Procedures & surgery prices at Pike County Memorial Hospital
Louisiana, MO · every code in this section with a posted price and a Medicare benchmark.
545 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) range across 3 matching MRF lines |
$830.40–$2,408.80 | $1,038–$3,011 | varies |
| Ablate inf turbinate submuc (30802) | $3,477.60 | $4,347 | 2.2× |
| Acne surgery (10040) | $84.80 | $106 | 0.4× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $3,440 | $4,300 | 1.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$880–$3,000 | $1,100–$3,750 | varies |
| Amputation foot transmetarsal (28805) | $7,204.80 | $9,006 | 2.2× |
| Amputation metatarsal with toe single (28810) | $1,704 | $2,130 | 0.5× |
| Amputation toe interphalangeal joint (28825) | $7,364 | $9,205 | 2.2× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$600–$1,704 | $750–$2,130 | varies |
| Ankle disarticulation (27889) | $16,345.60 | $20,432 | 2.2× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$118.40–$200 | $148–$250 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $129.60 | $162 | 0.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 2 matching MRF lines |
$362.40–$383.20 | $453–$479 | varies |
| Application cast elbow finger short arm (29075) | $138.40 | $173 | 0.5× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$76–$149.60 | $95–$187 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$124–$149.60 | $155–$187 | varies |
| Application Long Leg Splint (29505) | $149.60 | $187 | 0.9× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$94.40–$149.60 | $118–$187 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$77.60–$431.20 | $97–$539 | varies |
| Apply hand/wrist cast (29085) | $129.60 | $162 | 0.8× |
| Apply long arm cast (29065) | $131.20 | $164 | 0.5× |
| Apply Multlay Comprs Lwr Leg (29581) | $383.20 | $479 | 2.4× |
| Apply Short Leg Cast (29405) | $160 | $200 | 0.6× |
| Apply short leg cast (29425) | $184 | $230 | 0.7× |
| Arterial puncture (36600) | $82.40 | $103 | 0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$57.60–$256 | $72–$320 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$120–$719.20 | $150–$899 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$55.20–$198.40 | $69–$248 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$1,956 | $2,445 | 0.1× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 2 matching MRF lines |
$780–$5,200 | $975–$6,500 | varies |
| Arthroplasty Patella W/Prosthesis (27438) | $24,507.62 | $30,634.52 | 1.9× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) range across 2 matching MRF lines |
$471.20–$2,673.60 | $589–$3,342 | varies |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 2 matching MRF lines |
$1,020–$2,489.60 | $1,275–$3,112 | varies |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$880–$2,644.80 | $1,100–$3,306 | varies |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $2,884.80 | $3,606 | 0.9× |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$784–$5,159.20 | $980–$6,449 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$1,288–$6,400 | $1,610–$8,000 | varies |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) | $12,000 | $15,000 | 1.7× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) | $12,000 | $15,000 | 1.7× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) | $5,600 | $7,000 | 1.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) range across 2 matching MRF lines |
$628–$8,130.40 | $785–$10,163 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $5,600 | $7,000 | 1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$976–$2,800 | $1,220–$3,500 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$960–$4,800 | $1,200–$6,000 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$960–$5,159.20 | $1,200–$6,449 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$840–$2,480 | $1,050–$3,100 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$1,252.80–$4,800 | $1,566–$6,000 | varies |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) range across 2 matching MRF lines |
$888–$6,800 | $1,110–$8,500 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$1,264–$17,663.20 | $1,580–$22,079 | varies |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $6,800 | $8,500 | 2.1× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) | $6,800 | $8,500 | 2.1× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$2,267.20 | $2,834 | 0.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 3 matching MRF lines |
$1,088–$12,000 | $1,360–$15,000 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$1,007.20–$3,009.60 | $1,259–$3,762 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $8,269.60 | $10,337 | 2.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$1,180–$7,668.80 | $1,475–$9,586 | varies |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) | $736.80 | $921 | 0.2× |
| Aspirate pleura w/ imaging (32555) range across 5 matching MRF lines |
$259.20–$1,543.20 | $324–$1,929 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $63.20 | $79 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$78.40–$84 | $98–$105 | varies |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$106.40–$200 | $133–$250 | varies |
| Biopsy Muscle Superficial (20200) | $265.60 | $332 | 0.2× |
| Biopsy of breast; open, incisional (19101) | $414.40 | $518 | 0.1× |
| Biopsy of lip (40490) | $200 | $250 | 0.8× |
