Procedures & surgery prices at Ochsner Stennis Hospital

De Kalb, MS · every code in this section with a posted price and a Medicare benchmark.

1151 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $952.20 $1,380 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $303.60–$889.41 $440–$1,289 varies
Abdomen Surgery Procedure (22999)
range across 2 matching MRF lines		 $872.85–$1,268.91 $1,265–$1,839 varies
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines		 $313.95–$3,370.65 $455–$4,885 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 2 matching MRF lines		 $195.27–$1,539.39 $283–$2,231 varies
Abrasion single lesion (15786) $217.35 $315 1.3×
Acne surgery (10040) $116.61 $169 0.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $727.26 $1,054 0.4×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $930.81 $1,349 0.5×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,587 $2,300 0.5×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,246.83–$4,072.38 $1,807–$5,902 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $865.95–$3,345.81 $1,255–$4,849 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 4 matching MRF lines		 $790.05–$3,699.50 $1,145–$5,361.59 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $1,151.61–$4,072.38 $1,669–$5,902 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 2 matching MRF lines		 $1,046.04–$4,072.38 $1,516–$5,902 varies
Amniocentesis diagnostic (59000) $248.40 $360 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,336.84 $4,836 1.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,336.84 $4,836 1.2×
Amputation metatarsal with toe single (28810) $1,960.29 $2,841 0.7×
Amputation toe interphalangeal joint (28825)
range across 4 matching MRF lines		 $966–$6,454.26 $1,400–$9,354 varies
Anal/Urinary Muscle Study (51784) $331.20 $480 3.0×
Anoscopy Control Bleeding (46614) $255.99 $371 0.2×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $102.24–$205.74 $148.17–$298.17 varies
Anoscopy; with biopsy, single or multiple (46606) $282.90 $410 0.3×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $1,553.88 $2,252 0.4×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $188.37 $273 1.3×
Application cast elbow finger short arm (29075)
range across 6 matching MRF lines		 $151.80–$990.15 $220–$1,435 varies
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $109.02–$291.25 $158–$422.10 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $69–$361.56 $100–$524 varies
Application long arm splint shoulder hand (29105)
range across 5 matching MRF lines		 $110.40–$435.39 $160–$631 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $175.26 $254 0.7×
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $123.51–$722.43 $179–$1,047 varies
Application of cylinder cast (thigh to ankle) (29365)
range across 2 matching MRF lines		 $197.34–$250.47 $286–$363 varies
Application of long leg cast (29345)
range across 6 matching MRF lines		 $178.71–$990.15 $259–$1,435 varies
Application of rigid total contact leg cast (29445) $209.76 $304 0.9×
Application risser jacket localizer body only (29010) $277.38 $402 1.2×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $126.27–$291.25 $183–$422.10 varies
Application short arm splint forearm-hand static (29125)
range across 5 matching MRF lines		 $86.25–$435.39 $125–$631 varies
Application short leg splint calf foot (29515)
range across 5 matching MRF lines		 $95.91–$435.39 $139–$631 varies
Application, cast; figure-of-eight Facility (29049) $120.06 $174 0.5×
Apply hand/wrist cast (29085)
range across 5 matching MRF lines		 $110.40–$435.39 $160–$631 varies
Apply long arm cast (29065)
range across 5 matching MRF lines		 $135.24–$990.15 $196–$1,435 varies
Apply Multlay Comprs Lwr Leg (29581) $144.90 $210 1.0×
Apply Short Leg Cast (29405)
range across 6 matching MRF lines		 $147.66–$990.15 $214–$1,435 varies
Apply short leg cast (29425)
range across 4 matching MRF lines		 $172.50–$640.32 $250–$928 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $44.16–$84.77 $64–$122.85 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $131.10–$1,345.50 $190–$1,950 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $129.03–$1,359.99 $187–$1,971 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $394.85–$451.50 $572.25–$654.35 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $310.50–$1,012.92 $450–$1,468 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $99.36–$1,345.50 $144–$1,950 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $193.20–$1,745.70 $280–$2,530 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $175.95–$1,745.70 $255–$2,530 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 4 matching MRF lines		 $78.66–$518.88 $114–$752 varies
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines		 $144.90–$990.15 $210–$1,435 varies
Aspiration bladder insert suprapubic catheter (51102) $517.50 $750 0.3×
Av Fistula Revision Open (36832) $1,690.50 $2,450 0.4×
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $106.95–$377.43 $155–$547 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $538.20–$1,029.48 $780–$1,492 varies
Biopsy bone open deep (20245) $900.45 $1,305 0.4×
Biopsy bone open superficial (20240) $690 $1,000 0.3×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $1,237.17–$1,348.95 $1,793–$1,955 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $328.44–$1,237.17 $476–$1,793 varies
Biopsy External Auditory Canal (69105) $129.72 $188 0.1×
Biopsy external ear (69100) $183.54 $266 0.9×
Biopsy muscle percutaneous needle (20206)
range across 4 matching MRF lines		 $225.63–$1,121 $327–$1,624.64 varies
Biopsy nail unit (11755) $129.03 $187 0.2×
Biopsy Nasopharynx Visible Lesion Simple (42804) $296.70 $430 0.1×
Biopsy of breast; open, incisional (19101) $540.27 $783 0.2×
Biopsy of conjunctiva (68100) $487.83 $707 0.2×
Biopsy of floor of mouth (41108) $183.54 $266 0.1×
Biopsy of lacrimal gland (68510) $933.57 $1,353 0.5×
Biopsy of lip (40490) $179.40 $260 0.9×
Biopsy of liver, needle; percutaneous (47000) $1,029.48 $1,492 0.7×
Biopsy of palate, uvula (42100) $213.90 $310 0.2×
Biopsy of penis (54100) $289.11 $419 0.2×
Biopsy of rectum (45100) $462.99 $671 0.2×
Biopsy of urethra (53200) $438.15 $635 0.2×
Biopsy Oropharynx (42800) $241.50 $350 0.2×
Biopsy Pleura Percutaneous Needle (32400) $1,029.48 $1,492 0.7×
Biopsy Salivary Gland Incisional (42405) $363.63 $527 0.3×
Biopsy soft tissue back/flank deep (21925) $789.36 $1,144 0.6×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $338.10–$1,782.27 $490–$2,583 varies
Biopsy Soft Tissue Shoulder Superficial (23065) $262.20 $380 0.2×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $641.01 $929 0.3×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)
range across 3 matching MRF lines		 $402.96–$3,129.84 $584–$4,536 varies
Biopsy Tongue Anterior Two-Thirds (41100) $231.15 $335 0.5×
Biopsy Tongue Posterior One-Third (41105) $218.04 $316 0.1×
Biopsy Vaginal Mucosa Extensive (57105) $340.17 $493 0.1×
Biopsy Vaginal Mucosa Simple (57100)
range across 3 matching MRF lines		 $153.87–$1,109.09 $223–$1,607.38 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 3 matching MRF lines		 $170.43–$704.13 $247–$1,020.48 varies
Biopsy, vestibule of mouth (40808) $234.60 $340 0.5×
Bladder instillation anticarcinogenic agent (51720)
range across 3 matching MRF lines		 $246.33–$641.70 $357–$930 varies
Bladder Irrigation (51700)
range across 4 matching MRF lines		 $176.64–$357.23 $256–$517.72 varies
Bladder Scan (51798) $136.21 $197.40 2.7×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,069.50 $1,550 0.6×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $480.93–$632.04 $697–$916 varies
Blood Transfusion Service (36430) $544.41 $789 1.4×
Bone Marrow Biopsy (38221) $322.92 $468 0.2×
Bone Marrow; Aspiration Only (38220) $300.15 $435 0.2×
Brnchsc Brushing/Protected Brushings (31623) $2,034.34 $2,948.32 1.3×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $4,922.12 $7,133.50 1.5×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $5,025.62 $7,283.50 1.6×
Bronchoscopy W/Biopsy(S) (31625) $2,034.34 $2,948.32 1.3×
Bronchoscopy W/Removal Foreign Body (31635) $963.93 $1,397 0.6×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,034.34 $2,948.32 0.6×
Bx breast 1st lesion us imag (19083) $600.30 $870 0.4×
Bx breast needle core w/o imaging guidance spx (19100)
range across 3 matching MRF lines		 $182.85–$2,304.70 $265–$3,340.15 varies
Bx Cervix (57500)
range across 4 matching MRF lines		 $175.95–$1,285.88 $255–$1,863.59 varies
Bx/exc lymph node open superficial (38500)
range across 3 matching MRF lines		 $465.06–$3,999.93 $674–$5,797 varies
Canthoplasty (67950) $789.36 $1,144 0.4×
Carpal Tunnel Surgery (64721) $1,253.04 $1,816 0.7×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 3 matching MRF lines		 $241.50–$665.99 $350–$965.20 varies
Cerclage cervix pregnancy vaginal (59320) $571.32 $828 0.2×
Change Cystostomy Tube Complicated (51710)
range across 3 matching MRF lines		 $349.14–$1,215.94 $506–$1,762.23 varies
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines		 $169.05–$614.51 $245–$890.59 varies
Change of Windpipe Airway (31502)
range across 4 matching MRF lines		 $193.20–$435.39 $280–$631 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $148.35–$291.18 $215–$422 varies
Chemical peel nonfacial epidermal (15792) $510.60 $740 0.8×
Chemical peel, facial; epidermal (15788) $527.85 $765 1.5×
Chemodenerv 1 extrem 5/> mus (64644) $276 $400 0.5×
Chemodenerv 1 extremity 1-4 (64642) $241.50 $350 0.4×
Chemodenerv Eccrine Glands (64650) $96.60 $140 0.4×
Chemodenerv Musc Migraine (64615) $276 $400 1.0×
Chemodenerv musc neck dyston (64616) $241.50 $350 0.9×
Chemodenerv trunk musc 1-5 (64646) $258.75 $375 0.4×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $372.60 $540 0.6×
Chemodenervation of extraocular muscle (67345) $393.99 $571 1.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $462.99 $671 1.7×
Chest tube placement (32551)
range across 3 matching MRF lines		 $582.36–$1,951.32 $844–$2,828 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $156.63 $227 0.1×
Chorionic Villus Sampling (59015) $221.49 $321 0.3×
Ciliary body dstrj cyclophotocoag transsceral (66710) $724.50 $1,050 0.4×
Circumcision 28 days or older (54161) $468.51 $679 0.3×
Circumcision Neonate (54160) $393.30 $570 0.7×
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $289.80–$2,987.82 $420–$4,330.18 varies
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $715.53 $1,037 0.2×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $1,070.19–$2,140.38 $1,551–$3,102 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 5 matching MRF lines		 $775.56–$8,100.60 $1,124–$11,740 varies
Clear outer ear canal (69200)
range across 5 matching MRF lines		 $113.46–$337.71 $164.43–$489.43 varies
Closed Rx Spontaneous Hip Disloc (27256)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Closed Treat Vert Body Fract (22310)
range across 3 matching MRF lines		 $195.96–$568.56 $284–$824 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $420.21–$841.11 $609–$1,219 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 3 matching MRF lines		 $307.05–$707.94 $445–$1,026 varies
