Procedures & surgery prices at Providence Queen of the Valley Medical Center

Napa, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,503.48 $2,948 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,660.16 $5,216 2.1×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $3,124.77 $6,127 1.4×
Acne surgery (10040) $406.98 $798 1.4×
Adding Walker Previously Applied Cast (29440) $328.44 $644 1.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $7,168.56 $14,056 1.4×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,803.07 $7,457 1.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,803.07 $7,457 1.3×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,885.18 $7,618 1.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,803.07 $7,457 1.3×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $14,575.80 $28,580 1.4×
Amniocentesis diagnostic (59000) $1,280.61 $2,511 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $7,192.02 $14,102 1.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $7,192.02 $14,102 1.5×
Amputation metatarsal with toe single (28810) $6,559.11 $12,861 1.4×
Amputation toe interphalangeal joint (28825) $6,700.38 $13,138 1.4×
Amputation toe metatarsophalangeal joint (28820) $4,771.56 $9,356 1.0×
Anoscopy Control Bleeding (46614) $3,152.31 $6,181 1.9×
Anoscopy diagnostic (46600) $337.62 $662 1.8×
Anoscopy W/Rmvl Foreign Body (46608) $2,418.42 $4,742 1.8×
Apheresis Platelets (36513) $860.88 $1,688 1.4×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $328.44 $644 1.4×
Appl cranial tong/strtctc frame w/removal spx (20660) $3,229.32 $6,332 1.4×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $540.09 $1,059 1.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $228.99 $449 1.0×
Application Body Cast Shoulder Hips (29035) $540.09 $1,059 1.4×
Application cast elbow finger short arm (29075) $1,722.78 $3,378 4.3×
Application Cast Finger (29086) $532.95 $1,045 2.3×
Application Cast Shoulder Spica (29055) $540.09 $1,059 1.4×
Application Finger Splint Dynamic (29131) $129.54 $254 1.5×
Application finger splint static (29130) $1,145.97 $2,247 6.1×
Application Halo Cranial Including Removal (20661) $1,038.36 $2,036 0.5×
Application Hip Spica Cast 1 Leg (29305) $540.09 $1,059 1.4×
Application long arm splint shoulder hand (29105) $1,147.50 $2,250 5.0×
Application Long Leg Cast Brace (29358) $540.09 $1,059 1.4×
Application Long Leg Splint (29505) $1,145.97 $2,247 5.0×
Application of cylinder cast (thigh to ankle) (29365) $540.09 $1,059 1.4×
Application of long leg cast (29345) $540.09 $1,059 1.4×
Application Short Arm Splint Dynamic (29126) $860.88 $1,688 4.6×
Application short arm splint forearm-hand static (29125) $1,147.50 $2,250 6.1×
Application short leg splint calf foot (29515) $1,145.97 $2,247 5.0×
Application, cast; figure-of-eight Facility (29049) $540.09 $1,059 1.4×
Apply hand/wrist cast (29085) $328.44 $644 1.4×
Apply long arm cast (29065) $1,722.78 $3,378 4.3×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines
$265.71–$328.44 $521–$644 varies
Apply Short Leg Cast (29405) $1,722.78 $3,378 4.3×
Apply short leg cast (29425) $540.09 $1,059 1.4×
Apply shoulder cast,plastr velpeau (29058) $540.09 $1,059 1.4×
Arterial puncture (36600) $244.29 $479 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,160.25 $2,275 2.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,007.36 $3,936 2.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $2,007.36 $3,936 4.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $2,600.49 $5,099 6.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $612.51 $1,201 1.4×
Arthroplasty interphalangeal joint each (26535) $6,700.38 $13,138 1.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $3,229.32 $6,332 1.4×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$4,136.61–$4,569.09 $8,111–$8,959 varies
Aspirate Pleura W/O Imaging (32554) $4,047.87 $7,937 4.5×
Aspirate/Inj Ganglion Cyst (20612) $612.51 $1,201 1.4×
Aspiration and/or injection thyroid cyst (60300) $1,461.15 $2,865 1.5×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines
$3,013.08–$3,765.84 $5,908–$7,384 varies
Aspiration Bladder Needle (51100) $483.99 $949 1.4×
Aspiration bladder trocar/intracatheter (51101) $2,103.75 $4,125 1.7×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $5,456.49 $10,699 1.7×
Av Fistula Revision Open (36832) $7,978.95 $15,645 1.0×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$292.23–$1,145.97 $573–$2,247 varies
Biopsy Abdominal Mass (49180) $4,687.92 $9,192 2.0×
Biopsy bone open superficial (20240) $5,815.02 $11,402 1.4×
Biopsy bone trocar/needle deep (20225) $1,972.17 $3,867 0.8×
Biopsy Bone Trocar/Needle Superficial (20220) $1,972.17 $3,867 0.8×
Biopsy muscle percutaneous needle (20206) $1,859.97 $3,647 0.8×
Biopsy of floor of mouth (41108) $3,375.69 $6,619 1.4×
Biopsy of liver, needle; percutaneous (47000) $2,971.26 $5,826 1.3×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $2,609.16 $5,116 0.5×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $4,363.05 $8,555 0.9×
Biopsy Salivary Gland Needle (42400) $843.03 $1,653 0.8×
Biopsy soft tissue back/flank deep (21925) $2,642.31 $5,181 1.1×
Biopsy soft tissue neck/thorax (21550) $3,375.69 $6,619 1.4×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $2,700.45 $5,295 1.2×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $3,066.63 $6,013 1.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,459.11 $2,861 1.1×
Bladder instillation anticarcinogenic agent (51720) $697.17 $1,367 0.7×
Bladder Irrigation (51700) $1,826.82 $3,582 5.1×
Bladder Scan (51798) $133.11 $261 1.6×
Blepharotomy drainage abscess eyelid (67700) $1,553.97 $3,047 3.4×
Blood Transfusion Service (36430) $2,041.02 $4,002 3.3×
Bone Marrow Biopsy (38221) $2,782.05 $5,455 1.2×
Bone Marrow; Aspiration Only (38220) $2,782.05 $5,455 1.2×
Bronchoscopy Clear Airways (31645) $6,790.65 $13,315 2.7×
Bronchoscopy Reclear Airway (31646) $5,223.42 $10,242 9.4×
Bronchoscopy W/Biopsy(S) (31625) $5,223.42 $10,242 2.1×
Bronchoscopy W/Removal Foreign Body (31635) $5,223.42 $10,242 2.1×
Bx breast 1st lesion mr imag (19085) $5,258.10 $10,310 2.2×
Bx breast 1st lesion strtctc (19081) $5,258.10 $10,310 2.2×
Bx breast 1st lesion us imag (19083) $5,258.10 $10,310 2.2×
Bx Cervix (57500) $1,583.55 $3,105 1.2×
Bx prostate transperineal ultrasound-guided (55709) $4,363.05 $8,555 0.9×
Bx prst8 tprn us w/MRI fus 1 (55710) $4,363.05 $8,555 0.9×
Bx prst8 trct us w/MRI fus 1 (55708) $4,363.05 $8,555 0.9×
Canthoplasty (67950) $5,341.74 $10,474 1.6×
Canthotomy Separate Procedure (67715) $5,341.74 $10,474 1.6×
Carpal Tunnel Surgery (64721) $4,046.34 $7,934 1.5×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines
$361.08–$431.46 $708–$846 varies
Cautery Cervix Electro/Thermal (57510) $6,364.29 $12,479 1.4×
Cessj Therapy Cath Removal (37214) $6,075.12 $11,912 1.4×
Change Cystostomy Tube Complicated (51710) $2,129.25 $4,175 2.2×
Change Cystostomy Tube Simple (51705) $2,007.87 $3,937 5.7×
Change of Windpipe Airway (31502)
range across 2 matching MRF lines
$757.35–$1,080.18 $1,485–$2,118 varies
Chemical Cautery Tissue (17250) $860.88 $1,688 3.0×
Chemical Pleurodesis (32560) $1,171.47 $2,297 1.3×
Chest tube placement (32551)
range across 2 matching MRF lines
$2,157.81–$4,136.61 $4,231–$8,111 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $6,751.38 $13,238 1.3×
Circumcision w/clamp/oth dev w/block (54150) $2,956.98 $5,798 1.0×
Cl Tx Scapular Fx; W Manip (23575) $3,229.32 $6,332 1.4×
Cl Tx Tib Shft Fx W Manip (27752) $2,809.08 $5,508 1.2×
Clear outer ear canal (69200) $1,145.97 $2,247 6.1×
Closed Rx Metacarpal Fx,Percut (26608) $6,559.11 $12,861 1.4×
Closed Rx Spontaneous Hip Disloc (27256) $466.14 $914 1.3×
Closed rx talotarsal disloc,anesth (28575) $6,700.38 $13,138 1.4×
Closed Treat Vert Body Fract (22310) $456.45 $895 1.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $466.14 $914 1.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,958.91 $3,841 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $466.14 $914 1.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $466.14 $914 1.3×
Closed Treatment Sesamoid Fracture (28530) $466.14 $914 1.3×
Closed Treatment Sternum Fracture (21820) $456.45 $895 1.3×
Closed Treatment Ulnar Styloid Fracture (25650) $466.14 $914 1.3×
