Procedures & surgery prices at Pecos County Memorial Hospital

Fort Stockton, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $707 $943 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$868–$1,092 $1,157–$1,456 varies
Abdomen Surgery Procedure (22999) $3,500 $4,666 14.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,086 $4,114 1.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines
$2,667–$2,907 $3,556–$3,876 varies
Amputation foot transmetarsal (28805) $3,564 $4,752 1.1×
Amputation metatarsal with toe single (28810) $3,564 $4,752 1.1×
Amputation thigh through femur any level (27590) $1,764 $2,352 0.5×
Amputation toe interphalangeal joint (28825) $2,391 $3,188 0.7×
Amputation toe metatarsophalangeal joint (28820) $3,564 $4,752 1.1×
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $1,451 $1,935 0.4×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure
$1,925 $2,567 0.3×
Amputation, leg, through tibia and fibula; re-amputation (27886) $4,205 $5,606 1.3×
Anoscopy Ablation Lesion (46615) $2,979 $3,972 1.1×
Anoscopy diagnostic (46600) $221 $295 1.7×
Anoscopy W/Rmvl Foreign Body (46608) $896 $1,194 1.0×
Ant Vesicourethropexy/Urethropexy Smpl (51840)
likely a partial charge, not the full procedure
$1,460 $1,947 0.3×
Anterior colporraphy rpr cystocele w/cysto (57240) $5,939 $7,918 1.2×
Appendectomy (44950) $4,319 $5,758 0.7×
Application cast elbow finger short arm (29075) $503 $670 1.8×
Application Finger Splint Dynamic (29131) $126 $168 2.1×
Application finger splint static (29130)
range across 3 matching MRF lines
$122–$178 $162–$237 varies
Application long arm splint shoulder hand (29105) $213 $284 1.3×
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$213–$232 $284–$309 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$213–$232 $284–$309 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines
$213–$232 $284–$309 varies
Apply Short Leg Cast (29405) $425 $567 1.5×
Arterial puncture (36600) $258 $344 1.9×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $10,956 $14,608 1.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$218–$475 $291–$633 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$380–$412 $506–$549 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$218–$551 $291–$734 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $223 $297 0.7×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure
$2 $3 0.0×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$483–$501 $644–$668 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$465–$1,092 $620–$1,456 varies
Avulsion nail plate partial/complete simple 1 (11730) $345 $460 1.7×
Axillary lymphadenectomy; complete (38745) $8,260 $11,013 1.4×
Biopsy external ear (69100) $548 $730 2.3×
Biopsy of breast; open, incisional (19101)
range across 3 matching MRF lines
$2,762–$4,191 $3,682–$5,588 varies
Biopsy of lip (40490) $587 $783 2.5×
Biopsy of liver, needle; percutaneous (47000) $1,670 $2,226 1.0×
Biopsy of rectum (45100) $2,878 $3,837 1.0×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $4,561 $6,081 1.2×
Biopsy soft tissue back/flank deep (21925) $3,279 $4,372 2.0×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,486 $1,981 0.9×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,486 $1,981 0.9×
Biopsy Tongue Anterior Two-Thirds (41100) $1,175 $1,567 2.2×
Biopsy Vaginal Mucosa Simple (57100) $1,121 $1,494 1.2×
Biopsy, vestibule of mouth (40808) $587 $783 1.1×
Biopsy/removal lymph nodes (38510) $4,743 $6,324 1.2×
Bladder Irrigation (51700)
range across 5 matching MRF lines
$20–$529 $26–$705 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines
$457–$521 $609–$695 varies
Blood Transfusion Service (36430) $639 $852 1.4×
Bone Marrow Biopsy (38221) $1,486 $1,981 0.9×
Bone Marrow; Aspiration Only (38220) $1,486 $1,981 0.9×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,679 $3,572 0.9×
Bx breast needle core w/o imaging guidance spx (19100) $1,205 $1,606 0.7×
Bx Cervix (57500) $1,166 $1,554 1.3×
Bx/exc lymph node open deep axillary node (38525) $4,561 $6,081 1.2×
Bx/exc lymph node open superficial (38500) $4,561 $6,081 1.2×
Canthotomy Separate Procedure (67715) $1,698 $2,264 0.7×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,564 $4,752 1.1×
Carpal Tunnel Surgery (64721) $3,026 $4,034 1.5×
Catheter aspiration nasotracheal spx (31720) $290 $386 1.3×
Change Cystostomy Tube Simple (51705) $475 $633 1.9×
Chemodenerv Musc Migraine (64615) $225 $300 0.7×
Chemodenervation of internal anal sphincter (46505) $2,204 $2,939 1.8×
Chest tube placement (32551)
range across 3 matching MRF lines
$1,092–$1,223 $1,456–$1,631 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,704 $3,605 1.3×
Circumcision 28 days or older (54161)
range across 2 matching MRF lines
