Procedures & surgery prices at Prisma Health Blount Memorial Hospital

Maryville, TN · every code in this section with a posted price and a Medicare benchmark.

1096 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,305.10 $4,210 1.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $458.49 $1,479 0.5×
Abdomen Surgery Procedure (22999) $186 $600 0.8×
Ablate Pulm Tumor Perq Crybl (32994) $8,471.99 $27,329 0.8×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $9,971.77 $32,167 0.6×
Ablation ire liver 1+ tumors w/img gdn perq (47384) $8,416.50 $27,150 0.8×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
unusually low: confirm this is the full procedure		 $2,947.17 $9,507 0.4×
Ablt trurl prst8 tis thrm us ins trurl us trnsdc (55882) $10,069.11 $32,481 0.8×
Acne surgery (10040) $175.46 $566 0.9×
Adding Walker Previously Applied Cast (29440) $122.45 $395 0.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,068.07 $9,897 0.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,198.58 $10,318 1.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,572.69 $8,299 1.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,111.78 $10,038 1.6×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $3,144.64 $10,144 1.6×
Allogeneic lymphocyte infusions (38242) $1,731.04 $5,584 1.2×
Amniocentesis diagnostic (59000) $307.83 $993 0.4×
Amniocentesis therapeutic (59001) $236.84 $764 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,381.98 $4,458 0.4×
Amputate Metacarpal Bone (26910) $2,031.12 $6,552 0.7×
Amputation Foot Midtarsal (28800) $2,948.72 $9,512 0.9×
Amputation toe interphalangeal joint (28825) $2,891.68 $9,328 0.9×
Amputation toe metatarsophalangeal joint (28820) $2,832.16 $9,136 0.9×
Anoscopy diagnostic (46600) $72.54 $234 0.6×
Anoscopy; with biopsy, single or multiple (46606) $742.45 $2,395 0.7×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $1,881.39 $6,069 0.7×
Apheresis Platelets (36513) $1,735.07 $5,597 4.1×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $106.64 $344 0.7×
Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) $1,417.63 $4,573 0.7×
Appl skn cll ssp agrft f/s/n/h/f/g/m/dgt 1st 480 (15017) $1,417.63 $4,573 0.7×
Application cast elbow finger short arm (29075) $298.53 $963 1.1×
Application Cast Finger (29086) $93.93 $303 0.6×
Application Cast Shoulder Spica (29055) $205.84 $664 0.8×
Application Finger Splint Dynamic (29131) $148.80 $480 2.6×
Application finger splint static (29130)
range across 2 matching MRF lines		 $106.02–$111.91 $342–$361 varies
Application Halo Cranial Including Removal (20661) $2,514.72 $8,112 1.6×
Application long arm splint shoulder hand (29105) $148.49 $479 1.0×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $121.21–$146.94 $391–$474 varies
Application of long leg cast (29345) $183.83 $593 0.7×
Application of rigid total contact leg cast (29445) $265.67 $857 1.0×
Application Short Arm Splint Dynamic (29126) $361.46 $1,166 2.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $172.05–$217 $555–$700 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $148.80–$167.40 $480–$540 varies
Apply long arm cast (29065) $279.31 $901 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $201.50–$252.03 $650–$813 varies
Apply Short Leg Cast (29405) $280.24 $904 1.1×
Arterial puncture (36600) $62.93 $203 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $186 $600 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $616.90 $1,990 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $512.43 $1,653 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $647.90 $2,090 2.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $507.78 $1,638 1.7×
Arthroplasty glenohumeral joint total shoulder (23472) $12,763.01 $41,171 0.8×
Aspirate pleura w/ imaging (32555) $701.84 $2,264 1.2×
Aspirate Pleura W/O Imaging (32554) $325.50 $1,050 0.5×
Aspirate/Inj Ganglion Cyst (20612) $141.67 $457 0.5×
Aspiration & Injection Treatment Bone Cyst (20615) $525.76 $1,696 0.8×
Aspiration and/or injection thyroid cyst (60300) $227.85 $735 0.3×
Aspiration bladder insert suprapubic catheter (51102) $964.10 $3,110 0.5×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $1,719.88 $5,548 0.8×
Av Fistula Revision Open (36832) $5,033.16 $16,236 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $636.12 $2,052 3.3×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $1,866.20 $6,020 0.2×
Biopsy Abdominal Mass (49180) $1,153.20 $3,720 0.7×
Biopsy bone open superficial (20240) $1,616.96 $5,216 0.6×
Biopsy bone trocar/needle deep (20225) $2,226.42 $7,182 1.4×
Biopsy Bone Trocar/Needle Superficial (20220) $978.67 $3,157 0.6×
Biopsy muscle percutaneous needle (20206) $932.17 $3,007 0.6×
Biopsy Muscle Superficial (20200) $914.81 $2,951 0.6×
Biopsy of lip (40490) $180.11 $581 0.8×
Biopsy of liver, needle; percutaneous (47000) $1,230.08 $3,968 0.8×
Biopsy of rectum (45100) $1,681.13 $5,423 0.6×
Biopsy Oropharynx (42800) $1,126.23 $3,633 0.8×
Biopsy Pleura Percutaneous Needle (32400) $806.31 $2,601 0.5×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $2,790.93 $9,003 0.8×
Biopsy Salivary Gland Needle (42400) $568.85 $1,835 0.8×
Biopsy soft tissue back/flank deep (21925) $2,037.01 $6,571 1.3×
Biopsy Soft Tissue Back/Flank Superficial (21920) $875.75 $2,825 0.6×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,809.78 $5,838 1.1×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,364.31 $4,401 0.5×
Biopsy soft tissue leg/ankle area superficial (27613) $515.84 $1,664 0.3×
Biopsy soft tissue neck/thorax (21550) $2,087.23 $6,733 1.3×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $788.33 $2,543 0.5×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $920.70 $2,970 0.6×
Biopsy Soft Tissue Shoulder Superficial (23065) $906.13 $2,923 0.6×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $1,945.87 $6,277 0.7×
Biopsy soft tissue thigh/knee area superficial (27323) $948.60 $3,060 0.6×
Biopsy Vaginal Mucosa Simple (57100) $864.90 $2,790 1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $463.14 $1,494 0.5×
Biopsy/removal lymph nodes (38510) $1,891 $6,100 0.5×
Bladder Irrigation (51700) $341.93 $1,103 1.4×
Bladder Scan (51798)
range across 2 matching MRF lines		 $96.72–$240.87 $312–$777 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $1,419.18 $4,578 1.0×
Blepharotomy drainage abscess eyelid (67700) $150.35 $485 0.5×
Blood Transfusion Service (36430) $558 $1,800 1.3×
Blood/Lymph System Procedure (38999) $320.54 $1,034 0.8×
Bone Marrow Biopsy (38221) $627.75 $2,025 0.4×
Bone Marrow; Aspiration Only (38220) $627.75 $2,025 0.4×
Brnchsc Brushing/Protected Brushings (31623) $958.21 $3,091 0.6×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,015.31 $6,501 0.6×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $2,041.04 $6,584 0.6×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $1,343.23 $4,333 0.8×
Brnchsc Removal Bronchial Valve Initial (31648) $1,971.29 $6,359 0.6×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $5,364.86 $17,306 0.8×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $1,913.01 $6,171 0.5×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $1,568.29 $5,059 0.4×
Bronchial Valve Init Insert (31647) $5,364.86 $17,306 0.8×
Bronchoscopy Balloon Occlusion (31634) $5,364.86 $17,306 0.8×
Bronchoscopy Bronch Stents (31636)
unusually low: confirm this is the full procedure		 $2,142.72 $6,912 0.3×
Bronchoscopy Clear Airways (31645) $1,938.74 $6,254 1.1×
Bronchoscopy Dilate W/Stent (31631) $5,364.86 $17,306 0.8×
Bronchoscopy Reclear Airway (31646) $641.08 $2,068 1.7×
Bronchoscopy W/Biopsy(S) (31625) $1,069.81 $3,451 0.6×
Bronchoscopy W/Excision Tumor (31640) $1,780.95 $5,745 0.5×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $5,364.86 $17,306 0.8×
Bronchoscopy W/Removal Foreign Body (31635) $1,836.44 $5,924 1.1×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,295.49 $4,179 0.4×
Bronchoscopy/Needle Bx Each (31629) $1,424.45 $4,595 0.4×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,218.05 $7,155 0.8×
Bx breast 1st lesion mr imag (19085) $2,207.20 $7,120 1.4×
Bx breast 1st lesion strtctc (19081) $1,809.78 $5,838 1.1×
Bx breast 1st lesion us imag (19083) $1,659.43 $5,353 1.1×
Bx breast needle core w/o imaging guidance spx (19100) $639.53 $2,063 0.4×
Bx Cervix (57500) $810.96 $2,616 0.9×
Bx prostate transperineal ultrasound-guided (55709) $2,790.93 $9,003 0.8×
Bx prst8 in-bore CT/MRI bx 1 (55713) $4,245.45 $13,695 0.8×
Bx/exc lymph node open deep axillary node (38525) $2,610.51 $8,421 0.7×
Bx/exc lymph node open superficial (38500) $3,100.31 $10,001 0.8×
Ca vi psp&sp1 igg igm&iga antb cl semiql blood (0522U) $116.25 $375 0.4×
Canthotomy Separate Procedure (67715) $1,807.92 $5,832 0.8×
Car-t admn autologous (38228) $285.20 $920 0.9×
Catheter aspiration nasotracheal spx (31720) $229.40 $740 1.1×
Cathj Rmvl Temp Dev Ischmc Rmdlg Bldr Neck&Prst8 (53866) $188.48 $608 0.8×
Cessj Therapy Cath Removal (37214) $1,687.95 $5,445 0.6×
Change Cystostomy Tube Simple (51705) $178.56 $576 0.7×
Change of Windpipe Airway (31502) $206.77 $667 0.9×
Change ureter stent percut (50382) $2,332.75 $7,525 1.2×
Chemical Cautery Tissue (17250) $209.87 $677 1.1×
