Procedures & surgery prices at Ochsner LSU Health - Monroe Medical Center

Monroe, LA · every code in this section with a posted price and a Medicare benchmark.

1183 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $332.83 $1,447.08 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $446.43–$564.88 $1,941–$2,456 varies
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $847.78–$1,695.56 $3,686–$7,372 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $847.78 $3,686 0.6×
Abrasion single lesion (15786) $111.09 $483 0.6×
Acne surgery (10040) $63.48 $276 0.3×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,903.48 $8,276 1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,411.97 $6,139 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $762.80–$1,411.97 $3,316.53–$6,139 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,411.97 $6,139 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,903.48 $8,276 1.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,903.48 $8,276 1.0×
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines		 $223.56–$339.71 $972–$1,477 varies
Amniocentesis therapeutic (59001)
range across 2 matching MRF lines		 $174.34–$377.20 $758–$1,640 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,995.67 $8,676.84 0.7×
Amputation foot transmetarsal (28805) $3,281.38 $14,266.89 1.1×
Amputation metatarsal with toe single (28810) $6,135.33 $26,675.34 2.1×
Amputation toe interphalangeal joint (28825) $2,780.12 $12,087.47 0.9×
Amputation toe metatarsophalangeal joint (28820) $1,955.74 $8,503.20 0.7×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $229.77 $999 0.8×
Anal/Urinary Muscle Study (51784) $49.22 $214 0.4×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $36.07–$282.90 $156.83–$1,230 varies
Anoscopy; with biopsy, single or multiple (46606)
range across 2 matching MRF lines		 $527.62–$730.75 $2,294–$3,177.18 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,119.46 $9,215.03 0.8×
Apheresis Platelets (36513) $682.52 $2,967.46 1.7×
Application cast elbow finger short arm (29075)
range across 4 matching MRF lines		 $179.39–$554.30 $779.96–$2,410 varies
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $79.12–$158.24 $344–$688 varies
Application finger splint static (29130)
range across 4 matching MRF lines		 $51.29–$158.24 $223–$688 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $92.23–$277.38 $401–$1,206 varies
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 2 matching MRF lines		 $277.15–$554.30 $1,205–$2,410 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $92.23–$277.38 $401–$1,206 varies
Application of cylinder cast (thigh to ankle) (29365)
range across 2 matching MRF lines		 $277.15–$554.30 $1,205–$2,410 varies
Application of long leg cast (29345)
range across 2 matching MRF lines		 $277.15–$554.30 $1,205–$2,410 varies
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $277.15–$554.30 $1,205–$2,410 varies
Application Short Arm Splint Dynamic (29126)
range across 4 matching MRF lines		 $92.23–$277.38 $401–$1,206 varies
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines		 $92.23–$293.94 $401–$1,278 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $138.69–$721.74 $603–$3,138 varies
Application, cast; figure-of-eight Facility (29049) $138.69 $603 0.5×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $138.69–$277.38 $603–$1,206 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $277.15–$554.30 $1,205–$2,410 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $97.41–$208.38 $423.54–$906 varies
Apply Short Leg Cast (29405)
range across 4 matching MRF lines		 $277.15–$826.16 $1,205–$3,592 varies
Apply short leg cast (29425)
range across 4 matching MRF lines		 $179.62–$554.30 $780.95–$2,410 varies
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $5,611.86 $24,399.41 1.2×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) $1,394.75 $6,064.13 0.5×
Arterial puncture (36600)
range across 2 matching MRF lines		 $53.13–$135.70 $231–$590 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $92.23–$372.14 $401–$1,618 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $371.45–$742.90 $1,615–$3,230 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $372.14–$744.28 $1,618–$3,236 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $371.45–$742.90 $1,615–$3,230 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $92.23–$753.48 $401–$3,276 varies
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $6,242.99 $27,143.42 2.1×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $9,189.32 $39,953.56 6.3×
Arthroscopy shoulder distal claviculectomy (29824) $10,059.33 $43,736.21 3.4×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $16,175.04 $70,326.26 2.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $7,669.12 $33,343.98 2.6×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $8,223.58 $35,754.70 2.8×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $10,021.60 $43,572.17 1.5×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $18,143.72 $78,885.75 1.6×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $18,587.94 $80,817.13 2.8×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $7,752.67 $33,707.28 2.6×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $446.43–$1,449.92 $1,941–$6,304 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $446.43–$1,449.92 $1,941–$6,304 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $184.11–$237.13 $800.49–$1,031 varies
Aspiration and/or injection thyroid cyst (60300) $403.88 $1,756 0.6×
Aspiration bladder insert suprapubic catheter (51102) $2,252.16 $9,792 1.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $111.09–$174.34 $483–$758 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $475.64–$842.82 $2,068–$3,664.44 varies
Biopsy bone open deep (20245) $2,047.46 $8,902 0.8×
Biopsy bone open superficial (20240) $2,047.46 $8,902 0.8×
Biopsy bone trocar/needle deep (20225) $726.11 $3,157 0.5×
Biopsy Bone Trocar/Needle Superficial (20220) $434.01 $1,887 0.3×
Biopsy External Auditory Canal (69105)
range across 2 matching MRF lines		 $1,401.39–$2,802.78 $6,093–$12,186 varies
Biopsy external ear (69100)
range across 3 matching MRF lines		 $259.71–$361.79 $1,129.18–$1,573 varies
Biopsy muscle percutaneous needle (20206) $374.90 $1,630 0.3×
Biopsy nail unit (11755) $434.01 $1,887 0.7×
Biopsy Nasopharynx Visible Lesion Simple (42804)
range across 2 matching MRF lines		 $803.39–$1,927.85 $3,493–$8,381.94 varies
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $2,033.20–$4,066.40 $8,840–$17,680 varies
Biopsy of conjunctiva (68100)
range across 2 matching MRF lines		 $603.29–$1,206.58 $2,623–$5,246 varies
Biopsy of floor of mouth (41108) $734.85 $3,195 0.5×
Biopsy of lip (40490)
range across 2 matching MRF lines		 $240.12–$598.46 $1,044–$2,602 varies
Biopsy of liver, needle; percutaneous (47000) $1,219.92 $5,304 0.8×
Biopsy of palate, uvula (42100) $734.85 $3,195 0.5×
Biopsy of penis (54100) $1,150.92 $5,004 0.8×
Biopsy of rectum (45100) $1,639.90 $7,130 0.7×
Biopsy of toe joint lining (28054) $1,024.33 $4,453.59 0.3×
Biopsy Oropharynx (42800) $527.62 $2,294 0.4×
Biopsy Salivary Gland Incisional (42405) $1,457.28 $6,336 1.0×
Biopsy Salivary Gland Needle (42400) $968.76 $4,212 1.5×
Biopsy soft tissue back/flank deep (21925) $579.14 $2,518 0.4×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $1,093.11–$1,569.06 $4,752.64–$6,822 varies
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $589.72 $2,564 0.4×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,106.76 $4,812 0.7×
Biopsy Tongue Anterior Two-Thirds (41100) $734.85 $3,195 1.5×
Biopsy Tongue Posterior One-Third (41105) $1,457.28 $6,336 0.5×
Biopsy Vaginal Mucosa Extensive (57105) $2,247.56 $9,772 0.8×
Biopsy Vaginal Mucosa Simple (57100) $452.64 $1,968 0.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $451.49 $1,963 0.5×
Biopsy, vestibule of mouth (40808) $282.90 $1,230 0.6×
Biopsy/removal lymph nodes (38510) $1,210.05 $5,261.09 0.3×
Bladder instillation anticarcinogenic agent (51720) $284.28 $1,236 0.5×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $126.27–$158.38 $549–$688.59 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $49.22–$66.93 $214–$291 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206)
range across 2 matching MRF lines		 $480.70–$998.43 $2,090–$4,341 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $1,903.48–$3,806.96 $8,276–$16,552 varies
Blepharotomy drainage abscess eyelid (67700)
range across 4 matching MRF lines		 $227.01–$469.66 $987–$2,042 varies
Blood Transfusion Service (36430) $262.43 $1,141 0.7×
Blood/Lymph System Procedure (38999) $196.88 $856 0.5×
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $495.88–$1,293.62 $2,156–$5,624.44 varies
Bone Marrow; Aspiration Only (38220) $495.88 $2,156 0.3×
Brnchsc Brushing/Protected Brushings (31623) $1,313.30 $5,710 0.8×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $1,891.64 $8,224.51 0.6×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $1,891.64 $8,224.51 0.6×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
likely a partial charge, not the full procedure		 $1,247.41 $5,423.52 0.2×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $1,247.41 $5,423.52 0.4×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $1,247.41 $5,423.52 0.4×
Bronchoscopic Thermoplasty 2/> Lobes (31661)
likely a partial charge, not the full procedure		 $1,493.05 $6,491.51 0.2×
Bronchoscopy Bronch Stents (31636)
likely a partial charge, not the full procedure		 $1,247.41 $5,423.52 0.2×
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure		 $1,247.41 $5,423.52 0.2×
Bronchoscopy W/Biopsy(S) (31625) $1,313.30 $5,710 0.8×
Bronchoscopy W/Excision Tumor (31640) $1,247.41 $5,423.52 0.4×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $819.72–$1,313.30 $3,564–$5,710 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,313.30 $5,710 0.4×
Bronchoscopy/Needle Bx Each (31629) $531.41 $2,310.47 0.2×
Bx breast 1st lesion mr imag (19085) $991.52 $4,310.97 0.7×
Bx breast 1st lesion strtctc (19081) $968.76 $4,212 0.6×
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines		 $457.93–$2,260.90 $1,991–$9,830 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 4 matching MRF lines		 $374.90–$1,898.19 $1,630–$8,253 varies
Bx Cervix (57500) $452.64 $1,968 0.5×
Bx/exc lymph node open deep axillary node (38525) $2,225.25 $9,675 0.6×
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $1,864.84–$2,239.97 $8,108–$9,739 varies
Canthoplasty (67950)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines		 $533.16–$1,515.24 $2,318.09–$6,588 varies
Cataract surgery complex (66982) $3,297.06 $14,335.03 1.6×
Catheter aspiration nasotracheal spx (31720) $132.20 $574.80 0.7×
Cautery Cervix Cryocautery Initial/Repeat (57511) $259.21 $1,127 0.9×
Cerclage cervix pregnancy vaginal (59320) $1,810.01 $7,869.63 0.6×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $643.77–$752.79 $2,799–$3,273 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $194.12–$243.57 $844–$1,059 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $124.66–$195.04 $542–$848 varies
Chemical Cautery Tissue (17250) $111.09 $483 0.6×
Chemical peel, facial; epidermal (15788) $88.78 $386 0.2×
