Procedures & surgery prices at Norton Sound Regional Hospital
Nome, AK · every code in this section with a posted price and a Medicare benchmark.
449 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 4 matching MRF lines |
$154.50–$987.50 | $309–$1,975 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$153.50–$987.50 | $307–$1,975 | varies |
| Acne surgery (10040) range across 3 matching MRF lines |
$146–$182 | $292–$364 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,329 | $2,658 | 0.4× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$85.50–$321 | $171–$642 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$129.50–$617 | $259–$1,234 | varies |
| Application Cast Finger (29086) range across 3 matching MRF lines |
$106.50–$308 | $213–$616 | varies |
| Application Cast Shoulder Spica (29055) | $286.50 | $573 | 0.9× |
| Application Finger Splint Dynamic (29131) | $69 | $138 | 1.1× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$59.50–$114 | $119–$228 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$124–$291.50 | $248–$583 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$104–$177.50 | $208–$355 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$211.50–$251 | $423–$502 | varies |
| Application of rigid total contact leg cast (29445) | $338.50 | $677 | 1.1× |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$135.50–$224.50 | $271–$449 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$82–$308 | $164–$616 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$104–$284 | $208–$568 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$141–$166.50 | $282–$333 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$142.50–$617 | $285–$1,234 | varies |
| Apply Short Leg Cast (29405) range across 4 matching MRF lines |
$124.50–$617 | $249–$1,234 | varies |
| Apply short leg cast (29425) range across 3 matching MRF lines |
$118–$454 | $236–$908 | varies |
| Arterial puncture (36600) | $68.50 | $137 | 0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$78–$659 | $156–$1,318 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $517.50 | $1,035 | 0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$96.50–$594.50 | $193–$1,189 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$186–$517.50 | $372–$1,035 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$74.50–$659 | $149–$1,318 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$335.50–$1,309.50 | $671–$2,619 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$189–$1,309.50 | $378–$2,619 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$87.50–$594.50 | $175–$1,189 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $1,024 | $2,048 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$106.50–$360 | $213–$720 | varies |
| Biopsy nail unit (11755) range across 2 matching MRF lines |
$256.50–$979.50 | $513–$1,959 | varies |
| Biopsy Nasopharynx Visible Lesion Simple (42804) range across 2 matching MRF lines |
$228.50–$520.50 | $457–$1,041 | varies |
| Biopsy of lip (40490) | $293.50 | $587 | 1.1× |
| Biopsy of palate, uvula (42100) | $232.50 | $465 | 0.1× |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$211.50–$1,550.50 | $423–$3,101 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 3 matching MRF lines |
$128.50–$4,922 | $257–$9,844 | varies |
| Biopsy, vestibule of mouth (40808) | $228.50 | $457 | 0.4× |
| Bladder instillation anticarcinogenic agent (51720) | $165.50 | $331 | 0.2× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$39.50–$124 | $79–$248 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$141–$500 | $282–$1,000 | varies |
| Blood Transfusion Service (36430) | $271.50 | $543 | 0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) | $144 | $288 | 0.1× |
| Bx Cervix (57500) range across 3 matching MRF lines |
$160.50–$1,216 | $321–$2,432 | varies |
| Catheter aspiration nasotracheal spx (31720) | $216.50 | $433 | 0.9× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $279.50 | $559 | 0.8× |
| Cautery Cervix Electro/Thermal (57510) range across 2 matching MRF lines |
$323.50–$4,984.50 | $647–$9,969 | varies |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$93–$487.50 | $186–$975 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$77.50–$169.50 | $155–$339 | varies |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$336.50–$552 | $673–$1,104 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$320.50–$522 | $641–$1,044 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$374–$1,581 | $748–$3,162 | varies |
| Circumcision Neonate (54160) range across 2 matching MRF lines |
$460–$3,826.50 | $920–$7,653 | varies |
| Circumcision w/clamp/oth dev w/block (54150) range across 3 matching MRF lines |
$205.50–$3,534.50 | $411–$7,069 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $774.50 | $1,549 | 0.4× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,029 | $2,058 | 0.6× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$109–$174.50 | $218–$349 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $863 | $1,726 | 3.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,082.50 | $2,165 | 0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $935 | $1,870 | 3.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $621.50 | $1,243 | 2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $769 | $1,538 | 2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
