Procedures & surgery prices at Northern Montana Hospital

Havre, MT · every code in this section with a posted price and a Medicare benchmark.

1055 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 5 matching MRF lines		 $116.90–$932.05 $167–$1,331.50 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 4 matching MRF lines		 $81.90–$670.78 $117–$958.25 varies
Acne surgery (10040) $127.40 $182 0.6×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $564.20 $806 0.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $970.90 $1,387 0.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $696.50 $995 0.3×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $397.60 $568 0.2×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $849.80 $1,214 0.4×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
range across 2 matching MRF lines		 $493.50–$523.60 $705–$748 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $778.40 $1,112 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $786.10–$795.20 $1,123–$1,136 varies
Amputate Metacarpal Bone (26910) $865.90 $1,237 0.3×
Amputation Foot Midtarsal (28800) $589.40 $842 0.2×
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $786.80–$856.10 $1,124–$1,223 varies
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $471.10–$508.20 $673–$726 varies
Amputation thigh through femur any level (27590)
range across 2 matching MRF lines		 $877.80–$945 $1,254–$1,350 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines		 $191.80–$435.40 $274–$622 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $197.40–$464.10 $282–$663 varies
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,003.10 $1,433 0.1×
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882)
range across 2 matching MRF lines		 $660.80–$710.50 $944–$1,015 varies
Amputation, leg, through tibia and fibula; re-amputation (27886) $725.20 $1,036 0.2×
Anal/Urinary Muscle Study (51784)
range across 2 matching MRF lines		 $41.30–$45.50 $59–$65 varies
Ankle Arthroscopy/Surgery (29892)
range across 2 matching MRF lines		 $707–$770.70 $1,010–$1,101 varies
Ankle disarticulation (27889)
likely a partial charge, not the full procedure		 $709.10 $1,013 0.1×
Anoscopy Control Bleeding (46614) $70 $100 0.1×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $45.50–$138.60 $65–$198 varies
Anoscopy remove lesion (46610) $89.60 $128 0.0×
Anoscopy; with biopsy, single or multiple (46606) $84 $120 0.1×
Ant Vesicourethropexy/Urethropexy Smpl (51840)
likely a partial charge, not the full procedure		 $772.10 $1,103 0.2×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $780.50 $1,115 0.2×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $720.30 $1,029 0.1×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $121.28 $173.25 0.7×
Application cast elbow finger short arm (29075) $95.90 $137 0.3×
Application Cast Shoulder Spica (29055) $245.70 $351 0.9×
Application finger splint static (29130)
range across 3 matching MRF lines		 $32.90–$227.15 $47–$324.50 varies
Application Hip Spica Cast 1 Leg (29305) $173.60 $248 0.6×
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $46.20–$227.15 $66–$324.50 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $56.70–$96.60 $81–$138 varies
Application of long leg cast (29345) $150.50 $215 0.5×
Application of rigid total contact leg cast (29445) $142.80 $204 0.5×
Application Short Arm Splint Dynamic (29126) $227.15 $324.50 1.7×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $44.10–$227.15 $63–$324.50 varies
Application short leg splint calf foot (29515) $54.60 $78 0.3×
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $664.30 $949 0.1×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $105.70–$227.15 $151–$324.50 varies
Apply long arm cast (29065) $107.10 $153 0.4×
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $64.40–$88.20 $92–$126 varies
Apply short leg cast (29425) $462.53 $660.75 1.6×
Arterial puncture (36600)
range across 3 matching MRF lines		 $17.50–$135.80 $25–$194 varies
Arteriovenous Anastomosis Open Direct (36821) $730.80 $1,044 0.2×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines		 $813.40–$870.80 $1,162–$1,244 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $41.30–$379.23 $59–$541.75 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $58.10–$436.80 $83–$624 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 10 matching MRF lines		 $50.40–$474.43 $72–$677.75 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $65.80–$436.80 $94–$624 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 6 matching MRF lines		 $39.90–$474.43 $57–$677.75 varies
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $1,125.60–$1,211 $1,608–$1,730 varies
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines		 $370.30–$393.40 $529–$562 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines		 $641.90–$690.20 $917–$986 varies
Arthrodesis triple (28715)
range across 2 matching MRF lines		 $1,045.10–$1,113 $1,493–$1,590 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $1,607.90–$1,722.70 $2,297–$2,461 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure		 $1,334.90 $1,907 0.1×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $926.80 $1,324 0.3×
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure		 $546 $780 0.0×
Arthroplasty Radial Head W/Implant (24366)
likely a partial charge, not the full procedure		 $762.30 $1,089 0.1×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
likely a partial charge, not the full procedure		 $1,106 $1,580 0.1×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $624.40 $892 0.2×
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $548.10–$591.50 $783–$845 varies
Arthroscopy ankle w/removal loose/foreign body (29894) $562.10 $803 0.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $455 $650 0.1×
Arthroscopy shoulder distal claviculectomy (29824) $766.50 $1,095 0.2×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $520.80 $744 0.2×
Arthroscopy, knee, surgical; with lateral release (29873) $601.30 $859 0.2×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $1,022 $1,460 0.1×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $1,225.70 $1,751 0.2×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $672.70 $961 0.2×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $656.60 $938 0.2×
Arthrotomy ankle w/expl drainage/removal fb (27610) $723.10 $1,033 0.2×
Arthrotomy biopsy interphalangeal joint each (26110) $372.40 $532 0.2×
Arthrotomy W/Synovectomy Ankle (27625) $639.80 $914 0.2×
Arthrotomy wrist joint with synovectomy (25105)
range across 2 matching MRF lines		 $545.30–$573.30 $779–$819 varies
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $805 $1,150 0.2×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure		 $660.10 $943 0.1×
Arthrotomy, knee; with synovial biopsy only Facility (27330) $303.10 $433 0.1×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $1,427.30–$1,609.30 $2,039–$2,299 varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $632.80 $904 0.2×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $1,319.50–$1,607.20 $1,885–$2,296 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $1,088.50 $1,555 0.1×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $738.50–$784 $1,055–$1,120 varies
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887)
range across 2 matching MRF lines		 $840.70–$889.70 $1,201–$1,271 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $628.60 $898 0.2×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044)
range across 2 matching MRF lines		 $634.90–$670.60 $907–$958 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620)
range across 2 matching MRF lines		 $502.60–$646.80 $718–$924 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $289.80–$1,783.43 $414–$2,547.75 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $379.40 $542 0.1×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $361.20 $516 0.1×
Arthrt w/synvct kne ant&post w/pop area (27335)
range across 2 matching MRF lines		 $856.80–$906.50 $1,224–$1,295 varies
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $462 $660 0.1×
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines		 $121.10–$768.08 $173–$1,097.25 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $98.70–$670.78 $141–$958.25 varies
Aspirate/Inj Ganglion Cyst (20612) $72.10 $103 0.2×
Aspiration bladder insert suprapubic catheter (51102) $158.20 $226 0.1×
Av Fistula Revision Open (36832)
likely a partial charge, not the full procedure		 $834.40 $1,192 0.1×
Av Fuse Uppr Arm Basilic (36819)
range across 2 matching MRF lines		 $806.40–$872.90 $1,152–$1,247 varies
Av fusion/forearm vein (36820)
range across 2 matching MRF lines		 $793.10–$870.10 $1,133–$1,243 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 5 matching MRF lines		 $59.50–$223.83 $85–$319.75 varies
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $987 $1,410 0.2×
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines		 $91–$1,380.23 $130–$1,971.75 varies
Biopsy bone open deep (20245) $383.60 $548 0.1×
Biopsy bone open superficial (20240)
range across 2 matching MRF lines		 $156.10–$156.80 $223–$224 varies
Biopsy bone trocar/needle deep (20225) $142.80 $204 0.1×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $95.90–$271.60 $137–$388 varies
Biopsy muscle percutaneous needle (20206) $39.90 $57 0.0×
Biopsy of breast; open, incisional (19101) $251.30 $359 0.1×
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines		 $95.90–$1,380.23 $137–$1,971.75 varies
Biopsy of rectum (45100) $336.70 $481 0.1×
Biopsy Pleura Percutaneous Needle (32400) $1,380.23 $1,971.75 0.8×
Biopsy soft tissue neck/thorax (21550) $172.90 $247 0.1×
Biopsy soft tissue thigh/knee area superficial (27323) $124.60 $178 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $65.80 $94 0.1×
Bladder instillation anticarcinogenic agent (51720) $178.85 $255.50 0.3×
Bladder Irrigation (51700) $243.43 $347.75 1.0×
Bladder Scan (51798) $50.93 $72.75 0.8×
Blepharoplasty upper eyelid (15822) $441.70 $631 0.2×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $605.50–$908.25 $865–$1,297.50 varies
Blepharotomy drainage abscess eyelid (67700)
range across 3 matching MRF lines		 $126.70–$324.10 $181–$463 varies
Blood Transfusion Service (36430)
range across 35 matching MRF lines		 $333.20–$1,784.30 $476–$2,549 varies
Bone Marrow Biopsy (38221)
range across 4 matching MRF lines		 $1,721.13–$1,851.85 $2,458.75–$2,645.50 varies
Bone Marrow; Aspiration Only (38220) $1,721.13 $2,458.75 1.0×
