Procedures & surgery prices at Presbyterian Espanola Hospital
Espanola, NM · every code in this section with a posted price and a Medicare benchmark.
449 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 2 matching MRF lines |
$261.80–$410.90 | $374–$587 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$467.60–$468.30 | $668–$669 | varies |
| Amniocentesis diagnostic (59000) | $816.20 | $1,166 | 0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,310.40 | $1,872 | 0.4× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$490–$5,268.20 | $700–$7,526 | varies |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$49–$497 | $70–$710 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$46.90–$117.60 | $67–$168 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$139.30–$581.70 | $199–$831 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$266–$592.20 | $380–$846 | varies |
| Application Short Arm Splint Dynamic (29126) | $123.20 | $176 | 0.9× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$123.20–$196.70 | $176–$281 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$229.60–$299.60 | $328–$428 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $236.60 | $338 | 1.4× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$18.90–$130.90 | $27–$187 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$134.40–$485.10 | $192–$693 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$47.60–$644.70 | $68–$921 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$255.50–$613.90 | $365–$877 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$75.60–$676.90 | $108–$967 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $354.90 | $507 | 1.1× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$254.80–$1,232 | $364–$1,760 | varies |
| Aspirate Pleura W/O Imaging (32554) | $932.40 | $1,332 | 1.5× |
| Aspirate/Inj Ganglion Cyst (20612) | $2,906.40 | $4,152 | 9.4× |
| Aspiration bladder insert suprapubic catheter (51102) | $4,829.30 | $6,899 | 2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$91–$104.30 | $130–$149 | varies |
| Biopsy of breast; open, incisional (19101) | $5,925.50 | $8,465 | 1.5× |
| Biopsy of rectum (45100) | $5,875.10 | $8,393 | 2.1× |
| Bladder Irrigation (51700) | $146.30 | $209 | 0.6× |
| Bladder Scan (51798) | $55.30 | $79 | 0.9× |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$236.60–$296.10 | $338–$423 | varies |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$1,332.10–$2,630.60 | $1,903–$3,758 | varies |
| Bx breast 1st lesion strtctc (19081) | $2,800.70 | $4,001 | 1.7× |
| Bx breast 1st lesion us imag (19083) | $3,656.80 | $5,224 | 2.2× |
| Canthotomy Separate Procedure (67715) range across 2 matching MRF lines |
$1,129.10–$4,172 | $1,613–$5,960 | varies |
| Catheter aspiration nasotracheal spx (31720) | $136.50 | $195 | 0.6× |
| Change Cystostomy Tube Simple (51705) | $291.90 | $417 | 1.2× |
| Chemical Cautery Tissue (17250) | $196.70 | $281 | 1.0× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$478.10–$638.40 | $683–$912 | varies |
| Circumcision Neonate (54160) range across 2 matching MRF lines |
$234.50–$382.20 | $335–$546 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $2,003.40 | $2,862 | 1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$648.20–$1,368.50 | $926–$1,955 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$133–$280.70 | $190–$401 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$396.90–$464.80 | $567–$664 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $396.90 | $567 | 1.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $381.50 | $545 | 1.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$424.90–$1,388.10 | $607–$1,983 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$707.70–$737.80 | $1,011–$1,054 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$430.50–$484.40 | $615–$692 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $381.50 | $545 | 1.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $381.50 | $545 | 1.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$553.70–$1,190.70 | $791–$1,701 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$182–$408.80 | $260–$584 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $381.50 | $545 | 1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$945.70–$3,920 | $1,351–$5,600 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$306.60–$3,854.90 | $438–$5,507 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$295.40–$452.20 | $422–$646 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $381.50 | $545 | 1.5× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,311.10 | $1,873 | 0.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$353.50–$391.30 | $505–$559 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $509.60 | $728 | 0.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$509.60–$720.30 | $728–$1,029 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $430.50 | $615 | 1.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $381.50 | $545 | 1.5× |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$245.70–$1,075.20 | $351–$1,536 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) | $439.60 | $628 | 0.3× |
