Procedures & surgery prices at Providence St. Joseph's Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $191.80–$800.10 $274–$1,143 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 5 matching MRF lines		 $123.90–$1,662.50 $177–$2,375 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,076.20 $2,966 1.2×
Acne surgery (10040)
range across 2 matching MRF lines		 $78.40–$269.50 $112–$385 varies
Adding Walker Previously Applied Cast (29440) $217.70 $311 1.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $6,262.20 $8,946 1.6×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,322.20 $4,746 1.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,135.70 $3,051 0.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,582.30 $3,689 1.1×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,322.20 $4,746 1.4×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $12,733.70 $18,191 1.6×
Amniocentesis diagnostic (59000) $200.20 $286 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,534.40 $2,192 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $1,129.10–$1,534.40 $1,613–$2,192 varies
Amputation metatarsal with toe single (28810) $5,730.20 $8,186 1.6×
Amputation toe interphalangeal joint (28825) $4,454.10 $6,363 1.2×
Anoscopy Control Bleeding (46614)
range across 2 matching MRF lines		 $112.70–$737.80 $161–$1,054 varies
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $71.40–$81.20 $102–$116 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $141.40–$737.80 $202–$1,054 varies
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $217.70 $311 1.2×
Appl cranial tong/strtctc frame w/removal spx (20660) $455 $650 0.3×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $359.10 $513 1.2×
Application Body Cast Shoulder Hips (29035) $359.10 $513 1.2×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $109.20–$228.90 $156–$327 varies
Application Cast Finger (29086) $217.70 $311 1.2×
Application Cast Shoulder Spica (29055) $359.10 $513 1.2×
Application Finger Splint Dynamic (29131) $86.10 $123 1.3×
Application finger splint static (29130)
range across 3 matching MRF lines		 $49–$101.50 $70–$145 varies
Application Halo Cranial Including Removal (20661) $1,009.40 $1,442 0.6×
Application Hip Spica Cast 1 Leg (29305) $228.90 $327 0.7×
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $101.50–$119 $145–$170 varies
Application Long Leg Cast Brace (29358) $359.10 $513 1.2×
Application Long Leg Splint (29505)
range across 4 matching MRF lines		 $87.50–$101.50 $125–$145 varies
Application of cylinder cast (thigh to ankle) (29365) $359.10 $513 1.2×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $175.70–$228.90 $251–$327 varies
Application Short Arm Splint Dynamic (29126) $173.60 $248 1.2×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $69.30–$101.50 $99–$145 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $86.80–$101.50 $124–$145 varies
Application, cast; figure-of-eight Facility (29049) $359.10 $513 1.2×
Apply hand/wrist cast (29085) $217.70 $311 1.2×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $119.70–$228.90 $171–$327 varies
Apply Multlay Comprs Lwr Leg (29581) $217.70 $311 1.2×
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $104.30–$228.90 $149–$327 varies
Apply short leg cast (29425) $228.90 $327 0.7×
Apply shoulder cast,plastr velpeau (29058) $359.10 $513 1.2×
Arterial puncture (36600)
range across 5 matching MRF lines		 $26.60–$33.60 $38–$48 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $81.90–$263.20 $117–$376 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $963.90 $1,377 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $80.50–$458.50 $115–$655 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $121.10–$994 $173–$1,420 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $75.60–$233.10 $108–$333 varies
Arthroplasty interphalangeal joint each (26535) $4,454.10 $6,363 1.2×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,146.20 $3,066 1.2×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $196–$802.90 $280–$1,147 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $154–$226.10 $220–$323 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $84–$233.10 $120–$333 varies
Aspiration and/or injection thyroid cyst (60300) $970.90 $1,387 1.2×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $247.10–$1,824.20 $353–$2,606 varies
Aspiration Bladder Needle (51100) $174.30 $249 0.6×
Aspiration bladder trocar/intracatheter (51101) $1,397.90 $1,997 1.5×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $4,365.20 $6,236 1.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $78.40–$365.40 $112–$522 varies
Biopsy bone open superficial (20240) $3,865.40 $5,522 1.2×
Biopsy of floor of mouth (41108) $2,244.20 $3,206 1.2×
Biopsy soft tissue neck/thorax (21550) $2,244.20 $3,206 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,206.10 $1,723 1.2×
Bladder Irrigation (51700)
range across 4 matching MRF lines		 $74.20–$331.10 $106–$473 varies
Bladder Scan (51798) $84 $120 1.3×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $207.20–$277.20 $296–$396 varies
Blood Transfusion Service (36430) $149.10 $213 0.3×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $125.30–$318.50 $179–$455 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines		 $52.50–$102.90 $75–$147 varies
Bronchoscopy Clear Airways (31645) $2,790.20 $3,986 1.4×
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $345.10–$1,999.90 $493–$2,857 varies
Bronchoscopy W/Removal Foreign Body (31635) $2,790.20 $3,986 1.4×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $382.20 $546 0.1×
Bronchoscopy/Needle Bx Each (31629) $1,999.90 $2,857 0.5×
Bx Cervix (57500) $1,052.80 $1,504 1.0×
Canthoplasty (67950) $4,273.50 $6,105 1.6×
Canthotomy Separate Procedure (67715) $4,273.50 $6,105 1.6×
Carpal Tunnel Surgery (64721) $2,689.40 $3,842 1.2×
Catheter aspiration nasotracheal spx (31720) $287 $410 1.2×
Cautery Cervix Electro/Thermal (57510)
range across 2 matching MRF lines		 $201.60–$1,721.30 $288–$2,459 varies
Change Cystostomy Tube Complicated (51710) $554.40 $792 0.7×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $88.20–$174.30 $126–$249 varies
Change of Windpipe Airway (31502)
range across 3 matching MRF lines		 $60.20–$130.90 $86–$187 varies
Chemical Cautery Tissue (17250) $134.40 $192 0.6×
Chemodenervation of internal anal sphincter (46505) $2,535.40 $3,622 1.9×
Chest tube placement (32551)
range across 3 matching MRF lines		 $305.20–$488.60 $436–$698 varies
Cl Tx Scapular Fx; W Manip (23575) $2,146.20 $3,066 1.2×
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $862.40–$1,925 $1,232–$2,750 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $58.10–$117.60 $83–$168 varies
Closed Rx Metacarpal Fx,Percut (26608) $5,730.20 $8,186 1.6×
Closed Rx Spontaneous Hip Disloc (27256) $310.10 $443 1.1×
Closed rx talotarsal disloc,anesth (28575)
range across 2 matching MRF lines		 $577.50–$988.40 $825–$1,412 varies
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $399–$532 $570–$760 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $134.40–$774.20 $192–$1,106 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,146.20 $3,066 1.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $359.10–$854 $513–$1,220 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $310.10 $443 1.1×
Closed Treatment Sesamoid Fracture (28530) $134.40 $192 0.5×
Closed Treatment Sternum Fracture (21820)
range across 2 matching MRF lines		 $215.60–$250.60 $308–$358 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $134.40–$562.10 $192–$803 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $134.40–$653.80 $192–$934 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $150.50–$861 $215–$1,230 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $134.40–$528.50 $192–$755 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $340.20–$599.90 $486–$857 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $310.10–$403.90 $443–$577 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $455–$830.90 $650–$1,187 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $134.40–$535.50 $192–$765 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $3,388.70 $4,841 1.9×
