Procedures & surgery prices at Osf Little Company of Mary Medical Center

Evergreen Park, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $544.20–$1,413.60 $907–$2,356 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $544.20–$913.20 $907–$1,522 varies
Abdomen Surgery Procedure (22999) $151.20 $252 0.6×
Ablate Pulm Tumor Perq Crybl (32994) $8,307.60 $13,846 0.7×
Ablation 1/> liver tumor perq cryoablation (47383) $8,307.60 $13,846 0.7×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $9,102 $15,170 0.5×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
unusually low: confirm this is the full procedure		 $2,362.80 $3,938 0.3×
Acne surgery (10040) $125.40 $209 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $4,965 $8,275 2.2×
Amniocentesis diagnostic (59000)
range across 4 matching MRF lines		 $426.60–$976.80 $711–$1,628 varies
Amniocentesis therapeutic (59001) $709.20 $1,182 2.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,044.20 $3,407 0.6×
Anal Sp Inf Pmp W/Reprg&Fill (62369)
range across 2 matching MRF lines		 $291.60–$498.60 $486–$831 varies
Anal/Urinary Muscle Study (51784) $479.40 $799 3.5×
Anoscopy diagnostic (46600)
range across 4 matching MRF lines		 $100.20–$299.40 $167–$499 varies
Anoscopy W/Rmvl Foreign Body (46608) $574.20 $957 0.6×
Apheresis Platelets (36513) $1,941 $3,235 4.1×
Appl cranial tong/strtctc frame w/removal spx (20660)
range across 2 matching MRF lines		 $726.60–$1,008 $1,211–$1,680 varies
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $161.40 $269 0.9×
Application cast elbow finger short arm (29075) $260.40 $434 0.9×
Application finger splint static (29130)
range across 3 matching MRF lines		 $122.40–$193.20 $204–$322 varies
Application Halo Cranial Including Removal (20661) $602.40 $1,004 0.3×
Application long arm splint shoulder hand (29105)
range across 13 matching MRF lines		 $123–$464.40 $205–$774 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $403.80 $673 1.3×
Application Long Leg Splint (29505)
range across 12 matching MRF lines		 $123–$700.80 $205–$1,168 varies
Application of long leg cast (29345) $307.80 $513 1.0×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $239.40–$900 $399–$1,500 varies
Application short arm splint forearm-hand static (29125)
range across 13 matching MRF lines		 $123–$404.40 $205–$674 varies
Application short leg splint calf foot (29515)
range across 13 matching MRF lines		 $123–$601.80 $205–$1,003 varies
Apply hand/wrist cast (29085) $184.80 $308 1.1×
Apply long arm cast (29065) $260.40 $434 0.9×
Apply Multlay Comprs Lwr Leg (29581)
range across 9 matching MRF lines		 $152.40–$229.20 $254–$382 varies
Apply Short Leg Cast (29405)
range across 8 matching MRF lines		 $297–$820.80 $495–$1,368 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $83.40–$110.40 $139–$184 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 16 matching MRF lines		 $285.60–$839.40 $476–$1,399 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 8 matching MRF lines		 $880.20–$1,327.20 $1,467–$2,212 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 16 matching MRF lines		 $397.20–$1,072.80 $662–$1,788 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 9 matching MRF lines		 $390.60–$596.40 $651–$994 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 8 matching MRF lines		 $175.80–$416.40 $293–$694 varies
Aspirate pleura w/ imaging (32555)
range across 7 matching MRF lines		 $1,380.60–$5,634 $2,301–$9,390 varies
Aspirate Pleura W/O Imaging (32554)
range across 9 matching MRF lines		 $364.20–$1,185 $607–$1,975 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $391.80–$600.60 $653–$1,001 varies
Aspiration and/or injection thyroid cyst (60300) $1,066.80 $1,778 1.4×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $396.60–$7,003.20 $661–$11,672 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 6 matching MRF lines		 $144.60–$444.60 $241–$741 varies
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $4,990.80 $8,318 0.7×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $7,302.60 $12,171 0.6×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $7,302.60 $12,171 1.1×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure		 $3,400.20 $5,667 0.5×
Biopsy Abdominal Mass (49180) $964.80 $1,608 0.5×
Biopsy bone open deep (20245) $6,640.80 $11,068 2.1×
Biopsy bone trocar/needle deep (20225) $2,507.40 $4,179 1.4×
Biopsy Bone Trocar/Needle Superficial (20220) $2,128.20 $3,547 1.2×
Biopsy muscle percutaneous needle (20206) $1,068 $1,780 0.6×
Biopsy of breast; open, incisional (19101) $4,632.60 $7,721 1.1×
Biopsy of liver, needle; percutaneous (47000) $2,047.80 $3,413 1.2×
Biopsy of rectum (45100) $396.60 $661 0.1×
Biopsy Pleura Percutaneous Needle (32400) $2,495.40 $4,159 1.4×
Biopsy Salivary Gland Needle (42400) $1,671 $2,785 2.2×
Biopsy soft tissue neck/thorax (21550) $2,055 $3,425 1.2×
Biopsy Spinal Cord Percutaneous Needle (62269) $1,738.80 $2,898 1.0×
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $426.60–$624 $711–$1,040 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $405–$426.60 $675–$711 varies
Bladder instillation anticarcinogenic agent (51720) $442.80 $738 0.6×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $330–$336.60 $550–$561 varies
Bladder Scan (51798) $229.20 $382 3.6×
Blepharotomy drainage abscess eyelid (67700)
range across 3 matching MRF lines		 $693–$729 $1,155–$1,215 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $267–$764.40 $445–$1,274 varies
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $1,177.20–$1,804.20 $1,962–$3,007 varies
Bone Marrow; Aspiration Only (38220) $960.60 $1,601 0.5×
Brnchsc Brushing/Protected Brushings (31623) $2,442 $4,070 1.3×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,193.60 $3,656 0.5×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $2,212.20 $3,687 0.6×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $2,420.40 $4,034 1.3×
Brnchsc Removal Bronchial Valve Initial (31648) $4,980 $8,300 1.2×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $5,958.60 $9,931 1.5×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $1,309.20 $2,182 0.3×
Bronch Thermoplsty 1 Lobe (31660) $4,980 $8,300 0.7×
Bronchial Valve Init Insert (31647) $4,980 $8,300 0.7×
Bronchoscopic Thermoplasty 2/> Lobes (31661) $4,980 $8,300 0.7×
Bronchoscopy Balloon Occlusion (31634)
unusually low: confirm this is the full procedure		 $3,676.20 $6,127 0.5×
Bronchoscopy Clear Airways (31645) $1,820.40 $3,034 1.0×
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure		 $2,051.40 $3,419 0.3×
Bronchoscopy W/Biopsy(S) (31625) $2,377.20 $3,962 1.2×
Bronchoscopy W/Excision Tumor (31640) $5,958.60 $9,931 1.5×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
unusually low: confirm this is the full procedure		 $2,352.60 $3,921 0.3×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $2,442–$2,952.60 $4,070–$4,921 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,492 $5,820 0.9×
Bronchoscopy/Needle Bx Each (31629) $2,121 $3,535 0.5×
Bx breast 1st lesion mr imag (19085)
range across 3 matching MRF lines		 $3,445.20–$5,169 $5,742–$8,615 varies
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines		 $3,586.80–$5,379.60 $5,978–$8,966 varies
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines		 $2,885.40–$4,326 $4,809–$7,210 varies
Bx breast needle core w/o imaging guidance spx (19100) $2,155.20 $3,592 1.2×
Bx Cervix (57500)
range across 2 matching MRF lines		 $426.60–$624 $711–$1,040 varies
Bx/exc lymph node open deep axillary node (38525)
range across 3 matching MRF lines		 $1,062.60–$1,594.80 $1,771–$2,658 varies
Bx/exc lymph node open superficial (38500) $3,760.20 $6,267 0.9×
Canthotomy Separate Procedure (67715) $2,874 $4,790 1.1×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $152.40–$290.40 $254–$484 varies
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines		 $180.60–$312 $301–$520 varies
Cerclage cervix pregnancy vaginal (59320) $9,039.60 $15,066 2.6×
Cessj Therapy Cath Removal (37214) $2,073 $3,455 0.6×
Change Cystostomy Tube Complicated (51710) $857.40 $1,429 1.1×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $272.40–$477.60 $454–$796 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $308.40–$414 $514–$690 varies
Change ureter stent percut (50382)
range across 5 matching MRF lines		 $2,670.60–$4,006.80 $4,451–$6,678 varies
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines		 $194.40–$567 $324–$945 varies
Chemical Pleurodesis (32560)
range across 2 matching MRF lines		 $364.20–$1,852.20 $607–$3,087 varies
Chemodenerv 1 extrem 5/> mus (64644)
range across 3 matching MRF lines		 $468.60–$1,378.20 $781–$2,297 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 3 matching MRF lines		 $427.20–$928.20 $712–$1,547 varies
Chemodenerv Musc Migraine (64615) $928.20 $1,547 2.8×
Chemodenerv musc neck dyston (64616)
range across 12 matching MRF lines		 $427.20–$1,393.80 $712–$2,323 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $542.40 $904 1.6×
Chemodenerv trunk musc 1-5 (64646)
range across 3 matching MRF lines		 $576.60–$1,378.20 $961–$2,297 varies
Chemodenerv trunk musc 6/> (64647)
range across 3 matching MRF lines		 $576.60–$1,500.60 $961–$2,501 varies
