Procedures & surgery prices at Our Lady of Lourdes Memorial Hospital, Inc

Binghamton, NY · every code in this section with a posted price and a Medicare benchmark.

1037 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		 $347.63–$1,427 $695.25–$2,854 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 4 matching MRF lines		 $135–$2,240.13 $270–$4,480.25 varies
Ablate Pulm Tumor Perq Crybl (32994) $13,587.50 $27,175 1.0×
Ablation 1/> liver tumor perq cryoablation (47383) $13,084 $26,168 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $7,744 $15,488 0.4×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $17,510 $35,020 1.9×
Acne surgery (10040) $161.79 $323.57 0.6×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $922.95 $1,845.90 0.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,149.18 $2,298.35 0.3×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,781 $7,562 1.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,731 $5,462 1.1×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $679.14 $1,358.28 0.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,744 $5,488 1.1×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,005.48 $2,010.96 0.4×
Amniocentesis diagnostic (59000) $882.50 $1,765 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $6,776 $13,552 1.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,345 $6,690 0.8×
Amputate Metacarpal Bone (26910) $6,776 $13,552 1.7×
Amputation metatarsal with toe single (28810) $4,626 $9,252 1.1×
Amputation toe interphalangeal joint (28825) $5,110.22 $10,220.44 1.3×
Anal/Urinary Muscle Study (51784) $107.23 $214.45 0.7×
Anoscopy diagnostic (46600) $117.69 $235.37 0.7×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $810.64 $1,621.27 0.5×
Anoscopy; with biopsy, single or multiple (46606) $118.71 $237.41 0.1×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $103.64 $207.27 0.1×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,108 $2,216 0.6×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $145–$303 $290–$606 varies
Application Cast Finger (29086) $301 $602 1.5×
Application Finger Splint Dynamic (29131)
range across 3 matching MRF lines		 $58.28–$207 $116.56–$414 varies
Application finger splint static (29130)
range across 4 matching MRF lines		 $64.12–$156.63 $128.24–$313.25 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $163.30–$366 $326.60–$732 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $150.13–$259.50 $300.26–$519 varies
Application of long leg cast (29345)
range across 3 matching MRF lines		 $158–$427.50 $316–$855 varies
Application of rigid total contact leg cast (29445) $752.63 $1,505.25 2.2×
Application Short Arm Splint Dynamic (29126)
range across 4 matching MRF lines		 $137.64–$247.50 $275.28–$495 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $123.93–$212.50 $247.85–$425 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $127.34–$152.01 $254.67–$304.02 varies
Apply hand/wrist cast (29085) $169.78 $339.56 0.8×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $189.50–$278.51 $379–$557.01 varies
Apply Multlay Comprs Lwr Leg (29581) $152.01 $304.02 0.7×
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $249.67–$268 $499.33–$536 varies
Arterial puncture (36600)
range across 3 matching MRF lines		 $51.25–$242.50 $102.50–$485 varies
Arteriovenous Anastomosis Open Direct (36821) $7,219 $14,438 1.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $124.50–$297.53 $249–$595.05 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 5 matching MRF lines		 $80.88–$886.50 $161.75–$1,773 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $161.63–$302.37 $323.25–$604.74 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $91.63–$718.74 $183.25–$1,437.47 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $25.50–$614.50 $51–$1,229 varies
Artificial insemination intra-uterine (58322) $202.25 $404.50 0.8×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $596.75–$1,430.50 $1,193.50–$2,861 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $258.75–$1,159 $517.50–$2,318 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $301.62–$377.03 $603.24–$754.05 varies
Aspiration and/or injection thyroid cyst (60300) $1,770.50 $3,541 2.0×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $2,013.53–$4,755.50 $4,027.06–$9,511 varies
Aspiration Bladder Needle (51100) $211.50 $423 0.7×
Aspiration bladder trocar/intracatheter (51101) $2,456.50 $4,913 2.3×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $869.14 $1,738.28 0.3×
Av Fistula Revision Open (36832) $8,108.55 $16,217.10 1.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 5 matching MRF lines		 $161.79–$214.38 $323.57–$428.75 varies
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $8,131.50 $16,263 1.0×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $12,890.50 $25,781 1.0×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $18,454.50 $36,909 1.4×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $8,131.50 $16,263 1.0×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $8,131.50 $16,263 1.0×
Biopsy Abdominal Mass (49180) $914.76 $1,829.51 0.4×
Biopsy bone open superficial (20240) $3,318.50 $6,637 0.9×
Biopsy bone trocar/needle deep (20225) $1,685.40 $3,370.79 0.8×
Biopsy Bone Trocar/Needle Superficial (20220) $765.15 $1,530.29 0.4×
Biopsy external ear (69100) $197.40 $394.79 0.7×
Biopsy muscle percutaneous needle (20206) $1,560.09 $3,120.17 0.8×
Biopsy nail unit (11755) $568.56 $1,137.12 0.6×
Biopsy of breast; open, incisional (19101) $3,829.28 $7,658.56 0.8×
Biopsy of conjunctiva (68100) $271.95 $543.90 0.1×
Biopsy of lip (40490) $197.40 $394.79 0.7×
Biopsy of liver, needle; percutaneous (47000) $1,560.09 $3,120.17 0.8×
Biopsy of nerve (64795) $2,929.16 $5,858.31 1.2×
Biopsy of penis (54100) $224.91 $449.82 0.1×
Biopsy Oropharynx (42800) $1,453.05 $2,906.10 0.8×
Biopsy Pleura Percutaneous Needle (32400) $1,648.38 $3,296.75 0.8×
Biopsy Salivary Gland Incisional (42405) $2,443 $4,886 1.3×
Biopsy Salivary Gland Needle (42400) $456 $912 0.5×
Biopsy soft tissue back/flank deep (21925) $2,950 $5,900 1.4×
Biopsy soft tissue neck/thorax (21550) $2,950 $5,900 1.4×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $2,950 $5,900 1.4×
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $153.25–$153.30 $306.50–$306.60 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $576.75 $1,153.50 0.5×
Biopsy, vestibule of mouth (40808) $450 $900 0.7×
Bladder instillation anticarcinogenic agent (51720) $552.03 $1,104.05 0.6×
Bladder Irrigation (51700)
range across 4 matching MRF lines		 $199.50–$266.99 $399–$533.97 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $49.23–$78.17 $98.45–$156.33 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,090.74 $2,181.48 0.4×
Blepharotomy drainage abscess eyelid (67700) $715 $1,430 1.8×
Blood Transfusion Service (36430) $710.80 $1,421.59 1.3×
Blood/Lymph System Procedure (38999) $2,327 $4,654 4.2×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $360.90–$1,544.75 $721.79–$3,089.50 varies
Bone Marrow; Aspiration Only (38220) $326.70 $653.40 0.2×
Brnchsc Brushing/Protected Brushings (31623) $1,551.50 $3,103 0.7×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $4,550.50 $9,101 1.0×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $5,051.50 $10,103 1.1×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $2,623 $5,246 1.2×
Brnchsc Removal Bronchial Valve Initial (31648) $4,611 $9,222 1.0×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $2,062 $4,124 0.4×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $2,069 $4,138 0.9×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $2,878.50 $5,757 0.6×
Bronchial Valve Init Insert (31647) $8,666.50 $17,333 1.0×
Bronchoscopy Balloon Occlusion (31634)
unusually low: confirm this is the full procedure		 $4,121.50 $8,243 0.5×
Bronchoscopy Bronch Stents (31636) $7,795.50 $15,591 0.9×
Bronchoscopy Clear Airways (31645) $1,223.50 $2,447 0.6×
Bronchoscopy Reclear Airway (31646) $1,187 $2,374 2.4×
Bronchoscopy W/Biopsy(S) (31625) $2,168 $4,336 1.0×
Bronchoscopy W/Excision Tumor (31640) $4,045 $8,090 0.9×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $7,145 $14,290 0.8×
Bronchoscopy W/Removal Foreign Body (31635) $834.50 $1,669 0.4×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,357.50 $6,715 0.7×
Bronchoscopy/Needle Bx Each (31629) $3,572 $7,144 0.8×
Bx breast 1st lesion mr imag (19085) $1,675.98 $3,351.96 0.8×
Bx breast 1st lesion strtctc (19081) $2,413.63 $4,827.25 1.2×
Bx breast 1st lesion us imag (19083) $1,552.97 $3,105.93 0.8×
Bx breast needle core w/o imaging guidance spx (19100) $1,560.09 $3,120.17 0.8×
Bx Cervix (57500) $586.38 $1,172.75 0.5×
Canthotomy Separate Procedure (67715)
range across 2 matching MRF lines		 $310.28–$3,674.48 $620.55–$7,348.95 varies
Carpal Tunnel Surgery (64721) $2,533.90 $5,067.79 1.0×
Cataract surgery complex (66982) $1,759.59 $3,519.18 0.6×
Catheter aspiration nasotracheal spx (31720) $213.73 $427.46 0.8×
Cessj Therapy Cath Removal (37214) $5,970.50 $11,941 1.5×
Change Cystostomy Tube Complicated (51710)
range across 3 matching MRF lines		 $248–$1,058 $496–$2,116 varies
Change Cystostomy Tube Simple (51705)
range across 5 matching MRF lines		 $34.50–$490 $69–$980 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $72–$364 $144–$728 varies
Change ureter stent percut (50382) $2,941.88 $5,883.75 1.1×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $198.60–$222.55 $397.19–$445.10 varies
Chemical Pleurodesis (32560) $1,603 $3,206 2.0×
Chemodenerv Musc Migraine (64615) $250.27 $500.54 0.7×
