Procedures & surgery prices at Providence Mount Carmel Hospital

Colville, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines		 $182.70–$2,263.80 $261–$3,234 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 5 matching MRF lines		 $127.40–$2,012.50 $182–$2,875 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,429 $3,470 1.4×
Acne surgery (10040) $315.70 $451 1.4×
Adding Walker Previously Applied Cast (29440) $254.80 $364 1.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $7,529.20 $10,756 1.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,994.20 $5,706 1.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,326.40 $4,752 1.4×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,020.50 $4,315 1.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,994.20 $5,706 1.7×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $15,309.70 $21,871 1.9×
Amniocentesis diagnostic (59000) $363.30 $519 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,836.80 $2,624 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $1,129.10–$1,836.80 $1,613–$2,624 varies
Amputation metatarsal with toe single (28810) $6,889.40 $9,842 1.9×
Amputation toe interphalangeal joint (28825) $5,209.40 $7,442 1.4×
Anoscopy Control Bleeding (46614)
range across 2 matching MRF lines		 $112.70–$813.40 $161–$1,162 varies
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $81.20–$86.10 $116–$123 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $141.40–$813.40 $202–$1,162 varies
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $254.80 $364 1.4×
Appl cranial tong/strtctc frame w/removal spx (20660) $543.90 $777 0.3×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $420 $600 1.3×
Application Body Cast Shoulder Hips (29035) $420 $600 1.3×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $109.20–$274.40 $156–$392 varies
Application Cast Finger (29086) $254.80 $364 1.4×
Application Cast Shoulder Spica (29055) $420 $600 1.3×
Application Finger Splint Dynamic (29131) $100.80 $144 1.5×
Application finger splint static (29130)
range across 2 matching MRF lines		 $57.40–$120.40 $82–$172 varies
Application Halo Cranial Including Removal (20661) $1,213.80 $1,734 0.7×
Application Hip Spica Cast 1 Leg (29305) $274.40 $392 0.9×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $119–$120.40 $170–$172 varies
Application Long Leg Cast Brace (29358) $420 $600 1.3×
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $88.20–$120.40 $126–$172 varies
Application of cylinder cast (thigh to ankle) (29365) $420 $600 1.3×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $175.70–$274.40 $251–$392 varies
Application Short Arm Splint Dynamic (29126) $203 $290 1.4×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $74.20–$120.40 $106–$172 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $99.40–$120.40 $142–$172 varies
Application, cast; figure-of-eight Facility (29049) $420 $600 1.3×
Apply hand/wrist cast (29085) $254.80 $364 1.4×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $119.70–$274.40 $171–$392 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $165.90–$254.80 $237–$364 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $120.40–$274.40 $172–$392 varies
Apply short leg cast (29425) $274.40 $392 0.9×
Apply shoulder cast,plastr velpeau (29058) $420 $600 1.3×
Arterial puncture (36600)
range across 4 matching MRF lines		 $30.80–$39.90 $44–$57 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $81.90–$283.50 $117–$405 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $104.30–$1,163.40 $149–$1,662 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $96.60–$458.50 $138–$655 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $121.10–$1,163.40 $173–$1,662 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $75.60–$279.30 $108–$399 varies
Arthroplasty interphalangeal joint each (26535) $5,209.40 $7,442 1.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,510.20 $3,586 1.4×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $189–$994.70 $270–$1,421 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $150.50–$392.70 $215–$561 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $84–$279.30 $120–$399 varies
Aspiration and/or injection thyroid cyst (60300) $1,135.40 $1,622 1.4×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $247.10–$2,184.70 $353–$3,121 varies
Aspiration Bladder Needle (51100)
range across 2 matching MRF lines		 $65.80–$208.60 $94–$298 varies
Aspiration bladder trocar/intracatheter (51101) $1,635.20 $2,336 1.7×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $4,535.30 $6,479 1.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $94.50–$365.40 $135–$522 varies
Biopsy Abdominal Mass (49180) $627.20 $896 0.3×
Biopsy bone open superficial (20240) $4,520.60 $6,458 1.4×
Biopsy bone trocar/needle deep (20225) $1,654.80 $2,364 0.9×
Biopsy muscle percutaneous needle (20206) $1,055.60 $1,508 0.6×
Biopsy of floor of mouth (41108) $2,624.30 $3,749 1.4×
Biopsy of liver, needle; percutaneous (47000) $783.30 $1,119 0.4×
Biopsy soft tissue neck/thorax (21550) $2,624.30 $3,749 1.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,340.50 $1,915 1.3×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $89.60–$208.60 $128–$298 varies
Bladder Scan (51798) $105.70 $151 1.6×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $207.20–$331.80 $296–$474 varies
Blood Transfusion Service (36430) $184.10 $263 0.4×
Blood/Lymph System Procedure (38999) $3,237.50 $4,625 6.6×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $125.30–$381.50 $179–$545 varies
Bone Marrow; Aspiration Only (38220) $102.90 $147 0.1×
Bronchoscopy Clear Airways (31645) $2,797.20 $3,996 1.4×
Bronchoscopy W/Biopsy(S) (31625) $345.10 $493 0.2×
Bronchoscopy W/Removal Foreign Body (31635) $2,797.20 $3,996 1.4×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $382.20 $546 0.1×
Bx breast 1st lesion us imag (19083) $1,850.80 $2,644 1.0×
Bx breast needle core w/o imaging guidance spx (19100) $1,135.40 $1,622 0.6×
Bx Cervix (57500) $1,231.30 $1,759 1.2×
Canthoplasty (67950) $4,440.10 $6,343 1.7×
Canthotomy Separate Procedure (67715) $4,440.10 $6,343 1.7×
Carpal Tunnel Surgery (64721) $3,145.80 $4,494 1.4×
Catheter aspiration nasotracheal spx (31720) $335.30 $479 1.4×
Cautery Cervix Electro/Thermal (57510)
range across 2 matching MRF lines		 $201.60–$2,062.20 $288–$2,946 varies
Change Cystostomy Tube Complicated (51710) $664.30 $949 0.9×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $88.20–$208.60 $126–$298 varies
Change of Windpipe Airway (31502)
range across 3 matching MRF lines		 $60.20–$156.80 $86–$224 varies
Chemical Cautery Tissue (17250) $160.30 $229 0.7×
Chest tube placement (32551)
range across 3 matching MRF lines		 $305.20–$585.20 $436–$836 varies
Circumcision w/clamp/oth dev w/block (54150) $65.80 $94 0.0×
Cl Tx Scapular Fx; W Manip (23575) $2,510.20 $3,586 1.4×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $996.10–$2,047.50 $1,423–$2,925 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $70–$117.60 $100–$168 varies
Closed Rx Metacarpal Fx,Percut (26608) $6,889.40 $9,842 1.9×
Closed Rx Spontaneous Hip Disloc (27256) $362.60 $518 1.3×
Closed rx talotarsal disloc,anesth (28575)
range across 2 matching MRF lines		 $577.50–$1,184.40 $825–$1,692 varies
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $479.50–$487.90 $685–$697 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $161–$705.60 $230–$1,008 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,510.20 $3,586 1.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $171.50–$788.90 $245–$1,127 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $362.60 $518 1.3×
Closed Treatment Sesamoid Fracture (28530) $161 $230 0.6×
Closed Treatment Sternum Fracture (21820)
range across 2 matching MRF lines		 $257.60–$298.90 $368–$427 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $161–$525.70 $230–$751 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $161–$653.80 $230–$934 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $861–$1,260 $1,230–$1,800 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $161–$528.50 $230–$755 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $371–$599.90 $530–$857 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $362.60–$403.90 $518–$577 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $543.90–$753.90 $777–$1,077 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $161–$486.50 $230–$695 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $4,074 $5,820 2.3×