Chemodenerv 1 extrem 5/> mus (64644) $518.65 $2,255 0.8×
Chemodenerv 1 extremity 1-4 (64642) $518.65 $2,255 0.8×
Chemodenerv Eccrine Glands (64650) $81.19 $353 0.3×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $92.23–$160.74 $401–$698.85 varies
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $355.58–$711.16 $1,546–$3,092 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $92.23 $401 0.3×
Chemodenerv trunk musc 1-5 (64646) $518.65 $2,255 0.8×
Chemodenerv trunk musc 6/> (64647) $518.65 $2,255 0.8×
Chemodenervation Muscle Larynx Unilat W/Emg (64617)
range across 2 matching MRF lines		 $622.38–$1,244.76 $2,706–$5,412 varies
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $92.23–$184.46 $401–$802 varies
Chest tube placement (32551)
range across 3 matching MRF lines		 $446.43–$1,165.18 $1,941–$5,066 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,222.45 $5,315 0.6×
Chorionic Villus Sampling (59015) $223.56 $972 0.3×
Ciliary body dstrj cyclophotocoag transsceral (66710)
range across 2 matching MRF lines		 $1,278.57–$2,557.14 $5,559–$11,118 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $1,498.66–$1,498.68 $6,515.93–$6,516 varies
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $1,147.01–$1,596.43 $4,987–$6,941 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $1,147.01–$1,596.43 $4,987–$6,941 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 4 matching MRF lines		 $359.95–$1,702.05 $1,565–$7,400.22 varies
Clear outer ear canal (69200)
range across 4 matching MRF lines		 $49.22–$107.18 $214–$466 varies
Closed Rx Metacarpal Fx,Percut (26608) $3,434.73 $14,933.59 1.2×
Closed Rx Spontaneous Hip Disloc (27256) $147.43 $641 0.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $159.62 $694 0.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 3 matching MRF lines		 $359.95–$719.90 $1,565–$3,130 varies
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closed Treatment Sternum Fracture (21820) $180.09 $783 0.8×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $359.95–$719.90 $1,565–$3,130 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines		 $149.47–$360.18 $649.85–$1,566 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $359.95–$960.72 $1,565–$4,177.05 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $359.95–$719.90 $1,565–$3,130 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closed Tx Knee Dislocation W/Anesthesia (27552) $810.50 $3,523.93 0.6×
Closed tx knee dislocation w/o anesthesia (27550) $159.62 $694 0.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $981.53 $4,267.53 0.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $318.71 $1,385.70 0.7×
Closed tx metatarsal fracture w/o manipulation (28470) $180.09 $783 0.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $201.14 $874.50 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $476.79 $2,073 0.3×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $847.78 $3,686 0.3×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 4 matching MRF lines		 $194.41–$719.90 $845.27–$3,130 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $359.95–$719.90 $1,565–$3,130 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 4 matching MRF lines		 $194.41–$719.90 $845.28–$3,130 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 4 matching MRF lines		 $359.95–$1,513.33 $1,565–$6,579.70 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $359.95–$719.90 $1,565–$3,130 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closed Tx Talus Fracture W/Manipulation (28435) $1,152.07 $5,009 0.8×
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $571.15 $2,483.28 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $106.81 $464.39 0.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $176.74 $768.43 0.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $501.63 $2,181 1.0×
Closure lacrimal punctum (68760)
range across 2 matching MRF lines		 $108.10–$216.20 $470–$940 varies
Clsd tx acromioclavicular dislc w/manipulation (23545) $148.58 $646 0.7×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 4 matching MRF lines		 $99.59–$360.18 $433–$1,566 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $351.44 $1,528 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,062.14 $4,618 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $176.74–$719.90 $768.43–$3,130 varies
Clsr Lacrimal Punctum Plug Each (68761)
range across 2 matching MRF lines		 $167.21–$334.42 $727–$1,454 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 3 matching MRF lines		 $106.93–$360.18 $464.90–$1,566 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $351.67–$359.95 $1,529–$1,565 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $180.09 $783 0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $186.07 $809 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $176.74 $768.43 0.8×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 4 matching MRF lines		 $124.51–$360.18 $541.35–$1,566 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $97.21–$180.09 $422.64–$783 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $180.09 $783 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $359.95–$719.90 $1,565–$3,130 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $359.95–$826.16 $1,565–$3,592 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,790.12 $12,130.96 1.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 4 matching MRF lines		 $194.41–$719.90 $845.27–$3,130 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,250.65 $5,437.60 0.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $935.18 $4,066 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines		 $159.62–$360.18 $694–$1,566 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $359.95 $1,565 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $180.09 $783 0.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $8,379.11 $36,430.92 5.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 3 matching MRF lines		 $88.32–$360.18 $384–$1,566 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx hip dislocation traumatic req anesthesia (27252) $736.82 $3,203.57 0.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $213.86 $929.81 1.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $180.09 $783 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $180.09–$211.45 $783–$919.35 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,272.59 $5,533 5.0×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $135.44–$180.09 $588.85–$783 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,152.07 $5,009 0.8×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $194.41–$359.95 $845.27–$1,565 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $97.21–$180.09 $422.64–$783 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $935.18 $4,066 0.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $960.72 $4,177.05 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $159.62–$180.09 $694–$783 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $180.09 $783 0.8×
Cltx post hip arthrp dislc req anes (27266) $4,783.19 $20,796.46 3.3×
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines		 $250.72–$719.90 $1,090.07–$3,130 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 3 matching MRF lines		 $490.82–$981.64 $2,134–$4,268 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 4 matching MRF lines		 $159.62–$360.18 $694–$1,566 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines		 $359.95–$719.90 $1,565–$3,130 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines		 $180.09–$703.34 $783–$3,058 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $906.20 $3,940 0.6×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 4 matching MRF lines		 $142.27–$360.18 $618.57–$1,566 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $413.08–$981.64 $1,796–$4,268 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $62.91–$71.76 $273.54–$312 varies
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $4.60–$7.59 $20–$33 varies
Colonoscopy Flexible With Decompression (45393) $750.09 $3,261.28 0.7×
Colonoscopy Stoma Ablation Lesion (44401) $750.09 $3,261.28 0.7×
Colonoscopy Stoma Control Bleeding (44391) $245.26 $1,066.33 0.2×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $243.65 $1,059.34 0.2×
Colonoscopy stoma w/balloon dilation (44405) $750.09 $3,261.28 0.7×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
likely a partial charge, not the full procedure		 $750.09 $3,261.28 0.1×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $750.09 $3,261.28 0.7×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $243.65 $1,059.34 0.3×
Colonoscopy Stoma W/Submucosal Injection (44404) $750.09 $3,261.28 0.7×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $243.65 $1,059.34 0.2×
Colonoscopy thru stoma (44388) $243.65 $1,059.34 0.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $243.65 $1,059.34 0.2×
Colonoscopy w/ablation (45388) $243.65 $1,059.34 0.2×
Colonoscopy W/Band Ligation (45398) $750.09 $3,261.28 0.7×
Colonoscopy w/fb removal (45379) $243.65 $1,059.34 0.2×
Colonoscopy W/Resection (45390) $750.09 $3,261.28 0.3×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $758.13 $3,296.23 0.1×
Colonoscopy w/submucosal inj (45381) $243.65 $1,059.34 0.2×
Colpopexy vaginal intraperitoneal approach (57283) $8,579.96 $37,304.19 1.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $259.21 $1,127 0.9×
Colposcopy Cervix Endocervical Curettage (57456) $259.21 $1,127 0.9×
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $19.03–$259.21 $82.74–$1,127 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $259.21 $1,127 0.9×
Colposcopy cervix vag eltrd conization cervix (57461) $1,872.89 $8,143 0.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines		 $1,592.75–$1,848.90 $6,925–$8,038.68 varies
Colposcopy entire vagina w/cervix if present (57420) $259.21 $1,127 0.9×
Colposcopy of vulva (56820) $137.31 $597 0.8×
Colposcopy Vulva W/Biopsy (56821) $259.21 $1,127 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $259.21 $1,127 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $243.65 $1,059.34 0.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $243.65 $1,059.34 0.2×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $243.65 $1,059.34 0.2×
Complex Cystometrogram (51726) $284.28 $1,236 1.3×
Complex drainage wound (10180) $835.59 $3,633 0.3×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,429.49 $10,563 0.8×
Conization of cervix (57520) $2,936.02 $12,765.32 1.0×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Constj tracheoesophgl fstl&insj sp prosth (31611) $2,032.28 $8,836 0.7×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $128.11–$256.22 $557–$1,114 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines		 $77.28–$256.22 $336–$1,114 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $985.58–$1,048.11 $4,285.14–$4,557 varies
Cornea Scraping Diagnostic Smear &/Culture (65430)
range across 2 matching MRF lines		 $108.10–$216.20 $470–$940 varies
Correction Everted Punctum Cautery (68705)
range across 2 matching MRF lines		 $227.01–$454.02 $987–$1,974 varies
Correction hammertoe (28285)
range across 2 matching MRF lines		 $2,085.64–$4,171.28 $9,068–$18,136 varies
