Procedures & surgery prices at Ozarks Community Hospital

Gravette, AR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $138 $345 0.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 5 matching MRF lines		 $98–$1,727.60 $245–$4,319 varies
Ablate inf turbinate submuc (30802) $216.40 $541 0.1×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 3 matching MRF lines		 $170–$1,715.20 $425–$4,288 varies
Acetabuloplasty resection femoral head (27122)
likely a partial charge, not the full procedure		 $1,152.40 $2,881 0.2×
Acne surgery (10040)
range across 2 matching MRF lines		 $115.60–$183.60 $289–$459 varies
Adding Walker Previously Applied Cast (29440)
range across 2 matching MRF lines		 $45.60–$269.20 $114–$673 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)
range across 3 matching MRF lines		 $480–$2,655.20 $1,200–$6,638 varies
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)
range across 3 matching MRF lines		 $624–$2,655.20 $1,560–$6,638 varies
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 3 matching MRF lines		 $1,133.60–$4,639.20 $2,834–$11,598 varies
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061)
range across 2 matching MRF lines		 $1,110.80–$2,375.60 $2,777–$5,939 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines		 $588–$2,380 $1,470–$5,950 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $929.20–$2,280 $2,323–$5,700 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 3 matching MRF lines		 $768.40–$2,969.60 $1,921–$7,424 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $652 $1,630 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $736 $1,840 0.2×
Amputate Metacarpal Bone (26910) $805.20 $2,013 0.3×
Amputation foot transmetarsal (28805) $784.40 $1,961 0.3×
Amputation metatarsal with toe single (28810) $557.60 $1,394 0.2×
Amputation thigh through femur any level (27590) $1,059.20 $2,648 0.3×
Amputation toe interphalangeal joint (28825) $188.80 $472 0.1×
Amputation toe metatarsophalangeal joint (28820) $510.40 $1,276 0.2×
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $852–$1,704 $2,130–$4,260 varies
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $812 $2,030 0.3×
Amputation, leg, through tibia and fibula; re-amputation (27886) $752.40 $1,881 0.2×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $738.80 $1,847 0.2×
Anoscopy diagnostic (46600) $177.20 $443 1.4×
Anoscopy remove lesion (46610) $104.80 $262 0.0×
Anoscopy; with biopsy, single or multiple (46606) $80.80 $202 0.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $3,200 $288 1.2×
Anterior Tibial Tubercleplasty (27418)
likely a partial charge, not the full procedure		 $872 $2,180 0.1×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $115 $197–$894 0.4×
Application finger splint static (29130)
range across 2 matching MRF lines		 $42.40–$253.60 $106–$634 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $50.80–$233.60 $127–$584 varies
Application Long Leg Splint (29505) $65.60 $164 0.4×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $104–$528.40 $260–$1,321 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $38–$168 $95–$420 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $53.60–$205.20 $134–$513 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $88.80–$237.20 $222–$593 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $78.40–$348 $196–$870 varies
Apply Multlay Comprs Lwr Leg (29581) $380 $70 2.5×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $82.40–$528.40 $206–$1,321 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $84.80–$618.40 $212–$1,546 varies
Arterial puncture (36600) $160 $400 1.3×
Arteriovenous Anastomosis Open Direct (36821) $965.60 $2,414 0.3×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818)
likely a partial charge, not the full procedure		 $903.60 $2,259 0.2×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $943.60 $2,359 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $48.80–$368 $122–$920 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $95 $126–$2,278 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $116–$814.40 $290–$2,036 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $36–$400 $90–$1,000 varies
Arthrodesis great toe interphalangeal joint (28755) $7,500 $968 1.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $750.80 $1,877 0.1×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $892.40 $2,231 0.1×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $961.60 $2,404 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $1,400 $3,500 0.1×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $869.60 $2,174 0.3×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $731.20 $1,828 0.2×
Arthroscopy Ankle Surgical Debridement Limited (29897) $650.80 $1,627 0.2×
Arthroscopy ankle w/removal loose/foreign body (29894) $542.80 $1,357 0.2×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $651.60 $1,629 0.2×
Arthroscopy hip w/femoroplasty (29914)
likely a partial charge, not the full procedure		 $1,039.60 $2,599 0.2×
Arthroscopy knee synovectomy limited spx (29875) $554.80 $1,387 0.2×
Arthroscopy shoulder distal claviculectomy (29824) $4,000 $1,983 1.3×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
likely a partial charge, not the full procedure		 $1,500.80 $3,752 0.2×
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836)
likely a partial charge, not the full procedure		 $612 $1,530 0.1×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $515.20 $1,288 0.2×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
likely a partial charge, not the full procedure		 $875.20 $2,188 0.1×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $552 $1,380 0.2×
Arthroscopy, knee, surgical; with lateral release (29873) $565.20 $1,413 0.2×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $1,088 $2,720 0.4×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $800 $2,000 0.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $8,000 $3,047 1.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $822.80 $2,057 0.3×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $1,244.80 $3,112 0.2×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $700.80 $1,752 0.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $8,200 $3,541 1.2×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $552 $1,380 0.2×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $1,200 $3,000 0.1×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $1,412.40 $3,531 0.1×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $932 $2,330 0.1×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
likely a partial charge, not the full procedure		 $1,407.60 $3,519 0.1×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $793.20 $1,983 0.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $4,000 $2,080 1.3×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $671.20 $1,678 0.2×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $544 $1,360 0.2×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $345.20 $863 0.1×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $3,800 $1,464 1.2×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $120.40–$1,387.60 $301–$3,469 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $95 $98–$920 0.3×
Av fistula revision (36833)
likely a partial charge, not the full procedure		 $1,059.20 $2,648 0.2×
Av Fistula Revision Open (36832)
likely a partial charge, not the full procedure		 $1,108.40 $2,771 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 7 matching MRF lines		 $260 $170–$620 1.4×
Biopsy bone open deep (20245) $460.80 $1,152 0.2×
Biopsy bone open superficial (20240) $136 $340 0.1×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $654.40–$4,198 $1,636–$10,495 varies
Biopsy external ear (69100)
range across 2 matching MRF lines		 $64.40–$1,288 $161–$3,220 varies
Biopsy of floor of mouth (41108) $110.40 $276 0.1×
Biopsy of foot joint lining (28050) $368.80 $922 0.1×
Biopsy of lip (40490)
range across 2 matching MRF lines		 $91.20–$556.80 $228–$1,392 varies
Biopsy Oropharynx (42800) $124.40 $311 0.1×
Biopsy Soft Tissue Back/Flank Superficial (21920)
range across 2 matching MRF lines		 $209.60–$2,157.20 $524–$5,393 varies
Biopsy soft tissue leg/ankle area superficial (27613) $257.60 $644 0.2×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $219.20 $548 0.1×
Biopsy Tongue Posterior One-Third (41105) $143.60 $359 0.0×
