Procedures & surgery prices at Northeastern Health System
Tahlequah, OK · every code in this section with a posted price and a Medicare benchmark.
462 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 |
$642.75–$1,404.75 | $857–$1,873 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$562.50–$1,404.75 | $750–$1,873 | varies |
| Amniocentesis diagnostic (59000) | $366.75 | $489 | 0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $5,017.50 | $6,690 | 1.6× |
| Amputation metatarsal with toe single (28810) | $4,687.50 | $6,250 | 1.5× |
| Anal/Urinary Muscle Study (51784) | $243 | $324 | 2.0× |
| Anoscopy Control Bleeding (46614) | $1,950.75 | $2,601 | 1.7× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $3,696 | $4,928 | 0.8× |
| Apheresis Platelets (36513) | $1,125 | $1,500 | 2.7× |
| Application Finger Splint Dynamic (29131) | $102.75 | $137 | 1.8× |
| Application finger splint static (29130) | $96 | $128 | 0.8× |
| Application long arm splint shoulder hand (29105) | $232.50 | $310 | 1.5× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$232.50–$251.25 | $310–$335 | varies |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$337.50–$431.25 | $450–$575 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$116.25–$195 | $155–$260 | varies |
| Application short arm splint forearm-hand static (29125) | $148.50 | $198 | 1.2× |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$117.75–$253.50 | $157–$338 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$151.50–$253.50 | $202–$338 | varies |
| Arterial puncture (36600) | $112.50 | $150 | 0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$463.50–$4,352.25 | $618–$5,803 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$442.50–$463.50 | $590–$618 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$453.75–$476.25 | $605–$635 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$642.75–$1,086 | $857–$1,448 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$176.25–$562.50 | $235–$750 | varies |
| Aspiration bladder trocar/intracatheter (51101) | $337.50 | $450 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$159–$311.25 | $212–$415 | varies |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$1,084.50–$1,085.25 | $1,446–$1,447 | varies |
| Biopsy bone open superficial (20240) | $562.50 | $750 | 0.2× |
| Biopsy bone trocar/needle deep (20225) | $1,767.75 | $2,357 | 1.1× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $883.50 | $1,178 | 0.6× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$1,560–$2,812.50 | $2,080–$3,750 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $1,125 | $1,500 | 0.7× |
| Bladder instillation anticarcinogenic agent (51720) | $321 | $428 | 0.5× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$208.50–$209.25 | $278–$279 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$87.75–$88.50 | $117–$118 | varies |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) | $1,575 | $2,100 | 0.8× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) range across 2 matching MRF lines |
$1,575–$2,681.25 | $2,100–$3,575 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $481.50 | $642 | 1.6× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$334.50–$690 | $446–$920 | varies |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$883.50–$2,441.25 | $1,178–$3,255 | varies |
| Bone Marrow; Aspiration Only (38220) | $2,409.75 | $3,213 | 1.5× |
| Breast augmentation with implant (19325) range across 2 matching MRF lines |
$1,200–$1,950 | $1,600–$2,600 | varies |
| Breast Reduction (19318) range across 2 matching MRF lines |
$3,150–$5,475 | $4,200–$7,300 | varies |
| Bronchoscopy W/Biopsy(S) (31625) | $1,047 | $1,396 | 0.6× |
| Bx breast 1st lesion us imag (19083) | $1,606.50 | $2,142 | 1.0× |
| Canthotomy Separate Procedure (67715) | $4,047.08 | $5,396.10 | 1.8× |
| Carpal Tunnel Surgery (64721) | $2,983.50 | $3,978 | 1.6× |
| Cerclage cervix pregnancy vaginal (59320) | $1,205.25 | $1,607 | 0.4× |
| Cessj Therapy Cath Removal (37214) | $2,410.50 | $3,214 | 0.8× |
| Change Cystostomy Tube Simple (51705) | $321 | $428 | 1.3× |
| Change of Windpipe Airway (31502) | $352.50 | $470 | 1.5× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$313.50–$322.50 | $418–$430 | varies |
| Chest tube placement (32551) | $642.75 | $857 | 0.4× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $5,522.25 | $7,363 | 1.6× |
| Circumcision 28 days or older (54161) | $3,109.50 | $4,146 | 1.5× |
