Procedures & surgery prices at Orange City Area Health System
Orange City, IA · every code in this section with a posted price and a Medicare benchmark.
516 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$742.40–$771.20 | $928–$964 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $532.80 | $666 | 0.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $1,537.60 | $1,922 | 0.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,824.80 | $2,281 | 0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,635.20 | $2,044 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,728.80 | $2,161 | 0.5× |
| Amputation toe metatarsophalangeal joint (28820) | $1,384 | $1,730 | 0.4× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$80.80–$298.40 | $101–$373 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $703.20 | $879 | 0.6× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $254.40 | $318 | 0.1× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$148.80–$207.20 | $186–$259 | varies |
| Application Finger Splint Dynamic (29131) | $127.20 | $159 | 2.2× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$70.40–$98.40 | $88–$123 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$100–$196 | $125–$245 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$122.40–$208 | $153–$260 | varies |
| Application Short Arm Splint Dynamic (29126) | $184 | $230 | 1.4× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$96–$157.60 | $120–$197 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$119.20–$155.20 | $149–$194 | varies |
| Apply hand/wrist cast (29085) | $229.60 | $287 | 1.5× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$165.60–$231.20 | $207–$289 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $225.60 | $282 | 1.4× |
| Apply Short Leg Cast (29405) | $192 | $240 | 0.7× |
| Arterial puncture (36600) | $28 | $35 | 0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $132 | $165 | 0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
$60.80–$207.20 | $76–$259 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$44.80–$221.60 | $56–$277 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 6 matching MRF lines |
$69.60–$344.80 | $87–$431 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $128.80 | $161 | 0.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $1,308 | $1,635 | 0.4× |
| Arthroscopy knee synovectomy limited spx (29875) | $1,156 | $1,445 | 0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) | $1,576.80 | $1,971 | 0.5× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$2,459.20 | $3,074 | 0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $1,602.40 | $2,003 | 0.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$2,129.60 | $2,662 | 0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $1,380.80 | $1,726 | 0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $1,261.60 | $1,577 | 0.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$2,399.20 | $2,999 | 0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $1,367.20 | $1,709 | 0.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$2,480.80 | $3,101 | 0.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) unusually low: confirm this is the full procedure |
$2,268 | $2,835 | 0.3× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $1,538.40 | $1,923 | 0.5× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $1,447.20 | $1,809 | 0.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $1,308 | $1,635 | 0.4× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$262.40–$425.60 | $328–$532 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $155.20 | $194 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$128.80–$280 | $161–$350 | varies |
| Axillary lymphadenectomy; complete (38745) unusually low: confirm this is the full procedure |
$2,146.40 | $2,683 | 0.4× |
| Biopsy of breast; open, incisional (19101) | $825.60 | $1,032 | 0.2× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$208–$351.20 | $260–$439 | varies |
| Biopsy soft tissue neck/thorax (21550) | $604.80 | $756 | 0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $212 | $265 | 0.2× |
| Biopsy/removal lymph nodes (38510) | $971.20 | $1,214 | 0.3× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$168–$615.20 | $210–$769 | varies |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$145.60–$256.80 | $182–$321 | varies |
| Bladder Scan (51798) | $245.60 | $307 | 4.3× |
| Blepharoplasty upper eyelid (15822) | $961.60 | $1,202 | 0.5× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $1,500 | $1,875 | 0.8× |
| Blepharotomy drainage abscess eyelid (67700) | $276 | $345 | 0.9× |
| Blood Transfusion Service (36430) | $294.40 | $368 | 0.7× |
| Bx breast 1st lesion us imag (19083) | $1,381.60 | $1,727 | 0.9× |
| Bx breast needle core w/o imaging guidance spx (19100) | $380.80 | $476 | 0.2× |
| Bx Cervix (57500) | $383.20 | $479 | 0.4× |
| Bx/exc lymph node open deep axillary node (38525) | $1,073.60 | $1,342 | 0.3× |
| Bx/exc lymph node open superficial (38500) | $828.80 | $1,036 | 0.2× |
| Carpal Tunnel Surgery (64721) | $1,080 | $1,350 | 0.6× |
| Cataract surgery complex (66982) | $1,761.60 | $2,202 | 0.8× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $495.20 | $619 | 1.7× |
| Change Cystostomy Tube Complicated (51710) | $314.40 | $393 | 0.5× |
| Change Cystostomy Tube Simple (51705) | $222.40 | $278 | 0.9× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$167.20–$201.60 | $209–$252 | varies |
| Chest tube placement (32551) | $376.80 | $471 | 0.2× |
