Procedures & surgery prices at Plumas District Hospital
Quincy, CA · every code in this section with a posted price and a Medicare benchmark.
586 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 |
$776.80–$1,458.40 | $971–$1,823 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$559.20–$812 | $699–$1,015 | varies |
| Acne surgery (10040) | $223.20 | $279 | 0.9× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $2,548 | $3,185 | 1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $1,484.80 | $1,856 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,827.20 | $3,534 | 0.7× |
| Amputation toe interphalangeal joint (28825) | $1,408.80 | $1,761 | 0.3× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $2,620 | $3,275 | 0.6× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) | $2,381.60 | $2,977 | 0.6× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$171.20–$241.60 | $214–$302 | varies |
| Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines |
$552.80–$607.20 | $691–$759 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $380.80 | $476 | 0.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) likely a partial charge, not the full procedure |
$1,904.80 | $2,381 | 0.3× |
| Anterior Tibial Tubercleplasty (27418) unusually low: confirm this is the full procedure |
$3,576 | $4,470 | 0.4× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $145.60 | $182 | 0.7× |
| Application cast elbow finger short arm (29075) | $272 | $340 | 0.8× |
| Application finger splint static (29130) | $152.80 | $191 | 0.9× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$272–$320.80 | $340–$401 | varies |
| Application of long leg cast (29345) | $428 | $535 | 1.2× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$320.80–$700 | $401–$875 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$200.80–$224 | $251–$280 | varies |
| Application short leg splint calf foot (29515) | $232 | $290 | 1.1× |
| Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$2,040 | $2,550 | 0.2× |
| Apply hand/wrist cast (29085) | $287.20 | $359 | 1.4× |
| Apply long arm cast (29065) | $319.20 | $399 | 0.9× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$56–$398.40 | $70–$498 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$214.40–$685.60 | $268–$857 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$267.20–$323.20 | $334–$404 | varies |
| Arterial puncture (36600) range across 4 matching MRF lines |
$136–$220 | $170–$275 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $160.80 | $201 | 0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$213.60–$225.60 | $267–$282 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $142.40 | $178 | 0.4× |
| Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$1,608 | $2,010 | 0.2× |
| Arthroscopy knee synovectomy limited spx (29875) | $3,171.20 | $3,964 | 0.8× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $3,158.40 | $3,948 | 0.8× |
| Arthroscopy shoulder distal claviculectomy (29824) | $2,990.40 | $3,738 | 0.7× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) unusually low: confirm this is the full procedure |
$4,512.80 | $5,641 | 0.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$4,138.40 | $5,173 | 0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $3,177.60 | $3,972 | 0.8× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $2,852 | $3,565 | 0.7× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$4,349.60 | $5,437 | 0.5× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$4,578.40 | $5,723 | 0.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $5,090.40 | $6,363 | 0.5× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $3,400 | $4,250 | 0.8× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $4,290.40 | $5,363 | 1.0× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$452.80–$1,128 | $566–$1,410 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$688–$2,271.20 | $860–$2,839 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $176.80 | $221 | 0.4× |
| Aspiration and/or injection thyroid cyst (60300) range across 2 matching MRF lines |
$344.80–$505.60 | $431–$632 | varies |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$886.40–$1,723.20 | $1,108–$2,154 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$158.40–$204 | $198–$255 | varies |
| Axillary lymphadenectomy; complete (38745) unusually low: confirm this is the full procedure |
$2,432 | $3,040 | 0.3× |
| Biopsy Abdominal Mass (49180) range across 3 matching MRF lines |
$482.40–$699.20 | $603–$874 | varies |
| Biopsy external ear (69100) | $189.60 | $237 | 0.6× |
| Biopsy of breast; open, incisional (19101) likely a partial charge, not the full procedure |
$362.40 | $453 | 0.1× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$620.80–$1,688.80 | $776–$2,111 | varies |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) range across 2 matching MRF lines |
$1,442.40–$1,515.20 | $1,803–$1,894 | varies |
| Biopsy Salivary Gland Incisional (42405) | $1,564.80 | $1,956 | 0.8× |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$937.60–$4,168 | $1,172–$5,210 | varies |
| Biopsy soft tissue thigh/knee area superficial (27323) | $425.60 | $532 | 0.2× |
| Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
$395.20–$498.40 | $494–$623 | varies |
| Biopsy Tongue Posterior One-Third (41105) | $544 | $680 | 0.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $267.20 | $334 | 0.2× |
| Biopsy, vestibule of mouth (40808) | $493.60 | $617 | 0.7× |
| Biopsy/removal lymph nodes (38510) likely a partial charge, not the full procedure |
$1,498.40 | $1,873 | 0.3× |
| Bladder Irrigation (51700) | $242.40 | $303 | 0.8× |
| Bladder Scan (51798) | $73.60 | $92 | 1.0× |
| Blood Transfusion Service (36430) | $957.60 | $1,197 | 1.7× |
| Brnchsc Brushing/Protected Brushings (31623) | $739.20 | $924 | 0.3× |
| Bronchoscopy W/Biopsy(S) (31625) | $835.20 | $1,044 | 0.4× |
| Bronchoscopy/Needle Bx Each (31629) | $1,070.40 | $1,338 | 0.2× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,776.80–$3,030.40 | $2,221–$3,788 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $459.20 | $574 | 0.2× |
