Procedures & surgery prices at Providence Santa Rosa Memorial Hospital

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

1048 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,670.76 $3,276 1.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,163.31 $2,281 0.9×
Ablate Pulm Tumor Perq Crybl (32994)
unusually low: confirm this is the full procedure		 $7,270.56 $14,256 0.5×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $8,803.62 $17,262 0.4×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $3,006.96 $5,896 1.4×
Acne surgery (10040) $391.68 $768 1.4×
Adding Walker Previously Applied Cast (29440) $315.69 $619 1.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $7,088.49 $13,899 1.4×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,760.74 $7,374 1.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,760.74 $7,374 1.3×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,738.30 $7,330 1.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,760.74 $7,374 1.3×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $14,413.11 $28,261 1.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $6,447.42 $12,642 1.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,981.06 $7,806 0.9×
Amputation metatarsal with toe single (28810) $6,486.18 $12,718 1.4×
Amputation toe interphalangeal joint (28825) $6,447.42 $12,642 1.4×
Anoscopy Control Bleeding (46614) $3,239.01 $6,351 1.9×
Anoscopy diagnostic (46600) $451.35 $885 2.4×
Anoscopy W/Rmvl Foreign Body (46608) $2,484.72 $4,872 1.9×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $315.69 $619 1.4×
Appl cranial tong/strtctc frame w/removal spx (20660) $3,107.43 $6,093 1.4×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $519.69 $1,019 1.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $328.44 $644 1.4×
Application Body Cast Shoulder Hips (29035) $519.69 $1,019 1.3×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $659.94–$1,049.58 $1,294–$2,058 varies
Application Cast Finger (29086) $335.07 $657 1.5×
Application Cast Shoulder Spica (29055) $519.69 $1,019 1.3×
Application Finger Splint Dynamic (29131) $1,148.01 $2,251 13.7×
Application finger splint static (29130)
range across 2 matching MRF lines		 $158.61–$831.81 $311–$1,631 varies
Application Halo Cranial Including Removal (20661) $2,567.34 $5,034 1.1×
Application Hip Spica Cast 1 Leg (29305) $519.69 $1,019 1.3×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $389.13–$1,148.01 $763–$2,251 varies
Application Long Leg Cast Brace (29358) $519.69 $1,019 1.3×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $377.40–$1,260.21 $740–$2,471 varies
Application of cylinder cast (thigh to ankle) (29365) $519.69 $1,019 1.3×
Application of long leg cast (29345) $519.69 $1,019 1.3×
Application Short Arm Splint Dynamic (29126) $240.72 $472 1.3×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $389.13–$831.81 $763–$1,631 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $377.40–$927.69 $740–$1,819 varies
Application, cast; figure-of-eight Facility (29049) $519.69 $1,019 1.3×
Apply hand/wrist cast (29085) $315.69 $619 1.4×
Apply long arm cast (29065) $1,080.18 $2,118 2.7×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $255.51–$315.69 $501–$619 varies
Apply Short Leg Cast (29405) $1,026.63 $2,013 2.6×
Apply short leg cast (29425) $519.69 $1,019 1.3×
Apply shoulder cast,plastr velpeau (29058) $519.69 $1,019 1.3×
Arterial puncture (36600) $297.33 $583 1.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $622.20–$850.17 $1,220–$1,667 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,573.46 $5,046 2.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $622.20–$850.17 $1,220–$1,667 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $2,573.46 $5,046 5.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $850.17 $1,667 2.0×
Arthroplasty interphalangeal joint each (26535) $6,447.42 $12,642 1.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $3,107.43 $6,093 1.4×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $3,436.89–$3,991.26 $6,739–$7,826 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $3,436.89–$3,991.26 $6,739–$7,826 varies
Aspirate/Inj Ganglion Cyst (20612) $1,178.10 $2,310 2.7×
Aspiration & Injection Treatment Bone Cyst (20615) $2,175.15 $4,265 2.2×
Aspiration and/or injection thyroid cyst (60300) $1,804.38 $3,538 1.8×
Aspiration bladder insert suprapubic catheter (51102) $5,052.06 $9,906 1.7×
Aspiration Bladder Needle (51100) $465.63 $913 1.3×
Aspiration bladder trocar/intracatheter (51101) $2,024.19 $3,969 1.7×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $6,547.89 $12,839 2.0×
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		 $431.46–$684.42 $846–$1,342 varies
Biopsy Abdominal Mass (49180) $2,729.01 $5,351 1.2×
Biopsy bone open superficial (20240) $5,595.21 $10,971 1.4×
Biopsy bone trocar/needle deep (20225) $2,295 $4,500 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $2,295 $4,500 1.0×
Biopsy muscle percutaneous needle (20206) $2,481.15 $4,865 1.1×
Biopsy of floor of mouth (41108) $3,247.68 $6,368 1.4×
Biopsy of liver, needle; percutaneous (47000) $2,756.04 $5,404 1.2×
Biopsy Pleura Percutaneous Needle (32400) $2,022.15 $3,965 0.9×
Biopsy Salivary Gland Needle (42400) $1,294.89 $2,539 1.3×
Biopsy soft tissue back/flank deep (21925) $2,729.01 $5,351 1.2×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $2,562.24–$3,247.68 $5,024–$6,368 varies
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $2,504.10 $4,910 1.1×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $2,642.82 $5,182 1.1×
Biopsy Soft Tissue Shoulder Superficial (23065) $2,598.45 $5,095 1.1×
Biopsy Spinal Cord Percutaneous Needle (62269) $2,642.82 $5,182 1.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,552.44 $3,044 1.2×
Bladder instillation anticarcinogenic agent (51720) $971.04 $1,904 1.0×
Bladder Irrigation (51700) $784.38 $1,538 2.2×
Bladder Scan (51798)
range across 2 matching MRF lines		 $128.01–$223.89 $251–$439 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $704.31–$713.49 $1,381–$1,399 varies
Blood Transfusion Service (36430) $1,724.31 $3,381 2.8×
Bone Marrow Biopsy (38221) $2,502.06 $4,906 1.1×
Bone Marrow; Aspiration Only (38220) $2,274.09 $4,459 1.0×
Bronchoscopy Clear Airways (31645) $6,126.12 $12,012 2.4×
Bronchoscopy W/Removal Foreign Body (31635) $5,105.61 $10,011 2.0×
Bx breast 1st lesion mr imag (19085) $2,808.57 $5,507 1.2×
Bx breast 1st lesion strtctc (19081) $2,808.57 $5,507 1.2×
Bx breast 1st lesion us imag (19083) $2,808.57 $5,507 1.2×
Bx Cervix (57500) $1,523.88 $2,988 1.2×
Canthoplasty (67950) $6,410.70 $12,570 1.9×
Canthotomy Separate Procedure (67715) $5,300.94 $10,394 1.6×
Carpal Tunnel Surgery (64721) $3,893.34 $7,634 1.4×
Catheter aspiration nasotracheal spx (31720) $425.85 $835 1.4×
Cautery Cervix Electro/Thermal (57510) $6,124.08 $12,008 1.3×
Cessj Therapy Cath Removal (37214) $6,427.02 $12,602 1.4×
Change Cystostomy Tube Complicated (51710) $3,199.23 $6,273 3.2×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $744.60–$821.10 $1,460–$1,610 varies
Change of Windpipe Airway (31502) $462.57 $907 1.4×
Change ureter stent percut (50382) $6,086.85 $11,935 2.1×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $355.47–$683.40 $697–$1,340 varies
Chemical Pleurodesis (32560) $909.33 $1,783 1.0×
Chest tube placement (32551)
range across 2 matching MRF lines		 $2,339.88–$4,263.60 $4,588–$8,360 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $5,834.40 $11,440 2.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $5,587.56 $10,956 1.1×
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $3,012.57–$3,765.84 $5,907–$7,384 varies
Circumcision w/clamp/oth dev w/block (54150) $3,145.68 $6,168 1.1×
Cl Tx Scapular Fx; W Manip (23575) $3,107.43 $6,093 1.4×
Cl Tx Tib Shft Fx W Manip (27752) $3,568.98 $6,998 1.6×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $194.82–$246.33 $382–$483 varies
Closed Rx Metacarpal Fx,Percut (26608) $6,486.18 $12,718 1.4×
Closed Rx Spontaneous Hip Disloc (27256) $448.80 $880 1.3×
Closed rx talotarsal disloc,anesth (28575) $6,447.42 $12,642 1.4×
Closed Treat Vert Body Fract (22310) $451.35 $885 1.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $855.27 $1,677 2.4×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,107.43 $6,093 1.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $626.79 $1,229 1.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $448.80 $880 1.3×
Closed Treatment Sesamoid Fracture (28530) $448.80 $880 1.3×
Closed Treatment Sternum Fracture (21820) $451.35 $885 1.3×
Closed Treatment Ulnar Styloid Fracture (25650) $820.59 $1,609 2.3×
Closed tx ankle dislocation w/o anesthesia (27840) $639.03 $1,253 1.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,958.40 $3,840 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $568.14 $1,114 1.6×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $4,323.78 $8,478 12.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $448.80 $880 1.3×