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $1,200.60 $2,001 1.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 11 matching MRF lines		 $427.20–$1,393.80 $712–$2,323 varies
Chest tube placement (32551)
range across 11 matching MRF lines		 $375–$1,827 $625–$3,045 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,866.80 $4,778 1.3×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,491.80 $9,153 1.4×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $246.60–$1,315.80 $411–$2,193 varies
Cl Tx Scapular Fx; W Manip (23575) $1,794 $2,990 1.0×
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $1,626–$1,710.60 $2,710–$2,851 varies
Clear outer ear canal (69200)
range across 11 matching MRF lines		 $155.40–$303 $259–$505 varies
Closed Rx Spontaneous Hip Disloc (27256)
range across 3 matching MRF lines		 $279–$293.40 $465–$489 varies
Closed Treat Vert Body Fract (22310) $151.20 $252 0.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $330 $550 1.2×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,046 $3,410 1.2×
Closed Treatment Sternum Fracture (21820) $151.20 $252 0.6×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines		 $421.20–$442.80 $702–$738 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,008 $1,680 0.6×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $211.80–$222.60 $353–$371 varies
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,008 $1,680 0.6×
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines		 $279–$293.40 $465–$489 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,008 $1,680 0.6×
Closed tx mandibular fracture w/manipulation (21451) $1,894.80 $3,158 1.1×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $321 $535 0.6×
Closed tx metatarsal fracture w/o manipulation (28470) $273.60 $456 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,008 $1,680 0.6×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,167.80 $3,613 1.3×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $421.20–$442.80 $702–$738 varies
Closed tx radial head/neck fx w/manipulation (24655) $1,008 $1,680 0.6×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines		 $237–$249 $395–$415 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines		 $1,104.60–$1,162.20 $1,841–$1,937 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 3 matching MRF lines		 $193.20–$203.40 $322–$339 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 6 matching MRF lines		 $1,008–$3,991.80 $1,680–$6,653 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines		 $193.20–$203.40 $322–$339 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 3 matching MRF lines		 $1,958.40–$2,060.40 $3,264–$3,434 varies
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $259.80–$273.60 $433–$456 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $3,769.80 $6,283 14.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 10 matching MRF lines		 $138.60–$563.40 $231–$939 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 3 matching MRF lines		 $1,794–$1,887.60 $2,990–$3,146 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $237–$249 $395–$415 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines		 $193.20–$203.40 $322–$339 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $453.60 $756 1.8×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 7 matching MRF lines		 $166.20–$411.60 $277–$686 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $216–$228 $360–$380 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $321 $535 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,008 $1,680 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 5 matching MRF lines		 $809.40–$1,004.40 $1,349–$1,674 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $151.20 $252 0.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 3 matching MRF lines		 $1,284.60–$1,351.20 $2,141–$2,252 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,008 $1,680 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $537.60 $896 2.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 3 matching MRF lines		 $460.20–$484.80 $767–$808 varies
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516)
range across 3 matching MRF lines		 $211.80–$222.60 $353–$371 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines		 $472.80–$498 $788–$830 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $543.60–$571.80 $906–$953 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $442.80 $738 1.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $180.60–$537.60 $301–$896 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $420–$441.60 $700–$736 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,192.80 $1,988 0.7×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,008 $1,680 0.6×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 3 matching MRF lines		 $421.20–$442.80 $702–$738 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 3 matching MRF lines		 $1,779–$1,871.40 $2,965–$3,119 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines		 $313.80–$330 $523–$550 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $172.20–$180.60 $287–$301 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $492 $820 1.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $165.60 $276 0.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines		 $1,823.40–$1,917.60 $3,039–$3,196 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $313.80–$330 $523–$550 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 4 matching MRF lines		 $249–$453.60 $415–$756 varies
Cltx hip dislocation traumatic req anesthesia (27252) $1,008 $1,680 0.6×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 3 matching MRF lines		 $421.20–$442.80 $702–$738 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,794 $2,990 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,008 $1,680 0.6×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 3 matching MRF lines		 $237–$249 $395–$415 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,008 $1,680 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 3 matching MRF lines		 $203.40–$532.80 $339–$888 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $321.60–$1,637.40 $536–$2,729 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 4 matching MRF lines		 $210–$1,215.60 $350–$2,026 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines		 $1,663.80–$1,750.20 $2,773–$2,917 varies
Cltx Medial Ankle Fx (27760) $282 $470 1.1×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $571.20–$601.20 $952–$1,002 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 4 matching MRF lines		 $263.40–$537.60 $439–$896 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $589.80–$621 $983–$1,035 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $195.60–$537.60 $326–$896 varies
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines		 $1,435.80–$1,510.80 $2,393–$2,518 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines		 $279–$293.40 $465–$489 varies
Cltx prox fibula/shft fx w/manj (27781) $1,008 $1,680 0.6×
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines		 $287.40–$302.40 $479–$504 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines		 $2,056.80–$2,164.20 $3,428–$3,607 varies
Cltx prox tibfib jt dislc w/o anes (27830)
range across 3 matching MRF lines		 $364.80–$384 $608–$640 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 8 matching MRF lines		 $180.60–$450 $301–$750 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 3 matching MRF lines		 $1,101–$1,158.60 $1,835–$1,931 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 3 matching MRF lines		 $1,941.60–$2,043 $3,236–$3,405 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines		 $1,350.60–$1,421.40 $2,251–$2,369 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $237–$249 $395–$415 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 3 matching MRF lines		 $224.40–$236.40 $374–$394 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $567–$596.40 $945–$994 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $279–$293.40 $465–$489 varies
Cltx trimalleolar ankle fx w/manipulation (27818) $1,008 $1,680 0.6×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 3 matching MRF lines		 $282–$297.60 $470–$496 varies
Collect Blood From Catheter Venous Nos (36592) $136.80 $228 1.0×
Collection of venous blood by venipuncture (36415) $25.80 $43 2.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $227.40–$246 $379–$410 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $190.20–$246 $317–$410 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $121.20–$196.20 $202–$327 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $190.20–$246 $317–$410 varies
Colposcopy cervix vag eltrd conization cervix (57461) $3,579.60 $5,966 1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,595 $4,325 0.7×
Complex Cystometrogram (51726) $1,104.60 $1,841 4.1×
Complex drainage wound (10180)
range across 4 matching MRF lines		 $303–$1,803 $505–$3,005 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $6,596.40 $10,994 1.9×
Control Nasal Hemorrhage Anterior Complex (30903) $459 $765 3.2×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines		 $187.20–$330.60 $312–$551 varies
Conversion ext bil drg cath (47535) $5,779.20 $9,632 1.5×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,673.60 $4,456 1.3×
Convert Nephrostomy Catheter (50434)
