Procedures & surgery prices at Palacios Community Medical Center
Palacios, TX · every code in this section with a posted price and a Medicare benchmark.
851 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,931 | $1,931 | 2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$249–$1,614 | $249–$1,614 | varies |
| Abdomen Surgery Procedure (22999) | $710 | $710 | 2.9× |
| Ablate inf turbinate submuc (30802) | $3,427 | $3,427 | 2.2× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $1,870 | $1,870 | 1.2× |
| Acromiopl/Acromionect Partial (23130) | $8,047 | $8,047 | 2.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $2,548 | $2,548 | 0.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $4,106 | $4,106 | 2.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $4,106 | $4,106 | 2.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $8,690 | $8,690 | 2.6× |
| Amputate Thigh,Re-Amputatn (27596) | $1,921 | $1,921 | 0.6× |
| Amputation foot transmetarsal (28805) | $4,950 | $4,950 | 1.5× |
| Amputation metatarsal with toe single (28810) | $6,866 | $6,866 | 2.1× |
| Amputation thigh through femur any level (27590) | $1,921 | $1,921 | 0.6× |
| Amputation toe interphalangeal joint (28825) | $6,866 | $6,866 | 2.1× |
| Amputation toe metatarsophalangeal joint (28820) | $6,866 | $6,866 | 2.1× |
| Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,921 | $1,921 | 0.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $1,911 | $1,911 | 0.6× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) | $1,921 | $1,921 | 0.6× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) | $6,402 | $6,402 | 2.3× |
| Anoscopy Ablation Lesion (46615) | $4,835 | $4,835 | 1.7× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$57–$122 | $57–$122 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $2,729 | $2,729 | 2.3× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $2,310 | $2,310 | 1.9× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $4,244 | $4,244 | 1.5× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) likely a partial charge, not the full procedure |
$1,275 | $1,275 | 0.3× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $12,540 | $12,540 | 2.5× |
| Apheresis Platelets (36513) | $1,036 | $1,036 | 2.3× |
| Appendectomy (44950) | $9,004 | $9,004 | 1.4× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$195–$542 | $195–$542 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$98–$207 | $98–$207 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$195–$220 | $195–$220 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$103–$186 | $103–$186 | varies |
| Application of long leg cast (29345) | $783 | $783 | 2.8× |
| Application of rigid total contact leg cast (29445) | $783 | $783 | 2.8× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$134–$520 | $134–$520 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$165–$374 | $165–$374 | varies |
| Apply long arm cast (29065) | $728 | $728 | 2.6× |
| Apply Multlay Comprs Lwr Leg (29581) | $447 | $447 | 2.7× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$55–$385 | $55–$385 | varies |
| Arteriovenous Anastomosis Open Direct (36821) | $9,395 | $9,395 | 3.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $15,223 | $15,223 | 1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$141–$191 | $141–$191 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $333 | $333 | 0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$171–$614 | $171–$614 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $333 | $333 | 1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$134–$223 | $134–$223 | varies |
| Arthroplasty interphalangeal joint each (26535) | $9,814 | $9,814 | 3.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $8,800 | $8,800 | 2.7× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $6,277 | $6,277 | 1.9× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $5,512 | $5,512 | 1.7× |
| Arthroscopy knee synovectomy limited spx (29875) | $6,277 | $6,277 | 1.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $6,576 | $6,576 | 2.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $8,047 | $8,047 | 2.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $8,047 | $8,047 | 2.4× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $4,048 | $4,048 | 1.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $6,277 | $6,277 | 1.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $6,277 | $6,277 | 1.9× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $8,469 | $8,469 | 2.6× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $5,085 | $5,085 | 3.1× |
| Aspirate pleura w/ imaging (32555) | $1,364 | $1,364 | 2.2× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$176–$466 | $176–$466 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $6,126 | $6,126 | 2.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$200–$426 | $200–$426 | varies |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) | $5,349 | $5,349 | 0.5× |
| Biopsy Abdominal Mass (49180) | $3,069 | $3,069 | 1.8× |
| Biopsy bone open deep (20245) | $7,672 | $7,672 | 2.6× |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$5,320–$7,672 | $5,320–$7,672 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,412 | $2,412 | 1.5× |
| Biopsy External Auditory Canal (69105) | $3,693 | $3,693 | 2.4× |
| Biopsy external ear (69100) | $1,059 | $1,059 | 4.5× |
| Biopsy nail unit (11755) | $1,106 | $1,106 | 1.6× |
| Biopsy of breast; open, incisional (19101) | $6,323 | $6,323 | 1.6× |
| Biopsy of cornea (65410) | $2,046 | $2,046 | 0.9× |
| Biopsy of lip (40490) | $1,059 | $1,059 | 4.5× |
| Biopsy of liver, needle; percutaneous (47000) | $3,472 | $3,472 | 2.1× |
| Biopsy of palate, uvula (42100) | $1,884 | $1,884 | 1.2× |
| Biopsy of rectum (45100) | $4,244 | $4,244 | 1.5× |
| Biopsy Oropharynx (42800) | $6,468 | $6,468 | 4.1× |
| Biopsy Salivary Gland Incisional (42405) | $5,676 | $5,676 | 3.6× |
| Biopsy soft tissue neck/thorax (21550) | $4,422 | $4,422 | 2.7× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) range across 2 matching MRF lines |
$146–$1,511 | $146–$1,511 | varies |
| Biopsy Tongue Anterior Two-Thirds (41100) | $1,884 | $1,884 | 3.5× |
| Biopsy Tongue Posterior One-Third (41105) | $3,693 | $3,693 | 1.1× |
| Biopsy/removal lymph nodes (38510) | $7,733 | $7,733 | 2.0× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$48–$172 | $48–$172 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $4,106 | $4,106 | 2.0× |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$272–$329 | $272–$329 | varies |
| Blood Transfusion Service (36430) range across 7 matching MRF lines |
$858–$3,322 | $858–$3,322 | varies |
| Bone Marrow Biopsy (38221) | $4,400 | $4,400 | 2.7× |
| Brnchsc Brushing/Protected Brushings (31623) | $3,076 | $3,076 | 1.7× |
| Bronchoscopy Clear Airways (31645) | $3,089 | $3,089 | 1.7× |
| Bx breast 1st lesion strtctc (19081) | $3,069 | $3,069 | 1.8× |
| Bx breast 1st lesion us imag (19083) | $4,455 | $4,455 | 2.7× |
| Bx breast needle core w/o imaging guidance spx (19100) | $1,430 | $1,430 | 0.9× |
| Bx Cervix (57500) | $1,419 | $1,419 | 1.5× |
| Bx/exc lymph node open deep axillary node (38525) | $6,840 | $6,840 | 1.7× |
| Bx/exc lymph node open superficial (38500) | $3,108 | $3,108 | 0.8× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $6,866 | $6,866 | 2.1× |
| Carpal Tunnel Surgery (64721) | $4,036 | $4,036 | 2.1× |
| Cataract surgery complex (66982) | $5,113 | $5,113 | 2.2× |
| Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$219–$543 | $219–$543 | varies |
| Change Cystostomy Tube Simple (51705) | $600 | $600 | 2.4× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$116–$127 | $116–$127 | varies |
| Chemical Pleurodesis (32560) | $1,429 | $1,429 | 2.3× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$626–$629 | $626–$629 | varies |
