Procedures & surgery prices at Phelps Memorial Health Center

Holdrege, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines		 $415.80–$1,722.60 $462–$1,914 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $513 $570 0.5×
Abdomen Surgery Procedure (22999) $1,744.20 $1,938 6.8×
Ablate inf turbinate submuc (30802) $606.60 $674 0.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,153.50 $4,615 1.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,421.90 $2,691 1.1×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,312.20 $1,458 0.6×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,998.90 $2,221 0.9×
Amniocentesis diagnostic (59000) $790.20 $878 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,331 $2,590 0.7×
Amputation foot transmetarsal (28805) $1,427.40 $1,586 0.4×
Amputation metatarsal with toe single (28810) $1,532.70 $1,703 0.5×
Amputation toe interphalangeal joint (28825) $1,260 $1,400 0.4×
Amputation toe metatarsophalangeal joint (28820) $1,314.90 $1,461 0.4×
Amputation, leg, through tibia and fibula; (27880) $6,838.20 $7,598 0.9×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $226.80–$282.60 $252–$314 varies
Anoscopy; with biopsy, single or multiple (46606)
range across 2 matching MRF lines		 $625.50–$3,898.80 $695–$4,332 varies
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $234 $260 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $276.30 $307 0.1×
Appendectomy (44950)
unusually low: confirm this is the full procedure		 $2,773.80 $3,082 0.4×
Appl cranial tong/strtctc frame w/removal spx (20660) $744.30 $827 0.4×
Application cast elbow finger short arm (29075) $286.20 $318 1.0×
Application finger splint static (29130) $127.80 $142 0.9×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $159.30–$271.80 $177–$302 varies
Application Long Leg Splint (29505) $162 $180 1.0×
Application of long leg cast (29345) $466.20 $518 1.6×
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $319.50–$658.80 $355–$732 varies
Application short arm splint forearm-hand static (29125) $216.90 $241 1.6×
Application short leg splint calf foot (29515) $214.20 $238 1.3×
Apply long arm cast (29065) $315.90 $351 1.1×
Apply Multlay Comprs Lwr Leg (29581) $311.40 $346 1.8×
Apply Short Leg Cast (29405) $264.60 $294 0.9×
Arterial puncture (36600) $69.30 $77 0.5×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
range across 2 matching MRF lines		 $1,252.80–$6,258.60 $1,392–$6,954 varies
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
range across 2 matching MRF lines		 $934.20–$4,633.20 $1,038–$5,148 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $2,196.90 $2,441 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $123.30–$463.50 $137–$515 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $203.40 $226 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $121.50–$3,653.10 $135–$4,059 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $186.30–$1,900.80 $207–$2,112 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $118.80–$219.60 $132–$244 varies
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,675.80 $1,862 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,573.10 $2,859 0.3×
Arthrodesis Posterior/Posterolateral Lumbar (22612)
range across 2 matching MRF lines		 $1,184.40–$5,914.80 $1,316–$6,572 varies
Arthrodesis Posterior/Posterolateral Thoracic (22610)
range across 2 matching MRF lines		 $947.70–$4,685.40 $1,053–$5,206 varies
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $1,809–$2,453.40 $2,010–$2,726 varies
Arthrodesis Wrist Complete W/O Bone Graft (25800)
range across 2 matching MRF lines		 $568.80–$2,826.90 $632–$3,141 varies
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802)
unusually low: confirm this is the full procedure		 $7,890.30 $8,767 0.4×
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $1,110.60–$5,547.60 $1,234–$6,164 varies
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
range across 2 matching MRF lines		 $922.50–$4,590 $1,025–$5,100 varies
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines		 $646.20–$3,178.80 $718–$3,532 varies
Arthroplasty Patella W/Prosthesis (27438)
range across 2 matching MRF lines		 $648.90–$2,484.90 $721–$2,761 varies
Arthroscopy Ankle Surgical Debridement Limited (29897) $1,568.70 $1,743 0.5×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $2,267.10 $2,519 0.7×
Arthroscopy Elbow Surgical Synovectomy Partial (29835) $1,942.20 $2,158 0.6×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines		 $433.80–$1,888.20 $482–$2,098 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $505.80–$2,497.50 $562–$2,775 varies
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines		 $385.20–$1,898.10 $428–$2,109 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $2,363.40 $2,626 0.7×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $524.70–$2,581.20 $583–$2,868 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines		 $816.30–$4,040.10 $907–$4,489 varies
Arthroscopy Wrist Surgical Synovectomy Complete (29845)
range across 2 matching MRF lines		 $457.20–$2,432.70 $508–$2,703 varies
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $1,412.10 $1,569 0.4×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834)
range across 2 matching MRF lines		 $471.60–$1,883.70 $524–$2,093 varies
Arthroscopy, knee, surgical; with lateral release (29873)
range across 2 matching MRF lines		 $417.60–$2,023.20 $464–$2,248 varies
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $2,848.50 $3,165 0.8×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $533.70–$2,646.90 $593–$2,941 varies
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $707.40–$3,508.20 $786–$3,898 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $459.90–$2,398.50 $511–$2,665 varies
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $420.30–$2,204.10 $467–$2,449 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $797.40–$3,950.10 $886–$4,389 varies
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $2,267.10 $2,519 0.7×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819)
range across 2 matching MRF lines		 $456.30–$2,241.90 $507–$2,491 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $824.40–$4,088.70 $916–$4,543 varies
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 2 matching MRF lines		 $407.70–$2,005.20 $453–$2,228 varies
Arthrotomy W/Meniscus Repair Knee (27403)
range across 2 matching MRF lines		 $500.40–$2,456.10 $556–$2,729 varies
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $1,434.60 $1,594 0.4×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
range across 2 matching MRF lines		 $720.90–$3,038.40 $801–$3,376 varies
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $984.60–$5,166.90 $1,094–$5,741 varies
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 2 matching MRF lines		 $616.50–$2,369.70 $685–$2,633 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $884.70–$3,727.80 $983–$4,142 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $753.30–$3,747.60 $837–$4,164 varies
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $2,120.40 $2,356 0.6×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines		 $307.80–$2,527.20 $342–$2,808 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $529.20–$1,920.60 $588–$2,134 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $435.60–$2,146.50 $484–$2,385 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $1,431.90 $1,591 0.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $669.60 $744 0.2×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $1,548.90 $1,721 0.5×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $621–$7,196.40 $690–$7,996 varies
Aspirate/Inj Ganglion Cyst (20612) $144.90 $161 0.5×
Aspiration bladder insert suprapubic catheter (51102) $471.60 $524 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $253.80–$270.90 $282–$301 varies
Biopsy Abdominal Mass (49180)
range across 3 matching MRF lines		 $329.40–$2,711.70 $366–$3,013 varies
Biopsy bone open deep (20245) $1,343.70 $1,493 0.4×
Biopsy bone open superficial (20240) $308.70 $343 0.1×
Biopsy bone trocar/needle deep (20225)
range across 5 matching MRF lines		 $507.60–$5,607.90 $564–$6,231 varies
Biopsy Bone Trocar/Needle Superficial (20220) $562.50 $625 0.3×
Biopsy external ear (69100)
range across 2 matching MRF lines		 $228.60–$261.90 $254–$291 varies
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $443.70–$1,895.40 $493–$2,106 varies
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $1,477.80–$3,899.70 $1,642–$4,333 varies
Biopsy of lip (40490) $288 $320 1.2×
Biopsy of liver, needle; percutaneous (47000)
range across 4 matching MRF lines		 $343.80–$5,310 $382–$5,900 varies
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $1,708.20 $1,898 0.4×
Biopsy Oropharynx (42800) $2,392.20 $2,658 1.5×
Biopsy Prostate Any Approach Nonimaging-Guided (55705)
range across 2 matching MRF lines		 $591.30–$1,048.50 $657–$1,165 varies
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines		 $205.20–$1,734.30 $228–$1,927 varies
