Procedures & surgery prices at North Sunflower Medical Center
Ruleville, MS · every code in this section with a posted price and a Medicare benchmark.
601 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 2 matching MRF lines |
$150–$800 | $300–$1,600 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$100–$700 | $200–$1,400 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $620.84 | $1,241.67 | 0.3× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $700 | $1,400 | 0.4× |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) range across 2 matching MRF lines |
$362.50–$1,500 | $725–$3,000 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $800 | $1,600 | 0.3× |
| Amputation foot transmetarsal (28805) | $1,050 | $2,100 | 0.4× |
| Amputation metatarsal with toe single (28810) | $650 | $1,300 | 0.2× |
| Amputation thigh through femur any level (27590) range across 2 matching MRF lines |
$750–$2,625 | $1,500–$5,250 | varies |
| Amputation toe interphalangeal joint (28825) | $322.50 | $645 | 0.1× |
| Amputation toe metatarsophalangeal joint (28820) | $550 | $1,100 | 0.2× |
| Amputation, leg, through tibia and fibula; (27880) range across 2 matching MRF lines |
$1,500–$4,500 | $3,000–$9,000 | varies |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $900 | $1,800 | 0.3× |
| Anal/Urinary Muscle Study (51784) range across 2 matching MRF lines |
$215.50–$217.50 | $431–$435 | varies |
| Anoscopy Ablation Lesion (46615) | $222.50 | $445 | 0.1× |
| Anoscopy diagnostic (46600) | $72.50 | $145 | 0.6× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $750 | $1,500 | 0.2× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) range across 2 matching MRF lines |
$135.68–$137.50 | $271.36–$275 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $100 | $200 | 0.7× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$79.50–$80 | $159–$160 | varies |
| Application Finger Splint Dynamic (29131) | $80 | $160 | 1.6× |
| Application finger splint static (29130) | $50 | $100 | 0.4× |
| Application long arm splint shoulder hand (29105) | $58 | $116 | 0.4× |
| Application Long Leg Splint (29505) | $91.50 | $183 | 0.7× |
| Application multiplane external fixation system (20692) likely a partial charge, not the full procedure |
$900 | $1,800 | 0.1× |
| Application Short Arm Splint Dynamic (29126) | $92.50 | $185 | 0.8× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$68–$70 | $136–$140 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$66.50–$67.50 | $133–$135 | varies |
| Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$825 | $1,650 | 0.1× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$88–$90 | $176–$180 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$107–$142 | $214–$284 | varies |
| Apply Short Leg Cast (29405) | $75 | $150 | 0.3× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$8–$140 | $16–$280 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$45–$50 | $90–$100 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$55.50–$100 | $111–$200 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$45.50–$47.50 | $91–$95 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $975 | $1,950 | 0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $875 | $1,750 | 0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $800 | $1,600 | 0.3× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$1,250 | $2,500 | 0.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) | $825 | $1,650 | 0.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) likely a partial charge, not the full procedure |
$1,500 | $3,000 | 0.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$1,800 | $3,600 | 0.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$1,387.50 | $2,775 | 0.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $750 | $1,500 | 0.3× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $787.50 | $1,575 | 0.3× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,350–$1,500 | $2,700–$3,000 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$150–$1,500 | $300–$3,000 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $325 | $650 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$65–$150 | $130–$300 | varies |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$120–$780 | $240–$1,560 | varies |
| Biopsy bone open deep (20245) | $300 | $600 | 0.1× |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$1,050–$1,800 | $2,100–$3,600 | varies |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$100–$500 | $200–$1,000 | varies |
| Biopsy Muscle Superficial (20200) range across 2 matching MRF lines |
$200–$1,500 | $400–$3,000 | varies |
| Biopsy of breast; open, incisional (19101) | $322.50 | $645 | 0.1× |
| Biopsy of floor of mouth (41108) range across 2 matching MRF lines |
$125–$400 | $250–$800 | varies |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) | $450 | $900 | 0.1× |
| Biopsy Oropharynx (42800) | $162.50 | $325 | 0.1× |
| Biopsy soft tissue back/flank deep (21925) | $550 | $1,100 | 0.4× |
| Biopsy soft tissue forearm&/wrist deep (25066) | $296 | $592 | 0.1× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $595 | $1,190 | 0.4× |
| Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
$150–$200 | $300–$400 | varies |
| Biopsy Tongue Posterior One-Third (41105) | $150 | $300 | 0.1× |
| Biopsy, vestibule of mouth (40808) range across 2 matching MRF lines |
$112.50–$400 | $225–$800 | varies |
| Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$500–$2,475 | $1,000–$4,950 | varies |
| Bladder Irrigation (51700) | $62.50 | $125 | 0.3× |
| Bladder Scan (51798) | $10 | $20 | 0.2× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $500 | $1,000 | 0.3× |
| Blood Transfusion Service (36430) | $50 | $100 | 0.1× |
| Bone Graft Any Donor Area Minor/Small (20900) likely a partial charge, not the full procedure |