| Bx Cervix (57500) | $360 | $450 | 0.3× |
| Bx/exc lymph node open deep axillary node (38525) likely a partial charge, not the full procedure |
$1,408.80 | $1,761 | 0.3× |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$935.20–$994.40 | $1,169–$1,243 | varies |
| Canthotomy Separate Procedure (67715) | $662.40 | $828 | 0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $616.80 | $771 | 0.1× |
| Carpal Tunnel Surgery (64721) | $2,191.20 | $2,739 | 0.9× |
| Catheter aspiration nasotracheal spx (31720) | $244.80 | $306 | 0.9× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $400 | $500 | 1.0× |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$434.40–$1,682.40 | $543–$2,103 | varies |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$233.60–$408 | $292–$510 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$164–$180.80 | $205–$226 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$783.20–$2,896 | $979–$3,620 | varies |
| Circumcision 28 days or older (54161) | $916 | $1,145 | 0.3× |
| Circumcision w/clamp/oth dev w/block (54150) range across 3 matching MRF lines |
$531.20–$595.20 | $664–$744 | varies |
| Clear outer ear canal (69200) | $292.80 | $366 | 1.7× |
| Closed Rx Metacarpal Fx,Percut (26608) | $1,942.40 | $2,428 | 0.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,700.80 | $2,126 | 0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,894.40 | $2,368 | 0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $903.20 | $1,129 | 2.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$732.80–$1,933.60 | $916–$2,417 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,041.60 | $1,302 | 2.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,608.80 | $2,011 | 0.8× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,258.40 | $1,573 | 4.0× |
| Collect Blood From Catheter Venous Nos (36592) | $154.40 | $193 | 0.9× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$31.20–$49.60 | $39–$62 | varies |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) range across 2 matching MRF lines |
$1,166.40–$1,249.60 | $1,458–$1,562 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$1,260–$1,480 | $1,575–$1,850 | varies |
| Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$1,076.80–$1,734.40 | $1,346–$2,168 | varies |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) range across 2 matching MRF lines |
$1,441.60–$1,641.60 | $1,802–$2,052 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$1,717.60–$2,392.80 | $2,147–$2,991 | varies |
| Colonoscopy W/Band Ligation (45398) | $2,724 | $3,405 | 1.8× |
| Colonoscopy W/Resection (45390) | $4,558.40 | $5,698 | 1.3× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,345.60–$2,292 | $1,682–$2,865 | varies |
| Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$1,872.80 | $2,341 | 0.2× |
| Colporrhaphy (57200) | $2,429.60 | $3,037 | 0.6× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $458.40 | $573 | 1.2× |
| Colposcopy Cervix Endocervical Curettage (57456) | $397.60 | $497 | 1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $322.40 | $403 | 1.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $405.60 | $507 | 1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,005.60 | $1,257 | 0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $939.20 | $1,174 | 0.2× |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$1,554.40–$2,724 | $1,943–$3,405 | varies |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) range across 2 matching MRF lines |
$1,382.40–$1,457.60 | $1,728–$1,822 | varies |
| Combined anteroposterior colporrhaphy; (57260) unusually low: confirm this is the full procedure |
$2,500 | $3,125 | 0.4× |
| Complex drainage wound (10180) | $713.60 | $892 | 0.2× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$1,113.60–$1,153.60 | $1,392–$1,442 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $736 | $920 | 1.1× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$1,480–$1,908.80 | $1,850–$2,386 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $2,937.60 | $3,672 | 0.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) unusually low: confirm this is the full procedure |
$3,252.80 | $4,066 | 0.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $2,370.40 | $2,963 | 0.6× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) unusually low: confirm this is the full procedure |
$2,952 | $3,690 | 0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $934.40 | $1,168 | 5.5× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $2,325.60 | $2,907 | 0.5× |
| Curettage postpartum (59160) | $812.80 | $1,016 | 0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$999.20–$1,592.80 | $1,249–$1,991 | varies |
| Cysto w/removal of lesions small (52224) range across 2 matching MRF lines |
$2,616–$2,639.20 | $3,270–$3,299 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$956.80–$1,838.40 | $1,196–$2,298 | varies |
| Cystolithotomy (51050) likely a partial charge, not the full procedure |
$1,839.20 | $2,299 | 0.3× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) likely a partial charge, not the full procedure |
$2,728 | $3,410 | 0.2× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$660.80–$1,562.40 | $826–$1,953 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$123.20–$136 | $154–$170 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $3,248 | $4,060 | 0.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,316 | $1,645 | 1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$606.40–$634.40 | $758–$793 | varies |
| Debride nail 1-5 (11720) | $56.80 | $71 | 0.7× |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$80.80–$89.60 | $101–$112 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$774.40–$833.60 | $968–$1,042 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$240.80–$536.80 | $301–$671 | varies |
| Declot vascular device (36593) | $300.80 | $376 | 0.7× |
| Deep Muscle Biopsy (20205) | $912.80 | $1,141 | 0.2× |
| Delivery of placenta (59414) | $372.80 | $466 | 0.1× |