| Biopsy of palate, uvula (42100) | $182.40 | $228 | 0.1× |
| Biopsy of rectum (45100) | $6,818.40 | $8,523 | 2.5× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) | $7,867.20 | $9,834 | 2.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) | $632.80 | $791 | 0.2× |
| Biopsy Tongue Posterior One-Third (41105) | $207.20 | $259 | 0.1× |
| Biopsy, vestibule of mouth (40808) | $223.20 | $279 | 0.4× |
| Bladder instillation anticarcinogenic agent (51720) | $1,488.80 | $1,861 | 2.1× |
| Bladder Irrigation (51700) | $185.60 | $232 | 0.7× |
| Bladder Scan (51798) | $40 | $50 | 0.7× |
| Blepharotomy drainage abscess eyelid (67700) | $218.40 | $273 | 0.7× |
| Blood Transfusion Service (36430) | $520 | $650 | 1.2× |
| Bx breast 1st lesion us imag (19083) | $2,000 | $2,500 | 1.2× |
| Bx/exc lymph node open superficial (38500) | $8,585.60 | $10,732 | 2.2× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$577.60–$2,149.60 | $722–$2,687 | varies |
| Cataract surgery complex (66982) | $2,470.40 | $3,088 | 1.1× |
| Change Cystostomy Tube Simple (51705) | $280 | $350 | 1.1× |
| Chemical Cautery Tissue (17250) range across 4 matching MRF lines |
$128.80–$840 | $161–$1,050 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) range across 2 matching MRF lines |
$200–$1,600 | $250–$2,000 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 3 matching MRF lines |
$153.60–$1,280 | $192–$1,600 | varies |
| Chemodenerv Eccrine Glands (64650) range across 2 matching MRF lines |
$95.20–$700.80 | $119–$876 | varies |
| Chemodenerv Musc Migraine (64615) range across 3 matching MRF lines |
$260–$520 | $325–$650 | varies |
| Chemodenerv musc neck dyston (64616) | $124 | $155 | 0.4× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) range across 2 matching MRF lines |
$120–$432.80 | $150–$541 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 3 matching MRF lines |
$179.20–$432.80 | $224–$541 | varies |
| Chest tube placement (32551) | $310.40 | $388 | 0.2× |
| Circumcision 28 days or older (54161) | $3,600 | $4,500 | 1.7× |
| Circumcision w/clamp/oth dev w/block (54150) | $251.20 | $314 | 0.1× |
| Claviculectomy partial (23120) | $603.20 | $754 | 0.2× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$64–$349.60 | $80–$437 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$494.40–$2,960.80 | $618–$3,701 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $469.60 | $587 | 0.3× |
| Closed tx knee dislocation w/o anesthesia (27550) | $467.20 | $584 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $185.60 | $232 | 0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) | $652 | $815 | 0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $185.60 | $232 | 0.8× |
| Closed tx radial shaft fracture w/manipulation (25505) | $460.80 | $576 | 0.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $185.60 | $232 | 0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $200 | $250 | 0.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $185.60 | $232 | 0.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $179.20 | $224 | 0.7× |
| Closed tx talus fracture w/o manipulation (28430) | $185.60 | $232 | 0.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $185.60 | $232 | 0.8× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $200 | $250 | 0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $144.80 | $181 | 0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $412.80 | $516 | 0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$140.80–$455.20 | $176–$569 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $200 | $250 | 0.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $185.60 | $232 | 0.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $185.60 | $232 | 0.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$185.60–$513.60 | $232–$642 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $548 | $685 | 2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $182.40 | $228 | 0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$316.80–$376.80 | $396–$471 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$219.20–$2,800 | $274–$3,500 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $140.80 | $176 | 0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $212 | $265 | 0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $167.20 | $209 | 0.7× |
| Cltx Medial Ankle Fx (27760) | $185.60 | $232 | 0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$185.60–$291.20 | $232–$364 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $288.80 | $361 | 1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $140.80 | $176 | 0.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $196 | $245 | 0.8× |
| Cltx post hip arthrp dislc req anes (27266) | $2,947.37 | $3,684.21 | 1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) | $185.60 | $232 | 0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$179.20–$596 | $224–$745 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $600 | $750 | 0.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $185.60 | $232 | 0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) | $185.60 | $232 | 0.8× |
| Collect Blood From Catheter Venous Nos (36592) range across 4 matching MRF lines |
$20–$94.40 | $25–$118 | varies |
| Collection of venous blood by venipuncture (36415) range across 7 matching MRF lines |
$12.80–$33.60 | $16–$42 | varies |