Closed Treatment Sesamoid Fracture (28530) $213.90 $310 1.0×
Closed Treatment Sternum Fracture (21820) $331.20 $480 1.6×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 3 matching MRF lines		 $310.95–$812.58 $450.65–$1,177.65 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $307.05–$796.95 $445–$1,155 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $491.28–$1,050.18 $712–$1,522 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $4,050.30–$8,100.60 $5,870–$11,740 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $310.95–$766.35 $450.65–$1,110.65 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $1,070.19–$2,140.38 $1,551–$3,102 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 4 matching MRF lines		 $310.95–$742.20 $450.65–$1,075.65 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 3 matching MRF lines		 $788.67–$1,652.55 $1,143–$2,395 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $3,022.89–$6,046.47 $4,381–$8,763 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines		 $307.05–$776.25 $445–$1,125 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $4,050.30–$8,100.60 $5,870–$11,740 varies
Closed tx mandibular fracture w/manipulation (21451) $1,539.39 $2,231 1.2×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $690.69 $1,001 1.5×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $310.95–$838.80 $450.65–$1,215.65 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $4,050.30–$8,100.60 $5,870–$11,740 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $348.45–$3,370.65 $505–$4,885 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $452.64–$3,370.65 $656–$4,885 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $3,022.89–$6,046.47 $4,381–$8,763 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $310.95–$766.35 $450.65–$1,110.65 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 3 matching MRF lines		 $642.39–$2,140.38 $931–$3,102 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines		 $310.95–$949.20 $450.65–$1,375.65 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines		 $787.98–$2,140.38 $1,142–$3,102 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 4 matching MRF lines		 $307.05–$775.56 $445–$1,124 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 5 matching MRF lines		 $914.25–$3,613.53 $1,325–$5,237 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines		 $310.95–$767.04 $450.65–$1,111.65 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 3 matching MRF lines		 $310.95–$718.05 $450.65–$1,040.65 varies
Closed tx septal&nose fx (21337) $3,370.65 $4,885 1.2×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines		 $1,070.19–$2,140.38 $1,551–$3,102 varies
Closed tx talotarsal joint dislc w/o anes (28570) $307.05 $445 1.4×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $342.93–$740.37 $497–$1,073 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $307.05 $445 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $220.11 $319 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $420.90–$851.46 $610–$1,234 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines		 $310.95–$773.25 $450.65–$1,120.65 varies
Closure lacrimal punctum (68760) $447.12 $648 1.6×
Closure of cystostomy (separate procedure) Facility (51880) $740.37 $1,073 0.2×
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) $848.70 $1,230 0.2×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $1,070.19–$2,140.38 $1,551–$3,102 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 5 matching MRF lines		 $307.05–$741.75 $445–$1,075 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 5 matching MRF lines		 $310.95–$775.56 $450.65–$1,124 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,539.39 $2,231 3.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 4 matching MRF lines		 $193.20–$402.27 $280–$583 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $3,022.89–$6,046.47 $4,381–$8,763 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $517.50–$1,319.97 $750–$1,913 varies
Clsr Lacrimal Punctum Plug Each (68761) $278.76 $404 1.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 3 matching MRF lines		 $810.75–$1,727.07 $1,175–$2,503 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $3,022.89–$6,046.47 $4,381–$8,763 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 4 matching MRF lines		 $307.05–$2,049.56 $445–$2,970.37 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 3 matching MRF lines		 $345–$697.59 $500–$1,011 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $307.05 $445 0.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 3 matching MRF lines		 $460.23–$925.98 $667–$1,342 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $307.05 $445 1.4×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $307.05 $445 0.2×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $735.54 $1,066 3.5×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 4 matching MRF lines		 $310.95–$869.85 $450.65–$1,260.65 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $307.05–$493.35 $445–$715 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $310.95–$645.60 $450.65–$935.65 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $310.95–$1,173.45 $450.65–$1,700.65 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 5 matching MRF lines		 $831.45–$2,140.38 $1,205–$3,102 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432)
range across 4 matching MRF lines		 $939.09–$4,322.85 $1,361–$6,265 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,070.19–$2,140.38 $1,551–$3,102 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 3 matching MRF lines		 $720.36–$1,533.18 $1,044–$2,222 varies
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 3 matching MRF lines		 $723.12–$1,500.06 $1,048–$2,174 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $4,050.30–$8,100.60 $5,870–$11,740 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $239.43–$307.05 $347–$445 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $224.25–$535.20 $325–$775.65 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 4 matching MRF lines		 $248.40–$515.26 $360–$746.75 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $194.58–$794.88 $282–$1,152 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $4,050.30–$8,100.60 $5,870–$11,740 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $496.11–$1,055.01 $719–$1,529 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 3 matching MRF lines		 $310.95–$983.70 $450.65–$1,425.65 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 3 matching MRF lines		 $632.04–$1,322.04 $916–$1,916 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $4,050.30–$8,100.60 $5,870–$11,740 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $3,022.89–$6,046.47 $4,381–$8,763 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 3 matching MRF lines		 $410.55–$911.49 $595–$1,321 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 3 matching MRF lines		 $307.05–$750.72 $445–$1,088 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 3 matching MRF lines		 $418.83–$893.55 $607–$1,295 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 3 matching MRF lines		 $659.64–$3,358.92 $956–$4,868 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $3,022.89 $4,381 12.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $232.53–$307.05 $337–$445 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $3,022.89 $4,381 12.5×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 4 matching MRF lines		 $266.86–$732.61 $386.75–$1,061.75 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $4,050.30–$8,100.60 $5,870–$11,740 varies
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $498.87–$1,030.17 $723–$1,493 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 4 matching MRF lines		 $266.86–$1,629.61 $386.75–$2,361.75 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $310.95–$680.10 $450.65–$985.65 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $307.05 $445 0.2×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,022.89 $4,381 2.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 4 matching MRF lines		 $266.86–$784.36 $386.75–$1,136.75 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $282.90–$593.85 $410–$860.65 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines		 $307.05–$615.48 $445–$892 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 3 matching MRF lines		 $592.71–$8,100.60 $859–$11,740 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines		 $310.95–$814.65 $450.65–$1,180.65 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 5 matching MRF lines		 $793.50–$8,100.60 $1,150–$11,740 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 3 matching MRF lines		 $307.05–$652.05 $445–$945 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $243.57–$614.10 $353–$890 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,070.19–$2,140.38 $1,551–$3,102 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines		 $868.02–$2,140.38 $1,258–$3,102 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $310.96–$880.21 $450.66–$1,275.66 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 3 matching MRF lines		 $816.27–$1,738.11 $1,183–$2,519 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $314.64 $456 1.5×
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $310.95–$904.35 $450.65–$1,310.65 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $519.57–$1,078.47 $753–$1,563 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 2 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $824.55–$2,140.38 $1,195–$3,102 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 3 matching MRF lines		 $473.34–$1,008.09 $686–$1,461 varies
Collect Blood From Catheter Venous Nos (36592) $91.08 $132 0.8×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $10.35–$13.80 $15–$20 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,430.98 $2,073.88 1.4×
Colonoscopy thru stoma (44388) $1,430.98 $2,073.88 1.8×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,459.74 $2,115.56 1.4×
Colonoscopy w/ablation (45388) $1,697.79 $2,460.56 1.6×
Colonoscopy W/Resection (45390) $1,810.22 $2,623.50 0.8×
Colonoscopy w/submucosal inj (45381) $1,417.95 $2,055 1.4×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $668.61 $969 0.2×
Colporrhaphy (57200) $616.86 $894 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 3 matching MRF lines		 $241.50–$665.99 $350–$965.20 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 3 matching MRF lines		 $213.90–$638.39 $310–$925.20 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 3 matching MRF lines		 $189.75–$446.60 $275–$647.25 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $209.07–$424.49 $303–$615.20 varies
Colposcopy cervix vag eltrd conization cervix (57461) $718.98 $1,042 0.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $596.16 $864 0.2×
Colposcopy entire vagina w/cervix if present (57420)
range across 3 matching MRF lines		 $215.28–$639.77 $312–$927.20 varies
Colposcopy of vulva (56820)