$325 | $650 | 0.1× |
| Bone Marrow Biopsy (38221) | $539 | $1,078 | 0.4× |
| Breast augmentation with implant (19325) likely a partial charge, not the full procedure |
$750 | $1,500 | 0.1× |
| Breast Reduction (19318) likely a partial charge, not the full procedure |
$1,000 | $2,000 | 0.2× |
| Brnchsc Brushing/Protected Brushings (31623) | $200 | $400 | 0.1× |
| Bronchoscopy W/Biopsy(S) (31625) | $250 | $500 | 0.2× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$425–$600 | $850–$1,200 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $266 | $532 | 0.2× |
| Bx/exc lymph node open deep axillary node (38525) | $550 | $1,100 | 0.2× |
| Bx/exc lymph node open superficial (38500) | $300 | $600 | 0.1× |
| Carpal Tunnel Surgery (64721) | $600 | $1,200 | 0.4× |
| Catheter aspiration nasotracheal spx (31720) | $40.50 | $81 | 0.2× |
| Change Cystostomy Tube Complicated (51710) | $95 | $190 | 0.2× |
| Change Cystostomy Tube Simple (51705) | $69 | $138 | 0.3× |
| Change of Windpipe Airway (31502) | $47.50 | $95 | 0.2× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$65–$160.50 | $130–$321 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 8 matching MRF lines |
$7–$36 | $14–$72 | varies |
| Chest tube placement (32551) | $227.50 | $455 | 0.2× |
| Circumcision 28 days or older (54161) | $500 | $1,000 | 0.3× |
| Clear outer ear canal (69200) | $54 | $108 | 0.5× |
| Closed Rx Metacarpal Fx,Percut (26608) | $800 | $1,600 | 0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $153 | $306 | 0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $119 | $238 | 0.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $94.50 | $189 | 0.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $205.50 | $411 | 1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) | $555 | $1,110 | 2.6× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $170.50 | $341 | 0.4× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) likely a partial charge, not the full procedure |
$550 | $1,100 | 0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $81 | $162 | 0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $61 | $122 | 0.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$212.50–$1,000 | $425–$2,000 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $115.50 | $231 | 0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $90 | $180 | 0.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $94.50 | $189 | 0.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $93.50 | $187 | 0.4× |
| Closed tx septal&nose fx (21337) range across 2 matching MRF lines |
$112–$325 | $224–$650 | varies |
| Closed tx talus fracture w/o manipulation (28430) | $85 | $170 | 0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $15.50 | $31 | 0.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $90 | $180 | 0.4× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $165.50 | $331 | 0.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $216 | $432 | 0.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $84 | $168 | 0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $112.50 | $225 | 0.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $112.50 | $225 | 0.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $89.50 | $179 | 0.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $67.50 | $135 | 0.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $103 | $206 | 0.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $700 | $1,400 | 0.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $49 | $98 | 0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $130 | $260 | 0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $47 | $94 | 0.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $200 | $400 | 0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $310 | $620 | 1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $100 | $200 | 0.5× |
| Cltx Medial Ankle Fx (27760) | $121 | $242 | 0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $84 | $168 | 0.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $475 | $950 | 2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $67.50 | $135 | 0.3× |
| Cltx prox fibula/shft fx w/o manj (27780) | $107.50 | $215 | 0.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $750 | $1,500 | 0.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $129.50 | $259 | 0.6× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $430 | $860 | 2.0× |
| Collection of venous blood by venipuncture (36415) | $10 | $20 | 1.1× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $300 | $600 | 0.3× |
| Colonoscopy thru stoma (44388) | $325 | $650 | 0.4× |
| Colonoscopy w/ablation (45388) | $392.50 | $785 | 0.4× |
| Colonoscopy w/submucosal inj (45381) | $650 | $1,300 | 0.6× |
| Colpocleisis (le fort type) (57120) | $477.50 | $955 | 0.1× |
| Colpotomy; with drainage of pelvic abscess (57010) | $434 | $868 | 0.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $650 | $1,300 | 0.6× |
| Combined anteroposterior colporrhaphy; (57260) | $900 | $1,800 | 0.2× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $350 | $700 | 0.1× |
| Conization of cervix (57520) | $425 | $850 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $79 | $158 | 0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$66–$87.50 | $132–$175 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $100 | $200 | 0.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $125 | $250 | 0.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $300 | $600 | 0.2× |
| Cysto w/insert ureteral stent (52332) | $675 | $1,350 | 0.2× |
| Cystometrogram W/Vp&Up (51729) range across 2 matching MRF lines |
$315.50–$317.50 | $631–$635 | varies |
| Cystourethroscopy (52000) | $250 | $500 | 0.4× |
