Procedures & surgery prices at Providence St. Joseph Medical Center

Polson, MT · every code in this section with a posted price and a Medicare benchmark.

1207 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $445.60 $557 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $321.60 $402 0.3×
Ablate inf turbinate submuc (30802) $416.80 $521 0.3×
Ablation 1/> liver tumor perq cryoablation (47383)
range across 2 matching MRF lines		 $8,386.40–$9,201.60 $10,483–$11,502 varies
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $7,867.20 $9,834 1.1×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $329.60 $412 0.2×
Acne surgery (10040) $171.20 $214 0.8×
Acromiopl/Acromionect Partial (23130) $916.80 $1,146 0.3×
Adding Walker Previously Applied Cast (29440) $65.60 $82 0.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $957.60 $1,197 0.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,189.60 $1,487 0.6×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $1,496.80 $1,871 0.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,142.40 $1,428 0.5×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,056.80 $1,321 0.5×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,388 $1,735 0.7×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,305.60 $1,632 0.6×
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines		 $172–$176.80 $215–$221 varies
Amniocentesis therapeutic (59001) $499.20 $624 1.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,028 $1,285 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,050.40 $1,313 0.3×
Amputation foot transmetarsal (28805) $1,039.20 $1,299 0.3×
Amputation metatarsal with toe single (28810) $622.40 $778 0.2×
Amputation thigh through femur any level (27590) $1,160 $1,450 0.3×
Amputation toe interphalangeal joint (28825) $434.40 $543 0.1×
Amputation toe metatarsophalangeal joint (28820) $443.20 $554 0.1×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,325.60 $1,657 0.2×
Amputation, leg, through tibia and fibula; re-amputation (27886) $958.40 $1,198 0.3×
Anal/Urinary Muscle Study (51784) $94.40 $118 0.7×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $324 $405 0.3×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $176–$181.60 $220–$227 varies
Anoscopy remove lesion (46610) $400 $500 0.1×
Anoscopy; with biopsy, single or multiple (46606) $404.80 $506 0.3×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $154.40 $193 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $905.60 $1,132 0.2×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $952 $1,190 0.1×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $212.80 $266 1.3×
Application cast elbow finger short arm (29075) $126.40 $158 0.4×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $77.60–$84 $97–$105 varies
Application finger splint static (29130) $60.80 $76 0.4×
Application long arm splint shoulder hand (29105) $119.20 $149 0.7×
Application Long Leg Cast Brace (29358) $251.20 $314 0.9×
Application Long Leg Cast Walker/Ambulatory Type (29355) $206.40 $258 0.7×
Application Long Leg Splint (29505) $127.20 $159 0.8×
Application multiplane external fixation system (20692)
range across 2 matching MRF lines		 $1,644–$1,708.80 $2,055–$2,136 varies
Application of cylinder cast (thigh to ankle) (29365) $192 $240 0.7×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $197.60–$208.80 $247–$261 varies
Application of rigid total contact leg cast (29445) $187.20 $234 0.7×
Application Patellar Tendon Bearing Cast (29435) $192 $240 0.7×
Application Short Arm Splint Dynamic (29126) $121.60 $152 0.9×
Application short arm splint forearm-hand static (29125) $96 $120 0.7×
Application short leg splint calf foot (29515) $103.20 $129 0.6×
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $877.60 $1,097 0.1×
Application, cast; figure-of-eight Facility (29049) $156 $195 0.5×
Apply hand/wrist cast (29085) $139.20 $174 0.8×
Apply long arm cast (29065) $140.80 $176 0.5×
Apply Multlay Comprs Lwr Leg (29581) $129.60 $162 0.8×
Apply Short Leg Cast (29405) $116 $145 0.4×
Apply short leg cast (29425) $109.60 $137 0.4×
Aqueous Shunt Extraocular Reservoir W/O Graft (66179)
range across 2 matching MRF lines		 $1,552.80–$1,590.40 $1,941–$1,988 varies
Arterial puncture (36600) $51.20 $64 0.4×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
likely a partial charge, not the full procedure		 $1,161.60 $1,452 0.2×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $1,074.40 $1,343 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $80.80–$82.40 $101–$103 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $131.20 $164 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $96 $120 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $146.40 $183 0.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $78.40–$80.80 $98–$101 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $1,487.20 $1,859 0.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,154.40 $1,443 0.2×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $1,177.60 $1,472 0.1×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280)
likely a partial charge, not the full procedure		 $2,005.60 $2,507 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $1,916.80 $2,396 0.1×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure		 $1,764 $2,205 0.1×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $1,368 $1,710 0.8×
Arthroscopy Ankle Surgical Debridement Limited (29897) $724 $905 0.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $841.60 $1,052 0.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $964 $1,205 0.3×
Arthroscopy knee synovectomy limited spx (29875) $733.60 $917 0.2×
Arthroscopy shoulder distal claviculectomy (29824) $1,000 $1,250 0.3×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
likely a partial charge, not the full procedure		 $1,560 $1,950 0.2×
Arthroscopy, knee, surgical; with lateral release (29873) $795.20 $994 0.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,016 $1,270 0.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $1,350.40 $1,688 0.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $875.20 $1,094 0.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $800 $1,000 0.2×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $1,521.60 $1,902 0.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure		 $1,573.60 $1,967 0.2×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $1,063.20 $1,329 0.3×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure		 $1,380.80 $1,726 0.2×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $1,886.40 $2,358 0.1×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $1,286.40 $1,608 0.4×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $1,438.40 $1,798 0.2×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $976 $1,220 0.3×
