Procedures & surgery prices at Pelham Medical Center
Greer, SC · every code in this section with a posted price and a Medicare benchmark.
624 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) | $1,359.60 | $2,266 | 1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $805.80 | $1,343 | 0.9× |
| Acne surgery (10040) range across 2 matching MRF lines |
$102.60–$211.80 | $171–$353 | varies |
| Anal/Urinary Muscle Study (51784) | $139.20 | $232 | 1.1× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$105–$190.20 | $175–$317 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $3,377.40 | $5,629 | 3.8× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $1,658.40 | $2,764 | 1.5× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $2,975.40 | $4,959 | 1.1× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$105–$226.20 | $175–$377 | varies |
| Application long arm splint shoulder hand (29105) | $301.20 | $502 | 1.9× |
| Application Long Leg Splint (29505) | $276 | $460 | 1.8× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$72–$250.20 | $120–$417 | varies |
| Application short leg splint calf foot (29515) | $274.80 | $458 | 1.8× |
| Apply Multlay Comprs Lwr Leg (29581) | $303 | $505 | 2.0× |
| Apply Short Leg Cast (29405) | $226.80 | $378 | 0.9× |
| Arterial puncture (36600) | $122.40 | $204 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$436.20–$871.80 | $727–$1,453 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$79.20–$1,968.60 | $132–$3,281 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$498–$824.40 | $830–$1,374 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$498–$891 | $830–$1,485 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$307.20–$495 | $512–$825 | varies |
| Aspirate pleura w/ imaging (32555) | $1,849.20 | $3,082 | 3.1× |
| Aspirate Pleura W/O Imaging (32554) | $2,553 | $4,255 | 4.3× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$163.20–$202.80 | $272–$338 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $3,507.60 | $5,846 | 1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$151.20–$323.40 | $252–$539 | varies |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) unusually low: confirm this is the full procedure |
$2,133 | $3,555 | 0.3× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) unusually low: confirm this is the full procedure |
$3,289.20 | $5,482 | 0.3× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) likely a partial charge, not the full procedure |
$2,863.20 | $4,772 | 0.3× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) unusually low: confirm this is the full procedure |
$2,863.20 | $4,772 | 0.5× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,515.80 | $4,193 | 0.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $3,087.60 | $5,146 | 2.0× |
| Biopsy muscle percutaneous needle (20206) | $1,499.40 | $2,499 | 1.0× |
| Biopsy of liver, needle; percutaneous (47000) | $2,926.20 | $4,877 | 1.9× |
| Biopsy of penis (54100) | $5,197.80 | $8,663 | 3.3× |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$291.60–$353.40 | $486–$589 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$238.80–$308.40 | $398–$514 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $205.20 | $342 | 0.3× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$179.40–$528.60 | $299–$881 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$41.40–$104.40 | $69–$174 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $393.60 | $656 | 1.3× |
| Blood Transfusion Service (36430) | $1,335 | $2,225 | 3.2× |
| Bone Marrow Biopsy (38221) | $505.80 | $843 | 0.3× |
| Brnchsc Brushing/Protected Brushings (31623) | $2,107.20 | $3,512 | 1.2× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $4,444.80 | $7,408 | 1.3× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $4,915.80 | $8,193 | 1.4× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) | $3,666.60 | $6,111 | 0.5× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) | $2,889.60 | $4,816 | 0.8× |
| Bronchoscopy Bronch Stents (31636) unusually low: confirm this is the full procedure |
$3,192 | $5,320 | 0.5× |
| Bronchoscopy Clear Airways (31645) | $2,322 | $3,870 | 1.4× |
| Bronchoscopy Dilate W/Stent (31631) unusually low: confirm this is the full procedure |
$3,308.40 | $5,514 | 0.5× |
| Bronchoscopy Reclear Airway (31646) | $2,013 | $3,355 | 5.4× |
| Bronchoscopy W/Biopsy(S) (31625) | $2,451 | $4,085 | 1.4× |
| Bronchoscopy W/Excision Tumor (31640) | $3,672 | $6,120 | 1.0× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) unusually low: confirm this is the full procedure |
$2,963.40 | $4,939 | 0.4× |
| Bronchoscopy W/Removal Foreign Body (31635) | $2,704.80 | $4,508 | 1.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $2,725.20 | $4,542 | 0.8× |
| Bronchoscopy/Needle Bx Each (31629) | $2,934 | $4,890 | 0.8× |
| Bx breast 1st lesion strtctc (19081) | $3,204 | $5,340 | 2.0× |
| Bx breast 1st lesion us imag (19083) | $2,565 | $4,275 | 1.6× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$291.60–$361.20 | $486–$602 | varies |
| Catheter aspiration nasotracheal spx (31720) | $153 | $255 | 0.7× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) range across 2 matching MRF lines |
$221.40–$507.60 | $369–$846 | varies |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$211.20–$1,182.60 | $352–$1,971 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$133.80–$318.60 | $223–$531 | varies |
| Change of Windpipe Airway (31502) | $400.80 | $668 | 1.8× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$123–$162.60 | $205–$271 | varies |
| Chemical Pleurodesis (32560) | $1,825.80 | $3,043 | 3.1× |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,632.60 | $2,721 | 2.4× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,651.20 | $2,752 | 2.5× |
| Chemodenerv Musc Migraine (64615) | $741.60 | $1,236 | 2.5× |
| Chemodenerv musc neck dyston (64616) | $840.60 | $1,401 | 2.9× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $806.40 | $1,344 | 2.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $806.40 | $1,344 | 2.8× |