$883.50–$2,771.50 | $1,767–$5,543 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$476–$839.50 | $952–$1,679 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $734.50 | $1,469 | 2.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $473.50 | $947 | 1.7× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $572.50 | $1,145 | 2.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $994 | $1,988 | 3.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,465.50 | $2,931 | 5.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$428.50–$429.50 | $857–$859 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,147.50 | $2,295 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 3 matching MRF lines |
$134.50–$1,161.50 | $269–$2,323 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $282.50 | $565 | 0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$322.50–$692 | $645–$1,384 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $609 | $1,218 | 2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $495.50 | $991 | 1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) | $949.50 | $1,899 | 0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $516 | $1,032 | 1.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$771–$973 | $1,542–$1,946 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 4 matching MRF lines |
$334.50–$520.50 | $669–$1,041 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $493 | $986 | 1.8× |
| Closed tx septal&nose fx (21337) range across 3 matching MRF lines |
$618–$4,261.50 | $1,236–$8,523 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $67.50 | $135 | 0.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$442–$728 | $884–$1,456 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 3 matching MRF lines |
$411.50–$639.50 | $823–$1,279 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $470.50 | $941 | 1.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $689.50 | $1,379 | 0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $459.50 | $919 | 1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $826 | $1,652 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 5 matching MRF lines |
$433–$753.50 | $866–$1,507 | varies |
| Clsr Lacrimal Punctum Plug Each (68761) | $331.50 | $663 | 0.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,222 | $2,444 | 0.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $560 | $1,120 | 0.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $578 | $1,156 | 2.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $1,043.50 | $2,087 | 3.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $798 | $1,596 | 2.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$592.50–$1,094.50 | $1,185–$2,189 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 3 matching MRF lines |
$476–$776.50 | $952–$1,553 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $382 | $764 | 1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$326.50–$639 | $653–$1,278 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,068–$1,253 | $2,136–$2,506 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,505 | $3,010 | 0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 3 matching MRF lines |
$942–$2,665.50 | $1,884–$5,331 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$310.50–$522 | $621–$1,044 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$258.50–$418.50 | $517–$837 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $475.50 | $951 | 1.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $530.50 | $1,061 | 1.9× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,662 | $3,324 | 0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $384.50 | $769 | 1.4× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
$354–$701.50 | $708–$1,403 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$344–$531.50 | $688–$1,063 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $906 | $1,812 | 0.5× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$632.50–$933 | $1,265–$1,866 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$326.50–$788.50 | $653–$1,577 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$421–$835.50 | $842–$1,671 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,017 | $2,034 | 0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$247.50–$629 | $495–$1,258 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$326–$381 | $652–$762 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $830 | $1,660 | 3.0× |
| Cltx prox fibula/shft fx w/manj (27781) | $803.50 | $1,607 | 0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $576.50 | $1,153 | 2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$196–$489 | $392–$978 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $709 | $1,418 | 2.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $991.50 | $1,983 | 0.6× |
| Cltx tibial fx proximal w/o manipulation (27530) | $578 | $1,156 | 2.1× |
| Cltx tibial shaft fx w/o manipulation (27750) | $658.50 | $1,317 | 2.4× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $979 | $1,958 | 3.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,500.50 | $3,001 | 0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $592 | $1,184 | 2.2× |