| Destruct B9 Lesion 1-14 (17110) | $217.60 | $272 | 0.8× |
| Destruction Benign Lesions 15/> (17111) | $284.80 | $356 | 1.1× |
| Destruction Lesions Vulva Simple (56501) | $334.40 | $418 | 0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $338.40 | $423 | 1.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $280.80 | $351 | 1.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $339.20 | $424 | 1.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $368 | $460 | 1.4× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $423.20 | $529 | 0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $474.40 | $593 | 0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $206.40 | $258 | 0.8× |
| Destruction Premalignant Lesion 15/> (17004) | $372.80 | $466 | 0.7× |
| Destruction premalignant lesion 1st (17000) | $148 | $185 | 0.6× |
| Destruction Vaginal Lesions Simple (57061) | $322.40 | $403 | 0.1× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$383.20–$905.60 | $479–$1,132 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $174.40 | $218 | 0.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $1,045.60 | $1,307 | 0.3× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$232.80–$752.80 | $291–$941 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $552.80 | $691 | 0.6× |
| Drainage Finger Abscess Complicated (26011) | $1,276.80 | $1,596 | 0.6× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$360–$363.20 | $450–$454 | varies |
| Drainage of mouth lesion (41017) | $1,406.40 | $1,758 | 0.3× |
| Drainage of scrotal wall abscess (55100) | $904 | $1,130 | 0.4× |
| Draw Blood Off Venous Device (36591) | $136.80 | $171 | 0.8× |
| Dressing Change Under Anesthesia (15852) range across 2 matching MRF lines |
$160–$1,482.40 | $200–$1,853 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $562.40 | $703 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$223.20–$277.60 | $279–$347 | varies |
| Dstrj Lesion Anus Extensive (46924) | $1,633.60 | $2,042 | 0.5× |
| Dstrj lesion anus simple surg excision (46922) | $705.60 | $882 | 0.2× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $565.60 | $707 | 0.2× |
| Dstrj Lesion Penis Simple Chemical (54050) | $310.40 | $388 | 0.6× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $341.60 | $427 | 1.3× |
| Dx Bronchoscope/Wash (31622) | $945.60 | $1,182 | 0.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$1,062.40–$2,567.20 | $1,328–$3,209 | varies |
| Egd control bleeding any (43255) | $2,152.80 | $2,691 | 0.9× |
| Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
$1,011.20–$1,977.60 | $1,264–$2,472 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$1,054.40–$1,828.80 | $1,318–$2,286 | varies |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$994.40–$4,608.80 | $1,243–$5,761 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$859.20–$1,170.40 | $1,074–$1,463 | varies |
| Egd Varices Ligation (43244) range across 2 matching MRF lines |
$1,169.60–$2,027.20 | $1,462–$2,534 | varies |
| Endometrial Biopsy (58100) | $323.20 | $404 | 1.2× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$5,687.20–$6,422.40 | $7,109–$8,028 | varies |
| Enterorrhaphy single perforation (44602) | $4,114.40 | $5,143 | 0.8× |
| Episiotomy or vaginal repair (59300) | $612 | $765 | 0.1× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) range across 2 matching MRF lines |
$1,051.20–$1,821.60 | $1,314–$2,277 | varies |
| Esophagoscopy Flexible Transoral Diagnostic (43200) range across 2 matching MRF lines |
$883.20–$1,138.40 | $1,104–$1,423 | varies |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) range across 2 matching MRF lines |
$944.80–$1,501.60 | $1,181–$1,877 | varies |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 2 matching MRF lines |
$954.40–$1,833.60 | $1,193–$2,292 | varies |
| Evacuation of subungual hematoma (11740) | $143.20 | $179 | 0.8× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $2,177.60 | $2,722 | 1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $1,786.40 | $2,233 | 0.8× |
| Exc abdl tum deep 5 cm/> (22901) | $3,046.40 | $3,808 | 0.8× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,371.20 | $1,714 | 0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $239.20 | $299 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$388–$439.20 | $485–$549 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $1,352.80 | $1,691 | 0.6× |
| Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$2,593.60–$2,842.40 | $3,242–$3,553 | varies |
| Exc back tum deep < 5 cm (21932) | $1,644.80 | $2,056 | 0.4× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) unusually low: confirm this is the full procedure |
$1,641.60 | $2,052 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$484–$533.60 | $605–$667 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$553.60–$611.20 | $692–$764 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $930.40 | $1,163 | 0.4× |
| Exc Face Les Sbq 2 Cm/> (21012) range across 2 matching MRF lines |
$1,138.40–$1,246.40 | $1,423–$1,558 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $276 | $345 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$294.40–$342.40 | $368–$428 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$408–$448.80 | $510–$561 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$501.60–$552.80 | $627–$691 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $637.60 | $797 | 0.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $1,632.80 | $2,041 | 0.8× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $2,765.60 | $3,457 | 0.7× |
| Exc Frenum Labial/Buccal (40819) range across 3 matching MRF lines |
$680–$1,322.40 | $850–$1,653 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $244.80 | $306 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$302.40–$333.60 | $378–$417 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$364–$401.60 | $455–$502 | varies |
| Exc hydrocele sprmatic cord uni spx (55500) | $1,564.80 | $1,956 | 0.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$1,360.80–$1,452 | $1,701–$1,815 | varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $1,318.40 | $1,648 | 0.6× |