Closed tx carpal scaphoid fracture w/manj (25624) $1,958.40 $3,840 0.9×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $448.80 $880 1.3×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,583.55 $3,105 0.7×
Closed tx femoral fracture prox head w/o manj (27267) $6,486.18 $12,718 1.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $448.80 $880 1.3×
Closed tx fx orbit except blowout w/manipulation (21401) $3,006.96 $5,896 1.4×
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,126.30 $6,130 1.4×
Closed tx knee dislocation w/o anesthesia (27550) $1,066.92 $2,092 3.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $4,232.49 $8,299 1.9×
Closed tx mandibular fracture w/manipulation (21451) $3,006.96 $5,896 1.4×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $989.91 $1,941 1.3×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $11,565.78 $22,678 1.4×
Closed tx metatarsal fracture w/o manipulation (28470) $455.94 $894 1.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,233.51 $8,301 1.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,369.57 $6,607 1.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $3,845.40–$4,769.52 $7,540–$9,352 varies
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $6,199.05 $12,155 1.3×
Closed tx patellar dislocation w/anesthesia (27562) $3,152.82 $6,182 9.0×
Closed tx patellar dislocation w/o anesthesia (27560) $1,096.50 $2,150 3.1×
Closed Tx Patellar Fracture W/O Manipulation (27520) $448.80 $880 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $1,958.40 $3,840 0.9×
Closed tx radial head/neck fx w/o manipulation (24650) $448.80 $880 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $1,958.40 $3,840 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $448.80 $880 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,958.40 $3,840 0.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $448.80 $880 1.3×
Closed Tx Scapular Fracture W/O Manipulation (23570) $564.57 $1,107 1.6×
Closed tx septal&nose fx (21337) $6,161.82 $12,082 1.3×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $448.80 $880 1.3×
Closed tx talotarsal joint dislc w/o anes (28570) $448.80 $880 1.3×
Closed Tx Talus Fracture W/Manipulation (28435) $2,734.11 $5,361 1.2×
Closed tx talus fracture w/o manipulation (28430) $448.80 $880 1.3×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $448.80 $880 1.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $448.80 $880 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,066.92 $2,092 3.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,734.11 $5,361 1.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $448.80 $880 1.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $448.80 $880 1.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $894.54 $1,754 2.7×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,063.86 $2,086 1.4×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,110.78 $2,178 3.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $448.80 $880 1.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $6,597.36 $12,936 2.9×
Clsd tx clavicular fracture w/o manipulation (23500) $448.80 $880 1.3×
Clsd tx fx orbit except blowout w/o manipulation (21400) $989.91 $1,941 1.3×
Clsd Tx Pelvic Ring Fx (27198) $483.48 $948 1.4×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $448.80 $880 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,469.53 $6,803 1.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,066.92 $2,092 3.0×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $3,107.43 $6,093 1.4×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $451.35 $885 1.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,107.43 $6,093 1.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,734.11 $5,361 1.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $448.80 $880 1.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $3,107.43 $6,093 1.4×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $448.80 $880 1.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,066.92 $2,092 3.0×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $3,107.43 $6,093 1.4×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $448.80 $880 1.3×
Cltx dstl fibular fx lat malls w/manj (27788) $1,022.04 $2,004 2.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $691.05 $1,355 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $629.85–$951.66 $1,235–$1,866 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $847.62 $1,662 2.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $771.12 $1,512 2.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,350.59 $4,609 1.0×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $3,107.43 $6,093 1.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,001.75 $3,925 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $448.80 $880 1.3×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $3,066.12 $6,012 1.3×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $448.80 $880 1.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,017.67 $5,917 1.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $678.81 $1,331 1.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $448.80 $880 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $625.26 $1,226 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $448.80 $880 1.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,409.86 $6,686 1.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $448.80 $880 1.3×
Cltx greater humeral tuberosity fx w/o manj (23620) $448.80 $880 1.3×
Cltx Greater Trochanteric Fx W/O Manj (27246) $448.80 $880 1.3×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $3,107.43 $6,093 1.4×
Cltx hip dislocation traumatic req anesthesia (27252) $3,068.67 $6,017 1.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,446.87 $2,837 4.1×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $448.80 $880 1.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $3,107.43 $6,093 1.4×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,485.74 $4,874 1.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $448.80 $880 1.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $3,107.43 $6,093 1.4×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $771.12 $1,512 1.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $500.31–$659.94 $981–$1,294 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,323.16 $6,516 1.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,066.92 $2,092 2.7×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $500.31–$1,066.92 $981–$2,092 varies
Cltx Med Ankle Fx W/Mnpj (27762) $3,568.98 $6,998 1.6×
Cltx Medial Ankle Fx (27760) $448.80 $880 1.3×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $629.85–$847.62 $1,235–$1,662 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $448.80 $880 1.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,107.43 $6,093 1.4×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,107.43 $6,093 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $629.85–$847.62 $1,235–$1,662 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $724.20 $1,420 2.1×
Cltx post hip arthrp dislc req anes (27266) $1,958.40 $3,840 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $1,611.09 $3,159 4.6×
Cltx prox fibula/shft fx w/manj (27781) $2,734.11 $5,361 1.2×
Cltx prox fibula/shft fx w/o manj (27780) $448.80 $880 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $5,397.33 $10,583 2.4×
Cltx prox tibfib jt dislc req anes (27831) $6,447.42 $12,642 1.4×
Cltx prox tibfib jt dislc w/o anes (27830) $448.80 $880 1.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $448.80 $880 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $629.85–$1,066.92 $1,235–$2,092 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $3,126.30 $6,130 1.4×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,958.40 $3,840 0.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,734.11 $5,361 1.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,958.40 $3,840 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $448.29 $879 1.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $3,126.30 $6,130 1.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $451.35 $885 1.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $6,447.42 $12,642 1.4×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $455.94 $894 1.3×
Cltx tibial fx proximal w/o manipulation (27530) $448.80 $880 1.3×
Cltx tibial shaft fx w/o manipulation (27750) $608.94 $1,194 1.7×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $455.94 $894 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,958.40 $3,840 0.9×
Cltx trimalleolar ankle fx w/o manipulation (27816) $448.80 $880 1.3×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $6,486.18 $12,718 1.4×
Collect Blood From Catheter Venous Nos (36592) $158.61 $311 0.8×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $14.28–$14.79 $28–$29 varies
