467–$1,263 | $519–$1,403 | varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $467 | $519 | 1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $563 | $625 | 2.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $590 | $656 | 2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$371–$590 | $412–$656 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $590 | $656 | 2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,345–$3,052 | $1,494–$3,391 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $3,391 | $3,768 | 2.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,748 | $3,053 | 1.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $590 | $656 | 2.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,345 | $2,606 | 1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $590 | $656 | 2.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $467 | $519 | 1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$371–$556 | $412–$618 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,345 | $2,606 | 1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $563 | $625 | 2.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,133 | $2,370 | 1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$590–$2,526 | $656–$2,807 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $590 | $656 | 2.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $2,884 | $3,204 | 1.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $467 | $519 | 1.9× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) | $1,704 | $1,893 | 1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $567 | $630 | 2.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$525–$951 | $583–$1,057 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,345 | $2,606 | 1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $590 | $656 | 2.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $590 | $656 | 2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $590 | $656 | 2.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $467 | $519 | 1.9× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$563–$742 | $625–$824 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $1,969 | $2,188 | 1.2× |
| Cltx prox fibula/shft fx w/o manj (27780) | $590 | $656 | 2.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$354–$406 | $393–$451 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $3,052 | $3,391 | 1.9× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,884 | $3,204 | 1.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$2,183–$2,526 | $2,425–$2,807 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $590 | $656 | 2.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $563 | $625 | 2.2× |
| Cltx tibial fx proximal w/o manipulation (27530) | $590 | $656 | 2.3× |
| Cltx tibial shaft fx w/o manipulation (27750) | $563 | $625 | 2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,502 | $1,669 | 0.9× |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$41–$218 | $46–$242 | varies |
| Collection of venous blood by venipuncture (36415) range across 7 matching MRF lines |
$22–$39 | $24–$43 | varies |
| Complex Cystometrogram (51726) | $14 | $15 | 0.1× |
| Complex drainage wound (10180) | $4,516 | $5,018 | 1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $358 | $398 | 2.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 5 matching MRF lines |
$329–$364 | $365–$780 | varies |
| Correction of trichiasis; epilation, by forceps only (67820) | $279 | $310 | 2.1× |
| Create Eardrum Opening (69433) | $1,099 | $1,221 | 2.0× |
| Csf shunt reprogram (62252) | $605 | $672 | 1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$358–$762 | $398–$847 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $358 | $398 | 1.5× |
| Cysto W/Simple Removal Stone & Stent (52310) | $2,983 | $3,314 | 1.4× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$955–$2,079 | $1,061–$2,310 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 4 matching MRF lines |
$161–$782 | $179–$869 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $3,376 | $3,751 | 1.1× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,040 | $1,156 | 1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $744 | $827 | 1.0× |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$97–$168 | $108–$187 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$146–$162 | $162–$180 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,283 | $2,537 | 1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$258–$853 | $287–$948 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$538–$617 | $598–$685 | varies |
| Decompressive fasciotomy hand (26037) | $3,232 | $3,591 | 1.0× |
| Delivery of placenta (59414) | $2,834 | $3,149 | 0.9× |
| Destruct B9 Lesion 1-14 (17110) | $383 | $425 | 1.9× |
| Destruction Benign Lesions 15/> (17111) | $324 | $360 | 1.6× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $605 | $672 | 3.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $582 | $647 | 2.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $817 | $908 | 2.0× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $968 | $1,076 | 1.3× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $1,284 | $1,427 | 1.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $380 | $422 | 1.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $481 | $534 | 2.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $522 | $580 | 2.5× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $654 | $727 | 1.6× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $800 | $889 | 1.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $413 | $459 | 2.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $400 | $444 | 2.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $460 | $511 | 2.2× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $577 | $641 | 2.8× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $671 | $745 | 1.6× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $837 | $930 | 2.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $308 | $342 | 1.5× |
