Procedures & surgery prices at Osf Saint Elizabeth Medical Center
Peru, IL · every code in this section with a posted price and a Medicare benchmark.
539 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 |
$697.80–$1,701 | $1,163–$2,835 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$557.40–$687 | $929–$1,145 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,462.80 | $2,438 | 0.7× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $1,790.40 | $2,984 | 0.8× |
| Amniocentesis diagnostic (59000) range across 3 matching MRF lines |
$529.20–$548.40 | $882–$914 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,044.20 | $3,407 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,044.20 | $3,407 | 0.6× |
| Anoscopy diagnostic (46600) | $144 | $240 | 1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) | $872.40 | $1,454 | 0.9× |
| Appl cranial tong/strtctc frame w/removal spx (20660) | $1,008 | $1,680 | 0.6× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 9 matching MRF lines |
$161.40–$417 | $269–$695 | varies |
| Application cast elbow finger short arm (29075) | $260.40 | $434 | 0.9× |
| Application Finger Splint Dynamic (29131) | $119.40 | $199 | 1.9× |
| Application finger splint static (29130) | $81 | $135 | 0.6× |
| Application Halo Cranial Including Removal (20661) | $1,182.60 | $1,971 | 0.7× |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$138.60–$288.60 | $231–$481 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $403.80 | $673 | 1.3× |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$145.80–$155.40 | $243–$259 | varies |
| Application of long leg cast (29345) | $307.80 | $513 | 1.0× |
| Application of rigid total contact leg cast (29445) | $663.60 | $1,106 | 2.2× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$109.20–$116.40 | $182–$194 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$133.80–$155.40 | $223–$259 | 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 3 matching MRF lines |
$197.40–$297 | $329–$495 | varies |
| Apply Short Leg Cast (29405) | $297 | $495 | 1.0× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$79.80–$139.20 | $133–$232 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$210–$465 | $350–$775 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 7 matching MRF lines |
$1,236–$2,200.20 | $2,060–$3,667 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$220.20–$465 | $367–$775 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 10 matching MRF lines |
$811.20–$2,200.20 | $1,352–$3,667 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$210–$465 | $350–$775 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$1,461–$2,191.20 | $2,435–$3,652 | varies |
| Aspirate Pleura W/O Imaging (32554) | $556.80 | $928 | 0.8× |
| Aspiration and/or injection thyroid cyst (60300) | $965.40 | $1,609 | 1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$216.60–$259.20 | $361–$432 | varies |
| Biopsy Abdominal Mass (49180) | $987 | $1,645 | 0.6× |
| Biopsy bone open superficial (20240) | $3,525 | $5,875 | 1.1× |
| Biopsy bone trocar/needle deep (20225) | $1,368.60 | $2,281 | 0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$987–$1,020.60 | $1,645–$1,701 | varies |
| Biopsy muscle percutaneous needle (20206) | $1,353 | $2,255 | 0.8× |
| Biopsy of liver, needle; percutaneous (47000) | $987 | $1,645 | 0.6× |
| Biopsy Salivary Gland Needle (42400) | $1,026.60 | $1,711 | 1.4× |
| Biopsy soft tissue neck/thorax (21550) | $1,939.80 | $3,233 | 1.1× |
| Bladder instillation anticarcinogenic agent (51720) | $457.80 | $763 | 0.6× |
| Bladder Irrigation (51700) | $309 | $515 | 1.2× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$167.40–$303 | $279–$505 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 4 matching MRF lines |
$275.40–$388.80 | $459–$648 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$658.20–$1,417.20 | $1,097–$2,362 | varies |
| Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
$867.60–$1,020.60 | $1,446–$1,701 | varies |
| Bone Marrow; Aspiration Only (38220) | $987 | $1,645 | 0.6× |
| Bronchoscopy Balloon Occlusion (31634) | $3,916.80 | $6,528 | 0.5× |
| Bx breast 1st lesion mr imag (19085) range across 3 matching MRF lines |
$3,387–$5,197.80 | $5,645–$8,663 | varies |
| Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$3,253.80–$4,994.40 | $5,423–$8,324 | varies |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$3,253.80–$4,994.40 | $5,423–$8,324 | varies |
| Bx Cervix (57500) | $657 | $1,095 | 0.7× |
| Catheter aspiration nasotracheal spx (31720) | $133.20 | $222 | 0.6× |
| Cessj Therapy Cath Removal (37214) | $1,907.40 | $3,179 | 0.6× |
| Change Cystostomy Tube Complicated (51710) | $537.60 | $896 | 0.7× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$230.40–$309.60 | $384–$516 | varies |
| Change of Windpipe Airway (31502) | $198.60 | $331 | 0.8× |
| Chemical Cautery Tissue (17250) | $418.20 | $697 | 1.9× |
| Chest tube placement (32551) range across 6 matching MRF lines |
$974.40–$988.80 | $1,624–$1,648 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,242.20 | $3,737 | 0.6× |