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $69.20–$1,005.20 $173–$2,513 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 3 matching MRF lines		 $64.40–$984.40 $161–$2,461 varies
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $96.80–$653.20 $242–$1,633 varies
Biopsy/removal lymph nodes (38510) $563.20 $1,408 0.2×
Bladder Irrigation (51700) $65.20 $163 0.3×
Bladder Scan (51798)
range across 3 matching MRF lines		 $11.60–$233.20 $29–$583 varies
Blepharoplasty Lower Eyelid (15820) $4,696 $11,740 2.4×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines		 $814–$2,852.80 $2,035–$7,132 varies
Blood Transfusion Service (36430) $1,158.40 $2,896 2.8×
Blood/Lymph System Procedure (38999) $364.40 $911 0.9×
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $2,010 $175–$5,025 1.3×
Bone Marrow; Aspiration Only (38220) $3,089.60 $7,724 2.0×
Brnchsc Brushing/Protected Brushings (31623) $183.20 $458 0.1×
Bronchoscopy W/Biopsy(S) (31625) $212.80 $532 0.1×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $236.80 $592 0.1×
Bronchoscopy/Needle Bx Each (31629) $285.20 $713 0.1×
Buttock fasciotomy (27027)
likely a partial charge, not the full procedure		 $929.20 $2,323 0.1×
Bx breast needle core w/o imaging guidance spx (19100) $73.60 $184 0.0×
Bx Cervix (57500)
range across 2 matching MRF lines		 $80–$1,000 $200–$2,500 varies
Bx/exc lymph node open superficial (38500) $324 $810 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $354.80 $887 0.1×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $2,600 $1,374–$2,748 1.4×
Carpectomy All Bones Proximal Row (25215) $651.20 $1,628 0.2×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines		 $180.80–$313.60 $452–$784 varies
Cautery Cervix Electro/Thermal (57510) $119.60 $299 0.0×
Change Cystostomy Tube Simple (51705) $100 $130 0.4×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $48.40–$338.80 $121–$847 varies
Chemical peel face dermal (15789) $541.60 $1,354 0.8×
Chemodenerv Eccrine Glands (64650)
range across 2 matching MRF lines		 $54.40–$673.20 $136–$1,683 varies
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines		 $120.40–$1,099.20 $301–$2,748 varies
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $124.40–$454.40 $311–$1,136 varies
Chest tube placement (32551) $207.60 $519 0.1×
Circumcision 28 days or older (54161) $256 $640 0.1×
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $305 $250–$6,400 0.2×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $515.20–$2,409.20 $1,288–$6,023 varies
Claviculectomy partial (23120) $614.40 $1,536 0.2×
Clear outer ear canal (69200)
range across 4 matching MRF lines		 $365 $115–$400 2.9×
Closed Rx Metacarpal Fx,Percut (26608) $614 $1,535 0.2×
Closed tx ankle dislocation w/o anesthesia (27840) $494.80 $1,237 2.1×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $530 $904–$1,094 2.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $278–$437.60 $695–$1,094 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $500 $823–$1,094 2.2×
Closed tx knee dislocation w/o anesthesia (27550) $630.80 $1,577 2.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $618.80 $1,547 0.4×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $235.20–$437.60 $588–$1,094 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $696.80 $1,742 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 3 matching MRF lines		 $100–$1,921.60 $250–$4,804 varies
Closed tx patellar dislocation w/o anesthesia (27560) $354.40 $886 1.5×
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $354–$437.60 $885–$1,094 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines		 $295.20–$437.60 $738–$1,094 varies
Closed tx radial shaft fracture w/manipulation (25505) $579.20 $1,448 0.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 3 matching MRF lines		 $318–$437.60 $795–$1,094 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $622–$1,341.20 $1,555–$3,353 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines		 $312.80–$437.60 $782–$1,094 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $255.20–$437.60 $638–$1,094 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $254.40–$437.60 $636–$1,094 varies
Closed tx tarsometatarsal dislocation w/o anes (28600) $234.40 $586 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $34.80 $87 0.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $315.20–$437.60 $788–$1,094 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines		 $301.20–$437.60 $753–$1,094 varies
Clsd tx acromioclavicular dislc w/manipulation (23545) $378.80 $947 1.6×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $280.80 $702 1.2×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $440 $657–$1,094 1.9×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $162–$632.80 $405–$1,582 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $430.40 $1,076 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $358 $895 1.6×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $669.60 $1,674 2.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $577.20 $1,443 0.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $421.20 $1,053 0.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $255.20–$437.60 $638–$1,094 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $337.20–$437.60 $843–$1,094 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $387.60 $969 1.7×
Cltx dstl fibular fx lat malls w/manj (27788) $515.20 $1,288 2.2×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 4 matching MRF lines		 $372.40–$437.60 $931–$1,094 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $234–$437.60 $585–$1,094 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $545 $801–$1,094 2.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $520–$2,000 $1,300–$5,000 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $621.20 $1,553 0.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $200.80 $502 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $148.80–$437.60 $372–$1,094 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $185.60–$437.60 $464–$1,094 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $128–$296 $320–$740 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $370.80–$437.60 $927–$1,094 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $306–$378 $765–$945 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $310.40 $776 1.3×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $364.40–$437.60 $911–$1,094 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $92 $230 0.4×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $422 $1,055 1.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $321.20 $803 1.4×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $369.60–$378 $924–$945 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 4 matching MRF lines		 $312.40–$320.40 $781–$801 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $500 $712–$1,094 2.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $391.20 $978 1.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $385 $540–$1,094 1.7×
Cltx post hip arthrp dislc req anes (27266) $737.60 $1,844 0.5×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $332.40–$437.60 $831–$1,094 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $551.20 $1,378 0.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $110.40 $276 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $777.60 $1,944 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $620 $1,044–$1,094 2.7×
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $455.20–$602.80 $1,138–$1,507 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $565 $750–$800 2.5×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $589.60 $1,474 2.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $308.40 $771 0.2×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $345.20–$437.60 $863–$1,094 varies
Collection of venous blood by venipuncture (36415) $10 $32 1.1×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,464 $100–$3,660 1.3×
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $253.20–$1,545.60 $633–$3,864 varies
Colonoscopy w/fb removal (45379)
range across 2 matching MRF lines		 $447.60–$4,365.60 $1,119–$10,914 varies
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $216.40–$1,797.60 $541–$4,494 varies
Colpocleisis (le fort type) (57120) $563.60 $1,409 0.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $530 $330–$1,000 1.9×
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $142.80–$896.80 $357–$2,242 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $96.80–$267.60 $242–$669 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $115.20–$418.80 $288–$1,047 varies
