Procedures & surgery prices at Munson Healthcare Charlevoix Hospital

Charlevoix, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines
$585.65–$1,644.75 $689–$1,935 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $386.75 $455 0.4×
Ablate inf turbinate submuc (30802) $2,611.88 $3,072.80 1.7×
Ablation ire prst8 1 or more tumors percutaneous (55877) $13,834.60 $16,276 1.3×
Ablt trurl prst8 tis thrm us ins trurl us trnsdc (55882) $14,774.70 $17,382 1.1×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,913.12 $3,427.20 1.9×
Amniocentesis diagnostic (59000) $498.95 $587 0.5×
Amniocentesis therapeutic (59001) $930.75 $1,095 3.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,845.35 $2,171 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,845.35 $2,171 0.6×
Amputation toe interphalangeal joint (28825) $4,532.20 $5,332 1.4×
Anoscopy diagnostic (46600) $163.20 $192 1.2×
Anoscopy; with biopsy, single or multiple (46606) $771.80 $908 0.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $295.80 $348 1.8×
Application cast elbow finger short arm (29075) $127.50 $150 0.5×
Application Finger Splint Dynamic (29131) $170.85 $201 2.9×
Application finger splint static (29130) $104.55 $123 0.8×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines
$124.95–$128.35 $147–$151 varies
Application Long Leg Splint (29505) $128.35 $151 0.8×
Application of long leg cast (29345) $279.65 $329 1.0×
Application Short Arm Splint Dynamic (29126) $348.50 $410 2.6×
Application short arm splint forearm-hand static (29125) $138.55 $163 1.0×
Application short leg splint calf foot (29515)
range across 3 matching MRF lines
$134.30–$138.55 $158–$163 varies
Apply Multlay Comprs Lwr Leg (29581) $347.65 $409 2.1×
Apply Short Leg Cast (29405) $127.50 $150 0.5×
Arterial puncture (36600)
range across 9 matching MRF lines
$32.30–$86.70 $38–$102 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines
$315.35–$990.25 $371–$1,165 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $827.05 $973 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines
$300.05–$315.35 $353–$371 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 23 matching MRF lines
$864.45–$878.90 $1,017–$1,034 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $267.75 $315 0.9×
Aspirate pleura w/ imaging (32555) $1,008.10 $1,186 1.6×
Aspirate Pleura W/O Imaging (32554) $717.40 $844 1.1×
Aspirate/Inj Ganglion Cyst (20612) $88.40 $104 0.3×
Aspiration and/or injection thyroid cyst (60300) $498.95 $587 0.7×
Aspiration bladder insert suprapubic catheter (51102) $4,091.90 $4,814 2.0×
Aspiration Bladder Needle (51100) $608.60 $716 2.4×
Avulsion nail plate partial/complete simple 1 (11730) $134.30 $158 0.7×
Biopsy Abdominal Mass (49180) $585.65 $689 0.4×
Biopsy bone open superficial (20240) $691.05 $813 0.2×
Biopsy Bone Trocar/Needle Superficial (20220) $585.65 $689 0.4×
Biopsy muscle percutaneous needle (20206) $131.75 $155 0.1×
Biopsy Nasopharynx Visible Lesion Simple (42804) $3,695.80 $4,348 1.1×
Biopsy of liver, needle; percutaneous (47000) $585.65 $689 0.4×
Biopsy of upper nose/throat (42806) $2,937.60 $3,456 0.9×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $3,976.30 $4,678 1.1×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $4,587.45 $5,397 1.3×
Biopsy Salivary Gland Incisional (42405) $3,795.08 $4,464.80 2.5×
Biopsy Tongue Anterior Two-Thirds (41100) $1,353.20 $1,592 2.5×
Biopsy Tongue Posterior One-Third (41105) $2,896.80 $3,408 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $171.70 $202 0.2×
Bladder instillation anticarcinogenic agent (51720) $888.25 $1,045 1.3×
Bladder Irrigation (51700) $144.50 $170 0.6×
Bladder Scan (51798)
range across 4 matching MRF lines
$84.15–$269.45 $99–$317 varies
Blepharotomy drainage abscess eyelid (67700) $544 $640 1.7×
Blood Transfusion Service (36430) $1,035.30 $1,218 2.4×
Blood/Lymph System Procedure (38999) $2,755.70 $3,242 6.3×
Bone Marrow; Aspiration Only (38220) $289.85 $341 0.2×
Bronchoscopy Clear Airways (31645) $2,159.85 $2,541 1.2×
Bx breast 1st lesion us imag (19083) $2,038.30 $2,398 1.2×
Bx breast needle core w/o imaging guidance spx (19100) $471.75 $555 0.3×
Bx Cervix (57500) $239.70 $282 0.3×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $3,976.30 $4,678 1.1×
Bx prostate transperineal ultrasound-guided (55709) $3,976.30 $4,678 1.1×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $3,976.30 $4,678 1.1×