| Exc Rct Tum Incl Muscularis Propria (45172) | $3,034.40 | $3,793 | 0.8× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $1,135.20 | $1,419 | 0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$399.20–$440.80 | $499–$551 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$540–$570.40 | $675–$713 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $545.60 | $682 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$729.60–$804 | $912–$1,005 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $592.80 | $741 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$1,051.20–$1,172 | $1,314–$1,465 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$1,006.40–$1,019.20 | $1,258–$1,274 | varies |
| Exc tendon shth lesion leg/ankle (27630) | $1,980 | $2,475 | 0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$1,480.80–$1,587.20 | $1,851–$1,984 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$474.40–$523.20 | $593–$654 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$284–$313.60 | $355–$392 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $328.80 | $411 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$482.40–$526.40 | $603–$658 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$1,447.20–$1,481.60 | $1,809–$1,852 | varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $1,549.60 | $1,937 | 0.4× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) | $1,620 | $2,025 | 0.8× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $2,777.60 | $3,472 | 1.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $1,749.60 | $2,187 | 0.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $2,392.80 | $2,991 | 0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $1,240 | $1,550 | 0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$1,476.80–$1,801.60 | $1,846–$2,252 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,439.20 | $1,799 | 0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) range across 2 matching MRF lines |
$1,391.20–$1,401.60 | $1,739–$1,752 | varies |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) range across 2 matching MRF lines |
$2,719.20–$2,998.40 | $3,399–$3,748 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,166.40 | $1,458 | 0.5× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) | $2,088 | $2,610 | 0.6× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $1,655.20 | $2,069 | 0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$1,521.60–$1,556.80 | $1,902–$1,946 | varies |
| Exc/fulguration urethral caruncle (53265) | $724.80 | $906 | 0.3× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $336 | $420 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$704–$739.20 | $880–$924 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$424–$522.40 | $530–$653 | varies |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $937.60 | $1,172 | 0.3× |
| Excision lesion mouth roof (42104) range across 2 matching MRF lines |
$489.60–$2,547.20 | $612–$3,184 | varies |
| Excision Lesion Tongue W/O Closure (41110) | $525.60 | $657 | 0.1× |
| Excision Lingual Frenum Frenectomy (41115) | $646.40 | $808 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $356 | $445 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $400 | $500 | 0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$436–$480.80 | $545–$601 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $620.80 | $776 | 0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $395.20 | $494 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$693.60–$764 | $867–$955 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$1,275.20–$1,406.40 | $1,594–$1,758 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $422.40 | $528 | 0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$468.80–$543.20 | $586–$679 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$653.60–$761.60 | $817–$952 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $366.40 | $458 | 0.1× |
| Excision nasal polyp(s) simple (30110) | $618.40 | $773 | 0.3× |
| Excision of bartholin's gland or cyst (56740) | $1,020 | $1,275 | 0.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,511.20 | $1,889 | 0.7× |
| Excision of hydrocele; bilateral (55041) | $2,024.80 | $2,531 | 0.4× |
| Excision of hydrocele; unilateral (55040) | $1,380.80 | $1,726 | 0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) | $812.80 | $1,016 | 0.2× |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$469.60–$541.60 | $587–$677 | varies |
| Excision of vaginal cyst or tumor (57135) range across 2 matching MRF lines |
$648–$684 | $810–$855 | varies |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$1,474.40–$1,488.80 | $1,843–$1,861 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,089.60 | $1,362 | 0.3× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,561.60 | $1,952 | 0.4× |
| Excision prepatellar bursa (27340) | $1,592.80 | $1,991 | 0.4× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $4,725.60 | $5,907 | 0.6× |
| Excision spermatocele w/wo epididymectomy (54840) | $1,283.20 | $1,604 | 0.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$1,541.60–$1,700 | $1,927–$2,125 | varies |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $1,817.60 | $2,272 | 0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$1,394.40–$1,468.80 | $1,743–$1,836 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$1,348.80–$1,486.40 | $1,686–$1,858 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) | $1,428 | $1,785 | 0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines |
$1,418.40–$1,790.40 | $1,773–$2,238 | varies |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) range across 2 matching MRF lines |
$1,004–$1,044 | $1,255–$1,305 | varies |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $1,569.60 | $1,962 | 0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$1,803.20–$1,892.80 | $2,254–$2,366 | varies |
| Excision/destruction intranasal lesion int appr (30117) | $2,258.40 | $2,823 | 0.5× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$1,116–$1,172 | $1,395–$1,465 | varies |