| Cystourethroscopy tx female urethral syndrome (52285) | $400 | $800 | 0.7× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $400 | $800 | 0.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$34–$60 | $68–$120 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $450 | $900 | 0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 6 matching MRF lines |
$91–$600 | $182–$1,200 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$275–$875.50 | $550–$1,751 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 8 matching MRF lines |
$66–$350 | $132–$700 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$40–$275 | $80–$550 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$55–$100 | $110–$200 | varies |
| Destruction Benign Lesions 15/> (17111) | $67.50 | $135 | 0.4× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$50–$82.50 | $100–$165 | varies |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$25–$75 | $50–$150 | varies |
| Destruction Vaginal Lesions Extensive (57065) | $250 | $500 | 0.1× |
| Destruction Vaginal Lesions Simple (57061) | $175 | $350 | 0.1× |
| Diagnostic sigmoidoscopy (45330) | $225 | $450 | 0.3× |
| Dilate Esophagus 1/Mult Pass (43450) | $112.50 | $225 | 0.1× |
| Dilate Urethra Stricture (53620) | $142.50 | $285 | 0.2× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $300 | $600 | 0.1× |
| Disarticulation At Knee (27598) | $650 | $1,300 | 0.2× |
| Dissection, deep jugular node(s) Facility (38542) likely a partial charge, not the full procedure |
$750 | $1,500 | 0.1× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$160–$500 | $320–$1,000 | varies |
| Drain Hand Tendon Sheath (26020) | $522.50 | $1,045 | 0.2× |
| Drainage external ear abscess/hematoma cmplx (69005) | $150 | $300 | 0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $113 | $226 | 0.2× |
| Drainage Finger Abscess Complicated (26011) | $224.50 | $449 | 0.2× |
| Drainage lymph node lesion (38305) | $400 | $800 | 0.2× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$127–$135 | $254–$270 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$125–$250 | $250–$500 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$100–$250 | $200–$500 | varies |
| Drainage of mouth lesion (41006) | $300 | $600 | 0.2× |
| Drainage of rectal abscess (45020) | $750 | $1,500 | 0.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $175 | $350 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $61 | $122 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$53–$222.50 | $106–$445 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$25.50–$219 | $51–$438 | varies |
| Dx Bronchoscope/Lavage (31624) | $225 | $450 | 0.1× |
| Dx Bronchoscope/Wash (31622) | $225 | $450 | 0.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $300 | $600 | 0.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $825 | $1,650 | 0.5× |
| Egd cautery tumor polyp (43250) | $900 | $1,800 | 0.5× |
| Egd control bleeding any (43255) | $530 | $1,060 | 0.3× |
| Egd Flexible Foreign Body Removal (43247) | $400 | $800 | 0.5× |
| Egd place gastrostomy tube (43246) | $375 | $750 | 0.2× |
| Egd remove lesion snare (43251) | $375 | $750 | 0.2× |
| Electro-Uroflowmetry First (51741) range across 2 matching MRF lines |
$44.50–$45 | $89–$90 | varies |
| Enterorrhaphy single perforation (44602) range across 2 matching MRF lines |
$1,000–$1,250 | $2,000–$2,500 | varies |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$150–$250 | $300–$500 | varies |
| Esophagosc Dilate Balloon 30 (43214) | $200 | $400 | 0.1× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) range across 2 matching MRF lines |
$77.50–$245 | $155–$490 | varies |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $288.50 | $577 | 0.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $162.50 | $325 | 0.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $53 | $106 | 0.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $200 | $400 | 0.1× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) | $65 | $130 | 0.0× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$50–$67.50 | $100–$135 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $450 | $900 | 0.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $550 | $1,100 | 0.4× |
| Exc arm/elbow les sc < 3 cm (24075) | $450 | $900 | 0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$112.50–$400 | $225–$800 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$184.80–$225 | $369.60–$450 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $1,750 | $3,500 | 1.2× |
| Exc Back Tum Deep 5 Cm/> (21933) | $950 | $1,900 | 0.4× |
| Exc back tum deep < 5 cm (21932) range across 2 matching MRF lines |
$400–$700 | $800–$1,400 | varies |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) likely a partial charge, not the full procedure |
$850 | $1,700 | 0.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $562.50 | $1,125 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $216.80 | $433.60 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$247.25–$250 | $494.50–$500 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$359.69–$400 | $719.38–$800 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $300 | $600 | 0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$125.17–$150 | $250.34–$300 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$154.64–$350 | $309.28–$700 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 5 matching MRF lines |
$171.50–$375 | $343–$750 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$205.59–$237.50 | $411.18–$475 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
$250–$292 | $500–$584 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) | $700 | $1,400 | 0.5× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $800 | $1,600 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
