Procedures & surgery prices at Northern Rockies Medical Center
Cut Bank, MT · every code in this section with a posted price and a Medicare benchmark.
439 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 5 matching MRF lines |
$471.90–$1,601.28 | $726–$2,463.50 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$514.64–$540.96 | $791.75–$832.25 | varies |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) likely a partial charge, not the full procedure |
$523.25 | $805 | 0.1× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $545.35 | $839 | 0.3× |
| Application cast elbow finger short arm (29075) | $144.14 | $221.75 | 0.5× |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$126.26–$129.19 | $194.25–$198.75 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$90.84–$92.62 | $139.75–$142.50 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$184.28–$187.36 | $283.50–$288.25 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$266.99–$272.02 | $410.75–$418.50 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$186.39–$190.94 | $286.75–$293.75 | varies |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$64.68–$142.19 | $99.50–$218.75 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$148.20–$150.64 | $228–$231.75 | varies |
| Apply hand/wrist cast (29085) | $168.68 | $259.50 | 1.0× |
| Apply long arm cast (29065) | $155.68 | $239.50 | 0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$82.55–$192.40 | $127–$296 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 6 matching MRF lines |
$135.20–$210.92 | $208–$324.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$64.68–$332.64 | $99.50–$511.75 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$150.80–$238.39 | $232–$366.75 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
$79.30–$105.62 | $122–$162.50 | varies |
| Aspirate pleura w/ imaging (32555) range across 5 matching MRF lines |
$499.85–$990.76 | $769–$1,524.25 | varies |
| Aspirate Pleura W/O Imaging (32554) | $580.94 | $893.75 | 0.9× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$164.61–$173.06 | $253.25–$266.25 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $374.40 | $576 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$64.68–$339.46 | $99.50–$522.25 | varies |
| Biopsy Abdominal Mass (49180) | $267.80 | $412 | 0.2× |
| Biopsy bone trocar/needle deep (20225) | $632.45 | $973 | 0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $384.15 | $591 | 0.2× |
| Biopsy external ear (69100) | $148.85 | $229 | 0.6× |
| Biopsy muscle percutaneous needle (20206) | $370.50 | $570 | 0.2× |
| Biopsy of lip (40490) | $192.40 | $296 | 0.8× |
| Biopsy of liver, needle; percutaneous (47000) | $484.25 | $745 | 0.3× |
| Biopsy Pleura Percutaneous Needle (32400) | $249.60 | $384 | 0.1× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $425.26 | $654.25 | 0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $426.56 | $656.25 | 0.3× |
| Biopsy soft tissue thigh/knee area superficial (27323) | $658.61 | $1,013.25 | 0.4× |
| Biopsy Vaginal Mucosa Simple (57100) | $156 | $240 | 0.2× |
| Bladder Scan (51798) | $58.99 | $90.75 | 1.0× |
| Blood Transfusion Service (36430) | $746.69 | $1,148.75 | 1.7× |
| Bone Marrow; Aspiration Only (38220) | $257.40 | $396 | 0.2× |
| Bx breast 1st lesion mr imag (19085) | $1,349.40 | $2,076 | 0.8× |
| Bx breast 1st lesion strtctc (19081) | $877.50 | $1,350 | 0.5× |
| Bx breast 1st lesion us imag (19083) | $878.80 | $1,352 | 0.5× |
| Cessj Therapy Cath Removal (37214) | $185.25 | $285 | 0.1× |
| Change Cystostomy Tube Simple (51705) | $148.85 | $229 | 0.6× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$133.58–$339.46 | $205.50–$522.25 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $248.95 | $383 | 0.3× |
| Chest tube placement (32551) range across 6 matching MRF lines |
$237.90–$484.25 | $366–$745 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $506.35 | $779 | 0.1× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$195.98–$3,498.46 | $301.50–$5,382.25 | varies |
| Circumcision Neonate (54160) range across 2 matching MRF lines |
$165.10–$172.09 | $254–$264.75 | varies |
| Circumcision w/clamp/oth dev w/block (54150) range across 3 matching MRF lines |
$172.09–$180.86 | $264.75–$278.25 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $834.76 | $1,284.25 | 0.5× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$133.58–$218.40 | $205.50–$336 | varies |