| External cephalic version (59412) | $2,060.80 | $2,576 | 0.5× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $1,544 | $1,930 | 0.4× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$77.60–$489.60 | $97–$612 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$348–$384 | $435–$480 | varies |
| Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
$365.60–$1,717.60 | $457–$2,147 | varies |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $2,086.40 | $2,608 | 0.8× |
| Fusion of knuckle joint (26516) | $2,899.20 | $3,624 | 0.7× |
| Gastrocnemius recession (27687) | $2,128 | $2,660 | 0.5× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $4,958.40 | $6,198 | 1.0× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $2,880.80 | $3,601 | 1.2× |
| Guide Cathet Fluid Drainage (10030) | $884.80 | $1,106 | 1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$1,548 | $1,935 | 0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,494.40 | $1,868 | 0.4× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,200.80 | $1,501 | 0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $1,722.40 | $2,153 | 0.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) | $2,088.80 | $2,611 | 0.6× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) | $1,575.20 | $1,969 | 0.4× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$607.20–$1,089.60 | $759–$1,362 | varies |
| Hysteroscopy Dx Sep Proc (58555) | $1,161.60 | $1,452 | 0.3× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$579.20–$900 | $724–$1,125 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$256.80–$529.60 | $321–$662 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $1,061.60 | $1,327 | 0.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $2,045.60 | $2,557 | 0.5× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $1,434.40 | $1,793 | 0.4× |
| I&d forearm/wrist bursa (25031) | $2,020 | $2,525 | 1.0× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $1,728 | $2,160 | 0.5× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$580.80–$697.60 | $726–$872 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$812–$1,376 | $1,015–$1,720 | varies |
| I&d pilonidal cyst simple (10080) | $488.80 | $611 | 0.5× |
| I&d shoulder deep abscess/hematoma (23030) | $947.20 | $1,184 | 0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $789.60 | $987 | 0.2× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) range across 2 matching MRF lines |
$413.60–$1,510.40 | $517–$1,888 | varies |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) range across 2 matching MRF lines |
$433.60–$2,176.80 | $542–$2,721 | varies |
| Incise external hemorrhoid (46083) | $443.20 | $554 | 1.4× |
| Incise finger tendon sheath (26055) | $1,922.40 | $2,403 | 0.9× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$510.40–$764 | $638–$955 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$636–$654.40 | $795–$818 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$318.40–$356.80 | $398–$446 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $426.40 | $533 | 1.6× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$397.60–$439.20 | $497–$549 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $3,444 | $4,305 | 1.7× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,364.80–$1,471.20 | $1,706–$1,839 | varies |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) | $2,380.80 | $2,976 | 0.6× |
| Incisional biopsy skin single lesion (11106) | $410.40 | $513 | 0.4× |
| Inj W/Fluor Eval Cv Device (36598) | $447.20 | $559 | 1.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$157.60–$173.60 | $197–$217 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $899.20 | $1,124 | 0.8× |
| Injection single tendon origin/insertion (20551) | $177.60 | $222 | 0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$169.60–$251.20 | $212–$314 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$207.20–$227.20 | $259–$284 | varies |
| Injection therapeutic carpal tunnel (20526) | $233.60 | $292 | 0.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$260.80–$434.40 | $326–$543 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $115.20 | $144 | 0.4× |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$388–$424 | $485–$530 | varies |
| Insert cervical dilator (59200) range across 2 matching MRF lines |
$264–$475.20 | $330–$594 | varies |
| Insert Drug Implant Device (11981) | $317.60 | $397 | 1.9× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$668.80–$1,080.80 | $836–$1,351 | varies |
| Insert pessary/other device (57160) | $190.40 | $238 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$229.60–$317.60 | $287–$397 | varies |
| Insert tunneled cv cath (36561) | $2,351.20 | $2,939 | 0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$176.80–$326.40 | $221–$408 | varies |
| Insertion indwelling tunneled pleural catheter (32550) range across 2 matching MRF lines |
$1,275.20–$3,288.80 | $1,594–$4,111 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$1,034.40–$1,280 | $1,293–$1,600 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,539.20 | $1,924 | 0.4× |
| Insj/Rplcmt Defib W/Lead(S) (33249) likely a partial charge, not the full procedure |
$3,192 | $3,990 | 0.1× |
| Insrt heart pm atrial & vent (33208) likely a partial charge, not the full procedure |
$1,920.80 | $2,401 | 0.1× |
| Int hrhc by ligation single hroid w/o img gdn (46945) range across 2 matching MRF lines |
$878.40–$6,805.60 | $1,098–$8,507 | varies |
| Intranasal Biopsy (30100) | $366.40 | $458 | 0.2× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$505.60–$724.80 | $632–$906 | varies |
| Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$6,152.80 | $7,691 | 0.5× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$3,397.60 | $4,247 | 0.2× |
| Laparoscopic myomectomy (58545) unusually low: confirm this is the full procedure |
$3,544.80 | $4,431 | 0.5× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$1,561.60 | $1,952 | 0.2× |