Colposcopy cervix vag eltrd conization cervix (57461) $260 $650 0.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $223.60 $559 0.1×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $124–$896.80 $310–$2,242 varies
Colposcopy of vulva (56820)
range across 2 matching MRF lines		 $116.40–$313.60 $291–$784 varies
Colposcopy Vulva W/Biopsy (56821)
range across 2 matching MRF lines		 $81.20–$313.60 $203–$784 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 2 matching MRF lines		 $168.40–$896.80 $421–$2,242 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $1,800 $630–$4,365 1.6×
Combined anteroposterior colporrhaphy; (57260) $740 $1,850 0.2×
Complex drainage wound (10180)
range across 5 matching MRF lines		 $184–$3,520 $460–$8,800 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines		 $326.40–$3,880 $816–$9,700 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $117.60–$263.60 $294–$659 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $78.80–$176.40 $197–$441 varies
Correction hammertoe (28285) $3,800 $1,101 1.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,000 $1,380 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $639.60 $1,599 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $652.80 $1,632 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $780.80 $1,952 0.3×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $7,800 $1,898 1.2×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $130–$1,314 $325–$3,285 varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340)
range across 2 matching MRF lines		 $63.20–$183.60 $158–$459 varies
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $559.20 $1,398 2.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $158.40 $396 1.3×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $492 $1,230 0.2×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $245 $452–$4,691 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $28–$778 $70–$1,945 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $687.60 $1,719 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $369.20–$1,148.80 $923–$2,872 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $280 $700 0.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $148–$812 $370–$2,030 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $50 $51–$311 0.9×
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $80 $84–$359 1.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $216.40–$2,139.20 $541–$5,348 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $60–$81.60 $150–$204 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $606–$903.60 $1,515–$2,259 varies
Decomp forearm,1 compart,w/o debride (25020) $740.80 $1,852 0.5×
Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) $1,380 $3,450 0.5×
Decompression of tibia nerve (28035) $2,500 $1,413 1.4×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620)
range across 2 matching MRF lines		 $370–$4,192 $925–$10,480 varies
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $621.20 $1,553 0.3×
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines		 $186.80–$4,800 $467–$12,000 varies
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $244–$4,784 $610–$11,960 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $78.40–$127.60 $196–$319 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $85.20–$280 $213–$700 varies
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $195.60–$2,272 $489–$5,680 varies
Destruction by neurolytic agent; plantar common digital nerve (64632)
range across 2 matching MRF lines		 $92–$686 $230–$1,715 varies
Destruction Lesions Vulva Simple (56501)
range across 3 matching MRF lines		 $148.40–$1,692.40 $371–$4,231 varies
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $480.80 $1,202 2.6×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $120.40 $301 0.6×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)
range across 2 matching MRF lines		 $170.40–$338 $426–$845 varies
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 2 matching MRF lines		 $118.80–$357.60 $297–$894 varies
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271)
range across 2 matching MRF lines		 $142–$356.80 $355–$892 varies
Destruction malignant lesion t/a/l 0.5 cm/< (17260)
range across 2 matching MRF lines		 $80.80–$242 $202–$605 varies
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $156.40–$2,564.80 $391–$6,412 varies
Destruction of skin lesions (17106) $287.60 $719 0.8×
Destruction Premalignant Lesion 15/> (17004)
range across 2 matching MRF lines		 $106–$520 $265–$1,300 varies
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $100 $161–$779 0.5×
Destruction Vaginal Lesions Simple (57061)
range across 2 matching MRF lines		 $4,300 $250–$10,750 1.4×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $56–$1,200 $140–$3,000 varies
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $93.20–$748.80 $233–$1,872 varies
Drain Cerebro Spinal Fluid (62272) $99.60 $249 0.2×
Drain/inj small joint/bursa w/us (20604) $82.40 $206 0.3×
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $156–$3,412.80 $390–$8,532 varies
Drainage of gum lesion (41800) $200 $500 1.6×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $128–$2,387.20 $320–$5,968 varies
Drainage of hydrocele (55000)
range across 2 matching MRF lines		 $118.80–$1,120.80 $297–$2,802 varies
Drainage of scrotum (54700) $310.40 $776 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines		 $120–$614 $300–$1,535 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $77.60 $194 0.4×
Dstrj les/scar vestibule mouth physical meths (40820)
range across 2 matching MRF lines		 $220.40–$3,995.20 $551–$9,988 varies
Dstrj Lesion Anus Simple Chemical (46900) $176.40 $441 0.5×
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines		 $3,480 $350–$8,700 1.3×
Dstrj Lesion Penis Simple Chemical (54050)
range across 2 matching MRF lines		 $136.80–$491.60 $342–$1,229 varies
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 2 matching MRF lines		 $142.80–$234 $357–$585 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $265.20–$2,302.80 $663–$5,757 varies
Dx Bronchoscope/Lavage (31624) $183.60 $459 0.1×
Dx Bronchoscope/Wash (31622) $203.60 $509 0.1×
Dx Laryngoscopy Excl Nb (31525) $152 $380 0.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $240 $600 0.1×
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines		 $311.60–$3,692 $779–$9,230 varies
Egd dilation gastric/duodenal stricture (43245)
range across 3 matching MRF lines		 $311.20–$2,360 $778–$5,900 varies
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $332.40–$1,200 $831–$3,000 varies
Egd guide wire insertion (43248) $179.60 $449 0.2×
Egd place gastrostomy tube (43246)
range across 5 matching MRF lines		 $277.60–$2,707.60 $694–$6,769 varies
Egd remove lesion snare (43251) $3,692 $9,230 2.1×
Egd Tube/Cath Insertion (43241) $189.60 $474 0.1×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370)
range across 2 matching MRF lines		 $62–$499.20 $155–$1,248 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368)
range across 2 matching MRF lines		 $47.60–$453.60 $119–$1,134 varies
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $34.80 $87 0.1×
Endocervical curettage (57505) $1,443.20 $3,608 1.7×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $248.40 $621 0.1×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $265 $173–$661 1.4×
Endoscopic plantar fasciotomy (29893) $462.40 $1,156 0.2×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $151.20–$1,522 $378–$3,805 varies
Esc i p ulcer w ostect & flap (15946) $2,099.60 $5,249 1.1×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202)
range across 2 matching MRF lines		 $100–$2,360 $250–$5,900 varies
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $2,717.60 $161–$6,794 1.5×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $32–$108 $80–$270 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $725.60 $1,814 0.5×
Exc abdl tum deep 5 cm/> (22901) $690 $1,725 0.3×
Exc arm/elbow les sc < 3 cm (24075) $345.20 $863 0.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $86.80–$776.80 $217–$1,942 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $178.80–$2,086.80 $447–$5,217 varies
Exc Back Les Sc < 3 Cm (21930) $379.60 $949 0.2×
Exc Back Tum Deep 5 Cm/> (21933)
