Procedures & surgery prices at Providence Medical Center
Wayne, NE · every code in this section with a posted price and a Medicare benchmark.
455 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 4 matching MRF lines |
$660.25–$1,776.50 | $695–$1,870 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,330 | $1,400 | 1.4× |
| Ablate inf turbinate submuc (30802) | $805.60 | $848 | 0.5× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $3,419.05 | $3,599 | 2.1× |
| Acne surgery (10040) | $207.10 | $218 | 1.0× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $263.15 | $277 | 0.8× |
| Anoscopy diagnostic (46600) | $254.60 | $268 | 1.8× |
| Anoscopy W/Rmvl Foreign Body (46608) range across 2 matching MRF lines |
$452.20–$590.90 | $476–$622 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $1,602.65 | $1,687 | 1.3× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 3 matching MRF lines |
$197.60–$394.25 | $208–$415 | varies |
| Application cast elbow finger short arm (29075) | $216.60 | $228 | 0.7× |
| Application Cast Finger (29086) | $212.80 | $224 | 1.3× |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$132.05–$425.60 | $139–$448 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$102.60–$159.60 | $108–$168 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$216.60–$326.80 | $228–$344 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$214.70–$280.25 | $226–$295 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$242.25–$338.20 | $255–$356 | varies |
| Application of rigid total contact leg cast (29445) | $1,195.10 | $1,258 | 4.1× |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$201.40–$319.20 | $212–$336 | varies |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$154.85–$219.45 | $163–$231 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$181.45–$277.40 | $191–$292 | varies |
| Apply hand/wrist cast (29085) | $308.75 | $325 | 1.8× |
| Apply long arm cast (29065) | $239.40 | $252 | 0.8× |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$88.35–$684 | $93–$720 | varies |
| Apply Short Leg Cast (29405) | $203.30 | $214 | 0.7× |
| Apply short leg cast (29425) | $558.60 | $588 | 1.9× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$161.50–$170.05 | $170–$179 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$146.30–$448.40 | $154–$472 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$631.75–$932.90 | $665–$982 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$179.55–$486.40 | $189–$512 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$333.45–$1,032.65 | $351–$1,087 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$143.45–$286.90 | $151–$302 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$737.20–$1,167.55 | $776–$1,229 | varies |
| Aspirate Pleura W/O Imaging (32554) | $957.60 | $1,008 | 1.5× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$152–$239.40 | $160–$252 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $1,003.20 | $1,056 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) | $267.90 | $282 | 1.3× |
| Biopsy bone open superficial (20240) | $5,000.80 | $5,264 | 1.7× |
| Biopsy external ear (69100) | $184.30 | $194 | 0.7× |
| Biopsy muscle percutaneous needle (20206) | $681.15 | $717 | 0.4× |
| Biopsy nail unit (11755) | $955.70 | $1,006 | 1.3× |
| Biopsy of lip (40490) | $231.80 | $244 | 0.9× |
| Biopsy of rectum (45100) | $2,086.20 | $2,196 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $681.15 | $717 | 0.9× |
| Biopsy Vaginal Mucosa Simple (57100) | $372.40 | $392 | 0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $231.80 | $244 | 0.2× |
| Biopsy, vestibule of mouth (40808) | $317.30 | $334 | 0.6× |
| Bladder instillation anticarcinogenic agent (51720) | $410.40 | $432 | 0.6× |
| Bladder Irrigation (51700) | $335.35 | $353 | 1.3× |
| Bladder Scan (51798) range across 3 matching MRF lines |
$292.60–$307.80 | $308–$324 | varies |
| Blood Transfusion Service (36430) | $804.65 | $847 | 1.8× |
| Bone Marrow Biopsy (38221) | $176.70 | $186 | 0.1× |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$171–$532 | $180–$560 | varies |
| Bx breast 1st lesion us imag (19083) | $2,089.05 | $2,199 | 1.2× |
| Bx Cervix (57500) | $316.35 | $333 | 0.3× |
| Carpal Tunnel Surgery (64721) | $4,646.45 | $4,891 | 2.3× |
| Cataract surgery complex (66982) | $2,627.70 | $2,766 | 1.1× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $581.40 | $612 | 1.8× |
| Change Cystostomy Tube Simple (51705) | $243.20 | $256 | 0.9× |
| Chemical Cautery Tissue (17250) | $431.30 | $454 | 2.1× |
| Chemodenerv 1 extrem 5/> mus (64644) | $938.60 | $988 | 1.3× |
| Chemodenerv 1 extremity 1-4 (64642) | $631.75 | $665 | 0.9× |
| Chemodenerv Eccrine Glands (64650) | $142.50 | $150 | 0.4× |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$284.05–$556.70 | $299–$586 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$495.90–$991.80 | $522–$1,044 | varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $459.80 | $484 | 1.4× |