Closed tx femoral fracture prox head w/o manj (27267) $5,730.20 $8,186 1.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $310.10–$896.70 $443–$1,281 varies
Closed tx fx orbit except blowout w/manipulation (21401) $2,076.20 $2,966 1.2×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $1,253–$2,761.50 $1,790–$3,945 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $134.40–$870.10 $192–$1,243 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,710.10 $2,443 1.0×
Closed tx mandibular fracture w/manipulation (21451) $2,076.20 $2,966 1.2×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $277.90–$1,100.40 $397–$1,572 varies
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $7,989.80 $11,414 1.2×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $134.40–$382.20 $192–$546 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $959.70–$1,710.10 $1,371–$2,443 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $312.20–$1,505.70 $446–$2,151 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,505.70 $2,151 0.4×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $5,476.80 $7,824 1.5×
Closed tx patellar dislocation w/anesthesia (27562)
range across 3 matching MRF lines		 $563.50–$956.90 $805–$1,367 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $134.40–$695.80 $192–$994 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $310.10–$569.80 $443–$814 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $455–$767.20 $650–$1,096 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $134.40–$459.90 $192–$657 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $455–$919.10 $650–$1,313 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $134.40–$436.80 $192–$624 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $455–$944.30 $650–$1,349 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $134.40 $192 0.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $134.40 $192 0.5×
Closed tx septal&nose fx (21337) $4,256.70 $6,081 1.2×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $455 $650 1.7×
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines		 $242.20–$310.10 $346–$443 varies
Closed Tx Talus Fracture W/Manipulation (28435) $2,146.20 $3,066 1.2×
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $134.40–$368.90 $192–$527 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $310.10 $443 1.1×
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $134.40–$190.40 $192–$272 varies
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $4,457.60 $6,368 2.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $65.10–$95.90 $93–$137 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $832.30–$1,077.30 $1,189–$1,539 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $134.40–$511 $192–$730 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $134.40–$460.60 $192–$658 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 3 matching MRF lines		 $277.90–$338.80 $397–$484 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $403.90–$665 $577–$950 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $455–$610.40 $650–$872 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $134.40–$393.40 $192–$562 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $212.10–$1,710.10 $303–$2,443 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $310.10–$438.90 $443–$627 varies
Clsd tx fx orbit except blowout w/o manipulation (21400)
range across 2 matching MRF lines		 $345.10–$749.70 $493–$1,071 varies
Clsd Tx Pelvic Ring Fx (27198)
range across 2 matching MRF lines		 $252–$801.50 $360–$1,145 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $252–$801.50 $360–$1,145 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $787.50–$1,279.60 $1,125–$1,828 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $134.40–$561.40 $192–$802 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $455 $650 0.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 2 matching MRF lines		 $399–$919.10 $570–$1,313 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 3 matching MRF lines		 $861.70–$1,230.60 $1,231–$1,758 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $667.80–$1,077.30 $954–$1,539 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $134.40–$400.40 $192–$572 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $793.10–$1,077.30 $1,133–$1,539 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $134.40–$534.80 $192–$764 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $134.40–$597.80 $192–$854 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $2,146.20 $3,066 1.2×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $134.40 $192 0.5×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines		 $150.50–$774.90 $215–$1,107 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $134.40–$503.30 $192–$719 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $359.10–$550.90 $513–$787 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $134.40–$363.30 $192–$519 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $134.40–$577.50 $192–$825 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $455–$1,045.10 $650–$1,493 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,534.40 $2,192 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $731.50–$1,196.30 $1,045–$1,709 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $134.40–$916.30 $192–$1,309 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $3,700.20 $5,286 2.1×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $134.40–$826.70 $192–$1,181 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $1,815.10–$2,751.70 $2,593–$3,931 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines		 $134.40–$302.40 $192–$432 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $134.40–$248.50 $192–$355 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $251.30–$329 $359–$470 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 4 matching MRF lines		 $212.80–$310.10 $304–$443 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines		 $854.70–$1,750.70 $1,221–$2,501 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $310.10 $443 1.1×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $134.40–$473.20 $192–$676 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $455–$667.10 $650–$953 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $664.30–$1,710.10 $949–$2,443 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,522.50–$2,562 $2,175–$3,660 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $134.40–$312.90 $192–$447 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $134.40–$598.50 $192–$855 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,077.30 $1,539 0.6×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $756–$1,077.30 $1,080–$1,539 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $134.40–$566.30 $192–$809 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $455–$801.50 $650–$1,145 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 3 matching MRF lines		 $230.30–$359.10 $329–$513 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 3 matching MRF lines		 $134.40–$177.10 $192–$253 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,877 $4,110 1.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $359.10–$672.70 $513–$961 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $134.40–$500.50 $192–$715 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines		 $758.10–$1,925 $1,083–$2,750 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $310.10–$535.50 $443–$765 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $359.10–$582.40 $513–$832 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $134.40–$543.20 $192–$776 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $665.70–$1,727.60 $951–$2,468 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,146.20 $3,066 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $329–$607.60 $470–$868 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $310.10–$349.30 $443–$499 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,163.40–$1,385.30 $1,662–$1,979 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $150.50–$798.70 $215–$1,141 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $994–$2,146.20 $1,420–$3,066 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $134.40–$490.70 $192–$701 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $811.30–$1,710.10 $1,159–$2,443 varies