| Chest tube placement (32551) | $988.20 | $1,647 | 0.7× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,436.40 | $2,394 | 0.9× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$146.40–$478.20 | $244–$797 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $571.80 | $953 | 2.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $761.40 | $1,269 | 3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,021.80 | $1,703 | 4.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $822 | $1,370 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $705 | $1,175 | 3.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $702.60 | $1,171 | 3.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,983 | $3,305 | 1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) | $450 | $750 | 1.9× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $5,788.80 | $9,648 | 3.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $536.40 | $894 | 2.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $5,788.80 | $9,648 | 3.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $685.20 | $1,142 | 2.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $790.80 | $1,318 | 3.4× |
| Closed tx radial head/neck fx w/manipulation (24655) | $5,038.20 | $8,397 | 3.3× |
| Closed tx radial shaft fracture w/manipulation (25505) | $806.40 | $1,344 | 0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $240 | $400 | 1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $936 | $1,560 | 0.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $4,879.20 | $8,132 | 3.2× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $464.40 | $774 | 2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $848.40 | $1,414 | 3.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,292.40 | $2,154 | 0.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $807.60 | $1,346 | 3.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$114–$507.60 | $190–$846 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,847 | $4,745 | 1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $664.80 | $1,108 | 2.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $4,879.20 | $8,132 | 3.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $373.20 | $622 | 1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $370.80 | $618 | 1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$275.40–$928.20 | $459–$1,547 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $538.80 | $898 | 2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $294.60 | $491 | 1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,218–$1,560 | $2,030–$2,600 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $766.80 | $1,278 | 3.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $4,982.40 | $8,304 | 3.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $405.60 | $676 | 1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$197.40–$343.20 | $329–$572 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
$139.80–$394.80 | $233–$658 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$262.20–$286.80 | $437–$478 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $7,890.60 | $13,151 | 5.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $5,898 | $9,830 | 3.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $286.20 | $477 | 1.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$85.20–$326.40 | $142–$544 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $250.20 | $417 | 1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $945 | $1,575 | 3.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$235.80–$676.20 | $393–$1,127 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,436.40 | $2,394 | 0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $279 | $465 | 1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $588 | $980 | 2.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $324.60 | $541 | 1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $256.80 | $428 | 1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) | $385.20 | $642 | 1.6× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,740 | $2,900 | 1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,926.20 | $4,877 | 1.9× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $877.80 | $1,463 | 3.7× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $393 | $655 | 1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$167.40–$287.40 | $279–$479 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $3,270.60 | $5,451 | 2.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $329.40 | $549 | 1.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $5,142.60 | $8,571 | 3.4× |
| Cltx tibial fx proximal w/o manipulation (27530) | $301.20 | $502 | 1.3× |
| Cltx tibial shaft fx w/o manipulation (27750) | $305.40 | $509 | 1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $906.60 | $1,511 | 0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $571.80 | $953 | 2.4× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$132.60–$277.80 | $221–$463 | varies |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$15–$44.40 | $25–$74 | varies |
| Colonoscopy Flexible With Decompression (45393) | $4,174.20 | $6,957 | 3.7× |
| Colonoscopy Stoma Ablation Lesion (44401) | $3,103.20 | $5,172 | 2.7× |
| Colonoscopy Stoma Control Bleeding (44391) | $2,921.40 | $4,869 | 2.6× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $2,567.40 | $4,279 | 2.3× |
| Colonoscopy stoma w/balloon dilation (44405) | $2,328 | $3,880 | 2.0× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) | $4,059.60 | $6,766 | 3.6× |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) | $3,466.20 | $5,777 | 0.6× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) | $3,081.60 | $5,136 | 2.7× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) | $2,619 | $4,365 | 3.0× |
| Colonoscopy Stoma W/Submucosal Injection (44404) | $2,186.40 | $3,644 | 1.9× |
| Colonoscopy Through Stoma With Decompression (44408) | $2,962.80 | $4,938 | 3.3× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $2,152.20 | $3,587 | 1.9× |
| Colonoscopy thru stoma (44388) | $1,940.40 | $3,234 | 2.2× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $2,986.20 | $4,977 | 2.6× |