| Closed Treatment Sesamoid Fracture (28530) | $532.35 | $819 | 2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$808.11–$877.82 | $1,243.25–$1,350.50 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,038.21 | $1,597.25 | 0.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $303.71 | $467.25 | 1.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $633.42 | $974.50 | 2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $496.92 | $764.50 | 2.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $929.66 | $1,430.25 | 3.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $303.71 | $467.25 | 1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $303.71 | $467.25 | 1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$836.06–$2,733.25 | $1,286.25–$4,205 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $567.94 | $873.75 | 2.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$853.45–$2,733.25 | $1,313–$4,205 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $612.30 | $942 | 2.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $585.65 | $901 | 2.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $813.64 | $1,251.75 | 0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $363.84 | $559.75 | 1.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $902.36 | $1,388.25 | 3.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,123.52 | $1,728.50 | 0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $303.71 | $467.25 | 1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $992.39 | $1,526.75 | 0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$422.82–$810.55 | $650.50–$1,247 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,038.86 | $1,598.25 | 4.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $670.31 | $1,031.25 | 2.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $779.51 | $1,199.25 | 3.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $445.74 | $685.75 | 1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $364.49 | $560.75 | 1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $965.74 | $1,485.75 | 0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $303.71 | $467.25 | 1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $449.80 | $692 | 1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $352.95 | $543 | 1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $348.89 | $536.75 | 1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $180.21 | $277.25 | 0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$303.71–$409.66 | $467.25–$630.25 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $264.88 | $407.50 | 1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $855.24 | $1,315.75 | 3.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$409.82–$650.49 | $630.50–$1,000.75 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,347.94 | $2,073.75 | 0.8× |
| Cltx Medial Ankle Fx (27760) | $711.91 | $1,095.25 | 2.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $333.78 | $513.50 | 1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $615.71 | $947.25 | 2.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $945.26 | $1,454.25 | 0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $723.45 | $1,113 | 2.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $305.82 | $470.50 | 1.2× |
| Cltx post hip arthrp dislc req anes (27266) | $1,446.25 | $2,225 | 0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$327.92–$1,045.04 | $504.50–$1,607.75 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $364.49 | $560.75 | 1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $238.88 | $367.50 | 0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,057.22 | $1,626.50 | 0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $804.05 | $1,237 | 3.2× |
| Cltx tibial fx proximal w/o manipulation (27530) | $694.85 | $1,069 | 2.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $965.74 | $1,485.75 | 0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $303.71 | $467.25 | 1.2× |
| Collect Blood From Catheter Venous Nos (36592) | $221 | $340 | 1.6× |
| Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
$17.22–$25.51 | $26.50–$39.25 | varies |
| Colonoscopy thru stoma (44388) | $585 | $900 | 0.6× |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$754.98–$1,352 | $1,161.50–$2,080 | varies |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$1,196.81–$1,417.16 | $1,841.25–$2,180.25 | varies |
| Colonoscopy w/fb removal (45379) | $707.20 | $1,088 | 0.6× |
| Colonoscopy W/Resection (45390) | $514.80 | $792 | 0.2× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$933.08–$1,621.91 | $1,435.50–$2,495.25 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $321.59 | $494.75 | 1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$847.76–$2,013.70 | $1,304.25–$3,098 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$695.50–$2,741.54 | $1,070–$4,217.75 | varies |
| Complex drainage wound (10180) | $411.45 | $633 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$245.70–$258.21 | $378–$397.25 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$190.45–$200.20 | $293–$308 | varies |
| Conversion ext bil drg cath (47535) | $1,502.80 | $2,312 | 0.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,362.40 | $2,096 | 0.7× |