Colpocentesis (57020) $10,039.35 $19,685 1.4×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $6,160.80 $12,080 1.3×
Colporrhaphy (57200) $6,160.80 $12,080 1.3×
Colposcopy cervix upper/adjacent vagina (57452) $532.95 $1,045 1.9×
Colposcopy of vulva (56820) $385.56 $756 1.3×
Colpotomy; with drainage of pelvic abscess (57010) $6,160.80 $12,080 1.3×
Colpotomy; with exploration (57000) $6,160.80 $12,080 1.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,101.71 $4,121 1.2×
Complex drainage wound (10180) $3,053.37 $5,987 0.7×
Composite Skin Graft (15760) $3,760.74 $7,374 1.3×
Control Nasal Hemorrhage Anterior Complex (30903) $1,944.63 $3,813 10.3×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $389.13–$1,944.63 $763–$3,813 varies
Control oropharyngeal hemorrhage simple (42960) $660.45 $1,295 0.9×
Conversion ext bil drg cath (47535)
range across 2 matching MRF lines		 $4,571.64–$7,717.83 $8,964–$15,133 varies
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $4,340.10 $8,510 1.6×
Convert Nephrostomy Catheter (50434) $2,572.95 $5,045 0.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,329.28 $6,528 1.4×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $6,983.94 $13,694 1.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $6,447.42 $12,642 1.4×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $6,447.42 $12,642 1.4×
Csf shunt reprogram (62252) $608.94 $1,194 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $383.52–$1,944.63 $752–$3,813 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $472.26 $926 1.4×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $6,199.05 $12,155 1.3×
Curettage postpartum (59160) $6,160.80 $12,080 1.3×
Curette/treat cornea (65435) $2,646.39 $5,189 1.9×
Cysto Bladder W/Ureteral Catheterization (52005) $5,546.76 $10,876 1.9×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $3,013.08–$8,878.59 $5,908–$17,409 varies
Cysto w/destruction of lesions (52214) $9,584.94 $18,794 1.9×
Cysto w/irrig & evac multple obstructing clots (52001) $9,584.94 $18,794 1.9×
Cysto W/Simple Removal Stone & Stent (52310) $5,546.76 $10,876 1.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $9,584.94 $18,794 1.9×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $9,584.94 $18,794 1.9×
Cystostomy Cystotomy W/Drainage (51040) $7,674.99 $15,049 2.6×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $4,041.75 $7,925 1.4×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $1,495.32–$1,870.68 $2,932–$3,668 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,258.68 $2,468 2.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $5,595.21 $10,971 1.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,358.64 $2,664 1.4×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,406.07 $2,757 1.4×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $6,447.42 $12,642 1.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $900.15–$1,034.79 $1,765–$2,029 varies
Debride nail 1-5 (11720) $124.95 $245 1.5×
Debride nail 6 or more (11721) $124.95 $245 1.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,247.68 $6,368 1.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $646.17–$696.15 $1,267–$1,365 varies
Declot vascular device (36593) $648.72 $1,272 1.4×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $6,447.42 $12,642 1.4×
Decompressive fasciotomy hand (26037) $6,486.18 $12,718 1.4×
Delivery of placenta (59414) $6,916.62 $13,562 1.5×
Derma-fat-fascia graft (15770) $7,088.49 $13,899 1.4×
Destr W Neurolytic; Celiac Plexus (64680) $2,400.06 $4,706 1.9×
Destroy cerv/thor facet jnt (64633) $3,437.91 $6,741 1.2×
Destroy lumb/sac facet jnt (64635) $3,437.91 $6,741 1.2×
Destruct B9 Lesion 1-14 (17110) $391.68 $768 1.4×
Destruction by neurolytic agent, intercostal nerve (64620) $2,996.25 $5,875 2.4×
Destruction of skin lesions (17106) $808.35 $1,585 1.4×
Destruction premalignant lesion 1st (17000) $391.68 $768 1.4×
Destruction Vaginal Lesions Simple (57061) $6,055.74 $11,874 1.3×
Diagnostic anoscopy (46601) $451.35 $885 0.7×
Diagnostic sigmoidoscopy (45330) $1,612.62 $3,162 1.2×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $315.18 $618 1.7×
Dilate Urethra Stricture (53620) $1,354.56 $2,656 1.4×
Dilate Urethra Stricture (53600) $811.92 $1,592 2.3×
Dilation & curettage dx&/ther nonobstetric (58120) $6,124.08 $12,008 1.3×
Drain Cerebro Spinal Fluid (62272) $1,066.92 $2,092 1.1×
Drain Hand Tendon Sheath (26020) $6,447.42 $12,642 1.4×
Drain penis lesion (54015) $3,247.68 $6,368 1.4×
Drain/inj small joint/bursa w/us (20604) $850.17 $1,667 2.0×
Drainage abscess parotid simple (42300) $3,006.96 $5,896 1.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $989.91 $1,941 1.3×
Drainage external auditory canal abscess (69020) $1,406.07 $2,757 1.4×
Drainage external ear abscess/hematoma cmplx (69005) $3,247.68 $6,368 1.4×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $1,562.64–$1,641.18 $3,064–$3,218 varies
Drainage Finger Abscess Complicated (26011) $4,263.60 $8,360 1.8×
Drainage Mouth Roof Lesion (42000) $364.14 $714 1.1×
Drainage of eye (65800) $6,547.89 $12,839 2.0×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $431.46–$544.68 $846–$1,068 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $431.46–$544.68 $846–$1,068 varies
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $2,550.51–$4,263.60 $5,001–$8,360 varies
Drainage of mouth lesion (41017) $6,161.82 $12,082 1.3×
Drainage of nose lesion (30000) $450.33 $883 1.3×
Drainage of rectal abscess (45005) $2,346 $4,600 1.4×
Drainage of salivary gland (42320) $989.91 $1,941 1.3×
Drainage of salivary gland (42305) $6,161.82 $12,082 1.3×
Drainage of scrotal wall abscess (55100) $4,263.60 $8,360 1.8×
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $3,194.13–$3,608.25 $6,263–$7,075 varies
Drainage of skene's gland abscess or cyst (53060) $4,017.78 $7,878 1.4×
Draw Blood Off Venous Device (36591) $221.85 $435 1.2×
Dressing Change Under Anesthesia (15852) $1,258.68 $2,468 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,160.76 $2,276 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $1,034.79–$1,160.76 $2,029–$2,276 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $989.91 $1,941 1.3×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $5,595.21 $10,971 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $629.85 $1,235 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $414.12 $812 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $325.89–$414.12 $639–$812 varies
Dstrj Lesion Anus Simple Chemical (46900) $808.35 $1,585 1.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $3,037.05 $5,955 2.4×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,845.69 $3,619 1.5×
Dx Bone Marrow Bx & Aspir (38222) $3,332.34 $6,534 0.8×
Dx Bronchoscope/Lavage (31624) $6,670.80 $13,080 2.6×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $4,225.35–$5,221.38 $8,285–$10,238 varies
Dx gastr intub w/asp spec (43754) $606.39 $1,189 2.0×
Dx gastr intub w/asp specs (43755) $315.18 $618 1.7×
Dx Laryngoscopy Excl Nb (31525) $3,934.65 $7,715 1.6×
Dx laryngoscopy w/oper scope (31526) $4,780.74 $9,374 1.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,729.92 $3,392 1.7×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,379.77 $6,627 1.2×
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) $778.77 $1,527 1.8×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $7,978.95 $15,645 1.0×
Endometrial Biopsy (58100) $385.56 $756 1.3×
Epidural Blood Patch (62273) $2,589.27 $5,077 2.6×
Episiotomy or vaginal repair (59300) $6,124.08 $12,008 1.3×
Escharotomy; initial incision (16035) $808.35 $1,585 1.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,601.91 $3,141 1.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $3,379.77 $6,627 1.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $158.61–$684.42 $311–$1,342 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,359.15 $2,665 1.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,247.68 $6,368 1.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,406.07 $2,757 1.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,406.07 $2,757 1.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,406.07 $2,757 1.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $3,247.68 $6,368 1.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $3,247.68 $6,368 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $3,247.68 $6,368 1.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $1,304.58–$3,247.68 $2,558–$6,368 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $2,248.59–$3,247.68 $4,409–$6,368 varies
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $6,161.82 $12,082 1.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,406.07 $2,757 1.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,247.68 $6,368 1.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $5,595.21 $10,971 1.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,247.68 $6,368 1.4×