| Laparoscopy Enterolysis Separate Procedure (44180) unusually low: confirm this is the full procedure |
$2,928.80 | $3,661 | 0.4× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$1,557.60 | $1,947 | 0.2× |
| Laparoscopy gastrostomy (43653) unusually low: confirm this is the full procedure |
$2,656.80 | $3,321 | 0.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$1,774.40 | $2,218 | 0.2× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) unusually low: confirm this is the full procedure |
$4,312 | $5,390 | 0.3× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) likely a partial charge, not the full procedure |
$2,716.80 | $3,396 | 0.2× |
| Laparoscopy W/Lysis Of Adhesions (58660) likely a partial charge, not the full procedure |
$1,794.40 | $2,243 | 0.2× |
| Laparoscopy w/rmvl adnexal structures (58661) unusually low: confirm this is the full procedure |
$2,627.20 | $3,284 | 0.3× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$2,241.60 | $2,802 | 0.3× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$2,939.20 | $3,674 | 0.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) unusually low: confirm this is the full procedure |
$4,283.20 | $5,354 | 0.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) likely a partial charge, not the full procedure |
$3,196 | $3,995 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,744 | $3,430 | 0.4× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$3,614.40 | $4,518 | 0.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$2,115.20 | $2,644 | 0.3× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$1,461.60 | $1,827 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$1,438.40 | $1,798 | 0.2× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) unusually low: confirm this is the full procedure |
$2,734.40 | $3,418 | 0.4× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $4,216 | $5,270 | 0.9× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$3,637.60 | $4,547 | 0.3× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) likely a partial charge, not the full procedure |
$1,708 | $2,135 | 0.2× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) likely a partial charge, not the full procedure |
$1,508.80 | $1,886 | 0.2× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) unusually low: confirm this is the full procedure |
$4,382.40 | $5,478 | 0.3× |
| Laryngoscopy diagnostic (31505) | $213.60 | $267 | 0.8× |
| Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
$359.20–$473.60 | $449–$592 | varies |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$745.60–$843.20 | $932–$1,054 | varies |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$293.60–$685.60 | $367–$857 | varies |
| Manipulation tmj therapeutic require anesthesia (21073) | $1,062.40 | $1,328 | 0.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$862.40–$892.80 | $1,078–$1,116 | varies |
| Marsupialization of bartholin's gland cyst (56440) | $728 | $910 | 0.2× |
| Mast mod rad (19307) unusually low: confirm this is the full procedure |
$4,037.60 | $5,047 | 0.5× |
| Mastectomy partial (19301) unusually low: confirm this is the full procedure |
$1,904 | $2,380 | 0.4× |
| Mastectomy partial w/axillary lymphadenectomy (19302) unusually low: confirm this is the full procedure |
$3,363.20 | $4,204 | 0.4× |
| Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,876.80 | $3,596 | 0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $617.60 | $772 | 0.7× |
| N block inj intercost sng (64420) | $846.40 | $1,058 | 0.9× |
| N Block Inj Plantar Digit (64455) | $180.80 | $226 | 0.5× |
| Nasal/Orogastric W/Tube Plmt (43752) | $215.20 | $269 | 0.4× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) range across 2 matching MRF lines |
$971.20–$2,199.20 | $1,214–$2,749 | varies |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$359.20–$545.60 | $449–$682 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $52.80 | $66 | 1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) | $59.20 | $74 | 1.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $2,763.20 | $3,454 | 1.1× |
| Open biopsy/excision inguinofemoral nodes (38531) unusually low: confirm this is the full procedure |
$1,700.80 | $2,126 | 0.3× |
| Open Repair of Rotator Cuff Acute (23410) unusually low: confirm this is the full procedure |
$3,704 | $4,630 | 0.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$3,077.60 | $3,847 | 0.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$2,534.40 | $3,168 | 0.3× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$2,506.40 | $3,133 | 0.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$2,604 | $3,255 | 0.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$2,567.20 | $3,209 | 0.3× |
| Open tx interphalangeal joint dislocation (26785) | $2,488.80 | $3,111 | 0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $2,262.40 | $2,828 | 0.5× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $2,445.60 | $3,057 | 0.6× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) unusually low: confirm this is the full procedure |
$3,314.40 | $4,143 | 0.4× |
| Orchiopexy Ingun/Scrot Appr (54640) | $2,616.80 | $3,271 | 0.6× |
| Ostectomy of sternum, partial Facility (21620) | $1,760 | $2,200 | 0.4× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $2,224 | $2,780 | 0.5× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) unusually low: confirm this is the full procedure |
$3,718.40 | $4,648 | 0.5× |
| Part remv talus or calcaneus (28120) | $2,085.60 | $2,607 | 0.5× |
| Partial removal of thyroid (60220) unusually low: confirm this is the full procedure |
$2,795.20 | $3,494 | 0.4× |
| Partical Excision Bone Phalanx Toe (28124) | $1,288.80 | $1,611 | 0.3× |
| Pelvic examination under anesthesia (other than local) (57410) | $336 | $420 | 0.1× |
| Peri-Implant Capsulectomy Breast Complete (19371) | $5,588 | $6,985 | 1.1× |
| Perq dev breast 1st us imag (19285) | $966.40 | $1,208 | 1.1× |
| Perq device breast 1st imag (19281) | $580.80 | $726 | 0.3× |
| Place breast rad tube/caths (19298) likely a partial charge, not the full procedure |
$1,971.20 | $2,464 | 0.1× |