$111–$750 | $222–$1,500 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$114.06–$150 | $228.12–$300 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$162.02–$187.50 | $324.04–$375 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $450 | $900 | 0.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$500–$1,940 | $1,000–$3,880 | varies |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) range across 2 matching MRF lines |
$275–$350 | $550–$700 | varies |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $550 | $1,100 | 0.2× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) range across 2 matching MRF lines |
$260–$550 | $520–$1,100 | varies |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $225 | $450 | 0.1× |
| Exc Rct Tum Incl Muscularis Propria (45172) | $1,050 | $2,100 | 0.4× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $650 | $1,300 | 0.3× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,000 | $2,000 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$176.24–$350 | $352.48–$700 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$213.99–$275 | $427.98–$550 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$306.51–$350 | $613.02–$700 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$286.69–$1,750 | $573.38–$3,500 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$358.52–$425 | $717.04–$850 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$237.50–$250 | $475–$500 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$350–$372.14 | $700–$744.28 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 3 matching MRF lines |
$410.20–$1,500 | $820.40–$3,000 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $500 | $1,000 | 0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) | $850 | $1,700 | 0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $200 | $400 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$137.40–$142.50 | $274.80–$285 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$152.52–$240 | $305.04–$480 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$199.45–$1,750 | $398.90–$3,500 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $615 | $1,230 | 0.2× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) range across 2 matching MRF lines |
$450–$725 | $900–$1,450 | varies |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $450 | $900 | 0.3× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) range across 2 matching MRF lines |
$440–$550 | $880–$1,100 | varies |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $950 | $1,900 | 0.4× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $860 | $1,720 | 0.3× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $625 | $1,250 | 0.2× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $390 | $780 | 0.3× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $605.68 | $1,211.36 | 0.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) range across 2 matching MRF lines |
$600–$2,076 | $1,200–$4,152 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $350 | $700 | 0.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) | $850 | $1,700 | 0.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $600 | $1,200 | 0.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $650 | $1,300 | 0.3× |
| Excis Mouth Complex,Exc Thru Muscle (40816) | $300 | $600 | 0.1× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $175 | $350 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$237.50–$500 | $475–$1,000 | varies |
| Excise mandible lesion (21040) | $325 | $650 | 0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$258.49–$270 | $516.98–$540 | varies |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $645 | $1,290 | 0.3× |
| Excision External Ear Partial Simple Repair (69110) | $280 | $560 | 0.1× |
| Excision Facial Bone (21026) likely a partial charge, not the full procedure |
$500 | $1,000 | 0.1× |
| Excision gum each quadrant (41820) | $1,350 | $2,700 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $176.70 | $353.40 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $208.54 | $417.08 | 0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$225.87–$300 | $451.74–$600 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$285–$286.46 | $570–$572.92 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$125–$183.29 | $250–$366.58 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$291.48–$292.50 | $582.96–$585 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$469.61–$485 | $939.22–$970 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $177.82 | $355.64 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$209.35–$222.50 | $418.70–$445 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$225–$233.51 | $450–$467.02 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$272.50–$309.52 | $545–$619.04 | varies |
| Excision malignant tumor mandible (21044) likely a partial charge, not the full procedure |
$750 | $1,500 | 0.1× |
| Excision Maxillary Torus Palatinus (21032) | $375 | $750 | 0.1× |
| Excision Multiple External Papillae/Tags Anus (46230) | $269.50 | $539 | 0.1× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) likely a partial charge, not the full procedure |
$1,000 | $2,000 | 0.2× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) | $455 | $910 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $550 | $1,100 | 0.4× |
| Excision of gum lesion (41828) | $300 | $600 | 0.2× |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$250–$320 | $500–$640 | varies |
| Excision of osseous tuberosities, dentoalveolar structures (41823) likely a partial charge, not the full procedure |
$800 | $1,600 | 0.2× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) unusually low: confirm this is the full procedure |
$1,575 | $3,150 | 0.3× |