| Circumcision w/clamp/oth dev w/block (54150) | $723 | $964 | 0.4× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,415 | $3,220 | 1.6× |
| Clear outer ear canal (69200) | $311.25 | $415 | 2.4× |
| Closed Rx Spontaneous Hip Disloc (27256) | $402 | $536 | 1.7× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,467.50 | $3,290 | 1.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $309 | $412 | 1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,351.25 | $3,135 | 1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $358.50 | $478 | 1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,347.50 | $3,130 | 1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) | $402.75 | $537 | 1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $390 | $520 | 1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) | $381.75 | $509 | 0.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $463.50 | $618 | 0.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $358.50 | $478 | 1.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $366 | $488 | 1.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $390 | $520 | 1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,415 | $3,220 | 1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $562.50 | $750 | 2.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,687.50 | $2,250 | 1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $358.50 | $478 | 1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $426.75 | $569 | 1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $366 | $488 | 1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $358.50 | $478 | 1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,205.25 | $1,607 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $402 | $536 | 1.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,346.75 | $3,129 | 1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $418.50 | $558 | 1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$358.50–$426.75 | $478–$569 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$345–$358.50 | $460–$478 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $360 | $480 | 1.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,158.75 | $1,545 | 0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $360 | $480 | 1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $358.50 | $478 | 1.5× |
| Cltx post hip arthrp dislc req anes (27266) | $2,346.75 | $3,129 | 1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) | $378 | $504 | 1.6× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $416.25 | $555 | 1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $366 | $488 | 1.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,351.25 | $3,135 | 1.5× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $366 | $488 | 1.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,421.75 | $3,229 | 1.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $366 | $488 | 1.5× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$68.25–$120.75 | $91–$161 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$7.50–$16.50 | $10–$22 | varies |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,878.75 | $2,505 | 1.6× |
| Colposcopy cervix upper/adjacent vagina (57452) | $201 | $268 | 1.0× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$1,325.25–$4,567.50 | $1,767–$6,090 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $210.75 | $281 | 1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $136.50 | $182 | 1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
$2,491.50–$2,492.25 | $3,322–$3,323 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $201 | $268 | 1.6× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $3,109.50 | $4,146 | 1.5× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $3,109.50 | $4,146 | 1.5× |
| Cysto w/insert ureteral stent (52332) | $2,811.75 | $3,749 | 0.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $5,394 | $7,192 | 1.6× |
| Cysto w/removal of lesions small (52224) | $3,109.50 | $4,146 | 0.9× |
| Cysto w/removal of tumors small (52234) | $5,227.50 | $6,970 | 1.5× |
| Cysto W/Simple Removal Stone & Stent (52310) | $3,109.50 | $4,146 | 1.5× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $7,183.50 | $9,578 | 1.4× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) | $5,229 | $6,972 | 1.5× |
| Cystometrogram W/Vp (51728) | $1,004.25 | $1,339 | 1.5× |
| Cystometrogram W/Vp&Up (51729) | $1,004.25 | $1,339 | 1.5× |
| Cystoscopy implant stent (52282) | $5,229 | $6,972 | 1.5× |
