Procedures & surgery prices at Ogallala Community Hospital
Ogallala, NE · every code in this section with a posted price and a Medicare benchmark.
486 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $122.18 | $225 | 0.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $84.17 | $155 | 0.1× |
| Ablate inf turbinate submuc (30802) | $182.16 | $403 | 0.1× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) range across 2 matching MRF lines |
$133.79–$160.73 | $296 | varies |
| Acne surgery (10040) | $50.17 | $111 | 0.2× |
| Adding Walker Previously Applied Cast (29440) range across 3 matching MRF lines |
$32.58–$48.87 | $60–$90 | varies |
| Amniocentesis diagnostic (59000) | $536.14 | $1,068 | 0.6× |
| Amniocentesis therapeutic (59001) | $701.80 | $1,398 | 2.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $750.97 | $1,383 | 0.2× |
| Amputate Metacarpal Bone (26910) | $828.62 | $1,526 | 0.2× |
| Amputation toe metatarsophalangeal joint (28820) | $443.63 | $817 | 0.1× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) range across 2 matching MRF lines |
$80.85–$269.19 | $164–$506 | varies |
| Anoscopy diagnostic (46600) | $46.16 | $85 | 0.3× |
| Anoscopy W/Rmvl Foreign Body (46608) | $96.11 | $177 | 0.1× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$69.50–$103.71 | $128–$191 | varies |
| Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
$38.55–$58.10 | $71–$107 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$33.67–$50.50 | $62–$93 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$47.78–$71.68 | $88–$132 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 3 matching MRF lines |
$120.55–$180.82 | $222–$333 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$57.02–$85.25 | $105–$157 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$112.94–$168.87 | $208–$311 | varies |
| Application of rigid total contact leg cast (29445) range across 6 matching MRF lines |
$509.27–$763.90 | $802–$1,203 | varies |
| Application Patellar Tendon Bearing Cast (29435) range across 3 matching MRF lines |
$92.31–$138.46 | $170–$255 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$44.53–$66.79 | $82–$123 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$55.93–$83.62 | $103–$154 | varies |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$75.48–$112.94 | $139–$208 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$76.56–$115.12 | $141–$212 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 6 matching MRF lines |
$151.13–$226.70 | $238–$357 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$66.25–$99.37 | $122–$183 | varies |
| Apply short leg cast (29425) range across 3 matching MRF lines |
$62.45–$93.94 | $115–$173 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$39.10–$44.40 | $68–$72 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 9 matching MRF lines |
$84.80–$416.56 | $172–$783 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$103.53–$651.17 | $210–$1,224 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 9 matching MRF lines |
$81.84–$404.85 | $166–$761 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$126.52–$189.51 | $233–$349 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$101.54–$152.58 | $187–$281 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$93.18–$169.18 | $189–$318 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $165.07 | $304 | 0.1× |
| Aspiration Bladder Needle (51100) | $43.98 | $81 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$61.90–$64.37 | $114–$121 | varies |
| Biopsy Abdominal Mass (49180) | $616.96 | $1,229 | 0.4× |
| Biopsy External Auditory Canal (69105) range across 3 matching MRF lines |
$58.31–$87.24 | $129–$193 | varies |
| Biopsy external ear (69100) | $44.75 | $99 | 0.2× |
| Biopsy of floor of mouth (41108) | $82.26 | $182 | 0.0× |
| Biopsy of lip (40490) | $66.44 | $147 | 0.3× |
| Biopsy of palate, uvula (42100) | $100.80 | $223 | 0.1× |
| Biopsy of penis (54100) | $114.36 | $253 | 0.1× |
| Biopsy Oropharynx (42800) | $105.32 | $233 | 0.1× |
| Biopsy Salivary Gland Needle (42400) | $50.62 | $112 | 0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $98.54 | $218 | 0.2× |
| Biopsy, vestibule of mouth (40808) | $80.91 | $179 | 0.1× |
| Bladder instillation anticarcinogenic agent (51720) | $436.77 | $821 | 0.6× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$179.72–$203.70 | $358 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$128.69–$193.31 | $237–$356 | varies |
| Blood Transfusion Service (36430) range across 6 matching MRF lines |
$588.64–$882.96 | $1,132–$1,698 | varies |
| Bx breast 1st lesion us imag (19083) | $1,307.21 | $2,604 | 0.8× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$179.72–$190.46 | $358 | varies |
| Change of Windpipe Airway (31502) range across 3 matching MRF lines |
$33–$202.81 | $73–$404 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$35.26–$42.35 | $78 | varies |
| Chemodenerv Musc Migraine (64615) | $169.18 | $318 | 0.5× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$179.19–$268.24 | $330–$494 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $374.93 | $538 | 0.2× |
| Cl Tx Scapular Fx; W Manip (23575) range across 3 matching MRF lines |
$425.17–$637.48 | $783–$1,174 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$556.58–$834.59 | $1,025–$1,537 | varies |
| Clear outer ear canal (69200) range across 6 matching MRF lines |
$44.30–$79.82 | $98–$147 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 3 matching MRF lines |
$511.51–$766.72 | $942–$1,412 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$341–$511.51 | $628–$942 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$425.17–$637.48 | $783–$1,174 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