Chemodenerv musc neck dyston (64616) $208.01 $416.02 0.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $216.09 $432.18 0.6×
Chest tube placement (32551)
range across 4 matching MRF lines		 $555.08–$1,853.93 $1,110.16–$3,707.85 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,162 $2,324 0.4×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,467.57 $10,935.13 1.2×
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $274.12–$1,942.50 $548.23–$3,885 varies
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $2,493.50–$3,801.50 $4,987–$7,603 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $1,531.33–$3,801.50 $3,062.66–$7,603 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $103.23–$221.67 $206.46–$443.33 varies
Closed rx talotarsal disloc,anesth (28575) $6,776 $13,552 1.7×
Closed Treat Vert Body Fract (22310) $625 $1,250 2.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $429.50–$625 $859–$1,250 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,801.50 $7,603 1.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $625–$1,158 $1,250–$2,316 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $625 $1,250 2.0×
Closed Treatment Sesamoid Fracture (28530) $194.04 $388.08 0.6×
Closed Treatment Sternum Fracture (21820)
range across 2 matching MRF lines		 $332–$625 $664–$1,250 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 3 matching MRF lines		 $251.76–$716.50 $503.52–$1,433 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $450–$625 $900–$1,250 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $438.45–$3,801.50 $876.89–$7,603 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $262.96–$716.50 $525.92–$1,433 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $625 $1,250 2.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $237.95–$1,030 $475.89–$2,060 varies
Closed tx carpal scaphoid fracture w/manj (25624) $3,801.50 $7,603 1.9×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 3 matching MRF lines		 $238.58–$716.50 $477.16–$1,433 varies
Closed Tx Craniofacial Separation (21431)
unusually low: confirm this is the full procedure		 $3,204 $6,408 0.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $388.50–$625 $777–$1,250 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $2,619.50–$3,801.50 $5,239–$7,603 varies
Closed tx knee dislocation w/o anesthesia (27550) $625 $1,250 2.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $3,801.50 $7,603 1.9×
Closed tx mandibular fracture w/manipulation (21451) $3,042.50 $6,085 1.6×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,353 $2,706 2.0×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $11,732 $23,464 1.6×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $237.95–$1,030 $475.89–$2,060 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,801.50 $7,603 1.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $407–$1,968.50 $814–$3,937 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $5,223.50 $10,447 1.3×
Closed Tx Nasomaxillary Complex Fracture (21345) $3,042.50 $6,085 1.6×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $5,223.50 $10,447 1.3×
Closed tx patellar dislocation w/anesthesia (27562) $625 $1,250 2.0×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $1,030–$1,094.50 $2,060–$2,189 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $253.98–$716.50 $507.96–$1,433 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $2,344–$3,801.50 $4,688–$7,603 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines		 $237.95–$1,030 $475.89–$2,060 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $2,921–$3,801.50 $5,842–$7,603 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 3 matching MRF lines		 $237.95–$625 $475.89–$1,250 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $451.27–$3,801.50 $902.54–$7,603 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines		 $297.43–$625 $594.86–$1,250 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 3 matching MRF lines		 $248.15–$683 $496.30–$1,366 varies
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $4,928–$5,223.50 $9,856–$10,447 varies
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines		 $192.50–$625 $385–$1,250 varies
Closed Tx Talus Fracture W/Manipulation (28435) $3,801.50 $7,603 1.9×
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $237.95–$625 $475.89–$1,250 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605)
range across 2 matching MRF lines		 $625–$1,886 $1,250–$3,772 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $625 $1,250 2.0×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $3,042.50 $6,085 1.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $221.50–$245.10 $443–$490.20 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $3,801.50 $7,603 1.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $237.95–$682.50 $475.89–$1,365 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines		 $237.95–$625 $475.89–$1,250 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $643 $1,286 2.2×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $757 $1,514 1.1×
Closure lacrimal punctum (68760) $287.02 $574.04 0.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $625 $1,250 2.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $625 $1,250 2.0×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,531.33 $3,062.66 0.8×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $237.95–$1,030 $475.89–$2,060 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $154.69 $309.37 0.5×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $908.50–$3,801.50 $1,817–$7,603 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $245.01–$962.38 $490.02–$1,924.75 varies
Clsr Lacrimal Punctum Plug Each (68761) $294.37 $588.74 0.7×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 3 matching MRF lines		 $517.03–$625 $1,034.05–$1,250 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $3,801.50–$4,742 $7,603–$9,484 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $2,562.50–$3,801.50 $5,125–$7,603 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $625 $1,250 2.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $3,801.50 $7,603 1.9×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 3 matching MRF lines		 $240.18–$716.50 $480.36–$1,433 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $370.67–$625 $741.33–$1,250 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $3,801.50 $7,603 1.9×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $625 $1,250 2.0×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $3,801.50 $7,603 1.9×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $376–$625 $752–$1,250 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $249.32–$1,162 $498.64–$2,324 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 3 matching MRF lines		 $237.95–$625 $475.89–$1,250 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $237.95–$617.50 $475.89–$1,235 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $251.02–$1,712.50 $502.04–$3,425 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $1,605.40–$3,586.13 $3,210.80–$7,172.25 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,607.97 $3,215.94 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $3,801.50 $7,603 1.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $625 $1,250 2.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $3,318 $6,636 1.7×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $625 $1,250 2.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,801.50 $7,603 1.9×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $451–$625 $902–$1,250 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $237.95–$593 $475.89–$1,186 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $443.33–$573 $886.66–$1,146 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $237.95–$542.50 $475.89–$1,085 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $3,087–$3,801.50 $6,174–$7,603 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $246.36–$1,030 $492.72–$2,060 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $625–$683 $1,250–$1,366 varies
Cltx Greater Trochanteric Fx W/O Manj (27246) $625 $1,250 2.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $2,297–$3,801.50 $4,594–$7,603 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,311–$2,755.50 $2,622–$5,511 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 3 matching MRF lines		 $481.19–$734 $962.38–$1,468 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 3 matching MRF lines		 $265.12–$1,030 $530.24–$2,060 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $3,801.50 $7,603 1.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $3,801.50 $7,603 1.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $625–$1,054.50 $1,250–$2,109 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $3,801.50 $7,603 1.9×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines		 $515.50–$654.50 $1,031–$1,309 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $377 $754 1.2×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $4,234.50 $8,469 2.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $654.50–$753.50 $1,309–$1,507 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $247.97–$387.77 $495.94–$775.53 varies
Cltx Med Ankle Fx W/Mnpj (27762) $3,801.50 $7,603 1.9×
Cltx Medial Ankle Fx (27760)
range across 3 matching MRF lines		 $263.50–$716.50 $527–$1,433 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $625–$804.84 $1,250–$1,609.67 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $237.95–$1,528 $475.89–$3,056 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,801.50 $7,603 1.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,801.50 $7,603 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines		 $276.10–$625 $552.20–$1,250 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $237.95–$625 $475.89–$1,250 varies