| Circumcision w/clamp/oth dev w/block (54150) | $371.20 | $464 | 0.2× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$113.60–$200 | $142–$250 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $918.40 | $1,148 | 3.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $779.20 | $974 | 0.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$560–$604 | $700–$755 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $757.60 | $947 | 3.2× |
| Closed tx knee dislocation w/o anesthesia (27550) | $649.60 | $812 | 2.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $532 | $665 | 2.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $378.40 | $473 | 0.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $800.80 | $1,001 | 3.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$602.40–$648 | $753–$810 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$632.80–$700 | $791–$875 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,118.40 | $1,398 | 0.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$636.80–$714.40 | $796–$893 | varies |
| Closed tx talus fracture w/o manipulation (28430) | $587.20 | $734 | 2.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$660–$700.80 | $825–$876 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $648 | $810 | 2.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$558.40–$559.20 | $698–$699 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,003.20 | $1,254 | 0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$727.20–$803.20 | $909–$1,004 | varies |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) | $1,090.40 | $1,363 | 0.4× |
| Clsr Lacrimal Punctum Plug Each (68761) | $355.20 | $444 | 1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,156 | $1,445 | 0.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $751.20 | $939 | 3.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $916.80 | $1,146 | 3.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$709.60–$774.40 | $887–$968 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$460–$464 | $575–$580 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$797.60–$833.60 | $997–$1,042 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,253.60–$1,325.60 | $1,567–$1,657 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,847.20 | $2,309 | 1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $434.40 | $543 | 1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $335.20 | $419 | 1.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $291.20 | $364 | 1.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,200 | $1,500 | 0.8× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $748 | $935 | 3.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,837.60 | $2,297 | 1.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $725.60 | $907 | 3.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$638.40–$702.40 | $798–$878 | varies |
| Cltx Medial Ankle Fx (27760) | $816.80 | $1,021 | 3.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $713.60 | $892 | 3.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$704–$741.60 | $880–$927 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$462.40–$492 | $578–$615 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $984 | $1,230 | 4.1× |
| Cltx prox fibula/shft fx w/o manj (27780) | $762.40 | $953 | 3.2× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $649.60 | $812 | 2.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$195.20–$255.20 | $244–$319 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $409.60 | $512 | 0.3× |
| Cltx tibial fx proximal w/o manipulation (27530) | $758.40 | $948 | 3.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,043.20 | $1,304 | 0.7× |
| Collection of venous blood by venipuncture (36415) | $20.80 | $26 | 2.2× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $478.40 | $598 | 0.4× |
| Colonoscopy thru stoma (44388) | $375.20 | $469 | 0.4× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $541.60 | $677 | 0.5× |
| Colonoscopy w/ablation (45388) | $677.60 | $847 | 0.6× |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$724–$1,999.20 | $905–$2,499 | varies |
| Colonoscopy w/submucosal inj (45381) | $502.40 | $628 | 0.4× |
| Colporrhaphy (57200) | $813.60 | $1,017 | 0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $414.40 | $518 | 1.4× |
| Colposcopy Cervix Endocervical Curettage (57456) | $371.20 | $464 | 1.3× |
| Colposcopy cervix upper/adjacent vagina (57452) | $310.40 | $388 | 1.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $396.80 | $496 | 1.4× |
| Colposcopy entire vagina w/cervix if present (57420) | $285.60 | $357 | 1.0× |
| Colposcopy of vulva (56820) | $240.80 | $301 | 1.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $433.60 | $542 | 0.5× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $650.40 | $813 | 0.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $575.20 | $719 | 0.5× |
| Complex drainage wound (10180) | $644 | $805 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$146.40–$1,637.60 | $183–$2,047 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$137.60–$388.80 | $172–$486 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $255.20 | $319 | 2.0× |
| Curettage postpartum (59160) | $648 | $810 | 0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $575.20 | $719 | 0.3× |
| Cysto w/complex removal stone & stent (52315) | $650.40 | $813 | 0.3× |
| Cysto w/destruction of lesions (52214) | $326.40 | $408 | 0.1× |
| Cysto w/insert ureteral stent (52332) | $758.40 | $948 | 0.2× |