| Circumcision 28 days or older (54161) | $2,686 | $2,686 | 1.3× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$5,940–$5,976 | $5,940–$5,976 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,559–$1,742 | $1,559–$1,742 | varies |
| Claviculectomy partial (23120) | $7,590 | $7,590 | 2.3× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$183–$520 | $183–$520 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$224–$1,201 | $224–$1,201 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$224–$862 | $224–$862 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$518–$1,092 | $518–$1,092 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$377–$1,121 | $377–$1,121 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$314–$873 | $314–$873 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$132–$680 | $132–$680 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$132–$790 | $132–$790 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$260–$1,414 | $260–$1,414 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 2 matching MRF lines |
$138–$1,742 | $138–$1,742 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$399–$576 | $399–$576 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $3,740 | $3,740 | 2.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $3,740 | $3,740 | 1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$260–$996 | $260–$996 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$132–$855 | $132–$855 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$461–$1,208 | $461–$1,208 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$132–$680 | $132–$680 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,079 | $2,079 | 1.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$132–$704 | $132–$704 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$518–$1,474 | $518–$1,474 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$132–$704 | $132–$704 | varies |
| Closed tx septal&nose fx (21337) | $7,150 | $7,150 | 2.1× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$132–$619 | $132–$619 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$110–$194 | $110–$194 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$128–$384 | $128–$384 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$132–$766 | $132–$766 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$132–$668 | $132–$668 | varies |
| Closure Gastrostomy Surg (43870) | $8,283 | $8,283 | 2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$297–$492 | $297–$492 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$662–$699 | $662–$699 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$142–$518 | $142–$518 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $2,090 | $2,090 | 1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$187–$626 | $187–$626 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,189–$1,310 | $1,189–$1,310 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$231–$814 | $231–$814 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$48–$624 | $48–$624 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$139–$814 | $139–$814 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$193–$1,201 | $193–$1,201 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$132–$838 | $132–$838 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$187–$814 | $187–$814 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $144 | $144 | 0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$399–$771 | $399–$771 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$365–$1,777 | $365–$1,777 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$132–$359 | $132–$359 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$431–$624 | $431–$624 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$132–$345 | $132–$345 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$314–$892 | $314–$892 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$187–$741 | $187–$741 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$123–$365 | $123–$365 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$132–$1,455 | $132–$1,455 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $726 | $726 | 2.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$178–$273 | $178–$273 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $726 | $726 | 2.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$186–$728 | $186–$728 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,377–$1,742 | $1,377–$1,742 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$132–$892 | $132–$892 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$624–$862 | $624–$862 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$399–$747 | $399–$747 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$256–$332 | $256–$332 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$624–$916 | $624–$916 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$399–$516 | $399–$516 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$625–$1,232 | $625–$1,232 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$132–$795 | $132–$795 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$1,227–$3,676 | $1,227–$3,676 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$267–$624 | $267–$624 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$461–$1,208 | $461–$1,208 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$132–$1,013 | $132–$1,013 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$132–$1,111 | $132–$1,111 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$624–$941 | $624–$941 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$518–$1,377 | $518–$1,377 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $221 | $221 | 1.7× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$3–$17 | $3–$17 | varies |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) range across 2 matching MRF lines |
$1,146–$2,310 | $1,146–$2,310 | varies |
| Colonoscopy thru stoma (44388) | $2,310 | $2,310 | 2.5× |
| Colonoscopy w/ablation (45388) | $1,372 | $1,372 | 1.1× |
| Colonoscopy w/fb removal (45379) | $2,310 | $2,310 | 1.9× |
| Colonoscopy w/submucosal inj (45381) | $3,080 | $3,080 | 2.6× |
| Colpopexy extraperitoneal (57282) | $11,606 | $11,606 | 1.6× |
| Colposcopy Cervix Endocervical Curettage (57456) | $908 | $908 | 3.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $1,419 | $1,419 | 7.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $2,305 | $2,305 | 1.9× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $3,119 | $3,119 | 2.6× |
| Combined anteroposterior colporrhaphy; (57260) | $11,606 | $11,606 | 2.3× |
| Complex drainage wound (10180) | $4,769 | $4,769 | 1.6× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $6,882 | $6,882 | 2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$128–$273 | $128–$273 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$186–$385 | $186–$385 | varies |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) | $4,477 | $4,477 | 1.9× |
| Correction hammertoe (28285) | $5,119 | $5,119 | 1.6× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $10,540 | $10,540 | 3.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $10,540 | $10,540 | 0.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $7,808 | $7,808 | 1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
$7,810–$10,540 | $7,810–$10,540 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $7,808 | $7,808 | 1.1× |
| Create Eardrum Opening (69433) | $1,059 | $1,059 | 2.0× |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) | $2,046 | $2,046 | 2.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$201–$353 | $201–$353 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $259 | $259 | 1.1× |
| Cysto w/insert ureteral stent (52332) | $7,810 | $7,810 | 2.2× |
| Cysto w/removal of tumors small (52234) | $1,554 | $1,554 | 0.4× |
| Cysto W/Simple Removal Stone & Stent (52310) | $5,464 | $5,464 | 2.6× |