range across 3 matching MRF lines		 $720–$3,520 $1,800–$8,800 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $582 $1,455 0.2×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $382 $955 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $183.60–$1,311.20 $459–$3,278 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $242–$2,157.20 $605–$5,393 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 3 matching MRF lines		 $307.60–$4,598.80 $769–$11,497 varies
Exc Face Les Sbq 2 Cm/> (21012) $434.40 $1,086 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $112.80–$1,148.80 $282–$2,872 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $148.40–$776.80 $371–$1,942 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $156.40–$1,458.40 $391–$3,646 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $227.60–$2,157.20 $569–$5,393 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $237.20–$292.80 $593–$732 varies
Exc Forearm Les Sc 3 Cm/> (25071) $441.60 $1,104 0.3×
Exc Frenum Labial/Buccal (40819)
range across 3 matching MRF lines		 $302–$1,718.40 $755–$4,296 varies
Exc ganglion wrist recurrent (25112) $496.80 $1,242 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $121.60–$1,458.40 $304–$3,646 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $205 $288–$3,646 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 4 matching MRF lines		 $245 $357–$5,393 0.2×
Exc hand tum deep < 1.5 cm (26116) $669.20 $1,673 0.4×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814)
range across 2 matching MRF lines		 $388.40–$6,014.40 $971–$15,036 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $408.80 $1,022 0.3×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112)
range across 4 matching MRF lines		 $262.40–$3,988 $656–$9,970 varies
Exc neuroma hand/foot xcp digital nerve (64782) $444 $1,110 0.2×
Exc Rct Tum Not Incl Muscularis Propria (45171) $764.40 $1,911 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $156.40–$2,157.20 $391–$5,393 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 3 matching MRF lines		 $206.40–$3,709.60 $516–$9,274 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 3 matching MRF lines		 $285.20–$2,788.40 $713–$6,971 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 4 matching MRF lines		 $349.20–$2,086.80 $873–$5,217 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 3 matching MRF lines		 $333.60–$1,884.40 $834–$4,711 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 3 matching MRF lines		 $220.80–$2,086.80 $552–$5,217 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $390–$4,862.40 $975–$12,156 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines		 $419.20–$2,086.80 $1,048–$5,217 varies
Exc tendon shth lesion leg/ankle (27630)
range across 3 matching MRF lines		 $467.20–$3,487.60 $1,168–$8,719 varies
Exc thigh/knee les sc 3 cm/> (27337)
range across 3 matching MRF lines		 $437.20–$3,520 $1,093–$8,800 varies
Exc thigh/knee tum dep 5cm/> (27339) $955.20 $2,388 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $152–$1,545.60 $380–$3,864 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $116.40–$1,148.80 $291–$2,872 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $144.80–$1,148.80 $362–$2,872 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 3 matching MRF lines		 $243.20–$2,086.80 $608–$5,217 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $467.20 $1,168 0.2×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076)
range across 2 matching MRF lines		 $686.40–$2,006.80 $1,716–$5,017 varies
Exc tumor soft tissue abdominal wall subq <3cm (22902)
range across 2 matching MRF lines		 $320–$401.20 $800–$1,003 varies
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $596.80 $1,492 0.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $404.80 $1,012 0.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $322 $805 0.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $300–$2,010 $750–$5,025 varies
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $457.60 $1,144 0.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 3 matching MRF lines		 $421.20–$3,684.80 $1,053–$9,212 varies
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $384.40 $961 0.1×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $308.40 $771 0.2×
Excis Mouth Complex,Exc Thru Muscle (40816)
range across 2 matching MRF lines		 $403.20–$6,014.40 $1,008–$15,036 varies
Excis Mouth Mucosa/Sub,No Repair (40810)
range across 2 matching MRF lines		 $5,434 $328–$13,585 1.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines		 $207.20–$1,458.40 $518–$3,646 varies
Excision External Ear Partial Simple Repair (69110)
range across 2 matching MRF lines		 $284.40–$2,086.80 $711–$5,217 varies
Excision H/P/P/U Complex Repair (11471)
range across 2 matching MRF lines		 $368–$437.60 $920–$1,094 varies
Excision H/P/P/U Simple/Intermediate Repair (11470)
range across 3 matching MRF lines		 $303.60–$3,684.80 $759–$9,212 varies
Excision Hidradenitis Axillary Complex Repair (11451) $406 $1,015 0.1×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $298 $745 0.1×
Excision inferior turbinate partial/complete (30130)
range across 2 matching MRF lines		 $462.40–$924.80 $1,156–$2,312 varies
Excision lesion mouth roof (42104)
range across 2 matching MRF lines		 $4,059.60 $357–$10,149 1.3×
Excision Lesion Tongue W/O Closure (41110)
range across 2 matching MRF lines		 $169.60–$6,148 $424–$15,370 varies
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $186.80–$1,745.60 $467–$4,364 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $134.80–$1,458.40 $337–$3,646 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $192.40–$1,148.80 $481–$2,872 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $189.20–$1,148.80 $473–$2,872 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 4 matching MRF lines		 $223.20–$1,458.40 $558–$3,646 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $160–$1,940.40 $400–$4,851 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $270.80–$2,387.60 $677–$5,969 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 3 matching MRF lines		 $513.20–$4,396.80 $1,283–$10,992 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 2 matching MRF lines		 $246.40–$3,707.60 $616–$9,269 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $194.40–$1,148.80 $486–$2,872 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $223.60–$2,157.20 $559–$5,393 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $314–$2,086.80 $785–$5,217 varies
Excision Multiple External Papillae/Tags Anus (46230) $256.40 $641 0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 3 matching MRF lines		 $340.40–$1,803.20 $851–$4,508 varies
Excision of hydrocele; unilateral (55040) $358.80 $897 0.1×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $3,300 $588–$654 1.2×
Excision of single external papilla or tag, anus (46220) $152 $380 0.1×
Excision of tonsil tags (42860)
range across 2 matching MRF lines		 $246.40–$6,560.80 $616–$16,402 varies
Excision olecranon bursa (24105) $458.80 $1,147 0.2×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $441.60 $1,104 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,600 $1,375 1.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,500 $1,370 1.3×
Excision prepatellar bursa (27340) $466.80 $1,167 0.2×
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines		 $314–$3,520 $785–$8,800 varies
Excision spermatocele w/wo epididymectomy (54840) $340.40 $851 0.2×
Excision synovial cyst popliteal space (27345) $541.60 $1,354 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 3 matching MRF lines		 $492.40–$2,180 $1,231–$5,450 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $472.80 $1,182 0.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $303.20 $758 0.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $400 $1,000 0.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $440.40 $1,101 0.3×
Excision, interdigital (morton) neuroma, single, each (28080) $2,300 $1,429 1.5×
Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) $1,155.20 $2,888 0.3×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $1,148.80 $2,872 0.6×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $1,212.40 $3,031 0.4×
Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) $1,246.80 $3,117 0.4×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $562.80 $1,407 0.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011)
range across 2 matching MRF lines		 $329.20–$3,908.40 $823–$9,771 varies