| Collect Blood From Catheter Venous Nos (36592) | $163.50 | $327 | 1.1× |
| Collection of venous blood by venipuncture (36415) | $36 | $72 | 3.9× |
| Colonoscopy w/ablation (45388) | $714 | $1,428 | 0.5× |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$803.50–$1,608.50 | $1,607–$3,217 | varies |
| Colonoscopy w/fb removal (45379) range across 2 matching MRF lines |
$773–$2,041.50 | $1,546–$4,083 | varies |
| Colonoscopy W/Resection (45390) range across 2 matching MRF lines |
$1,075–$2,041.50 | $2,150–$4,083 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,290–$2,400 | $2,580–$4,800 | varies |
| Colporrhaphy (57200) | $671.50 | $1,343 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 3 matching MRF lines |
$289.50–$386 | $579–$772 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) range across 2 matching MRF lines |
$574–$617.50 | $1,148–$1,235 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) range across 3 matching MRF lines |
$195–$617.50 | $390–$1,235 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 5 matching MRF lines |
$235.50–$1,203.50 | $471–$2,407 | varies |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 3 matching MRF lines |
$346.50–$4,480 | $693–$8,960 | varies |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$229.50–$538.50 | $459–$1,077 | varies |
| Colposcopy Vulva W/Biopsy (56821) range across 2 matching MRF lines |
$378.50–$600 | $757–$1,200 | varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$572.50–$1,203.50 | $1,145–$2,407 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$802.50–$1,608.50 | $1,605–$3,217 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 3 matching MRF lines |
$564–$1,502 | $1,128–$3,004 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $555 | $1,110 | 3.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$118.50–$275.50 | $237–$551 | varies |
| Cornea Scraping Diagnostic Smear &/Culture (65430) | $136 | $272 | 0.3× |
| Correction of trichiasis; epilation, by forceps only (67820) | $65 | $130 | 0.4× |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$417.50–$764.50 | $835–$1,529 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $102.50 | $205 | 1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$201–$630 | $402–$1,260 | varies |
| Curettage postpartum (59160) | $368.50 | $737 | 0.1× |
| Curette/treat cornea (65435) | $94 | $188 | 0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$59.50–$560 | $119–$1,120 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $886 | $1,772 | 0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $327.50 | $655 | 0.4× |
| Debride nail 1-5 (11720) | $88.50 | $177 | 1.4× |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$56.50–$100 | $113–$200 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $694.50 | $1,389 | 0.4× |
| Debridement Mastoidectomy Cavity Simple (69220) range across 3 matching MRF lines |
$130–$273 | $260–$546 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$129–$643.50 | $258–$1,287 | varies |
| Declot vascular device (36593) | $447.50 | $895 | 1.2× |
| Delivery of placenta (59414) | $188 | $376 | 0.1× |
| Destr penis lesion(s) (54065) | $359.50 | $719 | 0.2× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$142.50–$232.50 | $285–$465 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$353.50–$482 | $707–$964 | varies |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$241.50–$279.50 | $483–$559 | varies |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$121.50–$185 | $243–$370 | varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 2 matching MRF lines |
$185.50–$203 | $371–$406 | varies |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$148.50–$248.50 | $297–$497 | varies |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$108.50–$232.50 | $217–$465 | varies |
| Destruction Vaginal Lesions Simple (57061) range across 2 matching MRF lines |
$229–$2,463 | $458–$4,926 | varies |
| Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$132–$1,203.50 | $264–$2,407 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $102.50 | $205 | 0.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 3 matching MRF lines |
$347.50–$654 | $695–$1,308 | varies |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) | $163.50 | $327 | 0.3× |
| Drain Cerebro Spinal Fluid (62272) | $178.50 | $357 | 0.2× |
| Drain/inj small joint/bursa w/us (20604) | $517.50 | $1,035 | 1.5× |
| Drainage external auditory canal abscess (69020) range across 3 matching MRF lines |
$400–$1,194.50 | $800–$2,389 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) range across 2 matching MRF lines |
$436.50–$1,451 | $873–$2,902 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$340–$1,194.50 | $680–$2,389 | varies |
| Drainage Mouth Roof Lesion (42000) | $380.50 | $761 | 1.4× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$205–$289 | $410–$578 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$224.50–$401 | $449–$802 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$244.50–$2,739 | $489–$5,478 | varies |