| Excision of vaginal cyst or tumor (57135) | $225 | $450 | 0.1× |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$500–$1,954 | $1,000–$3,908 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,000 | $2,000 | 0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $900 | $1,800 | 0.4× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) likely a partial charge, not the full procedure |
$1,000 | $2,000 | 0.2× |
| Excision Torus Mandibularis (21031) | $1,000 | $2,000 | 0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$650–$2,350 | $1,300–$4,700 | varies |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $550 | $1,100 | 0.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $440 | $880 | 0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $500 | $1,000 | 0.4× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) | $625 | $1,250 | 0.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $500 | $1,000 | 0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $324.50 | $649 | 0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $342.50 | $685 | 0.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $650 | $1,300 | 0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $1,000 | $2,000 | 0.4× |
| Explo/Drain Breast Abscess (19020) | $395 | $790 | 0.3× |
| Exploration penetrating wound spx extremity (20103) | $500 | $1,000 | 0.4× |
| Fine needle aspiration without imaging guidance (10021) | $100 | $200 | 0.3× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$125–$650 | $250–$1,300 | varies |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) likely a partial charge, not the full procedure |
$1,200 | $2,400 | 0.2× |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$500–$700 | $1,000–$1,400 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) | $600 | $1,200 | 0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) | $500 | $1,000 | 0.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) | $395 | $790 | 0.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $250 | $500 | 0.3× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) | $532.50 | $1,065 | 0.2× |
| Hysteroscopy Biopsy (58558) | $462.50 | $925 | 0.2× |
| Hysteroscopy Dx Sep Proc (58555) | $375 | $750 | 0.1× |
| Hysteroscopy Endometrial Ablation (58563) | $1,500 | $3,000 | 0.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $400 | $800 | 0.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $800 | $1,600 | 0.2× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$77.50–$109.01 | $155–$218.02 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $475 | $950 | 0.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$750–$1,325 | $1,500–$2,650 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $400 | $800 | 0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $712.50 | $1,425 | 0.3× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $300 | $600 | 0.1× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $400 | $800 | 0.2× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $550 | $1,100 | 0.2× |
| I&d perianal abscess superficial (46050) | $83 | $166 | 0.1× |
| I&d pilonidal cyst complicated (10081) | $170 | $340 | 0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines |
$215.50–$375 | $431–$750 | varies |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $125 | $250 | 0.2× |
| Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$750 | $1,500 | 0.1× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$225 | $450 | 0.0× |
| Incise external hemorrhoid (46083) | $150 | $300 | 0.7× |
| Incise finger tendon sheath (26055) | $850 | $1,700 | 0.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$86–$190.12 | $172–$380.24 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $392 | $784 | 0.2× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$84–$275 | $168–$550 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$68.50–$131 | $137–$262 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $150 | $300 | 0.6× |
| Incision of rectal abscess (46040) | $550 | $1,100 | 0.5× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $72.50 | $145 | 0.1× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$95–$125.50 | $190–$251 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$22.50–$48 | $45–$96 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$160–$250 | $320–$500 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$45–$180 | $90–$360 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$175–$250 | $350–$500 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$49.50–$50 | $99–$100 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$127.50–$250 | $255–$500 | varies |
| Injection single tendon origin/insertion (20551) | $35 | $70 | 0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$46–$225 | $92–$450 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $55 | $110 | 0.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$100–$175 | $200–$350 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $57.50 | $115 | 0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$37.50–$50 | $75–$100 | varies |
| Insert Bladder Cath Complex (51703) | $68.50 | $137 | 0.6× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$128.50–$130 | $257–$260 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $325 | $650 | 0.2× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$115–$444 | $230–$888 | varies |
| Insert pessary/other device (57160) | $62.50 | $125 | 0.4× |
| Insert Temp Bladder Cath (51702) | $39.50 | $79 | 0.3× |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$500–$900 | $1,000–$1,800 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $37.50 | $75 | 0.3× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) | $380 | $760 | 0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $375 | $750 | 0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$140–$450 | $280–$900 | varies |