Exc Skin Benig >4cm Face,Facial (11446) $5,595.21 $10,971 1.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $5,271.87 $10,337 3.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,359.15 $2,665 2.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,406.07 $2,757 1.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,247.68 $6,368 1.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $3,247.68 $6,368 1.4×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines		 $4,571.64–$7,717.83 $8,964–$15,133 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,516.34 $4,934 0.8×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 2 matching MRF lines		 $2,334.27–$3,794.91 $4,577–$7,441 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,006.96 $5,896 1.4×
Excision Chalazion Single (67800) $803.25 $1,575 1.8×
Excision Excessive Skin & Subq Tissue Other Area (15839) $5,628.87 $11,037 1.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,406.07 $2,757 1.4×
Excision Multiple External Papillae/Tags Anus (46230) $5,565.63 $10,913 1.4×
Excision of bartholin's gland or cyst (56740) $6,124.08 $12,008 1.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $3,107.43 $6,093 1.4×
Excision of pilonidal cyst or sinus; simple (11770) $5,595.21 $10,971 1.4×
Excision of vaginal cyst or tumor (57135) $6,160.80 $12,080 1.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $5,595.21 $10,971 1.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $5,595.21 $10,971 1.4×
Excision soft tissue lesion, external auditory canal (69145) $5,595.21 $10,971 1.4×
Expl penetrating wound spx abdomen/flank/back (20102) $5,277.48 $10,348 1.8×
Explo/Drain Breast Abscess (19020) $4,553.79 $8,929 1.9×
Exploration of knee joint (27310) $6,447.42 $12,642 1.4×
Exploration penetrating wound spx chest (20101) $5,277.48 $10,348 1.8×
Exploration penetrating wound spx extremity (20103) $2,516.85 $4,935 1.1×
Exploration Penetrating Wound Spx Neck (20100) $2,516.85 $4,935 3.3×
External cephalic version (59412) $3,769.92 $7,392 0.8×
Fetal non-stress test (59025) $1,047.03 $2,053 3.6×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $3,738.30 $7,330 1.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $3,140.58 $6,158 3.1×
Fine needle aspiration without imaging guidance (10021) $909.84 $1,784 1.6×
Fluid Pressure Muscle (20950) $1,406.07 $2,757 1.4×
Fluoro exam of g/colon tube (49465) $462.57 $907 1.4×
Fna bx w/us gdn 1st les (10005) $1,608.54 $3,154 1.6×
Forehead flap w/vasc pedicle (15731) $7,088.49 $13,899 1.4×
Foreskin manipulation (54450) $1,066.92 $2,092 3.0×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,760.74 $7,374 1.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,760.74 $7,374 1.3×
Fusion Finger Joint (26860) $6,447.42 $12,642 1.4×
Fusion of hand bones (25820) $14,326.92 $28,092 1.4×
Guide Cathet Fluid Drainage (10030) $2,629.56 $5,156 2.6×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,565.63 $10,913 1.4×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $5,565.63 $10,913 1.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,799.79 $3,529 1.4×
Hemorrhoidopexy by stapling (46947) $5,565.63 $10,913 1.4×
Hymenotomy Simple Incision (56442) $6,160.80 $12,080 1.3×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $6,161.82 $12,082 1.3×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $361.59–$652.29 $709–$1,279 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $405.45–$544.68 $795–$1,068 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $5,595.21 $10,971 1.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $5,595.21 $10,971 1.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $6,447.42 $12,642 1.4×
I&D Intramural Im/Absc Transanal Anes (46045) $5,420.79 $10,629 1.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $6,447.42 $12,642 1.4×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $1,115.37–$2,852.94 $2,187–$5,594 varies
I&d pilonidal cyst complicated (10081) $3,021.24 $5,924 3.0×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $875.16–$2,244 $1,716–$4,400 varies
I&d shoulder deep abscess/hematoma (23030) $5,595.21 $10,971 1.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $5,595.21 $10,971 1.4×
I&d vaginal hematoma obstetrical/postpartum (57022) $5,595.21 $10,971 1.4×
Icd Pocket Revision (33223) $2,545.92 $4,992 0.9×
Image Cath Fluid Colxn Visc (49405) $2,022.15 $3,965 0.9×
Image Cath Fluid Peri/Retro (49406) $2,506.14 $4,914 1.1×
Image Cath Fluid Trns/Vgnl (49407) $2,695.86 $5,286 1.1×
Implant neuroelectrodes (63650) $16,565.82 $32,482 1.8×
Implant Spine Infusion Pump (62362) $36,318.12 $71,212 1.4×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $10,223.46 $20,046 0.8×
Incise external hemorrhoid (46083) $374.34 $734 1.1×
Incise flexor carpi radialis (25001) $6,447.42 $12,642 1.4×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $701.76–$801.72 $1,376–$1,572 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $5,595.21 $10,971 1.4×
Incision & drainage leg/ankle infected bursa (27604) $6,486.18 $12,718 1.4×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,790.61–$3,776.04 $3,511–$7,404 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $801.21–$1,014.39 $1,571–$1,989 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $387.09–$544.68 $759–$1,068 varies
Incision and drainage of the tear gland (68400) $2,646.39 $5,189 1.9×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $5,595.21 $10,971 1.4×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $396.78–$544.68 $778–$1,068 varies
Incision extensor tendon sheath wrist (25000) $3,107.43 $6,093 1.4×
Incision of eardrum (69420) $450.33 $883 1.3×
Incision of lingual frenum (frenotomy) (41010) $3,514.92 $6,892 1.6×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,669.85–$4,938.33 $5,235–$9,683 varies
Incision of urethra (53020) $4,017.78 $7,878 1.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,022.15 $3,965 0.9×
Incisional biopsy skin single lesion (11106) $1,258.68 $2,468 1.2×
Induced abortion dilation and curettage (59840) $6,124.08 $12,008 1.3×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $291.21–$408.51 $571–$801 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $2,317.95 $4,545 1.8×
Inj W/Fluor Eval Cv Device (36598) $232.05 $455 0.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,845.69 $3,619 1.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,984.52 $5,852 2.4×
Inject Intravitreal Pharmcologic (67028) $1,008.78 $1,978 2.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,649.34 $3,234 3.8×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,845.69 $3,619 1.5×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,845.69 $3,619 1.5×
Injection aa&/strd genicular nrv branches w/img (64454) $1,395.87 $2,737 1.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,916.07 $3,757 1.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,395.87 $2,737 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $2,107.32 $4,132 2.1×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,845.69 $3,619 1.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $589.05 $1,155 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $3,313.98 $6,498 2.6×
Injection for identification of sentinel node (38792) $420.24 $824 0.7×
Injection of sclerosing solution, hemorrhoids (46500) $1,799.79 $3,529 1.4×
Injection single tendon origin/insertion (20551) $589.05 $1,155 1.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $622.20–$2,139.45 $1,220–$4,195 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $622.20–$2,069.58 $1,220–$4,058 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $2,178.72 $4,272 1.0×
Injection therapeutic carpal tunnel (20526) $589.05 $1,155 1.4×
Injection, anesthetic agent; brachial plexus, single (64415) $1,809.48 $3,548 1.4×
Injection, anesthetic agent; femoral nerve, single (64447) $1,102.11 $2,161 1.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $892.50 $1,750 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $391.68 $768 1.4×
Injx Anterior Chamber Eye Medication Spx (66030) $6,547.89 $12,839 2.0×
Ins cath ren art 1st bilat (36252) $4,624.68 $9,068 1.0×
Ins cath ren art 1st unilat (36251) $7,860.12 $15,412 1.8×
Ins cath ren art 2nd+ unilat (36253) $10,545.27 $20,677 1.3×
Ins endovas vena cava filtr (37191) $10,069.95 $19,745 1.3×
Ins Vag Brachytx Device (57156) $750.72 $1,472 1.7×
Ins/Rep Subq Defibrillator (33270) $48,827.91 $95,741 1.1×
Insert 1 Electrode Pm-Defib (33216) $11,847.81 $23,231 1.0×
Insert and remove bone pin (20650) $6,447.42 $12,642 1.4×
Insert Bladder Cath Complex (51703) $821.10 $1,610 4.5×
Insert cath pleura w/ image (32557) $3,222.69 $6,319 1.4×
Insert cath pleura w/o image (32556) $3,627.63 $7,113 1.3×
Insert cervical dilator (59200) $1,602.42 $3,142 3.7×
Insert Gastrostomy Tube Percutaneous (49440) $4,340.10 $8,510 1.6×
Insert Heart Pm Atrial (33206) $15,456.57 $30,307 1.0×
Insert Heart Pm Ventricular (33207) $18,892.44 $37,044 1.3×
Insert hepatic shunt (tips) (37182) $26,842.32 $52,632 1.0×