| Cystometrogram W/Vp (51728) | $1,815 | $1,815 | 2.6× |
| Cystometrogram W/Vp&Up (51729) | $1,814 | $1,814 | 2.6× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) | $11,497 | $11,497 | 1.2× |
| Cystourethroscopy (52000) | $1,590 | $1,590 | 2.3× |
| Cystourethroscopy with biopsy (52204) | $8,206 | $8,206 | 3.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 2 matching MRF lines |
$63–$2,412 | $63–$2,412 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$1,611–$2,409 | $1,611–$2,409 | varies |
| Debride nail 6 or more (11721) | $208 | $208 | 3.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$3,141–$4,448 | $3,141–$4,448 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) | $287 | $287 | 1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$158–$229 | $158–$229 | varies |
| Decompression of tibia nerve (28035) | $4,036 | $4,036 | 2.1× |
| Deep Muscle Biopsy (20205) | $3,911 | $3,911 | 1.3× |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$329–$1,443 | $329–$1,443 | varies |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) | $4,106 | $4,106 | 1.2× |
| Destroy lumb/sac facet jnt (64635) | $5,280 | $5,280 | 2.7× |
| Destruct B9 Lesion 1-14 (17110) | $287 | $287 | 1.4× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $1,290 | $1,290 | 1.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $440 | $440 | 2.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $440 | $440 | 2.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $440 | $440 | 2.2× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $440 | $440 | 2.2× |
| Destruction Premalignant Lesion 15/> (17004) | $825 | $825 | 2.0× |
| Destruction premalignant lesion 1st (17000) | $440 | $440 | 2.2× |
| Destruction Vaginal Lesions Simple (57061) | $5,386 | $5,386 | 1.7× |
| Diagnostic sigmoidoscopy (45330) | $1,439 | $1,439 | 1.5× |
| Dilat rct strix spx under anes oth/thn local (45910) | $4,244 | $4,244 | 3.5× |
| Dilate Esophagus 1/Mult Pass (43450) | $2,459 | $2,459 | 2.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $5,386 | $5,386 | 1.7× |
| Dilation and catheterization of salivary duct, with or without injection (42660) | $1,059 | $1,059 | 2.0× |
| Dilation Salivary Duct (42650) | $3,696 | $3,696 | 2.4× |
| Drain ant chmbr,remv vitreous (65810) | $2,041 | $2,041 | 0.9× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$361–$1,306 | $361–$1,306 | varies |
| Drain/inj small joint/bursa w/us (20604) | $333 | $333 | 1.1× |
| Drainage abscess parotid simple (42300) | $3,425 | $3,425 | 2.2× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$172–$197 | $172–$197 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$108–$639 | $108–$639 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$171–$407 | $171–$407 | varies |
| Drainage of gum lesion (41800) | $330 | $330 | 2.5× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$377–$2,210 | $377–$2,210 | varies |
| Drainage of rectal abscess (45005) | $4,244 | $4,244 | 3.5× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$851–$2,530 | $851–$2,530 | varies |
| Drainage of scrotum (54700) | $5,287 | $5,287 | 2.5× |
| Dressing Change Under Anesthesia (15852) | $385 | $385 | 0.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,891 | $1,891 | 2.7× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $3,108 | $3,108 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $442 | $442 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$218–$377 | $218–$377 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$183–$231 | $183–$231 | varies |
| Dstrj Lesion Anus Extensive (46924) | $5,665 | $5,665 | 2.0× |
| Dstrj lesion anus simple surg excision (46922) | $5,663 | $5,663 | 2.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,200 | $2,200 | 2.5× |
| Dx gastr intub w/asp spec (43754) range across 2 matching MRF lines |
$146–$416 | $146–$416 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $3,673 | $3,673 | 2.1× |
| Dx laryngoscopy w/oper scope (31526) | $3,673 | $3,673 | 2.1× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,105 | $3,105 | 1.6× |
| Egd cautery tumor polyp (43250) | $3,106 | $3,106 | 1.6× |
| Egd control bleeding any (43255) | $3,106 | $3,106 | 1.6× |
| Egd dilation gastric/duodenal stricture (43245) | $3,106 | $3,106 | 1.6× |
| Egd Flexible Foreign Body Removal (43247) | $2,937 | $2,937 | 3.2× |
| Egd guide wire insertion (43248) | $2,176 | $2,176 | 2.4× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $2,176 | $2,176 | 1.1× |
| Egd lesion ablation (43270) | $3,105 | $3,105 | 1.6× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$3,106–$4,193 | $3,106–$4,193 | varies |
| Egd remove lesion snare (43251) | $3,106 | $3,106 | 1.6× |
| Electro-Uroflowmetry First (51741) | $420 | $420 | 1.9× |
| Endoscopic plantar fasciotomy (29893) | $4,008 | $4,008 | 1.2× |
| Endoscopy Upper Small Intestine (44360) | $2,485 | $2,485 | 1.3× |
| Enterorrhaphy single perforation (44602) | $1,275 | $1,275 | 0.3× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | $3,643 | $3,643 | 1.9× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $5,176 | $5,176 | 2.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $5,176 | $5,176 | 2.5× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $6,442 | $6,442 | 1.7× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $2,310 | $2,310 | 2.5× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $2,176 | $2,176 | 1.1× |
| Ethmoidectomy Intranasal Anterior (31200) | $10,890 | $10,890 | 1.8× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$103–$131 | $103–$131 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $4,422 | $4,422 | 2.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $2,401 | $2,401 | 3.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $3,201 | $3,201 | 1.9× |
| Exc Back Les Sc < 3 Cm (21930) | $3,911 | $3,911 | 2.4× |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) | $5,676 | $5,676 | 1.7× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $6,323 | $6,323 | 1.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $2,412 | $2,412 | 3.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $2,412 | $2,412 | 3.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $3,914 | $3,914 | 2.4× |
| Exc Face Les Sbq 2 Cm/> (21012) | $6,301 | $6,301 | 3.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,251 | $1,251 | 1.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,104 | $1,104 | 1.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $3,108 | $3,108 | 4.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $2,420 | $2,420 | 1.5× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $2,420 | $2,420 | 1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$119–$710 | $119–$710 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $2,412 | $2,412 | 3.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $2,412 | $2,412 | 1.5× |
| Exc hydrocele sprmatic cord uni spx (55500) | $6,521 | $6,521 | 1.8× |
| Exc Lacrimal Gland Tumor Frontal Approach (68540) | $4,475 | $4,475 | 1.9× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $2,046 | $2,046 | 2.0× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) | $3,693 | $3,693 | 1.1× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $6,600 | $6,600 | 4.1× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $5,086 | $5,086 | 3.1× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $3,740 | $3,740 | 1.1× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) | $5,676 | $5,676 | 1.7× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $5,676 | $5,676 | 1.7× |
| Exc neuroma hand/foot xcp digital nerve (64782) | $4,036 | $4,036 | 2.1× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $5,663 | $5,663 | 2.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$437–$710 | $437–$710 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $5,279 | $5,279 | 3.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $7,184 | $7,184 | 2.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $5,283 | $5,283 | 3.2× |