Cltx post hip arthrp dislc req anes (27266) $3,801.50 $7,603 1.9×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $395.09–$625 $790.18–$1,250 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $2,440.50–$3,801.50 $4,881–$7,603 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines		 $254.09–$716.50 $508.18–$1,433 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,801.50 $7,603 1.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $345.50–$625 $691–$1,250 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 6 matching MRF lines		 $237.50–$365 $475–$730 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $3,801.50 $7,603 1.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $747.44–$3,801.50 $1,494.87–$7,603 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,801.50 $7,603 1.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $283.24–$683 $566.48–$1,366 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $3,801.50 $7,603 1.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $625 $1,250 2.0×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $6,776 $13,552 1.7×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $416.50–$625 $833–$1,250 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $243.86–$1,030 $487.72–$2,060 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $272.16–$716.50 $544.32–$1,433 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 2 matching MRF lines		 $337–$625 $674–$1,250 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $508.06–$3,801.50 $1,016.12–$7,603 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $625 $1,250 2.0×
Collect Blood From Catheter Venous Nos (36592) $123.93 $247.85 0.7×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $7.23–$12.67 $14.45–$25.34 varies
Colonoscopy Flexible With Decompression (45393) $2,173 $4,346 1.5×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,435.50 $4,871 1.6×
Colonoscopy stoma w/balloon dilation (44405) $3,055.50 $6,111 2.0×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,091.50 $2,183 0.7×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $4,237.50 $8,475 2.8×
Colonoscopy thru stoma (44388) $3,124 $6,248 2.7×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $2,224 $4,448 1.5×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $899–$3,444.50 $1,798–$6,889 varies
Colonoscopy W/Band Ligation (45398) $2,319.50 $4,639 1.6×
Colonoscopy w/fb removal (45379) $3,685 $7,370 2.5×
Colonoscopy W/Resection (45390) $3,456 $6,912 1.0×
Colonoscopy w/submucosal inj (45381) $2,567 $5,134 1.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $134.04 $268.07 0.4×
Colposcopy Cervix Endocervical Curettage (57456) $122.61 $245.22 0.3×
Colposcopy cervix upper/adjacent vagina (57452) $205 $410 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $122.61 $245.22 0.3×
Colposcopy cervix vag eltrd conization cervix (57461) $2,464.61 $4,929.22 0.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,464.50 $4,929 0.6×
Colposcopy entire vagina w/cervix if present (57420) $213.41 $426.81 0.6×
Colposcopy of vulva (56820) $164.30 $328.60 0.7×
Colposcopy Vulva W/Biopsy (56821) $415 $830 1.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $614.13 $1,228.25 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $3,731.50 $7,463 2.5×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $2,697 $5,394 1.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $4,014 $8,028 2.7×
Complex Cystometrogram (51726) $475.64 $951.28 1.5×
Complex drainage wound (10180)
range across 4 matching MRF lines		 $330–$7,354 $660–$14,708 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $315.35 $630.70 0.1×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $205–$316.32 $410–$632.63 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines		 $123.93–$367.50 $247.85–$735 varies
Conversion ext bil drg cath (47535) $8,783.50 $17,567 2.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,624.50 $3,249 0.7×
Convert Nephrostomy Catheter (50434) $1,846.98 $3,693.95 0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,358.44 $2,716.88 0.7×
Cornea Scraping Diagnostic Smear &/Culture (65430) $181.55 $363.09 0.3×
Correction hammertoe (28285) $2,282.50 $4,565 0.6×
Correction of trichiasis; epilation, by forceps only (67820) $102.17 $204.33 0.6×
Create Eardrum Opening (69433) $507.50 $1,015 0.8×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $9,267.50 $18,535 1.3×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $49.44 $98.87 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $403.64–$612.50 $807.28–$1,225 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $364 $728 1.2×
Curettage postpartum (59160)
range across 2 matching MRF lines		 $521.50–$2,682.50 $1,042.99–$5,365 varies
Curette/treat cornea (65435) $116.50 $233 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $3,008.50 $6,017 1.2×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $2,195–$3,187.50 $4,390–$6,375 varies
Cysto w/removal of lesions small (52224) $2,817.18 $5,634.36 0.6×
Cysto W/Simple Removal Stone & Stent (52310)
range across 3 matching MRF lines		 $290.74–$2,817.18 $581.48–$5,634.36 varies
Cystometrogram W/Vp (51728) $552.25 $1,104.50 0.6×
Cystometrogram W/Vp&Up (51729) $552.25 $1,104.50 0.6×
Cystourethroscopy (52000)
range across 3 matching MRF lines		 $121.14–$1,299.75 $242.27–$2,599.50 varies
Cystourethroscopy inj chemodenervation bladder (52287) $2,817.18 $5,634.36 1.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $564.91 $1,129.82 1.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,873.50 $7,747 1.1×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $564.91–$2,086.50 $1,129.82–$4,173 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $12.75–$121 $25.50–$242 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $21.40–$49.44 $42.80–$98.87 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $1,542.50–$3,519.13 $3,085–$7,038.25 varies
Debridement Mastoidectomy Cavity Simple (69220) $238.06 $476.12 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $158.25–$363.16 $316.50–$726.31 varies
Declot vascular device (36593)
range across 3 matching MRF lines		 $351.90–$474.38 $703.79–$948.75 varies
Deep Muscle Biopsy (20205) $5,816 $11,632 1.6×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $639.82 $1,279.64 0.2×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $2,891.88–$3,065.50 $5,783.75–$6,131 varies
Destr W Neurolytic; Celiac Plexus (64680) $1,650 $3,300 1.5×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $2,027.12–$2,047.50 $4,054.23–$4,095 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $874.83–$2,027.12 $1,749.66–$4,054.23 varies
Destruc retinal lesn,photocoag (67210) $1,075.68 $2,151.35 1.6×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $161.79–$537 $323.57–$1,074 varies
Destruction Benign Lesions 15/> (17111) $161.78 $323.56 0.6×
Destruction by neurolytic agent, intercostal nerve (64620) $1,650 $3,300 1.5×
Destruction Lesions Vulva Simple (56501) $1,308.63 $2,617.25 0.5×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $230.94 $461.87 0.9×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $300.09 $600.17 1.2×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $294 $588 0.6×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $306.87 $613.73 0.3×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $193.88 $387.75 0.8×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $225.97 $451.93 0.9×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $258.06 $516.11 1.0×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $290.14 $580.28 0.6×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $322.23 $644.46 0.6×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $161.79 $323.57 0.6×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $161.79 $323.57 0.6×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $193.88 $387.75 0.8×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $225.97 $451.93 0.9×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $207.64 $415.28 0.4×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $324.14 $648.27 0.6×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $161.79 $323.57 0.6×
Destruction of lesion of lid margin (up to 1 cm) (67850) $357.21 $714.42 0.3×
Destruction of skin lesions (17106) $497.97 $995.93 1.0×
Destruction Premalignant Lesion 15/> (17004) $322.23 $644.46 0.6×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $161.79–$315 $323.57–$630 varies
Diagnostic sigmoidoscopy (45330) $702.50 $1,405 0.6×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $121.56 $243.12 0.8×
Dilat Urethral Strix Dilator Male Sbsq (53601) $176.65 $353.30 1.1×
Dilat Xst Trc New Access Rcs (50437) $8,733.50 $17,467 2.0×
Dilate Esophagus 1/Mult Pass (43450) $936.50 $1,873 0.8×
Dilate Urethra Stricture (53620) $408.34 $816.67 0.5×
Dilate Urethra Stricture (53600) $192.21 $384.41 0.6×
Dilation & curettage dx&/ther nonobstetric (58120) $479.22 $958.44 0.1×
Dilation Cervical Canal (57800) $2,978.77 $5,957.54 0.7×
Dilation Esophagus Guide Wire (43453) $3,890.50 $7,781 1.6×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $270.12 $540.23 0.5×
Drain Cerebro Spinal Fluid (62272) $1,356 $2,712 1.5×
Drain Spinal Cord Cyst (62268) $1,650 $3,300 1.5×
Drain/inj small joint/bursa w/us (20604)
range across 5 matching MRF lines		 $74.88–$777.50 $149.75–$1,555 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $643.50 $1,287 1.0×