Insert non-tunnel cv cath (36556) $4,023.90 $7,890 0.9×
Insert Pacing Lead & Connect (33224) $15,113.85 $29,635 1.0×
Insert pessary/other device (57160) $385.56 $756 1.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $2,837.64–$3,222.69 $5,564–$6,319 varies
Insert prost urethral stent (53855) $4,017.78 $7,878 1.4×
Insert Temp Bladder Cath (51702) $286.11 $561 1.5×
Insert tun ip cath perc (49418) $13,608.84 $26,684 2.7×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $6,141.93–$6,452.52 $12,043–$12,652 varies
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 2 matching MRF lines		 $9,916.44–$11,132.79 $19,444–$21,829 varies
Insert,Non-Indwelling Bladder Catheter (51701) $268.26 $526 1.4×
Insertion indwelling tunneled pleural catheter (32550) $12,163.50 $23,850 2.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,512.88 $6,888 1.6×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $11,847.81 $23,231 1.0×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $7,717.83 $15,133 1.5×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $10,310.16 $20,216 1.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $4,023.90–$6,452.52 $7,890–$12,652 varies
Insj Picc Rs&I <5 Yr (36572) $2,209.83 $4,333 2.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,676.08 $7,208 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $3,902.52 $7,652 1.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $5,528.91–$6,153.66 $10,841–$12,066 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $59,653.17 $116,967 1.3×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $96,592.47 $189,397 2.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $9,095.85 $17,835 0.8×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $15,840.09 $31,059 1.3×
Insrt heart pm atrial & vent (33208) $18,892.44 $37,044 1.3×
Int hrhc by ligation single hroid w/o img gdn (46945) $5,565.63 $10,913 1.4×
Interdental fixation (21110) $3,396.09 $6,659 1.5×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $2,393.43 $4,693 1.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $2,147.10 $4,210 3.7×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $2,147.10 $4,210 3.7×
Intranasal Biopsy (30100) $3,006.96 $5,896 1.4×
Intraoral i&d tongue/floor lingual (41000) $807.33 $1,583 1.1×
Intraoral i&d tongue/floor sublngl supfc (41005) $450.33 $883 1.3×
Intraoral i&d tongue/floor submental space (41007) $3,006.96 $5,896 1.4×
Intraoral i&d tongue/floor submndblr space (41008) $7,271.58 $14,258 1.5×
Intro cath dialysis circuit (36901) $1,567.74 $3,074 0.7×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $11,198.58 $21,958 0.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $5,525.85 $10,835 0.7×
Intro Gastrointestinal Tube (44500)
range across 2 matching MRF lines		 $1,506.03–$1,787.55 $2,953–$3,505 varies
Intubation endotracheal emergency procedure (31500) $1,108.74 $2,174 3.3×
Irrigation of corpora cavernosa for priapism (54220) $661.47 $1,297 1.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $11,357.19 $22,269 1.3×
Laryngoscopy diagnostic (31505) $535.50 $1,050 1.9×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $344.76–$417.69 $676–$819 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $6,550.95 $12,845 1.2×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $4,780.74 $9,374 1.9×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,127.61 $2,211 2.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $535.50 $1,050 1.9×
Laryngoscopy W/Foreign Body Removal (31530) $4,780.74 $9,374 1.9×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,127.61 $2,211 2.0×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $1,127.61 $2,211 2.0×
Late closure of wound (13160) $3,738.30 $7,330 0.7×
Lateral Canthopexy (21282) $6,199.05 $12,155 1.3×
Ligation Of Neck Artery (37615) $5,780.85 $11,335 1.3×
Ligation or biopsy temporal artery (37609) $3,523.59 $6,909 1.5×
Lrt iad 18bct/8vir&7arg RNA (0528U) $3,705.66 $7,266 5.8×
Lyse chest fibrin init day (32561) $1,132.71 $2,221 1.3×
Lyse Chest Fibrin Subq Day (32562) $1,132.71 $2,221 1.3×
Manipulation Elbow Under Anesthesia (24300) $3,107.43 $6,093 1.4×
Manipulation knee joint under general anesthesia (27570) $3,107.43 $6,093 1.4×
Manipulation tmj therapeutic require anesthesia (21073) $3,024.81 $5,931 1.4×
Manipulation wrist under anesthesia (25259) $3,107.43 $6,093 1.4×
Marsupialization of bartholin's gland cyst (56440) $6,124.08 $12,008 1.3×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $6,410.70 $12,570 1.9×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $7,088.49 $13,899 1.4×
Myelography Lumbar Injection (62305) $1,005.72 $1,972 0.9×
Myelography Lumbar Injection (62304) $1,005.72 $1,972 0.9×
Myelography via lumbar injection rs&i cervical (62302) $1,005.72 $1,972 0.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,005.72 $1,972 0.9×
N Block Inj Celiac Pelus (64530) $3,313.98 $6,498 2.6×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $1,637.10–$1,741.65 $3,210–$3,415 varies
N block inj intercost sng (64420) $1,916.07 $3,757 1.9×
N Block Inj Plantar Digit (64455) $861.90 $1,690 2.0×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $1,157.70–$1,845.69 $2,270–$3,619 varies
N Block Lumbar/Thoracic (64520) $2,107.32 $4,132 1.7×
Nasal Endoscopy Dx (31231) $654.84 $1,284 2.3×
Nasal/Orogastric W/Tube Plmt (43752) $863.43 $1,693 1.4×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,080.40 $6,040 1.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $8,516.49 $16,699 3.4×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $18,501.78 $36,278 1.8×
Needle Biopsy Lymph Nodes (38505) $2,275.62 $4,462 1.0×
Needle Biopsy Pancreas (48102) $2,022.15 $3,965 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $54.06 $106 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $54.06 $106 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $75.14–$1,086.81 $147.33–$2,131 varies
Njx anes stellate ganglion crv sympathetic (64510) $3,313.98 $6,498 2.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $480.42–$608.94 $942–$1,194 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,547.05 $6,955 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,547.05 $6,955 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,317.95 $4,545 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $4,160.07 $8,157 3.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,984.52 $5,852 3.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $2,984.52 $5,852 3.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines		 $2,950.35–$4,160.07 $5,785–$8,157 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,984.52 $5,852 3.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $727.77 $1,427 0.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $727.77 $1,427 0.7×
Obstructive material removal from gi tube (49460)
range across 2 matching MRF lines		 $1,163.31–$1,798.77 $2,281–$3,527 varies
Occipital Nerve Block (64405) $1,877.82 $3,682 4.3×
Open Treatment Bimalleolar Ankle Fracture (27814) $14,413.11 $28,261 1.4×
Open Treatment Fracture Distal Tibia & Fibula (27828) $28,431.48 $55,748 1.6×
Open treatment fracture distal tibia only (27827) $28,431.48 $55,748 1.6×
Open treatment interphalangeal joint dislocation (28675) $6,486.18 $12,718 1.4×
Open Treatment Lunate Dislocation (25695) $14,326.92 $28,092 1.4×
Open Treatment Medial Malleolus Fracture (27766) $14,326.92 $28,092 1.4×
Open treatment metatarsal fracture each (28485) $14,326.92 $28,092 1.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $14,326.92 $28,092 1.4×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $11,635.14 $22,814 1.4×
Open treatment of nasal fracture; uncomplicated Facility (21325) $6,161.82 $12,082 1.3×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $6,486.18 $12,718 1.4×
Open Treatment of Ulnar Shaft Fracture (25545) $14,326.92 $28,092 1.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $14,326.92 $28,092 1.4×
Open Treatment Proximal Humeral Fracture (23615) $28,431.48 $55,748 1.6×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $6,447.42 $12,642 1.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $14,326.92 $28,092 1.4×
Open Tx Distal Phalangeal Fracture Each (26765) $6,249.54 $12,254 1.3×
Open Tx Distal Tibiofibular Joint Disruption (27829) $14,413.11 $28,261 1.4×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $6,447.42 $12,642 1.4×
Open tx humeral supracondylar fracture w/o xtn (24545) $14,413.11 $28,261 0.8×
Open tx interphalangeal joint dislocation (26785) $13,636.89 $26,739 2.9×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $6,486.18 $12,718 1.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $6,447.42 $12,642 1.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $14,413.11 $28,261 1.4×
Open/Perq Place Stent 1St (37236) $14,819.58 $29,058 0.9×
Open/Perq Place Stent Same (37238) $14,819.58 $29,058 0.9×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $14,413.11 $28,261 1.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $14,413.11 $28,261 1.4×
