Procedures & surgery prices at Osf Holy Family Medical Center
Monmouth, IL · every code in this section with a posted price and a Medicare benchmark.
398 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 |
$1,555.20–$1,586.40 | $1,944–$1,983 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,715.20–$1,767.20 | $2,144–$2,209 | varies |
| Amniocentesis diagnostic (59000) range across 3 matching MRF lines |
$660–$731.20 | $825–$914 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $215.20 | $269 | 1.2× |
| Application cast elbow finger short arm (29075) | $347.20 | $434 | 1.2× |
| Application Finger Splint Dynamic (29131) | $684.80 | $856 | 10.8× |
| Application finger splint static (29130) | $625.60 | $782 | 4.4× |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$349.60–$2,096 | $437–$2,620 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $538.40 | $673 | 1.8× |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$799.20–$827.20 | $999–$1,034 | varies |
| Application of long leg cast (29345) | $410.40 | $513 | 1.4× |
| Application of rigid total contact leg cast (29445) | $437.60 | $547 | 1.5× |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$777.60–$806.40 | $972–$1,008 | varies |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$640.80–$958.40 | $801–$1,198 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$797.60–$1,195.20 | $997–$1,494 | varies |
| Apply hand/wrist cast (29085) | $246.40 | $308 | 1.4× |
| Apply long arm cast (29065) | $347.20 | $434 | 1.2× |
| Apply Multlay Comprs Lwr Leg (29581) range across 9 matching MRF lines |
$256.80–$386.40 | $321–$483 | varies |
| Apply Short Leg Cast (29405) | $396 | $495 | 1.3× |
| Arterial puncture (36600) | $142.40 | $178 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$408–$423.20 | $510–$529 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $960 | $1,200 | 1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$1,076–$1,977.60 | $1,345–$2,472 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$437.60–$656.80 | $547–$821 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$1,098.40–$1,139.20 | $1,373–$1,424 | varies |
| Aspirate pleura w/ imaging (32555) range across 9 matching MRF lines |
$1,769.60–$2,747.20 | $2,212–$3,434 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 6 matching MRF lines |
$1,374.40–$2,101.60 | $1,718–$2,627 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $1,737.60 | $2,172 | 2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$296–$520 | $370–$650 | varies |
| Biopsy Abdominal Mass (49180) | $1,344 | $1,680 | 0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,344 | $1,680 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $2,035.20 | $2,544 | 1.1× |
| Biopsy of liver, needle; percutaneous (47000) | $2,240.80 | $2,801 | 1.3× |
| Biopsy soft tissue neck/thorax (21550) | $4,416 | $5,520 | 2.5× |
| Bladder instillation anticarcinogenic agent (51720) | $571.20 | $714 | 0.8× |
| Bladder Scan (51798) | $234.40 | $293 | 3.7× |
| Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
$456.80–$474.40 | $571–$593 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$1,553.60–$2,048.80 | $1,942–$2,561 | varies |
| Bone Marrow; Aspiration Only (38220) | $1,344.80 | $1,681 | 0.8× |
| Bronchoscopy Balloon Occlusion (31634) | $5,543.20 | $6,929 | 0.7× |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$2,516–$3,772.80 | $3,145–$4,716 | varies |
| Catheter aspiration nasotracheal spx (31720) | $135.20 | $169 | 0.6× |
| Cessj Therapy Cath Removal (37214) | $2,700 | $3,375 | 0.8× |
| Change Cystostomy Tube Simple (51705) | $333.60 | $417 | 1.2× |
| Chemical Cautery Tissue (17250) | $326.40 | $408 | 1.5× |
| Chest tube placement (32551) range across 6 matching MRF lines |
$4,821.60–$7,377.60 | $6,027–$9,222 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,172.80 | $3,966 | 0.8× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,120 | $2,650 | 1.2× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$2,316.80–$2,402.40 | $2,896–$3,003 | varies |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$1,507.20–$2,260.80 | $1,884–$2,826 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 3 matching MRF lines |
$6,718.40–$6,967.20 | $8,398–$8,709 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $375.20 | $469 | 1.4× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,232.80 | $2,791 | 1.3× |
| Closed Treatment Sesamoid Fracture (28530) range across 3 matching MRF lines |
$3,292–$4,940 | $4,115–$6,175 | varies |