| Colonoscopy w/ablation (45388) | $4,174.20 | $6,957 | 3.7× |
| Colonoscopy W/Band Ligation (45398) | $4,174.20 | $6,957 | 3.7× |
| Colonoscopy w/fb removal (45379) | $4,174.20 | $6,957 | 3.7× |
| Colonoscopy w/ndl aspir/bx (44407) | $3,534.60 | $5,891 | 3.1× |
| Colonoscopy W/Resection (45390) | $4,918.80 | $8,198 | 1.9× |
| Colonoscopy w/submucosal inj (45381) | $4,174.20 | $6,957 | 3.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$352.80–$579 | $588–$965 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) range across 2 matching MRF lines |
$325.80–$484.80 | $543–$808 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) range across 3 matching MRF lines |
$255.60–$480.60 | $426–$801 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$335.40–$511.80 | $559–$853 | varies |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $487.80 | $813 | 0.2× |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$554.40–$790.20 | $924–$1,317 | varies |
| Colposcopy of vulva (56820) range across 2 matching MRF lines |
$282.60–$520.80 | $471–$868 | varies |
| Colposcopy Vulva W/Biopsy (56821) range across 2 matching MRF lines |
$706.20–$894 | $1,177–$1,490 | varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$617.40–$973.80 | $1,029–$1,623 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $4,174.20 | $6,957 | 3.7× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $4,174.20 | $6,957 | 3.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $4,174.20 | $6,957 | 3.7× |
| Complex Cystometrogram (51726) | $619.20 | $1,032 | 2.6× |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$219.60–$8,054.40 | $366–$13,424 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$858.60–$1,081.80 | $1,431–$1,803 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $499.20 | $832 | 3.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$355.80–$412.20 | $593–$687 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $1,540.20 | $2,567 | 3.0× |
| Csf shunt reprogram (62252) | $887.40 | $1,479 | 3.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $393 | $655 | 3.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $286.80 | $478 | 0.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $262.80 | $438 | 0.1× |
| Cysto w/complex removal stone & stent (52315) | $457.80 | $763 | 0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) | $333 | $555 | 0.2× |
| Cystometrogram W/Vp (51728) | $603 | $1,005 | 0.9× |
| Cystometrogram W/Vp&Up (51729) | $675 | $1,125 | 1.0× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$171–$2,446.80 | $285–$4,078 | varies |
| Cystourethroscopy with biopsy (52204) | $1,239 | $2,065 | 0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$125.40–$1,713.60 | $209–$2,856 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $8,076 | $13,460 | 2.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$1,084.80–$1,417.20 | $1,808–$2,362 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$70.20–$89.40 | $117–$149 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$99.60–$147.60 | $166–$246 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$2,871–$3,308.40 | $4,785–$5,514 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$671.40–$820.80 | $1,119–$1,368 | varies |
| Destroy cerv/thor facet jnt (64633) | $4,853.40 | $8,089 | 2.6× |
| Destroy lumb/sac facet jnt (64635) | $4,852.80 | $8,088 | 2.6× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$102–$212.40 | $170–$354 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$118.80–$287.40 | $198–$479 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $2,156.40 | $3,594 | 2.6× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $2,385.60 | $3,976 | 2.1× |
| Destruction Lesions Vulva Extensive (56515) range across 2 matching MRF lines |
$307.20–$538.80 | $512–$898 | varies |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$303.60–$406.80 | $506–$678 | varies |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 2 matching MRF lines |
$93–$348 | $155–$580 | varies |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $92.40 | $154 | 0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 2 matching MRF lines |
$222.60–$397.80 | $371–$663 | varies |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) range across 2 matching MRF lines |
$148.20–$422.40 | $247–$704 | varies |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $220.80 | $368 | 1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $2,573.40 | $4,289 | 1.4× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$534.60–$693.60 | $891–$1,156 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$83.40–$157.20 | $139–$262 | varies |
| Destruction Vaginal Lesions Simple (57061) range across 2 matching MRF lines |
$203.40–$318.60 | $339–$531 | varies |
| Diagnostic anoscopy (46601) range across 2 matching MRF lines |
$125.40–$243 | $209–$405 | varies |
| Diagnostic sigmoidoscopy (45330) | $1,812 | $3,020 | 2.0× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $7,319.40 | $12,199 | 6.4× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $177.60 | $296 | 1.4× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $64.80 | $108 | 0.5× |
| Dilat Xst Trc New Access Rcs (50437) | $9,188.40 | $15,314 | 2.7× |
| Dilate Esophagus 1/Mult Pass (43450) | $1,759.20 | $2,932 | 2.0× |
| Dilate Urethra Stricture (53620) | $118.20 | $197 | 0.2× |
| Dilate Urethra Stricture (53600) | $44.40 | $74 | 0.2× |
| Dilation Cervical Canal (57800) | $198.60 | $331 | 0.1× |
| Dilation Esophagus Guide Wire (43453) | $1,934.40 | $3,224 | 1.1× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$77.40–$180.60 | $129–$301 | varies |
| Drainage external auditory canal abscess (69020) | $2,817 | $4,695 | 4.2× |
| Drainage external ear abscess/hematoma cmplx (69005) | $5,988.60 | $9,981 | 3.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $514.80 | $858 | 0.8× |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$624.60–$4,459.20 | $1,041–$7,432 | varies |
| Drainage Mouth Roof Lesion (42000) | $610.20 | $1,017 | 2.7× |