Biopsy soft tissue back/flank deep (21925) $1,284.30 $1,427 0.7×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,188 $1,320 0.7×
Biopsy Tongue Anterior Two-Thirds (41100) $521.10 $579 0.9×
Biopsy Vaginal Mucosa Simple (57100) $3,337.20 $3,708 3.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $2,129.40 $2,366 2.2×
Biopsy/removal lymph nodes (38510) $985.50 $1,095 0.2×
Bladder instillation anticarcinogenic agent (51720) $175.50 $195 0.2×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $147.60–$358.20 $164–$398 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $220.50–$247.50 $245–$275 varies
Blood Transfusion Service (36430) $1,012.50 $1,125 2.2×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $1,195.20 $1,328 0.2×
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines		 $203.40–$384.30 $226–$427 varies
Bone Marrow; Aspiration Only (38220) $395.10 $439 0.2×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $642.60–$4,889.70 $714–$5,433 varies
Bx breast 1st lesion us imag (19083)
range across 5 matching MRF lines		 $641.70–$5,310 $713–$5,900 varies
Bx breast needle core w/o imaging guidance spx (19100) $376.20 $418 0.2×
Bx Cervix (57500) $364.50 $405 0.4×
Bx prostate strtctc saturation sampling img gid (55706) $709.20 $788 0.2×
Bx/exc lymph node open deep axillary node (38525) $869.40 $966 0.2×
Bx/exc lymph node open superficial (38500) $958.50 $1,065 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,122.30 $1,247 0.3×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $2,320.20 $2,578 0.7×
Capsulorrhaphy Anterior W/Labral Repair (23455)
range across 2 matching MRF lines		 $765–$3,801.60 $850–$4,224 varies
Capsulotomy wrist (25085)
range across 2 matching MRF lines		 $350.10–$1,720.80 $389–$1,912 varies
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $1,645.20–$3,288.60 $1,828–$3,654 varies
Carpectomy All Bones Proximal Row (25215)
range across 2 matching MRF lines		 $482.40–$2,371.50 $536–$2,635 varies
Catheter aspiration nasotracheal spx (31720) $135 $150 0.6×
Change Cystostomy Tube Complicated (51710) $260.10 $289 0.4×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $218.70–$438.30 $243–$487 varies
Chemodenerv Musc Migraine (64615) $404.10 $449 1.3×
Chest tube placement (32551)
range across 2 matching MRF lines		 $326.70–$930.60 $363–$1,034 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,210.40 $2,456 0.6×
Circumcision 28 days or older (54161) $452.70 $503 0.2×
Circumcision w/clamp/oth dev w/block (54150) $357.30 $397 0.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $192.60–$246.60 $214–$274 varies
Closed Rx Metacarpal Fx,Percut (26608) $1,839.60 $2,044 0.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $369.90–$1,566.90 $411–$1,741 varies
Closed tx patellar dislocation w/anesthesia (27562) $1,857.60 $2,064 7.3×
Closed tx patellar dislocation w/o anesthesia (27560) $1,160.10 $1,289 4.5×
Closed tx radial shaft fracture w/manipulation (25505) $1,683.90 $1,871 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,975.50 $2,195 1.2×
Closure Gastrostomy Surg (43870) $1,572.30 $1,747 0.4×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $1,278.90–$1,548 $1,421–$1,720 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $604.80 $672 2.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $982.80 $1,092 0.6×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $1,364.40–$1,419.30 $1,516–$1,577 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,134 $1,260 4.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,691.10 $1,879 1.0×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,828.80 $2,032 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $576 $640 2.2×
Cltx hip dislocation traumatic req anesthesia (27252) $2,330.10 $2,589 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $275.40 $306 1.1×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,131.20 $2,368 1.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,314.90 $1,461 4.5×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $540–$954.90 $600–$1,061 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $1,009.80 $1,122 3.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,143 $1,270 4.5×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,085.40–$1,162.80 $1,206–$1,292 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $359.10 $399 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,118.70 $1,243 0.7×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $9–$40.50 $10–$45 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $985.50 $1,095 0.8×
Colonoscopy thru stoma (44388) $741.60 $824 0.8×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,037.70 $1,153 0.8×
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $790.20–$1,189.80 $878–$1,322 varies
Colonoscopy w/fb removal (45379) $1,025.10 $1,139 0.8×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $712.80–$1,224 $792–$1,360 varies
Colonoscopy w/submucosal inj (45381)
range across 3 matching MRF lines		 $843.30–$3,825.90 $937–$4,251 varies
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure		 $112.50 $125 0.0×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $313.20 $348 0.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $698.40 $776 2.2×
Colposcopy Vulva W/Biopsy (56821) $150.30 $167 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $1,675.80–$2,140.20 $1,862–$2,378 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $1,117.80–$1,215 $1,242–$1,350 varies
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $1,703.70 $1,893 0.3×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $142.20–$597.60 $158–$664 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,160 $2,400 0.6×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $435.60–$564.30 $484–$627 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $276.30–$369 $307–$410 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 2 matching MRF lines		 $1,277.10–$5,379.30 $1,419–$5,977 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines		 $348.30–$4,042.80 $387–$4,492 varies
Correction hammertoe (28285) $1,408.50 $1,565 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,030.40 $2,256 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,346.30 $2,607 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $1,886.40 $2,096 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,774.80 $1,972 0.5×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $2,272.50 $2,525 0.3×
Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) $5,486.40 $6,096 0.7×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $485.10–$495.90 $539–$551 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $766.80 $852 5.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $691.20 $768 2.8×
Curettage postpartum (59160) $481.50 $535 0.1×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $608.40–$3,898.80 $676–$4,332 varies
Cysto w/complex removal stone & stent (52315) $1,278 $1,420 0.6×
Cysto w/destruction of lesions (52214) $1,872 $2,080 0.5×
Cysto w/insert ureteral stent (52332) $1,207.80 $1,342 0.3×
Cysto w/irrig & evac multple obstructing clots (52001) $1,020.60 $1,134 0.3×
Cysto w/removal of lesions small (52224) $1,949.40 $2,166 0.5×
Cysto w/removal of tumors small (52234) $557.10 $619 0.2×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $740.70–$1,787.40 $823–$1,986 varies
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $1,008.90 $1,121 0.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $685.80 $762 0.2×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $685.80 $762 0.2×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $1,069.20 $1,188 0.2×
Cystostomy Cystotomy W/Drainage (51040) $1,814.40 $2,016 0.8×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $208.80–$1,647 $232–$1,830 varies
Cystourethroscopy inj chemodenervation bladder (52287)
range across 2 matching MRF lines		 $919.80–$3,898.80 $1,022–$4,332 varies
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $652.50 $725 0.2×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $886.50 $985 0.2×
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $837–$12,095.10 $930–$13,439 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $598.50 $665 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $135 $150 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,507.50 $1,675 0.5×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $125.10–$2,193.30 $139–$2,437 varies
Debride nail 1-5 (11720) $75.60 $84 1.2×
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $97.20–$105.30 $108–$117 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $166.50–$877.50 $185–$975 varies
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines		 $167.40–$189.90 $186–$211 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $72–$824.40 $80–$916 varies
Decompress Spinal Cord Lmbr (63056)
range across 4 matching MRF lines		 $1,101.60–$10,953 $1,224–$12,170 varies
Decompression of tibia nerve (28035) $1,179.90 $1,311 0.6×
Deep Muscle Biopsy (20205) $707.40 $786 0.2×