| Convert Nephrostomy Catheter (50434) | $1,466.40 | $2,256 | 0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,441.05 | $2,217 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$313.30–$342.88 | $482–$527.50 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,266.85 | $1,949 | 0.4× |
| Debridement Mastoidectomy Cavity Simple (69220) | $142.68 | $219.50 | 0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$64.68–$512.69 | $99.50–$788.75 | varies |
| Declot vascular device (36593) | $227.50 | $350 | 0.7× |
| Delivery of placenta (59414) | $243.10 | $374 | 0.1× |
| Destr W Neurolytic; Celiac Plexus (64680) | $542.10 | $834 | 0.6× |
| Destruct B9 Lesion 1-14 (17110) | $156.98 | $241.50 | 0.8× |
| Destruction Benign Lesions 15/> (17111) range across 3 matching MRF lines |
$64.68–$212.39 | $99.50–$326.75 | varies |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$64.68–$185.74 | $99.50–$285.75 | varies |
| Diagnostic sigmoidoscopy (45330) | $483.92 | $744.50 | 0.5× |
| Dilate Esophagus 1/Mult Pass (43450) | $252.52 | $388.50 | 0.3× |
| Dilation Esophagus Guide Wire (43453) | $367.90 | $566 | 0.2× |
| Drain Spinal Cord Cyst (62268) | $392.60 | $604 | 0.4× |
| Drain/inj small joint/bursa w/us (20604) | $190.94 | $293.75 | 0.6× |
| Drainage external auditory canal abscess (69020) | $545.35 | $839 | 0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $448.50 | $690 | 0.6× |
| Drainage Mouth Roof Lesion (42000) | $294.94 | $453.75 | 1.2× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$342.71–$404.95 | $527.25–$623 | varies |
| Drainage of gum lesion (41800) | $669.66 | $1,030.25 | 4.9× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$262.60–$770.58 | $404–$1,185.50 | varies |
| Drainage of scrotum (54700) | $526.34 | $809.75 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $291.52 | $448.50 | 1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $282.59 | $434.75 | 1.4× |
| Dx Bone Marrow Bx & Aspir (38222) | $270.40 | $416 | 0.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $399.10 | $614 | 0.6× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$1,563.74–$2,931.34 | $2,405.75–$4,509.75 | varies |
| Egd cautery tumor polyp (43250) | $1,191.78 | $1,833.50 | 0.6× |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$884.65–$1,838.36 | $1,361–$2,828.25 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $187.69 | $288.75 | 0.1× |
| Egd Flexible Foreign Body Removal (43247) | $568.59 | $874.75 | 0.6× |
| Egd guide wire insertion (43248) range across 2 matching MRF lines |
$1,082.58–$1,597.54 | $1,665.50–$2,457.75 | varies |
| Egd place gastrostomy tube (43246) | $613.60 | $944 | 0.3× |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$337.84–$1,838.36 | $519.75–$2,828.25 | varies |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $137.96 | $212.25 | 0.1× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $520.16 | $800.25 | 0.6× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $882.54 | $1,357.75 | 0.5× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $155.68 | $239.50 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$88.72–$91 | $136.50–$140 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$64.68–$307.12 | $99.50–$472.50 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$64.68–$387.08 | $99.50–$595.50 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $585.65 | $901 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 3 matching MRF lines |
$64.68–$673.08 | $99.50–$1,035.50 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $832 | $1,280 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $249.92 | $384.50 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$62.56–$320.12 | $96.25–$492.50 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$64.68–$356.36 | $99.50–$548.25 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $439.56 | $676.25 | 0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
$64.68–$562.41 | $99.50–$865.25 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$200.04–$2,155.24 | $307.75–$3,315.75 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$64.68–$272.35 | $99.50–$419 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$64.68–$333.12 | $99.50–$512.50 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$64.68–$363.84 | $99.50–$559.75 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$64.68–$445.74 | $99.50–$685.75 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $685.91 | $1,055.25 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$616.36–$2,767.05 | $948.25–$4,257 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $563.88 | $867.50 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $737.91 | $1,135.25 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $801.94 | $1,233.75 | 0.5× |