| Chemodenerv trunk musc 1-5 (64646) | $584.25 | $615 | 0.8× |
| Chemodenerv trunk musc 6/> (64647) | $684.95 | $721 | 0.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$525.35–$1,049.75 | $553–$1,105 | varies |
| Chest tube placement (32551) | $1,463.95 | $1,541 | 0.9× |
| Circumcision 28 days or older (54161) | $1,381.30 | $1,454 | 0.6× |
| Circumcision Neonate (54160) | $927.20 | $976 | 1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,072.55 | $1,129 | 0.6× |
| Clear outer ear canal (69200) | $205.20 | $216 | 1.5× |
| Closed Rx Spontaneous Hip Disloc (27256) | $1,064 | $1,120 | 4.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $700.15 | $737 | 2.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $532 | $560 | 2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$2,182.15–$2,303.75 | $2,297–$2,425 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $452.20 | $476 | 1.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $793.25 | $835 | 3.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $319.20 | $336 | 0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,195.10 | $1,258 | 4.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$916.75–$1,830.65 | $965–$1,927 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $319.20 | $336 | 1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$1,125.75–$2,249.60 | $1,185–$2,368 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $1,064 | $1,120 | 4.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $405.65 | $427 | 0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $345.80 | $364 | 1.4× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $791.35 | $833 | 3.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$2,182.15–$2,185.95 | $2,297–$2,301 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $405.65 | $427 | 1.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,553.60 | $2,688 | 1.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $665 | $700 | 0.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $532 | $560 | 2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $705.85 | $743 | 2.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $388.55 | $409 | 1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $399 | $420 | 1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $660.25 | $695 | 2.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $340.10 | $358 | 1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,362.80 | $1,434.52 | 0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,660.60 | $1,748 | 1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,276.80 | $1,344 | 0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $368.60 | $388 | 1.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $765.70 | $806 | 3.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,261 | $2,380 | 1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $957.60 | $1,008 | 3.7× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $396.15 | $417 | 1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $306.85 | $323 | 1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $691.60 | $728 | 2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$699.20–$1,398.40 | $736–$1,472 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $415.15 | $437 | 1.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $282.15 | $297 | 1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$1,026–$2,064.35 | $1,080–$2,173 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $343.90 | $362 | 1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $224.20 | $236 | 0.9× |
| Cltx post hip arthrp dislc req anes (27266) | $1,469.65 | $1,547 | 0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) | $399 | $420 | 1.6× |
| Cltx prox fibula/shft fx w/manj (27781) | $957.60 | $1,008 | 0.6× |
| Cltx prox fibula/shft fx w/o manj (27780) | $798 | $840 | 3.1× |
| Cltx prox tibfib jt dislc req anes (27831) | $2,959.25 | $3,115 | 0.9× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $532 | $560 | 2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$266–$439.85 | $280–$463 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$2,182.15–$2,366.45 | $2,297–$2,491 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $1,276.80 | $1,344 | 5.0× |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$58.90–$173.85 | $62–$183 | varies |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$11.40–$36.10 | $12–$38 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $2,340.80 | $2,464 | 1.9× |
| Colonoscopy thru stoma (44388) | $2,234.40 | $2,352 | 2.3× |
| Colonoscopy w/submucosal inj (45381) | $2,569.75 | $2,705 | 2.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $616.55 | $649 | 1.9× |
| Colposcopy Cervix Endocervical Curettage (57456) | $536.75 | $565 | 1.7× |