| Drainage of finger abscess simple (26010) | $795.60 | $1,326 | 4.2× |
| Drainage of gum lesion (41800) | $500.40 | $834 | 3.9× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$354–$2,477.40 | $590–$4,129 | varies |
| Drainage of hydrocele (55000) | $85.80 | $143 | 0.1× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$165.60–$1,351.20 | $276–$2,252 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$238.20–$3,237.60 | $397–$5,396 | varies |
| Drainage of skene's gland abscess or cyst (53060) | $207 | $345 | 0.1× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$92.40–$274.80 | $154–$458 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $477.60 | $796 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$766.80–$1,299.60 | $1,278–$2,166 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$766.80–$1,074 | $1,278–$1,790 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$519–$864.60 | $865–$1,441 | varies |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $6,336 | $10,560 | 3.2× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $269.40 | $449 | 1.4× |
| Dstrj lesion penis simple laser (54057) | $115.80 | $193 | 0.1× |
| Dstrj lesion penis simple surg excision (54060) range across 2 matching MRF lines |
$219–$477.60 | $365–$796 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,224.80 | $3,708 | 2.6× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$183.60–$7,328.40 | $306–$12,214 | varies |
| Dx Bronchoscope/Lavage (31624) | $2,122.20 | $3,537 | 1.3× |
| Dx Bronchoscope/Wash (31622) | $2,107.20 | $3,512 | 1.2× |
| Dx Laryngoscopy Excl Nb (31525) | $5,287.80 | $8,813 | 3.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$1,699.80–$2,296.80 | $2,833–$3,828 | varies |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $3,565.80 | $5,943 | 1.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,048 | $5,080 | 1.7× |
| Egd cautery tumor polyp (43250) | $3,358.20 | $5,597 | 1.8× |
| Egd control bleeding any (43255) | $3,983.40 | $6,639 | 2.2× |
| Egd dilation gastric/duodenal stricture (43245) | $3,466.80 | $5,778 | 1.9× |
| Egd endo mucosal resection (43254) | $1,816.20 | $3,027 | 1.0× |
| Egd Endoscopic Stent Place (43266) | $4,331.40 | $7,219 | 0.7× |
| Egd Flexible Foreign Body Removal (43247) | $3,474.60 | $5,791 | 4.0× |
| Egd guide wire insertion (43248) | $3,306 | $5,510 | 3.8× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $4,673.40 | $7,789 | 2.6× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $5,040.60 | $8,401 | 2.8× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $4,421.40 | $7,369 | 2.4× |
| Egd lesion ablation (43270) | $4,550.40 | $7,584 | 2.5× |
| Egd place gastrostomy tube (43246) | $3,977.40 | $6,629 | 2.2× |
| Egd remove lesion snare (43251) | $3,888 | $6,480 | 2.1× |
| Egd Tube/Cath Insertion (43241) | $2,835 | $4,725 | 1.5× |
| Egd us exam duodenum/jejunum (43259) | $4,473.60 | $7,456 | 2.4× |
| Egd us transmural injxn/mark (43253) | $4,150.20 | $6,917 | 2.3× |
| Egd Varices Ligation (43244) | $4,841.40 | $8,069 | 2.6× |
| Egd W/Thrml Txmnt Gerd (43257) | $4,454.40 | $7,424 | 1.2× |
| Egd W/Transmural Drain Cyst (43240) | $7,696.20 | $12,827 | 1.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $798.60 | $1,331 | 2.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $798.60 | $1,331 | 2.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $531.60 | $886 | 1.8× |
| Electro-Uroflowmetry First (51741) | $92.40 | $154 | 0.4× |
| Endocervical curettage (57505) range across 2 matching MRF lines |
$247.80–$331.20 | $413–$552 | varies |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$201–$376.20 | $335–$627 | varies |
| Endoscopic us exam esoph (43237) | $3,874.80 | $6,458 | 2.1× |
| Endoscopy Upper Small Intestine (44360) | $1,210.80 | $2,018 | 0.7× |
| Endoscopy upper small intestine w/biopsy (44361) | $1,331.40 | $2,219 | 0.7× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | $2,152.80 | $3,588 | 1.2× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $1,281 | $2,135 | 0.7× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) | $1,587.60 | $2,646 | 0.9× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) | $2,949 | $4,915 | 1.6× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) unusually low: confirm this is the full procedure |
$2,262 | $3,770 | 0.4× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $4,940.40 | $8,234 | 2.7× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) | $1,593 | $2,655 | 0.9× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) | $1,509 | $2,515 | 0.8× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) | $1,700.40 | $2,834 | 0.9× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $2,943 | $4,905 | 0.5× |
| Ercp duct stent placement (43274) | $3,107.40 | $5,179 | 0.5× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $2,197.20 | $3,662 | 0.6× |
| Ercp ea duct/ampulla dilate (43277) | $2,578.80 | $4,298 | 0.7× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $6,843.60 | $11,406 | 1.9× |
| Ercp remove forgn body duct (43275) | $2,561.40 | $4,269 | 1.4× |
| Ercp Stent Exchange W/Dilate (43276) | $3,232.20 | $5,387 | 0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) | $2,929.80 | $4,883 | 0.8× |
| Ercp W/Biopsy Single/Multiple (43261) | $2,305.20 | $3,842 | 0.6× |
| Ercp w/pressure measurement sphincter of oddi (43263) | $2,434.20 | $4,057 | 1.3× |
| Ercp,Sphincterotomy (43262) | $2,431.80 | $4,053 | 0.7× |
| Escharotomy; initial incision (16035) | $1,471.80 | $2,453 | 3.8× |
| Esoph Scope W/Submucous Inj (43201) | $1,682.40 | $2,804 | 0.9× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $2,751.60 | $4,586 | 3.2× |
| Esophagoscop Stent Placement (43212) unusually low: confirm this is the full procedure |
$2,550 | $4,250 | 0.4× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,935.60 | $3,226 | 1.1× |
| Esophagoscopy Flex Transoral Injection Varices (43204) | $2,221.20 | $3,702 | 1.2× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) | $3,173.40 | $5,289 | 0.9× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) | $2,629.80 | $4,383 | 1.4× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $2,131.20 | $3,552 | 1.2× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,432.80 | $2,388 | 1.7× |