Arthrs knee debridement/shaving artclr crtlg (29877) $917.60 $1,147 0.3×
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $972.80 $1,216 0.3×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $830.40 $1,038 0.2×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $664 $830 0.2×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $591.20 $739 0.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $500.80 $626 0.1×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $668.80 $836 0.4×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $715.20 $894 0.2×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $627.20 $784 0.2×
Artificial insemination intra-uterine (58322) $135.20 $169 0.7×
Aspirate pleura w/ imaging (32555) $479.20 $599 0.7×
Aspirate Pleura W/O Imaging (32554) $358.40 $448 0.6×
Aspirate/Inj Ganglion Cyst (20612) $94.40 $118 0.3×
Aspiration and/or injection thyroid cyst (60300) $153.60 $192 0.2×
Aspiration bladder insert suprapubic catheter (51102) $359.20 $449 0.2×
Aspiration bladder trocar/intracatheter (51101) $233.60 $292 0.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $170.40–$172 $213–$215 varies
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $1,304 $1,630 0.2×
Biopsy Abdominal Mass (49180) $1,320 $1,650 0.8×
Biopsy bone open deep (20245) $510.40 $638 0.2×
Biopsy bone open superficial (20240) $208.80 $261 0.1×
Biopsy bone trocar/needle deep (20225) $561.60 $702 0.3×
Biopsy external ear (69100) $143.20 $179 0.6×
Biopsy muscle percutaneous needle (20206) $316.80 $396 0.2×
Biopsy Muscle Superficial (20200) $319.20 $399 0.2×
Biopsy nail unit (11755) $180.80 $226 0.2×
Biopsy of breast; open, incisional (19101) $496 $620 0.1×
Biopsy of lip (40490) $181.60 $227 0.8×
Biopsy of liver, needle; percutaneous (47000) $882.40 $1,103 0.5×
Biopsy of palate, uvula (42100) $216.80 $271 0.1×
Biopsy of penis (54100) $299.20 $374 0.2×
Biopsy of rectum (45100) $445.60 $557 0.2×
Biopsy of urethra (53200) $239.20 $299 0.1×
Biopsy Oropharynx (42800) $235.20 $294 0.1×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $358.40 $448 0.1×
Biopsy soft tissue back/flank deep (21925) $744 $930 0.4×
Biopsy Soft Tissue Back/Flank Superficial (21920) $220.80 $276 0.1×
Biopsy soft tissue forearm&/wrist superficial (25065) $379.20 $474 0.2×
Biopsy soft tissue leg/ankle area superficial (27613) $375.20 $469 0.2×
Biopsy soft tissue neck/thorax (21550) $394.40 $493 0.2×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040)
range across 2 matching MRF lines		 $503.20–$505.60 $629–$632 varies
Biopsy Soft Tissue Shoulder Superficial (23065) $336 $420 0.2×
Biopsy soft tissue thigh/knee area superficial (27323) $407.20 $509 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $280 $350 0.5×
Biopsy Tongue Posterior One-Third (41105) $278.40 $348 0.1×
Biopsy Vaginal Mucosa Extensive (57105) $265.60 $332 0.1×
Biopsy Vaginal Mucosa Simple (57100) $154.40 $193 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $142.40–$144 $178–$180 varies
Biopsy, vestibule of mouth (40808) $251.20 $314 0.5×
Biopsy/removal lymph nodes (38510) $785.60 $982 0.2×
Bladder instillation anticarcinogenic agent (51720) $132.80 $166 0.2×
Bladder Irrigation (51700) $113.60 $142 0.4×
Bladder Scan (51798) $17.60 $22 0.3×
Blepharotomy drainage abscess eyelid (67700) $425.60 $532 1.3×
Blood Transfusion Service (36430) $295.20 $369 0.7×
Blood/Lymph System Procedure (38999) $617.60 $772 1.4×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $584.80 $731 0.1×
Bone graft with microvascular anastomosis; fibula Facility (20955)
unusually low: confirm this is the full procedure		 $3,609.60 $4,512 0.5×
Breast Reduction (19318)
likely a partial charge, not the full procedure		 $1,604 $2,005 0.2×
Bx breast 1st lesion mr imag (19085) $1,720 $2,150 1.0×
Bx breast 1st lesion strtctc (19081) $1,720 $2,150 1.0×
Bx breast 1st lesion us imag (19083) $770.40 $963 0.5×
Bx breast needle core w/o imaging guidance spx (19100) $231.20 $289 0.1×
Bx Cervix (57500)
range across 2 matching MRF lines		 $224.80–$233.60 $281–$292 varies
Bx prostate strtctc saturation sampling img gid (55706) $564 $705 0.2×
Bx/exc lymph node open deep axillary node (38525) $652.80 $816 0.2×
Bx/exc lymph node open superficial (38500) $503.20 $629 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $713.60 $892 0.2×
Capsulorrhaphy Anterior W/Labral Repair (23455)
likely a partial charge, not the full procedure		 $1,463.20 $1,829 0.2×
Capsulotomy Iphal Joint Each Joint Spx (28272) $565.60 $707 0.3×
Carpal Tunnel Surgery (64721) $656 $820 0.3×
Cautery Cervix Cryocautery Initial/Repeat (57511) $300.80 $376 1.0×
Cautery Cervix Electro/Thermal (57510) $252 $315 0.1×
Cerclage cervix pregnancy vaginal (59320) $222.40 $278 0.1×
Cervical lymphadenectomy (complete) (38720)
likely a partial charge, not the full procedure		 $2,012.80 $2,516 0.3×
Change Cystostomy Tube Complicated (51710) $201.60 $252 0.3×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $143.20–$145.60 $179–$182 varies
Chemical Cautery Tissue (17250) $133.60 $167 0.7×
Chemical peel face dermal (15789) $776.80 $971 1.0×
Chemical peel nonfacial dermal (15793) $712 $890 1.7×
Chemical peel nonfacial epidermal (15792) $496.80 $621 0.7×
Chemical peel, facial; epidermal (15788) $578.40 $723 1.4×
Chemodenerv 1 extrem 5/> mus (64644) $266.40 $333 0.4×
Chemodenerv 1 extremity 1-4 (64642) $230.40 $288 0.3×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $228–$228.80 $285–$286 varies
Chemodenerv musc neck dyston (64616) $208 $260 0.7×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $198.40 $248 0.6×
Chemodenerv trunk musc 6/> (64647) $272 $340 0.4×
Chemodenervation eccrine glands oth area per day (64653) $152.80 $191 0.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $200 $250 0.6×
Chest tube placement (32551) $228.80 $286 0.1×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,604.80 $5,756 1.3×
Circumcision 28 days or older (54161) $287.20 $359 0.1×
Circumcision Neonate (54160) $324 $405 0.5×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $220–$220.80 $275–$276 varies
Cl Tx Tib Shft Fx W Manip (27752) $796.80 $996 0.5×
Claviculectomy partial (23120) $868.80 $1,086 0.3×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $118.40–$120.80 $148–$151 varies
Closed Rx Metacarpal Fx,Percut (26608) $716 $895 0.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $739.20 $924 2.9×
Closed Treatment Sternum Fracture (21820) $220.80 $276 0.9×
Closed Treatment Ulnar Styloid Fracture (25650) $493.60 $617 2.0×
Closed tx ankle dislocation w/o anesthesia (27840) $568.80 $711 2.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $703.20 $879 0.4×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $485.60 $607 1.9×