| Colposcopy cervix upper/adjacent vagina (57452) | $433.20 | $456 | 2.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$505.40–$569.05 | $532–$599 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $3,734.45 | $3,931 | 3.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $321.10 | $338 | 2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$312.55–$342 | $329–$360 | varies |
| Create Eardrum Opening (69433) | $497.80 | $524 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $813.20 | $856 | 5.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $246.05 | $259 | 1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $2,765.45 | $2,911 | 1.3× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$1,900–$2,765.45 | $2,000–$2,911 | varies |
| Cysto w/destruction of lesions (52214) | $3,187.25 | $3,355 | 0.9× |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$3,187.25–$4,732.90 | $3,355–$4,982 | varies |
| Cysto w/removal of lesions small (52224) | $4,732.90 | $4,982 | 1.3× |
| Cysto w/removal of tumors small (52234) | $1,701.45 | $1,791 | 0.5× |
| Cysto W/Simple Removal Stone & Stent (52310) | $552.90 | $582 | 0.3× |
| Cystourethroscopy (52000) range across 4 matching MRF lines |
$371.45–$1,140 | $391–$1,200 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $2,666.65 | $2,807 | 1.2× |
| Cystourethroscopy w/dil bladder general anesth (52260) | $2,765.45 | $2,911 | 1.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,813.55 | $1,909 | 2.4× |
| Debride nail 1-5 (11720) | $91.20 | $96 | 1.5× |
| Debride nail 6 or more (11721) | $122.55 | $129 | 2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,633.40 | $2,772 | 1.5× |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $540.55 | $569 | 1.0× |
| Debridement Mastoidectomy Cavity Simple (69220) | $200.45 | $211 | 1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $714.40 | $752 | 1.7× |
| Declot vascular device (36593) | $537.70 | $566 | 1.6× |
| Destr penis lesion(s) (54065) | $605.15 | $637 | 0.3× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,954.15–$3,908.30 | $2,057–$4,114 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$2,022.55–$4,085.95 | $2,129–$4,301 | varies |
| Destruct B9 Lesion 1-14 (17110) | $261.25 | $275 | 1.3× |
| Destruction Benign Lesions 15/> (17111) | $322.05 | $339 | 1.5× |
| Destruction Premalignant Lesion 15/> (17004) | $386.65 | $407 | 0.9× |
| Destruction premalignant lesion 1st (17000) | $214.70 | $226 | 1.0× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$1,596–$2,015.90 | $1,680–$2,122 | varies |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $288.80 | $304 | 2.2× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $282.15 | $297 | 2.0× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $371.45 | $391 | 2.7× |
| Dilate Esophagus 1/Mult Pass (43450) | $1,311.95 | $1,381 | 1.4× |
| Dilate Urethra Stricture (53600) | $443.65 | $467 | 1.7× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) range across 2 matching MRF lines |
$1,007.95–$2,304.70 | $1,061–$2,426 | varies |
| Drain Cerebro Spinal Fluid (62272) | $505.40 | $532 | 0.7× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$181.45–$653.60 | $191–$688 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $739.10 | $778 | 1.3× |
| Drainage Finger Abscess Complicated (26011) | $403.75 | $425 | 0.2× |
| Drainage of gum lesion (41800) | $947.15 | $997 | 6.9× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$411.35–$657.40 | $433–$692 | varies |
| Drainage of hydrocele (55000) | $181.45 | $191 | 0.2× |
| Draw Blood Off Venous Device (36591) | $110.31 | $116.11 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $464.55 | $489 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $368.60 | $388 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$303.05–$362.90 | $319–$382 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $407.55 | $429 | 2.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 5 matching MRF lines |
$142.50–$932.90 | $150–$982 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$1,064–$2,454.09 | $1,120–$2,583.25 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,420 | $3,600 | 1.7× |
| Egd dilation gastric/duodenal stricture (43245) | $4,253.15 | $4,477 | 2.1× |
| Egd Flexible Foreign Body Removal (43247) | $2,340.80 | $2,464 | 2.5× |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$1,915.20–$2,583.05 | $2,016–$2,719 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$128.25–$262.82 | $135–$276.65 | varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) range across 2 matching MRF lines |
$154.85–$280.25 | $163–$295 | varies |
| Endocervical curettage (57505) | $262.20 | $276 | 0.3× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $3,971.95 | $4,181 | 0.8× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$271.70–$437.95 | $286–$461 | varies |
| Endoscopic injection/implant (51715) range across 3 matching MRF lines |
$1,350.90–$2,394 | $1,422–$2,520 | varies |