| Esophagoscopy Flexible W/Bleeding Control (43227) | $2,697.60 | $4,496 | 1.5× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) | $3,131.40 | $5,219 | 1.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $1,688.40 | $2,814 | 0.9× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $2,270.40 | $3,784 | 1.2× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) | $2,205 | $3,675 | 1.2× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) | $2,294.40 | $3,824 | 1.3× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$57.60–$212.40 | $96–$354 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$223.80–$891.60 | $373–$1,486 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$400.20–$535.20 | $667–$892 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $1,132.80 | $1,888 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$397.20–$536.40 | $662–$894 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$511.80–$675 | $853–$1,125 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$249–$334.20 | $415–$557 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$280.20–$391.80 | $467–$653 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$315–$439.80 | $525–$733 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$398.40–$553.20 | $664–$922 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$211.20–$282 | $352–$470 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$298.20–$394.80 | $497–$658 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$330.60–$446.40 | $551–$744 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 2 matching MRF lines |
$244.80–$552.60 | $408–$921 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$345.60–$468.60 | $576–$781 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$562.20–$767.40 | $937–$1,279 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$453–$638.40 | $755–$1,064 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$872.40–$1,134.60 | $1,454–$1,891 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$582–$856.80 | $970–$1,428 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$253.80–$341.40 | $423–$569 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$288–$975 | $480–$1,625 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$390–$526.80 | $650–$878 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$731.40–$1,180.80 | $1,219–$1,968 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,416.20 | $4,027 | 1.3× |
| Excis Mouth Mucosa/Sub,No Repair (40810) range across 2 matching MRF lines |
$5,746.80–$5,960.40 | $9,578–$9,934 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$387–$556.20 | $645–$927 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$135.60–$463.20 | $226–$772 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$337.80–$499.80 | $563–$833 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$780–$1,043.40 | $1,300–$1,739 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$301.80–$407.40 | $503–$679 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$568.80–$781.80 | $948–$1,303 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$920.40–$1,276.80 | $1,534–$2,128 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$387–$557.40 | $645–$929 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$791.40–$1,008.60 | $1,319–$1,681 | varies |
| Excision of single external papilla or tag, anus (46220) | $2,089.20 | $3,482 | 1.8× |
| Excision of vaginal cyst or tumor (57135) | $291 | $485 | 0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$549.60–$1,437 | $916–$2,395 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$688.80–$1,323 | $1,148–$2,205 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$858.60–$1,300.80 | $1,431–$2,168 | varies |
| Explo/Drain Breast Abscess (19020) | $311.40 | $519 | 0.2× |
| Fetal Contraction Stress Test (59020) | $365.40 | $609 | 1.9× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$77.40–$644.40 | $129–$1,074 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $2,948.40 | $4,914 | 4.4× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$220.80–$370.20 | $368–$617 | varies |
| Fluoro exam of g/colon tube (49465) range across 2 matching MRF lines |
$311.40–$771.60 | $519–$1,286 | varies |
| Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
$1,327.80–$2,948.40 | $2,213–$4,914 | varies |
| Foreskin manipulation (54450) range across 3 matching MRF lines |
$244.20–$1,083.60 | $407–$1,806 | varies |
| Guide Cathet Fluid Drainage (10030) | $792.60 | $1,321 | 1.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,546.20 | $2,577 | 1.7× |
| I&d abscess peritonsillar (42700) | $782.40 | $1,304 | 3.5× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$178.80–$578.40 | $298–$964 | varies |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$269.40–$703.20 | $449–$1,172 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$647.40–$1,007.40 | $1,079–$1,679 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$183.60–$531.60 | $306–$886 | varies |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $1,383.60 | $2,306 | 1.6× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $1,383 | $2,305 | 1.6× |
| Image Cath Fluid Colxn Visc (49405) | $4,828.20 | $8,047 | 3.1× |
| Image Cath Fluid Peri/Retro (49406) | $4,828.20 | $8,047 | 3.1× |
| Implant Neuroelectrodes (64561) range across 2 matching MRF lines |
$461.40–$1,065.60 | $769–$1,776 | varies |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$217.20–$741 | $362–$1,235 | varies |