| Cystostomy Cystotomy W/Drainage (51040) | $3,109.50 | $4,146 | 1.5× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $5,229.75 | $6,973 | 1.5× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $7,184.25 | $9,579 | 1.4× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $3,108.75 | $4,145 | 1.5× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | $5,229.75 | $6,973 | 1.5× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $3,109.50 | $4,146 | 1.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $317.25 | $423 | 0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$351–$1,008.75 | $468–$1,345 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$76.50–$97.50 | $102–$130 | varies |
| Debride nail 6 or more (11721) | $97.50 | $130 | 1.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$639–$2,606.25 | $852–$3,475 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$281.25–$641.25 | $375–$855 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$281.25–$321 | $375–$428 | varies |
| Delivery of placenta (59414) | $1,205.25 | $1,607 | 0.4× |
| Destruct B9 Lesion 1-14 (17110) | $315.75 | $421 | 1.6× |
| Dilation Esophagus Guide Wire (43453) | $2,783.25 | $3,711 | 1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,102.50 | $1,470 | 1.6× |
| Drainage of finger abscess simple (26010) | $231.75 | $309 | 1.2× |
| Drainage of gum lesion (41800) | $253.50 | $338 | 2.0× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$642.75–$2,606.25 | $857–$3,475 | varies |
| Drainage of hydrocele (55000) | $1,035 | $1,380 | 1.5× |
| Drainage of scrotal wall abscess (55100) | $2,441.25 | $3,255 | 1.5× |
| Drainage of scrotum (54700) | $3,366 | $4,488 | 1.7× |
| Draw Blood Off Venous Device (36591) | $195.75 | $261 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$421.50–$641.25 | $562–$855 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$240.75–$322.50 | $321–$430 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$160.50–$322.50 | $214–$430 | varies |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $2,767.50 | $3,690 | 1.4× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$883.50–$4,070.25 | $1,178–$5,427 | varies |
| Dx Bronchoscope/Lavage (31624) | $2,613 | $3,484 | 1.5× |
| Dx Bronchoscope/Wash (31622) | $2,934 | $3,912 | 1.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$494.25–$1,143.75 | $659–$1,525 | varies |
| Egd place gastrostomy tube (43246) | $2,441.25 | $3,255 | 1.3× |
| Electro-Uroflowmetry First (51741) | $243 | $324 | 1.2× |
| Emblc/thrmbc ax brach innominate subcla art (34101) | $8,916 | $11,888 | 1.7× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $4,047.75 | $5,397 | 1.3× |
| Endoven ther chem adhes 1st (36482) | $4,056 | $5,408 | 0.8× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,931 | $3,908 | 1.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$2,088.75–$2,931 | $2,785–$3,908 | varies |
| Epidural Blood Patch (62273) | $1,004.25 | $1,339 | 1.5× |
| Episiotomy or vaginal repair (59300) | $4,333.50 | $5,778 | 1.4× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$87.75–$206.25 | $117–$275 | varies |
| Exc abdl tum deep 5 cm/> (22901) | $1,276.50 | $1,702 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $2,457 | $3,276 | 1.5× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $4,248.75 | $5,665 | 1.5× |
| Exc/fulguration urethral caruncle (53265) | $3,108.75 | $4,145 | 1.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,294 | $4,392 | 1.0× |
| Excise excessive skin arm (15836) range across 2 matching MRF lines |
$1,893.75–$3,243.75 | $2,525–$4,325 | varies |
| Excision Excessive Skin & Subq Tissue Buttock (15835) range across 2 matching MRF lines |
$3,075–$5,475 | $4,100–$7,300 | varies |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) unusually low: confirm this is the full procedure |
$2,306.25 | $3,075 | 0.4× |
| Excision spermatocele w/wo epididymectomy (54840) | $2,329.50 | $3,106 | 1.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) | $1,575 | $2,100 | 0.6× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) | $4,631.25 | $6,175 | 1.7× |
| Explo/Drain Breast Abscess (19020) | $2,492.25 | $3,323 | 1.6× |
| Exploration Penetrating Wound Spx Neck (20100) | $883.42 | $1,177.89 | 1.7× |
| External cephalic version (59412) range across 2 matching MRF lines |
$1,205.25–$4,648.50 | $1,607–$6,198 | varies |
| Fetal Contraction Stress Test (59020) | $120.75 | $161 | 0.6× |