Brnchsc Brushing/Protected Brushings (31623) $145.60 $208 0.1×
Bronchoscopy Balloon Occlusion (31634)
range across 2 matching MRF lines		 $210–$535.50 $300–$765 varies
Bronchoscopy Clear Airways (31645) $161 $230 0.1×
Bronchoscopy W/Biopsy(S) (31625) $172.20 $246 0.1×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $222.60–$880.60 $318–$1,258 varies
Bx breast 1st lesion mr imag (19085) $3,078.60 $4,398 1.8×
Bx breast 1st lesion strtctc (19081) $180.60 $258 0.1×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines		 $170.80–$1,380.23 $244–$1,971.75 varies
Bx breast needle core w/o imaging guidance spx (19100) $175.70 $251 0.1×
Bx/exc lymph node open deep axillary node (38525) $494.20 $706 0.1×
Bx/exc lymph node open superficial (38500) $398.30 $569 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $368.20 $526 0.1×
Capsulotomy Posterior Capsular Release Knee (27435) $917 $1,310 0.3×
Carpal Tunnel Surgery (64721) $487.20 $696 0.2×
Cataract surgery complex (66982) $809.90 $1,157 0.3×
Cautery Cervix Cryocautery Initial/Repeat (57511) $165.20 $236 0.5×
Change Cystostomy Tube Simple (51705) $56.70 $81 0.2×
Change of Windpipe Airway (31502) $39.20 $56 0.2×
Chemical Cautery Tissue (17250) $101.50 $145 0.5×
Chemodenerv Musc Migraine (64615) $172.90 $247 0.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $234.50 $335 0.7×
Chest tube placement (32551)
range across 3 matching MRF lines		 $173.60–$528.15 $248–$754.50 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $366.10 $523 0.1×
Ciliary body destruction; cryotherapy Facility (66720) $454.30 $649 0.2×
Cl Tx Tib Shft Fx W Manip (27752)
range across 4 matching MRF lines		 $360.50–$618.10 $515–$883 varies
Claviculectomy partial (23120) $667.80 $954 0.2×
Clear outer ear canal (69200) $129.85 $185.50 1.0×
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $541.80–$566.30 $774–$809 varies
Closed Treat Vert Body Fract (22310) $355.60 $508 1.4×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $360.50 $515 1.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $360.50–$525.70 $515–$751 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $331.80 $474 1.3×
Closed Treatment Sesamoid Fracture (28530) $127.40 $182 0.5×
Closed Treatment Sternum Fracture (21820) $178.50 $255 0.7×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 3 matching MRF lines		 $347.90–$375.90 $497–$537 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 4 matching MRF lines		 $322.35–$501.20 $460.50–$716 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $360.50–$381.50 $515–$545 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $279.30–$360.50 $399–$515 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $350–$360.50 $500–$515 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $619.50 $885 0.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $589.40 $842 2.3×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,985.68 $4,265.25 1.8×
Closed tx knee dislocation w/o anesthesia (27550) $360.50 $515 1.4×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 5 matching MRF lines		 $230.30–$360.50 $329–$515 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $633.50 $905 0.4×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $550.90–$2,985.68 $787–$4,265.25 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $360.50–$382.20 $515–$546 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $342.30–$370.30 $489–$529 varies
Closed tx radial head/neck fx w/manipulation (24655) $455.70 $651 0.3×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines		 $278.60–$360.50 $398–$515 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines		 $360.50–$542.50 $515–$775 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $299.60–$360.50 $428–$515 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $525.70–$590.10 $751–$843 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines		 $292.60–$330.40 $418–$472 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $267.40 $382 1.1×
Closed tx talus fracture w/o manipulation (28430) $271.60 $388 1.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $35–$434.53 $50–$620.75 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 5 matching MRF lines		 $475.30–$1,703.80 $679–$2,434 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 4 matching MRF lines		 $303.10–$360.50 $433–$515 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines		 $275.10–$360.50 $393–$515 varies
Closure lacrimal punctum (68760)
range across 2 matching MRF lines		 $247.10–$377.65 $353–$539.50 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $267.40 $382 1.1×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $252.70–$258.30 $361–$369 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $151.20 $216 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $460.60–$557.20 $658–$796 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $336–$360.50 $480–$515 varies
Clsr Lacrimal Punctum Plug Each (68761) $164.50 $235 0.5×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $472.50 $675 1.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $557.20–$583.10 $796–$833 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $264.60 $378 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $478.10–$529.20 $683–$756 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $347.90 $497 1.4×
Cltx dstl fibular fx lat malls w/manj (27788) $436.80 $624 1.7×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $326.20–$357.70 $466–$511 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 4 matching MRF lines		 $233.80–$339.22 $334–$484.60 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $212.80 $304 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 5 matching MRF lines		 $360.50–$385 $515–$550 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $576.10–$637.42 $823–$910.60 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $625.10 $893 0.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $595 $850 2.4×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $550.20 $786 2.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $848.40–$900.90 $1,212–$1,287 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $107.80 $154 0.4×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $139.30–$158.90 $199–$227 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 4 matching MRF lines		 $158.90–$183.40 $227–$262 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $133–$360.50 $190–$515 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines		 $551.60–$1,642.20 $788–$2,346 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $238.70–$360.50 $341–$515 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $308 $440 1.2×
Cltx Greater Trochanteric Fx W/O Manj (27246) $442.40 $632 1.8×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $844.20–$849.10 $1,206–$1,213 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $360.50 $515 1.4×
Cltx humeral condylar fx medial/lateral w/manj (24577) $360.50 $515 0.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 4 matching MRF lines		 $360.50–$581 $515–$830 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 4 matching MRF lines		 $333.90–$378.70 $477–$541 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $527.80 $754 0.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $168 $240 0.6×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,070.30 $1,529 0.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $619.33 $884.75 2.2×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $214.90–$324.80 $307–$464 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines		 $360.50–$513.10 $515–$733 varies
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $349.30–$378 $499–$540 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 4 matching MRF lines		 $337.40–$377.30 $482–$539 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $325.50–$360.50 $465–$515 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $360.50–$434 $515–$620 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)
range across 2 matching MRF lines		 $147–$156.80 $210–$224 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 4 matching MRF lines		 $344.40–$389.20 $492–$556 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $212.80–$360.50 $304–$515 varies
Cltx post hip arthrp dislc req anes (27266)
range across 4 matching MRF lines		 $655.90–$1,645.35 $937–$2,350.50 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $360.50–$464.10 $515–$663 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 3 matching MRF lines		 $360.50–$466.20 $515–$666 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines		 $324.80–$360.50 $464–$515 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $360.50 $515 0.2×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $360.50 $515 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $90.30–$118.30 $129–$169 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 3 matching MRF lines		 $185.50–$672 $265–$960 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $459.20 $656 0.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,604.75 $2,292.50 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines		 $360.50–$700 $515–$1,000 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $399 $570 1.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $572.60 $818 2.3×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $350.70–$360.50 $501–$515 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $360.50–$394.80 $515–$564 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $492.10–$494.90 $703–$707 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $360.50–$376.60 $515–$538 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
likely a partial charge, not the full procedure		 $974.40 $1,392 0.2×
Collect Blood From Catheter Venous Nos (36592)
range across 4 matching MRF lines		 $94.15–$110.25 $134.50–$157.50 varies
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $22.05–$26.78 $31.50–$38.25 varies
Colonoscopy Flexible With Decompression (45393) $277.90 $397 0.2×
Colonoscopy thru stoma (44388) $172.20 $246 0.2×
Colonoscopy w/ablation (45388) $297.50 $425 0.2×
Colonoscopy W/Band Ligation (45398) $259 $370 0.2×
Colonoscopy w/fb removal (45379) $263.20 $376 0.2×
Colonoscopy W/Resection (45390) $366.10 $523 0.1×
Colpocleisis (le fort type) (57120)
range across 2 matching MRF lines		 $595–$620.20 $850–$886 varies
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $487.20 $696 0.1×
Colpopexy vaginal intraperitoneal approach (57283)