| Colonoscopy thru stoma (44388) | $335.20 | $419 | 0.4× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$373.60–$713.60 | $467–$892 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $292.80 | $366 | 1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$506.40–$1,273.60 | $633–$1,592 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $188.80 | $236 | 1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$134.40–$188.80 | $168–$236 | varies |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) likely a partial charge, not the full procedure |
$2,614.40 | $3,268 | 0.2× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$600–$1,704 | $750–$2,130 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $11,400 | $14,250 | 0.9× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
$622.40–$2,320 | $778–$2,900 | varies |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$411.20–$1,376.80 | $514–$1,721 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $188.80 | $236 | 1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $3,627.20 | $4,534 | 1.7× |
| Cysto W/Simple Removal Stone & Stent (52310) | $3,600 | $4,500 | 1.7× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$326.40–$1,400 | $408–$1,750 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $4,425.60 | $5,532 | 2.1× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $7,840 | $9,800 | 2.2× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $11,488.80 | $14,361 | 2.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,630.40 | $2,038 | 2.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$219.20–$903.20 | $274–$1,129 | varies |
| Debride nail 1-5 (11720) | $48 | $60 | 0.8× |
| Debride nail 6 or more (11721) | $60 | $75 | 1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$377.60–$920 | $472–$1,150 | varies |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $1,385.60 | $1,732 | 2.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$89.60–$903.20 | $112–$1,129 | varies |
| Destruct B9 Lesion 1-14 (17110) | $120 | $150 | 0.6× |
| Destruction Benign Lesions 15/> (17111) | $128 | $160 | 0.6× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $160 | $200 | 0.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $193.60 | $242 | 1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $104 | $130 | 0.5× |
| Destruction of rectal tumor transanal approach (45190) | $7,204 | $9,005 | 2.6× |
| Destruction of skin lesions (17106) | $444 | $555 | 1.1× |
| Destruction Premalignant Lesion 15/> (17004) range across 3 matching MRF lines |
$228–$1,040 | $285–$1,300 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$120–$1,040 | $150–$1,300 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$112–$603.20 | $140–$754 | varies |
| Dilat female urethra general/cndj spinal anes (53665) | $4,562.40 | $5,703 | 2.2× |
| Dilate Urethra Stricture (53600) | $560 | $700 | 2.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$148–$168 | $185–$210 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$172–$200 | $215–$250 | varies |
| Drainage of gum lesion (41800) | $200 | $250 | 1.5× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$99.20–$314.40 | $124–$393 | varies |
| Drainage of nose lesion (30000) | $161.60 | $202 | 0.7× |
| Draw Blood Off Venous Device (36591) range across 4 matching MRF lines |
$84.80–$88 | $106–$110 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,724 | $2,155 | 2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $152 | $190 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $128.80 | $161 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$100.80–$840 | $126–$1,050 | varies |
| Dstrj lesion anus simple surg excision (46922) range across 2 matching MRF lines |
$200–$1,897.60 | $250–$2,372 | varies |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) range across 2 matching MRF lines |
$160–$1,489.60 | $200–$1,862 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $196 | $245 | 1.0× |
| Dx Laryngoscopy Excl Nb (31525) | $3,953.60 | $4,942 | 2.2× |
| Dx laryngoscopy w/oper scope (31526) | $3,947.20 | $4,934 | 2.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $256 | $320 | 0.4× |
| Egd Balloon Dil Esoph30 Mm/> (43233) range across 2 matching MRF lines |
$1,360–$1,461.60 | $1,700–$1,827 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $296.80 | $371 | 0.2× |
| Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$620–$806.40 | $775–$1,008 | varies |
| Egd control bleeding any (43255) | $484.80 | $606 | 0.3× |
| Egd Flexible Foreign Body Removal (43247) | $344 | $430 | 0.4× |
| Egd remove lesion snare (43251) | $620 | $775 | 0.3× |
| Endoscopic injection/implant (51715) | $7,660.80 | $9,576 | 2.2× |
| Endoscopic plantar fasciotomy (29893) | $7,743.20 | $9,679 | 2.4× |
| Epididymectomy unilateral (54860) | $8,396 | $10,495 | 2.4× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $676.80 | $846 | 0.7× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $226.40 | $283 | 0.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $267.20 | $334 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$64.80–$68.80 | $81–$86 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$184.80–$668.80 | $231–$836 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $293.60 | $367 | 0.2× |