range across 3 matching MRF lines		 $172.50–$429.35 $250–$622.25 varies
Colposcopy Vulva W/Biopsy (56821) $216.66 $314 0.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 3 matching MRF lines		 $227.70–$1,182.92 $330–$1,714.38 varies
Colsc Flexible W/Control Bleeding Any Method (45382) $1,661.97 $2,408.65 1.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,665.70 $2,414.06 1.6×
Complex Cystometrogram (51726) $545.10 $790 2.5×
Complex drainage wound (10180)
range across 4 matching MRF lines		 $432.63–$2,805.58 $627–$4,066.06 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 3 matching MRF lines		 $683.10–$4,639.08 $990–$6,723.30 varies
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $672.75 $975 0.3×
Conjunctivorhinostomy W/O Tube (68745) $878.37 $1,273 0.3×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $1,079.85 $1,565 0.5×
Constj tracheoesophgl fstl&insj sp prosth (31611) $1,252.35 $1,815 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 5 matching MRF lines		 $191.54–$812.13 $277.60–$1,177 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 6 matching MRF lines		 $159.39–$440.22 $231–$638 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,431.92 $2,075.25 1.0×
Cornea Scraping Diagnostic Smear &/Culture (65430) $532.68 $772 1.4×
Correction Everted Punctum Cautery (68705) $546.48 $792 2.0×
Correction hammertoe (28285) $731.40 $1,060 0.3×
Correction of lid retraction (67911) $721.74 $1,046 0.4×
Correction of trichiasis; epilation, by forceps only (67820) $154.56 $224 1.3×
Create Eardrum Opening (69433)
range across 3 matching MRF lines		 $342.24–$1,219.23 $496–$1,767 varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $85.56 $124 1.7×
Csf shunt reprogram (62252) $155.25 $225 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 4 matching MRF lines		 $191.54–$503.42 $277.60–$729.60 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 4 matching MRF lines		 $220.11–$738.30 $319–$1,070 varies
Curette/treat cornea (65435) $135.93 $197 0.2×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $830.76–$5,119.11 $1,204–$7,419 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 4 matching MRF lines		 $913.56–$3,884.22 $1,324–$5,629.30 varies
Cysto w/complex removal stone & stent (52315) $1,145.40 $1,660 0.6×
Cysto w/destruction of lesions (52214)
range across 3 matching MRF lines		 $2,249.40–$8,208.24 $3,260–$11,896 varies
Cysto w/insert ureteral stent (52332) $1,175.07 $1,703 0.4×
Cysto w/irrig & evac multple obstructing clots (52001) $627.90 $910 0.2×
Cysto w/removal of lesions small (52224)
range across 3 matching MRF lines		 $2,132.10–$8,090.94 $3,090–$11,726 varies
Cysto w/removal of tumors small (52234)
range across 3 matching MRF lines		 $536.82–$5,176.14 $778–$7,501.65 varies
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $455.40 $660 0.1×
Cysto W/Simple Removal Stone & Stent (52310)
range across 4 matching MRF lines		 $672.06–$3,642.72 $974–$5,279.30 varies
Cysto w/up stricture tx (52342) $943.23 $1,367 0.3×
Cysto w/ureter stricture tx (52341) $838.35 $1,215 0.3×
Cysto w/ureteroscopy w/lithotripsy (52353) $2,095.53 $3,037 0.5×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,676.70 $2,430 0.6×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $943.23 $1,367 0.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $943.23 $1,367 0.3×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $1,195.77 $1,733 0.3×
Cysto/uretero w/lithotripsy (52356) $776.25 $1,125 0.2×
Cysto/uretero w/up stricture (52345) $586.50 $850 0.2×
Cystolithotomy (51050) $814.20 $1,180 0.2×
Cystometrogram W/Up (51727)
range across 2 matching MRF lines		 $579.60–$727.95 $840–$1,055 varies
Cystometrogram W/Vp (51728)
range across 3 matching MRF lines		 $414–$955.65 $600–$1,385 varies
Cystometrogram W/Vp&Up (51729)
range across 3 matching MRF lines		 $414–$1,021.20 $600–$1,480 varies
Cystoscopy and radiotracer (52250) $386.40 $560 0.1×
Cystoscopy implant stent (52282) $1,380 $2,000 0.5×
Cystoscopy inject material (52327) $2,021.70 $2,930 0.4×
Cystostomy Cystotomy W/Drainage (51040) $1,380 $2,000 0.8×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $1,055.01 $1,529 0.3×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $862.50 $1,250 0.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $710.70 $1,030 0.4×
Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) $924.60 $1,340 0.3×
Cystouretero W/Congen Repr (52400) $788.67 $1,143 0.3×
Cystouretero w/excise tumor (52355) $810.75 $1,175 0.2×
Cystourethroscopy (52000)
range across 4 matching MRF lines		 $338.10–$1,595.85 $490–$2,312.83 varies
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $648.60 $940 0.1×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $1,363.44 $1,976 0.4×
Cystourethroscopy inj chemodenervation bladder (52287) $379.50 $550 0.2×
Cystourethroscopy tx female urethral syndrome (52285)
range across 3 matching MRF lines		 $568.56–$1,435.36 $824–$2,080.23 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $814.20 $1,180 0.3×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $1,235.10 $1,790 0.3×
Cystourethroscopy w/dil bladder general anesth (52260) $317.40 $460 0.2×
Cystourethroscopy w/rmvl ureteral calculus (52320) $671.37 $973 0.2×
Cystourethroscopy with biopsy (52204)
range across 3 matching MRF lines		 $938.40–$3,642.34 $1,360–$5,278.75 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $670.68 $972 0.4×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $700.35 $1,015 0.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $897 $1,300 0.5×
Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) $793.50 $1,150 1.3×
Cystourethroscopy, with internal urethrotomy; female Facility (52270) $807.30 $1,170 0.4×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $647.22 $938 0.4×
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) $558.90 $810 0.2×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $549.93 $797 0.3×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $1,090.20 $1,580 0.4×
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) $455.40 $660 0.1×
Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) $469.20 $680 0.2×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $379.50 $550 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $178.71–$531.30 $259–$770 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $989.46 $1,434 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $989.46 $1,434 1.6×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $549.24–$1,241.31 $796–$1,799 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $53.82–$176.64 $78–$256 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $96.60–$176.64 $140–$256 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $574.08–$2,009.74 $832–$2,912.66 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $229.08 $332 0.5×
Debridement Mastoidectomy Cavity Simple (69220) $189.75 $275 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,062.60 $1,540 3.0×
Declot vascular device (36593) $607.89 $881 2.1×
Deep Muscle Biopsy (20205) $345.69 $501 0.1×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $774.87 $1,123 0.4×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $856.98 $1,242 0.5×
Delivery of placenta (59414) $1,802.28 $2,612 0.6×
Dermabrasion segmental face (15781) $536.82 $778 0.9×
Dermabrasion superficial any site (15783) $499.56 $724 1.4×
Destr penis lesion(s) (54065) $414 $600 0.2×
Destruc retinal lesn,photocoag (67210) $973.59 $1,411 2.1×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $189.60–$387.78 $274.78–$562 varies
Destruction Benign Lesions 15/> (17111) $205.62 $298 1.2×
Destruction Lesions Vulva Extensive (56515) $701.73 $1,017 0.4×
Destruction Lesions Vulva Simple (56501) $213.90 $310 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $227.01 $329 1.3×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $265.65 $385 1.5×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $262.20 $380 0.7×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $175.26 $254 1.0×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $213.90 $310 1.2×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $240.12 $348 1.4×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $251.85 $365 0.7×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $289.80 $420 0.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $187.68 $272 1.1×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $155.25 $225 0.9×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $194.58 $282 1.1×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $189.75 $275 1.1×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $278.76 $404 0.8×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $307.05 $445 0.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $129.72 $188 0.7×
Destruction neurolytic agt genicular nerve w/img (64624) $638.25 $925 0.4×
Destruction of lesion of lid margin (up to 1 cm) (67850) $550.62 $798 0.6×
Destruction of lesion, conjunctiva (68135) $529.23 $767 0.3×
Destruction of skin lesions (17106) $710.01 $1,029 2.0×
Destruction Premalignant Lesion 15/> (17004) $317.40 $460 0.9×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $102.81–$222.87 $149–$323 varies
Destruction Vaginal Lesions Simple (57061)
range across 3 matching MRF lines		 $297.39–$5,382 $431–$7,800 varies
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $161.46–$770.96 $234–$1,117.34 varies
Diaphragm or cervical cap fitting with instructions (57170) $138 $200 0.8×
Dilat female urethra general/cndj spinal anes (53665) $146.28 $212 0.1×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660)
range across 3 matching MRF lines		 $172.50–$382.95 $250–$555 varies
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $169.74 $246 1.5×
Dilat Urethral Strix Dilator Male Sbsq (53601) $186.99 $271 1.6×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $103.50 $150 0.5×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $195.96–$769.47 $284–$1,115.17 varies
Dilate Urethra Stricture (53620)
range across 4 matching MRF lines		 $289.80–$3,905.40 $420–$5,660 varies
Dilate Urethra Stricture (53600) $202.86 $294 0.9×
Dilation Esophagus Guide Wire (43453) $862.50 $1,250 0.5×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $255.99 $371 0.7×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $103.50 $150 0.0×
Dilation Salivary Duct (42650) $117.30 $170 0.1×
Division of symblepharon (68340) $1,054.32 $1,528 0.5×
Drainage Abscess/Hematoma Nasal Septum (30020) $690.69 $1,001 1.5×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $289.80–$327.75 $420–$475 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $305.67–$3,926.79 $443–$5,691 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $258.75–$642.89 $375–$931.73 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $621–$2,529.54 $900–$3,666 varies
Drainage Mouth Roof Lesion (42000) $690.69 $1,001 3.4×
Drainage of eye (65800) $225.63 $327 0.1×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $289.80–$465.75 $420–$675 varies
Drainage of gum lesion (41800) $289.80 $420 2.5×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $268.03–$2,529.54 $388.45–$3,666 varies