Delivery of placenta (59414) $229.50 $255 0.1×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $919.80–$3,373.20 $1,022–$3,748 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $875.70–$1,296.90 $973–$1,441 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $221.40–$264.60 $246–$294 varies
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $443.70–$849.60 $493–$944 varies
Destruction neurolytic agt genicular nerve w/img (64624) $976.50 $1,085 0.5×
Destruction Premalignant Lesion 15/> (17004) $381.60 $424 0.9×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $153–$253.80 $170–$282 varies
Diagnostic sigmoidoscopy (45330) $441.90 $491 0.5×
Dilate Urethra Stricture (53600) $160.20 $178 0.6×
Drain Cerebro Spinal Fluid (62272) $324 $360 0.4×
Drainage external ear abscess/hematoma cmplx (69005) $496.80 $552 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $358.20 $398 0.5×
Drainage Finger Abscess Complicated (26011) $1,631.70 $1,813 1.0×
Drainage of gum lesion (41800) $605.70 $673 4.4×
Drainage of hematoma/fluid (10140) $394.20 $438 0.2×
Drainage of scrotum (54700) $503.10 $559 0.2×
Drainage of skene's gland abscess or cyst (53060) $1,842.30 $2,047 0.8×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $63.90–$174.60 $71–$194 varies
Dressing Change Under Anesthesia (15852) $254.70 $283 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $390.60 $434 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $504.90 $561 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $153–$271.80 $170–$302 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $602.10 $669 0.7×
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines		 $417.60–$8,947.80 $464–$9,942 varies
Dx Bronchoscope/Lavage (31624) $1,423.80 $1,582 0.8×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $538.20–$2,914.20 $598–$3,238 varies
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $491.40–$2,340 $546–$2,600 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $471.60 $524 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $2,737.80–$3,031.20 $3,042–$3,368 varies
Egd control bleeding any (43255) $1,442.70 $1,603 0.7×
Egd dilation gastric/duodenal stricture (43245) $1,143 $1,270 0.6×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $1,271.70–$1,363.50 $1,413–$1,515 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $744.30–$5,024.70 $827–$5,583 varies
Egd lesion ablation (43270) $1,544.40 $1,716 0.8×
Egd place gastrostomy tube (43246) $1,169.10 $1,299 0.6×
Egd remove lesion snare (43251) $1,085.40 $1,206 0.5×
Egd Varices Ligation (43244) $525.60 $584 0.3×
Endocervical curettage (57505) $1,973.70 $2,193 2.1×
Endometrial Biopsy (58100) $317.70 $353 1.5×
Endoscopic injection/implant (51715) $718.20 $798 0.2×
Endoscopy upper small intestine w/biopsy (44361) $344.70 $383 0.2×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $2,397.60–$14,768.10 $2,664–$16,409 varies
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines		 $3,915–$17,992.80 $4,350–$19,992 varies
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $1,719.90–$2,066.40 $1,911–$2,296 varies
Epidural Blood Patch (62273) $368.10 $409 0.5×
Esophagogastroduodenoscopy Submucosal Injection (43236) $707.40 $786 0.8×
Esophagoscopy rig transoral removal foreign body (43194) $431.10 $479 0.2×
Esophagoscopy Rigid Balloon (43195) $416.70 $463 0.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,118.70 $1,243 0.6×
Esophagoscp Rig Trnso Biopsy (43193) $382.50 $425 0.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $124.20–$132.30 $138–$147 varies
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,594.80 $1,772 0.9×
Exc abdl tum deep 5 cm/> (22901) $1,959.30 $2,177 0.6×
Exc arm/elbow les sc < 3 cm (24075) $1,805.40 $2,006 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $314.10–$2,002.50 $349–$2,225 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $455.40–$4,046.40 $506–$4,496 varies
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $961.20–$5,479.20 $1,068–$6,088 varies
Exc Back Tum Deep 5 Cm/> (21933) $2,857.50 $3,175 0.9×
Exc back tum deep < 5 cm (21932)
range across 3 matching MRF lines		 $348.30–$6,644.70 $387–$7,383 varies
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,965.60 $2,184 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $882–$1,026.90 $980–$1,141 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $620.10–$813.60 $689–$904 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,106.10 $1,229 0.6×
Exc Face Les Sbq 2 Cm/> (21012) $1,307.70 $1,453 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $335.70–$2,080.80 $373–$2,312 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $521.10–$2,246.40 $579–$2,496 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $444.60–$2,482.20 $494–$2,758 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $652.50–$3,264.30 $725–$3,627 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $299.70–$2,205 $333–$2,450 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $385.20 $428 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $416.70–$5,746.50 $463–$6,385 varies
Exc Hand Les Sc < 1.5 Cm (26115) $1,867.50 $2,075 1.1×
Exc hand tum deep < 1.5 cm (26116) $2,016 $2,240 1.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,044.90 $1,161 0.6×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $866.70 $963 0.5×
Exc Rct Tum Incl Muscularis Propria (45172) $2,099.70 $2,333 0.7×
Exc Rct Tum Not Incl Muscularis Propria (45171)
range across 2 matching MRF lines		 $347.40–$1,389.60 $386–$1,544 varies
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,246.40 $2,496 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $427.50–$478.80 $475–$532 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $540.90 $601 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $694.80–$765 $772–$850 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $576.90–$828 $641–$920 varies
Exc Skin Benig >4cm Face,Facial (11446) $1,277.10 $1,419 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $564.30 $627 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,249.20 $1,388 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,015.20 $1,128 0.6×
Exc tendon shth lesion leg/ankle (27630) $1,008 $1,120 0.3×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $2,466.90–$5,634 $2,741–$6,260 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $494.10 $549 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $362.70 $403 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $747.90–$2,464.20 $831–$2,738 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $713.70–$4,341.60 $793–$4,824 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,173.60 $1,304 0.4×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,980.90 $2,201 1.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556)
range across 2 matching MRF lines		 $1,349.10–$2,687.40 $1,499–$2,986 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,758.60 $1,954 0.6×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,240.10 $2,489 0.7×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,071.80 $2,302 0.7×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,034.10 $1,149 0.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $1,765.80–$2,772.90 $1,962–$3,081 varies
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,643.40 $1,826 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,666.80 $1,852 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $999.90 $1,111 0.6×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $921.60 $1,024 0.3×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328)
range across 2 matching MRF lines		 $1,423.80–$5,387.40 $1,582–$5,986 varies
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,583.10 $1,759 0.5×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $978.30 $1,087 0.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 4 matching MRF lines		 $1,187.10–$11,710.80 $1,319–$13,012 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812)
range across 2 matching MRF lines		 $597.60–$2,950.20 $664–$3,278 varies
Excise intraspinal lesion (63267)
range across 2 matching MRF lines		 $1,012.50–$5,022 $1,125–$5,580 varies
Excise Wrist Tendon Sheath (25118) $1,116 $1,240 0.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $787.50 $875 1.1×
Excision External Ear Partial Simple Repair (69110) $978.30 $1,087 0.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $875.70 $973 0.3×
Excision lesion meniscus/capsule knee (27347) $2,015.10 $2,239 0.6×
Excision Lesion Tongue W/O Closure (41110) $458.10 $509 0.1×
Excision Lingual Frenum Frenectomy (41115) $526.50 $585 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $532.80 $592 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $567.90 $631 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $715.50–$1,746 $795–$1,940 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $476.10–$525.60 $529–$584 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $727.20–$1,026.90 $808–$1,141 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 2 matching MRF lines		 $466.20–$2,313 $518–$2,570 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $587.70–$2,700 $653–$3,000 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $779.40–$1,775.70 $866–$1,973 varies