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $384 $960 0.1×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $594.40 $1,486 0.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075)
range across 2 matching MRF lines		 $304–$1,338.80 $760–$3,347 varies
Excision; trochanteric bursa or calcification (27062) $478.40 $1,196 0.2×
Exploration of knee joint (27310) $922.80 $2,307 0.3×
Exploration penetrating wound spx chest (20101) $216.40 $541 0.1×
Exploration penetrating wound spx extremity (20103) $445.60 $1,114 0.3×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge, not the full procedure		 $1,203.60 $3,009 0.2×
Explore/Treat Knee Joint (27331) $668 $1,670 0.2×
Explore/Treat Wrist Joint (25040) $588.80 $1,472 0.2×
Fasciectomy Plantar Fascia Partial Spx (28060) $414.80 $1,037 0.1×
Fasciotomy palmar open partial (26045) $456 $1,140 0.1×
Fasciotomy palmar percutaneous (26040) $331.20 $828 0.2×
Fasciotomy Plantar Fascia Radical Spx (28062) $632.80 $1,582 0.2×
Fasciotomy, foot and/or toe (28008) $3,800 $975 1.2×
Fetal non-stress test (59025) $50.80 $127 0.3×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $660 $1,650 0.3×
Fine needle aspiration without imaging guidance (10021) $91.20 $228 0.2×
Forehead flap w/vasc pedicle (15731) $1,077.60 $2,694 0.3×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $84.40–$797.20 $211–$1,993 varies
Fracture Nasal Inferior Turbinate Therapeutic (30930)
range across 2 matching MRF lines		 $154.80–$309.60 $387–$774 varies
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574)
range across 2 matching MRF lines		 $998.40–$6,289.60 $2,496–$15,724 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $4,220.40 $10,551 2.2×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $653.20 $1,633 0.1×
Gastrocnemius recession (27687) $479.60 $1,199 0.2×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $907.60 $2,269 0.5×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $145.20–$927.20 $363–$2,318 varies
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $897.20 $2,243 0.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,500 $1,131 1.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $355.60 $889 0.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $674.40 $1,686 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $512 $1,280 0.2×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $441.60 $1,104 0.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 5 matching MRF lines		 $198–$1,242 $495–$3,105 varies
Hip arthro w/labral repair (29916)
likely a partial charge, not the full procedure		 $1,105.20 $2,763 0.2×
Hysteroscopy Biopsy (58558) $246.40 $616 0.1×
Hysteroscopy Endometrial Ablation (58563) $261.20 $653 0.1×
I&d abscess peritonsillar (42700) $164 $410 0.7×
I&d abscess simple (10060)
range across 5 matching MRF lines		 $107.20–$220 $268–$550 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $152 $380 0.1×
I&d deep absc bursa/hematoma thigh/knee region (27301) $662 $1,655 0.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $652 $1,630 0.2×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $510.80 $1,277 0.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $792.80 $1,982 0.3×
I&d perianal abscess superficial (46050)
range across 4 matching MRF lines		 $106–$1,229.60 $265–$3,074 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $110–$942 $275–$2,355 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $5,100.80 $12,752 1.9×
Implant neuroelectrodes (63650)
range across 4 matching MRF lines		 $442.40–$9,548.40 $1,106–$23,871 varies
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $136.80–$464.80 $342–$1,162 varies
Incise finger tendon sheath (26055) $353.20 $883 0.2×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $180–$494 $450–$1,235 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $518.80 $1,297 0.2×
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines		 $200.80–$2,200 $502–$5,500 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $106.40–$499.20 $266–$1,248 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $125.60–$313.60 $314–$784 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $123.60–$400 $309–$1,000 varies
Incision extensor tendon sheath wrist (25000) $634.40 $1,586 0.4×
Incision of eardrum (69421)
range across 3 matching MRF lines		 $427.20–$4,057.20 $403–$10,143 varies
Incision of eardrum (69420)
range across 2 matching MRF lines		 $142.80–$544 $357–$1,360 varies
Incision of Foot Tendon (28234)
range across 3 matching MRF lines		 $306–$5,740.40 $765–$14,351 varies
Incision of labial frenum (frenotomy) (40806) $43.60 $109 0.1×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines		 $108–$1,889.20 $270–$4,723 varies
Incision of rectal abscess (46040)
range across 5 matching MRF lines		 $583.60–$2,412.40 $1,459–$6,031 varies
Incision&drainage bursa foot (28001) $106 $265 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $200–$5,100.80 $500–$12,752 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $64.40–$909.20 $161–$2,273 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $125.20–$2,433.60 $313–$6,084 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $151.60–$1,626.80 $379–$4,067 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $85 $145–$1,139 0.3×
Injection aa&/strd axillary nerve w/img gdn (64417) $94.40 $236 0.1×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $90–$821.60 $225–$2,054 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $124.40 $311 0.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $97.60–$1,894.40 $244–$4,736 varies
Injection anesthetic agent suprascapular nerve (64418) $73.60 $184 0.1×
Injection enzyme palmar fascial cord (20527)
range across 2 matching MRF lines		 $80.80–$473.20 $202–$1,183 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $38–$400 $95–$1,000 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $50.80–$455.60 $127–$1,139 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $49.60–$455.60 $124–$1,139 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $62.40–$384 $156–$960 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $69.20–$1,216.80 $173–$3,042 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $80.80–$920 $202–$2,300 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 7 matching MRF lines		 $60–$1,720 $150–$4,300 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $38.40–$187.60 $96–$469 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $166.80–$1,387.60 $417–$3,469 varies
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $69.20–$177.20 $173–$443 varies
Insert Gastrostomy Tube Percutaneous (49440) $192 $480 0.1×
Insert non-tunnel cv cath (36556) $116 $290 0.0×
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $50.80–$265.60 $127–$664 varies
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $27.60–$177.20 $69–$443 varies
Insert tunneled cv cath (36561) $442.80 $1,107 0.2×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $35.60–$329.60 $89–$824 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $92 $230 0.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $404.80 $1,012 0.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $3,052 $7,630 2.1×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $528 $1,320 0.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $324 $810 0.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $377.20 $943 0.0×
Insrt/Redo Neurostim 1 Array (61885)
likely a partial charge, not the full procedure		 $644 $1,610 0.0×
Int hrhc by ligation single hroid w/o img gdn (46945) $354.40 $886 0.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $393.60 $984 1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $421.20 $1,053 1.1×
Intranasal Biopsy (30100) $68 $170 0.0×
Intraoral i&d tongue/floor sublngl supfc (41005) $126.80 $317 0.6×
Intubation endotracheal emergency procedure (31500) $159.20 $398 0.7×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $194.40–$548.80 $486–$1,372 varies
Knee arthroscopy/drainage (29871) $654 $1,635 0.2×
Knee Arthroscopy/Surgery (29874) $688.40 $1,721 0.2×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,044.40 $2,611 0.1×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $360 $900 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $448.80 $1,122 0.1×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $717.60 $1,794 0.1×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $690 $1,725 0.1×