| Circumcision w/clamp/oth dev w/block (54150) | $1,990.80 | $3,318 | 0.9× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,008 | $1,680 | 0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$1,660.80–$1,768.20 | $2,768–$2,947 | varies |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$135–$157.80 | $225–$263 | varies |
| Closed Treat Vert Body Fract (22310) | $622.80 | $1,038 | 2.4× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $306.60 | $511 | 1.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,965.60 | $3,276 | 1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 3 matching MRF lines |
$652.20–$694.80 | $1,087–$1,158 | varies |
| Closed Treatment Sternum Fracture (21820) | $309.60 | $516 | 1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$652.20–$694.80 | $1,087–$1,158 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$337.80–$360 | $563–$600 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,008 | $1,680 | 0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$337.80–$360 | $563–$600 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
$246–$262.20 | $410–$437 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,008 | $1,680 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$604.80–$643.80 | $1,008–$1,073 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,008 | $1,680 | 0.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $288 | $480 | 1.1× |
| Closed tx mandibular fracture w/manipulation (21451) | $1,783.20 | $2,972 | 1.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,107 | $1,845 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $262.20 | $437 | 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) | $1,399.80 | $2,333 | 0.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $2,043 | $3,405 | 0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$337.80–$360 | $563–$600 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$337.80–$360 | $563–$600 | 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 |
$523.80–$558 | $873–$930 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$1,008–$1,011 | $1,680–$1,685 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$541.80–$576.60 | $903–$961 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $971.40 | $1,619 | 0.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$547.80–$583.20 | $913–$972 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$519.60–$553.20 | $866–$922 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$1,720.80–$1,832.40 | $2,868–$3,054 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$246–$262.20 | $410–$437 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $151.20 | $252 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,008 | $1,680 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$571.80–$608.40 | $953–$1,014 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$517.20–$550.80 | $862–$918 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $397.80 | $663 | 1.6× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $532.20 | $887 | 0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$486–$517.20 | $810–$862 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 3 matching MRF lines |
$550.80–$586.20 | $918–$977 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$1,855.20–$1,974.60 | $3,092–$3,291 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$667.80–$1,001.40 | $1,113–$1,669 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 3 matching MRF lines |
$441.60–$469.80 | $736–$783 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,687.80 | $2,813 | 1.0× |
| 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) | $255 | $425 | 1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$607.20–$646.20 | $1,012–$1,077 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$498–$530.40 | $830–$884 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$492–$523.20 | $820–$872 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $255 | $425 | 1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $163.20 | $272 | 0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$678–$722.40 | $1,130–$1,204 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,063.20 | $1,772 | 0.6× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $1,446 | $2,410 | 0.8× |
| 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 |
$337.80–$360 | $563–$600 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 3 matching MRF lines |
$1,595.40–$1,698 | $2,659–$2,830 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
$328.20–$349.20 | $547–$582 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$246–$262.20 | $410–$437 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $331.80 | $553 | 1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $268.80 | $448 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
$1,741.80–$1,854 | $2,903–$3,090 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
$340.80–$363 | $568–$605 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 4 matching MRF lines |
$559.20–$595.80 | $932–$993 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$1,743–$1,855.20 | $2,905–$3,092 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$337.80–$360 | $563–$600 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,757.40 | $2,929 | 1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 3 matching MRF lines |