Cltx prox tibfib jt dislc req anes (27831) $4,454.10 $6,363 1.2×
Cltx prox tibfib jt dislc w/o anes (27830)
range across 2 matching MRF lines		 $134.40–$616.70 $192–$881 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $134.40 $192 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $134.40–$184.80 $192–$264 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $731.50 $1,045 0.4×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $455–$785.40 $650–$1,122 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $134.40 $192 0.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $455 $650 0.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $134.40–$665 $192–$950 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,761.50 $3,945 1.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $215.60 $308 0.8×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $4,454.10 $6,363 1.2×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $134.40–$306.60 $192–$438 varies
Cltx tibial fx proximal w/o manipulation (27530) $134.40 $192 0.5×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $310.10–$556.50 $443–$795 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $310.10 $443 1.1×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $511.70–$875 $731–$1,250 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $134.40–$501.20 $192–$716 varies
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $5,730.20 $8,186 1.6×
Collect Blood From Catheter Venous Nos (36592) $148.40 $212 1.0×
Collection of venous blood by venipuncture (36415) $43.40 $62 4.6×
Colonoscopy Stoma Control Bleeding (44391) $514.50 $735 0.4×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $451.50 $645 0.3×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $464.10 $663 0.4×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $378.70 $541 0.3×
Colonoscopy thru stoma (44388) $340.90 $487 0.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $523.60 $748 0.4×
Colonoscopy w/ablation (45388) $545.30 $779 0.4×
Colonoscopy w/fb removal (45379) $553.70 $791 0.4×
Colonoscopy W/Resection (45390) $577.50 $825 0.2×
Colonoscopy w/submucosal inj (45381) $502.60 $718 0.4×
Colpocentesis (57020)
likely a partial charge, not the full procedure		 $602.70 $861 0.1×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $5,443.20 $7,776 1.5×
Colporrhaphy (57200)
range across 3 matching MRF lines		 $522.20–$2,965.20 $746–$4,236 varies
Colposcopy cervix upper/adjacent vagina (57452) $187.60 $268 0.8×
Colposcopy of vulva (56820) $266.70 $381 1.2×
Colpotomy; with drainage of pelvic abscess (57010) $5,443.20 $7,776 1.5×
Colpotomy; with exploration (57000) $5,443.20 $7,776 1.5×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $674.80–$1,890 $964–$2,700 varies
Colsc flx w/removal lesion by hot bx forceps (45384) $553 $790 0.4×
Complex drainage wound (10180) $1,834.70 $2,621 0.6×
Composite Skin Graft (15760) $3,063.90 $4,377 1.3×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $95.90–$137.20 $137–$196 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $95.90–$115.50 $137–$165 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $95.90–$299.60 $137–$428 varies
Conversion ext bil drg cath (47535) $6,818 $9,740 1.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,244.20 $3,206 1.2×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $6,169.80 $8,814 1.6×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,454.10 $6,363 1.2×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $4,454.10 $6,363 1.2×
Csf shunt reprogram (62252) $532.70 $761 1.6×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $913.50 $1,305 3.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $95.90–$205.80 $137–$294 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $95.90 $137 0.4×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $5,476.80 $7,824 1.5×
Curettage postpartum (59160) $5,443.20 $7,776 1.5×
Curette/treat cornea (65435) $1,309 $1,870 1.2×
Cysto Bladder W/Ureteral Catheterization (52005) $3,238.20 $4,626 1.4×
Cysto calibration dilat urtl strix/stenosis (52281) $3,238.20 $4,626 1.4×
Cysto w/destruction of lesions (52214) $5,595.10 $7,993 1.4×
Cysto w/irrig & evac multple obstructing clots (52001) $5,595.10 $7,993 1.4×
Cysto W/Simple Removal Stone & Stent (52310) $3,238.20 $4,626 1.4×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $5,595.10 $7,993 1.4×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $5,595.10 $7,993 1.4×
Cystostomy Cystotomy W/Drainage (51040) $3,774.40 $5,392 1.6×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $3,570.70 $5,101 1.5×
Cystourethroscopy (52000) $1,091.30 $1,559 1.4×
Cystourethroscopy inj chemodenervation bladder (52287) $1,848.70 $2,641 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $246.40 $352 0.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 3 matching MRF lines		 $742.70–$1,030.40 $1,061–$1,472 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $970.90 $1,387 1.2×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $970.90 $1,387 1.2×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $4,454.10 $6,363 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $246.40 $352 0.3×
Debride nail 1-5 (11720) $78.40 $112 1.2×
Debride nail 6 or more (11721) $78.40 $112 1.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $738.50 $1,055 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $78.40–$205.80 $112–$294 varies
Declot vascular device (36593) $204.40 $292 0.6×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $4,454.10 $6,363 1.2×
Decompressive fasciotomy hand (26037) $5,730.20 $8,186 1.6×
Delivery of placenta (59414)
range across 3 matching MRF lines		 $161–$1,842.40 $230–$2,632 varies
Derma-fat-fascia graft (15770) $6,262.20 $8,946 1.6×
Destruct B9 Lesion 1-14 (17110) $269.50 $385 1.2×
Destruction of skin lesions (17106) $557.90 $797 1.2×
Destruction premalignant lesion 1st (17000) $269.50 $385 1.2×
Destruction Vaginal Lesions Simple (57061) $5,564.30 $7,949 1.5×
Diagnostic anoscopy (46601) $202.30 $289 0.4×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $129.50–$1,451.10 $185–$2,073 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $217.70 $311 1.5×
Dilate Esophagus 1/Mult Pass (43450) $182.70 $261 0.2×
Dilate Urethra Stricture (53620) $1,824.20 $2,606 2.3×
Dilate Urethra Stricture (53600) $321.30 $459 1.2×
Dilation & curettage dx&/ther nonobstetric (58120) $1,842.40 $2,632 0.5×
Drain Cerebro Spinal Fluid (62272)
range across 3 matching MRF lines		 $146.30–$775.60 $209–$1,108 varies
Drain Hand Tendon Sheath (26020) $4,454.10 $6,363 1.2×
Drain penis lesion (54015) $2,244.20 $3,206 1.2×
Drain/inj small joint/bursa w/us (20604) $323.40 $462 0.9×
Drainage abscess parotid simple (42300)
range across 2 matching MRF lines		 $272.30–$2,076.20 $389–$2,966 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $277.90 $397 0.5×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $253.40–$970.90 $362–$1,387 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $275.80–$1,834.70 $394–$2,621 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $126.70–$244.30 $181–$349 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $690.90–$1,171.10 $987–$1,673 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $205.10–$277.90 $293–$397 varies
Drainage of eye (65800) $4,365.20 $6,236 1.7×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $126.70–$274.40 $181–$392 varies
Drainage of gum lesion (41800)
range across 3 matching MRF lines		 $126.70–$294 $181–$420 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $235.90–$1,171.10 $337–$1,673 varies
Drainage of mouth lesion (41017) $4,256.70 $6,081 1.2×
Drainage of nose lesion (30000) $311.50 $445 1.2×
Drainage of rectal abscess (45005) $1,620.50 $2,315 1.2×
Drainage of salivary gland (42320) $683.20 $976 1.1×
Drainage of salivary gland (42305) $4,256.70 $6,081 1.2×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $287.70–$1,171.10 $411–$1,673 varies