| Cysto w/removal of tumors small (52234) | $458.40 | $573 | 0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) | $283.20 | $354 | 0.1× |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$84–$371.20 | $105–$464 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $315.20 | $394 | 0.2× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) likely a partial charge, not the full procedure |
$840.80 | $1,051 | 0.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $393.60 | $492 | 0.2× |
| Cystourethroscopy with biopsy (52204) | $264.80 | $331 | 0.1× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$48–$78.40 | $60–$98 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$106.40–$125.60 | $133–$157 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $316 | $395 | 0.8× |
| Declot vascular device (36593) | $76 | $95 | 0.2× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$460–$1,084 | $575–$1,355 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$459.20–$1,094.40 | $574–$1,368 | varies |
| Destruct B9 Lesion 1-14 (17110) | $255.20 | $319 | 1.3× |
| Destruction Benign Lesions 15/> (17111) | $296 | $370 | 1.5× |
| Destruction Lesions Vulva Simple (56501) | $369.60 | $462 | 0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $425.60 | $532 | 2.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $497.60 | $622 | 2.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $358.40 | $448 | 1.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $432.80 | $541 | 2.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $393.60 | $492 | 2.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $360 | $450 | 1.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $401.60 | $502 | 2.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $458.40 | $573 | 2.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $507.20 | $634 | 1.3× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $241.60 | $302 | 1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $350.40 | $438 | 0.2× |
| Destruction of skin lesions (17106) | $761.60 | $952 | 1.9× |
| Destruction Premalignant Lesion 15/> (17004) | $377.60 | $472 | 1.0× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$56–$184.80 | $70–$231 | varies |
| Destruction Vaginal Lesions Simple (57061) | $415.20 | $519 | 0.1× |
| Diagnostic sigmoidoscopy (45330) | $464 | $580 | 0.5× |
| Dilat female urethra general/cndj spinal anes (53665) | $72 | $90 | 0.0× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $76.80 | $96 | 0.6× |
| Dilation Cervical Canal (57800) | $40 | $50 | 0.0× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$57.60–$191.20 | $72–$239 | varies |
| Drainage of finger abscess simple (26010) | $786.40 | $983 | 4.1× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$220–$414.40 | $275–$518 | varies |
| Drainage of hydrocele (55000) | $229.60 | $287 | 0.3× |
| Drainage of scrotum (54700) | $511.20 | $639 | 0.3× |
| Draw Blood Off Venous Device (36591) | $11.20 | $14 | 0.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $231.20 | $289 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$131.20–$145.60 | $164–$182 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $344 | $430 | 1.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,362.40 | $2,953 | 3.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $366.40 | $458 | 0.2× |
| Egd control bleeding any (43255) | $480 | $600 | 0.3× |
| Egd dilation gastric/duodenal stricture (43245) | $420 | $525 | 0.2× |
| Egd Flexible Foreign Body Removal (43247) | $424 | $530 | 0.5× |
| Egd place gastrostomy tube (43246) | $480 | $600 | 0.3× |
| Egd remove lesion snare (43251) | $468 | $585 | 0.3× |
| Endometrial Biopsy (58100) | $251.20 | $314 | 1.3× |
| Endoscopic injection/implant (51715) | $431.20 | $539 | 0.1× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 3 matching MRF lines |
$199.20–$4,110.40 | $249–$5,138 | varies |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$271.20–$477.60 | $339–$597 | varies |
| Episiotomy or vaginal repair (59300) | $557.60 | $697 | 0.2× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) | $304.80 | $381 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$76–$139.20 | $95–$174 | varies |
| Exc abdl tum deep 5 cm/> (22901) | $1,504 | $1,880 | 0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $288.80 | $361 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $460 | $575 | 0.3× |
| Exc Back Les Sc < 3 Cm (21930) | $1,140.80 | $1,426 | 0.7× |
| Exc Back Tum Deep 5 Cm/> (21933) | $1,660.80 | $2,076 | 0.6× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $1,400.80 | $1,751 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $530.40 | $663 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $600 | $750 | 0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $323.20 | $404 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $393.60 | $492 | 0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $434.40 | $543 | 0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $512.80 | $641 | 0.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $952.80 | $1,191 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $288 | $360 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $360 | $450 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $403.20 | $504 | 0.3× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,249.60 | $1,562 | 0.8× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $686.40 | $858 | 0.7× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,564.80 | $1,956 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $443.20 | $554 | 0.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $527.20 | $659 | 0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $749.60 | $937 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $718.40 | $898 | 0.5× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $664 | $830 | 0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $912.80 | $1,141 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,001.60 | $1,252 | 0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) | $1,022.40 | $1,278 | 0.4× |