$1,004.40–$1,069.20 | $1,674–$1,782 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$627–$667.80 | $1,045–$1,113 | 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) | $198 | $330 | 0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $169.20 | $282 | 0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $151.20 | $252 | 0.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
$1,741.80–$1,854 | $2,903–$3,090 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$337.80–$360 | $563–$600 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$240–$255 | $400–$425 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$153.60–$163.20 | $256–$272 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $2,070.60 | $3,451 | 1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $243 | $405 | 0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $163.20 | $272 | 0.6× |
| Cltx post hip arthrp dislc req anes (27266) | $1,008 | $1,680 | 0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 3 matching MRF lines |
$340.80–$363 | $568–$605 | 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 |
$838.80–$892.80 | $1,398–$1,488 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
$1,641–$1,747.20 | $2,735–$2,912 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 3 matching MRF lines |
$337.80–$360 | $563–$600 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$208.20–$221.40 | $347–$369 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) range across 3 matching MRF lines |
$1,116–$1,188 | $1,860–$1,980 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,008 | $1,680 | 0.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 3 matching MRF lines |
$1,827.60–$1,945.20 | $3,046–$3,242 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 3 matching MRF lines |
$1,167–$1,242.60 | $1,945–$2,071 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$745.80–$793.80 | $1,243–$1,323 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,854.60 | $3,091 | 1.1× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 3 matching MRF lines |
$382.20–$405.60 | $637–$676 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$340.80–$363 | $568–$605 | 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 |
$337.80–$360 | $563–$600 | varies |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $2,044.20 | $3,407 | 0.6× |
| Collection of venous blood by venipuncture (36415) | $25.80 | $43 | 2.8× |
| Colporrhaphy (57200) range across 2 matching MRF lines |
$2,951.40–$3,226.80 | $4,919–$5,378 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $298.80 | $498 | 0.9× |
| Colposcopy Cervix Endocervical Curettage (57456) | $298.80 | $498 | 0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) | $145.80 | $243 | 0.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $298.80 | $498 | 0.9× |
| Complex drainage wound (10180) | $1,803 | $3,005 | 0.6× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $6,943.80 | $11,573 | 2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $182.40 | $304 | 1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $127.80 | $213 | 0.9× |
| Control oropharyngeal hemorrhage simple (42960) | $397.80 | $663 | 0.7× |
| Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$1,845.60–$2,946.60 | $3,076–$4,911 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $987 | $1,645 | 0.6× |
| Csf shunt reprogram (62252) | $358.20 | $597 | 1.1× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) | $261 | $435 | 1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $228.60 | $381 | 1.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $297 | $495 | 1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $385.80 | $643 | 0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,803 | $3,005 | 0.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $638.40 | $1,064 | 0.8× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $679.20 | $1,132 | 0.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$746.40–$778.80 | $1,244–$1,298 | varies |
| Debride nail 1-5 (11720) | $181.80 | $303 | 2.9× |
| Debride nail 6 or more (11721) | $126.60 | $211 | 2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,092.20 | $3,487 | 1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$406.20–$464.40 | $677–$774 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$474.60–$840.60 | $791–$1,401 | varies |
| Delivery of placenta (59414) range across 3 matching MRF lines |
$2,003.40–$3,671.40 | $3,339–$6,119 | varies |
| Destroy cerv/thor facet jnt (64633) | $3,832.80 | $6,388 | 1.8× |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$3,683.40–$5,525.40 | $6,139–$9,209 | varies |
| Destruc retinal lesn,photocoag (67210) | $1,336.20 | $2,227 | 2.3× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$150–$162.60 | $250–$271 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $2,473.80 | $4,123 | 2.6× |
| Dilat Xst Trc New Access Rcs (50437) | $2,172.60 | $3,621 | 0.6× |
| Drain/inj small joint/bursa w/us (20604) range across 7 matching MRF lines |