Closed tx metatarsal fracture w/o manipulation (28470) $338.40 $423 1.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $836.80 $1,046 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $224 $280 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $325.60 $407 0.1×
Closed tx patellar dislocation w/anesthesia (27562) $728 $910 2.9×
Closed tx patellar dislocation w/o anesthesia (27560) $551.20 $689 2.2×
Closed Tx Patellar Fracture W/O Manipulation (27520) $512 $640 2.0×
Closed tx radial head/neck fx w/manipulation (24655) $667.20 $834 0.4×
Closed tx radial shaft fracture w/manipulation (25505) $753.60 $942 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $425.60 $532 1.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $775.20 $969 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $433.60 $542 1.7×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $591.20 $739 2.3×
Closed tx talotarsal joint dislc w/o anes (28570) $348 $435 1.4×
Closed Tx Talus Fracture W/Manipulation (28435) $549.60 $687 0.3×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $508 $635 2.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $461.60 $577 1.8×
Closure Gastrostomy Surg (43870) $1,052.80 $1,316 0.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $462.40 $578 0.8×
Closure of cystostomy (separate procedure) Facility (51880) $696 $870 0.2×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $910.40 $1,138 0.3×
Closure of urethrovaginal fistula; Facility (57310)
likely a partial charge, not the full procedure		 $728.80 $911 0.1×
Clsd Tx Pelvic Ring Fx (27198) $469.60 $587 1.9×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $198.40 $248 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $608.80 $761 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $488.80 $611 1.9×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $831.20 $1,039 0.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $736.80 $921 0.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $559.20 $699 0.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $482.40 $603 1.9×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $690.40 $863 0.4×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,019.20 $1,274 0.6×
Cltx dstl fibular fx lat malls w/manj (27788) $633.60 $792 2.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $489.60 $612 1.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $478.40 $598 1.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $280 $350 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $505.60 $632 2.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $805.60 $1,007 0.5×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,003.20 $1,254 0.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $137.60 $172 0.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,121.60 $1,402 0.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $264 $330 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $240.80 $301 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $188.80 $236 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $807.20 $1,009 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $493.60 $617 2.0×
Cltx hip dislocation traumatic req anesthesia (27252) $1,115.20 $1,394 0.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $264.80 $331 1.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $829.60 $1,037 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $806.40 $1,008 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $523.20 $654 2.1×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $228.80 $286 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $181.60 $227 0.7×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $586.40 $733 2.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $427.20 $534 1.7×
Cltx Med Ankle Fx W/Mnpj (27762) $719.20 $899 0.4×
Cltx Medial Ankle Fx (27760) $524 $655 2.1×
Cltx metacarpal fx w/manipulation each bone (26605) $495.20 $619 2.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $449.60 $562 1.8×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $632.80 $791 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $511.20 $639 2.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $320 $400 1.3×
Cltx post hip arthrp dislc req anes (27266) $866.40 $1,083 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $609.60 $762 2.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $700.80 $876 0.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $154.40 $193 0.6×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $896 $1,120 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $647.20 $809 0.4×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $821.60 $1,027 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $920 $1,150 0.6×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $570.40 $713 2.3×
Cltx tibial fx proximal w/o manipulation (27530) $460.80 $576 1.8×
Cltx tibial shaft fx w/o manipulation (27750) $544.80 $681 2.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $728.80 $911 0.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $494.40 $618 2.0×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
likely a partial charge, not the full procedure		 $1,288 $1,610 0.3×
Collect Blood From Catheter Venous Nos (36592) $131.20 $164 1.0×
Collection of venous blood by venipuncture (36415) $18.40 $23 2.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $627.20 $784 0.5×
Colonoscopy thru stoma (44388) $476.80 $596 0.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $664.80 $831 0.5×
Colonoscopy W/Band Ligation (45398) $1,276.80 $1,596 1.0×
Colonoscopy w/fb removal (45379) $657.60 $822 0.5×
Colonoscopy w/submucosal inj (45381) $673.60 $842 0.6×
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure		 $794.40 $993 0.2×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $1,024.80 $1,281 0.1×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $1,032.80 $1,291 0.1×
Colporrhaphy (57200) $493.60 $617 0.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $252 $315 0.8×
Colposcopy Cervix Endocervical Curettage (57456) $225.60 $282 0.7×
Colposcopy cervix upper/adjacent vagina (57452) $188 $235 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $240.80 $301 0.8×
Colposcopy cervix vag eltrd conization cervix (57461) $530.40 $663 0.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $475.20 $594 0.1×
Colposcopy entire vagina w/cervix if present (57420) $196 $245 0.6×
Colposcopy of vulva (56820) $185.60 $232 0.9×
Colposcopy Vulva W/Biopsy (56821) $248.80 $311 0.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $263.20 $329 0.3×
Colpotomy; with drainage of pelvic abscess (57010) $678.40 $848 0.2×