$478.38–$717.30 | $881–$1,321 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$341–$511.51 | $628–$942 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
$256.84–$385.53 | $473–$710 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$316.57–$474.58 | $583–$874 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 3 matching MRF lines |
$711.33–$1,066.45 | $1,310–$1,964 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
$547.34–$821.02 | $1,008–$1,512 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $229.69 | $423 | 0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 3 matching MRF lines |
$549.52–$823.73 | $1,012–$1,517 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$387.70–$581.01 | $714–$1,070 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$335.03–$502.28 | $617–$925 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$450.15–$674.95 | $829–$1,243 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$273.13–$409.42 | $503–$754 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$518.02–$777.03 | $954–$1,431 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$284.53–$426.26 | $524–$785 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$524.54–$786.81 | $966–$1,449 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$286.70–$430.06 | $528–$792 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$270.41–$405.08 | $498–$746 | varies |
| Closed tx septal&nose fx (21337) | $330.14 | $608 | 0.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$364.90–$547.34 | $672–$1,008 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$236.75–$354.58 | $436–$653 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $207.97 | $383 | 0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 3 matching MRF lines |
$36.38–$54.30 | $67–$100 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 3 matching MRF lines |
$470.24–$705.36 | $866–$1,299 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$299.19–$448.52 | $551–$826 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $158.20 | $350 | 0.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 3 matching MRF lines |
$376.84–$565.26 | $694–$1,041 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$253.04–$379.56 | $466–$699 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$456.66–$684.72 | $841–$1,261 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$327.97–$491.96 | $604–$906 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
$556.58–$835.13 | $1,025–$1,538 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $377.93 | $696 | 0.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $348.06 | $641 | 1.4× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 3 matching MRF lines |
$542.46–$813.41 | $999–$1,498 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$435.49–$652.69 | $802–$1,202 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$323.63–$485.44 | $596–$894 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $308.97 | $569 | 1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $210.14 | $387 | 0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$355.12–$532.68 | $654–$981 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$577.75–$866.08 | $1,064–$1,595 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 3 matching MRF lines |
$769.97–$1,154.96 | $1,418–$2,127 | varies |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) range across 3 matching MRF lines |
$847.62–$1,271.16 | $1,561–$2,341 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 3 matching MRF lines |
$536.48–$804.73 | $988–$1,482 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$166.70–$250.32 | $307–$461 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$139.55–$209.06 | $257–$385 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $160.18 | $295 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
$558.75–$837.85 | $1,029–$1,543 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$855.22–$1,283.11 | $1,575–$2,363 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$209.06–$313.85 | $385–$578 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 3 matching MRF lines |
$570.15–$855.22 | $1,050–$1,575 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $103.17 | $190 | 0.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $390.42 | $719 | 1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $290.50 | $535 | 1.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
$489.79–$734.68 | $902–$1,353 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$345.35–$518.02 | $636–$954 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $331.23 | $610 | 1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $316.03 | $582 | 1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $342.63 | $631 | 1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $208.51 | $384 | 0.8× |
| Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
$658.66–$987.72 | $1,213–$1,819 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 3 matching MRF lines |
$457.21–$685.81 | $842–$1,263 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$317.11–$475.13 | $584–$875 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
$480.56–$721.10 | $885–$1,328 | varies |
| Cltx prox tibfib jt dislc req anes (27831) range across 3 matching MRF lines |
$456.12–$684.18 | $840–$1,260 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 3 matching MRF lines |
$403.45–$604.90 | $743–$1,114 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$89.05–$133.04 | $164–$245 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