| Exc Back Tum Deep 5 Cm/> (21933) | $7,720 | $9,650 | 2.7× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $692.80 | $866 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $228 | $285 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $277.60 | $347 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $480 | $600 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$123.20–$668.80 | $154–$836 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $187.20 | $234 | 0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $258.40 | $323 | 0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$358.40–$2,800 | $448–$3,500 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $435.20 | $544 | 0.3× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $576.80 | $721 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$95.20–$668.80 | $119–$836 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $159.20 | $199 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$231.20–$668.80 | $289–$836 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $820 | $1,025 | 0.5× |
| Exc hydrocele sprmatic cord uni spx (55500) | $7,200 | $9,000 | 2.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$520–$1,704 | $650–$2,130 | varies |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) range across 2 matching MRF lines |
$460–$3,200 | $575–$4,000 | varies |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $7,012.63 | $8,765.79 | 2.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$400–$957.60 | $500–$1,197 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$201.60–$1,306.40 | $252–$1,633 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $286.40 | $358 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$423.20–$1,306.40 | $529–$1,633 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $493.60 | $617 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$340.80–$1,306.40 | $426–$1,633 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$198.40–$227.20 | $248–$284 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$190.40–$668.80 | $238–$836 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$217.60–$710.40 | $272–$888 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$317.60–$1,388 | $397–$1,735 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $454.40 | $568 | 0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $2,800 | $3,500 | 1.7× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $324.80 | $406 | 0.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $985.60 | $1,232 | 0.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,400 | $3,000 | 1.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $3,431.20 | $4,289 | 2.2× |
| 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 |
$400–$957.60 | $500–$1,197 | varies |
| Excision lesion meniscus/capsule knee (27347) range across 2 matching MRF lines |
$530.40–$1,811.20 | $663–$2,264 | varies |
| Excision lesion mouth roof (42104) | $219.20 | $274 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$300.80–$668.80 | $376–$836 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$263.20–$668.80 | $329–$836 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$306.40–$668.80 | $383–$836 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$391.20–$900.80 | $489–$1,126 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $366.40 | $458 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $386.40 | $483 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $217.60 | $272 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $285.60 | $357 | 0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $321.60 | $402 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $336.80 | $421 | 0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) | $6,128.80 | $7,661 | 2.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$346.40–$1,546.40 | $433–$1,933 | varies |
| Excision of hydrocele; unilateral (55040) | $6,800 | $8,500 | 1.9× |
| Excision of pilonidal cyst or sinus; simple (11770) | $277.60 | $347 | 0.1× |
| Excision of single external papilla or tag, anus (46220) | $2,616.80 | $3,271 | 2.2× |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$388–$1,917.60 | $485–$2,397 | varies |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $1,012.80 | $1,266 | 0.3× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $4,800 | $6,000 | 1.6× |
| Excision prepatellar bursa (27340) range across 2 matching MRF lines |
$419.20–$2,229.60 | $524–$2,787 | varies |
| Excision spermatocele w/wo epididymectomy (54840) | $3,600 | $4,500 | 1.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $425.60 | $532 | 0.3× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $1,704 | $2,130 | 1.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines |
$240–$4,720 | $300–$5,900 | varies |
| Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
$326.40–$7,316 | $408–$9,145 | varies |
| Excision/destruction lesion pharynx any method (42808) | $400 | $500 | 0.1× |
| Explo/Drain Breast Abscess (19020) | $254.40 | $318 | 0.2× |
| Exploratory elbow surgery (24000) | $660.80 | $826 | 0.2× |
| Fine needle aspiration without imaging guidance (10021) | $123.20 | $154 | 0.3× |
| Fna bx w/us gdn 1st les (10005) | $1,200 | $1,500 | 1.7× |
| Gastrocnemius recession (27687) | $7,774.40 | $9,718 | 2.4× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $688.80 | $861 | 0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $2,019.20 | $2,524 | 0.7× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) | $608.80 | $761 | 0.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $227.20 | $284 | 0.2× |