| Closed tx talus fracture w/o manipulation (28430) | $381.50 | $545 | 1.5× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $301.70 | $431 | 1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$224.70–$252 | $321–$360 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$359.80–$926.80 | $514–$1,324 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $381.50 | $545 | 1.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $840 | $1,200 | 3.5× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,867.60 | $2,668 | 3.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $524.30 | $749 | 2.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $381.50 | $545 | 1.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $381.50 | $545 | 1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$927.50–$1,115.10 | $1,325–$1,593 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$190.40–$937.30 | $272–$1,339 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$681.80–$1,190.70 | $974–$1,701 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $353.50 | $505 | 1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$336.70–$662.20 | $481–$946 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$394.10–$645.40 | $563–$922 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$237.30–$445.20 | $339–$636 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $386.40 | $552 | 1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$448.70–$603.40 | $641–$862 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$770–$1,197.70 | $1,100–$1,711 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$1,176–$2,436 | $1,680–$3,480 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$381.50–$802.90 | $545–$1,147 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$1,145.90–$4,404.40 | $1,637–$6,292 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $399.70 | $571 | 1.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$192.50–$381.50 | $275–$545 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$341.60–$445.20 | $488–$636 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$189.70–$386.40 | $271–$552 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,311.10 | $1,873 | 0.8× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$486.50–$4,125.80 | $695–$5,894 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$470.40–$662.90 | $672–$947 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$345.10–$761.60 | $493–$1,088 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$381.50–$507.50 | $545–$725 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$175–$401.80 | $250–$574 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$298.90–$1,616.30 | $427–$2,309 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$353.50–$502.60 | $505–$718 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$651.70–$1,303.40 | $931–$1,862 | varies |
| Cltx Medial Ankle Fx (27760) | $381.50 | $545 | 1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $445.20 | $636 | 1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$386.40–$462.70 | $552–$661 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$415.10–$574.70 | $593–$821 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$217.70–$381.50 | $311–$545 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$665.70–$1,150.80 | $951–$1,644 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$182–$501.20 | $260–$716 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $4,508.70 | $6,441 | 2.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$406.70–$723.10 | $581–$1,033 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$158.90–$249.90 | $227–$357 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $737.80 | $1,054 | 0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,981.70 | $2,831 | 1.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,677.20 | $2,396 | 1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) | $381.50 | $545 | 1.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $430.50 | $615 | 1.7× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $910.70 | $1,301 | 3.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$424.90–$719.60 | $607–$1,028 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $381.50 | $545 | 1.5× |
| Collect Blood From Catheter Venous Nos (36592) | $177.80 | $254 | 1.3× |
| Collection of venous blood by venipuncture (36415) | $15.40 | $22 | 1.6× |
| Colonoscopy Flexible With Decompression (45393) | $3,346 | $4,780 | 2.8× |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) | $4,040.40 | $5,772 | 3.3× |
| Colonoscopy Stoma W/Submucosal Injection (44404) | $5,770.10 | $8,243 | 4.8× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $3,608.50 | $5,155 | 3.0× |