| Exc thigh/knee tum dep 5cm/> (27339) | $1,837.60 | $2,297 | 0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $528 | $660 | 0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $352 | $440 | 0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $386.40 | $483 | 0.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $506.40 | $633 | 0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,004.80 | $1,256 | 0.4× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,192 | $1,490 | 0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,075.20 | $1,344 | 0.7× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $1,612 | $2,015 | 0.6× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $772.80 | $966 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $623.20 | $779 | 0.9× |
| Excision Chalazion Single (67800) | $308 | $385 | 1.0× |
| Excision Lesion Conjunctiva </1 Cm (68110) | $317.60 | $397 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $448.80 | $561 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $513.60 | $642 | 0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $547.20 | $684 | 1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $694.40 | $868 | 1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $459.20 | $574 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $704.80 | $881 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $451.20 | $564 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $514.40 | $643 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $566.40 | $708 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $754.40 | $943 | 0.5× |
| Excision Multiple External Papillae/Tags Anus (46230) | $769.60 | $962 | 0.3× |
| Excision of chalazion; multiple, different lids (67805) | $485.60 | $607 | 1.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $791.20 | $989 | 0.5× |
| Excision of hydrocele; bilateral (55041) | $1,178.40 | $1,473 | 0.3× |
| Excision of hydrocele; unilateral (55040) | $813.60 | $1,017 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$405.60–$823.20 | $507–$1,029 | varies |
| Excision of single external papilla or tag, anus (46220) | $623.20 | $779 | 0.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,434.40 | $1,793 | 0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,056.80 | $1,321 | 0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $945.60 | $1,182 | 0.6× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $1,148.80 | $1,436 | 0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $991.20 | $1,239 | 0.4× |
| Excision/Transposition Pterygium W/Grafg (65426) | $1,091.20 | $1,364 | 0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $621.60 | $777 | 0.3× |
| Exploration penetrating wound spx extremity (20103) | $1,391.20 | $1,739 | 0.9× |
| External cephalic version (59412) | $162.40 | $203 | 0.1× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$69.60–$436 | $87–$545 | varies |
| Fine needle aspiration without imaging guidance (10021) | $231.20 | $289 | 0.6× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$169.60–$310.40 | $212–$388 | varies |
| Foreskin manipulation (54450) | $164 | $205 | 0.7× |
| Guide Cathet Fluid Drainage (10030) | $1,599.20 | $1,999 | 2.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,290.40 | $1,613 | 0.5× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,185.60 | $1,482 | 0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,180 | $1,475 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $651.20 | $814 | 0.7× |
| Hysteroscopy Biopsy (58558) | $556.80 | $696 | 0.2× |
| Hysteroscopy Endometrial Ablation (58563) | $5,688 | $7,110 | 1.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $532.80 | $666 | 0.2× |
| I&d abscess peritonsillar (42700) | $340.80 | $426 | 1.5× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$253.60–$301.60 | $317–$377 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $809.60 | $1,012 | 0.3× |
| I&d perianal abscess superficial (46050) | $587.20 | $734 | 0.7× |
| I&d pilonidal cyst complicated (10081) | $412.80 | $516 | 0.6× |
| I&d pilonidal cyst simple (10080) | $631.20 | $789 | 0.9× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$558.40 | $698 | 0.0× |
| Incise external hemorrhoid (46083) | $520 | $650 | 2.2× |
| Incise finger tendon sheath (26055) | $1,467.20 | $1,834 | 0.9× |
| Incise/Drain Conjunctiva (68020) | $280 | $350 | 0.3× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$441.60–$516.80 | $552–$646 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $603.20 | $754 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$249.60–$368.80 | $312–$461 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $464 | $580 | 2.4× |
| Incision and drainage of vulva or perineal abscess (56405) | $365.60 | $457 | 1.2× |
| Incision of lingual frenum (frenotomy) (41010) | $556 | $695 | 0.4× |
| Incision of rectal abscess (46040) | $1,356 | $1,695 | 1.2× |
| Incisional biopsy skin single lesion (11106) | $352.80 | $441 | 0.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$253.60–$482.40 | $317–$603 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $280.80 | $351 | 0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $313.60 | $392 | 0.4× |