| Closed Treatment Sternum Fracture (21820) | $2,799.20 | $3,499 | 10.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$6,954.40–$7,213.60 | $8,693–$9,017 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$768.80–$797.60 | $961–$997 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,344 | $1,680 | 0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$7,442.40–$7,720 | $9,303–$9,650 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
$896.80–$929.60 | $1,121–$1,162 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$6,284.80–$6,518.40 | $7,856–$8,148 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 3 matching MRF lines |
$14,644–$21,961.60 | $18,305–$27,452 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,297.60 | $1,622 | 0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
$10,549.60–$10,941.60 | $13,187–$13,677 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $2,156 | $2,695 | 1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,152.80 | $1,441 | 4.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,297.60 | $1,622 | 0.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,453.60 | $3,067 | 1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $6,059.20 | $7,574 | 1.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$768.80–$797.60 | $961–$997 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$677.60–$704 | $847–$880 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,344 | $1,680 | 0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$5,853.60–$6,071.20 | $7,317–$7,589 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$1,344–$2,120 | $1,680–$2,650 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$6,000.80–$6,224 | $7,501–$7,780 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,344 | $1,680 | 0.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$5,996–$6,219.20 | $7,495–$7,774 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 3 matching MRF lines |
$6,572–$9,855.20 | $8,215–$12,319 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 3 matching MRF lines |
$4,675.20–$7,013.60 | $5,844–$8,767 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$2,228.80–$2,312 | $2,786–$2,890 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 3 matching MRF lines |
$4,675.20–$7,013.60 | $5,844–$8,767 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 4 matching MRF lines |
$317.60–$476 | $397–$595 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 3 matching MRF lines |
$5,755.20–$5,969.60 | $7,194–$7,462 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$3,017.60–$3,130.40 | $3,772–$3,913 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$5,727.20–$5,940 | $7,159–$7,425 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $1,017.60 | $1,272 | 4.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $3,022.40 | $3,778 | 5.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 4 matching MRF lines |
$6,091.20–$9,136.80 | $7,614–$11,421 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 3 matching MRF lines |
$4,428–$4,592 | $5,535–$5,740 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 4 matching MRF lines |
$1,116.80–$1,672 | $1,396–$2,090 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$3,666.40–$3,803.20 | $4,583–$4,754 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$692.80–$867.20 | $866–$1,084 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 3 matching MRF lines |
$4,299.20–$6,443.20 | $5,374–$8,054 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 3 matching MRF lines |
$10,700.80–$11,099.20 | $13,376–$13,874 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $7,821.60 | $9,777 | 4.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $3,879.20 | $4,849 | 14.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$6,560–$6,804 | $8,200–$8,505 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 3 matching MRF lines |
$7,320–$7,591.20 | $9,150–$9,489 | varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 3 matching MRF lines |
$11,470.40–$11,897.60 | $14,338–$14,872 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $328 | $410 | 1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$998.40–$1,035.20 | $1,248–$1,294 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $5,478.40 | $6,848 | 20.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $3,411.20 | $4,264 | 12.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$6,580–$6,824 | $8,225–$8,530 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $2,013.60 | $2,517 | 1.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,344 | $1,680 | 0.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 3 matching MRF lines |
$11,376–$11,798.40 | $14,220–$14,748 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 3 matching MRF lines |