$3,718–$3,818 $4,957–$5,091 varies
Circumcision Neonate (54160) $3,818 $5,091 5.5×
Circumcision w/clamp/oth dev w/block (54150) $3,818 $5,091 1.8×
Clear outer ear canal (69200) $112 $149 0.8×
Closed Rx Spontaneous Hip Disloc (27256) $464 $619 1.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $563 $750 2.3×
Closed tx ankle dislocation w/o anesthesia (27840) $302 $402 1.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines
$1,208–$1,282 $1,610–$1,709 varies
Closed tx knee dislocation w/o anesthesia (27550) $481 $641 1.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,505 $2,006 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,115 $1,487 0.7×
Closed tx patellar dislocation w/o anesthesia (27560) $244 $325 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,152 $1,536 0.7×
Closed tx radial head/neck fx w/o manipulation (24650) $464 $619 1.9×
Closed tx radial shaft fracture w/manipulation (25505) $1,244 $1,659 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines
$1,152–$1,208 $1,536–$1,610 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $233 $311 0.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $564 $752 1.0×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $5,939 $7,918 1.8×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $390 $520 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,347 $3,129 1.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$390–$522 $520–$696 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,067 $1,423 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $167 $222 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$1,152–$1,256 $1,536–$1,675 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2 $3 0.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $484 $645 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $485 $647 2.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,298 $1,730 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $506 $675 2.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $301 $401 1.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $401 $535 1.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $302 $402 1.2×
Cltx metacarpal fx w/manipulation each bone (26605) $506 $675 2.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $416 $554 1.7×
Cltx post hip arthrp dislc req anes (27266) $1,152 $1,536 0.7×
Cltx post hip arthrp dislc w/o anes (27265) $484 $645 2.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$390–$406 $520–$541 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,233 $1,644 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,152 $1,536 0.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,155 $2,873 1.3×
Cltx tibial fx proximal w/o manipulation (27530) $2,155 $2,873 8.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,208 $1,610 0.7×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$7–$15 $9–$20 varies
Colonoscopy Flexible With Decompression (45393) $1,420 $1,893 1.2×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,317 $1,756 1.1×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines
$1,420–$1,556 $1,893–$2,074 varies
Colonoscopy w/submucosal inj (45381) $1,618 $2,157 1.3×
Colporrhaphy (57200) $2,271 $3,028 0.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines
$527–$561 $702–$748 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines
$426–$561 $568–$748 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $830 $1,107 2.7×
Colposcopy cervix vag eltrd conization cervix (57461) $3,273 $4,364 1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,273 $4,364 1.0×
Colposcopy entire vagina w/cervix if present (57420) $235 $313 0.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $830 $1,107 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,556 $2,074 1.3×
Combined anteroposterior colporrhaphy; (57260) $7,152 $9,536 1.4×
Complex drainage wound (10180) $3,240 $4,320 1.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,845 $5,127 1.2×
Conization of cervix (57520) $5,676 $7,568 1.7×
Control Nasal Hemorrhage Anterior Complex (30903) $262 $349 2.0×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$176–$191 $234–$255 varies
Correction hammertoe (28285) $3,564 $4,752 1.1×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,525 $7,366 1.7×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $5,525 $7,366 0.8×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $5,525 $7,366 1.7×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $5,525 $7,366 0.8×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $161 $215 2.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$233–$245 $311–$327 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $7,121 $9,494 2.1×
Curettage postpartum (59160) $3,273 $4,364 1.0×