range across 2 matching MRF lines		 $781.20–$831.60 $1,116–$1,188 varies
Colporrhaphy (57200) $373.80 $534 0.1×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $182.70 $261 0.6×
Colposcopy of vulva (56820) $141.40 $202 0.7×
Colposcopy Vulva W/Biopsy (56821) $126 $180 0.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $252 $360 0.2×
Combined anteroposterior colporrhaphy; (57260)
likely a partial charge, not the full procedure		 $870.80 $1,244 0.2×
Complex drainage wound (10180) $198.10 $283 0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 3 matching MRF lines		 $285.60–$344.40 $408–$492 varies
Conization of cervix (57520) $331.10 $473 0.1×
Contour cranial bone lesion (21181)
likely a partial charge, not the full procedure		 $823.20 $1,176 0.1×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $86.10–$257.60 $123–$368 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $63.70–$257.60 $91–$368 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,380.23 $1,971.75 0.8×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $423.50–$449.40 $605–$642 varies
Correction of trichiasis; epilation, by forceps only (67820) $21.70 $31 0.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $564.90–$608.30 $807–$869 varies
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $683.90 $977 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines		 $668.50–$714 $955–$1,020 varies
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 2 matching MRF lines		 $555.10–$588.70 $793–$841 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $530.60–$571.90 $758–$817 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
likely a partial charge, not the full procedure		 $689.50 $985 0.1×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
likely a partial charge, not the full procedure		 $735.70 $1,051 0.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $117.60 $168 0.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $257.60 $368 1.1×
Curettage postpartum (59160) $211.40 $302 0.1×
Cysto w/removal of lesions small (52224) $242.20 $346 0.1×
Cystometrogram W/Vp&Up (51729)
range across 2 matching MRF lines		 $137.90–$442.40 $197–$632 varies
Cystourethroscopy (52000) $88.90 $127 0.1×
Cystourethroscopy w/dil bladder general anesth (52260) $230.30 $329 0.1×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $177.80 $254 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $30.80–$223.83 $44–$319.75 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $459.90 $657 0.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 5 matching MRF lines		 $305.20–$762.13 $436–$1,088.75 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines		 $328.30–$329.70 $469–$471 varies
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $874.30 $1,249 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 5 matching MRF lines		 $169.40–$185.50 $242–$265 varies
Debride nail 1-5 (11720) $36.40 $52 0.6×
Debride nail 6 or more (11721)
range across 5 matching MRF lines		 $26.60–$30.10 $38–$43 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $247.80–$1,274.18 $354–$1,820.25 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $66.50–$146.30 $95–$209 varies
Declot vascular device (36593) $251.30 $359 0.7×
Deep Muscle Biopsy (20205) $170.80 $244 0.1×
Delivery of placenta (59414) $100.10 $143 0.0×
Destroy lumb/sac facet jnt (64635) $135.10 $193 0.1×
Destruc retinal lesn,photocoag (67210) $541.10 $773 1.0×
Destruct B9 Lesion 1-14 (17110) $73.50 $105 0.4×
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $59.50–$149.10 $85–$213 varies
Destruction Lesions Vulva Extensive (56515) $238 $340 0.1×
Destruction Lesions Vulva Simple (56501) $149.10 $213 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $201.60 $288 1.0×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $230.30 $329 1.1×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $270.90 $387 0.7×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $165.90 $237 0.8×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $200.20 $286 1.0×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $156.80 $224 0.8×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $166.60 $238 0.8×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $211.40 $302 1.0×
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) $531.30 $759 0.9×
Destruction premalignant lesion 1st (17000) $75.60 $108 0.4×
Destruction Vaginal Lesions Simple (57061) $191.80 $274 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $61.60–$788.38 $88–$1,126.25 varies
Dilat female urethra general/cndj spinal anes (53665) $42.70 $61 0.0×
Dilate Esophagus 1/Mult Pass (43450) $87.50 $125 0.1×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $261.80–$338.80 $374–$484 varies
Division of symblepharon (68340) $432.60 $618 0.2×
Drain Cerebro Spinal Fluid (62272) $99.40 $142 0.1×
Drain Hand Tendon Sheath (26020) $632.80 $904 0.2×
Drain/inj small joint/bursa w/us (20604) $436.80 $624 1.4×
Drainage external auditory canal abscess (69020) $316.05 $451.50 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $138.60–$316.05 $198–$451.50 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $207.20–$218.40 $296–$312 varies
Drainage of eye (65800) $97.30 $139 0.0×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $157.50–$158.20 $225–$226 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $171.50–$316.05 $245–$451.50 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $130.90–$140 $187–$200 varies
Drainage of hydrocele (55000) $863.28 $1,233.25 1.2×
Drainage of mouth lesion (41017) $2,365.83 $3,379.75 0.7×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $184.80–$197.40 $264–$282 varies
Drainage of scrotum (54700)
range across 3 matching MRF lines		 $235.20–$2,078.13 $336–$2,968.75 varies
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines		 $94.15–$120.75 $134.50–$172.50 varies
Dressing Change Under Anesthesia (15852) $51.80 $74 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $145.60–$345.80 $208–$494 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $223.83 $319.75 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $60.20–$123.20 $86–$176 varies
Dstrj lesion anus simple surg excision (46922) $153.30 $219 0.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $150.50 $215 0.1×
Dx Bone Marrow Bx & Aspir (38222) $2,899.93 $4,142.75 1.0×
Dx Bronchoscope/Lavage (31624) $158.90 $227 0.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $59.50 $85 0.1×
Egd Balloon Dil Esoph30 Mm/> (43233) $252.70 $361 0.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $168.70 $241 0.1×
Egd control bleeding any (43255) $220.50 $315 0.1×
Egd dilation gastric/duodenal stricture (43245) $193.90 $277 0.1×
Egd Flexible Foreign Body Removal (43247) $194.60 $278 0.2×
Egd remove lesion snare (43251) $215.60 $308 0.1×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $105 $150 0.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $49.70 $71 0.2×
Electro-Uroflowmetry First (51741) $16.10 $23 0.1×
Endocervical curettage (57505) $123.20 $176 0.1×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure		 $259.70 $371 0.1×
Endometrial Biopsy (58100) $116.20 $166 0.6×
Endoscopic plantar fasciotomy (29893)
range across 2 matching MRF lines		 $478.80–$508.20 $684–$726 varies
Endoscopy Upper Small Intestine (44360)
range across 2 matching MRF lines		 $157.50–$171.50 $225–$245 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $305.20–$332.50 $436–$475 varies
Enterorrhaphy single perforation (44602)
range across 2 matching MRF lines		 $1,570.80–$1,686.30 $2,244–$2,409 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $124.60–$928.20 $178–$1,326 varies
Episiotomy or vaginal repair (59300) $163.10 $233 0.0×
Ercp remove forgn body duct (43275) $413 $590 0.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,680.53 $2,400.75 0.9×
Evacuation of subungual hematoma (11740) $158.73 $226.75 1.2×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $471.80 $674 0.3×
Exc abdl tum deep 5 cm/> (22901) $749 $1,070 0.3×
Exc arm/elbow les sc < 3 cm (24075) $369.60 $528 0.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $92.40 $132 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $171.50–$230.30 $245–$329 varies
Exc Back Les Sc < 3 Cm (21930) $406.70 $581 0.2×
Exc back tum deep < 5 cm (21932) $754.60 $1,078 0.3×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $518 $740 0.1×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $399.70 $571 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $173.60–$266 $248–$380 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $199.50–$301 $285–$430 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $310.10 $443 0.2×
Exc Face Les Sbq 2 Cm/> (21012)
range across 3 matching MRF lines		 $378–$399 $540–$570 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 6 matching MRF lines		 $41.30–$121.10 $59–$173 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 4 matching MRF lines		 $146.30–$198.10 $209–$283 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $161.70 $231 0.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $196.70–$256.90 $281–$367 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $319.20 $456 0.2×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $474.60–$503.30 $678–$719 varies
Exc ganglion wrist recurrent (25112) $437.50 $625 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $91 $130 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $120.40–$180.60 $172–$258 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $149.10 $213 0.1×
Exc Hand Les Sc < 1.5 Cm (26115)
range across 17 matching MRF lines		 $49.70–$863.10 $71–$1,233 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)
range across 2 matching MRF lines		 $171.50–$317.10 $245–$453 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $339.50–$362.60 $485–$518 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)
range across 2 matching MRF lines		 $297.50–$318.50 $425–$455 varies
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788)
range across 2 matching MRF lines		 $452.20–$476 $646–$680 varies
Exc neuroma hand/foot xcp digital nerve (64782) $512.40 $732 0.3×
Exc Shoulder Tum Deep 5 Cm/> (23073) $779.10 $1,113 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $163.80–$222.60 $234–$318 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $196–$263.90 $280–$377 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $300.30–$374.50 $429–$535 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $274.40–$359.10 $392–$513 varies