$1,236–$2,200.20 | $2,060–$3,667 | 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) | $284.40 | $474 | 1.1× |
| Drainage of finger abscess simple (26010) | $321 | $535 | 1.5× |
| Drainage of gum lesion (41800) | $177.60 | $296 | 1.2× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$987–$1,020.60 | $1,645–$1,701 | varies |
| Drainage of scrotal wall abscess (55100) | $1,020.60 | $1,701 | 0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $443.40 | $739 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$273–$444.60 | $455–$741 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$256.20–$346.80 | $427–$578 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$216.60–$250.20 | $361–$417 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$1,165.20–$1,747.80 | $1,942–$2,913 | varies |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $2,473.80 | $4,123 | 2.6× |
| Dx Bone Marrow Bx & Aspir (38222) | $1,729.20 | $2,882 | 0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$469.20–$476.40 | $782–$794 | varies |
| Egd Flexible Foreign Body Removal (43247) | $796.80 | $1,328 | 0.8× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $1,195.20 | $1,992 | 0.6× |
| Endometrial Biopsy (58100) | $218.40 | $364 | 1.0× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$719.40–$753 | $1,199–$1,255 | varies |
| Escharotomy; initial incision (16035) | $432 | $720 | 1.0× |
| Evacuation of subungual hematoma (11740) | $81 | $135 | 0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $543 | $905 | 0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $997.20 | $1,662 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $443.40 | $739 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$949.80–$1,020.60 | $1,583–$1,701 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$711.60–$973.20 | $1,186–$1,622 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,995 | $3,325 | 1.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $651.60 | $1,086 | 0.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,242.20 | $3,737 | 0.6× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,197.60 | $1,996 | 0.5× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,370 | $3,950 | 1.2× |
| Excision Lingual Frenum Frenectomy (41115) | $1,386.60 | $2,311 | 0.8× |
| Excision of gum flap (41821) | $1,783.20 | $2,972 | 1.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $1,841.40 | $3,069 | 0.8× |
| Explo/Drain Breast Abscess (19020) range across 3 matching MRF lines |
$1,441.80–$1,534.80 | $2,403–$2,558 | varies |
| Exploration penetrating wound spx chest (20101) | $1,756.20 | $2,927 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $1,180.20 | $1,967 | 0.7× |
| External cephalic version (59412) | $1,741.80 | $2,903 | 0.5× |
| Fetal Contraction Stress Test (59020) | $379.20 | $632 | 1.8× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$392.40–$453.60 | $654–$756 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $974.40 | $1,624 | 1.3× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $974.40 | $1,624 | 1.3× |
| Fine needle aspiration without imaging guidance (10021) | $252 | $420 | 0.6× |
| Fluid Pressure Muscle (20950) range across 3 matching MRF lines |
$833.40–$888 | $1,389–$1,480 | varies |
| Fluoro exam of g/colon tube (49465) | $339.60 | $566 | 1.3× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $995.40 | $1,659 | 1.3× |
| Fna bx w/us gdn 1st les (10005) | $995.40 | $1,659 | 1.3× |
| Foreskin manipulation (54450) | $301.80 | $503 | 1.1× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) range across 2 matching MRF lines |
$748.80–$763.80 | $1,248–$1,273 | varies |
| Guide Cathet Fluid Drainage (10030) | $1,038 | $1,730 | 1.4× |
| I&d abscess peritonsillar (42700) | $280.80 | $468 | 1.1× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$221.40–$487.80 | $369–$813 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,803 | $3,005 | 0.6× |
| I&d perianal abscess superficial (46050) | $574.20 | $957 | 0.6× |
| I&d pilonidal cyst complicated (10081) | $860.40 | $1,434 | 1.1× |
| I&d pilonidal cyst simple (10080) | $443.40 | $739 | 0.6× |
| Image Cath Fluid Peri/Retro (49406) | $1,710 | $2,850 | 1.0× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,590.60 | $2,651 | 0.9× |
| Implant neuroelectrodes (63650) | $11,613.60 | $19,356 | 1.7× |
| Incise external hemorrhoid (46083) | $246.60 | $411 | 0.9× |
| Incision & drainage abscess complicated/multiple (10061) | $411 | $685 | 0.9× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,020.60–$1,316.40 | $1,701–$2,194 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $378 | $630 | 0.9× |
| Incision and drainage of bartholin's gland abscess (56420) | $212.40 | $354 | 1.0× |
| Incision and drainage of vulva or perineal abscess (56405) | $253.80 | $423 | 0.8× |
| Incision of iris (66500) | $1,437 | $2,395 | 0.6× |