Correction of trichiasis; epilation, by forceps only (67820)
range across 2 matching MRF lines		 $108.10–$216.20 $470–$940 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $8,215.95 $35,721.52 2.8×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $7,450.23 $32,392.31 2.5×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $87.86–$175.72 $382–$764 varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $88.78 $386 1.7×
Csf shunt reprogram (62252) $96.37 $419 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $77.28–$128.11 $336–$557 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $128.11 $557 0.6×
Curettage postpartum (59160) $1,810.01 $7,869.63 0.6×
Curette/treat cornea (65435)
range across 2 matching MRF lines		 $615.48–$1,230.96 $2,676–$5,352 varies
Cysto Bladder W/Ureteral Catheterization (52005) $1,265.23 $5,501 0.7×
Cysto calibration dilat urtl strix/stenosis (52281) $2,021.47 $8,789 1.1×
Cysto w/complex removal stone & stent (52315) $2,021.47 $8,789 1.1×
Cysto w/destruction of lesions (52214) $2,539.20 $11,040 0.8×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $2,539.20–$5,078.40 $11,040–$22,080 varies
Cysto w/removal of lesions small (52224) $2,539.20 $11,040 0.8×
Cysto w/removal of tumors small (52234) $239.43 $1,041 0.1×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $755.09–$1,510.18 $3,283–$6,566 varies
Cystometrogram W/Up (51727) $284.28 $1,236 0.5×
Cystometrogram W/Vp (51728) $284.28 $1,236 0.5×
Cystometrogram W/Vp&Up (51729) $284.28 $1,236 0.5×
Cystoscopy implant stent (52282) $3,655.16 $15,892 1.1×
Cystourethroscopy (52000) $116.38 $506 0.2×
Cystourethroscopy inj chemodenervation bladder (52287) $1,988.58 $8,646 1.1×
Cystourethroscopy tx female urethral syndrome (52285) $2,021.47 $8,789 3.2×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $1,482.35–$2,021.47 $6,445.01–$8,789 varies
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $755.09 $3,283 0.4×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $2,021.47 $8,789 1.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $368.69 $1,603 1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $438.52 $1,906.62 0.7×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $5,884.70 $25,585.66 9.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $368.69 $1,603 0.6×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $55.89–$78.66 $243–$342 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $55.89–$78.66 $243–$342 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $403.18–$1,026.03 $1,752.96–$4,461 varies
Debridement Mastoidectomy Cavity Cmplx (69222)
range across 2 matching MRF lines		 $1,401.39–$2,802.78 $6,093–$12,186 varies
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $74.06–$148.12 $322–$644 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $252.77–$368.69 $1,099–$1,603 varies
Declot vascular device (36593) $137.86 $599.40 0.5×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $1,903.48 $8,276 1.0×
Delivery of placenta (59414) $782.17 $3,400.73 0.3×
Dermabrasion segmental face (15781) $434.01 $1,887 0.7×
Dermabrasion superficial any site (15783) $262.43 $1,141 0.7×
Destr penis lesion(s) (54065) $2,201.79 $9,573 1.2×
Destroy cerv/thor facet jnt (64633) $1,237.38 $5,379.93 0.7×
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $1,237.38–$2,481.67 $5,379.93–$10,789.86 varies
Destruc retinal lesn,photocoag (67210)
range across 2 matching MRF lines		 $411.47–$822.94 $1,789–$3,578 varies
Destruct B9 Lesion 1-14 (17110) $111.09 $483 0.6×
Destruction Benign Lesions 15/> (17111) $111.09 $483 0.6×
Destruction Lesions Vulva Extensive (56515) $2,201.79 $9,573 1.2×
Destruction Lesions Vulva Simple (56501) $1,957.76 $8,512 1.0×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $171.12 $744 0.9×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $171.12 $744 0.9×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $171.12 $744 0.5×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $171.12 $744 0.9×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $171.12 $744 0.9×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $171.12 $744 0.9×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $171.12 $744 0.5×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $262.43 $1,141 0.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $171.12 $744 0.9×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $171.12 $744 0.9×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $111.09 $483 0.6×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $171.12 $744 0.9×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $171.12 $744 0.5×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $171.12 $744 0.9×
Destruction neurolytic agt genicular nerve w/img (64624) $1,186.34 $5,158 0.7×
Destruction of lesion of lid margin (up to 1 cm) (67850)
range across 2 matching MRF lines		 $615.48–$1,230.96 $2,676–$5,352 varies
Destruction of lesion, conjunctiva (68135)
range across 2 matching MRF lines		 $615.48–$1,230.96 $2,676–$5,352 varies
Destruction Premalignant Lesion 15/> (17004) $233.22 $1,014 0.6×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $62.10–$120.57 $270–$524.20 varies
Destruction Vaginal Lesions Simple (57061) $2,247.56 $9,772 0.8×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $67.94–$474.95 $295.38–$2,065 varies
Diaphragm or cervical cap fitting with instructions (57170) $18.63 $81 0.1×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $270.25 $1,175 2.3×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $126.27 $549 1.0×
Dilat rct strix spx under anes oth/thn local (45910) $1,063.12 $4,622.24 1.0×
Dilat Urethral Strix Dilator Male Sbsq (53601) $126.27 $549 1.0×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $126.27 $549 0.6×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $311.33–$500.94 $1,353.63–$2,178 varies
Dilate Urethra Stricture (53620) $1,798.83 $7,821 2.8×
Dilate Urethra Stricture (53600) $284.28 $1,236 1.3×
Dilation & curettage dx&/ther nonobstetric (58120) $1,848.90 $8,038.68 0.6×
Dilation Esophagus Guide Wire (43453) $500.94 $2,178 0.3×
Dilation Lacrimal Punctum W/WO Irrgation (68801)
range across 2 matching MRF lines		 $108.10–$216.20 $470–$940 varies
Dilation Salivary Duct (42650) $734.85 $3,195 0.5×
Division of symblepharon (68340)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Drain Cerebro Spinal Fluid (62272) $325.68 $1,416 0.5×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $371.45–$742.90 $1,615–$3,230 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $240.12 $1,044 0.5×
Drainage external auditory canal abscess (69020)
range across 3 matching MRF lines		 $131.79–$263.58 $573–$1,146 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $1,420.71–$2,841.42 $6,177–$12,354 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 4 matching MRF lines		 $131.79–$293.94 $573–$1,278 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $776.94–$1,221.07 $3,378–$5,309 varies
Drainage of eye (65800)
range across 2 matching MRF lines		 $1,278.57–$2,557.14 $5,559–$11,118 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $158.01–$159.62 $687–$694 varies
Drainage of gum lesion (41800) $135.37 $588.55 1.1×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $813.23–$1,656 $3,535.79–$7,200 varies
Drainage of hydrocele (55000)
range across 2 matching MRF lines		 $193.43–$386.86 $841–$1,682 varies
Drainage of nose lesion (30000) $181.24 $788 0.8×
Drainage of rectal abscess (45005) $1,306.40 $5,680 1.2×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $870.69–$1,772.84 $3,785.63–$7,708 varies
Drainage of scrotum (54700)
range across 3 matching MRF lines		 $1,596.43–$4,254.54 $6,941–$18,498 varies
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $62.91–$89.01 $273.54–$387 varies
Dressing Change Under Anesthesia (15852) $64.40 $280 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $614.21 $2,670.47 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $146.97–$598.46 $639–$2,602 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $188.14–$251.62 $818–$1,094 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $188.14–$251.62 $818–$1,094 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $120.52–$188.14 $524–$818 varies
Dstrj les/scar vestibule mouth physical meths (40820) $1,457.28 $6,336 0.5×
Dstrj Lesion Anus Simple Chemical (46900) $284.05 $1,235 0.8×
Dstrj lesion anus simple cryosurgery (46916) $377.20 $1,640 2.1×
Dstrj lesion anus simple surg excision (46922) $1,834.71 $7,977 0.7×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $3,031.31 $13,179.59 1.6×
Dstrj lesion choroid pc 1/> sess (67220)
range across 2 matching MRF lines		 $417.91–$835.82 $1,817–$3,634 varies
Dstrj Lesion Choroid Photodynamic Therapy (67221) $417.91 $1,817 0.8×
Dstrj Lesion Penis Simple Chemical (54050) $115.46 $502 0.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $92.23 $401 0.5×
Dstrj lesion penis simple surg excision (54060) $1,957.76 $8,512 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $290.26–$588 $1,262–$2,556.54 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $517.50 $2,250 0.6×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $517.50 $2,250 0.6×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $930.12–$1,004.18 $4,044–$4,366 varies
Dx Bronchoscope/Lavage (31624) $1,313.30 $5,710 0.8×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $819.72–$1,313.30 $3,564–$5,710 varies
Dx Laryngoscopy Excl Nb (31525) $1,347.80 $5,860 0.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $431.25 $1,875 0.7×
Egd Balloon Dil Esoph30 Mm/> (43233) $874.59 $3,802.57 0.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $329.19 $1,431.24 0.2×
Egd cautery tumor polyp (43250) $329.19 $1,431.24 0.2×
Egd control bleeding any (43255) $329.19 $1,431.24 0.2×
Egd dilation gastric/duodenal stricture (43245) $329.19 $1,431.24 0.2×
Egd endo mucosal resection (43254) $636.72 $2,768.33 0.4×
Egd Endoscopic Stent Place (43266)
unusually low: confirm this is the full procedure		 $2,252.01 $9,791.36 0.4×
Egd Flexible Foreign Body Removal (43247) $219.82 $955.73 0.3×
Egd guide wire insertion (43248) $219.82 $955.73 0.3×
Egd intrmural us needle aspirate/biopsy esophags (43238) $329.19 $1,431.24 0.2×
Egd lesion ablation (43270) $329.19 $1,431.24 0.2×
Egd Optical Endomicroscopy (43252) $334.82 $1,455.76 0.2×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure		 $1,321.90 $5,747.38 0.1×
Egd place gastrostomy tube (43246) $329.19 $1,431.24 0.2×
Egd remove lesion snare (43251) $329.19 $1,431.24 0.2×
Egd Tube/Cath Insertion (43241) $219.82 $955.73 0.1×
Egd us exam duodenum/jejunum (43259) $329.19 $1,431.24 0.2×
Egd us transmural injxn/mark (43253) $962.05 $4,182.83 0.6×
Egd Varices Ligation (43244) $329.19 $1,431.24 0.2×
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $329.19 $1,431.24 0.1×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $96.37 $419 0.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $96.37 $419 0.3×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $96.37 $419 0.3×
Electro-Uroflowmetry First (51741) $126.27 $549 0.6×
Endocervical curettage (57505) $259.21 $1,127 0.3×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $121.43–$137.31 $527.97–$597 varies
Endoscopic injection/implant (51715) $3,067.97 $13,339 1.0×