Closed tx ankle dislocation w/o anesthesia (27840) $1,145.97 $2,247 3.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,018.69 $5,919 1.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,019.49 $1,999 2.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $466.14 $914 1.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $466.14 $914 1.3×
Closed tx carpal scaphoid fracture w/manj (25624) $1,958.91 $3,841 0.9×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $466.14 $914 1.3×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,601.40 $3,140 0.7×
Closed tx femoral fracture prox head w/o manj (27267) $6,559.11 $12,861 1.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $466.14 $914 1.3×
Closed tx fx orbit except blowout w/manipulation (21401) $3,124.77 $6,127 1.4×
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,161.49 $6,199 1.4×
Closed tx knee dislocation w/o anesthesia (27550) $466.14 $914 1.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $4,007.58 $7,858 1.8×
Closed tx mandibular fracture w/manipulation (21451) $3,124.77 $6,127 1.4×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,028.67 $2,017 1.3×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $12,019.68 $23,568 1.4×
Closed tx metatarsal fracture w/o manipulation (28470) $466.14 $914 1.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,007.58 $7,858 1.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,478.71 $6,821 1.6×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $6,404.07 $12,557 1.4×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $6,268.92 $12,292 1.3×
Closed tx patellar dislocation w/anesthesia (27562) $6,781.98 $13,298 19.4×
Closed tx patellar dislocation w/o anesthesia (27560) $1,145.97 $2,247 3.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $466.14 $914 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $3,446.58 $6,758 1.5×
Closed tx radial head/neck fx w/o manipulation (24650) $466.14 $914 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $2,296.02 $4,502 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $466.14 $914 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,077.23 $4,073 0.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $466.14 $914 1.3×
Closed Tx Scapular Fracture W/O Manipulation (23570) $466.14 $914 1.3×
Closed tx septal&nose fx (21337) $6,404.07 $12,557 1.4×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $466.14 $914 1.3×
Closed tx talotarsal joint dislc w/o anes (28570) $466.14 $914 1.3×
Closed Tx Talus Fracture W/Manipulation (28435) $2,077.23 $4,073 0.9×
Closed tx talus fracture w/o manipulation (28430) $466.14 $914 1.3×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $466.14 $914 1.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $466.14 $914 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,616.19 $3,169 4.6×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,077.23 $4,073 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $466.14 $914 1.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $466.14 $914 1.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $468.18 $918 1.4×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,028.67 $2,017 1.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $466.14 $914 1.3×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $466.14 $914 1.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $3,229.32 $6,332 1.4×
Clsd tx clavicular fracture w/o manipulation (23500) $466.14 $914 1.3×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,028.67 $2,017 1.3×
Clsd Tx Pelvic Ring Fx (27198) $466.14 $914 1.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $466.14 $914 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $6,781.98 $13,298 3.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,145.97 $2,247 3.3×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $3,229.32 $6,332 1.4×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $456.45 $895 1.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,229.32 $6,332 1.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,077.23 $4,073 0.9×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $466.14 $914 1.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $3,229.32 $6,332 1.4×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $466.14 $914 1.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,145.97 $2,247 3.3×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $3,229.32 $6,332 1.4×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $466.14 $914 1.3×
Cltx dstl fibular fx lat malls w/manj (27788) $1,145.97 $2,247 3.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $884.34 $1,734 2.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,145.97 $2,247 3.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,145.97 $2,247 3.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $956.25 $1,875 2.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,435.25 $4,775 1.1×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $3,229.32 $6,332 1.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,947.80 $5,780 1.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $466.14 $914 1.3×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $2,908.02 $5,702 1.3×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $466.14 $914 1.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,831.01 $5,551 1.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $466.14 $914 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $466.14 $914 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,145.97 $2,247 3.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $1,013.88 $1,988 2.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,809.08 $5,508 1.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $466.14 $914 1.3×
Cltx greater humeral tuberosity fx w/o manj (23620) $466.14 $914 1.3×
Cltx Greater Trochanteric Fx W/O Manj (27246) $466.14 $914 1.3×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $3,229.32 $6,332 1.4×
Cltx hip dislocation traumatic req anesthesia (27252) $3,161.49 $6,199 1.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,145.97 $2,247 3.3×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $466.14 $914 1.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,958.91 $3,841 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,958.91 $3,841 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $466.14 $914 1.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $3,229.32 $6,332 1.4×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,145.97 $2,247 2.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,145.97 $2,247 3.3×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,666.90 $7,190 1.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,554.48 $3,048 3.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,554.48 $3,048 4.4×
Cltx Med Ankle Fx W/Mnpj (27762) $2,809.08 $5,508 1.2×
Cltx Medial Ankle Fx (27760) $466.14 $914 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $1,145.97 $2,247 3.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $466.14 $914 1.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,229.32 $6,332 1.4×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,229.32 $6,332 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,145.97 $2,247 3.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $1,080.18 $2,118 3.1×
Cltx post hip arthrp dislc req anes (27266) $5,870.10 $11,510 2.6×
Cltx post hip arthrp dislc w/o anes (27265) $827.22 $1,622 2.4×
Cltx prox fibula/shft fx w/manj (27781) $4,007.58 $7,858 1.8×
Cltx prox fibula/shft fx w/o manj (27780) $466.14 $914 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,435.25 $4,775 1.1×
Cltx prox tibfib jt dislc req anes (27831) $6,700.38 $13,138 1.4×
Cltx prox tibfib jt dislc w/o anes (27830) $466.14 $914 1.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $466.14 $914 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,554.48 $3,048 4.4×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,613.75 $5,125 1.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $3,229.32 $6,332 1.4×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,077.23 $4,073 0.9×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,958.91 $3,841 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $466.14 $914 1.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $3,161.49 $6,199 1.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $456.45 $895 1.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $6,700.38 $13,138 1.4×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $466.14 $914 1.3×