| Fetal non-stress test (59025) | $180.75 | $241 | 0.9× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$562.50–$647.25 | $750–$863 | varies |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$530.25–$1,078.50 | $707–$1,438 | varies |
| Foreskin manipulation (54450) | $421.91 | $562.55 | 1.8× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $2,649.75 | $3,533 | 1.4× |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) range across 2 matching MRF lines |
$1,668.75–$2,793.75 | $2,225–$3,725 | varies |
| Grafting of autologous fat by lipo 25 cc or less (15773) | $1,200 | $1,600 | 0.6× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,406.25 | $1,875 | 1.6× |
| I&d abscess peritonsillar (42700) | $358.50 | $478 | 1.6× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$226.50–$322.50 | $302–$430 | varies |
| I&d pilonidal cyst complicated (10081) | $1,220.25 | $1,627 | 1.8× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$183.75–$1,131 | $245–$1,508 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $4,696.50 | $6,262 | 1.7× |
| Image Cath Fluid Peri/Retro (49406) | $1,687.50 | $2,250 | 1.1× |
| Immediate breast prosthesis (19340) range across 3 matching MRF lines |
$1,275–$2,100 | $1,700–$2,800 | varies |
| Incise external hemorrhoid (46083) | $471 | $628 | 2.0× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$305.25–$641.25 | $407–$855 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$600–$641.25 | $800–$855 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $296.25 | $395 | 1.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $487.50 | $650 | 1.7× |
| Incision of rectal abscess (46040) | $1,837.50 | $2,450 | 1.6× |
| Incision&drainage bursa foot (28001) | $2,601 | $3,468 | 1.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,601 | $3,468 | 1.6× |
| Incisional biopsy skin single lesion (11106) | $1,008.75 | $1,345 | 1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $322.50 | $430 | 1.7× |
| Inj W/Fluor Eval Cv Device (36598) | $281.25 | $375 | 1.4× |
| Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205) | $7,184.25 | $9,579 | 1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $453.75 | $605 | 1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,101 | $1,468 | 1.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$602.25–$1,117.50 | $803–$1,490 | varies |
| Ins cath ren art 1st bilat (36252) | $4,017 | $5,356 | 1.3× |
| Ins cath ren art 1st unilat (36251) | $3,213.75 | $4,285 | 1.1× |
| Ins endovas vena cava filtr (37191) unusually low: confirm this is the full procedure |
$2,651.25 | $3,535 | 0.5× |
| Ins/Rep Subq Defibrillator (33270) | $56,962.50 | $75,950 | 1.9× |
| Insert 1 Electrode Pm-Defib (33216) | $4,635 | $6,180 | 0.6× |
| Insert Bladder Cath Complex (51703) | $243 | $324 | 2.0× |
| Insert cath pleura w/o image (32556) | $3,021 | $4,028 | 1.6× |
| Insert cervical dilator (59200) | $168.75 | $225 | 0.6× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,818.50 | $3,758 | 1.5× |
| Insert Heart Pm Atrial (33206) | $10,042.50 | $13,390 | 1.0× |
| Insert Heart Pm Ventricular (33207) | $10,042.50 | $13,390 | 1.0× |
| Insert hepatic shunt (tips) (37182) | $17,422.50 | $23,230 | 1.0× |
| Insert non-tunnel cv cath (36556) | $963.75 | $1,285 | 0.3× |
| Insert Pacing Lead & Connect (33224) range across 2 matching MRF lines |
$7,061.25–$7,873.50 | $9,415–$10,498 | varies |
| Insert pulse gen dual leads (33213) | $12,453 | $16,604 | 1.2× |
| Insert pulse gen mult leads (33221) | $17,273.25 | $23,031 | 0.9× |
| Insert Pulse Gen Sngl Lead (33212) | $10,042.50 | $13,390 | 1.3× |
| Insert Temp Bladder Cath (51702) | $111 | $148 | 0.9× |
| Insert tun ip cath perc (49418) range across 2 matching MRF lines |
$2,208.95–$5,264.25 | $2,945.27–$7,019 | varies |
| Insert tunneled cv cath (36561) | $2,892 | $3,856 | 1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $136.50 | $182 | 1.1× |
| Insertion indwelling tunneled pleural catheter (32550) | $5,522.25 | $7,363 | 1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$165.75–$2,491.50 | $221–$3,322 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $14,143.13 | $18,857.50 | 1.8× |
| Insj Picc Rs&I <5 Yr (36572) | $1,108.50 | $1,478 | 1.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$963.75–$2,437.50 | $1,285–$3,250 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,133.50 | $4,178 | 1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $25,652.25 | $34,203 | 0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $4,173 | $5,564 | 0.5× |