Drainage of hydrocele (55000)
range across 4 matching MRF lines		 $197.34–$972.27 $286–$1,409.09 varies
Drainage of nose lesion (30000)
range across 4 matching MRF lines		 $238.05–$690.69 $345–$1,001 varies
Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) $787.29 $1,141 1.3×
Drainage of rectal abscess (45005) $3,131.91 $4,539 3.0×
Drainage of scrotal wall abscess (55100)
range across 4 matching MRF lines		 $643.77–$2,843.49 $933–$4,121 varies
Drainage of scrotum (54700)
range across 3 matching MRF lines		 $649.98–$3,353.92 $942–$4,860.75 varies
Drainage of urethra abscess (53040) $1,124.70 $1,630 0.4×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $122.82–$218.73 $178–$317 varies
Dressing Change Under Anesthesia (15852) $267.72 $388 0.4×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,539.39 $2,231 3.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $269.10–$289.80 $390–$420 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $208.38 $302 0.4×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $366.39 $531 0.1×
Drg privesical/prevesical space absc (51080) $657.57 $953 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $293.25–$1,231.65 $425–$1,785 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $206.31–$253.13 $299–$366.86 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $107.64–$360.77 $156–$522.86 varies
Dstrj les/scar vestibule mouth physical meths (40820) $338.10 $490 0.1×
Dstrj Lesion Anus Simple Chemical (46900) $289.80 $420 0.8×
Dstrj lesion anus simple cryosurgery (46916) $310.50 $450 1.8×
Dstrj lesion anus simple surg excision (46922) $331.20 $480 0.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $310.50 $450 0.2×
Dstrj lesion choroid pc 1/> sess (67220) $1,295.13 $1,877 2.7×
Dstrj Lesion Penis Simple Chemical (54050) $217.35 $315 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $213.90 $310 1.2×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $414 $600 0.2×
Dstrj lesion penis simple surg excision (54060) $402.27 $583 0.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $397.44–$1,275.95 $576–$1,849.21 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,851.27 $2,683 2.4×
Dx Bone Marrow Bx & Aspir (38222) $379.50 $550 0.2×
Dx Bronchoscope/Lavage (31624) $2,034.34 $2,948.32 1.3×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $487.14–$2,034.40 $706–$2,948.40 varies
Dx Laryngoscopy Excl Nb (31525) $387.09 $561 0.3×
Dx laryngoscopy w/oper scope (31526) $482.31 $699 0.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $402.77 $583.73 0.7×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,673.91 $2,425.95 1.0×
Egd control bleeding any (43255) $1,473.17 $2,135.03 0.9×
Egd dilation gastric/duodenal stricture (43245) $1,673.91 $2,425.95 1.0×
Egd Flexible Foreign Body Removal (43247) $1,747.78 $2,533.02 2.2×
Egd guide wire insertion (43248) $1,673.91 $2,425.95 2.1×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,496.30 $2,168.55 0.9×
Egd lesion ablation (43270) $1,467.20 $2,126.38 0.9×
Egd place gastrostomy tube (43246) $2,755.52 $3,993.50 1.7×
Egd remove lesion snare (43251) $1,673.91 $2,425.95 1.0×
Egd Tube/Cath Insertion (43241) $1,673.91 $2,425.95 1.0×
Egd Varices Ligation (43244) $1,673.91 $2,425.95 1.0×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $154.56 $224 0.6×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $75.21 $109 0.3×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $59.34 $86 0.2×
Electro-Uroflowmetry First (51741)
range across 3 matching MRF lines		 $65.55–$203.55 $95–$295 varies
Endocervical curettage (57505)
range across 2 matching MRF lines		 $173.19–$802.47 $251–$1,163 varies
Endometrial Biopsy (58100)
range across 4 matching MRF lines		 $164.91–$441.30 $239–$639.56 varies
Endoscopic injection/implant (51715) $439.53 $637 0.1×
Endoscopy of ureter (50953) $1,208.19 $1,751 0.4×
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 3 matching MRF lines		 $2,898–$6,165.15 $4,200–$8,935 varies
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $3,174–$6,557.92 $4,600–$9,504.23 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $1,089.51–$9,241.86 $1,579–$13,394 varies
Epidural Blood Patch (62273) $1,723.62 $2,498 2.8×
Ercp duct stent placement (43274) $3,189.51 $4,622.48 0.6×
Ercp ea duct/ampulla dilate (43277) $3,046.98 $4,415.91 0.9×
Ercp remove calculi/debris biliary/pancreas duct (43264) $3,046.98 $4,415.91 0.9×
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines		 $1,134.36–$3,189.51 $1,644–$4,622.48 varies
Escharotomy; initial incision (16035) $379.50 $550 1.1×
Esoph Scope W/Submucous Inj (43201) $1,397.80 $2,025.80 0.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,594.80 $2,311.31 2.0×
Esophagosc Dilate Balloon 30 (43214) $1,644.62 $2,383.50 1.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,834.22 $2,658.29 1.1×
Esophagoscopy Flexible Guide Wire Dilation (43226) $469.89 $681 0.3×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $345 $500 0.4×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $502.32–$1,447.80 $728–$2,098.26 varies
Esophagoscopy Flexible W/Bleeding Control (43227) $1,673.91 $2,425.95 1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,447.80 $2,098.26 0.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,785.72 $2,588 1.1×
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $63.48–$136.62 $92–$198 varies
Exc arm/elbow les sc < 3 cm (24075)
range across 3 matching MRF lines		 $634.11–$3,360.99 $919–$4,871 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 4 matching MRF lines		 $144.90–$1,005.09 $210–$1,456.65 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 4 matching MRF lines		 $300.84–$2,403.27 $436–$3,483 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $785.22–$1,782.27 $1,138–$2,583 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines		 $427.80–$1,365.77 $620–$1,979.38 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 4 matching MRF lines		 $534.75–$1,740.87 $775–$2,523 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 3 matching MRF lines		 $627.90–$3,354.78 $910–$4,862 varies
Exc Face Les Sbq 2 Cm/> (21012)
range across 3 matching MRF lines		 $621–$3,347.88 $900–$4,852 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 4 matching MRF lines		 $182.16–$1,388.28 $264–$2,012 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 3 matching MRF lines		 $219.42–$1,157.39 $318–$1,677.38 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 4 matching MRF lines		 $256.68–$1,194.65 $372–$1,731.38 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 3 matching MRF lines		 $317.40–$3,044.28 $460–$4,412 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 3 matching MRF lines		 $396.06–$3,122.94 $574–$4,526 varies
Exc Forearm Les Sc 3 Cm/> (25071)
range across 3 matching MRF lines		 $690–$2,811.85 $1,000–$4,075.15 varies
Exc Frenum Labial/Buccal (40819) $414 $600 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $139.38–$2,121.85 $202–$3,075.15 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 4 matching MRF lines		 $182.16–$1,120.13 $264–$1,623.38 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 4 matching MRF lines		 $235.29–$1,670.95 $341–$2,421.66 varies
Exc Hand Les Sc < 1.5 Cm (26115) $948.75 $1,375 0.7×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $538.20 $780 0.6×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $405.03 $587 0.1×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $345 $500 0.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $690 $1,000 0.5×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $516.81 $749 0.2×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $276 $400 0.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 4 matching MRF lines		 $256.68–$2,019.63 $372–$2,927 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 4 matching MRF lines		 $327.75–$4,438.77 $475–$6,433 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 3 matching MRF lines		 $508.53–$5,103.93 $737–$7,397 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $433.32–$2,555.17 $628–$3,703.15 varies
Exc Skin Benig >4cm Face,Facial (11446) $527.16 $764 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $491.97 $713 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $649.29 $941 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 4 matching MRF lines		 $584.43–$3,640.40 $847–$5,275.94 varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $638.25–$3,631.47 $925–$5,263 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $296.70 $430 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $169.05–$1,029.24 $245–$1,491.65 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 4 matching MRF lines		 $227.01–$1,087.20 $329–$1,575.65 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 4 matching MRF lines		 $348.45–$4,438.77 $505–$6,433 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 3 matching MRF lines		 $828–$4,402.13 $1,200–$6,379.90 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $828 $1,200 0.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $723.12–$3,574.20 $1,048–$5,180 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $959.10 $1,390 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 3 matching MRF lines		 $759–$2,880.85 $1,100–$4,175.15 varies
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $741.75 $1,075 0.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 3 matching MRF lines		 $588.57–$3,315.45 $853–$4,805 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618) $905.28 $1,312 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 3 matching MRF lines		 $583.05–$2,704.90 $845–$3,920.15 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $912.87 $1,323 0.4×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $655.50 $950 0.3×
Exc urethral diverticulum spx female (53230) $1,231.65 $1,785 0.3×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $672.75 $975 0.5×
Exc/fulguration urethral caruncle (53265) $517.50 $750 0.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $345 $500 0.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $790.05 $1,145 0.5×
Excis Mouth Mucosa/Sub,No Repair (40810) $213.90 $310 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $283.59 $411 0.2×
Excis urethral prolapse (53275) $429.87 $623 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 4 matching MRF lines		 $409.86–$1,730.98 $594–$2,508.66 varies
Excision & Repair Eyelid < One-Fourth Lid Margin (67961)
range across 2 matching MRF lines		 $1,013.61–$3,889.53 $1,469–$5,637 varies
Excision & Repair Eyelid One-Fourth Lid Margin (67966) $957.03 $1,387 0.5×
Excision Bone Mandible (21025)
likely a partial charge, not the full procedure		 $952.20 $1,380 0.2×
Excision Chalazion Multiple Same Lid (67801) $531.99 $771 0.6×
Excision Chalazion Single (67800) $214.59 $311 0.8×
Excision Excessive Skin & Subq Tissue Other Area (15839) $934.26 $1,354 0.4×
Excision gum each quadrant (41820) $338.10 $490 0.1×
Excision H/P/P/U Simple/Intermediate Repair (11470) $445.05 $645 0.2×
Excision Lesion Conjunctiva </1 Cm (68110) $564.42 $818 0.3×
Excision lesion conjunctiva > 1 cm (68115) $570.63 $827 0.3×