| Epidural Blood Patch (62273) | $631.75 | $665 | 0.9× |
| Evacuation of subungual hematoma (11740) | $263.15 | $277 | 1.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,702.40 | $1,792 | 2.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $500.65 | $527 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $591.85 | $623 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $675.45 | $711 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $979.45 | $1,031 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $317.30 | $334 | 0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $359.10 | $378 | 0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $421.80 | $444 | 0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $446.50 | $470 | 0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $527.25 | $555 | 0.3× |
| Exc Frenum Labial/Buccal (40819) | $1,213.15 | $1,277 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,489.60 | $1,568 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,649.20 | $1,736 | 2.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,862 | $1,960 | 1.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,170.40 | $1,232 | 1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$477.85–$1,702.40 | $503–$1,792 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,287.60 | $2,408 | 1.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,447.20 | $2,576 | 0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $2,234.40 | $2,352 | 1.3× |
| Exc Skin Benig >4cm Face,Facial (11446) | $627.95 | $661 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,996.90 | $2,102 | 1.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $744.80 | $784 | 0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$372.40–$1,702.40 | $392–$1,792 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$414.20–$1,064 | $436–$1,120 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$539.60–$1,489.60 | $568–$1,568 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,596 | $1,680 | 0.5× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,915.20 | $2,016 | 0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $4,468.80 | $4,704 | 1.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $3,724 | $3,920 | 2.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,228.35 | $1,293 | 1.7× |
| Excision Lesion Cornea Xcp Pterygium (65400) | $2,612.50 | $2,750 | 2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $755.25 | $795 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $936.70 | $986 | 1.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,026 | $1,080 | 2.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,347.10 | $1,418 | 1.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $500.65 | $527 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $794.20 | $836 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,273.95 | $1,341 | 0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) | $282.15 | $297 | 0.1× |
| Excision of hydrocele; bilateral (55041) | $3,585.30 | $3,774 | 1.0× |
| Excision of hydrocele; unilateral (55040) | $2,370.25 | $2,495 | 0.6× |
| Excision of single external papilla or tag, anus (46220) | $3,404.80 | $3,584 | 2.7× |
| Excision of vaginal cyst or tumor (57135) | $767.60 | $808 | 0.2× |
| Excision/destruction intranasal lesion int appr (30117) | $3,617.60 | $3,808 | 1.1× |
| External cephalic version (59412) range across 2 matching MRF lines |
$2,872.80–$3,052.35 | $3,024–$3,213 | varies |
| Fetal non-stress test (59025) | $396.15 | $417 | 1.9× |
| Fine needle aspiration without imaging guidance (10021) | $217.55 | $229 | 0.5× |
| Fluoro exam of g/colon tube (49465) | $398.05 | $419 | 1.6× |
| Fna bx w/us gdn 1st les (10005) | $955.70 | $1,006 | 1.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$600.40–$672.60 | $632–$708 | varies |
| Hysteroscopy Biopsy (58558) | $5,990.70 | $6,306 | 1.8× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$410.40–$712.50 | $432–$750 | varies |
| I&d pilonidal cyst simple (10080) | $447.45 | $471 | 0.6× |
| Implant neuroelectrodes (63650) | $9,329.95 | $9,821 | 1.4× |
| Implant Neuroelectrodes (64561) unusually low: confirm this is the full procedure |
$2,101.40 | $2,212 | 0.3× |
| Incise external hemorrhoid (46083) | $798 | $840 | 3.1× |
| Incise finger tendon sheath (26055) | $2,218.25 | $2,335 | 1.3× |
| Incision & drainage abscess complicated/multiple (10061) | $1,104.85 | $1,163 | 2.6× |
| Incision & removal foreign body subq tiss compl (10121) | $1,824.95 | $1,921 | 1.1× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$574.75–$576.65 | $605–$607 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$190.95–$304.95 | $201–$321 | varies |
| Incision extensor tendon sheath wrist (25000) | $2,691.35 | $2,833 | 1.6× |
| Incision of eardrum (69420) | $470.25 | $495 | 1.9× |
| Incision of rectal abscess (46040) | $1,602.65 | $1,687 | 1.3× |