$2,101.60–$2,180 | $2,627–$2,725 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$2,966.40–$3,076.80 | $3,708–$3,846 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$2,400–$2,490.40 | $3,000–$3,113 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $2,904.80 | $3,631 | 11.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $2,248.80 | $2,811 | 8.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
$1,025.60–$1,064.80 | $1,282–$1,331 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 4 matching MRF lines |
$5,866.40–$8,799.20 | $7,333–$10,999 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 3 matching MRF lines |
$9,426.40–$14,132 | $11,783–$17,665 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$2,120–$2,199.20 | $2,650–$2,749 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$768.80–$797.60 | $961–$997 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
$6,757.60–$10,137.60 | $8,447–$12,672 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$6,552–$6,796 | $8,190–$8,495 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $9,488.80 | $11,861 | 5.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $3,100.80 | $3,876 | 11.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $713.60 | $892 | 2.7× |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$7,132.80–$7,397.60 | $8,916–$9,247 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$7,078.40–$7,341.60 | $8,848–$9,177 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$5,161.60–$5,353.60 | $6,452–$6,692 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $5,725.60 | $7,157 | 21.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $3,317.60 | $4,147 | 12.6× |
| Cltx post hip arthrp dislc req anes (27266) | $1,344 | $1,680 | 0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 3 matching MRF lines |
$9,048.80–$9,384 | $11,311–$11,730 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $1,344 | $1,680 | 0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$841.60–$872.80 | $1,052–$1,091 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
$2,120–$2,199.20 | $2,650–$2,749 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 3 matching MRF lines |
$8,416.80–$8,728.80 | $10,521–$10,911 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$3,881.60–$4,026.40 | $4,852–$5,033 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
$2,295.20–$2,380 | $2,869–$2,975 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 3 matching MRF lines |
$2,209.60–$2,292 | $2,762–$2,865 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 3 matching MRF lines |
$1,344–$2,120 | $1,680–$2,650 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$7,997.60–$8,294.40 | $9,997–$10,368 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 3 matching MRF lines |
$15,507.20–$23,257.60 | $19,384–$29,072 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 3 matching MRF lines |
$4,028.80–$4,178.40 | $5,036–$5,223 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 4 matching MRF lines |
$8,848.80–$13,269.60 | $11,061–$16,587 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$8,103.20–$8,405.60 | $10,129–$10,507 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $11,949.60 | $14,937 | 6.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$3,914.40–$4,060 | $4,893–$5,075 | varies |
| Collection of venous blood by venipuncture (36415) | $34.40 | $43 | 3.7× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$2,404–$3,712 | $3,005–$4,640 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $2,921.60 | $3,652 | 20.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $2,014.40 | $2,518 | 14.1× |
| Convert Nephrostomy Catheter (50434) | $1,661.60 | $2,077 | 0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,345.60 | $2,932 | 1.3× |
| Csf shunt reprogram (62252) | $407.20 | $509 | 1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $4,592 | $5,740 | 32.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $4,847.20 | $6,059 | 19.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,946.40 | $3,683 | 1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $504.80 | $631 | 1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$950.40–$4,319.20 | $1,188–$5,399 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$92.80–$529.60 | $116–$662 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$92.80–$643.20 | $116–$804 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,551.20 | $3,189 | 1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$574.40–$811.20 | $718–$1,014 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$579.20–$591.20 | $724–$739 | varies |
| Delivery of placenta (59414) | $2,671.20 | $3,339 | 0.8× |