Laparoscopy, surgical, appendectomy (44970) $6,500 $1,911 1.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure		 $943.20 $2,358 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $668 $1,670 0.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $536 $1,340 0.1×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $395.60 $989 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $6,400 $1,047 1.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $754.40 $1,886 0.1×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $1,260 $3,150 0.1×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $130–$419.60 $325–$1,049 varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $161.20 $403 0.1×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $185.20 $463 1.0×
Late closure of wound (13160)
range across 3 matching MRF lines		 $760–$2,357.20 $1,900–$5,893 varies
Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) $1,128.40 $2,821 0.4×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
likely a partial charge, not the full procedure		 $1,311.20 $3,278 0.1×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $900.80 $2,252 0.1×
Ligation of a-v fistula (37607) $546.80 $1,367 0.2×
Ligation of hemorrhoids (46946) $404.80 $1,012 0.2×
Ligation or biopsy temporal artery (37609) $214 $535 0.1×
Maniplatn palar fascial crd post inj single cord (26341)
range across 2 matching MRF lines		 $82.40–$544 $206–$1,360 varies
Manipulation tmj therapeutic require anesthesia (21073) $290.80 $727 0.2×
Manipulation wrist under anesthesia (25259) $519.20 $1,298 0.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $232 $580 0.2×
Mastectomy partial (19301) $835.20 $2,088 0.2×
Medial Canthopexy Separate Procedure (21280)
range across 2 matching MRF lines		 $716.80–$11,293.20 $1,792–$28,233 varies
Metatarsectomy (28140) $483.20 $1,208 0.2×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $1,334 $3,335 0.4×
Muscle-skin graft trunk (15734) $1,736.80 $4,342 0.5×
Myringoplasty (69620) $622.40 $1,556 0.2×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $105.60–$2,272 $264–$5,680 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $124.40–$1,522 $311–$3,805 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $58–$860 $145–$2,150 varies
N Block Inj Plantar Digit (64455)
range across 4 matching MRF lines		 $720 $98–$2,294 2.5×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $80.80–$1,180 $202–$2,950 varies
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $75.60–$440.80 $189–$1,102 varies
Nasal surgery procedure (30999) $148.80 $372 0.7×
Nasal/Orogastric W/Tube Plmt (43752) $50 $125 0.1×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $176 $440 0.5×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $207.60–$3,706.40 $519–$9,266 varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $166.80 $417 0.1×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 3 matching MRF lines		 $185.20–$3,586.80 $463–$8,967 varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure		 $185.60 $464 0.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $551.60 $1,379 0.4×
Needle Biopsy Lymph Nodes (38505) $76 $190 0.0×
Neurectomy, Intrinsic Musculature Of Foot (28055) $409.60 $1,024 0.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $683.20 $1,708 0.4×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $621.20 $1,553 0.3×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $80.40–$1,422.80 $201–$3,557 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $92.80–$1,018 $232–$2,545 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $107.20–$2,544 $268–$6,360 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $104–$858 $260–$2,145 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $106–$919.20 $265–$2,298 varies
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines		 $44.40–$195.20 $111–$488 varies
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $94–$800 $235–$2,000 varies
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568)
likely a partial charge, not the full procedure		 $819.60 $2,049 0.0×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $878 $2,195 0.1×
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure		 $1,290.80 $3,227 0.2×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $1,447.20 $3,618 0.1×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure		 $936 $2,340 0.1×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $793.60 $1,984 0.1×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $704.40 $1,761 0.1×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $600.40 $1,501 0.1×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
likely a partial charge, not the full procedure		 $832.40 $2,081 0.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $922.40 $2,306 0.1×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $814 $2,035 0.3×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531)
likely a partial charge, not the full procedure		 $192 $480 0.0×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure		 $736 $1,840 0.1×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $789.60 $1,974 0.1×
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure		 $924.40 $2,311 0.1×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $1,275.20 $3,188 0.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $780.40 $1,951 0.1×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $910.40 $2,276 0.1×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $932 $2,330 0.1×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $804.80 $2,012 0.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $850.40 $2,126 0.3×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $864.80 $2,162 0.1×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $952.40 $2,381 0.1×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $682.80 $1,707 0.1×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,099.60 $2,749 0.2×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $683.20 $1,708 0.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,097.60 $2,744 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure		 $990 $2,475 0.1×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $1,172.40 $2,931 0.1×
Ostc prtl exostc/condylc metar head (28288) $3,800 $1,150 1.2×
Ostectomy calcaneus (28118) $448.80 $1,122 0.1×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $530 $1,325 0.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $494.40 $1,236 0.2×
Ostectomy, complete excision; first metatarsal head (28111) $381.20 $953 0.1×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,700 $720 1.2×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $425.60 $1,064 0.1×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $407.20 $1,018 0.1×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $755.20 $1,888 0.1×
Osteotomy radius distal third (25350)
likely a partial charge, not the full procedure		 $708.40 $1,771 0.1×
Osteotomy talus (28302)
likely a partial charge, not the full procedure		 $921.20 $2,303 0.1×
Osteotomy Tibia (27705)
likely a partial charge, not the full procedure		 $796 $1,990 0.1×
Part remv talus or calcaneus (28120) $642.80 $1,607 0.2×
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) $1,188.40 $2,971 0.4×
Partial removal of tibia (27640) $869.60 $2,174 0.3×
Partial removal of toe (28160)
range across 2 matching MRF lines		 $285.20–$4,245.20 $713–$10,613 varies
Partical Excision Bone Phalanx Toe (28124) $434 $1,085 0.1×
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure		 $920 $2,300 0.1×
Pelvic examination under anesthesia (other than local) (57410) $112.80 $282 0.0×
Penile Injection (54235)
range across 2 matching MRF lines		 $77.20–$412.80 $193–$1,032 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $856.80 $2,142 0.3×
Phalangectomy toe each toe (28150) $340.40 $851 0.1×
Pin Finger Dislocation (26776) $474.80 $1,187 0.2×
Pin hand dislocation (26676) $655.60 $1,639 0.2×
Placement of needle for intraosseous infusion (36680) $64.40 $161 0.2×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $658 $1,645 0.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $79.20–$1,319.60 $198–$3,299 varies
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309)
range across 2 matching MRF lines		 $92–$1,545.60 $230–$3,864 varies
Proctosgmdsc rigid w/dilation (45303)
range across 2 matching MRF lines		 $84–$1,464 $210–$3,660 varies
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,800 $1,608 1.2×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $50.80–$324 $127–$810 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $102.40–$404 $256–$1,010 varies