Drainage of scrotum (54700) $2,774.80 $3,964 1.2×
Drainage of skene's gland abscess or cyst (53060) $2,774.80 $3,964 1.2×
Draw Blood Off Venous Device (36591) $173.60 $248 1.2×
Dressing Change Under Anesthesia (15852) $868.70 $1,241 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $665 $950 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $126.70–$236.60 $181–$338 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310)
range across 2 matching MRF lines		 $225.40–$683.20 $322–$976 varies
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $3,865.40 $5,522 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $193.90–$266.70 $277–$381 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $163.80–$225.40 $234–$322 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $108.50–$134.40 $155–$192 varies
Dstrj Lesion Anus Simple Chemical (46900) $557.90 $797 1.2×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,275.40 $1,822 1.3×
Dx Bone Marrow Bx & Aspir (38222) $161 $230 0.0×
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $297.50–$2,790.20 $425–$3,986 varies
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $296.80–$2,790.20 $424–$3,986 varies
Dx gastr intub w/asp spec (43754) $418.60 $598 1.7×
Dx gastr intub w/asp specs (43755) $217.70 $311 1.5×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $276.50–$2,527.70 $395–$3,611 varies
Dx laryngoscopy w/oper scope (31526) $2,790.20 $3,986 1.4×
Dx lmbr spi pnxr w/fluor/CT (62328) $963.90 $1,377 1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $354.90–$3,040.10 $507–$4,343 varies
Egd control bleeding any (43255) $576.80 $824 0.3×
Egd dilation gastric/duodenal stricture (43245) $560 $800 0.3×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $409.50–$3,040.10 $585–$4,343 varies
Egd guide wire insertion (43248) $326.90 $467 0.3×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,040.10 $4,343 1.4×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $514.50–$3,040.10 $735–$4,343 varies
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $413.70 $591 1.2×
Endometrial Biopsy (58100) $266.70 $381 1.2×
Epidural Blood Patch (62273) $472.50 $675 0.6×
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $261.10–$4,230.80 $373–$6,044 varies
Escharotomy; initial incision (16035) $134.40 $192 0.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $358.40 $512 0.4×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,001 $1,430 1.0×
Esophagoscopy Flexible W/Bleeding Control (43227) $431.90 $617 0.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 3 matching MRF lines		 $268.80–$2,879.10 $384–$4,113 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $35–$64.40 $50–$92 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $970.90 $1,387 1.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,516.90 $2,167 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $970.90 $1,387 1.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $970.90 $1,387 1.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $970.90 $1,387 1.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,244.20 $3,206 1.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,244.20 $3,206 1.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $738.50 $1,055 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $738.50 $1,055 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $738.50 $1,055 0.4×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $4,256.70 $6,081 1.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $970.90 $1,387 1.2×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,516.90 $2,167 0.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,865.40 $5,522 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,244.20 $3,206 1.2×
Exc Skin Benig >4cm Face,Facial (11446) $3,865.40 $5,522 1.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $193.90–$2,177 $277–$3,110 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $389.90 $557 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $970.90 $1,387 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,516.90 $2,167 0.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,244.20 $3,206 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $6,818 $9,740 1.7×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,352.30 $4,789 1.6×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,076.20 $2,966 1.2×
Excision Chalazion Single (67800) $534.80 $764 1.5×
Excision Excessive Skin & Subq Tissue Other Area (15839) $4,972.80 $7,104 1.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $970.90 $1,387 1.2×
Excision Multiple External Papillae/Tags Anus (46230) $3,845.10 $5,493 1.2×
Excision of bartholin's gland or cyst (56740) $4,230.80 $6,044 1.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,146.20 $3,066 1.2×
Excision of pilonidal cyst or sinus; simple (11770) $3,865.40 $5,522 1.2×
Excision of vaginal cyst or tumor (57135) $5,443.20 $7,776 1.5×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,865.40 $5,522 1.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,865.40 $5,522 1.2×
Excision soft tissue lesion, external auditory canal (69145) $3,865.40 $5,522 1.2×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $870.10–$1,903.30 $1,243–$2,719 varies
Expl po hemrrg thrombosis/infctj xtr (35860)
range across 2 matching MRF lines		 $1,673–$6,020.70 $2,390–$8,601 varies
Explo/Drain Breast Abscess (19020) $1,834.70 $2,621 1.0×
Exploration of knee joint (27310) $4,454.10 $6,363 1.2×
Exploration penetrating wound spx chest (20101)
range across 2 matching MRF lines		 $810.60–$1,903.30 $1,158–$2,719 varies
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $708.40–$1,171.10 $1,012–$1,673 varies
Exploration Penetrating Wound Spx Neck (20100)
range across 2 matching MRF lines		 $665–$1,033.20 $950–$1,476 varies
External cephalic version (59412) $5,443.20 $7,776 1.5×
Fetal Contraction Stress Test (59020) $266.70 $381 1.2×
Fetal non-stress test (59025) $266.70 $381 1.2×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $2,582.30 $3,689 1.1×
Fine needle aspiration without imaging guidance (10021) $557.90 $797 1.2×
Fluid Pressure Muscle (20950) $126.70 $181 0.2×
Fna bx w/us gdn 1st les (10005) $970.90 $1,387 1.2×
Forehead flap w/vasc pedicle (15731) $6,262.20 $8,946 1.6×
Foreskin manipulation (54450) $284.90 $407 1.0×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,322.20 $4,746 1.4×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,322.20 $4,746 1.4×
Fusion Finger Joint (26860) $2,573.90 $3,677 0.7×
Fusion of hand bones (25820) $9,897.30 $14,139 1.2×
Guide Cathet Fluid Drainage (10030) $970.90 $1,387 1.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,845.10 $5,493 1.2×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,845.10 $5,493 1.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,243.90 $1,777 1.2×
Hemorrhoidopexy by stapling (46947) $3,845.10 $5,493 1.2×
Hymenotomy Simple Incision (56442) $5,443.20 $7,776 1.5×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $1,505.70 $2,151 0.4×
I&d abscess peritonsillar (42700)
range across 3 matching MRF lines		 $242.90–$283.50 $347–$405 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $126.70–$196 $181–$280 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $1,179.50–$1,834.70 $1,685–$2,621 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,865.40 $5,522 1.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $1,047.20–$4,454.10 $1,496–$6,363 varies
I&D Intramural Im/Absc Transanal Anes (46045) $3,845.10 $5,493 1.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $4,454.10 $6,363 1.2×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $172.90–$496.30 $247–$709 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $343.70–$1,171.10 $491–$1,673 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $126.70–$203.70 $181–$291 varies
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines		 $511.70–$3,865.40 $731–$5,522 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $1,834.70 $2,621 0.6×
I&d vaginal hematoma obstetrical/postpartum (57022) $3,865.40 $5,522 1.2×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $174.30–$214.20 $249–$306 varies