| Hemorrhoidopexy by stapling (46947) | $2,800 | $3,500 | 1.0× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$91.20–$147.20 | $114–$184 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$978.40–$1,771.20 | $1,223–$2,214 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $780 | $975 | 0.2× |
| I&d pilonidal cyst complicated (10081) | $180.80 | $226 | 0.3× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$129.60–$188.80 | $162–$236 | varies |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$960–$9,600 | $1,200–$12,000 | varies |
| Implant Neuroelectrodes (64561) range across 4 matching MRF lines |
$800–$12,400 | $1,000–$15,500 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $24,000 | $30,000 | 1.2× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$200.80–$212 | $251–$265 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$316–$1,438.40 | $395–$1,798 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$150.40–$172 | $188–$215 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$280–$3,627.20 | $350–$4,534 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$172–$668.80 | $215–$836 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $644 | $805 | 3.2× |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$204–$210.40 | $255–$263 | varies |
| Incision extensor tendon sheath wrist (25000) | $4,172.80 | $5,216 | 2.6× |
| Incision of eardrum (69421) | $7,134.40 | $8,918 | 2.1× |
| Incision of lingual frenum (frenotomy) (41010) | $251.20 | $314 | 0.2× |
| Incision of rectal abscess (46040) | $656 | $820 | 0.5× |
| Incisional biopsy skin single lesion (11106) | $152 | $190 | 0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$96.80–$152 | $121–$190 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$151.20–$741.60 | $189–$927 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $284 | $355 | 0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $88 | $110 | 0.3× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$100–$536 | $125–$670 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $116 | $145 | 0.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,694.74 | $2,118.42 | 2.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $129.60 | $162 | 0.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,400 | $1,750 | 2.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $101.60 | $127 | 0.3× |
| Injection Anes Superior Hypogastric Plexus (64517) | $180 | $225 | 0.2× |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$110.40–$1,682.40 | $138–$2,103 | varies |
| Injection single tendon origin/insertion (20551) | $80 | $100 | 0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$56–$280.80 | $70–$351 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$64–$561.60 | $80–$702 | varies |
| Injection therapeutic carpal tunnel (20526) | $112.80 | $141 | 0.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$96–$536 | $120–$670 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$259.20–$800 | $324–$1,000 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$94.40–$536 | $118–$670 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $67.20 | $84 | 0.3× |
| Insert Bladder Cath Complex (51703) | $144 | $180 | 1.1× |
| Insert Drug Implant Device (11981) | $116 | $145 | 0.9× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$305.60–$1,094.40 | $382–$1,368 | varies |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$124–$280 | $155–$350 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$458.40–$2,332.80 | $573–$2,916 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 6 matching MRF lines |
$95.20–$124 | $119–$155 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,574.40 | $1,968 | 1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $9,200 | $11,500 | 1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines |
$996.80–$2,200 | $1,246–$2,750 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$384–$774.40 | $480–$968 | varies |
| Knee arthroscopy/drainage (29871) | $628 | $785 | 0.2× |
| Knee Arthroscopy/Surgery (29874) range across 2 matching MRF lines |
$960–$3,600 | $1,200–$4,500 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$1,075.20–$3,942.40 | $1,344–$4,928 | varies |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) | $8,248.80 | $10,311 | 2.2× |
| Laryngoscopy flexible diagnostic (31575) | $137.60 | $172 | 0.7× |
| Laryngoscopy W/Biopsy (31535) | $8,145.60 | $10,182 | 2.2× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $8,185.60 | $10,232 | 2.2× |
| Larynscop w/tumr exc + scope (31541) | $7,170.40 | $8,963 | 1.9× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) | $16,000 | $20,000 | 1.2× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $12,000 | $15,000 | 1.7× |
| Ligamentous reconstruction knee intra-articular (27428) | $16,000 | $20,000 | 1.2× |
| Ligation of hemorrhoids (46946) | $412.80 | $516 | 0.1× |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$184–$2,800 | $230–$3,500 | varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$852–$1,344 | $1,065–$1,680 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$93.60–$200 | $117–$250 | varies |
| N Block Inj Pudendal (64430) | $1,934.40 | $2,418 | 2.2× |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$196.80–$741.60 | $246–$927 | varies |
| Nasal Endoscopy Dx (31231) range across 2 matching MRF lines |