Endoscopic us exam esoph (43237) $329.19 $1,431.24 0.2×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,215.48 $9,632.53 0.8×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,104.86 $9,151.55 0.7×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,144.58 $4,976.43 0.7×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $72.91–$424.38 $317–$1,845.12 varies
Episiotomy or vaginal repair (59300) $1,629.28 $7,083.81 0.6×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
likely a partial charge, not the full procedure		 $642.47 $2,793.35 0.1×
Ercp duct stent placement (43274)
unusually low: confirm this is the full procedure		 $1,836.34 $7,984.09 0.3×
Ercp Dx Collection Specimen Brushing/Washing (43260) $642.47 $2,793.35 0.2×
Ercp ea duct/ampulla dilate (43277) $642.47 $2,793.35 0.2×
Ercp remove calculi/debris biliary/pancreas duct (43264) $642.47 $2,793.35 0.2×
Ercp remove forgn body duct (43275) $760.14 $3,304.97 0.4×
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure		 $760.14 $3,304.97 0.1×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $1,836.34 $7,984.09 0.5×
Ercp W/Biopsy Single/Multiple (43261) $642.47 $2,793.35 0.2×
Ercp w/pressure measurement sphincter of oddi (43263) $642.47 $2,793.35 0.4×
Ercp,Sphincterotomy (43262) $642.47 $2,793.35 0.2×
Escharotomy; initial incision (16035) $188.14 $818 0.5×
Esophagogastroduodenoscopy Submucosal Injection (43236) $219.82 $955.73 0.3×
Esophagosc Dilate Balloon 30 (43214) $961.87 $4,182.03 0.6×
Esophagoscop Stent Placement (43212)
unusually low: confirm this is the full procedure		 $2,252.01 $9,791.36 0.4×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $329.19 $1,431.24 0.2×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $1,869.64 $8,128.85 0.5×
Esophagoscopy Flexible Guide Wire Dilation (43226)
range across 2 matching MRF lines		 $329.19–$507.84 $1,431.24–$2,208 varies
Esophagoscopy Flexible Transnasal Diagnostic (43197)
range across 2 matching MRF lines		 $578.91–$982.33 $2,517–$4,271 varies
Esophagoscopy Flexible Transnasal With Biopsy (43198) $578.91 $2,517 0.7×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $500.94–$558.62 $2,178–$2,428.80 varies
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $329.19 $1,431.24 0.2×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $962.05 $4,182.82 0.6×
Esophagoscopy Retro Balloon (43213) $961.87 $4,182.03 0.6×
Esophagoscopy rig transoral removal foreign body (43194) $961.87 $4,182.03 0.6×
Esophagoscopy Rigid Balloon (43195) $961.87 $4,182.03 0.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $329.19 $1,431.24 0.2×
Esophagoscp Guide Wire Dilat (43196) $961.87 $4,182.03 0.6×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $55.89–$78.66 $243–$342 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $6,857.53 $29,815.33 4.6×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $1,569.06–$3,138.12 $6,822–$13,644 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $434.01 $1,887 0.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,569.06 $6,822 1.0×
Exc Back Les Sc < 3 Cm (21930) $2,047.46 $8,902 1.4×
Exc Back Tum Deep 5 Cm/> (21933) $4,362.68 $18,968.19 1.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $4,894.92 $21,282.25 1.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $726.11 $3,157 1.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $726.11 $3,157 1.1×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,569.06 $6,822 1.0×
Exc Face Les Sbq 2 Cm/> (21012) $712.77 $3,099 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $434.01 $1,887 0.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $434.01 $1,887 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $726.11 $3,157 1.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $726.11 $3,157 0.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $726.11 $3,157 0.5×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $2,771.27–$5,542.54 $12,049–$24,098 varies
Exc Frenum Labial/Buccal (40819) $734.85 $3,195 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $726.11 $3,157 0.5×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $726.11 $3,157 1.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $726.11 $3,157 0.5×
Exc Hand Les Sc < 1.5 Cm (26115) $2,047.46 $8,902 1.4×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)
range across 2 matching MRF lines		 $615.48–$1,230.96 $2,676–$5,352 varies
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $1,282.48 $5,576 0.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,457.28 $6,336 0.5×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $2,664.88 $11,586.44 0.9×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $2,533.78 $11,016.45 1.4×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,883.49 $16,884.73 1.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $726.11 $3,157 1.1×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,569.06 $6,822 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,047.46 $8,902 0.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,569.06 $6,822 1.0×
Exc Skin Benig >4cm Face,Facial (11446) $2,047.46 $8,902 0.8×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,569.06 $6,822 1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,047.46 $8,902 0.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,569.06 $6,822 1.0×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $2,771.27–$5,542.54 $12,049–$24,098 varies
Exc thigh/knee tum dep 5cm/> (27339) $4,723.31 $20,536.14 1.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $500.94 $2,178 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $434.01 $1,887 1.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $434.01 $1,887 0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,569.06 $6,822 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,771.27 $12,049 1.1×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $3,907.03 $16,987.09 2.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,941.05 $17,134.99 1.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,933.97 $17,104.20 1.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,462.34 $6,358 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $1,569.06–$3,138.12 $6,822–$13,644 varies
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $5,500.26 $23,914.16 2.1×
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines		 $1,569.06–$3,138.12 $6,822–$13,644 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,047.46 $8,902 1.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047)
range across 2 matching MRF lines		 $2,047.46–$4,094.92 $8,902–$17,804 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,938.47 $12,775.97 1.1×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $922.07–$1,844.14 $4,009–$8,018 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $1,457.28 $6,336 0.5×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,457.28 $6,336 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $726.11 $3,157 1.1×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,372.87 $5,969 0.6×
Excision Bone Mandible (21025) $3,870.67 $16,829 0.7×
Excision Chalazion Multiple Same Lid (67801) $615.48 $2,676 0.7×
Excision Chalazion Single (67800) $227.01 $987 0.8×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,569.06 $6,822 0.6×
Excision Lesion Conjunctiva </1 Cm (68110)
range across 2 matching MRF lines		 $780.85–$1,561.70 $3,395–$6,790 varies
Excision lesion conjunctiva > 1 cm (68115)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Excision Lesion Cornea Xcp Pterygium (65400)
range across 2 matching MRF lines		 $1,278.57–$2,557.14 $5,559–$11,118 varies
Excision Lesion Tongue W/O Closure (41110) $1,457.28 $6,336 0.5×
Excision Lingual Frenum Frenectomy (41115) $734.85 $3,195 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $434.01 $1,887 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $434.01 $1,887 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $434.01 $1,887 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $726.11 $3,157 1.1×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $726.11 $3,157 1.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $726.11 $3,157 0.5×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,047.46 $8,902 0.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $726.11 $3,157 0.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $434.01 $1,887 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $726.11 $3,157 1.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,569.06 $6,822 1.0×
Excision Maxillary Torus Palatinus (21032) $3,740.02 $16,260.95 1.2×
Excision Multiple External Papillae/Tags Anus (46230) $2,750.13 $11,957.09 1.1×
Excision of bartholin's gland or cyst (56740) $2,320.70 $10,090 0.8×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $4,898.58 $21,298.17 0.9×
Excision of chalazion; multiple, different lids (67805) $227.01 $987 0.8×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $3,299.58 $14,345.99 2.3×
Excision of pilonidal cyst or sinus; simple (11770) $3,907.23 $16,987.97 1.5×
Excision of single external papilla or tag, anus (46220) $1,639.90 $7,130 1.5×
Excision of vaginal cyst or tumor (57135) $2,247.56 $9,772 0.8×
Excision olecranon bursa (24105) $3,577.28 $15,553.40 1.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $4,359.33 $18,953.59 1.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,551.62 $19,789.67 1.7×
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines		 $1,307.55–$2,615.10 $5,685–$11,370 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,771.27 $12,049 1.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $1,569.06–$3,138.12 $6,822–$13,644 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $3,710.29 $16,131.69 2.5×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $2,047.46–$4,094.92 $8,902–$17,804 varies
Excision, interdigital (morton) neuroma, single, each (28080) $3,781.83 $16,442.73 2.6×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $4,679.15 $20,344.12 1.8×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $971.98 $4,226 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $5,725.38 $24,892.97 2.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $1,569.06–$3,138.12 $6,822–$13,644 varies
Excision/destruction intranasal lesion int appr (30117) $1,681.53 $7,311 0.6×
Excision/destruction lesion pharynx any method (42808) $999.58 $4,346 0.3×
Excision/Transposition Pterygium W/O Graft (65420)
range across 2 matching MRF lines		 $1,278.57–$2,557.14 $5,559–$11,118 varies
Expl penetrating wound spx abdomen/flank/back (20102) $2,284.34 $9,931.93 1.2×
Explo/Drain Breast Abscess (19020)
range across 4 matching MRF lines		 $837.21–$3,409.52 $3,640.03–$14,824 varies
Exploration of knee joint (27310) $6,416 $27,895.66 2.2×
Exploration penetrating wound spx extremity (20103) $776.94 $3,378 0.5×
External cephalic version (59412) $1,897.73 $8,251 0.6×
Fasciotomy palmar percutaneous (26040)
range across 2 matching MRF lines		 $2,629.13–$5,258.26 $11,431–$22,862 varies
Fetal Contraction Stress Test (59020) $222.27 $966.37 1.2×
Fetal Fluid Drainage W/Ultrasound Guidance (59074)
range across 2 matching MRF lines		 $88.32–$123.51 $384.01–$537 varies