Orbital implant removal/revision (67560) $10,598.31 $20,781 1.9×
Orchiopexy Ingun/Scrot Appr (54640) $7,717.83 $15,133 1.5×
Osteotomy Phalanx Finger Each (26567) $6,447.42 $12,642 1.4×
Partial Excision Distal Phalanx Finger (26236) $3,107.43 $6,093 1.4×
Partial Excision Proximal/Middle Phalanx Finger (26235) $3,107.43 $6,093 1.4×
Partial hymenectomy or revision of hymenal ring (56700) $6,160.80 $12,080 1.3×
Partial removal of toe (28160) $6,447.42 $12,642 1.4×
Partical Excision Bone Phalanx Toe (28124) $6,486.18 $12,718 1.4×
Pelvic examination under anesthesia (other than local) (57410) $6,124.08 $12,008 1.3×
Penile Injection (54235) $465.63 $913 1.3×
Perc Cryo Ablate Renal Tum (50593) $15,746.25 $30,875 1.0×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $2,081.31 $4,081 1.1×
Perc Rf Ablate Renal Tumor (50592) $9,338.10 $18,310 1.1×
Percut Ablate Liver Rf (47382) $7,270.56 $14,256 0.8×
Percut Drain/Inject Renal Cyst (50390) $1,712.07 $3,357 1.7×
Percut Mech Thrombectomy, Venous, Repeat (37188) $10,723.26 $21,026 2.4×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $6,447.42 $12,642 1.4×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $1,567.74–$2,887.62 $3,074–$5,662 varies
Peritoneal Lavage (49084) $2,181.27 $4,277 1.7×
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines		 $5,276.46–$6,486.18 $10,346–$12,718 varies
Perq dev breast 1st mr guide (19287) $1,676.37 $3,287 1.7×
Perq dev breast 1st strtctc (19283) $1,676.37 $3,287 1.7×
Perq dev breast 1st us imag (19285) $1,676.37 $3,287 1.7×
Perq device breast 1st imag (19281) $1,676.37 $3,287 0.7×
Perq Lumbosacral Injection (22511)
range across 2 matching MRF lines		 $5,276.46–$6,486.18 $10,346–$12,718 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,021.53 $2,003 1.0×
Perq skel fixj distal radial fx/epiphysl sep (25606) $6,493.32 $12,732 1.4×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $11,198.58 $21,958 0.7×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $5,525.85 $10,835 0.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $16,614.78 $32,578 1.6×
Perq Vertebral Augmentation (22513) $16,614.78 $32,578 1.6×
Place Cath Subclavian Art (36225) $7,137.96 $13,996 1.6×
Place Cath Thoracic Aorta (36221) $4,678.74 $9,174 1.0×
Place Cath Vertebral Art (36226) $7,728.54 $15,154 1.0×
Place Duod/Jej Tube Perc (49441) $4,340.10 $8,510 1.6×
Placement of needle for intraosseous infusion (36680) $669.63 $1,313 1.1×
Placement of seton (46020) $5,565.63 $10,913 1.4×
Plmt Bile Duct Stent Prq Existing Access (47538) $7,111.44 $13,944 0.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,618.96 $7,096 1.2×
Plmt Nephroureteral Catheter (50433) $4,417.62 $8,662 0.9×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $4,321.74 $8,474 0.9×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,321.74 $8,474 0.9×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $4,321.74 $8,474 0.9×
Prim art mech thrombectomy (37184) $14,433.51 $28,301 0.6×
Probe lacrimal canaliculi w/wo irrigation (68840) $803.25 $1,575 1.8×
Proctopexy Perineal Approach (45541) $5,721.69 $11,219 1.5×
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) $1,867.11 $3,661 1.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,471.68 $8,768 0.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,471.68 $8,768 0.9×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $6,447.42 $12,642 1.4×
Prq skel fixj femoral fx prox end neck (27235) $14,413.11 $28,261 1.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $8,803.62 $17,262 0.9×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $14,413.11 $28,261 1.4×
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $657.39–$1,123.02 $1,289–$2,202 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $625.26–$808.35 $1,226–$1,585 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $592.11 $1,161 1.0×
Puncture Aspiration Cyst Breast (19000) $1,513.17 $2,967 1.5×
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $1,083.75–$1,335.18 $2,125–$2,618 varies
Push Transfusion Blood 2 Yr/Under (36440) $883.32 $1,732 1.4×
Rdctj torsion tstis w/wo fixj clat testis (54600) $6,983.94 $13,694 1.4×
Reconstruct Finger Joint (26548) $6,486.18 $12,718 1.4×
Reconstruction Nail Bed W/Graft (11762) $3,738.30 $7,330 1.3×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $6,447.42 $12,642 1.4×
Reduction of rectal prolapse (45900) $1,799.79 $3,529 1.4×
Release of big toe (28240) $6,447.42 $12,642 1.4×
Relocation Pocket Pacemaker (33222) $2,545.92 $4,992 0.9×
Rem Endovas Vena Cava Filter (37193) $13,562.43 $26,593 3.0×
Removal Anal Seton Other Marker (46030) $2,346 $4,600 1.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $2,675.97 $5,247 2.1×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $570.18–$762.45 $1,118–$1,495 varies
Removal Foreign Body Deep Thigh/Knee (27372) $5,595.21 $10,971 1.4×
Removal Foreign Body Foot Complicated (28193) $3,247.68 $6,368 1.4×
Removal foreign body foot deep (28192) $3,247.68 $6,368 1.4×
Removal Foreign Body Foot Subcutaneous (28190) $1,707.48 $3,348 1.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,247.68 $6,368 1.4×
Removal Foreign Body Pelvis/Hip Deep (27087) $6,486.18 $12,718 1.4×
Removal Foreign Body Scrotum (55120) $4,017.78 $7,878 1.4×
Removal foreign body upper arm/elbow deep (24201) $5,595.21 $10,971 1.4×
Removal foreign body, intranasal; requiring general anesthesia (30310) $6,161.82 $12,082 1.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $153–$261.63 $300–$513 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $154.53–$642.09 $303–$1,259 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $6,160.80 $12,080 1.3×
Removal Implant Deep (20680) $5,595.21 $10,971 1.4×
Removal Implant Superficial Separate Procedure (20670) $3,301.74 $6,474 1.4×
Removal implantable contraceptive capsules (11976) $1,406.07 $2,757 1.4×
Removal intact breast implant (19328) $7,491.39 $14,689 1.3×
Removal of foreign body from pharynx (42809) $599.76 $1,176 0.9×
Removal of implant from finger or hand (26320) $3,247.68 $6,368 1.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $486.03–$684.42 $953–$1,342 varies
Removal of tunneled intraperitoneal catheter (49422) $7,925.91 $15,541 1.8×
Removal or bivalving full arm or full leg cast (29705) $334.56 $656 0.8×
Removal Pacemaker Electrode (33235) $5,202 $10,200 1.0×
Removal ppm generator only (33233) $12,127.80 $23,780 1.0×
Removal shoulder foreign body deep subfascial/im (23333) $5,595.21 $10,971 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $309.06–$391.68 $606–$768 varies
Removal subcutaneous cardiac rhythm monitor (33286) $2,424.54 $4,754 2.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $3,738.30 $7,330 1.3×
Removal tong/halo applied by another individual (20665) $818.04 $1,604 1.3×
Removal, under anesthesia, of external fixation system (20694) $3,107.43 $6,093 1.4×
Removal/bivalving gauntlet boot/body cast (29700) $519.69 $1,019 1.3×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $4,496.16 $8,816 1.5×
Remove Brain Cavity Fluid (61020)
range across 2 matching MRF lines		 $1,476.45–$1,653.93 $2,895–$3,243 varies
Remove cerclage suture (59871) $9,515.58 $18,658 2.1×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $577.83–$818.04 $1,133–$1,604 varies
Remove Elctrd Transvenously (33244) $5,202 $10,200 1.0×
Remove Forearm Foreign Body (25248) $3,107.43 $6,093 1.4×
Remove foreign body from eye (65235) $9,044.85 $17,735 2.8×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $364.14–$1,144.95 $714–$2,245 varies
Remove Hand Bone Lesion (26200) $3,107.43 $6,093 1.4×
Remove Int Dwell Ureteral Stent Transurethral (50386) $4,041.75 $7,925 1.4×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $600.78–$761.43 $1,178–$1,493 varies
Remove intrvas foreign body (37197) $10,032.21 $19,671 2.2×
Remove Lower Leg Bone Lesion (27635) $6,486.18 $12,718 1.4×
Remove lung catheter (32552) $2,443.41 $4,791 2.7×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $350.37–$443.19 $687–$869 varies
Remove Peritoneal Foreign Body (49402) $7,717.83 $15,133 1.5×
Remove Pulse Generator (33241) $5,118.87 $10,037 1.0×
Remove renal tube w/fluoro (50389) $826.71 $1,621 0.8×
Remove Shoulder Foreign Body (23330) $3,247.68 $6,368 1.4×
Remove Tendon Sheath Lesion (26160) $3,107.43 $6,093 1.4×
Remove tissue expander (11971) $5,628.87 $11,037 1.4×
Remove ureter stent percut (50384) $6,026.16 $11,816 2.0×
Remove&replace pm gen singl (33227) $14,809.38 $29,038 1.3×
Remv&replc cvd gen dual lead (33263) $34,278.12 $67,212 1.1×
Remv&replc cvd gen mult lead (33264) $59,653.17 $116,967 1.3×
Remv&replc cvd gen sing lead (33262) $34,027.71 $66,721 1.1×
Remv&replc pm gen dual lead (33228) $15,399.45 $30,195 1.0×
Remv&replc pm gen mult leads (33229) $27,641.49 $54,199 1.0×
Renal Biopsy Perq (50200) $3,325.20 $6,520 1.4×
Repair Achilles Tendon (27650) $14,413.11 $28,261 1.4×
