Procedures & surgery prices at Ochsner St. Anne Hospital

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

1179 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $807.84 $1,836 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $807.84 $1,836 1.0×
Acromiopl/Acromionect Partial (23130) $4,563.24 $10,371 1.5×
Amniocentesis diagnostic (59000) $169.84 $386 0.2×
Amniocentesis therapeutic (59001) $518.76 $1,179 1.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,949.64 $4,431 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,949.64 $4,431 0.7×
Amputate Metacarpal Bone (26910) $3,132.80 $7,120 1.1×
Amputation metatarsal with toe single (28810) $2,485.12 $5,648 0.8×
Amputation toe interphalangeal joint (28825) $2,485.12 $5,648 0.8×
Amputation toe metatarsophalangeal joint (28820) $2,485.12 $5,648 0.8×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $351.12 $798 1.3×
Anal/Urinary Muscle Study (51784) $144.76 $329 1.2×
Anoscopy diagnostic (46600) $73.04 $166 0.6×
Anoscopy; with biopsy, single or multiple (46606) $586.96 $1,334 0.5×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $993.08 $2,257 0.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $436.92 $993 0.2×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $2,115.96 $4,809 0.5×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $253.44 $576 1.7×
Application cast elbow finger short arm (29075) $155.76 $354 0.6×
Application Finger Splint Dynamic (29131) $36.96 $84 0.7×
Application finger splint static (29130) $117.48 $267 1.0×
Application Hip Spica Cast 1 Leg (29305) $155.76 $354 0.6×
Application long arm splint shoulder hand (29105) $249.92 $568 1.7×
Application Long Leg Splint (29505) $249.92 $568 1.7×
Application of long leg cast (29345) $155.76 $354 0.6×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $292.16–$584.32 $664–$1,328 varies
Application Short Arm Splint Dynamic (29126) $70.40 $160 0.6×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $191.40–$265.76 $435–$604 varies
Application short leg splint calf foot (29515) $249.92 $568 1.7×
Apply hand/wrist cast (29085) $88.88 $202 0.6×
Apply long arm cast (29065) $155.76 $354 0.6×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $149.16–$298.32 $339–$678 varies
Apply Short Leg Cast (29405) $155.76 $354 0.6×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $3,625.16 $8,239 0.8×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) $3,384.04 $7,691 1.2×
Arterial puncture (36600)
range across 2 matching MRF lines		 $18.48–$22 $42–$50 varies
Arteriovenous Anastomosis Open Direct (36821) $4,551.36 $10,344 1.6×
Artery-vein autograft (36825) $4,551.36 $10,344 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $269.72–$539.44 $613–$1,226 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $442.64–$885.28 $1,006–$2,012 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $282.92–$565.84 $643–$1,286 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $442.64–$885.28 $1,006–$2,012 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $269.72–$539.44 $613–$1,226 varies
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $3,498.88 $7,952 1.2×
Arthroscopy knee synovectomy limited spx (29875) $3,498.88 $7,952 1.2×
Arthroscopy shoulder distal claviculectomy (29824) $5,632.77 $12,801.74 1.9×
Arthroscopy, knee, surgical; with lateral release (29873) $3,498.88 $7,952 1.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,498.88 $7,952 1.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $8,221.55 $18,685.34 1.3×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $3,893.12 $8,848 1.3×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,498.88 $7,952 1.2×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,498.88 $7,952 1.2×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $3,498.88 $7,952 1.2×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,498.88 $7,952 1.2×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $2,983.64 $6,781 1.0×
Aspirate pleura w/ imaging (32555) $863.72 $1,963 1.5×
Aspirate Pleura W/O Imaging (32554) $863.72 $1,963 1.5×
Aspirate/Inj Ganglion Cyst (20612) $282.92 $643 1.0×
Aspiration & Injection Treatment Bone Cyst (20615) $221.76 $504 0.3×
Aspiration and/or injection thyroid cyst (60300) $577.28 $1,312 0.9×
Aspiration bladder insert suprapubic catheter (51102) $2,580.60 $5,865 1.4×
Aspiration Bladder Needle (51100) $267.96 $609 1.2×
Aspiration bladder trocar/intracatheter (51101) $138.16 $314 0.2×
Av fistula revision (36833) $4,551.36 $10,344 0.9×
Av Fistula Revision Open (36832) $4,551.36 $10,344 0.9×
Av Fuse Uppr Arm Basilic (36819) $4,551.36 $10,344 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $132.44 $301 0.7×
Biopsy Abdominal Mass (49180) $748.44 $1,701 0.5×
Biopsy External Auditory Canal (69105) $2,003.76 $4,554 1.4×
Biopsy Muscle Superficial (20200) $1,869.56 $4,249 1.3×
Biopsy Nasopharynx Visible Lesion Simple (42804) $2,003.76 $4,554 0.7×
Biopsy of breast; open, incisional (19101) $2,422.64 $5,506 0.7×
Biopsy of penis (54100) $1,869.56 $4,249 1.3×
Biopsy of rectum (45100) $1,964.09 $4,463.85 0.8×
Biopsy of urethra (53200) $2,214.08 $5,032 1.2×
Biopsy Oropharynx (42800) $2,003.76 $4,554 1.4×
Biopsy Salivary Gland Needle (42400) $447.04 $1,016 0.7×
Biopsy soft tissue neck/thorax (21550) $1,869.56 $4,249 1.3×
Biopsy Tongue Posterior One-Third (41105) $2,003.76 $4,554 0.7×
Biopsy Vaginal Mucosa Simple (57100) $518.76 $1,179 0.6×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $493.68 $1,122 0.6×
Biopsy/removal lymph nodes (38510) $2,669.04 $6,066 0.8×
Bladder instillation anticarcinogenic agent (51720) $325.60 $740 0.5×
Bladder Irrigation (51700) $144.76 $329 0.6×
Bladder Scan (51798) $76.56 $174 1.4×
Blepharotomy drainage abscess eyelid (67700) $324.72 $738 1.1×
Blood Transfusion Service (36430) $404.80 $920 1.0×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $333.52–$667.04 $758–$1,516 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $333.52–$667.04 $758–$1,516 varies
Brnchsc Brushing/Protected Brushings (31623) $1,172.16 $2,664 0.7×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $4,172.08 $9,482 1.2×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $4,172.08 $9,482 1.2×
Bronchoscopy W/Biopsy(S) (31625) $1,172.16 $2,664 0.7×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,172.16 $2,664 0.3×
Bronchoscopy/Needle Bx Each (31629) $1,172.16 $2,664 0.3×
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines		 $545.60–$1,091.20 $1,240–$2,480 varies
Bx breast 1st lesion strtctc (19081) $545.60 $1,240 0.4×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $545.60–$1,091.20 $1,240–$2,480 varies
Bx breast needle core w/o imaging guidance spx (19100) $447.04 $1,016 0.3×
Bx Cervix (57500) $495 $1,125 0.6×
Bx/exc lymph node open deep axillary node (38525) $2,669.04 $6,066 0.8×
Bx/exc lymph node open superficial (38500) $2,669.04 $6,066 0.8×
Canthotomy Separate Procedure (67715) $2,246.20 $5,105 1.0×
Carpal Tunnel Surgery (64721) $2,159.08 $4,907 1.2×
Catheter aspiration nasotracheal spx (31720) $100.32 $228 0.5×
Cerclage cervix pregnancy vaginal (59320) $2,574.88 $5,852 0.9×
Change Cystostomy Tube Complicated (51710) $862.40 $1,960 1.4×
Change Cystostomy Tube Simple (51705) $278.96 $634 1.2×
Change of Windpipe Airway (31502) $278.96 $634 1.3×
Chemical Cautery Tissue (17250) $132.44 $301 0.7×
Chemical Pleurodesis (32560) $694.32 $1,578 1.2×
Chemodenerv 1 extrem 5/> mus (64644) $707.96 $1,609 1.1×
Chemodenerv 1 extremity 1-4 (64642) $741.84 $1,686 1.2×
Chemodenerv Eccrine Glands (64650) $282.92 $643 1.0×
Chemodenerv Musc Migraine (64615) $365.20 $830 1.3×
Chemodenerv musc neck dyston (64616)
range across 4 matching MRF lines		 $404.36–$808.72 $919–$1,838 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $385 $875 1.4×
Chemodenerv trunk musc 1-5 (64646) $741.84 $1,686 1.2×
Chemodenerv trunk musc 6/> (64647) $741.84 $1,686 1.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $269.72–$539.44 $613–$1,226 varies
Chest tube placement (32551) $694.32 $1,578 0.5×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $862.40 $1,960 0.5×
Chorionic Villus Sampling (59015) $169.84 $386 0.2×
Circumcision 28 days or older (54161) $2,464.44 $5,601 1.3×
Circumcision Neonate (54160) $2,464.44 $5,601 3.9×
Circumcision w/clamp/oth dev w/block (54150) $2,464.44 $5,601 1.3×
Cl Tx Tib Shft Fx W Manip (27752) $429 $975 0.3×
Clear outer ear canal (69200)
range across 4 matching MRF lines		 $76.56–$153.12 $174–$348 varies
Closed Treat Vert Body Fract (22310) $214.72 $488 1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $214.72 $488 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $429 $975 1.9×
Closed Treatment Sternum Fracture (21820) $214.72 $488 1.0×
Closed Treatment Ulnar Styloid Fracture (25650) $429 $975 1.9×
Closed tx ankle dislocation w/o anesthesia (27840) $214.72 $488 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $429 $975 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $214.72 $488 1.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $214.72 $488 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $429 $975 1.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $214.72 $488 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $214.72 $488 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $259.16 $589 0.5×
Closed tx metatarsal fracture w/o manipulation (28470) $214.72 $488 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $259.16 $589 0.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,010.24 $2,296 0.3×
Closed tx patellar dislocation w/o anesthesia (27560) $429 $975 1.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $214.72 $488 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,568.16 $3,564 1.1×