$447.43–$671.15 | $824–$1,236 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 3 matching MRF lines |
$640.74–$961.11 | $1,180–$1,770 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$390.42–$585.90 | $719–$1,079 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$319.83–$479.47 | $589–$883 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$360.01–$539.74 | $663–$994 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$491.96–$737.39 | $906–$1,358 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$327.97–$491.96 | $604–$906 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $114.91 | $216 | 0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $244.19 | $459 | 0.8× |
| Colposcopy cervix upper/adjacent vagina (57452) | $161.20 | $303 | 0.8× |
| Complex drainage wound (10180) | $200.37 | $369 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 6 matching MRF lines |
$74.58–$134.12 | $165–$247 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 6 matching MRF lines |
$53.79–$96.65 | $119–$178 | varies |
| Control oropharyngeal hemorrhage simple (42960) range across 2 matching MRF lines |
$154.58–$185.71 | $342 | varies |
| Create Eardrum Opening (69433) range across 3 matching MRF lines |
$121.59–$182.16 | $269–$403 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$100.34–$120.55 | $222 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $153.67 | $283 | 0.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $862.90 | $1,622 | 0.4× |
| Cysto W/Simple Removal Stone & Stent (52310) | $229.82 | $432 | 0.1× |
| Cystourethroscopy (52000) | $534.13 | $1,004 | 0.7× |
| Cystourethroscopy with biopsy (52204) | $390.49 | $734 | 0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $312.22 | $575 | 0.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $883.12 | $1,660 | 1.2× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$16.83–$38.30 | $31–$72 | varies |
| Debride nail 6 or more (11721) | $59.05 | $111 | 1.0× |
| Debridement Mastoidectomy Cavity Cmplx (69222) range across 3 matching MRF lines |
$124.75–$186.68 | $276–$413 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) range across 3 matching MRF lines |
$47.91–$71.87 | $106–$159 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$68.96–$327.71 | $127–$616 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$210.34–$222.91 | $419 | varies |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$1,157.91–$1,418.17 | $2,035 | varies |
| Destroy cerv/thor facet jnt (64633) range across 6 matching MRF lines |
$505.82–$1,960.95 | $1,026–$3,686 | varies |
| Destroy lumb/sac facet jnt (64635) range across 6 matching MRF lines |
$498.92–$1,943.40 | $1,012–$3,653 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$62.38–$137.26 | $138–$258 | varies |
| Destruction Benign Lesions 15/> (17111) | $76.39 | $169 | 0.4× |
| Destruction Lesions Vulva Simple (56501) | $117.52 | $260 | 0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $111.64 | $247 | 0.5× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $129.72 | $287 | 0.6× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $162.27 | $359 | 0.4× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $189.39 | $419 | 0.2× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $256.74 | $568 | 0.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $81.36 | $180 | 0.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $104.41 | $231 | 0.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $116.16 | $257 | 0.6× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $123.85 | $274 | 0.3× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $146 | $323 | 0.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $81.36 | $180 | 0.4× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $89.50 | $198 | 0.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $98.54 | $218 | 0.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $115.26 | $255 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $130.18 | $288 | 0.3× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $159.56 | $353 | 0.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $65.54 | $145 | 0.3× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) range across 3 matching MRF lines |
$122.49–$183.96 | $271–$407 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $91.30 | $202 | 0.2× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$43.09–$50.17 | $81–$111 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $257.38 | $474 | 0.1× |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $82.26 | $182 | 0.1× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$350.59–$526.15 | $659–$989 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $111.19 | $246 | 0.2× |
| Drainage external ear abscess/hematoma cmplx (69005) range across 3 matching MRF lines |
$146.90–$220.58 | $325–$488 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 6 matching MRF lines |
$113.45–$204.17 | $251–$376 | varies |
| Drainage Mouth Roof Lesion (42000) | $117.29 | $216 | 0.5× |
| Drainage of finger abscess simple (26010) | $155.84 | $287 | 0.7× |
| Drainage of gum lesion (41800) | $171.59 | $316 | 1.2× |
| Drainage of hematoma/fluid (10140) | $294.31 | $542 | 0.2× |
| Drainage of nose lesion (30000) | $110.29 | $244 | 0.4× |
| Drainage of scrotal wall abscess (55100) | $188.42 | $347 | 0.1× |
| Drainage of scrotum (54700) range across 3 matching MRF lines |
$242.72–$363.81 | $447–$670 | varies |