Bx prst8 tprn us w/MRI fus 1 (55710) $3,976.30 $4,678 1.1×
Bx prst8 trct us w/MRI fus 1 (55708) $3,976.30 $4,678 1.1×
Catheter aspiration nasotracheal spx (31720) $377.40 $444 1.7×
Cathj Rmvl Temp Dev Ischmc Rmdlg Bldr Neck&Prst8 (53866) $276.25 $325 1.1×
Change Cystostomy Tube Simple (51705) $296.65 $349 1.2×
Change of Windpipe Airway (31502) $256.70 $302 1.1×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines
$368.90–$384.20 $434–$452 varies
Chest tube placement (32551) $680 $800 0.4×
Circumcision w/clamp/oth dev w/block (54150) $3,072.75 $3,615 1.5×
Cl Tx Tib Shft Fx W Manip (27752) $219.30 $258 0.1×
Clear outer ear canal (69200) $78.20 $92 0.6×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,440.75 $1,695 0.9×
Closed Treatment Ulnar Styloid Fracture (25650) $353.60 $416 1.4×
Closed tx ankle dislocation w/o anesthesia (27840) $779.45 $917 3.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $779.45 $917 0.5×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $542.30 $638 2.2×
Closed tx knee dislocation w/o anesthesia (27550) $232.05 $273 0.9×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,205.75 $2,595 1.4×
Closed tx metatarsal fracture w/o manipulation (28470) $341.70 $402 1.4×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,107.15 $2,479 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $398.65 $469 0.3×
Closed tx patellar dislocation w/o anesthesia (27560) $311.10 $366 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $629.85 $741 0.4×
Closed tx radial head/neck fx w/o manipulation (24650) $184.45 $217 0.8×
Closed tx radial shaft fracture w/manipulation (25505) $232.05 $273 0.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $770.95 $907 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines
$230.35–$495.55 $271–$583 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $459.85 $541 1.9×
Closed tx talotarsal joint dislc w/o anes (28570) $391 $460 1.6×
Closed Tx Talus Fracture W/Manipulation (28435) $1,799.45 $2,117 1.1×
Closed tx talus fracture w/o manipulation (28430) $280.50 $330 1.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $244.80 $288 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $209.95 $247 0.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $312.80 $368 1.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $507.45 $597 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $341.70 $402 1.4×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $342.55 $403 1.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,597.15 $1,879 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $311.10 $366 1.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $486.20 $572 2.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,466.70 $2,902 1.5×
Cltx dstl fibular fx lat malls w/manj (27788) $249.05 $293 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $311.10 $366 1.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $361.25 $425 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $353.60 $416 1.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $779.45 $917 0.5×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,529.15 $1,799 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,096.95 $2,467 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $341.70 $402 1.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $362.95 $427 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $249.05 $293 1.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $209.95 $247 0.1×
Cltx hip dislocation traumatic req anesthesia (27252) $1,139.85 $1,341 0.7×
Cltx humeral condylar fx medial/lateral w/manj (24577) $236.30 $278 0.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $236.30 $278 1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,581 $1,860 5.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $311.10 $366 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $236.30 $278 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $311.10 $366 1.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $280.50 $330 1.1×
Cltx post hip arthrp dislc req anes (27266) $436.05 $513 0.3×