Closed tx femoral fracture prox head w/o manj (27267) $6,889.40 $9,842 1.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $362.60–$828.10 $518–$1,183 varies
Closed tx fx orbit except blowout w/manipulation (21401) $2,429 $3,470 1.4×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $1,253–$3,320.10 $1,790–$4,743 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $161–$802.90 $230–$1,147 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,047.50 $2,925 1.1×
Closed tx mandibular fracture w/manipulation (21451) $2,429 $3,470 1.4×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $333.20–$879.20 $476–$1,256 varies
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $9,344.30 $13,349 1.4×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $161–$382.20 $230–$546 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $959.70–$2,047.50 $1,371–$2,925 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $312.20–$1,803.20 $446–$2,576 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,803.20 $2,576 0.5×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $6,584.90 $9,407 1.8×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $345.10–$956.90 $493–$1,367 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $161–$695.80 $230–$994 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $362.60–$518 $518–$740 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $695.80–$1,260 $994–$1,800 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $161–$421.40 $230–$602 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $543.90–$919.10 $777–$1,313 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $161–$436.80 $230–$624 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $543.90–$944.30 $777–$1,349 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $161–$441 $230–$630 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $161 $230 0.6×
Closed tx septal&nose fx (21337) $4,979.10 $7,113 1.3×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $543.90 $777 2.0×
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines		 $242.20–$362.60 $346–$518 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $484.40–$2,510.20 $692–$3,586 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $161–$368.90 $230–$527 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $362.60 $518 1.3×
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $161–$190.40 $230–$272 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $65.10–$114.80 $93–$164 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $832.30–$1,260 $1,189–$1,800 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $161–$459.90 $230–$657 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $161–$415.80 $230–$594 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $333.20–$338.80 $476–$484 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $403.90–$797.30 $577–$1,139 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $543.90–$553 $777–$790 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $161–$400.40 $230–$572 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $579.60–$2,047.50 $828–$2,925 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $362.60–$438.90 $518–$627 varies
Clsd tx fx orbit except blowout w/o manipulation (21400)
range across 2 matching MRF lines		 $279.30–$797.30 $399–$1,139 varies
Clsd Tx Pelvic Ring Fx (27198)
range across 2 matching MRF lines		 $301.70–$801.50 $431–$1,145 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $301.70–$801.50 $431–$1,145 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $787.50–$1,532.30 $1,125–$2,189 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $161–$561.40 $230–$802 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $543.90 $777 0.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 2 matching MRF lines		 $479.50–$910 $685–$1,300 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $989.10–$1,473.50 $1,413–$2,105 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $667.80–$1,260 $954–$1,800 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $161–$375.20 $230–$536 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $702.10–$1,260 $1,003–$1,800 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $161–$490 $230–$700 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $161–$597.80 $230–$854 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $2,510.20 $3,586 1.4×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $161 $230 0.6×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $171.50–$774.90 $245–$1,107 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $161–$503.30 $230–$719 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $161–$478.10 $230–$683 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $161–$363.30 $230–$519 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $161–$546 $230–$780 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $543.90–$1,045.10 $777–$1,493 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,836.80 $2,624 1.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,010.80–$1,480.50 $1,444–$2,115 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $161–$860.30 $230–$1,229 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $4,448.50 $6,355 2.5×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $161–$821.10 $230–$1,173 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $1,815.10–$3,804.50 $2,593–$5,435 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $161–$302.40 $230–$432 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $161–$248.50 $230–$355 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $283.50–$378 $405–$540 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $237.30–$362.60 $339–$518 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $994.70–$2,047.50 $1,421–$2,925 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $362.60 $518 1.3×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $161–$450.10 $230–$643 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $543.90–$670.60 $777–$958 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $617.40–$2,047.50 $882–$2,925 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,522.50–$4,330.20 $2,175–$6,186 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $161–$312.90 $230–$447 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $161–$535.50 $230–$765 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,260 $1,800 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,260 $1,800 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $161–$504.70 $230–$721 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $543.90–$801.50 $777–$1,145 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines		 $266–$420 $380–$600 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $161–$177.10 $230–$253 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,458 $4,940 1.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $688.80–$1,532.30 $984–$2,189 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $161–$500.50 $230–$715 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $881.30–$2,047.50 $1,259–$2,925 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $362.60–$535.50 $518–$765 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $161–$582.40 $230–$832 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $161–$543.20 $230–$776 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,004.50 $1,435 0.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,510.20 $3,586 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $385–$607.60 $550–$868 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $324.10–$362.60 $463–$518 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,163.40–$1,473.50 $1,662–$2,105 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $161–$798.70 $230–$1,141 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $994–$2,510.20 $1,420–$3,586 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $161–$490.70 $230–$701 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $740.60–$2,047.50 $1,058–$2,925 varies
Cltx prox tibfib jt dislc req anes (27831) $5,209.40 $7,442 1.4×
Cltx prox tibfib jt dislc w/o anes (27830)