| Exc tendon shth lesion leg/ankle (27630) | $1,359.64 | $2,091.75 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$64.68–$321.59 | $99.50–$494.75 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$64.68–$281.29 | $99.50–$432.75 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$64.68–$402.68 | $99.50–$619.50 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $814.94 | $1,253.75 | 0.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $608.40 | $936 | 0.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $1,073.15 | $1,651 | 0.3× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $944.45 | $1,453 | 0.4× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $968.50 | $1,490 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 3 matching MRF lines |
$440.21–$1,201.69 | $677.25–$1,848.75 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$329.06–$479.21 | $506.25–$737.25 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $368.55 | $567 | 0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$64.68–$404.79 | $99.50–$622.75 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $537.22 | $826.50 | 0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$319.96–$500.34 | $492.25–$769.75 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $793.16 | $1,220.25 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 3 matching MRF lines |
$64.68–$992.39 | $99.50–$1,526.75 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $298.35 | $459 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $371.31 | $571.25 | 0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines |
$398.78–$1,201.69 | $613.50–$1,848.75 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $599.95 | $923 | 0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,344.52 | $2,068.50 | 0.8× |
| Excision prepatellar bursa (27340) | $918.78 | $1,413.50 | 0.3× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$64.68–$781.46 | $99.50–$1,202.25 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $705.74 | $1,085.75 | 0.2× |
| Explo/Drain Breast Abscess (19020) | $784.22 | $1,206.50 | 0.5× |
| Fetal non-stress test (59025) | $343.69 | $528.75 | 1.7× |
| Fluoro exam of g/colon tube (49465) | $226.85 | $349 | 0.9× |
| Fna bx w/us gdn 1st les (10005) | $208 | $320 | 0.3× |
| Guide Cathet Fluid Drainage (10030) | $1,015.95 | $1,563 | 1.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$452.72–$1,557.24 | $696.50–$2,395.75 | varies |
| I&d abscess peritonsillar (42700) | $462.15 | $711 | 1.9× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$64.68–$308.10 | $99.50–$474 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $1,324.86 | $2,038.25 | 0.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,344.52 | $2,068.50 | 0.4× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $797.88 | $1,227.50 | 0.3× |
| Image Cath Fluid Colxn Visc (49405) | $1,420.90 | $2,186 | 0.8× |
| Image Cath Fluid Peri/Retro (49406) | $1,421.55 | $2,187 | 0.8× |
| Incise external hemorrhoid (46083) | $324.19 | $498.75 | 1.3× |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
$64.68–$682.50 | $99.50–$1,050 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $1,068.11 | $1,643.25 | 0.6× |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$64.68–$682.50 | $99.50–$1,050 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$208.98–$239.69 | $321.50–$368.75 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$234.81–$388.38 | $361.25–$597.50 | varies |
| Incision of rectal abscess (46040) | $702.32 | $1,080.50 | 0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $118.79 | $182.75 | 0.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $297.70 | $458 | 0.3× |
| Inj W/Fluor Eval Cv Device (36598) | $190.45 | $293 | 0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $410.15 | $631 | 0.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$64.68–$226.04 | $99.50–$347.75 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$129.68–$136.34 | $199.50–$209.75 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
$101.72–$106.92 | $156.50–$164.50 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$164.61–$173.06 | $253.25–$266.25 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$236.28–$248.46 | $363.50–$382.25 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $110.50 | $170 | 0.5× |
| Ins cath ren art 1st unilat (36251) | $2,164.50 | $3,330 | 0.7× |
| Ins cath ren art 2nd+ bilat (36254) | $3,332.55 | $5,127 | 1.0× |
| Ins cath ren art 2nd+ unilat (36253) | $3,393.65 | $5,221 | 0.6× |
| Ins endovas vena cava filtr (37191) | $3,590.60 | $5,524 | 0.6× |
| Insert Bladder Cath Complex (51703) | $232.54 | $357.75 | 1.8× |
| Insert cath pleura w/ image (32557) | $1,030.90 | $1,586 | 0.6× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$64.68–$232.86 | $99.50–$358.25 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,414.40 | $2,176 | 0.7× |
| Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$1,225.90 | $1,886 | 0.1× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$358.31–$376.68 | $551.25–$579.50 | varies |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$137.96–$193.05 | $212.25–$297 | varies |