| Incision of urethra (53020) | $671.65 | $707 | 0.3× |
| Incisional biopsy skin single lesion (11106) | $596.60 | $628 | 0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $133 | $140 | 0.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$836.95–$1,673.90 | $881–$1,762 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $451.25 | $475 | 0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,038.35–$1,140 | $1,093–$1,200 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$154.85–$401.85 | $163–$423 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $809.58 | $852.18 | 0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $612.13 | $644.34 | 0.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $114.95 | $121 | 0.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$659.30–$1,808.80 | $694–$1,904 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $209 | $220 | 0.7× |
| Injection anesthetic agent suprascapular nerve (64418) | $558.60 | $588 | 0.8× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$156.75–$401.85 | $165–$423 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 7 matching MRF lines |
$150.10–$598.50 | $158–$630 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$171–$408.50 | $180–$430 | varies |
| Injection therapeutic carpal tunnel (20526) range across 5 matching MRF lines |
$220.40–$401.85 | $232–$423 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$536.75–$2,375 | $565–$2,500 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$554.80–$612.75 | $584–$645 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$172.90–$938.60 | $182–$988 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $181.45 | $191 | 0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) | $171.56 | $180.58 | 0.8× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$234.65–$351.50 | $247–$370 | varies |
| Insert non-tunnel cv cath (36556) | $2,830.05 | $2,979 | 0.9× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$146.30–$176.70 | $154–$186 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$124.45–$128.25 | $131–$135 | varies |
| Insertion indwelling tunneled pleural catheter (32550) range across 2 matching MRF lines |
$3,364.84–$3,724 | $3,541.93–$3,920 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,174.55 | $2,289 | 1.3× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) | $2,470 | $2,600 | 1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,156.15 | $1,217 | 2.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,330 | $1,400 | 3.2× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$321.10–$378.10 | $338–$398 | varies |
| Laryngoscopy and dilation (31528) | $3,085.60 | $3,248 | 0.8× |
| Laryngoscopy flexible diagnostic (31575) | $447.45 | $471 | 2.2× |
| Late closure of wound (13160) | $5,165.15 | $5,437 | 1.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $2,830.05 | $2,979 | 0.9× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $1,369.90 | $1,442 | 0.4× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) | $1,235 | $1,300 | 1.6× |
| Myringoplasty (69620) | $1,218.85 | $1,283 | 0.4× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$272.65–$631.75 | $287–$665 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$72.20–$121.60 | $76–$128 | varies |
| N Block Lumbar/Thoracic (64520) | $1,077.30 | $1,134 | 1.2× |
| Nasal Endoscopy Dx (31231) | $643.15 | $677 | 3.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $540.55 | $569 | 1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$995.60–$1,990.25 | $1,048–$2,095 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $651.70 | $686 | 0.4× |
| Needle Biopsy Lymph Nodes (38505) | $2,685.65 | $2,827 | 1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $42.75 | $45 | 1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) | $42.75 | $45 | 1.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $734.35 | $773 | 1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) | $540.55 | $569 | 0.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$194.75–$669.75 | $205–$705 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $492.10 | $518 | 0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$816.05–$1,718.55 | $859–$1,809 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,421.20–$1,496.25 | $1,496–$1,575 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,470.60–$1,548.50 | $1,548–$1,630 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $659.30 | $694 | 1.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 2 matching MRF lines |
$290.70–$1,191.30 | $306–$1,254 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$209–$393.30 | $220–$414 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $5,320 | $5,600 | 0.7× |
| Pelvic examination under anesthesia (other than local) (57410) range across 2 matching MRF lines |