Incise flexor carpi radialis (25001) $4,454.10 $6,363 1.2×
Incise/Drain Conjunctiva (68020) $1,857.10 $2,653 1.7×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $348.60–$478.80 $498–$684 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,561.70 $2,231 0.5×
Incision & drainage leg/ankle infected bursa (27604) $4,655 $6,650 1.3×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $372.40–$1,516.90 $532–$2,167 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $186.20–$246.40 $266–$352 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $141.40–$186.90 $202–$267 varies
Incision and drainage of the tear gland (68400) $1,764 $2,520 1.6×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $3,865.40 $5,522 1.2×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $141.40–$191.10 $202–$273 varies
Incision extensor tendon sheath wrist (25000) $2,146.20 $3,066 1.2×
Incision of eardrum (69420) $277.90 $397 1.1×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $723.80–$2,177 $1,034–$3,110 varies
Incision of urethra (53020) $2,774.80 $3,964 1.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $504.70–$2,954 $721–$4,220 varies
Incisional biopsy skin single lesion (11106) $868.70 $1,241 1.1×
Induced abortion dilation and curettage (59840) $4,230.80 $6,044 1.2×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $78.40–$92.40 $112–$132 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,275.40 $1,822 1.3×
Inject Intravitreal Pharmcologic (67028) $672.70 $961 1.8×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $100.10–$233.10 $143–$333 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,275.40 $1,822 1.3×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,275.40 $1,822 1.3×
Injection aa&/strd genicular nrv branches w/img (64454) $963.90 $1,377 1.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $163.80–$666.40 $234–$952 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $963.90 $1,377 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $963.90 $1,377 1.2×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,275.40 $1,822 1.3×
Injection Anes Agent Sphenopalatine Ganglion (64505) $406.70 $581 1.2×
Injection of sclerosing solution, hemorrhoids (46500) $1,243.90 $1,777 1.2×
Injection single tendon origin/insertion (20551) $406.70 $581 1.2×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $74.90–$233.10 $107–$333 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $75.60–$263.20 $108–$376 varies
Injection therapeutic carpal tunnel (20526) $406.70 $581 1.2×
Injection, anesthetic agent; femoral nerve, single (64447) $963.90 $1,377 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $77.70–$347.90 $111–$497 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $63.70–$269.50 $91–$385 varies
Injx Anterior Chamber Eye Medication Spx (66030) $4,365.20 $6,236 1.7×
Insert and remove bone pin (20650) $4,454.10 $6,363 1.2×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $99.40–$137.90 $142–$197 varies
Insert cath pleura w/ image (32557) $488.60 $698 0.3×
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $346.50–$479.50 $495–$685 varies
Insert cervical dilator (59200) $437.50 $625 1.3×
Insert Gastrostomy Tube Percutaneous (49440) $2,605.40 $3,722 1.2×
Insert non-tunnel cv cath (36556)
range across 7 matching MRF lines		 $207.20–$818.30 $296–$1,169 varies
Insert pessary/other device (57160) $266.70 $381 1.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $165.90–$2,226.70 $237–$3,181 varies
Insert prost urethral stent (53855) $2,774.80 $3,964 1.2×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $51.10–$56 $73–$80 varies
Insert tunneled cv cath (36561) $4,457.60 $6,368 1.3×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $7,690.20 $10,986 1.2×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $46.90–$50.40 $67–$72 varies
Insertion indwelling tunneled pleural catheter (32550) $5,299.70 $7,571 1.3×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 4 matching MRF lines		 $266–$2,226.70 $380–$3,181 varies
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $6,818 $9,740 1.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 3 matching MRF lines		 $193.90–$988.40 $277–$1,412 varies
Insj Picc Rs&I <5 Yr (36572)
range across 3 matching MRF lines		 $150.50–$865.90 $215–$1,237 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 6 matching MRF lines		 $154.70–$917.70 $221–$1,311 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,457.60 $6,368 1.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 3 matching MRF lines		 $7,637.70 $434–$10,911 0.8×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $16,499 $23,570 1.8×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,177 $3,110 0.7×
Interdental fixation (21110) $2,076.20 $2,966 1.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $310.10–$828.10 $443–$1,183 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $315–$956.20 $450–$1,366 varies
Intranasal Biopsy (30100) $2,076.20 $2,966 1.2×
Intraoral i&d tongue/floor lingual (41000)
range across 2 matching MRF lines		 $198.80–$1,505.70 $284–$2,151 varies
Intraoral i&d tongue/floor sublngl supfc (41005) $311.50 $445 1.2×
Intraoral i&d tongue/floor submental space (41007) $2,076.20 $2,966 1.2×
Intraoral i&d tongue/floor submndblr space (41008) $4,256.70 $6,081 1.2×
Intro Gastrointestinal Tube (44500) $1,235.50 $1,765 1.2×
Intubation endotracheal emergency procedure (31500)
range across 6 matching MRF lines		 $172.20–$320.60 $246–$458 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $174.30–$228.90 $249–$327 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $10,033.10 $14,333 1.5×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $86.80–$126.70 $124–$181 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $156.10–$220.50 $223–$315 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $3,602.20 $5,146 0.9×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,209.90 $3,157 1.1×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577)
range across 2 matching MRF lines		 $259.70–$522.90 $371–$747 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines		 $220.50–$224.70 $315–$321 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $341.60–$2,527.70 $488–$3,611 varies
Laryngoscopy w/wo tracheoscopy aspiration (31515)
range across 2 matching MRF lines		 $192.50–$658 $275–$940 varies
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520)
range across 2 matching MRF lines		 $273–$658 $390–$940 varies
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,560.30–$2,582.30 $2,229–$3,689 varies
Lateral Canthopexy (21282) $5,476.80 $7,824 1.5×
Ligation Of Neck Artery (37615) $6,020.70 $8,601 1.7×
Ligation or biopsy temporal artery (37609) $2,244.20 $3,206 1.2×
Manipulation Elbow Under Anesthesia (24300) $2,146.20 $3,066 1.2×
Manipulation knee joint under general anesthesia (27570) $2,146.20 $3,066 1.2×
Manipulation tmj therapeutic require anesthesia (21073) $2,671.90 $3,817 1.5×
Manipulation wrist under anesthesia (25259) $2,146.20 $3,066 1.2×
Marsupialization of bartholin's gland cyst (56440) $1,842.40 $2,632 0.5×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600)
range across 2 matching MRF lines		 $611.80–$3,041.50 $874–$4,345 varies
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $6,262.20 $8,946 1.6×
N Block Inj Celiac Pelus (64530) $1,275.40 $1,822 1.3×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $191.80–$963.90 $274–$1,377 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $119.70–$347.90 $171–$497 varies
N Block Inj Plantar Digit (64455) $406.70 $581 1.2×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $166.60–$1,275.40 $238–$1,822 varies
Nasal Endoscopy Dx (31231) $312.20 $446 1.4×
Nasal/Orogastric W/Tube Plmt (43752) $564.90 $807 1.1×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,790.20 $3,986 1.4×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $10,800.30 $15,429 1.4×
Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380)
range across 2 matching MRF lines		 $801.50–$10,589.60 $1,145–$15,128 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $37.10 $53 1.2×