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $116.61–$123.51 $507–$537 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $550.17–$1,018.44 $2,392.05–$4,428 varies
Fine needle aspiration without imaging guidance (10021) $514.51 $2,237 1.4×
Fluid Pressure Muscle (20950) $417.91 $1,817 0.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,018.44 $4,428 1.6×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $500.16–$1,018.44 $2,174.60–$4,428 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $183.64–$284.28 $798.42–$1,236 varies
Fracture Nasal Inferior Turbinate Therapeutic (30930)
range across 2 matching MRF lines		 $1,681.53–$1,927.85 $7,311–$8,381.94 varies
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $2,973.22 $12,927.03 1.4×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,411.97 $6,139 0.8×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,903.48 $8,276 1.0×
Fusion Finger Joint (26860) $6,295.65 $27,372.38 2.1×
Goniotomy (65820) $8,428.32 $36,644.85 2.3×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,498.91 $15,212.67 1.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $6,826.51 $29,680.47 2.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $205.99 $895.63 0.2×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $3,738.19 $16,253 0.8×
Hysteroscopy Biopsy (58558) $1,896.58 $8,246 0.6×
Hysteroscopy Dx Sep Proc (58555) $1,896.58 $8,246 0.6×
Hysteroscopy Endometrial Ablation (58563) $2,929.97 $12,739 0.6×
Hysteroscopy Removal Impacted Foreign Body (58562) $1,896.58 $8,246 0.6×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $86.70–$284.05 $376.95–$1,235 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $109.15–$207.23 $474.55–$901 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $2,403.20 $10,448.71 1.7×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,704.76–$3,409.52 $7,412–$14,824 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,704.76 $7,412 0.6×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $434.93–$474.95 $1,891–$2,065 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $219.42–$250.28 $954–$1,088.17 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $219.42–$500.16 $954–$2,174.60 varies
Icd Pocket Revision (33223) $1,892.21 $8,227 1.0×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $4,556.66–$9,113.31 $19,811.55–$39,623.10 varies
Impression & Preparation Auricular Prosthesis (21086)
range across 2 matching MRF lines		 $3,870.67–$7,741.34 $16,829–$33,658 varies
Impression & Preparation Oral Surgical Splint (21085) $1,681.53 $7,311 7.8×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $317.86–$376.74 $1,382–$1,638 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $803.52–$1,636.22 $3,493.57–$7,114 varies
Incise/Drain Conjunctiva (68020)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $211.45–$401.35 $919.35–$1,745 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $495.88–$1,306.25 $2,156–$5,679.35 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $252.77–$396.52 $1,099–$1,724 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $127.20–$259.21 $553.03–$1,127 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $174.34–$259.21 $758–$1,127 varies
Incision Drainage Lacrimal Sac (68420)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Incision of eardrum (69420)
range across 2 matching MRF lines		 $89.93–$179.86 $391–$782 varies
Incision of labial frenum (frenotomy) (40806) $282.90 $1,230 0.6×
Incision of lingual frenum (frenotomy) (41010) $734.85 $3,195 0.5×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,306.40–$1,639.90 $5,680–$7,130 varies
Incision of urethra (53020) $1,363.21 $5,927 0.7×
Incisional biopsy eyelid skin & lid margin (67810) $227.01 $987 0.8×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $271.15–$552.23 $1,178.93–$2,401 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $580.10–$1,160.21 $2,522.19–$5,044.38 varies
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $112.47–$224.94 $489–$978 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $92.23–$184.46 $401–$802 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $616.40 $2,680 0.8×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines		 $431.25–$1,831.26 $1,875–$7,962 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $290.26–$580.52 $1,262–$2,524 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $431.25 $1,875 0.7×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 4 matching MRF lines		 $223.79–$894.96 $973–$3,891.12 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $50.37–$100.74 $219–$438 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $588–$1,176.01 $2,556.54–$5,113.08 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $223.79–$447.58 $973–$1,946 varies
Injection enzyme palmar fascial cord (20527) $320.85 $1,395 1.2×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $196.88–$355.35 $856–$1,545 varies
Injection medication/other subst tenon capsule (67515)
range across 2 matching MRF lines		 $227.01–$454.02 $987–$1,974 varies
Injection procedure for peyronie disease (54200) $284.28 $1,236 1.3×
Injection single tendon origin/insertion (20551) $92.23 $401 0.3×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $92.23–$372.14 $401–$1,618 varies
Injection single/mlt trigger point 3/> muscles (20553) $92.23 $401 0.3×
Injection Sinus Tract Therapeutic Separate Proc (20500) $476.79 $2,073 0.3×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $92.23–$184.46 $401–$802 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $223.79–$447.58 $973–$1,946 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $223.79–$651.36 $973–$2,832 varies
Injection, anesthetic agent; vagus nerve (64408)
range across 2 matching MRF lines		 $92.23–$184.46 $401–$802 varies
Injection, Intralesional; More Than 7 Lesions (11901) $88.78 $386 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $126.55 $550.20 0.7×
Injx Anterior Chamber Eye Medication Spx (66030)
range across 2 matching MRF lines		 $603.29–$1,206.58 $2,623–$5,246 varies
Ins cath ren art 1st bilat (36252) $3,555.57 $15,459 1.2×
Ins endovas vena cava filtr (37191)
likely a partial charge, not the full procedure		 $272.78 $1,185.99 0.1×
Ins/Rep Subq Defibrillator (33270) $26,606.28 $115,679.48 0.9×
Insert 1 Electrode Pm-Defib (33216) $6,350.76 $27,612 0.8×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $49.22–$96.29 $214–$418.65 varies
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $724.96–$1,982.36 $3,152–$8,618.96 varies
Insert cath pleura w/o image (32556)
range across 4 matching MRF lines		 $669.53–$1,449.92 $2,911–$6,304 varies
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $174.34–$215.97 $758–$939 varies
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $64.40–$90.39 $280–$393 varies
Insert Gastrostomy Tube Percutaneous (49440) $1,144.58 $4,976.43 0.7×
Insert Heart Pm Ventricular (33207) $12,130.66 $52,742 1.3×
Insert Nasal Septal Button (30220) $847.78 $3,686 0.6×
Insert non-tunnel cv cath (36556) $781.77 $3,399 0.3×
Insert pessary/other device (57160) $137.31 $597 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $595.13–$861.12 $2,587.53–$3,744 varies
Insert prost urethral stent (53855) $126.27 $549 0.1×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $90.91–$129.26 $395.25–$562 varies
Insert tunneled cv cath (36561) $1,567.28 $6,814.24 0.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $90.91–$129.26 $395.25–$562 varies
Insertion indwelling tunneled pleural catheter (32550) $2,223.41 $9,667 0.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $944.16 $4,105.03 0.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $5,108.84 $22,212.33 0.7×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419)
unusually low: confirm this is the full procedure		 $1,713 $7,447.84 0.3×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $781.77 $3,399 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $781.77–$861.12 $3,399–$3,744 varies
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $3,546.57 $15,419.87 0.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,452.16 $6,313.74 0.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $29,573.40 $128,580 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $6,350.76 $27,612 0.8×
Insrt heart pm atrial & vent (33208) $14,611.90 $63,530 1.5×
Insrt Pulse Gen W/Mult Leads (33231) $23,016.79 $100,073 0.8×
Instlj ther agent renal pelvis&/ureter via tub (50391) $229.77 $999 1.0×
Interdental fixation (21110) $501.63 $2,181 0.4×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $832.62 $3,620.07 0.7×
Intranasal Biopsy (30100) $847.78 $3,686 0.6×
Intraoral i&d tongue/floor submndblr space (41008) $1,888.11 $8,209.17 0.6×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $3,420.22 $14,870.52 0.7×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $146.97–$214.36 $639–$932 varies
Iridoplasty photocoagulation 1/> sessions (66762)
range across 2 matching MRF lines		 $438.15–$876.30 $1,905–$3,810 varies
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines		 $438.15–$876.30 $1,905–$3,810 varies
Irrigation maxillary sinus (31000)
range across 2 matching MRF lines		 $217.58–$435.16 $946–$1,892 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $284.28–$2,001 $1,236–$8,700 varies
Island pedicle flap graft (15740) $1,119.64 $4,868 0.6×
Labyrinthotomy Transcanal (69801)
range across 2 matching MRF lines		 $3,870.67–$7,741.34 $16,829–$33,658 varies
Lap paraesophag hern repair (43281) $18,206.18 $79,157.32 1.9×
Laparo-vag hyst incl t/o (58552) $18,147.86 $78,903.74 1.9×
Laparoscopy fulguration oviducts (58670) $4,831.42 $21,006.18 0.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
unusually low: confirm this is the full procedure		 $2,300.26 $10,001.11 0.4×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $14,387.21 $62,553.09 1.5×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $5,301.73 $23,051 0.6×
Laparoscopy w/rmvl adnexal structures (58661) $7,196.70 $31,290.02 1.3×
Laparoscopy, surgical, appendectomy (44970) $3,565.71 $15,503.07 0.7×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $20,231.78 $87,964.26 2.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $10,418.18 $45,296.44 1.9×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $9,590.16 $41,696.33 1.8×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $6,305.81 $27,416.57 1.2×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $6,995.60 $30,415.67 1.3×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $7,678.12 $33,383.13 1.4×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $9,684.29 $42,105.62 1.0×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571)
range across 2 matching MRF lines		 $1,374.42–$1,850.35 $5,975.76–$8,045 varies
Laryngoplasty Medialization Unliateral (31591)
range across 2 matching MRF lines		 $2,564.04–$5,128.08 $11,148–$22,296 varies
Laryngoscopy diagnostic (31505) $70.15 $305 0.4×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572)
range across 2 matching MRF lines		 $1,509.03–$3,018.06 $6,561–$13,122 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $126.04–$138.46 $548–$602 varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573)
range across 2 matching MRF lines		 $788.21–$1,576.42 $3,427–$6,854 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,850.35 $8,045 1.1×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574)