| Placement of needle for intraosseous infusion (36680) | $801.60 | $1,002 | 1.4× |
| Placement of seton (46020) | $909.60 | $1,137 | 0.3× |
| Plmt expandable cath brst following prtl mast (19296) range across 2 matching MRF lines |
$10,761.60–$15,168 | $13,452–$18,960 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$1,812.80 | $2,266 | 0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $260 | $325 | 0.2× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) | $327.20 | $409 | 0.1× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $1,912.80 | $2,391 | 0.5× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$298.40–$339.20 | $373–$424 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$317.60–$648.80 | $397–$811 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$268–$301.60 | $335–$377 | varies |
| Re-explore parathyroids (60502) | $5,261.60 | $6,577 | 0.7× |
| Removal foreign body foot deep (28192) | $901.60 | $1,127 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) | $848.80 | $1,061 | 0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $577.60 | $722 | 0.3× |
| Removal Foreign Body Scrotum (55120) | $1,132 | $1,415 | 0.4× |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$1,957.60–$3,673.60 | $2,447–$4,592 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$59.20–$65.60 | $74–$82 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $116 | $145 | 1.5× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $475.20 | $594 | 0.1× |
| Removal Implant Deep (20680) | $1,604 | $2,005 | 0.4× |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$1,065.60–$1,106.40 | $1,332–$1,383 | varies |
| Removal implantable contraceptive capsules (11976) | $340.80 | $426 | 0.4× |
| Removal of heel spur (28119) | $1,835.20 | $2,294 | 0.4× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$421.60–$464 | $527–$580 | varies |
| Removal of sperm cord lesion (55520) | $1,484.80 | $1,856 | 0.3× |
| Removal of testis (54520) | $1,429.60 | $1,787 | 0.3× |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$1,360 | $1,700 | 0.2× |
| Removal of tonsils (42826) | $1,212 | $1,515 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$176.80–$193.60 | $221–$242 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $332.80 | $416 | 0.4× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$348–$384 | $435–$480 | varies |
| Remove foreign body from eye (65205) | $184 | $230 | 1.1× |
| Remove hip pressure sore (15940) | $2,108.80 | $2,636 | 0.6× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$257.60–$283.20 | $322–$354 | varies |
| Remove lung catheter (32552) | $747.20 | $934 | 0.9× |
| Remove Shoulder Foreign Body (23330) | $408.80 | $511 | 0.2× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$1,940.80–$2,287.20 | $2,426–$2,859 | varies |
| Remove thyroid lesion (60200) likely a partial charge, not the full procedure |
$2,288.80 | $2,861 | 0.3× |
| Remove&replace pm gen singl (33227) likely a partial charge, not the full procedure |
$1,074.40 | $1,343 | 0.1× |
| Remove/Insert Drug Implant (11983) | $317.60 | $397 | 0.6× |
| Remv&replc cvd gen mult lead (33264) likely a partial charge, not the full procedure |
$1,387.20 | $1,734 | 0.0× |
| Remv&replc cvd gen sing lead (33262) likely a partial charge, not the full procedure |
$1,334.40 | $1,668 | 0.0× |
| Remv&replc pm gen dual lead (33228) likely a partial charge, not the full procedure |
$1,112.80 | $1,391 | 0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $906.40 | $1,133 | 1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $951.20 | $1,189 | 1.8× |
| Repair Elbow Perc (24357) | $1,872.80 | $2,341 | 0.4× |
| Repair extensor tendon finger w/o graft each (26418) | $2,399.20 | $2,999 | 1.2× |
| Repair Hallux Rigidus (28289) | $1,776.80 | $2,221 | 0.4× |
| Repair incomplete circumcision (54163) | $868 | $1,085 | 0.3× |
| Repair inguinal hernia, sliding, any age (49525) | $2,041.60 | $2,552 | 0.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $2,435.20 | $3,044 | 0.5× |
| Repair initial femoral hernia, any age; reducible (49550) | $2,286.40 | $2,858 | 0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $2,387.20 | $2,984 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$436–$643.20 | $545–$804 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$668–$702.40 | $835–$878 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$818.40–$877.60 | $1,023–$1,097 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,377.60 | $1,722 | 2.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,144.80 | $1,431 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$588–$733.60 | $735–$917 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$631.20–$653.60 | $789–$817 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $951.20 | $1,189 | 1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$486.40–$497.60 | $608–$622 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$602.40–$612.80 | $753–$766 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,168 | $1,460 | 1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$884.80–$929.60 | $1,106–$1,162 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $809.60 | $1,012 | 0.3× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) | $2,098.40 | $2,623 | 0.5× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$2,637.60 | $3,297 | 0.3× |
| Repair Rotator Cuff Chronic (23412) unusually low: confirm this is the full procedure |
$4,122.40 | $5,153 | 0.4× |
| Rerepair ing hernia reduce (49520) | $2,376.80 | $2,971 | 0.5× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | $3,134.40 | $3,918 | 0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $217.60 | $272 | 0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $1,400 | $1,750 | 0.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $412.80 | $516 | 0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$850.40–$937.60 | $1,063–$1,172 | varies |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$228.80–$520 | $286–$650 | varies |