Needle insertion w/o injection 3 or more muscles (20561) $37.10 $53 1.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,165.50 $1,665 2.8×
Njx anes stellate ganglion crv sympathetic (64510) $1,275.40 $1,822 1.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $119.70–$233.10 $171–$333 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $805 $1,150 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $963.90 $1,377 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 3 matching MRF lines		 $176.40–$963.90 $252–$1,377 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 3 matching MRF lines		 $176.40–$1,275.40 $252–$1,822 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $805 $1,150 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $963.90 $1,377 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $176.40–$805 $252–$1,150 varies
Obstructive material removal from gi tube (49460) $1,589 $2,270 1.6×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $109.20–$347.90 $156–$497 varies
Open Treatment Bimalleolar Ankle Fracture (27814) $12,733.70 $18,191 1.6×
Open Treatment Fracture Distal Tibia & Fibula (27828) $25,117.40 $35,882 1.8×
Open treatment fracture distal tibia only (27827) $25,117.40 $35,882 1.8×
Open treatment interphalangeal joint dislocation (28675) $5,730.20 $8,186 1.6×
Open Treatment Lunate Dislocation (25695) $9,897.30 $14,139 1.2×
Open Treatment Medial Malleolus Fracture (27766) $9,897.30 $14,139 1.2×
Open treatment metatarsal fracture each (28485) $9,897.30 $14,139 1.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $9,897.30 $14,139 1.2×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $10,278.80 $14,684 1.6×
Open treatment of nasal fracture; uncomplicated Facility (21325) $4,256.70 $6,081 1.2×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $5,730.20 $8,186 1.6×
Open Treatment of Ulnar Shaft Fracture (25545) $9,897.30 $14,139 1.2×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $9,897.30 $14,139 1.2×
Open Treatment Proximal Humeral Fracture (23615) $25,117.40 $35,882 1.8×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $4,454.10 $6,363 1.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $9,897.30 $14,139 1.2×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines		 $993.30–$2,335.20 $1,419–$3,336 varies
Open Tx Distal Tibiofibular Joint Disruption (27829) $12,733.70 $18,191 1.6×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $4,454.10 $6,363 1.2×
Open tx humeral supracondylar fracture w/o xtn (24545) $25,117.40 $35,882 1.8×
Open tx interphalangeal joint dislocation (26785) $4,454.10 $6,363 1.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $5,730.20 $8,186 1.6×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $4,454.10 $6,363 1.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $12,733.70 $18,191 1.6×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $12,733.70 $18,191 1.6×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $12,733.70 $18,191 1.6×
Orbital implant removal/revision (67560) $7,065.80 $10,094 1.6×
Orchiopexy Ingun/Scrot Appr (54640) $6,818 $9,740 1.7×
Osteotomy Phalanx Finger Each (26567) $4,454.10 $6,363 1.2×
Partial Excision Distal Phalanx Finger (26236) $2,146.20 $3,066 1.2×
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,146.20 $3,066 1.2×
Partial hymenectomy or revision of hymenal ring (56700) $5,443.20 $7,776 1.5×
Partial removal of toe (28160) $4,454.10 $6,363 1.2×
Partical Excision Bone Phalanx Toe (28124) $5,730.20 $8,186 1.6×
Pelvic examination under anesthesia (other than local) (57410) $4,230.80 $6,044 1.2×
Penile Injection (54235) $174.30 $249 0.6×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $4,454.10 $6,363 1.2×
Pericardiocentesis W/Imaging (33016) $3,889.90 $5,557 2.2×
Peritoneal Lavage (49084) $791.70 $1,131 0.8×
Perq Cervicothoracic Inject (22510) $5,730.20 $8,186 1.6×
Perq Lumbosacral Injection (22511) $5,730.20 $8,186 1.6×
Perq skel fixj distal radial fx/epiphysl sep (25606) $4,454.10 $6,363 1.2×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $102.20–$144.20 $146–$206 varies
Placement of seton (46020) $3,845.10 $5,493 1.2×
Probe lacrimal canaliculi w/wo irrigation (68840) $534.80 $764 1.5×
Proctopexy Perineal Approach (45541) $4,946.20 $7,066 1.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $737.80 $1,054 0.7×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307)
range across 2 matching MRF lines		 $181.30–$4,485.60 $259–$6,408 varies
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,335.20 $3,336 0.6×
Prq skel fixj femoral fx prox end neck (27235) $12,733.70 $18,191 1.6×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $870.80 $1,244 0.1×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
unusually low: confirm this is the full procedure		 $3,637.20 $5,196 0.4×
Pseudoaneurysm Injection Trt (36002) $1,169 $1,670 1.7×
Punch biopsy skin single lesion (11104) $557.90 $797 1.2×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $140.70–$191.80 $201–$274 varies
Puncture Aspiration Cyst Breast (19000) $970.90 $1,387 1.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $554.40 $792 0.7×
Push Transfusion Blood 2 Yr/Under (36440) $609.70 $871 1.2×
Rdctj torsion tstis w/wo fixj clat testis (54600) $6,169.80 $8,814 1.6×
Reconstruct Finger Joint (26548) $5,730.20 $8,186 1.6×
Reconstruction Nail Bed W/Graft (11762) $2,582.30 $3,689 1.1×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $4,454.10 $6,363 1.2×
Reduction of rectal prolapse (45900)
range across 2 matching MRF lines		 $403.90–$1,243.90 $577–$1,777 varies
Release of big toe (28240) $4,454.10 $6,363 1.2×
Removal Anal Seton Other Marker (46030) $1,620.50 $2,315 1.2×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $206.50–$322 $295–$460 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $1,069.60–$3,865.40 $1,528–$5,522 varies
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $643.30–$2,244.20 $919–$3,206 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $548.80–$1,516.90 $784–$2,167 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $233.10–$738.50 $333–$1,055 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $293.30–$394.80 $419–$564 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $5,730.20 $8,186 1.6×
Removal Foreign Body Scrotum (55120)
range across 2 matching MRF lines		 $613.90–$2,774.80 $877–$3,964 varies
Removal foreign body upper arm/elbow deep (24201) $3,865.40 $5,522 1.2×
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,076.20 $2,966 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $23.10–$58.10 $33–$83 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $56–$65.80 $80–$94 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $5,443.20 $7,776 1.5×
Removal Implant Deep (20680) $3,865.40 $5,522 1.2×
Removal Implant Superficial Separate Procedure (20670) $1,516.90 $2,167 0.8×
Removal implantable contraceptive capsules (11976) $970.90 $1,387 1.2×
Removal intact breast implant (19328) $6,617.80 $9,454 1.5×
Removal of foreign body from pharynx (42809)
range across 3 matching MRF lines		 $58.10–$270.90 $83–$387 varies
Removal of implant from finger or hand (26320) $2,244.20 $3,206 1.2×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $346.50–$394.80 $495–$564 varies
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $80.50–$101.50 $115–$145 varies
Removal shoulder foreign body deep subfascial/im (23333) $3,865.40 $5,522 1.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $78.40–$154.70 $112–$221 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $2,582.30 $3,689 1.1×
Removal tong/halo applied by another individual (20665) $564.90 $807 1.1×
Removal, under anesthesia, of external fixation system (20694) $2,146.20 $3,066 1.2×
Removal/bivalving gauntlet boot/body cast (29700)
range across 3 matching MRF lines		 $58.10–$101.50 $83–$145 varies
Remove Brain Cavity Fluid (61020) $1,519.70 $2,171 1.5×
Remove cerclage suture (59871) $4,230.80 $6,044 1.2×
Remove drug implant device (11982) $564.90 $807 1.1×
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $851.20–$2,146.20 $1,216–$3,066 varies
Remove foreign body from eye (65235) $4,365.20 $6,236 1.7×
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $77.70–$177.10 $111–$253 varies