Colpotomy; with exploration (57000) $300 $375 0.1×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,021.60 $1,277 0.8×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $937.60 $1,172 0.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $743.20 $929 0.6×
Combined anteroposterior colporrhaphy; (57260)
likely a partial charge, not the full procedure		 $1,150.40 $1,438 0.2×
Complex Cystometrogram (51726) $412.80 $516 1.6×
Complex drainage wound (10180) $391.20 $489 0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $452.80 $566 0.1×
Conization of cervix (57520) $526.40 $658 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $369.60 $462 2.7×
Control Nasal Hemorrhage Anterior Simple (30901) $236.80 $296 1.7×
Control oropharyngeal hemorrhage simple (42960) $237.60 $297 0.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,160.80 $1,451 0.6×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $1,612 $2,015 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $1,229.60 $1,537 0.2×
Create Eardrum Opening (69433) $300 $375 0.5×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873)
likely a partial charge, not the full procedure		 $1,141.60 $1,427 0.1×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $79.20 $99 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $528.80 $661 3.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $560 $700 2.3×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $778.40 $973 0.2×
Curettage postpartum (59160) $412 $515 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $422.40 $528 0.2×
Cysto calibration dilat urtl strix/stenosis (52281) $456 $570 0.2×
Cysto w/complex removal stone & stent (52315) $670.40 $838 0.3×
Cysto w/destruction of lesions (52214) $1,052.80 $1,316 0.3×
Cysto w/insert ureteral stent (52332) $556.80 $696 0.2×
Cysto w/irrig & evac multple obstructing clots (52001) $624.80 $781 0.2×
Cysto w/removal of lesions small (52224) $1,101.60 $1,377 0.3×
Cysto w/removal of tumors small (52234) $362.40 $453 0.1×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $412 $515 0.1×
Cysto W/Simple Removal Stone & Stent (52310) $448.80 $561 0.2×
Cysto w/ureter stricture tx (52341) $418.40 $523 0.1×
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $576 $720 0.1×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $521.60 $652 0.1×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $446.40 $558 0.1×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure		 $613.60 $767 0.1×
Cysto/uretero w/up stricture (52345) $580 $725 0.2×
Cystometrogram W/Up (51727) $507.20 $634 0.7×
Cystometrogram W/Vp (51728) $504 $630 0.7×
Cystometrogram W/Vp&Up (51729) $581.60 $727 0.8×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $1,090.40 $1,363 0.1×
Cystoscopy implant stent (52282) $416 $520 0.1×
Cystostomy Cystotomy W/Drainage (51040) $440 $550 0.2×
Cystourethroscopy (52000) $363.20 $454 0.5×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325)
likely a partial charge, not the full procedure		 $470.40 $588 0.1×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $856.80 $1,071 0.2×
Cystourethroscopy inj chemodenervation bladder (52287) $544.80 $681 0.3×
Cystourethroscopy tx female urethral syndrome (52285) $496 $620 0.7×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $424.80 $531 0.1×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $576 $720 0.1×
Cystourethroscopy w/dil bladder general anesth (52260) $304 $380 0.1×
Cystourethroscopy w/rmvl ureteral calculus (52320) $363.20 $454 0.1×
Cystourethroscopy with biopsy (52204) $572 $715 0.3×
Cystourethroscopy with direct vision internal urethrotomy (52276) $389.60 $487 0.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $565.60 $707 0.3×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $500 $625 0.2×
Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) $359.20 $449 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $86.40 $108 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $961.60 $1,202 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $673.60 $842 0.9×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $740.80 $926 1.0×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $604.80 $756 0.2×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $708 $885 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $344 $430 0.5×
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $48–$49.60 $60–$62 varies
Debride nail 6 or more (11721) $64.80 $81 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $456 $570 0.3×
Debridement Mastoidectomy Cavity Cmplx (69222) $322.40 $403 0.6×
Debridement Mastoidectomy Cavity Simple (69220) $113.60 $142 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $192 $240 0.5×
Declot vascular device (36593) $153.60 $192 0.5×
Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495)
likely a partial charge, not the full procedure		 $1,374.40 $1,718 0.2×
Decompression of tibia nerve (28035) $793.60 $992 0.4×
Decompressive fasciotomy hand (26037) $860.80 $1,076 0.3×
Deep Muscle Biopsy (20205) $456.80 $571 0.2×
Delivery of placenta (59414) $132 $165 0.0×
Dermabrasion regional other than face (15782) $727.20 $909 0.2×
Dermabrasion segmental face (15781) $783.20 $979 1.1×
Dermabrasion superficial any site (15783) $676.80 $846 1.6×
Dermabrasion total face (15780) $1,264 $1,580 0.4×
Destr penis lesion(s) (54065)
range across 2 matching MRF lines		 $325.60–$336.80 $407–$421 varies
Destruct B9 Lesion 1-14 (17110) $167.20 $209 0.8×
Destruction Benign Lesions 15/> (17111) $196 $245 1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930)
range across 2 matching MRF lines		 $325.60–$330.40 $407–$413 varies
Destruction Lesions Vulva Extensive (56515)
range across 2 matching MRF lines		 $412–$415.20 $515–$519 varies
Destruction Lesions Vulva Simple (56501)
range across 2 matching MRF lines		 $284.80–$289.60 $356–$362 varies
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $264.80 $331 1.3×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $302.40 $378 1.5×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $356 $445 0.9×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $412.80 $516 0.5×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $518.40 $648 0.7×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $217.60 $272 1.1×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $263.20 $329 1.3×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $288 $360 1.4×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $304.80 $381 0.7×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $346.40 $433 0.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $205.60 $257 1.0×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $224.80 $281 1.1×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $244 $305 1.2×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $278.40 $348 1.4×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $312 $390 0.8×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $365.60 $457 0.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $147.20 $184 0.7×