| Incise finger tendon sheath (26055) | $816 | $1,360 | 0.5× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$216.60–$632.40 | $361–$1,054 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$5,071.80–$5,830.80 | $8,453–$9,718 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,158.20 | $3,597 | 1.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$300.60–$1,251 | $501–$2,085 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$200.40–$530.40 | $334–$884 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$339–$637.20 | $565–$1,062 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$430.80–$2,390.40 | $718–$3,984 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,262.40 | $2,104 | 0.8× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$272.40–$1,437.60 | $454–$2,396 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $195.60 | $326 | 1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,256.60 | $3,761 | 2.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,197.80 | $3,663 | 2.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$142.20–$181.20 | $237–$302 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $2,358 | $3,930 | 2.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,227–$3,287.40 | $2,045–$5,479 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $2,410.20 | $4,017 | 2.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,168.80 | $1,948 | 1.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $885 | $1,475 | 3.0× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,771.80 | $2,953 | 2.6× |
| Injection enzyme palmar fascial cord (20527) range across 2 matching MRF lines |
$64.20–$213 | $107–$355 | varies |
| Injection for identification of sentinel node (38792) | $958.20 | $1,597 | 2.5× |
| Injection of sclerosing solution, hemorrhoids (46500) | $2,991 | $4,985 | 3.4× |
| Injection procedure for peyronie disease (54200) | $55.20 | $92 | 0.2× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$280.20–$347.40 | $467–$579 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$436.20–$891 | $727–$1,485 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$429–$494.40 | $715–$824 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$76.80–$204 | $128–$340 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,168.80 | $1,948 | 1.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$504.60–$1,924.80 | $841–$3,208 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$109.80–$167.40 | $183–$279 | varies |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$85.20–$252 | $142–$420 | varies |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$388.20–$622.80 | $647–$1,038 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,137 | $1,895 | 0.6× |
| Insert non-tunnel cv cath (36556) | $1,735.80 | $2,893 | 0.6× |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$143.40–$213 | $239–$355 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,446.80 | $4,078 | 1.6× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$139.80–$414 | $233–$690 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$120.60–$368.40 | $201–$614 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $2,384.40 | $3,974 | 0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $5,566.20 | $9,277 | 3.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $5,056.20 | $8,427 | 3.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,572.20 | $4,287 | 0.9× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $2,239.20 | $3,732 | 0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,123.80 | $1,873 | 2.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,192.20 | $1,987 | 3.1× |
| Intraoral i&d tongue/floor submndblr space (41008) | $9,895.80 | $16,493 | 3.1× |
| Intubation endotracheal emergency procedure (31500) | $618.60 | $1,031 | 2.7× |
| Irrigation of corpora cavernosa for priapism (54220) | $1,193.40 | $1,989 | 5.0× |
| Laryngoscopy flexible diagnostic (31575) | $817.80 | $1,363 | 4.3× |
| Ligation of hemorrhoids (46946) | $2,239.20 | $3,732 | 0.8× |
| Lyse chest fibrin init day (32561) | $1,738.80 | $2,898 | 2.9× |
| Lysis of labial adhesions (56441) range across 2 matching MRF lines |
$358.20–$478.20 | $597–$797 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) range across 2 matching MRF lines |
$382.20–$828.60 | $637–$1,381 | varies |
| Marsupialization of bartholin's gland cyst (56440) range across 2 matching MRF lines |
$5,339.40–$5,653.80 | $8,899–$9,423 | varies |
| Maternity Care Procedure (59899) | $580.20 | $967 | 3.0× |
| Myelography Lumbar Injection (62305) | $1,483.20 | $2,472 | 2.0× |
| N Block Inj Celiac Pelus (64530) | $2,282.40 | $3,804 | 2.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$1,732.80–$1,925.40 | $2,888–$3,209 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$760.80–$1,765.20 | $1,268–$2,942 | varies |
| N Block Inj Paracervical (64435) | $196.20 | $327 | 0.3× |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$391.80–$2,724 | $653–$4,540 | varies |
| N Block Lumbar/Thoracic (64520) | $2,305.80 | $3,843 | 2.7× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $1,762.20 | $2,937 | 2.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $2,093.40 | $3,489 | 2.4× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$282–$2,512.80 | $470–$4,188 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 3 matching MRF lines |
$12–$61.80 | $20–$103 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) | $12 | $20 | 0.4× |
| Neuroeltrd Stim Post Tibial (64566) | $45 | $75 | 0.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$742.20–$945 | $1,237–$1,575 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $2,292.60 | $3,821 | 2.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,437 | $2,395 | 2.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,452 | $2,420 | 2.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $403.80 | $673 | 0.6× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$831–$1,512 | $1,385–$2,520 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $3,532.80 | $5,888 | 1.1× |
| Penile Injection (54235) range across 2 matching MRF lines |
$45.60–$1,044.60 | $76–$1,741 | varies |
| Perc Rf Ablate Renal Tumor (50592) | $6,907.20 | $11,512 | 1.2× |
| Perq dev breast 1st strtctc (19283) | $2,167.80 | $3,613 | 3.2× |
| Perq dev breast 1st us imag (19285) | $2,130 | $3,550 | 3.2× |
| Perq device breast 1st imag (19281) | $2,130 | $3,550 | 1.4× |
| Place Rt Device/Marker Pros (55876) | $1,989 | $3,315 | 1.5× |