range across 2 matching MRF lines		 $161–$616.70 $230–$881 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $161 $230 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $161–$184.80 $230–$264 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,010.80 $1,444 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $543.90–$785.40 $777–$1,122 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $161 $230 0.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $543.90 $777 0.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $161–$600.60 $230–$858 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $3,320.10 $4,743 1.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $298.90 $427 1.1×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $5,209.40 $7,442 1.4×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $161–$306.60 $230–$438 varies
Cltx tibial fx proximal w/o manipulation (27530) $161 $230 0.6×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $362.60–$556.50 $518–$795 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $362.60 $518 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $543.90–$875 $777–$1,250 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $161–$501.20 $230–$716 varies
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $6,889.40 $9,842 1.9×
Collect Blood From Catheter Venous Nos (36592) $213.50 $305 1.4×
Collection of venous blood by venipuncture (36415) $50.40 $72 5.4×
Colonoscopy Stoma Control Bleeding (44391) $514.50 $735 0.4×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $451.50 $645 0.3×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $464.10 $663 0.4×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $378.70 $541 0.3×
Colonoscopy thru stoma (44388) $340.90 $487 0.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $523.60 $748 0.4×
Colonoscopy w/ablation (45388) $545.30 $779 0.4×
Colonoscopy w/fb removal (45379) $553.70 $791 0.4×
Colonoscopy W/Resection (45390) $577.50 $825 0.2×
Colonoscopy w/submucosal inj (45381) $502.60 $718 0.4×
Colpocentesis (57020)
likely a partial charge, not the full procedure		 $722.40 $1,032 0.1×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $6,543.60 $9,348 1.8×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $607.60–$4,100.60 $868–$5,858 varies
Colposcopy cervix upper/adjacent vagina (57452) $207.20 $296 0.9×
Colposcopy of vulva (56820) $311.50 $445 1.4×
Colpotomy; with drainage of pelvic abscess (57010) $6,543.60 $9,348 1.8×
Colpotomy; with exploration (57000) $6,543.60 $9,348 1.8×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $674.80–$1,894.90 $964–$2,707 varies
Colsc flx w/removal lesion by hot bx forceps (45384) $553 $790 0.4×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $362.60–$2,197.30 $518–$3,139 varies
Composite Skin Graft (15760) $4,235.70 $6,051 1.8×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $114.80–$137.20 $164–$196 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $114.80–$115.50 $164–$165 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $114.80–$299.60 $164–$428 varies
Conversion ext bil drg cath (47535) $8,197 $11,710 2.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,356.60 $1,938 0.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,624.30 $3,749 1.4×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $7,417.90 $10,597 1.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,209.40 $7,442 1.4×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295)
range across 2 matching MRF lines		 $801.50–$3,678.50 $1,145–$5,255 varies
Csf shunt reprogram (62252) $640.50 $915 1.9×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $723.10 $1,033 2.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $114.80–$205.80 $164–$294 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $114.80 $164 0.4×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $6,584.90 $9,407 1.8×
Curettage postpartum (59160) $6,543.60 $9,348 1.8×
Curette/treat cornea (65435) $1,720.60 $2,458 1.5×
Cysto Bladder W/Ureteral Catheterization (52005) $3,245.90 $4,637 1.4×
Cysto calibration dilat urtl strix/stenosis (52281) $3,245.90 $4,637 1.4×
Cysto w/destruction of lesions (52214) $5,609.10 $8,013 1.4×
Cysto w/irrig & evac multple obstructing clots (52001) $5,609.10 $8,013 1.4×
Cysto W/Simple Removal Stone & Stent (52310) $3,245.90 $4,637 1.4×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $5,609.10 $8,013 1.4×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $5,609.10 $8,013 1.4×
Cystostomy Cystotomy W/Drainage (51040) $5,218.50 $7,455 2.2×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $4,293.10 $6,133 1.8×
Cystourethroscopy (52000) $1,094.10 $1,563 1.4×
Cystourethroscopy inj chemodenervation bladder (52287) $2,039.10 $2,913 0.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $295.40 $422 0.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $859.60–$1,155 $1,228–$1,650 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $472.50 $675 0.6×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,135.40 $1,622 1.4×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $5,209.40 $7,442 1.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $295.40 $422 0.4×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $33.60–$94.50 $48–$135 varies
Debride nail 6 or more (11721) $94.50 $135 1.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $508.90–$884.10 $727–$1,263 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $106.40–$295.40 $152–$422 varies
Declot vascular device (36593) $161 $230 0.4×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $5,209.40 $7,442 1.4×
Decompressive fasciotomy hand (26037) $6,889.40 $9,842 1.9×
Delivery of placenta (59414)
range across 3 matching MRF lines		 $4,388.30 $230–$6,269 1.2×
Derma-fat-fascia graft (15770) $7,529.20 $10,756 1.9×
Destruct B9 Lesion 1-14 (17110) $315.70 $451 1.4×
Destruction of skin lesions (17106) $653.10 $933 1.4×
Destruction premalignant lesion 1st (17000) $315.70 $451 1.4×
Destruction Vaginal Lesions Simple (57061) $5,564.30 $7,949 1.5×
Diagnostic anoscopy (46601) $203 $290 0.4×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $129.50–$1,454.60 $185–$2,078 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $254.80 $364 1.8×
Dilate Esophagus 1/Mult Pass (43450) $182.70 $261 0.2×
Dilate Urethra Stricture (53620) $2,184.70 $3,121 2.8×
Dilate Urethra Stricture (53600) $375.90 $537 1.4×
Dilation & curettage dx&/ther nonobstetric (58120) $2,205.70 $3,151 0.6×
Drain Cerebro Spinal Fluid (62272)
range across 3 matching MRF lines		 $171.50–$416.50 $245–$595 varies
Drain Hand Tendon Sheath (26020) $5,209.40 $7,442 1.4×
Drain penis lesion (54015) $2,624.30 $3,749 1.4×
Drain/inj small joint/bursa w/us (20604) $476 $680 1.4×
Drainage abscess parotid simple (42300)
range across 2 matching MRF lines		 $272.30–$2,429 $389–$3,470 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $333.20 $476 0.6×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $253.40–$1,135.40 $362–$1,622 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $275.80–$2,197.30 $394–$3,139 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $151.90–$244.30 $217–$349 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $320.60–$1,402.80 $458–$2,004 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $205.10–$333.20 $293–$476 varies
Drainage of eye (65800) $4,535.30 $6,479 1.8×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $151.90–$274.40 $217–$392 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $151.90–$294 $217–$420 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $196–$1,558.90 $280–$2,227 varies
Drainage of mouth lesion (41017) $4,979.10 $7,113 1.3×
Drainage of nose lesion (30000) $364 $520 1.4×
Drainage of rectal abscess (45005) $1,894.90 $2,707 1.4×
Drainage of salivary gland (42320) $799.40 $1,142 1.3×
Drainage of salivary gland (42305) $4,979.10 $7,113 1.3×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $287.70–$1,402.80 $411–$2,004 varies
Drainage of scrotum (54700) $3,245.90 $4,637 1.4×
Drainage of skene's gland abscess or cyst (53060) $3,245.90 $4,637 1.4×
Draw Blood Off Venous Device (36591) $203 $290 1.4×
Dressing Change Under Anesthesia (15852) $1,016.40 $1,452 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $797.30 $1,139 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $151.90–$236.60 $217–$338 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310)
range across 2 matching MRF lines		 $225.40–$799.40 $322–$1,142 varies
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $4,520.60 $6,458 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $160.30–$266.70 $229–$381 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $160.30–$225.40 $229–$322 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $108.50–$160.30 $155–$229 varies