| Colonoscopy thru stoma (44388) | $5,577.60 | $7,968 | 5.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $3,671.50 | $5,245 | 3.0× |
| Colonoscopy w/ablation (45388) | $3,346 | $4,780 | 2.8× |
| Colonoscopy W/Band Ligation (45398) | $4,865.70 | $6,951 | 4.0× |
| Colonoscopy w/fb removal (45379) | $6,420.40 | $9,172 | 5.3× |
| Colonoscopy w/ndl aspir/bx (44407) | $4,040.40 | $5,772 | 3.3× |
| Colonoscopy W/Resection (45390) | $3,671.50 | $5,245 | 1.3× |
| Colonoscopy w/stent plcmt (45389) | $3,346 | $4,780 | 0.5× |
| Colonoscopy w/submucosal inj (45381) | $5,770.10 | $8,243 | 4.8× |
| Colporrhaphy (57200) | $4,913.30 | $7,019 | 1.5× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $3,346 | $4,780 | 2.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $3,720.50 | $5,315 | 3.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $3,671.50 | $5,245 | 3.0× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) | $4,040.40 | $5,772 | 3.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$205.80–$441.70 | $294–$631 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$170.10–$328.30 | $243–$469 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$134.40–$827.40 | $192–$1,182 | varies |
| Curette/treat cornea (65435) | $63 | $90 | 0.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $3,568.60 | $5,098 | 1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $633.50 | $905 | 1.5× |
| Declot vascular device (36593) | $715.40 | $1,022 | 2.1× |
| Delivery of placenta (59414) | $1,909.60 | $2,728 | 0.6× |
| Destr W Neurolytic; Celiac Plexus (64680) | $3,126.90 | $4,467 | 3.5× |
| Destroy cerv/thor facet jnt (64633) | $2,482.90 | $3,547 | 1.3× |
| Destroy lumb/sac facet jnt (64635) | $2,746.80 | $3,924 | 1.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $5,619.60 | $8,028 | 2.9× |
| Diagnostic sigmoidoscopy (45330) | $1,519.70 | $2,171 | 1.6× |
| Dilate Esophagus 1/Mult Pass (43450) | $3,045.70 | $4,351 | 3.3× |
| Dilate Urethra Stricture (53620) | $4,974.90 | $7,107 | 7.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $4,755.80 | $6,794 | 1.5× |
| Drain Cerebro Spinal Fluid (62272) | $890.40 | $1,272 | 1.3× |
| Drain penis lesion (54015) | $1,089.20 | $1,556 | 0.7× |
| Drain/inj small joint/bursa w/us (20604) | $74.20 | $106 | 0.2× |
| Drainage external ear abscess/hematoma cmplx (69005) | $884.80 | $1,264 | 0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$168–$170.10 | $240–$243 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$405.30–$953.40 | $579–$1,362 | varies |
| Drainage Mouth Roof Lesion (42000) range across 2 matching MRF lines |
$124.60–$769.30 | $178–$1,099 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$116.90–$168 | $167–$240 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$158.90–$187.60 | $227–$268 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$150.50–$942.90 | $215–$1,347 | varies |
| Drainage of nose lesion (30000) | $820.40 | $1,172 | 3.4× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$183.40–$884.80 | $262–$1,264 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$180.60–$5,221.30 | $258–$7,459 | varies |
| Draw Blood Off Venous Device (36591) | $177.80 | $254 | 1.3× |
| Dressing Change Under Anesthesia (15852) | $2,366 | $3,380 | 3.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$198.80–$2,906.40 | $284–$4,152 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $203 | $290 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$186.90–$647.50 | $267–$925 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$172.90–$378 | $247–$540 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,628.20 | $2,326 | 1.8× |
| Dx Bronchoscope/Lavage (31624) | $912.80 | $1,304 | 0.5× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,237.20 | $3,196 | 3.1× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $3,045.70 | $4,351 | 1.6× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,045.70 | $4,351 | 1.6× |
| Egd cautery tumor polyp (43250) | $2,996.70 | $4,281 | 1.5× |
| Egd control bleeding any (43255) | $2,671.20 | $3,816 | 1.4× |
| Egd dilation gastric/duodenal stricture (43245) | $3,045.70 | $4,351 | 1.6× |
| Egd endo mucosal resection (43254) | $5,095.30 | $7,279 | 2.6× |
| Egd Endoscopic Stent Place (43266) unusually low: confirm this is the full procedure |
$3,045.70 | $4,351 | 0.5× |
| Egd Flexible Foreign Body Removal (43247) | $5,745.60 | $8,208 | 6.3× |
| Egd guide wire insertion (43248) | $2,671.20 | $3,816 | 2.9× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $3,365.60 | $4,808 | 1.7× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $3,365.60 | $4,808 | 1.7× |
| Egd lesion ablation (43270) | $2,671.20 | $3,816 | 1.4× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) likely a partial charge, not the full procedure |
$2,671.20 | $3,816 | 0.2× |
| Egd place gastrostomy tube (43246) | $4,156.60 | $5,938 | 2.1× |
| Egd remove lesion snare (43251) | $2,996.70 | $4,281 | 1.5× |
| Egd Tube/Cath Insertion (43241) | $2,671.20 | $3,816 | 1.4× |