range across 5 matching MRF lines		 $1,447.20–$4,267.80 $2,412–$7,113 varies
Cordocentesis (59012) $376.80 $628 1.2×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,030.80 $1,718 0.6×
Csf shunt reprogram (62252) $372.60 $621 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $414.60–$558 $691–$930 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $477.60 $796 1.9×
Curettage postpartum (59160) $691.20 $1,152 0.2×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $3,902.40–$4,483.80 $6,504–$7,473 varies
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $3,507.60–$3,684 $5,846–$6,140 varies
Cystometrogram W/Up (51727) $1,104.60 $1,841 1.5×
Cystometrogram W/Vp (51728) $1,104.60 $1,841 1.5×
Cystometrogram W/Vp&Up (51729) $1,104.60 $1,841 1.5×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $3,127.80–$3,684 $5,213–$6,140 varies
Cystourethroscopy w/dil bladder general anesth (52260) $3,684 $6,140 1.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $352.20–$385.80 $587–$643 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $1,803–$3,985.80 $3,005–$6,643 varies
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $7,236.60 $12,061 3.5×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $352.20–$875.40 $587–$1,459 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $37.80–$405 $63–$675 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $37.80–$133.20 $63–$222 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $400.20–$2,254.80 $667–$3,758 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $232.20–$696.60 $387–$1,161 varies
Declot vascular device (36593)
range across 3 matching MRF lines		 $440.40–$1,518 $734–$2,530 varies
Decompressive fasciotomy hand (26037) $253.20 $422 0.1×
Delivery of placenta (59414)
range across 4 matching MRF lines		 $197.40–$3,671.40 $329–$6,119 varies
Destr W Neurolytic; Celiac Plexus (64680) $1,457.40 $2,429 1.5×
Destroy cerv/thor facet jnt (64633)
range across 8 matching MRF lines		 $2,965.80–$4,483.20 $4,943–$7,472 varies
Destroy lumb/sac facet jnt (64635)
range across 8 matching MRF lines		 $2,964–$4,481.40 $4,940–$7,469 varies
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $121.20–$169.20 $202–$282 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $144.60–$153 $241–$255 varies
Destruction by neurolytic agent, intercostal nerve (64620) $5,280.60 $8,801 5.6×
Destruction Lesions Vulva Extensive (56515) $227.40 $379 0.1×
Destruction Lesions Vulva Simple (56501) $156 $260 0.1×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $3,921–$5,881.20 $6,535–$9,802 varies
Destruction Premalignant Lesion 15/> (17004) $220.80 $368 0.5×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $115.20–$207 $192–$345 varies
Destruction Vaginal Lesions Simple (57061)
range across 2 matching MRF lines		 $139.80–$231 $233–$385 varies
Dilat Xst Trc New Access Rcs (50437) $2,712.60 $4,521 0.7×
Dilation and catheterization of salivary duct, with or without injection (42660) $1,245.60 $2,076 2.2×
Dilation Cervical Canal (57800) $5,294.40 $8,824 1.5×
Dilation Esophagus Guide Wire (43453) $2,958.60 $4,931 1.4×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $427.20–$1,038 $712–$1,730 varies
Drain Spinal Cord Cyst (62268) $1,559.40 $2,599 1.6×
Drain/inj small joint/bursa w/us (20604)
range across 9 matching MRF lines		 $397.20–$1,082.40 $662–$1,804 varies
Drainage external auditory canal abscess (69020)
range across 4 matching MRF lines		 $996.60–$1,495.80 $1,661–$2,493 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $443.40 $739 0.6×
Drainage Finger Abscess Complicated (26011) $1,020.60 $1,701 0.6×
Drainage Mouth Roof Lesion (42000) $492.60 $821 1.9×
Drainage of finger abscess simple (26010) $365.40 $609 1.7×
Drainage of gum lesion (41800)
range across 3 matching MRF lines		 $174–$369 $290–$615 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $202.80–$2,047.80 $338–$3,413 varies
Drainage of scrotal wall abscess (55100) $2,113.20 $3,522 1.2×
Drainage of scrotum (54700) $4,173.60 $6,956 1.9×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $6,742.80 $11,238 1.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $443.40 $739 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines		 $255.60–$451.80 $426–$753 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $228–$394.80 $380–$658 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $175.80–$426 $293–$710 varies
Dstrj Lesion Anus Simple Chemical (46900) $220.80 $368 0.5×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $4,429.80 $7,383 2.0×
Dstrj Lesion Penis Simple Chemical (54050) $220.80 $368 0.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 5 matching MRF lines		 $666.60–$2,083.20 $1,111–$3,472 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681)
range across 2 matching MRF lines		 $1,457.40–$1,870.20 $2,429–$3,117 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $3,596.40 $5,994 3.8×
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $252–$1,803 $420–$3,005 varies
Dx Bronchoscope/Lavage (31624) $1,690.20 $2,817 0.9×
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $308.40–$1,776 $514–$2,960 varies
Dx Laryngoscopy Excl Nb (31525)
range across 3 matching MRF lines		 $5,433.60–$6,243.60 $9,056–$10,406 varies
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 3 matching MRF lines		 $514.80–$2,038.80 $858–$3,398 varies
Egd control bleeding any (43255) $2,436.60 $4,061 1.2×
Egd Flexible Foreign Body Removal (43247) $1,798.80 $2,998 1.9×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,195.20 $1,992 0.6×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $443.40–$2,326.80 $739–$3,878 varies
Egd Varices Ligation (43244) $3,036 $5,060 1.5×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 2 matching MRF lines		 $308.40–$498.60 $514–$831 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368)
range across 3 matching MRF lines		 $183.60–$649.20 $306–$1,082 varies
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367)
range across 2 matching MRF lines		 $183.60–$649.20 $306–$1,082 varies
Electro-Uroflowmetry First (51741) $479.40 $799 2.1×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $9,207 $15,345 1.5×
Endocervical curettage (57505)
range across 2 matching MRF lines		 $426.60–$624 $711–$1,040 varies
Endometrial Biopsy (58100)
range across 3 matching MRF lines		 $162.60–$214.80 $271–$358 varies
Endoscopy of ureter (50953) $1,055.40 $1,759 0.3×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $11,007 $18,345 0.9×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $1,062.60 $1,771 0.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,614.60 $7,691 1.4×
Endoven ther chem adhes 1st (36482) $5,964.60 $9,941 1.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,153.20 $1,922 0.6×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $1,032–$1,482.60 $1,720–$2,471 varies
Escharotomy; initial incision (16035)
range across 2 matching MRF lines		 $252–$367.80 $420–$613 varies
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,417.80 $2,363 0.7×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,743.20 $4,572 1.3×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $2,546.40 $4,244 2.6×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $2,546.40 $4,244 2.6×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $2,216.40–$2,546.40 $3,694–$4,244 varies
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $2,216.40–$2,546.40 $3,694–$4,244 varies
Evacuation of subungual hematoma (11740)
range across 5 matching MRF lines		 $85.80–$148.80 $143–$248 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $472.20–$484.20 $787–$807 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $196.80–$1,114.20 $328–$1,857 varies
Exc Back Les Sc < 3 Cm (21930) $1,020.60 $1,701 0.6×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $397.20 $662 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $397.20 $662 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $397.20–$484.20 $662–$807 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $397.20–$484.20 $662–$807 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $397.20–$484.20 $662–$807 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,020.60 $1,701 0.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,114.20 $1,857 0.6×
Exc Frenum Labial/Buccal (40819) $1,240.80 $2,068 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $891–$1,114.20 $1,485–$1,857 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $397.20–$1,051.20 $662–$1,752 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 4 matching MRF lines		 $167.40–$2,065.20 $279–$3,442 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $484.20 $807 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,114.20 $1,857 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,803 $3,005 0.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,114.20 $1,857 0.6×
Exc Skin Benig >4cm Face,Facial (11446) $1,803 $3,005 0.6×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $234.60 $391 0.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $6,741.60 $11,236 5.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 4 matching MRF lines		 $220.80–$484.20 $368–$807 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 4 matching MRF lines		 $397.20–$484.20 $662–$807 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,114.20 $1,857 0.6×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $5,491.80 $9,153 1.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 5 matching MRF lines		 $1,123.80–$1,396.80 $1,873–$2,328 varies