Dstrj Lesion Anus Simple Chemical (46900) $653.10 $933 1.4×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,491 $2,130 1.5×
Dx Bone Marrow Bx & Aspir (38222) $161 $230 0.0×
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $297.50–$2,797.20 $425–$3,996 varies
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $296.80–$2,797.20 $424–$3,996 varies
Dx gastr intub w/asp spec (43754) $490 $700 2.0×
Dx gastr intub w/asp specs (43755) $254.80 $364 1.8×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $276.50–$2,787.40 $395–$3,982 varies
Dx laryngoscopy w/oper scope (31526) $2,797.20 $3,996 1.4×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,127.70 $1,611 1.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $354.90–$3,047.80 $507–$4,354 varies
Egd cautery tumor polyp (43250) $317.10 $453 0.1×
Egd control bleeding any (43255) $576.80 $824 0.3×
Egd dilation gastric/duodenal stricture (43245) $384.30 $549 0.2×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $409.50–$1,444.80 $585–$2,064 varies
Egd guide wire insertion (43248) $385 $550 0.4×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,047.80 $4,354 1.4×
Egd lesion ablation (43270) $545.30 $779 0.3×
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines		 $514.50–$3,047.80 $735–$4,354 varies
Egd remove lesion snare (43251) $364.70 $521 0.2×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $484.40 $692 1.4×
Endometrial Biopsy (58100) $311.50 $445 1.4×
Epidural Blood Patch (62273)
range across 4 matching MRF lines		 $192.50–$918.40 $275–$1,312 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $261.10–$1,949.50 $373–$2,785 varies
Escharotomy; initial incision (16035) $160.30 $229 0.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $358.40 $512 0.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $903 $1,290 0.9×
Esophagoscopy Flexible W/Bleeding Control (43227) $431.90 $617 0.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $317.10–$2,238.60 $453–$3,198 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $42–$64.40 $60–$92 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,135.40 $1,622 1.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,817.20 $2,596 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,135.40 $1,622 1.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,135.40 $1,622 1.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,135.40 $1,622 1.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,624.30 $3,749 1.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,624.30 $3,749 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $884.10 $1,263 0.5×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $884.10 $1,263 1.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $884.10 $1,263 0.5×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $872.90 $1,247 0.8×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $4,979.10 $7,113 1.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,135.40 $1,622 1.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,817.20 $2,596 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,520.60 $6,458 1.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,624.30 $3,749 1.4×
Exc Skin Benig >4cm Face,Facial (11446) $4,520.60 $6,458 1.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $221.90–$2,608.20 $317–$3,726 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,135.40 $1,622 2.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,135.40 $1,622 1.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,817.20 $2,596 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,624.30 $3,749 1.4×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $8,197 $11,710 2.1×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $4,030.60 $5,758 1.9×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,429 $3,470 1.4×
Excision Chalazion Single (67800) $555.80 $794 1.6×
Excision Excessive Skin & Subq Tissue Other Area (15839) $5,978.70 $8,541 1.8×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,135.40 $1,622 1.4×
Excision Multiple External Papillae/Tags Anus (46230) $4,496.80 $6,424 1.5×
Excision of bartholin's gland or cyst (56740) $4,948.30 $7,069 1.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,510.20 $3,586 1.4×
Excision of pilonidal cyst or sinus; simple (11770) $4,520.60 $6,458 1.4×
Excision of vaginal cyst or tumor (57135) $6,543.60 $9,348 1.8×
Excision Pilonidal Cyst/Sinus Complicated (11772) $4,520.60 $6,458 1.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,520.60 $6,458 1.4×
Excision soft tissue lesion, external auditory canal (69145) $4,520.60 $6,458 1.4×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $438.20–$2,279.20 $626–$3,256 varies
Explo/Drain Breast Abscess (19020) $2,197.30 $3,139 1.2×
Exploration of knee joint (27310) $5,209.40 $7,442 1.4×
Exploration penetrating wound spx chest (20101)
range across 2 matching MRF lines		 $359.80–$2,279.20 $514–$3,256 varies
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $708.40–$1,402.80 $1,012–$2,004 varies
Exploration Penetrating Wound Spx Neck (20100)
range across 2 matching MRF lines		 $797.30–$1,033.20 $1,139–$1,476 varies
External cephalic version (59412) $6,543.60 $9,348 1.8×
Fetal Contraction Stress Test (59020) $311.50 $445 1.4×
Fetal non-stress test (59025) $173.60 $248 0.8×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $3,020.50 $4,315 1.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $994 $1,420 1.3×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,135.40 $1,622 1.4×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $102.20–$690.90 $146–$987 varies
Fluid Pressure Muscle (20950) $151.90 $217 0.2×
Fluoro exam of g/colon tube (49465) $220.50 $315 0.8×
Fna Bx W/Fluor Gdn 1St Les (10007) $987 $1,410 1.3×
Fna bx w/us gdn 1st les (10005) $975.10 $1,393 1.2×
Forehead flap w/vasc pedicle (15731) $7,529.20 $10,756 1.9×
Foreskin manipulation (54450) $340.90 $487 1.2×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,994.20 $5,706 1.7×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,994.20 $5,706 1.7×
Fusion Finger Joint (26860) $3,082.80 $4,404 0.8×
Fusion of hand bones (25820) $11,575.90 $16,537 1.4×
Guide Cathet Fluid Drainage (10030)
range across 3 matching MRF lines		 $304.50–$1,135.40 $435–$1,622 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $4,496.80 $6,424 1.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $4,496.80 $6,424 1.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,454.60 $2,078 1.4×
Hemorrhoidopexy by stapling (46947) $4,496.80 $6,424 1.5×
Hymenotomy Simple Incision (56442) $6,543.60 $9,348 1.8×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $1,803.20 $2,576 0.5×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $283.50–$333.20 $405–$476 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $151.90–$226.80 $217–$324 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $869.40–$2,197.30 $1,242–$3,139 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $4,520.60 $6,458 1.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $1,047.20–$5,209.40 $1,496–$7,442 varies
I&D Intramural Im/Absc Transanal Anes (46045) $4,496.80 $6,424 1.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $5,209.40 $7,442 1.4×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $195.30–$594.30 $279–$849 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $343.70–$1,402.80 $491–$2,004 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $151.90–$203.70 $217–$291 varies
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $511.70–$4,520.60 $731–$6,458 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $2,197.30 $3,139 0.7×
I&d vaginal hematoma obstetrical/postpartum (57022) $4,520.60 $6,458 1.4×
Image Cath Fluid Colxn Visc (49405) $2,746.80 $3,924 1.5×
Image Cath Fluid Peri/Retro (49406) $3,418.10 $4,883 1.9×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $208.60–$313.60 $298–$448 varies
Incise flexor carpi radialis (25001) $5,209.40 $7,442 1.4×
Incise/Drain Conjunctiva (68020) $2,025.80 $2,894 1.8×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $348.60–$578.90 $498–$827 varies
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $681.80–$1,870.40 $974–$2,672 varies
Incision & drainage leg/ankle infected bursa (27604) $6,436.50 $9,195 1.8×