| Destruction of skin lesions (17106) | $782 | $869 | 1.9× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$232–$404 | $258–$449 | varies |
| Dilate Urethra Stricture (53620) | $2,914 | $3,238 | 4.1× |
| Dilate Urethra Stricture (53600) | $590 | $656 | 2.3× |
| Drain Cerebro Spinal Fluid (62272) | $981 | $1,090 | 1.4× |
| Drainage external auditory canal abscess (69020) | $1,351 | $1,501 | 1.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$405–$1,351 | $450–$1,501 | varies |
| Drainage Finger Abscess Complicated (26011) | $742 | $824 | 0.4× |
| Drainage Mouth Roof Lesion (42000) | $426 | $473 | 1.8× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$446–$718 | $496–$798 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$105–$326 | $117–$362 | varies |
| Drainage of hematoma/fluid (10140) | $323 | $359 | 0.2× |
| Drainage of scrotal wall abscess (55100) | $1,391 | $1,545 | 0.8× |
| Drainage of skene's gland abscess or cyst (53060) | $4,495 | $4,994 | 2.1× |
| Draw Blood Off Venous Device (36591) range across 5 matching MRF lines |
$56–$179 | $62–$199 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$41–$311 | $46–$346 | varies |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) | $1,003 | $1,114 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $782 | $869 | 1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $404 | $449 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$259–$404 | $288–$449 | varies |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $976 | $1,084 | 2.3× |
| Dx Laryngoscopy Excl Nb (31525) | $2,917 | $3,241 | 1.6× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $683 | $759 | 2.2× |
| Endocervical curettage (57505) | $879 | $977 | 0.9× |
| Endometrial Biopsy (58100) | $625 | $694 | 3.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $2,588 | $2,875 | 1.3× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$152–$157 | $169–$174 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$429–$1,046 | $477–$1,162 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $640 | $711 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $778 | $864 | 1.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $902 | $1,002 | 1.2× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,323 | $1,470 | 0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$427–$1,046 | $474–$1,162 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$455–$1,046 | $506–$1,162 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$590–$2,283 | $656–$2,537 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $753 | $837 | 0.4× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $943 | $1,048 | 0.6× |
| Exc Frenum Labial/Buccal (40819) | $2,479 | $2,754 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$389–$2,283 | $432–$2,537 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$409–$2,283 | $454–$2,537 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$454–$2,283 | $504–$2,537 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $549 | $610 | 0.8× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $759 | $843 | 0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,036 | $1,151 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$842–$3,704 | $936–$4,116 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,176 | $1,307 | 0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $905 | $1,005 | 0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,300 | $1,444 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,104 | $1,227 | 0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$375–$1,046 | $417–$1,162 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$575–$1,046 | $639–$1,162 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $626 | $696 | 0.4× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) likely a partial charge, not the full procedure |
$6 | $7 | 0.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $773 | $859 | 1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $455 | $506 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $728 | $809 | 1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $669 | $743 | 1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $851 | $945 | 1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $571 | $634 | 0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,067 | $1,186 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,719 | $1,910 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $512 | $569 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $654 | $727 | 0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $762 | $847 | 1.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,077 | $1,197 | 0.6× |
| Exploration penetrating wound spx chest (20101) | $2,795 | $3,106 | 1.3× |
| Fetal non-stress test (59025) | $514 | $571 | 2.5× |
| Fluid Pressure Muscle (20950) | $1,265 | $1,405 | 1.7× |
| I&d abscess peritonsillar (42700) | $1,003 | $1,114 | 4.1× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$406–$575 | $451–$639 | varies |
| I&d perianal abscess superficial (46050) | $1,112 | $1,236 | 1.2× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$371–$1,112 | $412–$1,236 | varies |
| Image Cath Fluid Peri/Retro (49406) | $2,953 | $3,281 | 1.8× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$590–$948 | $656–$1,053 | varies |
| Incise/Drain Conjunctiva (68020) | $2,700 | $3,000 | 2.7× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$371–$742 | $412–$824 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,399 | $2,665 | 1.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$527–$1,883 | $585–$2,092 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$455–$514 | $505–$571 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 4 matching MRF lines |
$466–$514 | $518–$571 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $2,479 | $2,754 | 1.6× |
| Incision of rectal abscess (46040) | $1,391 | $1,545 | 1.1× |