| Incision of rectal abscess (46040) | $1,397.40 | $2,329 | 1.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,020.60 | $1,701 | 0.6× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$382.80–$661.80 | $638–$1,103 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $126 | $210 | 0.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$2,002.20–$2,648.40 | $3,337–$4,414 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $624 | $1,040 | 2.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,295.40 | $2,159 | 1.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $223.20 | $372 | 0.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 4 matching MRF lines |
$574.80–$1,135.20 | $958–$1,892 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$887.40–$1,330.80 | $1,479–$2,218 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$1,163.40–$1,707 | $1,939–$2,845 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $690.60 | $1,151 | 0.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $465 | $775 | 1.4× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,233 | $2,055 | 1.3× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$444–$921 | $740–$1,535 | varies |
| Injection for identification of sentinel node (38792) range across 3 matching MRF lines |
$1,483.80–$2,403 | $2,473–$4,005 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$186–$469.20 | $310–$782 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$223.20–$465 | $372–$775 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$465–$682.80 | $775–$1,138 | varies |
| Injection therapeutic carpal tunnel (20526) | $361.80 | $603 | 1.1× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 4 matching MRF lines |
$561–$921 | $935–$1,535 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$721.80–$909.60 | $1,203–$1,516 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 9 matching MRF lines |
$444–$1,941.60 | $740–$3,236 | varies |
| Ins Vag Brachytx Device (57156) | $393.60 | $656 | 1.2× |
| Insert 1 Electrode Pm-Defib (33216) | $5,167.80 | $8,613 | 0.6× |
| Insert and remove bone pin (20650) | $2,812.20 | $4,687 | 0.8× |
| Insert Bladder Cath Complex (51703) | $309.60 | $516 | 2.2× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,391.60 | $3,986 | 1.2× |
| Insert Heart Pm Ventricular (33207) | $6,538.20 | $10,897 | 0.6× |
| Insert heyman uteri capsule (58346) likely a partial charge, not the full procedure |
$1,187.40 | $1,979 | 0.2× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,926–$2,187.60 | $3,210–$3,646 | varies |
| Insert pessary/other device (57160) | $205.80 | $343 | 0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 2 matching MRF lines |
$942–$978.60 | $1,570–$1,631 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$139.20–$199.20 | $232–$332 | varies |
| Insert tunneled cv cath (36561) | $3,189 | $5,315 | 0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$139.20–$199.20 | $232–$332 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,179.60–$2,083.80 | $1,966–$3,473 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $8,449.20 | $14,082 | 1.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) likely a partial charge, not the full procedure |
$747.60 | $1,246 | 0.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $5,167.80 | $8,613 | 0.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$1,885.80–$1,983 | $3,143–$3,305 | varies |
| Insj Picc Rs&I <5 Yr (36572) | $1,179.60 | $1,966 | 1.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$978.60–$1,865.40 | $1,631–$3,109 | varies |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $2,716.80 | $4,528 | 0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,697.80 | $6,163 | 1.1× |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 2 matching MRF lines |
$14,535.60–$20,305.80 | $24,226–$33,843 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$5,167.80–$5,241 | $8,613–$8,735 | varies |
| Insrt heart pm atrial & vent (33208) | $6,538.20 | $10,897 | 0.6× |
| Insrt Pulse Gen W/Singl Lead (33240) | $14,535.60 | $24,226 | 0.6× |
| Interdental fixation (21110) | $1,783.20 | $2,972 | 1.1× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $841.20 | $1,402 | 0.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $688.80 | $1,148 | 1.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $862.80 | $1,438 | 2.0× |
| Intraoral i&d tongue/floor submndblr space (41008) | $3,940.80 | $6,568 | 1.1× |
| Intro cath dialysis circuit (36901) | $5,362.80 | $8,938 | 3.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $19,667.40 | $32,779 | 1.6× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $13,668 | $22,780 | 2.2× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$259.20–$598.80 | $432–$998 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $1,336.20 | $2,227 | 2.3× |
| Irrigation of corpora cavernosa for priapism (54220) | $581.40 | $969 | 2.2× |
| Laryngoscopy diagnostic (31505) | $220.20 | $367 | 1.0× |
| Laryngoscopy flexible diagnostic (31575) | $912.60 | $1,521 | 4.3× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $312.60 | $521 | 1.5× |
| Late closure of wound (13160) | $2,260.80 | $3,768 | 0.6× |
| Mech remov tunneled cv cath (36595) | $3,940.20 | $6,567 | 1.2× |
| Myelography Lumbar Injection (62305) | $2,193.60 | $3,656 | 2.6× |
| Myelography Lumbar Injection (62304) | $1,707 | $2,845 | 2.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,707 | $2,845 | 2.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,707 | $2,845 | 2.0× |