Incision & removal foreign body subq tiss compl (10121) $1,817.20 $2,596 1.0×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $186.20–$295.40 $266–$422 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $170.10–$186.90 $243–$267 varies
Incision and drainage of the tear gland (68400) $1,832.60 $2,618 1.6×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $4,520.60 $6,458 1.4×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $170.10–$191.10 $243–$273 varies
Incision extensor tendon sheath wrist (25000) $2,510.20 $3,586 1.4×
Incision of eardrum (69420) $333.20 $476 1.3×
Incision of lingual frenum (frenotomy) (41010) $2,235.10 $3,193 1.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $723.80–$2,608.20 $1,034–$3,726 varies
Incision of urethra (53020) $3,245.90 $4,637 1.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $278.60–$4,083.80 $398–$5,834 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $264.60–$1,016.40 $378–$1,452 varies
Induced abortion dilation and curettage (59840) $4,948.30 $7,069 1.4×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $92.40–$94.50 $132–$135 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $963.90 $1,377 1.0×
Inj W/Fluor Eval Cv Device (36598) $347.20 $496 1.5×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines		 $112.70–$1,491 $161–$2,130 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,286.60 $1,838 1.3×
Inject Intravitreal Pharmcologic (67028) $698.60 $998 1.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $70.70–$279.30 $101–$399 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $121.10–$1,491 $173–$2,130 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,491 $2,130 1.5×
Injection aa&/strd genicular nrv branches w/img (64454) $1,127.70 $1,611 1.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $163.80–$799.40 $234–$1,142 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,127.70 $1,611 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $945–$1,127.70 $1,350–$1,611 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,491 $2,130 1.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $476 $680 1.4×
Injection for identification of sentinel node (38792) $358.40 $512 0.8×
Injection of sclerosing solution, hemorrhoids (46500) $1,454.60 $2,078 1.4×
Injection single tendon origin/insertion (20551) $476 $680 1.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $74.90–$279.30 $107–$399 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $75.60–$297.50 $108–$425 varies
Injection therapeutic carpal tunnel (20526) $433.30 $619 1.3×
Injection, anesthetic agent; brachial plexus, single (64415) $134.40 $192 0.1×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $109.90–$1,127.70 $157–$1,611 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $139.30–$416.50 $199–$595 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $63.70–$315.70 $91–$451 varies
Injx Anterior Chamber Eye Medication Spx (66030) $4,535.30 $6,479 1.8×
Insert and remove bone pin (20650) $5,209.40 $7,442 1.4×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $119–$137.90 $170–$197 varies
Insert cath pleura w/ image (32557) $735 $1,050 0.4×
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $346.50–$700 $495–$1,000 varies
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $371.70 $531 0.3×
Insert cervical dilator (59200) $511 $730 1.5×
Insert Gastrostomy Tube Percutaneous (49440) $3,047.80 $4,354 1.4×
Insert non-tunnel cv cath (36556)
range across 6 matching MRF lines		 $245.70–$980 $351–$1,400 varies
Insert pessary/other device (57160) $311.50 $445 1.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $165.90–$2,604 $237–$3,720 varies
Insert prost urethral stent (53855) $3,245.90 $4,637 1.4×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $46.90–$51.10 $67–$73 varies
Insert tunneled cv cath (36561) $5,212.90 $7,447 1.5×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $8,994.30 $12,849 1.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $50.40–$51.10 $72–$73 varies
Insertion indwelling tunneled pleural catheter (32550) $6,198.50 $8,855 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $919.80–$1,839.60 $1,314–$2,628 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $8,197 $11,710 2.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 4 matching MRF lines		 $199.50–$1,184.40 $285–$1,692 varies
Insj Picc Rs&I <5 Yr (36572)
range across 4 matching MRF lines		 $579.60–$1,274.70 $828–$1,821 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 6 matching MRF lines		 $156.80–$1,656.90 $224–$2,367 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $5,212.90 $7,447 1.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 3 matching MRF lines		 $8,661.10 $434–$12,373 0.9×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $18,891.60 $26,988 2.0×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,608.20 $3,726 0.8×
Interdental fixation (21110) $2,429 $3,470 1.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $392–$521.50 $560–$745 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $406–$653.10 $580–$933 varies
Intranasal Biopsy (30100) $2,429 $3,470 1.4×
Intraoral i&d tongue/floor lingual (41000)
range across 2 matching MRF lines		 $198.80–$1,803.20 $284–$2,576 varies
Intraoral i&d tongue/floor sublngl supfc (41005) $364 $520 1.4×
Intraoral i&d tongue/floor submental space (41007) $2,429 $3,470 1.4×
Intraoral i&d tongue/floor submndblr space (41008) $4,979.10 $7,113 1.3×
Intro Gastrointestinal Tube (44500) $1,281 $1,830 1.3×
Intubation endotracheal emergency procedure (31500)
range across 6 matching MRF lines		 $221.90–$442.40 $317–$632 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $208.60–$228.90 $298–$327 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $12,062.40 $17,232 1.8×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $86.80–$140.70 $124–$201 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $156.10–$243.60 $223–$348 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $3,972.50 $5,675 1.0×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,437.40 $3,482 1.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $259.70–$576.80 $371–$824 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines		 $224.70–$243.60 $321–$348 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $341.60–$2,787.40 $488–$3,982 varies
Laryngoscopy w/wo tracheoscopy aspiration (31515)
range across 2 matching MRF lines		 $192.50–$660.10 $275–$943 varies
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520)
range across 2 matching MRF lines		 $273–$660.10 $390–$943 varies
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,560.30–$3,020.50 $2,229–$4,315 varies
Lateral Canthopexy (21282) $6,584.90 $9,407 1.8×
Ligation Of Neck Artery (37615) $6,894.30 $9,849 2.0×
Ligation or biopsy temporal artery (37609) $2,624.30 $3,749 1.4×
Manipulation Elbow Under Anesthesia (24300) $2,510.20 $3,586 1.4×
Manipulation knee joint under general anesthesia (27570) $2,510.20 $3,586 1.4×
Manipulation tmj therapeutic require anesthesia (21073) $3,211.60 $4,588 1.9×
Manipulation wrist under anesthesia (25259) $2,510.20 $3,586 1.4×
Marsupialization of bartholin's gland cyst (56440) $2,205.70 $3,151 0.6×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600)
range across 2 matching MRF lines		 $611.80–$3,998.40 $874–$5,712 varies
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $7,529.20 $10,756 1.9×
Myelography Lumbar Injection (62305) $870.80 $1,244 1.0×
Myelography Lumbar Injection (62304) $870.80 $1,244 1.0×
Myelography via lumbar injection rs&i cervical (62302) $870.80 $1,244 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $870.80 $1,244 1.0×
N Block Inj Celiac Pelus (64530) $1,491 $2,130 1.5×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $191.80–$1,127.70 $274–$1,611 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $137.20–$416.50 $196–$595 varies
N Block Inj Plantar Digit (64455) $476 $680 1.4×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $166.60–$1,491 $238–$2,130 varies
Nasal Endoscopy Dx (31231) $312.90 $447 1.4×
Nasal/Orogastric W/Tube Plmt (43752) $398.30 $569 0.8×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,797.20 $3,996 1.4×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $10,827.60 $15,468 1.4×
Needle Biopsy Lymph Nodes (38505) $922.60 $1,318 0.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $43.40 $62 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $43.40 $62 1.3×