| Insj/rplcmt breast implant sep day mastectomy (19342) likely a partial charge, not the full procedure |
$625 | $1,250 | 0.1× |
| Insrt/Redo Neurostim 1 Array (61885) likely a partial charge, not the full procedure |
$465 | $930 | 0.0× |
| Interdental fixation (21110) | $350 | $700 | 0.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $270.50 | $541 | 0.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $338 | $676 | 1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) | $375 | $750 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$121.50–$207.50 | $243–$415 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $175 | $350 | 0.8× |
| Knee arthroscopy/drainage (29871) | $800 | $1,600 | 0.3× |
| Knee Arthroscopy/Surgery (29874) | $750 | $1,500 | 0.3× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$1,000 | $2,000 | 0.1× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$535 | $1,070 | 0.1× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$500 | $1,000 | 0.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$650 | $1,300 | 0.1× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$550 | $1,100 | 0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$650 | $1,300 | 0.1× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$1,550 | $3,100 | 0.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$550 | $1,100 | 0.1× |
| Laparoscopy, Tubal Block (58671) likely a partial charge, not the full procedure |
$500 | $1,000 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$750 | $1,500 | 0.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$950 | $1,900 | 0.2× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $175 | $350 | 0.1× |
| Late closure of wound (13160) | $722 | $1,444 | 0.2× |
| Ligation or biopsy temporal artery (37609) | $275 | $550 | 0.2× |
| Manipulation tmj therapeutic require anesthesia (21073) | $700 | $1,400 | 0.5× |
| Marsupialization of bartholin's gland cyst (56440) | $250 | $500 | 0.1× |
| Mast mod rad (19307) likely a partial charge, not the full procedure |
$1,500 | $3,000 | 0.3× |
| Mastectomy partial (19301) | $425 | $850 | 0.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$1,200 | $2,400 | 0.2× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$1,312.50–$3,450 | $2,625–$6,900 | varies |
| Myelography via lumbar injection rs&i cervical (62302) range across 2 matching MRF lines |
$105–$700 | $210–$1,400 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$95–$175 | $190–$350 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$40–$192.50 | $80–$385 | varies |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) range across 2 matching MRF lines |
$170–$1,750 | $340–$3,500 | varies |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $7,100 | $14,200 | 1.2× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$350–$900 | $700–$1,800 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,100 | $6,200 | 1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$135–$242.50 | $270–$485 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$107.50–$800 | $215–$1,600 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$97.50–$750 | $195–$1,500 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$95–$750 | $190–$1,500 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 2 matching MRF lines |
$80–$1,025 | $160–$2,050 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$650 | $1,300 | 0.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,000 | $2,000 | 0.2× |
| Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$1,850 | $3,700 | 0.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$750 | $1,500 | 0.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$1,000 | $2,000 | 0.2× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) likely a partial charge, not the full procedure |
$1,015 | $2,030 | 0.2× |
| Open treatment of mandibular condylar fracture Facility (21465) likely a partial charge, not the full procedure |
$800 | $1,600 | 0.2× |
| Open treatment of mandibular fracture with external fixation Facility (21454) likely a partial charge, not the full procedure |
$500 | $1,000 | 0.1× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$1,250 | $2,500 | 0.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$925 | $1,850 | 0.1× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$950 | $1,900 | 0.2× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) range across 2 matching MRF lines |
$1,375–$2,720 | $2,750–$5,440 | varies |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) likely a partial charge, not the full procedure |
$872.50 | $1,745 | 0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $750 | $1,500 | 0.3× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure |
$1,505 | $3,010 | 0.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) likely a partial charge, not the full procedure |
$1,400 | $2,800 | 0.2× |
| Partical Excision Bone Phalanx Toe (28124) | $750 | $1,500 | 0.3× |
| Percut Drain/Inject Renal Cyst (50390) range across 2 matching MRF lines |
$150–$750 | $300–$1,500 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$100–$625 | $200–$1,250 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $900 | $1,800 | 0.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $725 | $1,450 | 0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $92.50 | $185 | 0.1× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) likely a partial charge, not the full procedure |
$900 | $1,800 | 0.1× |
| Punch biopsy skin single lesion (11104) | $133.70 | $267.40 | 0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$58.50–$105 | $117–$210 | varies |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) | $650 | $1,300 | 0.2× |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) likely a partial charge, not the full procedure |
$825 | $1,650 | 0.2× |