| Drainage external auditory canal abscess (69020) range across 4 matching MRF lines |
$1,128–$1,328 | $1,410–$1,660 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $2,181.60 | $2,727 | 2.9× |
| Drainage Mouth Roof Lesion (42000) | $334.40 | $418 | 1.3× |
| Drainage of finger abscess simple (26010) | $3,712 | $4,640 | 17.3× |
| Drainage of gum lesion (41800) | $1,002.40 | $1,253 | 7.0× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$2,124–$2,188.80 | $2,655–$2,736 | varies |
| Drainage of scrotal wall abscess (55100) | $2,124 | $2,655 | 1.2× |
| Drainage of scrotum (54700) | $2,946.40 | $3,683 | 1.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $2,068.80 | $2,586 | 2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$626.40–$3,169.60 | $783–$3,962 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$326.40–$2,762.40 | $408–$3,453 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$326.40–$1,403.20 | $408–$1,754 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $2,315.20 | $2,894 | 0.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,637.60 | $2,047 | 2.2× |
| Electro-Uroflowmetry First (51741) | $924.80 | $1,156 | 4.0× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$2,593.60–$2,645.60 | $3,242–$3,307 | varies |
| Evacuation of subungual hematoma (11740) | $805.60 | $1,007 | 5.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,344 | $1,680 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $2,427.20 | $3,034 | 1.4× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,172.80 | $3,966 | 0.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,695.20 | $2,119 | 0.8× |
| Excision of gum flap (41821) | $2,156 | $2,695 | 1.3× |
| Exploration penetrating wound spx extremity (20103) | $7,920 | $9,900 | 4.5× |
| Fine needle aspiration without imaging guidance (10021) | $324.80 | $406 | 0.7× |
| Fluid Pressure Muscle (20950) range across 3 matching MRF lines |
$1,008–$1,045.60 | $1,260–$1,307 | varies |
| Fluoro exam of g/colon tube (49465) | $1,328.80 | $1,661 | 5.2× |
| Fna bx w/us gdn 1st les (10005) | $1,712.80 | $2,141 | 2.3× |
| Foreskin manipulation (54450) | $343.20 | $429 | 1.3× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) range across 2 matching MRF lines |
$1,000.80–$1,020.80 | $1,251–$1,276 | varies |
| I&d abscess peritonsillar (42700) | $392 | $490 | 1.5× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$326.40–$1,524 | $408–$1,905 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$740.80–$2,713.60 | $926–$3,392 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$978.40–$1,023.20 | $1,223–$1,279 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$580.80–$973.60 | $726–$1,217 | varies |
| Incise external hemorrhoid (46083) | $3,662.40 | $4,578 | 13.7× |
| Incision & drainage abscess complicated/multiple (10061) | $626.40 | $783 | 1.4× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$2,124–$4,129.60 | $2,655–$5,162 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$568.80–$654.40 | $711–$818 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $1,105.60 | $1,382 | 5.1× |
| Incision and drainage of vulva or perineal abscess (56405) | $2,762.40 | $3,453 | 8.5× |
| Incision of rectal abscess (46040) | $967.20 | $1,209 | 0.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $2,143.20 | $2,679 | 1.2× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$520.80–$872 | $651–$1,090 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $1,468 | $1,835 | 6.8× |
| Inj W/Fluor Eval Cv Device (36598) | $198.40 | $248 | 0.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 3 matching MRF lines |
$2,864–$4,294.40 | $3,580–$5,368 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $2,151.20 | $2,689 | 2.3× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $2,325.60 | $2,907 | 2.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,934.40 | $2,418 | 2.0× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) range across 3 matching MRF lines |
$3,579.20–$5,368.80 | $4,474–$6,711 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$1,720–$2,579.20 | $2,150–$3,224 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 3 matching MRF lines |
$3,579.20–$5,368.80 | $4,474–$6,711 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$1,541.60–$2,308 | $1,927–$2,885 | varies |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$1,868.80–$2,802.40 | $2,336–$3,503 | varies |
| Injection single tendon origin/insertion (20551) | $243.20 | $304 | 0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $422.40 | $528 | 1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$773.60–$1,552.80 | $967–$1,941 | varies |