Njx anes stellate ganglion crv sympathetic (64510) $1,491 $2,130 1.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $137.20–$279.30 $196–$399 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $511.70 $731 0.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $963.90 $1,377 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,127.70 $1,611 1.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 3 matching MRF lines		 $176.40–$1,127.70 $252–$1,611 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 3 matching MRF lines		 $176.40–$1,491 $252–$2,130 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $963.90 $1,377 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,127.70 $1,611 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $176.40–$963.90 $252–$1,377 varies
Obstructive material removal from gi tube (49460) $1,911 $2,730 1.9×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $93.80–$416.50 $134–$595 varies
Open Treatment Bimalleolar Ankle Fracture (27814) $15,309.70 $21,871 1.9×
Open Treatment Fracture Distal Tibia & Fibula (27828) $30,198 $43,140 2.1×
Open treatment fracture distal tibia only (27827) $30,198 $43,140 2.1×
Open treatment interphalangeal joint dislocation (28675) $6,889.40 $9,842 1.9×
Open Treatment Lunate Dislocation (25695) $11,575.90 $16,537 1.4×
Open Treatment Medial Malleolus Fracture (27766) $11,575.90 $16,537 1.4×
Open treatment metatarsal fracture each (28485) $11,575.90 $16,537 1.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $11,575.90 $16,537 1.4×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $12,357.80 $17,654 1.9×
Open treatment of nasal fracture; uncomplicated Facility (21325) $4,979.10 $7,113 1.3×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $6,889.40 $9,842 1.9×
Open Treatment of Ulnar Shaft Fracture (25545) $11,575.90 $16,537 1.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $11,575.90 $16,537 1.4×
Open Treatment Proximal Humeral Fracture (23615) $30,198 $43,140 2.1×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $5,209.40 $7,442 1.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $11,575.90 $16,537 1.4×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $993.30–$2,796.50 $1,419–$3,995 varies
Open Tx Distal Tibiofibular Joint Disruption (27829) $15,309.70 $21,871 1.9×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $5,209.40 $7,442 1.4×
Open tx humeral supracondylar fracture w/o xtn (24545) $30,198 $43,140 2.1×
Open tx interphalangeal joint dislocation (26785) $5,209.40 $7,442 1.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $6,889.40 $9,842 1.9×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $5,209.40 $7,442 1.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $15,309.70 $21,871 1.9×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $15,309.70 $21,871 1.9×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $15,309.70 $21,871 1.9×
Orbital implant removal/revision (67560) $7,340.90 $10,487 1.7×
Orchiopexy Ingun/Scrot Appr (54640) $8,197 $11,710 2.1×
Osteotomy Phalanx Finger Each (26567) $5,209.40 $7,442 1.4×
Partial Excision Distal Phalanx Finger (26236) $2,510.20 $3,586 1.4×
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,510.20 $3,586 1.4×
Partial hymenectomy or revision of hymenal ring (56700) $6,543.60 $9,348 1.8×
Partial removal of toe (28160) $5,209.40 $7,442 1.4×
Partical Excision Bone Phalanx Toe (28124) $6,889.40 $9,842 1.9×
Pelvic examination under anesthesia (other than local) (57410) $4,948.30 $7,069 1.4×
Penile Injection (54235)
range across 2 matching MRF lines		 $167.30–$208.60 $239–$298 varies
Percut Drain/Inject Renal Cyst (50390) $1,155.70 $1,651 1.5×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $5,209.40 $7,442 1.4×
Pericardiocentesis W/Imaging (33016) $3,969.70 $5,671 2.3×
Peritoneal Lavage (49084) $1,094.10 $1,563 1.1×
Perq Cervicothoracic Inject (22510) $6,855.10 $9,793 1.9×
Perq dev breast 1st us imag (19285) $275.10 $393 0.3×
Perq Lumbosacral Injection (22511) $6,855.10 $9,793 1.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,406.30 $2,009 1.8×
Perq skel fixj distal radial fx/epiphysl sep (25606) $5,209.40 $7,442 1.4×
Place Duod/Jej Tube Perc (49441) $1,658.30 $2,369 0.8×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $102.20–$172.20 $146–$246 varies
Placement of seton (46020) $4,496.80 $6,424 1.5×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,458.90 $9,227 1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $12,007.10 $17,153 1.8×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $12,007.10 $17,153 1.8×
Probe lacrimal canaliculi w/wo irrigation (68840) $555.80 $794 1.6×
Proctopexy Perineal Approach (45541) $5,947.20 $8,496 1.9×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $665.70 $951 0.6×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)
range across 2 matching MRF lines		 $181.30–$4,496.80 $259–$6,424 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,169.70 $1,671 1.5×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,796.50 $3,995 0.8×
Prq skel fixj femoral fx prox end neck (27235) $15,309.70 $21,871 1.9×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure		 $2,706.20 $3,866 0.3×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $5,030.20 $7,186 0.6×
Pseudoaneurysm Injection Trt (36002) $1,535.10 $2,193 2.2×
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines		 $100.80–$296.80 $144–$424 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $151.90–$191.80 $217–$274 varies
Puncture Aspiration Cyst Breast (19000) $1,135.40 $1,622 1.4×
Puncture shunt tube/reservoir aspiration/inj px (61070) $664.30 $949 0.8×
Push Transfusion Blood 2 Yr/Under (36440) $713.30 $1,019 1.5×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $918.40 $1,312 1.2×
Rdctj torsion tstis w/wo fixj clat testis (54600) $7,417.90 $10,597 1.9×
Reconstruct Finger Joint (26548) $6,889.40 $9,842 1.9×
Reconstruction Nail Bed W/Graft (11762)
range across 2 matching MRF lines		 $777.78–$3,020.50 $1,111.11–$4,315 varies
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $5,209.40 $7,442 1.4×
Reduction of rectal prolapse (45900)
range across 2 matching MRF lines		 $403.90–$1,454.60 $577–$2,078 varies
Release of big toe (28240) $5,209.40 $7,442 1.4×
Removal Anal Seton Other Marker (46030) $1,894.90 $2,707 1.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,407.70 $2,011 1.4×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $206.50–$423.50 $295–$605 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $702.10–$4,520.60 $1,003–$6,458 varies
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $643.30–$2,624.30 $919–$3,749 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $548.80–$1,817.20 $784–$2,596 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $269.50–$884.10 $385–$1,263 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $293.30–$472.50 $419–$675 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $6,889.40 $9,842 1.9×
Removal Foreign Body Scrotum (55120)
range across 2 matching MRF lines		 $613.90–$3,245.90 $877–$4,637 varies
Removal foreign body upper arm/elbow deep (24201) $4,520.60 $6,458 1.4×
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,429 $3,470 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $22.40–$24.50 $32–$35 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $65.80–$70 $94–$100 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $6,543.60 $9,348 1.8×
Removal Implant Deep (20680) $4,520.60 $6,458 1.4×
Removal Implant Superficial Separate Procedure (20670) $1,817.20 $2,596 1.0×
Removal implantable contraceptive capsules (11976) $1,135.40 $1,622 1.4×
Removal intact breast implant (19328) $7,956.90 $11,367 1.8×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $70–$270.90 $100–$387 varies
Removal of implant from finger or hand (26320) $2,624.30 $3,749 1.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $346.50–$472.50 $495–$675 varies
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $80.50–$120.40 $115–$172 varies
Removal shoulder foreign body deep subfascial/im (23333) $4,520.60 $6,458 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $94.50 $135 0.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $3,020.50 $4,315 1.3×
Removal tong/halo applied by another individual (20665) $660.80 $944 1.3×
Removal, under anesthesia, of external fixation system (20694) $2,510.20 $3,586 1.4×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $69.30–$120.40 $99–$172 varies