Cltx post hip arthrp dislc w/o anes (27265) $209.95 $247 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $232.05 $273 0.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $311.10 $366 1.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $779.45 $917 0.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $737.80 $868 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $249.05 $293 0.2×
Collect Blood From Catheter Venous Nos (36592)
range across 13 matching MRF lines
$182.75–$183.60 $215–$216 varies
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines
$11.90–$12.75 $14–$15 varies
Colporrhaphy (57200) $161.50 $190 0.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $219.30 $258 0.7×
Colposcopy Cervix Endocervical Curettage (57456) $438.60 $516 1.4×
Colposcopy cervix upper/adjacent vagina (57452) $181.05 $213 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $225.25 $265 0.7×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $767.55 $903 0.8×
Complex drainage wound (10180) $241.40 $284 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $201.45 $237 1.5×
Control Nasal Hemorrhage Anterior Simple (30901) $203.15 $239 1.5×
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines
$2,624.12–$2,824.55 $3,087.20–$3,323 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $585.65 $689 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $203.15 $239 1.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $408.85 $481 1.7×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962)
range across 2 matching MRF lines
$3,695.80–$5,666.95 $4,348–$6,667 varies
Curette/treat cornea (65435) $124.95 $147 0.1×
Cysto 1st Trurl Prst8 Comis (52443) $12,320.75 $14,495 1.3×
Cysto Bladder W/Ureteral Catheterization (52005) $4,718.35 $5,551 2.3×
Cysto calibration dilat urtl strix/stenosis (52281) $3,119.50 $3,670 1.5×
Cysto w/complex removal stone & stent (52315) $2,054.45 $2,417 1.0×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $5,850.55 $6,883 1.1×
Cysto w/irrig & evac multple obstructing clots (52001) $4,611.25 $5,425 1.3×
Cysto w/removal of lesions small (52224) $5,009.90 $5,894 1.4×
Cysto W/Simple Removal Stone & Stent (52310) $2,017.90 $2,374 1.0×
Cystourethroscopy (52000) $811.75 $955 1.2×
Cystourethroscopy inj chemodenervation bladder (52287) $850.85 $1,001 0.4×
Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865) $10,515.35 $12,371 1.1×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $2,803.30 $3,298 1.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $490.45 $577 0.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $490.45 $577 0.7×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $490.45 $577 0.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $354.45 $417 0.5×
Debride nail 1-5 (11720) $85.85 $101 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$318.75–$964.75 $375–$1,135 varies
Declot vascular device (36593) $184.45 $217 0.6×
Destruct B9 Lesion 1-14 (17110) $108.80 $128 0.5×
Destruction Benign Lesions 15/> (17111) $291.55 $343 1.5×
Destruction Lesions Vulva Simple (56501) $1,883.60 $2,216 0.9×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $285.09 $335.40 1.4×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $264.52 $311.20 1.3×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines
$3,446.75–$5,169.70 $4,055–$6,082 varies
Destruction premalignant lesion 1st (17000) $89.25 $105 0.4×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $152.15 $179 1.2×
Dilat Urethral Strix Dilator Male Sbsq (53601) $195.50 $230 1.5×
Dilate Urethra Stricture (53620) $2,129.25 $2,505 3.1×
Dilate Urethra Stricture (53600) $604.35 $711 2.4×
Dilation Salivary Duct (42650) $4,007.92 $4,715.20 2.6×
Drain Cerebro Spinal Fluid (62272) $1,446.70 $1,702 2.1×
Drain Hand Tendon Sheath (26020) $3,849.65 $4,529 1.2×
Drain/inj small joint/bursa w/us (20604)
range across 6 matching MRF lines
$316.20–$827.05 $372–$973 varies
Drainage abscess parotid simple (42300) $1,764.60 $2,076 1.1×
Drainage external auditory canal abscess (69020) $220.15 $259 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $220.15 $259 0.3×
Drainage Mouth Roof Lesion (42000) $478.55 $563 2.0×
Drainage of finger abscess simple (26010) $443.70 $522 2.2×
Drainage of gum lesion (41800)
range across 3 matching MRF lines
$249.05–$3,306.84 $293–$3,890.40 varies
Drainage of hematoma/fluid (10140) $1,226.55 $1,443 0.7×
Drainage of hydrocele (55000) $1,081.20 $1,272 1.5×
Drainage of scrotal wall abscess (55100) $208.25 $245 0.1×