Cltx tibial fx proximal w/o manipulation (27530) $1,145.97 $2,247 3.3×
Cltx tibial shaft fx w/o manipulation (27750) $466.14 $914 1.3×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $466.14 $914 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,018.69 $5,919 1.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $466.14 $914 1.3×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $6,559.11 $12,861 1.4×
Collect Blood From Catheter Venous Nos (36592) $661.98 $1,298 3.5×
Collection of venous blood by venipuncture (36415) $15.81 $31 1.7×
Colpocentesis (57020) $10,433.58 $20,458 1.5×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $6,230.16 $12,216 1.4×
Colporrhaphy (57200) $5,553.39 $10,889 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $519.18 $1,018 1.8×
Colposcopy of vulva (56820) $400.86 $786 1.4×
Colpotomy; with drainage of pelvic abscess (57010) $6,230.16 $12,216 1.4×
Colpotomy; with exploration (57000) $6,230.16 $12,216 1.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,101.71 $4,121 1.2×
Complex drainage wound (10180) $5,815.02 $11,402 1.4×
Composite Skin Graft (15760) $3,803.07 $7,457 1.3×
Control Nasal Hemorrhage Anterior Complex (30903) $1,145.97 $2,247 6.1×
Control Nasal Hemorrhage Anterior Simple (30901) $1,145.97 $2,247 6.1×
Control oropharyngeal hemorrhage simple (42960) $1,028.67 $2,017 1.3×
Conversion ext bil drg cath (47535) $7,805.04 $15,304 1.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines
$2,602.53–$3,375.69 $5,103–$6,619 varies
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $7,062.48 $13,848 1.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $6,700.38 $13,138 1.4×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $6,700.38 $13,138 1.4×
Csf shunt reprogram (62252) $609.96 $1,196 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $1,145.97 $2,247 6.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,145.97 $2,247 3.4×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $6,268.92 $12,292 1.3×
Curettage postpartum (59160)
range across 2 matching MRF lines
$4,676.19–$6,230.16 $9,169–$12,216 varies
Curette/treat cornea (65435) $2,205.24 $4,324 1.6×
Cysto Bladder W/Ureteral Catheterization (52005) $5,399.88 $10,588 1.8×
Cysto calibration dilat urtl strix/stenosis (52281) $8,297.70 $16,270 2.8×
Cysto w/destruction of lesions (52214) $9,328.92 $18,292 1.9×
Cysto w/irrig & evac multple obstructing clots (52001) $9,328.92 $18,292 1.9×
Cysto W/Simple Removal Stone & Stent (52310) $6,023.61 $11,811 2.0×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $9,328.92 $18,292 1.9×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $9,328.92 $18,292 1.9×
Cystostomy Cystotomy W/Drainage (51040) $5,395.80 $10,580 1.8×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $4,087.65 $8,015 1.4×
Cystourethroscopy (52000) $2,173.62 $4,262 2.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,308.15 $2,565 2.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,577.65 $7,015 0.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,461.15 $2,865 1.5×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,461.15 $2,865 1.5×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $6,700.38 $13,138 1.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines
$900.66–$910.35 $1,766–$1,785 varies
Debride nail 1-5 (11720) $129.54 $254 1.5×
Debride nail 6 or more (11721) $129.54 $254 1.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,404.25 $6,675 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,008.78 $1,978 1.7×
Declot vascular device (36593)
range across 2 matching MRF lines
$2,037.96–$2,152.20 $3,996–$4,220 varies
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $6,700.38 $13,138 1.4×
Decompressive fasciotomy hand (26037) $6,559.11 $12,861 1.4×
Delivery of placenta (59414)
range across 2 matching MRF lines
$5,687.01–$6,364.29 $11,151–$12,479 varies
Derma-fat-fascia graft (15770) $7,168.56 $14,056 1.4×
Destruct B9 Lesion 1-14 (17110) $406.98 $798 1.4×
Destruction of skin lesions (17106) $839.97 $1,647 1.5×
Destruction premalignant lesion 1st (17000) $406.98 $798 1.4×
Destruction Vaginal Lesions Simple (57061) $6,055.74 $11,874 1.3×
Diagnostic anoscopy (46601) $999.60 $1,960 1.6×
Diagnostic sigmoidoscopy (45330) $1,612.62 $3,162 1.2×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $327.93 $643 1.8×
Dilate Urethra Stricture (53620) $1,408.11 $2,761 1.4×
Dilate Urethra Stricture (53600) $1,523.88 $2,988 4.3×
Dilation & curettage dx&/ther nonobstetric (58120) $6,364.29 $12,479 1.4×
Drain Cerebro Spinal Fluid (62272) $1,326.51 $2,601 1.3×
Drain Hand Tendon Sheath (26020) $6,700.38 $13,138 1.4×
Drain penis lesion (54015) $3,375.69 $6,619 1.4×
Drain/inj small joint/bursa w/us (20604) $2,007.36 $3,936 4.6×
Drainage abscess parotid simple (42300) $3,124.77 $6,127 1.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,028.67 $2,017 1.3×
Drainage external auditory canal abscess (69020) $1,916.07 $3,757 1.9×
Drainage external ear abscess/hematoma cmplx (69005) $2,138.43 $4,193 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,554.48 $3,048 1.5×
Drainage Finger Abscess Complicated (26011) $5,847.15 $11,465 2.5×
Drainage Mouth Roof Lesion (42000) $468.18 $918 1.4×
Drainage of eye (65800) $5,456.49 $10,699 1.7×
Drainage of finger abscess simple (26010) $828.24 $1,624 2.9×
Drainage of gum lesion (41800) $1,554.48 $3,048 8.2×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$3,889.77–$7,008.93 $7,627–$13,743 varies
Drainage of mouth lesion (41017) $6,404.07 $12,557 1.4×
Drainage of nose lesion (30000) $468.18 $918 1.4×
Drainage of rectal abscess (45005) $2,437.80 $4,780 1.4×
Drainage of salivary gland (42320) $1,028.67 $2,017 1.3×
Drainage of salivary gland (42305) $6,404.07 $12,557 1.4×
Drainage of scrotal wall abscess (55100) $7,008.93 $13,743 3.0×
Drainage of scrotum (54700) $8,986.20 $17,620 3.0×
Drainage of skene's gland abscess or cyst (53060) $4,175.37 $8,187 1.4×
Draw Blood Off Venous Device (36591) $827.22 $1,622 4.4×
Dressing Change Under Anesthesia (15852) $1,308.15 $2,565 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,145.97 $2,247 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,145.97 $2,247 1.1×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $1,028.67 $2,017 1.3×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $5,815.02 $11,402 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,826.82 $3,582 3.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,826.82 $3,582 6.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $1,554.48 $3,048 5.5×
Dstrj Lesion Anus Simple Chemical (46900) $839.97 $1,647 1.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,157.81 $4,231 1.7×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,918.62 $3,762 1.5×
Dx Bone Marrow Bx & Aspir (38222) $5,139.78 $10,078 1.2×
Dx Bronchoscope/Lavage (31624) $6,790.65 $13,315 2.7×
Dx Bronchoscope/Wash (31622) $4,986.78 $9,778 2.0×
Dx gastr intub w/asp spec (43754) $630.87 $1,237 2.1×
Dx gastr intub w/asp specs (43755) $327.93 $643 1.8×
Dx Laryngoscopy Excl Nb (31525) $7,875.42 $15,442 3.1×
Dx laryngoscopy w/oper scope (31526) $4,653.75 $9,125 1.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,900.77 $3,727 1.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,903.54 $7,654 1.4×
Egd Flexible Foreign Body Removal (43247) $1,601.91 $3,141 1.2×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,379.77 $6,627 1.2×
Egd place gastrostomy tube (43246) $3,379.77 $6,627 1.2×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $622.71 $1,221 1.4×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $7,978.95 $15,645 1.0×
Endometrial Biopsy (58100) $400.86 $786 1.4×
Epidural Blood Patch (62273) $3,132.42 $6,142 3.1×
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines
$5,621.73–$6,364.29 $11,023–$12,479 varies
Escharotomy; initial incision (16035) $839.97 $1,647 1.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,601.91 $3,141 1.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $3,035.52 $5,952 1.1×