range across 2 matching MRF lines		 $1,845.06–$3,690.12 $8,022–$16,044 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $339.94–$367.77 $1,478–$1,599 varies
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $367.77 $1,599 1.0×
Laryngoscopy Indirect W/Biopsy (31510) $1,178.06 $5,122 0.3×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $126.04 $548 0.4×
Laryngoscopy W/Biopsy (31535) $1,090.52 $4,741.41 0.3×
Late closure of wound (13160) $2,654.43 $11,541 0.8×
Ligation of a-v fistula (37607) $2,773.34 $12,058 1.0×
Ligation or biopsy temporal artery (37609) $1,569.06 $6,822 1.0×
Litholapaxy smpl/sm <2.5 cm (52317) $801.32 $3,484 0.3×
Lysis Intranasal Synechia (30560) $217.58 $946 0.4×
Lysis of labial adhesions (56441) $1,592.75 $6,925 0.5×
Lysis/excision penile postcircumcision adhesions (54162) $1,147.01 $4,987 0.6×
Maniplatn palar fascial crd post inj single cord (26341)
range across 2 matching MRF lines		 $621–$1,242 $2,700–$5,400 varies
Marsupialization of bartholin's gland cyst (56440) $1,872.89 $8,143 0.6×
Mast mod rad (19307) $11,027.55 $47,945.89 1.8×
Mastectomy partial (19301) $8,154.08 $35,452.51 2.3×
Mastectomy simple complete (19303) $8,136.04 $35,374.10 1.4×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,172.54 $5,098 0.8×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Myelography Lumbar Injection (62305) $1,079.85 $4,695 1.5×
Myelography Lumbar Injection (62304) $1,079.85 $4,695 1.5×
Myelography via lumbar injection rs&i cervical (62302) $1,079.85 $4,695 1.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,079.85 $4,695 1.5×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $588–$1,176.01 $2,556.54–$5,113.08 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 4 matching MRF lines		 $223.79–$977.04 $973–$4,248 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $223.79–$447.58 $973–$1,946 varies
N Block Inj Paracervical (64435)
range across 2 matching MRF lines		 $223.79–$447.58 $973–$1,946 varies
N Block Inj Plantar Digit (64455)
range across 4 matching MRF lines		 $92.23–$372.14 $401–$1,618 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $290.26–$580.52 $1,262–$2,524 varies
N Block Lumbar/Thoracic (64520) $580.10 $2,522.19 0.7×
Nasal Endoscopy Dx (31231) $151.34 $658 0.8×
Nasal surgery procedure (30999)
range across 2 matching MRF lines		 $106.81–$151.57 $464.39–$659 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $78.13–$377.20 $339.68–$1,640 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233)
range across 2 matching MRF lines		 $151.34–$302.68 $658–$1,316 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $1,850.35–$3,700.70 $8,045–$16,090 varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $1,617.36 $7,032 0.3×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $3,027.03 $13,161 0.6×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $2,220.42–$4,440.84 $9,654–$19,308 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $1,347.80–$2,695.60 $5,860–$11,720 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 2 matching MRF lines		 $3,122.25–$6,244.50 $13,575–$27,150 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines		 $3,122.25–$6,244.50 $13,575–$27,150 varies
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
range across 2 matching MRF lines		 $3,122.25–$6,244.50 $13,575–$27,150 varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $1,617.36 $7,032 0.3×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235)
range across 2 matching MRF lines		 $1,617.36–$3,234.72 $7,032–$14,064 varies
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $126.27 $549 0.6×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $500.94 $2,178 0.6×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $374.90–$1,452.63 $1,630–$6,315.78 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $19.78 $86 0.8×
Needle insertion w/o injection 3 or more muscles (20561) $29.90 $130 1.1×
Neuroeltrd Stim Post Tibial (64566) $269.33 $1,171 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $92.23–$372.14 $401–$1,618 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,196.55 $9,550.23 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $924.37–$1,848.74 $4,019–$8,038 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $431.25 $1,875 0.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $567.25 $2,466.30 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $529.82–$743.13 $2,303.58–$3,231 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $517.50–$562.65 $2,250–$2,446.30 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $922.07–$1,844.14 $4,009–$8,018 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $119.83 $521 0.3×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $119.83 $521 0.3×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines		 $1,850.35–$3,700.70 $8,045–$16,090 varies
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $92.23–$184.46 $401–$802 varies
Open biopsy/excision inguinofemoral nodes (38531) $3,781.14 $16,439.74 1.1×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $12,426.66 $54,028.96 1.9×
Open Treatment Bimalleolar Ankle Fracture (27814) $9,667.75 $42,033.70 1.5×
Open treatment calcaneal fracture (28415) $13,915.63 $60,502.75 2.1×
Open treatment fracture distal tibia only (27827) $16,185.77 $70,372.93 1.4×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $13,183.01 $57,317.45 2.0×
Open Treatment Medial Malleolus Fracture (27766) $7,323.77 $31,842.46 1.1×
Open treatment metatarsal fracture each (28485) $9,466.82 $41,160.10 1.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $10,333.16 $44,926.80 1.6×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $9,666.41 $42,027.89 1.8×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $8,366.45 $36,375.86 1.3×
Open Treatment Proximal Humeral Fracture (23615) $12,497.05 $54,335.02 1.1×
Open Treatment Radial Shaft Fracture (25515) $7,832.45 $34,054.15 1.2×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,371.95 $10,312.83 0.8×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $8,116.11 $35,287.45 1.2×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $2,761.13–$3,963.13 $12,004.91–$17,231 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615) $4,490.53 $19,524.03 1.5×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $7,589.06 $32,995.90 2.6×
Open Tx Radial Head/Neck Fracture (24665) $12,248.26 $53,253.29 1.9×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $12,230.02 $53,174.01 1.9×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $10,457.85 $45,468.90 1.6×
Open tx ulnar fx proximal end (24685) $14,558.51 $63,297.85 2.2×
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $8,390.17–$16,780.34 $36,479–$72,958 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $7,532.27 $32,749.02 1.1×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $5,692.93 $24,751.85 0.9×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $13,799.80 $59,999.15 1.2×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $13,590.26 $59,088.10 2.1×
Osteotomy Phalanx Finger Each (26567) $1,995.71 $8,677 0.7×
Ovarian cystectomy, unilateral or bilateral (58925) $5,846.17 $25,418.13 1.3×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815)
range across 2 matching MRF lines		 $1,922.34–$3,844.68 $8,358–$16,716 varies
Parathyroidectomy or exploration of parathyroid(s); (60500) $6,437.25 $27,988.05 1.2×
Partial Excision Distal Phalanx Finger (26236) $5,789.92 $25,173.58 4.0×
Partial removal of thyroid (60220) $5,574.55 $24,237.18 1.0×
Partical Excision Bone Phalanx Toe (28124) $1,126.76 $4,898.95 0.4×
Penile Injection (54235) $126.27 $549 0.6×
Perc Cryo Ablate Renal Tum (50593) $5,804.97 $25,239 0.6×
Percut Ablate Liver Rf (47382) $5,666.51 $24,637 1.0×
Pericardiocentesis W/Imaging (33016) $562.81 $2,447 0.4×
Peritoneal Lavage (49084) $332.83 $1,447.08 0.4×
Perq Cervicothoracic Inject (22510) $1,794.77 $7,803.33 0.6×
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines		 $158.24–$345.46 $688–$1,502 varies
Perq device breast 1st imag (19281) $331.64 $1,441.92 0.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $845.02 $3,674 1.3×
Perq skel fixj distal radial fx/epiphysl sep (25606) $4,216.19 $18,331.28 1.4×
Perq Vertebral Augmentation (22513) $4,361.02 $18,960.96 0.7×
Pin knuckle dislocation (26706) $1,995.67 $8,676.84 0.7×
Place Amniotic Membra Ocular Surface W/O Sutures (65778)
range across 2 matching MRF lines		 $819.49–$1,638.98 $3,563–$7,126 varies
Place Amniotic Membrane Ocular Surface Sutured (65779) $3,385.72 $14,720.52 1.0×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $3,555.57–$7,111.14 $15,459–$30,918 varies
Place Cath Thoracic Aorta (36221) $3,555.57 $15,459 1.2×
Place Rt Device/Marker Pros (55876) $445.05 $1,935 0.4×
Placement of needle for intraosseous infusion (36680) $250.93 $1,091 0.6×
Placement of seton (46020) $2,378.14 $10,339.73 0.9×
Plastic Repair Canaliculi (68700)
range across 2 matching MRF lines		 $2,019.63–$4,039.26 $8,781–$17,562 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $2,647.99–$5,295.98 $11,513–$23,026 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $2,130.55–$4,261.09 $9,263.24–$18,526.48 varies
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $6,929.63 $30,128.82 0.4×
Probe lacrimal canaliculi w/wo irrigation (68840)
range across 2 matching MRF lines		 $167.21–$334.42 $727–$1,454 varies
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Probing nasolacrimal duct (68810)
range across 2 matching MRF lines		 $167.21–$334.42 $727–$1,454 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $474.95 $2,065 0.6×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $692.99 $3,013 0.6×
Proctosgmdsc rigid w/dilation (45303) $288.06 $1,252.45 0.3×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305)
range across 2 matching MRF lines		 $500.94–$730.75 $2,178–$3,177.18 varies
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145)
range across 2 matching MRF lines		 $411.47–$822.94 $1,789–$3,578 varies
Prostatic microwave thermotx (53850) $4,876.23 $21,201 1.5×
Pseudoaneurysm Injection Trt (36002) $267.26 $1,162 0.5×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $152.33–$310.27 $662.32–$1,349 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $90.39–$121.90 $393–$530 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $186.07–$662.17 $809–$2,879 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $241.73 $1,051 0.4×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines		 $505.19–$1,010.38 $2,196.48–$4,392.96 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,237.38 $5,379.93 0.7×
Rcnstj Eyelid Full Thickness Second Stage (67975) $1,329.63 $5,781 0.6×
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $3,098.71 $13,472.66 0.6×
Reconstruct extra finger (26587) $1,154.14 $5,018 0.4×
Relocation Pocket Pacemaker (33222) $1,892.21 $8,227 1.0×
Rem Endovas Vena Cava Filter (37193) $2,018.05 $8,774.12 0.7×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $108.10–$216.20 $470–$940 varies