| Egd us exam duodenum/jejunum (43259) | $3,365.60 | $4,808 | 1.7× |
| Egd Varices Ligation (43244) | $3,855.60 | $5,508 | 2.0× |
| Egd W/Transmural Drain Cyst (43240) unusually low: confirm this is the full procedure |
$2,671.20 | $3,816 | 0.4× |
| Endometrial Biopsy (58100) | $1,563.10 | $2,233 | 7.7× |
| Endoscopic us exam esoph (43237) | $3,365.60 | $4,808 | 1.7× |
| Endoscopy upper small intestine w/biopsy (44361) | $2,933.70 | $4,191 | 1.5× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | $3,608.50 | $5,155 | 1.9× |
| Epidural Blood Patch (62273) | $695.80 | $994 | 1.0× |
| Escharotomy; initial incision (16035) range across 2 matching MRF lines |
$175–$552.30 | $250–$789 | varies |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $5,095.30 | $7,279 | 5.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) | $6,639.50 | $9,485 | 1.7× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $4,902.80 | $7,004 | 5.4× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $2,933.70 | $4,191 | 1.5× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$74.20–$77 | $106–$110 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $245.70 | $351 | 0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$5,107.90–$5,418.70 | $7,297–$7,741 | varies |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $7,916.30 | $11,309 | 2.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $3,117.80 | $4,454 | 1.5× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $3,262.70 | $4,661 | 1.7× |
| Excision Lingual Frenum Frenectomy (41115) | $555.10 | $793 | 0.4× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$517.30–$5,747.70 | $739–$8,211 | varies |
| Exploration penetrating wound spx extremity (20103) | $896.70 | $1,281 | 0.5× |
| External cephalic version (59412) | $1,082.20 | $1,546 | 0.3× |
| Fetal Contraction Stress Test (59020) | $394.80 | $564 | 1.9× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) | $770.70 | $1,101 | 2.5× |
| Fetal non-stress test (59025) | $461.30 | $659 | 2.3× |
| Fine needle aspiration without imaging guidance (10021) | $355.60 | $508 | 0.9× |
| Fluid Pressure Muscle (20950) | $995.40 | $1,422 | 1.4× |
| Fluoro exam of g/colon tube (49465) | $613.20 | $876 | 2.5× |
| Fna bx w/us gdn 1st les (10005) | $2,352 | $3,360 | 3.3× |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$60.20–$220.50 | $86–$315 | varies |
| Hymenotomy Simple Incision (56442) | $4,769.80 | $6,814 | 1.5× |
| I&d abscess peritonsillar (42700) | $396.90 | $567 | 1.7× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$198.80–$242.90 | $284–$347 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $4,134.90 | $5,907 | 1.4× |
| I&D Mouth/Tong Intra,Masticator (41009) | $774.90 | $1,107 | 1.4× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$78.40–$1,054.20 | $112–$1,506 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$270.90–$942.90 | $387–$1,347 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$198.80–$318.50 | $284–$455 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $4,134.90 | $5,907 | 1.4× |
| Ileoscopy Stoma W/Balloon Dilation (44381) | $3,129 | $4,470 | 1.6× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $3,017 | $4,310 | 3.3× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $4,986.10 | $7,123 | 5.5× |
| Image Cath Fluid Peri/Retro (49406) | $4,125.80 | $5,894 | 2.5× |
| Implant neuroelectrodes (63650) | $14,000.70 | $20,001 | 2.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $50,511.30 | $72,159 | 2.6× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$210–$214.90 | $300–$307 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$198.80–$721 | $284–$1,030 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$298.90–$1,201.20 | $427–$1,716 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$198.80–$287.70 | $284–$411 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$186.20–$240.80 | $266–$344 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$141.40–$343 | $202–$490 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$128.80–$1,824.90 | $184–$2,607 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$449.40–$5,251.40 | $642–$7,502 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$139.30–$4,645.90 | $199–$6,637 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$116.20–$1,053.50 | $166–$1,505 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $277.20 | $396 | 1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,719.90 | $2,457 | 1.9× |
| Inj W/Fluor Eval Cv Device (36598) | $537.60 | $768 | 2.5× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,764.70 | $2,521 | 2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,016 | $2,880 | 2.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $2,540.30 | $3,629 | 8.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$106.40–$1,316.70 | $152–$1,881 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,764.70 | $2,521 | 2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $2,043.30 | $2,919 | 2.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,534.40 | $2,192 | 1.7× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $1,764.70 | $2,521 | 2.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $2,043.30 | $2,919 | 2.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $2,803.50 | $4,005 | 3.9× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $2,607.50 | $3,725 | 2.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$158.20–$599.90 | $226–$857 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,713.60 | $2,448 | 1.9× |