Closed tx radial head/neck fx w/o manipulation (24650) $214.72 $488 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $429 $975 1.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $429 $975 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $409.64 $931 1.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $214.72 $488 1.0×
Closed tx septal&nose fx (21337) $2,003.76 $4,554 0.7×
Closed Tx Talus Fracture W/Manipulation (28435) $214.72 $488 0.1×
Closed tx talus fracture w/o manipulation (28430) $214.72 $488 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $259.16 $589 1.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $429 $975 0.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $205.04 $466 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $214.72 $488 1.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $259.16 $589 1.2×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,010.24 $2,296 2.1×
Closure of cystostomy (separate procedure) Facility (51880) $2,909.28 $6,612 0.9×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) $3,514.72 $7,988 0.7×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $214.72 $488 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $214.72 $488 1.0×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,010.24 $2,296 2.1×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $418.88 $952 1.9×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,787.72–$2,725.80 $4,063–$6,195 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $429 $975 1.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,787.72 $4,063 1.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $214.72 $488 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $214.72 $488 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $429 $975 1.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $214.72 $488 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $214.72 $488 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $214.72 $488 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $429 $975 1.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $429 $975 0.3×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,949.64 $4,431 1.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $429 $975 1.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $214.72 $488 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $214.72 $488 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $214.72 $488 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $429 $975 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $214.72 $488 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $429 $975 0.3×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $214.72 $488 1.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $214.72 $488 1.0×
Cltx Greater Trochanteric Fx W/O Manj (27246) $214.72 $488 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $1,787.72 $4,063 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $429 $975 1.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $214.72 $488 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $214.72 $488 1.0×
Cltx Medial Ankle Fx (27760) $214.72 $488 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $429 $975 1.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $214.72 $488 1.0×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $214.72 $488 0.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $214.72 $488 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $214.72 $488 1.0×
Cltx prox fibula/shft fx w/o manj (27780) $214.72 $488 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $429 $975 0.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $214.72 $488 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $214.72 $488 1.0×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $214.72 $488 0.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $429 $975 0.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $214.72 $488 0.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $429 $975 0.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $214.72 $488 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $214.72 $488 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $214.72 $488 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $214.72 $488 0.1×
Cltx trimalleolar ankle fx w/o manipulation (27816) $214.72 $488 1.0×
Collect Blood From Catheter Venous Nos (36592) $85.80 $195 0.7×
Collection of venous blood by venipuncture (36415) $3.96 $9 0.4×
Colonoscopy Flexible With Decompression (45393) $1,654.40 $3,760 1.5×
Colonoscopy Stoma Ablation Lesion (44401) $1,654.40 $3,760 1.5×
Colonoscopy Stoma Control Bleeding (44391) $1,067 $2,425 1.0×
Colonoscopy stoma w/balloon dilation (44405) $1,654.40 $3,760 1.5×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,654.40 $3,760 1.5×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402)
unusually low: confirm this is the full procedure		 $1,654.40 $3,760 0.3×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $1,654.40 $3,760 1.5×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,654.40 $3,760 1.5×
Colonoscopy Through Stoma With Decompression (44408) $491.92 $1,118 0.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,067 $2,425 1.0×
Colonoscopy thru stoma (44388) $1,067 $2,425 1.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,067 $2,425 1.0×
Colonoscopy w/ablation (45388) $1,067 $2,425 1.0×
Colonoscopy W/Band Ligation (45398) $1,654.40 $3,760 1.5×
Colonoscopy w/fb removal (45379) $1,067 $2,425 1.0×
Colonoscopy w/ndl aspir/bx (44407) $646.80 $1,470 0.6×
Colonoscopy W/Resection (45390) $1,654.40 $3,760 0.7×
Colonoscopy w/stent plcmt (45389) $3,352.36 $7,619 0.6×
Colonoscopy w/submucosal inj (45381) $1,067 $2,425 1.0×
Colpocentesis (57020) $518.76 $1,179 0.1×
Colporrhaphy (57200) $2,574.88 $5,852 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $283.36 $644 1.0×
Colposcopy Cervix Endocervical Curettage (57456) $283.36 $644 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $283.36 $644 1.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $283.36 $644 1.0×
Colposcopy cervix vag eltrd conization cervix (57461) $2,457.84 $5,586 0.8×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,824.68 $4,147 0.6×
Colposcopy entire vagina w/cervix if present (57420) $283.36 $644 1.0×
Colposcopy of vulva (56820) $150.48 $342 0.8×
Colposcopy Vulva W/Biopsy (56821) $283.36 $644 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $283.36 $644 0.3×
Colpotomy; with exploration (57000) $1,824.68 $4,147 0.6×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,067 $2,425 1.0×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,067 $2,425 1.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,067 $2,425 1.0×
Combined anteroposterior colporrhaphy; (57260) $3,340.04 $7,591 0.7×
Complex Cystometrogram (51726) $325.60 $740 1.4×
Complex drainage wound (10180) $1,099.12 $2,498 0.4×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,188.24 $7,246 1.1×
Conization of cervix (57520) $2,574.88 $5,852 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $152.68 $347 1.3×
Control Nasal Hemorrhage Anterior Simple (30901) $152.68 $347 1.3×
Control oropharyngeal hemorrhage simple (42960) $152.68 $347 0.3×
Conversion ext bil drg cath (47535) $4,560.16 $10,364 1.4×
Convert Nephrostomy Catheter (50434) $1,098.68 $2,497 0.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,728.76 $3,929 1.2×
Correction hammertoe (28285) $2,485.12 $5,648 0.8×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,415.28 $7,762 1.2×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $4,551.36 $10,344 0.9×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $8,483.64 $19,281 1.0×
Csf shunt reprogram (62252) $317.68 $722 1.1×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $152.68 $347 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $152.68 $347 1.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $152.68 $347 0.7×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $4,612.08 $10,482 1.5×
Curettage postpartum (59160) $2,119.04 $4,816 0.7×
Cysto Bladder W/Ureteral Catheterization (52005) $2,316.16 $5,264 1.2×
Cysto calibration dilat urtl strix/stenosis (52281) $2,316.16 $5,264 1.2×
Cysto w/complex removal stone & stent (52315) $2,316.16 $5,264 1.2×
Cysto w/destruction of lesions (52214) $2,909.28 $6,612 0.9×
Cysto w/insert ureteral stent (52332) $2,909.28 $6,612 0.9×
Cysto w/irrig & evac multple obstructing clots (52001) $865.04 $1,966 0.3×
Cysto w/removal of lesions small (52224) $2,909.28 $6,612 0.9×
Cysto w/removal of tumors small (52234) $2,909.28 $6,612 0.9×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $2,316.16 $5,264 0.7×
Cysto W/Simple Removal Stone & Stent (52310) $865.04 $1,966 0.5×
Cysto w/up stricture tx (52342) $2,909.28 $6,612 0.9×
Cysto w/ureter stricture tx (52341) $2,909.28 $6,612 0.9×
Cysto w/ureteroscopy w/lithotripsy (52353) $4,187.48 $9,517 0.9×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $2,909.28 $6,612 0.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $2,909.28 $6,612 0.9×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $2,316.16 $5,264 0.7×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $2,909.28 $6,612 0.6×
Cysto/uretero w/lithotripsy (52356) $3,426.28 $7,787 0.7×
Cysto/uretero w/up stricture (52345) $2,909.28 $6,612 0.9×
Cystolithotomy (51050) $2,909.28 $6,612 0.6×
Cystometrogram W/Up (51727) $326.04 $741 0.5×
Cystometrogram W/Vp (51728) $326.04 $741 0.5×
Cystometrogram W/Vp&Up (51729) $326.04 $741 0.5×
Cystoscopy implant stent (52282) $4,187.48 $9,517 1.3×
Cystoscopy inject material (52327) $2,909.28 $6,612 0.6×
Cystostomy Cystotomy W/Drainage (51040) $2,909.28 $6,612 1.5×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $2,909.28 $6,612 0.9×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $2,909.28 $6,612 0.9×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $865.04 $1,966 0.5×
Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) $2,909.28 $6,612 0.9×
Cystouretero w/excise tumor (52355) $2,909.28 $6,612 0.6×
Cystouretero w/renal strict (52346) $2,909.28 $6,612 0.6×
Cystourethroscopy (52000) $865.04 $1,966 1.4×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $2,909.28 $6,612 0.6×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $2,909.28 $6,612 0.9×
Cystourethroscopy tx female urethral syndrome (52285) $2,316.16 $5,264 3.7×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $2,909.28 $6,612 0.9×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $2,909.28 $6,612 0.6×
Cystourethroscopy w/dil bladder general anesth (52260) $2,316.16 $5,264 1.2×
Cystourethroscopy w/rmvl ureteral calculus (52320) $2,909.28 $6,612 0.9×
Cystourethroscopy with biopsy (52204) $2,316.16 $5,264 1.2×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,316.16 $5,264 1.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $865.04 $1,966 0.5×
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) $865.04 $1,966 1.4×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $2,316.16 $5,264 1.2×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $2,316.16 $5,264 1.2×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $2,909.28 $6,612 0.9×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $2,316.16 $5,264 1.2×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $2,316.16 $5,264 0.7×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $2,316.16 $5,264 0.5×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $2,316.16 $5,264 0.7×
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) $2,909.28 $6,612 0.9×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $2,316.16 $5,264 1.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $898.04 $2,041 2.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,022.56 $2,324 1.5×
Debride nail 1-5 (11720) $93.72 $213 1.8×
Debride nail 6 or more (11721) $93.72 $213 1.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,972.96 $4,484 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $651.20 $1,480 1.8×
Declot vascular device (36593) $103.40 $235 0.3×
Deep Muscle Biopsy (20205) $1,869.56 $4,249 0.7×
Delivery of placenta (59414) $1,824.68 $4,147 0.6×
Destr penis lesion(s) (54065) $2,522.52 $5,733 1.4×
Destr W Neurolytic; Celiac Plexus (64680) $749.76 $1,704 0.9×
Destroy cerv/thor facet jnt (64633) $1,093.40 $2,485 0.6×
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $1,877.04–$3,754.08 $4,266–$8,532 varies
Destruct B9 Lesion 1-14 (17110) $126.28 $287 0.7×
Destruction Benign Lesions 15/> (17111) $126.28 $287 0.7×
Destruction Lesions Vulva Extensive (56515) $2,522.52 $5,733 1.4×
Destruction Lesions Vulva Simple (56501) $2,141.04 $4,866 1.1×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $203.72 $463 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $2,080.32 $4,728 1.2×
Destruction Premalignant Lesion 15/> (17004) $265.32 $603 0.7×
Destruction premalignant lesion 1st (17000) $70.84 $161 0.4×
Destruction Vaginal Lesions Simple (57061) $2,457.84 $5,586 0.8×
Diagnostic anoscopy (46601) $276.32 $628 0.7×
Diagnostic sigmoidoscopy (45330) $586.96 $1,334 0.7×
Diaphragm or cervical cap fitting with instructions (57170) $21.56 $49 0.1×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $2,154.59 $4,896.79 2.0×
Dilat female urethra general/cndj spinal anes (53665) $2,214.08 $5,032 1.2×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $144.76 $329 1.2×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $144.76 $329 1.2×
Dilat Urethral Strix Dilator Male Sbsq (53601) $144.76 $329 1.2×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $144.76 $329 0.6×
Dilate Esophagus 1/Mult Pass (43450) $660.44 $1,501 0.8×
Dilate Urethra Stricture (53620) $2,060.96 $4,684 3.3×
Dilate Urethra Stricture (53600) $325.60 $740 1.4×
Dilation & curettage dx&/ther nonobstetric (58120) $2,119.04 $4,816 0.7×
Dilation Cervical Canal (57800) $1,824.68 $4,147 0.6×
Dilation Esophagus Guide Wire (43453) $660.44 $1,501 0.4×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $2,316.16 $5,264 0.7×
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) $4,604.60 $10,465 0.9×
Drain Spinal Cord Cyst (62268) $345.84 $786 0.4×
Drain/inj small joint/bursa w/us (20604) $442.64 $1,006 1.6×
Drainage Abscess/Hematoma Nasal Septum (30020) $259.16 $589 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $2,031.48 $4,617 1.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $188.32 $428 0.3×
Drainage Finger Abscess Complicated (26011) $1,455.08 $3,307 1.0×
Drainage Mouth Roof Lesion (42000) $259.16 $589 1.2×
Drainage of finger abscess simple (26010) $188.32 $428 1.0×
Drainage of gum lesion (41800) $259.16 $589 2.2×
Drainage of hematoma/fluid (10140) $1,972.96 $4,484 1.3×
Drainage of hydrocele (55000) $221.76 $504 0.3×
Drainage of nose lesion (30000) $259.16 $589 1.2×
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $2,214.08 $5,032 3.5×
Drainage of rectal abscess (45020) $1,988.36 $4,519 0.8×
Drainage of scrotal wall abscess (55100) $2,031.48 $4,617 1.4×
Drainage of scrotum (54700) $2,910.60 $6,615 1.5×
Drainage of skene's gland abscess or cyst (53060) $2,214.08 $5,032 1.2×
Drainage of urethra abscess (53040) $2,214.08 $5,032 0.7×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,855.48 $4,217 0.6×
Draw Blood Off Venous Device (36591) $106.04 $241 0.9×
Dressing Change Under Anesthesia (15852) $76.56 $174 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $259.16 $589 0.4×
Drg privesical/prevesical space absc (51080) $2,031.48 $4,617 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $207.68 $472 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $116.60 $265 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $246.84 $561 1.4×
Dstrj Lesion Anus Extensive (46924) $1,742.22 $3,959.60 0.7×
Dstrj lesion anus simple surg excision (46922) $1,775.19 $4,034.53 0.7×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,025.74 $4,603.95 1.1×
Dstrj Lesion Penis Simple Chemical (54050) $132.44 $301 0.4×
Dstrj Lesion Penis Simple Cryosurgery (54056) $106.04 $241 0.6×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,243.12 $5,098 1.2×
Dstrj lesion penis simple surg excision (54060) $2,243.12 $5,098 1.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $673.20–$1,346.40 $1,530–$3,060 varies
Dx Bronchoscope/Lavage (31624) $1,172.16 $2,664 0.7×
Dx Bronchoscope/Wash (31622) $1,172.16 $2,664 0.7×
Dx Laryngoscopy Excl Nb (31525) $1,927.20 $4,380 1.2×
Dx laryngoscopy w/oper scope (31526) $2,645.72 $6,013 1.6×
Dx lmbr spi pnxr w/fluor/CT (62328) $756.36 $1,719 1.2×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,122.12 $4,823 1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,005.40 $2,285 0.6×
Egd cautery tumor polyp (43250) $1,005.40 $2,285 0.6×
Egd control bleeding any (43255) $1,005.40 $2,285 0.6×
Egd dilation gastric/duodenal stricture (43245) $1,005.40 $2,285 0.6×
Egd endo mucosal resection (43254) $1,404.48 $3,192 0.8×
Egd Endoscopic Stent Place (43266) $4,966.72 $11,288 0.9×
Egd Flexible Foreign Body Removal (43247) $1,005.40 $2,285 1.2×
Egd guide wire insertion (43248) $1,005.40 $2,285 1.2×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,005.40 $2,285 0.6×
Egd lesion ablation (43270) $1,005.40 $2,285 0.6×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
unusually low: confirm this is the full procedure		 $3,207.16 $7,289 0.3×
Egd place gastrostomy tube (43246) $1,005.40 $2,285 0.6×
Egd remove lesion snare (43251) $1,005.40 $2,285 0.6×
Egd Tube/Cath Insertion (43241) $1,005.40 $2,285 0.6×
Egd us transmural injxn/mark (43253) $2,122.12 $4,823 1.2×
Egd Varices Ligation (43244) $1,005.40 $2,285 0.6×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $351.12 $798 1.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $317.68 $722 1.1×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $317.68 $722 1.1×
Electro-Uroflowmetry First (51741) $144.76 $329 0.7×
Endocervical curettage (57505) $297 $675 0.4×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $3,340.04 $7,591 0.7×
Endometrial Biopsy (58100) $150.48 $342 0.8×
Endoscopic injection/implant (51715) $3,514.72 $7,988 1.1×
Endoscopy of ureter (50953) $865.04 $1,966 0.3×
Endoscopy Upper Small Intestine (44360) $1,129.04 $2,566 0.6×
Endoscopy upper small intestine w/biopsy (44361) $1,129.04 $2,566 0.6×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,129.04 $2,566 0.6×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,129.04 $2,566 0.6×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,129.04 $2,566 0.6×
Epidural Blood Patch (62273) $673.20 $1,530 1.1×
Episiotomy or vaginal repair (59300) $1,824.68 $4,147 0.6×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
unusually low: confirm this is the full procedure		 $2,320.56 $5,274 0.4×
Ercp duct stent placement (43274) $4,050.20 $9,205 0.7×
Ercp Dx Collection Specimen Brushing/Washing (43260) $2,320.56 $5,274 0.7×
Ercp ea duct/ampulla dilate (43277) $2,320.56 $5,274 0.7×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,320.56 $5,274 0.7×
Ercp remove forgn body duct (43275) $3,352.36 $7,619 1.9×
Ercp Stent Exchange W/Dilate (43276) $3,352.36 $7,619 0.6×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $4,050.20 $9,205 1.2×
Ercp W/Biopsy Single/Multiple (43261) $2,320.56 $5,274 0.7×
Ercp w/pressure measurement sphincter of oddi (43263) $2,320.56 $5,274 1.3×
Ercp,Sphincterotomy (43262) $2,320.56 $5,274 0.7×
Esoph Scope W/Submucous Inj (43201) $1,005.40 $2,285 0.6×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,005.40 $2,285 1.2×
Esophagosc Dilate Balloon 30 (43214) $2,122.12 $4,823 1.2×
Esophagoscop Mucosal Resect (43211) $1,404.48 $3,192 0.8×