Removal Foreign Body Deep Thigh/Knee (27372) $1,005.54 $4,371.90 0.4×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $1,054.55–$2,109.10 $4,585–$9,170 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 4 matching MRF lines		 $434.01–$1,563.54 $1,887–$6,798 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $434.01–$991.52 $1,887–$4,310.97 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $82.11–$651.36 $357–$2,832 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $34.68–$107.18 $150.80–$466 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $1,533.92 $6,669.21 0.5×
Removal Implant Deep (20680) $2,047.46 $8,902 0.8×
Removal Implant Superficial Separate Procedure (20670) $1,569.06 $6,822 1.0×
Removal implantable contraceptive capsules (11976) $434.01 $1,887 0.7×
Removal of anal fissure (46200) $3,400.45 $14,784.55 1.4×
Removal of cervix (57530) $10,166.80 $44,203.46 2.2×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $434.01–$776.94 $1,887–$3,378 varies
Removal of sperm cord lesion (55520) $6,310.98 $27,439.05 2.0×
Removal of tunneled intraperitoneal catheter (49422) $1,174.79 $5,107.80 0.4×
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $94.30–$188.60 $410–$820 varies
Removal Pacemaker Electrode (33235) $2,373.86 $10,321.11 0.7×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $3,198.38 $13,906 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $77.05–$111.09 $335–$483 varies
Removal subcutaneous cardiac rhythm monitor (33286) $500.16 $2,174.60 0.8×
Removal Sutures/Staples Requiring Anesthesia (15851) $262.43 $1,141 0.1×
Removal sweat gland lesion (11450) $2,858.23 $12,427.08 1.1×
Removal/bivalving gauntlet boot/body cast (29700) $94.30 $410 0.4×
Remove cerclage suture (59871) $1,872.89 $8,143 0.6×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $90.39–$95.68 $393–$416 varies
Remove Elctrd Transvenously (33244) $1,129.61 $4,911.34 0.3×
Remove femur lesion/graft (27356) $14,529.70 $63,172.61 1.2×
Remove foreign body from eye (65205)
range across 4 matching MRF lines		 $69.95–$216.20 $304.14–$940 varies
Remove Int Dwell Ureteral Stent Transurethral (50386) $1,261.77 $5,485.95 0.7×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $194.22–$259.21 $844.44–$1,127 varies
Remove lung catheter (32552) $167.67 $729 0.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $64.40–$90.39 $280–$393 varies
Remove Pulse Generator (33241) $1,129.61 $4,911.34 0.3×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $284.28–$568.56 $1,236–$2,472 varies
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $95.68–$191.25 $416–$831.54 varies
Remv&replc cvd gen dual lead (33263) $23,016.79 $100,073 1.1×
Remv&replc cvd gen mult lead (33264) $23,016.79 $100,073 0.8×
Remv&replc cvd gen sing lead (33262) $23,016.79 $100,073 1.1×
Remv&replc pm gen dual lead (33228) $8,861.20 $38,526.97 0.9×
Remv&replc pm gen mult leads (33229) $8,861.20 $38,526.97 0.5×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $653.20–$1,306.40 $2,840–$5,680 varies
Repair Achilles Tendon (27650) $6,431.48 $27,962.94 1.0×
Repair Blood Vessel Direct Upper Extremity (35206) $1,317.37 $5,727.71 0.5×
Repair brow ptosis (67900)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $481.76–$691.61 $2,094.62–$3,007 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $376.74–$691.61 $1,638–$3,007 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $217.11–$442.06 $943.95–$1,922 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $376.74–$691.61 $1,638–$3,007 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $442.06 $1,922 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $376.74–$442.06 $1,638–$1,922 varies
Repair complex trunk 1.1-2.5 cm (13100) $691.61 $3,007 1.0×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $376.74–$691.61 $1,638–$3,007 varies
Repair Detached Retina (67101)
range across 2 matching MRF lines		 $1,480.05–$2,960.10 $6,435–$12,870 varies
Repair Ectropion Excision Tarsal Wedge (67916)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Repair Ectropion Extensive (67917)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Repair Ectropion Suture (67914)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Repair Entropion Excision Tarsal Wedge (67923) $1,372.87 $5,969 0.6×
Repair Entropion Suture (67921)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Repair extensor tendon finger w/o graft each (26418) $1,139.84 $4,955.81 0.8×
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Repair Finger/Hand Tendon (26350) $1,995.67 $8,676.84 0.7×
Repair inguinal hernia, sliding, any age (49525) $6,873.16 $29,883.31 2.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $6,415.08 $27,891.64 2.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $217.11–$442.06 $943.95–$1,922 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $217.11–$442.06 $943.95–$1,922 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $217.11–$442.06 $943.95–$1,922 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $150.88–$217.11 $656–$943.95 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $150.88–$1,597.58 $656–$6,946 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $217.11–$442.06 $943.95–$1,922 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $217.11–$442.06 $943.95–$1,922 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $376.74–$442.06 $1,638–$1,922 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $217.11–$442.06 $943.95–$1,922 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $217.11–$442.06 $943.95–$1,922 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $442.06–$446.43 $1,922–$1,941 varies
Repair Laceration Palate </2 Cm (42180) $240.12 $1,044 0.5×
Repair Nasal Vestibular Stenosis (30465) $3,225.52 $14,024 0.6×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $162.38–$183.08 $706–$796 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $10,950.08 $47,609.03 1.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,549.05 $6,735 0.5×
Repair tongue laceration (41252) $476.28 $2,070.78 2.2×
Repair tongue laceration (41250) $76.83 $334.03 0.2×
Repair Tooth Socket (41874) $3,929.85 $17,086.30 1.3×
Replace elbow joint (24363) $9,562.64 $41,576.70 0.6×
Replace G-J Tube Perc (49452) $500.94 $2,178 0.6×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $500.94–$643.77 $2,178–$2,799 varies
Reposition Gastrostomy Tube (43761) $925.29 $4,023 4.1×
Reposition Pacing-Defib Lead (33215) $2,103.35 $9,145 0.7×
Retrobulbar injection (67500)
range across 2 matching MRF lines		 $167.21–$334.42 $727–$1,454 varies
Revise eyelashes (67825)
range across 2 matching MRF lines		 $227.01–$454.02 $987–$1,974 varies
Revision of eyelid (67880)
range across 2 matching MRF lines		 $1,278.57–$2,557.14 $5,559–$11,118 varies
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $5,586.59 $24,289.52 1.7×
Revj/rpr oprative wound anterior segment (66250)
range across 2 matching MRF lines		 $1,278.57–$2,557.14 $5,559–$11,118 varies
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $3,187.94 $13,860.59 1.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $90.39–$598.46 $393–$2,602 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,597.58 $6,946 1.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $186.45 $810.66 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 4 matching MRF lines		 $77.25–$216.20 $335.85–$940 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 3 matching MRF lines		 $108.10–$216.20 $470–$940 varies
Rmvl FB/Dacryolith Lacrimal Passages (68530)
range across 2 matching MRF lines		 $1,570.90–$3,141.80 $6,830–$13,660 varies
Rmvl fecal impaction/fb spx under anes (45915) $317.86 $1,382 0.3×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $440.68 $1,916 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $213.12 $926.61 0.1×
Rmvl of subq implantable defibrillator electrode (33272) $2,229.07 $9,691.61 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $861.12 $3,744 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $468.26–$861.12 $2,035.93–$3,744 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $2,805.02 $12,195.74 1.3×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $199.79–$339.02 $868.65–$1,474 varies
Rplc gtube revj gstrst trc (43763) $339.02 $1,474 1.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $861.12 $3,744 0.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $12,415.21 $53,979.19 2.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $9,830.63 $42,741.89 3.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $13,887.53 $60,380.55 2.4×
Rpr aa hernia recr 3-10 cm reducible (49615) $10,100.74 $43,916.26 1.7×
Rpr aa hrn 1st 3-10 rdc (49593) $13,775.25 $59,892.38 2.3×
Rpr aa hrn 1st < 3 ncr/strn (49592) $2,913.33 $12,666.66 0.5×
Rpr blood vessel direct lower extremity (35226) $1,197.61 $5,207.01 1.9×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $3,131.64 $13,615.82 2.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $14,735.38 $64,066.87 2.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $77.05 $335 0.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $432.98 $1,882.53 0.9×
Rpr Lip Full Thickness Vermilion Only (40650) $501.63 $2,181 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $432.98 $1,882.53 0.3×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $3,684.37 $16,019 0.7×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110)
range across 2 matching MRF lines		 $1,480.05–$2,960.10 $6,435–$12,870 varies
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330)
range across 2 matching MRF lines		 $1,922.34–$3,844.68 $8,358–$16,716 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,952.98 $8,491.20 0.7×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $6,670.86 $29,003.74 2.2×
Severing Adhesions Anterior Segment Laser Spx (65860)
range across 2 matching MRF lines		 $438.15–$876.30 $1,905–$3,810 varies
Severing tarsorrhaphy (67710)
range across 2 matching MRF lines		 $615.48–$1,230.96 $2,676–$5,352 varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) $162.04 $704.50 0.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $162.03–$500.94 $704.49–$2,178 varies
Shave skin lesion 0.5 cm/< (11300) $88.78 $386 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $111.09 $483 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $579.14 $2,518 1.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $111.09 $483 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $111.09 $483 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $111.09 $483 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $111.09 $483 0.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $111.09 $483 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $111.09 $483 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $88.78 $386 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $171.12 $744 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $111.09 $483 0.6×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,457.28 $6,336 0.5×
Sigmoidoscopy & decompress (45337) $162.03 $704.49 0.2×
Sigmoidoscopy & Polypectomy (45333) $162.03 $704.49 0.2×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $785.77 $3,416.37 0.7×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $288.06 $1,252.45 0.3×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $785.77 $3,416.37 0.7×
Sigmoidoscopy w/fb removal (45332) $162.03 $704.49 0.1×
Sigmoidoscopy w/plcmt stent (45347)