| Insrt heart pm atrial & vent (33208) | $12,453 | $16,604 | 1.2× |
| Insrt Pulse Gen W/Dual Leads (33230) | $24,102 | $32,136 | 1.1× |
| Insrt Pulse Gen W/Singl Lead (33240) | $24,102 | $32,136 | 1.1× |
| Intro cath dialysis circuit (36901) | $963.75 | $1,285 | 0.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $9,670.50 | $12,894 | 0.9× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $5,623.50 | $7,498 | 1.0× |
| Intubation endotracheal emergency procedure (31500) | $321 | $428 | 1.4× |
| Irrigation of corpora cavernosa for priapism (54220) | $461.25 | $615 | 1.9× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $5,046.75 | $6,729 | 1.4× |
| Laryngoscopy diagnostic (31505) | $352.50 | $470 | 1.8× |
| Laryngoscopy flexible diagnostic (31575) | $281.25 | $375 | 1.5× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $212.25 | $283 | 0.6× |
| Ligation of a-v fistula (37607) | $4,965 | $6,620 | 1.6× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $5,167.50 | $6,890 | 1.7× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $5,229.75 | $6,973 | 1.5× |
| Lithotripsy, extracorporeal shock wave (50590) | $5,463 | $7,284 | 1.6× |
| Manipulation wrist under anesthesia (25259) | $2,421.75 | $3,229 | 1.6× |
| Mastopexy (19316) range across 2 matching MRF lines |
$2,587.50–$4,462.50 | $3,450–$5,950 | varies |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,953 | $2,604 | 1.3× |
| Mech remov tunneled cv cath (36595) | $4,718.25 | $6,291 | 1.6× |
| Myelography Lumbar Injection (62305) | $883.50 | $1,178 | 1.2× |
| Myelography Lumbar Injection (62304) | $883.50 | $1,178 | 1.2× |
| Myelography via lumbar injection rs&i cervical (62302) | $883.50 | $1,178 | 1.2× |
| N Block Inj Pudendal (64430) | $1,367.25 | $1,823 | 1.6× |
| Nasal/Orogastric W/Tube Plmt (43752) | $124.50 | $166 | 0.3× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$963.75–$2,441.25 | $1,285–$3,255 | varies |
| Needle Biopsy Pancreas (48102) | $1,285.50 | $1,714 | 0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $47.25 | $63 | 1.7× |
| Needle insertion w/o injection 3 or more muscles (20561) | $45 | $60 | 1.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $453.75 | $605 | 1.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
$301.50–$402 | $402–$536 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 2 matching MRF lines |
$763.50–$1,408.50 | $1,018–$1,878 | varies |
| Njx Sclrsnt Spider Veins (36468) | $647.25 | $863 | 1.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $11,824.50 | $15,766 | 1.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $5,628.75 | $7,505 | 1.8× |
| Open/Perq Place Stent 1St (37236) | $13,657.50 | $18,210 | 1.2× |
| Open/Perq Place Stent Same (37238) | $9,640.50 | $12,854 | 0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $11,475 | $15,300 | 1.6× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $3,538.50 | $4,718 | 1.2× |
| Peri-Implant Capsulectomy Breast Complete (19371) range across 2 matching MRF lines |
$1,200–$1,950 | $1,600–$2,600 | varies |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$2,439.75–$2,582.25 | $3,253–$3,443 | varies |
| Perq dev breast 1st us imag (19285) | $963.75 | $1,285 | 1.4× |
| Perq device breast 1st imag (19281) | $193.50 | $258 | 0.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) range across 2 matching MRF lines |
$13,657.50–$13,687.50 | $18,210–$18,250 | varies |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $6,748.50 | $8,998 | 1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $10,867.50 | $14,490 | 1.6× |
| Perq Vertebral Augmentation (22513) | $10,867.50 | $14,490 | 1.6× |
| Place Cath Subclavian Art (36225) | $4,728 | $6,304 | 1.6× |
| Place Cath Thoracic Aorta (36221) | $3,615 | $4,820 | 1.2× |
| Place Cath Vertebral Art (36226) | $8,448.75 | $11,265 | 1.6× |
| Place Rt Device/Marker Pros (55876) | $2,129.25 | $2,839 | 1.6× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$176.25–$468.75 | $235–$625 | varies |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $6,314.25 | $8,419 | 1.1× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $1,928.25 | $2,571 | 1.0× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$3,538.50 | $4,718 | 0.2× |
| Prostatic microwave thermotx (53850) | $5,229.75 | $6,973 | 1.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,522.25 | $7,363 | 1.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$160.50–$641.25 | $214–$855 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,162.50 | $1,550 | 1.7× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) | $4,248.75 | $5,665 | 1.5× |