| Drainage of rectal abscess (45020) | $1,185.50 | $2,371 | 0.4× |
| Drainage of scrotum (54700) | $441 | $882 | 0.2× |
| Draw Blood Off Venous Device (36591) | $163.50 | $327 | 1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $493 | $986 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $282.50 | $565 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $234 | $468 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$67–$344 | $134–$688 | varies |
| Dstrj lesion anus simple cryosurgery (46916) | $296 | $592 | 1.3× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $229.50 | $459 | 1.0× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$464–$2,953 | $928–$5,906 | varies |
| Dx gastr intub w/asp spec (43754) | $69 | $138 | 0.3× |
| Dx Laryngoscopy Excl Nb (31525) | $396.50 | $793 | 0.2× |
| Egd cautery tumor polyp (43250) | $380.50 | $761 | 0.2× |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$513–$3,111 | $1,026–$6,222 | varies |
| Egd Flexible Foreign Body Removal (43247) | $393 | $786 | 0.4× |
| Egd lesion ablation (43270) | $514.50 | $1,029 | 0.2× |
| Egd remove lesion snare (43251) range across 3 matching MRF lines |
$439.50–$3,163 | $879–$6,326 | varies |
| Egd Tube/Cath Insertion (43241) | $362.50 | $725 | 0.2× |
| Endocervical curettage (57505) | $192 | $384 | 0.2× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$187–$617.50 | $374–$1,235 | varies |
| Episiotomy or vaginal repair (59300) range across 2 matching MRF lines |
$361–$502 | $722–$1,004 | varies |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) | $482.50 | $965 | 0.5× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$67.50–$107 | $135–$214 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $988 | $1,976 | 0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$155.50–$737.50 | $311–$1,475 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$324–$3,655 | $648–$7,310 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$335–$1,126.50 | $670–$2,253 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$343.50–$410 | $687–$820 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$201.50–$732.50 | $403–$1,465 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $645 | $1,290 | 0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $454 | $908 | 0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$491.50–$2,904 | $983–$5,808 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$497–$2,604 | $994–$5,208 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$168.50–$210.50 | $337–$421 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$229.50–$1,254 | $459–$2,508 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$279.50–$1,901 | $559–$3,802 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $340 | $680 | 0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$304.50–$1,223.50 | $609–$2,447 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $371 | $742 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 3 matching MRF lines |
$567–$2,330.50 | $1,134–$4,661 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$453–$2,967.50 | $906–$5,935 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$232.50–$1,944.50 | $465–$3,889 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$215.50–$1,096 | $431–$2,192 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$279–$770.50 | $558–$1,541 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$334.50–$2,904 | $669–$5,808 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $988 | $1,976 | 0.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$436–$1,259.50 | $872–$2,519 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$392.50–$1,109.50 | $785–$2,219 | varies |
| Excision external ear; complete amputation Facility (69120) range across 2 matching MRF lines |
$130–$174.50 | $260–$349 | varies |
| Excision Lesion Tongue W/O Closure (41110) | $280.50 | $561 | 0.1× |
| Excision Lingual Frenum Frenectomy (41115) range across 2 matching MRF lines |
$309–$1,776 | $618–$3,552 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $425.50 | $851 | 0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$232–$889 | $464–$1,778 | varies |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$360–$2,041.50 | $720–$4,083 | varies |
| Excision soft tissue lesion, external auditory canal (69145) | $524.50 | $1,049 | 0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) range across 2 matching MRF lines |
$595–$2,620.50 | $1,190–$5,241 | varies |
| Expl penetrating wound spx abdomen/flank/back (20102) | $531.50 | $1,063 | 0.2× |
| Explo/Drain Breast Abscess (19020) | $629.50 | $1,259 | 0.3× |
| Exploration penetrating wound spx extremity (20103) | $727.50 | $1,455 | 0.4× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$99–$291 | $198–$582 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$149–$308 | $298–$616 | varies |
| Fna bx w/us gdn 1st les (10005) | $335 | $670 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$398–$962 | $796–$1,924 | varies |
| I&d abscess peritonsillar (42700) range across 3 matching MRF lines |