Repair arm/leg nerve (64857) $13,462.98 $26,398 2.8×
Repair Blood Vessel Direct Hand Finger (35207) $5,784.42 $11,342 1.3×
Repair blood vessel direct neck (35201) $9,974.07 $19,557 1.3×
Repair Blood Vessel Direct Upper Extremity (35206) $5,784.42 $11,342 1.3×
Repair blood vessel lesion (35190) $9,974.07 $19,557 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $2,640.27 $5,177 2.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,640.27 $5,177 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,066.92 $2,092 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $1,016.94–$1,066.92 $1,994–$2,092 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $890.97 $1,747 1.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $890.97 $1,747 1.5×
Repair complex trunk 1.1-2.5 cm (13100) $1,258.68 $2,468 1.2×
Repair complex trunk 2.6-7.5 cm (13101) $1,587.63 $3,113 1.5×
Repair extensor tendon finger w/o graft each (26418) $4,299.81 $8,431 1.9×
Repair Extensor Tendon Hand W/Graft Each (26412) $6,447.42 $12,642 1.4×
Repair Eyelid Wound (67935) $4,357.44 $8,544 1.3×
Repair Finger Tendon (26433) $6,447.42 $12,642 1.4×
Repair Finger/Hand Tendon (26350) $6,447.42 $12,642 1.4×
Repair Hand Joint (26540) $6,447.42 $12,642 1.4×
Repair Hand Tendon (26410) $4,299.81 $8,431 1.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $648.21–$2,147.10 $1,271–$4,210 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $2,147.10 $4,210 3.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $2,147.10 $4,210 3.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $2,147.10 $4,210 3.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $2,147.10 $4,210 3.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $2,223.60 $4,360 2.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $648.21–$2,147.10 $1,271–$4,210 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $648.21–$2,147.10 $1,271–$4,210 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $2,147.10 $4,210 2.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $3,738.30 $7,330 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $2,147.10 $4,210 3.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $648.21–$2,147.10 $1,271–$4,210 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $648.21–$2,147.10 $1,271–$4,210 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $2,147.10 $4,210 2.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $648.21–$2,147.10 $1,271–$4,210 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $3,693.93 $7,243 1.3×
Repair intrinsic muscles hand each muscle (26591) $6,486.18 $12,718 1.4×
Repair Laceration Palate </2 Cm (42180) $989.91 $1,941 1.3×
Repair Laceration Palate >2 Cm/Complex (42182) $11,565.78 $22,678 1.4×
Repair Lead Pace-Defib One (33218) $5,202 $10,200 1.0×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $736.95–$1,531.53 $1,445–$3,003 varies
Repair of rectum (45505) $5,565.63 $10,913 1.4×
Repair Spica/Body/Jacket Cast (29720) $315.69 $619 1.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $6,447.42 $12,642 1.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $14,326.92 $28,092 1.4×
Repair tongue laceration (41252) $1,197.99 $2,349 3.6×
Repair tongue laceration (41250) $498.27 $977 0.8×
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) $14,326.92 $28,092 1.4×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $14,326.92 $28,092 1.4×
Repair/graft achilles tendon (27652) $14,413.11 $28,261 1.4×
Replace duodenostomy/jejunostomy tube perq (49451) $2,172.60 $4,260 1.7×
Replace G-J Tube Perc (49452) $2,172.60 $4,260 1.7×
Replace g/c tube perc (49450) $2,117.01 $4,151 1.6×
Replantation digit complete (20822) $3,126.30 $6,130 1.4×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $380.97–$477.36 $747–$936 varies
Reposition L Ventric Lead (33226) $5,198.43 $10,193 1.2×
Reposition Pacing-Defib Lead (33215) $4,158.54 $8,154 0.9×
Reposition Venous Catheter (36597) $1,976.76 $3,876 0.9×
Revise finger joint each (26140) $3,107.43 $6,093 1.4×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $15,060.30 $29,530 1.7×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $20,368.89 $39,939 2.5×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $6,868.68 $13,468 1.4×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $9,462.03 $18,553 1.2×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $9,462.03 $18,553 1.2×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $20,079.21 $39,371 0.8×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $20,079.21 $39,371 0.8×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $30,182.82 $59,182 1.2×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $30,182.82 $59,182 1.2×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $17,340.51 $34,001 1.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $17,340.51 $34,001 1.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $11,080.26 $21,726 1.4×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $11,080.26 $21,726 1.4×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $12,362.40 $24,240 0.8×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $12,362.40 $24,240 0.8×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $11,637.18 $22,818 0.7×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $11,637.18 $22,818 0.7×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $20,278.62 $39,762 0.8×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $20,278.62 $39,762 0.8×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $30,382.74 $59,574 1.2×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $30,382.74 $59,574 1.2×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $17,905.08 $35,108 0.7×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $17,905.08 $35,108 0.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $3,395.07 $6,657 1.1×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $6,410.70 $12,570 1.9×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $3,006.96 $5,896 1.4×
Rmvl embedded fb vestibule mouth comp (40805) $1,067.94 $2,094 1.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,067.94 $2,094 0.8×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $3,247.68 $6,368 1.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $591.60–$1,144.95 $1,160–$2,245 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $364.14–$860.88 $714–$1,688 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $1,144.95 $2,245 1.8×
Rmvl fecal impaction/fb spx under anes (45915) $2,429.64 $4,764 1.4×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $3,006.96 $5,896 1.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $5,595.21 $10,971 1.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $5,595.21 $10,971 1.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $3,247.68 $6,368 1.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $4,371.21 $8,571 1.6×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $5,202 $10,200 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $2,864.67–$3,222.69 $5,617–$6,319 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,775.31 $3,481 2.0×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $519.69 $1,019 1.3×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $822.12–$1,574.88 $1,612–$3,088 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $672.18–$1,288.26 $1,318–$2,526 varies
Rplcmt cath ctr vad subq port/pmp (36578) $6,153.66 $12,066 1.4×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 2 matching MRF lines		 $2,342.43–$3,222.69 $4,593–$6,319 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $3,092.13–$3,902.52 $6,063–$7,652 varies
Rplcmt compl tun ctr vad w/subq port (36582) $4,023.90 $7,890 0.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $4,023.90–$6,452.52 $7,890–$12,652 varies
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,021.53–$1,259.70 $2,003–$2,470 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $3,471.57 $6,807 1.6×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $14,326.92 $28,092 1.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,358.64 $2,664 4.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $2,223.60 $4,360 2.1×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $450.33 $883 1.3×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $6,410.70 $12,570 1.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,132.31 $4,181 2.8×
Rpr Lip Full Thickness Vermilion Only (40650) $2,984.01 $5,851 3.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,006.96 $5,896 1.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $7,354.71 $14,421 1.6×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $6,366.84 $12,484 1.4×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $6,447.42 $12,642 1.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,253.58 $2,458 1.4×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $10,598.31 $20,781 1.9×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $6,486.18 $12,718 1.4×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $6,447.42 $12,642 1.4×