Esophagoscop Stent Placement (43212) $4,966.72 $11,288 0.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,005.40 $2,285 0.6×
Esophagoscopy Flex Transoral Injection Varices (43204) $1,005.40 $2,285 0.6×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $4,123.68 $9,372 1.2×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,005.40 $2,285 0.6×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,404.48 $3,192 1.7×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $1,404.48 $3,192 1.7×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,005.40 $2,285 1.2×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,005.40 $2,285 0.6×
Esophagoscopy Retro Balloon (43213) $2,122.12 $4,823 1.2×
Esophagoscopy rig transoral removal foreign body (43194) $2,122.12 $4,823 1.2×
Esophagoscopy Rigid Balloon (43195) $2,122.12 $4,823 0.6×
Esophagoscopy rigid trnso dx (43191) $1,404.48 $3,192 0.8×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,005.40 $2,285 0.6×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,005.40 $2,285 0.6×
Esophagoscp Guide Wire Dilat (43196) $2,122.12 $4,823 1.2×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $4,076.16 $9,264 0.8×
Esophagoscp Rig Trnso Biopsy (43193) $2,122.12 $4,823 1.2×
Esophagoscp Rig Trnso Inject (43192) $2,122.12 $4,823 1.2×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,005.40 $2,285 0.6×
Evacuate mole of uterus (59870) $1,514.59 $3,442.24 0.5×
Evacuation of subungual hematoma (11740) $93.72 $213 0.8×
Exc arm/elbow les sc < 3 cm (24075) $1,869.56 $4,249 1.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $517.44 $1,176 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,869.56 $4,249 1.3×
Exc Back Les Sc < 3 Cm (21930) $3,560.04 $8,091 2.4×
Exc Back Tum Deep 5 Cm/> (21933) $3,302.20 $7,505 1.3×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $2,422.64 $5,506 0.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $825.88 $1,877 1.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $865.48 $1,967 1.3×
Exc Face Les Sbq 2 Cm/> (21012) $2,240.91 $5,092.98 1.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $517.44 $1,176 0.8×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $517.44 $1,176 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $825.88 $1,877 1.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $865.48 $1,967 0.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $865.48 $1,967 0.6×
Exc Frenum Labial/Buccal (40819) $1,010.24 $2,296 0.7×
Exc ganglion wrist recurrent (25112) $1,949.64 $4,431 1.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $865.48 $1,967 0.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $825.88 $1,877 1.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $825.88 $1,877 0.6×
Exc Hand Les Sc < 1.5 Cm (26115) $2,439.80 $5,545 1.6×
Exc hand tum deep < 1.5 cm (26116) $2,439.80 $5,545 1.6×
Exc hydrocele sprmatic cord uni spx (55500) $2,910.60 $6,615 0.9×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,485.12 $5,648 1.7×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $2,905.76 $6,604 1.0×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $4,612.08 $10,482 0.9×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,413.50 $5,485.23 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $825.88 $1,877 1.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,869.56 $4,249 1.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,439.80 $5,545 0.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,784.64 $4,056 1.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,869.56 $4,249 1.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,784.64 $4,056 1.2×
Exc thigh/knee les sc 3 cm/> (27337) $1,645.44 $3,739.63 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $436.92 $993 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $493.68 $1,122 1.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $493.68 $1,122 0.8×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,784.64 $4,056 1.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,738.40 $3,950.90 0.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $2,439.80 $5,545 0.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,439.80 $5,545 0.9×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,015.26 $4,580.13 1.3×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $2,485.12 $5,648 0.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,869.56 $4,249 1.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,439.80 $5,545 1.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,874.75 $4,260.79 0.7×
Exc urethral diverticulum spx female (53230) $3,514.72 $7,988 0.7×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $3,762.84 $8,551.90 1.2×
Exc/fulguration urethral caruncle (53265) $2,214.08 $5,032 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,560.16 $10,364 1.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,098.68 $2,497 0.6×
Excis urethral prolapse (53275) $2,214.08 $5,032 0.7×
Excise Wrist Tendon Sheath (25118) $2,983.64 $6,781 2.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $865.48 $1,967 1.3×
Excision Aural Polyp (69540) $2,003.76 $4,554 1.4×
Excision Chalazion Multiple Same Lid (67801) $880 $2,000 1.0×
Excision Chalazion Single (67800) $324.72 $738 1.1×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,869.56 $4,249 0.7×
Excision H/P/P/U Simple/Intermediate Repair (11470) $2,439.80 $5,545 0.9×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $2,439.80 $5,545 0.9×
Excision Infected Graft Extremity (35903) $4,609.44 $10,476 1.6×
Excision inferior turbinate partial/complete (30130)
range across 2 matching MRF lines		 $2,003.76–$4,007.52 $4,554–$9,108 varies
Excision lesion meniscus/capsule knee (27347) $2,541.44 $5,776 0.9×
Excision Lingual Frenum Frenectomy (41115) $1,010.24 $2,296 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $517.44 $1,176 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $493.68 $1,122 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $517.44 $1,176 1.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $865.48 $1,967 1.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $865.48 $1,967 0.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $517.44 $1,176 0.8×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $865.48 $1,967 1.3×
Excision Nasal Polyp Extensive (30115) $2,003.76 $4,554 0.7×
Excision nasal polyp(s) simple (30110) $2,003.76 $4,554 1.4×
Excision of bulbourethral gland (Cowper's gland) Facility (53250) $2,214.08 $5,032 0.7×
Excision of chalazion; multiple, different lids (67805) $324.72 $738 1.1×
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $4,563.24 $10,371 1.5×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,949.64 $4,431 1.3×
Excision of hydrocele; unilateral (55040) $3,570.16 $8,114 1.1×
Excision of pilonidal cyst or sinus; simple (11770) $2,439.80 $5,545 0.9×
Excision of single external papilla or tag, anus (46220) $2,254.56 $5,124 2.1×
Excision of submandibular (submaxillary) gland (42440) $4,612.08 $10,482 0.9×
Excision of tonsil tags (42860) $2,726.68 $6,197 0.9×
Excision of urethral diverticulum (separate procedure); male Facility (53235) $2,214.08 $5,032 0.5×
Excision of vaginal cyst or tumor (57135) $2,574.88 $5,852 0.9×
Excision olecranon bursa (24105) $2,541.44 $5,776 0.9×
Excision or fulguration; Skene's glands Facility (53270) $2,214.08 $5,032 0.7×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $2,214.08 $5,032 0.7×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,432.02 $7,800.04 1.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,431.36 $5,525.82 0.9×
Excision prepatellar bursa (27340) $2,541.44 $5,776 0.9×
Excision soft tissue lesion, external auditory canal (69145) $1,869.56 $4,249 0.7×
Excision Thyroglossal Duct Cyst/Sinus (60280) $5,043.28 $11,462 0.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,302.20 $7,505 2.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $3,302.20 $7,505 2.2×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,439.80 $5,545 1.6×
Excision, interdigital (morton) neuroma, single, each (28080) $2,485.12 $5,648 1.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,302.20 $7,505 1.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,869.56 $4,249 1.3×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $2,983.64 $6,781 1.0×
Excision/Transposition Pterygium W/Grafg (65426) $2,748.68 $6,247 1.3×
Excision/Transposition Pterygium W/O Graft (65420) $1,828.20 $4,155 0.8×
Expl penetrating wound spx abdomen/flank/back (20102) $2,268.20 $5,155 1.2×
Explo/Drain Breast Abscess (19020) $2,031.48 $4,617 1.4×
Exploration penetrating wound spx chest (20101) $2,268.20 $5,155 1.2×
Exploration penetrating wound spx extremity (20103) $594.44 $1,351 0.4×
Exploration Penetrating Wound Spx Neck (20100) $594.44 $1,351 1.2×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
unusually low: confirm this is the full procedure		 $2,275.24 $5,171 0.4×
Exploratory elbow surgery (24000) $2,983.64 $6,781 1.0×
Explore/Treat Hand Joint (26070) $1,949.64 $4,431 1.3×
External cephalic version (59412) $1,374.12 $3,123 0.5×
Fasciectomy Palm Only (26121) $3,132.80 $7,120 1.1×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,132.80 $7,120 1.1×
Fetal Contraction Stress Test (59020) $518.76 $1,179 2.8×
Fetal non-stress test (59025) $169.84 $386 0.9×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,287 $2,925 2.0×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,287 $2,925 2.0×
Fine needle aspiration without imaging guidance (10021) $612.92 $1,393 1.7×
Fluid Pressure Muscle (20950) $188.32 $428 0.3×
Fluoro exam of g/colon tube (49465) $184.80 $420 0.9×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,287 $2,925 2.0×
Fna bx w/us gdn 1st les (10005) $1,287 $2,925 2.0×