| Insert tun ip cath perc (49418) | $1,750.45 | $2,693 | 0.5× |
| Insert tunneled cv cath (36561) | $1,658.80 | $2,552 | 0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $137.96 | $212.25 | 1.0× |
| Insertion indwelling tunneled pleural catheter (32550) | $1,281.15 | $1,971 | 0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $632.45 | $973 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $141.70 | $218 | 0.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,328.60 | $2,044 | 0.4× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $546 | $840 | 0.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $767 | $1,180 | 0.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,175.36 | $1,808.25 | 2.8× |
| Intro cath dialysis circuit (36901) | $1,127.75 | $1,735 | 0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $7,677.80 | $11,812 | 0.7× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) unusually low: confirm this is the full procedure |
$2,026.05 | $3,117 | 0.3× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$591.18–$621.40 | $909.50–$956 | varies |
| Laryngoscopy diagnostic (31505) | $197.92 | $304.50 | 1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) range across 2 matching MRF lines |
$324.35–$3,498.30 | $499–$5,382 | varies |
| Mech remov tunneled cv cath (36595) | $981.50 | $1,510 | 0.3× |
| Myelography Lumbar Injection (62305) | $435.50 | $670 | 0.5× |
| Myelography Lumbar Injection (62304) | $400.40 | $616 | 0.5× |
| Myelography via lumbar injection rs&i cervical (62302) | $405.60 | $624 | 0.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $412.10 | $634 | 0.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $293.48 | $451.50 | 0.4× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 5 matching MRF lines |
$61.75–$262.76 | $95–$404.25 | varies |
| Needle Biopsy Lymph Nodes (38505) | $187.85 | $289 | 0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $46.64 | $71.75 | 1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) | $46.64 | $71.75 | 1.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $311.35 | $479 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $660.40 | $1,016 | 0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $273 | $420 | 0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $408.20 | $628 | 0.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $474.50 | $730 | 0.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $966.55 | $1,487 | 1.4× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $175.50 | $270 | 0.4× |
| Obstructive material removal from gi tube (49460) | $1,134.25 | $1,745 | 1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,238.74 | $1,905.75 | 0.4× |
| Open/Perq Place Stent 1St (37236) unusually low: confirm this is the full procedure |
$4,944.55 | $7,607 | 0.4× |
| Open/Perq Place Stent Same (37238) | $5,927.35 | $9,119 | 0.5× |
| Pelvic examination under anesthesia (other than local) (57410) | $2,172.14 | $3,341.75 | 0.7× |
| Perc Cryo Ablate Renal Tum (50593) | $6,578 | $10,120 | 0.6× |
| Perc Rf Ablate Renal Tumor (50592) | $4,898.40 | $7,536 | 0.8× |
| Percut Ablate Liver Rf (47382) | $6,479.85 | $9,969 | 1.0× |
| Percut Drain/Inject Renal Cyst (50390) | $143.65 | $221 | 0.2× |
| Peritoneal Lavage (49084) | $1,627.60 | $2,504 | 1.8× |
| Perq dev breast 1st us imag (19285) | $659.75 | $1,015 | 0.9× |
| Perq device breast 1st imag (19281) | $377 | $580 | 0.2× |
| Perq Lumbosacral Injection (22511) | $2,922.40 | $4,496 | 0.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) unusually low: confirm this is the full procedure |
$3,805.75 | $5,855 | 0.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $2,977 | $4,580 | 0.5× |
| Place Cath Subclavian Art (36225) | $2,461.55 | $3,787 | 0.8× |
| Place Cath Thoracic Aorta (36221) | $1,546.35 | $2,379 | 0.5× |
| Placement of needle for intraosseous infusion (36680) range across 3 matching MRF lines |
$93.60–$779.51 | $144–$1,199.25 | varies |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $6,553.95 | $10,083 | 1.1× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $1,442.35 | $2,219 | 0.7× |
| Plmt Nephroureteral Catheter (50433) | $1,830.40 | $2,816 | 0.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $2,196.35 | $3,379 | 0.6× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $308.75 | $475 | 0.1× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$2,948.40 | $4,536 | 0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $298.35 | $459 | 0.3× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) | $460.69 | $708.75 | 0.4× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $348.89 | $536.75 | 0.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $415.35 | $639 | 0.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $1,944.15 | $2,991 | 0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $2,154.75 | $3,315 | 0.6× |