Drainage of scrotum (54700) $2,774.40 $3,264 1.3×
Draw Blood Off Venous Device (36591) $184.45 $217 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $789.48 $928.80 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $379.95 $447 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $134.30 $158 0.7×
Dstrj lesion anus simple surg excision (46922) $4,700.84 $5,530.40 1.7×
Dstrj lesion penis simple surg excision (54060) $4,052.80 $4,768 2.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$2,001.75–$3,002.20 $2,355–$3,532 varies
Egd control bleeding any (43255) $2,434.40 $2,864 1.3×
Egd place gastrostomy tube (43246) $3,020.90 $3,554 1.6×
Endometrial Biopsy (58100) $179.35 $211 0.9×
Epidural Blood Patch (62273) $589.05 $693 0.8×
Episiotomy or vaginal repair (59300) $4,414.90 $5,194 1.4×
Evacuation of subungual hematoma (11740) $78.20 $92 0.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $123.25 $145 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $367.20 $432 0.2×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $6,330.80 $7,448 1.6×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,808.80 $2,128 2.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $2,151.35 $2,531 3.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $806.65 $949 1.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $579.70 $682 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,660.05 $1,953 2.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $990.25 $1,165 0.6×
Exc Forearm Les Sc 3 Cm/> (25071) $3,869.20 $4,552 2.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,700.85 $2,001 2.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $213.35 $251 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $990.25 $1,165 1.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,054.90 $3,594 1.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,669.45 $4,317 2.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,121.15 $1,319 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $234.60 $276 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $462.40 $544 1.1×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $187.85 $221 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,634.15 $3,099 1.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,028.95 $2,387 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,795.20 $2,112 2.5×
Excision Chalazion Single (67800) $401.20 $472 1.3×
Excision H/P/P/U Complex Repair (11471) $7,771.72 $9,143.20 2.7×
Excision H/P/P/U Simple/Intermediate Repair (11470) $4,866.08 $5,724.80 1.7×
Excision Hidradenitis Inguinal Complex Repair (11463) $4,903.48 $5,768.80 1.7×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $5,063.28 $5,956.80 1.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,269.05 $1,493 1.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,431.40 $1,684 3.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $872.10 $1,026 1.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,841.04 $3,342.40 1.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,852.15 $2,179 2.6×
Excision of hydrocele; bilateral (55041) $7,129.80 $8,388 2.0×
Excision of single external papilla or tag, anus (46220) $3,795.76 $4,465.60 3.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $4,868.12 $5,727.20 3.0×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $1,864.05 $2,193 0.5×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $4,568.24 $5,374.40 1.6×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $3,172.88 $3,732.80 1.9×
Expl penetrating wound spx abdomen/flank/back (20102) $2,432.70 $2,862 1.2×
Explo/Drain Breast Abscess (19020) $238.85 $281 0.1×
Exploration penetrating wound spx chest (20101) $6,618.10 $7,786 3.2×
Exploration penetrating wound spx extremity (20103) $232.90 $274 0.1×
External cephalic version (59412) $4,522.85 $5,321 1.4×
Fetal non-stress test (59025) $430.95 $507 2.1×
Fine needle aspiration without imaging guidance (10021) $147.05 $173 0.4×
Fluid Pressure Muscle (20950) $911.20 $1,072 1.3×
Fluoro exam of g/colon tube (49465) $311.10 $366 1.3×
Fna bx w/us gdn 1st les (10005) $385.05 $453 0.5×
Foreskin manipulation (54450) $604.35 $711 2.4×
Hem gen pltlt do 43 genes (0274U) $605.20 $712 1.0×
Hem heprn nduc trmbctpna srm (0275U) $357.85 $421 19.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $4,636.24 $5,454.40 1.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,450.10 $1,706 1.6×