Chemical Pleurodesis (32560) $368.59 $1,189 0.6×
Chemodenerv 1 extrem 5/> mus (64644) $643.56 $2,076 1.0×
Chemodenerv 1 extremity 1-4 (64642) $512.12 $1,652 0.8×
Chemodenerv Musc Migraine (64615) $322.09 $1,039 1.1×
Chemodenerv musc neck dyston (64616) $303.80 $980 1.0×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $304.73 $983 1.0×
Chemodenerv trunk musc 1-5 (64646) $697.19 $2,249 1.0×
Chemodenerv trunk musc 6/> (64647) $790.81 $2,551 1.2×
Chemodenervation of internal anal sphincter (46505) $1,696.32 $5,472 1.5×
Chest tube placement (32551) $305.97 $987 0.2×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,897.51 $6,121 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,245.27 $4,017 0.4×
Circumcision 28 days or older (54161) $1,626.88 $5,248 0.8×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $117.49–$119.97 $379–$387 varies
Cl Tx Scapular Fx; W Manip (23575) $775 $2,500 0.5×
Cl Tx Tib Shft Fx W Manip (27752) $706.80 $2,280 0.5×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $100.75–$202.74 $325–$654 varies
Closed Rx Metacarpal Fx,Percut (26608) $2,666.62 $8,602 0.9×
Closed Rx Spontaneous Hip Disloc (27256) $547.77 $1,767 2.3×
Closed rx talotarsal disloc,anesth (28575) $2,514.72 $8,112 0.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $322.40 $1,040 1.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $233.43 $753 1.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines		 $207.70–$1,364.93 $670–$4,403 varies
Closed Treatment Ulnar Styloid Fracture (25650) $121.52 $392 0.5×
Closed tx ankle dislocation w/o anesthesia (27840) $121.52 $392 0.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $331.08 $1,068 0.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $284.89 $919 1.2×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $186 $600 0.8×
Closed tx carpal scaphoid fracture w/manj (25624) $684.48 $2,208 0.4×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,240.62 $4,002 0.8×
Closed tx fx orbit except blowout w/manipulation (21401) $1,148.55 $3,705 0.8×
Closed tx knee dislocation w/o anesthesia (27550) $289.23 $933 1.2×
Closed Tx Lunate Dislocation W/Manipulation (25690) $825.22 $2,662 0.5×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $325.19 $1,049 0.6×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $4,628.30 $14,930 0.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,031.74 $6,554 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,044.39 $3,369 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,212.16 $7,136 0.7×
Closed tx patellar dislocation w/o anesthesia (27560) $121.52 $392 0.5×
Closed Tx Patellar Fracture W/O Manipulation (27520) $233.43 $753 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $347.51 $1,121 0.2×
Closed tx radial head/neck fx w/o manipulation (24650) $222.27 $717 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $1,240.31 $4,001 0.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $206.77 $667 0.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $443.30 $1,430 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $207.39 $669 0.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $215.45 $695 0.9×
Closed tx septal&nose fx (21337) $2,859.13 $9,223 0.9×
Closed tx talotarsal joint dislc w/o anes (28570) $161.51 $521 0.7×
Closed Tx Talus Fracture W/Manipulation (28435) $2,066.15 $6,665 1.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $161.51 $521 0.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $179.80 $580 0.8×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,240.31 $4,001 0.8×
Closure Gastrostomy Surg (43870) $4,136.02 $13,342 1.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $167.40 $540 0.7×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,278.13 $4,123 2.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $657.82 $2,122 2.8×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,100.81 $3,551 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $201.50 $650 0.9×
Clsd tx fx orbit except blowout w/o manipulation (21400) $809.72 $2,612 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $372 $1,200 0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $343.48 $1,108 1.5×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,240.62 $4,002 0.8×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,255.19 $4,049 5.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,550 $5,000 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,240.31 $4,001 0.8×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $222.27 $717 0.9×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $222.27 $717 0.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $189.72 $612 0.8×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,240.62 $4,002 0.8×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $186 $600 0.8×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,471.57 $4,747 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $232.50 $750 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $469.34 $1,514 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $121.52 $392 0.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $236.84 $764 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $235.60 $760 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $214.52 $692 0.1×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,321.90 $7,490 1.5×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,186.68 $3,828 0.8×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $475.23 $1,533 2.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $528.86 $1,706 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $827.08 $2,668 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $188.48 $608 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $121.52 $392 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $416.02 $1,342 1.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $706.80 $2,280 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,071.98 $3,458 4.6×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $743.07 $2,397 0.5×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,474.36–$1,716.78 $4,756–$5,538 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $114.39 $369 0.5×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,240.31 $4,001 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,240.31 $4,001 0.8×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,240.62 $4,002 0.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $205.84 $664 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $119.97 $387 0.5×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,471.69 $11,199 2.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $958.52 $3,092 3.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $201.50 $650 0.9×
Cltx Med Ankle Fx W/Mnpj (27762) $706.80 $2,280 0.5×
Cltx metacarpal fx w/manipulation each bone (26605) $121.52 $392 0.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $283.65 $915 1.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,240.62 $4,002 0.8×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,317.56 $7,476 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $121.52 $392 0.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $222.27 $717 0.9×
Cltx post hip arthrp dislc req anes (27266) $738.42 $2,382 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $210.80 $680 0.9×
Cltx prox fibula/shft fx w/manj (27781) $864.59 $2,789 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $221.65 $715 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $707.73 $2,283 0.5×
Cltx prox tibfib jt dislc req anes (27831) $2,514.72 $8,112 0.8×
Cltx prox tibfib jt dislc w/o anes (27830) $210.49 $679 0.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $492.59 $1,589 2.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $151.28 $488 0.6×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,466.92 $4,732 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $500.34 $1,614 0.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,100.81 $3,551 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $540.64 $1,744 0.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,240.62 $4,002 0.8×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $161.51 $521 0.7×
Cltx tibial shaft fx w/o manipulation (27750) $474.30 $1,530 2.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $260.09 $839 0.2×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $49.29–$78.12 $159–$252 varies
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $8.68–$10.85 $28–$35 varies
Colonoscopy Flexible With Decompression (45393) $1,305.72 $4,212 1.1×
Colonoscopy Stoma Ablation Lesion (44401) $1,116 $3,600 1.0×
Colonoscopy Stoma Control Bleeding (44391) $842.27 $2,717 0.7×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,031.06 $3,326 0.9×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $1,090.58 $3,518 1.2×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,171.49 $3,779 1.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $963.79 $3,109 0.8×
Colonoscopy thru stoma (44388) $917.91 $2,961 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,062.68 $3,428 0.9×