| Pseudoaneurysm Injection Trt (36002) | $231.40 | $356 | 0.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$301.11–$682.50 | $463.25–$1,050 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$199.55–$243.75 | $307–$375 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
$165.10–$281.29 | $254–$432.75 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $85.80 | $132 | 0.1× |
| Rem Endovas Vena Cava Filter (37193) | $2,476.50 | $3,810 | 0.8× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $765.05 | $1,177 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) | $322.24 | $495.75 | 0.4× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $499.69 | $768.75 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$89.54–$94.90 | $137.75–$146 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $89.54 | $137.75 | 1.5× |
| Removal implantable contraceptive capsules (11976) range across 3 matching MRF lines |
$64.68–$340.60 | $99.50–$524 | varies |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$64.68–$435.50 | $99.50–$670 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $339.95 | $523 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$64.68–$133.90 | $99.50–$206 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,201.69 | $1,848.75 | 1.7× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$173.71–$272.84 | $267.25–$419.75 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$104–$220.19 | $160–$338.75 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$64.68–$237.58 | $99.50–$365.50 | varies |
| Remove intrvas foreign body (37197) | $2,549.95 | $3,923 | 0.8× |
| Remove lung catheter (32552) | $281.45 | $433 | 0.4× |
| Remove Nasal Foreign Body (30300) | $297.70 | $458 | 2.2× |
| Remove Pulse Generator (33241) | $330.20 | $508 | 0.1× |
| Remove renal tube w/fluoro (50389) | $650 | $1,000 | 0.9× |
| Remove Tendon Sheath Lesion (26160) | $1,237.44 | $1,903.75 | 0.8× |
| Remove ureter stent percut (50384) | $1,416.35 | $2,179 | 0.7× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$64.68–$490.75 | $99.50–$755 | varies |
| Renal Biopsy Perq (50200) | $847.60 | $1,304 | 0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$663–$734.50 | $1,020–$1,130 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $622.54 | $957.75 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$1,045.36–$1,082.58 | $1,608.25–$1,665.50 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $636.84 | $979.75 | 1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $748.15 | $1,151 | 1.8× |
| Repair complex trunk 1.1-2.5 cm (13100) | $541.94 | $833.75 | 0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $629.36 | $968.25 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$64.68–$424.61 | $99.50–$653.25 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $462.15 | $711 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $540.64 | $831.75 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $920.08 | $1,415.50 | 2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $650 | $1,000 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $424.61 | $653.25 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $497.58 | $765.50 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$428.68–$522.11 | $659.50–$803.25 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $598 | $920 | 1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$64.68–$365.14 | $99.50–$561.75 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$485.88–$682.50 | $747.50–$1,050 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $631.31 | $971.25 | 0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$508.46–$525.52 | $782.25–$808.50 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$194.51–$1,047.31 | $299.25–$1,611.25 | varies |
| Repair Toe Dislocation (28645) | $1,928.88 | $2,967.50 | 0.6× |
| Repair tongue laceration (41250) | $681.69 | $1,048.75 | 1.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,092 | $1,680 | 1.2× |
| Replace G-J Tube Perc (49452) | $1,328.60 | $2,044 | 1.4× |
| Replace g/c tube perc (49450) | $1,014.65 | $1,561 | 1.1× |
| Reposition Gastrostomy Tube (43761) | $189.15 | $291 | 0.7× |
| Reposition Venous Catheter (36597) | $189.80 | $292 | 0.1× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $9,824.10 | $15,114 | 1.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $899.60 | $1,384 | 0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $526.34 | $809.75 | 0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $114.08 | $175.50 | 0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $144.14 | $221.75 | 1.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $204.10 | $314 | 0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,063.40–$1,117.68 | $1,636–$1,719.50 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$257.40–$1,055.92 | $396–$1,624.50 | varies |