Excision Multiple External Papillae/Tags Anus (46230) $568.80 $632 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $1,233.90–$2,624.40 $1,371–$2,916 varies
Excision of hydrocele; unilateral (55040) $1,415.70 $1,573 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $795.60 $884 0.3×
Excision of single external papilla or tag, anus (46220) $576.90 $641 0.5×
Excision olecranon bursa (24105) $1,356.30 $1,507 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,320.20 $2,578 0.8×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,748.70 $1,943 0.6×
Excision prepatellar bursa (27340) $1,422 $1,580 0.4×
Excision soft tissue lesion, external auditory canal (69145) $897.30 $997 0.3×
Excision spermatocele w/wo epididymectomy (54840) $665.10 $739 0.3×
Excision synovial cyst popliteal space (27345)
range across 2 matching MRF lines		 $378.90–$1,590.30 $421–$1,767 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 3 matching MRF lines		 $260.10–$2,489.40 $289–$2,766 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,008.90 $1,121 0.3×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $990.90–$1,031.40 $1,101–$1,146 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,690.20 $1,878 1.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,690.20 $1,878 1.0×
Excision, interdigital (morton) neuroma, single, each (28080) $1,448.10 $1,609 0.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903)
range across 3 matching MRF lines		 $214.20–$5,044.50 $238–$5,605 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $855 $950 0.5×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,676.70 $1,863 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,062.80 $2,292 0.7×
Excision/destruction intranasal lesion int appr (30117) $4,192.20 $4,658 1.2×
Excision; trochanteric bursa or calcification (27062) $1,736.10 $1,929 0.5×
Explo/Drain Breast Abscess (19020) $1,044.90 $1,161 0.6×
Exploration of knee joint (27310)
range across 2 matching MRF lines		 $567–$2,792.70 $630–$3,103 varies
Exploration of spinal fusion (22830)
range across 2 matching MRF lines		 $616.50–$3,046.50 $685–$3,385 varies
Exploration penetrating wound spx extremity (20103) $2,123.10 $2,359 1.2×
Fasciectomy Palm Only (26121) $2,295 $2,550 0.7×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,215 $1,350 0.4×
Fasciotomy palmar open partial (26045) $1,471.50 $1,635 0.4×
Fasciotomy, foot and/or toe (28008) $1,009.80 $1,122 0.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,200.40 $3,556 0.9×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $438.30 $487 0.6×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $195.30–$232.20 $217–$258 varies
Fna Bx W/Fluor Gdn 1St Les (10007)
range across 2 matching MRF lines		 $360–$1,112.40 $400–$1,236 varies
Fna bx w/us gdn 1st les (10005)
range across 5 matching MRF lines		 $278.10–$2,349 $309–$2,610 varies
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $1,574.10 $1,749 0.4×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,264.40 $2,516 1.1×
Fusion Finger Joint (26860) $1,239.30 $1,377 0.4×
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure		 $2,700 $3,000 0.4×
Fusion of knuckle (26850)
range across 2 matching MRF lines		 $585–$2,452.50 $650–$2,725 varies
Fusion of knuckle joint (26516)
range across 2 matching MRF lines		 $350.10–$1,398.60 $389–$1,554 varies
Gastrocnemius recession (27687) $1,443.60 $1,604 0.4×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $3,972.60 $4,414 1.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,998 $2,220 1.0×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $531.90–$2,396.70 $591–$2,663 varies
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $1,622.70 $1,803 0.2×
Hemiarthroplasty hip partial (27125)
range across 2 matching MRF lines		 $868.50–$4,320 $965–$4,800 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $910.80 $1,012 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,121.40 $1,246 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,424.70 $1,583 0.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 3 matching MRF lines		 $672.30–$2,260.80 $747–$2,512 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $241.20–$469.80 $268–$522 varies
I&D Below Fascia Foot 1 Bursal Space (28002)
range across 2 matching MRF lines		 $970.20–$2,790.90 $1,078–$3,101 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,262.60 $2,514 0.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,376.10 $1,529 0.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $1,197.90–$2,070.90 $1,331–$2,301 varies
I&D Intramural Im/Absc Transanal Anes (46045) $1,221.30 $1,357 0.4×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,433.70 $1,593 0.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,457.10 $1,619 0.4×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $480.60–$3,850.20 $534–$4,278 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $334.80–$576 $372–$640 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $1,242 $1,380 0.4×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $592.20 $658 0.6×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $390.60 $434 0.4×
Image Cath Fluid Colxn Visc (49405) $1,858.50 $2,065 1.1×
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $1,761.30–$5,697 $1,957–$6,330 varies
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure		 $1,083.60 $1,204 0.2×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $1,699.20 $1,888 0.3×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $617.40 $686 0.0×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361)
likely a partial charge, not the full procedure		 $1,554.30 $1,727 0.1×
Incise external hemorrhoid (46083) $490.50 $545 1.9×
Incise finger tendon sheath (26055) $1,997.10 $2,219 1.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $414.90–$476.10 $461–$529 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,804.50 $2,005 0.6×
Incision & removal foreign body subq tiss compl (10121) $621.90 $691 0.4×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $289.80–$358.20 $322–$398 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $330.30–$1,583.10 $367–$1,759 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
unusually low: confirm this is the full procedure		 $3,567.60 $3,964 0.5×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
range across 2 matching MRF lines		 $488.70–$3,530.70 $543–$3,923 varies
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines		 $270.90–$1,302.30 $301–$1,447 varies
Incision of eardrum (69420)
range across 2 matching MRF lines		 $255.60–$361.80 $284–$402 varies
Incision of lingual frenum (frenotomy) (41010)
range across 3 matching MRF lines		 $443.70–$535.50 $493–$595 varies
Incision of rectal abscess (46040) $1,275.30 $1,417 1.0×
Incision of urethra (53020) $206.10 $229 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,048.50 $1,165 0.6×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $200.70–$318.60 $223–$354 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $423–$860.40 $470–$956 varies
Inj W/Fluor Eval Cv Device (36598) $1,900.80 $2,112 8.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,071.90–$1,323 $1,191–$1,470 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $154.80–$309.60 $172–$344 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $956.70 $1,063 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $283.50 $315 0.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $191.70–$376.20 $213–$418 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $424.80–$814.50 $472–$905 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $810 $900 1.1×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 4 matching MRF lines		 $359.10–$2,227.50 $399–$2,475 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $192.60–$1,095.30 $214–$1,217 varies
Injection single tendon origin/insertion (20551) $192.60 $214 0.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $122.40–$535.50 $136–$595 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $111.60–$504.90 $124–$561 varies
Injection therapeutic carpal tunnel (20526) $267.30 $297 0.8×
Injection, anesthetic agent; brachial plexus, single (64415) $815.40 $906 0.9×
Injection, anesthetic agent; femoral nerve, single (64447) $727.20 $808 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $185.40–$314.10 $206–$349 varies
Injection, anesthetic agent; vagus nerve (64408) $594 $660 1.9×
Injection, intralesional; up to and including 7 lesions (11900) $131.40 $146 0.6×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $787.50 $875 0.9×
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines		 $2,846.70–$9,736.20 $3,163–$10,818 varies
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $2,655–$5,891.40 $2,950–$6,546 varies
Insert Bladder Cath Complex (51703) $198.90 $221 1.5×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines		 $1,062.90–$3,439.80 $1,181–$3,822 varies
Insert cath pleura w/o image (32556) $2,210.40 $2,456 1.1×
Insert Drug Implant Device (11981) $235.80 $262 1.7×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $837–$18,766.80 $930–$20,852 varies