| Relocation Pocket Pacemaker (33222) | $1,928.25 | $2,571 | 1.0× |
| Rem Endovas Vena Cava Filter (37193) | $3,454.50 | $4,606 | 1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,131–$1,285.50 | $1,508–$1,714 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $4,697.25 | $6,263 | 3.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $99 | $132 | 1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $63.75 | $85 | 1.1× |
| Removal intact breast implant (19328) range across 2 matching MRF lines |
$1,200–$1,950 | $1,600–$2,600 | varies |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$465.75–$641.25 | $621–$855 | varies |
| Removal of skin wrinkles (15829) range across 3 matching MRF lines |
$1,950–$3,450 | $2,600–$4,600 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $4,718.25 | $6,291 | 1.6× |
| Removal Pacemaker Electrode (33235) | $3,454.50 | $4,606 | 1.0× |
| Removal ppm generator only (33233) | $7,230.75 | $9,641 | 0.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,125 | $1,500 | 1.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $3,014.25 | $4,019 | 1.5× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$418.50–$431.25 | $558–$575 | varies |
| Remove Elctrd Transvenously (33244) | $3,454.50 | $4,606 | 1.0× |
| Remove foreign body from eye (65235) | $3,678.75 | $4,905 | 1.7× |
| Remove foreign body from eye (65205) | $100.50 | $134 | 0.8× |
| Remove Intrauterine Device (58301) | $506.25 | $675 | 1.7× |
| Remove intrvas foreign body (37197) | $2,811.75 | $3,749 | 0.9× |
| Remove Nasal Foreign Body (30300) | $195 | $260 | 1.5× |
| Remove Pulse Generator (33241) | $3,454.50 | $4,606 | 1.0× |
| Remove renal tube w/fluoro (50389) | $883.50 | $1,178 | 1.3× |
| Remove&replace pm gen singl (33227) | $10,042.50 | $13,390 | 1.3× |
| Remv&replc cvd gen dual lead (33263) | $41,169 | $54,892 | 1.9× |
| Remv&replc cvd gen mult lead (33264) unusually low: confirm this is the full procedure |
$10,344 | $13,792 | 0.3× |
| Remv&replc cvd gen sing lead (33262) | $44,067 | $58,756 | 2.1× |
| Remv&replc pm gen dual lead (33228) | $12,051 | $16,068 | 1.2× |
| Remv&replc pm gen mult leads (33229) | $31,768.50 | $42,358 | 1.7× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$1,092–$1,125 | $1,456–$1,500 | varies |
| Repair brow ptosis (67900) range across 2 matching MRF lines |
$1,725–$3,000 | $2,300–$4,000 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,038.75 | $1,385 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$540–$1,038.75 | $720–$1,385 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $909.75 | $1,213 | 2.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $6,122.25 | $8,163 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $600 | $800 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $600 | $800 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $613.50 | $818 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $613.50 | $818 | 1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $613.50 | $818 | 1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $347.25 | $463 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,007.25 | $1,343 | 1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $658.50 | $878 | 1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $647.25 | $863 | 1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $600 | $800 | 1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,038.75 | $1,385 | 1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $562.50 | $750 | 1.4× |
| Repair of nail bed (11760) | $909.75 | $1,213 | 1.3× |
| Repair tongue laceration (41252) | $375 | $500 | 1.6× |
| Repair tongue laceration (41250) | $468.75 | $625 | 1.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $3,294 | $4,392 | 0.9× |
| Reposition Gastrostomy Tube (43761) | $415.50 | $554 | 1.7× |
| Reposition Pacing-Defib Lead (33215) | $1,807.50 | $2,410 | 0.6× |
| Rerepair ing hernia reduce (49520) | $6,122.25 | $8,163 | 1.8× |
| Revise external ear (69300) range across 2 matching MRF lines |
$2,043.75–$3,543.75 | $2,725–$4,725 | varies |
| Revision of urethra (53460) | $3,109.50 | $4,146 | 0.9× |
| Revision Peri-Implant Capsule Breast (19370) range across 2 matching MRF lines |