| N Block Inj Celiac Pelus (64530) | $1,295.40 | $2,159 | 1.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$444–$921 | $740–$1,535 | varies |
| N block inj intercost sng (64420) range across 5 matching MRF lines |
$828–$1,375.80 | $1,380–$2,293 | varies |
| N Block Inj Pudendal (64430) range across 4 matching MRF lines |
$690.60–$1,095 | $1,151–$1,825 | varies |
| N Block Lumbar/Thoracic (64520) | $2,002.20 | $3,337 | 2.1× |
| Nasal Endoscopy Dx (31231) | $242.40 | $404 | 1.1× |
| Nasal surgery procedure (30999) | $148.20 | $247 | 0.6× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $487.80 | $813 | 1.8× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$1,813.80–$2,897.40 | $3,023–$4,829 | varies |
| Needle Biopsy Pancreas (48102) | $950.40 | $1,584 | 0.5× |
| 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) | $976.80 | $1,628 | 1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$750–$802.80 | $1,250–$1,338 | varies |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $3,486.60 | $5,811 | 1.6× |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,002.20 | $3,337 | 2.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 8 matching MRF lines |
$223.20–$921 | $372–$1,535 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,242.80 | $3,738 | 0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $2,242.80 | $3,738 | 0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$2,002.20–$2,648.40 | $3,337–$4,414 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$2,443.20–$2,479.80 | $4,072–$4,133 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$1,276.80–$1,295.40 | $2,128–$2,159 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$1,792.80–$2,479.80 | $2,988–$4,133 | varies |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) | $1,179 | $1,965 | 0.5× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) | $1,179 | $1,965 | 0.5× |
| Njx Sclrsnt Spider Veins (36468) | $633.60 | $1,056 | 1.5× |
| Occipital Nerve Block (64405) range across 6 matching MRF lines |
$361.80–$1,310.40 | $603–$2,184 | varies |
| Open/Perq Place Stent 1St (37236) | $6,720 | $11,200 | 0.5× |
| Open/Perq Place Stent Same (37238) | $17,173.20 | $28,622 | 1.4× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $6,720 | $11,200 | 0.5× |
| Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$1,137–$1,619.40 | $1,895–$2,699 | varies |
| Pericardiocentesis W/Imaging (33016) | $1,993.80 | $3,323 | 1.2× |
| Peritoneal Lavage (49084) | $661.20 | $1,102 | 0.7× |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $10,874.40 | $18,124 | 0.6× |
| Perq dev breast 1st mr guide (19287) range across 3 matching MRF lines |
$939–$1,238.40 | $1,565–$2,064 | varies |
| Perq dev breast 1st strtctc (19283) range across 3 matching MRF lines |
$939–$1,238.40 | $1,565–$2,064 | varies |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$939–$1,238.40 | $1,565–$2,064 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$987–$1,201.20 | $1,645–$2,002 | varies |
| Perq dilation xst trc endourologic px w/img (50436) | $2,172.60 | $3,621 | 0.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $19,666.80 | $32,778 | 1.6× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $13,668 | $22,780 | 2.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $11,121.60 | $18,536 | 1.4× |
| Perq Vertebral Augmentation (22513) | $10,415.40 | $17,359 | 1.3× |
| Place breast rad tube/caths (19298) | $19,261.20 | $32,102 | 1.3× |
| Place Rt Device/Marker Pros (55876) | $841.20 | $1,402 | 0.6× |
| Placement needle head/neck radioelement applicat (41019) likely a partial charge, not the full procedure |
$1,191 | $1,985 | 0.2× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) likely a partial charge, not the full procedure |
$1,137.60 | $1,896 | 0.2× |
| Placement of needle for intraosseous infusion (36680) | $251.40 | $419 | 0.5× |
| Plmt expandable cath brst following prtl mast (19296) | $21,847.80 | $36,413 | 2.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 3 matching MRF lines |
$1,376.40–$2,063.40 | $2,294–$3,439 | varies |
| Plmt Nephroureteral Catheter (50433) range across 3 matching MRF lines |
$1,680.60–$2,685 | $2,801–$4,475 | varies |
| Prim art mech thrombectomy (37184) | $10,669.20 | $17,782 | 0.5× |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) | $1,336.20 | $2,227 | 2.3× |
| Pseudoaneurysm Injection Trt (36002) | $367.80 | $613 | 0.5× |
| Punch biopsy skin single lesion (11104) | $513.60 | $856 | 1.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$252–$727.80 | $420–$1,213 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$428.40–$654 | $714–$1,090 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$258–$274.80 | $430–$458 | varies |
| Removal foreign body foot deep (28192) range across 3 matching MRF lines |
$1,285.20–$1,368.60 | $2,142–$2,281 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$669–$711.60 | $1,115–$1,186 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,020.60 | $1,701 | 0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$147.60–$222 | $246–$370 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$133.20–$199.80 | $222–$333 | varies |