| Inject Intravitreal Pharmcologic (67028) range across 2 matching MRF lines |
$216.80–$324.80 | $271–$406 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$139.20–$207.20 | $174–$259 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $342.40 | $428 | 0.4× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $151.20 | $189 | 0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $199.20 | $249 | 0.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $82.40 | $103 | 0.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $371.20 | $464 | 0.5× |
| Injection anesthetic agent suprascapular nerve (64418) | $228 | $285 | 0.3× |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$80–$630.40 | $100–$788 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$141.60–$212 | $177–$265 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$91.20–$130.40 | $114–$163 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $148.80 | $186 | 0.5× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$200–$300 | $250–$375 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$272–$273.60 | $340–$342 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$125.60–$214.40 | $157–$268 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$187.20–$293.60 | $234–$367 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $138.40 | $173 | 0.7× |
| Injx Anterior Chamber Eye Medication Spx (66030) | $429.60 | $537 | 0.2× |
| Insert Bladder Cath Complex (51703) | $175.20 | $219 | 1.4× |
| Insert Drug Implant Device (11981) | $248 | $310 | 1.9× |
| Insert non-tunnel cv cath (36556) | $201.60 | $252 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$119.20–$128 | $149–$160 | varies |
| Insert tunneled cv cath (36561) | $801.60 | $1,002 | 0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$64.80–$112.80 | $81–$141 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $490.40 | $613 | 0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $200.80 | $251 | 0.1× |
| Insj Picc Rs&I <5 Yr (36572) | $221.60 | $277 | 0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $757.60 | $947 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$224–$884.80 | $280–$1,106 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $830.40 | $1,038 | 0.3× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$264.80–$378.40 | $331–$473 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $540.80 | $676 | 1.0× |
| Knee Arthroscopy/Surgery (29874) | $1,248.80 | $1,561 | 0.4× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$2,309.60 | $2,887 | 0.2× |
| Laparoscopy Enterolysis Separate Procedure (44180) unusually low: confirm this is the full procedure |
$2,145.60 | $2,682 | 0.4× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$876.80 | $1,096 | 0.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$1,013.60 | $1,267 | 0.2× |
| Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,516.80 | $1,896 | 0.3× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,408.80 | $1,761 | 0.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,514.40 | $3,143 | 0.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) unusually low: confirm this is the full procedure |
$2,076 | $2,595 | 0.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,683.20 | $2,104 | 0.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,106.40 | $1,383 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$765.60 | $957 | 0.1× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,672 | $2,090 | 0.3× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) unusually low: confirm this is the full procedure |
$3,069.60 | $3,837 | 0.3× |
| Laser Surgery,Sever Vitreous Strands (67031) | $809.60 | $1,012 | 1.5× |
| Late closure of wound (13160) | $1,925.60 | $2,407 | 0.6× |
| Lig&div long saph vein saphfem junct/interrupj (37700) | $593.60 | $742 | 0.2× |
| Ligate leg veins open (37761) | $1,290.40 | $1,613 | 0.4× |
| Ligation or biopsy temporal artery (37609) | $711.20 | $889 | 0.4× |
| Lysis of labial adhesions (56441) | $452.80 | $566 | 0.1× |
| Mast mod rad (19307) unusually low: confirm this is the full procedure |
$2,744.80 | $3,431 | 0.4× |
| Mastectomy for gynecomastia (19300) | $1,436 | $1,795 | 0.4× |
| Mastectomy partial (19301) | $1,612.80 | $2,016 | 0.4× |
| Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,338.40 | $2,923 | 0.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $364 | $455 | 0.5× |
| N block inj intercost sng (64420) | $241.60 | $302 | 0.4× |
| N Block Inj Plantar Digit (64455) | $120.80 | $151 | 0.4× |
| N Block Lumbar/Thoracic (64520) | $201.60 | $252 | 0.2× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $1,194.40 | $1,493 | 0.7× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$289.60–$402.40 | $362–$503 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $13.60 | $17 | 0.5× |
| Needle insertion w/o injection 3 or more muscles (20561) | $13.60 | $17 | 0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $588 | $735 | 1.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$123.20–$277.60 | $154–$347 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$214.40–$482.40 | $268–$603 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) range across 2 matching MRF lines |
$266.40–$628 | $333–$785 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$256.80–$648 | $321–$810 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$240–$401.60 | $300–$502 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) range across 2 matching MRF lines |