Colonoscopy w/ablation (45388) $1,271 $4,100 1.1×
Colonoscopy W/Band Ligation (45398) $1,323.08 $4,268 1.2×
Colonoscopy w/fb removal (45379) $1,151.03 $3,713 1.0×
Colonoscopy w/ndl aspir/bx (44407) $871.41 $2,811 0.8×
Colonoscopy W/Resection (45390) $1,688.88 $5,448 0.6×
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $1,683.30 $5,430 0.3×
Colonoscopy w/submucosal inj (45381) $1,183.89 $3,819 1.0×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $3,244.15 $10,465 1.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $292.64 $944 1.0×
Colposcopy Cervix Endocervical Curettage (57456) $292.64 $944 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $154.07 $497 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $292.64 $944 1.0×
Colposcopy cervix vag eltrd conization cervix (57461) $923.49 $2,979 0.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $923.49 $2,979 0.3×
Colposcopy entire vagina w/cervix if present (57420) $430.90 $1,390 1.5×
Colposcopy of vulva (56820) $76.57 $247 0.4×
Colposcopy Vulva W/Biopsy (56821) $168.02 $542 0.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $426.87 $1,377 0.5×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,201.25 $3,875 1.1×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,253.64 $4,044 1.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,217.99 $3,929 1.1×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,706.24 $5,504 1.5×
Complex drainage wound (10180) $1,249.92 $4,032 0.5×
Composite Skin Graft (15760) $1,248.99 $4,029 0.6×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,391.03 $7,713 0.8×
Control Nasal Hemorrhage Anterior Complex (30903) $141.67 $457 1.1×
Control Nasal Hemorrhage Anterior Simple (30901) $123.07 $397 1.0×
Conversion ext bil drg cath (47535) $1,227.60 $3,960 0.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,043.46 $3,366 0.6×
Convert Nephrostomy Catheter (50434) $1,308.82 $4,222 0.7×
Cordocentesis (59012) $219.79 $709 0.8×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,156.67 $6,957 1.4×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $2,387.62 $7,702 0.7×
Csf shunt reprogram (62252) $138.26 $446 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $121.52 $392 1.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $121.52 $392 0.5×
Curettage postpartum (59160) $2,307.02 $7,442 0.7×
Cysto calibration dilat urtl strix/stenosis (52281) $2,407.46 $7,766 1.2×
Cysto w/complex removal stone & stent (52315) $1,587.51 $5,121 0.8×
Cysto w/irrig & evac multple obstructing clots (52001) $2,821 $9,100 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $1,505.67 $4,857 0.8×
Cystostomy Cystotomy W/Drainage (51040) $1,720.81 $5,551 0.9×
Cystourethroscopy (52000) $478.95 $1,545 0.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $429.97 $1,387 1.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,728.31 $8,801 1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,612 $5,200 2.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $465 $1,500 0.7×
Debride nail 1-5 (11720) $73.16 $236 1.3×
Debride nail 6 or more (11721) $121.52 $392 2.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $850.95 $2,745 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $524.21 $1,691 1.4×
Declot vascular device (36593) $548.70 $1,770 1.7×
Deep Muscle Biopsy (20205) $2,804.57 $9,047 1.0×
Delivery of placenta (59414) $1,259.84 $4,064 0.4×
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) $1,141.11 $3,681 0.6×
Destr W Neurolytic; Celiac Plexus (64680) $976.19 $3,149 1.2×
Destroy cerv/thor facet jnt (64633) $1,359.35 $4,385 0.7×
Destroy lumb/sac facet jnt (64635) $1,680.82 $5,422 0.9×
Destruct B9 Lesion 1-14 (17110) $87.42 $282 0.5×
Destruction Benign Lesions 15/> (17111) $133.30 $430 0.7×
Destruction by neurolytic agent, intercostal nerve (64620) $756.09 $2,439 0.9×
Destruction by neurolytic agent; pudendal nerve (64630) $473.37 $1,527 0.6×
Destruction Lesions Vulva Simple (56501) $2,536.73 $8,183 1.3×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $226.92 $732 1.2×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $144.15 $465 0.8×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $147.87 $477 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $631.78 $2,038 0.3×
Destruction of skin lesions (17106) $389.67 $1,257 1.0×
Destruction Premalignant Lesion 15/> (17004) $248.62 $802 0.6×
Destruction premalignant lesion 1st (17000) $154.07 $497 0.8×
Destruction Vaginal Lesions Simple (57061) $99.82 $322 0.0×
Diagnostic sigmoidoscopy (45330) $1,040.98 $3,358 1.2×
Dilat rct strix spx under anes oth/thn local (45910) $913.88 $2,948 0.8×
Dilate Esophagus 1/Mult Pass (43450) $1,102.98 $3,558 1.3×
Dilation & curettage dx&/ther nonobstetric (58120) $2,308.57 $7,447 0.7×
Dilation Esophagus Guide Wire (43453) $780.89 $2,519 0.4×
Dilation Salivary Duct (42650) $2,747.84 $8,864 1.9×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $1,336.41 $4,311 0.8×
Drain Cerebro Spinal Fluid (62272) $478.33 $1,543 0.7×
Drain Hand Tendon Sheath (26020) $2,514.41 $8,111 0.8×
Drain Spinal Cord Cyst (62268) $690.06 $2,226 0.8×
Drain/inj small joint/bursa w/us (20604) $587.45 $1,895 2.0×
Drainage external auditory canal abscess (69020) $412.92 $1,332 0.6×
Drainage external ear abscess/hematoma cmplx (69005) $945.50 $3,050 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $43.09 $139 0.1×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $465.93–$538.47 $1,503–$1,737 varies
Drainage Mouth Roof Lesion (42000) $115.32 $372 0.5×
Drainage of finger abscess simple (26010) $190.34 $614 1.0×
Drainage of gum lesion (41800) $176.08 $568 1.4×
Drainage of hematoma/fluid (10140) $706.80 $2,280 0.4×
Drainage of hydrocele (55000) $502.51 $1,621 0.7×
Drainage of nose lesion (30000) $167.40 $540 0.7×
Drainage of scrotal wall abscess (55100) $706.80 $2,280 0.4×
Drainage of scrotum (54700) $3,112.71 $10,041 1.6×
Drainage of skene's gland abscess or cyst (53060) $1,395 $4,500 0.7×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $53.94–$84.01 $174–$271 varies
Dressing Change Under Anesthesia (15852) $474.30 $1,530 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $394.94 $1,274 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $391.84 $1,264 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $160.58–$277.45 $518–$895 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $106.95 $345 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $158.41 $511 0.8×
Dstrj Lesion Anus Simple Chemical (46900) $309.69 $999 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $137.02 $442 0.7×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $6,117.23 $19,733 3.3×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,104.84 $3,564 1.3×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $690.06 $2,226 0.8×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $1,046.25–$2,218.05 $3,375–$7,155 varies
Dx Bronchoscope/Lavage (31624) $1,006.26 $3,246 0.6×
Dx Bronchoscope/Wash (31622) $894.35 $2,885 0.5×
Dx Laryngoscopy Excl Nb (31525) $2,629.73 $8,483 1.5×
Dx laryngoscopy w/oper scope (31526) $5,340.68 $17,228 3.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $750.20 $2,420 1.1×
Egd Balloon Dil Esoph30 Mm/> (43233) $738.11 $2,381 0.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,406.16 $4,536 0.8×
Egd cautery tumor polyp (43250) $1,476.53 $4,763 0.8×
Egd control bleeding any (43255) $1,795.21 $5,791 1.0×
Egd dilation gastric/duodenal stricture (43245) $1,156.61 $3,731 0.6×
Egd endo mucosal resection (43254) $1,692.91 $5,461 0.9×
Egd Endoscopic Stent Place (43266)
unusually low: confirm this is the full procedure		 $2,077.62 $6,702 0.4×
Egd Flexible Foreign Body Removal (43247) $1,275.03 $4,113 1.5×
Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) $1,111.97 $3,587 0.6×
Egd guide wire insertion (43248) $1,339.20 $4,320 1.5×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,039.74 $3,354 0.6×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $990.14 $3,194 0.5×
Egd intrmural us needle aspirate/biopsy esophags (43238) $812.51 $2,621 0.4×
Egd lesion ablation (43270) $2,181.47 $7,037 1.2×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $6,710.26 $21,646 0.7×
Egd place gastrostomy tube (43246) $1,214.58 $3,918 0.7×
Egd remove lesion snare (43251) $1,550 $5,000 0.8×
Egd Tube/Cath Insertion (43241) $952.01 $3,071 0.5×
Egd us exam duodenum/jejunum (43259) $1,866.82 $6,022 1.0×
Egd us transmural injxn/mark (43253) $1,612.62 $5,202 0.9×
Egd Varices Ligation (43244) $1,101.74 $3,554 0.6×
Egd W/Thrml Txmnt Gerd (43257) $1,744.99 $5,629 0.5×
Egd W/Transmural Drain Cyst (43240)
unusually low: confirm this is the full procedure		 $2,161.01 $6,971 0.4×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $365.80 $1,180 1.2×
Endocervical curettage (57505) $810.96 $2,616 0.9×
Endometrial Biopsy (58100) $273.42 $882 1.4×
Endoscopic us exam esoph (43237) $771.59 $2,489 0.4×
Endoscopy Upper Small Intestine (44360) $967.82 $3,122 0.5×
Endoscopy upper small intestine w/biopsy (44361) $1,016.49 $3,279 0.6×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $7,380.79 $23,809 0.7×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $5,264.73 $16,983 1.7×