Curette/treat cornea (65435) $1,385 $1,847 1.4×
Cystolithotomy (51050) $4,295 $5,727 0.8×
Cystostomy Cystotomy W/Drainage (51040) $4,295 $5,727 2.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $467 $622 1.1×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $680 $907 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $626 $835 0.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,648 $2,197 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$626–$693 $835–$924 varies
Declot vascular device (36593) $351 $468 1.1×
Decompression of tibia nerve (28035) $3,026 $4,034 1.5×
Decompressive fasciotomy hand (26037) $2,546 $3,395 0.8×
Delivery of placenta (59414) $2,271 $3,028 0.7×
Destroy cerv/thor facet jnt (64633) $1,502 $2,002 0.8×
Destroy lumb/sac facet jnt (64635) $1,574 $2,098 0.8×
Destruct B9 Lesion 1-14 (17110) $188 $251 0.9×
Destruction Benign Lesions 15/> (17111) $332 $442 1.6×
Destruction by neurolytic agent, intercostal nerve (64620) $685 $913 0.8×
Destruction Internal Hemorrhoid Thermal Energy (46930) $989 $1,318 0.8×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $463 $617 2.3×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $463 $617 2.3×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $206 $275 1.0×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $332 $442 1.6×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $332 $442 1.6×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $618 $824 1.5×
Destruction neurolytic agt genicular nerve w/img (64624) $1,473 $1,964 0.8×
Destruction premalignant lesion 1st (17000) $188 $251 0.9×
Diagnostic sigmoidoscopy (45330) $1,070 $1,426 1.1×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $3,845 $5,126 3.2×
Dilat rct strix spx under anes oth/thn local (45910) $3,845 $5,126 3.2×
Dilation & curettage dx&/ther nonobstetric (58120) $3,273 $4,364 1.0×
Drain Cerebro Spinal Fluid (62272) $670 $893 0.9×
Drain Hand Tendon Sheath (26020) $2,667 $3,556 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $531 $708 0.7×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$291–$303 $388–$404 varies
Drainage of gum lesion (41800) $225 $300 1.7×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$2,744–$2,817 $3,658–$3,756 varies
Drainage of nose lesion (30000) $188 $250 0.8×
Drainage of rectal abscess (45020) $2,064 $2,752 0.7×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines
$1,205–$1,901 $1,606–$2,534 varies
Drainage of scrotum (54700) $1,901 $2,534 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $509 $679 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $344 $459 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $332 $442 1.6×
Dstrj Lesion Anus Extensive (46924) $3,413 $4,551 1.2×
Dstrj Lesion Anus Simple Chemical (46900) $618 $824 1.5×
Dstrj lesion anus simple surg excision (46922) $3,413 $4,551 1.2×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,310 $3,080 1.1×
Dstrj Lesion Penis Simple Chemical (54050) $329 $438 0.8×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,315 $3,086 1.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $685 $913 0.8×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $62 $82 0.1×
Dx Laryngoscopy Excl Nb (31525) $2,737 $3,649 1.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $518 $690 0.7×
Egd Flexible Foreign Body Removal (43247) $1,529 $2,039 1.7×
Egd lesion ablation (43270) $2,085 $2,780 1.1×
Egd place gastrostomy tube (43246) $2,279 $3,039 1.2×
Egd remove lesion snare (43251) $2,085 $2,780 1.1×
Endocervical curettage (57505) $1,121 $1,494 1.2×
Endometrial Biopsy (58100) $426 $568 2.1×
Enterorrhaphy single perforation (44602) $2,991 $3,988 0.8×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $2,774 $3,699 1.4×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,448 $3,264 1.3×
Epidural Blood Patch (62273)
range across 2 matching MRF lines
$1,024–$1,508 $1,365–$2,010 varies
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,403 $1,870 0.7×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,162 $1,549 0.6×
Evacuation of subungual hematoma (11740) $118 $157 0.9×
Exc arm/elbow les sc < 3 cm (24075) $2,679 $3,572 1.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $757 $1,009 1.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,679 $3,572 1.6×
Exc Back Les Sc < 3 Cm (21930) $3,146 $4,195 1.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,486 $1,981 2.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,486 $1,981 2.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $757 $1,009 1.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $757 $1,009 1.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines
$1,313–$1,486 $1,751–$1,981 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,486 $1,981 0.9×