| Injection therapeutic carpal tunnel (20526) | $412 | $515 | 1.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 4 matching MRF lines |
$1,369.60–$2,400 | $1,712–$3,000 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 4 matching MRF lines |
$1,188.80–$2,269.60 | $1,486–$2,837 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 9 matching MRF lines |
$992–$2,111.20 | $1,240–$2,639 | varies |
| Insert 1 Electrode Pm-Defib (33216) | $7,312.80 | $9,141 | 0.8× |
| Insert Bladder Cath Complex (51703) | $509.60 | $637 | 3.7× |
| Insert Heart Pm Ventricular (33207) | $9,252 | $11,565 | 0.8× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$2,480–$2,668.80 | $3,100–$3,336 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,332.80 | $1,666 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$223.20–$234.40 | $279–$293 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$223.20–$234.40 | $279–$293 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,832 | $2,290 | 1.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $7,312.80 | $9,141 | 0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$2,590.40–$2,668.80 | $3,238–$3,336 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$2,198.40–$2,804 | $2,748–$3,505 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 2 matching MRF lines |
$28,734.40–$29,456 | $35,918–$36,820 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$7,312.80–$14,073.60 | $9,141–$17,592 | varies |
| Insrt heart pm atrial & vent (33208) | $9,252 | $11,565 | 0.8× |
| Insrt Pulse Gen W/Singl Lead (33240) | $20,569.60 | $25,712 | 0.9× |
| Interdental fixation (21110) | $2,156 | $2,695 | 1.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,892 | $2,365 | 4.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,972.80 | $2,466 | 4.5× |
| Intraoral i&d tongue/floor submndblr space (41008) | $4,765.60 | $5,957 | 1.3× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$679.20–$2,747.20 | $849–$3,434 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $333.60 | $417 | 1.2× |
| Laryngoscopy diagnostic (31505) | $568 | $710 | 2.7× |
| N block inj intercost sng (64420) range across 4 matching MRF lines |
$1,000.80–$1,500.80 | $1,251–$1,876 | varies |
| N Block Inj Pudendal (64430) | $1,324 | $1,655 | 1.4× |
| N Block Lumbar/Thoracic (64520) range across 3 matching MRF lines |
$3,744–$5,616 | $4,680–$7,020 | varies |
| Nasal Endoscopy Dx (31231) | $293.60 | $367 | 1.4× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$2,328.80–$3,493.60 | $2,911–$4,367 | varies |
| Needle Biopsy Pancreas (48102) | $1,344.80 | $1,681 | 0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $40 | $50 | 1.3× |
| Needle insertion w/o injection 3 or more muscles (20561) | $40 | $50 | 1.3× |
| Neuro csf detcj prion prtn quakg conf conv qual (0584U) range across 2 matching MRF lines |
$1,289.60–$1,864 | $1,612–$2,330 | varies |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) | $1,402.40 | $1,753 | 1.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$1,000–$1,142.40 | $1,250–$1,428 | varies |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $4,833.60 | $6,042 | 2.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
$367.20–$551.20 | $459–$689 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,173.60 | $3,967 | 0.8× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,173.60 | $3,967 | 0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,000.80 | $1,251 | 1.3× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $1,625.60 | $2,032 | 0.7× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $1,625.60 | $2,032 | 0.7× |
| Njx Sclrsnt Spider Veins (36468) | $725.60 | $907 | 1.7× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$412–$617.60 | $515–$772 | varies |
| Open/Perq Place Stent 1St (37236) | $9,509.60 | $11,887 | 0.8× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $9,509.60 | $11,887 | 0.8× |
| Pericardiocentesis W/Imaging (33016) | $2,425.60 | $3,032 | 1.4× |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$1,767.20–$1,803.20 | $2,209–$2,254 | varies |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $15,388 | $19,235 | 0.8× |
| Perq dev breast 1st us imag (19285) | $2,134.40 | $2,668 | 2.8× |
| Perq device breast 1st imag (19281) | $1,548 | $1,935 | 0.9× |
| Placement of needle for intraosseous infusion (36680) | $692.80 | $866 | 1.4× |
| Plmt Nephroureteral Catheter (50433) | $2,872 | $3,590 | 0.8× |
| Prim art mech thrombectomy (37184) | $14,049.60 | $17,562 | 0.7× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,306.40 | $1,633 | 1.3× |
| Pseudoaneurysm Injection Trt (36002) | $520 | $650 | 0.8× |