Hymenotomy Simple Incision (56442) $470.05 $553 0.1×
I&d abscess peritonsillar (42700) $317.90 $374 1.3×
I&d abscess simple (10060)
range across 5 matching MRF lines
$113.90–$217.60 $134–$256 varies
I&d perianal abscess superficial (46050) $447.10 $526 0.5×
I&d pilonidal cyst complicated (10081) $298.35 $351 0.4×
I&d pilonidal cyst simple (10080) $221.85 $261 0.3×
Image Cath Fluid Colxn Visc (49405) $1,314.10 $1,546 0.8×
Image Cath Fluid Peri/Retro (49406) $2,061.25 $2,425 1.3×
Incise external hemorrhoid (46083) $411.40 $484 1.7×
Incision & drainage abscess complicated/multiple (10061) $221.85 $261 0.5×
Incision & removal foreign body subq tiss compl (10121) $1,721.25 $2,025 1.0×
Incision & removal foreign body subq tiss simple (10120) $347.65 $409 0.9×
Incision and drainage of bartholin's gland abscess (56420) $340.85 $401 1.7×
Incision and drainage of vulva or perineal abscess (56405) $350.20 $412 1.2×
Incision of lingual frenum (frenotomy) (41010) $2,595.90 $3,054 1.7×
Incision of rectal abscess (46040) $2,149.65 $2,529 1.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,765.90 $3,254 1.7×
Incisional biopsy skin single lesion (11106) $968.15 $1,139 1.3×
Initial Tx 1st Degree Burn Local Tx (16000) $134.30 $158 0.7×
Inj W/Fluor Eval Cv Device (36598) $613.70 $722 2.9×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines
$1,144.10–$1,717 $1,346–$2,020 varies
Inject Intravitreal Pharmcologic (67028) $612 $720 1.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines
$812.60–$837.25 $956–$985 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,048.05 $1,233 1.2×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)
range across 2 matching MRF lines
$1,144.10–$1,717 $1,346–$2,020 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines
$1,252.90–$1,878.50 $1,474–$2,210 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $825.35 $971 0.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $833 $980 1.2×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 2 matching MRF lines
$1,144.10–$1,717 $1,346–$2,020 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines
$682.55–$1,024.25 $803–$1,205 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines
$1,161.95–$1,742.50 $1,367–$2,050 varies
Injection procedure for peyronie disease (54200) $373.15 $439 1.5×
Injection single tendon origin/insertion (20551) $851.70 $1,002 2.8×
Injection single/mlt trigger point 1/2 muscles (20552) $271.15 $319 0.9×
Injection single/mlt trigger point 3/> muscles (20553) $894.20 $1,052 2.9×
Injection therapeutic carpal tunnel (20526) $356.15 $419 1.2×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 8 matching MRF lines
$1,048.05–$1,724.65 $1,233–$2,029 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines
$833–$1,575.90 $980–$1,854 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,330.25 $1,565 1.9×
Injection, intralesional; up to and including 7 lesions (11900) $336.60 $396 1.7×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $705.50 $830 0.8×
Insert Bladder Cath Complex (51703)
range across 4 matching MRF lines
$236.30–$385.90 $278–$454 varies
Insert cath pleura w/ image (32557) $2,471.80 $2,908 1.6×
Insert cath pleura w/o image (32556) $1,525.75 $1,795 0.8×
Insert cervical dilator (59200) $721.65 $849 2.4×
Insert Drug Implant Device (11981) $135.15 $159 1.0×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines
$1,484.95–$2,199.80 $1,747–$2,588 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 5 matching MRF lines
$488.75–$1,520.65 $575–$1,789 varies
Insert Temp Bladder Cath (51702)
range across 8 matching MRF lines
$147.90–$250.75 $174–$295 varies
Insert tunneled cv cath (36561) $5,515.65 $6,489 1.8×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines
$147.90–$242.25 $174–$285 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 12 matching MRF lines
$2,623.10–$2,761.65 $3,086–$3,249 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $488.75 $575 0.3×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,927.45 $5,797 1.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $228.65 $269 0.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $228.65 $269 0.6×
Intranasal Biopsy (30100) $1,657.16 $1,949.60 1.1×
Intubation endotracheal emergency procedure (31500) $476 $560 2.0×