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $1,308.80 $3,272 0.5×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $1,460.80 $3,652 0.5×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) $1,085.60 $2,714 0.4×
Radical resection of tumor; talus or calcaneus Facility (27647) $1,366.40 $3,416 0.4×
Rcnstj angular dfrm toe soft tiss px only (28313) $462 $1,155 0.2×
Rcnstj Dislocating Patella (27420)
likely a partial charge, not the full procedure		 $780 $1,950 0.1×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $777.60 $1,944 0.1×
Reduction of rectal prolapse (45900) $270.80 $677 0.3×
Relieve Pressure on Nerve(S) (64722) $460.80 $1,152 0.3×
Removal Foreign Body Foot Complicated (28193) $391.20 $978 0.3×
Removal foreign body foot deep (28192) $422 $1,055 0.3×
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $185.60–$929.20 $464–$2,323 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 3 matching MRF lines		 $156.40–$1,148.80 $391–$2,872 varies
Removal foreign body, intranasal; requiring general anesthesia (30310) $218.80 $547 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $16–$152 $40–$380 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 6 matching MRF lines		 $70 $101–$380 1.3×
Removal Implant Deep (20680) $3,500 $1,339 1.3×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $190.80–$3,709.60 $477–$9,274 varies
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines		 $131.60–$1,148.80 $329–$2,872 varies
Removal of a lesion from the floor of the mouth (41116) $276 $690 0.1×
Removal of adenoids (42831) $244 $610 0.1×
Removal of adenoids (42830) $266.80 $667 0.1×
Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) $743.20 $1,858 0.2×
Removal of heel spur (28119) $3,800 $1,054 1.2×
Removal of nail bed (11750)
range across 15 matching MRF lines		 $320 $276–$1,506 0.8×
Removal of sperm cord lesion (55520) $241.60 $604 0.1×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $277.60 $694 0.1×
Removal of tonsils (42826) $287.60 $719 0.1×
Removal of tunneled intraperitoneal catheter (49422) $486 $1,215 0.2×
Removal of wrist bone (25210) $517.60 $1,294 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $80.80–$164.40 $202–$411 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $60.80 $152 0.0×
Removal sweat gland lesion (11450)
range across 3 matching MRF lines		 $271.60–$4,728.40 $679–$11,821 varies
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $35.20–$335.20 $88–$838 varies
Remove armpit lymph nodes (38740)
likely a partial charge, not the full procedure		 $789.60 $1,974 0.1×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $78.40–$420.80 $196–$1,052 varies
Remove foreign body from eye (65205) $370 $149 3.0×
Remove Intrauterine Device (58301)
range across 4 matching MRF lines		 $71.60–$438 $179–$1,095 varies
Remove Lower Leg Bone Lesion (27635) $625.60 $1,564 0.2×
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $505 $401–$432 4.1×
Remove sacrum pressure sore (15937) $1,258.80 $3,147 0.7×
Remove Tendon Sheath Lesion (26160)
range across 3 matching MRF lines		 $434.40–$1,708 $1,086–$4,270 varies
Remove thigh pressure sore (15956) $1,492 $3,730 0.8×
Repair blood vessel with graft other than vein; neck Facility (35261) $1,529.60 $3,824 0.5×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $694.80 $1,737 0.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $307.20 $768 0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $370.80 $927 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $266.80 $667 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $339.20–$1,314 $848–$3,285 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $302 $755 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 5 matching MRF lines		 $348–$909.20 $870–$2,273 varies
Repair complex trunk 1.1-2.5 cm (13100) $318.40 $796 0.5×
Repair complex trunk 2.6-7.5 cm (13101) $264.80 $662 0.4×
Repair Hallux Rigidus (28289) $603.60 $1,509 0.2×
Repair initial femoral hernia, any age; reducible (49550) $730.80 $1,827 0.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $616.40 $1,541 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $184–$329.60 $460–$824 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 4 matching MRF lines		 $211.60–$329.60 $529–$824 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $290 $725 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $305.60 $764 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $152 $380 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 4 matching MRF lines		 $211.60–$847.60 $529–$2,119 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $278.40 $696 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $310.80–$311.20 $777–$778 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $460 $403–$894 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $505 $460–$1,506 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $264.40 $661 0.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $749.20 $1,873 0.4×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $607.20 $1,518 0.1×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $108–$780 $270–$1,950 varies
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
likely a partial charge, not the full procedure		 $1,315.60 $3,289 0.2×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $816.80 $2,042 0.1×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $754.40 $1,886 0.1×
Repair Toe Dislocation (28645) $721.20 $1,803 0.2×
Repair tongue laceration (41250) $158 $395 0.4×
Repair webbed toe(s) (28345) $391.20 $978 0.3×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
likely a partial charge, not the full procedure		 $706.40 $1,766 0.1×
Replace g/c tube perc (49450) $90 $225 0.1×
Rerepair ing hernia reduce (49520) $812.40 $2,031 0.2×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $348 $870 0.1×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure		 $676.40 $1,691 0.1×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $1,518 $3,795 0.5×
Revision of foot (28116) $749.20 $1,873 0.2×
Revision of foot fascia (28250) $622.40 $1,556 0.2×
Revision of lower leg tendon (27685) $719.20 $1,798 0.2×
Revision/replmt neurostimlator eltrd cranial nrv (64569)
likely a partial charge, not the full procedure		 $985.20 $2,463 0.1×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $627.60 $1,569 0.2×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $1,785.60 $4,464 0.1×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 3 matching MRF lines		 $306–$4,000 $765–$10,000 varies
Revj/rmvl peripheral neurostimulator electrode (64585) $205.20 $513 0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $115.20–$230 $288–$575 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $335 $148 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $400 $171 3.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $390 $174 0.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)
range across 2 matching MRF lines		 $190–$1,937.60 $475–$4,844 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $149.60 $374 0.1×
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines		 $358.80–$2,720 $897–$6,800 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 4 matching MRF lines		 $296–$2,000 $740–$5,000 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 4 matching MRF lines		 $256.40–$1,780.40 $641–$4,451 varies
Rplc Gtube No Revj Trc (43762) $44 $110 0.2×
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $323.60–$2,170.80 $809–$5,427 varies
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $262 $655 0.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 3 matching MRF lines		 $2,000 $130–$5,000 1.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $354.40 $886 0.1×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $662.40 $1,656 0.1×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $392 $980 0.1×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $593.60 $1,484 0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $450 $1,125 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $92–$327.20 $230–$818 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $578.80 $1,447 0.4×
Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620)
likely a partial charge, not the full procedure		 $704 $1,760 0.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $777.60 $1,944 0.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $194–$3,675.60 $485–$9,189 varies