$290–$532 | $580–$1,064 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$198.50–$409 | $397–$818 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,322.50 | $2,645 | 0.4× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$205–$1,203.50 | $410–$2,407 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$215.50–$1,223.50 | $431–$2,447 | varies |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$392–$870 | $784–$1,740 | varies |
| Incise/Drain Conjunctiva (68020) | $157 | $314 | 0.1× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$307–$521 | $614–$1,042 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $692 | $1,384 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$195–$399.50 | $390–$799 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$291–$412.50 | $582–$825 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$228.50–$507 | $457–$1,014 | varies |
| Incision of eardrum (69420) range across 3 matching MRF lines |
$244–$378 | $488–$756 | varies |
| Incision of labial frenum (frenotomy) (40806) range across 2 matching MRF lines |
$58–$433 | $116–$866 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$252–$2,519.50 | $504–$5,039 | varies |
| Incision of rectal abscess (46040) | $1,175.50 | $2,351 | 0.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 3 matching MRF lines |
$333–$2,362.50 | $666–$4,725 | varies |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$173.50–$662.50 | $347–$1,325 | varies |
| Induced abortion dilation and curettage (59840) | $543 | $1,086 | 0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $96.50 | $193 | 0.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$87.50–$594.50 | $175–$1,189 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$80–$594.50 | $160–$1,189 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$85.50–$489 | $171–$978 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$118–$594.50 | $236–$1,189 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$95–$454.50 | $190–$909 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$145–$339 | $290–$678 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$65–$232.50 | $130–$465 | varies |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$169–$516 | $338–$1,032 | varies |
| Insert cath pleura w/o image (32556) | $852.50 | $1,705 | 0.4× |
| Insert cervical dilator (59200) range across 3 matching MRF lines |
$97.50–$507 | $195–$1,014 | varies |
| Insert Drug Implant Device (11981) range across 3 matching MRF lines |
$120–$579 | $240–$1,158 | varies |
| Insert non-tunnel cv cath (36556) | $579 | $1,158 | 0.2× |
| Insert pessary/other device (57160) range across 3 matching MRF lines |
$100–$412.50 | $200–$825 | varies |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$14.50–$205 | $29–$410 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$58–$205 | $116–$410 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $177 | $354 | 0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$396.50–$2,560.50 | $793–$5,121 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $463.50 | $927 | 0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $632.50 | $1,265 | 1.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $786.50 | $1,573 | 1.7× |
| Intubation endotracheal emergency procedure (31500) | $477 | $954 | 1.8× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$124.50–$345 | $249–$690 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$158.50–$3,961.50 | $317–$7,923 | varies |
| Late closure of wound (13160) | $1,687.50 | $3,375 | 0.4× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$166.50–$275.50 | $333–$551 | varies |
| Nasal Endoscopy Dx (31231) range across 3 matching MRF lines |
$135.50–$490 | $271–$980 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $86 | $172 | 0.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$329.50–$535 | $659–$1,070 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 2 matching MRF lines |
$345–$535 | $690–$1,070 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 3 matching MRF lines |
$43–$47.50 | $86–$95 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) range across 3 matching MRF lines |
$47.50–$64 | $95–$128 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $507 | $1,014 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $251.50 | $503 | 0.7× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$157–$820.50 | $314–$1,641 | varies |
| Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,260 | $4,520 | 0.2× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,095.50 | $2,191 | 0.1× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) likely a partial charge, not the full procedure |
$1,493 | $2,986 | 0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,025.50 | $2,051 | 0.3× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $1,235 | $2,470 | 0.3× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,755 | $3,510 | 0.2× |
| Partial Excision Distal Phalanx Finger (26236) | $911.50 | $1,823 | 0.5× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) | $2,352.50 | $4,705 | 2.1× |
| Placement of needle for intraosseous infusion (36680) | $126 | $252 | 0.3× |
| Probe lacrimal canaliculi w/wo irrigation (68840) | $182.50 | $365 | 0.5× |
| Pseudoaneurysm Injection Trt (36002) | $228 | $456 | 0.3× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$142.50–$372 | $285–$744 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$198.50–$409 | $397–$818 | varies |