Evacuation of subungual hematoma (11740) $1,145.97 $2,247 6.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,461.15 $2,865 1.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,375.69 $6,619 1.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,889.55 $3,705 1.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,889.55 $3,705 1.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,889.55 $3,705 1.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $3,375.69 $6,619 1.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $3,375.69 $6,619 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $3,375.69 $6,619 1.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $3,375.69 $6,619 3.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $3,375.69 $6,619 1.4×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $6,404.07 $12,557 1.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,461.15 $2,865 1.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,375.69 $6,619 1.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $5,815.02 $11,402 1.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,375.69 $6,619 1.4×
Exc Skin Benig >4cm Face,Facial (11446) $5,815.02 $11,402 1.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $9,581.37 $18,787 5.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,461.15 $2,865 2.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,461.15 $2,865 1.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,375.69 $6,619 1.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $3,375.69 $6,619 1.4×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines
$6,751.38–$7,805.04 $13,238–$15,304 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,882.12 $7,612 1.3×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,837.75 $7,525 1.4×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,124.77 $6,127 1.4×
Excision Chalazion Single (67800) $669.12 $1,312 1.5×
Excision Excessive Skin & Subq Tissue Other Area (15839) $5,692.11 $11,161 1.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,461.15 $2,865 1.5×
Excision Multiple External Papillae/Tags Anus (46230) $5,783.91 $11,341 1.5×
Excision of bartholin's gland or cyst (56740) $6,364.29 $12,479 1.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $3,229.32 $6,332 1.4×
Excision of pilonidal cyst or sinus; simple (11770) $5,815.02 $11,402 1.4×
Excision of vaginal cyst or tumor (57135) $6,230.16 $12,216 1.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $5,815.02 $11,402 1.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $5,815.02 $11,402 1.4×
Excision soft tissue lesion, external auditory canal (69145) $5,815.02 $11,402 1.4×
Expl penetrating wound spx abdomen/flank/back (20102) $6,535.65 $12,815 2.2×
Explo/Drain Breast Abscess (19020) $3,375.69 $6,619 1.4×
Exploration of knee joint (27310) $6,700.38 $13,138 1.4×
Exploration penetrating wound spx chest (20101) $3,885.18 $7,618 1.3×
Exploration penetrating wound spx extremity (20103) $3,539.91 $6,941 1.5×
Exploration Penetrating Wound Spx Neck (20100) $1,028.67 $2,017 1.3×
External cephalic version (59412)
range across 2 matching MRF lines
$5,567.16–$6,230.16 $10,916–$12,216 varies
Fetal Contraction Stress Test (59020) $400.86 $786 1.4×
Fetal non-stress test (59025) $2,086.41 $4,091 7.3×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $3,885.18 $7,618 1.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $3,269.10 $6,410 3.3×
Fine needle aspiration without imaging guidance (10021) $936.87 $1,837 1.6×
Fluid Pressure Muscle (20950) $1,461.15 $2,865 1.5×
Fluoro exam of g/colon tube (49465) $512.55 $1,005 1.5×
Fna bx w/us gdn 1st les (10005) $1,572.84 $3,084 1.6×
Forehead flap w/vasc pedicle (15731) $7,168.56 $14,056 1.4×
Foreskin manipulation (54450) $1,372.92 $2,692 3.9×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,803.07 $7,457 1.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,803.07 $7,457 1.3×
Fusion Finger Joint (26860) $6,700.38 $13,138 1.4×
Fusion of hand bones (25820) $14,889.45 $29,195 1.4×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines
$1,332.63–$1,461.15 $2,613–$2,865 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,783.91 $11,341 1.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $5,783.91 $11,341 1.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,870.68 $3,668 1.4×
Hemorrhoidopexy by stapling (46947) $5,783.91 $11,341 1.5×
Hymenotomy Simple Incision (56442) $6,230.16 $12,216 1.4×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $6,404.07 $12,557 1.4×
I&d abscess peritonsillar (42700) $1,826.82 $3,582 5.4×
I&d abscess simple (10060) $1,554.48 $3,048 5.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $5,815.02 $11,402 1.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $5,815.02 $11,402 1.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $6,700.38 $13,138 1.4×
I&D Intramural Im/Absc Transanal Anes (46045) $5,783.40 $11,340 1.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $6,700.38 $13,138 1.4×
I&d perianal abscess superficial (46050) $7,008.93 $13,743 5.3×
I&d pilonidal cyst complicated (10081) $6,609.60 $12,960 6.6×
I&d pilonidal cyst simple (10080) $1,554.48 $3,048 1.5×
I&d shoulder deep abscess/hematoma (23030) $5,815.02 $11,402 1.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $5,815.02 $11,402 1.4×
I&d vaginal hematoma obstetrical/postpartum (57022) $5,815.02 $11,402 1.4×
Icd Pocket Revision (33223) $2,730.03 $5,353 0.9×
Image Cath Fluid Colxn Visc (49405) $2,197.59 $4,309 0.9×
Image Cath Fluid Peri/Retro (49406) $2,712.18 $5,318 1.2×
Incise external hemorrhoid (46083) $1,826.82 $3,582 5.1×
Incise flexor carpi radialis (25001) $6,700.38 $13,138 1.4×
Incise/Drain Conjunctiva (68020) $2,296.02 $4,502 1.6×
Incision & drainage abscess complicated/multiple (10061) $2,060.91 $4,041 3.6×
Incision & drainage leg/ankle abscess/hematoma (27603) $5,815.02 $11,402 1.4×
Incision & drainage leg/ankle infected bursa (27604) $6,559.11 $12,861 1.4×
Incision & removal foreign body subq tiss compl (10121) $3,375.69 $6,619 1.4×
Incision & removal foreign body subq tiss simple (10120) $1,554.48 $3,048 2.7×
Incision and drainage of bartholin's gland abscess (56420) $1,145.97 $2,247 4.0×
Incision and drainage of the tear gland (68400) $2,205.24 $4,324 1.6×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $5,815.02 $11,402 1.4×
Incision and drainage of vulva or perineal abscess (56405) $1,616.19 $3,169 3.7×
Incision extensor tendon sheath wrist (25000) $3,229.32 $6,332 1.4×
Incision of eardrum (69420) $468.18 $918 1.4×
Incision of lingual frenum (frenotomy) (41010) $2,932.50 $5,750 1.3×
Incision of rectal abscess (46040) $8,986.20 $17,620 5.3×
Incision of urethra (53020) $4,175.37 $8,187 1.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $3,304.29 $6,479 1.4×
Incisional biopsy skin single lesion (11106) $1,308.15 $2,565 1.2×
Induced abortion dilation and curettage (59840) $6,364.29 $12,479 1.4×
Initial Tx 1st Degree Burn Local Tx (16000) $1,145.97 $2,247 4.0×
Inj W/Fluor Eval Cv Device (36598) $643.11 $1,261 2.1×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,918.62 $3,762 1.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $6,021.06 $11,806 4.8×
Inject Intravitreal Pharmcologic (67028) $840.99 $1,649 1.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $612.51 $1,201 1.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,918.62 $3,762 1.5×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,918.62 $3,762 1.5×
Injection aa&/strd genicular nrv branches w/img (64454) $1,450.44 $2,844 1.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,918.62 $3,762 1.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,450.44 $2,844 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,450.44 $2,844 1.4×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,918.62 $3,762 1.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $612.51 $1,201 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $3,049.29 $5,979 2.4×
Injection for identification of sentinel node (38792) $817.02 $1,602 1.4×
Injection Into Brain Canal (61055) $447.78 $878 1.0×
Injection of sclerosing solution, hemorrhoids (46500) $1,700.85 $3,335 1.3×
Injection single tendon origin/insertion (20551) $612.51 $1,201 1.4×
Injection single/mlt trigger point 1/2 muscles (20552) $1,826.82 $3,582 4.2×
Injection single/mlt trigger point 3/> muscles (20553) $1,826.82 $3,582 4.2×
Injection therapeutic carpal tunnel (20526) $612.51 $1,201 1.4×
Injection, anesthetic agent; brachial plexus, single (64415) $1,621.29 $3,179 1.3×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$1,004.19–$1,889.55 $1,969–$3,705 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,553.97 $3,047 1.6×