Exchange Transfusion (36455) $700.80 $1,168 1.5×
Exchange Transfusion Blood Newborn (36450) $267 $445 0.6×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,559.40 $2,599 0.8×
Excision Lingual Frenum Frenectomy (41115) $1,197 $1,995 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $147.60 $246 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $397.20 $662 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $220.80 $368 0.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $397.20 $662 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $146.40 $244 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $397.20–$418.20 $662–$697 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $397.20 $662 0.5×
Excision Multiple External Papillae/Tags Anus (46230) $2,940.60 $4,901 1.0×
Excision of gum flap (41821) $1,894.80 $3,158 1.1×
Excision of single external papilla or tag, anus (46220) $2,188.80 $3,648 1.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,722.60 $2,871 1.0×
Expl penetrating wound spx abdomen/flank/back (20102) $1,257 $2,095 0.6×
Explo/Drain Breast Abscess (19020)
range across 3 matching MRF lines		 $2,450.40–$2,578.80 $4,084–$4,298 varies
Exploration penetrating wound spx chest (20101) $1,152.60 $1,921 0.5×
Exploration penetrating wound spx extremity (20103) $1,020.60 $1,701 0.6×
Extensive Retinopathy 1/> Sess Preterm Infant (67229)
range across 3 matching MRF lines		 $1,485.60–$2,226.60 $2,476–$3,711 varies
External cephalic version (59412) $8,253 $13,755 2.4×
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 5 matching MRF lines		 $78–$1,437 $130–$2,395 varies
Fetal Contraction Stress Test (59020) $686.40 $1,144 3.2×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $822.60 $1,371 2.5×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $114.60–$772.20 $191–$1,287 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,227.20 $3,712 2.9×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $3,011.40 $5,019 4.0×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $272.40–$409.80 $454–$683 varies
Fluid Pressure Muscle (20950)
range across 3 matching MRF lines		 $1,329–$1,398 $2,215–$2,330 varies
Fluoro exam of g/colon tube (49465) $875.40 $1,459 3.4×
Fna Bx W/Fluor Gdn 1St Les (10007) $2,301.60 $3,836 3.0×
Fna bx w/us gdn 1st les (10005) $1,090.20 $1,817 1.4×
Foreskin manipulation (54450) $383.40 $639 1.4×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U)
range across 2 matching MRF lines		 $779.40–$795 $1,299–$1,325 varies
Guide Cathet Fluid Drainage (10030)
range across 3 matching MRF lines		 $1,933.80–$2,341.20 $3,223–$3,902 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $946.20 $1,577 0.9×
I&d abscess peritonsillar (42700)
range across 4 matching MRF lines		 $292.20–$502.80 $487–$838 varies
I&d abscess simple (10060)
range across 6 matching MRF lines		 $172.80–$710.40 $288–$1,184 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 4 matching MRF lines		 $939.60–$4,306.80 $1,566–$7,178 varies
I&d pelvis/hip jt area deep abscess/hematoma (26990) $9,736.20 $16,227 2.8×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $533.40–$1,860 $889–$3,100 varies
I&d pilonidal cyst complicated (10081) $895.80 $1,493 1.2×
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $418.20–$509.40 $697–$849 varies
Icd Pocket Revision (33223) $2,710.80 $4,518 1.2×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,841.40 $3,069 1.9×
Image Cath Fluid Colxn Visc (49405)
range across 3 matching MRF lines		 $2,413.80–$3,520.80 $4,023–$5,868 varies
Image Cath Fluid Peri/Retro (49406)
range across 3 matching MRF lines		 $2,413.80–$3,520.80 $4,023–$5,868 varies
Image Cath Fluid Trns/Vgnl (49407)
range across 3 matching MRF lines		 $1,661.40–$3,147.60 $2,769–$5,246 varies
Implant neuroelectrodes (63650) $10,584.60 $17,641 1.5×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $228–$459.60 $380–$766 varies
Incision & drainage abscess complicated/multiple (10061)
range across 5 matching MRF lines		 $220.80–$1,106.40 $368–$1,844 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,896.60 $3,161 0.6×
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines		 $313.20–$4,023.60 $522–$6,706 varies
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines		 $232.20–$671.40 $387–$1,119 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 5 matching MRF lines		 $241.20–$442.80 $402–$738 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines		 $216.60–$525 $361–$875 varies
Incision of lingual frenum (frenotomy) (41010) $1,555.20 $2,592 0.9×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,143.80–$3,430.20 $3,573–$5,717 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,891.20 $3,152 1.1×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $351.60–$465.60 $586–$776 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 4 matching MRF lines		 $132–$234 $220–$390 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 8 matching MRF lines		 $1,073.40–$2,033.40 $1,789–$3,389 varies
Inj W/Fluor Eval Cv Device (36598)
range across 4 matching MRF lines		 $351.60–$605.40 $586–$1,009 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $637.80 $1,063 0.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,038–$1,808.40 $1,730–$3,014 varies
Inject Intravitreal Pharmcologic (67028)
range across 3 matching MRF lines		 $851.40–$1,278.60 $1,419–$2,131 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 7 matching MRF lines		 $175.80–$596.40 $293–$994 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 5 matching MRF lines		 $865.80–$1,361.40 $1,443–$2,269 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 4 matching MRF lines		 $777.60–$1,167.60 $1,296–$1,946 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 5 matching MRF lines		 $1,074–$2,338.80 $1,790–$3,898 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 4 matching MRF lines		 $777.60–$1,167.60 $1,296–$1,946 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 8 matching MRF lines		 $870–$2,297.40 $1,450–$3,829 varies
Injection Anes Superior Hypogastric Plexus (64517) $2,161.80 $3,603 2.3×
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $910.80–$1,361.40 $1,518–$2,269 varies
Injection for identification of sentinel node (38792)
range across 3 matching MRF lines		 $274.20–$408.60 $457–$681 varies
Injection Into Brain Canal (61055) $1,038 $1,730 3.2×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $186–$391.80 $310–$653 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $175.80–$703.20 $293–$1,172 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 5 matching MRF lines		 $175.80–$875.40 $293–$1,459 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,809.60 $3,016 1.1×
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 $376.80–$937.20 $628–$1,562 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 7 matching MRF lines		 $889.80–$1,887.60 $1,483–$3,146 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 13 matching MRF lines		 $772.20–$2,451 $1,287–$4,085 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 11 matching MRF lines		 $645–$1,361.40 $1,075–$2,269 varies
Injection, Intralesional; More Than 7 Lesions (11901) $314.40 $524 1.5×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $121.20–$294 $202–$490 varies
Ins cath ren art 1st bilat (36252) $4,772.40 $7,954 1.4×
Ins cath ren art 1st unilat (36251) $4,772.40 $7,954 1.4×
Ins cath ren art 2nd+ bilat (36254) $6,379.80 $10,633 1.9×
Ins cath ren art 2nd+ unilat (36253) $6,771 $11,285 1.1×
Ins endovas vena cava filtr (37191) $7,792.80 $12,988 1.3×
Ins Vag Brachytx Device (57156)
range across 2 matching MRF lines		 $345.60–$954.60 $576–$1,591 varies
Ins/Rep Subq Defibrillator (33270) $58,561.80 $97,603 1.7×
Insert 1 Electrode Pm-Defib (33216) $12,224.40 $20,374 1.4×
Insert and remove bone pin (20650) $3,111 $5,185 0.9×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $213.60–$326.40 $356–$544 varies
Insert cath pleura w/ image (32557)
range across 8 matching MRF lines		 $1,192.80–$5,657.40 $1,988–$9,429 varies
Insert cath pleura w/o image (32556)
range across 8 matching MRF lines		 $1,195.20–$3,423 $1,992–$5,705 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $7,420.20 $12,367 5.8×
Insert cervical dilator (59200) $190.20 $317 0.6×
Insert Drug Implant Device (11981) $172.20 $287 1.2×
Insert Gastrostomy Tube Percutaneous (49440) $2,673.60 $4,456 1.3×
Insert Heart Pm Atrial (33206) $17,812.80 $29,688 1.6×
Insert Heart Pm Ventricular (33207) $16,929 $28,215 1.5×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $4,315.20 $7,192 0.2×
Insert heyman uteri capsule (58346)
range across 2 matching MRF lines		 $1,018.80–$5,191.20 $1,698–$8,652 varies
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines		 $252.60–$2,187.60 $421–$3,646 varies
Insert Pacing Lead & Connect (33224) $17,812.80 $29,688 1.6×
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $147–$162.60 $245–$271 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 3 matching MRF lines		 $148.20–$1,453.20 $247–$2,422 varies
Insert pulse gen dual leads (33213) $17,812.80 $29,688 1.6×