Foreskin manipulation (54450) $325.60 $740 1.4×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $2,748.68 $6,247 1.3×
Fusion Finger Joint (26860) $3,132.80 $7,120 1.1×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $2,905.76 $6,604 0.5×
Guide Cathet Fluid Drainage (10030) $334.40 $760 0.5×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,975.72 $6,763 1.2×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,975.72 $6,763 1.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,975.72 $6,763 1.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $417.12 $948 0.5×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $5,139.20 $11,680 1.1×
Hysteroscopy Biopsy (58558) $2,607.88 $5,927 0.9×
Hysteroscopy Dx Sep Proc (58555) $2,607.88 $5,927 0.9×
Hysteroscopy Endometrial Ablation (58563) $4,028.20 $9,155 0.9×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,607.88 $5,927 0.9×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $4,028.20 $9,155 0.9×
I&d abscess peritonsillar (42700) $259.16 $589 1.2×
I&d abscess simple (10060) $246.84 $561 1.4×
I&D Below Fascia Foot 1 Bursal Space (28002) $2,541.44 $5,776 1.7×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,031.48 $4,617 0.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,031.48 $4,617 0.8×
I&d forearm/wrist bursa (25031) $2,541.44 $5,776 1.7×
I&D Intramural Im/Absc Transanal Anes (46045) $2,975.72 $6,763 1.2×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $2,975.72 $6,763 1.2×
I&d perianal abscess superficial (46050) $436.92 $993 0.5×
I&d pilonidal cyst complicated (10081) $382.80 $870 0.6×
I&d pilonidal cyst simple (10080) $382.80 $870 0.6×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,785.52 $4,058 1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,129.04 $2,566 1.4×
Image Cath Fluid Colxn Visc (49405) $2,562.12 $5,823 1.7×
Image Cath Fluid Peri/Retro (49406) $2,562.12 $5,823 1.7×
Image Cath Fluid Trns/Vgnl (49407) $1,587.08 $3,607 1.1×
Implant neuroelectrodes (63650) $8,522.46 $19,369.24 1.5×
Implant Neuroelectrodes (64561) $6,336 $14,400 1.1×
Implant Periph/Gastric Neurostim/Receiver (64590) $19,506.59 $44,333.16 1.1×
Incise external hemorrhoid (46083) $436.92 $993 1.9×
Incise finger tendon sheath (26055) $1,949.64 $4,431 1.3×
Incision & drainage abscess complicated/multiple (10061) $478.28 $1,087 1.3×
Incision & removal foreign body subq tiss compl (10121) $908.16 $2,064 0.6×
Incision & removal foreign body subq tiss simple (10120) $472.56 $1,074 1.3×
Incision and drainage of bartholin's gland abscess (56420) $297 $675 1.6×
Incision and drainage of vulva or perineal abscess (56405) $297 $675 1.1×
Incision extensor tendon sheath wrist (25000) $2,541.44 $5,776 1.7×
Incision of lingual frenum (frenotomy) (41010) $1,010.24 $2,296 0.7×
Incision of rectal abscess (46040) $2,254.56 $5,124 2.1×
Incision of urethra (53010) $2,214.08 $5,032 0.5×
Incision of urethra (53025) $2,214.08 $5,032 1.2×
Incision of urethra (53000) $2,214.08 $5,032 1.2×
Incision of urethra (53020) $2,214.08 $5,032 1.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,031.48 $4,617 1.4×
Incisional biopsy skin single lesion (11106) $697.84 $1,586 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $116.60 $265 0.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $749.76–$1,499.52 $1,704–$3,408 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $749.76–$1,499.52 $1,704–$3,408 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines		 $269.72–$539.44 $613–$1,226 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,393.04 $3,166 1.7×
Injection aa&/strd genicular nrv branches w/img (64454) $756.36 $1,719 1.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $673.20–$1,346.40 $1,530–$3,060 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $756.36 $1,719 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,650 $3,750 2.6×
Injection Anes Agent Sphenopalatine Ganglion (64505) $282.92 $643 1.0×
Injection Anes Superior Hypogastric Plexus (64517) $282.92 $643 0.4×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $282.92–$1,393.04 $643–$3,166 varies
Injection for identification of sentinel node (38792) $234.52 $533 0.6×
Injection of sclerosing solution, hemorrhoids (46500) $1,988.36 $4,519 2.4×
Injection single tendon origin/insertion (20551) $269.72 $613 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $269.72 $613 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $269.72 $613 1.0×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $269.72–$539.44 $613–$1,226 varies
Injection, anesthetic agent; brachial plexus, single (64415) $282.92 $643 0.4×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $282.92–$565.84 $643–$1,286 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $282.92–$565.84 $643–$1,286 varies
Injection, intralesional; up to and including 7 lesions (11900) $106.04 $241 0.6×
Insert 1 Electrode Pm-Defib (33216) $4,260.96 $9,684 0.6×
Insert Bladder Cath Complex (51703) $144.76 $329 1.2×
Insert cath pleura w/ image (32557) $863.72 $1,963 0.6×
Insert cath pleura w/o image (32556) $863.72 $1,963 0.5×
Insert cervical dilator (59200) $297 $675 1.1×
Insert Drug Implant Device (11981) $103.84 $236 0.9×
Insert Gastrostomy Tube Percutaneous (49440) $1,134.32 $2,578 0.7×
Insert Heart Pm Atrial (33206) $8,915.72 $20,263 0.9×
Insert non-tunnel cv cath (36556) $1,026.08 $2,332 0.4×
Insert Pacing Lead & Connect (33224) $12,899.92 $29,318 1.4×
Insert pessary/other device (57160) $150.48 $342 0.8×
Insert pulse gen dual leads (33213) $8,533.80 $19,395 0.9×
Insert Pulse Gen Sngl Lead (33212) $6,871.04 $15,616 0.9×
Insert tandem cuff (53444)
likely a partial charge, not the full procedure		 $5,617.92 $12,768 0.3×
Insert Temp Bladder Cath (51702) $76.56 $174 0.6×
Insert tunneled cv cath (36561) $3,384.04 $7,691 1.2×
Insert tunneled cv cath (36563) $3,384.04 $7,691 0.7×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $2,648.36 $6,019 0.5×
Insert Uro/Ves Nck Sphincter (53445) $9,668.56 $21,974 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $76.56 $174 0.6×
Insertion indwelling tunneled pleural catheter (32550) $4,096.84 $9,311 1.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,429.24 $5,521 1.7×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $4,260.96 $9,684 0.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,026.08 $2,332 0.4×
Insj Picc Rs&I <5 Yr (36572) $1,377.20 $3,130 2.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,648.36 $6,019 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,323.08 $3,007 0.9×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $3,384.04 $7,691 1.2×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $8,640.72 $19,638 1.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,648.36 $6,019 0.9×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $37,817.87 $85,949.70 1.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,260.96 $9,684 0.6×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $4,260.96 $9,684 0.6×
Insrt heart pm atrial & vent (33208) $10,424.04 $23,691 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $207.68 $472 0.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $207.68 $472 0.6×
Intraoral i&d tongue/floor submndblr space (41008) $3,228.72 $7,338 1.1×
Intro cath dialysis circuit (36901) $1,433.08 $3,257 1.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $8,655.24 $19,671 0.8×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $4,282.52 $9,733 0.8×
Intubation endotracheal emergency procedure (31500) $306.68 $697 1.4×
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $862.84 $1,961 0.4×
Irrigation of corpora cavernosa for priapism (54220) $325.60 $740 1.4×
Kidney endoscopy (50553) $2,316.16 $5,264 0.5×
Kidney endoscopy (50551) $865.04 $1,966 0.2×
Klhl11 antb serum/csf cell binding assay qual (0432U) $242 $550 6.6×
Knee Arthroscopy/Surgery (29874) $3,498.88 $7,952 1.2×
Laparoscopy aspiration (49322) $3,973.20 $9,030 0.7×
Laparoscopy fulguration oviducts (58670) $5,365.80 $12,195 1.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $5,365.80 $12,195 1.0×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $6,212.04 $14,118.27 0.6×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $5,682.47 $12,914.71 0.6×
Laparoscopy W/Lysis Of Adhesions (58660) $5,365.80 $12,195 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $5,365.80 $12,195 1.0×
Laparoscopy, surgical, appendectomy (44970) $5,365.80 $12,195 1.0×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $5,461.29 $12,412.01 0.6×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $5,365.80 $12,195 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $3,973.20 $9,030 0.7×
Laparoscopy, Tubal Block (58671) $5,365.80 $12,195 1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $3,973.20 $9,030 0.7×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $5,365.80 $12,195 1.0×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $5,606.48 $12,742 0.6×
Laryngoscopy diagnostic (31505) $100.32 $228 0.6×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $2,645.72 $6,013 0.8×
Laryngoscopy flexible diagnostic (31575) $180.40 $410 1.0×
Laryngoscopy Indirect W/Biopsy (31510) $1,927.20 $4,380 0.6×
Laryngoscopy Indirect W/Removal Lesion (31512) $1,927.20 $4,380 0.6×
Laryngoscopy W/Biopsy (31535) $2,645.72 $6,013 0.8×
Laryngoscopy w/biopsy microscope/telescope (31536) $2,645.72 $6,013 0.8×
Larynscop w/tumr exc + scope (31541) $2,645.72 $6,013 0.8×
Laser Surgery of Cervix (57513) $1,824.68 $4,147 0.6×
Laser vaporization of prostate (52648) $5,245.24 $11,921 1.1×
Ligation of a-v fistula (37607) $3,304.40 $7,510 1.2×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $4,851.88 $11,027 1.7×
Litholapaxy comp/lg > 2.5 cm (52318) $2,909.28 $6,612 0.9×
Litholapaxy smpl/sm <2.5 cm (52317) $2,909.28 $6,612 0.9×