| Exc Skin Benig >4cm Face,Facial (11446) | $5,320 | $5,320 | 1.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,412 | $2,412 | 1.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $4,422 | $4,422 | 2.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $4,244 | $4,244 | 3.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $1,106 | $1,106 | 2.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,493 | $1,493 | 2.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$3,154–$4,422 | $3,154–$4,422 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $8,124 | $8,124 | 2.8× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $5,322 | $5,322 | 1.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $3,914 | $3,914 | 1.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $3,911 | $3,911 | 1.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $5,322 | $5,322 | 1.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $3,911 | $3,911 | 2.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $5,322 | $5,322 | 1.8× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $3,960 | $3,960 | 1.4× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $5,320 | $5,320 | 1.8× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $3,960 | $3,960 | 1.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $3,911 | $3,911 | 2.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $3,911 | $3,911 | 2.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $3,911 | $3,911 | 1.3× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $3,911 | $3,911 | 1.3× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $7,669 | $7,669 | 2.6× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) | $15,224 | $15,224 | 2.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $5,086 | $5,086 | 1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $5,086 | $5,086 | 3.1× |
| Exc/fulguration urethral caruncle (53265) | $4,752 | $4,752 | 2.3× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $3,740 | $3,740 | 1.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $3,740 | $3,740 | 2.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $2,726 | $2,726 | 3.8× |
| Excision Aural Polyp (69540) | $5,049 | $5,049 | 3.2× |
| Excision External Ear Partial Simple Repair (69110) | $4,422 | $4,422 | 1.5× |
| Excision external ear; complete amputation Facility (69120) | $5,676 | $5,676 | 1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $5,320 | $5,320 | 1.8× |
| Excision inferior turbinate partial/complete (30130) | $5,676 | $5,676 | 1.7× |
| Excision Lesion Tongue W/O Closure (41110) | $3,740 | $3,740 | 1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $2,411 | $2,411 | 3.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $1,251 | $1,251 | 1.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,106 | $1,106 | 2.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $2,726 | $2,726 | 3.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $2,726 | $2,726 | 3.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $2,412 | $2,412 | 1.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $5,320 | $5,320 | 1.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $2,411 | $2,411 | 1.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $2,726 | $2,726 | 3.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $2,409 | $2,409 | 3.4× |
| Excision Multiple External Papillae/Tags Anus (46230) | $4,244 | $4,244 | 1.5× |
| Excision Nasal Polyp Extensive (30115) | $5,676 | $5,676 | 1.7× |
| Excision nasal polyp(s) simple (30110) | $1,887 | $1,887 | 1.2× |
| Excision of bartholin's gland or cyst (56740) | $5,386 | $5,386 | 1.7× |
| Excision of extraparenchymal lesion of testis (54512) | $5,287 | $5,287 | 1.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,353 | $2,353 | 1.5× |
| Excision of hydrocele; unilateral (55040) | $7,805 | $7,805 | 2.2× |
| Excision of local lesion of epididymis (54830) | $5,287 | $5,287 | 1.5× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $4,036 | $4,036 | 2.1× |
| Excision of pilonidal cyst or sinus; simple (11770) | $7,182 | $7,182 | 2.5× |
| Excision of single external papilla or tag, anus (46220) | $4,798 | $4,798 | 4.0× |
| Excision of sublingual gland (42450) | $10,880 | $10,880 | 1.8× |
| Excision of sublingual salivary cyst (ranula) (42408) | $5,676 | $5,676 | 1.7× |
| Excision of submandibular (submaxillary) gland (42440) | $10,890 | $10,890 | 1.8× |
| Excision of vaginal cyst or tumor (57135) | $5,386 | $5,386 | 1.7× |
| Excision olecranon bursa (24105) | $4,844 | $4,844 | 1.5× |
| Excision prepatellar bursa (27340) | $4,844 | $4,844 | 1.5× |
| Excision spermatocele w/wo epididymectomy (54840) | $5,979 | $5,979 | 2.8× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $12,365 | $12,365 | 2.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $8,124 | $8,124 | 4.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $5,322 | $5,322 | 1.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $3,911 | $3,911 | 2.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $7,182 | $7,182 | 4.3× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $5,086 | $5,086 | 3.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $7,182 | $7,182 | 2.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $2,411 | $2,411 | 1.5× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $5,320 | $5,320 | 1.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $3,960 | $3,960 | 2.4× |
| Excision/destruction intranasal lesion int appr (30117) | $3,693 | $3,693 | 1.1× |
| Excision/destruction lesion pharynx any method (42808) | $5,676 | $5,676 | 1.7× |
| Excision/Transposition Pterygium W/Grafg (65426) | $4,477 | $4,477 | 1.9× |
| Excision/Transposition Pterygium W/O Graft (65420) | $4,477 | $4,477 | 1.9× |
| Expl po hemrrg thrombosis/infctj xtr (35860) | $7,293 | $7,293 | 2.3× |
| Explo/Drain Breast Abscess (19020) | $4,772 | $4,772 | 2.9× |
| Exploration maxillary sinus (31020) | $5,676 | $5,676 | 1.7× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,146–$1,471 | $1,146–$1,471 | varies |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) likely a partial charge, not the full procedure |
$1,167 | $1,167 | 0.2× |
| Extensive mastoid surgery (69511) | $10,890 | $10,890 | 1.8× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $2,200 | $2,200 | 0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $6,446 | $6,446 | 2.0× |
| Fetal non-stress test (59025) | $427 | $427 | 2.1× |
| Fine needle aspiration without imaging guidance (10021) | $825 | $825 | 2.0× |
| Fixation contralateral testis separate procedure (54620) | $5,287 | $5,287 | 1.5× |
| Flap; neurovascular pedicle (15750) | $4,106 | $4,106 | 1.2× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) | $4,105 | $4,105 | 1.2× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $5,676 | $5,676 | 1.7× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) | $5,115 | $5,115 | 2.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $4,106 | $4,106 | 2.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $4,640 | $4,640 | 2.2× |
| Fusion Finger Joint (26860) | $6,445 | $6,445 | 2.0× |
| Fusion of elbow joint (24800) | $12,408 | $12,408 | 1.7× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $1,275 | $1,275 | 0.3× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $5,584 | $5,584 | 2.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) | $10,540 | $10,540 | 1.4× |
| Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$2,613 | $2,613 | 0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $7,645 | $7,645 | 2.7× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$268–$2,035 | $268–$2,035 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $7,646 | $7,646 | 2.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,462 | $1,462 | 1.6× |