Exc Skin Benig >4cm Face,Facial (11446) $352.80 $504 0.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $229.60 $328 0.1×
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $322.70–$346.50 $461–$495 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $350 $500 0.2×
Exc tendon shth lesion leg/ankle (27630)
range across 2 matching MRF lines		 $399.70–$425.60 $571–$608 varies
Exc thigh/knee les sc 3 cm/> (27337) $470.40 $672 0.2×
Exc thigh/knee tum dep 5cm/> (27339) $844.20 $1,206 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $132.30 $189 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $116.90–$176.40 $167–$252 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $128.10 $183 0.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $181.30–$253.40 $259–$362 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $500.50 $715 0.2×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076)
range across 2 matching MRF lines		 $578.20–$612.50 $826–$875 varies
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $593.60–$625.10 $848–$893 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076)
range across 2 matching MRF lines		 $385–$611.80 $550–$874 varies
Exc tumor soft tissue abdominal wall subq <3cm (22902) $373.80 $534 0.2×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041)
range across 2 matching MRF lines		 $497.70–$540.40 $711–$772 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $389.90 $557 0.1×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $359.10 $513 0.2×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $753.90 $1,077 0.3×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619)
range across 2 matching MRF lines		 $514.50–$556.50 $735–$795 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618) $341.60 $488 0.2×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554)
range across 2 matching MRF lines		 $816.90–$867.30 $1,167–$1,239 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $343 $490 0.2×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $403.90 $577 0.1×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)
range across 2 matching MRF lines		 $696.50–$739.90 $995–$1,057 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines		 $455–$481.60 $650–$688 varies
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines		 $389.90–$418.60 $557–$598 varies
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108)
range across 2 matching MRF lines		 $317.80–$340.20 $454–$486 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $108.50–$2,150.96 $155–$3,072.80 varies
Excision Chalazion Multiple Same Lid (67801) $142.80 $204 0.1×
Excision Chalazion Single (67800) $111.30 $159 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $318.50 $455 0.1×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $277.90 $397 0.1×
Excision Lesion Conjunctiva </1 Cm (68110)
range across 2 matching MRF lines		 $163.80–$264.60 $234–$378 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $209.30 $299 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $257.60 $368 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $177.10–$274.40 $253–$392 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $233.10–$347.90 $333–$497 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $139.30 $199 0.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $249.90 $357 0.1×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $430.50 $615 0.1×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $224 $320 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $258.30 $369 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $283.50 $405 0.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 3 matching MRF lines		 $261.80–$827.40 $374–$1,182 varies
Excision of bartholin's gland or cyst (56740)
range across 2 matching MRF lines		 $354.90–$366.10 $507–$523 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 3 matching MRF lines		 $364–$381.50 $520–$545 varies
Excision of hydrocele; unilateral (55040) $373.80 $534 0.1×
Excision of pilonidal cyst or sinus; simple (11770) $207.90 $297 0.1×
Excision of vaginal cyst or tumor (57135)
range across 2 matching MRF lines		 $210–$282.10 $300–$403 varies
Excision olecranon bursa (24105) $403.90 $577 0.1×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $466.20 $666 0.1×
Excision Pilonidal Cyst/Sinus Extensive (11771) $503.30 $719 0.2×
Excision prepatellar bursa (27340)
range across 2 matching MRF lines		 $421.40–$439.60 $602–$628 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931) $526.40 $752 0.3×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 2 matching MRF lines		 $385–$408.10 $550–$583 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $287 $410 0.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $471.10 $673 0.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $352.10–$370.30 $503–$529 varies
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines		 $415.80–$436.10 $594–$623 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 2 matching MRF lines		 $314.30–$494.20 $449–$706 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $287.70 $411 0.2×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $461.30 $659 0.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $525.70 $751 0.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $371.70 $531 0.2×
Excision; trochanteric bursa or calcification (27062)
range across 2 matching MRF lines		 $510.30–$537.60 $729–$768 varies
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $286.30–$2,144.28 $409–$3,063.25 varies
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $818.30–$866.60 $1,169–$1,238 varies
Exploration penetrating wound spx extremity (20103) $382.90 $547 0.2×
Exploratory elbow surgery (24000)
range across 2 matching MRF lines		 $530.60–$565.60 $758–$808 varies
Explore/Treat Elbow Joint (24101) $359.80 $514 0.1×
Explore/Treat Hand Joint (26070) $359.80 $514 0.2×
Explore/Treat Knee Joint (27331)
range across 2 matching MRF lines		 $534.10–$561.40 $763–$802 varies
Explore/Treat Wrist Joint (25040) $625.80 $894 0.2×
External cephalic version (59412) $114.10 $163 0.0×
Extraction of lens (66940) $852.60 $1,218 0.4×
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 2 matching MRF lines		 $863.10–$940.10 $1,233–$1,343 varies
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $399–$425.60 $570–$608 varies
Fasciotomy, hip or thigh, any type (27025) $667.10 $953 0.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines		 $933.10–$987 $1,333–$1,410 varies
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $32.20–$280 $46–$400 varies
Fine needle aspiration without imaging guidance (10021) $419.51 $599.30 1.0×
Fluid Pressure Muscle (20950) $197.58 $282.25 0.3×
Fna bx w/us gdn 1st les (10005) $81.90 $117 0.1×
Foreskin manipulation (54450) $353.50 $505 1.4×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $1,207.50 $1,725 0.5×
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $1,298.50 $1,855 0.6×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 2 matching MRF lines		 $669.90–$717.50 $957–$1,025 varies
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $685.30–$735 $979–$1,050 varies
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $505.40–$537.60 $722–$768 varies
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $1,522.50 $2,175 0.4×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $789.60 $1,128 0.4×
Glaucoma surgery (66160) $683.90 $977 0.3×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $148.40–$163.80 $212–$234 varies
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $541.10 $773 0.1×
Hemiarthroplasty hip partial (27125)
range across 2 matching MRF lines		 $1,259.30–$1,343.30 $1,799–$1,919 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $400.40 $572 0.1×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $358.40 $512 0.1×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $464.80 $664 0.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $732.55 $1,046.50 0.8×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $255.50–$277.20 $365–$396 varies
Hysteroscopy Dx Sep Proc (58555) $167.30 $239 0.1×
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $272.30–$294.70 $389–$421 varies
Hysteroscopy Removal Impacted Foreign Body (58562) $245.70 $351 0.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure		 $396.20 $566 0.1×
I&d abscess peritonsillar (42700)
range across 3 matching MRF lines		 $111.86–$319.73 $159.80–$456.75 varies
I&d abscess simple (10060)
range across 6 matching MRF lines		 $114.10–$316.05 $163–$451.50 varies
I&D Below Fascia Foot 1 Bursal Space (28002)
range across 2 matching MRF lines		 $156.80–$378 $224–$540 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $567–$597.10 $810–$853 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $241.50 $345 0.1×
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines		 $767.20–$774.90 $1,096–$1,107 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $112–$691.78 $160–$988.25 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $116.20–$291.20 $166–$416 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $154.70 $221 0.1×
Image Cath Fluid Colxn Visc (49405)
range across 4 matching MRF lines		 $212.80–$1,380.23 $304–$1,971.75 varies
Image Cath Fluid Peri/Retro (49406)
range across 4 matching MRF lines		 $212.10–$2,071.13 $303–$2,958.75 varies
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure		 $490 $700 0.1×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $360.50 $515 0.1×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $430.50 $615 0.0×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $123.20–$732.55 $176–$1,046.50 varies
Incise finger tendon sheath (26055) $326.20 $466 0.2×
Incise/Drain Conjunctiva (68020) $120.40 $172 0.1×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $203–$316.05 $290–$451.50 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $203.70–$204.40 $291–$292 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $114.80–$171.50 $164–$245 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $126–$498.58 $180–$712.25 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $142.80–$498.58 $204–$712.25 varies
Incision extensor tendon sheath wrist (25000) $387.10 $553 0.2×
Incision of eye (65850) $919.80 $1,314 0.4×
Incision of Foot Tendon (28234) $294.70 $421 0.2×
Incision of iris (66500) $436.10 $623 0.2×
Incision of lingual frenum (frenotomy) (41010) $122.50 $175 0.1×
Incision of rectal abscess (46040)