| Injection anesthetic agent suprascapular nerve (64418) | $958.30 | $1,369 | 1.3× |
| Injection for identification of sentinel node (38792) | $1,095.50 | $1,565 | 2.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$84.70–$191.80 | $121–$274 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$91.70–$227.50 | $131–$325 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,894.20 | $2,706 | 2.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$104.30–$398.30 | $149–$569 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$461.30–$555.10 | $659–$793 | varies |
| Insert Bladder Cath Complex (51703) | $550.90 | $787 | 4.2× |
| Insert cath pleura w/ image (32557) | $3,153.50 | $4,505 | 2.0× |
| Insert cath pleura w/o image (32556) | $2,742.60 | $3,918 | 1.4× |
| Insert Drug Implant Device (11981) | $427.70 | $611 | 3.2× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$371.70–$772.80 | $531–$1,104 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $755.30 | $1,079 | 0.5× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$55.30–$579.60 | $79–$828 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $205.10 | $293 | 1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $837.20 | $1,196 | 0.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $4,115.30 | $5,879 | 1.3× |
| Insj Picc Rs&I <5 Yr (36572) | $2,188.90 | $3,127 | 3.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$82.60–$755.30 | $118–$1,079 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,312.80 | $3,304 | 0.7× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $46,587.80 | $66,554 | 1.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $711.90 | $1,017 | 1.7× |
| Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines |
$193.20–$3,663.10 | $276–$5,233 | varies |
| Intraoral i&d tongue/floor submental space (41007) | $4,212.60 | $6,018 | 2.7× |
| Intraoral i&d tongue/floor submndblr space (41008) range across 2 matching MRF lines |
$435.40–$1,275.40 | $622–$1,822 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$438.90–$443.10 | $627–$633 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$231.70–$484.40 | $331–$692 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$130.20–$133 | $186–$190 | varies |
| Lyse chest fibrin init day (32561) | $432.60 | $618 | 0.7× |
| Lyse Chest Fibrin Subq Day (32562) | $436.10 | $623 | 0.7× |
| Myelography Lumbar Injection (62304) | $2,233 | $3,190 | 2.8× |
| N Block Inj Celiac Pelus (64530) | $1,534.40 | $2,192 | 1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $910.70 | $1,301 | 1.3× |
| N block inj intercost sng (64420) | $890.40 | $1,272 | 1.3× |
| N Block Inj Pudendal (64430) | $1,534.40 | $2,192 | 1.7× |
| N Block Lumbar/Thoracic (64520) | $1,534.40 | $2,192 | 1.7× |
| Nasal Endoscopy Dx (31231) | $427.70 | $611 | 2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$69.30–$434 | $99–$620 | varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $5,423.60 | $7,748 | 3.0× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $3,045 | $4,350 | 3.2× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $1,075.90 | $1,537 | 1.1× |
| Needle Biopsy Lymph Nodes (38505) | $2,135 | $3,050 | 1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $36.40 | $52 | 1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $53.90 | $77 | 1.8× |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) | $137.90 | $197 | 0.9× |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) | $137.90 | $197 | 0.9× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) | $553 | $790 | 1.3× |
| Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) | $79.10 | $113 | 0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,534.40 | $2,192 | 1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$140.70–$555.10 | $201–$793 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $4,794.30 | $6,849 | 1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,534.40 | $2,192 | 1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,603 | $2,290 | 2.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,843.80 | $2,634 | 2.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,603 | $2,290 | 2.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $2,268 | $3,240 | 2.5× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$56.70–$835.10 | $81–$1,193 | varies |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
$1,415.40–$11,141.20 | $2,022–$15,916 | varies |