Excision Lesion Cornea Xcp Pterygium (65400) $778.32 $1,128 0.9×
Excision Lesion Tongue W/O Closure (41110) $251.16 $364 0.1×
Excision Lingual Frenum Frenectomy (41115) $289.80 $420 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $207.69–$1,651.17 $301–$2,393 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 4 matching MRF lines		 $238.74–$1,098.93 $346–$1,592.65 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 4 matching MRF lines		 $306.36–$989.46 $444–$1,434 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 4 matching MRF lines		 $400.20–$1,835.86 $580–$2,660.66 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 3 matching MRF lines		 $253.23–$1,459.35 $367–$2,115 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $641.70–$2,154.87 $930–$3,123 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $779.01 $1,129 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $203.55 $295 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 3 matching MRF lines		 $281.52–$1,487.64 $408–$2,156 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 3 matching MRF lines		 $335.34–$1,541.46 $486–$2,234 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $519.57 $753 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $372.60 $540 0.2×
Excision nasal polyp(s) simple (30110) $237.36 $344 0.2×
Excision of bulbourethral gland (Cowper's gland) Facility (53250) $600.30 $870 0.2×
Excision of chalazion; multiple, different lids (67805) $559.59 $811 2.0×
Excision of gum flap (41821) $82.80 $120 0.1×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $248.40–$1,563.54 $360–$2,266 varies
Excision of tracheal tumor or carcinoma; cervical Facility (31785)
unusually low: confirm this is the full procedure		 $2,216.28 $3,212 0.4×
Excision of urethral diverticulum (separate procedure); male Facility (53235) $899.07 $1,303 0.2×
Excision of vaginal cyst or tumor (57135) $396.06 $574 0.1×
Excision or fulguration; Skene's glands Facility (53270) $538.89 $781 0.2×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $486.45 $705 0.2×
Excision soft tissue lesion, external auditory canal (69145) $351.90 $510 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $828–$2,121.85 $1,200–$3,075.15 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039)
range across 3 matching MRF lines		 $672.06–$5,267.46 $974–$7,634 varies
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $598.23 $867 0.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 3 matching MRF lines		 $655.50–$2,777.35 $950–$4,025.15 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 3 matching MRF lines		 $701.73–$2,823.58 $1,017–$4,092.15 varies
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $691.76 $1,002.55 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 3 matching MRF lines		 $517.50–$2,639.35 $750–$3,825.15 varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $654.53 $948.60 0.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 3 matching MRF lines		 $448.50–$3,175.38 $650–$4,602 varies
Excision/destruction intranasal lesion int appr (30117) $514.05 $745 0.2×
Excision/destruction lesion pharynx any method (42808) $393.30 $570 0.1×
Excision/Transposition Pterygium W/O Graft (65420) $735.54 $1,066 0.4×
Expl penetrating wound spx abdomen/flank/back (20102) $4,331.82 $6,278 2.4×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $579.60–$3,926.79 $840–$5,691 varies
Exploration penetrating wound spx chest (20101)
range across 2 matching MRF lines		 $1,673.94–$4,331.82 $2,426–$6,278 varies
Exploration penetrating wound spx extremity (20103) $2,529.54 $3,666 1.8×
Exploration Penetrating Wound Spx Neck (20100) $1,539.39 $2,231 3.3×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge, not the full procedure		 $1,139.19 $1,651 0.2×
Explore for undescended testis (54550) $771.42 $1,118 0.2×
Fasciectomy Plantar Fascia Partial Spx (28060) $810.75 $1,175 0.3×
Fasciotomy palmar percutaneous (26040) $868.71 $1,259 0.6×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $89.70–$311.44 $130–$451.36 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $725.50 $1,051.45 1.2×
Fine needle aspiration without imaging guidance (10021)
range across 4 matching MRF lines		 $169.05–$434.51 $245–$629.73 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $217.35–$289.80 $315–$420 varies
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $120.72–$1,119.84 $174.95–$1,622.95 varies
Forehead flap w/vasc pedicle (15731) $1,518 $2,200 0.5×
Foreskin manipulation (54450) $124.20 $180 0.6×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $184.23 $267 0.1×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,028.10 $1,490 0.6×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $935.64 $1,356 0.5×
Grafting of autologous soft tiss by direct exc (15769) $761.76 $1,104 0.2×
Guide Cathet Fluid Drainage (10030) $953.41 $1,381.75 1.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 3 matching MRF lines		 $238.05–$1,434.92 $345–$2,079.60 varies
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $3,222.30 $4,670 0.7×
Hysteroscopy Biopsy (58558)
range across 3 matching MRF lines		 $2,134.85–$6,090.82 $3,093.98–$8,827.28 varies
Hysteroscopy Dx Sep Proc (58555)
range across 3 matching MRF lines		 $701.73–$5,786.34 $1,017–$8,386 varies
Hysteroscopy Endometrial Ablation (58563) $1,934.76 $2,804 0.4×
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 3 matching MRF lines		 $524.40–$5,609.01 $760–$8,129 varies
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $552 $800 0.2×
I&d abscess peritonsillar (42700)
range across 4 matching MRF lines		 $262.20–$690.69 $380–$1,001 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $144.21–$1,541.46 $209–$2,234 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $624.45 $905 0.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,186.80 $1,720 0.5×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 3 matching MRF lines		 $579.60–$5,175 $840–$7,500 varies
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $255.30–$3,131.91 $370–$4,539 varies
I&d pilonidal cyst complicated (10081)
range across 4 matching MRF lines		 $295.32–$2,529.54 $428–$3,666 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $180.09–$822.98 $261–$1,192.73 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380)
range across 2 matching MRF lines		 $408.48–$1,430.98 $592–$2,073.88 varies
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $1,242 $1,800 0.2×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $552 $800 0.0×
Impression & Preparation Auricular Prosthesis (21086) $2,655.12 $3,848 0.9×
Impression & Preparation Oral Surgical Splint (21085) $923.22 $1,338 4.5×
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $329.13–$673.44 $477–$976 varies
Incise finger tendon sheath (26055) $1,069.50 $1,550 0.8×
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure		 $1,242.69 $1,801 0.2×
Incise/Drain Conjunctiva (68020) $481.62 $698 0.6×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $232.53–$2,833.14 $337–$4,106 varies
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines		 $309.81–$3,514.17 $449–$5,093 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $155.25–$822.98 $225–$1,192.73 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 4 matching MRF lines		 $210.45–$486.84 $305–$705.56 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines		 $213.21–$489.66 $309–$709.65 varies
Incision bone cortex foot (28005) $1,048.11 $1,519 0.4×
Incision Drainage Lacrimal Sac (68420) $745.89 $1,081 0.4×
Incision of eardrum (69420) $251.16 $364 1.2×
Incision of Foot Tendon (28234) $616.17 $893 0.4×
Incision of labial frenum (frenotomy) (40806) $235.98 $342 0.5×
Incision of lingual frenum (frenotomy) (41010)
range across 3 matching MRF lines		 $244.95–$2,285.04 $355–$3,311.65 varies
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $676.20–$4,791.48 $980–$6,944.17 varies
Incision of urethra (53010) $441.60 $640 0.1×
Incision of urethra (53000) $515.43 $747 0.3×
Incision of urethra (53020) $329.82 $478 0.2×
Incision&drainage bursa foot (28001) $451.95 $655 0.3×
Incisional biopsy eyelid skin & lid margin (67810) $400.89 $581 1.5×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $234.60–$1,370.34 $340–$1,986 varies
Induced abortion dilation and curettage (59840) $372.60 $540 0.1×
Initial Tx 1st Degree Burn Local Tx (16000) $176.64 $256 1.0×
Inject Intravitreal Pharmcologic (67028) $759 $1,100 2.7×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $140.76–$848.25 $204–$1,229.35 varies
Injection aa&/strd genicular nrv branches w/img (64454) $332.91 $482.48 0.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $414 $600 0.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $346.38 $502 0.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $215.28 $312 0.4×
Injection anesthetic agent suprascapular nerve (64418) $258.75 $375 0.4×
Injection enzyme palmar fascial cord (20527) $134.71 $195.23 0.5×
Injection for identification of sentinel node (38792) $54.68 $79.25 0.2×
Injection medication/other subst tenon capsule (67515) $103.50 $150 0.4×
Injection of sclerosing solution, hemorrhoids (46500) $241.50 $350 0.3×
Injection procedure for peyronie disease (54200) $208.38 $302 1.0×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $91.08–$713.12 $132–$1,033.50 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $96.60–$579.60 $140–$840 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $103.50–$1,139.54 $150–$1,651.50 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,500.06 $2,174 1.1×
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 $127.65–$844.56 $185–$1,224 varies
Injection, anesthetic agent; femoral nerve, single (64447) $265.65 $385 0.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $155.25–$1,080.95 $225–$1,566.60 varies
Injection, Intralesional; More Than 7 Lesions (11901) $90.39 $131 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $69 $100 0.4×
Injx Anterior Chamber Eye Medication Spx (66030) $237.36 $344 0.1×
Insert Bladder Cath Complex (51703)
range across 4 matching MRF lines		 $187.79–$436.19 $272.16–$632.16 varies
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $286.35–$1,745.70 $415–$2,530 varies
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $207–$1,745.70 $300–$2,530 varies
Insert cervical dilator (59200) $157.32 $228 0.6×
Insert Drug Implant Device (11981)
range across 3 matching MRF lines		 $168.83–$393.08 $244.68–$569.68 varies
Insert Gastrostomy Tube Percutaneous (49440) $2,171.43 $3,147 1.3×
Insert Nasal Septal Button (30220) $276 $400 0.2×
Insert non-tunnel cv cath (36556) $2,210.07 $3,203 0.8×
Insert pessary/other device (57160)
range across 3 matching MRF lines		 $117.30–$374.15 $170–$542.25 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $93.15–$2,832.45 $135–$4,105 varies
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $66.93–$370.99 $97–$537.66 varies
Insert tunneled cv cath (36561) $2,032.74 $2,946 0.7×
Insert Uro/Ves Nck Sphincter (53445)