$1,200–$1,950 | $1,600–$2,600 | varies |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $5,643.75 | $7,525 | 1.7× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) | $9,890.65 | $13,187.53 | 1.8× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) | $9,890.65 | $13,187.53 | 1.8× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) | $31,150.22 | $41,533.63 | 1.8× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) | $31,150.22 | $41,533.63 | 1.8× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) | $31,150.22 | $41,533.63 | 1.8× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) | $31,150.22 | $41,533.63 | 1.8× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) | $19,672.94 | $26,230.58 | 1.8× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) | $19,672.94 | $26,230.58 | 1.8× |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) | $19,672.94 | $26,230.58 | 1.8× |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) | $19,672.94 | $26,230.58 | 1.8× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) | $9,890.65 | $13,187.53 | 1.8× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) | $9,890.65 | $13,187.53 | 1.8× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) | $19,672.94 | $26,230.58 | 1.8× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) | $19,672.94 | $26,230.58 | 1.8× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) | $19,672.94 | $26,230.58 | 1.8× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) | $19,672.94 | $26,230.58 | 1.8× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) | $31,150.22 | $41,533.63 | 1.8× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) | $31,150.22 | $41,533.63 | 1.8× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) | $31,150.22 | $41,533.63 | 1.8× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) | $31,150.22 | $41,533.63 | 1.8× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) | $31,150.22 | $41,533.63 | 1.8× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) | $31,150.22 | $41,533.63 | 1.8× |
| Rhinoplasty primary w/major septal repair (30420) unusually low: confirm this is the full procedure |
$2,250 | $3,000 | 0.4× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) unusually low: confirm this is the full procedure |
$1,725 | $2,300 | 0.3× |
| Rhytidectomy Cheek Chin & Neck (15828) | $2,137.50 | $2,850 | 0.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,359.75 | $1,813 | 1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$468.75–$480 | $625–$640 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $195 | $260 | 1.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $4,697.25 | $6,263 | 1.7× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $2,492.25 | $3,323 | 1.6× |
| Rmvl of subq implantable defibrillator electrode (33272) | $5,962.50 | $7,950 | 1.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $3,454.50 | $4,606 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,085.25 | $1,447 | 0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $642.75 | $857 | 1.1× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$407.25–$461.25 | $543–$615 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$422.25–$461.25 | $563–$615 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,406.25 | $1,875 | 0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $963.75 | $1,285 | 0.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $5,072.25 | $6,763 | 1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,329.50 | $3,106 | 0.8× |
| Rpr blood vessel direct lower extremity (35226) | $1,220.55 | $1,627.40 | 1.8× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,125 | $1,500 | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $303.75 | $405 | 1.6× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $675 | $900 | 1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $236.25 | $315 | 0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $315 | $420 | 1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $315 | $420 | 1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $307.50 | $410 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$303.75–$322.50 | $405–$430 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $318.75 | $425 | 1.7× |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$1,446–$3,033.75 | $1,928–$4,045 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 4 matching MRF lines |