| Reconstruct upper jaw bone (21206) likely a partial charge, not the full procedure |
$900 | $1,800 | 0.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$182.50–$650 | $365–$1,300 | varies |
| Removal Foreign Body Foot Complicated (28193) | $600 | $1,200 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$55–$106 | $110–$212 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $375 | $750 | 0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$32–$32.50 | $64–$65 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $146 | $292 | 0.1× |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$140–$378.50 | $280–$757 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $300 | $600 | 0.2× |
| Removal of a lesion from the floor of the mouth (41116) | $1,500 | $3,000 | 0.5× |
| Removal of anal fissure (46200) | $2,400 | $4,800 | 1.0× |
| Removal of heel spur (28119) | $750 | $1,500 | 0.3× |
| Removal of mammary implant material (19330) | $650 | $1,300 | 0.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$142–$200 | $284–$400 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$50–$125 | $100–$250 | varies |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$146.12–$147.50 | $292.24–$295 | varies |
| Remove Forearm Foreign Body (25248) | $500 | $1,000 | 0.4× |
| Remove foreign body from eye (65205) | $37.50 | $75 | 0.3× |
| Remove groin lymph nodes (38760) likely a partial charge, not the full procedure |
$775 | $1,550 | 0.1× |
| Remove hip pressure sore (15940) | $662.50 | $1,325 | 0.3× |
| Remove Intrauterine Device (58301) | $597 | $1,194 | 2.3× |
| Remove Nasal Foreign Body (30300) | $51 | $102 | 0.4× |
| Remove Shoulder Foreign Body (23330) | $68.50 | $137 | 0.0× |
| Remove Tendon Sheath Lesion (26160) | $600 | $1,200 | 0.4× |
| Reopen fallopian tube (58350) | $150 | $300 | 0.0× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$900 | $1,800 | 0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $298 | $596 | 0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $411 | $822 | 0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $240 | $480 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$367–$492.80 | $734–$985.60 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$207–$322.85 | $414–$645.70 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$268–$392.51 | $536–$785.02 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$198.50–$309.01 | $397–$618.02 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$248.50–$364.15 | $497–$728.30 | varies |
| Repair Fistula Oromaxillary (30580) range across 2 matching MRF lines |
$650–$1,950 | $1,300–$3,900 | varies |
| Repair gum (41872) | $1,500 | $3,000 | 0.5× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $600 | $1,200 | 0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$800–$3,200 | $1,600–$6,400 | varies |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) | $750 | $1,500 | 0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $155 | $310 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $167 | $334 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $188 | $376 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $206.50 | $413 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $393.50 | $787 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $177.50 | $355 | 0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $135 | $270 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $166 | $332 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $193.50 | $387 | 0.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $313.50 | $627 | 0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $228.50 | $457 | 0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $124 | $248 | 0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$171–$250 | $342–$500 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$264.50–$375 | $529–$750 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$177–$300 | $354–$600 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $306 | $612 | 0.2× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$650 | $1,300 | 0.1× |
| Repair Rotator Cuff Chronic (23412) likely a partial charge, not the full procedure |
$1,000 | $2,000 | 0.2× |
| Repair tongue laceration (41252) | $200 | $400 | 1.0× |
| Repair tongue laceration (41250) | $132.50 | $265 | 0.3× |
| Repair Tooth Socket (41874) range across 3 matching MRF lines |
$325–$1,500 | $650–$3,000 | varies |
| Replace g/c tube perc (49450) | $250 | $500 | 0.3× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$114–$129.50 | $228–$259 | varies |
| Revision of reconstructed breast (19380) likely a partial charge, not the full procedure |
$675 | $1,350 | 0.1× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $250 | $500 | 0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $94 | $188 | 0.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $46 | $92 | 0.1× |
| Rmvl fecal impaction/fb spx under anes (45915) | $350 | $700 | 0.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $500 | $1,000 | 0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $68 | $136 | 0.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$400–$575 | $800–$1,150 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$200–$275 | $400–$550 | varies |
| Rmvl/revj sling stress incontinence (57287) | $725 | $1,450 | 0.3× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$67.50–$180 | $135–$360 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$79–$231 | $158–$462 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 2 matching MRF lines |
$265–$1,550 | $530–$3,100 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$650 | $1,300 | 0.1× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) likely a partial charge, not the full procedure |