Injection, intralesional; up to and including 7 lesions (11900) $406.98 $798 1.4×
Injx Anterior Chamber Eye Medication Spx (66030) $5,456.49 $10,699 1.7×
Ins cath ren art 1st bilat (36252) $13,927.59 $27,309 3.1×
Ins cath ren art 1st unilat (36251) $9,104.52 $17,852 2.0×
Ins cath ren art 2nd+ unilat (36253) $12,411.36 $24,336 1.6×
Ins endovas vena cava filtr (37191) $10,120.44 $19,844 1.3×
Insert 1 Electrode Pm-Defib (33216) $11,834.04 $23,204 1.0×
Insert and remove bone pin (20650) $6,700.38 $13,138 1.4×
Insert Bladder Cath Complex (51703) $1,461.66 $2,866 8.0×
Insert cath pleura w/ image (32557) $4,162.11 $8,161 1.9×
Insert cath pleura w/o image (32556) $4,072.35 $7,985 1.5×
Insert cervical dilator (59200) $1,771.23 $3,473 4.1×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines
$2,816.73–$3,920.37 $5,523–$7,687 varies
Insert Heart Pm Atrial (33206) $19,382.04 $38,004 1.3×
Insert Heart Pm Ventricular (33207) $19,382.04 $38,004 1.3×
Insert non-tunnel cv cath (36556) $4,328.37 $8,487 1.0×
Insert Pacing Lead & Connect (33224) $33,111.75 $64,925 2.2×
Insert pessary/other device (57160) $400.86 $786 1.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines
$3,321.63–$3,349.68 $6,513–$6,568 varies
Insert prost urethral stent (53855) $4,175.37 $8,187 1.4×
Insert pulse gen dual leads (33213) $23,962.86 $46,986 1.6×
Insert pulse gen mult leads (33221) $23,962.86 $46,986 0.9×
Insert Pulse Gen Sngl Lead (33212) $21,783.63 $42,713 1.9×
Insert Temp Bladder Cath (51702) $1,297.44 $2,544 6.9×
Insert tunneled cv cath (36561) $6,705.99 $13,149 1.5×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 2 matching MRF lines
$10,338.21–$11,569.86 $20,271–$22,686 varies
Insert,Non-Indwelling Bladder Catheter (51701) $1,145.97 $2,247 6.1×
Insertion indwelling tunneled pleural catheter (32550) $7,972.83 $15,633 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines
$3,449.64–$5,483.01 $6,764–$10,751 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $14,083.14 $27,614 1.2×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $7,805.04 $15,304 1.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $6,205.68 $12,168 1.4×
Insj Picc Rs&I <5 Yr (36572) $2,270.52 $4,452 2.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $6,205.68 $12,168 1.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines
$2,061.93–$5,483.01 $4,043–$10,751 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines
$4,321.74–$6,705.99 $8,474–$13,149 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $72,027.81 $141,231 1.6×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines
$11,834.04–$15,840.09 $23,204–$31,059 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
range across 2 matching MRF lines
$15,247.47–$15,840.09 $29,897–$31,059 varies
Insrt heart pm atrial & vent (33208) $22,043.73 $43,223 1.5×
Insrt Pulse Gen W/Dual Leads (33230) $58,773.42 $115,242 1.9×
Insrt Pulse Gen W/Mult Leads (33231) $58,773.42 $115,242 1.3×
Insrt Pulse Gen W/Singl Lead (33240) $40,281.84 $78,984 1.3×
Int hrhc by ligation single hroid w/o img gdn (46945) $5,783.91 $11,341 1.5×
Interdental fixation (21110) $3,124.77 $6,127 1.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,826.82 $3,582 3.2×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,826.82 $3,582 3.2×
Intranasal Biopsy (30100) $3,124.77 $6,127 1.4×
Intraoral i&d tongue/floor lingual (41000) $1,028.67 $2,017 1.3×
Intraoral i&d tongue/floor sublngl supfc (41005) $468.18 $918 1.4×
Intraoral i&d tongue/floor submental space (41007) $3,124.77 $6,127 1.4×
Intraoral i&d tongue/floor submndblr space (41008) $6,404.07 $12,557 1.4×
Intro cath dialysis circuit (36901) $2,628.03 $5,153 1.2×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,771.57 $36,807 1.1×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $9,262.62 $18,162 1.1×
Intro Gastrointestinal Tube (44500)
range across 2 matching MRF lines
$1,156.17–$1,858.44 $2,267–$3,644 varies
Intubation endotracheal emergency procedure (31500) $1,157.19 $2,269 3.4×
Irrigation of corpora cavernosa for priapism (54220) $1,616.19 $3,169 4.6×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $11,485.20 $22,520 1.3×
Laryngoscopy diagnostic (31505) $520.71 $1,021 1.8×
Laryngoscopy flexible diagnostic (31575) $1,014.39 $1,989 3.6×
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $9,704.28 $19,028 1.8×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $4,653.75 $9,125 1.8×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,097.52 $2,152 2.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $520.71 $1,021 1.8×
Laryngoscopy W/Foreign Body Removal (31530) $4,653.75 $9,125 1.8×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,097.52 $2,152 2.0×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $1,097.52 $2,152 2.0×
Late closure of wound (13160) $3,885.18 $7,618 0.8×
Lateral Canthopexy (21282) $6,268.92 $12,292 1.3×
Ligation Of Neck Artery (37615) $5,780.85 $11,335 1.3×
Ligation or biopsy temporal artery (37609) $3,375.69 $6,619 1.4×
Lrt iad 18bct/8vir&7arg RNA (0528U) $4,020.84 $7,884 6.3×
Lyse chest fibrin init day (32561) $2,341.92 $4,592 2.6×
Lyse Chest Fibrin Subq Day (32562) $1,817.64 $3,564 2.0×
Manipulation Elbow Under Anesthesia (24300) $3,229.32 $6,332 1.4×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines
$2,507.16–$3,229.32 $4,916–$6,332 varies
Manipulation tmj therapeutic require anesthesia (21073) $3,058.98 $5,998 1.4×
Manipulation wrist under anesthesia (25259) $3,229.32 $6,332 1.4×
Marsupialization of bartholin's gland cyst (56440) $6,364.29 $12,479 1.4×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $5,341.74 $10,474 1.6×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $7,168.56 $14,056 1.4×
Myelography Lumbar Injection (62304) $2,758.08 $5,408 2.5×
Myelography via lumbar injection rs&i cervical (62302) $1,162.29 $2,279 1.0×
N Block Inj Celiac Pelus (64530) $1,918.62 $3,762 1.5×
N Block Inj Ilio-Ing/Hypogi (64425) $1,450.44 $2,844 1.4×
N block inj intercost sng (64420) $1,450.44 $2,844 1.4×
N Block Inj Plantar Digit (64455) $1,294.38 $2,538 3.0×
N Block Inj Pudendal (64430) $2,962.59 $5,809 2.4×
Nasal Endoscopy Dx (31231) $520.71 $1,021 1.8×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$470.73–$850.17 $923–$1,667 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $4,653.75 $9,125 1.8×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $18,008.61 $35,311 1.8×
Needle Biopsy Lymph Nodes (38505) $3,050.82 $5,982 1.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $56.10 $110 1.4×
Needle insertion w/o injection 3 or more muscles (20561) $56.10 $110 1.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,095.48 $2,148 2.6×
Njx anes stellate ganglion crv sympathetic (64510) $1,918.62 $3,762 1.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,826.82 $3,582 4.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,794.40 $7,440 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $3,624.57 $7,107 2.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,624.57 $7,107 3.6×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,450.44 $2,844 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines
$1,323.45–$1,918.62 $2,595–$3,762 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $3,624.57 $7,107 3.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,115.37 $2,187 1.1×
Obstructive material removal from gi tube (49460) $1,819.17 $3,567 1.4×
Occipital Nerve Block (64405) $1,879.35 $3,685 4.3×
Open Treatment Bimalleolar Ankle Fracture (27814) $14,575.80 $28,580 1.4×
Open Treatment Fracture Distal Tibia & Fibula (27828) $28,751.76 $56,376 1.6×
Open treatment fracture distal tibia only (27827) $28,751.76 $56,376 1.6×
Open treatment interphalangeal joint dislocation (28675) $6,559.11 $12,861 1.4×
Open Treatment Lunate Dislocation (25695) $14,889.45 $29,195 1.4×
Open Treatment Medial Malleolus Fracture (27766) $14,889.45 $29,195 1.4×
Open treatment metatarsal fracture each (28485) $14,889.45 $29,195 1.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $14,889.45 $29,195 1.4×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $11,766.21 $23,071 1.4×
Open treatment of nasal fracture; uncomplicated Facility (21325) $6,404.07 $12,557 1.4×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $6,559.11 $12,861 1.4×
Open Treatment of Ulnar Shaft Fracture (25545) $14,889.45 $29,195 1.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $14,889.45 $29,195 1.4×