likely a partial charge, not the full procedure		 $2,426.04 $3,516 0.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $113.46–$237.66 $164.43–$344.43 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,832.45 $4,105 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $569.25–$685.86 $825–$994 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $7,532.73 $10,917 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $614.79 $891 1.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $799.02 $1,158 2.3×
Intranasal Biopsy (30100) $125.58 $182 0.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $233.22–$1,468.32 $338–$2,128 varies
Iridoplasty photocoagulation 1/> sessions (66762) $543.03 $787 1.1×
Iridotomy/irridectomy laser surg per session (66761) $516.12 $748 1.1×
Irrigation maxillary sinus (31000) $191.13 $277 0.9×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $285.66–$396.06 $414–$574 varies
Kidney endoscopy (50553) $1,178.52 $1,708 0.3×
Kidney endoscopy (50551) $567.18 $822 0.1×
Labyrinthotomy Transcanal (69801) $1,762.26 $2,554 1.3×
Lam facetec & foramot lumbar (63047) $5,484.81 $7,949 0.9×
Laparo new ureter/bladder (50947)
likely a partial charge, not the full procedure		 $2,304.60 $3,340 0.3×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,449 $2,100 0.2×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
unusually low: confirm this is the full procedure		 $1,874.04 $2,716 0.4×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $738.30 $1,070 0.2×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $180.78–$184.92 $262–$268 varies
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $291.18–$391.23 $422–$567 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 3 matching MRF lines		 $489.21–$3,388.59 $709–$4,911 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $425.04–$821.10 $616–$1,190 varies
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)
range across 3 matching MRF lines		 $281.52–$649.98 $408–$942 varies
Laryngoscopy Indirect W/Biopsy (31510) $257.37 $373 0.1×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $391.23 $567 2.3×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $205.62 $298 0.6×
Laryngoscopy W/Biopsy (31535) $562.35 $815 0.2×
Laryngoscopy W/Foreign Body Removal (31530) $4,266.27 $6,183 2.8×
Laser vaporization of prostate (52648) $4,705.80 $6,820 1.0×
Late closure of wound (13160)
range across 2 matching MRF lines		 $946.68–$4,331.82 $1,372–$6,278 varies
Lateral Canthopexy (21282) $474.03 $687 0.2×
Ligation of a-v fistula (37607) $618.93 $897 0.2×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $545.79–$4,438.77 $791–$6,433 varies
Litholapaxy comp/lg > 2.5 cm (52318) $986.01 $1,429 0.3×
Litholapaxy smpl/sm <2.5 cm (52317) $1,732.59 $2,511 0.6×
Lithotripsy, extracorporeal shock wave (50590) $1,742.94 $2,526 0.6×
Lysis Intranasal Synechia (30560) $235.29 $341 0.5×
Lysis of labial adhesions (56441) $254.61 $369 0.1×
Lysis/excision penile postcircumcision adhesions (54162)
range across 3 matching MRF lines		 $462.30–$3,932.31 $670–$5,699 varies
Male sling procedure (53440)
likely a partial charge, not the full procedure		 $1,446.24 $2,096 0.1×
Manipulation, finger joint, under anesthesia, each joint (26340) $607.20 $880 0.4×
Manometric stds thru tube/ndwellg urtrl cath (50396) $186.30 $270 0.3×
Marsupialization of bartholin's gland cyst (56440) $665.16 $964 0.2×
Marsupialization of urethral diverticulum, male or female Facility (53240) $636.18 $922 0.2×
Medial Canthopexy Separate Procedure (21280) $685.17 $993 0.2×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $1,037.76 $1,504 1.6×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $970.14 $1,406 1.5×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $529.92 $768 0.3×
Myelography Lumbar Injection (62305) $621 $900 0.9×
Myelography Lumbar Injection (62304) $438.15 $635 0.6×
Myelography via lumbar injection rs&i cervical (62302) $472.65 $685 0.7×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $465.75 $675 0.7×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $1,223.37 $1,773 0.4×
N Block Inj Ilio-Ing/Hypogi (64425) $179.40 $260 0.3×
N block inj intercost sng (64420) $276 $400 0.5×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $86.25–$592.71 $125–$859 varies
N Block Inj Pudendal (64430) $231.15 $335 0.3×
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 $260.13–$574.77 $377–$833 varies
Nasal sinus therapy (30210) $203.55 $295 0.2×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $85.56–$340.17 $124–$493 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $285.66 $414 0.8×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $1,175.07 $1,703 0.4×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $1,489.71 $2,159 0.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,132.98 $1,642 0.7×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $839.04 $1,216 0.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,363.44 $1,976 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
unusually low: confirm this is the full procedure		 $2,070 $3,000 0.3×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure		 $1,932 $2,800 0.3×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
likely a partial charge, not the full procedure		 $1,794 $2,600 0.3×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $1,132.98 $1,642 0.2×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure		 $1,489.71 $2,159 0.2×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $1,762.26 $2,554 0.3×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $321.54 $466 0.2×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $267.03 $387 1.2×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $376.05 $545 0.5×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $235.98–$3,420.33 $342–$4,957 varies
Needle Biopsy Pancreas (48102) $1,306.17 $1,893 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $167.49 $242.74 6.7×
Needle insertion w/o injection 3 or more muscles (20561) $180.60 $261.74 7.2×
Nerve Pedicle Transfer First Stage (64905)
likely a partial charge, not the full procedure		 $1,276.50 $1,850 0.2×
Nipple/areola reconstruction (19350) $1,274.43 $1,847 0.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $174.57–$819.03 $253–$1,187 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $375.36 $544 0.6×
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 3 matching MRF lines		 $1,449–$4,153.80 $2,100–$6,020 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $138 $200 0.2×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 3 matching MRF lines		 $198.03–$868.02 $287–$1,258 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $247.71 $359 0.7×
Njx Sclrsnt Spider Veins (36468) $207 $300 0.6×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $1,762.26 $2,554 0.3×
Occipital Nerve Block (64405)
range across 5 matching MRF lines		 $175.26–$1,295.34 $254–$1,877.30 varies
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390)
unusually low: confirm this is the full procedure		 $2,168.67 $3,143 0.4×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $724.50–$5,161.89 $1,050–$7,481 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $761.07 $1,103 0.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $872.85 $1,265 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,445.55 $2,095 0.2×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $1,254.42 $1,818 0.4×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $764.52 $1,108 0.4×
Partial excision of lip (40520) $738.30 $1,070 0.3×
Partial hymenectomy or revision of hymenal ring (56700)
range across 2 matching MRF lines		 $412.62–$4,019.94 $598–$5,826 varies
Partial removal of toe (28160) $667.92 $968 0.2×
Partical Excision Bone Phalanx Toe (28124) $786.60 $1,140 0.3×
Penile Injection (54235)
range across 3 matching MRF lines		 $138–$539.36 $200–$781.68 varies
Penis plastic surgery (54360) $1,120.56 $1,624 0.4×
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $295.32–$938.40 $428–$1,360 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,036 $4,400 1.1×
Pericardiocentesis W/Imaging (33016) $381.57 $553 0.3×
Peritoneal Lavage (49084) $889.41 $1,289 1.1×
Perq Cervicothoracic Inject (22510) $966 $1,400 0.3×
Perq dev breast 1st us imag (19285) $793.50 $1,150 1.3×
Perq Lumbosacral Injection (22511) $914.94 $1,326 0.3×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
likely a partial charge, not the full procedure		 $1,769.85 $2,565 0.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 3 matching MRF lines		 $492.66–$1,072.26 $714–$1,554 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure		 $821.10 $1,190 0.1×
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure		 $879.75 $1,275 0.1×
Phleb Veins - Extrem 20+ (37766)
range across 3 matching MRF lines		 $1,518–$4,413.43 $2,200–$6,396.28 varies
Placement of needle for intraosseous infusion (36680) $304.98 $442 0.8×
Placement of seton (46020) $447.49 $648.53 0.2×
Plastic Repair Canaliculi (68700) $716.91 $1,039 0.3×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,201.29 $1,741 0.7×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $372.60 $540 0.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $448.69 $650.28 0.1×
Probe lacrimal canaliculi w/wo irrigation (68840) $291.18 $422 1.1×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $908.73 $1,317 0.4×
Probing nasolacrimal duct (68810) $357.42 $518 1.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $124.20–$1,127.46 $180–$1,634 varies
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $4,743.75 $6,875 2.0×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305)
range across 2 matching MRF lines		 $173.19–$1,042.59 $251–$1,511 varies
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $672.75 $975 1.4×
Prostatic microwave thermotx (53850) $5,088.75 $7,375 1.7×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $5,161.89 $7,481 1.8×
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $241.50–$659.64 $350–$956 varies
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $195.81–$348.75 $283.78–$505.43 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $114.54–$839.04 $166–$1,216 varies
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines		 $265.65–$1,161.02 $385–$1,682.64 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $434.01 $629 0.7×
Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) $3,285.09 $4,761 0.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $777.24 $1,126.43 0.5×
Rcnstj Eyelid Full Thickness Second Stage (67975) $888.03 $1,287 0.4×
Reconstruct extra finger (26587) $1,093.65 $1,585 0.4×
Reconstruction Nail Bed W/Graft (11762) $3,345.81 $4,849 1.9×
Release of big toe (28240) $685.86 $994 0.2×
Removal Anal Seton Other Marker (46030) $221.49 $321 0.2×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
likely a partial charge, not the full procedure		 $1,228.20 $1,780 0.1×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $448.50–$576.15 $650–$835 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $4,645.77–$9,291.54 $6,733–$13,466 varies