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $36.40–$188.80 $91–$472 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $59.20–$242.80 $148–$607 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 2 matching MRF lines		 $131.60–$183.60 $329–$459 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $43.60–$242.80 $109–$607 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $74.80–$242 $187–$605 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $90–$183.60 $225–$459 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $104.80 $262 0.3×
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure		 $686.80 $1,717 0.1×
Shoulder arthroscopy diagnostic (29805) $598.80 $1,497 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $85.20–$242.80 $213–$607 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $88.40–$242.80 $221–$607 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $68.80–$188.80 $172–$472 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $75.60–$535.60 $189–$1,339 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $84.40–$242 $211–$605 varies
Sigmoidoscopy & Polypectomy (45333)
range across 2 matching MRF lines		 $99.20–$3,675.60 $248–$9,189 varies
Sigmoidoscopy w/fb removal (45332)
range across 2 matching MRF lines		 $285.20–$3,564.80 $713–$8,912 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $70–$3,564.80 $175–$8,912 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $120–$327.20 $300–$818 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $60–$357.60 $150–$894 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $65.60–$357.60 $164–$894 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $327.20–$351.20 $818–$878 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $84–$357.60 $210–$894 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $327.20–$424 $818–$1,060 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $520 $124–$894 2.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 3 matching MRF lines		 $140–$327.20 $350–$818 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $81.60–$357.60 $204–$894 varies
Skin graft, harvest cultured tissue (15040) $163.20 $408 0.1×
Skin Pedicle Flap Trunk (15570) $692 $1,730 0.4×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $101.20–$2,215.20 $253–$5,538 varies
Skin sub graft trnk/arm/leg (15271) $111.20 $278 0.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $704 $1,760 0.2×
Slitting of prepuce (54001)
range across 3 matching MRF lines		 $152.80–$2,524 $382–$6,310 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $535 $161–$894 2.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 5 matching MRF lines		 $106.40–$295.60 $266–$739 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 3 matching MRF lines		 $112–$327.20 $280–$818 varies
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $112.80–$979.20 $282–$2,448 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $894.40 $2,236 0.3×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $924 $2,310 0.5×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $584 $1,460 0.2×
Strapping ankle (29540)
range across 2 matching MRF lines		 $20–$210 $50–$525 varies
Strapping toes (29550) $16.40 $41 0.3×
Strapping Unna Boot (29580)
range across 8 matching MRF lines		 $58–$423.20 $145–$1,058 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $191.20 $478 0.1×
Surg tx anal fistula subq (46270) $384 $960 0.1×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $758.80 $1,897 0.1×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $542.80 $1,357 0.4×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $48.40–$324 $121–$810 varies
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $891.60 $2,229 0.1×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $559.20 $1,398 0.2×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $671.60 $1,679 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 2 matching MRF lines		 $202–$2,000 $505–$5,000 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $363.20 $908 0.1×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $446.80 $1,117 0.1×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $546.40 $1,366 0.2×
Tenotomy, hip flexor(s), open (27005) $750 $1,875 0.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)
range across 2 matching MRF lines		 $274–$2,157.60 $685–$5,394 varies
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831)
likely a partial charge, not the full procedure		 $804.80 $2,012 0.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 3 matching MRF lines		 $795.60–$3,853.20 $1,989–$9,633 varies
Tonsillectomy and adenoidectomy; age 12 or over (42821) $345.20 $863 0.1×
Tooth extraction (41899)
range across 2 matching MRF lines		 $152–$307.20 $380–$768 varies
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $1,479.20 $3,698 0.1×
Treat Finger Fracture Each (26727) $563.60 $1,409 0.2×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $1,275.20 $3,188 0.2×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $879.20 $2,198 0.1×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $580 $975–$1,094 2.5×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $364.40–$437.60 $911–$1,094 varies
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $957.60 $2,394 0.1×
Treat Knuckle Dislocation (26700) $391.60 $979 1.7×
Treat metacarpal fracture (26607) $536 $1,340 0.2×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $297.20–$822.80 $743–$2,057 varies
Treat Thumb Dislocation (26641) $452.40 $1,131 2.0×
Treat thumb fracture (26665) $670 $1,675 0.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $609.20 $1,523 0.4×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $416.40–$437.60 $1,041–$1,094 varies
Treatment of anal fissure (46940) $190.80 $477 0.1×
Treatment of foot infection (28003) $734.80 $1,837 0.2×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure		 $1,574.80 $3,937 0.2×
Trim skin lesion (11055)
range across 5 matching MRF lines		 $70 $40–$625 0.4×
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $85 $95–$700 0.5×
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $95 $121–$1,211 0.5×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $11.60–$97.20 $29–$243 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $460 $1,150 0.2×
Tx Gastro Intub W/Asp (43753) $30.40 $76 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
likely a partial charge, not the full procedure		 $1,574.80 $3,937 0.2×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 3 matching MRF lines		 $277.60–$5,740.40 $694–$14,351 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230)
range across 2 matching MRF lines		 $310.80–$2,047.20 $777–$5,118 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $180–$1,167.60 $450–$2,919 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $235.60–$437.60 $589–$1,094 varies
Tympanostomy general anesthesia (69436) $723.20 $1,808 0.5×
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure		 $465.60 $1,164 0.1×
Unlisted laparoscopy procedure, biliary tract (47579)
likely a partial charge, not the full procedure		 $419.20 $1,048 0.1×
Unlisted procedure anus (46999) $316.40 $791 0.4×
Unlisted procedure arthroscopy (29999) $1,366.40 $3,416 5.9×
Unlisted Procedure Casting/Strapping (29799) $60.80 $152 0.4×
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines		 $513.20–$1,126.80 $1,283–$2,817 varies
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $216–$317.20 $540–$793 varies
Unlisted Procedure Vascular Surgery (37799)
range across 4 matching MRF lines		 $45.60–$5,892.40 $114–$14,731 varies
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $989.20 $2,473 0.2×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $1,205 $604–$6,935 0.6×
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $64.40–$128.80 $161–$322 varies
Vulvectomy simple partial (56620)
range across 2 matching MRF lines		 $614.40–$4,034.40 $1,536–$10,086 varies
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $115.20–$494 $288–$1,235 varies
Wound Prep F/N/Hf/G (15004) $326.40 $816 0.9×
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $300.40–$3,475.20 $751–$8,688 varies
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $830 $2,075 0.1×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861)
likely a partial charge, not the full procedure		 $172.40 $431 0.0×

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.