| Incisional biopsy skin single lesion (11106) | $393 | $437 | 0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$232–$236 | $258–$262 | varies |
| Inject Intravitreal Pharmcologic (67028) range across 3 matching MRF lines |
$762–$764 | $847–$849 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$266–$278 | $296–$309 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $552 | $613 | 1.8× |
| Injection single tendon origin/insertion (20551) | $211 | $234 | 0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$192–$633 | $213–$703 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$256–$555 | $284–$617 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$277–$1,028 | $308–$1,142 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $151 | $168 | 0.7× |
| Insert Bladder Cath Complex (51703) | $313 | $348 | 2.4× |
| Insert cervical dilator (59200) | $318 | $353 | 1.0× |
| Insert non-tunnel cv cath (36556) | $2,327 | $2,586 | 0.7× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 2 matching MRF lines |
$1,633–$1,859 | $1,814–$2,065 | varies |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$239–$317 | $265–$352 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$193–$317 | $214–$352 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,859 | $2,065 | 0.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,420 | $2,689 | 1.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $927 | $1,030 | 2.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,183 | $1,314 | 2.8× |
| Intraoral i&d tongue/floor lingual (41000) | $2,183 | $2,425 | 4.0× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$412–$607 | $568–$1,242 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$347–$590 | $386–$656 | varies |
| Laryngoscopy diagnostic (31505) | $365 | $406 | 1.8× |
| Laryngoscopy flexible diagnostic (31575) | $365 | $406 | 1.8× |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) | $69 | $77 | 0.0× |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) | $69 | $77 | 0.0× |
| N Block Inj Plantar Digit (64455) | $583 | $648 | 1.9× |
| Nasal Endoscopy Dx (31231) | $349 | $388 | 1.7× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $3,061 | $3,401 | 1.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 4 matching MRF lines |
$28–$84 | $31–$93 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) range across 4 matching MRF lines |
$28–$84 | $31–$93 | varies |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) likely a partial charge, not the full procedure |
$226 | $251 | 0.0× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) | $1,249 | $1,388 | 1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$442–$1,112 | $491–$1,235 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $2,061 | $2,290 | 2.3× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $782 | $869 | 1.9× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$320–$927 | $355–$1,030 | varies |
| Partial Excision Distal Phalanx Finger (26236) | $2,309 | $2,565 | 1.4× |
| Peritoneal Lavage (49084) | $1,287 | $1,430 | 1.4× |
| Placement of needle for intraosseous infusion (36680) range across 3 matching MRF lines |
$661–$765 | $734–$850 | varies |
| Punch biopsy skin single lesion (11104) | $326 | $362 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$278–$742 | $309–$824 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,346 | $1,495 | 1.9× |
| Reduction of rectal prolapse (45900) | $1,221 | $1,357 | 1.3× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$284–$824 | $315–$915 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,078 | $1,198 | 1.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,825 | $2,028 | 1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 5 matching MRF lines |
$40–$160 | $44–$178 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$126–$177 | $140–$197 | varies |
| Removal implantable contraceptive capsules (11976) | $795 | $883 | 1.1× |
| Removal of foreign body from pharynx (42809) | $661 | $734 | 1.4× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$486–$1,046 | $540–$1,162 | varies |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$191–$207 | $212–$230 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$273–$306 | $303–$340 | varies |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$554–$661 | $616–$734 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$194–$266 | $215–$295 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$328–$625 | $364–$694 | varies |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$291–$597 | $323–$663 | varies |
| Remove Shoulder Foreign Body (23330) | $2,282 | $2,536 | 1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$1,066–$1,131 | $1,184–$1,257 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$1,338–$1,993 | $1,487–$2,214 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$556–$655 | $618–$728 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$667–$1,187 | $741–$1,319 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,024 | $1,138 | 2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$1,089–$1,187 | $1,210–$1,319 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$974–$1,314 | $1,082–$1,460 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $3,222 | $3,580 | 2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$625–$820 | $694–$911 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$653–$668 | $726–$742 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$788–$1,096 | $876–$1,218 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $830 | $922 | 2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $881 | $979 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$579–$822 | $643–$913 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$608–$1,001 | $675–$1,112 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $783 | $870 | 1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,112 | $1,236 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $881 | $979 | 2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$707–$823 | $786–$914 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$733–$1,050 | $814–$1,167 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,187 | $1,319 | 1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$759–$871 | $843–$968 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,112 | $1,236 | 0.5× |