Drainage external ear abscess/hematoma cmplx (69005) $1,184 $2,368 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $158.50–$1,710 $317–$3,420 varies
Drainage Finger Abscess Complicated (26011) $2,950 $5,900 1.4×
Drainage Mouth Roof Lesion (42000)
range across 3 matching MRF lines		 $232.73–$643 $465.46–$1,286 varies
Drainage of eye (65800) $203.97 $407.93 0.1×
Drainage of finger abscess simple (26010)
range across 4 matching MRF lines		 $198.60–$490 $397.19–$980 varies
Drainage of gum lesion (41800)
range across 3 matching MRF lines		 $165.50–$354.79 $331–$709.58 varies
Drainage of hematoma/fluid (10140)
range across 6 matching MRF lines		 $254.03–$2,217 $508.06–$4,434 varies
Drainage of hydrocele (55000) $570 $1,140 0.6×
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $364–$651.50 $728–$1,303 varies
Drainage of scrotal wall abscess (55100)
range across 3 matching MRF lines		 $765.50–$1,991.50 $1,531–$3,983 varies
Drainage of scrotum (54700) $372 $744 0.1×
Drainage of skene's gland abscess or cyst (53060) $321.20 $642.39 0.1×
Draw Blood Off Venous Device (36591) $123.93 $247.85 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,519 $3,038 2.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $1,014.50–$1,179 $2,029–$2,358 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $993.50–$1,040.63 $1,987–$2,081.25 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $198.59–$584.63 $397.17–$1,169.25 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 5 matching MRF lines		 $139.50–$426.50 $279–$853 varies
Dstrj Lesion Anus Extensive (46924) $705.60 $1,411.20 0.2×
Dstrj lesion anus simple cryosurgery (46916) $133.70 $267.40 0.5×
Dstrj lesion anus simple surg excision (46922) $2,579.08 $5,158.15 0.7×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $285.60 $571.20 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $868.45–$1,245.75 $1,736.90–$2,491.50 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,650 $3,300 1.5×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $2,282.50–$3,775.75 $4,565–$7,551.50 varies
Dx Bronchoscope/Lavage (31624) $1,853 $3,706 0.8×
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $941.73–$1,223.50 $1,883.45–$2,447 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $711.41 $1,422.81 0.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,595 $7,190 1.5×
Egd cautery tumor polyp (43250) $3,265 $6,530 1.4×
Egd control bleeding any (43255) $3,664.50 $7,329 1.5×
Egd dilation gastric/duodenal stricture (43245) $4,188 $8,376 1.7×
Egd endo mucosal resection (43254) $2,892.50 $5,785 1.2×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $2,597–$3,190.50 $5,194–$6,381 varies
Egd guide wire insertion (43248) $2,949.50 $5,899 2.6×
Egd lesion ablation (43270) $5,328 $10,656 2.2×
Egd place gastrostomy tube (43246) $3,075 $6,150 1.3×
Egd remove lesion snare (43251) $3,157.50 $6,315 1.3×
Egd Varices Ligation (43244) $3,204.50 $6,409 1.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $526 $1,052 1.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368)
range across 2 matching MRF lines		 $284.59–$550.50 $569.18–$1,101 varies
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $148.50 $297 0.4×
Electro-Uroflowmetry First (51741) $253.65 $507.29 0.9×
Endocervical curettage (57505) $607.38 $1,214.75 0.5×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $142.53–$313.50 $285.05–$627 varies
Endoscopic injection/implant (51715) $2,982.50 $5,965 0.7×
Endoscopic us exam esoph (43237) $3,010 $6,020 1.3×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $33,930 $67,860 2.4×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $9,034 $18,068 2.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,582.01 $9,164.01 1.2×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $5,001.50 $10,003 1.9×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $7,222.50 $14,445 2.8×
Epidural Blood Patch (62273)
range across 4 matching MRF lines		 $350.50–$1,291.50 $701–$2,583 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $2,891.88–$2,978.50 $5,783.75–$5,957 varies
Ercp duct stent placement (43274)
unusually low: confirm this is the full procedure		 $2,344.50 $4,689 0.3×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,086.50 $4,173 0.4×
Ercp,Sphincterotomy (43262) $1,828 $3,656 0.4×
Escharotomy; initial incision (16035) $1,103 $2,206 2.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,834 $5,668 2.5×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $4,279 $8,558 1.8×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,254 $4,508 2.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,262.50 $2,525 0.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $3,890.50–$3,963 $7,781–$7,926 varies
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $94.50–$134.50 $189–$269 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $707.35 $1,414.70 0.3×
Exc abdl tum deep 5 cm/> (22901) $868.77 $1,737.54 0.2×
Exc arm/elbow les sc < 3 cm (24075) $1,452.70 $2,905.40 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $241–$1,710 $482–$3,420 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,901.81 $3,803.61 0.9×
Exc Back Les Sc < 3 Cm (21930) $1,506.58 $3,013.15 0.7×
Exc Back Tum Deep 5 Cm/> (21933) $973.88 $1,947.75 0.3×
Exc back tum deep < 5 cm (21932) $883.11 $1,766.21 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $914.10 $1,828.19 1.0×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,259.63 $2,519.26 1.4×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $582.49–$582.75 $1,164.98–$1,165.50 varies
Exc Face Les Sbq 2 Cm/> (21012) $468.57 $937.13 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $568.56 $1,137.12 0.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $914.10 $1,828.19 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,259.63 $2,519.26 1.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,605.17 $3,210.33 0.8×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $461.22 $922.43 0.2×
Exc Forearm Les Sc 3 Cm/> (25071) $554.56 $1,109.12 0.3×
Exc Forearm Tum Deep 3 Cm/> (25073) $690.54 $1,381.07 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,567.50 $3,135 0.8×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,507.39 $3,014.77 1.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,704.60 $3,409.19 0.8×
Exc Hand Les Sc < 1.5 Cm (26115) $1,624.34 $3,248.68 0.8×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $313.85 $627.69 0.3×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $217.79 $435.58 0.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $452.40 $904.79 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,124.78 $2,249.55 1.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,099.02 $4,198.03 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $545.37 $1,090.74 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,495.58 $2,991.16 0.7×
Exc Skin Benig >4cm Face,Facial (11446) $592.78 $1,185.56 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,901.81 $3,803.61 0.9×
Exc Skin Malig >4 Cm Remaindr Body (11626) $602.70 $1,205.40 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,395 $2,790 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,124.36–$2,169.50 $2,248.72–$4,339 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $753.97 $1,507.93 1.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $654.50–$939.37 $1,309–$1,878.74 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,310.18 $2,620.35 0.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $587.27 $1,174.53 0.2×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $723.61 $1,447.22 0.2×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $551.62 $1,103.24 0.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $614.53 $1,229.06 0.2×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $909.20 $1,818.39 0.3×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $679.88 $1,359.75 0.2×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $838.27 $1,676.54 0.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $438.43 $876.86 0.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $413.07 $826.14 0.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $599.40 $1,198.79 0.3×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $877.23 $1,754.45 0.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $534.61 $1,069.22 0.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $5,895 $11,790 1.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $813.39 $1,626.77 0.3×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,295.25 $2,590.49 0.5×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,067.62 $6,135.24 0.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,013.54 $2,027.07 1.1×
Excision Chalazion Single (67800) $158.40 $316.79 0.4×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $423.36 $846.72 0.1×
Excision Lesion Conjunctiva </1 Cm (68110) $321.57 $643.13 0.1×
Excision Lesion Cornea Xcp Pterygium (65400) $660.57 $1,321.14 0.5×
Excision lesion mouth roof (42104) $1,696 $3,392 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $176.40 $352.80 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $716.89 $1,433.77 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $865.21 $1,730.42 1.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,161.86 $2,323.72 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $197.35 $394.70 0.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,605.17 $3,210.33 0.8×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,296.23 $4,592.45 0.6×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $172.73 $345.45 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $206.91 $413.81 0.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $285.55 $571.10 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,946.84 $3,893.67 0.9×