Lithotripsy, extracorporeal shock wave (50590) $5,285.72 $12,013 1.7×
Lsh uterus 250 g or less (58541) $5,606.48 $12,742 0.6×
Lsh uterus above 250 g (58543) $5,606.48 $12,742 0.6×
Lsh w/t/o uterus above 250 g (58544) $5,606.48 $12,742 0.6×
Lysis of labial adhesions (56441) $1,824.68 $4,147 0.6×
Male sling procedure (53440)
unusually low: confirm this is the full procedure		 $5,617.92 $12,768 0.5×
Manipulation knee joint under general anesthesia (27570) $1,787.72 $4,063 1.2×
Manipulation tmj therapeutic require anesthesia (21073) $993.52 $2,258 0.7×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,787.72 $4,063 1.2×
Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) $144.76 $329 1.2×
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines		 $2,574.88–$3,908.08 $5,852–$8,882 varies
Mast mod rad (19307) $4,983 $11,325 0.8×
Mastectomy partial (19301) $2,422.64 $5,506 0.7×
Mastectomy partial w/axillary lymphadenectomy (19302) $5,271.20 $11,980 0.9×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $1,909.07 $4,338.79 0.3×
Maternity Care Procedure (59899) $169.84 $386 0.9×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,026.08 $2,332 0.7×
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) $6,603.52 $15,008 1.2×
Mediastinoscpy w/lmph nod bx (39402) $6,603.52 $15,008 1.2×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $2,268.20 $5,155 0.7×
Myringoplasty (69620) $2,905.76 $6,604 1.0×
N Block Inj Celiac Pelus (64530) $749.76 $1,704 0.9×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $282.92–$565.84 $643–$1,286 varies
N block inj intercost sng (64420) $282.92 $643 0.4×
N Block Inj Paracervical (64435) $282.92 $643 0.4×
N Block Inj Plantar Digit (64455) $344.52 $783 1.2×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $282.92–$565.84 $643–$1,286 varies
N Block Lumbar/Thoracic (64520) $749.76 $1,704 0.9×
Nasal Endoscopy Dx (31231) $180.40 $410 1.0×
Nasal/Orogastric W/Tube Plmt (43752) $165.88 $377 0.4×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,927.20 $4,380 1.2×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $4,316.84 $9,811 0.7×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $4,316.84 $9,811 0.7×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $4,316.84 $9,811 0.7×
Nasal/sinus ndsc total with sphenoidotomy (31257) $4,316.84 $9,811 0.7×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $4,316.84 $9,811 2.7×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $144.76 $329 0.6×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,067 $2,425 1.3×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $3,498.88 $7,952 2.4×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $447.04–$894.08 $1,016–$2,032 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $34.76 $79 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $51.92 $118 2.0×
Neuro alys b-amyl 1-42&1-40 (0358U) $308 $700 1.2×
Neuroeltrd Stim Post Tibial (64566) $385 $875 1.4×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,159.08 $4,907 1.2×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $650.32 $1,478 0.9×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $893.20 $2,030 0.4×
Njx anes stellate ganglion crv sympathetic (64510) $749.76 $1,704 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,388.64 $3,156 5.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $737 $1,675 0.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,560.16 $10,364 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $749.76–$1,499.52 $1,704–$3,408 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,062.60 $2,415 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $749.76 $1,704 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $749.76 $1,704 0.9×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,338.48 $3,042 1.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,062.60 $2,415 1.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $749.76 $1,704 0.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,098.68 $2,497 1.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,098.68 $2,497 1.7×
Obstructive material removal from gi tube (49460) $432.08 $982 0.5×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $269.72–$765.60 $613–$1,740 varies
Onc urothelial cancer RNA rt-PCR fgfr3 gene alys (0154U) $572 $1,300 1.2×
Open Repair of Rotator Cuff Acute (23410) $5,429.16 $12,339 0.8×
Open Treatment Bimalleolar Ankle Fracture (27814) $4,722.08 $10,732 0.7×
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $4,722.08 $10,732 0.4×
Open Treatment Medial Malleolus Fracture (27766) $4,722.08 $10,732 0.7×
Open treatment metacarpophalangeal dislocation (26715) $4,722.08 $10,732 1.6×
Open treatment metatarsal fracture each (28485) $4,722.08 $10,732 0.7×
Open Treatment of Ulnar Shaft Fracture (25545) $4,722.08 $10,732 0.7×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $4,722.08 $10,732 0.7×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $4,722.08 $10,732 1.6×
Open Tx Distal Phalangeal Fracture Each (26765) $4,722.08 $10,732 1.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $4,722.08 $10,732 1.6×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $4,722.08 $10,732 1.6×
Open/Perq Place Stent 1St (37236) $19,100.84 $43,411 1.8×
Open/Perq Place Stent Same (37238) $19,100.84 $43,411 1.8×
Orchiectomy radical tumor inguinal approach (54530) $3,448.11 $7,836.61 1.1×
Ostc prtl exostc/condylc metar head (28288) $2,485.12 $5,648 0.8×
Ostectomy calcaneus (28118) $2,485.12 $5,648 0.8×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $2,485.12 $5,648 0.8×
Ovarian cystectomy, unilateral or bilateral (58925) $3,340.04 $7,591 0.7×
Palatopharyngoplasty (42145) $2,905.76 $6,604 0.5×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,949.64 $4,431 1.3×
Partial hymenectomy or revision of hymenal ring (56700) $2,574.88 $5,852 0.9×
Partial removal of thyroid (60220) $5,043.28 $11,462 0.9×
Pelvic examination under anesthesia (other than local) (57410) $1,824.68 $4,147 0.6×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $400.84–$1,435.28 $911–$3,262 varies
Perq dev breast 1st mr guide (19287) $205.92 $468 0.3×
Perq dev breast 1st strtctc (19283) $205.92 $468 0.3×
Perq dev breast 1st us imag (19285) $205.92 $468 0.3×
Perq device breast 1st imag (19281) $205.92 $468 0.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,006.72 $2,288 1.6×
Perq skel fixj distal radial fx/epiphysl sep (25606) $3,286.36 $7,469 1.1×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $8,655.24 $19,671 0.8×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,282.52 $9,733 0.8×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $5,851.57 $13,299.02 0.9×
Perq Vertebral Augmentation (22513) $7,922.54 $18,005.77 1.2×
Place Rt Device/Marker Pros (55876) $439.12 $998 0.4×
Placement of needle for intraosseous infusion (36680) $117.04 $266 0.3×
Placement of seton (46020) $2,975.72 $6,763 1.2×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $4,560.16 $10,364 0.8×
Plmt Bile Duct Stent Prq Existing Access (47538) $8,625.32 $19,603 1.6×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $8,625.32 $19,603 1.6×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $8,625.32 $19,603 1.6×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,155.24 $7,171 1.7×
Plmt Nephroureteral Catheter (50433) $3,155.24 $7,171 1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $4,699.20 $10,680 1.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,699.20 $10,680 1.5×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $4,699.20 $10,680 1.5×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $3,340.04 $7,591 0.7×
Probing nasolacrimal duct (68810)
range across 2 matching MRF lines		 $238.92–$477.84 $543–$1,086 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $586.96 $1,334 0.7×
Proctosgmdsc rigid w/dilation (45303) $993.08 $2,257 0.9×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,504.04 $5,691 1.0×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $993.08 $2,257 0.9×
Prostatic microwave thermotx (53850) $5,586.68 $12,697 1.8×
Prostatic Rf Thermotx (53852) $5,586.68 $12,697 1.8×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $14,445.39 $32,830.42 2.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,560.16 $10,364 1.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,560.16 $10,364 1.4×
Prq skel fixj metar fx w/manj (28476) $4,722.08 $10,732 1.6×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $2,485.12 $5,648 0.8×
Punch biopsy skin single lesion (11104) $392.04 $891 1.1×
Puncture aspiration abscess hematoma bulla/cyst (10160) $207.68 $472 0.6×
Puncture Aspiration Cyst Breast (19000) $221.76 $504 0.3×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,650 $3,750 2.6×
Pvb thoracic cont infusion (64463) $1,225.84 $2,786 1.9×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,225.84 $2,786 1.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,080.32 $4,728 1.2×
Realignment extensor tendon hand each tendon (26437) $1,949.64 $4,431 0.7×
Reinforce tibia (27745) $4,563.24 $10,371 0.7×
Release of shoulder ligament (23415) $4,563.24 $10,371 0.7×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) $9,668.56 $21,974 0.5×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,011.56 $2,299 1.2×
Removal foreign body foot deep (28192) $1,869.56 $4,249 1.3×
Removal Foreign Body Foot Subcutaneous (28190) $517.44 $1,176 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $517.44 $1,176 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $117.48–$234.96 $267–$534 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $76.56–$153.12 $174–$348 varies
Removal Implant Deep (20680) $2,439.80 $5,545 0.9×
Removal Implant Superficial Separate Procedure (20670) $1,869.56 $4,249 1.3×
Removal of bladder cyst (51500) $3,570.16 $8,114 0.7×