Destruction of lesion of lid margin (up to 1 cm) (67850) $318.40 $398 0.3×
Destruction of skin lesions (17106) $518.40 $648 1.2×
Destruction Premalignant Lesion 15/> (17004) $248 $310 0.6×
Destruction premalignant lesion 1st (17000) $99.20 $124 0.5×
Destruction Vaginal Lesions Simple (57061) $252 $315 0.1×
Diagnostic anoscopy (46601) $221.60 $277 0.5×
Diagnostic sigmoidoscopy (45330) $281.60 $352 0.3×
Diaphragm or cervical cap fitting with instructions (57170) $116.80 $146 0.6×
Dilat female urethra general/cndj spinal anes (53665) $55.20 $69 0.0×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $111.20 $139 0.8×
Dilat Urethral Strix Dilator Male Sbsq (53601) $128.80 $161 0.9×
Dilate Esophagus 1/Mult Pass (43450) $284 $355 0.3×
Dilate Urethra Stricture (53600) $132.80 $166 0.5×
Dilation & curettage dx&/ther nonobstetric (58120) $444.80 $556 0.1×
Dilation And Curettage Of Cervical Stump (57558) $236.80 $296 0.1×
Dilation Cervical Canal (57800) $115.20 $144 0.0×
Dilation of vagina (57400) $195.20 $244 0.1×
Dissection, deep jugular node(s) Facility (38542)
likely a partial charge, not the full procedure		 $787.20 $984 0.1×
Drain Cerebro Spinal Fluid (62272) $255.20 $319 0.4×
Drain Hand Tendon Sheath (26020) $823.20 $1,029 0.2×
Drain/inj small joint/bursa w/us (20604) $124.80 $156 0.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $408 $510 0.7×
Drainage external auditory canal abscess (69020) $351.20 $439 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $2,510.40 $3,138 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $278.40 $348 0.4×
Drainage Finger Abscess Complicated (26011) $731.20 $914 0.4×
Drainage of finger abscess simple (26010) $524 $655 2.6×
Drainage of gum lesion (41800) $435.20 $544 3.2×
Drainage of hematoma/fluid (10140) $252 $315 0.1×
Drainage of hydrocele (55000) $179.20 $224 0.2×
Drainage of nose lesion (30000) $392.80 $491 1.6×
Drainage of palmar bursa single bursa (26025) $641.60 $802 0.2×
Drainage of rectal abscess (45005) $484.80 $606 0.4×
Drainage of scrotal wall abscess (55100) $340.80 $426 0.2×
Drainage of scrotum (54700) $310.40 $388 0.1×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $635.20 $794 0.2×
Draw Blood Off Venous Device (36591) $131.20 $164 1.0×
Dressing Change Under Anesthesia (15852) $66.40 $83 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $303.20 $379 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $232.80 $291 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $124.80 $156 0.6×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $673.60 $842 0.9×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $955.20 $1,194 0.5×
Dstrj les/scar vestibule mouth physical meths (40820) $379.20 $474 0.1×
Dstrj Lesion Anus Extensive (46924) $828 $1,035 0.3×
Dstrj Lesion Anus Simple Chemical (46900) $362.40 $453 0.9×
Dstrj lesion anus simple cryosurgery (46916) $388 $485 1.9×
Dstrj lesion anus simple surg excision (46922) $474.40 $593 0.2×
Dstrj Lesion Penis Simple Chemical (54050)
range across 2 matching MRF lines		 $208–$218.40 $260–$273 varies
Dstrj Lesion Penis Simple Cryosurgery (54056) $209.60 $262 1.0×
Dstrj lesion penis simple surg excision (54060) $293.60 $367 0.1×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $424 $530 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $369.60 $462 0.4×
Dx Bronchoscope/Lavage (31624) $381.60 $477 0.2×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $368–$373.60 $460–$467 varies
Dx Laryngoscopy Excl Nb (31525) $371.20 $464 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,038.40 $1,298 1.4×
Egd Balloon Dil Esoph30 Mm/> (43233) $334.40 $418 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,692 $2,115 0.9×
Egd cautery tumor polyp (43250) $693.60 $867 0.4×
Egd control bleeding any (43255) $966.40 $1,208 0.5×
Egd dilation gastric/duodenal stricture (43245) $917.60 $1,147 0.5×
Egd Flexible Foreign Body Removal (43247) $583.20 $729 0.6×
Egd guide wire insertion (43248) $631.20 $789 0.7×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure		 $629.60 $787 0.1×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $291.20–$295.20 $364–$369 varies
Egd remove lesion snare (43251) $760 $950 0.4×
Egd Tube/Cath Insertion (43241) $207.20 $259 0.1×
Electro-Uroflowmetry First (51741) $20.80 $26 0.1×
Endocervical curettage (57505) $234.40 $293 0.2×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure		 $1,440.80 $1,801 0.3×
Endometrial Biopsy (58100) $152.80 $191 0.7×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $1,882.40 $2,353 0.6×
Epididymectomy unilateral (54860) $629.60 $787 0.2×
Epidural Blood Patch (62273) $684.80 $856 0.9×
Episiotomy or vaginal repair (59300) $345.60 $432 0.1×
Esophagosc Dilate Balloon 30 (43214) $280.80 $351 0.1×
Esophagoscopy Flex Transoral Injection Varices (43204) $200 $250 0.1×
Esophagoscopy Flexible Transoral Diagnostic (43200) $400 $500 0.4×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $549.60 $687 0.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $602.40 $753 0.3×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180)
likely a partial charge, not the full procedure		 $821.60 $1,027 0.1×
Evacuate mole of uterus (59870) $796.80 $996 0.2×
Evacuation of subungual hematoma (11740) $84.80 $106 0.6×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $805.60 $1,007 0.5×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $612.80 $766 0.4×
Exc abdl tum deep 5 cm/> (22901) $1,008 $1,260 0.3×
Exc arm/elbow les sc < 3 cm (24075) $803.20 $1,004 0.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $189.60 $237 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $303.20 $379 0.2×
Exc Back Les Sc < 3 Cm (21930) $750.40 $938 0.4×
Exc Back Tum Deep 5 Cm/> (21933) $1,092.80 $1,366 0.4×
Exc back tum deep < 5 cm (21932) $980.80 $1,226 0.3×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge, not the full procedure		 $808 $1,010 0.1×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $850.40 $1,063 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $349.60 $437 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $395.20 $494 0.5×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $572 $715 0.3×
Exc Face Les Sbq 2 Cm/> (21012) $500 $625 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $212.80 $266 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $258.40 $323 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $286.40 $358 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $336.80 $421 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $419.20 $524 0.2×