Excision of bartholin's gland or cyst (56740) $2,978.77 $5,957.54 0.7×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $323.50–$4,154.50 $647–$8,309 varies
Excision of single external papilla or tag, anus (46220) $995.59 $1,991.17 0.7×
Excision olecranon bursa (24105) $468.30 $936.60 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,496.98 $2,993.95 0.7×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $546 $1,092 0.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $539.86 $1,079.72 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $342.15 $684.29 0.2×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $780.57 $1,561.14 0.2×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $641.67 $1,283.33 0.2×
Excision/destruction intranasal lesion int appr (30117) $652.96 $1,305.92 0.2×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,145–$1,609 $2,290–$3,218 varies
Exploration Penetrating Wound Spx Neck (20100) $1,802 $3,604 2.7×
External cephalic version (59412) $2,528.13 $5,056.26 0.6×
Fasciotomy palmar open partial (26045) $2,780.86 $5,561.72 0.7×
Fasciotomy palmar percutaneous (26040) $1,696.44 $3,392.87 0.8×
Fetal Contraction Stress Test (59020) $180.61 $361.22 0.7×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $155–$188.73 $310–$377.46 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $763.32 $1,526.63 0.9×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $171.13–$412.19 $342.25–$824.38 varies
Fluid Pressure Muscle (20950) $329.18 $658.35 0.4×
Fluoro exam of g/colon tube (49465) $264.87 $529.74 0.9×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,692 $3,384 1.9×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $568.56–$763.32 $1,137.12–$1,526.63 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $104.50–$490 $209–$980 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,062.45 $2,124.89 0.4×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $794.54 $1,589.07 0.3×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $817.69 $1,635.38 0.3×
Grafting of autologous fat by lipo 25 cc or less (15773) $808.14 $1,616.27 0.3×
Guide Cathet Fluid Drainage (10030) $693.33 $1,386.66 0.8×
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $534–$3,207 $1,068–$6,414 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $742.50–$1,461 $1,485–$2,922 varies
Hysteroscopy Biopsy (58558) $3,370.30 $6,740.60 0.8×
Hysteroscopy Dx Sep Proc (58555) $2,195.63 $4,391.25 0.5×
Hysteroscopy Endometrial Ablation (58563) $3,496.13 $6,992.25 0.6×
Hysteroscopy Removal Impacted Foreign Body (58562) $362.02 $724.04 0.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure		 $1,060.98 $2,121.95 0.2×
I&d abscess peritonsillar (42700)
range across 3 matching MRF lines		 $325–$901.93 $650–$1,803.86 varies
I&d abscess simple (10060)
range across 6 matching MRF lines		 $170–$468.13 $340–$936.25 varies
I&D Mouth/Tong Intra,Masticator (41009) $1,519 $3,038 2.3×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $171–$868.22 $342–$1,736.43 varies
I&d pilonidal cyst complicated (10081)
range across 4 matching MRF lines		 $670.36–$1,228 $1,340.72–$2,456 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $209.50–$943.50 $419–$1,887 varies
Ileoscopy Stoma W/Balloon Dilation (44381) $3,890.50 $7,781 1.6×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $2,430.50 $4,861 2.1×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $2,374.50 $4,749 2.1×
Image Cath Fluid Colxn Visc (49405) $1,227.41 $2,454.81 0.6×
Image Cath Fluid Peri/Retro (49406) $2,413.63 $4,827.25 1.2×
Image Cath Fluid Trns/Vgnl (49407)
range across 2 matching MRF lines		 $2,858.50–$3,194.50 $5,717–$6,389 varies
Implant Neuroelectrodes (64561) $6,142.50 $12,285 0.8×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $271–$325.50 $542–$651 varies
Incise finger tendon sheath (26055) $1,607.97 $3,215.94 0.8×
Incise/Drain Conjunctiva (68020) $509.50 $1,019 0.4×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $322.23–$729.50 $644.46–$1,459 varies
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $341.25–$1,310.18 $682.50–$2,620.35 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $226.38–$363.16 $452.75–$726.31 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $270.52–$421 $541.04–$842 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $330.36–$367.50 $660.72–$735 varies
Incision of Foot Tendon (28234) $3,261 $6,522 1.6×
Incision of labial frenum (frenotomy) (40806) $552 $1,104 0.8×
Incision of lingual frenum (frenotomy) (41010) $1,307.50 $2,615 0.7×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,553–$2,565.34 $3,106–$5,130.68 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 3 matching MRF lines		 $192.50–$1,720 $385–$3,440 varies
Incisional biopsy eyelid skin & lid margin (67810) $234.84 $469.67 0.6×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $507.54–$662 $1,015.07–$1,324 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $198.60–$202 $397.19–$404 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $736–$1,606.63 $1,472–$3,213.25 varies
Inj W/Fluor Eval Cv Device (36598) $176.98 $353.96 0.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,048–$1,556.50 $2,096–$3,113 varies
Inject Intravitreal Pharmcologic (67028) $319.73 $639.45 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $239.35–$742 $478.70–$1,484 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $590 $1,180 0.5×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $733.07–$1,208 $1,466.14–$2,416 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $767.50–$793.50 $1,535–$1,587 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,208 $2,416 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 4 matching MRF lines		 $449–$774 $898–$1,548 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $654 $1,308 1.7×
Injection Anes Superior Hypogastric Plexus (64517) $1,650 $3,300 1.5×
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $225–$952.50 $450–$1,905 varies
Injection enzyme palmar fascial cord (20527) $239.35 $478.70 0.6×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $354.59–$1,062.50 $709.17–$2,125 varies
Injection Into Brain Canal (61055) $534 $1,068 1.4×
Injection medication/other subst tenon capsule (67515) $92.61 $185.22 0.2×
Injection of sclerosing solution, hemorrhoids (46500) $1,328.50 $2,657 1.1×
Injection procedure for peyronie disease (54200) $272.95 $545.90 0.9×
Injection single tendon origin/insertion (20551)
range across 4 matching MRF lines		 $128.25–$742 $256.50–$1,484 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $217.50–$551.50 $435–$1,103 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $179.50–$628.50 $359–$1,257 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,231.50 $2,463 0.6×
Injection therapeutic carpal tunnel (20526) $239.35 $478.70 0.6×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $625.50–$2,083 $1,251–$4,166 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $543.50–$1,310.50 $1,087–$2,621 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $348.13–$733.07 $696.25–$1,466.14 varies
Injection, anesthetic agent; vagus nerve (64408) $276 $552 0.7×
Injection, Intralesional; More Than 7 Lesions (11901) $215.66 $431.32 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $161.79 $323.57 0.6×
Ins cath ren art 1st bilat (36252) $3,522.11 $7,044.21 0.9×
Ins cath ren art 1st unilat (36251) $5,373.50 $10,747 1.4×
Ins cath ren art 2nd+ bilat (36254) $8,759 $17,518 2.2×
Ins cath ren art 2nd+ unilat (36253) $7,469.50 $14,939 1.1×
Ins endovas vena cava filtr (37191) $5,187.59 $10,375.17 0.7×
Ins Vag Brachytx Device (57156) $1,017 $2,034 2.7×
Insert Bladder Cath Complex (51703)
range across 5 matching MRF lines		 $60.95–$339.50 $121.90–$679 varies
Insert cath pleura w/ image (32557)
range across 4 matching MRF lines		 $376.50–$1,625 $753–$3,250 varies
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $338.13–$1,348.50 $676.25–$2,697 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,324 $4,648 1.6×
Insert cervical dilator (59200) $439.38 $878.75 1.2×
Insert Drug Implant Device (11981) $212.50 $425 1.3×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $435–$2,256 $870–$4,512 varies
Insert Heart Pm Ventricular (33207) $6,713.95 $13,427.89 0.5×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $1,316 $2,632 0.1×
Insert non-tunnel cv cath (36556)
range across 5 matching MRF lines		 $423.50–$3,040 $847–$6,080 varies
Insert pessary/other device (57160) $161.04 $322.07 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,481.50 $2,963 0.8×
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines		 $54–$176.48 $108–$352.96 varies
Insert tun ip cath perc (49418) $3,535.67 $7,071.33 0.8×
Insert tunneled cv cath (36561)
range across 3 matching MRF lines		 $538.13–$4,655.63 $1,076.25–$9,311.25 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines		 $38.55–$195.41 $77.10–$390.82 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 3 matching MRF lines		 $1,661.58–$5,882.75 $3,323.16–$11,765.50 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $180.63–$1,227.41 $361.25–$2,454.81 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,417.52 $14,835.04 0.7×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $13,610.50 $27,221 2.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $8,962.50 $17,925 1.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,959.25 $3,918.50 0.5×