| Rplc Gtube No Revj Trc (43762) | $677.79 | $1,042.75 | 2.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $325 | $500 | 0.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $548.60 | $844 | 0.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $1,285.05 | $1,977 | 0.4× |
| Rpr blood vessel direct lower extremity (35226) | $1,201.69 | $1,848.75 | 1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $683.96 | $1,052.25 | 3.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $742.62 | $1,142.50 | 1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $249.60 | $384 | 0.4× |
| Sclerotx Fluid Collection (49185) | $1,992.25 | $3,065 | 1.2× |
| Shave skin lesion 0.5 cm/< (11300) | $243.75 | $375 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$64.68–$246.51 | $99.50–$379.25 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $254.64 | $391.75 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $294.94 | $453.75 | 1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$64.68–$224.58 | $99.50–$345.50 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$64.68–$376.19 | $99.50–$578.75 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 3 matching MRF lines |
$64.68–$290.06 | $99.50–$446.25 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $329.71 | $507.25 | 1.6× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $1,487.20 | $2,288 | 1.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$388.38–$1,570.89 | $597.50–$2,416.75 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $533.81 | $821.25 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$263.58–$372.78 | $405.50–$573.50 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
$64.68–$305.18 | $99.50–$469.50 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $414.38 | $637.50 | 1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$341.25–$437.29 | $525–$672.75 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$64.68–$237.90 | $99.50–$366 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$307.94–$339.46 | $473.75–$522.25 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $1,984.12 | $3,052.50 | 0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$64.68–$272.35 | $99.50–$419 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $399.26 | $614.25 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $491.40 | $756 | 1.2× |
| Spinal puncture lumbar diagnostic (62270) | $207.35 | $319 | 0.3× |
| Strapping ankle (29540) | $71.01 | $109.25 | 0.4× |
| Strapping hand/finger (29280) | $89.54 | $137.75 | 1.5× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$83.36–$87.75 | $128.25–$135 | varies |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$271.54–$282.59 | $417.75–$434.75 | varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $504.40 | $776 | 0.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $9,620.65 | $14,801 | 0.5× |
| Thromblytic art/ven therapy (37213) | $351 | $540 | 0.1× |
| Thrombolytic Art Therapy (37211) likely a partial charge, not the full procedure |
$583.05 | $897 | 0.1× |
| Thrombolytic Therapy Stroke (37195) | $682.34 | $1,049.75 | 2.0× |
| Thrombolytic Venous Therapy (37212) | $509.60 | $784 | 0.2× |
| Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$325 | $500 | 0.1× |
| Treat Humerus Fracture (24505) | $1,200.55 | $1,847 | 0.7× |
| Treat Knuckle Dislocation (26700) | $740.51 | $1,139.25 | 2.9× |
| Treat metacarpal fracture (26607) | $1,122.71 | $1,727.25 | 0.3× |
| Treat Tail Bone Fracture (27200) | $324.19 | $498.75 | 1.3× |
| Treat Thumb Dislocation (26641) | $804.05 | $1,237 | 3.2× |
| Treat toe dislocation (28630) | $357.01 | $549.25 | 1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,203.31 | $1,851.25 | 0.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $806.16 | $1,240.25 | 3.2× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$110.50–$135.85 | $170–$209 | varies |
| Trluml Balo Angiop 1St Art (37246) | $3,096.60 | $4,764 | 0.5× |
| Trluml Balo Angiop 1St Vein (37248) unusually low: confirm this is the full procedure |
$2,295.15 | $3,531 | 0.4× |
| Tx Gastro Intub W/Asp (43753) | $74.10 | $114 | 0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $513.34 | $789.75 | 0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $303.71 | $467.25 | 1.2× |
| Unlisted procedure nervous system (64999) | $325.65 | $501 | 1.0× |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$1,391–$2,295.31 | $2,140–$3,531.25 | varies |
| Vasc embolize/occlude artery (37242) | $12,026.30 | $18,502 | 0.6× |
| Vasc Embolize/Occlude Bleed (37244) | $11,094.20 | $17,068 | 0.9× |
| Vasc Embolize/Occlude Organ (37243) | $14,803.75 | $22,775 | 1.3× |
| Vasc embolize/occlude venous (37241) | $7,688.85 | $11,829 | 0.7× |
| Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$2,942.55 | $4,527 | 0.2× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$64.68–$227.34 | $99.50–$349.75 | 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.