| Draw Blood Off Venous Device (36591) | $162.26 | $305 | 1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$116.16–$139.55 | $257 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $150.95 | $278 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $124.89 | $230 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $61.36 | $113 | 0.3× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $102.15 | $226 | 0.5× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $191.20 | $423 | 0.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 6 matching MRF lines |
$264.74–$657.02 | $537–$1,235 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $179.19 | $330 | 0.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) range across 2 matching MRF lines |
$105.01–$293.13 | $213–$551 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$80.85–$289.94 | $164–$545 | varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $240.46 | $452 | 0.8× |
| Endometrial Biopsy (58100) | $161.20 | $303 | 0.8× |
| Epidural Blood Patch (62273) range across 4 matching MRF lines |
$305.62–$547.95 | $518–$963 | varies |
| Evacuation of subungual hematoma (11740) | $35.30 | $65 | 0.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$76.39–$91.77 | $169 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $145.54 | $322 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $145.54 | $322 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $170.40 | $377 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $265.78 | $588 | 0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $96.28 | $213 | 0.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $122.04 | $270 | 0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $135.15 | $299 | 0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $165.88 | $367 | 0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $211.99 | $469 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$76.39–$91.77 | $169 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $102.15 | $226 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $127.01 | $281 | 0.1× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $229.62 | $508 | 0.1× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $328.15 | $726 | 0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$138.31–$166.16 | $306 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $166.79 | $369 | 0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $257.64 | $570 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$231.42–$278.02 | $512 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $302.39 | $669 | 0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $197.07 | $436 | 0.1× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $275.72 | $610 | 0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $298.77 | $661 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $126.52 | $233 | 0.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $96.73 | $214 | 0.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $107.12 | $237 | 0.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $152.32 | $337 | 0.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $287.02 | $635 | 0.2× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $139.01 | $256 | 0.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $180.80 | $400 | 0.2× |
| Excision Lesion Tongue W/O Closure (41110) | $122.04 | $270 | 0.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$113–$135.75 | $250 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $138.76 | $307 | 0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $151.42 | $335 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $199.78 | $442 | 0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $117.52 | $260 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $213.80 | $473 | 0.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $368.38 | $815 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $114.36 | $253 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $139.67 | $309 | 0.2× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $158.65 | $351 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $223.74 | $495 | 0.1× |
| Excision nasal polyp(s) simple (30110) range across 3 matching MRF lines |
$145.52–$217.74 | $268–$401 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) | $209.60 | $386 | 0.1× |
| Exploration penetrating wound spx extremity (20103) | $392.59 | $723 | 0.2× |
| Exploration Penetrating Wound Spx Neck (20100) range across 3 matching MRF lines |
$684.72–$1,027.36 | $1,261–$1,892 | varies |
| External cephalic version (59412) | $543.57 | $780 | 0.2× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$33.12–$624.04 | $61–$646 | varies |
| Fine needle aspiration without imaging guidance (10021) | $52.43 | $116 | 0.1× |
| Fluid Pressure Muscle (20950) range across 2 matching MRF lines |
$100.46–$547.95 | $185–$963 | varies |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$126.11–$151.50 | $279 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$64.37–$112.94 | $121–$208 | varies |
| I&D Intramural Im/Absc Transanal Anes (46045) | $496.30 | $914 | 0.2× |
| I&d perianal abscess superficial (46050) | $111.86 | $206 | 0.1× |
| I&d pilonidal cyst complicated (10081) | $193.31 | $356 | 0.3× |
| I&d pilonidal cyst simple (10080) | $115.66 | $213 | 0.2× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$934.24–$8,416.24 | $1,895–$15,820 | varies |
| Implant Spine Infusion Pump (62362) likely a partial charge, not the full procedure |
$863.74 | $1,752 | 0.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) range across 2 matching MRF lines |
$896.77–$3,372.88 | $1,819–$6,340 | varies |
| Incise external hemorrhoid (46083) | $122.72 | $226 | 0.5× |