Irrigation of corpora cavernosa for priapism (54220) $617.95 $727 2.5×
Laryngoscopy diagnostic (31505) $113.05 $133 0.6×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $884 $1,040 2.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,573.35 $1,851 4.0×
Late closure of wound (13160) $1,864.05 $2,193 0.5×
Ligation or biopsy temporal artery (37609) $1,928.65 $2,269 1.2×
Lip Surgery Procedure (40799) $4,334.32 $5,099.20 18.4×
Lysis of labial adhesions (56441) $3,875.15 $4,559 1.2×
Maniplatn palar fascial crd post inj single cord (26341) $323.85 $381 1.3×
Manipulation Ankle Under General Anesthesia (27860) $4,026.45 $4,737 1.2×
Manipulation Elbow Under Anesthesia (24300) $2,646.90 $3,114 1.7×
Manipulation hip joint general anesthesia (27275) $2,747.20 $3,232 1.7×
Manipulation knee joint under general anesthesia (27570) $3,180.70 $3,742 2.0×
Manipulation spine requiring anesthesia (22505) $1,767.15 $2,079 1.1×
Manipulation tmj therapeutic require anesthesia (21073) $3,807.15 $4,479 2.5×
Manipulation wrist under anesthesia (25259) $2,738.70 $3,222 1.7×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,479.85 $1,741 0.9×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,946.95 $3,467 1.8×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines
$1,092.25–$1,638.80 $1,285–$1,928 varies
N block inj intercost sng (64420) $833 $980 1.2×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines
$334.90–$503.20 $394–$592 varies
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines
$1,150.90–$2,471.80 $1,354–$2,908 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$147.90–$516.80 $174–$608 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,555.04 $4,182.40 2.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,723 $4,380 2.1×
Needle Biopsy Lymph Nodes (38505) $419.05 $493 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $42.50 $50 1.5×
Needle insertion w/o injection 3 or more muscles (20561) $56.95 $67 2.0×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines
$1,647.30–$2,471.80 $1,938–$2,908 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $272 $320 0.9×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $188.70 $222 0.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $805.80 $948 1.1×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,270.75 $1,495 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,647.30 $1,938 1.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $805.80 $948 1.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $950.30 $1,118 1.1×
Occipital Nerve Block (64405)
range across 5 matching MRF lines
$374.85–$1,836.85 $441–$2,161 varies
Open Tx Distal Phalangeal Fracture Each (26765) $3,581.05 $4,213 1.1×
Orchiopexy Ingun/Scrot Appr (54640) $991.95 $1,167 0.3×
Partial Excision Distal Phalanx Finger (26236) $3,390.65 $3,989 2.1×
Penile Injection (54235) $206.55 $243 0.8×
Percut Cath Occlusn Non Cns Lesn (61626) $15,024.60 $17,676 1.3×
Percut Drain/Inject Renal Cyst (50390) $735.25 $865 1.0×
Perq dev breast 1st strtctc (19283) $921.40 $1,084 1.3×
Perq dev breast 1st us imag (19285) $1,555.50 $1,830 2.2×
Perq device breast 1st imag (19281) $1,555.50 $1,830 0.9×
Placement of needle for intraosseous infusion (36680)
range across 3 matching MRF lines
$403.75–$471.75 $475–$555 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $545.70 $642 0.6×
Punch biopsy skin single lesion (11104) $380.80 $448 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $113.90 $134 0.3×
Puncture Aspiration Cyst Breast (19000) $544.85 $641 0.8×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines
$1,438.20–$2,157.30 $1,692–$2,538 varies
Rbc DNA gntyp 12 bld grp gen (0282U) $716.55 $843 1.0×
Reconstruction Nail Bed W/Graft (11762) $4,922.52 $5,791.20 2.4×
Removal Anal Seton Other Marker (46030) $2,624.12 $3,087.20 2.2×
Removal Embedded Foreign Body Eyelid (67938) $120.70 $142 0.4×
Removal Foreign Body Foot Subcutaneous (28190) $482.80 $568 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,629.90 $3,094 1.6×
Removal Foreign Body Scrotum (55120) $881.45 $1,037 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines
$70.55–$131.75 $83–$155 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $77.35 $91 1.3×
Removal Implant Superficial Separate Procedure (20670) $3,730.65 $4,389 2.3×