| Rplc gtube revj gstrst trc (43763) | $947.20 | $1,184 | 2.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$2,211.20 | $2,764 | 0.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $1,740 | $2,175 | 0.4× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) unusually low: confirm this is the full procedure |
$2,949.60 | $3,687 | 0.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$1,895.20 | $2,369 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,783.20 | $2,229 | 0.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$1,771.20–$2,104.80 | $2,214–$2,631 | varies |
| Rpr ing hernia init reduce (49500) likely a partial charge, not the full procedure |
$2,049.60 | $2,562 | 0.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,026.40 | $2,533 | 1.0× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $1,214.40 | $1,518 | 0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) range across 2 matching MRF lines |
$470.40–$665.60 | $588–$832 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$652.80–$1,622.40 | $816–$2,028 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $164 | $205 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $188.80 | $236 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $157.60 | $197 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $189.60 | $237 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $224 | $280 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $254.40 | $318 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$208–$257.60 | $260–$322 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $252 | $315 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $196 | $245 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$278.40–$317.60 | $348–$397 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $228 | $285 | 0.9× |
| Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$744.80–$1,408.80 | $931–$1,761 | varies |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $1,499.20 | $1,874 | 1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $976.80 | $1,221 | 0.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$497.60–$1,004.80 | $622–$1,256 | varies |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) range across 2 matching MRF lines |
$315.20–$1,473.60 | $394–$1,842 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $486.40 | $608 | 1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $552.80 | $691 | 2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$412.80–$428.80 | $516–$536 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$445.60–$4,796 | $557–$5,995 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$2,545.60 | $3,182 | 0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$492.80–$514.40 | $616–$643 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$744–$843.20 | $930–$1,054 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$458.40–$734.40 | $573–$918 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $2,692.80 | $3,366 | 1.0× |
| Strapping ankle (29540) | $82.40 | $103 | 0.4× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$128.80–$147.20 | $161–$184 | varies |
| Surg tx anal fistula subq (46270) | $2,614.40 | $3,268 | 0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $1,680 | $2,100 | 0.5× |
| Tangential biopsy skin single lesion (11102) | $268.80 | $336 | 0.5× |
| Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$1,344 | $1,680 | 0.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $718.40 | $898 | 0.3× |
| Thyroidectomy Post Prev Thyr Surg (60260) | $4,338.40 | $5,423 | 0.6× |
| Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$3,718.40 | $4,648 | 0.5× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $2,160 | $2,700 | 0.8× |
| Tnot elbow lateral/medial debride open (24358) | $2,080 | $2,600 | 0.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $1,377.60 | $1,722 | 0.3× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $1,308.80 | $1,636 | 3.3× |
| Transrectal Drainage of Pelvic Abscess (45000) | $1,421.60 | $1,777 | 0.9× |
| Treat Big Toe Fracture (28505) | $1,910.40 | $2,388 | 0.5× |
| Treat ectopic pregnancy (59151) unusually low: confirm this is the full procedure |
$2,797.60 | $3,497 | 0.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,726.40 | $2,158 | 0.8× |
| Treatment of foot infection (28003) | $1,608 | $2,010 | 0.4× |
| Trim skin lesion (11055) | $78.40 | $98 | 0.3× |
| Trim skin lesions 2 to 4 (11056) | $94.40 | $118 | 0.4× |
| Trim skin lesions over 4 (11057) | $112 | $140 | 0.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $40 | $50 | 0.5× |
| Tx Gastro Intub W/Asp (43753) | $772.80 | $966 | 2.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $1,118.40 | $1,398 | 0.3× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,328.80 | $1,661 | 0.3× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $1,456.80 | $1,821 | 0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$615.20–$676 | $769–$845 | varies |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $1,940 | $2,425 | 0.4× |
| Unlisted laparoscopy procedure appendix (44979) likely a partial charge, not the full procedure |
$2,241.60 | $2,802 | 0.3× |
| Unlisted laparoscopy procedure stomach (43659) likely a partial charge, not the full procedure |
$1,359.20 | $1,699 | 0.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$1,518.40 | $1,898 | 0.2× |
| Unlisted laparoscopy procedure, uterus (58578) likely a partial charge, not the full procedure |
$1,890.40 | $2,363 | 0.2× |
| Unlisted Procedure Intestine (44799) | $3,402.40 | $4,253 | 2.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,191.20 | $1,489 | 1.0× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$1,040.80–$2,696.80 | $1,301–$3,371 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) unusually low: confirm this is the full procedure |
$2,889.60 | $3,612 | 0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$1,218.40–$1,428 | $1,523–$1,785 | varies |
| Wedge excision skin nail fold (11765) | $305.60 | $382 | 0.6× |
| Wound Prep Trk/Arm/Leg (15002) | $1,138.40 | $1,423 | 1.2× |
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.