range across 3 matching MRF lines		 $478.10–$3,765.48 $683–$5,379.25 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 3 matching MRF lines		 $179.20–$338.80 $256–$484 varies
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935)
range across 2 matching MRF lines		 $571.20–$605.50 $816–$865 varies
Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303)
range across 2 matching MRF lines		 $714.70–$760.20 $1,021–$1,086 varies
Incisional biopsy eyelid skin & lid margin (67810) $210 $300 0.6×
Incisional biopsy skin single lesion (11106) $177.10 $253 0.2×
Induced abortion, by dilation and evacuation (59841)
range across 2 matching MRF lines		 $417.20–$427 $596–$610 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $50.40–$178.85 $72–$255.50 varies
Inj W/Fluor Eval Cv Device (36598) $481.25 $687.50 2.2×
Inject Intravitreal Pharmcologic (67028)
range across 3 matching MRF lines		 $100.10–$186.90 $143–$267 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $43.40–$474.43 $62–$677.75 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $67.20–$79.10 $96–$113 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $28 $40 0.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $59.50 $85 0.1×
Injection anesthetic agent suprascapular nerve (64418) $62.30 $89 0.1×
Injection for identification of sentinel node (38792) $37.10 $53 0.1×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $44.10–$65.10 $63–$93 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $42–$474.43 $60–$677.75 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $47.60–$831.43 $68–$1,187.75 varies
Injection therapeutic carpal tunnel (20526) $63.70 $91 0.2×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $69.30–$80.50 $99–$115 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $46.90 $67 0.1×
Injection, intralesional; up to and including 7 lesions (11900) $63.70 $91 0.3×
Injx anterior chamber eye air/liquid spx (66020) $142.10 $203 0.1×
Injx Anterior Chamber Eye Medication Spx (66030)
range across 2 matching MRF lines		 $121.10–$128.10 $173–$183 varies
Insert Bladder Cath Complex (51703) $243.43 $347.75 1.9×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $163.80–$535.85 $234–$765.50 varies
Insert cath pleura w/o image (32556) $136.50 $195 0.1×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $70.70–$114.10 $101–$163 varies
Insert non-tunnel cv cath (36556) $1,714.65 $2,449.50 0.5×
Insert pessary/other device (57160) $84 $120 0.4×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $114.80–$129.85 $164–$185.50 varies
Insert tunneled cv cath (36561) $368.90 $527 0.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $79.10–$89.95 $113–$128.50 varies
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $836.50 $1,195 0.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines		 $347.90–$371 $497–$530 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $102.90 $147 0.1×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
likely a partial charge, not the full procedure		 $397.60 $568 0.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $284.90 $407 0.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $402.50–$425.60 $575–$608 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 4 matching MRF lines		 $325.50–$355.60 $465–$508 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 4 matching MRF lines		 $325.50–$455.70 $465–$651 varies
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $156.10–$513.98 $223–$734.25 varies
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625)
range across 2 matching MRF lines		 $466.20–$498.40 $666–$712 varies
Iridotomy/irridectomy laser surg per session (66761) $257.60 $368 0.5×
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $599.20–$637 $856–$910 varies
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,093.40 $1,562 0.1×
Laparoscopic myomectomy (58545)
likely a partial charge, not the full procedure		 $1,006.60 $1,438 0.2×
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $1,029.70–$1,099.70 $1,471–$1,571 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $486.50 $695 0.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $638.40 $912 0.1×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $718.20 $1,026 0.1×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure		 $681.80 $974 0.1×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $899.50 $1,285 0.1×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure		 $984.20 $1,406 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $634.90 $907 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $794.50–$847 $1,135–$1,210 varies
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $929.60 $1,328 0.1×
Laser treatment of retina (67040) $1,123.50 $1,605 0.3×
Late closure of wound (13160)
range across 2 matching MRF lines		 $884.80–$943.60 $1,264–$1,348 varies
Lateral retinacular release open (27425)
range across 2 matching MRF lines		 $508.90–$532 $727–$760 varies
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
range across 2 matching MRF lines		 $1,401.40–$1,486.80 $2,002–$2,124 varies
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines		 $795.20–$842.80 $1,136–$1,204 varies
Ligation of a-v fistula (37607) $526.40 $752 0.2×
Ligation or biopsy temporal artery (37609)
range across 3 matching MRF lines		 $227.50–$356.30 $325–$509 varies
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $170.80–$178.50 $244–$255 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $219.10–$231.70 $313–$331 varies
Mast mod rad (19307)
range across 2 matching MRF lines		 $1,325.10–$1,435.70 $1,893–$2,051 varies
Mastectomy for gynecomastia (19300) $499.10 $713 0.1×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $741.30–$782.60 $1,059–$1,118 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,017.80 $1,454 0.2×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure		 $1,074.50 $1,535 0.2×
Metatarsectomy (28140) $478.10 $683 0.1×
Muscle-skin graft trunk (15734) $1,670.90 $2,387 0.5×
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $129.50–$1,293.60 $185–$1,848 varies
Myelography via lumbar injection rs&i cervical (62302) $1,537.03 $2,195.75 1.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,537.03 $2,195.75 1.9×
N Block Inj Ilio-Ing/Hypogi (64425) $60.90 $87 0.1×
N Block Inj Plantar Digit (64455) $56 $80 0.2×
N Block Inj Pudendal (64430) $32.20 $46 0.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines		 $571.20–$603.40 $816–$862 varies
Needle Biopsy Pancreas (48102) $1,380.23 $1,971.75 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $15.93–$28.18 $22.75–$40.25 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $23.63–$43.05 $33.75–$61.50 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $670.60–$703.50 $958–$1,005 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $560.70 $801 0.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $403.38 $576.25 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $56.70–$287.35 $81–$410.50 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 6 matching MRF lines		 $99.40–$3,295.25 $142–$4,707.50 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $118.30 $169 0.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines		 $98.70–$106.40 $141–$152 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $109.90–$1,823.33 $157–$2,604.75 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $71.40 $102 0.1×
Njx Sclrsnt 1 Incmptnt Vein (36470) $45.50 $65 0.1×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $91.70 $131 0.2×
Occlusion flp tube dev vag/suprapubic appr (58615) $297.50 $425 0.1×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $883.40 $1,262 0.1×
Open Implantation Nea Sacral Nerve (64581)
likely a partial charge, not the full procedure		 $725.20 $1,036 0.1×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $577.50–$972.30 $825–$1,389 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $854–$908.60 $1,220–$1,298 varies
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $1,255.80–$1,325.10 $1,794–$1,893 varies
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $933.80 $1,334 0.1×
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $1,254.40–$1,315.30 $1,792–$1,879 varies
Open Treatment Grter Humeral Tuberosity Fracture (23630)
range across 2 matching MRF lines		 $869.40–$923.30 $1,242–$1,319 varies
Open Treatment Humeral Condylar Fracture (24579)
range across 2 matching MRF lines		 $930.30–$984.90 $1,329–$1,407 varies
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $676.20–$714.70 $966–$1,021 varies
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $625.10–$652.40 $893–$932 varies
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $641.20–$678.30 $916–$969 varies
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
likely a partial charge, not the full procedure		 $732.20 $1,046 0.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $805–$852.60 $1,150–$1,218 varies
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519)
range across 2 matching MRF lines		 $993.30–$1,058.40 $1,419–$1,512 varies
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
range across 2 matching MRF lines		 $1,078–$1,152.20 $1,540–$1,646 varies
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
range across 2 matching MRF lines		 $1,487.50–$1,586.20 $2,125–$2,266 varies
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure		 $1,386.70 $1,981 0.1×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
range across 2 matching MRF lines		 $958.30–$1,008 $1,369–$1,440 varies
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574)
range across 2 matching MRF lines		 $754.60–$797.30 $1,078–$1,139 varies
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
likely a partial charge, not the full procedure		 $682.50 $975 0.1×
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines		 $699.30–$736.40 $999–$1,052 varies
Open treatment of ulnar styloid fracture (25652)
range across 2 matching MRF lines		 $697.20–$736.40 $996–$1,052 varies
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $790.30 $1,129 0.1×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $986.30 $1,409 0.1×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $749 $1,070 0.1×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746)
range across 2 matching MRF lines		 $829.50–$3,342.68 $1,185–$4,775.25 varies
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $645.40 $922 0.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $721.70–$765.80 $1,031–$1,094 varies
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $562.80–$592.20 $804–$846 varies
Open Tx Distal Radioulnar Dislc Acute/Chronic (25676)