Remove Hand Bone Lesion (26200) $2,146.20 $3,066 1.2×
Remove Int Dwell Ureteral Stent Transurethral (50386) $3,570.70 $5,101 1.5×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $118.30–$141.40 $169–$202 varies
Remove Lower Leg Bone Lesion (27635) $5,730.20 $8,186 1.6×
Remove lung catheter (32552) $865.90 $1,237 1.2×
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $58.10–$258.30 $83–$369 varies
Remove Peritoneal Foreign Body (49402) $6,818 $9,740 1.7×
Remove Shoulder Foreign Body (23330) $2,244.20 $3,206 1.2×
Remove Tendon Sheath Lesion (26160) $2,146.20 $3,066 1.2×
Remove tissue expander (11971) $4,972.80 $7,104 1.5×
Repair Achilles Tendon (27650) $12,733.70 $18,191 1.6×
Repair arm/leg nerve (64857) $11,894.40 $16,992 3.1×
Repair Blood Vessel Direct Hand Finger (35207) $6,020.70 $8,601 1.7×
Repair blood vessel direct neck (35201) $10,388 $14,840 1.7×
Repair Blood Vessel Direct Upper Extremity (35206) $6,020.70 $8,601 1.7×
Repair blood vessel lesion (35190) $10,388 $14,840 1.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $443.80–$639.80 $634–$914 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $473.20–$834.40 $676–$1,192 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $291.20–$555.80 $416–$794 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $443.80–$948.50 $634–$1,355 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $291.20–$494.90 $416–$707 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $320.60–$661.50 $458–$945 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $443.80–$472.50 $634–$675 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $443.80–$574 $634–$820 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,006.60–$1,534.40 $1,438–$2,192 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $4,454.10 $6,363 1.2×
Repair Eyelid Wound (67935) $4,273.50 $6,105 1.6×
Repair Finger Tendon (26433) $1,534.40 $2,192 0.4×
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $1,234.10–$4,454.10 $1,763–$6,363 varies
Repair Hand Joint (26540) $1,534.40 $2,192 0.4×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $1,129.80–$1,534.40 $1,614–$2,192 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $291.20–$348.60 $416–$498 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $295.40–$417.20 $422–$596 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $300.30–$438.20 $429–$626 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $305.20–$461.30 $436–$659 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $319.90–$965.30 $457–$1,379 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $380.80–$531.30 $544–$759 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $291.20–$315.70 $416–$451 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $320.60–$403.90 $458–$577 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $350.70–$431.20 $501–$616 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $440.30–$1,030.40 $629–$1,472 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $380.80–$482.30 $544–$689 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $291.20–$308 $416–$440 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $320.60–$394.80 $458–$564 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $410.90–$564.90 $587–$807 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $350.70–$414.40 $501–$592 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $440.30–$816.20 $629–$1,166 varies
Repair intrinsic muscles hand each muscle (26591) $5,730.20 $8,186 1.6×
Repair Laceration Palate </2 Cm (42180)
range across 3 matching MRF lines		 $325.50–$683.20 $465–$976 varies
Repair Laceration Palate >2 Cm/Complex (42182)
range across 2 matching MRF lines		 $450.10–$7,989.80 $643–$11,414 varies
Repair of nail bed (11760)
range across 2 matching MRF lines		 $106.40–$269.50 $152–$385 varies
Repair of rectum (45505) $3,845.10 $5,493 1.2×
Repair Spica/Body/Jacket Cast (29720) $101.50 $145 0.6×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 3 matching MRF lines		 $535.50–$1,972.60 $765–$2,818 varies
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $9,897.30 $14,139 1.2×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $372.40–$1,071 $532–$1,530 varies
Repair tongue laceration (41250)
range across 3 matching MRF lines		 $95.90–$308.70 $137–$441 varies
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $10,388 $14,840 1.7×
Repair, primary, disrupted ligament, ankle; collateral (27695) $9,897.30 $14,139 1.2×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $9,897.30 $14,139 1.2×
Repair/graft achilles tendon (27652) $12,733.70 $18,191 1.6×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 4 matching MRF lines		 $157.50–$1,235.50 $225–$1,765 varies
Replace G-J Tube Perc (49452) $1,235.50 $1,765 1.2×
Replace g/c tube perc (49450) $1,235.50 $1,765 1.2×
Replantation digit complete (20822) $2,761.50 $3,945 1.5×
Reposition Gastrostomy Tube (43761) $321.30 $459 1.2×
Revise finger joint each (26140) $2,146.20 $3,066 1.2×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $4,273.50 $6,105 1.6×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,076.20 $2,966 1.2×
Rmvl embedded fb vestibule mouth comp (40805) $683.20 $976 1.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $58.10–$238.70 $83–$341 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,244.20 $3,206 1.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $74.20–$177.10 $106–$253 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines		 $93.80–$177.10 $134–$253 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $94.50–$646.80 $135–$924 varies
Rmvl fecal impaction/fb spx under anes (45915) $1,620.50 $2,315 1.2×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $4,256.70 $6,081 2.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $854–$2,076.20 $1,220–$2,966 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $3,865.40 $5,522 1.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,244.20 $3,206 1.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $3,460.10 $4,943 1.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,226.70 $3,181 1.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $865.90 $1,237 1.2×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $359.10 $513 1.2×
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $56–$299.60 $80–$428 varies
Rplc gtube revj gstrst trc (43763)
range across 3 matching MRF lines		 $56–$299.60 $80–$428 varies
Rplcmt cath ctr vad subq port/pmp (36578) $4,457.60 $6,368 1.3×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,226.70 $3,181 1.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 3 matching MRF lines		 $112–$2,226.70 $160–$3,181 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,457.60 $6,368 1.3×
Rpr blood vessel direct lower extremity (35226) $1,192.10 $1,703 1.5×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $9,897.30 $14,139 1.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $196.70–$212.80 $281–$304 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $410.90–$939.40 $587–$1,342 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 2 matching MRF lines		 $311.50–$326.90 $445–$467 varies
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $4,273.50 $6,105 1.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $665–$736.40 $950–$1,052 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 3 matching MRF lines		 $534.80–$665 $764–$950 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $665 $950 0.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $4,454.10 $6,363 1.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $1,089.90–$2,890.30 $1,557–$4,129 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $847.70–$2,890.30 $1,211–$4,129 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $865.90 $1,237 1.2×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $7,065.80 $10,094 1.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $5,730.20 $8,186 1.6×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $4,454.10 $6,363 1.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $4,256.70 $6,081 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $289.10 $413 0.2×