Removal of foreign body from pharynx (42809) $76.56 $174 0.2×
Removal of heel spur (28119) $2,485.12 $5,648 0.8×
Removal of nail bed (11750) $493.68 $1,122 1.3×
Removal of tonsils (42825) $2,726.68 $6,197 0.5×
Removal of tonsils (42826) $2,726.68 $6,197 0.9×
Removal of urethra (53210) $3,514.72 $7,988 1.1×
Removal or bivalving full arm or full leg cast (29705) $135.08 $307 0.5×
Removal or destruction of bladder canal (urethra) malignancy (53220) $3,514.72 $7,988 1.1×
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) $3,514.72 $7,988 0.7×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $2,740.76 $6,229 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $126.28 $287 0.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $312.84 $711 0.2×
Removal sweat gland lesion (11450) $2,439.80 $5,545 0.9×
Removal, under anesthesia, of external fixation system (20694) $2,541.44 $5,776 1.7×
Removal/bivalving gauntlet boot/body cast (29700) $135.08 $307 0.5×
Remove Brain Cavity Fluid (61020) $345.84 $786 0.4×
Remove cerclage suture (59871) $3,908.08 $8,882 1.3×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $139.48–$1,388.20 $317–$3,155 varies
Remove Forearm Foreign Body (25248) $2,541.44 $5,776 1.7×
Remove foreign body from eye (65205) $154.44 $351 1.3×
Remove Intrauterine Device (58301) $283.36 $644 1.0×
Remove Lower Leg Bone Lesion (27635) $2,983.64 $6,781 1.0×
Remove lung catheter (32552) $199.76 $454 0.4×
Remove Nasal Foreign Body (30300) $76.56 $174 0.6×
Remove prostate regrowth (52630) $4,187.48 $9,517 0.9×
Remove Tendon Sheath Lesion (26160) $1,949.64 $4,431 1.3×
Remove/graft foot lesion (28102) $5,053.40 $11,485 0.8×
Remove/Insert Drug Implant (11983) $73.04 $166 0.2×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $3,514.72 $7,988 0.7×
Renal Biopsy Perq (50200) $748.44 $1,701 0.5×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557)
unusually low: confirm this is the full procedure		 $2,909.28 $6,612 0.3×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
likely a partial charge, not the full procedure		 $865.04 $1,966 0.1×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $2,316.16 $5,264 0.5×
Renal scope w/tumor resect (50562)
likely a partial charge, not the full procedure		 $865.04 $1,966 0.1×
Reopen fallopian tube (58350) $3,340.04 $7,591 0.7×
Repair Achilles Tendon (27650) $4,563.24 $10,371 0.7×
Repair Blood Vessel Direct Hand Finger (35207) $4,551.36 $10,344 1.6×
Repair blood vessel direct neck (35201) $2,905.76 $6,604 0.6×
Repair Blood Vessel Direct Upper Extremity (35206) $2,905.76 $6,604 1.0×
Repair blood vessel lesion (35190) $2,905.76 $6,604 0.6×
Repair blood vessel lesion (35236) $2,905.76 $6,604 0.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $319 $725 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $319 $725 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $207.68 $472 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $898.04 $2,041 2.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $319 $725 0.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $898.04 $2,041 2.4×
Repair complex trunk 1.1-2.5 cm (13100) $319 $725 0.5×
Repair complex trunk 2.6-7.5 cm (13101) $319 $725 0.5×
Repair extensor tendon finger w/o graft each (26418) $1,949.64 $4,431 1.3×
Repair Finger/Hand Tendon (26350) $3,132.80 $7,120 1.1×
Repair Hand Joint (26540) $1,949.64 $4,431 0.7×
Repair Hand Tendon (26410) $1,949.64 $4,431 1.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,570.16 $8,114 1.1×
Repair initial femoral hernia, any age; reducible (49550) $3,570.16 $8,114 1.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,570.16 $8,114 1.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $472.56 $1,074 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $472.56 $1,074 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $207.68 $472 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $207.68 $472 0.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $656.92 $1,493 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $246.84 $561 0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $472.56 $1,074 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $319 $725 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $207.68 $472 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $472.56 $1,074 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $472.56 $1,074 1.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $319 $725 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $472.56 $1,074 1.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,022.56 $2,324 0.5×
Repair nasal septal perforations (30630) $2,905.76 $6,604 1.0×
Repair of biceps tendon (24340) $4,563.24 $10,371 0.7×
Repair of nail bed (11760) $193.60 $440 0.3×
Repair of shoulder (23420) $5,429.16 $12,339 0.8×
Repair of urethra injury (53502) $2,214.08 $5,032 0.7×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $3,570.16 $8,114 0.6×
Repair Rotator Cuff Chronic (23412) $5,429.16 $12,339 0.8×
Repair Spica/Body/Jacket Cast (29720) $135.08 $307 0.9×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,485.12 $5,648 0.8×
Repair tongue laceration (41252) $1,010.24 $2,296 4.7×
Repair tongue laceration (41250) $259.16 $589 0.6×
Repair uro sphincter (53449)
unusually low: confirm this is the full procedure		 $3,514.72 $7,988 0.4×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure		 $2,983.64 $6,781 0.5×
Repair/Graft Wrist Bone (25440) $4,563.24 $10,371 0.7×
Repair/transpose nerve (64856)
unusually low: confirm this is the full procedure		 $3,870.68 $8,797 0.5×
Replace duodenostomy/jejunostomy tube perq (49451) $432.08 $982 0.5×
Replace g/c tube perc (49450) $432.08 $982 0.5×
Replantation digit complete (20822) $867.24 $1,971 0.6×
Reposition Gastrostomy Tube (43761) $862.40 $1,960 3.8×
Reposition Venous Catheter (36597) $1,026.08 $2,332 0.7×
Rerepair ing hernia reduce (49520) $3,570.16 $8,114 1.1×
Resection of scrotum (55150) $2,910.60 $6,615 0.9×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $2,574.88 $5,852 0.9×
Revision of toe (28312) $2,485.12 $5,648 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $5,342.04 $12,141 1.7×
Rhinoplasty primary w/major septal repair (30420) $4,612.08 $10,482 0.9×
Rhinp Prim Complete Xtrnl Parts (30410) $4,612.08 $10,482 0.9×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,905.76 $6,604 2.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $76.56 $174 0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,439.80 $5,545 1.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $154.44 $351 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $154.44 $351 1.3×
Rmvl fecal impaction/fb spx under anes (45915) $436.92 $993 0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $2,439.80 $5,545 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $517.44 $1,176 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,026.08 $2,332 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,026.08 $2,332 1.8×
Rmvl Vitreous Ant Appr Partial Removal (67005) $3,588.20 $8,155 1.7×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $3,588.20 $8,155 1.7×
Rplc Gtube No Revj Trc (43762) $514.36 $1,169 2.3×
Rplc gtube revj gstrst trc (43763) $514.36 $1,169 2.3×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $2,648.36 $6,019 0.9×
Rplcmt compl tun ctr vad w/subq pmp (36583) $3,384.04 $7,691 0.7×
Rplcmt compl tun ctr vad w/subq port (36582) $3,384.04 $7,691 1.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,648.36 $6,019 0.9×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,547.99 $5,790.89 0.8×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
unusually low: confirm this is the full procedure		 $2,329.20 $5,293.63 0.4×
Rpr aa hrn 1st 3-10 rdc (49593) $5,296.49 $12,037.48 0.9×
Rpr aa hrn 1st < 3 ncr/strn (49592) $3,072.15 $6,982.15 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $116.60 $265 0.6×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $207.68 $472 0.3×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $2,105.40 $4,785 9.8×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $2,748.68 $6,247 0.8×
Rpr Lip Full Thickness Vermilion Only (40650) $1,010.24 $2,296 2.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,568.40 $8,110 2.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,983.64 $6,781 1.0×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,983.64 $6,781 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,026.08 $2,332 1.8×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,132.80 $7,120 1.1×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $3,132.80 $7,120 1.1×
Sclerotx Fluid Collection (49185) $1,972.96 $4,484 1.3×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $2,905.76 $6,604 1.0×
Severing Adhesions Anterior Segment Laser Spx (65860) $626.56 $1,424 1.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $586.96 $1,334 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $993.08 $2,257 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $132.44 $301 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $132.44 $301 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $132.44 $301 0.7×
Sigmoidoscopy & Polypectomy (45333) $993.08 $2,257 1.2×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,733.16 $3,939 1.6×
Sigmoidoscopy flx tndsc balo dilat (45340) $993.08 $2,257 0.9×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,733.16 $3,939 1.6×
Sigmoidoscopy w/fb removal (45332) $586.96 $1,334 0.5×
Sigmoidoscopy w/plcmt stent (45347)
unusually low: confirm this is the full procedure		 $1,733.16 $3,939 0.3×
Sigmoidoscopy W/Resection (45349) $1,733.16 $3,939 0.7×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $586.96 $1,334 0.7×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $993.08 $2,257 0.9×