range across 2 matching MRF lines		 $706.30–$747.60 $1,009–$1,068 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $794.50–$829.50 $1,135–$1,185 varies
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $1,085.70 $1,551 0.1×
Open tx femoral supracondylar fracture w/o xtn (27511)
range across 2 matching MRF lines		 $1,108.80–$1,185.80 $1,584–$1,694 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $449.40 $642 0.1×
Open Tx Humeral Epicondylar Fracture (24575)
range across 2 matching MRF lines		 $818.30–$867.30 $1,169–$1,239 varies
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $1,035.30 $1,479 0.1×
Open tx interphalangeal joint dislocation (26785)
range across 3 matching MRF lines		 $611.80–$3,462.90 $874–$4,947 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $644–$679.70 $920–$971 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $665.70–$702.10 $951–$1,003 varies
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
range across 2 matching MRF lines		 $709.10–$746.20 $1,013–$1,066 varies
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $999.60–$1,065.40 $1,428–$1,522 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $982.80–$1,025.50 $1,404–$1,465 varies
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $731.50–$773.50 $1,045–$1,105 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $924 $1,320 0.1×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure		 $1,172.50 $1,675 0.2×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $1,344.70–$1,417.50 $1,921–$2,025 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $984.20 $1,406 0.1×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
range across 2 matching MRF lines		 $1,320.90–$1,434.30 $1,887–$2,049 varies
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
range across 2 matching MRF lines		 $1,000.30–$1,060.50 $1,429–$1,515 varies
Ostc prtl exostc/condylc metar head (28288) $479.50 $685 0.1×
Ostectomy calcaneus (28118) $303.10 $433 0.1×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines		 $345.80–$369.60 $494–$528 varies
Ostectomy, complete excision; fifth metatarsal head (28113) $477.40 $682 0.1×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $320.60–$343 $458–$490 varies
Osteotomy Clavicle W Bone Graft (23485)
range across 2 matching MRF lines		 $1,060.50–$1,134.70 $1,515–$1,621 varies
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
range across 2 matching MRF lines		 $678.30–$714 $969–$1,020 varies
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
likely a partial charge, not the full procedure		 $927.50 $1,325 0.1×
Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448)
range across 2 matching MRF lines		 $904.40–$973.70 $1,292–$1,391 varies
Paracen ant cham rmvl blood w/wo irrig&/air in (65815)
range across 2 matching MRF lines		 $517.30–$553.70 $739–$791 varies
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $1,082.90–$1,148 $1,547–$1,640 varies
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $550.90–$588.70 $787–$841 varies
Partial Excision Distal Phalanx Finger (26236) $495.60 $708 0.3×
Partial Excision Proximal/Middle Phalanx Finger (26235) $352.10 $503 0.2×
Partial hymenectomy or revision of hymenal ring (56700) $228.20 $326 0.1×
Partial removal of scapula (23190) $654.50 $935 0.2×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $788.90 $1,127 0.1×
Partial removal of toe (28160)
range across 2 matching MRF lines		 $295.40–$319.90 $422–$457 varies
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $789.60 $1,128 0.1×
Partical Excision Bone Phalanx Toe (28124) $366.80 $524 0.1×
Patellectomy or hemipatellectomy (27350)
range across 2 matching MRF lines		 $732.90–$772.80 $1,047–$1,104 varies
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $1,000.65–$1,380.23 $1,429.50–$1,971.75 varies
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $272.30 $389 0.1×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $221.20 $316 0.1×
Percutaneous skeletal fixation of ulnar styloid fracture (25651)
range across 2 matching MRF lines		 $548.10–$658.70 $783–$941 varies
Peritoneal Lavage (49084) $130.20 $186 0.1×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $58.10–$738.78 $83–$1,055.40 varies
Perq device breast 1st imag (19281)
range across 4 matching MRF lines		 $109.20–$695.80 $156–$994 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $93.10 $133 0.1×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $747.60–$784.70 $1,068–$1,121 varies
Phalangectomy toe each toe (28150) $197.40 $282 0.1×
Pin Finger Dislocation (26776)
range across 2 matching MRF lines		 $506.80–$527.10 $724–$753 varies
Pin hand dislocation (26676)
range across 2 matching MRF lines		 $571.90–$597.10 $817–$853 varies
Pin knuckle dislocation (26706) $321.30 $459 0.1×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $65.80–$252 $94–$360 varies
Placement of seton (46020) $128.80 $184 0.0×
Plastic Repair Canaliculi (68700) $654.50 $935 0.3×
Plastic Repair Of Urethrocele (57230) $470.40 $672 0.1×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $221.90–$3,091.03 $317–$4,415.75 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $53.20 $76 0.1×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $235.90 $337 0.4×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)
range across 2 matching MRF lines		 $478.10–$497.70 $683–$711 varies
Prq skel fixj femoral fx prox end neck (27235)
range across 2 matching MRF lines		 $1,076.60–$4,829.30 $1,538–$6,899 varies
Prq skel fixj metar fx w/manj (28476)
range across 2 matching MRF lines		 $434–$436.80 $620–$624 varies
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $887.60 $1,268 0.1×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650)
range across 2 matching MRF lines		 $557.90–$565.60 $797–$808 varies
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $594.30 $849 0.2×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
range across 2 matching MRF lines		 $761.60–$782.60 $1,088–$1,118 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $483.70–$518 $691–$740 varies
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $51.80–$150.68 $74–$215.25 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $105–$145.60 $150–$208 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $47.60–$274.05 $68–$391.50 varies
Radical Resection Tumor Metatarsal (28173)
range across 2 matching MRF lines		 $798.70–$872.20 $1,141–$1,246 varies
Rcnstj angular dfrm toe soft tiss px only (28313)
range across 2 matching MRF lines		 $397.60–$420 $568–$600 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines		 $541.10–$573.30 $773–$819 varies
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $830.90–$1,055.60 $1,187–$1,508 varies
Reduction of rectal prolapse (45900) $956.90 $1,367 1.0×
Removal Embedded Foreign Body Eyelid (67938) $70 $100 0.2×
Removal foreign body foot deep (28192) $343 $490 0.2×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $146.30–$273 $209–$390 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $164.50 $235 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $82.95 $118.50 1.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $53.20–$129.85 $76–$185.50 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $196.70 $281 0.1×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $465.50–$498.40 $665–$712 varies
Removal Implant Superficial Separate Procedure (20670) $159.60 $228 0.1×
Removal of anal fissure (46200) $381.50 $545 0.1×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $129.85–$141.40 $185.50–$202 varies
Removal of heel spur (28119)
range across 2 matching MRF lines		 $401.80–$427 $574–$610 varies
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
range across 2 matching MRF lines		 $1,770.30–$1,894.90 $2,529–$2,707 varies
Removal of implant from finger or hand (26320)
range across 2 matching MRF lines		 $392.70–$395.50 $561–$565 varies
Removal of knee prosthesis (27488)
range across 2 matching MRF lines		 $1,334.90–$1,424.50 $1,907–$2,035 varies
Removal of lens material (66852) $925.40 $1,322 0.2×
Removal of nail bed (11750) $112 $160 0.3×
Removal of nose lesion (30124) $341.60 $488 0.2×
Removal of residual cervix (57550)
likely a partial charge, not the full procedure		 $303.80 $434 0.1×
Removal of sesamoid bone (28315)
range across 2 matching MRF lines		 $361.20–$385 $516–$550 varies
Removal of sperm cord lesion (55520) $514.50 $735 0.1×
Removal of tendon for graft (20924)
range across 2 matching MRF lines		 $562.80–$599.20 $804–$856 varies
Removal of tunneled intraperitoneal catheter (49422) $247.10 $353 0.1×
Removal shoulder foreign body deep subfascial/im (23333) $529.20 $756 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $84–$86.80 $120–$124 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $49.70 $71 0.0×
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $292.60–$300.30 $418–$429 varies
Removal, under anesthesia, of external fixation system (20694) $378 $540 0.2×
Remove armpit lymph nodes (38740)
likely a partial charge, not the full procedure		 $785.40 $1,122 0.1×
Remove cerclage suture (59871)
range across 2 matching MRF lines		 $147–$158.20 $210–$226 varies
Remove drug implant device (11982)
range across 3 matching MRF lines		 $82.60–$127.40 $118–$182 varies
Remove foreign body from eye (65265)
range across 2 matching MRF lines		 $1,207.50–$1,268.40 $1,725–$1,812 varies
Remove foreign body from eye (65235) $798 $1,140 0.3×
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $32.20–$259.88 $46–$371.25 varies
Remove humerus lesion (24110) $672 $960 0.2×
Remove Intrauterine Device (58301) $173.43 $247.75 0.6×
Remove iris and lesion (66600) $998.90 $1,427 0.2×
Remove knee joint lining (27334) $767.20 $1,096 0.2×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $129.85–$140 $185.50–$200 varies
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $353.50–$371 $505–$530 varies
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $99.40–$160.30 $142–$229 varies
Renal Biopsy Perq (50200) $2,071.13 $2,958.75 1.2×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $107.80 $154 0.0×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $734.30–$777.70 $1,049–$1,111 varies
Repair Bladder-Vagina Lesion (57320)
likely a partial charge, not the full procedure		 $633.50 $905 0.1×
Repair blood vessel direct neck (35201)
likely a partial charge, not the full procedure		 $1,030.40 $1,472 0.2×