Exc Forearm Les Sc 3 Cm/> (25071) $627.20 $784 0.4×
Exc Frenum Labial/Buccal (40819) $398.40 $498 0.3×
Exc ganglion wrist recurrent (25112) $578.40 $723 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $189.60 $237 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $236.80 $296 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $265.60 $332 0.2×
Exc Hand Les Sc < 1.5 Cm (26115) $822.40 $1,028 0.5×
Exc hand tum deep < 1.5 cm (26116) $774.40 $968 0.5×
Exc hydrocele sprmatic cord uni spx (55500) $576 $720 0.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $416.80 $521 0.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $681.60 $852 0.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $503.20 $629 0.1×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $325.60 $407 0.1×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $453.60 $567 0.1×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788)
range across 2 matching MRF lines		 $597.60–$620 $747–$775 varies
Exc neuroma major peripheral nrv xcp sciatic (64784) $1,100.80 $1,376 0.6×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,055.20 $1,319 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $292.80 $366 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $347.20 $434 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $492.80 $616 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $472 $590 0.3×
Exc Skin Benig >4cm Face,Facial (11446) $569.60 $712 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $436 $545 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $600.80 $751 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $659.20 $824 0.4×
Exc tendon shth lesion leg/ankle (27630) $803.20 $1,004 0.2×
Exc thigh/knee les sc 3 cm/> (27337) $621.60 $777 0.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $320.80 $401 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $232 $290 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $255.20 $319 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $332.80 $416 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $661.60 $827 0.2×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $788.80 $986 0.3×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $797.60 $997 0.5×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $764 $955 0.5×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $800.80 $1,001 0.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $804 $1,005 0.3×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,051.20 $1,314 0.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $833.60 $1,042 0.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $858.40 $1,073 0.3×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $708 $885 0.4×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $657.60 $822 0.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $782.40 $978 0.5×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $679.20 $849 0.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $720.80 $901 0.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,079.20 $1,349 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $648.80 $811 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $738.40 $923 0.2×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $945.60 $1,182 0.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $600.80 $751 0.2×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $530.40 $663 0.1×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $636.80 $796 0.4×
Exc/fulguration urethral caruncle (53265) $336 $420 0.2×
Excis Mouth Mucosa/Sub,No Repair (40810) $322.40 $403 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $411.20 $514 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $410.40 $513 0.6×
Excision Chalazion Single (67800) $192 $240 0.6×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,313.60 $1,642 0.4×
Excision H/P/P/U Complex Repair (11471) $808 $1,010 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $676 $845 0.2×
Excision Hidradenitis Axillary Complex Repair (11451) $783.20 $979 0.3×
Excision Hidradenitis Inguinal Complex Repair (11463) $783.20 $979 0.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $632 $790 0.2×
Excision lesion mouth roof (42104) $322.40 $403 0.1×
Excision Lesion Tongue W/O Closure (41110) $343.20 $429 0.1×
Excision Lingual Frenum Frenectomy (41115) $392 $490 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $293.60 $367 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $338.40 $423 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $360.80 $451 0.9×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $457.60 $572 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $301.60 $377 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $464 $580 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $744 $930 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $294.40 $368 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $339.20 $424 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $372 $465 0.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $496.80 $621 0.3×
Excision nasal polyp(s) simple (30110) $372 $465 0.2×
Excision of bartholin's gland or cyst (56740)
range across 2 matching MRF lines		 $468.80–$470.40 $586–$588 varies
Excision of extraparenchymal lesion of testis (54512) $807.20 $1,009 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $480.80 $601 0.3×
Excision of hydrocele; unilateral (55040) $493.60 $617 0.1×
Excision of local lesion of epididymis (54830) $560.80 $701 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $542.40 $678 0.2×
Excision of single external papilla or tag, anus (46220) $378.40 $473 0.3×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $627.20 $784 0.1×
Excision of vaginal cyst or tumor (57135) $370.40 $463 0.1×
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535)
likely a partial charge, not the full procedure		 $646.40 $808 0.1×
Excision olecranon bursa (24105) $533.60 $667 0.2×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $900.80 $1,126 0.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,160.80 $1,451 0.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $944 $1,180 0.3×
Excision prepatellar bursa (27340) $556.80 $696 0.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
likely a partial charge, not the full procedure		 $1,765.60 $2,207 0.3×
Excision soft tissue lesion, external auditory canal (69145) $616.80 $771 0.2×
Excision spermatocele w/wo epididymectomy (54840) $484.80 $606 0.2×
Excision synovial cyst popliteal space (27345) $720 $900 0.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $696 $870 0.4×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $721.60 $902 0.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $563.20 $704 0.3×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $622.40 $778 0.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $756 $945 0.4×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $1,305.60 $1,632 0.4×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $1,398.40 $1,748 0.5×