| Pelvic examination under anesthesia (other than local) (57410) | $4,834.20 | $6,906 | 1.5× |
| Penile Injection (54235) range across 2 matching MRF lines |
$117.60–$457.10 | $168–$653 | varies |
| Pericardiocentesis W/Imaging (33016) | $6,622 | $9,460 | 4.2× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$166.60–$373.80 | $238–$534 | varies |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $16,104.20 | $23,006 | 2.5× |
| Punch biopsy skin single lesion (11104) | $613.90 | $877 | 1.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$109.90–$135.80 | $157–$194 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,962.10 | $2,803 | 2.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $5,765.90 | $8,237 | 2.9× |
| Reduction of rectal prolapse (45900) range across 2 matching MRF lines |
$293.30–$1,387.40 | $419–$1,982 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$530.60–$901.60 | $758–$1,288 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$643.30–$4,983.30 | $919–$7,119 | varies |
| Removal foreign body foot deep (28192) | $1,387.40 | $1,982 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$219.80–$672 | $314–$960 | varies |
| Removal Foreign Body Scrotum (55120) range across 2 matching MRF lines |
$600.60–$5,263.30 | $858–$7,519 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$10.50–$103.60 | $15–$148 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$103.60–$236.60 | $148–$338 | varies |
| Removal of foreign body from pharynx (42809) | $92.40 | $132 | 0.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$224.70–$401.10 | $321–$573 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $142.10 | $203 | 0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) | $331.80 | $474 | 1.2× |
| Remove drug implant device (11982) | $136.50 | $195 | 0.3× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$193.20–$253.40 | $276–$362 | varies |
| Remove Intrauterine Device (58301) | $208.60 | $298 | 0.7× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$207.20–$269.50 | $296–$385 | varies |
| Remove spine eltrd plate (63662) | $5,233.20 | $7,476 | 1.5× |
| Renal Biopsy Perq (50200) | $2,071.30 | $2,959 | 1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,057.70 | $1,511 | 1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,216.60 | $1,738 | 1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$223.30–$228.20 | $319–$326 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$445.20–$719.60 | $636–$1,028 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $855.40 | $1,222 | 2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $984.20 | $1,406 | 2.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$515.20–$611.10 | $736–$873 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$592.90–$749 | $847–$1,070 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$682.50–$861 | $975–$1,230 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$784.70–$1,171.80 | $1,121–$1,674 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $784.70 | $1,121 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$515.20–$562.10 | $736–$803 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$592.90–$688.10 | $847–$983 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$189.70–$682.50 | $271–$975 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$382.90–$804.30 | $547–$1,149 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$315.70–$575.40 | $451–$822 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$345.80–$616 | $494–$880 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$754.60–$963.20 | $1,078–$1,376 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$364–$1,062.60 | $520–$1,518 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $3,261.30 | $4,659 | 1.6× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$244.30–$728.70 | $349–$1,041 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$252–$1,677.90 | $360–$2,397 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$136.50–$285.60 | $195–$408 | varies |
| Replace g/c tube perc (49450) | $1,485.40 | $2,122 | 1.6× |
| Respir iadna 18 viral&2 bact (0115U) | $714.70 | $1,021 | 2.6× |
| Rev/rmv prph sac/gstr npg/r (64595) range across 2 matching MRF lines |
$312.90–$7,737.10 | $447–$11,053 | varies |
| Revise Spine Eltrd Plate (63664) | $18,976.30 | $27,109 | 1.7× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $9,986.90 | $14,267 | 1.6× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $5,898.20 | $8,426 | 1.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$136.50–$176.40 | $195–$252 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$208.60–$253.40 | $298–$362 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$73.50–$320.60 | $105–$458 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $549.50 | $785 | 1.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $4,983.30 | $7,119 | 1.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $3,562.30 | $5,089 | 1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,002.70 | $2,861 | 1.3× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$44.80–$177.80 | $64–$254 | varies |