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $1,651.17–$4,162.08 $2,393–$6,032 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $3,514.17–$7,029.03 $5,093–$10,187 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $451.95–$3,302.34 $655–$4,786 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 4 matching MRF lines		 $398.82–$3,125.70 $578–$4,530 varies
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $3,514.17–$7,029.03 $5,093–$10,187 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $101.43–$310.50 $147–$450 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 6 matching MRF lines		 $95.91–$260.82 $139–$378 varies
Removal Implant Deep (20680) $600.30 $870 0.2×
Removal Implant Superficial Separate Procedure (20670)
range across 3 matching MRF lines		 $704.49–$3,431.37 $1,021–$4,973 varies
Removal implantable contraceptive capsules (11976)
range across 3 matching MRF lines		 $231.27–$1,169.25 $335.18–$1,694.56 varies
Removal intact breast implant (19328) $872.16 $1,264 0.3×
Removal of bladder cyst (51500)
likely a partial charge, not the full procedure		 $999.81 $1,449 0.2×
Removal of foreign body from pharynx (42809) $130.41 $189 0.3×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $269.10–$1,129.29 $390–$1,636.65 varies
Removal of urethra (53210) $1,115.73 $1,617 0.4×
Removal or bivalving full arm or full leg cast (29705)
range across 4 matching MRF lines		 $189.75–$657.57 $275–$953 varies
Removal or destruction of bladder canal (urethra) malignancy (53220) $686.55 $995 0.2×
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) $1,152.30 $1,670 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $110.40–$237.19 $160–$343.75 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $133.17 $193 0.1×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $75.90–$218.04 $110–$316 varies
Remove Brain Cavity Fluid (61020) $224.25 $325 0.3×
Remove cerclage suture (59871) $220.80 $320 0.1×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $190.44–$597.95 $276–$866.60 varies
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $4,466.37–$8,932.05 $6,473–$12,945 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $188.37–$200.79 $273–$291 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $158.01–$582.50 $229–$844.20 varies
Remove lung catheter (32552) $276 $400 0.5×
Remove Nasal Foreign Body (30300)
range across 4 matching MRF lines		 $113.46–$379.11 $164.43–$549.43 varies
Remove prostate regrowth (52630) $1,338.60 $1,940 0.3×
Remove renal tube w/fluoro (50389) $103.50 $150 0.2×
Remove Shoulder Foreign Body (23330)
range across 3 matching MRF lines		 $427.11–$2,330.13 $619–$3,377 varies
Remove tissue expander (11971) $1,713.96 $2,484 0.7×
Remove/Insert Drug Implant (11983)
range across 3 matching MRF lines		 $407.51–$821.51 $590.60–$1,190.60 varies
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) $966 $1,400 0.2×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $992.22–$1,414.50 $1,438–$2,050 varies
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557)
likely a partial charge, not the full procedure		 $1,421.40 $2,060 0.2×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
likely a partial charge, not the full procedure		 $1,409.67 $2,043 0.2×
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $1,374.48 $1,992 0.3×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,173 $1,700 0.2×
Repair Blood Vessel Direct Hand Finger (35207) $8,110.26 $11,754 3.0×
Repair Blood Vessel Direct Upper Extremity (35206) $7,093.20 $10,280 2.6×
Repair brow ptosis (67900) $925.29 $1,341 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $511.29–$902.52 $741–$1,308 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $683.10–$989.46 $990–$1,434 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $446.43–$614.79 $647–$891 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $782.46–$902.52 $1,134–$1,308 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $382.26–$614.79 $554–$891 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $605.82–$614.79 $878–$891 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $351.21–$902.52 $509–$1,308 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 4 matching MRF lines		 $433.32–$1,218.04 $628–$1,765.27 varies
Repair Detached Retina (67101) $997.05 $1,445 0.5×
Repair Ectropion Excision Tarsal Wedge (67916) $1,188.87 $1,723 0.6×
Repair Ectropion Extensive (67917) $979.80 $1,420 0.5×
Repair Ectropion Suture (67914) $890.10 $1,290 0.4×
Repair Entropion Excision Tarsal Wedge (67923) $1,171.62 $1,698 0.6×
Repair Entropion Suture (67921) $859.74 $1,246 0.4×
Repair extensor tendon finger w/o graft each (26418) $3,336.84 $4,836 2.4×
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $1,180.59–$3,889.53 $1,711–$5,637 varies
Repair Finger Tendon (26433) $4,322.85 $6,265 1.5×
Repair Finger/Hand Tendon (26350) $7,163.58 $10,382 2.5×
Repair Fistula Oromaxillary (30580)
likely a partial charge, not the full procedure		 $921.84 $1,336 0.2×
Repair Hand Joint (26540) $4,322.85 $6,265 1.5×
Repair Hand Tendon (26410) $3,336.84 $4,836 2.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $299.46–$614.79 $434–$891 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $259.44–$481.09 $376–$697.23 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $259.44–$431.25 $376–$625 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $259.44–$420.21 $376–$609 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $614.79 $891 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $225.34–$484.09 $326.58–$701.58 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $259.44–$310.50 $376–$450 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $344.31–$480.93 $499–$697 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $259.44–$517.50 $376–$750 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $225.34–$460.63 $326.58–$667.58 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $474.72–$1,009.19 $688–$1,462.59 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $614.79 $891 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 4 matching MRF lines		 $232.24–$558.61 $336.58–$809.58 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $614.79 $891 0.3×
Repair Nasal Vestibular Stenosis (30465)
likely a partial charge, not the full procedure		 $1,331.70 $1,930 0.3×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $241.50–$259.44 $350–$376 varies
Repair of urethra injury (53502) $745.20 $1,080 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,392.54 $6,366 1.6×
Repair tongue laceration (41252) $1,539.39 $2,231 7.5×
Repair tongue laceration (41250) $220.11 $319 0.6×
Repair Tooth Socket (41874) $379.50 $550 0.1×
Repair uro sphincter (53449)
likely a partial charge, not the full procedure		 $945.30 $1,370 0.1×
Replace duodenostomy/jejunostomy tube perq (49451) $1,096.12 $1,588.58 1.4×
Replace eye fluid (67025) $1,322.04 $1,916 0.7×
Replace G-J Tube Perc (49452) $1,587 $2,300 2.0×
Replace g/c tube perc (49450) $1,009.40 $1,462.90 1.3×
Reposition Gastrostomy Tube (43761) $1,078.47 $1,563 5.0×
Resect enlarged toe tissue (28340) $883.20 $1,280 0.3×
Retrobulbar injection (67500) $120.06 $174 0.4×
Revise eyelashes (67825) $372.60 $540 1.4×
Revision of eyelid (67880) $872.85 $1,265 0.4×
Revision of urethra (53460) $681.03 $987 0.2×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $856.98 $1,242 0.3×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure		 $3,398.94 $4,926 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,222.80 $6,120 1.4×
Revj/rpr oprative wound anterior segment (66250) $745.89 $1,081 0.4×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $602.37 $873 0.3×
Rmvl embedded fb vestibule mouth comp (40805) $1,539.39 $2,231 3.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 4 matching MRF lines		 $130.41–$1,412.21 $189–$2,046.68 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $188.37 $273 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $188.37–$483 $273–$700 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $188.37–$214.59 $273–$311 varies
Rmvl FB/Dacryolith Lacrimal Passages (68530) $999.12 $1,448 3.7×
Rmvl fecal impaction/fb spx under anes (45915) $455.40 $660 0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $4,645.77 $6,733 1.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $411.93 $597 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $989.46–$1,978.23 $1,434–$2,867 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $592.71–$2,713.25 $859–$3,932.25 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $361.56–$1,448.31 $524–$2,099 varies
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $343.93–$949.61 $498.45–$1,376.25 varies
Rplc gtube revj gstrst trc (43763) $542.34 $786 2.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $120.75 $175 0.1×
Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) $912.18 $1,322 0.4×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $1,238.55 $1,795 0.6×
Rpr blood vessel direct lower extremity (35226) $3,421.71 $4,959 5.6×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $867.33 $1,257 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $259.44 $376 1.5×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $614.79 $891 1.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $690.69 $1,001 3.4×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $774.18 $1,122 0.4×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $316.02 $458 0.2×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $924.60 $1,340 0.2×
Rpr Lip Full Thickness Vermilion Only (40650) $1,539.39 $2,231 3.3×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $1,612.53 $2,337 0.8×
Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) $645.15 $935 0.3×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $5,541.39 $8,031 2.0×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $6,267.96 $9,084 2.2×
Severing Adhesions Anterior Segment Laser Spx (65860) $409.17 $593 0.9×
Severing tarsorrhaphy (67710) $468.51 $679 0.5×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,010.50 $1,464.50 1.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $509.91–$1,042.59 $739–$1,511 varies
Shave skin lesion 0.5 cm/< (11300)
range across 3 matching MRF lines		 $104.19–$625.75 $151–$906.88 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 3 matching MRF lines		 $139.38–$487.83 $202–$707 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $174.57 $253 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $91.08 $132 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $182.16–$227.70 $264–$330 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 3 matching MRF lines		 $126.27–$397.05 $183–$575.43 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $149.73 $217 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 3 matching MRF lines		 $192.51–$463.29 $279–$671.43 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 3 matching MRF lines		 $141.45–$663.01 $205–$960.88 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 3 matching MRF lines		 $106.95–$377.73 $155–$547.43 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $144.90 $210 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 3 matching MRF lines		 $160.77–$431.55 $233–$625.43 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330)