$214.40–$364 | $268–$455 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $653.60 | $817 | 0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$238.40–$637.60 | $298–$797 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $364 | $455 | 0.4× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $432.80 | $541 | 1.1× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$183.20–$276 | $229–$345 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $1,086.40 | $1,358 | 0.3× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $1,870.40 | $2,338 | 0.4× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) unusually low: confirm this is the full procedure |
$2,356.80 | $2,946 | 0.4× |
| Partial hymenectomy or revision of hymenal ring (56700) | $496 | $620 | 0.2× |
| Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,716 | $2,145 | 0.3× |
| Pelvic examination under anesthesia (other than local) (57410) | $244 | $305 | 0.1× |
| Penile Injection (54235) | $173.60 | $217 | 0.7× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$166.40–$1,090.40 | $208–$1,363 | varies |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) likely a partial charge, not the full procedure |
$1,142.40 | $1,428 | 0.2× |
| Perq Vertebral Augmentation (22513) likely a partial charge, not the full procedure |
$1,544.80 | $1,931 | 0.2× |
| Placement of seton (46020) | $261.60 | $327 | 0.1× |
| Probe lacrimal canaliculi w/wo irrigation (68840) | $318.40 | $398 | 1.0× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $918.40 | $1,148 | 0.4× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) | $318.40 | $398 | 0.1× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $587.20 | $734 | 0.7× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$104.80–$288 | $131–$360 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$228.80–$314.40 | $286–$393 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$104–$258.40 | $130–$323 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $468 | $585 | 0.2× |
| Removal foreign body foot deep (28192) | $1,040 | $1,300 | 0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $328.80 | $411 | 0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $38.40 | $48 | 0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$42.40–$144 | $53–$180 | varies |
| Removal of anal fissure (46200) | $822.40 | $1,028 | 0.3× |
| Removal of foreign body from pharynx (42809) | $306.40 | $383 | 0.7× |
| Removal of nail bed (11750) | $359.20 | $449 | 0.9× |
| Removal or bivalving full arm or full leg cast (29705) | $108 | $135 | 0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $218.40 | $273 | 1.1× |
| Remove drug implant device (11982) | $280 | $350 | 0.7× |
| Remove foreign body from eye (65235) | $409.60 | $512 | 0.2× |
| Remove foreign body from eye (65205) | $70.40 | $88 | 0.6× |
| Remove Intrauterine Device (58301) | $272 | $340 | 0.9× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$304–$518.40 | $380–$648 | varies |
| Remove Peritoneal Foreign Body (49402) | $2,077.60 | $2,597 | 0.6× |
| Remove prostate regrowth (52630) likely a partial charge, not the full procedure |
$771.20 | $964 | 0.1× |
| Remove/Insert Drug Implant (11983) | $347.20 | $434 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $800.80 | $1,001 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $577.60 | $722 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$721.60–$1,149.60 | $902–$1,437 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,037.60 | $1,297 | 2.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $972.80 | $1,216 | 1.4× |
| Repair Ectropion Extensive (67917) | $1,510.40 | $1,888 | 0.7× |
| Repair Elbow Perc (24357) | $1,020.80 | $1,276 | 0.3× |
| Repair Entropion Extensive (67924) | $1,027.20 | $1,284 | 0.4× |
| Repair Entropion Suture (67921) | $700 | $875 | 0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $1,548.80 | $1,936 | 0.4× |
| Repair initial femoral hernia, any age; reducible (49550) | $1,410.40 | $1,763 | 0.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,436 | $1,795 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$403.20–$694.40 | $504–$868 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$474.40–$770.40 | $593–$963 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$512–$890.40 | $640–$1,113 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $944.80 | $1,181 | 2.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$344–$648 | $430–$810 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$467.20–$758.40 | $584–$948 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $931.20 | $1,164 | 1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$579.20–$952 | $724–$1,190 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$350.40–$645.60 | $438–$807 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$452–$738.40 | $565–$923 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,061.60 | $1,327 | 1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$491.20–$816.80 | $614–$1,021 | varies |
| Repair of nail bed (11760) | $268 | $335 | 0.4× |
| Repair tongue laceration (41250) | $369.60 | $462 | 0.9× |
| Rerepair ing hernia reduce (49520) | $1,550.40 | $1,938 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$97.60–$145.60 | $122–$182 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $560 | $700 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$424–$522.40 | $530–$653 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $329.60 | $412 | 0.5× |