Insert Nasal Septal Button (30220) $3,964.50 $4,405 2.5×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $647.10–$653.40 $719–$726 varies
Insert pessary/other device (57160) $122.40 $136 0.6×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $126–$216 $140–$240 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $2,673–$8,902.80 $2,970–$9,892 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $626.40–$2,502 $696–$2,780 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $96.30–$166.50 $107–$185 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $1,597.50–$6,123.60 $1,775–$6,804 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $255.60–$4,050 $284–$4,500 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $15,516 $17,240 1.8×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $10,943.10 $12,159 1.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,200.40 $3,556 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $362.70 $403 0.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,014.20 $2,238 0.6×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $1,787.40–$60,339.60 $1,986–$67,044 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines		 $189.90–$1,368.90 $211–$1,521 varies
Insrt heart pm atrial & vent (33208)
range across 3 matching MRF lines		 $945–$26,799.30 $1,050–$29,777 varies
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411)
range across 2 matching MRF lines		 $1,018.80–$3,410.10 $1,132–$3,789 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,314 $1,460 3.1×
Intranasal Biopsy (30100) $1,209.60 $1,344 0.8×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $299.70–$611.10 $333–$679 varies
Knee arthroscopy/drainage (29871) $1,962.90 $2,181 0.6×
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines		 $415.80–$2,053.80 $462–$2,282 varies
Knee Arthroscopy/Surgery (29850) $2,379.60 $2,644 1.4×
Lam facetec & foramot lumbar (63047)
range across 2 matching MRF lines		 $822.60–$4,076.10 $914–$4,529 varies
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) $5,373.90 $5,971 0.7×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
range across 2 matching MRF lines		 $999–$4,698.90 $1,110–$5,221 varies
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
range across 2 matching MRF lines		 $909–$4,514.40 $1,010–$5,016 varies
Laminotomy Single Lumbar (63042)
range across 4 matching MRF lines		 $967.50–$9,625.50 $1,075–$10,695 varies
Lap insert tunnel ip cath (49324)
range across 2 matching MRF lines		 $215.10–$855.90 $239–$951 varies
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines		 $456.30–$2,226.60 $507–$2,474 varies
Laparoscopy aspiration (49322)
unusually low: confirm this is the full procedure		 $2,340 $2,600 0.4×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $815.40 $906 0.1×
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure		 $1,693.80 $1,882 0.3×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $225–$1,626.30 $250–$1,807 varies
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,968.30 $2,187 0.2×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $341.10–$2,143.80 $379–$2,382 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure		 $2,315.70 $2,573 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 3 matching MRF lines		 $389.70–$2,342.70 $433–$2,603 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $294.30–$2,117.70 $327–$2,353 varies
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 3 matching MRF lines		 $179.10–$2,108.70 $199–$2,343 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $394.20 $438 0.1×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $189–$299.70 $210–$333 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $245.70–$268.20 $273–$298 varies
Late closure of wound (13160) $3,061.80 $3,402 0.8×
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines		 $550.80–$2,720.70 $612–$3,023 varies
Ligamentous reconstruction knee intra-articular (27428)
range across 2 matching MRF lines		 $859.50–$4,521.60 $955–$5,024 varies
Ligation of hemorrhoids (46946) $873 $970 0.3×
Ligation or biopsy temporal artery (37609) $724.50 $805 0.4×
Litholapaxy comp/lg > 2.5 cm (52318) $887.40 $986 0.2×
Litholapaxy smpl/sm <2.5 cm (52317) $1,960.20 $2,178 0.5×
Low Back Disk Surgery (63030)
range across 4 matching MRF lines		 $725.40–$7,183.80 $806–$7,982 varies
Lumbar spine fusion combined (22633)
range across 2 matching MRF lines		 $1,378.80–$6,849 $1,532–$7,610 varies
Lysis/excision penile postcircumcision adhesions (54162) $588.60 $654 0.3×
Manipulation hip joint general anesthesia (27275)
range across 2 matching MRF lines		 $144–$605.70 $160–$673 varies
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $119.70–$497.70 $133–$553 varies
Manipulation wrist under anesthesia (25259) $1,350 $1,500 0.8×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines		 $153–$747 $170–$830 varies
Marsupialization of bartholin's gland cyst (56440) $822.60 $914 0.2×
Mast mod rad (19307) $9,529.20 $10,588 1.4×
Mastectomy for gynecomastia (19300)
range across 2 matching MRF lines		 $2,104.20–$2,427.30 $2,338–$2,697 varies
Mastectomy partial (19301)
range across 2 matching MRF lines		 $513–$2,050.20 $570–$2,278 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 2 matching MRF lines		 $469.80–$1,875.60 $522–$2,084 varies
Mastectomy simple complete (19303)
range across 3 matching MRF lines		 $530.10–$3,478.50 $589–$3,865 varies
Metatarsectomy (28140) $1,188 $1,320 0.3×
Myelography Lumbar Injection (62305)
range across 3 matching MRF lines		 $482.40–$3,286.80 $536–$3,652 varies
Myelography Lumbar Injection (62304)
range across 3 matching MRF lines		 $462.60–$3,874.50 $514–$4,305 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 3 matching MRF lines		 $469.80–$1,436.40 $522–$1,596 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 3 matching MRF lines		 $469.80–$2,348.10 $522–$2,609 varies
Myringoplasty (69620) $4,887 $5,430 1.4×
N Block Inj Celiac Pelus (64530) $554.40 $616 0.6×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $235.80–$450 $262–$500 varies
N Block Inj Plantar Digit (64455) $91.80 $102 0.3×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $315.90–$875.70 $351–$973 varies
N Block Lumbar/Thoracic (64520) $1,034.10 $1,149 1.1×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $147.60–$386.10 $164–$429 varies
Nasal/Orogastric W/Tube Plmt (43752) $306.90 $341 0.7×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,925.10 $2,139 1.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,386 $1,540 0.7×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure		 $893.70 $993 0.1×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $860.40 $956 0.1×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure		 $660.60 $734 0.1×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $621 $690 0.6×
Neck spine disk surgery (63020)
range across 2 matching MRF lines		 $909.90–$4,266 $1,011–$4,740 varies
Neck spine fusion (22600)
range across 2 matching MRF lines		 $1,013.40–$5,057.10 $1,126–$5,619 varies
Needle Biopsy Lymph Nodes (38505)
range across 5 matching MRF lines		 $270–$5,310 $300–$5,900 varies
Needle Biopsy Pancreas (48102)
range across 2 matching MRF lines		 $1,207.80–$3,115.80 $1,342–$3,462 varies
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $702 $780 0.9×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines		 $317.70–$4,545.90 $353–$5,051 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 2 matching MRF lines		 $267.30–$1,927.80 $297–$2,142 varies
Njx anes stellate ganglion crv sympathetic (64510) $310.50 $345 0.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines		 $309.60–$1,219.50 $344–$1,355 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 7 matching MRF lines		 $345.60–$4,955.40 $384–$5,506 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $439.20 $488 0.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $555.30–$4,035.60 $617–$4,484 varies
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 2 matching MRF lines		 $2,826.90–$6,259.50 $3,141–$6,955 varies
Njx Noncmpnd Sclrsnt Mlt Vn (36466)
range across 2 matching MRF lines		 $2,817–$3,033 $3,130–$3,370 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $416.70 $463 0.6×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
likely a partial charge, not the full procedure		 $541.80 $602 0.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $168.30–$331.20 $187–$368 varies
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines		 $219.60–$876.60 $244–$974 varies
Open Implantation Nea Sacral Nerve (64581)
likely a partial charge, not the full procedure		 $1,254.60 $1,394 0.2×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
range across 2 matching MRF lines		 $1,089–$5,363.10 $1,210–$5,959 varies
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327)
range across 2 matching MRF lines		 $1,133.10–$4,523.40 $1,259–$5,026 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 3 matching MRF lines		 $593.10–$2,936.70 $659–$3,263 varies