Insert pulse gen mult leads (33221) $32,488.20 $54,147 1.6×
Insert Pulse Gen Sngl Lead (33212) $12,862.80 $21,438 1.5×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $153–$266.40 $255–$444 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $4,990.80–$11,287.20 $8,318–$18,812 varies
Insert tunneled cv cath (36561) $3,985.20 $6,642 1.2×
Insert tunneled cv cath (36563) $5,671.20 $9,452 1.0×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $6,713.40 $11,189 1.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $153–$403.80 $255–$673 varies
Insertion indwelling tunneled pleural catheter (32550) $4,990.80 $8,318 1.3×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $1,717.20–$3,325.80 $2,862–$5,543 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $12,862.80 $21,438 1.5×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421)
range across 2 matching MRF lines		 $498.60–$5,364 $831–$8,940 varies
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $6,840 $11,400 1.1×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
range across 2 matching MRF lines		 $640.80–$1,559.40 $1,068–$2,599 varies
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $12,224.40 $20,374 1.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 3 matching MRF lines		 $2,262–$2,380.80 $3,770–$3,968 varies
Insj Picc Rs&I <5 Yr (36572)
range across 3 matching MRF lines		 $1,298.40–$5,047.80 $2,164–$8,413 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,985.20 $6,642 1.2×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $1,039.80 $1,733 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $189.60–$2,436.60 $316–$4,061 varies
Insj Subq Impltbl Dfb Elctrd (33271) $12,862.80 $21,438 1.5×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $3,985.20 $6,642 1.2×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $6,730.20 $11,217 1.1×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $6,713.40 $11,189 2.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $576.60–$3,236.40 $961–$5,394 varies
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $53,760–$79,635 $89,600–$132,725 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $9,855–$12,224.40 $16,425–$20,374 varies
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $1,116.60–$16,929 $1,861–$28,215 varies
Insrt Pulse Gen W/Dual Leads (33230) $42,122.40 $70,204 1.8×
Insrt Pulse Gen W/Mult Leads (33231) $58,561.80 $97,603 1.7×
Insrt Pulse Gen W/Singl Lead (33240)
range across 2 matching MRF lines		 $38,668.20 $1,810–$64,447 1.6×
Interdental fixation (21110) $1,894.80 $3,158 1.1×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411)
range across 2 matching MRF lines		 $848.40–$2,107.80 $1,414–$3,513 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 3 matching MRF lines		 $518.40–$839.40 $864–$1,399 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 3 matching MRF lines		 $595.80–$839.40 $993–$1,399 varies
Intraoral i&d tongue/floor submndblr space (41008) $4,187.40 $6,979 1.2×
Intro cath dialysis circuit (36901)
range across 3 matching MRF lines		 $939–$1,600.80 $1,565–$2,668 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 3 matching MRF lines		 $14,598.60–$20,163.60 $24,331–$33,606 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 3 matching MRF lines		 $7,222.20–$15,149.40 $12,037–$25,249 varies
Intro Gastrointestinal Tube (44500) $1,188.60 $1,981 1.2×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $364.20–$598.80 $607–$998 varies
Irrigation of corpora cavernosa for priapism (54220) $615.60 $1,026 2.3×
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674)
likely a partial charge, not the full procedure		 $2,297.40 $3,829 0.2×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571)
range across 2 matching MRF lines		 $6,450–$7,411.20 $10,750–$12,352 varies
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $106.20–$122.40 $177–$204 varies
Laryngoscopy exc tum&/stripping cords/epiglott (31540)
range across 2 matching MRF lines		 $4,772.40–$5,484 $7,954–$9,140 varies
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $5,511 $9,185 1.4×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $169.20–$466.80 $282–$778 varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $2,877.60 $4,796 1.5×
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 2 matching MRF lines		 $4,441.80–$5,103.60 $7,403–$8,506 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $2,877.60 $4,796 1.5×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $276 $460 0.7×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)
range across 2 matching MRF lines		 $970.80–$1,115.40 $1,618–$1,859 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511) $164.40 $274 0.8×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $5,380.80 $8,968 12.8×
Larynscop w/tumr exc + scope (31541) $5,104.80 $8,508 1.3×
Ligation of a-v fistula (37607) $3,485.40 $5,809 1.0×
Lyse chest fibrin init day (32561)
range across 3 matching MRF lines		 $364.20–$1,324.80 $607–$2,208 varies
Lyse Chest Fibrin Subq Day (32562)
range across 3 matching MRF lines		 $364.20–$1,153.20 $607–$1,922 varies
Manometric stds thru tube/ndwellg urtrl cath (50396) $4,615.20 $7,692 6.2×
Marsupialization of bartholin's gland cyst (56440) $5,778.60 $9,631 1.7×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,530 $2,550 0.9×
Mech remov tunneled cv cath (36595) $3,985.20 $6,642 1.2×
Myelography Lumbar Injection (62305) $2,131.20 $3,552 2.5×
Myelography Lumbar Injection (62304) $1,775.40 $2,959 2.1×
Myelography via lumbar injection rs&i cervical (62302) $1,775.40 $2,959 2.1×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,775.40 $2,959 2.1×
N Block Inj Celiac Pelus (64530) $2,140.20 $3,567 2.3×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 7 matching MRF lines		 $792.60–$1,361.40 $1,321–$2,269 varies
N block inj intercost sng (64420)
range across 9 matching MRF lines		 $879.60–$2,033.40 $1,466–$3,389 varies
N Block Inj Pudendal (64430)
range across 9 matching MRF lines		 $1,163.40–$2,983.80 $1,939–$4,973 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $1,210.20–$1,808.40 $2,017–$3,014 varies
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $257.40–$390.60 $429–$651 varies
Nasal surgery procedure (30999) $79.80 $133 0.3×
Nasal/Orogastric W/Tube Plmt (43752) $459.60 $766 1.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,719.80 $4,533 1.4×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785)
range across 2 matching MRF lines		 $450.60–$479.40 $751–$799 varies
Needle Biopsy Lymph Nodes (38505)
range across 4 matching MRF lines		 $1,643.40–$2,464.80 $2,739–$4,108 varies
Needle Biopsy Pancreas (48102) $2,371.20 $3,952 1.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $30 $50 1.0×
Needle insertion w/o injection 3 or more muscles (20561) $30 $50 1.0×
Neuro csf detcj prion prtn quakg conf conv qual (0584U)
range across 2 matching MRF lines		 $967.20–$1,398 $1,612–$2,330 varies
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,053.60 $1,756 1.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $750–$853.20 $1,250–$1,422 varies
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $3,662.40 $6,104 1.7×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $1,378.80–$1,584 $2,298–$2,640 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 8 matching MRF lines		 $844.20–$1,361.40 $1,407–$2,269 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,695 $7,825 1.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,695 $7,825 1.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 8 matching MRF lines		 $1,073.40–$2,033.40 $1,789–$3,389 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325)
range across 3 matching MRF lines		 $1,044.60–$4,096.80 $1,741–$6,828 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $2,583.60–$4,233 $4,306–$7,055 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 3 matching MRF lines		 $1,710.60–$2,803.20 $2,851–$4,672 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 3 matching MRF lines		 $553.20–$2,667 $922–$4,445 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)
range across 2 matching MRF lines		 $3,565.20–$4,096.80 $5,942–$6,828 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $1,249.20–$4,233 $2,082–$7,055 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $2,320.80–$2,667 $3,868–$4,445 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465) $1,419 $2,365 0.6×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $1,419 $2,365 0.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 5 matching MRF lines		 $921–$1,381.80 $1,535–$2,303 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 5 matching MRF lines		 $921–$1,381.80 $1,535–$2,303 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $1,004.40 $1,674 2.3×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $563.40 $939 1.3×
Njx Sclrsnt Spider Veins (36468) $1,419 $2,365 3.3×
Obstructive material removal from gi tube (49460) $1,451.40 $2,419 1.5×
Occipital Nerve Block (64405)
range across 12 matching MRF lines		 $736.80–$1,939.20 $1,228–$3,232 varies
Open bowel to skin (44300) $1,559.40 $2,599 0.8×
Open Tx Distal Phalangeal Fracture Each (26765) $8,153.40 $13,589 2.3×
Open/Perq Place Stent 1St (37236) $17,420.40 $29,034 1.4×
Open/Perq Place Stent Same (37238) $14,365.20 $23,942 1.2×