$266–$2,858.55 | $280–$3,009 | varies |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$1,185.60–$1,244.50 | $1,248–$1,310 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$1,556.10–$2,201.15 | $1,638–$2,317 | varies |
| Placement of needle for intraosseous infusion (36680) | $560.50 | $590 | 1.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,702.40 | $1,792 | 1.8× |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) | $2,766.40 | $2,912 | 1.0× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) | $2,234.40 | $2,352 | 1.8× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $2,447.20 | $2,576 | 0.8× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $2,447.20 | $2,576 | 2.0× |
| Pseudoaneurysm Injection Trt (36002) | $406.60 | $428 | 0.6× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$118.75–$189.05 | $125–$199 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $596.60 | $628 | 1.4× |
| Puncture Aspiration Cyst Breast (19000) | $955.70 | $1,006 | 1.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$393.30–$786.60 | $414–$828 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $798 | $840 | 2.4× |
| Removal Foreign Body Foot Subcutaneous (28190) | $293.55 | $309 | 0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,482 | $1,560 | 0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 6 matching MRF lines |
$54.61–$110.20 | $57.48–$116 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$214.70–$218.50 | $226–$230 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $316.35 | $333 | 0.2× |
| Removal of nail bed (11750) | $387.60 | $408 | 0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $224.20 | $236 | 1.1× |
| Remove drug implant device (11982) | $394.25 | $415 | 0.8× |
| Remove foreign body from eye (65235) | $1,804.05 | $1,899 | 0.8× |
| Remove foreign body from eye (65205) | $373.35 | $393 | 2.7× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$237.50–$1,489.60 | $250–$1,568 | varies |
| Remove lung catheter (32552) | $399 | $420 | 0.6× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$256.50–$259.35 | $270–$273 | varies |
| Remove/Insert Drug Implant (11983) | $571.90 | $602 | 1.2× |
| Repair Blood Vessel Direct Hand Finger (35207) | $2,340.80 | $2,464 | 0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $4,548.60 | $4,788 | 1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$1,047.85–$1,589.35 | $1,103–$1,673 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,170.40 | $1,232 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,170.40 | $1,232 | 2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$1,050.70–$1,949.40 | $1,106–$2,052 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$870.20–$1,308.15 | $916–$1,377 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,073.50 | $1,130 | 2.5× |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,280.60 | $1,348 | 1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,575.10 | $1,658 | 2.1× |
| Repair Entropion Suture (67921) | $3,138.80 | $3,304 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$541.50–$664.05 | $570–$699 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$741–$1,128.60 | $780–$1,188 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$869.25–$1,207.45 | $915–$1,271 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $720.10 | $758 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,436.40 | $1,512 | 3.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $324.90 | $342 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$720.10–$1,107.70 | $758–$1,166 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $573.80 | $604 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $547.20 | $576 | 1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$591.85–$846.45 | $623–$891 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$751.45–$1,077.30 | $791–$1,134 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$437–$785.65 | $460–$827 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$573.80–$633.65 | $604–$667 | varies |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) | $904.40 | $952 | 0.3× |
| Rev/rmv prph sac/gstr npg/r (64595) | $4,619.85 | $4,863 | 1.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $1,482 | $1,560 | 0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$149.15–$235.60 | $157–$248 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,700.85 | $2,843 | 0.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $518.70 | $546 | 0.3× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) | $3,800 | $4,000 | 1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $547.20 | $576 | 0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $465.50 | $490 | 0.7× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $3,325 | $3,500 | 1.4× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$347.70–$1,293.90 | $366–$1,362 | varies |
| Rpr blood vessel direct lower extremity (35226) | $2,660 | $2,800 | 3.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $454.10 | $478 | 2.2× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) range across 2 matching MRF lines |