Simple Cystometrogram (51725) $325.60 $740 1.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $207.68 $472 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $246.84 $561 1.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $246.84 $561 1.4×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $207.68 $472 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $116.60 $265 0.6×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $116.60 $265 0.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $246.84 $561 1.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $116.60 $265 0.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $246.84 $561 1.4×
Skin sub grft t/arm/lg child (15273) $722.92 $1,643 0.4×
Skin Tissue Procedure (17999) $510.40 $1,160 2.8×
Skn sub grft f/n/hf/g child (15277) $722.92 $1,643 0.4×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $5,139.20 $11,680 1.1×
Slitting of prepuce (54001) $2,214.08 $5,032 1.2×
Small bowel endoscopy (44384) $3,352.36 $7,619 1.9×
Small bowel endoscopy (44366) $1,129.04 $2,566 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $246.84 $561 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $207.68 $472 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $207.68 $472 0.6×
Sphincterotomy anal division sphincter spx (46080) $2,254.56 $5,124 0.9×
Spinal puncture lumbar diagnostic (62270) $282.92 $643 0.4×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,268.20 $5,155 0.7×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,268.20 $5,155 1.2×
Strapping ankle (29540) $88.88 $202 0.6×
Strapping elbow or wrist (29260) $21.56 $49 0.4×
Strapping hand/finger (29280) $21.56 $49 0.4×
Strapping knee (29530) $70.40 $160 0.6×
Strapping shoulder (29240) $70.40 $160 0.6×
Strapping toes (29550) $36.96 $84 0.7×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $249.92–$499.84 $568–$1,136 varies
Subcutaneous Hormone Pellet Implantation (11980) $1,388.64 $3,156 3.4×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $2,905.76 $6,604 1.0×
Surg Tx Anal Fistula 2nd Stage (46285) $2,040.77 $4,638.12 0.8×
Surg tx anal fistula subq (46270) $2,975.72 $6,763 1.2×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,975.72 $6,763 1.2×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,246.20 $5,105 1.0×
Suture digital nerve hand/foot 1 nerve (64831) $3,870.68 $8,797 2.2×
Tangential biopsy skin single lesion (11102) $392.04 $891 1.1×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $27,613.96 $62,759 1.1×
Tcat Insj/Rpl Perm Ldls Pm (33274) $14,450.92 $32,843 0.8×
Tcat Rmvl Perm Ldls Pm (33275) $5,867.40 $13,335 2.1×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $4,563.24 $10,371 1.5×
Tenolysis flexor tendon palm/finger each tendon (26440) $1,949.64 $4,431 1.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $756.36 $1,719 1.2×
Therapeutic plasma exchange (36514) $1,569.48 $3,567 1.1×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $10,957.78 $24,904.04 0.9×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $4,551.36 $10,344 0.9×
Thrmbc/Nfs Dialysis Circuit (36906) $13,118.60 $29,815 0.8×
Thrombolytic Therapy Stroke (37195) $190.52 $433 0.6×
Thyroidectomy, total or complete (60240) $5,043.28 $11,462 0.9×
Tlh uterus over 250 g (58572) $5,402.71 $12,278.89 0.6×
Tnot elbow lateral/medial debride open tdn rpr (24359) $3,894 $8,850 1.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $2,726.68 $6,197 0.9×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $2,574.88 $5,852 0.9×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,393.04 $3,166 2.9×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,010.24 $2,296 4.7×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,010.24 $2,296 0.7×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $1,388.64 $3,156 5.0×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $4,187.48 $9,517 0.9×
Transplant/graft hand tendon (26483) $3,132.80 $7,120 1.1×
Transur electr resection of prostate (52601) $4,187.48 $9,517 0.9×
Transurethral incision of prostate (52450) $2,909.28 $6,612 0.9×
Transurethral resection bladder neck (52500) $2,909.28 $6,612 0.9×
Treat ectopic pregnancy (59151) $5,365.80 $12,195 1.0×
Treat Finger Fracture Each (26727) $4,722.08 $10,732 1.6×
Treat fracture radius/ulna (25575) $4,722.08 $10,732 0.7×
Treat humerus fracture (24500) $214.72 $488 1.0×
Treat humerus fracture (23600) $214.72 $488 1.0×
Treat knee fracture (27532) $429 $975 0.1×
Treat Knuckle Dislocation (26700) $214.72 $488 1.0×
Treat Metatarsal Fracture (28475) $429 $975 1.9×
Treat Tail Bone Fracture (27200) $214.72 $488 1.0×
Treat Thumb Dislocation (26641) $429 $975 1.9×
Treat Thumb Fracture (26645) $214.72 $488 0.1×
Treat toe dislocation (28630) $214.72 $488 1.0×
Treat Vaginal Bleeding (57180) $297 $675 1.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,787.72 $4,063 1.2×
Treatment closed elbow dislocation w/o anes (24600) $429 $975 1.9×
Treatment of tibia fracture (27756) $4,722.08 $10,732 0.7×
Trim skin lesion (11055) $101.20 $230 0.6×
Trim skin lesions 2 to 4 (11056) $101.20 $230 0.6×
Trim skin lesions over 4 (11057) $132.44 $301 0.7×
Trimming Nondystrophic Nails Any Number (11719) $93.72 $213 1.8×
Trluml Balo Angiop 1St Art (37246) $4,282.52 $9,733 0.8×
Trluml Balo Angiop 1St Vein (37248) $4,282.52 $9,733 0.8×
Trnsplj Don-Drv Cll-Fr Dna (0118U) $1,085.92 $2,468 0.4×
Trurl drainage prostatic abscess (52700) $2,909.28 $6,612 0.9×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $1,637.68 $3,722 0.5×
Trurl rescj postop bladder neck contracture (52640) $2,909.28 $6,612 0.9×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $525.80 $1,195 0.3×
Tubal ligation (58600) $3,340.04 $7,591 1.1×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,975.72 $6,763 1.2×
Tx Gastro Intub W/Asp (43753) $97.24 $221 0.5×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,178.44 $4,951 0.7×
Tx Missed Abortion First Trimester Surgical (59820) $2,178.44 $4,951 0.7×
Tx Missed Abortion Second Trimester Surgical (59821) $2,178.44 $4,951 0.7×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,787.72 $4,063 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $319 $725 0.5×
Tx superficial wound dehiscence w/packing (12021) $207.68 $472 0.6×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,905.76 $6,604 2.1×
Tympanoplasty (69631) $4,612.08 $10,482 0.9×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $2,003.76–$4,007.52 $4,554–$9,108 varies
Unlisted laparoscopy procedure, spermatic cord (55559) $2,778.16 $6,314 0.5×
Unlisted procedure anus (46999) $1,916.53 $4,355.76 2.3×
Unlisted procedure arthroscopy (29999) $3,498.88 $7,952 15.7×
Unlisted Procedure Biliary Tract (47999) $2,273.48 $5,167 2.8×
Unlisted procedure colon (45399) $1,654.40 $3,760 2.0×
Unlisted Procedure Intestine (44799)
range across 8 matching MRF lines		 $168.96–$1,129.04 $384–$2,566 varies
Unlisted procedure lungs and pleura (32999) $400.84 $911 0.7×
Unlisted Procedure Male Genital System (55899) $2,316.16 $5,264 10.2×
Unlisted procedure nervous system (64999)
range across 6 matching MRF lines		 $165–$1,650 $375–$3,750 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $1,568.16 $3,564 7.3×
Unlisted Procedure Rectum (45999) $436.92 $993 0.5×
Unlisted procedure stomach (43999) $1,005.40 $2,285 1.2×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $1,875.28 $42–$4,262 3.3×
Unlisted Procedure, Urinary System (53899) $144.76 $329 0.6×
Ureter endoscopy (50970) $865.04 $1,966 0.3×
Ureter endoscopy & biopsy (50955) $2,316.16 $5,264 0.5×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $2,316.16 $5,264 0.5×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) $2,316.16 $5,264 0.5×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) $2,316.16 $5,264 0.5×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) $2,316.16 $5,264 0.5×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $865.04 $1,966 0.3×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) $2,316.16 $5,264 0.5×
Ureteral endoscopy via ureterostomy (50951) $865.04 $1,966 0.3×
Urethrectomy, total, including cystostomy; male Facility (53215) $2,214.08 $5,032 0.5×
Urethromeatoplasty W/Mucosal Advancement (53450) $3,514.72 $7,988 1.1×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $3,514.72 $7,988 0.7×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) $3,514.72 $7,988 0.7×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) $3,514.72 $7,988 0.7×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $3,514.72 $7,988 0.7×
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) $3,514.72 $7,988 0.7×
Urethrorrhaphy sutr urethral wound/inj penile (53505) $3,514.72 $7,988 0.7×
Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) $2,214.08 $5,032 0.5×
Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) $3,514.72 $7,988 0.7×
Urine Flow Measurement (51736) $144.76 $329 1.2×
Uvulectomy excision of uvula (42140) $1,010.24 $2,296 0.3×
Vaginal delivery only (59409) $2,574.88 $5,852 0.9×
Vasc embolize/occlude artery (37242)
likely a partial charge, not the full procedure		 $4,609.44 $10,476 0.3×
Vasc Embolize/Occlude Bleed (37244)
unusually low: confirm this is the full procedure		 $4,609.44 $10,476 0.4×
Vasc Embolize/Occlude Organ (37243)
unusually low: confirm this is the full procedure		 $4,609.44 $10,476 0.4×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure		 $4,609.44 $10,476 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,778.16 $6,314 1.5×
Ventilating tube removal requiring general anesthesia (69424) $1,010.24 $2,296 0.3×
Vulvectomy simple partial (56620) $3,340.04 $7,591 1.1×
Wedge excision skin nail fold (11765) $194.48 $442 0.5×
Wound Prep F/N/Hf/G (15004) $661.32 $1,503 1.8×
Wound Prep Trk/Arm/Leg (15002) $661.32 $1,503 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.