Insj Picc Rs&I <5 Yr (36572) $1,298.50 $2,597 1.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $5,117 $10,234 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,158.41 $2,316.81 0.6×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $4,702 $9,404 1.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $667.25–$3,554 $1,334.50–$7,108 varies
Insrt heart pm atrial & vent (33208) $7,596.50 $15,193 0.6×
Int hrhc by ligation single hroid w/o img gdn (46945) $3,025.27 $6,050.54 0.9×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,746.88 $3,493.76 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,103 $2,206 2.2×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,103 $2,206 2.2×
Intraoral i&d tongue/floor lingual (41000)
range across 3 matching MRF lines		 $674–$762.50 $1,348–$1,525 varies
Intraoral i&d tongue/floor sublngl supfc (41005) $643 $1,286 2.2×
Intraoral i&d tongue/floor submental space (41007) $3,416 $6,832 1.8×
Intraoral i&d tongue/floor submndblr space (41008)
range across 2 matching MRF lines		 $2,770–$5,864.50 $5,540–$11,729 varies
Intro cath dialysis circuit (36901) $592.86 $1,185.71 0.3×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $7,879.48 $15,758.96 0.5×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $3,898.02 $7,796.03 0.5×
Intro Gastrointestinal Tube (44500) $2,374.50 $4,749 2.1×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $504.41–$775 $1,008.82–$1,550 varies
Iridotomy/irridectomy laser surg per session (66761) $470.77 $941.54 0.7×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $263.50–$454 $527–$908 varies
Laryngoscopy diagnostic (31505) $205.79 $411.58 0.8×
Laryngoscopy flexible diagnostic (31575)
range across 4 matching MRF lines		 $489.83–$722.50 $979.65–$1,445 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $924 $1,848 1.9×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $283.35 $566.69 0.6×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $682 $1,364 1.4×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $2,770 $5,540 0.7×
Litholapaxy smpl/sm <2.5 cm (52317) $3,321.58 $6,643.16 0.8×
Lithotripsy, extracorporeal shock wave (50590) $2,243.24 $4,486.48 0.5×
Lyse chest fibrin init day (32561) $959.31 $1,918.62 1.2×
Maniplatn palar fascial crd post inj single cord (26341) $190.57 $381.14 0.6×
Manipulation hip joint general anesthesia (27275) $2,297 $4,594 1.1×
Manometric stds thru tube/ndwellg urtrl cath (50396) $1,007.50 $2,015 1.2×
Marsupialization of bartholin's gland cyst (56440) $823.50 $1,647 0.2×
Maternity Care Procedure (59899) $292 $584 1.2×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,077 $4,154 1.1×
Mech remov tunneled cv cath (36595) $5,162 $10,324 1.3×
Myelography Lumbar Injection (62305) $2,735.50 $5,471 2.8×
Myelography Lumbar Injection (62304) $2,580.63 $5,161.25 2.6×
Myelography via lumbar injection rs&i cervical (62302) $2,735.50 $5,471 2.8×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,465.50 $2,931 1.5×
N Block Inj Celiac Pelus (64530) $869.50 $1,739 0.8×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $303.50–$592.50 $607–$1,185 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $592.50–$1,291.50 $1,185–$2,583 varies
N Block Inj Paracervical (64435) $359 $718 0.4×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $61.50–$467.50 $123–$935 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $1,422.50–$1,650 $2,845–$3,300 varies
N Block Lumbar/Thoracic (64520) $974 $1,948 0.9×
Nasal Endoscopy Dx (31231) $215 $430 0.9×
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines		 $152.38–$458.50 $304.75–$917 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $408.66 $817.32 0.2×
Needle Biopsy Lymph Nodes (38505) $1,560.09 $3,120.17 0.8×
Needle Biopsy Pancreas (48102) $973 $1,946 0.5×
Neuroeltrd Stim Post Tibial (64566) $175 $350 0.5×
Neuropsychiatry (eg, depression, anxiety), genomic sequence analysis panel, variant analysis of 13 genes, saliva or… (0419U) $2,143.33 $4,286.65 1.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $361.75 $723.50 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $1,872 $3,744 1.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $354–$598.50 $708–$1,197 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $418.66 $837.32 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $6,639 $13,278 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $950.34–$1,187.93 $1,900.68–$2,375.85 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,690.50 $3,381 1.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $710.43–$747.50 $1,420.85–$1,495 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,565.50 $3,131 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,183.50 $2,367 1.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327)
range across 2 matching MRF lines		 $868.45–$1,690.50 $1,736.90–$3,381 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $710.43–$733.07 $1,420.85–$1,466.14 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,183.50 $2,367 1.1×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $5,091.50 $10,183 2.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $182.68 $365.36 0.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,687.50 $3,375 1.9×
Njx Sclrsnt 1 Incmptnt Vein (36470) $928.50 $1,857 1.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $888.50 $1,777 1.8×
Njx Sclrsnt Spider Veins (36468) $484 $968 1.0×
Obstructive material removal from gi tube (49460) $564 $1,128 0.5×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $245–$530 $490–$1,060 varies
Onc pncrtc ca augmnt alg alys 16gen prev seq RNA (0510U) $1,069.52 $2,139.04 2.3×
Onc solid tumor ngs DNA ffpe tiss bld/slv 648gen (0473U) $7,219.28 $14,438.55 1.6×
Open Tx Distal Phalangeal Fracture Each (26765) $3,490 $6,980 0.9×
Open tx interphalangeal joint dislocation (26785) $3,155.50 $6,311 0.8×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $775.06 $1,550.12 0.2×
Open/Perq Place Stent 1St (37236) $11,661.32 $23,322.64 0.8×
Open/Perq Place Stent Same (37238)
unusually low: confirm this is the full procedure		 $5,639.50 $11,278.99 0.4×
Perc Cryo Ablate Renal Tum (50593) $6,978.13 $13,956.25 0.5×
Perc Rf Ablate Renal Tumor (50592) $5,233.50 $10,467 0.7×
Percut Ablate Liver Rf (47382) $6,132.50 $12,265 0.8×
Percut Cath Occlusn Non Cns Lesn (61626) $11,665 $23,330 0.8×
Percut Drain/Inject Renal Cyst (50390) $693.33 $1,386.66 0.8×
Percut Mech Thrombectomy, Venous, Repeat (37188) $5,383 $10,766 1.4×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $384.50–$2,588.50 $769–$5,177 varies
Peritoneal Lavage (49084) $2,374.50 $4,749 2.1×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $1,931.50 $3,863 0.1×
Perq Cervicothoracic Inject (22510) $2,709.50 $5,419 0.7×
Perq dev breast 1st mr guide (19287) $1,647.50 $3,295 1.9×
Perq dev breast 1st strtctc (19283) $978 $1,956 1.1×
Perq dev breast 1st us imag (19285) $1,072.66 $2,145.32 1.2×
Perq device breast 1st imag (19281) $1,299 $2,598 0.6×
Perq dilation xst trc endourologic px w/img (50436) $5,013 $10,026 1.1×
Perq Lumbosacral Injection (22511) $2,547 $5,094 0.6×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $13,740 $27,480 1.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $7,295.50 $14,591 1.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $600.82 $1,201.64 0.7×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $25,893 $51,786 1.8×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $12,781.50 $25,563 1.8×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $12,426.50 $24,853 1.4×
Perq Vertebral Augmentation (22513) $13,420.50 $26,841 1.5×
Place Cath Subclavian Art (36225) $13,277 $26,554 3.4×
Place Cath Thoracic Aorta (36221) $1,922 $3,843.99 0.5×
Place Cath Vertebral Art (36226) $14,768.50 $29,537 2.1×
Place Duod/Jej Tube Perc (49441) $2,685 $5,370 1.1×
Place Rt Device/Marker Pros (55876) $2,611 $5,222 1.5×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $292.50–$413.25 $585–$826.50 varies
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $8,571.50 $17,143 1.1×
Plmt Bile Duct Stent Prq Existing Access (47538) $20,019.50 $40,039 2.7×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $19,461.50 $38,923 2.6×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $20,306 $40,612 2.7×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,734.55 $3,469.09 0.7×
Plmt Nephroureteral Catheter (50433) $2,333.52 $4,667.03 0.5×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $9,637.50 $19,275 2.2×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $5,771 $11,542 1.3×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $7,502.50 $15,005 1.7×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $6,364.74 $12,729.47 0.3×
Probe lacrimal canaliculi w/wo irrigation (68840) $186.33 $372.65 0.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,398 $2,796 1.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $6,899 $13,798 2.0×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $869.88 $1,739.75 1.3×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $693.33 $1,386.66 0.8×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $1,771.50 $3,542.99 0.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $6,263.25 $12,526.50 1.4×
Pseudoaneurysm Injection Trt (36002) $1,316.50 $2,633 1.7×
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines		 $322.23–$547.13 $644.46–$1,094.25 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines		 $265.50–$363.16 $531–$726.31 varies
Puncture Aspiration Cyst Breast (19000) $693.33 $1,386.66 0.8×
Puncture shunt tube/reservoir aspiration/inj px (61070) $935 $1,870 1.1×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,522 $3,044 1.7×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $2,027.12–$2,088.50 $4,054.23–$4,177 varies