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $3,550.50 $3,945 0.5×
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines		 $521.10–$4,248 $579–$4,720 varies
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $2,227.50–$2,316.60 $2,475–$2,574 varies
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $2,010.60–$2,152.80 $2,234–$2,392 varies
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $444.60–$2,194.20 $494–$2,438 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $558–$2,750.40 $620–$3,056 varies
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
range across 2 matching MRF lines		 $744.30–$3,703.50 $827–$4,115 varies
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
unusually low: confirm this is the full procedure		 $3,642.30 $4,047 0.5×
Open treatment posterior malleolus fracture (27769)
unusually low: confirm this is the full procedure		 $2,292.30 $2,547 0.3×
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines		 $683.10–$3,374.10 $759–$3,749 varies
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $521.10–$2,560.50 $579–$2,845 varies
Open tx acute shoulder dislocation (23660)
likely a partial charge, not the full procedure		 $455.40 $506 0.1×
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure		 $2,759.40 $3,066 0.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $2,035.80–$2,482.20 $2,262–$2,758 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 3 matching MRF lines		 $554.40–$2,689.20 $616–$2,988 varies
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
range across 2 matching MRF lines		 $743.40–$3,692.70 $826–$4,103 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,868.40 $2,076 0.5×
Open tx humeral supracondylar fracture w/o xtn (24545)
range across 2 matching MRF lines		 $716.40–$3,549.60 $796–$3,944 varies
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
range across 2 matching MRF lines		 $627.30–$3,094.20 $697–$3,438 varies
Open tx interphalangeal joint dislocation (26785) $1,801.80 $2,002 0.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $1,821.60–$1,894.50 $2,024–$2,105 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,278.80 $2,532 0.7×
Open Tx Radial Head/Neck Fracture (24665)
range across 2 matching MRF lines		 $511.20–$2,230.20 $568–$2,478 varies
Open Tx Radial Head/Neck Fracture Prosth (24666)
range across 2 matching MRF lines		 $567.90–$2,803.50 $631–$3,115 varies
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $1,233 $1,370 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
range across 2 matching MRF lines		 $690.30–$3,427.20 $767–$3,808 varies
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 3 matching MRF lines		 $684–$3,320.10 $760–$3,689 varies
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $507.60–$2,498.40 $564–$2,776 varies
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $6,052.50–$37,898.10 $6,725–$42,109 varies
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines		 $8,037.90–$25,440.30 $8,931–$28,267 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $640.80–$3,155.40 $712–$3,506 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $813.60–$4,014 $904–$4,460 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $916.20–$4,557.60 $1,018–$5,064 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 2 matching MRF lines		 $682.20–$3,357 $758–$3,730 varies
Orchiopexy Ingun/Scrot Appr (54640) $1,120.50 $1,245 0.3×
Ostc prtl exostc/condylc metar head (28288) $1,357.20 $1,508 0.4×
Ostectomy calcaneus (28118) $1,341 $1,490 0.4×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $999.90 $1,111 0.3×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,310.40 $1,456 0.4×
Ostectomy, complete excision; first metatarsal head (28111) $997.20 $1,108 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,075.50 $1,195 0.3×
Osteochondral allograft knee open (27415)
unusually low: confirm this is the full procedure		 $5,232.60 $5,814 0.4×
Osteoplasty Radius/Ulna Shortening (25390)
range across 2 matching MRF lines		 $597.60–$2,951.10 $664–$3,279 varies
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,526.40 $1,696 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,274.40 $1,416 0.4×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure		 $2,518.20 $2,798 0.3×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210) $6,607.80 $7,342 0.9×
Osteotomy radius distal third (25350)
unusually low: confirm this is the full procedure		 $2,589.30 $2,877 0.3×
Part remv talus or calcaneus (28120) $1,332.90 $1,481 0.4×
Partial excision bone olecranon process (24147) $2,391.30 $2,657 0.7×
Partial Excision Bone Ulna (25150) $2,166.30 $2,407 0.6×
Partial Excision Distal Phalanx Finger (26236) $1,692.90 $1,881 1.0×
Partial removal of fibula (27641) $1,476.90 $1,641 0.4×
Partical Excision Bone Phalanx Toe (28124) $972.90 $1,081 0.3×
Patellectomy or hemipatellectomy (27350)
range across 2 matching MRF lines		 $507.60–$2,493.90 $564–$2,771 varies
Penile Injection (54235) $168.30 $187 0.6×
Peritoneal Lavage (49084) $1,168.20 $1,298 1.2×
Perq Cervicothoracic Inject (22510)
range across 3 matching MRF lines		 $1,481.40–$5,025.60 $1,646–$5,584 varies
Perq dev breast 1st strtctc (19283) $2,040.30 $2,267 2.8×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $205.20–$1,008 $228–$1,120 varies
Perq device breast 1st imag (19281) $1,452.60 $1,614 0.8×
Perq Lumbosacral Injection (22511)
range across 3 matching MRF lines		 $1,548–$4,653.90 $1,720–$5,171 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines		 $243–$967.50 $270–$1,075 varies
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,535.30 $2,817 0.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $1,783.80–$15,486.30 $1,982–$17,207 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $2,534.40–$15,486.30 $2,816–$17,207 varies
Pin Finger Dislocation (26776) $844.20 $938 0.2×
Place Rt Device/Marker Pros (55876) $270 $300 0.2×
Placement of needle for intraosseous infusion (36680) $377.10 $419 0.8×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $277.20 $308 0.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $538.20 $598 0.6×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $557.10 $619 0.4×
Proctosgmdsc rigid w/dilation (45303) $1,972.80 $2,192 1.6×
Prosthesis Removal Humeral/Glenoid Component (23334)
unusually low: confirm this is the full procedure		 $3,051.90 $3,391 0.4×
Prq skel fixj femoral fx prox end neck (27235)
unusually low: confirm this is the full procedure		 $3,465 $3,850 0.5×
Prq skel fixj metar fx w/manj (28476)
range across 2 matching MRF lines		 $1,235.70–$1,285.20 $1,373–$1,428 varies
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406)
likely a partial charge, not the full procedure		 $998.10 $1,109 0.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,199.70 $1,333 0.4×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $288–$299.70 $320–$333 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines		 $246.60–$1,900.80 $274–$2,112 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $248.40–$848.70 $276–$943 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $314.10 $349 0.4×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,904.30 $3,227 1.7×
Rad resect elbow caps/sr bone w rels (24149)
range across 2 matching MRF lines		 $910.80–$4,529.70 $1,012–$5,033 varies
Radical resection of tumor; talus or calcaneus Facility (27647) $3,231.90 $3,591 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,009.80 $1,122 0.5×
Rcnstj Dislocating Patella (27420)
range across 2 matching MRF lines		 $575.10–$2,843.10 $639–$3,159 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,771.20 $1,968 0.2×
Realignment extensor tendon hand each tendon (26437) $2,231.10 $2,479 0.7×
Reinforce hip bones (27187) $3,798 $4,220 0.5×
Reinsert spinal fixation (22849)
range across 2 matching MRF lines		 $973.80–$4,842.90 $1,082–$5,381 varies
Release of big toe (28240) $827.10 $919 0.2×
Removal Foreign Body Deep Thigh/Knee (27372) $2,018.70 $2,243 0.7×
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $480.60–$582.30 $534–$647 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $470.70 $523 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $34.20–$37.80 $38–$42 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $103.50–$332.10 $115–$369 varies
Removal Implant Deep (20680)
range across 3 matching MRF lines		 $473.40–$2,359.80 $526–$2,622 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $752.40–$1,293.30 $836–$1,437 varies
Removal implantable contraceptive capsules (11976) $337.50 $375 0.5×
Removal intact breast implant (19328) $2,900.70 $3,223 0.7×
Removal of adenoids (42830) $467.10 $519 0.1×
Removal of anal fissure (46200) $1,354.50 $1,505 0.5×
Removal of ankle implant (27704) $2,203.20 $2,448 0.6×
Removal of anterior instrumentation (22855)
range across 2 matching MRF lines		 $825.30–$4,102.20 $917–$4,558 varies
Removal of heel spur (28119) $1,368 $1,520 0.4×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
range across 2 matching MRF lines		 $1,218.60–$4,872.60 $1,354–$5,414 varies
Removal of implant from finger or hand (26320) $1,439.10 $1,599 0.8×