Excision, interdigital (morton) neuroma, single, each (28080) $801.60 $1,002 0.5×
Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) $1,336 $1,670 0.6×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $1,697.60 $2,122 0.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $668 $835 0.2×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $555.20 $694 0.3×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $621.60 $777 0.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $694.40 $868 0.2×
Excision/curettage cyst/tumor phalanx finger (26210) $691.20 $864 0.4×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $771.20 $964 0.2×
Excision/destruction intranasal lesion int appr (30117) $1,469.60 $1,837 0.4×
Expl penetrating wound spx abdomen/flank/back (20102) $934.40 $1,168 0.4×
Explo/Drain Breast Abscess (19020) $703.20 $879 0.4×
Exploration of hip joint (27033)
likely a partial charge, not the full procedure		 $1,432 $1,790 0.2×
Exploration of knee joint (27310) $1,081.60 $1,352 0.3×
Exploration penetrating wound spx extremity (20103) $840.80 $1,051 0.5×
Explore epididymis (54865) $543.20 $679 0.2×
Explore/Treat Elbow Joint (24101) $747.20 $934 0.2×
Explore/Treat Wrist Joint (25040) $827.20 $1,034 0.2×
External cephalic version (59412) $150.40 $188 0.0×
Fasciectomy Palm Only (26121) $919.20 $1,149 0.3×
Fasciectomy Plantar Fascia Partial Spx (28060) $768 $960 0.2×
Fasciotomy Plantar Fascia Radical Spx (28062) $868.80 $1,086 0.3×
Fasciotomy, hip or thigh, any type (27025) $1,360.80 $1,701 0.4×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,280.80 $1,601 0.4×
Fetal Contraction Stress Test (59020) $106.40 $133 0.5×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $71.20–$73.60 $89–$92 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $622.40 $778 0.9×
Fine needle aspiration without imaging guidance (10021) $150.40 $188 0.4×
Fixation contralateral testis separate procedure (54620) $446.40 $558 0.1×
Fluoro exam of g/colon tube (49465) $468.80 $586 1.9×
Fna Bx W/Fluor Gdn 1St Les (10007) $451.20 $564 0.6×
Fna bx w/us gdn 1st les (10005) $198.40 $248 0.3×
Foreskin manipulation (54450) $99.20 $124 0.4×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $172.80 $216 0.1×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $1,173.60 $1,467 0.6×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,500 $1,875 0.7×
Fuse hand bones with graft (25825)
likely a partial charge, not the full procedure		 $1,175.20 $1,469 0.2×
Fusion of hand bones (25820)
likely a partial charge, not the full procedure		 $964 $1,205 0.1×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $2,012 $2,515 0.5×
Guide Cathet Fluid Drainage (10030) $920.80 $1,151 1.3×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $1,664 $2,080 0.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $783.20 $979 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $719.20 $899 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $716.80 $896 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $804 $1,005 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $427.20–$428 $534–$535 varies
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $663.20 $829 0.2×
Hemorrhoidopexy by stapling (46947) $576 $720 0.2×
Hymenotomy Simple Incision (56442) $68.80 $86 0.0×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $2,572.80 $3,216 0.5×
Hysteroscopy Biopsy (58558) $2,062.40 $2,578 0.6×
Hysteroscopy Dx Sep Proc (58555) $551.20 $689 0.2×
Hysteroscopy Endometrial Ablation (58563) $3,291.20 $4,114 0.6×
Hysteroscopy Removal Impacted Foreign Body (58562) $654.40 $818 0.2×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure		 $524 $655 0.1×
I&d abscess peritonsillar (42700) $286.40 $358 1.2×
I&d abscess simple (10060) $183.20 $229 0.9×
I&D Below Fascia Foot 1 Bursal Space (28002) $361.60 $452 0.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,001.60 $1,252 0.3×
I&D Deep Absc/Hematoma Neck/Chest (21501) $723.20 $904 0.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,049.60 $1,312 0.3×
I&d forearm/wrist bursa (25031) $569.60 $712 0.3×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $737.60 $922 0.3×
I&d perianal abscess superficial (46050) $356.80 $446 0.4×
I&d pilonidal cyst complicated (10081) $504 $630 0.7×
I&d pilonidal cyst simple (10080) $383.20 $479 0.5×
I&d thyroglossal duct cyst infected (60000) $280.80 $351 0.2×
I&d vaginal hematoma obstetrical/postpartum (57022) $269.60 $337 0.1×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,371.20 $1,714 0.7×
Image Cath Fluid Colxn Visc (49405) $2,996.80 $3,746 1.8×
Image Cath Fluid Peri/Retro (49406) $2,996.80 $3,746 1.8×
Image Cath Fluid Trns/Vgnl (49407) $1,856.80 $2,321 1.1×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $1,062.40 $1,328 0.2×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $616.80 $771 0.0×
Incise external hemorrhoid (46083) $316 $395 1.2×
Incise finger tendon sheath (26055) $890.40 $1,113 0.5×
Incise/Drain Conjunctiva (68020) $1,100 $1,375 1.1×
Incision & drainage abscess complicated/multiple (10061) $313.60 $392 0.8×
Incision & drainage leg/ankle abscess/hematoma (27603) $778.40 $973 0.3×
Incision & removal foreign body subq tiss compl (10121) $392 $490 0.2×
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $221.60–$228 $277–$285 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $274.40–$280 $343–$350 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $217.60–$222.40 $272–$278 varies
Incision bone cortex foot (28005) $836.80 $1,046 0.3×
Incision extensor tendon sheath wrist (25000) $511.20 $639 0.3×
Incision of eardrum (69420) $284 $355 1.2×
Incision of Foot Tendon (28234) $609.60 $762 0.4×
Incision of labial frenum (frenotomy) (40806)
range across 2 matching MRF lines		 $148–$149.60 $185–$187 varies
Incision of lingual frenum (frenotomy) (41010)
range across 3 matching MRF lines		 $316–$327.20 $395–$409 varies
Incision of rectal abscess (46040) $832.80 $1,041 0.7×
Incision of urethra (53000) $216 $270 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $454.40 $568 0.3×
Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) $1,009.60 $1,262 0.6×
Incisional biopsy eyelid skin & lid margin (67810) $268.80 $336 0.8×
Incisional biopsy skin single lesion (11106) $232.80 $291 0.3×
Induced abortion dilation and curettage (59840) $372.80 $466 0.1×
Initial Tx 1st Degree Burn Local Tx (16000) $112 $140 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,365.60 $1,707 1.5×