| Punch biopsy skin single lesion (11104) | $626.40 | $783 | 1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$568.80–$1,064.80 | $711–$1,331 | varies |
| Puncture Aspiration Cyst Breast (19000) | $881.60 | $1,102 | 1.2× |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$692.80–$718.40 | $866–$898 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 5 matching MRF lines |
$1,023.20–$1,671.20 | $1,279–$2,089 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$101.60–$152 | $127–$190 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 7 matching MRF lines |
$92.80–$1,821.60 | $116–$2,277 | varies |
| Removal of foreign body from pharynx (42809) | $3,118.40 | $3,898 | 6.5× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$568.80–$626.40 | $711–$783 | varies |
| Removal ppm generator only (33233) | $7,312.80 | $9,141 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $280.80 | $351 | 1.3× |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
$479.20–$716.80 | $599–$896 | varies |
| Remove Intrauterine Device (58301) | $263.20 | $329 | 0.8× |
| Remove Nasal Foreign Body (30300) | $620 | $775 | 4.3× |
| Remove Shoulder Foreign Body (23330) range across 4 matching MRF lines |
$3,914.40–$5,868.80 | $4,893–$7,336 | varies |
| Remv&replc cvd gen sing lead (33262) | $20,667.20 | $25,834 | 0.9× |
| Remv&replc pm gen mult leads (33229) | $16,727.20 | $20,909 | 0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,590.40 | $1,988 | 2.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $4,673.60 | $5,842 | 5.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,892 | $2,365 | 4.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,972.80 | $2,466 | 4.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,528.80 | $1,911 | 3.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,741.60 | $2,177 | 4.0× |
| Repair complex trunk 1.1-2.5 cm (13100) | $4,445.60 | $5,557 | 5.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $4,749.60 | $5,937 | 6.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $1,458.40 | $1,823 | 3.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,607.20 | $2,009 | 3.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,741.60 | $2,177 | 4.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,821.60 | $2,277 | 4.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $4,673.60 | $5,842 | 10.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,821.60 | $2,277 | 2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $1,458.40 | $1,823 | 3.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $1,666.40 | $2,083 | 3.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,597.60 | $1,997 | 2.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,876.80 | $2,346 | 0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,821.60 | $2,277 | 4.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,458.40 | $1,823 | 3.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $1,329.60 | $1,662 | 3.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,892 | $2,365 | 2.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $1,741.60 | $2,177 | 4.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $4,445.60 | $5,557 | 2.0× |
| Repair of nail bed (11760) | $584.80 | $731 | 0.7× |
| Repair tongue laceration (41252) | $334.40 | $418 | 1.3× |
| Repair tongue laceration (41250) | $1,401.60 | $1,752 | 2.9× |
| Replace G-J Tube Perc (49452) | $2,393.60 | $2,992 | 2.5× |
| Replace g/c tube perc (49450) | $1,259.20 | $1,574 | 1.3× |
| Replace/Revise Brain Shunt (62230) | $9,256 | $11,570 | 1.0× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$2,644–$2,696.80 | $3,305–$3,371 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $2,375.20 | $2,969 | 2.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$972.80–$1,512 | $1,216–$1,890 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$1,061.60–$1,589.60 | $1,327–$1,987 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$1,602.40–$1,660.80 | $2,003–$2,076 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $3,837.60 | $4,797 | 1.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 3 matching MRF lines |