Sclerotx Fluid Collection (49185) $4,056.54 $7,954 1.7×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $6,161.82 $12,082 1.3×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $486.03–$808.35 $953–$1,585 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $494.19 $969 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $494.19 $969 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $494.19 $969 1.7×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $6,161.82 $12,082 1.3×
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) $1,358.64 $2,664 2.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $291.21–$1,358.64 $571–$2,664 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $291.21–$1,358.64 $571–$2,664 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,358.64 $2,664 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $291.21–$1,358.64 $571–$2,664 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,358.64 $2,664 4.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $291.21–$1,358.64 $571–$2,664 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,358.64 $2,664 4.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $291.21–$1,358.64 $571–$2,664 varies
Skin Full Grft Face/Genit/Hf (15240) $3,760.74 $7,374 1.3×
Skin Pinch Graft (15050) $1,258.68 $2,468 1.2×
Skin sub graft trnk/arm/leg (15271) $3,760.74 $7,374 3.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $10,400.94 $20,394 1.3×
Slctv cath carotid/innom art angio xtrcranl art (36222) $5,710.47 $11,197 1.3×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $12,016.62 $23,562 1.5×
Slitting of prepuce (54001) $4,017.78 $7,878 1.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $291.21–$1,358.64 $571–$2,664 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $486.03–$1,358.64 $953–$2,664 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $486.03–$1,358.64 $953–$2,664 varies
Spinal puncture lumbar diagnostic (62270) $1,364.76 $2,676 1.4×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $7,088.49 $13,899 1.4×
Strapping ankle (29540) $315.69 $619 1.4×
Strapping elbow or wrist (29260) $124.95 $245 1.5×
Strapping hand/finger (29280) $141.27 $277 1.7×
Strapping Hip (29520) $251.94 $494 1.3×
Strapping knee (29530) $251.94 $494 1.3×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $158.61–$288.15 $311–$565 varies
Strapping thorax (29200) $315.69 $619 1.4×
Strapping toes (29550) $288.15 $565 3.4×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $562.53–$761.94 $1,103–$1,494 varies
Subconjunctival injection (68200) $1,144.95 $2,245 1.8×
Surg tx anal fistula subq (46270) $5,565.63 $10,913 1.4×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $5,565.63 $10,913 1.4×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $5,300.94 $10,394 1.6×
Suture digital nerve hand/foot 1 nerve (64831) $3,893.34 $7,634 1.4×
Suture infrapatellar tendon primary (27380) $14,326.92 $28,092 1.4×
Suture pharynx for wound or injury (42900) $3,006.96 $5,896 1.4×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $293.76–$391.68 $576–$768 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $32,159.07 $63,057 0.8×
Tcat Insj/Rpl Perm Ldls Pm (33274) $23,344.74 $45,774 0.9×
Temporary Closure Eyelids Suture (67875) $1,890.57 $3,707 1.3×
Tenotomy extensor hand/finger open each tendon (26460) $3,107.43 $6,093 1.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $2,490.33 $4,883 2.5×
Therapeutic plasma exchange (36514) $2,901.90 $5,690 1.3×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $9,974.07 $19,557 1.3×
Thrmbc/Nfs Dialysis Circuit (36906) $17,905.08 $35,108 0.7×
Thromblytic art/ven therapy (37213) $6,427.02 $12,602 1.4×
Thrombolytic Art Therapy (37211) $11,174.61 $21,911 1.4×
Thrombolytic Therapy Stroke (37195) $355.47 $697 0.8×
Thrombolytic Venous Therapy (37212) $11,174.61 $21,911 2.5×
Thyroid biopsy (60100) $1,804.38 $3,538 1.8×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,760.74 $7,374 1.3×
Tooth extraction (41899) $5,782.38 $11,338 17.2×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $6,124.08 $12,008 1.3×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,366.80 $2,680 1.8×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,119.96 $2,196 3.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $3,024.81 $5,931 1.4×
Tracheostomy planned (31600)
range across 2 matching MRF lines		 $6,150.60–$6,199.05 $12,060–$12,155 varies
Transcatheter biopsy (37200) $6,852.36 $13,436 0.9×
Transrectal Drainage of Pelvic Abscess (45000) $2,346 $4,600 1.4×
Treat Ankle Dislocation (27846) $14,413.11 $28,261 1.4×
Treat Big Toe Fracture (28505) $6,447.42 $12,642 1.4×
Treat Dental Ridge Fracture (21440) $6,199.05 $12,155 1.3×
Treat dental ridge fracture (21445) $11,635.14 $22,814 1.4×
Treat Elbow Fracture (24635) $14,413.11 $28,261 1.4×
Treat Finger Fracture Each (26727) $6,447.42 $12,642 1.4×
Treat Fx Rad Extra-Articul (25607) $14,326.92 $28,092 1.4×
Treat Hip Socket Fracture (27222) $1,257.15 $2,465 3.6×
Treat humerus fracture (24500) $448.80 $880 1.3×
Treat Humerus Fracture (24505) $2,437.29 $4,779 1.1×
Treat humerus fracture (23600) $448.80 $880 1.3×
Treat knee fracture (27532) $5,427.93 $10,643 1.2×
Treat Knee Fracture(S) (27538) $448.80 $880 1.3×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $629.85–$1,066.92 $1,235–$2,092 varies
Treat metacarpal fracture (26607) $6,447.42 $12,642 1.4×
Treat Metatarsal Fracture (28475) $625.26 $1,226 1.8×
Treat Tail Bone Fracture (27200) $448.80 $880 1.3×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $429.93–$1,446.87 $843–$2,837 varies
Treat Thumb Fracture (26645) $3,102.84 $6,084 1.4×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $572.22–$836.40 $1,122–$1,640 varies
Treat Vaginal Bleeding (57180) $282.54 $554 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $3,152.82 $6,182 1.4×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $629.85–$1,066.92 $1,235–$2,092 varies
Treatment mouth roof lesion (42160) $6,161.82 $12,082 1.3×
Treatment of tibia fracture (27756) $14,413.11 $28,261 1.4×
Trim skin lesion (11055) $292.23 $573 1.0×
Trim skin lesions 2 to 4 (11056) $391.68 $768 1.4×
Trim skin lesions over 4 (11057) $391.68 $768 1.4×
Trimming Nondystrophic Nails Any Number (11719) $185.64 $364 2.2×
Trluml Balo Angiop 1St Art (37246) $5,525.85 $10,835 0.7×
Trluml Balo Angiop 1St Vein (37248) $5,525.85 $10,835 0.7×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $3,483.81 $6,831 1.4×
Tx Gastro Intub W/Asp (43753) $606.39 $1,189 2.0×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $28,431.48 $55,748 1.6×
Tx Incomplete Abortion Any Trimester Surgical (59812) $6,912.54 $13,554 1.5×
Tx Missed Abortion First Trimester Surgical (59820) $6,124.08 $12,008 1.3×
Tx Missed Abortion Second Trimester Surgical (59821) $6,124.08 $12,008 1.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $3,107.43 $6,093 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,714.11 $3,361 1.6×
Tx superficial wound dehiscence w/packing (12021) $808.35 $1,585 1.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,107.43 $6,093 1.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $448.80 $880 1.3×
Unlisted Cardiac Surgery (33999) $24,176.55 $47,405 27.1×
Unlisted procedure anus (46999) $4,489.02 $8,802 3.4×
Unlisted Procedure Endocrine System (60699) $11,066.49 $21,699 1.3×
Unlisted Procedure Hands/Fingers (26989) $5,523.81 $10,831 15.8×
Unlisted Procedure Intestine (44799) $1,652.40 $3,240 1.3×
Unlisted procedure nervous system (64999) $3,299.19 $6,469 7.6×
Unlisted Procedure Rectum (45999) $1,901.28 $3,728 1.4×
Unlisted procedure shoulder (23929) $5,436.60 $10,660 15.5×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $602.82–$5,139.27 $1,182–$10,077 varies
Unlisted Procedure, Urinary System (53899) $3,857.13 $7,563 10.9×
Unlisted px female genital system nonobstetrical (58999) $4,806.75 $9,425 16.7×
Unlisted Px Salivary Glands/Ducts (42699) $4,027.47 $7,897 12.0×
Upgrade of pacemaker system (33214) $15,456.57 $30,307 1.0×
Vaginal Delivery After Cesarean Delivery (59612) $6,160.80 $12,080 1.3×
Vaginal delivery only (59409) $14,960.34 $29,334 3.3×
Vasc embolize/occlude artery (37242) $22,849.02 $44,802 0.9×
Vasc Embolize/Occlude Bleed (37244) $22,849.02 $44,802 1.4×
Vasc Embolize/Occlude Organ (37243) $14,433.51 $28,301 0.9×
Vasc embolize/occlude venous (37241) $22,849.02 $44,802 1.4×
Vein Access Cutdown < 1 Yr (36420) $251.94 $494 1.3×
Venous Cutdown >1 Y/O (36425) $818.04 $1,604 1.3×
Venous Mech Thrombectomy (37187) $14,433.51 $28,301 0.9×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $486.03–$1,705.95 $953–$3,345 varies
Wedging of cast (29740) $519.69 $1,019 1.3×
Windowing of cast (29730) $315.69 $619 1.4×
Wound Prep F/N/Hf/G (15004) $1,266.33 $2,483 2.2×
Wound Prep Trk/Arm/Leg (15002) $3,760.74 $7,374 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) $989.91 $1,941 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.