range across 2 matching MRF lines		 $270.48–$4,126.89 $392–$5,981 varies
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,035.88 $1,501.27 1.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,010.50 $1,464.50 1.0×
Sigmoidoscopy w/fb removal (45332) $1,127.46 $1,634 1.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $235.29–$1,042.59 $341–$1,511 varies
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $951.55 $1,379.06 0.9×
Simple Cystometrogram (51725)
range across 4 matching MRF lines		 $117.30–$517.50 $170–$750 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $259.44 $376 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $219.42–$259.44 $318–$376 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $240.12–$259.44 $348–$376 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $259.44 $376 0.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $259.44–$280.14 $376–$406 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $259.44 $376 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $210.45–$435.79 $305–$631.58 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $259.44 $376 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $254.61–$259.44 $369–$376 varies
Skin Full Grft Face/Genit/Hf (15240) $1,016.37 $1,473 0.6×
Skin Pedicle Flap Trunk (15570) $979.80 $1,420 0.6×
Skin sub graft face/nk/hf/g (15275)
range across 4 matching MRF lines		 $310.50–$1,971.26 $450–$2,856.90 varies
Skin sub graft trnk/arm/leg (15271) $1,276.50 $1,850 2.0×
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $414–$1,932 $600–$2,800 varies
Skin Tissue Procedure (17999)
range across 6 matching MRF lines		 $414–$752.10 $12–$1,090 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $379.50–$1,932 $550–$2,800 varies
Slitting of prepuce (54001)
range across 4 matching MRF lines		 $464.37–$4,216.59 $673–$6,111 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $220.80–$446.14 $320–$646.58 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $259.44–$320.16 $376–$464 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $389.16 $564 1.1×
Snip Incision Lacrimal Punctum (68440) $461.61 $669 1.7×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $247.71–$874.23 $359–$1,267 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,276.50 $1,850 0.7×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 3 matching MRF lines		 $862.50–$3,757.93 $1,250–$5,446.28 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $55.20–$218.04 $80–$316 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $218.04–$435.39 $316–$631 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $83.49–$435.39 $121–$631 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $86.25–$361.56 $125–$524 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $101.43–$218.04 $147–$316 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $51.06–$218.04 $74–$316 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $89.70–$218.04 $130–$316 varies
Subconjunctival injection (68200) $197.34 $286 0.5×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $111.78 $162 0.6×
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $243.57 $353 0.4×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $682.41 $989 0.2×
Surg tx anal fistula subq (46270) $645.15 $935 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $945.99 $1,371 0.4×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $849.39 $1,231 0.4×
Synovectomy Tendon Sheath Foot Extensor (28088) $748.65 $1,085 0.3×
Tangential biopsy skin single lesion (11102) $153.87 $223 0.4×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $256.68 $372 0.4×
Temporary Closure Eyelids Suture (67875) $680.34 $986 0.8×
Tenolysis extensor foot single tendon (28225) $622.38 $902 0.2×
Tenolysis flexor foot single tendon (28220) $692.76 $1,004 0.5×
Tenotomy Adductor Hip Percutaneous Spx (27000) $723.12 $1,048 0.5×
Tenotomy Hip Abd/Ext Open (27006) $1,126.77 $1,633 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $567.18 $822 0.4×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $681.72 $988 0.5×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $667.23 $967 0.2×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $768.66 $1,114 0.3×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $999.12 $1,448 0.2×
Tenotomy, hip flexor(s), open (27005) $1,122.63 $1,627 0.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $261.51 $379 0.4×
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $231.15–$1,029.48 $335–$1,492 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $1,390.35–$3,345.81 $2,015–$4,849 varies
Trabeculoplasty by laser surgery (65855) $629.97 $913 1.3×
Tracheobrnchsc Thru Est Trachs Inc (31615) $385.71 $559 0.8×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,539.39 $2,231 7.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,539.39 $2,231 1.2×
Tracheostomy planned (31600) $983.94 $1,426 0.3×
Transur electr resection of prostate (52601) $1,393.11 $2,019 0.3×
Transurethral incision of prostate (52450) $1,005.33 $1,457 0.3×
Transurethral resection bladder neck (52500) $841.80 $1,220 0.3×
Treat Big Toe Fracture (28505) $823.17 $1,193 0.3×
Treat fracture radius/ulna (25575) $12,138.48 $17,592 1.9×
Treat humerus fracture (24500)
range across 3 matching MRF lines		 $500.25–$1,035 $725–$1,500 varies
Treat Humerus Fracture (24505)
range across 5 matching MRF lines		 $307.05–$3,470.01 $445–$5,029 varies
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $235.46–$770.21 $341.25–$1,116.25 varies
Treat knee fracture (27532)
range across 2 matching MRF lines		 $4,050.30–$8,100.60 $5,870–$11,740 varies
Treat Knee Fracture(S) (27538)
range across 5 matching MRF lines		 $420.21–$1,413.12 $609–$2,048 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $307.05–$507.15 $445–$735 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $307.05–$447.12 $445–$648 varies
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $271.17–$307.05 $393–$445 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $307.05–$621 $445–$900 varies
Treat Thumb Fracture (26645)
range across 4 matching MRF lines		 $641.01–$3,340.29 $929–$4,841 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $220.80–$307.05 $320–$445 varies
Treat vagina infection (57150) $96.60 $140 1.9×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines		 $582.36–$6,046.47 $844–$8,763 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines		 $307.05–$614.10 $445–$890 varies
Treatment extensive retinopathy photocoagulation (67228) $1,397.25 $2,025 2.9×
Treatment of foot infection (28003) $1,087.44 $1,576 0.4×
Treatment of retina (67141) $714.15 $1,035 2.6×
Treatment of retinal lesion (67208) $1,123.32 $1,628 4.1×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $51.06–$174.22 $74–$252.50 varies
Trim skin lesions 2 to 4 (11056)
range across 4 matching MRF lines		 $64.17–$348.45 $93–$505 varies
Trim skin lesions over 4 (11057)
range across 3 matching MRF lines		 $77.97–$348.75 $113–$505.43 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 4 matching MRF lines		 $48.30–$121.44 $70–$176 varies
Trurl drainage prostatic abscess (52700) $705.87 $1,023 0.2×
Trurl rescj postop bladder neck contracture (52640) $750.03 $1,087 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $514.74 $746 0.2×
Tx open tendon flexor toe 1 tendon spx (28232) $625.83 $907 0.5×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $621 $900 0.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $3,022.89–$6,046.47 $4,381–$8,763 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $482.31–$1,497.30 $699–$2,170 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $212.52–$614.79 $308–$891 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $307.05–$471.27 $445–$683 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 3 matching MRF lines		 $310.95–$698.73 $450.65–$1,012.65 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $470.58 $682 0.4×
Unlisted laparoscopy procedure stomach (43659)
range across 3 matching MRF lines		 $779.70–$5,171.55 $1,130–$7,495 varies
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $1,243.38–$2,228.70 $1,802–$3,230 varies
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $3,930.24 $5,696 0.8×
Unlisted procedure arthroscopy (29999) $1,411.05 $2,045 6.6×
Unlisted Procedure Intestine (44799) $1,487.35 $2,155.58 1.9×
Unlisted procedure larynx (31599) $295.32 $428 1.4×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $155.25–$1,230.96 $225–$1,784 varies
Unlisted Procedure Vascular Surgery (37799)
range across 3 matching MRF lines		 $852.15–$2,858.67 $1,235–$4,143 varies
Unlisted px female genital system nonobstetrical (58999) $215.97 $313 1.2×
Ureter endoscopy (50970) $634.80 $920 0.2×
Ureter endoscopy & biopsy (50955) $1,473.15 $2,135 0.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) $1,553.88 $2,252 0.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) $1,400.01 $2,029 0.3×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) $558.90 $810 0.1×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) $828 $1,200 0.2×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $565.80 $820 0.2×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) $793.50 $1,150 0.2×
Ureteral endoscopy via ureterostomy (50951) $598.92 $868 0.2×
Urethrectomy, total, including cystostomy; male Facility (53215) $1,889.91 $2,739 0.4×
Urethromeatoplasty W/Mucosal Advancement (53450) $609.27 $883 0.2×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $1,497.30 $2,170 0.3×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) $1,428.30 $2,070 0.3×
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) $1,449 $2,100 0.3×
Urethroplasty, reconstruction of female urethra Facility (53430) $1,462.80 $2,120 0.3×
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) $1,221.30 $1,770 0.3×
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) $1,338.60 $1,940 0.3×
Urethrorrhaphy sutr urethral wound/inj penile (53505) $738.30 $1,070 0.2×
Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) $972.90 $1,410 0.2×
Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) $1,207.50 $1,750 0.3×
Urine Flow Measurement (51736)
range across 2 matching MRF lines		 $90.39–$169.05 $131–$245 varies
Vaginal delivery only (59409) $1,435.20 $2,080 0.5×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) $1,900.95 $2,755 0.7×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $690–$3,393.94 $1,000–$4,918.75 varies
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure		 $3,036 $4,400 0.3×
Ventilating tube removal requiring general anesthesia (69424) $414 $600 0.1×
Ventricular puncture previous burr hole w/inj (61026) $218.73 $317 0.4×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $176.64–$179.40 $256–$260 varies
Wedging of cast (29740) $126.96 $184 0.5×
Wedging of clubfoot cast (29750) $144.21 $209 0.6×
Windowing of cast (29730) $218.04 $316 1.6×
Wound Prep F/N/Hf/G (15004)
range across 3 matching MRF lines		 $637.77–$1,432.54 $924.30–$2,076.15 varies
Wound Prep Trk/Arm/Leg (15002)
range across 3 matching MRF lines		 $603.75–$2,264.51 $875–$3,281.90 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.