| Puncture Aspiration Cyst Breast (19000) | $92 | $184 | 0.1× |
| Removal Embedded Foreign Body Eyelid (67938) | $326 | $652 | 0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$280–$437 | $560–$874 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $305.50 | $611 | 0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$47.50–$130 | $95–$260 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$69–$174.50 | $138–$349 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 3 matching MRF lines |
$307–$3,655 | $614–$7,310 | varies |
| Removal implantable contraceptive capsules (11976) range across 3 matching MRF lines |
$198–$770.50 | $396–$1,541 | varies |
| Removal of foreign body from pharynx (42809) | $280.50 | $561 | 0.6× |
| Removal of implant from finger or hand (26320) range across 2 matching MRF lines |
$987.50–$2,987.50 | $1,975–$5,975 | varies |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$276.50–$642.50 | $553–$1,285 | varies |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$97.50–$231 | $195–$462 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$151–$232.50 | $302–$465 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $84 | $168 | 0.3× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$120–$203 | $240–$406 | varies |
| Remove foreign body from eye (65205) range across 5 matching MRF lines |
$62–$203 | $124–$406 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$144–$617.50 | $288–$1,235 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$264–$265 | $528–$530 | varies |
| Remove Shoulder Foreign Body (23330) | $313 | $626 | 0.2× |
| Remove Tendon Sheath Lesion (26160) | $1,613.50 | $3,227 | 0.9× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$267–$463 | $534–$926 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$597.50–$728 | $1,195–$1,456 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$630–$725.50 | $1,260–$1,451 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $521 | $1,042 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $653 | $1,306 | 1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $490 | $980 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $557 | $1,114 | 1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$428–$1,798.50 | $856–$3,597 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) | $525.50 | $1,051 | 0.6× |
| Repair extensor tendon finger w/o graft each (26418) | $1,470 | $2,940 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$355.50–$420 | $711–$840 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $421 | $842 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$444.50–$552 | $889–$1,104 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $476 | $952 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $791.50 | $1,583 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 3 matching MRF lines |
$562–$1,004.50 | $1,124–$2,009 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $324 | $648 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $413.50 | $827 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$191.50–$702.50 | $383–$1,405 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $711.50 | $1,423 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$486.50–$794 | $973–$1,588 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $316 | $632 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$402.50–$476.50 | $805–$953 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$269.50–$586 | $539–$1,172 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $429.50 | $859 | 1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $684 | $1,368 | 0.3× |
| Repair of nail bed (11760) | $400 | $800 | 0.5× |
| Repair tongue laceration (41252) range across 3 matching MRF lines |
$448–$1,030 | $896–$2,060 | varies |
| Repair tongue laceration (41250) range across 3 matching MRF lines |
$289.50–$579 | $579–$1,158 | varies |
| Replantation digit complete (20822) | $3,807.50 | $7,615 | 2.1× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$220–$1,365 | $440–$2,730 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$74–$253 | $148–$506 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$94–$114 | $188–$228 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$77.50–$114.50 | $155–$229 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $343 | $686 | 0.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $290 | $580 | 0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $862.50 | $1,725 | 0.5× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$111.50–$554 | $223–$1,108 | varies |
| Rplc gtube revj gstrst trc (43763) range across 3 matching MRF lines |
$240.50–$830.50 | $481–$1,661 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 4 matching MRF lines |
$208–$343 | $416–$686 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $637.50 | $1,275 | 0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,138 | $2,276 | 1.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 3 matching MRF lines |
$294.50–$2,051.50 | $589–$4,103 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 3 matching MRF lines |