$186.40–$400 | $233–$500 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $200 | $250 | 0.4× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $333.60 | $417 | 0.1× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$3,953.60–$4,149.60 | $4,942–$5,187 | varies |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) | $3,728.80 | $4,661 | 2.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) | $14,248.42 | $17,810.53 | 2.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $14,094.66 | $17,618.32 | 2.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) | $14,048.80 | $17,561 | 2.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) | $14,021.06 | $17,526.32 | 2.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) | $15,528.80 | $19,411 | 2.2× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) | $16,572.80 | $20,716 | 2.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $4,301.60 | $5,377 | 2.7× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$804–$2,000 | $1,005–$2,500 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $92.80 | $116 | 0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$128–$741.60 | $160–$927 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$200–$796.80 | $250–$996 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $176 | $220 | 0.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$176–$764 | $220–$955 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $191.20 | $239 | 0.5× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 2 matching MRF lines |
$8,128.80–$16,580.80 | $10,161–$20,726 | varies |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) | $15,046.40 | $18,808 | 2.1× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$98.40–$200 | $123–$250 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $8,980.80 | $11,226 | 2.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
$1,078.40–$12,000 | $1,348–$15,000 | varies |
| Open treatment greater trochanteric fracture (27248) likely a partial charge, not the full procedure |
$1,164 | $1,455 | 0.2× |
| Open treatment metacarpophalangeal dislocation (26715) | $573.60 | $717 | 0.2× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) range across 2 matching MRF lines |
$640–$12,000 | $800–$15,000 | varies |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) range across 2 matching MRF lines |
$796.80–$12,000 | $996–$15,000 | varies |
| Open Treatment of Ulnar Shaft Fracture (25545) | $5,139.20 | $6,424 | 0.7× |
| Open Treatment Radial Shaft Fracture (25515) | $12,000 | $15,000 | 1.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$1,160.80 | $1,451 | 0.2× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) likely a partial charge, not the full procedure |
$1,722.40 | $2,153 | 0.1× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure |
$1,213.60 | $1,517 | 0.2× |
| Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$897.60 | $1,122 | 0.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $16,768.80 | $20,961 | 2.3× |
| Orchiectomy radical tumor inguinal approach (54530) | $8,473.60 | $10,592 | 2.4× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $6,880 | $8,600 | 2.1× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) range across 2 matching MRF lines |
$560–$2,300.80 | $700–$2,876 | varies |
| Osteochondral allograft knee open (27415) | $16,000 | $20,000 | 1.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $7,633.60 | $9,542 | 2.3× |
| Osteotomy Ulna (25360) | $5,404.80 | $6,756 | 0.7× |
| Partial excision bone olecranon process (24147) range across 2 matching MRF lines |
$737.60–$7,810.40 | $922–$9,763 | varies |
| Partial removal of tibia (27640) | $1,801.60 | $2,252 | 0.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $1,440 | $1,800 | 0.4× |
| Placement of needle for intraosseous infusion (36680) | $168.80 | $211 | 0.4× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $116.80 | $146 | 0.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $7,724 | $9,655 | 2.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$112–$840 | $140–$1,050 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $170.40 | $213 | 0.4× |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$480–$1,596 | $600–$1,995 | varies |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) likely a partial charge, not the full procedure |
$993.60 | $1,242 | 0.1× |
| Reconstruct ulna/radioulnar (25337) range across 2 matching MRF lines |
$960–$6,960 | $1,200–$8,700 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) | $300 | $375 | 0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$245.60–$341.60 | $307–$427 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$80–$200 | $100–$250 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$44–$371.20 | $55–$464 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $7,593.60 | $9,492 | 2.3× |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$429.60–$6,892.80 | $537–$8,616 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$360–$1,212 | $450–$1,515 | varies |
| Removal of adenoids (42830) range across 2 matching MRF lines |
$256.80–$5,600 | $321–$7,000 | varies |
| Removal of anal fissure (46200) | $6,336.80 | $7,921 | 2.3× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$280–$536 | $350–$670 | varies |
| Removal of testis (54520) | $6,080 | $7,600 | 1.7× |
| Removal of tonsils (42825) | $7,614.40 | $9,518 | 1.3× |