| Incision & drainage abscess complicated/multiple (10061) | $204.71 | $377 | 0.5× |
| Incision & removal foreign body subq tiss compl (10121) | $209.06 | $385 | 0.1× |
| Incision & removal foreign body subq tiss simple (10120) | $115.66 | $213 | 0.3× |
| Incision and drainage of bartholin's gland abscess (56420) | $116.75 | $215 | 0.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $134.66 | $248 | 0.4× |
| Incision of eardrum (69421) range across 3 matching MRF lines |
$137.41–$206.11 | $304–$456 | varies |
| Incision of eardrum (69420) range across 3 matching MRF lines |
$110.74–$166.34 | $245–$368 | varies |
| Incision of rectal abscess (46040) | $476.75 | $878 | 0.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 3 matching MRF lines |
$175.39–$262.81 | $323–$484 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) range across 3 matching MRF lines |
$65.54–$98.08 | $145–$217 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$55.14–$298.98 | $122–$562 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $52.13 | $96 | 0.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 6 matching MRF lines |
$238.12–$2,031.18 | $483–$3,818 | varies |
| Inject Intravitreal Pharmcologic (67028) range across 3 matching MRF lines |
$108.53–$162.79 | $204–$306 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 8 matching MRF lines |
$88.74–$380.91 | $180–$716 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$164.02–$246.03 | $278–$417 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 9 matching MRF lines |
$671.68–$1,141.98 | $1,338–$2,007 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$145.73–$218.89 | $247–$371 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
$261.96–$392.94 | $444–$666 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 6 matching MRF lines |
$153.99–$770.87 | $261–$1,449 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$90.22–$236.74 | $183–$445 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$87.26–$327.18 | $177–$615 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$98.11–$348.99 | $199–$656 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $171.69 | $291 | 0.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$143.37–$215.35 | $243–$365 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$106.43–$173.46 | $196–$294 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$28.48–$29.79 | $56–$63 | varies |
| Insert Bladder Cath Complex (51703) | $162.65 | $324 | 1.2× |
| Insert cervical dilator (59200) | $356.11 | $511 | 1.1× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$212.31–$230.69 | $391 | varies |
| Insert pessary/other device (57160) | $42.03 | $79 | 0.2× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$29.32–$159.89 | $54–$281 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$29.87–$133.71 | $55–$235 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $210.68 | $388 | 0.1× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$811.97–$3,405.33 | $1,647–$6,401 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $339.92 | $626 | 0.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $435.49 | $802 | 1.0× |
| Intranasal Biopsy (30100) | $62.38 | $138 | 0.0× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$200.36–$388.22 | $354–$658 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $151.50 | $279 | 0.6× |
| Laryngoscopy diagnostic (31505) | $54.84 | $101 | 0.3× |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$62.38–$155.88 | $138–$293 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $223.72 | $412 | 0.1× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 3 matching MRF lines |
$221–$331.23 | $407–$610 | varies |
| N block inj intercost sng (64420) range across 9 matching MRF lines |
$505.01–$858.62 | $1,006–$1,509 | varies |
| N Block Inj Plantar Digit (64455) range across 6 matching MRF lines |
$78.39–$338.35 | $159–$636 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$186.35–$711.82 | $378–$1,338 | varies |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$59.66–$549.02 | $132–$1,032 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $46.70 | $86 | 0.1× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) range across 3 matching MRF lines |
$758.63–$1,137.95 | $1,426–$2,139 | varies |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) range across 3 matching MRF lines |
$169.05–$253.12 | $374–$560 | varies |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) range across 3 matching MRF lines |
$188.94–$282.95 | $418–$626 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 3 matching MRF lines |
$148.26–$222.38 | $328–$492 | varies |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) range across 3 matching MRF lines |
$227.81–$341.71 | $504–$756 | varies |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) range across 3 matching MRF lines |
$303.74–$455.62 | $672–$1,008 | varies |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) range across 3 matching MRF lines |
$1,373.62–$2,060.44 | $2,582–$3,873 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $34.64 | $69 | 1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $37.65 | $75 | 1.3× |
| Neuro alys b-amyl 1-42&1-40 (0358U) | $578.54 | $785 | 2.2× |
| Neuroeltrd Stim Post Tibial (64566) | $229.82 | $432 | 0.7× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $347.13 | $471 | 2.2× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) | $347.13 | $471 | 2.2× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) | $921.99 | $1,251 | 2.2× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $4,701.32 | $6,379 | 2.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 7 matching MRF lines |