Endoven ther chem adhes 1st (36482) $4,189.34 $13,514 0.8×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $991.38 $3,198 0.5×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $842.58 $2,718 0.5×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,443.67 $4,657 0.8×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $1,470.02 $4,742 0.8×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $3,903.21 $12,591 0.7×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,297.04 $4,184 0.7×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,067.02 $3,442 0.6×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,120.65 $3,615 0.6×
Epidural Blood Patch (62273) $599.23 $1,933 0.9×
Episiotomy or vaginal repair (59300) $2,464.19 $7,949 0.8×
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
unusually low: confirm this is the full procedure		 $2,100.87 $6,777 0.4×
Ercp duct stent placement (43274)
unusually low: confirm this is the full procedure		 $2,410.56 $7,776 0.4×
Ercp Dx Collection Specimen Brushing/Washing (43260) $1,756.77 $5,667 0.5×
Ercp ea duct/ampulla dilate (43277) $2,100.25 $6,775 0.6×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,048.79 $6,609 0.6×
Ercp remove forgn body duct (43275) $2,049.10 $6,610 1.1×
Ercp Stent Exchange W/Dilate (43276)
unusually low: confirm this is the full procedure		 $2,470.70 $7,970 0.4×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $2,152.95 $6,945 0.6×
Ercp W/Biopsy Single/Multiple (43261) $1,948.97 $6,287 0.5×
Ercp,Sphincterotomy (43262) $1,998.26 $6,446 0.5×
Escharotomy; initial incision (16035) $359.29 $1,159 0.9×
Esoph Scope W/Submucous Inj (43201) $1,176.45 $3,795 0.6×
Esophagogastroduodenoscopy Submucosal Injection (43236) $733.15 $2,365 0.8×
Esophagosc Dilate Balloon 30 (43214) $2,043.83 $6,593 1.1×
Esophagoscop Mucosal Resect (43211) $1,272.55 $4,105 0.7×
Esophagoscop Stent Placement (43212) $4,415.95 $14,245 0.8×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $796.39 $2,569 0.4×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $2,622.91 $8,461 0.7×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,373.30 $4,430 0.8×
Esophagoscopy Flexible Guide Wire Dilation (43226) $547.15 $1,765 0.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $536.30 $1,730 0.6×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $693.78 $2,238 0.4×
Esophagoscopy Flexible W/Bleeding Control (43227) $2,633.45 $8,495 1.4×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $754.54 $2,434 0.4×
Esophagoscopy Retro Balloon (43213) $2,043.83 $6,593 1.1×
Esophagoscopy rig transoral removal foreign body (43194) $598.30 $1,930 0.3×
Esophagoscopy rigid trnso dx (43191) $587.45 $1,895 0.3×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $751.44 $2,424 0.4×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $796.39 $2,569 0.4×
Esophagoscp Rig Trnso Biopsy (43193) $2,044.14 $6,594 1.1×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $110.05–$168.33 $355–$543 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $837 $2,700 1.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $666.81 $2,151 0.4×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $2,967.63 $9,573 0.8×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $462.83 $1,493 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,039.12 $3,352 1.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $911.71 $2,941 1.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $3,036.76 $9,796 4.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,669.04 $5,384 1.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $575.98 $1,858 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $605.12 $1,952 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $465 $1,500 0.3×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $5,186.61 $16,731 1.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $969.06 $3,126 1.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,194.18 $7,078 1.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $229.40 $740 0.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,543.49 $4,979 1.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $878.85 $2,835 2.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $923.18 $2,978 1.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,017.42 $3,282 0.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,025.23 $6,533 1.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,218.36 $7,156 0.8×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,280.30 $4,130 0.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,338.27 $4,317 0.7×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,826.21 $5,891 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $199.64 $644 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $432.45 $1,395 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $455.39 $1,469 1.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,612 $5,200 2.4×
Excision Multiple External Papillae/Tags Anus (46230) $2,066.46 $6,666 0.8×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $2,218.05–$5,216.06 $7,155–$16,826 varies
Excision of single external papilla or tag, anus (46220) $2,057.78 $6,638 1.8×
Excision of vaginal cyst or tumor (57135) $3,162.62 $10,202 1.0×
Excision of vaginal septum (57130) $2,170 $7,000 0.7×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,261.45 $7,295 1.4×
Expl penetrating wound spx abdomen/flank/back (20102) $2,998.94 $9,674 1.5×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $2,072.97–$2,719.32 $6,687–$8,772 varies
Exploration Penetrating Wound Spx Neck (20100) $2,919.89 $9,419 5.7×
Extensive Retinopathy 1/> Sess Preterm Infant (67229) $468.10 $1,510 0.9×
External cephalic version (59412)
range across 2 matching MRF lines		 $739.66–$1,651.68 $2,386–$5,328 varies
Fetal Contraction Stress Test (59020) $345.96 $1,116 1.8×
Fetal non-stress test (59025) $307.83 $993 1.6×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $226.30 $730 0.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,339.20 $4,320 2.0×
Fine needle aspiration without imaging guidance (10021) $182.59 $589 0.5×
Fluoro exam of g/colon tube (49465) $227.23 $733 1.0×
Fna Bx W/Fluor Gdn 1St Les (10007) $661.85 $2,135 1.0×
Fna bx w/us gdn 1st les (10005) $813.13 $2,623 1.2×
Foreskin manipulation (54450) $154.07 $497 0.6×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,141.11 $3,681 0.6×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $3,726.82 $12,022 2.0×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $90.21 $291 2.5×
Gstr Rstcv Px Trnsorl Esg W/Argon Plasma Coagj (43889) $8,416.50 $27,150 0.8×
Guide Cathet Fluid Drainage (10030) $262.26 $846 0.4×
Head Surgery Procedure (21499) $932.17 $3,007 4.1×
Hem cgen neutropenia gen seq alys 24 genes (0271U) $2,323.14 $7,494 3.8×
Hem gen pltlt do 43 genes (0274U) $920.39 $2,969 1.5×
Hem genetic bld do 60 genes (0272U) $568.85 $1,835 0.9×
Hem inh thrombocytopenia 42 (0276U) $2,277.26 $7,346 0.9×
Hem vw factor&clgn iii bndg (0279U) $444.85 $1,435 38.6×
Hem Vwd Propeptide Ag Lvl (0281U) $200.88 $648 11.6×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,552.91 $11,461 1.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $393.08 $1,268 0.4×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $5,877.91 $18,961 2.2×
Hrv skin for skin cell ssp agrft 1st 25 sq cm/< (15011) $1,417.63 $4,573 0.7×
Hysteroscopy Biopsy (58558) $923.49 $2,979 0.3×
Hysteroscopy Endometrial Ablation (58563) $1,383.53 $4,463 0.3×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,312.60 $7,460 0.7×
I&d abscess peritonsillar (42700) $227.85 $735 1.0×
I&d abscess simple (10060) $201.50 $650 1.1×
I&d deep absc bursa/hematoma thigh/knee region (27301) $4,149.04 $13,384 1.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,576.41 $8,311 0.8×
I&D Mouth/Tong Intra,Masticator (41009) $1,267.90 $4,090 2.5×
I&d perianal abscess superficial (46050) $1,891.62 $6,102 2.1×
I&d pilonidal cyst complicated (10081) $457.25 $1,475 0.7×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $280.55–$310 $905–$1,000 varies
Icd Pocket Revision (33223) $1,848.84 $5,964 0.9×
Ileoscopy Stoma W/Balloon Dilation (44381) $632.71 $2,041 0.3×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $664.64 $2,144 0.8×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $602.64 $1,944 0.7×
Image Cath Fluid Colxn Visc (49405) $963.17 $3,107 0.6×
Image Cath Fluid Peri/Retro (49406) $1,849.15 $5,965 1.2×
Image Cath Fluid Trns/Vgnl (49407) $1,653.54 $5,334 1.0×
Implant neuroelectrodes (63650) $8,730.84 $28,164 1.4×
Incise external hemorrhoid (46083) $200.26 $646 0.8×
Incise finger tendon sheath (26055) $1,206.83 $3,893 0.8×
Incision & drainage abscess complicated/multiple (10061) $201.50 $650 0.5×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,945.87 $6,277 0.7×
Incision & drainage leg/ankle infected bursa (27604) $2,231.69 $7,199 0.7×
Incision & removal foreign body subq tiss compl (10121) $1,165.60 $3,760 0.7×
Incision & removal foreign body subq tiss simple (10120) $209.25 $675 0.5×
Incision and drainage of bartholin's gland abscess (56420) $127.10 $410 0.7×
Incision and drainage of vulva or perineal abscess (56405) $936.20 $3,020 3.2×