| Placement of needle for intraosseous infusion (36680) | $207 | $345 | 0.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $2,370.60 | $3,951 | 1.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $647.40 | $1,079 | 0.7× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $2,942.40 | $4,904 | 2.6× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $7,633.80 | $12,723 | 1.3× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $2,740.80 | $4,568 | 3.2× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$228–$321 | $380–$535 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$205.80–$392.40 | $343–$654 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$304.80–$1,008.60 | $508–$1,681 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $4,845.60 | $8,076 | 2.6× |
| Removal Embedded Foreign Body Eyelid (67938) | $546 | $910 | 1.8× |
| Removal foreign body foot deep (28192) | $4,949.40 | $8,249 | 3.1× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$408–$953.40 | $680–$1,589 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $2,707.80 | $4,513 | 1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$36–$306 | $60–$510 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$83.40–$292.20 | $139–$487 | varies |
| Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$304.20–$396 | $507–$660 | varies |
| Removal of foreign body from pharynx (42809) | $225 | $375 | 0.5× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$349.80–$880.80 | $583–$1,468 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$95.40–$650.40 | $159–$1,084 | varies |
| Remove cerclage suture (59871) | $87.60 | $146 | 0.0× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$205.80–$475.20 | $343–$792 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$191.40–$252.60 | $319–$421 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$90–$267.60 | $150–$446 | varies |
| Remove intrvas foreign body (37197) | $5,577.60 | $9,296 | 1.9× |
| Remove lung catheter (32552) | $160.80 | $268 | 0.3× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$150.60–$520.80 | $251–$868 | varies |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$356.40–$637.20 | $594–$1,062 | varies |
| Renal Biopsy Perq (50200) | $1,905.60 | $3,176 | 1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,626 | $2,710 | 2.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,053.20 | $3,422 | 2.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,281 | $2,135 | 3.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$811.80–$1,823.40 | $1,353–$3,039 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $429 | $715 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$977.40–$1,046.40 | $1,629–$1,744 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $834 | $1,390 | 1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,027.20 | $1,712 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$199.80–$568.20 | $333–$947 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$260.40–$622.80 | $434–$1,038 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $669 | $1,115 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $705.60 | $1,176 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,278 | $2,130 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$200.40–$737.40 | $334–$1,229 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$219–$941.40 | $365–$1,569 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,020 | $1,700 | 1.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,066.80 | $1,778 | 2.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $668.40 | $1,114 | 1.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$347.40–$849 | $579–$1,415 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,236 | $2,060 | 1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$294–$907.20 | $490–$1,512 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,446 | $2,410 | 0.7× |
| Repair of nail bed (11760) | $427.20 | $712 | 0.6× |
| Repair tongue laceration (41252) | $903.60 | $1,506 | 4.0× |
| Repair tongue laceration (41250) | $397.80 | $663 | 0.9× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,926.80 | $4,878 | 3.4× |
| Replace g/c tube perc (49450) | $1,237.20 | $2,062 | 1.4× |
| Reposition Gastrostomy Tube (43761) | $860.40 | $1,434 | 3.6× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $4,257 | $7,095 | 1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$205.20–$348.60 | $342–$581 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $261 | $435 | 2.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $262.20 | $437 | 0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) | $3,873 | $6,455 | 3.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$831.60–$1,047.60 | $1,386–$1,746 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$257.40–$372.60 | $429–$621 | varies |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$496.20–$1,177.20 | $827–$1,962 | varies |
| Rplcmt cath ctr vad subq port/pmp (36578) | $9,210.60 | $15,351 | 3.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$382.20–$692.40 | $637–$1,154 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $765.60 | $1,276 | 3.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,512.60 | $2,521 | 2.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,431.60 | $2,386 | 2.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $3,555.60 | $5,926 | 2.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $2,644.20 | $4,407 | 3.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $4,045.80 | $6,743 | 3.5× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$104.40–$156.60 | $174–$261 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$120.60–$207.60 | $201–$346 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$248.40–$433.80 | $414–$723 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$108.60–$176.40 | $181–$294 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$130.80–$255 | $218–$425 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$165.60–$296.40 | $276–$494 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$159–$270 | $265–$450 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$134.40–$307.20 | $224–$512 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$124.20–$229.20 | $207–$382 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$159–$325.80 | $265–$543 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$135–$277.20 | $225–$462 | varies |