Open Treatment Proximal Humeral Fracture (23615) $28,751.76 $56,376 1.6×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $6,700.38 $13,138 1.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $14,889.45 $29,195 1.4×
Open Tx Distal Phalangeal Fracture Each (26765) $6,700.38 $13,138 1.4×
Open Tx Distal Tibiofibular Joint Disruption (27829) $14,575.80 $28,580 1.4×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $6,700.38 $13,138 1.4×
Open tx humeral supracondylar fracture w/o xtn (24545) $28,751.76 $56,376 1.6×
Open tx interphalangeal joint dislocation (26785) $6,700.38 $13,138 1.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $6,559.11 $12,861 1.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $6,700.38 $13,138 1.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $14,575.80 $28,580 1.4×
Open/Perq Place Stent 1St (37236) $13,876.59 $27,209 0.8×
Open/Perq Place Stent Same (37238) $13,876.59 $27,209 0.8×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $14,575.80 $28,580 1.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $14,575.80 $28,580 1.4×
Orbital implant removal/revision (67560) $8,831.16 $17,316 1.6×
Orchiopexy Ingun/Scrot Appr (54640) $7,805.04 $15,304 1.5×
Osteotomy Phalanx Finger Each (26567) $6,700.38 $13,138 1.4×
Partial Excision Distal Phalanx Finger (26236) $3,229.32 $6,332 1.4×
Partial Excision Proximal/Middle Phalanx Finger (26235) $3,229.32 $6,332 1.4×
Partial hymenectomy or revision of hymenal ring (56700) $6,230.16 $12,216 1.4×
Partial removal of toe (28160) $6,700.38 $13,138 1.4×
Partical Excision Bone Phalanx Toe (28124) $6,559.11 $12,861 1.4×
Pelvic examination under anesthesia (other than local) (57410) $6,364.29 $12,479 1.4×
Penile Injection (54235) $570.18 $1,118 1.6×
Percut Drain/Inject Renal Cyst (50390) $2,637.72 $5,172 2.6×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $6,700.38 $13,138 1.4×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines
$2,628.03–$2,887.62 $5,153–$5,662 varies
Peritoneal Lavage (49084) $1,717.17 $3,367 1.3×
Perq av fistula creation uxtr single access (36836) $25,456.65 $49,915 1.0×
Perq Cervicothoracic Inject (22510) $6,559.11 $12,861 1.4×
Perq dev breast 1st mr guide (19287) $3,773.49 $7,399 3.8×
Perq dev breast 1st strtctc (19283) $3,487.38 $6,838 3.5×
Perq dev breast 1st us imag (19285) $3,773.49 $7,399 3.8×
Perq device breast 1st imag (19281) $2,628.54 $5,154 1.1×
Perq Lumbosacral Injection (22511) $6,559.11 $12,861 1.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $6,138.87 $12,037 1.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $18,771.57 $36,807 1.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $9,262.62 $18,162 1.1×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines
$1,080.18–$1,145.97 $2,118–$2,247 varies
Placement of seton (46020) $5,783.91 $11,341 1.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,734.11 $5,361 0.9×
Plmt Nephroureteral Catheter (50433) $3,892.32 $7,632 0.8×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $5,451.39 $10,689 1.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $6,056.76 $11,876 1.2×
Prim art mech thrombectomy (37184) $21,315.96 $41,796 0.8×
Probe lacrimal canaliculi w/wo irrigation (68840) $669.12 $1,312 1.5×
Proctopexy Perineal Approach (45541) $5,662.02 $11,102 1.4×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,612.62 $3,162 1.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $4,986.27 $9,777 1.3×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,941.57 $3,807 1.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $6,896.73 $13,523 1.4×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $6,700.38 $13,138 1.4×
Prq skel fixj femoral fx prox end neck (27235) $14,575.80 $28,580 1.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $10,741.62 $21,062 1.0×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $14,575.80 $28,580 1.4×
Pseudoaneurysm Injection Trt (36002) $1,009.80 $1,980 1.1×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines
$749.70–$839.97 $1,470–$1,647 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,554.48 $3,048 2.7×
Puncture Aspiration Cyst Breast (19000) $1,049.07 $2,057 1.0×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,348.95 $2,645 1.3×
Push Transfusion Blood 2 Yr/Under (36440) $918 $1,800 1.5×
Rdctj torsion tstis w/wo fixj clat testis (54600) $7,062.48 $13,848 1.4×
Reconstruct Finger Joint (26548) $6,559.11 $12,861 1.4×
Reconstruction Nail Bed W/Graft (11762) $3,885.18 $7,618 1.3×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $6,700.38 $13,138 1.4×
Reduction of rectal prolapse (45900) $1,870.68 $3,668 1.4×
Release of big toe (28240) $6,700.38 $13,138 1.4×
Relocation Pocket Pacemaker (33222) $11,834.04 $23,204 4.0×
Rem Endovas Vena Cava Filter (37193) $10,316.79 $20,229 2.3×
Removal Anal Seton Other Marker (46030) $2,437.80 $4,780 1.4×
Removal Embedded Foreign Body Eyelid (67938) $1,808.46 $3,546 4.0×
Removal Foreign Body Deep Thigh/Knee (27372) $4,245.24 $8,324 1.0×
Removal Foreign Body Foot Complicated (28193) $3,375.69 $6,619 1.4×
Removal foreign body foot deep (28192) $3,889.77 $7,627 1.7×
Removal Foreign Body Foot Subcutaneous (28190) $2,510.73 $4,923 2.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,220.03 $4,353 0.9×
Removal Foreign Body Pelvis/Hip Deep (27087) $6,603.48 $12,948 1.4×
Removal Foreign Body Scrotum (55120) $4,175.37 $8,187 1.4×
Removal foreign body upper arm/elbow deep (24201) $5,815.02 $11,402 1.4×
Removal foreign body, intranasal; requiring general anesthesia (30310) $6,404.07 $12,557 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $237.15 $465 2.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $1,145.97 $2,247 13.7×
Removal impacted vag fb spx w/anes oth/thn local (57415) $5,553.39 $10,889 1.2×
Removal Implant Deep (20680) $5,815.02 $11,402 1.4×
Removal Implant Superficial Separate Procedure (20670) $3,375.69 $6,619 1.4×
Removal implantable contraceptive capsules (11976) $1,461.15 $2,865 1.5×
Removal intact breast implant (19328) $7,575.54 $14,854 1.4×
Removal of foreign body from pharynx (42809) $1,145.97 $2,247 1.8×
Removal of implant from finger or hand (26320) $3,375.69 $6,619 1.4×
Removal of nail bed (11750) $2,464.83 $4,833 4.3×
Removal or bivalving full arm or full leg cast (29705) $540.09 $1,059 1.4×
Removal Pacemaker Electrode (33235) $6,435.18 $12,618 1.2×
Removal ppm generator only (33233) $15,247.47 $29,897 1.3×
Removal shoulder foreign body deep subfascial/im (23333) $5,815.02 $11,402 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $406.98 $798 1.4×
Removal subcutaneous cardiac rhythm monitor (33286) $2,226.66 $4,366 2.2×
Removal Sutures/Staples Requiring Anesthesia (15851) $3,885.18 $7,618 1.3×
Removal tong/halo applied by another individual (20665) $850.17 $1,667 1.3×
Removal, under anesthesia, of external fixation system (20694) $3,229.32 $6,332 1.4×
Removal/bivalving gauntlet boot/body cast (29700) $540.09 $1,059 1.4×
Remove Brain Cavity Fluid (61020) $1,653.93 $3,243 1.3×
Remove cerclage suture (59871) $6,364.29 $12,479 1.4×
Remove drug implant device (11982) $850.17 $1,667 1.3×
Remove Elctrd Transvenously (33244) $5,701.29 $11,179 1.1×
Remove Forearm Foreign Body (25248) $3,229.32 $6,332 1.4×
Remove foreign body from eye (65235) $5,455.98 $10,698 1.7×
Remove foreign body from eye (65205) $1,134.75 $2,225 6.0×
Remove Hand Bone Lesion (26200) $3,229.32 $6,332 1.4×
Remove Int Dwell Ureteral Stent Transurethral (50386) $4,087.65 $8,015 1.4×
Remove Intrauterine Device (58301) $1,145.97 $2,247 2.6×
Remove intrvas foreign body (37197) $6,809.01 $13,351 1.5×
Remove Lower Leg Bone Lesion (27635) $6,559.11 $12,861 1.4×
Remove lung catheter (32552)
range across 2 matching MRF lines
$928.71–$1,302.54 $1,821–$2,554 varies
Remove Nasal Foreign Body (30300) $1,145.97 $2,247 6.1×
Remove Peritoneal Foreign Body (49402) $7,805.04 $15,304 1.5×
Remove Pulse Generator (33241) $6,435.18 $12,618 1.2×
Remove renal tube w/fluoro (50389) $1,220.94 $2,394 1.2×
Remove Shoulder Foreign Body (23330) $3,375.69 $6,619 1.4×
Remove Tendon Sheath Lesion (26160) $3,229.32 $6,332 1.4×
Remove tissue expander (11971) $5,692.11 $11,161 1.4×
Remove&replace pm gen singl (33227) $26,472.06 $51,906 2.3×
Remv&replc cvd gen dual lead (33263) $58,773.42 $115,242 1.9×
Remv&replc cvd gen mult lead (33264) $58,773.42 $115,242 1.3×