Remove Brain Cavity Fluid (61020) $1,519.70 $2,171 1.5×
Remove cerclage suture (59871) $4,948.30 $7,069 1.4×
Remove drug implant device (11982) $660.80 $944 1.3×
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $851.20–$2,510.20 $1,216–$3,586 varies
Remove foreign body from eye (65235) $4,535.30 $6,479 1.8×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $87.50–$232.40 $125–$332 varies
Remove Hand Bone Lesion (26200) $2,510.20 $3,586 1.4×
Remove Int Dwell Ureteral Stent Transurethral (50386) $4,293.10 $6,133 1.8×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $118.30–$170.10 $169–$243 varies
Remove Lower Leg Bone Lesion (27635) $6,889.40 $9,842 1.9×
Remove lung catheter (32552) $1,012.20 $1,446 1.4×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $70–$258.30 $100–$369 varies
Remove Peritoneal Foreign Body (49402) $8,197 $11,710 2.1×
Remove Shoulder Foreign Body (23330) $2,624.30 $3,749 1.4×
Remove Tendon Sheath Lesion (26160) $2,510.20 $3,586 1.4×
Remove tissue expander (11971) $5,978.70 $8,541 1.8×
Renal Biopsy Perq (50200) $1,490.30 $2,129 0.8×
Repair Achilles Tendon (27650) $15,309.70 $21,871 1.9×
Repair arm/leg nerve (64857) $14,300.30 $20,429 3.8×
Repair Blood Vessel Direct Hand Finger (35207) $6,894.30 $9,849 2.0×
Repair blood vessel direct neck (35201) $11,894.40 $16,992 1.9×
Repair Blood Vessel Direct Upper Extremity (35206) $6,894.30 $9,849 2.0×
Repair blood vessel lesion (35190) $11,894.40 $16,992 1.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $531.30–$639.80 $759–$914 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $531.30–$556.50 $759–$795 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $347.90–$555.80 $497–$794 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $531.30–$948.50 $759–$1,355 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $347.90–$494.90 $497–$707 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $347.90–$661.50 $497–$945 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $472.50–$531.30 $675–$759 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $531.30–$574 $759–$820 varies
Repair Detached Retina (67101) $4,214 $6,020 1.6×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,006.60–$1,836.80 $1,438–$2,624 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $5,209.40 $7,442 1.4×
Repair Eyelid Wound (67935) $4,440.10 $6,343 1.7×
Repair Finger Tendon (26433) $1,836.80 $2,624 0.5×
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $1,234.10–$5,209.40 $1,763–$7,442 varies
Repair Hand Joint (26540) $1,836.80 $2,624 0.5×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $1,129.80–$1,836.80 $1,614–$2,624 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $299.60–$348.60 $428–$498 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $357–$417.20 $510–$596 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $371–$438.20 $530–$626 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $385–$461.30 $550–$659 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $420–$650.30 $600–$929 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $525–$531.30 $750–$759 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $128.10–$315.70 $183–$451 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $347.90–$403.90 $497–$577 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $431.20–$490 $616–$700 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $655.20–$1,400 $936–$2,000 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $347.90–$482.30 $497–$689 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $308–$347.90 $440–$497 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $347.90–$394.80 $497–$564 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $347.90–$564.90 $497–$807 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $347.90–$414.40 $497–$592 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $347.90–$560.70 $497–$801 varies
Repair intrinsic muscles hand each muscle (26591) $6,889.40 $9,842 1.9×
Repair Laceration Palate </2 Cm (42180)
range across 2 matching MRF lines		 $380.10–$799.40 $543–$1,142 varies
Repair Laceration Palate >2 Cm/Complex (42182)
range across 2 matching MRF lines		 $450.10–$9,344.30 $643–$13,349 varies
Repair of nail bed (11760)
range across 2 matching MRF lines		 $128.10–$269.50 $183–$385 varies
Repair of rectum (45505) $4,496.80 $6,424 1.5×
Repair Spica/Body/Jacket Cast (29720) $120.40 $172 0.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines		 $618.10–$2,361.80 $883–$3,374 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $11,575.90 $16,537 1.4×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $372.40–$1,481.90 $532–$2,117 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $114.80–$308.70 $164–$441 varies
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $11,894.40 $16,992 1.9×
Repair, primary, disrupted ligament, ankle; collateral (27695) $11,575.90 $16,537 1.4×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $11,575.90 $16,537 1.4×
Repair/graft achilles tendon (27652) $15,309.70 $21,871 1.9×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 3 matching MRF lines		 $186.90–$1,444.80 $267–$2,064 varies
Replace G-J Tube Perc (49452) $1,444.80 $2,064 1.4×
Replace g/c tube perc (49450) $1,444.80 $2,064 1.4×
Replantation digit complete (20822) $3,320.10 $4,743 1.9×
Reposition Gastrostomy Tube (43761) $842.80 $1,204 3.0×
Reposition Venous Catheter (36597) $1,184.40 $1,692 0.7×
Revise finger joint each (26140) $2,510.20 $3,586 1.4×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $4,440.10 $6,343 1.7×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,429 $3,470 1.4×
Rmvl embedded fb vestibule mouth comp (40805) $799.40 $1,142 1.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $70–$238.70 $100–$341 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,624.30 $3,749 1.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $76.30–$232.40 $109–$332 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $116.90–$232.40 $167–$332 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $94.50–$672 $135–$960 varies
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $493.50–$1,894.90 $705–$2,707 varies
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $4,979.10 $7,113 2.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $431.90–$2,486.40 $617–$3,552 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $4,520.60 $6,458 1.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,624.30 $3,749 1.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $4,160.10 $5,943 1.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,604 $3,720 1.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,012.20 $1,446 1.4×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $420 $600 1.3×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $56–$389.90 $80–$557 varies
Rplc gtube revj gstrst trc (43763) $476 $680 1.7×
Rplcmt cath ctr vad subq port/pmp (36578) $5,212.90 $7,447 1.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,184.40 $1,692 0.7×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 3 matching MRF lines		 $112–$2,604 $160–$3,720 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581) $5,212.90 $7,447 1.5×
Rpr blood vessel direct lower extremity (35226) $1,351 $1,930 1.7×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $11,575.90 $16,537 1.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $128.10–$212.80 $183–$304 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $560–$590.10 $800–$843 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 2 matching MRF lines		 $326.90–$364 $467–$520 varies
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $4,440.10 $6,343 1.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $621.60–$797.30 $888–$1,139 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $603.40–$797.30 $862–$1,139 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $746.20–$797.30 $1,066–$1,139 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $5,209.40 $7,442 1.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $1,089.90–$3,462.90 $1,557–$4,947 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $847.70–$3,462.90 $1,211–$4,947 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,012.20 $1,446 1.4×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $7,340.90 $10,487 1.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $6,889.40 $9,842 1.9×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $5,209.40 $7,442 1.4×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $4,979.10 $7,113 1.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $117.60 $168 0.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $289.10 $413 0.2×