$3,692.80–$3,830.40 | $4,616–$4,788 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,332.80–$4,116 | $1,666–$5,145 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$1,252–$1,277.60 | $1,565–$1,597 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$1,439.20–$1,468 | $1,799–$1,835 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $448 | $560 | 2.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,892 | $2,365 | 2.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $7,563.20 | $9,454 | 13.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $632 | $790 | 1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $380 | $475 | 1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $380 | $475 | 1.8× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,902.40 | $2,378 | 4.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $407.20 | $509 | 1.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,973.60 | $2,467 | 9.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $380 | $475 | 1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $584 | $730 | 2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$296–$445.60 | $370–$557 | varies |
| Skin sub graft face/nk/hf/g (15275) | $3,105.60 | $3,882 | 3.9× |
| Skin sub graft trnk/arm/leg (15271) | $3,105.60 | $3,882 | 3.9× |
| Skin sub grft t/arm/lg child (15273) | $6,384.80 | $7,981 | 2.9× |
| Skn sub grft f/n/hf/g child (15277) | $3,105.60 | $3,882 | 1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$391.20–$955.20 | $489–$1,194 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $477.60 | $597 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $436 | $545 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$1,137.60–$1,172 | $1,422–$1,465 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$881.60–$914.40 | $1,102–$1,143 | varies |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
$1,204–$1,248.80 | $1,505–$1,561 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$1,161.60–$1,204 | $1,452–$1,505 | varies |
| Strapping knee (29530) range across 3 matching MRF lines |
$1,318.40–$1,368 | $1,648–$1,710 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$1,261.60–$1,308 | $1,577–$1,635 | varies |
| Strapping thorax (29200) | $1,379.20 | $1,724 | 7.9× |
| Strapping toes (29550) range across 3 matching MRF lines |
$800–$1,200.80 | $1,000–$1,501 | varies |
| Strapping Unna Boot (29580) range across 9 matching MRF lines |
$256.80–$2,097.60 | $321–$2,622 | varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) range across 3 matching MRF lines |
$5,980–$8,968.80 | $7,475–$11,211 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$280.80–$326.40 | $351–$408 | varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,604.80 | $2,006 | 2.1× |
| Thromblytic art/ven therapy (37213) | $2,700 | $3,375 | 0.8× |
| Thrombolytic Art Therapy (37211) | $4,604.80 | $5,756 | 0.8× |
| Thrombolytic Therapy Stroke (37195) | $3,641.60 | $4,552 | 10.3× |
| Thrombolytic Venous Therapy (37212) | $2,700 | $3,375 | 0.8× |
| Thyroid biopsy (60100) | $660.80 | $826 | 0.9× |
| Trabeculoplasty by laser surgery (65855) | $3,662.40 | $4,578 | 6.2× |
| Tracheostoma revj smpl w/o flap rotation (31613) | $5,836 | $7,295 | 1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $323.20 | $404 | 1.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,221.60 | $1,527 | 0.7× |
| Transcatheter biopsy (37200) | $4,604 | $5,755 | 0.8× |
| Treat Dental Ridge Fracture (21440) | $4,385.60 | $5,482 | 1.2× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$7,224–$7,492 | $9,030–$9,365 | varies |
| Treat Humerus Fracture (24505) | $2,316.80 | $2,896 | 1.3× |
| Treat humerus fracture (23600) range across 4 matching MRF lines |
$6,526.40–$9,784.80 | $8,158–$12,231 | varies |
| Treat Knee Fracture(S) (27538) range across 3 matching MRF lines |
$10,518.40–$15,773.60 | $13,148–$19,717 | varies |
| Treat Knuckle Dislocation (26700) | $5,695.20 | $7,119 | 21.5× |
| Treat Metatarsal Fracture (28475) | $5,478.40 | $6,848 | 20.7× |
| Treat Tail Bone Fracture (27200) | $3,700.80 | $4,626 | 14.0× |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$9,862.40–$10,228.80 | $12,328–$12,786 | varies |
| Treat Thumb Fracture (26645) range across 3 matching MRF lines |
$8,545.60–$8,863.20 | $10,682–$11,079 | varies |
| Treat toe dislocation (28630) | $2,831.20 | $3,539 | 10.7× |
| Treat Vaginal Bleeding (57180) | $1,433.60 | $1,792 | 6.6× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$1,370.40–$1,422.40 | $1,713–$1,778 | varies |
| Trim skin lesion (11055) | $296 | $370 | 1.4× |
| Trim skin lesions 2 to 4 (11056) | $296 | $370 | 1.4× |
| Trim skin lesions over 4 (11057) | $296 | $370 | 1.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $92.80 | $116 | 1.5× |
| Tx Gastro Intub W/Asp (43753) | $806.40 | $1,008 | 3.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$863.20–$3,982.40 | $1,079–$4,978 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $3,014.40 | $3,768 | 6.9× |
| Vaginal delivery only (59409) | $8,832 | $11,040 | 2.5× |
| Venous Mech Thrombectomy (37187) | $9,509.60 | $11,887 | 0.8× |
| Wedge excision skin nail fold (11765) | $324.80 | $406 | 0.7× |
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.