Remv&replc cvd gen sing lead (33262) $58,773.42 $115,242 1.9×
Remv&replc pm gen dual lead (33228) $28,650.27 $56,177 1.9×
Remv&replc pm gen mult leads (33229) $28,650.27 $56,177 1.0×
Renal Biopsy Perq (50200) $2,180.76 $4,276 0.9×
Repair Achilles Tendon (27650) $14,575.80 $28,580 1.4×
Repair arm/leg nerve (64857) $13,614.96 $26,696 2.8×
Repair Blood Vessel Direct Hand Finger (35207) $6,373.98 $12,498 1.4×
Repair blood vessel direct neck (35201) $9,974.07 $19,557 1.3×
Repair Blood Vessel Direct Upper Extremity (35206) $3,778.59 $7,409 0.8×
Repair blood vessel lesion (35190) $9,974.07 $19,557 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $2,510.73 $4,923 2.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $3,132.42 $6,142 3.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $2,222.07 $4,357 3.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,222.07 $4,357 3.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,826.82 $3,582 3.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $2,222.07 $4,357 3.8×
Repair complex trunk 1.1-2.5 cm (13100) $1,308.15 $2,565 1.2×
Repair complex trunk 2.6-7.5 cm (13101) $3,132.42 $6,142 3.0×
Repair extensor tendon finger w/o graft each (26418) $7,192.02 $14,102 3.2×
Repair Extensor Tendon Hand W/Graft Each (26412) $6,700.38 $13,138 1.4×
Repair Eyelid Wound (67935) $5,341.74 $10,474 1.6×
Repair Finger Tendon (26433) $6,700.38 $13,138 1.4×
Repair Finger/Hand Tendon (26350) $6,700.38 $13,138 1.4×
Repair Hand Joint (26540) $6,700.38 $13,138 1.4×
Repair Hand Tendon (26410) $4,970.46 $9,746 2.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,826.82 $3,582 3.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,826.82 $3,582 3.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,826.82 $3,582 3.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,826.82 $3,582 3.2×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,826.82 $3,582 3.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,826.82 $3,582 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,826.82 $3,582 3.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,826.82 $3,582 3.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,826.82 $3,582 1.7×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $3,885.18 $7,618 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,826.82 $3,582 3.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,826.82 $3,582 3.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,826.82 $3,582 3.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $2,222.07 $4,357 2.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,826.82 $3,582 3.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $5,349.90 $10,490 1.8×
Repair intrinsic muscles hand each muscle (26591) $6,559.11 $12,861 1.4×
Repair Laceration Palate </2 Cm (42180) $1,028.67 $2,017 1.3×
Repair Laceration Palate >2 Cm/Complex (42182) $12,019.68 $23,568 1.4×
Repair lead pace-defib dual (33220) $7,975.38 $15,638 1.5×
Repair Lead Pace-Defib One (33218) $7,975.38 $15,638 1.5×
Repair of nail bed (11760) $1,826.82 $3,582 1.7×
Repair of rectum (45505) $5,783.91 $11,341 1.5×
Repair Spica/Body/Jacket Cast (29720) $328.44 $644 1.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $6,700.38 $13,138 1.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $14,889.45 $29,195 1.4×
Repair tongue laceration (41252) $2,577.03 $5,053 7.7×
Repair tongue laceration (41250) $1,826.82 $3,582 2.9×
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $9,974.07 $19,557 1.3×
Repair, primary, disrupted ligament, ankle; collateral (27695) $14,889.45 $29,195 1.4×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $14,889.45 $29,195 1.4×
Repair/graft achilles tendon (27652) $14,575.80 $28,580 1.4×
Replace duodenostomy/jejunostomy tube perq (49451) $1,858.44 $3,644 1.4×
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines
$1,379.04–$1,583.04 $2,704–$3,104 varies
Replace g/c tube perc (49450) $2,379.66 $4,666 1.8×
Replantation digit complete (20822) $3,161.49 $6,199 1.4×
Reposition Gastrostomy Tube (43761) $483.99 $949 1.4×
Reposition Pacing-Defib Lead (33215) $4,098.36 $8,036 0.9×
Revise finger joint each (26140) $3,229.32 $6,332 1.4×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $10,106.16 $19,816 1.3×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $10,106.16 $19,816 1.3×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $18,036.15 $35,365 0.7×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $18,036.15 $35,365 0.7×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $18,036.15 $35,365 0.7×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $18,036.15 $35,365 0.7×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $18,036.15 $35,365 1.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $18,036.15 $35,365 1.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $16,396.50 $32,150 2.0×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $16,396.50 $32,150 2.0×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $23,993.97 $47,047 1.5×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $23,993.97 $47,047 1.5×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $18,036.15 $35,365 1.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $18,036.15 $35,365 1.1×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $25,453.59 $49,909 1.0×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $25,453.59 $49,909 1.0×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $25,453.59 $49,909 1.0×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $25,453.59 $49,909 1.0×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $5,341.74 $10,474 1.6×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $3,124.77 $6,127 1.4×
Rmvl embedded fb vestibule mouth comp (40805) $1,858.44 $3,644 2.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,858.44 $3,644 1.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $3,375.69 $6,619 1.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,314.78 $2,578 2.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $1,134.75 $2,225 6.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $1,134.75 $2,225 1.8×
Rmvl fecal impaction/fb spx under anes (45915) $7,257.30 $14,230 4.3×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $3,124.77 $6,127 1.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $5,139.78 $10,078 1.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $5,815.02 $11,402 1.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,375.69 $6,619 1.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $3,961.17 $7,767 1.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $6,435.18 $12,618 1.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,349.68 $6,568 1.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines
$2,671.89–$3,653.64 $5,239–$7,164 varies
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $540.09 $1,059 1.4×
Rplc Gtube No Revj Trc (43762) $1,660.56 $3,256 4.7×
Rplc gtube revj gstrst trc (43763) $483.99 $949 1.4×
Rplcmt cath ctr vad subq port/pmp (36578) $6,705.99 $13,149 1.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines
$2,074.17–$3,349.68 $4,067–$6,568 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines
$2,061.93–$3,349.68 $4,043–$6,568 varies
Rplcmt compl tun ctr vad w/subq port (36582) $4,216.68 $8,268 0.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines
$5,450.37–$6,705.99 $10,687–$13,149 varies
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines
$1,162.80–$1,259.70 $2,280–$2,470 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $14,889.45 $29,195 1.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,145.97 $2,247 4.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,826.82 $3,582 1.7×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $453.90 $890 1.3×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $5,341.74 $10,474 1.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,028.67 $2,017 1.3×
Rpr Lip Full Thickness Vermilion Only (40650) $3,132.42 $6,142 4.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,132.42 $6,142 1.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $6,066.45 $11,895 1.3×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $8,986.20 $17,620 1.9×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $6,700.38 $13,138 1.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines
$911.88–$1,302.54 $1,788–$2,554 varies