| Removal of tonsils (42826) range across 2 matching MRF lines |
$364–$7,356 | $455–$9,195 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$104–$668.80 | $130–$836 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 3 matching MRF lines |
$1,200–$1,280 | $1,500–$1,600 | varies |
| Removal sweat gland lesion (11450) | $1,942.40 | $2,428 | 0.7× |
| Remove drug implant device (11982) | $128.80 | $161 | 0.3× |
| Remove Elbow Joint Lining (24102) | $904 | $1,130 | 0.3× |
| Remove elbow lesion (24120) | $6,880 | $8,600 | 2.1× |
| Remove Forearm Foreign Body (25248) | $829.60 | $1,037 | 0.5× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$85.60–$225.60 | $107–$282 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$102.40–$300 | $128–$375 | varies |
| Remove Lower Leg Bone Lesion (27635) | $8,183.20 | $10,229 | 2.5× |
| Remove Nasal Foreign Body (30300) | $144.80 | $181 | 1.1× |
| Remove prostate regrowth (52630) | $12,320 | $15,400 | 2.3× |
| Remove Tendon Sheath Lesion (26160) | $884 | $1,105 | 0.5× |
| Remove/Insert Drug Implant (11983) | $231.20 | $289 | 0.5× |
| Remv&replc pm gen dual lead (33228) | $9,000 | $11,250 | 0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$413.60–$529.60 | $517–$662 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $320 | $400 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $277.60 | $347 | 0.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$155.20–$400 | $194–$500 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$400–$1,812.80 | $500–$2,266 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,696.80 | $2,121 | 2.3× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $7,600 | $9,500 | 2.3× |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$680–$1,869.60 | $850–$2,337 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$173.60–$208 | $217–$260 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$208–$212.80 | $260–$266 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $208 | $260 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$208–$307.20 | $260–$384 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
$195.20–$1,237.60 | $244–$1,547 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$208–$668.80 | $260–$836 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$204.80–$278.40 | $256–$348 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$175.20–$710.40 | $219–$888 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $668.80 | $836 | 0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$208–$668.80 | $260–$836 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,062.40 | $1,328 | 0.5× |
| Repair of hammertoe (28286) | $560 | $700 | 0.2× |
| Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$968 | $1,210 | 0.1× |
| Repair of nail bed (11760) | $208 | $260 | 0.3× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) range across 2 matching MRF lines |
$1,048–$6,960 | $1,310–$8,700 | varies |
| Repair of Ruptured Tendon (24342) | $9,680 | $12,100 | 1.3× |
| Repair of shoulder (23420) likely a partial charge, not the full procedure |
$1,792 | $2,240 | 0.2× |
| Repair Rotator Cuff Chronic (23412) likely a partial charge, not the full procedure |
$1,632.80 | $2,041 | 0.2× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $15,924 | $19,905 | 2.2× |
| Repair tongue laceration (41250) | $120 | $150 | 0.3× |
| Repair/graft achilles tendon (27652) | $12,720 | $15,900 | 1.8× |
| Rerepair ing hernia reduce (49520) | $757.60 | $947 | 0.2× |
| Rev/rmv prph sac/gstr npg/r (64595) | $7,707.20 | $9,634 | 2.2× |
| Revise ulnar nerve at wrist (64719) | $541.60 | $677 | 0.3× |
| Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) | $7,237.60 | $9,047 | 2.1× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) likely a partial charge, not the full procedure |
$2,931.20 | $3,664 | 0.2× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) | $29,631.20 | $37,039 | 2.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $7,532.80 | $9,416 | 2.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $3,936.80 | $4,921 | 2.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $109.60 | $137 | 0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$296.80–$390.40 | $371–$488 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$264–$1,032 | $330–$1,290 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$207.20–$1,574.40 | $259–$1,968 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$540–$5,600 | $675–$7,000 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $9,052.80 | $11,316 | 2.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $12,553.69 | $15,692.11 | 2.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $208 | $260 | 1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,890.40 | $2,363 | 3.5× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) range across 2 matching MRF lines |
$5,480–$8,197.60 | $6,850–$10,247 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,273.60 | $1,592 | 1.1× |
| Shave skin lesion 0.5 cm/< (11300) | $90.40 | $113 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $110.40 | $138 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $118.40 | $148 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $109.60 | $137 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $128 | $160 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $106.40 | $133 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $144 | $180 | 0.4× |