$1,218.85–$2,679.95 | $1,283–$2,821 | varies |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $2,436.75 | $2,565 | 0.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,136.20 | $1,196 | 1.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $3,192 | $3,360 | 2.6× |
| Shave skin lesion 0.5 cm/< (11300) | $135.85 | $143 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $180.50 | $190 | 0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $380 | $400 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $153.90 | $162 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $197.60 | $208 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $251.75 | $265 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $285.95 | $301 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $247.95 | $261 | 1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $294.50 | $310 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $202.35 | $213 | 1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $281.20 | $296 | 0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $237.50 | $250 | 1.1× |
| Sigmoidoscopy & Polypectomy (45333) | $2,553.60 | $2,688 | 2.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $2,116.60 | $2,228 | 2.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $305.90 | $322 | 1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$316.35–$321.10 | $333–$338 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $399 | $420 | 1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$93.10–$250.80 | $98–$264 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $608.95 | $641 | 2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$349.60–$404.70 | $368–$426 | varies |
| Skin sub graft face/nk/hf/g (15275) | $1,127.65 | $1,187 | 1.5× |
| Skin sub graft trnk/arm/leg (15271) | $987.05 | $1,039 | 1.3× |
| Skin sub grft t/arm/lg child (15273) | $2,301.85 | $2,423 | 1.1× |
| Slitting of prepuce (54001) | $986.10 | $1,038 | 0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$302.10–$324.90 | $318–$342 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $425.60 | $448 | 1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $505.40 | $532 | 1.2× |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$351.50–$698.25 | $370–$735 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$53.20–$184.30 | $56–$194 | varies |
| Strapping elbow or wrist (29260) | $53.20 | $56 | 0.9× |
| Strapping hand/finger (29280) | $53.20 | $56 | 0.9× |
| Strapping Hip (29520) | $53.20 | $56 | 0.4× |
| Strapping knee (29530) | $59.85 | $63 | 0.4× |
| Strapping shoulder (29240) | $53.20 | $56 | 0.4× |
| Strapping thorax (29200) | $53.20 | $56 | 0.3× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$166.25–$632.70 | $175–$666 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $195.70 | $206 | 0.4× |
| Tangential biopsy skin single lesion (11102) | $152 | $160 | 0.4× |
| Thrombolytic Therapy Stroke (37195) | $748.60 | $788 | 2.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $281.20 | $296 | 0.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $744.80 | $784 | 3.0× |
| Transur electr resection of prostate (52601) | $5,082.50 | $5,350 | 0.9× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$1,821.15 | $1,917 | 0.2× |
| Treat humerus fracture (24500) | $586.15 | $617 | 2.3× |
| Treat Humerus Fracture (24505) | $771.40 | $812 | 0.5× |
| Treat Knuckle Dislocation (26700) | $268.85 | $283 | 1.0× |
| Treat Thumb Dislocation (26641) | $944.30 | $994 | 3.7× |
| Treat Thumb Fracture (26645) | $1,057.35 | $1,113 | 0.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$2,182.15–$2,558.35 | $2,297–$2,693 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $505.40 | $532 | 2.0× |
| Treatment mouth roof lesion (42160) | $266 | $280 | 0.1× |
| Trim skin lesion (11055) | $192.85 | $203 | 0.9× |
| Trim skin lesions 2 to 4 (11056) | $271.70 | $286 | 1.3× |
| Trim skin lesions over 4 (11057) | $351.50 | $370 | 1.7× |
| Trimming Nondystrophic Nails Any Number (11719) | $93.10 | $98 | 1.5× |
| Tx Gastro Intub W/Asp (43753) | $426.55 | $449 | 1.9× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $1,582.70 | $1,666 | 0.9× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) | $1,780.30 | $1,874 | 1.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,596 | $1,680 | 1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $734.35 | $773 | 1.0× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $704.90 | $742 | 0.4× |
| Urethromeatoplasty W/Mucosal Advancement (53450) range across 2 matching MRF lines |
$2,528.90–$3,044.87 | $2,662–$3,205.12 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,765.45 | $2,911 | 1.3× |
| Wedge excision skin nail fold (11765) | $236.55 | $249 | 0.6× |
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.