Removal implantable contraceptive capsules (11976) $1,025.95 $1,207 1.5×
Removal of a lesion from the floor of the mouth (41116) $5,202 $6,120 1.6×
Removal of foreign body from pharynx (42809) $77.35 $91 0.2×
Removal of nail bed (11750) $466.65 $549 1.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines
$123.25–$148.75 $145–$175 varies
Removal subcutaneous cardiac rhythm monitor (33286) $2,196.40 $2,584 3.1×
Removal sweat gland lesion (11450) $5,060.56 $5,953.60 1.7×
Remove drug implant device (11982) $646.85 $761 1.5×
Remove foreign body from eye (65235) $2,013.65 $2,369 0.9×
Remove foreign body from eye (65205) $177.65 $209 1.3×
Remove Intrauterine Device (58301) $271.15 $319 0.9×
Remove lung catheter (32552) $1,552.95 $1,827 2.5×
Remove Nasal Foreign Body (30300) $76.50 $90 0.6×
Remove/Insert Drug Implant (11983) $471.75 $555 1.1×
Repair Blood Vessel Direct Hand Finger (35207) $4,378.35 $5,151 1.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $255 $300 0.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $727.60 $856 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $231.20 $272 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $436.90 $514 1.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $228.65 $269 0.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $436.90 $514 1.1×
Repair complex trunk 1.1-2.5 cm (13100) $719.95 $847 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $727.60 $856 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,732.30 $2,038 1.1×
Repair Finger/Hand Tendon (26350) $2,077.40 $2,444 0.6×
Repair Hand Tendon (26410) $1,717 $2,020 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $228.65 $269 0.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $231.20 $272 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $228.65 $269 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $231.20 $272 0.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $719.95 $847 1.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $228.65 $269 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $231.20 $272 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $231.20 $272 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $228.65 $269 0.3×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $719.95 $847 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $595.85 $701 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $228.65 $269 0.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $436.90 $514 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $228.65 $269 0.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $231.20 $272 0.6×
Repair intermediate s/a/t/e >30.0 cm (12037) $719.95 $847 0.4×
Repair of nail bed (11760) $428.40 $504 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $108.80 $128 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $334.90 $394 2.5×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $108.80 $128 0.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $2,091.85 $2,461 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $319.60 $376 0.2×
Rplc Gtube No Revj Trc (43762) $360.40 $424 1.4×
Rplcmt cath ctr vad subq port/pmp (36578) $550.80 $648 0.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,890.40 $2,224 1.2×
Rpr blood vessel direct lower extremity (35226) $1,525.75 $1,795 2.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
unusually low: confirm this is the full procedure
$2,275.45 $2,677 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $231.20 $272 1.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $228.65 $269 0.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $333.20 $392 0.6×
Rpr Lip Full Thickness Vermilion Only (40650) $1,419.16 $1,669.60 2.6×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,419.10 $2,846 0.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,849.20 $3,352 0.9×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $3,077 $3,620 0.9×