Penile Injection (54235) $1,531.20 $2,552 5.7×
Perc Cryo Ablate Renal Tum (50593)
range across 5 matching MRF lines		 $10,954.20–$15,184.80 $18,257–$25,308 varies
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $2,107.80 $3,513 1.4×
Perc Rf Ablate Renal Tumor (50592)
range across 5 matching MRF lines		 $7,302.60–$10,954.20 $12,171–$18,257 varies
Percut Ablate Liver Rf (47382) $8,455.80 $14,093 1.3×
Percut Cath Occlusn Non Cns Lesn (61626) $18,620.40 $31,034 1.5×
Percut Drain/Inject Renal Cyst (50390)
range across 5 matching MRF lines		 $792–$2,506.20 $1,320–$4,177 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,614.60 $7,691 1.4×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $978.60–$1,185 $1,631–$1,975 varies
Peritoneal Lavage (49084)
range across 3 matching MRF lines		 $544.20–$1,840.80 $907–$3,068 varies
Perm Occlusion/Embolization,Percut,Cns (61624) $11,815.20 $19,692 0.6×
Perq Cervicothoracic Inject (22510) $4,917.60 $8,196 1.4×
Perq dev breast 1st mr guide (19287)
range across 3 matching MRF lines		 $3,445.20–$5,169 $5,742–$8,615 varies
Perq dev breast 1st strtctc (19283)
range across 3 matching MRF lines		 $1,149.60–$1,724.40 $1,916–$2,874 varies
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines		 $1,276.20–$1,913.40 $2,127–$3,189 varies
Perq device breast 1st imag (19281)
range across 3 matching MRF lines		 $1,093.20–$1,724.40 $1,822–$2,874 varies
Perq dilation xst trc endourologic px w/img (50436) $2,712.60 $4,521 0.7×
Perq Lumbosacral Injection (22511) $4,917.60 $8,196 1.4×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
likely a partial charge, not the full procedure		 $2,131.80 $3,553 0.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $8,455.80 $14,093 1.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $961.20 $1,602 1.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 3 matching MRF lines		 $14,658.60–$23,668.80 $24,431–$39,448 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 3 matching MRF lines		 $7,281–$10,979.40 $12,135–$18,299 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $6,907.20 $11,512 0.9×
Perq Vertebral Augmentation (22513) $6,907.20 $11,512 0.9×
Phleb Veins - Extrem 20+ (37766) $3,985.20 $6,642 1.2×
Place breast rad tube/caths (19298) $16,817.40 $28,029 1.1×
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines		 $5,460.60–$8,191.20 $9,101–$13,652 varies
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines		 $5,460.60–$8,191.20 $9,101–$13,652 varies
Place Cath Vertebral Art (36226)
range across 3 matching MRF lines		 $7,623.60–$11,434.20 $12,706–$19,057 varies
Place Duod/Jej Tube Perc (49441) $5,296.80 $8,828 2.6×
Place ndl musc/tis for rt (20555) $567 $945 0.2×
Place Rt Device/Marker Pros (55876)
range across 2 matching MRF lines		 $848.40–$2,858.40 $1,414–$4,764 varies
Placement needle head/neck radioelement applicat (41019)
range across 2 matching MRF lines		 $1,021.20–$6,875.40 $1,702–$11,459 varies
Placement Needle Pelvic Organ Radioelement Appl (55920)
range across 2 matching MRF lines		 $975.60–$9,743.40 $1,626–$16,239 varies
Placement of needle for intraosseous infusion (36680)
range across 3 matching MRF lines		 $183–$413.40 $305–$689 varies
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $5,779.20 $9,632 0.8×
Plmt Bile Duct Stent Prq Existing Access (47538) $7,302.60 $12,171 1.1×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $8,455.80 $14,093 1.3×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $8,455.80 $14,093 1.3×
Plmt expandable cath brst following prtl mast (19296) $19,076.40 $31,794 2.2×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 5 matching MRF lines		 $2,778–$4,639.80 $4,630–$7,733 varies
Plmt Nephroureteral Catheter (50433)
range across 5 matching MRF lines		 $1,782–$4,639.80 $2,970–$7,733 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 5 matching MRF lines		 $3,978–$5,967 $6,630–$9,945 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 5 matching MRF lines		 $3,978–$5,967 $6,630–$9,945 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 5 matching MRF lines		 $3,978–$5,967 $6,630–$9,945 varies
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines		 $11,358–$12,159 $18,930–$20,265 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $991.80–$1,164.60 $1,653–$1,941 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,671 $2,785 2.2×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $4,395 $7,325 4.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,990.80 $8,318 1.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,990.80 $8,318 1.3×
Pseudoaneurysm Injection Trt (36002)
range across 4 matching MRF lines		 $1,185.60–$1,872 $1,976–$3,120 varies
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $220.80–$300.60 $368–$501 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $232.20–$1,431 $387–$2,385 varies
Puncture Aspiration Cyst Breast (19000)
range across 7 matching MRF lines		 $443.40–$792 $739–$1,320 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $986.40–$1,132.80 $1,644–$1,888 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,836 $3,060 0.9×
Redo Endovas Vena Cava Filtr (37192) $4,017.60 $6,696 1.2×
Reduction of rectal prolapse (45900) $1,197.60 $1,996 1.2×
Relocation Pocket Pacemaker (33222) $2,710.80 $4,518 1.2×
Rem Endovas Vena Cava Filter (37193) $4,169.40 $6,949 1.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,413.60 $2,356 1.5×
Removal Embedded Foreign Body Eyelid (67938)
range across 3 matching MRF lines		 $251.40–$264 $419–$440 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 7 matching MRF lines		 $747–$1,512.60 $1,245–$2,521 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $246.60–$1,020.60 $411–$1,701 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 6 matching MRF lines		 $139.20–$306 $232–$510 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 13 matching MRF lines		 $87.60–$306 $146–$510 varies
Removal impacted vag fb spx w/anes oth/thn local (57415)
range across 2 matching MRF lines		 $2,003.40–$4,546.20 $3,339–$7,577 varies
Removal Implant Deep (20680) $3,436.80 $5,728 1.1×
Removal Implant Superficial Separate Procedure (20670) $3,436.80 $5,728 1.9×
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines		 $397.20–$418.20 $662–$697 varies
Removal of foreign body from pharynx (42809) $251.40 $419 0.5×
Removal of nail bed (11750)
range across 6 matching MRF lines		 $255.60–$1,024.20 $426–$1,707 varies
Removal of tunneled intraperitoneal catheter (49422) $3,985.20 $6,642 1.2×
Removal or bivalving full arm or full leg cast (29705)
range across 7 matching MRF lines		 $154.20–$328.80 $257–$548 varies
Removal Pacemaker Electrode (33235) $4,782 $7,970 1.2×
Removal peritoneal-venous shunt (49429) $5,876.40 $9,794 1.7×
Removal ppm generator only (33233) $12,224.40 $20,374 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $115.20–$212.40 $192–$354 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,810.20 $3,017 2.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $957 $1,595 0.4×
Removal/bivalving gauntlet boot/body cast (29700)
range across 3 matching MRF lines		 $321.60–$338.40 $536–$564 varies
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $4,836 $8,060 2.2×
Remove brain canal fluid (61050) $986.40 $1,644 3.0×
Remove Brain Cavity Fluid (61020) $2,338.20 $3,897 2.5×
Remove cerclage suture (59871) $3,309.60 $5,516 1.0×
Remove drug implant device (11982) $4,081.80 $6,803 8.5×
Remove Elctrd Transvenously (33244) $4,782 $7,970 1.2×
Remove foreign body from eye (65205)
range across 8 matching MRF lines		 $186.60–$336 $311–$560 varies
Remove Int Dwell Ureteral Stent Transurethral (50386) $1,616.40 $2,694 0.7×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $189.60–$207.60 $316–$346 varies
Remove intrvas foreign body (37197) $4,560 $7,600 1.3×
Remove lung catheter (32552) $1,192.80 $1,988 1.8×
Remove Nasal Foreign Body (30300)
range across 5 matching MRF lines		 $168.60–$247.80 $281–$413 varies
Remove Pulse Generator (33241) $4,782 $7,970 1.2×
Remove renal tube w/fluoro (50389)
range across 4 matching MRF lines		 $1,077.60–$1,617 $1,796–$2,695 varies
Remove Shoulder Foreign Body (23330) $1,020.60 $1,701 0.6×
Remove ureter stent percut (50384)
range across 5 matching MRF lines		 $2,670.60–$4,006.80 $4,451–$6,678 varies
Remove&replace pm gen singl (33227) $12,862.80 $21,438 1.5×
Remv&replc cvd gen dual lead (33263) $42,122.40 $70,204 1.8×
Remv&replc cvd gen mult lead (33264) $58,561.80 $97,603 1.7×
Remv&replc cvd gen sing lead (33262) $40,032.60 $66,721 1.7×
Remv&replc pm gen dual lead (33228) $17,812.80 $29,688 1.6×
Remv&replc pm gen mult leads (33229) $30,876.60 $51,461 1.5×
Renal Biopsy Perq (50200)