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $8,831.16 $17,316 1.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $6,559.11 $12,861 1.4×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $6,700.38 $13,138 1.4×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $6,404.07 $12,557 1.4×
Shave skin lesion 0.5 cm/< (11300) $839.97 $1,647 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $406.98 $798 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $406.98 $798 1.4×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $6,404.07 $12,557 1.4×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,101.71 $4,121 1.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,145.97 $2,247 2.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $1,145.97 $2,247 4.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $1,145.97 $2,247 4.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,145.97 $2,247 2.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,145.97 $2,247 4.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,145.97 $2,247 4.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $1,145.97 $2,247 4.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,145.97 $2,247 4.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $1,145.97 $2,247 4.0×
Skin Full Grft Face/Genit/Hf (15240) $3,803.07 $7,457 1.3×
Skin Pinch Graft (15050) $1,308.15 $2,565 1.2×
Skin sub graft trnk/arm/leg (15271) $3,803.07 $7,457 3.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $6,040.95 $11,845 0.8×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $7,434.27 $14,577 0.9×
Slitting of prepuce (54001) $8,986.20 $17,620 3.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $1,145.97 $2,247 4.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,145.97 $2,247 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,145.97 $2,247 2.0×
Spinal puncture lumbar diagnostic (62270) $1,567.74 $3,074 1.6×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $7,168.56 $14,056 1.4×
Strapping ankle (29540) $1,080.18 $2,118 4.7×
Strapping elbow or wrist (29260) $129.54 $254 1.5×
Strapping hand/finger (29280) $129.54 $254 1.5×
Strapping Hip (29520) $261.63 $513 1.4×
Strapping knee (29530) $1,145.97 $2,247 6.1×
Strapping shoulder (29240) $1,145.97 $2,247 6.1×
Strapping thorax (29200) $328.44 $644 1.4×
Strapping toes (29550) $1,145.97 $2,247 13.7×
Strapping Unna Boot (29580) $442.17 $867 1.9×
Subconjunctival injection (68200) $954.21 $1,871 1.5×
Surg tx anal fistula subq (46270) $5,783.91 $11,341 1.5×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $5,783.91 $11,341 1.5×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $5,341.74 $10,474 1.6×
Suture digital nerve hand/foot 1 nerve (64831) $4,046.34 $7,934 1.5×
Suture infrapatellar tendon primary (27380) $14,889.45 $29,195 1.4×
Suture pharynx for wound or injury (42900) $3,124.77 $6,127 1.4×
Tangential biopsy skin single lesion (11102) $406.98 $798 0.7×
Tcat Insj/Rpl Perm Ldls Pm (33274) $24,293.85 $47,635 0.9×
Temporary Closure Eyelids Suture (67875) $1,964.52 $3,852 1.4×
Tenotomy extensor hand/finger open each tendon (26460) $3,229.32 $6,332 1.4×
Ther Apheresis,Red Blood Cells (36512) $2,872.32 $5,632 1.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $3,642.93 $7,143 3.6×
Therapeutic Apheresis White Blood Cells (36511) $2,956.98 $5,798 1.3×
Therapeutic plasma exchange (36514) $12,260.91 $24,041 5.5×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $9,974.07 $19,557 1.3×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $7,977.93 $15,643 1.0×
Thrmbc/Nfs Dialysis Circuit (36906) $30,013.50 $58,850 1.2×
Thromblytic art/ven therapy (37213) $6,075.12 $11,912 1.4×
Thrombolytic Art Therapy (37211) $10,120.44 $19,844 1.3×
Thrombolytic Therapy Stroke (37195) $678.81 $1,331 1.4×
Thrombolytic Venous Therapy (37212) $5,251.47 $10,297 1.2×
Thyroid biopsy (60100) $1,430.55 $2,805 1.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,803.07 $7,457 1.3×
Tooth extraction (41899) $5,847.66 $11,466 17.4×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $6,364.29 $12,479 1.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,330.59 $2,609 1.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,738.08 $3,408 5.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $3,058.98 $5,998 1.4×
Tracheostomy planned (31600)
range across 2 matching MRF lines
$5,805.84–$6,268.92 $11,384–$12,292 varies
Transrectal Drainage of Pelvic Abscess (45000) $2,437.80 $4,780 1.4×
Treat Ankle Dislocation (27846) $14,575.80 $28,580 1.4×
Treat Big Toe Fracture (28505) $6,700.38 $13,138 1.4×
Treat Dental Ridge Fracture (21440) $6,268.92 $12,292 1.3×
Treat dental ridge fracture (21445) $11,766.21 $23,071 1.4×
Treat Elbow Fracture (24635) $14,575.80 $28,580 1.4×
Treat Finger Fracture Each (26727) $6,700.38 $13,138 1.4×
Treat Fx Rad Extra-Articul (25607) $14,889.45 $29,195 1.4×
Treat Hip Socket Fracture (27222) $2,258.79 $4,429 6.4×
Treat humerus fracture (24500) $466.14 $914 1.3×
Treat Humerus Fracture (24505) $2,077.23 $4,073 0.9×
Treat humerus fracture (23600) $466.14 $914 1.3×
Treat knee fracture (27532) $5,646.21 $11,071 1.2×
Treat Knee Fracture(S) (27538) $466.14 $914 1.3×
Treat Knuckle Dislocation (26700) $1,145.97 $2,247 3.3×
Treat metacarpal fracture (26607) $6,700.38 $13,138 1.4×
Treat Metatarsal Fracture (28475) $466.14 $914 1.3×
Treat Tail Bone Fracture (27200) $466.14 $914 1.3×
Treat Thumb Dislocation (26641) $466.14 $914 1.3×
Treat Thumb Fracture (26645) $2,984.01 $5,851 1.3×
Treat toe dislocation (28630) $1,145.97 $2,247 3.3×
Treat Vaginal Bleeding (57180) $400.86 $786 1.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $6,781.98 $13,298 3.0×
Treatment closed elbow dislocation w/o anes (24600) $1,554.48 $3,048 4.4×
Treatment mouth roof lesion (42160) $6,404.07 $12,557 1.4×
Treatment of tibia fracture (27756) $14,575.80 $28,580 1.4×
Trim skin lesion (11055) $406.98 $798 1.4×
Trim skin lesions 2 to 4 (11056) $406.98 $798 1.4×
Trim skin lesions over 4 (11057) $406.98 $798 1.4×
Trimming Nondystrophic Nails Any Number (11719) $144.33 $283 1.7×
Trluml Balo Angiop 1St Art (37246) $9,262.62 $18,162 1.1×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $3,523.08 $6,908 1.4×
Tx Gastro Intub W/Asp (43753) $1,137.81 $2,231 3.7×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $28,751.76 $56,376 1.6×
Tx Incomplete Abortion Any Trimester Surgical (59812) $5,687.01 $11,151 1.2×
Tx Missed Abortion First Trimester Surgical (59820) $6,364.29 $12,479 1.4×
Tx Missed Abortion Second Trimester Surgical (59821) $6,364.29 $12,479 1.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $3,229.32 $6,332 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $2,510.73 $4,923 2.4×
Tx superficial wound dehiscence w/packing (12021) $839.97 $1,647 1.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,229.32 $6,332 1.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $466.14 $914 1.3×
Unlisted procedure anus (46999) $4,540.02 $8,902 3.4×
Unlisted Procedure Endocrine System (60699) $10,840.56 $21,256 1.3×
Unlisted Procedure Hands/Fingers (26989) $4,535.43 $8,893 12.9×
Unlisted Procedure Intestine (44799) $3,034.50 $5,950 2.4×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines
$2,062.95–$3,336.42 $4,045–$6,542 varies
Unlisted Procedure Rectum (45999) $5,747.70 $11,270 4.4×
Unlisted procedure shoulder (23929) $4,463.52 $8,752 12.7×
Unlisted Procedure Vascular Surgery (37799) $1,009.80 $1,980 1.1×
Unlisted Procedure, Urinary System (53899) $3,900.48 $7,648 11.0×
Unlisted px female genital system nonobstetrical (58999) $4,860.81 $9,531 16.9×
Unlisted Px Salivary Glands/Ducts (42699) $4,185.57 $8,207 12.4×
Vaginal Delivery After Cesarean Delivery (59612) $6,230.16 $12,216 1.4×
Vaginal delivery only (59409) $8,673.57 $17,007 1.9×
Vasc embolize/occlude artery (37242) $22,057.50 $43,250 0.8×
Vasc Embolize/Occlude Bleed (37244) $17,008.50 $33,350 1.0×
Vein Access Cutdown < 1 Yr (36420) $261.63 $513 1.4×
Venous Cutdown >1 Y/O (36425) $850.17 $1,667 1.3×
Wedge excision skin nail fold (11765) $1,080.18 $2,118 1.9×
Wedging of cast (29740) $540.09 $1,059 1.4×
Windowing of cast (29730) $328.44 $644 1.4×
Wound Prep F/N/Hf/G (15004) $1,280.61 $2,511 2.2×
Wound Prep Trk/Arm/Leg (15002) $3,803.07 $7,457 3.6×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $2,887.62 $5,662 1.3×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $1,028.67 $2,017 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.