| Rplc gtube revj gstrst trc (43763) | $177.80 | $254 | 0.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,505.30 | $3,579 | 1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$390.60–$705.60 | $558–$1,008 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $514.50 | $735 | 0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $669.20 | $956 | 1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$383.60–$519.40 | $548–$742 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$371–$571.20 | $530–$816 | varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $3,943.80 | $5,634 | 4.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,845.20 | $2,636 | 1.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$121.10–$263.90 | $173–$377 | varies |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $1,894.20 | $2,706 | 1.6× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $2,214.10 | $3,163 | 1.8× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $3,039.40 | $4,342 | 2.5× |
| Sigmoidoscopy W/Resection (45349) | $3,943.80 | $5,634 | 1.4× |
| Sigmoidoscopy W/Ultrasound (45341) | $2,214.10 | $3,163 | 2.4× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$1,782.20–$1,909.60 | $2,546–$2,728 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$446.60–$764.40 | $638–$1,092 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$340.20–$434.70 | $486–$621 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$357–$600.60 | $510–$858 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $463.40 | $662 | 1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$373.80–$686 | $534–$980 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$285.60–$398.30 | $408–$569 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$133–$364 | $190–$520 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$331.10–$595.70 | $473–$851 | varies |
| Slitting of prepuce (54001) | $4,596.90 | $6,567 | 2.2× |
| Slitting of prepuce (54000) | $4,426.80 | $6,324 | 1.2× |
| Small bowel endoscopy (44384) | $2,754.50 | $3,935 | 1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$315.70–$497.70 | $451–$711 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$345.80–$761.60 | $494–$1,088 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $364 | $520 | 0.9× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$436.80–$597.10 | $624–$853 | varies |
| Strapping shoulder (29240) | $235.90 | $337 | 1.8× |
| Strapping toes (29550) range across 2 matching MRF lines |
$42–$117.60 | $60–$168 | varies |
| Strapping Unna Boot (29580) | $258.30 | $369 | 1.6× |
| Thrombolytic Therapy Stroke (37195) | $207.90 | $297 | 0.6× |
| Thyroid biopsy (60100) | $1,127.70 | $1,611 | 1.6× |
| Treat Dental Ridge Fracture (21440) range across 2 matching MRF lines |
$849.10–$5,319.30 | $1,213–$7,599 | varies |
| Treat Hip Socket Fracture (27222) | $1,127.70 | $1,611 | 4.5× |
| Treat humerus fracture (24500) | $406.70 | $581 | 1.6× |
| Treat Humerus Fracture (24505) | $2,118.20 | $3,026 | 1.3× |
| Treat humerus fracture (23600) | $381.50 | $545 | 1.5× |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$933.10–$4,111.80 | $1,333–$5,874 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$246.40–$499.80 | $352–$714 | varies |
| Treat Metatarsal Fracture (28475) | $406.70 | $581 | 1.6× |
| Treat Thumb Dislocation (26641) | $406.70 | $581 | 1.6× |
| Treat toe dislocation (28630) | $353.50 | $505 | 1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$551.60–$1,208.90 | $788–$1,727 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$408.10–$480.20 | $583–$686 | varies |
| Treatment of penis lesion (54115) range across 2 matching MRF lines |
$676.90–$4,386.90 | $967–$6,267 | varies |
| Trnsplj Don-Drv Cll-Fr Dna (0118U) | $5,250.70 | $7,501 | 1.9× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) | $2,440.90 | $3,487 | 1.4× |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$111.30–$275.80 | $159–$394 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines |
$626.50–$5,609.80 | $895–$8,014 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$238.70–$536.90 | $341–$767 | varies |
| Unlisted procedure colon (45399) | $3,346 | $4,780 | 3.6× |
| Unlisted Procedure Intestine (44799) | $7,600.60 | $10,858 | 8.3× |
| Unlisted procedure nervous system (64999) | $3,346.70 | $4,781 | 10.8× |
| Unlisted procedure pancreas (48999) | $2,671.20 | $3,816 | 3.7× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $552.30 | $789 | 2.3× |
| Unlisted Procedure Rectum (45999) | $1,711.50 | $2,445 | 1.8× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$1,356.60–$4,694.90 | $1,938–$6,707 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$108.50–$135.80 | $155–$194 | varies |
| Xtroral I&D Floor Masticator Space (41018) range across 2 matching MRF lines |
$633.50–$2,207.10 | $905–$3,153 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.