| Shoulder arthroscopy (29820) range across 2 matching MRF lines |
$729.60–$4,800 | $912–$6,000 | varies |
| Shoulder arthroscopy diagnostic (29805) | $510.40 | $638 | 0.2× |
| Shoulder Arthroscopy/Surgery (29825) range across 2 matching MRF lines |
$873.60–$4,800 | $1,092–$6,000 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $96.80 | $121 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $106.40 | $133 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $118.40 | $148 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $82.40 | $103 | 0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $71.20 | $89 | 0.4× |
| Sigmoidoscopy & Polypectomy (45333) | $456.80 | $571 | 0.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 3 matching MRF lines |
$250.40–$2,065.60 | $313–$2,582 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$208–$228.80 | $260–$286 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$150.40–$208 | $188–$260 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$208–$391.20 | $260–$489 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$112.80–$208 | $141–$260 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $313.60 | $392 | 1.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$168–$208 | $210–$260 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$96.80–$840 | $121–$1,050 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$83.20–$400 | $104–$500 | varies |
| Skin sub grft t/arm/lg child (15273) | $199.20 | $249 | 0.1× |
| Skn sub grft f/n/hf/g child (15277) | $205.60 | $257 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$132–$208 | $165–$260 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$208–$216.80 | $260–$271 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $272.80 | $341 | 0.7× |
| Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines |
$244.80–$1,559.20 | $306–$1,949 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$232.80–$1,200 | $291–$1,500 | varies |
| Strapping ankle (29540) | $68 | $85 | 0.4× |
| Strapping shoulder (29240) | $149.60 | $187 | 1.1× |
| Strapping toes (29550) range across 2 matching MRF lines |
$65.60–$100 | $82–$125 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$88–$380 | $110–$475 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $5,480 | $6,850 | 1.7× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) | $13,162.40 | $16,453 | 2.2× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) | $10,240 | $12,800 | 1.7× |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$400–$2,018.40 | $500–$2,523 | varies |
| Syndactylization toes (28280) | $600 | $750 | 0.2× |
| Tangential biopsy skin single lesion (11102) | $120 | $150 | 0.3× |
| Tenotomy shoulder area single tendon (23405) | $16,313.60 | $20,392 | 2.2× |
| Thyroid biopsy (60100) | $1,656.80 | $2,071 | 2.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $960 | $1,200 | 0.5× |
| Tnot elbow lateral/medial debride open (24358) range across 2 matching MRF lines |
$520–$4,480 | $650–$5,600 | varies |
| Tnot elbow lateral/medial debride open tdn rpr (24359) range across 3 matching MRF lines |
$664–$8,067.37 | $830–$10,084.21 | varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) range across 2 matching MRF lines |
$420–$7,452.80 | $525–$9,316 | varies |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$2,422.40–$21,600 | $3,028–$27,000 | varies |
| Transur electr resection of prostate (52601) range across 2 matching MRF lines |
$11,876–$12,636 | $14,845–$15,795 | varies |
| Treat Finger Fracture Each (26727) | $7,496.80 | $9,371 | 2.3× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$736.80 | $921 | 0.1× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$185.60–$352.80 | $232–$441 | varies |
| Treat Kneecap Fracture (27524) likely a partial charge, not the full procedure |
$1,128.80 | $1,411 | 0.2× |
| Treat Knuckle Dislocation (26700) | $319.20 | $399 | 1.3× |
| Treat Thumb Dislocation (26641) | $185.60 | $232 | 0.8× |
| Treat toe dislocation (28630) | $728.80 | $911 | 2.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $360 | $450 | 0.2× |
| Treatment closed elbow dislocation w/o anes (24600) | $320 | $400 | 1.3× |
| Treatment mouth roof lesion (42160) | $128.80 | $161 | 0.0× |
| Treatment of tibia fracture (27756) likely a partial charge, not the full procedure |
$952.80 | $1,191 | 0.1× |
| Trim skin lesion (11055) | $40 | $50 | 0.2× |
| Trim skin lesions 2 to 4 (11056) | $48 | $60 | 0.2× |
| Trim skin lesions over 4 (11057) | $68 | $85 | 0.3× |
| Trimming Nondystrophic Nails Any Number (11719) | $28 | $35 | 0.5× |
| Tx Gastro Intub W/Asp (43753) | $119.20 | $149 | 0.6× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | $16,000 | $20,000 | 1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$208–$339.20 | $260–$424 | varies |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $264 | $330 | 0.2× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$209.60–$2,400 | $262–$3,000 | varies |
| Unlisted procedure anus (46999) | $452.80 | $566 | 0.5× |
| Vaginal delivery only (59409) | $919.20 | $1,149 | 0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$509.60–$3,600 | $637–$4,500 | varies |
| Wedge excision skin nail fold (11765) | $115.20 | $144 | 0.3× |
| Wrist arthroscopy (29840) | $6,800 | $8,500 | 2.1× |
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.