Repair Blood Vessel Direct Upper Extremity (35206) $865.90 $1,237 0.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $367.50–$1,105.83 $525–$1,579.75 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $265.30–$325.50 $379–$465 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 4 matching MRF lines		 $331.80–$534.80 $474–$764 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $257.60 $368 0.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $282.10–$308 $403–$440 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,105.83 $1,579.75 1.5×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $272.30–$1,105.83 $389–$1,579.75 varies
Repair Detached Retina (67101) $308 $440 0.1×
Repair detached retina (67105) $298.20 $426 0.5×
Repair Ectropion Excision Tarsal Wedge (67916) $466.20 $666 0.2×
Repair Ectropion Extensive (67917) $495.60 $708 0.2×
Repair Ectropion Suture (67914) $363.30 $519 0.1×
Repair Entropion Excision Tarsal Wedge (67923) $466.20 $666 0.2×
Repair Entropion Suture (67921) $536.90 $767 0.2×
Repair Extensor Tendon Finger W/Graft Each (26420) $848.40 $1,212 0.3×
Repair extensor tendon finger w/o graft each (26418)
range across 3 matching MRF lines		 $322.35–$716.10 $460.50–$1,023 varies
Repair Eyelid Wound (67935) $478.80 $684 0.2×
Repair Finger/Hand Tendon (26350) $851.20 $1,216 0.3×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $410.90 $587 0.1×
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $506.80–$542.50 $724–$775 varies
Repair Hand Joint (26540) $796.60 $1,138 0.2×
Repair Hand Tendon (26410) $689.50 $985 0.4×
Repair humerus with graft (24435)
likely a partial charge, not the full procedure		 $1,204 $1,720 0.1×
Repair initial femoral hernia, any age; reducible (49550) $648.20 $926 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $321.30 $459 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $218.40–$356.30 $312–$509 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $235.20–$325.50 $336–$465 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $240.80–$325.50 $344–$465 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 4 matching MRF lines		 $466.20–$1,105.83 $666–$1,579.75 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $299.60 $428 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $158.20–$325.50 $226–$465 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 5 matching MRF lines		 $214.90–$350 $307–$500 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 3 matching MRF lines		 $234.50–$325.50 $335–$465 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $394.80–$415.80 $564–$594 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $266.70–$325.50 $381–$465 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $166.60 $238 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 5 matching MRF lines		 $207.20–$340.90 $296–$487 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $314.30 $449 0.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 5 matching MRF lines		 $225.40–$378 $322–$540 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 3 matching MRF lines		 $364–$1,105.83 $520–$1,579.75 varies
Repair Non/Malunion Humerus W/O Graft (24430)
range across 2 matching MRF lines		 $1,175.30–$1,251.60 $1,679–$1,788 varies
Repair Nonunion Hand (26546)
range across 2 matching MRF lines		 $1,170.40–$1,187.90 $1,672–$1,697 varies
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure		 $693 $990 0.1×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
likely a partial charge, not the full procedure		 $1,078 $1,540 0.1×
Repair of knee ligaments (27409)
likely a partial charge, not the full procedure		 $1,080.10 $1,543 0.1×
Repair of metatarsals (28322)
range across 2 matching MRF lines		 $639.80–$679.70 $914–$971 varies
Repair of nail bed (11760) $123.20 $176 0.2×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420)
likely a partial charge, not the full procedure		 $1,311.80 $1,874 0.2×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
likely a partial charge, not the full procedure		 $655.90 $937 0.1×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
range across 2 matching MRF lines		 $896–$951.30 $1,280–$1,359 varies
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $866.60 $1,238 0.1×
Repair retinal detach cplx (67113)
likely a partial charge, not the full procedure		 $1,442.70 $2,061 0.3×
Repair Retinal Detachment Scleral Buckling (67107)
range across 2 matching MRF lines		 $1,219.40–$1,312.50 $1,742–$1,875 varies
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $805 $1,150 0.1×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $353.50 $505 0.1×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $831.60–$881.30 $1,188–$1,259 varies
Repair Toe Dislocation (28645) $536.90 $767 0.2×
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $170.80–$396.20 $244–$566 varies
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472)
likely a partial charge, not the full procedure		 $889 $1,270 0.1×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470)
likely a partial charge, not the full procedure		 $1,328.60 $1,898 0.2×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $534.80–$560.70 $764–$801 varies
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure		 $758.10 $1,083 0.1×
Repair/graft femur head/neck (27170)
likely a partial charge, not the full procedure		 $1,297.80 $1,854 0.2×
Replace eye fluid (67025) $684.60 $978 0.3×
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $149.80–$707.53 $214–$1,010.75 varies
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $115.50–$1,092.70 $165–$1,561 varies
Reposition Venous Catheter (36597) $65.80 $94 0.0×
Resection, humeral head Facility (23195)
likely a partial charge, not the full procedure		 $840.70 $1,201 0.1×
Rev/rmv prph sac/gstr npg/r (64595) $140.70 $201 0.0×
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure		 $1,791.30 $2,559 0.1×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure		 $1,932.70 $2,761 0.1×
Revise eye (65091) $518 $740 0.1×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $562.10 $803 0.2×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345)
range across 2 matching MRF lines		 $1,170.40–$1,250.90 $1,672–$1,787 varies
Revision of eyelid (67880) $399.70 $571 0.2×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314)
range across 2 matching MRF lines		 $1,119.30–$1,197.70 $1,599–$1,711 varies
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $516.60–$548.80 $738–$784 varies
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure		 $1,064.70 $1,521 0.1×
Revision of urethra (57220)
likely a partial charge, not the full procedure		 $389.90 $557 0.1×
Revision/replmt neurostimlator eltrd cranial nrv (64569)
likely a partial charge, not the full procedure		 $858.20 $1,226 0.1×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $1,946.70–$2,088.10 $2,781–$2,983 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $1,560.30–$1,669.50 $2,229–$2,385 varies
Revj/rpr oprative wound anterior segment (66250) $604.80 $864 0.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $67.20–$70.70 $96–$101 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $45.50–$259.88 $65–$371.25 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines		 $55.30–$259.88 $79–$371.25 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 3 matching MRF lines		 $39.90–$431.55 $57–$616.50 varies
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $257.60–$705.95 $368–$1,008.50 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $274.40–$291.90 $392–$417 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $158.20 $226 0.1×
Rmvl Implt Matrl Posterior Segment Intraocular (67121)
range across 2 matching MRF lines		 $980.70–$1,052.10 $1,401–$1,503 varies
Rmvl Lens Material Phacofragmentation Aspir (66850) $855.40 $1,222 0.4×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $210.70 $301 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $151.90–$163.10 $217–$233 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $515.20 $736 0.2×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $590.10 $843 0.3×
Rmvl/revj sling stress incontinence (57287) $831.60 $1,188 0.3×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $25.90–$193.38 $37–$276.25 varies
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $224.70–$243.60 $321–$348 varies
Rplcmt compl tun ctr vad w/subq port (36582) $318.50 $455 0.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $201.60 $288 0.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $520.10 $743 0.1×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $382.90 $547 0.1×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $445.90 $637 0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $532.70 $761 0.1×
Rpr blood vessel direct lower extremity (35226) $918.40 $1,312 1.3×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $469.70 $671 0.2×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $547.40 $782 0.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
range across 2 matching MRF lines		 $407.40–$426.30 $582–$609 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $325.50 $465 1.6×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $522.90 $747 0.1×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $467.60 $668 0.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $355.60–$373.10 $508–$533 varies
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $156.80 $224 0.1×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285)
likely a partial charge, not the full procedure		 $1,202.60 $1,718 0.2×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $502.60 $718 0.1×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724)
likely a partial charge, not the full procedure		 $1,409.10 $2,013 0.2×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
range across 2 matching MRF lines		 $610.40–$660.80 $872–$944 varies
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110)
range across 2 matching MRF lines		 $882.70–$943.60 $1,261–$1,348 varies
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $1,290.80 $1,844 0.3×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $362.60 $518 0.1×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $709.80–$3,569.83 $1,014–$5,099.75 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $563.50 $805 0.2×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210)
likely a partial charge, not the full procedure		 $462.70 $661 0.1×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356)
range across 2 matching MRF lines		 $889.70–$938.70 $1,271–$1,341 varies