Incision of eardrum (69420) $195.92 $632 0.9×
Incision of lingual frenum (frenotomy) (41010) $1,411.74 $4,554 1.0×
Incision of rectal abscess (46040) $1,531.40 $4,940 1.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $888.77 $2,867 0.6×
Incisional biopsy skin single lesion (11106) $699.05 $2,255 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $45.26 $146 0.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $885.67 $2,857 1.0×
Inj W/Fluor Eval Cv Device (36598) $257.61 $831 1.3×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $903.03 $2,913 1.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $903.03 $2,913 1.1×
Inject Intravitreal Pharmcologic (67028) $491.35 $1,585 1.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) $325.50 $1,050 1.1×
Injection aa&/strd axillary nerve w/img gdn (64417) $500.65 $1,615 0.6×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,042.22 $3,362 1.2×
Injection aa&/strd genicular nrv branches w/img (64454) $389.67 $1,257 0.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $861.49 $2,779 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $528.24 $1,704 0.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,084.07 $3,497 1.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $861.49 $2,779 1.3×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,023.93 $3,303 1.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $666.81 $2,151 2.3×
Injection Anes Superior Hypogastric Plexus (64517) $473.37 $1,527 0.6×
Injection anesthetic agent suprascapular nerve (64418) $434.93 $1,403 0.6×
Injection for identification of sentinel node (38792) $318.37 $1,027 0.8×
Injection Into Brain Canal (61055) $259.78 $838 0.9×
Injection single tendon origin/insertion (20551) $325.50 $1,050 1.1×
Injection single/mlt trigger point 1/2 muscles (20552) $382.85 $1,235 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $523.90 $1,690 1.8×
Injection therapeutic carpal tunnel (20526) $229.09 $739 0.8×
Injection, anesthetic agent; brachial plexus, single (64415) $538.78 $1,738 0.6×
Injection, anesthetic agent; femoral nerve, single (64447) $565.75 $1,825 0.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $418.50 $1,350 0.6×
Injection, anesthetic agent; vagus nerve (64408) $248 $800 0.8×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $80.29–$148.18 $259–$478 varies
Ins cath ren art 1st bilat (36252) $3,005.14 $9,694 1.0×
Ins cath ren art 1st unilat (36251) $1,966.95 $6,345 0.7×
Ins cath ren art 2nd+ unilat (36253)
unusually low: confirm this is the full procedure		 $1,827.45 $5,895 0.3×
Ins endovas vena cava filtr (37191) $3,419.61 $11,031 0.6×
Ins Vag Brachytx Device (57156) $142.91 $461 0.5×
Ins/Rep Subq Defibrillator (33270) $15,753.89 $50,819 0.5×
Insert 1 Electrode Pm-Defib (33216) $5,836.99 $18,829 0.7×
Insert Bladder Cath Complex (51703) $215.14 $694 1.8×
Insert cath pleura w/ image (32557) $1,511.25 $4,875 1.0×
Insert cath pleura w/o image (32556) $1,370.82 $4,422 0.7×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $841.96 $2,716 0.7×
Insert cervical dilator (59200) $210.18 $678 0.7×
Insert Drug Implant Device (11981) $134.85 $435 1.1×
Insert Gastrostomy Tube Percutaneous (49440) $1,043.46 $3,366 0.6×
Insert Heart Pm Atrial (33206) $14,180.02 $45,742 1.4×
Insert Heart Pm Ventricular (33207) $14,180.02 $45,742 1.4×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $1,682.06 $5,426 0.1×
Insert non-tunnel cv cath (36556) $633.02 $2,042 0.2×
Insert Pacing Lead & Connect (33224) $24,347.71 $78,541 2.4×
Insert pessary/other device (57160) $84.94 $274 0.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $797.63 $2,573 0.5×
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure		 $4,837.55 $15,605 0.5×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure		 $6,563.94 $21,174 0.4×
Insert Temp Bladder Cath (51702) $83.70 $270 0.7×
Insert tun ip cath perc (49418) $3,633.20 $11,720 1.1×
Insert tunneled cv cath (36561) $3,872.83 $12,493 1.3×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure		 $1,806.99 $5,829 0.3×
Insert,Non-Indwelling Bladder Catheter (51701) $242.42 $782 1.9×
Insertion indwelling tunneled pleural catheter (32550) $1,657.88 $5,348 0.5×
Insertion of cannula (36800) $4,646.28 $14,988 0.9×
Insertion phrenic nerve stimulator system (33276) $34,875.31 $112,501 0.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,532.02 $4,942 1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,932.71 $32,041 1.3×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,128.39 $19,769 0.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,047.18 $3,378 0.3×
Insj Picc Rs&I <5 Yr (36572) $1,172.42 $3,782 2.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,114.57 $10,047 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $688.82 $2,222 0.5×
Insj Subq Impltbl Dfb Elctrd (33271)
unusually low: confirm this is the full procedure		 $3,923.67 $12,657 0.5×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $4,057.90 $13,090 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,022.19 $9,749 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249) $33,480 $108,000 1.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure		 $3,698.61 $11,931 0.5×
Insrt heart pm atrial & vent (33208) $18,137.79 $58,509 1.8×
Insrt Pulse Gen W/Dual Leads (33230)
unusually low: confirm this is the full procedure		 $10,393.99 $33,529 0.5×
Insrt Pulse Gen W/Mult Leads (33231) $27,137.40 $87,540 0.9×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,060.20 $3,420 0.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $356.50 $1,150 0.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $285.51 $921 0.7×
Intraoral i&d tongue/floor lingual (41000) $1,229.46 $3,966 2.4×
Intraoral i&d tongue/floor submndblr space (41008) $1,072.29 $3,459 0.3×
Intro cath dialysis circuit (36901) $511.19 $1,649 0.3×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $7,881.13 $25,423 0.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
unusually low: confirm this is the full procedure		 $2,531.15 $8,165 0.5×
Intro Gastrointestinal Tube (44500) $402.69 $1,299 0.5×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $241.49–$474.61 $779–$1,531 varies
Irrigation of corpora cavernosa for priapism (54220) $159.34 $514 0.7×
Klhl11 antb serum/csf cell binding assay qual (0432U) $199.02 $642 5.4×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $5,582.48 $18,008 1.0×
Laryngoscopy diagnostic (31505) $168.02 $542 0.9×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $2,916.79 $9,409 0.8×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $2,307.64 $7,444 0.6×
Laryngoscopy flexible diagnostic (31575) $171.12 $552 0.9×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $853.74 $2,754 0.5×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,011.84 $3,264 2.7×
Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) $2,777.91 $8,961 0.8×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $150.66 $486 0.8×
Laryngoscopy W/Foreign Body Removal (31530) $1,255.50 $4,050 0.7×
Late closure of wound (13160) $3,227.41 $10,411 1.0×
Ligation of a-v fistula (37607) $4,220.96 $13,616 1.4×
Ligation or biopsy temporal artery (37609) $3,241.05 $10,455 2.1×
Lrt iad 18bct/8vir&7arg RNA (0528U) $484.84 $1,564 0.8×
Lyse chest fibrin init day (32561) $745.55 $2,405 1.2×
Lyse Chest Fibrin Subq Day (32562) $479.26 $1,546 0.8×
Lysis of labial adhesions (56441) $2,344.22 $7,562 0.8×
Lysis/excision penile postcircumcision adhesions (54162) $2,398.16 $7,736 1.2×
Manipulation hip joint general anesthesia (27275) $1,403.06 $4,526 0.9×
Manipulation knee joint under general anesthesia (27570) $1,829.31 $5,901 1.2×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $923.49 $2,979 0.6×
Maternity Care Procedure (59899) $205.53 $663 1.1×
Mech remov tunneled cv cath (36595) $1,047.18 $3,378 0.3×
Mrgfus Stereotactic Ablation Target Intracranial (61715) $9,664.56 $31,176 0.9×
Myelography Lumbar Injection (62305) $1,323.39 $4,269 1.8×
Myelography Lumbar Injection (62304) $1,129.95 $3,645 1.5×
Myelography via lumbar injection rs&i cervical (62302) $1,154.44 $3,724 1.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,180.17 $3,807 1.6×
N Block Inj Celiac Pelus (64530) $677.66 $2,186 0.8×
N Block Inj Ilio-Ing/Hypogi (64425) $538.78 $1,738 0.8×
N block inj intercost sng (64420) $774.38 $2,498 1.1×
N Block Inj Pudendal (64430) $530.72 $1,712 0.6×
N Block Lumbar/Thoracic (64520) $861.49 $2,779 1.0×
Nasal Endoscopy Dx (31231) $106.02 $342 0.6×
Nasal/Orogastric W/Tube Plmt (43752) $166.47 $537 0.4×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $256.68 $828 1.1×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $797.94 $2,574 0.9×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $837.62 $2,702 0.9×
Needle Biopsy Lymph Nodes (38505) $979.91 $3,161 0.6×
Needle Biopsy Pancreas (48102) $1,210.24 $3,904 0.8×
Nephrology ckd nuclear mrs meas gfr srm quan (0259U) $279 $900 5.3×
Neu prksn msfl a-syncln prtn (0393U) $930 $3,000 1.7×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $1,348.50 $4,350 1.8×