Removal of knee prosthesis (27488)
range across 2 matching MRF lines		 $920.70–$4,579.20 $1,023–$5,088 varies
Removal of nail bed (11750) $376.20 $418 0.9×
Removal of posterior segmental instrumentation Facility (22852)
range across 2 matching MRF lines		 $531.90–$2,612.70 $591–$2,903 varies
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
range across 2 matching MRF lines		 $732.60–$2,928.60 $814–$3,254 varies
Removal of sesamoid bone (28315) $1,078.20 $1,198 0.3×
Removal of sperm cord lesion (55520) $1,003.50 $1,115 0.3×
Removal of testis (54520) $698.40 $776 0.2×
Removal of tunneled intraperitoneal catheter (49422) $728.10 $809 0.2×
Removal of wrist bone (25210)
range across 2 matching MRF lines		 $228.60–$880.20 $254–$978 varies
Removal Pacemaker Electrode (33235) $15,525 $17,250 4.0×
Removal ppm generator only (33233)
range across 3 matching MRF lines		 $452.70–$9,975.60 $503–$11,084 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $204.30–$355.50 $227–$395 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $252.90–$6,063.30 $281–$6,737 varies
Removal, under anesthesia, of external fixation system (20694) $1,436.40 $1,596 0.9×
Removal/bivalving gauntlet boot/body cast (29700) $148.50 $165 0.5×
Remove drug implant device (11982)
range across 3 matching MRF lines		 $266.40–$477 $296–$530 varies
Remove Forearm Foreign Body (25248) $1,304.10 $1,449 0.8×
Remove foreign body from eye (65205) $90.90 $101 0.7×
Remove groin lymph nodes (38760)
unusually low: confirm this is the full procedure		 $3,096.90 $3,441 0.4×
Remove Int Dwell Ureteral Stent Transurethral (50386) $1,647.90 $1,831 0.8×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $251.10–$268.20 $279–$298 varies
Remove knee joint lining (27334)
range across 2 matching MRF lines		 $531.90–$2,311.20 $591–$2,568 varies
Remove lamina/facets lumbar (63012)
range across 2 matching MRF lines		 $882.90–$4,381.20 $981–$4,868 varies
Remove Lower Leg Bone Lesion (27635) $1,837.80 $2,042 0.5×
Remove lung catheter (32552) $346.50 $385 0.5×
Remove Nasal Foreign Body (30300) $488.70 $543 3.5×
Remove part lumbar vertebra (22102)
range across 2 matching MRF lines		 $601.20–$3,093.30 $668–$3,437 varies
Remove part thorax vertebra (22101)
range across 2 matching MRF lines		 $649.80–$2,594.70 $722–$2,883 varies
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure		 $1,323.90 $1,471 0.2×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $1,000.80–$3,071.70 $1,112–$3,413 varies
Remove Shoulder Foreign Body (23330) $642.60 $714 0.4×
Remove spine fixation device (22850)
range across 2 matching MRF lines		 $552.60–$2,716.20 $614–$3,018 varies
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $494.10–$2,073.60 $549–$2,304 varies
Remove wrist joint cartilage (25107)
range across 2 matching MRF lines		 $481.50–$2,360.70 $535–$2,623 varies
Remove&replace pm gen singl (33227)
likely a partial charge, not the full procedure		 $1,269.90 $1,411 0.1×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $434.70–$464.40 $483–$516 varies
Remv&replc cvd gen dual lead (33263) $51,506.10 $57,229 2.2×
Remv&replc cvd gen mult lead (33264) $66,343.50 $73,715 2.0×
Remv&replc pm gen dual lead (33228)
range across 3 matching MRF lines		 $646.20–$24,119.10 $718–$26,799 varies
Remv&replc pm gen mult leads (33229) $25,102.80 $27,892 1.3×
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446)
likely a partial charge, not the full procedure		 $1,328.40 $1,476 0.2×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $495–$2,922.30 $550–$3,247 varies
Repair Achilles Tendon (27650)
range across 3 matching MRF lines		 $517.50–$2,542.50 $575–$2,825 varies
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $2,018.70 $2,243 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $869.40–$1,509.30 $966–$1,677 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,098.90–$1,229.40 $1,221–$1,366 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $830.70 $923 2.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,582.20 $1,758 3.7×
Repair complex trunk 2.6-7.5 cm (13101) $931.50 $1,035 1.2×
Repair Elbow Perc (24357) $1,631.70 $1,813 0.5×
Repair extensor tendon finger w/o graft each (26418) $1,913.40 $2,126 1.1×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $1,379.70–$1,435.50 $1,533–$1,595 varies
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $1,801.80 $2,002 0.2×
Repair Hallux Rigidus (28289) $1,438.20 $1,598 0.4×
Repair Hand Joint (26540)
range across 2 matching MRF lines		 $360.90–$2,343.60 $401–$2,604 varies
Repair Hand Tendon (26410) $1,847.70 $2,053 1.1×
Repair inguinal hernia, sliding, any age (49525) $2,460.60 $2,734 0.7×
Repair initial femoral hernia, any age; reducible (49550) $1,696.50 $1,885 0.5×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $306–$2,536.20 $340–$2,818 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $532.80–$665.10 $592–$739 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $603.90 $671 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $769.50–$1,141.20 $855–$1,268 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $576–$692.10 $640–$769 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $594–$723.60 $660–$804 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $854.10 $949 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $610.20 $678 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $555.30–$658.80 $617–$732 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $778.95–$814.50 $865.50–$905 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,253.70 $1,393 0.6×
Repair Non/Malunion Humerus W/O Graft (24430)
range across 2 matching MRF lines		 $813.60–$4,032 $904–$4,480 varies
Repair Nonunion Hand (26546) $3,865.50 $4,295 0.5×
Repair Nonunion/Malunion Tarsal Bones (28320)
likely a partial charge, not the full procedure		 $1,164.60 $1,294 0.1×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure		 $2,992.50 $3,325 0.4×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $1,728 $1,920 0.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $444.60–$449.10 $494–$499 varies
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
range across 2 matching MRF lines		 $621.90–$3,075.30 $691–$3,417 varies
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $600.30–$2,970 $667–$3,300 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $2,921.40 $3,246 0.4×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $1,577.70 $1,753 0.2×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,386.90 $1,541 0.2×
Repair shoulder capsule (23462)
range across 2 matching MRF lines		 $820.80–$4,077.90 $912–$4,531 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,083.60 $1,204 0.3×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure		 $1,394.10 $1,549 0.2×
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491)
unusually low: confirm this is the full procedure		 $2,216.70 $2,463 0.4×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470)
range across 2 matching MRF lines		 $907.20–$4,492.80 $1,008–$4,992 varies
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure		 $2,582.10 $2,869 0.3×
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure		 $2,117.70 $2,353 0.3×
Repair/graft femur head/neck (27170)
range across 2 matching MRF lines		 $894.60–$4,479.30 $994–$4,977 varies
Repair/Graft Wrist Bone (25440)
unusually low: confirm this is the full procedure		 $2,513.70 $2,793 0.3×
Repair/Revise Wrist Joint (25320)
range across 2 matching MRF lines		 $764.10–$3,772.80 $849–$4,192 varies
Repair/transpose nerve (64856)
unusually low: confirm this is the full procedure		 $3,366 $3,740 0.4×
Repr Elbw Med Ligmnt W/Tiss (24345)
range across 2 matching MRF lines		 $361.80–$1,319.40 $402–$1,466 varies
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $321.30–$2,724.30 $357–$3,027 varies
Rev/rmv prph sac/gstr npg/r (64595) $575.10 $639 0.2×
Revis reconst shoulder joint (23473)
range across 2 matching MRF lines		 $1,236.60–$6,183.90 $1,374–$6,871 varies
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
range across 2 matching MRF lines		 $1,333.80–$6,680.70 $1,482–$7,423 varies
Revise Hand/Foot Nerve (64704) $634.50 $705 0.3×
Revise ulnar nerve at wrist (64719) $908.10 $1,009 0.4×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $1,007.10 $1,119 0.1×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $5,128.20 $5,698 1.4×
Revision of foot (28116) $1,404.90 $1,561 0.4×
Revision of foot bones (28737)
likely a partial charge, not the full procedure		 $2,176.20 $2,418 0.2×
Revision of lower leg tendon (27685) $1,211.40 $1,346 0.4×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
range across 2 matching MRF lines		 $1,120.50–$5,607.90 $1,245–$6,231 varies
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
range across 2 matching MRF lines		 $1,164.60–$5,831.10 $1,294–$6,479 varies
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
range across 2 matching MRF lines		 $1,454.40–$7,292.70 $1,616–$8,103 varies
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $1,340.10–$6,704.10 $1,489–$7,449 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $1,075.50–$5,364 $1,195–$5,960 varies