| Rplc Gtube No Revj Trc (43762) | $584 | $730 | 2.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $692.80 | $866 | 0.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) unusually low: confirm this is the full procedure |
$1,817.60 | $2,272 | 0.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $799.20 | $999 | 0.2× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$1,390.40 | $1,738 | 0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $960.80 | $1,201 | 0.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,336 | $1,670 | 0.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,158.40 | $1,448 | 0.2× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) range across 2 matching MRF lines |
$1,779.20–$2,777.60 | $2,224–$3,472 | varies |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $445.60 | $557 | 0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $228.80 | $286 | 1.2× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $158.40 | $198 | 0.2× |
| Shave skin lesion 0.5 cm/< (11300) | $250.40 | $313 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $285.60 | $357 | 1.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $443.20 | $554 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $262.40 | $328 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $300.80 | $376 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $344.80 | $431 | 1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $365.60 | $457 | 0.9× |
| Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$1,250.40 | $1,563 | 0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $335.20 | $419 | 1.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $380 | $475 | 1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $298.40 | $373 | 1.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $373.60 | $467 | 1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $339.20 | $424 | 1.8× |
| Sigmoidoscopy & Polypectomy (45333) | $224.80 | $281 | 0.3× |
| Sigmoidoscopy w/fb removal (45332) | $252 | $315 | 0.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $171.20 | $214 | 0.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$133.60–$273.60 | $167–$342 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$141.60–$285.60 | $177–$357 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $181.60 | $227 | 0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$109.60–$229.60 | $137–$287 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$176.80–$320.80 | $221–$401 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$142.40–$276.80 | $178–$346 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $230.40 | $288 | 0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $283.20 | $354 | 0.7× |
| Sphincterotomy anal division sphincter spx (46080) | $713.60 | $892 | 0.3× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$308.80–$766.40 | $386–$958 | varies |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) | $1,144 | $1,430 | 0.5× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) | $1,572.80 | $1,966 | 0.4× |
| Surg tx anal fistula subq (46270) | $1,323.20 | $1,654 | 0.5× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $5,447.20 | $6,809 | 0.8× |
| Tangential biopsy skin single lesion (11102) | $232 | $290 | 0.6× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $828 | $1,035 | 0.5× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $822.40 | $1,028 | 0.3× |
| Tenotomy shoulder area single tendon (23405) likely a partial charge, not the full procedure |
$1,506.40 | $1,883 | 0.2× |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$238.40–$265.60 | $298–$332 | varies |
| Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$2,228.80 | $2,786 | 0.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,844.80 | $2,306 | 0.9× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,971.20 | $3,714 | 0.2× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) unusually low: confirm this is the full procedure |
$2,240.80 | $2,801 | 0.4× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $819.20 | $1,024 | 0.3× |
| Transur electr resection of prostate (52601) unusually low: confirm this is the full procedure |
$1,618.40 | $2,023 | 0.3× |
| Transurethral resection bladder neck (52500) | $936.80 | $1,171 | 0.3× |
| Treat ectopic pregnancy (59151) unusually low: confirm this is the full procedure |
$1,820.80 | $2,276 | 0.3× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$820–$889.60 | $1,025–$1,112 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$778.40–$819.20 | $973–$1,024 | varies |
| Treat Thumb Fracture (26645) | $940 | $1,175 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $833.60 | $1,042 | 3.5× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$60–$176.80 | $75–$221 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$104–$201.60 | $130–$252 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$192–$222.40 | $240–$278 | varies |
| Tubal ligation (58600) | $903.20 | $1,129 | 0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $892.80 | $1,116 | 0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,077.60 | $1,347 | 0.3× |
| Unlisted laparoscopy procedure, spermatic cord (55559) likely a partial charge, not the full procedure |
$378.40 | $473 | 0.1× |
| Vaginal delivery only (59409) | $1,389.60 | $1,737 | 0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $868.80 | $1,086 | 0.4× |
| Wedge excision skin nail fold (11765) | $405.60 | $507 | 1.0× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) unusually low: confirm this is the full procedure |
$1,614.40 | $2,018 | 0.3× |
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.