$2,088.75–$3,033.75 | $2,785–$4,045 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$5,767.50–$6,232.50 | $7,690–$8,310 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$2,931–$3,033.75 | $3,908–$4,045 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $3,615 | $4,820 | 1.2× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $8,276.25 | $11,035 | 1.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $3,133.50 | $4,178 | 0.7× |
| Small bowel endoscopy (44366) | $3,144.75 | $4,193 | 1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$312.75–$322.50 | $417–$430 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $555 | $740 | 1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $600 | $800 | 1.5× |
| Spinal puncture lumbar diagnostic (62270) | $494.25 | $659 | 0.7× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $5,643.76 | $7,525.01 | 1.7× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $2,931 | $3,908 | 1.5× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$240.75–$253.50 | $321–$338 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $621.75 | $829 | 1.4× |
| Suction assisted lipectomy; trunk (15877) range across 2 matching MRF lines |
$1,200–$2,475 | $1,600–$3,300 | varies |
| Suction assisted lipectomy; upper extremity (15878) | $1,800 | $2,400 | 0.9× |
| Suction Lipectomy Lwr Extrem (15879) range across 3 matching MRF lines |
$1,200–$2,043.75 | $1,600–$2,725 | varies |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) | $4,543.50 | $6,058 | 1.4× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$156.75–$322.50 | $209–$430 | varies |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $27,435 | $36,580 | 1.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,606.25 | $3,475 | 1.7× |
| Therapeutic plasma exchange (36514) | $1,125 | $1,500 | 0.8× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) | $8,385 | $11,180 | 1.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $16,456.50 | $21,942 | 0.9× |
| Thromblytic art/ven therapy (37213) | $2,410.50 | $3,214 | 0.8× |
| Thrombolytic Art Therapy (37211) likely a partial charge, not the full procedure |
$1,205.25 | $1,607 | 0.2× |
| Thrombolytic Therapy Stroke (37195) | $555 | $740 | 1.7× |
| Thrombolytic Venous Therapy (37212) | $2,410.50 | $3,214 | 0.8× |
| Thyroid biopsy (60100) | $562.50 | $750 | 0.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $369 | $492 | 1.6× |
| Transur electr resection of prostate (52601) | $3,454.50 | $4,606 | 0.7× |
| Transurethral resection bladder neck (52500) | $5,229.75 | $6,973 | 1.5× |
| Treat knee fracture (27532) | $4,911 | $6,548 | 1.6× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$358.50–$360 | $478–$480 | varies |
| Treat Metatarsal Fracture (28475) | $358.50 | $478 | 1.5× |
| Treat Thumb Dislocation (26641) | $360 | $480 | 1.5× |
| Treat toe dislocation (28630) | $375 | $500 | 1.6× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$84–$322.50 | $112–$430 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$84–$322.50 | $112–$430 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$156.75–$322.50 | $209–$430 | varies |
| Trluml Balo Angiop 1St Art (37246) | $7,230.75 | $9,641 | 1.3× |
| Trluml Balo Angiop 1St Vein (37248) range across 2 matching MRF lines |
$6,427.50–$7,230.75 | $8,570–$9,641 | varies |
| Tubal ligation (58600) | $375 | $500 | 0.1× |
| Tx Gastro Intub W/Asp (43753) | $147.75 | $197 | 0.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $2,346.75 | $3,129 | 1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$928.50–$1,008.75 | $1,238–$1,345 | varies |
| Unlisted Procedure External Ear (69399) | $403.50 | $538 | 1.8× |
| Unlisted procedure foot or toes (28899) | $393.75 | $525 | 1.7× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,362 | $1,816 | 1.6× |
| Urinary Reflex Study (51792) | $100.50 | $134 | 1.8× |
| Vasc embolize/occlude artery (37242) range across 2 matching MRF lines |
$9,670.50–$17,422.50 | $12,894–$23,230 | varies |
| Vasc Embolize/Occlude Bleed (37244) | $17,422.50 | $23,230 | 1.6× |
| Vasc Embolize/Occlude Organ (37243) | $17,422.50 | $23,230 | 1.6× |
| Vasc embolize/occlude venous (37241) range across 2 matching MRF lines |
$9,670.50–$17,422.50 | $12,894–$23,230 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,571 | $3,428 | 1.3× |
| Venous Mech Thrombectomy (37187) | $17,795.63 | $23,727.50 | 1.6× |
| Wedge excision skin nail fold (11765) | $87.75 | $117 | 0.2× |
| Wound Prep F/N/Hf/G (15004) | $1,008.75 | $1,345 | 2.6× |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$502.50–$2,931 | $670–$3,908 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.