Exc Forearm Les Sc 3 Cm/> (25071) $2,786 $3,715 1.7×
Exc Frenum Labial/Buccal (40819) $2,277 $3,036 1.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,486 $1,981 0.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines
$1,313–$1,486 $1,751–$1,981 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines
$1,313–$1,486 $1,751–$1,981 varies
Exc hydrocele sprmatic cord uni spx (55500) $4,895 $6,526 1.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $3,564 $4,752 2.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,152 $1,536 0.7×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $2,687 $3,583 0.8×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $4,049 $5,399 1.2×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,737 $4,983 1.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$1,313–$1,486 $1,751–$1,981 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,679 $3,572 1.6×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines
$3,737–$3,887 $4,983–$5,183 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,679 $3,572 1.6×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,486 $1,981 0.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,679 $3,572 1.6×
Exc thigh/knee les sc 3 cm/> (27337) $3,279 $4,372 1.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,615 $3,487 2.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $757 $1,009 1.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $757 $1,009 1.1×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,679 $3,572 1.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,737 $4,983 1.3×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,624 $3,498 1.6×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $3,279 $4,372 1.1×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,624 $3,498 0.9×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,507 $3,343 1.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,786 $3,715 1.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,624 $3,498 1.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,279 $4,372 1.1×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
range across 2 matching MRF lines
$4–$6 $5–$8 varies
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $3,564 $4,752 1.1×
Excis Mouth Mucosa/Sub,No Repair (40810) $2,829 $3,772 0.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,648 $2,197 2.3×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,411 $3,215 0.8×
Excision H/P/P/U Simple/Intermediate Repair (11470) $3,279 $4,372 1.1×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $3,279 $4,372 1.1×
Excision Lesion Conjunctiva </1 Cm (68110) $2,546 $3,395 1.1×
Excision lesion mouth roof (42104) $2,659 $3,545 0.8×
Excision Lingual Frenum Frenectomy (41115) $1,175 $1,567 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,648 $2,197 2.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $841 $1,121 1.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $841 $1,121 2.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,486 $1,981 2.1×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,486 $1,981 2.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,615 $3,486 1.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,737 $4,983 1.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,486 $1,981 0.9×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,486 $1,981 2.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,486 $1,981 2.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,205 $1,606 0.7×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines
$3,500–$3,688 $4,666–$4,917 varies
Excision of gum lesion (41828) $4,049 $5,399 2.6×
Excision of hydrocele; unilateral (55040) $5,465 $7,287 1.5×
Excision of pilonidal cyst or sinus; simple (11770) $3,737 $4,983 1.3×
Excision of single external papilla or tag, anus (46220) $2,878 $3,837 2.4×
Excision of tonsil tags (42860) $4,889 $6,518 1.5×
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115)
likely a partial charge, not the full procedure
$17 $23 0.0×
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,103 $5,471 1.4×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $8,070 $10,760 1.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,573 $3,431 1.6×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,802 $3,736 1.7×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $3,737 $4,983 1.3×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,737 $4,983 1.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,205 $1,606 0.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,679 $3,572 1.6×
Expl penetrating wound spx abdomen/flank/back (20102) $2,530 $3,373 1.2×
Expl po hemrrg thrombosis/infctj xtr (35860) $2,393 $3,190 0.8×