$73–$232.50 | $146–$465 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$156.50–$243.50 | $313–$487 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$175–$232.50 | $350–$465 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$108.50–$205.50 | $217–$411 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$165–$264.50 | $330–$529 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$160.50–$253.50 | $321–$507 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 3 matching MRF lines |
$164.50–$263 | $329–$526 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 3 matching MRF lines |
$111.50–$356 | $223–$712 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$189–$681 | $378–$1,362 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$129.50–$298.50 | $259–$597 | varies |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) range across 2 matching MRF lines |
$842–$1,685.50 | $1,684–$3,371 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 3 matching MRF lines |
$157.50–$1,502.50 | $315–$3,005 | varies |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) range across 2 matching MRF lines |
$324–$2,095 | $648–$4,190 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
$132.50–$282 | $265–$564 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$117.50–$279.50 | $235–$559 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$130.50–$291.50 | $261–$583 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $323.50 | $647 | 0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$166.50–$228 | $333–$456 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $366 | $732 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$94–$279.50 | $188–$559 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $314.50 | $629 | 1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$154.50–$308 | $309–$616 | varies |
| Slitting of prepuce (54001) | $286.50 | $573 | 0.1× |
| Slitting of prepuce (54000) | $221.50 | $443 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$124–$279.50 | $248–$559 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 4 matching MRF lines |
$209.50–$404.50 | $419–$809 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$253.50–$525.50 | $507–$1,051 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$165.50–$1,179.50 | $331–$2,359 | varies |
| Strapping ankle (29540) | $55 | $110 | 0.3× |
| Strapping elbow or wrist (29260) | $76.50 | $153 | 1.2× |
| Strapping hand/finger (29280) | $74.50 | $149 | 1.1× |
| Strapping knee (29530) range across 2 matching MRF lines |
$76.50–$182 | $153–$364 | varies |
| Strapping shoulder (29240) | $90.50 | $181 | 0.6× |
| Strapping thorax (29200) | $71 | $142 | 0.4× |
| Strapping toes (29550) | $41 | $82 | 0.6× |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$61.50–$338.50 | $123–$677 | varies |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$113–$372 | $226–$744 | varies |
| Tattooing incl micropigmentation 6.0 cm/< (11920) range across 2 matching MRF lines |
$999.50–$2,003 | $1,999–$4,006 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $367.50 | $735 | 1.4× |
| Transfusion Intrauterine Fetal (36460) | $579.50 | $1,159 | 1.2× |
| Treat humerus fracture (24500) | $671 | $1,342 | 2.5× |
| Treat Humerus Fracture (24505) | $934 | $1,868 | 0.5× |
| Treat humerus fracture (23600) | $635.50 | $1,271 | 2.3× |
| Treat Knuckle Dislocation (26700) range across 3 matching MRF lines |
$465.50–$632 | $931–$1,264 | varies |
| Treat Metatarsal Fracture (28475) | $472.50 | $945 | 1.7× |
| Treat Thumb Dislocation (26641) | $703 | $1,406 | 2.6× |
| Treat Thumb Fracture (26645) | $807 | $1,614 | 0.5× |
| Treat toe dislocation (28630) | $426 | $852 | 1.6× |
| Treat Vaginal Bleeding (57180) | $222 | $444 | 1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $991 | $1,982 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$693–$1,045.50 | $1,386–$2,091 | varies |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$33–$232.50 | $66–$465 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$47.50–$374.50 | $95–$749 | varies |
| Trim skin lesions over 4 (11057) range across 3 matching MRF lines |
$90–$372 | $180–$744 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$15–$93 | $30–$186 | varies |
| Tx Gastro Intub W/Asp (43753) range across 3 matching MRF lines |
$65–$533 | $130–$1,066 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 5 matching MRF lines |
$379–$2,511 | $758–$5,022 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines |
$990–$4,984.50 | $1,980–$9,969 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $293.50 | $587 | 0.7× |
| Unlisted Procedure Casting/Strapping (29799) | $244.50 | $489 | 1.4× |
| Unlisted procedure nervous system (64999) | $241 | $482 | 0.7× |
| Vaginal delivery only (59409) range across 7 matching MRF lines |
$1,665–$3,229 | $3,330–$6,458 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 3 matching MRF lines |
$470–$4,239.50 | $940–$8,479 | varies |
| Vein Access Cutdown < 1 Yr (36420) | $227 | $454 | 1.5× |
| Venous Cutdown >1 Y/O (36425) | $171.50 | $343 | 0.3× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$193–$322.50 | $386–$645 | varies |
| Windowing of cast (29730) | $94 | $188 | 0.5× |
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.