Neurofilament light chain ultrsens ia serum/csf (0443U) $218.55 $705 1.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $518.94 $1,674 1.2×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $1,647.65 $5,315 0.8×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $783.06 $2,526 0.4×
Njx anes stellate ganglion crv sympathetic (64510) $861.49 $2,779 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $242.42 $782 0.8×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,735.13 $8,823 0.8×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,245.27 $4,017 0.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,105.46 $3,566 1.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $938.37 $3,027 1.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,045.01 $3,371 1.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,107.94 $3,574 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $957.28 $3,088 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $708.66 $2,286 0.8×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $3,410 $11,000 1.7×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $4,348.99 $14,029 2.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $698.43 $2,253 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $729.12 $2,352 1.1×
Njx Sclrsnt 1 Incmptnt Vein (36470) $3,410 $11,000 8.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $4,348.99 $14,029 11.2×
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) $279 $900 2.2×
Obstructive material removal from gi tube (49460) $583.73 $1,883 0.7×
Occipital Nerve Block (64405) $445.16 $1,436 1.5×
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $7,863.15 $25,365 0.9×
Onc pncrs DNA&mrna seq 74 (0313U) $730.05 $2,355 0.2×
Onc solid tumor DNA qual ngs snv 22gen ffpe tiss (0523U) $555.83 $1,793 0.4×
Onc spheroid cell cul 11-rx panel ovr/flp/pertl (0525U) $518.94 $1,674 0.2×
Oncology, spheroid cell culture in 3D microenvironment, 12 drug panel, response prediction for each drug 13,999 or… (0248U) $940.54 $3,034 0.3×
Open Treatment Proximal Humeral Fracture (23615) $9,255.05 $29,855 0.8×
Open tx interphalangeal joint dislocation (26785) $2,514.72 $8,112 0.8×
Open/Perq Place Stent 1St (37236) $11,604.85 $37,435 1.1×
Open/Perq Place Stent Same (37238) $11,604.85 $37,435 1.1×
Part remv talus or calcaneus (28120) $2,390.10 $7,710 0.8×
Partial hymenectomy or revision of hymenal ring (56700) $2,797.13 $9,023 0.9×
Ped Whl Gen Mthyltn Alys 50+ (0318U) $1,674 $5,400 0.9×
Pelvic examination under anesthesia (other than local) (57410) $2,022.44 $6,524 0.7×
Penile Injection (54235) $771.90 $2,490 3.2×
Penis plastic surgery (54360) $4,618.69 $14,899 1.4×
Perc Cryo Ablate Renal Tum (50593) $6,126.53 $19,763 0.6×
Perc Rf Ablate Renal Tumor (50592) $6,126.53 $19,763 1.1×
Percut Ablate Liver Rf (47382) $6,126.53 $19,763 1.1×
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure		 $3,731.78 $12,038 0.3×
Percut Drain/Inject Renal Cyst (50390) $1,230.08 $3,968 1.8×
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,282.22 $7,362 0.8×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $3,762.78 $12,138 1.2×
Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) $2,317.56 $7,476 0.7×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) $5,102.60 $16,460 0.7×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $1,240.62 $4,002 0.8×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $3,103.41 $10,011 1.0×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $939.61–$1,096.78 $3,031–$3,538 varies
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $1,498.85 $4,835 0.1×
Perq Cervicothoracic Inject (22510) $1,838.92 $5,932 0.6×
Perq dev breast 1st strtctc (19283) $969.37 $3,127 1.4×
Perq dev breast 1st us imag (19285) $876.06 $2,826 1.3×
Perq device breast 1st imag (19281) $852.19 $2,749 0.5×
Perq Lumbosacral Injection (22511) $3,789.75 $12,225 1.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
unusually low: confirm this is the full procedure		 $2,550.37 $8,227 0.4×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $701.84 $2,264 1.0×
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,514.72 $8,112 0.8×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $7,185.49 $23,179 0.7×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,154.74 $19,854 1.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,950.63 $28,873 1.3×
Perq Vertebral Augmentation (22513) $5,746.78 $18,538 0.8×
Photopheresis extracorporeal (36522) $4,544.29 $14,659 1.1×
Pin Finger Dislocation (26776) $2,754.35 $8,885 0.9×
Pin hand dislocation (26676) $1,816.60 $5,860 0.6×
Pin knuckle dislocation (26706) $2,514.41 $8,111 0.8×
Place Cath Subclavian Art (36225) $3,348.93 $10,803 1.1×
Place Cath Thoracic Aorta (36221) $3,005.14 $9,694 1.0×
Place Cath Vertebral Art (36226) $5,051.76 $16,296 1.0×
Place Duod/Jej Tube Perc (49441) $818.40 $2,640 0.4×
Place Rt Device/Marker Pros (55876) $1,706.55 $5,505 1.3×
Placement Needle Pelvic Organ Radioelement Appl (55920) $3,410 $11,000 0.7×
Placement of needle for intraosseous infusion (36680) $190.34 $614 0.4×
Plastic Repair Canaliculi (68700) $2,085.06 $6,726 0.9×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure		 $1,030.44 $3,324 0.2×
Plmt Bile Duct Stent Prq Existing Access (47538)
unusually low: confirm this is the full procedure		 $1,856.59 $5,989 0.3×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
unusually low: confirm this is the full procedure		 $1,831.48 $5,908 0.3×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $4,633.57 $14,947 0.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,317.56 $7,476 1.2×
Plmt Nephroureteral Catheter (50433) $2,469.15 $7,965 0.7×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $2,748.46 $8,866 0.8×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $2,676.85 $8,635 0.8×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,745.98 $8,858 0.8×
Preparation skin cell ssp agrft 1st 25 sq cm/< (15013) $4,844.06 $15,626 0.7×
Prim art mech thrombectomy (37184) $13,916.52 $44,892 0.8×
Probing nasolacrimal duct (68810) $216.38 $698 0.7×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $347.51 $1,121 0.4×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,125.36 $6,856 0.8×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $497.86 $1,606 0.4×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $548.70 $1,770 0.8×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $3,916.85 $12,635 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $1,588.44 $5,124 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $1,588.44 $5,124 0.5×
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $2,514.72 $8,112 0.8×
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576)
unusually low: confirm this is the full procedure		 $2,514.72 $8,112 0.4×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $2,514.72 $8,112 0.8×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $3,181.84 $10,264 1.0×
Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) $5,536.60 $17,860 0.8×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
unusually low: confirm this is the full procedure		 $3,170.37 $10,227 0.5×
Pseudoaneurysm Injection Trt (36002) $354.64 $1,144 0.6×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $258.54–$314.34 $834–$1,014 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $292.95 $945 0.8×
Puncture Aspiration Cyst Breast (19000) $550.56 $1,776 0.8×
Puncture shunt tube/reservoir aspiration/inj px (61070) $459.73 $1,483 0.7×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $554.28 $1,788 0.8×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $631.78 $2,038 0.3×
Rbc DNA gntyp 12 bld grp gen (0282U) $464.07 $1,497 0.6×
Reconstruction Nail Bed W/Graft (11762) $3,720 $12,000 1.9×
Reduction of rectal prolapse (45900) $933.72 $3,012 1.1×
Relocation Pocket Pacemaker (33222) $1,554.96 $5,016 0.8×
Rem Endovas Vena Cava Filter (37193) $3,631.03 $11,713 1.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $990.14 $3,194 1.1×
Removal Embedded Foreign Body Eyelid (67938) $122.14 $394 0.4×
Removal Foreign Body Deep Thigh/Knee (27372) $3,719.38 $11,998 1.3×
Removal foreign body foot deep (28192) $1,615.41 $5,211 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $429.04 $1,384 0.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $1,512.49–$1,633.39 $4,879–$5,269 varies
Removal foreign body upper arm/elbow deep (24201) $2,143.65 $6,915 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $121.52–$190.65 $392–$615 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $104.78–$121.52 $338–$392 varies
Removal Implant Deep (20680) $2,218.05 $7,155 0.8×
Removal Implant Superficial Separate Procedure (20670) $2,087.23 $6,733 1.3×
Removal implantable contraceptive capsules (11976) $283.96 $916 0.4×
Removal of foreign body from pharynx (42809) $143.84 $464 0.3×
Removal of nail bed (11750) $1,453.59 $4,689 3.7×
Removal of tunneled intraperitoneal catheter (49422) $1,099.57 $3,547 0.4×
Removal or bivalving full arm or full leg cast (29705) $183.83 $593 0.7×
Removal Pacemaker Electrode (33235) $2,736.37 $8,827 0.8×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $3,141.23 $10,133 0.4×
Removal shoulder foreign body deep subfascial/im (23333) $2,218.36 $7,156 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $110.05 $355 0.6×