$124.35–$448.37 | $229–$788 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 6 matching MRF lines |
$202.13–$2,499.34 | $410–$4,698 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $711.82 | $1,338 | 0.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$242.06–$1,306.59 | $491–$2,456 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $241.90 | $410 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $711.82 | $1,338 | 0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$224.32–$903.87 | $455–$1,699 | varies |
| Nudt15 & tpmt gene analysis common variants (0169U) | $1,031.06 | $1,399 | 2.2× |
| Occipital Nerve Block (64405) range across 6 matching MRF lines |
$121.77–$424 | $247–$797 | varies |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) | $18,694.01 | $25,365 | 2.2× |
| Onc pncrs DNA&mrna seq 74 (0313U) | $7,959.60 | $10,800 | 2.2× |
| Open treatment interphalangeal joint dislocation (28675) | $455.58 | $839 | 0.1× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $488.16 | $899 | 0.1× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) range across 3 matching MRF lines |
$1,097.40–$1,645.83 | $2,021–$3,031 | varies |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$268.79–$945.11 | $495–$1,661 | varies |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $302.99 | $558 | 0.1× |
| Peritoneal Lavage (49084) | $124.35 | $229 | 0.1× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$68.42–$268.57 | $126–$472 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $54.30 | $100 | 0.1× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$46.10–$244.19 | $102–$459 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$88.59–$106.43 | $196 | varies |
| Puncture Aspiration Cyst Breast (19000) | $247.49 | $493 | 0.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 2 matching MRF lines |
$117.07–$536.26 | $259–$1,008 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$128.69–$193.31 | $237–$356 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 3 matching MRF lines |
$454.49–$681.46 | $837–$1,255 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$150.95–$226.43 | $278–$417 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $165.62 | $305 | 0.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$31.64–$38.01 | $70 | varies |
| Removal of adenoids (42835) | $179.90 | $398 | 0.1× |
| Removal of adenoids (42831) | $210.18 | $465 | 0.1× |
| Removal of adenoids (42830) | $194.36 | $430 | 0.1× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$64.37–$114.57 | $121–$211 | varies |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$245.44 | $543 | 0.0× |
| Removal of tonsils (42826) | $235.04 | $520 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$68.70–$147.36 | $152–$277 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $38.01 | $70 | 0.1× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$32.58–$48.87 | $60–$90 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$76.56–$264.58 | $141–$465 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$105.77–$127.06 | $234 | varies |
| Renal Biopsy Perq (50200) range across 3 matching MRF lines |
$1,145.56–$1,718.35 | $2,282–$3,423 | varies |
| Repair Blood Vessel Direct Hand Finger (35207) range across 3 matching MRF lines |
$853.05–$1,279.31 | $1,571–$2,356 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$263.97–$317.11 | $584 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$318.21–$382.27 | $704 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$230.07–$276.39 | $509 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$287.47–$345.35 | $636 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$218.32–$262.27 | $483 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$244.98–$294.31 | $542 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$189.84–$228.06 | $420 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$233.23–$280.19 | $516 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $667.89 | $1,230 | 0.4× |
| Repair Finger/Hand Tendon (26350) | $816.13 | $1,503 | 0.2× |
| Repair Hand Tendon (26410) | $649.43 | $1,196 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$158.65–$190.59 | $351 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$187.58–$225.35 | $415 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $243.26 | $448 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $249.24 | $459 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $481.64 | $887 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $304.62 | $561 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$137.86–$165.62 | $305 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$184.42–$221.54 | $408 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $241.64 | $445 | 0.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $397.48 | $732 | 0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $272.04 | $501 | 0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$142.38–$171.05 | $315 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$178.54–$214.49 | $395 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $319.83 | $589 | 0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $231.86 | $427 | 0.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $373.58 | $688 | 0.2× |
| Repair Laceration Palate </2 Cm (42180) | $207.43 | $382 | 0.4× |
| Repair of nail bed (11760) | $129.23 | $238 | 0.2× |
| Repair tongue laceration (41252) | $235.66 | $434 | 1.0× |
| Repair tongue laceration (41250) | $173.76 | $320 | 0.4× |