Rcnstj Eyelid Full Thickness Second Stage (67975) $911.40 $1,822.80 0.3×
Redo Endovas Vena Cava Filtr (37192) $3,434.50 $6,869 0.9×
Rem Endovas Vena Cava Filter (37193) $3,434.50 $6,869 0.9×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $4,421.50 $8,843 3.9×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $180.50–$468.50 $361–$937 varies
Removal Foreign Body Foot Complicated (28193) $2,950 $5,900 1.4×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $1,275–$2,950 $2,550–$5,900 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $568.56–$2,621.25 $1,137.12–$5,242.50 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $1,746.90–$2,297 $3,493.80–$4,594 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $6,776 $13,552 1.7×
Removal Foreign Body Scrotum (55120) $2,859.50 $5,719 1.1×
Removal foreign body upper arm/elbow deep (24201) $5,816 $11,632 1.6×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $34–$100.15 $68–$200.29 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $73.13–$124.58 $146.25–$249.15 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $723 $1,446 0.2×
Removal Implant Deep (20680) $2,402.50 $4,805 0.7×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $1,624.34–$2,950 $3,248.68–$5,900 varies
Removal implantable contraceptive capsules (11976) $529.13 $1,058.25 0.6×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $240–$593 $480–$1,186 varies
Removal of nail bed (11750)
range across 4 matching MRF lines		 $322.23–$1,484 $644.46–$2,968 varies
Removal of tunneled intraperitoneal catheter (49422) $7,905.50 $15,811 2.0×
Removal or bivalving full arm or full leg cast (29705)
range across 3 matching MRF lines		 $188.50–$255.88 $377–$511.76 varies
Removal Pacemaker Electrode (33235) $3,639.30 $7,278.60 0.8×
Removal ppm generator only (33233) $8,094.61 $16,189.22 0.8×
Removal shoulder foreign body deep subfascial/im (23333) $1,083.50 $2,167 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $92–$330.50 $184–$661 varies
Removal subcutaneous cardiac rhythm monitor (33286) $580.86 $1,161.71 0.7×
Removal/bivalving gauntlet boot/body cast (29700) $261.22 $522.43 0.7×
Remove drug implant device (11982) $340 $680 0.6×
Remove Forearm Foreign Body (25248) $3,801.50 $7,603 1.9×
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $119.74–$147.50 $239.47–$295 varies
Remove Intrauterine Device (58301) $70.20 $140.40 0.2×
Remove intrvas foreign body (37197) $3,947.50 $7,895 1.0×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $150.83–$303 $301.66–$606 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $171.60–$175.50 $343.19–$351 varies
Remove renal tube w/fluoro (50389) $2,798.63 $5,597.25 3.2×
Remove Shoulder Foreign Body (23330)
range across 3 matching MRF lines		 $1,179–$1,609 $2,358–$3,218 varies
Remove Tendon Sheath Lesion (26160) $1,607.97 $3,215.94 0.8×
Remove ureter stent percut (50384) $3,118.50 $6,237 1.2×
Remove&replace pm gen singl (33227) $6,380.16 $12,760.31 0.6×
Remove/Insert Drug Implant (11983) $410 $820 0.7×
Remv&replc pm gen dual lead (33228) $6,997.56 $13,995.11 0.5×
Renal Biopsy Perq (50200) $1,078.41 $2,156.82 0.5×
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $3,767.50–$5,383 $7,535–$10,766 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines		 $507.54–$1,600.13 $1,015.07–$3,200.25 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $542.50–$1,600.13 $1,085–$3,200.25 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $322.23–$1,280 $644.46–$2,560 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 4 matching MRF lines		 $507.54–$1,667.69 $1,015.07–$3,335.37 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 3 matching MRF lines		 $490–$1,600.13 $980–$3,200.25 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $507.54–$1,218.25 $1,015.07–$2,436.49 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,696 $3,392 1.8×
Repair complex trunk 2.6-7.5 cm (13101)
range across 3 matching MRF lines		 $507.54–$1,696 $1,015.07–$3,392 varies
Repair Ectropion Extensive (67917) $826.88 $1,653.75 0.3×
Repair Ectropion Suture (67914) $2,517.84 $5,035.68 0.8×
Repair Entropion Excision Tarsal Wedge (67923) $2,517.84 $5,035.68 0.8×
Repair Entropion Suture (67921) $2,517.84 $5,035.68 0.8×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,197–$2,637.50 $2,394–$5,275 varies
Repair Hand Tendon (26410) $2,961.50 $5,923 1.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $322.23–$704.69 $644.46–$1,409.38 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $514.14–$751.71 $1,028.28–$1,503.42 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $741.33–$1,103 $1,482.66–$2,206 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,103 $2,206 2.2×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,103 $2,206 2.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $1,376–$1,600.13 $2,752–$3,200.25 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $322.23–$661.34 $644.46–$1,322.67 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $431.63–$757.21 $863.25–$1,514.41 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $873.23–$1,600.13 $1,746.46–$3,200.25 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $5,131.88 $10,263.75 2.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $693.38–$742.55 $1,386.75–$1,485.10 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $322.23–$1,040.63 $644.46–$2,081.25 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $533.71–$615.38 $1,067.42–$1,230.75 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,600.13 $3,200.25 1.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $477.50–$632.64 $955–$1,265.27 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $5,131.88 $10,263.75 2.0×
Repair Laceration Palate </2 Cm (42180) $1,519 $3,038 2.3×
Repair Laceration Palate >2 Cm/Complex (42182)
range across 2 matching MRF lines		 $4,964.83–$13,172 $9,929.66–$26,344 varies
Repair of nail bed (11760)
range across 2 matching MRF lines		 $564.91–$1,696 $1,129.82–$3,392 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $643–$1,098 $1,286–$2,196 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $361–$900 $722–$1,800 varies
Replace duodenostomy/jejunostomy tube perq (49451) $970 $1,940 0.9×
Replace G-J Tube Perc (49452)
range across 3 matching MRF lines		 $375.50–$1,511.50 $751–$3,023 varies
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $893.27–$2,195 $1,786.54–$4,390 varies
Reposition Gastrostomy Tube (43761)
range across 3 matching MRF lines		 $721.50–$2,100 $1,443–$4,200 varies
Reposition Pacing-Defib Lead (33215) $1,680.40 $3,360.79 0.4×
Reposition Venous Catheter (36597) $2,108 $4,216 1.1×
Revise eyelashes (67825) $172.73 $345.45 0.4×
Revision of eyelid (67880) $612.63 $1,225.25 0.2×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $9,151 $18,302 1.3×
Revj/rpr oprative wound anterior segment (66250) $734.64 $1,469.27 0.2×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,342.82 $2,685.64 0.5×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $567.42 $1,134.84 0.2×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,463.50 $2,927 0.8×
Rmvl embedded fb vestibule mouth comp (40805) $1,232.50 $2,465 1.8×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $500 $1,000 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $269.25–$399.28 $538.50–$798.55 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $119.74–$313.50 $239.47–$627 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $248–$399.28 $496–$798.55 varies
Rmvl FB/Dacryolith Lacrimal Passages (68530) $783.88 $1,567.75 2.0×
Rmvl fecal impaction/fb spx under anes (45915) $2,284.50 $4,569 1.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $430.15 $860.30 0.1×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $2,950 $5,900 0.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $765.50–$2,317.13 $1,531–$4,634.25 varies
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,639.30 $7,278.60 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $363.75–$1,110.88 $727.50–$2,221.75 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $716.64 $1,433.27 0.9×
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $189–$266.99 $378–$533.97 varies
Rplcmt cath ctr vad subq port/pmp (36578) $4,815 $9,630 1.2×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $1,158.41–$2,715 $2,316.81–$5,430 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,158.41 $2,316.81 0.6×
Rplcmt compl tun ctr vad w/subq port (36582) $4,815 $9,630 1.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,568.15 $3,136.30 0.4×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,077 $4,154 1.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $652.79–$920.63 $1,305.57–$1,841.25 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,040.63 $2,081.25 1.1×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 2 matching MRF lines		 $371–$643 $742–$1,286 varies
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $1,433–$1,519 $2,866–$3,038 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $991.09–$997 $1,982.17–$1,994 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,416 $6,832 1.8×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,177.50 $2,355 1.5×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,733 $9,466 1.2×
Sclerotx Fluid Collection (49185) $2,295.50 $4,591 1.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,322.50 $4,645 2.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $908.50 $1,817 0.6×