Removal subcutaneous cardiac rhythm monitor (33286) $1,043.77 $3,367 1.5×
Removal Sutures/Staples Requiring Anesthesia (15851) $626.82 $2,022 0.3×
Removal/bivalving gauntlet boot/body cast (29700) $187.24 $604 0.7×
Remove cerclage suture (59871) $2,165.97 $6,987 0.7×
Remove drug implant device (11982) $152.21 $491 0.4×
Remove Elctrd Transvenously (33244) $2,939.11 $9,481 0.8×
Remove femur lesion/graft (27356) $9,972.08 $32,168 0.8×
Remove foreign body from eye (65205) $121.52 $392 1.0×
Remove Intrauterine Device (58301) $194.06 $626 0.7×
Remove intrvas foreign body (37197) $1,043.46 $3,366 0.3×
Remove lung catheter (32552) $338.52 $1,092 0.6×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $121.52–$228.16 $392–$736 varies
Remove Pulse Generator (33241) $2,919.27 $9,417 0.8×
Remove renal tube w/fluoro (50389) $234.05 $755 0.4×
Remove ureter stent percut (50384) $2,167.52 $6,992 1.1×
Remove&replace pm gen singl (33227) $5,810.02 $18,742 0.7×
Remove/Insert Drug Implant (11983) $263.50 $850 0.6×
Remv&replc cvd gen dual lead (33263) $12,911.50 $41,650 0.6×
Remv&replc cvd gen mult lead (33264) $38,864.39 $125,369 1.3×
Remv&replc cvd gen sing lead (33262) $11,195.65 $36,115 0.5×
Remv&replc pm gen dual lead (33228) $13,676.27 $44,117 1.4×
Remv&replc pm gen mult leads (33229) $13,676.27 $44,117 0.7×
Renal Biopsy Perq (50200) $1,230.08 $3,968 0.8×
Repair Achilles Tendon (27650) $4,005.82 $12,922 0.6×
Repair Blood Vessel Direct Hand Finger (35207) $2,670.34 $8,614 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $216.38 $698 0.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $464.38 $1,498 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $164.30 $530 0.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $333.25 $1,075 0.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $429.97 $1,387 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $256.99 $829 0.7×
Repair complex trunk 1.1-2.5 cm (13100) $447.33 $1,443 0.6×
Repair extensor tendon finger w/o graft each (26418) $2,865.64 $9,244 1.9×
Repair Eyelid Wound (67935) $2,097.15 $6,765 0.9×
Repair Finger Tendon (26433) $2,137.14 $6,894 0.7×
Repair Finger/Hand Tendon (26350) $3,227.72 $10,412 1.0×
Repair Hand Joint (26540) $3,023.43 $9,753 1.0×
Repair Hand Tendon (26410) $2,404.98 $7,758 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $201.50 $650 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $224.75–$657.82 $725–$2,122 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $248 $800 0.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $672.70 $2,170 1.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $500.96 $1,616 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $203.67–$309.69 $657–$999 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $217 $700 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $310 $1,000 0.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $672.70 $2,170 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $465 $1,500 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $152.52 $492 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $308.45 $995 0.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $596.44 $1,924 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $376.96 $1,216 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,346.64 $4,344 0.7×
Repair lead pace-defib dual (33220) $3,555.08 $11,468 1.0×
Repair Lead Pace-Defib One (33218) $2,396.61 $7,731 0.7×
Repair of nail bed (11760) $187.24 $604 0.3×
Repair tongue laceration (41252) $842.58 $2,718 3.7×
Repair tongue laceration (41250) $121.52 $392 0.3×
Replace duodenostomy/jejunostomy tube perq (49451) $811.27 $2,617 0.9×
Replace G-J Tube Perc (49452) $811.27 $2,617 0.9×
Replace g/c tube perc (49450) $806.31 $2,601 0.9×
Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) $1,240.62 $4,002 0.8×
Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation Facility (20824) $1,240.62 $4,002 0.8×
Reposition Gastrostomy Tube (43761) $187.86 $606 0.8×
Reposition L Ventric Lead (33226) $2,177.13 $7,023 0.7×
Reposition Pacing-Defib Lead (33215) $2,736.37 $8,827 0.9×
Reposition Venous Catheter (36597) $522.97 $1,687 0.3×
Revision of implanted intra-arterial infusion pump Facility (36261) $2,958.95 $9,545 0.8×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $11,604.85 $37,435 2.1×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $6,408.32 $20,672 1.2×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $6,408.32 $20,672 1.2×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $14,514.82 $46,822 0.8×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $14,514.82 $46,822 0.8×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $14,514.82 $46,822 0.8×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $14,514.82 $46,822 0.8×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $12,378.92 $39,932 1.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $12,378.92 $39,932 1.1×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $9,140.66 $29,486 0.8×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $9,140.35 $29,485 0.8×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $6,045.62 $19,502 1.1×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $4,506.47 $14,537 0.8×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $9,140.66 $29,486 0.8×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $9,140.66 $29,486 0.8×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $9,140.66 $29,486 0.8×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $9,140.66 $29,486 0.8×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $14,514.82 $46,822 0.8×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $14,514.82 $46,822 0.8×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $16,033.51 $51,721 0.9×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $16,033.51 $51,721 0.9×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $14,514.82 $46,822 0.8×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $14,514.82 $46,822 0.8×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $698.12 $2,252 0.4×
Rmvl embedded fb vestibule mouth comp (40805) $394.94 $1,274 0.8×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,031.12 $6,552 2.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $121.52–$216.07 $392–$697 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $121.52 $392 1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $228.78 $738 0.5×
Rmvl fecal impaction/fb spx under anes (45915) $369.21 $1,191 0.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,735.81 $12,051 1.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,110.42 $3,582 0.7×
Rmvl of subq implantable defibrillator electrode (33272) $2,312.60 $7,460 0.6×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,736.37 $8,827 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,506.29 $4,859 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $762.60 $2,460 1.3×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $155–$518.94 $500–$1,674 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $120.59–$130.20 $389–$420 varies
Rplcmt cath ctr vad subq port/pmp (36578) $2,470.08 $7,968 0.8×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $665.88 $2,148 0.4×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,806.49 $12,279 1.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $563.89 $1,819 0.4×
Rplcmt compl tun ctr vad w/subq port (36582) $1,615.10 $5,210 0.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,022.19 $9,749 1.0×
Rpr blood vessel direct lower extremity (35226) $1,607.66 $5,186 2.4×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,096.78 $3,538 0.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $163.37 $527 0.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,262.94 $4,074 1.8×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $167.40 $540 0.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $499.10 $1,610 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $1,639.90 $5,290 3.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,652.92 $5,332 1.1×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,100 $10,000 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $486.39 $1,569 0.8×
Sclerotx Fluid Collection (49185) $1,027.65 $3,315 0.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,253.02 $4,042 1.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,381.67 $4,457 1.2×
Shave skin lesion 0.5 cm/< (11300) $159.03 $513 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $96.41 $311 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $95.17 $307 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $115.01 $371 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $119.35 $385 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $116.56 $376 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $294.19 $949 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $167.09 $539 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $175.15 $565 0.9×
Sigmoidoscopy & decompress (45337) $1,395 $4,500 1.6×