| Repair Laceration Palate </2 Cm (42180) | $1,003 | $1,114 | 1.8× |
| Repair of nail bed (11760) | $1,166 | $1,296 | 1.5× |
| Repair tongue laceration (41252) | $1,701 | $1,890 | 7.0× |
| Repair tongue laceration (41250) | $566 | $629 | 1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,775 | $1,972 | 1.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$202–$661 | $224–$734 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 5 matching MRF lines |
$232–$885 | $258–$983 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $429 | $477 | 0.9× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $1,571 | $1,746 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,560 | $1,733 | 1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,347 | $1,497 | 2.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,327 | $2,586 | 1.4× |
| Rpr blood vessel direct lower extremity (35226) | $1,211 | $1,346 | 1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$347–$481 | $386–$534 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,137 | $1,263 | 1.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $1,003 | $1,114 | 4.1× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $2,565 | $2,850 | 1.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,785 | $1,983 | 3.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,785 | $1,983 | 1.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $3,972 | $4,413 | 1.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,300 | $1,444 | 2.0× |
| Shave skin lesion 0.5 cm/< (11300) | $339 | $377 | 0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $395 | $439 | 1.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $508 | $564 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$343–$351 | $381–$390 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 4 matching MRF lines |
$404–$425 | $449–$472 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $315 | $350 | 1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $524 | $582 | 1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $383 | $426 | 1.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $558 | $620 | 1.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $418 | $464 | 2.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 3 matching MRF lines |
$429–$734 | $477–$816 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $491 | $546 | 2.4× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $3,062 | $3,402 | 0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $505 | $561 | 1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$320–$378 | $355–$420 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$320–$418 | $355–$464 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$464–$543 | $515–$603 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$455–$636 | $506–$707 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $556 | $618 | 2.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$311–$325 | $345–$361 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$556–$950 | $618–$1,056 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$441–$481 | $490–$534 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$320–$459 | $355–$510 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$505–$680 | $561–$755 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$533–$996 | $592–$1,107 | varies |
| Spinal puncture lumbar diagnostic (62270) | $968 | $1,076 | 1.3× |
| Strapping ankle (29540) | $124 | $138 | 0.7× |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$218–$232 | $242–$258 | varies |
| Strapping hand/finger (29280) | $114 | $127 | 1.9× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$218–$363 | $242–$403 | varies |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
$182–$364 | $202–$404 | varies |
| Tangential biopsy skin single lesion (11102) | $258 | $287 | 0.6× |
| Tenotomy Flexor Finger Open Each Tendon (26455) | $41 | $46 | 0.0× |
| Tooth extraction (41899) | $1,864 | $2,071 | 7.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,701 | $1,890 | 7.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,652 | $1,836 | 1.0× |
| Treat Hip Socket Fracture (27222) | $2,579 | $2,865 | 10.2× |
| Treat humerus fracture (24500) | $590 | $656 | 2.3× |
| Treat Humerus Fracture (24505) | $2,884 | $3,204 | 1.8× |
| Treat knee fracture (27532) | $3,006 | $3,340 | 0.9× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$252–$590 | $280–$656 | varies |
| Treat Metatarsal Fracture (28475) | $590 | $656 | 2.3× |
| Treat Thumb Dislocation (26641) | $590 | $656 | 2.3× |
| Treat Thumb Fracture (26645) | $2,884 | $3,204 | 1.8× |
| Treat toe dislocation (28630) | $590 | $656 | 2.3× |
| Treat Vaginal Bleeding (57180) | $416 | $462 | 2.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $2,133 | $2,370 | 1.3× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$590–$1,111 | $656–$1,234 | varies |
| Trim skin lesion (11055) | $151 | $168 | 0.7× |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$133–$404 | $148–$449 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$44–$107 | $49–$119 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$60–$527 | $67–$585 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,860 | $2,067 | 1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $371 | $412 | 0.5× |
| Tx superficial wound dehiscence w/packing (12021) | $609 | $677 | 1.5× |
| Unlisted Procedure Palate Uvula (42299) | $341 | $379 | 1.4× |
| Unlisted px female genital system nonobstetrical (58999) | $276 | $307 | 1.3× |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$2,639–$3,314 | $2,932–$3,682 | varies |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$586–$734 | $651–$816 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.