| Rev/rmv prph sac/gstr npg/r (64595) | $261.71 | $579 | 0.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $838.10 | $1,700 | 0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $295.61 | $654 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$46.70–$70.05 | $86–$129 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$57.56–$86.34 | $106–$159 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$41.27–$61.36 | $76–$113 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) range across 3 matching MRF lines |
$188.96–$283.45 | $348–$522 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $159.10 | $293 | 0.1× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 2 matching MRF lines |
$730.63–$1,549.18 | $1,482–$2,912 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $109.14 | $201 | 0.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $356.21 | $656 | 0.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $344.80 | $635 | 0.6× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $556.58 | $1,025 | 0.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $601.61 | $1,331 | 0.2× |
| Shave skin lesion 0.5 cm/< (11300) | $32.54 | $72 | 0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $43.84 | $97 | 0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $37.06 | $82 | 0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $47.46 | $105 | 0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $61.02 | $135 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $69.16 | $153 | 0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$60.12–$159.60 | $133–$300 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $49.27 | $109 | 0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $67.80 | $150 | 0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $57.86 | $128 | 0.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $148.24 | $273 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$53.34–$64.07 | $118 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $67.88 | $125 | 0.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $175.93 | $324 | 0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $86.34 | $159 | 0.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $199.28 | $367 | 1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $51.04 | $94 | 0.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $166.16 | $306 | 0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $84.71 | $156 | 0.4× |
| Skin Full Grft Face/Genit/Hf (15240) | $891.61 | $1,642 | 0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $67.88 | $125 | 0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $110.23 | $203 | 0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $134.66 | $248 | 0.3× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$154.76–$168.15 | $285 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$21.18–$32.04 | $39–$59 | varies |
| Strapping Unna Boot (29580) range across 9 matching MRF lines |
$31.49–$224.16 | $58–$353 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 3 matching MRF lines |
$166.79–$250.41 | $369–$554 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$36.61–$196.31 | $81–$369 | varies |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$73.68–$517.06 | $163–$1,030 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $281.60 | $623 | 0.1× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $107.12 | $237 | 0.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $380.64 | $701 | 1.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $364.90 | $672 | 0.2× |
| Treat Dental Ridge Fracture (21440) | $566.35 | $1,043 | 0.2× |
| Treat Hip Socket Fracture (27222) range across 3 matching MRF lines |
$1,102.83–$1,653.98 | $2,031–$3,046 | varies |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$370.87–$556.58 | $683–$1,025 | varies |
| Treat Humerus Fracture (24505) range across 3 matching MRF lines |
$507.16–$760.74 | $934–$1,401 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$349.69–$524.54 | $644–$966 | varies |
| Treat Knuckle Dislocation (26700) | $347.52 | $640 | 1.4× |
| Treat Metatarsal Fracture (28475) | $255.75 | $471 | 1.0× |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$390.96–$586.44 | $720–$1,080 | varies |
| Treat toe dislocation (28630) | $125.43 | $231 | 0.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$534.86–$802.01 | $985–$1,477 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$380.64–$571.24 | $701–$1,052 | varies |
| Trim skin lesion (11055) | $64.37 | $121 | 0.3× |
| Trim skin lesions 2 to 4 (11056) | $89.38 | $168 | 0.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $33.52 | $63 | 0.5× |
| Trnsplj Don-Drv Cll-Fr Dna (0118U) | $6,087.62 | $8,260 | 2.2× |
| Tx Gastro Intub W/Asp (43753) | $25.52 | $47 | 0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $344.80 | $635 | 0.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $212.86 | $392 | 0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $290.50 | $535 | 0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $214.49 | $395 | 0.8× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) range across 3 matching MRF lines |
$268.94–$403.64 | $595–$893 | varies |
| Tympanostomy general anesthesia (69436) range across 3 matching MRF lines |
$146.45–$219.67 | $324–$486 | varies |
| Vaginal delivery only (59409) | $922.56 | $1,699 | 0.3× |
| Vein Access Cutdown < 1 Yr (36420) | $54.84 | $101 | 0.4× |
| Venous Cutdown >1 Y/O (36425) | $45.61 | $84 | 0.1× |
| Ventilating tube removal requiring general anesthesia (69424) range across 3 matching MRF lines |
$56.50–$84.98 | $125–$188 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$64.37–$103.71 | $121–$191 | 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.