Sigmoidoscopy & Polypectomy (45333) $1,205.28 $3,888 1.4×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,679.27 $5,417 1.5×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,450.80 $4,680 1.3×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $1,599.29 $5,159 1.4×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $340.07 $1,097 0.3×
Sigmoidoscopy w/fb removal (45332)
range across 2 matching MRF lines		 $913.88–$1,082.83 $2,948–$3,493 varies
Sigmoidoscopy w/plcmt stent (45347) $4,613.42 $14,882 0.8×
Sigmoidoscopy W/Resection (45349) $1,851.63 $5,973 0.7×
Sigmoidoscopy W/Ultrasound (45341) $1,523.34 $4,914 1.7×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,093.06 $3,526 1.2×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,265.42 $4,082 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $336.04 $1,084 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $146.01 $471 0.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $156.24 $504 0.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $352.78 $1,138 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $124.62 $402 0.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $100.13 $323 0.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $143.22 $462 0.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $385.33 $1,243 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $150.35 $485 0.8×
Skin Pinch Graft (15050) $343.48 $1,108 0.5×
Skin sub graft face/nk/hf/g (15275) $1,020.83 $3,293 1.4×
Skin sub graft trnk/arm/leg (15271) $677.35 $2,185 1.0×
Skin sub grft t/arm/lg child (15273) $1,143.59 $3,689 0.6×
Skin Tissue Procedure (17999) $2,275.71 $7,341 11.9×
Skn sub grft f/n/hf/g child (15277) $2,351.97 $7,587 1.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $3,005.14 $9,694 0.6×
Slctv cath carotid/innom art angio xtrcranl art (36222) $3,764.95 $12,145 1.2×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $5,051.76 $16,296 1.0×
Small bowel endoscopy (44384) $837 $2,700 0.5×
Small bowel endoscopy (44366) $1,176.45 $3,795 0.6×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,235.35 $3,985 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $148.18 $478 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $154.38 $498 0.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $191.58 $618 0.5×
Spinal puncture lumbar diagnostic (62270) $391.84 $1,264 0.6×
Strapping elbow or wrist (29260) $105.71 $341 1.9×
Strapping hand/finger (29280) $111.60 $360 2.0×
Strapping Hip (29520) $103.23 $333 0.8×
Strapping knee (29530) $137.64 $444 1.1×
Strapping shoulder (29240) $108.81 $351 0.9×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $67.89–$84.94 $219–$274 varies
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,549.75 $8,225 1.0×
Suture 1 nerve hand/foot common sensory nerve (64834) $4,963.41 $16,011 1.5×
Suture digital nerve hand/foot 1 nerve (64831) $2,177.44 $7,024 1.2×
Tangential biopsy skin single lesion (11102) $184.45 $595 0.5×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
unusually low: confirm this is the full procedure		 $10,013 $32,300 0.4×
Tcat Insj/Rpl Perm Ldls Pm (33274) $10,468.39 $33,769 0.6×
Tenolysis flexor foot single tendon (28220) $2,948.72 $9,512 1.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,180.79 $3,809 0.8×
Thaw preserved stem cells (38208) $360.22 $1,162 0.9×
Ther Apheresis,Red Blood Cells (36512) $3,263.06 $10,526 2.2×
Ther Spi Pnxr Csf Fluor/Ct (62329) $526.07 $1,697 0.8×
Therapeutic Apheresis White Blood Cells (36511) $1,670.28 $5,388 1.1×
Thoracoscopy w/bx pleura (32609) $2,959.88 $9,548 0.5×
Thrmbc/Nfs Dialysis Circuit (36906)
unusually low: confirm this is the full procedure		 $6,403.98 $20,658 0.4×
Thromblytic art/ven therapy (37213) $2,187.67 $7,057 0.7×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $2,042.90 $6,590 0.4×
Thrombolytic Therapy Stroke (37195) $121.52 $392 0.4×
Thrombolytic Venous Therapy (37212) $1,062.37 $3,427 0.4×
Thyroid biopsy (60100) $548.70 $1,770 0.8×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,862.54 $9,234 1.5×
Tooth extraction (41899) $4,603.19 $14,849 20.4×
Tprnl Plmt Biodegrdabl Matrl (55874) $3,940.10 $12,710 0.8×
Tracheobrnchsc Thru Est Trachs Inc (31615) $602.95 $1,945 1.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,046.87 $3,377 4.6×
Tracheostomy planned (31600) $2,857.89 $9,219 0.9×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $207.08 $668 0.7×
Transcatheter biopsy (37200) $3,631.03 $11,713 0.7×
Transoral lower esophageal myotomy (43497)
unusually low: confirm this is the full procedure		 $2,474.73 $7,983 0.4×
Treat Hip Socket Fracture (27222) $3,094.11 $9,981 13.1×
Treat Humerus Fracture (24505) $1,240.31 $4,001 0.8×
Treat knee fracture (27532) $2,514.72 $8,112 0.8×
Treat Knee Fracture(S) (27538) $174.53 $563 0.7×
Treat Knuckle Dislocation (26700) $184.45 $595 0.8×
Treat Metatarsal Fracture (28475) $753.61 $2,431 3.2×
Treat midfoot fracture (28456) $5,536.60 $17,860 0.8×
Treat Thumb Dislocation (26641) $228.47 $737 1.0×
Treat Thumb Fracture (26645) $543.43 $1,753 0.4×
Treat toe dislocation (28630) $150.04 $484 0.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,000.99 $3,229 0.7×
Treatment closed elbow dislocation w/o anes (24600) $195.30 $630 0.8×
Treatment of tibia fracture (27756) $5,536.60 $17,860 0.8×
Trim skin lesion (11055) $149.42 $482 0.8×
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $113.15–$113.46 $365–$366 varies
Trim skin lesions over 4 (11057) $306.28 $988 1.6×
Trimming Nondystrophic Nails Any Number (11719) $68.20 $220 1.2×
Trluml Balo Angiop 1St Art (37246) $5,205.52 $16,792 1.0×
Trluml Balo Angiop 1St Vein (37248) $6,116.61 $19,731 1.1×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $1,519.31 $4,901 3.6×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $569.47 $1,837 1.4×
Trnsplj allogeneic hematopoietic cells per donor (38240) $45,835.36 $147,856 0.8×
Trnsplj autologous hematopoietic cells per donor (38241) $1,753.98 $5,658 1.2×
Tx Gastro Intub W/Asp (43753) $146.63 $473 0.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,782.62 $12,202 1.2×
Tx Missed Abortion First Trimester Surgical (59820) $1,389.11 $4,481 0.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $623.72 $2,012 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,047.80 $3,380 1.5×
Tx superficial wound dehiscence w/packing (12021) $355.88 $1,148 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,100.81 $3,551 0.7×
Umbilical cord occlud w/us (59072) $226.30 $730 0.8×
Unlisted Cardiac Surgery (33999) $851.57 $2,747 1.4×
Unlisted laparoscopy procedure stomach (43659) $9,266.21 $29,891 1.6×
Unlisted procedure anus (46999) $706.49 $2,279 0.8×
Unlisted Procedure Biliary Tract (47999) $2,269.20 $7,320 2.6×
Unlisted procedure colon (45399) $930.93 $3,003 1.0×
Unlisted Procedure Endocrine System (60699) $6,483.34 $20,914 1.1×
Unlisted Procedure Esophagus (43499) $311.55 $1,005 0.4×
Unlisted Procedure External Ear (69399) $2,371.50 $7,650 10.5×
Unlisted procedure foot or toes (28899) $186 $600 0.8×
Unlisted Procedure Hands/Fingers (26989) $1,583.79 $5,109 6.7×
Unlisted Procedure Intestine (44799) $3,242.60 $10,460 3.7×
Unlisted procedure lacrimal system (68899) $1,882.32 $6,072 6.2×
Unlisted procedure larynx (31599) $2,796.20 $9,020 12.4×
Unlisted procedure lungs and pleura (32999) $380.06 $1,226 0.6×
Unlisted Procedure Male Genital System (55899) $5,473.98 $17,658 23.0×
Unlisted Procedure Muscskeletal System General (20999) $3,996.21 $12,891 17.0×
Unlisted procedure neck or thorax (21899) $3,048.85 $9,835 13.5×
Unlisted procedure nervous system (64999) $547.15 $1,765 1.9×
Unlisted procedure pancreas (48999) $1,598.36 $5,156 2.4×
Unlisted procedure pelvis/hip joint (27299) $2,678.09 $8,639 11.4×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $2,147.06 $6,926 9.5×
Unlisted Procedure Rectum (45999) $744.62 $2,402 0.8×
Unlisted procedure stomach (43999) $1,245.58 $4,018 1.4×
Unlisted Procedure Trachea Bronchi (31899) $791.74 $2,554 4.2×
Unlisted Procedure Vascular Surgery (37799) $544.67 $1,757 0.9×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,242.60 $10,460 3.7×
Unlisted Procedure, Urinary System (53899) $1,136.77 $3,667 4.8×
Unlisted px female genital system nonobstetrical (58999) $3,164.79 $10,209 16.4×
Upgrade of pacemaker system (33214) $6,980.27 $22,517 0.7×
Vaginal delivery only (59409) $2,005.70 $6,470 0.6×
Vasc embolize/occlude artery (37242) $11,131.48 $35,908 0.6×
Vasc Embolize/Occlude Bleed (37244) $10,647.57 $34,347 1.0×
Vasc Embolize/Occlude Organ (37243) $11,131.48 $35,908 1.0×
Vasc embolize/occlude venous (37241) $11,131.48 $35,908 1.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,020.52 $3,292 0.5×
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure		 $4,878.78 $15,738 0.4×
Von willebrand factor type 2b plasma (0283U) $243.66 $786 13.2×
Vw factor type 2n eval plsm (0284U) $265.98 $858 15.4×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $121.52–$188.17 $392–$607 varies
Wedging of cast (29740) $205.84 $664 0.8×
Windowing of cast (29730) $122.45 $395 0.8×
Wound Prep F/N/Hf/G (15004) $2,909.35 $9,385 7.5×
Wound Prep Trk/Arm/Leg (15002) $1,417.63 $4,573 2.0×

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.