Exploration penetrating wound spx chest (20101) $2,530 $3,373 1.2×
Exploration penetrating wound spx extremity (20103) $1,213 $1,617 0.7×
External cephalic version (59412) $3,345 $4,460 1.0×
Eye Surg Ant Sgmt Proc Unlisted (66999) $1,735 $2,313 0.7×
Fasciotomy palmar open partial (26045) $3,275 $4,366 1.0×
Fasciotomy palmar percutaneous (26040) $2,763 $3,684 1.7×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $4,971 $6,628 1.5×
Fetal Contraction Stress Test (59020) $576 $768 2.8×
Fetal non-stress test (59025) $291 $388 1.4×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines
$293–$707 $390–$942 varies
Foreskin manipulation (54450) $523 $697 2.1×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $3,086 $4,114 1.5×
Gastrocnemius recession (27687) $5,796 $7,728 1.8×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $1,647 $2,196 0.4×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $4,202 $5,602 2.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $4,116 $5,488 1.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $4,116 $5,488 1.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $4,116 $5,488 1.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,502 $2,002 1.6×
I&d abscess peritonsillar (42700) $817 $1,089 3.4×
I&d abscess simple (10060)
range across 3 matching MRF lines
$413–$450 $550–$600 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,075 $2,767 0.7×
I&D Intramural Im/Absc Transanal Anes (46045) $4,116 $5,488 1.5×
I&d perianal abscess superficial (46050) $989 $1,318 1.1×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$521–$531 $695–$708 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $2,781 $3,708 1.0×
Image Cath Fluid Peri/Retro (49406) $1,205 $1,606 0.7×
Image Cath Fluid Trns/Vgnl (49407) $1,205 $1,606 0.7×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines
$376–$517 $501–$689 varies
Incise finger tendon sheath (26055) $2,814 $3,752 1.7×
Incise/Drain Conjunctiva (68020) $7 $9 0.0×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines
$413–$1,276 $550–$1,701 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $2,075 $2,767 0.7×
Incision & removal foreign body subq tiss simple (10120) $618 $824 1.5×
Incision and drainage of bartholin's gland abscess (56420) $321 $428 1.6×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines
$426–$439 $568–$585 varies
Incision of eardrum (69420) $458 $611 1.9×
Incision of lingual frenum (frenotomy) (41010)
range across 2 matching MRF lines
$1,115–$1,163 $1,487–$1,550 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines
$890–$3,781 $1,186–$5,041 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $3,240 $4,320 2.0×
Induced abortion dilation and curettage (59840) $3,273 $4,364 1.0×
Induced abortion, by dilation and evacuation (59841) $3,273 $4,364 1.0×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines
$167–$177 $223–$236 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$685–$1,508 $913–$2,010 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $685 $913 0.8×
Injection aa&/strd axillary nerve w/img gdn (64417) $685 $913 0.8×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $685 $913 0.8×
Injection aa&/strd genicular nrv branches w/img (64454) $523 $697 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $685 $913 0.8×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $685 $913 0.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $523 $697 0.7×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $518 $690 0.7×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $685 $913 0.8×
Injection Anes Agent Sphenopalatine Ganglion (64505) $315 $420 1.0×
Injection single tendon origin/insertion (20551) $218 $291 0.7×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
$218–$496 $291–$661 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$223–$234 $297–$312 varies
Injection, anesthetic agent; brachial plexus, single (64415) $685 $913 0.8×
Injection, anesthetic agent; femoral nerve, single (64447) $518 $690 0.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $564 $752 0.8×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines
$306–$704 $408–$938 varies
Insert cath pleura w/ image (32557) $1,223 $1,631 0.8×
Insert cath pleura w/o image (32556) $1,431 $1,908 0.7×
Insert cervical dilator (59200)
range across 2 matching MRF lines
$609–$620 $812–$827 varies
Insert non-tunnel cv cath (36556) $2,609 $3,478 0.8×
Insert Temp Bladder Cath (51702) $221 $295 1.7×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines
$2,846–$4,019 $3,795–$5,359 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$160–$245 $213–$327 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,289 $1,719 0.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,932 $5,243 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$1,195–$1,912 $1,593–$2,549 varies