range across 5 matching MRF lines		 $1,015.80–$3,762 $1,693–$6,270 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines		 $457.80–$596.40 $763–$994 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $549–$659.40 $915–$1,099 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $325.80–$659.40 $543–$1,099 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $579.60–$677.40 $966–$1,129 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 3 matching MRF lines		 $385.80–$433.20 $643–$722 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $457.80–$659.40 $763–$1,099 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 3 matching MRF lines		 $352.20–$391.20 $587–$652 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 3 matching MRF lines		 $385.80–$530.40 $643–$884 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $322.20–$495.60 $537–$826 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 4 matching MRF lines		 $288–$532.80 $480–$888 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 3 matching MRF lines		 $396–$601.80 $660–$1,003 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 3 matching MRF lines		 $430.80–$632.40 $718–$1,054 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 3 matching MRF lines		 $784.80–$839.40 $1,308–$1,399 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 3 matching MRF lines		 $385.80–$718.20 $643–$1,197 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $252–$541.20 $420–$902 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 4 matching MRF lines		 $322.20–$586.20 $537–$977 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 4 matching MRF lines		 $385.80–$609.60 $643–$1,016 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,151.40 $1,919 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $366.60–$658.80 $611–$1,098 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 5 matching MRF lines		 $288.60–$411 $481–$685 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 5 matching MRF lines		 $297–$810 $495–$1,350 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 3 matching MRF lines		 $479.40–$658.80 $799–$1,098 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 5 matching MRF lines		 $297–$993.60 $495–$1,656 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,151.40 $1,919 0.5×
Repair lead pace-defib dual (33220) $4,782 $7,970 1.2×
Repair Lead Pace-Defib One (33218) $4,782 $7,970 1.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $376.20–$420 $627–$700 varies
Repair tongue laceration (41252) $670.80 $1,118 2.6×
Repair tongue laceration (41250)
range across 3 matching MRF lines		 $251.40–$528 $419–$880 varies
Replace duodenostomy/jejunostomy tube perq (49451) $1,402.80 $2,338 1.4×
Replace G-J Tube Perc (49452) $1,402.80 $2,338 1.4×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $1,153.80–$1,402.80 $1,923–$2,338 varies
Replace/Revise Brain Shunt (62230)
range across 3 matching MRF lines		 $1,824.60–$8,479.80 $3,041–$14,133 varies
Repos Previously Implanted Subq Implantable Dfb (33273) $4,743.60 $7,906 1.2×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $900.60–$1,321.80 $1,501–$2,203 varies
Reposition L Ventric Lead (33226) $4,317.60 $7,196 1.3×
Reposition Pacing-Defib Lead (33215) $4,286.40 $7,144 1.3×
Reposition Venous Catheter (36597) $1,530 $2,550 0.9×
Revise Abdomen-Venous Shunt (49426) $6,324.60 $10,541 1.6×
Revise eyelashes (67825) $890.40 $1,484 2.6×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $4,134.60 $6,891 0.6×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $8,142.60 $13,571 1.3×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
range across 3 matching MRF lines		 $12,054–$18,081 $20,090–$30,135 varies
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 3 matching MRF lines		 $8,896.80–$13,345.80 $14,828–$22,243 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
range across 3 matching MRF lines		 $40,213.20–$60,319.80 $67,022–$100,533 varies
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 3 matching MRF lines		 $28,655.40–$42,983.40 $47,759–$71,639 varies
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
range across 3 matching MRF lines		 $39,075.60–$58,613.40 $65,126–$97,689 varies
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
range across 3 matching MRF lines		 $28,655.40–$42,982.80 $47,759–$71,638 varies
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
range across 3 matching MRF lines		 $30,418.20–$45,627.60 $50,697–$76,046 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 3 matching MRF lines		 $18,045–$27,067.20 $30,075–$45,112 varies
Revsc evasc imvt angiop uni cplx les 1st vsl (37298)
range across 3 matching MRF lines		 $22,474.20–$33,711.60 $37,457–$56,186 varies
Revsc evasc imvt angiop uni sf les 1st vsl (37296)
range across 3 matching MRF lines		 $18,045–$27,067.20 $30,075–$45,112 varies
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)
range across 3 matching MRF lines		 $13,102.20–$19,653 $21,837–$32,755 varies
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 3 matching MRF lines		 $8,896.80–$13,345.80 $14,828–$22,243 varies
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
range across 3 matching MRF lines		 $26,170.20–$39,255 $43,617–$65,425 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 3 matching MRF lines		 $18,045–$27,067.20 $30,075–$45,112 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)
range across 3 matching MRF lines		 $22,666.20–$33,999.60 $37,777–$56,666 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 3 matching MRF lines		 $18,045–$27,067.20 $30,075–$45,112 varies
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
range across 3 matching MRF lines		 $36,084.60–$54,126.60 $60,141–$90,211 varies
Revsc evasc tpvt athrc uni sf les 1st vsl (37288)
range across 3 matching MRF lines		 $28,655.40–$42,982.80 $47,759–$71,638 varies
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
range across 3 matching MRF lines		 $38,570.40–$57,855.60 $64,284–$96,426 varies
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
range across 3 matching MRF lines		 $28,655.40–$42,983.40 $47,759–$71,639 varies
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 5 matching MRF lines		 $2,866.80–$3,212.40 $4,778–$5,354 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 7 matching MRF lines		 $199.20–$504 $332–$840 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 6 matching MRF lines		 $273–$610.80 $455–$1,018 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $199.20 $332 0.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,803 $3,005 0.6×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,803 $3,005 0.6×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,020.60 $1,701 0.6×
Rmvl of subq implantable defibrillator electrode (33272) $4,603.80 $7,673 1.1×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,914.60 $3,191 0.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $4,782 $7,970 1.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $424.80–$1,168.20 $708–$1,947 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $364.20–$1,111.80 $607–$1,853 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $489.60–$1,006.20 $816–$1,677 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $216.60–$249 $361–$415 varies
Rplcmt cath ctr vad subq port/pmp (36578) $3,985.20 $6,642 1.2×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,530 $2,550 0.9×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,985.20 $6,642 1.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,272.20 $3,787 1.3×
Rplcmt compl tun ctr vad w/subq pmp (36583) $6,730.20 $11,217 1.1×
Rplcmt compl tun ctr vad w/subq port (36582) $3,985.20 $6,642 1.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,795 $6,325 1.1×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $2,638.20–$5,374.80 $4,397–$8,958 varies
Rpr blvsl w/grf other/than vein lower extremity (35286) $3,883.20 $6,472 0.7×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576)
range across 2 matching MRF lines		 $1,530–$2,734.80 $2,550–$4,558 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $317.40–$454.80 $529–$758 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 3 matching MRF lines		 $385.80–$730.80 $643–$1,218 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652) $321 $535 0.6×
Rpr Lip Full Thickness Vermilion Only (40650) $1,770 $2,950 3.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines		 $891.60–$1,623.60 $1,486–$2,706 varies
Sclerotx Fluid Collection (49185) $1,671 $2,785 0.9×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $220.80–$232.20 $368–$387 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $115.20 $192 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $129 $215 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $115.20–$121.20 $192–$202 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $115.20–$143.40 $192–$239 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $115.20–$159.60 $192–$266 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 2 matching MRF lines		 $129–$232.20 $215–$387 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $115.20–$159.60 $192–$266 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $220.80 $368 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $115.20–$138.60 $192–$231 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $220.80–$232.20 $368–$387 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $115.20–$159 $192–$265 varies