Shave skin lesion 0.5 cm/< (11300) $94.50 $135 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $315.70 $451 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $315.70 $451 1.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $653.10 $933 2.9×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $4,979.10 $7,113 1.3×
Sigmoidoscopy & Polypectomy (45333) $225.40 $322 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $155.40 $222 0.1×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,894.90 $2,707 1.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $128.10–$286.30 $183–$409 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $122.50–$128.10 $175–$183 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $128.10–$137.90 $183–$197 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $128.10–$263.20 $183–$376 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $128.10–$172.90 $183–$247 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $347.90–$348.60 $497–$498 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $100.10–$128.10 $143–$183 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $128.10–$261.80 $183–$374 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $128.10–$160.30 $183–$229 varies
Skin Full Grft Face/Genit/Hf (15240) $3,326.40 $4,752 1.4×
Skin Pinch Graft (15050) $347.90 $497 0.4×
Skin sub graft trnk/arm/leg (15271) $3,994.20 $5,706 4.8×
Slitting of prepuce (54001) $3,245.90 $4,637 1.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $128.10–$130.20 $183–$186 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $128.10–$213.50 $183–$305 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $128.10–$261.10 $183–$373 varies
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $135.10–$248.50 $193–$355 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $7,529.20 $10,756 1.9×
Strapping ankle (29540) $254.80 $364 1.4×
Strapping elbow or wrist (29260) $100.80 $144 1.5×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $72.10–$100.80 $103–$144 varies
Strapping Hip (29520) $203 $290 1.4×
Strapping knee (29530) $203 $290 1.4×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $86.80–$203 $124–$290 varies
Strapping thorax (29200) $254.80 $364 1.4×
Strapping toes (29550)
range across 2 matching MRF lines		 $39.90–$100.80 $57–$144 varies
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $72.10–$254.80 $103–$364 varies
Subconjunctival injection (68200) $793.10 $1,133 1.6×
Surg tx anal fistula subq (46270) $4,496.80 $6,424 1.5×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $4,496.80 $6,424 1.5×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $4,440.10 $6,343 1.7×
Suture digital nerve hand/foot 1 nerve (64831) $3,850.70 $5,501 1.8×
Suture infrapatellar tendon primary (27380) $11,575.90 $16,537 1.4×
Suture pharynx for wound or injury (42900) $2,429 $3,470 1.4×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $148.40–$296.80 $212–$424 varies
Temporary Closure Eyelids Suture (67875) $1,527.40 $2,182 1.4×
Tenotomy extensor hand/finger open each tendon (26460) $2,510.20 $3,586 1.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,179.50 $1,685 1.5×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $11,894.40 $16,992 1.9×
Thrombolytic Therapy Stroke (37195) $401.80 $574 1.1×
Thrombolytic Venous Therapy (37212) $6,894.30 $9,849 2.0×
Thyroid biopsy (60100) $690.90 $987 0.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,326.40 $4,752 1.4×
Tooth extraction (41899) $481.60 $688 1.8×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $4,948.30 $7,069 1.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $799.40 $1,142 1.3×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $315.70–$1,481.90 $451–$2,117 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines		 $383.60–$1,481.90 $548–$2,117 varies
Tracheostomy planned (31600) $6,584.90 $9,407 1.8×
Transrectal Drainage of Pelvic Abscess (45000) $1,894.90 $2,707 1.4×
Treat Ankle Dislocation (27846) $15,309.70 $21,871 1.9×
Treat Big Toe Fracture (28505) $5,209.40 $7,442 1.4×
Treat Dental Ridge Fracture (21440) $6,584.90 $9,407 1.8×
Treat dental ridge fracture (21445) $12,357.80 $17,654 1.9×
Treat Elbow Fracture (24635) $15,309.70 $21,871 1.9×
Treat Finger Fracture Each (26727) $2,796.50 $3,995 0.8×
Treat Fx Rad Extra-Articul (25607) $11,575.90 $16,537 1.4×
Treat Hip Socket Fracture (27222) $2,301.60 $3,288 8.4×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $161–$569.80 $230–$814 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $783.30–$1,260 $1,119–$1,800 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $161–$540.40 $230–$772 varies
Treat knee fracture (27532) $2,047.50 $2,925 0.6×
Treat Knee Fracture(S) (27538) $161 $230 0.6×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $326.20–$594.30 $466–$849 varies
Treat metacarpal fracture (26607) $5,209.40 $7,442 1.4×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $161–$393.40 $230–$562 varies
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $161–$369.60 $230–$528 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $161–$584.50 $230–$835 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $543.90–$679 $777–$970 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $161–$191.80 $230–$274 varies
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $175.70–$184.10 $251–$263 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $933.80–$1,837.50 $1,334–$2,625 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $161–$661.50 $230–$945 varies
Treatment mouth roof lesion (42160) $4,979.10 $7,113 1.3×
Treatment of tibia fracture (27756) $15,309.70 $21,871 1.9×
Trim skin lesion (11055) $315.70 $451 1.4×
Trim skin lesions 2 to 4 (11056) $315.70 $451 1.4×
Trim skin lesions over 4 (11057) $315.70 $451 1.4×
Trimming Nondystrophic Nails Any Number (11719) $100.80 $144 1.5×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $3,698.80 $5,284 1.9×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $35–$490 $50–$700 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $30,198 $43,140 2.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,205.70 $3,151 0.6×
Tx Missed Abortion First Trimester Surgical (59820) $4,948.30 $7,069 1.4×
Tx Missed Abortion Second Trimester Surgical (59821) $4,948.30 $7,069 1.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,510.20 $3,586 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $347.90–$375.90 $497–$537 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $251.30–$347.90 $359–$497 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $171.50–$411.60 $245–$588 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $161–$338.80 $230–$484 varies
Unlisted procedure anus (46999) $1,923.60 $2,748 1.9×
Unlisted Procedure Endocrine System (60699) $11,100.60 $15,858 1.6×
Unlisted Procedure Hands/Fingers (26989) $261.10 $373 0.9×
Unlisted Procedure Intestine (44799) $1,911 $2,730 1.9×
Unlisted procedure nervous system (64999) $629.30 $899 1.8×
Unlisted procedure pelvis/hip joint (27299) $298.90 $427 1.1×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $481.60 $688 1.8×
Unlisted Procedure Rectum (45999) $1,923.60 $2,748 1.9×
Unlisted procedure shoulder (23929) $261.10 $373 0.9×
Unlisted procedure spine (22899) $6,436.50 $9,195 23.4×
Unlisted Procedure, Urinary System (53899) $497.70 $711 1.8×
Unlisted px female genital system nonobstetrical (58999) $412.30 $589 1.8×
Unlisted Px Salivary Glands/Ducts (42699) $364 $520 1.4×
Vaginal Delivery After Cesarean Delivery (59612) $6,543.60 $9,348 1.8×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $1,430.80–$4,100.60 $2,044–$5,858 varies
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $33.60–$89.60 $48–$128 varies
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $29.40–$68.60 $42–$98 varies
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $94.50–$181.30 $135–$259 varies
Wedging of cast (29740) $420 $600 1.3×
Windowing of cast (29730) $120.40 $172 0.7×
Wound Prep F/N/Hf/G (15004) $1,344 $1,920 3.0×
Wound Prep Trk/Arm/Leg (15002) $3,994.20 $5,706 4.8×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $3,444 $4,920 2.0×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $799.40 $1,142 1.3×

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.