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $5,013 $6,684 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,393 $3,190 0.8×
Intubation endotracheal emergency procedure (31500)
range across 6 matching MRF lines
$233–$380 $311–$506 varies
Island pedicle flap graft (15740)
range across 2 matching MRF lines
$9–$15 $12–$20 varies
Lap paraesophag hern repair (43281) $9,848 $13,130 0.9×
Laparoscopy aspiration (49322) $6,143 $8,190 1.0×
Laparoscopy Enterolysis Separate Procedure (44180) $8,501 $11,334 1.4×
Laparoscopy fulguration oviducts (58670) $7,846 $10,461 1.3×
Laparoscopy gastrostomy (43653) $7,001 $9,334 1.2×
Laparoscopy w/rmvl adnexal structures (58661) $8,552 $11,403 1.4×
Laparoscopy, surgical, appendectomy (44970) $8,552 $11,403 1.4×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $11,523 $15,364 1.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $8,948 $11,931 1.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $6,143 $8,190 1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $6,143 $8,190 1.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $7,846 $10,461 1.3×
Late closure of wound (13160) $3,398 $4,530 1.0×
Lavage cannulation sphenoid sinus (31002) $5 $6 0.0×
Ligation or biopsy temporal artery (37609) $3,017 $4,023 1.8×
Lysis of labial adhesions (56441) $3,273 $4,364 1.0×
Lysis/excision penile postcircumcision adhesions (54162) $3,818 $5,091 1.8×
Manipulation spine requiring anesthesia (22505) $6 $8 0.0×
Marsupialization of bartholin's gland cyst (56440) $3,273 $4,364 1.0×
Mast mod rad (19307) $7,281 $9,708 1.1×
Mastectomy partial (19301) $3,896 $5,195 1.0×
N Block Inj Ilio-Ing/Hypogi (64425) $518 $690 0.7×
N block inj intercost sng (64420) $518 $690 0.7×
N Block Inj Paracervical (64435) $371 $495 0.5×
N Block Inj Plantar Digit (64455) $380 $506 1.2×
N Block Inj Pudendal (64430) $685 $913 0.8×
Nasal surgery procedure (30999) $398 $531 1.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $4,751 $6,335 2.9×
Needle Biopsy Lymph Nodes (38505) $1,580 $2,106 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $22 $29 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $589 $785 1.9×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,663 $3,550 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$685–$1,643 $913–$2,191 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $518 $690 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $564 $752 0.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,403 $1,870 1.6×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$218–$225 $291–$300 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure
$1,466 $1,954 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814) $8,469 $11,292 1.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $8,469 $11,292 1.2×
Open Tx Distal Phalangeal Fracture Each (26765) $4,295 $5,727 1.3×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure
$2 $3 0.0×
Orchiectomy partial (54522) $3,818 $5,091 1.1×
Orchiectomy radical tumor inguinal approach (54530) $4,571 $6,095 1.3×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure
$46 $61 0.0×
Osteotomy calcaneus w/wo internal fixation (28300) $10,956 $14,608 1.5×
Ovarian cystectomy, unilateral or bilateral (58925) $5,939 $7,918 1.2×
Partial removal of tongue (41120) $8,021 $10,694 1.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $8,260 $11,013 1.4×
Partical Excision Bone Phalanx Toe (28124) $3,564 $4,752 1.1×
Pelvic examination under anesthesia (other than local) (57410) $3,273 $4,364 1.0×
Peritoneal Lavage (49084) $663 $884 0.7×
Placement of needle for intraosseous infusion (36680) $593 $790 1.3×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $5,939 $7,918 1.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $1,745 $2,326 1.5×
Punch biopsy skin single lesion (11104) $302 $402 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines
$321–$416 $428–$554 varies
Radical Resection Tumor Metatarsal (28173) $44 $58 0.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,345 $1,793 0.7×
Removal Embedded Foreign Body Eyelid (67938) $671 $895 2.1×
Removal Foreign Body Deep Thigh/Knee (27372) $5,333 $7,110 1.8×
Removal Foreign Body Foot Complicated (28193) $5,105 $6,807 3.1×
Removal Foreign Body Foot Subcutaneous (28190) $710 $947 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,442 $1,923 0.9×
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,659 $3,545 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $102 $136 1.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $112 $149 1.9×
Removal impacted vag fb spx w/anes oth/thn local (57415) $524 $698 0.2×
Removal Implant Deep (20680) $3,737 $4,983 1.3×