Simple Cystometrogram (51725) $1,104.60 $1,841 4.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 3 matching MRF lines		 $389.40–$557.40 $649–$929 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $180.60–$334.80 $301–$558 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 4 matching MRF lines		 $265.20–$382.20 $442–$637 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 3 matching MRF lines		 $387.60–$572.40 $646–$954 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 4 matching MRF lines		 $267.60–$454.80 $446–$758 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 3 matching MRF lines		 $408–$650.40 $680–$1,084 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 5 matching MRF lines		 $151.80–$355.80 $253–$593 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 3 matching MRF lines		 $514.80–$572.40 $858–$954 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 4 matching MRF lines		 $257.40–$426 $429–$710 varies
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $1,151.40–$1,374 $1,919–$2,290 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $1,151.40–$1,551 $1,919–$2,585 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $2,366.40–$4,965 $3,944–$8,275 varies
Skin Tissue Procedure (17999) $1,791 $2,985 8.3×
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $1,151.40–$3,036 $1,919–$5,060 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 3 matching MRF lines		 $7,623.60–$11,434.20 $12,706–$19,057 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 3 matching MRF lines		 $5,460.60–$8,191.20 $9,101–$13,652 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 3 matching MRF lines		 $7,623.60–$11,434.20 $12,706–$19,057 varies
Slitting of prepuce (54001) $4,357.80 $7,263 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 6 matching MRF lines		 $212.40–$370.80 $354–$618 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $384.60–$528.60 $641–$881 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 3 matching MRF lines		 $384.60–$528.60 $641–$881 varies
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $427.20–$1,759.20 $712–$2,932 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,718.80 $6,198 1.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $3,211.80 $5,353 1.5×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,985.20 $6,642 1.2×
Strapping ankle (29540)
range across 5 matching MRF lines		 $106.80–$112.80 $178–$188 varies
Strapping elbow or wrist (29260)
range across 3 matching MRF lines		 $116.40–$123 $194–$205 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $116.40–$123 $194–$205 varies
Strapping knee (29530)
range across 3 matching MRF lines		 $116.40–$123 $194–$205 varies
Strapping shoulder (29240)
range across 5 matching MRF lines		 $116.40–$144.60 $194–$241 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $155.40–$232.80 $259–$388 varies
Tangential biopsy skin single lesion (11102)
range across 5 matching MRF lines		 $159–$300.60 $265–$501 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure		 $8,331.60 $13,886 0.3×
Tcat Insj/Rpl Perm Ldls Pm (33274)
range across 2 matching MRF lines		 $28,066.20–$30,671.40 $46,777–$51,119 varies
Tcat Rmvl Perm Ldls Pm (33275) $5,272.20 $8,787 1.6×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605)
range across 3 matching MRF lines		 $5,695.80–$8,541 $9,493–$14,235 varies
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $8,076.60 $13,461 1.7×
Ther Apheresis,Red Blood Cells (36512) $4,222.20 $7,037 2.5×
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $427.20–$1,336.80 $712–$2,228 varies
Therapeutic Apheresis White Blood Cells (36511) $4,222.20 $7,037 2.5×
Therapeutic plasma exchange (36514) $3,472.20 $5,787 2.1×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $8,857.80 $14,763 1.5×
Thrmbc/Nfs Dialysis Circuit (36906)
range across 3 matching MRF lines		 $22,146–$28,684.20 $36,910–$47,807 varies
Thromblytic art/ven therapy (37213) $4,386 $7,310 1.3×
Thrombolytic Art Therapy (37211) $9,928.20 $16,547 1.7×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $569.40–$751.80 $949–$1,253 varies
Thrombolytic Venous Therapy (37212) $4,527.60 $7,546 1.3×
Thyroid biopsy (60100) $853.20 $1,422 1.1×
Tooth extraction (41899)
range across 2 matching MRF lines		 $466.80–$2,638.20 $778–$4,397 varies
Tprnl Plmt Biodegrdabl Matrl (55874)
likely a partial charge, not the full procedure		 $1,477.20 $2,462 0.3×
Trabeculoplasty by laser surgery (65855) $875.40 $1,459 1.5×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $4,608 $7,680 1.3×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 3 matching MRF lines		 $1,372.20–$2,131.80 $2,287–$3,553 varies
Tracheostoma revj smpl w/o flap rotation (31613) $5,517.60 $9,196 1.6×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $434.40–$437.40 $724–$729 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 5 matching MRF lines		 $487.80–$933 $813–$1,555 varies
Tracheostomy planned (31600)
range across 2 matching MRF lines		 $859.20–$3,606 $1,432–$6,010 varies
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $486 $810 1.5×
Transcatheter biopsy (37200) $7,406.40 $12,344 1.2×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345)
range across 3 matching MRF lines		 $1,901.40–$2,295 $3,169–$3,825 varies
Transfusion Intrauterine Fetal (36460) $961.80 $1,603 2.0×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875)
range across 2 matching MRF lines		 $1,750.20–$7,761 $2,917–$12,935 varies
Treat Dental Ridge Fracture (21440) $4,018.20 $6,697 1.1×
Treat humerus fracture (24500)
range across 3 matching MRF lines		 $537.60–$565.80 $896–$943 varies
Treat Humerus Fracture (24505)
range across 5 matching MRF lines		 $1,008–$2,662.80 $1,680–$4,438 varies
Treat humerus fracture (23600)
range across 6 matching MRF lines		 $418.80–$1,001.40 $698–$1,669 varies
Treat knee fracture (27532)
range across 3 matching MRF lines		 $3,472.80–$3,655.20 $5,788–$6,092 varies
Treat Knuckle Dislocation (26700) $405.60 $676 1.5×
Treat Tail Bone Fracture (27200) $180.60 $301 0.7×
Treat Thumb Dislocation (26641)
range across 4 matching MRF lines		 $325.20–$373.80 $542–$623 varies
Treat Thumb Fracture (26645) $1,008 $1,680 0.6×
Treat toe dislocation (28630) $405.60 $676 1.5×
Treat Vaginal Bleeding (57180) $816 $1,360 3.8×
Treatment closed elbow dislocation w/o anes (24600)
range across 7 matching MRF lines		 $307.20–$607.80 $512–$1,013 varies
Trim skin lesion (11055)
range across 5 matching MRF lines		 $121.20–$276 $202–$460 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $121.20–$176.40 $202–$294 varies
Trim skin lesions over 4 (11057)
range across 3 matching MRF lines		 $121.20–$420.60 $202–$701 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $37.80–$108 $63–$180 varies
Trluml Balo Angiop 1St Art (37246)
range across 3 matching MRF lines		 $7,222.20–$14,908.20 $12,037–$24,847 varies
Trluml Balo Angiop 1St Vein (37248)
range across 3 matching MRF lines		 $7,199.40–$12,689.40 $11,999–$21,149 varies
Tx Gastro Intub W/Asp (43753) $754.20 $1,257 3.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $5,889 $9,815 1.7×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $417.60–$491.40 $696–$819 varies
Tx superficial wound dehiscence w/packing (12021) $823.80 $1,373 1.9×
Unlisted Cardiac Surgery (33999) $1,120.20 $1,867 1.7×
Unlisted Procedure Biliary Tract (47999) $7,028.40 $11,714 7.2×
Unlisted Procedure Endocrine System (60699)
likely a partial charge, not the full procedure		 $1,427.40 $2,379 0.2×
Unlisted Procedure Esophagus (43499) $1,290 $2,150 1.3×
Unlisted procedure femur or knee (27599) $1,566.60 $2,611 5.9×
Unlisted Procedure Intestine (44799) $1,915.80 $3,193 2.0×
Unlisted Procedure Leg/Ankle (27899) $1,566.60 $2,611 5.9×
Unlisted procedure liver (47399) $1,060.20 $1,767 1.4×
Unlisted procedure lungs and pleura (32999) $1,053.60 $1,756 1.6×
Unlisted Procedure Male Genital System (55899) $402.60 $671 1.5×
Unlisted Procedure Muscskeletal System General (20999) $3,610.80 $6,018 13.7×
Unlisted procedure neck or thorax (21899) $2,520 $4,200 9.9×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $453.60–$657 $756–$1,095 varies
Unlisted procedure pancreas (48999) $548.40 $914 0.7×
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $360.60–$574.20 $601–$957 varies
Unlisted procedure shoulder (23929) $1,351.20 $2,252 5.1×
Unlisted procedure spine (22899) $633 $1,055 2.4×
Unlisted procedure stomach (43999) $598.80 $998 0.6×
Unlisted Procedure Trachea Bronchi (31899) $1,969.20 $3,282 9.2×
Unlisted Procedure Vascular Surgery (37799) $1,291.80 $2,153 1.9×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $5,364 $8,940 5.5×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $437.40–$945 $729–$1,575 varies
Unlisted px female genital system nonobstetrical (58999) $585.60 $976 2.7×
Unlisted Px Salivary Glands/Ducts (42699) $2,143.80 $3,573 8.4×
Upgrade of pacemaker system (33214) $17,812.80 $29,688 1.6×
Vaginal Delivery After Cesarean Delivery (59612) $1,134.60 $1,891 0.3×
Vaginal delivery only (59409)
range across 5 matching MRF lines		 $1,011.60–$9,039.60 $1,686–$15,066 varies
Vasc embolize/occlude artery (37242) $19,683.60 $32,806 1.0×
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines		 $19,592.40–$23,892 $32,654–$39,820 varies
Vasc Embolize/Occlude Organ (37243) $19,592.40 $32,654 1.6×
Vasc embolize/occlude venous (37241) $19,592.40 $32,654 1.6×
Venous Cutdown >1 Y/O (36425) $366 $610 0.8×
Venous Mech Thrombectomy (37187) $7,301.40 $12,169 0.6×
Vulvectomy simple partial (56620) $4,323 $7,205 1.2×
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $232.20–$292.80 $387–$488 varies
Wound Prep Trk/Arm/Leg (15002) $1,713 $2,855 2.2×

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.