| Sigmoidoscopy & decompress (45337) | $4,085.40 | $6,809 | 4.6× |
| Sigmoidoscopy & Polypectomy (45333) | $3,163.80 | $5,273 | 3.6× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $2,772 | $4,620 | 2.4× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $3,324 | $5,540 | 2.9× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $6,809.40 | $11,349 | 6.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $2,217 | $3,695 | 1.9× |
| Sigmoidoscopy w/fb removal (45332) | $3,193.20 | $5,322 | 2.8× |
| Sigmoidoscopy w/plcmt stent (45347) | $4,639.80 | $7,733 | 0.8× |
| Sigmoidoscopy W/Resection (45349) | $1,477.80 | $2,463 | 0.6× |
| Sigmoidoscopy W/Ultrasound (45341) | $4,475.40 | $7,459 | 5.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $2,164.20 | $3,607 | 2.4× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $4,666.20 | $7,777 | 4.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $761.40 | $1,269 | 2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$193.80–$498 | $323–$830 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$335.40–$495 | $559–$825 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $837 | $1,395 | 2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $629.40 | $1,049 | 3.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$198–$483.60 | $330–$806 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$203.40–$688.80 | $339–$1,148 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$3,241.20–$3,406.20 | $5,402–$5,677 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$3,241.20–$3,388.80 | $5,402–$5,648 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$6,487.20–$6,825.60 | $10,812–$11,376 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$3,241.20–$3,630.60 | $5,402–$6,051 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $6,876 | $11,460 | 2.3× |
| Slitting of prepuce (54001) range across 2 matching MRF lines |
$201–$7,035 | $335–$11,725 | varies |
| Small bowel endoscopy (44366) | $1,995 | $3,325 | 1.1× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) | $2,044.20 | $3,407 | 1.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) | $7,761 | $12,935 | 1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$186.60–$637.20 | $311–$1,062 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$732–$1,405.20 | $1,220–$2,342 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $819.60 | $1,366 | 2.1× |
| Spinal puncture lumbar diagnostic (62270) | $2,296.80 | $3,828 | 3.4× |
| Strapping shoulder (29240) | $197.40 | $329 | 1.6× |
| Strapping toes (29550) | $130.20 | $217 | 2.3× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$95.40–$139.80 | $159–$233 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $108 | $180 | 0.3× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$57.60–$139.80 | $96–$233 | varies |
| Ther Apheresis,Red Blood Cells (36512) | $6,355.20 | $10,592 | 4.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,657.20 | $2,762 | 2.5× |
| Therapeutic plasma exchange (36514) | $6,355.20 | $10,592 | 4.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $784.20 | $1,307 | 0.4× |
| Tooth extraction (41899) | $1,587.60 | $2,646 | 7.0× |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $20,146.20 | $33,577 | 3.9× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $1,584.60 | $2,641 | 3.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $2,524.20 | $4,207 | 11.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $4,608 | $7,680 | 3.1× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) | $16,015.80 | $26,693 | 3.1× |
| Treat Hip Socket Fracture (27222) | $877.80 | $1,463 | 3.7× |
| Treat humerus fracture (24500) | $312 | $520 | 1.3× |
| Treat Humerus Fracture (24505) | $433.20 | $722 | 0.3× |
| Treat humerus fracture (23600) | $792.60 | $1,321 | 3.4× |
| Treat knee fracture (27532) | $11,278.80 | $18,798 | 3.6× |
| Treat Knuckle Dislocation (26700) | $354.60 | $591 | 1.5× |
| Treat Metatarsal Fracture (28475) | $835.20 | $1,392 | 3.6× |
| Treat Thumb Dislocation (26641) | $462.60 | $771 | 2.0× |
| Treat toe dislocation (28630) | $265.80 | $443 | 1.1× |
| Treat vagina infection (57150) | $149.40 | $249 | 2.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $321.60 | $536 | 1.4× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$353.40–$382.20 | $589–$637 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$353.40–$394.80 | $589–$658 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$353.40–$406.80 | $589–$678 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$46.80–$57 | $78–$95 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$357.60–$938.40 | $596–$1,564 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,135.80 | $1,893 | 1.6× |
| Unlisted procedure anus (46999) | $2,692.80 | $4,488 | 3.0× |
| Unlisted procedure humerus/elbow (24999) | $5,788.80 | $9,648 | 24.6× |
| Unlisted Procedure Intestine (44799) | $3,118.80 | $5,198 | 3.6× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$768–$1,020 | $1,280–$1,700 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $330 | $550 | 1.5× |
| Unlisted Procedure Rectum (45999) | $2,975.40 | $4,959 | 3.4× |
| Unlisted procedure stomach (43999) | $2,769 | $4,615 | 3.2× |
| Unlisted Procedure Trachea Bronchi (31899) | $2,158.20 | $3,597 | 11.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,177.20 | $1,962 | 1.4× |
| Unlisted px female genital system nonobstetrical (58999) | $567 | $945 | 2.9× |
| Vaginal delivery only (59409) | $5,067.60 | $8,446 | 1.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$1,037.40–$1,265.40 | $1,729–$2,109 | varies |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$120.60–$251.40 | $201–$419 | varies |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$1,084.80–$1,541.40 | $1,808–$2,569 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$3,241.20–$3,625.80 | $5,402–$6,043 | 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.