likely a partial charge, not the full procedure		 $785.77 $3,416.37 0.1×
Sigmoidoscopy W/Resection (45349) $785.77 $3,416.37 0.3×
Sigmoidoscopy W/Ultrasound (45341) $162.03 $704.49 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $162.03–$474.95 $704.49–$2,065 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $288.06 $1,252.45 0.3×
Simple Cystometrogram (51725) $284.28 $1,236 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $150.88–$194.12 $656–$844 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $115.46–$150.88 $502–$656 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $150.88–$155.25 $656–$675 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $150.88–$262.43 $656–$1,141 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $77.05 $335 0.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $150.88–$183.08 $656–$796 varies
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) $3,390.28 $14,740.33 0.6×
Skin Full Grft Face/Genit/Hf (15240) $1,411.97 $6,139 0.8×
Skin sub graft face/nk/hf/g (15275) $398.36 $1,732 0.6×
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $398.36–$1,206.99 $1,732–$5,247.78 varies
Skin sub grft t/arm/lg child (15273) $606.51 $2,637 0.3×
Skin Tissue Procedure (17999)
range across 37 matching MRF lines		 $20.70–$287.27 $90–$1,249 varies
Skn sub grft f/n/hf/g child (15277) $606.51 $2,637 0.3×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $3,555.57–$7,111.14 $15,459–$30,918 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $3,555.57–$7,111.14 $15,459–$30,918 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $6,228.86–$12,457.72 $27,082–$54,164 varies
Slitting of prepuce (54001) $1,932.69 $8,403 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $150.88–$413.08 $656–$1,796 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $77.05–$150.88 $335–$656 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $220.46 $958.50 0.6×
Snip Incision Lacrimal Punctum (68440)
range across 2 matching MRF lines		 $227.01–$454.02 $987–$1,974 varies
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $65.32–$325.68 $284–$1,416 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $4,176.77 $18,159.89 2.2×
Strapping ankle (29540)
range across 4 matching MRF lines		 $52.90–$158.24 $230–$688 varies
Strapping elbow or wrist (29260) $66.04 $287.15 1.2×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $51.29–$79.12 $223–$344 varies
Strapping knee (29530)
range across 3 matching MRF lines		 $77.25–$158.24 $335.85–$688 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $77.05–$158.24 $335–$688 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $79.12–$158.24 $344–$688 varies
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $95.99–$277.38 $417.34–$1,206 varies
Subconjunctival injection (68200)
range across 2 matching MRF lines		 $69–$138 $300–$600 varies
Subcutaneous Hormone Pellet Implantation (11980)
range across 2 matching MRF lines		 $95.68–$135.70 $416–$590 varies
Subcutaneous Injection Filling Material 1 Cc/< (11950)
range across 5 matching MRF lines		 $82.80–$162.38 $360–$706 varies
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $75.90 $330 0.1×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $1,681.53 $7,311 0.6×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $3,156.98 $13,726 0.6×
Surg tx anal fistula subq (46270) $2,932.63 $12,750.58 1.2×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 4 matching MRF lines		 $925.79–$3,141.80 $4,025.16–$13,660 varies
Suture infrapatellar tendon primary (27380) $8,030.78 $34,916.42 1.2×
Tangential biopsy skin single lesion (11102) $310.27 $1,349 0.8×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $162.38 $706 0.2×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
unusually low: confirm this is the full procedure		 $11,806.61 $51,333.07 0.5×
Tcat Insj/Rpl Perm Ldls Pm (33274)
unusually low: confirm this is the full procedure		 $6,174.04 $26,843.67 0.4×
Temporary Closure Eyelids Suture (67875)
range across 2 matching MRF lines		 $615.48–$1,230.96 $2,676–$5,352 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $2,085.64 $9,068 1.4×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,024.33 $4,453.59 0.7×
Ther Apheresis,Red Blood Cells (36512) $1,497.76 $6,512 1.1×
Ther Spi Pnxr Csf Fluor/Ct (62329) $431.25 $1,875 0.7×
Therapeutic plasma exchange (36514) $1,497.76 $6,512 1.1×
Thrombolytic Therapy Stroke (37195) $253.69 $1,103 0.8×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $155.02–$567.41 $674–$2,467 varies
Thyroidectomy, total or complete (60240) $6,559.45 $28,519.34 1.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,261.55–$1,903.48 $5,485–$8,276 varies
Tooth extraction (41899)
range across 3 matching MRF lines		 $140.53–$195.73 $611–$851 varies
Total Knee Arthroplasty (27447) $15,900.80 $69,133.91 1.4×
Tprnl Plmt Biodegrdabl Matrl (55874) $2,088.86 $9,082 0.4×
Trabeculoplasty by laser surgery (65855)
range across 2 matching MRF lines		 $438.15–$876.30 $1,905–$3,810 varies
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $483.10–$819.72 $2,100.43–$3,564 varies
Tracheostoma Revj Cplx W/Flap Rotation (31614)
unusually low: confirm this is the full procedure		 $2,091.06 $9,091.56 0.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $501.63 $2,181 0.4×
Tracheostomy planned (31600) $2,565.88 $11,156 0.9×
Tracheostomy Planned Under 2 Years Spx (31601) $3,509.37 $15,258.15 0.7×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070)
range across 2 matching MRF lines		 $123.51–$339.71 $537–$1,477 varies
Transfusion Intrauterine Fetal (36460) $273.97 $1,191.18 0.7×
Translum Dil Eye Canal (66174) $4,614.76 $20,064.18 1.2×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $3,655.16 $15,892 0.8×
Transrectal abltj mal prst8 tissue hifu w/us (55880)
unusually low: confirm this is the full procedure		 $3,287.62 $14,294 0.4×
Treat ankle fracture (28445) $4,127.55 $17,945.85 0.6×
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines		 $3,963.13–$7,926.26 $17,231–$34,462 varies
Treat Dental Ridge Fracture (21440) $1,710.51 $7,437 0.6×
Treat ectopic pregnancy (59151) $8,094.73 $35,194.47 1.5×
Treat elbow fracture (24586) $8,689.37 $37,779.87 0.7×
Treat Elbow Fracture (24635) $6,947.30 $30,205.65 1.1×
Treat Finger Fracture Each (26727) $4,096.45 $17,810.67 1.4×
Treat fracture radius/ulna (25575) $12,449.15 $54,126.75 1.9×
Treat Fx Rad Extra-Articul (25607) $6,054.82 $26,325.31 0.9×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Treat Humerus Fracture (24505)
range across 3 matching MRF lines		 $359.95–$719.90 $1,565–$3,130 varies
Treat humerus fracture (23616) $23,560.98 $102,439.05 1.5×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $180.09–$360.18 $783–$1,566 varies
Treat Kneecap Fracture (27524) $9,875.82 $42,938.34 1.5×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $159.62–$180.09 $694–$783 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $176.74–$359.95 $768.43–$1,565 varies
Treat Tail Bone Fracture (27200) $180.09 $783 0.8×
Treat Thumb Dislocation (26641) $176.74 $768.43 0.8×
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $490.82–$981.64 $2,134–$4,268 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $142.27–$180.09 $618.57–$783 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines		 $1,062.14–$3,000.58 $4,618–$13,046 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines		 $359.95–$1,596.43 $1,565–$6,941 varies
Treatment of retinal lesion (67208)
range across 2 matching MRF lines		 $1,480.05–$2,960.10 $6,435–$12,870 varies
Trim skin lesion (11055)
range across 2 matching MRF lines		 $77.05–$88.78 $335–$386 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $77.05–$118.45 $335–$515 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $135.70–$148.12 $590–$644 varies
Trimming Nondystrophic Nails Any Number (11719) $78.66 $342 1.5×
Trluml Balo Angiop 1St Art (37246) $3,329.39 $14,475.60 0.6×
Tubal ligation (58600) $5,624.62 $24,454.89 1.9×
Tx Gastro Intub W/Asp (43753) $186.50 $810.87 1.0×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $15,313.55 $66,580.67 1.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,533.92 $6,669.21 0.5×
Tx Missed Abortion First Trimester Surgical (59820) $2,655.78 $11,546.85 0.9×
Tx Missed Abortion Second Trimester Surgical (59821) $3,188.55 $13,863.27 1.1×
Tx open tendon flexor toe 1 tendon spx (28232) $1,471.31 $6,397 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $376.74–$691.61 $1,638–$3,007 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $217.11–$442.06 $943.95–$1,922 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,682.45 $7,315.02 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $180.09 $783 0.8×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $21,365.88 $92,895.13 1.8×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 2 matching MRF lines		 $2,032.28–$4,064.56 $8,836–$17,672 varies
Unlisted hysteroscopy procedure, uterus (58579) $3,154.36 $13,714.62 17.2×
Unlisted procedure anus (46999) $2,882.50 $12,532.63 3.4×
Unlisted procedure colon (45399) $750.19 $3,261.68 0.9×
Unlisted procedure femur or knee (27599) $211.14 $918 0.9×
Unlisted procedure foot or toes (28899) $250.93 $1,091 1.1×
Unlisted procedure forearm or wrist (25999) $3,564.86 $15,499.38 16.0×
Unlisted procedure humerus/elbow (24999) $263.89 $1,147.36 1.2×
Unlisted Procedure Intestine (44799)
range across 3 matching MRF lines		 $245.18–$695.06 $1,066–$3,022 varies
Unlisted procedure larynx (31599)
range across 2 matching MRF lines		 $229.77–$464.37 $999–$2,019 varies
Unlisted Procedure Muscskeletal System General (20999) $92.23 $401 0.4×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $81.42–$229.77 $354–$999 varies
Unlisted procedure pelvis/hip joint (27299) $9,700.88 $42,177.72 43.4×
Unlisted Procedure Rectum (45999) $559.23 $2,431.44 0.7×
Unlisted procedure stomach (43999) $618.93 $2,691 0.8×
Unlisted Procedure Trachea Bronchi (31899)
range across 2 matching MRF lines		 $685.40–$1,313.30 $2,980–$5,710 varies
Unlisted Procedure Vascular Surgery (37799)
range across 3 matching MRF lines		 $626.29–$2,104.86 $2,723–$9,151.55 varies
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $120.06–$540.04 $522–$2,348 varies
Upgrade of pacemaker system (33214) $7,176.10 $31,200.45 0.8×
Urine Flow Measurement (51736) $126.27 $549 1.0×
Vag hyst complex (58290) $4,783.92 $20,799.66 0.7×
Vag hyst w/t/o & vag repair (58263) $10,004.59 $43,498.22 2.2×
Vaginal delivery only (59409) $1,872.89 $8,143 0.6×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $14,859.44 $64,606.25 3.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $8,873.38 $38,579.93 2.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,116.92 $9,204 1.1×
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $100.51–$201.02 $437–$874 varies
Ventricular puncture previous burr hole w/inj (61026) $426.65 $1,855 0.7×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $77.05–$171.12 $335–$744 varies
Wound Prep F/N/Hf/G (15004) $554.99 $2,413 1.5×
Wound Prep Trk/Arm/Leg (15002) $554.99 $2,413 0.8×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) $4,641.15 $20,178.93 1.0×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $4,642.30 $20,183.90 1.0×

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.