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines		 $195.30–$1,407.60 $217–$1,564 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $113.40–$138.60 $126–$154 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,005.30 $1,117 0.3×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,588.50 $1,765 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,121.40–$5,285.70 $1,246–$5,873 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $400.50–$3,807 $445–$4,230 varies
Rmvl/revj sling stress incontinence (57287) $1,632.60 $1,814 0.5×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $565.20–$1,025.10 $628–$1,139 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,361.70 $1,513 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $148.50–$591.30 $165–$657 varies
Rpr Aa Hernia Recr < 3 Cm Reducible (49613)
range across 2 matching MRF lines		 $226.80–$903.60 $252–$1,004 varies
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $308.70–$1,285.20 $343–$1,428 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $246.60–$985.50 $274–$1,095 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
range across 2 matching MRF lines		 $287.10–$1,395 $319–$1,550 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $309.60–$394.20 $344–$438 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $1,424.70 $1,583 0.2×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,937.70 $2,153 0.6×
Scrotal exploration (55110) $891.90 $991 0.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $1,466.10 $1,629 0.4×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $694.80 $772 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $587.70 $653 0.5×
Shave skin lesion 0.5 cm/< (11300) $241.20 $268 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $243.90–$275.40 $271–$306 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $291.60 $324 1.4×
Shoulder arthroscopy (29820)
likely a partial charge, not the full procedure		 $2,052 $2,280 0.3×
Shoulder arthroscopy diagnostic (29805)
range across 2 matching MRF lines		 $365.40–$1,544.40 $406–$1,716 varies
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines		 $292.50–$1,164.60 $325–$1,294 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $329.40 $366 1.6×
Sigmoidoscopy & decompress (45337) $390.60 $434 0.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $694.80 $772 0.7×
Simple Cystometrogram (51725) $1,192.50 $1,325 4.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $261 $290 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $270 $300 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $223.20 $248 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $186.30–$218.70 $207–$243 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $279.90–$301.50 $311–$335 varies
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $217.80–$354.60 $242–$394 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $342–$1,034.10 $380–$1,149 varies
Skin Tissue Procedure (17999) $292.50 $325 1.4×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines		 $1,385.10–$1,640.70 $1,539–$1,823 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $261.90–$420.30 $291–$467 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $369 $410 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $439.20 $488 1.0×
Sphincterotomy anal division sphincter spx (46080) $648 $720 0.2×
Spinal puncture lumbar diagnostic (62270) $1,010.70 $1,123 1.4×
Strapping Unna Boot (29580)
range across 5 matching MRF lines		 $201.60–$484.20 $224–$538 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $642.60 $714 0.2×
Surg Implnt Neuroelect,Epidural (63655)
range across 2 matching MRF lines		 $423.90–$3,055.50 $471–$3,395 varies
Surg tx anal fistula subq (46270) $1,233.90 $1,371 0.4×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,098 $1,220 0.4×
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $487.80–$2,327.40 $542–$2,586 varies
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $475.20–$2,259 $528–$2,510 varies
Tendon lengthening upper arm/elbow ea tendon (24305)
range across 2 matching MRF lines		 $333.90–$1,330.20 $371–$1,478 varies
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310)
range across 2 matching MRF lines		 $484.20–$2,379.60 $538–$2,644 varies
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $576–$2,847.60 $640–$3,164 varies
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $825.30 $917 0.2×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $2,075.40 $2,306 0.6×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $2,017.80 $2,242 0.6×
Tenotomy shoulder area single tendon (23405)
range across 2 matching MRF lines		 $482.40–$2,376 $536–$2,640 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $3,056.40 $3,396 4.2×
Thyroid biopsy (60100)
range across 3 matching MRF lines		 $255.60–$603.90 $284–$671 varies
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $2,934 $3,260 0.5×
Tnot elbow lateral/medial debride open (24358)
range across 2 matching MRF lines		 $413.10–$2,016.90 $459–$2,241 varies
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $309.60–$2,165.40 $344–$2,406 varies
Total Knee Arthroplasty (27447)
range across 3 matching MRF lines		 $982.80–$10,321.20 $1,092–$11,468 varies
Tprnl Plmt Biodegrdabl Matrl (55874)
likely a partial charge, not the full procedure		 $304.20 $338 0.1×
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $5,910.30 $6,567 0.8×
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure		 $1,892.70 $2,103 0.3×
Treat ankle fracture (28445)
unusually low: confirm this is the full procedure		 $3,230.10 $3,589 0.4×
Treat Big Toe Fracture (28505) $1,954.80 $2,172 0.6×
Treat Finger Fracture Each (26727) $1,571.40 $1,746 0.5×
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $698.40–$2,791.80 $776–$3,102 varies
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $573.30–$2,815.20 $637–$3,128 varies
Treat humerus fracture (23616)
likely a partial charge, not the full procedure		 $2,478.60 $2,754 0.1×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $583.20–$2,874.60 $648–$3,194 varies
Treat scapula fracture (23585)
range across 2 matching MRF lines		 $756–$3,741.30 $840–$4,157 varies
Treat Tail Bone Fracture (27200) $347.40 $386 1.4×
Treat Thumb Dislocation (26641) $868.50 $965 3.4×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,494.90–$1,577.70 $1,661–$1,753 varies
Treatment closed elbow dislocation w/o anes (24600) $1,173.60 $1,304 4.6×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $942.30–$4,689.90 $1,047–$5,211 varies
Treatment of tibia fracture (27756)
range across 2 matching MRF lines		 $451.80–$1,888.20 $502–$2,098 varies
Trim skin lesion (11055) $162.90 $181 0.8×
Trim skin lesions 2 to 4 (11056) $187.20 $208 0.9×
Trim skin lesions over 4 (11057) $205.20 $228 1.0×
Trimming Nondystrophic Nails Any Number (11719) $34.20 $38 0.6×
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $3,798–$17,000.10 $4,220–$18,889 varies
Tx Gastro Intub W/Asp (43753) $45.90 $51 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines		 $942.30–$4,687.20 $1,047–$5,208 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $802.80 $892 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,378.80 $1,532 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $162.90–$693.90 $181–$771 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $604.80 $672 2.4×
Tympanostomy general anesthesia (69436) $342 $380 0.2×
Unlisted laparoscopic procedure liver (47379) $3,510 $3,900 0.6×
Unlisted procedure arthroscopy (29999)
range across 3 matching MRF lines		 $276.30–$1,416.60 $307–$1,574 varies
Unlisted procedure colon (45399) $1,972.80 $2,192 2.0×
Unlisted procedure femur or knee (27599) $3,015.90 $3,351 11.8×
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines		 $256.50–$945.90 $285–$1,051 varies
Unlisted Procedure Leg/Ankle (27899) $1,505.70 $1,673 5.9×
Unlisted procedure nervous system (64999)
range across 5 matching MRF lines		 $232.20–$1,540.80 $258–$1,712 varies
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines		 $741.60–$2,961 $824–$3,290 varies
Unlisted procedure stomach (43999) $433.80 $482 0.5×
Urine Flow Measurement (51736) $198.90 $221 1.4×
Vaginal delivery only (59409) $1,315.80 $1,462 0.4×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
likely a partial charge, not the full procedure		 $362.70 $403 0.1×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $1,722.60 $1,914 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $837.90–$2,217.60 $931–$2,464 varies
Vasovasostomy vasovasorrhaphy (55400) $1,067.40 $1,186 0.3×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $323.10–$394.20 $359–$438 varies
Wrist arthroscopy (29840)
range across 2 matching MRF lines		 $351–$1,731.60 $390–$1,924 varies
Wrist arthroscopy with partial removal of joint lining (29844)
range across 2 matching MRF lines		 $390.60–$1,917.90 $434–$2,131 varies
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $2,228.40 $2,476 0.3×

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.