Removal implantable contraceptive capsules (11976) $757 $1,009 1.1×
Removal of adenoids (42835) $4,049 $5,399 1.2×
Removal of adenoids (42830) $7,378 $9,837 2.2×
Removal of anal fissure (46200) $4,116 $5,488 1.5×
Removal of mammary implant material (19330) $1,743 $2,324 0.4×
Removal of nail bed (11750) $757 $1,009 1.9×
Removal of sperm cord lesion (55520) $3,818 $5,091 1.1×
Removal of testis (54520) $4,895 $6,526 1.4×
Removal of tonsils (42825) $8,042 $10,722 1.4×
Removal of tonsils (42826) $4,414 $5,885 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $188 $251 0.9×
Remove Forearm Foreign Body (25248) $3,500 $4,666 2.2×
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$167–$182 $222–$242 varies
Remove Intrauterine Device (58301) $443 $591 1.4×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$221–$236 $295–$315 varies
Remove Peritoneal Foreign Body (49402) $4,319 $5,758 1.2×
Remove Tendon Sheath Lesion (26160) $2,708 $3,611 1.7×
Remove thyroid lesion (60200) $8,260 $11,013 1.4×
Repair bladder neck (51845) $7,663 $10,217 1.5×
Repair blood vessel direct neck (35201) $6,405 $8,540 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,019 $1,359 1.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $467 $622 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $300 $400 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines
$885–$965 $1,180–$1,286 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $921 $1,228 2.3×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines
$467–$773 $622–$1,031 varies
Repair extensor tendon finger w/o graft each (26418) $2,546 $3,395 1.6×
Repair inguinal hernia, sliding, any age (49525) $5,465 $7,287 1.5×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553)
range across 2 matching MRF lines
$2,845–$6,550 $3,793–$8,733 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $5,684 $7,579 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$566–$605 $754–$807 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $566 $754 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $395 $527 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines
$302–$699 $402–$932 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $708 $944 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines
$321–$448 $428–$597 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$566–$605 $754–$807 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $467 $622 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$921–$1,004 $1,228–$1,339 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $395 $526 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $617 $822 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $921 $1,228 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$495–$539 $660–$719 varies
Repair of hydrocele (55060) $3,905 $5,206 1.1×
Repair of nail bed (11760) $467 $622 0.6×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $5,465 $7,287 0.8×
Repair tongue laceration (41252) $1,175 $1,567 4.9×
Repair tongue laceration (41250) $303 $404 0.7×
Repair webbed toe(s) (28345) $3,564 $4,752 2.2×
Repair, primary, disrupted ligament, ankle; collateral (27695) $5,796 $7,728 0.8×
Reposition Venous Catheter (36597) $1,912 $2,549 1.2×
Rerepair ing hernia reduce (49520) $5,465 $7,287 1.5×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $3,564 $4,752 1.1×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $2,045 $2,727 0.6×
Revision of lower leg tendon (27685) $5,796 $7,728 1.8×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $663 $884 0.7×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $3,737 $4,983 2.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$303–$316 $404–$421 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $102 $136 0.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $303 $404 0.7×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,205 $1,606 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,769 $2,358 1.1×
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines
$117–$683 $156–$910 varies
Rplc gtube revj gstrst trc (43763) $683 $910 2.7×
Rplcmt cath ctr vad subq port/pmp (36578) $4,019 $5,359 1.3×
Rplcmt compl tun ctr vad w/subq port (36582) $2,393 $3,190 0.8×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure
$1,823 $2,430 0.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,663 $3,550 0.7×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure
$2,501 $3,334 0.4×
Rpr aa hrn 1st 3-10 rdc (49593) $4,708 $6,277 0.7×
Rpr aa hrn 1st < 3 ncr/strn (49592) $4,402 $5,869 0.7×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,212 $2,949 1.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$193–$263 $257–$350 varies
Rpr Lip Full Thickness Vermilion Only (40650) $1,454 $1,939 2.7×