| Hemorrhoidopexy by stapling (46947) | $7,587 | $7,587 | 2.7× |
| Hysteroscopy Biopsy (58558) | $7,480 | $7,480 | 2.3× |
| Hysteroscopy Dx Sep Proc (58555) | $6,881 | $6,881 | 2.1× |
| Hysteroscopy Endometrial Ablation (58563) | $11,606 | $11,606 | 2.3× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $3,693 | $3,693 | 1.1× |
| I&d abscess peritonsillar (42700) | $1,059 | $1,059 | 4.5× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$292–$490 | $292–$490 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $6,540 | $6,540 | 4.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $4,772 | $4,772 | 1.6× |
| I&d perianal abscess superficial (46050) | $2,193 | $2,193 | 2.3× |
| I&d pilonidal cyst complicated (10081) | $1,870 | $1,870 | 2.6× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$127–$297 | $127–$297 | varies |
| Image Cath Fluid Trns/Vgnl (49407) | $3,472 | $3,472 | 2.1× |
| Implant neuroelectrodes (63650) | $18,959 | $18,959 | 3.0× |
| Implant Neuroelectrodes (64561) | $15,431 | $15,431 | 2.4× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $49,899 | $49,899 | 2.6× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$175–$334 | $175–$334 | varies |
| Incise finger tendon sheath (26055) | $3,581 | $3,581 | 2.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$473–$528 | $473–$528 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $3,911 | $3,911 | 2.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$286–$623 | $286–$623 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$305–$383 | $305–$383 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$253–$353 | $253–$353 | varies |
| Incision bone cortex foot (28005) | $6,866 | $6,866 | 2.1× |
| Incision extensor tendon sheath wrist (25000) | $4,844 | $4,844 | 3.0× |
| Incision of eardrum (69421) | $3,693 | $3,693 | 1.1× |
| Incision of eardrum (69420) | $1,059 | $1,059 | 4.5× |
| Incision of Foot Tendon (28234) | $5,086 | $5,086 | 3.1× |
| Incision of lingual frenum (frenotomy) (41010) | $1,870 | $1,870 | 1.2× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,227–$1,730 | $1,227–$1,730 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$1,455–$4,366 | $1,455–$4,366 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) | $871 | $871 | 2.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$158–$208 | $158–$208 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,960 | $1,960 | 2.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $660 | $660 | 2.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,960 | $1,960 | 2.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,793 | $1,793 | 2.5× |
| Injection for identification of sentinel node (38792) | $817 | $817 | 2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $696 | $696 | 2.3× |
| Injection single/mlt trigger point 3/> muscles (20553) | $667 | $667 | 2.2× |
| Injection Turbinate Therapeutic (30200) | $1,884 | $1,884 | 3.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,650 | $1,650 | 2.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$243–$410 | $243–$410 | varies |
| Injx anterior chamber eye air/liquid spx (66020) | $2,195 | $2,195 | 0.9× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $4,290 | $4,290 | 4.8× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $4,290 | $4,290 | 4.8× |
| Insert and remove bone pin (20650) | $7,590 | $7,590 | 2.3× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$129–$297 | $129–$297 | varies |
| Insert cath pleura w/ image (32557) | $1,364 | $1,364 | 0.9× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$466–$1,650 | $466–$1,650 | varies |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$426–$3,322 | $426–$3,322 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$110–$224 | $110–$224 | varies |
| Insert tunneled cv cath (36561) | $164 | $164 | 0.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $221 | $221 | 1.7× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) | $5,115 | $5,115 | 2.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $7,376 | $7,376 | 2.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,257 | $2,257 | 1.4× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $2,572 | $2,572 | 0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$2,773–$6,523 | $2,773–$6,523 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $89,255 | $89,255 | 2.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$644–$19,093 | $644–$19,093 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $5,663 | $5,663 | 2.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$265–$892 | $265–$892 | varies |
| Intranasal Biopsy (30100) | $1,887 | $1,887 | 1.2× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $1,059 | $1,059 | 4.5× |
| Intro Gastrointestinal Tube (44500) | $1,422 | $1,422 | 1.6× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$383–$528 | $383–$528 | varies |
| Irrigation maxillary sinus (31000) | $1,059 | $1,059 | 4.5× |
| Island pedicle flap graft (15740) | $4,106 | $4,106 | 2.0× |
| Knee arthroscopy/drainage (29871) | $8,047 | $8,047 | 2.4× |
| Knee Arthroscopy/Surgery (29874) | $6,277 | $6,277 | 1.9× |
| Laparo-vag hyst incl t/o (58552) | $22,990 | $22,990 | 2.2× |
| Laparoscopy aspiration (49322) | $8,798 | $8,798 | 1.4× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $11,025 | $11,025 | 1.8× |
| Laparoscopy fulguration oviducts (58670) | $27,918 | $27,918 | 4.6× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $11,025 | $11,025 | 1.8× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $11,025 | $11,025 | 1.8× |
| Laparoscopy w/rmvl adnexal structures (58661) | $11,025 | $11,025 | 1.8× |
| Laparoscopy, surgical, appendectomy (44970) | $10,749 | $10,749 | 1.8× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) | $15,982 | $15,982 | 1.5× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $11,025 | $11,025 | 1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $14,884 | $14,884 | 2.5× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | $11,025 | $11,025 | 1.0× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) | $11,025 | $11,025 | 1.8× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $11,025 | $11,025 | 1.8× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $8,798 | $8,798 | 1.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $11,880 | $11,880 | 2.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $11,025 | $11,025 | 1.8× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) | $15,983 | $15,983 | 1.5× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) | $12,467 | $12,467 | 2.1× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $22,990 | $22,990 | 2.2× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$79–$158 | $79–$158 | varies |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) | $5,864 | $5,864 | 1.6× |
| Laryngoscopy flexible diagnostic (31575) | $441 | $441 | 2.2× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $3,673 | $3,673 | 2.1× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $1,125 | $1,125 | 2.9× |
| Laryngoscopy W/Biopsy (31535) | $5,864 | $5,864 | 1.6× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $5,864 | $5,864 | 1.6× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) | $5,676 | $5,676 | 1.7× |
| Larynscop w/tumr exc + scope (31541) | $7,917 | $7,917 | 2.1× |
| Laser vaporization of prostate (52648) | $11,495 | $11,495 | 2.1× |
| Late closure of wound (13160) | $4,105 | $4,105 | 1.2× |
| Ligate/strip short leg vein (37718) | $6,333 | $6,333 | 2.0× |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$273–$1,511 | $273–$1,511 | varies |
| Lip Surgery Procedure (40799) range across 2 matching MRF lines |
$340–$1,020 | $340–$1,020 | varies |
| Litholapaxy smpl/sm <2.5 cm (52317) | $8,393 | $8,393 | 2.4× |
| Lsh uterus 250 g or less (58541) | $15,982 | $15,982 | 1.5× |