| Removal Implant Deep (20680) | $3,738 | $6,230 | 1.2× |
| Removal Implant Superficial Separate Procedure (20670) | $2,038.20 | $3,397 | 1.2× |
| Removal of foreign body from pharynx (42809) | $251.40 | $419 | 0.5× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$396–$451.20 | $660–$752 | varies |
| Removal or bivalving full arm or full leg cast (29705) range across 4 matching MRF lines |
$167.40–$169.20 | $279–$282 | varies |
| Removal ppm generator only (33233) | $5,167.80 | $8,613 | 0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $232.20 | $387 | 1.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $2,020.80 | $3,368 | 2.7× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$226.20–$240.60 | $377–$401 | varies |
| Remove drug implant device (11982) | $718.20 | $1,197 | 1.5× |
| Remove foreign body from eye (65205) range across 7 matching MRF lines |
$101.40–$156 | $169–$260 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$185.40–$249.60 | $309–$416 | varies |
| Remove lung catheter (32552) | $969 | $1,615 | 1.4× |
| Remove Nasal Foreign Body (30300) | $115.20 | $192 | 0.8× |
| Remove Shoulder Foreign Body (23330) | $1,020.60 | $1,701 | 0.6× |
| Remv&replc cvd gen sing lead (33262) | $14,604.60 | $24,341 | 0.6× |
| Remv&replc pm gen mult leads (33229) | $11,820.60 | $19,701 | 0.6× |
| Renal Biopsy Perq (50200) range across 3 matching MRF lines |
$1,137–$1,540.80 | $1,895–$2,568 | varies |
| Repair Blood Vessel Direct Upper Extremity (35206) | $5,305.20 | $8,842 | 1.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $659.40 | $1,099 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $734.40 | $1,224 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $574.20 | $957 | 1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $721.80 | $1,203 | 1.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $487.80 | $813 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $613.20 | $1,022 | 1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) | $450.60 | $751 | 0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $585 | $975 | 0.7× |
| Repair detached retina (67105) | $1,336.20 | $2,227 | 2.3× |
| Repair extensor tendon finger w/o graft each (26418) | $1,330.20 | $2,217 | 0.8× |
| Repair Finger Tendon (26433) | $2,044.20 | $3,407 | 0.6× |
| Repair Finger/Hand Tendon (26350) range across 3 matching MRF lines |
$2,257.80–$2,403 | $3,763–$4,005 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $354 | $590 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $439.20 | $732 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $499.20 | $832 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $525 | $875 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $862.80 | $1,438 | 2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $624 | $1,040 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $322.80 | $538 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $460.80 | $768 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $440.40 | $734 | 0.6× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,141.20 | $1,902 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $558 | $930 | 1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $316.80 | $528 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $403.80 | $673 | 0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $642 | $1,070 | 0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $475.80 | $793 | 1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,141.20 | $1,902 | 0.5× |
| Repair Laceration Palate </2 Cm (42180) | $430.80 | $718 | 0.7× |
| Repair of nail bed (11760) | $385.80 | $643 | 0.5× |
| Repair tongue laceration (41250) | $251.40 | $419 | 0.5× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) | $4,500.60 | $7,501 | 0.6× |
| Replace/Revise Brain Shunt (62230) | $8,146.20 | $13,577 | 0.9× |
| Replantation digit complete (20822) | $2,096.40 | $3,494 | 1.2× |
| Reposition Gastrostomy Tube (43761) | $760.80 | $1,268 | 2.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $251.40 | $419 | 0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$124.80–$187.20 | $208–$312 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$337.80–$360 | $563–$600 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,422.20 | $4,037 | 0.8× |
| 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 tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $974.40 | $1,624 | 0.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $840.60 | $1,401 | 1.3× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$186–$390 | $310–$650 | varies |
| Rplc gtube revj gstrst trc (43763) | $186 | $310 | 0.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $3,697.80 | $6,163 | 1.1× |