Scrotal exploration (55110) $3,818 $5,091 1.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,244 $1,659 1.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,610 $2,147 1.3×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346)
range across 2 matching MRF lines
$885–$1,487 $1,180–$1,983 varies
Sigmoidoscopy w/fb removal (45332) $1,754 $2,338 1.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,021 $1,361 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $707 $942 1.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$193–$210 $257–$280 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $193 $257 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $193 $257 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$268–$292 $357–$389 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines
$193–$383 $257–$511 varies
Skin Full Grft Face/Genit/Hf (15240) $2,530 $3,373 1.2×
Skin Tissue Procedure (17999) $145 $193 0.7×
Slitting of prepuce (54001) $2 $3 0.0×
Slitting of prepuce (54000) $27 $36 0.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$268–$383 $357–$511 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $300 $400 0.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $479 $639 1.2×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$797–$869 $1,062–$1,158 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $5,086 $6,781 2.5×
Strapping ankle (29540) $117 $156 0.7×
Strapping knee (29530) $174 $232 1.3×
Strapping shoulder (29240) $178 $237 1.3×
Strapping Unna Boot (29580) $305 $406 1.9×
Surg tx anal fistula subq (46270) $4,116 $5,488 1.5×
Suture digital nerve hand/foot 1 nerve (64831)
range across 2 matching MRF lines
$23–$113 $30–$150 varies
Tendon shortening (26477) $59 $79 0.0×
Thrombolytic Therapy Stroke (37195) $351 $468 1.1×
Thyroidectomy, total or complete (60240) $8,260 $11,013 1.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $4,049 $5,399 1.2×
Tooth extraction (41899) $398 $531 1.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,122 $1,496 4.7×
Treat ectopic pregnancy (59151) $7,846 $10,461 1.3×
Treat humerus fracture (24500) $384 $512 1.5×
Treat Humerus Fracture (24505) $1,278 $1,704 0.8×
Treat Knuckle Dislocation (26700) $390 $520 1.6×
Treat toe dislocation (28630) $506 $675 2.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,338 $3,117 1.4×
Treatment closed elbow dislocation w/o anes (24600) $506 $675 2.0×
Tubal ligation (58600) $2,387 $3,183 0.7×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines
$225–$396 $300–$528 varies
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines
$3,273–$3,502 $4,364–$4,669 varies
Tx Missed Abortion First Trimester Surgical (59820) $3,404 $4,538 1.0×
Tx Missed Abortion Second Trimester Surgical (59821) $5,903 $7,870 1.8×
Tx superficial wound dehiscence w/packing (12021) $300 $400 0.7×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $3,498 $4,664 2.2×
Tympanostomy general anesthesia (69436) $2,659 $3,545 1.7×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $2,845 $3,793 0.8×
Unlisted laparoscopic procedure liver (47379) $5,802 $7,736 1.0×
Unlisted laparoscopy procedure oviduct ovary (58679) $5,421 $7,228 0.9×
Unlisted laparoscopy procedure stomach (43659) $7,001 $9,334 1.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $6,595 $8,793 1.1×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $4,564 $6,085 0.8×
Unlisted procedure anus (46999) $668 $890 0.7×
Unlisted Procedure Biliary Tract (47999) $1,673 $2,230 1.8×
Unlisted Procedure Casting/Strapping (29799) $287 $383 1.8×
Unlisted Procedure External Ear (69399) $398 $531 1.7×
Unlisted procedure foot or toes (28899) $301 $401 1.2×
Unlisted Procedure Leg/Ankle (27899) $484 $645 2.0×
Unlisted procedure liver (47399) $521 $695 0.7×
Unlisted Procedure Male Genital System (55899)
range across 2 matching MRF lines
$203–$486 $271–$648 varies
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines
$167–$3,815 $222–$5,086 varies
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines
$197–$589 $263–$785 varies
Unlisted Procedure Rectum (45999) $795 $1,060 0.9×
Unlisted Procedure Vascular Surgery (37799) $1,539 $2,052 2.4×
Unlisted px female genital system nonobstetrical (58999) $236 $314 1.2×
Urethrlys Transvag W/ Scope (53500) $5 $6 0.0×
Uvulectomy excision of uvula (42140) $2,740 $3,653 0.8×
Vaginal Delivery After Cesarean Delivery (59612) $6,818 $9,090 2.1×
Vaginal delivery only (59409) $6,636 $8,848 2.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,818 $5,091 1.8×
Wedge excision skin nail fold (11765) $530 $706 1.3×
Wound Prep Trk/Arm/Leg (15002)
range across 3 matching MRF lines
$1,386–$3,905 $1,848–$5,206 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.