Shave skin lesion 0.5 cm/< (11300) $557.90 $797 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $269.50 $385 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $269.50 $385 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $568.40 $812 2.5×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $4,256.70 $6,081 1.2×
Sigmoidoscopy & Polypectomy (45333) $225.40 $322 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $155.40 $222 0.1×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,890 $2,700 1.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $226.10–$286.30 $323–$409 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $106.40–$122.50 $152–$175 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $136.50–$137.90 $195–$197 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $256.20–$263.20 $366–$376 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $166.60–$172.90 $238–$247 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $291.20–$348.60 $416–$498 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $100.10–$106.40 $143–$152 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $256.20–$399.70 $366–$571 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $160.30–$166.60 $229–$238 varies
Skin Full Grft Face/Genit/Hf (15240) $2,405.20 $3,436 1.0×
Skin Pinch Graft (15050) $291.20 $416 0.4×
Skin sub graft trnk/arm/leg (15271) $3,322.20 $4,746 4.0×
Slitting of prepuce (54001) $2,774.80 $3,964 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $130.20–$136.50 $186–$195 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $196.70–$213.50 $281–$305 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $226.10–$261.10 $323–$373 varies
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $98.70–$157.50 $141–$225 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $6,262.20 $8,946 1.6×
Strapping ankle (29540) $217.70 $311 1.2×
Strapping elbow or wrist (29260) $86.10 $123 1.3×
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $63–$86.10 $90–$123 varies
Strapping Hip (29520) $173.60 $248 1.2×
Strapping knee (29530) $173.60 $248 1.2×
Strapping shoulder (29240)
range across 3 matching MRF lines		 $75.60–$173.60 $108–$248 varies
Strapping thorax (29200) $217.70 $311 1.2×
Strapping toes (29550)
range across 3 matching MRF lines		 $33.60–$86.10 $48–$123 varies
Strapping Unna Boot (29580)
range across 5 matching MRF lines		 $61.60–$217.70 $88–$311 varies
Subconjunctival injection (68200) $763 $1,090 1.5×
Surg tx anal fistula subq (46270) $3,845.10 $5,493 1.2×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $3,845.10 $5,493 1.2×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $4,273.50 $6,105 1.6×
Suture digital nerve hand/foot 1 nerve (64831) $3,292.10 $4,703 1.5×
Suture infrapatellar tendon primary (27380) $9,897.30 $14,139 1.2×
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines		 $1,404.20–$12,003.60 $2,006–$17,148 varies
Suture pharynx for wound or injury (42900) $2,076.20 $2,966 1.2×
Tangential biopsy skin single lesion (11102) $269.50 $385 0.6×
Temporary Closure Eyelids Suture (67875) $1,306.20 $1,866 1.2×
Tenotomy extensor hand/finger open each tendon (26460) $2,146.20 $3,066 1.2×
Ther Spi Pnxr Csf Fluor/Ct (62329) $963.90 $1,377 1.2×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $10,388 $14,840 1.7×
Thrombolytic Therapy Stroke (37195) $355.60 $508 1.0×
Thrombolytic Venous Therapy (37212) $5,734.40 $8,192 1.6×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,135.70 $3,051 0.9×
Tooth extraction (41899) $400.40 $572 1.5×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $4,230.80 $6,044 1.2×
Tracheobrnchsc Thru Est Trachs Inc (31615) $797.30 $1,139 1.3×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $315.70–$1,071 $451–$1,530 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines		 $383.60–$1,071 $548–$1,530 varies
Tracheostomy planned (31600) $5,476.80 $7,824 1.5×
Transrectal Drainage of Pelvic Abscess (45000) $1,620.50 $2,315 1.2×
Treat Ankle Dislocation (27846) $12,733.70 $18,191 1.6×
Treat Big Toe Fracture (28505) $4,454.10 $6,363 1.2×
Treat Dental Ridge Fracture (21440) $5,476.80 $7,824 1.5×
Treat dental ridge fracture (21445) $10,278.80 $14,684 1.6×
Treat Elbow Fracture (24635) $12,733.70 $18,191 1.6×
Treat Finger Fracture Each (26727) $2,335.20 $3,336 0.6×
Treat Fx Rad Extra-Articul (25607) $9,897.30 $14,139 1.2×
Treat Hip Socket Fracture (27222) $1,914.50 $2,735 7.0×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $134.40–$627.20 $192–$896 varies
Treat Humerus Fracture (24505) $1,077.30 $1,539 0.6×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $134.40–$574.70 $192–$821 varies
Treat knee fracture (27532) $1,710.10 $2,443 0.5×
Treat Knee Fracture(S) (27538) $134.40 $192 0.5×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $310.10–$594.30 $443–$849 varies
Treat metacarpal fracture (26607) $4,454.10 $6,363 1.2×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $134.40–$393.40 $192–$562 varies
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $134.40–$369.60 $192–$528 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $134.40–$641.90 $192–$917 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $455–$742 $650–$1,060 varies
Treat toe dislocation (28630) $134.40 $192 0.5×
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $184.10–$266.70 $263–$381 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $933.80–$1,534.40 $1,334–$2,192 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $134.40–$661.50 $192–$945 varies
Treatment mouth roof lesion (42160) $4,256.70 $6,081 1.2×
Treatment of tibia fracture (27756) $12,733.70 $18,191 1.6×
Trim skin lesion (11055) $269.50 $385 1.2×
Trim skin lesions 2 to 4 (11056) $269.50 $385 1.2×
Trim skin lesions over 4 (11057) $269.50 $385 1.2×
Trimming Nondystrophic Nails Any Number (11719) $86.10 $123 1.3×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $3,077.20 $4,396 1.6×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $35–$418.60 $50–$598 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $25,117.40 $35,882 1.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,842.40 $2,632 0.5×
Tx Missed Abortion First Trimester Surgical (59820) $4,230.80 $6,044 1.2×
Tx Missed Abortion Second Trimester Surgical (59821) $4,230.80 $6,044 1.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,146.20 $3,066 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $291.20–$375.90 $416–$537 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $291.20–$298.20 $416–$426 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $411.60–$1,077.30 $588–$1,539 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $134.40–$338.80 $192–$484 varies
Unlisted procedure anus (46999) $1,600.20 $2,286 1.5×
Unlisted Procedure Hands/Fingers (26989) $177.10 $253 0.6×
Unlisted Procedure Intestine (44799) $1,589 $2,270 1.6×
Unlisted procedure nervous system (64999) $523.60 $748 1.5×
Unlisted procedure pelvis/hip joint (27299) $215.60 $308 0.8×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $400.40 $572 1.5×
Unlisted Procedure Rectum (45999) $1,600.20 $2,286 1.5×
Unlisted procedure shoulder (23929) $177.10 $253 0.6×
Unlisted procedure spine (22899) $4,655 $6,650 16.9×
Unlisted Procedure, Urinary System (53899) $413.70 $591 1.5×
Unlisted px female genital system nonobstetrical (58999) $343 $490 1.5×
Unlisted Px Salivary Glands/Ducts (42699) $311.50 $445 1.2×
Vaginal Delivery After Cesarean Delivery (59612) $5,443.20 $7,776 1.5×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $1,430.80–$2,965.20 $2,044–$4,236 varies
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $28–$89.60 $40–$128 varies
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $23.80–$68.60 $34–$98 varies
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $78.40–$181.30 $112–$259 varies
Wedging of cast (29740) $359.10 $513 1.2×
Windowing of cast (29730) $101.50 $145 0.6×
Wound Prep F/N/Hf/G (15004) $1,117.90 $1,597 2.5×
Wound Prep Trk/Arm/Leg (15002) $3,322.20 $4,746 4.0×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $3,007.90 $4,297 1.7×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $683.20 $976 1.1×

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.