$650 | $1,300 | 0.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $275 | $550 | 0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$184.50–$400 | $369–$800 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $284.50 | $569 | 0.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $250 | $500 | 0.3× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $300 | $600 | 0.3× |
| Shave skin lesion 0.5 cm/< (11300) | $88.22 | $176.44 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $103.04 | $206.08 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $93.41 | $186.82 | 0.5× |
| Sigmoidoscopy & Polypectomy (45333) | $280 | $560 | 0.3× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $225 | $450 | 0.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $250 | $500 | 0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $228.50 | $457 | 0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$95.50–$97.50 | $191–$195 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$109.50–$121.50 | $219–$243 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $275 | $550 | 0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $183 | $366 | 1.1× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $300 | $600 | 1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $92 | $184 | 0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $248.50 | $497 | 1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $135 | $270 | 0.8× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) range across 2 matching MRF lines |
$567.50–$1,950 | $1,135–$3,900 | varies |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) likely a partial charge, not the full procedure |
$575 | $1,150 | 0.1× |
| Skin Full Grft Face/Genit/Hf (15240) | $750 | $1,500 | 0.4× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$260–$377 | $520–$754 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$287.50–$377 | $575–$754 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$334–$590 | $668–$1,180 | varies |
| Skin Tissue Procedure (17999) range across 18 matching MRF lines |
$25–$650 | $50–$1,300 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$316–$590 | $632–$1,180 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $1,000 | $2,000 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$103.50–$114.50 | $207–$229 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $169.50 | $339 | 0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $216 | $432 | 0.6× |
| Sphincterotomy anal division sphincter spx (46080) | $325 | $650 | 0.1× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$162.50–$250 | $325–$500 | varies |
| Strapping ankle (29540) | $72.50 | $145 | 0.5× |
| Strapping elbow or wrist (29260) | $72.50 | $145 | 1.4× |
| Strapping hand/finger (29280) | $15.50 | $31 | 0.3× |
| Strapping knee (29530) | $62 | $124 | 0.5× |
| Strapping shoulder (29240) | $91.50 | $183 | 0.8× |
| Strapping toes (29550) | $72.50 | $145 | 1.4× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$60–$142 | $120–$284 | varies |
| Surg tx anal fistula subq (46270) | $387.50 | $775 | 0.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $494 | $988 | 0.2× |
| Tangential biopsy skin single lesion (11102) | $82.50 | $165 | 0.2× |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$100–$425 | $200–$850 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $620.84 | $1,241.67 | 0.3× |
| Tooth extraction (41899) | $150 | $300 | 0.7× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$2,150–$2,600 | $4,300–$5,200 | varies |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $350 | $700 | 0.1× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) | $625 | $1,250 | 0.4× |
| Transection or avulsion of; infraorbital nerve Facility (64734) | $437.50 | $875 | 0.3× |
| Transection or avulsion of; mental nerve Facility (64736) range across 2 matching MRF lines |
$325–$1,350 | $650–$2,700 | varies |
| Transrectal Drainage of Pelvic Abscess (45000) | $375 | $750 | 0.4× |
| Treat Dental Ridge Fracture (21440) | $490 | $980 | 0.2× |
| Treat Finger Fracture Each (26727) | $650 | $1,300 | 0.2× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$1,025 | $2,050 | 0.2× |
| Treat humerus fracture (24500) | $126.50 | $253 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $200 | $400 | 0.9× |
| Treatment of foot infection (28003) | $475 | $950 | 0.2× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$25–$200 | $50–$400 | varies |
| Trim skin lesions 2 to 4 (11056) | $37.50 | $75 | 0.2× |
| Trim skin lesions over 4 (11057) | $50 | $100 | 0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $325 | $650 | 0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $179.50 | $359 | 0.3× |
| Tx superficial wound dehiscence w/packing (12021) | $132 | $264 | 0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $79.50 | $159 | 0.4× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $750 | $1,500 | 0.2× |
| Unlisted hysteroscopy procedure, uterus (58579) | $250 | $500 | 1.4× |
| Unlisted procedure anus (46999) | $550 | $1,100 | 0.7× |
| Unlisted Procedure Rectum (45999) | $2,400 | $4,800 | 3.0× |
| Unlisted procedure stomach (43999) | $1,022.50 | $2,045 | 1.3× |
| Unlisted Procedure Vascular Surgery (37799) range across 3 matching MRF lines |
$37.50–$150 | $75–$300 | varies |
| Vag hyst w/t/o & vag repair (58263) | $1,000 | $2,000 | 0.2× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$828–$1,442 | $1,656–$2,884 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $875 | $1,750 | 0.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $1,000 | $2,000 | 0.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $550 | $1,100 | 0.3× |
| Vestibuloplasty Anterior (40840) likely a partial charge, not the full procedure |
$675 | $1,350 | 0.1× |
| Wedge excision skin nail fold (11765) | $142 | $284 | 0.4× |
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.