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $895.30 $1,279 0.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $72.80 $104 0.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $132.30 $189 0.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $132.30 $189 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $86.10 $123 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $168.70 $241 0.4×
Shoulder arthroscopy diagnostic (29805) $556.50 $795 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $155.40 $222 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $138.60 $198 0.7×
Sigmoidoscopy flx tndsc balo dilat (45340) $86.10 $123 0.1×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $111.30 $159 0.1×
Sigmoidoscopy w/fb removal (45332) $116.20 $166 0.1×
Sigmoidoscopy W/Resection (45349) $217.70 $311 0.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $79.10–$84.70 $113–$121 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 3 matching MRF lines		 $144.20–$325.50 $206–$465 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $61.60–$325.50 $88–$465 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 4 matching MRF lines		 $65.10–$325.50 $93–$465 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 3 matching MRF lines		 $169.40–$184.10 $242–$263 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $83.30–$325.50 $119–$465 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 4 matching MRF lines		 $192.50–$325.50 $275–$465 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $50.40–$325.50 $72–$465 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $81.20–$325.50 $116–$465 varies
Skin graft, harvest cultured tissue (15040) $137.20 $196 0.1×
Skin Pinch Graft (15050) $513.10 $733 0.7×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $102.90–$111.30 $147–$159 varies
Skin sub graft trnk/arm/leg (15271) $92.40 $132 0.1×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure		 $828.80 $1,184 0.2×
Slitting of prepuce (54001) $224 $320 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $65.80–$325.50 $94–$465 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $105.70–$115.50 $151–$165 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $129.50–$141.40 $185–$202 varies
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750)
range across 2 matching MRF lines		 $836.50–$892.50 $1,195–$1,275 varies
Spinal puncture lumbar diagnostic (62270)
range across 6 matching MRF lines		 $68.60–$474.43 $98–$677.75 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $762.30 $1,089 0.2×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $794.50 $1,135 0.4×
Strapping hand/finger (29280) $227.15 $324.50 3.8×
Strapping knee (29530) $227.15 $324.50 1.7×
Strapping toes (29550) $227.15 $324.50 3.8×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $30.10–$227.15 $43–$324.50 varies
Subconjunctival injection (68200) $37.80 $54 0.1×
Surg Implnt Neuroelect,Epidural (63655)
likely a partial charge, not the full procedure		 $985.60 $1,408 0.0×
Surg tx anal fistula subq (46270) $449.40 $642 0.2×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $473.90 $677 0.2×
Suture 1 Nerve Ulnar Motor (64836) $910 $1,300 0.3×
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $702.10–$719.60 $1,003–$1,028 varies
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $788.90 $1,127 0.3×
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $683.90–$734.30 $977–$1,049 varies
Syndactylization toes (28280) $384.30 $549 0.1×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $842.10 $1,203 0.1×
Tenolysis flexor tendon palm/finger each tendon (26440) $744.10 $1,063 0.5×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $695.80 $994 0.2×
Tenotomy Flexor Finger Open Each Tendon (26455) $522.90 $747 0.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $272.30 $389 0.2×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $692.30 $989 0.1×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $555.10 $793 0.2×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure		 $287.70 $411 0.0×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831)
likely a partial charge, not the full procedure		 $679 $970 0.1×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $84.70–$705.08 $121–$1,007.25 varies
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure		 $1,024.10 $1,463 0.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $742.70 $1,061 0.4×
Tnot elbow lateral/medial debride open (24358) $592.90 $847 0.2×
Total Knee Arthroplasty (27447)
range across 12 matching MRF lines		 $355.60–$1,607.20 $508–$2,296 varies
Trabeculoplasty by laser surgery (65855) $223.30 $319 0.4×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $376.60 $538 0.1×
Transplant hand tendon (26480) $894.60 $1,278 0.3×
Treat ankle dislocation (27848)
likely a partial charge, not the full procedure		 $882.70 $1,261 0.1×
Treat Ankle Dislocation (27846)
likely a partial charge, not the full procedure		 $807.80 $1,154 0.1×
Treat ankle fracture (28445)
range across 2 matching MRF lines		 $1,136.80–$1,239.70 $1,624–$1,771 varies
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines		 $553–$588 $790–$840 varies
Treat dislocation/fracture (23670)
range across 2 matching MRF lines		 $969.50–$1,055.60 $1,385–$1,508 varies
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $867.30 $1,239 0.1×
Treat elbow fracture (24586)
range across 2 matching MRF lines		 $1,211–$1,289.40 $1,730–$1,842 varies
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure		 $754.60 $1,078 0.1×
Treat Finger Fracture Each (26727)
range across 2 matching MRF lines		 $532.70–$556.50 $761–$795 varies
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $1,009.40–$1,067.50 $1,442–$1,525 varies
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $825.30–$870.10 $1,179–$1,243 varies
Treat Hip Socket Fracture (27222) $690.90 $987 2.7×
Treat humerus fracture (24500) $379.40 $542 1.5×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $360.50–$510.30 $515–$729 varies
Treat humerus fracture (23600) $379.40 $542 1.5×
Treat knee fracture (27532)
range across 4 matching MRF lines		 $360.50–$711.20 $515–$1,016 varies
Treat Knee Fracture(S) (27538) $552.30 $789 2.2×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $842.10–$891.80 $1,203–$1,274 varies
Treat Knuckle Dislocation (26700) $354.20 $506 1.4×
Treat thumb fracture (26665) $711.90 $1,017 0.2×
Treat toe dislocation (28630)
range across 3 matching MRF lines		 $122.50–$233.28 $175–$333.25 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines		 $538.30–$1,070.83 $769–$1,529.75 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $360.50–$385 $515–$550 varies
Treatment extensive retinopathy photocoagulation (67228) $329.70 $471 0.6×
Treatment of ankle fracture (27823)
range across 2 matching MRF lines		 $1,103.20–$1,159.90 $1,576–$1,657 varies
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $1,365.70–$1,458.80 $1,951–$2,084 varies
Treatment of retinal lesion (67208) $627.20 $896 1.9×
Trim skin lesion (11055) $81.90 $117 0.4×
Trim skin lesions 2 to 4 (11056) $93.80 $134 0.5×
Trimming Nondystrophic Nails Any Number (11719) $16.10 $23 0.3×
Tx Gastro Intub W/Asp (43753) $298.90 $427 1.4×
Tx Incomplete Abortion Any Trimester Surgical (59812) $345.10 $493 0.1×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines		 $1,365–$1,457.40 $1,950–$2,082 varies
Tx Missed Abortion First Trimester Surgical (59820) $431.90 $617 0.1×
Tx Missed Abortion Second Trimester Surgical (59821) $422.80 $604 0.1×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $207.20–$325.50 $296–$465 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $238.70 $341 0.9×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $1,111.60–$1,184.40 $1,588–$1,692 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $665 $950 0.2×
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure		 $95.90 $137 0.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $1,029.70 $1,471 0.2×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $308.70 $441 0.0×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
range across 2 matching MRF lines		 $1,207.50–$1,628.20 $1,725–$2,326 varies
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $794.50 $1,135 0.1×
Unlisted procedure arthroscopy (29999)
range across 3 matching MRF lines		 $601.30–$768.60 $859–$1,098 varies
Unlisted Procedure Conjunctiva (68399) $163.80 $234 0.5×
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $111.30–$842.10 $159–$1,203 varies
Unlisted procedure foot or toes (28899)
range across 4 matching MRF lines		 $343.70–$557.20 $491–$796 varies
Unlisted procedure forearm or wrist (25999) $477.40 $682 1.9×
Unlisted Procedure Hands/Fingers (26989) $495.60 $708 2.0×
Unlisted procedure humerus/elbow (24999) $1,331.40 $1,902 5.3×
Unlisted Procedure Leg/Ankle (27899)
range across 2 matching MRF lines		 $583.10–$768.60 $833–$1,098 varies
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines		 $725.90–$819.70 $1,037–$1,171 varies
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $46.90–$740.60 $67–$1,058 varies
Unlisted procedure shoulder (23929)
range across 3 matching MRF lines		 $219.10–$1,346.10 $313–$1,923 varies
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $895.30–$940.10 $1,279–$1,343 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $387.10 $553 0.4×
Unlisted px female genital system nonobstetrical (58999) $301.70 $431 1.5×
Vaginal Delivery After Cesarean Delivery (59612)
range across 2 matching MRF lines		 $1,005.90–$1,091.30 $1,437–$1,559 varies
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $891.10–$896 $1,273–$1,280 varies
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
likely a partial charge, not the full procedure		 $1,036.70 $1,481 0.2×
Vaginectomy, partial removal of vaginal wall; (57106) $603.40 $862 0.2×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $518–$568.40 $740–$812 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $255.50 $365 0.1×
Venous Cutdown >1 Y/O (36425) $44.80 $64 0.1×
Vitrectomy mechanical pars plana (67036)
range across 2 matching MRF lines		 $973.70–$1,044.40 $1,391–$1,492 varies
Vitrectomy Pars Plana Remove Preretinal Membrane (67041) $1,240.40 $1,772 0.3×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $1,040.90 $1,487 0.2×
Vulvectomy simple partial (56620) $653.80 $934 0.2×
Wedge excision skin nail fold (11765) $185.50 $265 0.4×
Wound Prep F/N/Hf/G (15004) $289.80 $414 0.7×
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $242.20–$265.30 $346–$379 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.