| Manipulation knee joint under general anesthesia (27570) | $3,356 | $3,356 | 2.1× |
| Marsupialization of bartholin's gland cyst (56440) | $5,386 | $5,386 | 1.7× |
| Mast mod rad (19307) | $12,104 | $12,104 | 1.8× |
| Mastectomy partial (19301) | $7,148 | $7,148 | 1.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) | $12,104 | $12,104 | 1.8× |
| Mastectomy simple complete (19303) | $8,789 | $8,789 | 1.3× |
| Mastoidectomy (69501) | $10,890 | $10,890 | 1.8× |
| Middle ear expl thru postaur/ear canal inc (69440) | $10,890 | $10,890 | 3.3× |
| Middle ear surgery proc unlisted (69799) | $584 | $584 | 2.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,793 | $1,793 | 2.5× |
| N Block Inj Pudendal (64430) | $1,960 | $1,960 | 2.2× |
| Nasal Endoscopy Dx (31231) | $440 | $440 | 2.2× |
| Nasal surgery procedure (30999) | $689 | $689 | 2.9× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$146–$437 | $146–$437 | varies |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) | $1,128 | $1,128 | 2.9× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $5,864 | $5,864 | 1.6× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) | $8,956 | $8,956 | 1.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $3,673 | $3,673 | 2.1× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) | $383 | $383 | 0.2× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) | $7,917 | $7,917 | 1.1× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) | $8,956 | $8,956 | 1.3× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $8,956 | $8,956 | 1.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $4,455 | $4,455 | 2.8× |
| Needle Biopsy Lymph Nodes (38505) | $248 | $248 | 0.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $762 | $762 | 2.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $854 | $854 | 0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,964 | $1,964 | 2.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,961–$2,648 | $1,961–$2,648 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,961 | $1,961 | 2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $2,648 | $2,648 | 3.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,961 | $1,961 | 2.2× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $5,864 | $5,864 | 0.8× |
| Occipital Nerve Block (64405) | $1,087 | $1,087 | 3.5× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,892 | $1,892 | 0.3× |
| Open Implantation Nea Sacral Nerve (64581) | $15,431 | $15,431 | 2.4× |
| Open Repair of Rotator Cuff Acute (23410) | $17,232 | $17,232 | 2.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $12,332 | $12,332 | 1.7× |
| Open treatment fracture distal tibia only (27827) | $33,000 | $33,000 | 2.6× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) | $16,500 | $16,500 | 2.3× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) | $5,957 | $5,957 | 1.8× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) | $15,431 | $15,431 | 2.6× |
| Open Treatment Proximal Humeral Fracture (23615) | $33,403 | $33,403 | 2.6× |
| Open tx acute shoulder dislocation (23660) | $18,480 | $18,480 | 2.5× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$806–$4,023 | $806–$4,023 | varies |
| Open tx femoral supracondylar fracture w/o xtn (27511) likely a partial charge, not the full procedure |
$2,613 | $2,613 | 0.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $5,968 | $5,968 | 1.8× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $8,179 | $8,179 | 2.5× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) unusually low: confirm this is the full procedure |
$2,613 | $2,613 | 0.4× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $17,600 | $17,600 | 2.4× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$2,266 | $2,266 | 0.3× |
| Ostc prtl exostc/condylc metar head (28288) | $5,086 | $5,086 | 1.5× |
| Ostectomy calcaneus (28118) | $5,086 | $5,086 | 1.5× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $5,086 | $5,086 | 1.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $5,086 | $5,086 | 1.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $5,086 | $5,086 | 1.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $5,086 | $5,086 | 1.5× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) | $11,606 | $11,606 | 2.3× |
| Part remv talus or calcaneus (28120) | $5,086 | $5,086 | 1.5× |
| Partial excision of lip (40520) | $3,693 | $3,693 | 1.1× |
| Partial removal of thyroid (60220) | $12,365 | $12,365 | 2.0× |
| Partial removal of toe (28160) | $5,086 | $5,086 | 1.5× |
| Partical Excision Bone Phalanx Toe (28124) | $1,211 | $1,211 | 0.4× |
| Pelvic examination under anesthesia (other than local) (57410) | $5,386 | $5,386 | 1.7× |
| Perq dev breast 1st us imag (19285) | $1,605 | $1,605 | 2.3× |
| Perq device breast 1st imag (19281) | $1,604 | $1,604 | 1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $5,957 | $5,957 | 1.8× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$213–$344 | $213–$344 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $11,606 | $11,606 | 2.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,440 | $1,440 | 1.5× |
| Proctosgmdsc Rigid Control Bleeding (45317) | $2,415 | $2,415 | 2.0× |
| Proctosgmdsc rigid w/dilation (45303) | $2,415 | $2,415 | 2.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $2,415 | $2,415 | 2.0× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $1,960 | $1,960 | 2.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $5,086 | $5,086 | 1.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$305–$473 | $305–$473 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,422 | $1,422 | 2.0× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $15,224 | $15,224 | 2.1× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) | $10,890 | $10,890 | 1.8× |
| Reduction of rectal prolapse (45900) range across 2 matching MRF lines |
$619–$1,291 | $619–$1,291 | varies |
| Release foot/toe nerve (64726) | $4,036 | $4,036 | 2.1× |
| Removal foreign body foot deep (28192) | $4,422 | $4,422 | 2.7× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$450–$761 | $450–$761 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$450–$761 | $450–$761 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $3,740 | $3,740 | 1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $146 | $146 | 2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$57–$110 | $57–$110 | varies |
| Removal Implant Deep (20680) | $5,322 | $5,322 | 1.8× |
| Removal Implant Superficial Separate Procedure (20670) | $3,960 | $3,960 | 2.4× |
| Removal intact breast implant (19328) | $8,789 | $8,789 | 2.2× |
| Removal of a lesion from the floor of the mouth (41116) | $5,676 | $5,676 | 1.7× |
| Removal of adenoids (42831) | $5,676 | $5,676 | 1.7× |
| Removal of adenoids (42830) | $14,689 | $14,689 | 4.4× |
| Removal of anal fissure (46200) | $6,402 | $6,402 | 2.3× |
| Removal of bladder cyst (51500) | $11,914 | $11,914 | 2.0× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$68–$419 | $68–$419 | varies |
| Removal of heel spur (28119) | $5,086 | $5,086 | 1.5× |
| Removal of implanted material, anterior segment of eye (65920) | $5,115 | $5,115 | 2.2× |
| Removal of infusion pump (36262) | $6,844 | $6,844 | 1.8× |
| Removal of intranasal lesion (30118) | $5,676 | $5,676 | 1.7× |
| Removal of mammary implant material (19330) | $8,789 | $8,789 | 2.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$512–$938 | $512–$938 | varies |
| Removal of sperm cord lesion (55520) | $5,287 | $5,287 | 1.5× |
| Removal of testis (54520) | $6,520 | $6,520 | 1.8× |
| Removal of tonsils (42825) | $12,302 | $12,302 | 2.1× |
| Removal of tonsils (42826) | $7,666 | $7,666 | 2.3× |
| Removal of tunneled intraperitoneal catheter (49422) | $4,598 | $4,598 | 1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $387 | $387 | 1.9× |