Shave skin lesion 0.5 cm/< (11300) $161.79 $323.57 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $161.79 $323.57 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $359.41 $718.82 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $161.79–$203.50 $323.57–$407 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $215.27 $430.53 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $268.75 $537.49 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $322.23 $644.46 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $215.27 $430.53 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $268.75 $537.49 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $225.27 $450.53 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $322.23 $644.46 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $268.75 $537.49 1.1×
Sigmoidoscopy & Polypectomy (45333) $2,322.50 $4,645 2.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,386.50 $2,773 0.9×
Sigmoidoscopy flx tndsc balo dilat (45340) $3,304 $6,608 2.2×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $2,323 $4,646 1.6×
Sigmoidoscopy W/Resection (45349) $2,225.50 $4,451 0.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $936.50 $1,873 0.8×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $3,055.50 $6,111 2.0×
Simple Cystometrogram (51725) $294 $588 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $1,040.63–$1,288.50 $2,081.25–$2,577 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $161.79–$380.44 $323.57–$760.87 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 4 matching MRF lines		 $215.27–$585 $430.53–$1,170 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,040.63 $2,081.25 2.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $516–$583.25 $1,032–$1,166.50 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $584.63 $1,169.25 2.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $161.79–$472.65 $323.57–$945.29 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $584.63–$1,373 $1,169.25–$2,746 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 4 matching MRF lines		 $225.97–$603.32 $451.93–$1,206.64 varies
Skin Full Grft Face/Genit/Hf (15240) $991.52 $1,983.03 0.4×
Skin Pinch Graft (15050) $1,696 $3,392 1.8×
Skin sub graft face/nk/hf/g (15275) $2,853.48 $5,706.96 3.1×
Skin sub graft trnk/arm/leg (15271) $2,853.48 $5,706.96 3.1×
Skin sub grft t/arm/lg child (15273) $12,472 $24,944 4.8×
Skin Tissue Procedure (17999) $918.25 $1,836.50 3.7×
Skn sub grft f/n/hf/g child (15277) $410.13 $820.26 0.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $13,277 $26,554 1.9×
Slctv cath carotid/innom art angio xtrcranl art (36222) $11,486.50 $22,973 2.9×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $14,918 $29,836 2.1×
Slitting of prepuce (54001) $321.65 $643.30 0.1×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $2,764.50 $5,529 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $193.88–$507.45 $387.75–$1,014.90 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $422.13–$765.76 $844.25–$1,531.51 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $1,040.63–$1,102.50 $2,081.25–$2,205 varies
Sperm washing artificial insemination (58323) $141.38 $282.75 0.6×
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $294.25–$1,506.50 $588.50–$3,013 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $6,141.50 $12,283 1.6×
Strapping ankle (29540)
range across 4 matching MRF lines		 $58.50–$136.78 $117–$273.55 varies
Strapping elbow or wrist (29260)
range across 4 matching MRF lines		 $55–$132 $110–$264 varies
Strapping hand/finger (29280)
range across 4 matching MRF lines		 $48.50–$147 $97–$294 varies
Strapping Hip (29520) $110 $220 0.7×
Strapping knee (29530)
range across 2 matching MRF lines		 $110–$142 $220–$284 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $110–$210 $220–$420 varies
Strapping thorax (29200) $97 $194 0.5×
Strapping toes (29550)
range across 3 matching MRF lines		 $56.18–$151 $112.35–$302 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $152.01–$189.50 $304.02–$379 varies
Subcutaneous Injection Filling Material 1 Cc/< (11950) $95.92 $191.84 0.4×
Suction assisted lipectomy; trunk (15877) $1,116.10 $2,232.20 0.3×
Suprachoroidal space njx pharmacologic agent (67516) $172.73 $345.45 0.4×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines		 $445.50–$2,150 $891–$4,300 varies
Tangential biopsy skin single lesion (11102) $162.50 $325 0.3×
Tcat Rmvl Perm Ldls Pm (33275) $4,505.50 $9,011 1.1×
Temporary Closure Eyelids Suture (67875) $374.12 $748.23 0.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,335 $2,670 0.7×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $13,038 $26,076 2.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,811.50 $3,623 2.1×
Therapeutic plasma exchange (36514) $4,269 $8,538 2.2×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $9,730.26 $19,460.52 1.4×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $6,782.76 $13,565.52 1.0×
Thrmbc/Nfs Dialysis Circuit (36906) $62,054.50 $124,109 2.7×
Thromblytic art/ven therapy (37213) $6,343.50 $12,687 1.6×
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $14,346.50 $28,693 2.1×
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure		 $1,243.29 $2,486.57 0.2×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines		 $325.06–$745 $650.12–$1,490 varies
Thrombolytic Venous Therapy (37212) $2,822 $5,644 0.7×
Thyroid biopsy (60100) $1,445.50 $2,891 1.6×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,229.29 $2,458.58 0.5×
Tooth extraction (41899)
range across 2 matching MRF lines		 $348.38–$365.80 $696.75–$731.59 varies
Tprnl Plmt Biodegrdabl Matrl (55874) $16,094 $32,188 2.4×
Trabeculoplasty by laser surgery (65855) $665.91 $1,331.82 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $502.50–$910.50 $1,005–$1,821 varies
Transcatheter biopsy (37200) $5,029.50 $10,059 0.7×
Transfusion Intrauterine Fetal (36460) $1,018.50 $2,037 1.8×
Treat Dental Ridge Fracture (21440) $2,588 $5,176 0.6×
Treat Hip Socket Fracture (27222) $4,309 $8,618 14.0×
Treat humerus fracture (24500)
range across 3 matching MRF lines		 $279.56–$682.50 $559.12–$1,365 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $930.02–$3,801.50 $1,860.04–$7,603 varies
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $254.54–$1,030 $509.08–$2,060 varies
Treat knee fracture (27532) $6,776 $13,552 1.7×
Treat Knee Fracture(S) (27538) $625 $1,250 2.0×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $245.10–$1,347.50 $490.20–$2,695 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $625–$648 $1,250–$1,296 varies
Treat Thumb Dislocation (26641) $625 $1,250 2.0×
Treat Thumb Fracture (26645) $3,801.50 $7,603 1.9×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $461.50–$491.50 $923–$983 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines		 $1,801–$3,801.50 $3,602–$7,603 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $837.81–$897.50 $1,675.62–$1,795 varies
Treatment extensive retinopathy photocoagulation (67228) $641.29 $1,282.58 0.9×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $161.79–$198.60 $323.57–$397.19 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $161.79–$198.60 $323.57–$397.19 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $161.79–$163 $323.57–$326 varies
Trimming Nondystrophic Nails Any Number (11719) $67.50 $135 0.9×
Trluml Balo Angiop 1St Art (37246) $13,483 $26,966 1.9×
Trluml Balo Angiop 1St Vein (37248) $4,914.11 $9,828.21 0.7×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $61.50–$287.68 $123–$575.35 varies
Tx open tendon flexor toe 1 tendon spx (28232) $4,871 $9,742 2.4×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $750–$1,696 $1,500–$3,392 varies
Tx superficial wound dehiscence w/packing (12021) $254.28 $508.55 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $907.50 $1,815 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $625–$716.50 $1,250–$1,433 varies
Unlisted Procedure Biliary Tract (47999) $6,857.50 $13,715 6.1×
Unlisted Procedure Endocrine System (60699) $5,144 $10,288 0.7×
Unlisted Procedure Esophagus (43499) $3,106 $6,212 2.7×
Unlisted Procedure Intestine (44799) $8,553.50 $17,107 7.6×
Unlisted procedure liver (47399) $1,194.50 $2,389 1.4×
Unlisted Procedure Male Genital System (55899) $6,027.50 $12,055 19.3×
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines		 $379.50–$1,091.75 $759–$2,183.50 varies
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $255–$775 $510–$1,550 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $349.13 $698.25 1.2×
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $492–$1,476.50 $984–$2,953 varies
Unlisted procedure stomach (43999) $2,318 $4,636 2.0×
Unlisted Procedure Vascular Surgery (37799) $2,668.50 $5,337 3.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $5,818.50 $11,637 5.1×
Unlisted Procedure, Urinary System (53899) $242.50 $485 0.8×
Vasc embolize/occlude artery (37242) $19,590.20 $39,180.40 0.9×
Vasc Embolize/Occlude Bleed (37244) $21,241.50 $42,483 1.5×
Vasc Embolize/Occlude Organ (37243) $23,601.50 $47,203 1.6×
Vasc embolize/occlude venous (37241) $23,601.50 $47,203 1.6×
Vasectomy uni/bi spx w/postop semen exams (55250) $543.90 $1,087.80 0.2×
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure		 $6,189.02 $12,378.03 0.4×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $103–$1,090 $206–$2,180 varies
Wound Prep F/N/Hf/G (15004) $436.96 $873.92 0.9×
Wound Prep Trk/Arm/Leg (15002) $362.73 $725.45 0.4×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $9,267.50 $18,535 1.3×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $1,316.50 $2,633 0.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.