Shave skin lesion 0.5 cm/< (11300) $512.55 $603 1.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $71.40 $84 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $159.80 $188 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $280.50 $330 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $274.55 $323 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $107.10 $126 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $182.75 $215 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $272.85 $321 1.4×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $424.15 $499 0.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $231.20 $272 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $231.20 $272 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $231.20 $272 1.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $228.65 $269 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $231.20 $272 1.2×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $228.65 $269 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $231.20 $272 1.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $228.65 $269 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $231.20 $272 1.2×
Skin Full Grft Face/Genit/Hf (15240) $2,108.85 $2,481 1.0×
Skin sub graft face/nk/hf/g (15275) $2,385.95 $2,807 3.2×
Skin sub graft trnk/arm/leg (15271) $2,227.85 $2,621 3.0×
Skin sub grft t/arm/lg child (15273) $2,986.05 $3,513 1.5×
Skn sub grft f/n/hf/g child (15277) $2,371.50 $2,790 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $231.20 $272 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $231.20 $272 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $228.65 $269 0.6×
Spinal puncture lumbar diagnostic (62270) $589.05 $693 0.8×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,381.25 $1,625 0.4×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $2,842.40 $3,344 0.9×
Strapping knee (29530) $76.50 $90 0.6×
Strapping shoulder (29240) $90.95 $107 0.7×
Strapping Unna Boot (29580) $120.70 $142 0.7×
Subconjunctival injection (68200) $1,746.75 $2,055 3.9×
Subcutaneous Hormone Pellet Implantation (11980) $450.54 $530.04 1.0×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $1,015.92 $1,195.20 5.1×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $990.76 $1,165.60 1.3×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,725.10 $3,206 1.7×
Thrombolytic Therapy Stroke (37195) $436.05 $513 1.3×
Thyroid biopsy (60100)
range across 4 matching MRF lines
$557.60–$585.65 $656–$689 varies
Tooth extraction (41899)
range across 2 matching MRF lines
$4,619.75–$4,993.24 $5,435–$5,874.40 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $2,297.55 $2,703 1.5×
Treat Hip Socket Fracture (27222) $4,454 $5,240 18.1×
Treat humerus fracture (24500) $461.55 $543 1.9×
Treat Humerus Fracture (24505) $224.40 $264 0.1×
Treat Knuckle Dislocation (26700) $251.60 $296 1.0×
Treat Tail Bone Fracture (27200) $341.70 $402 1.4×
Treat toe dislocation (28630) $283.05 $333 1.2×
Treat Vaginal Bleeding (57180) $1,116.05 $1,313 5.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $366.35 $431 0.2×
Treatment closed elbow dislocation w/o anes (24600) $307.70 $362 1.3×
Trim skin lesion (11055) $434.35 $511 2.2×
Trimming Nondystrophic Nails Any Number (11719) $30.60 $36 0.5×
Trnsplj autologous hematopoietic cells per donor (38241) $4,346.56 $5,113.60 2.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $601.80 $708 0.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $581.40 $684 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $561.85 $661 0.8×
Tx superficial wound dehiscence w/packing (12021) $228.65 $269 0.6×
Unlisted laparoscopy procedure, testis (54699) $4,172.46 $4,908.77 0.7×
Unlisted Procedure Hands/Fingers (26989) $3,938.90 $4,634 16.0×
Unlisted procedure humerus/elbow (24999) $4,698.80 $5,528 19.1×
Unlisted Procedure Male Genital System (55899) $4,158.88 $4,892.80 16.7×
Unlisted Procedure Muscskeletal System General (20999) $4,307.80 $5,068 17.5×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines
$1,031.90–$2,240.60 $1,214–$2,636 varies
Unlisted Procedure Palate Uvula (42299) $3,306.84 $3,890.40 14.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines
$2,937.60–$2,991.15 $3,456–$3,519 varies
Unlisted Procedure Tongue Floor Mouth (41599) $4,993.24 $5,874.40 21.2×
Unlisted Procedure Vascular Surgery (37799) $138.55 $163 0.2×
Unlisted Procedure, Urinary System (53899) $4,075.75 $4,795 16.4×
Unlisted procedure, vestibule of mouth (40899) $5,470.60 $6,436 23.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,389.80 $3,988 1.6×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines
$165.75–$170.85 $195–$201 varies
Wound Prep F/N/Hf/G (15004) $684.25 $805 1.7×

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.