| Removal sweat gland lesion (11450) | $5,320 | $5,320 | 1.8× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$96–$116 | $96–$116 | varies |
| Remove armpit lymph nodes (38740) | $12,365 | $12,365 | 2.0× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$134–$396 | $134–$396 | varies |
| Remove Intrauterine Device (58301) | $660 | $660 | 2.2× |
| Remove mastoid structures (69505) | $10,890 | $10,890 | 1.8× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$106–$364 | $106–$364 | varies |
| Remove self-contd penis pros (54415) | $11,326 | $11,326 | 3.2× |
| Remove Shoulder Foreign Body (23330) | $2,411 | $2,411 | 1.5× |
| Remove Tendon Sheath Lesion (26160) | $3,581 | $3,581 | 2.2× |
| Renal Biopsy Perq (50200) | $3,069 | $3,069 | 1.8× |
| Repair Achilles Tendon (27650) | $10,989 | $10,989 | 1.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $7,293 | $7,293 | 2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,023 | $1,023 | 2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$1,462–$4,385 | $1,462–$4,385 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$290–$1,013 | $290–$1,013 | varies |
| Repair Elbow Perc (24357) | $7,590 | $7,590 | 2.3× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$273–$4,400 | $273–$4,400 | varies |
| Repair Fistula Oromaxillary (30580) | $10,880 | $10,880 | 1.8× |
| Repair Hallux Rigidus (28289) | $6,866 | $6,866 | 2.1× |
| Repair inguinal hernia, sliding, any age (49525) | $7,805 | $7,805 | 2.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $7,805 | $7,805 | 2.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $3,485 | $3,485 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$265–$564 | $265–$564 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$644–$661 | $644–$661 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$188–$680 | $188–$680 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$208–$728 | $208–$728 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$265–$790 | $265–$790 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$173–$528 | $173–$528 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$173–$619 | $173–$619 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$644–$674 | $644–$674 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$758–$1,254 | $758–$1,254 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$173–$498 | $173–$498 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$290–$601 | $290–$601 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$246–$1,255 | $246–$1,255 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$146–$637 | $146–$637 | varies |
| Repair of hammertoe (28286) | $5,086 | $5,086 | 1.5× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$413–$1,671 | $413–$1,671 | varies |
| Repair of shoulder (23420) | $10,976 | $10,976 | 1.5× |
| Repair oval window fistula (69666) | $5,676 | $5,676 | 1.7× |
| Repair paravag defect vag (57285) | $11,606 | $11,606 | 1.6× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $8,824 | $8,824 | 1.4× |
| Repair Rotator Cuff Chronic (23412) | $10,976 | $10,976 | 1.5× |
| Repair round window fistula (69667) | $5,676 | $5,676 | 1.7× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) range across 2 matching MRF lines |
$223–$5,086 | $223–$5,086 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$200–$662 | $200–$662 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$204–$450 | $204–$450 | varies |
| Repair Tooth Socket (41874) | $3,696 | $3,696 | 1.1× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $7,590 | $7,590 | 1.0× |
| Replace eye fluid (67025) | $3,892 | $3,892 | 1.7× |
| Replantation digit complete (20822) range across 2 matching MRF lines |
$1,675–$2,488 | $1,675–$2,488 | varies |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$124–$744 | $124–$744 | varies |
| Reposition Venous Catheter (36597) | $2,461 | $2,461 | 1.6× |
| Rerepair ing hernia reduce (49520) | $7,805 | $7,805 | 2.2× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) | $5,086 | $5,086 | 1.5× |
| Revise finger joint each (26140) | $3,581 | $3,581 | 2.2× |
| Revise Hand/Foot Nerve (64704) | $4,036 | $4,036 | 2.1× |
| Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) | $10,890 | $10,890 | 1.8× |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) | $10,890 | $10,890 | 1.8× |
| Revision of big toe (28310) | $5,086 | $5,086 | 0.7× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | $1,372 | $1,372 | 0.4× |
| Revision of foot bones (28737) | $15,223 | $15,223 | 1.2× |
| Revision of stapedectomy or stapedotomy Facility (69662) | $15,431 | $15,431 | 2.6× |
| Revision Peri-Implant Capsule Breast (19370) | $8,789 | $8,789 | 2.2× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $19,984 | $19,984 | 3.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $9,503 | $9,503 | 2.7× |
| Revj/rpr oprative wound anterior segment (66250) | $5,778 | $5,778 | 2.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $435 | $435 | 0.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $5,322 | $5,322 | 3.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$134–$189 | $134–$189 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $284 | $284 | 0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$692–$2,075 | $692–$2,075 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $5,320 | $5,320 | 1.8× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $2,411 | $2,411 | 0.8× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $2,415 | $2,415 | 1.5× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) | $5,778 | $5,778 | 2.5× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) | $5,113 | $5,113 | 2.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,459 | $2,459 | 1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,425 | $1,425 | 2.3× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $5,113 | $5,113 | 2.2× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) | $5,113 | $5,113 | 2.2× |
| Rplc Gtube No Revj Trc (43762) | $359 | $359 | 1.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,459 | $2,459 | 1.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $6,523 | $6,523 | 2.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$365–$595 | $365–$595 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$662–$911 | $662–$911 | varies |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) | $15,223 | $15,223 | 2.1× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $8,729 | $8,729 | 2.7× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $7,663 | $7,663 | 2.3× |
| Severing Adhesions Anterior Segment Laser Spx (65860) | $1,294 | $1,294 | 2.3× |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) | $5,115 | $5,115 | 2.2× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) | $5,115 | $5,115 | 2.2× |
| Shoulder arthroscopy diagnostic (29805) | $8,047 | $8,047 | 2.4× |
| Sigmoidoscopy & Polypectomy (45333) | $1,439 | $1,439 | 1.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$479–$1,439 | $479–$1,439 | varies |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $2,415 | $2,415 | 2.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$363–$728 | $363–$728 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$233–$353 | $233–$353 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$231–$395 | $231–$395 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $483 | $483 | 1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$231–$474 | $231–$474 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$245–$1,074 | $245–$1,074 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$334–$389 | $334–$389 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$231–$437 | $231–$437 | varies |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) | $10,890 | $10,890 | 1.8× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) | $10,890 | $10,890 | 1.8× |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$1,211–$4,106 | $1,211–$4,106 | varies |