| Rpr blood vessel direct lower extremity (35226) | $2,504.40 | $4,174 | 3.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $395.40 | $659 | 1.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $780 | $1,300 | 1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $786.60 | $1,311 | 1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $705 | $1,175 | 1.2× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $2,812.20 | $4,687 | 0.8× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $897.60 | $1,496 | 1.3× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $557.40 | $929 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $334.80 | $558 | 1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $334.80 | $558 | 1.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $348.60 | $581 | 0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $358.80 | $598 | 1.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $461.40 | $769 | 2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $334.80 | $558 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $514.80 | $858 | 2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $393.60 | $656 | 1.8× |
| Skin Full Grft Face/Genit/Hf (15240) | $1,875 | $3,125 | 0.8× |
| Skin sub graft face/nk/hf/g (15275) | $2,068.20 | $3,447 | 2.6× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$1,923.60–$2,068.20 | $3,206–$3,447 | varies |
| Skin sub grft t/arm/lg child (15273) | $3,348 | $5,580 | 1.5× |
| Skn sub grft f/n/hf/g child (15277) | $2,068.20 | $3,447 | 0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $345 | $575 | 1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $421.20 | $702 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $384.60 | $641 | 0.9× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$423.60–$438 | $706–$730 | varies |
| Strapping ankle (29540) | $99.60 | $166 | 0.6× |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
$80.40–$87.60 | $134–$146 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$80.40–$85.80 | $134–$143 | varies |
| Strapping knee (29530) range across 3 matching MRF lines |
$82.20–$87.60 | $137–$146 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$94.80–$101.40 | $158–$169 | varies |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$190.80–$286.20 | $318–$477 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$232.20–$250.80 | $387–$418 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $2,581.80 | $4,303 | 1.5× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $29,810.40 | $49,684 | 1.5× |
| Thromblytic art/ven therapy (37213) | $1,907.40 | $3,179 | 0.6× |
| Thrombolytic Art Therapy (37211) | $3,254.40 | $5,424 | 0.5× |
| Thrombolytic Therapy Stroke (37195) | $307.80 | $513 | 0.9× |
| Thrombolytic Venous Therapy (37212) | $1,907.40 | $3,179 | 0.6× |
| Thyroid biopsy (60100) | $1,066.20 | $1,777 | 1.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,555.80 | $2,593 | 0.7× |
| Trabeculoplasty by laser surgery (65855) | $1,336.20 | $2,227 | 2.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $267.60 | $446 | 1.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $933 | $1,555 | 0.6× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $625.80 | $1,043 | 1.9× |
| Transcatheter biopsy (37200) | $3,343.80 | $5,573 | 0.6× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) unusually low: confirm this is the full procedure |
$2,040.60 | $3,401 | 0.4× |
| Treat Dental Ridge Fracture (21440) | $3,859.80 | $6,433 | 1.1× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$708–$753.60 | $1,180–$1,256 | varies |
| Treat Humerus Fracture (24505) | $1,008 | $1,680 | 0.6× |
| Treat Knuckle Dislocation (26700) | $243 | $405 | 0.9× |
| Treat Metatarsal Fracture (28475) | $1,832.40 | $3,054 | 6.9× |
| Treat Tail Bone Fracture (27200) | $434.40 | $724 | 1.6× |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$240–$255 | $400–$425 | varies |
| Treat Thumb Fracture (26645) | $1,008 | $1,680 | 0.6× |
| Treat toe dislocation (28630) | $164.40 | $274 | 0.6× |
| Treat Vaginal Bleeding (57180) | $405.60 | $676 | 1.9× |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$724.80–$771.60 | $1,208–$1,286 | varies |
| Treatment extensive retinopathy photocoagulation (67228) | $1,336.20 | $2,227 | 2.3× |
| Trim skin lesion (11055) | $179.40 | $299 | 0.8× |
| Trim skin lesions 2 to 4 (11056) | $208.20 | $347 | 1.0× |
| Trim skin lesions over 4 (11057) | $266.40 | $444 | 1.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $102.60 | $171 | 1.6× |
| Trluml Balo Angiop 1St Art (37246) | $8,305.80 | $13,843 | 1.4× |
| Trluml Balo Angiop 1St Vein (37248) | $8,305.80 | $13,843 | 1.4× |
| Tx Gastro Intub W/Asp (43753) | $196.20 | $327 | 0.8× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $3,885 | $6,475 | 2.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $388.80 | $648 | 0.5× |
| Unlisted Procedure Casting/Strapping (29799) | $245.40 | $409 | 1.4× |
| Unlisted procedure nervous system (64999) | $232.80 | $388 | 0.7× |
| Unlisted Procedure Rectum (45999) | $574.20 | $957 | 0.6× |
| Unlisted px female genital system nonobstetrical (58999) | $410.40 | $684 | 1.9× |
| Vaginal delivery only (59409) range across 4 matching MRF lines |
$1,147.80–$3,267 | $1,913–$5,445 | varies |
| Venous Cutdown >1 Y/O (36425) | $251.40 | $419 | 0.5× |
| Venous Mech Thrombectomy (37187) | $6,720 | $11,200 | 0.5× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$252–$254.40 | $420–$424 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.