| Skin Pinch Graft (15050) | $1,611 | $1,611 | 2.2× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$4,105–$5,176 | $4,105–$5,176 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$4,105–$5,176 | $4,105–$5,176 | varies |
| Skin sub grft t/arm/lg child (15273) | $8,945 | $8,945 | 4.3× |
| Skin Tissue Procedure (17999) | $95 | $95 | 0.5× |
| Skn sub grft f/n/hf/g child (15277) | $5,176 | $5,176 | 2.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $11,606 | $11,606 | 2.3× |
| Slitting of prepuce (54001) | $4,950 | $4,950 | 2.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$370–$389 | $370–$389 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$365–$540 | $365–$540 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$162–$685 | $162–$685 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $4,244 | $4,244 | 1.5× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$262–$1,306 | $262–$1,306 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $6,712 | $6,712 | 1.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$5,176–$6,712 | $5,176–$6,712 | varies |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) | $10,890 | $10,890 | 1.8× |
| Stapes mobilization (69650) | $10,890 | $10,890 | 3.3× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$23–$69 | $23–$69 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$122–$256 | $122–$256 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$110–$329 | $110–$329 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$122–$123 | $122–$123 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$111–$207 | $111–$207 | varies |
| Strapping thorax (29200) range across 2 matching MRF lines |
$64–$96 | $64–$96 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$103–$265 | $103–$265 | varies |
| Strapping Unna Boot (29580) | $447 | $447 | 2.7× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $5,676 | $5,676 | 1.7× |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) | $5,676 | $5,676 | 1.7× |
| Surg tx anal fistula subq (46270) | $5,664 | $5,664 | 2.0× |
| Syndactylization toes (28280) | $5,086 | $5,086 | 1.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $5,086 | $5,086 | 3.1× |
| Thrombolytic Art Therapy (37211) likely a partial charge, not the full procedure |
$1,073 | $1,073 | 0.2× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$208–$351 | $208–$351 | varies |
| Thyroid biopsy (60100) | $1,422 | $1,422 | 2.0× |
| Thyroidectomy Post Prev Thyr Surg (60260) | $10,880 | $10,880 | 1.8× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $4,640 | $4,640 | 2.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $5,678 | $5,678 | 1.7× |
| Tooth extraction (41899) | $385 | $385 | 1.6× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) | $12,210 | $12,210 | 2.0× |
| Tracheostoma revj smpl w/o flap rotation (31613) | $5,676 | $5,676 | 1.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines |
$766–$794 | $766–$794 | varies |
| Tracheostomy planned (31600) | $5,676 | $5,676 | 1.7× |
| Treat Big Toe Fracture (28505) | $5,957 | $5,957 | 1.8× |
| Treat Fx Rad Extra-Articul (25607) | $16,246 | $16,246 | 2.2× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$399–$939 | $399–$939 | varies |
| Treat Humerus Fracture (24505) | $3,623 | $3,623 | 2.2× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$187–$880 | $187–$880 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$224–$873 | $224–$873 | varies |
| Treat Thumb Fracture (26645) | $706 | $706 | 0.4× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$138–$364 | $138–$364 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,301–$1,700 | $1,301–$1,700 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$844–$1,008 | $844–$1,008 | varies |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) | $26,120 | $26,120 | 3.6× |
| Trimming Nondystrophic Nails Any Number (11719) | $173 | $173 | 2.9× |
| Tx Gastro Intub W/Asp (43753) | $365 | $365 | 1.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $5,086 | $5,086 | 3.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$388–$595 | $388–$595 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$226–$431 | $226–$431 | varies |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $5,676 | $5,676 | 3.6× |
| Tympanolysis transcanal (69450) | $10,890 | $10,890 | 3.3× |
| Tympanoplasty (69631) | $10,890 | $10,890 | 1.8× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) | $10,890 | $10,890 | 1.8× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) | $15,431 | $15,431 | 2.6× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) | $10,890 | $10,890 | 1.8× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) | $10,890 | $10,890 | 1.8× |
| Tympanostomy general anesthesia (69436) | $4,985 | $4,985 | 3.2× |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) | $380 | $380 | 1.6× |
| Unlisted hysteroscopy procedure, uterus (58579) | $506 | $506 | 2.5× |
| Unlisted laparoscopic procedure liver (47379) | $8,800 | $8,800 | 1.4× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $11,880 | $11,880 | 2.0× |
| Unlisted laparoscopy procedure, biliary tract (47579) range across 2 matching MRF lines |
$8,798–$9,009 | $8,798–$9,009 | varies |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | $8,800 | $8,800 | 1.4× |
| Unlisted laparoscopy procedure, spermatic cord (55559) | $8,800 | $8,800 | 1.4× |
| Unlisted Procedure Accessory Sinuses (31299) | $385 | $385 | 1.6× |
| Unlisted procedure anus (46999) | $2,310 | $2,310 | 2.5× |
| Unlisted procedure arthroscopy (29999) | $9,579 | $9,579 | 38.7× |
| Unlisted Procedure Biliary Tract (47999) | $5,349 | $5,349 | 5.9× |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$102–$129 | $102–$129 | varies |
| Unlisted Procedure External Ear (69399) | $385,007 | $385,007 | 1618.2× |
| Unlisted procedure foot or toes (28899) | $495 | $495 | 2.0× |
| Unlisted procedure forearm or wrist (25999) | $495 | $495 | 2.0× |
| Unlisted Procedure Intestine (44799) | $6,666 | $6,666 | 7.3× |
| Unlisted procedure larynx (31599) | $385 | $385 | 1.6× |
| Unlisted procedure liver (47399) | $1,419 | $1,419 | 2.0× |
| Unlisted Procedure Male Genital System (55899) range across 2 matching MRF lines |
$128–$156 | $128–$156 | varies |
| Unlisted procedure nervous system (64999) | $616 | $616 | 2.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $278 | $278 | 1.2× |
| Unlisted Procedure Rectum (45999) | $1,348 | $1,348 | 1.4× |
| Unlisted procedure shoulder (23929) | $660 | $660 | 2.7× |
| Unlisted procedure stomach (43999) | $2,460 | $2,460 | 2.7× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $385 | $385 | 1.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
$414–$2,213 | $414–$2,213 | varies |
| Unlisted px female genital system nonobstetrical (58999) | $367 | $367 | 1.8× |
| Uvulectomy excision of uvula (42140) | $3,693 | $3,693 | 1.1× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$2,717–$6,089 | $2,717–$6,089 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $11,606 | $11,606 | 2.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $12,573 | $12,573 | 2.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $5,976 | $5,976 | 2.8× |
| Venous Cutdown >1 Y/O (36425) range across 2 matching MRF lines |
$43–$134 | $43–$134 | varies |
| Vitrectomy mechanical pars plana (67036) | $9,108 | $9,108 | 2.2× |
| Vulvectomy simple partial (56620) | $5,386 | $5,386 | 1.7× |
| Vulvectomy simple; complete (56625) | $5,386 | $5,386 | 1.7× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$213–$637 | $213–$637 | varies |
| Wedging of cast (29740) range across 2 matching MRF lines |
$96–$102 | $96–$102 | varies |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$1,255–$1,611 | $1,255–$1,611 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$4,249–$5,176 | $4,249–$5,176 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.