Inj W/Fluor Eval Cv Device (36598) $1,046.40 $1,308 4.8×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $812.80 $1,016 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $84.80 $106 0.3×
Injection aa&/strd axillary nerve w/img gdn (64417) $112 $140 0.1×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $49.60–$59.20 $62–$74 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $89.60 $112 0.1×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $114.40 $143 0.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $218.40 $273 0.7×
Injection anesthetic agent suprascapular nerve (64418) $128 $160 0.2×
Injection enzyme palmar fascial cord (20527) $128 $160 0.4×
Injection for identification of sentinel node (38792) $122.40 $153 0.3×
Injection of sclerosing solution, hemorrhoids (46500) $475.20 $594 0.5×
Injection procedure for peyronie disease (54200) $176.80 $221 0.7×
Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205)
likely a partial charge, not the full procedure		 $797.60 $997 0.1×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $85.60–$86.40 $107–$108 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $79.20–$95.20 $99–$119 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $90.40–$91.20 $113–$114 varies
Injection therapeutic carpal tunnel (20526) $121.60 $152 0.4×
Injection, anesthetic agent; brachial plexus, single (64415) $542.40 $678 0.6×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $131.20–$172.80 $164–$216 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $110.40–$112.80 $138–$141 varies
Injection, Intralesional; More Than 7 Lesions (11901) $104 $130 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $84 $105 0.4×
Insert Bladder Cath Complex (51703) $223.20 $279 1.7×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $2,105.60–$3,509.60 $2,632–$4,387 varies
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $2,502.40–$4,170.40 $3,128–$5,213 varies
Insert cervical dilator (59200) $159.20 $199 0.5×
Insert Drug Implant Device (11981) $149.60 $187 1.1×
Insert Gastrostomy Tube Percutaneous (49440) $1,277.60 $1,597 0.7×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $308.80–$387.20 $386–$484 varies
Insert pessary/other device (57160) $110.40 $138 0.5×
Insert Temp Bladder Cath (51702) $92 $115 0.7×
Insert tunneled cv cath (36561) $1,520.80 $1,901 0.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $65.60–$66.40 $82–$83 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $707.20 $884 0.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $5,833.60 $7,292 0.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $273.60 $342 0.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $140–$163.20 $175–$204 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,280.80 $1,601 0.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $235.20 $294 0.0×
Int hrhc by ligation single hroid w/o img gdn (46945) $504 $630 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $385.60 $482 0.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $385.60 $482 0.9×
Intro Gastrointestinal Tube (44500) $548 $685 0.6×
Intubation endotracheal emergency procedure (31500) $248 $310 1.0×
Irrigation maxillary sinus (31000)
range across 2 matching MRF lines		 $274.40–$276 $343–$345 varies
Kidney endoscopy (50575)
likely a partial charge, not the full procedure		 $1,047.20 $1,309 0.2×
Knee arthroscopy/drainage (29871) $787.20 $984 0.2×
Knee Arthroscopy/Surgery (29874) $792 $990 0.2×
Labyrinthotomy Transcanal (69801) $339.20 $424 0.2×
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure		 $2,272.80 $2,841 0.2×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,445.60 $1,807 0.1×
Laparoscopic myomectomy (58545)
likely a partial charge, not the full procedure		 $1,329.60 $1,662 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $555.20 $694 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,360.80 $1,701 0.2×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $550.40 $688 0.1×
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure		 $1,171.20 $1,464 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $642.40 $803 0.1×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,007.20 $1,259 0.2×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $961.60 $1,202 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $893.60 $1,117 0.1×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure		 $1,300.80 $1,626 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,066.40 $1,333 0.2×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $1,655.20 $2,069 0.2×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
likely a partial charge, not the full procedure		 $966.40 $1,208 0.2×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
likely a partial charge, not the full procedure		 $1,223.20 $1,529 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $509.60 $637 0.1×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $549.60 $687 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $485.60 $607 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,049.60 $1,312 0.2×
Laps Gastric Restrictive Px Remove Device & Port (43774) $1,424.80 $1,781 0.4×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $1,228 $1,535 0.1×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $773.60 $967 0.1×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure		 $1,172 $1,465 0.2×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $1,922.40 $2,403 0.2×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $193.60–$229.60 $242–$287 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $397.60 $497 0.2×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $293.60 $367 0.7×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $189.60 $237 0.5×
Late closure of wound (13160) $1,168.80 $1,461 0.3×
Lateral retinacular release open (27425) $672.80 $841 0.2×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,050.40 $1,313 0.1×
Ligate/strip long leg vein (37722) $684 $855 0.2×
Ligation External Carotid Artery (37600) $1,117.60 $1,397 0.3×
Ligation or biopsy temporal artery (37609) $468 $585 0.3×
Litholapaxy comp/lg > 2.5 cm (52318) $696 $870 0.2×
Litholapaxy smpl/sm <2.5 cm (52317) $1,259.20 $1,574 0.3×
Lithotripsy, extracorporeal shock wave (50590) $1,099.20 $1,374 0.3×
Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) $81.60 $102 2.8×
Lrt iad 18bct/8vir&7arg RNA (0528U) $1,088 $1,360 1.7×
Lysis of labial adhesions (56441) $272 $340 0.1×
Lysis/excision penile postcircumcision adhesions (54162) $379.20 $474 0.2×
Maniplatn palar fascial crd post inj single cord (26341) $173.60 $217 0.7×
Manipulation knee joint under general anesthesia (27570) $225.60 $282 0.1×
Mast mod rad (19307)
likely a partial charge, not the full procedure		 $1,750.40 $2,188 0.3×
Mastectomy for gynecomastia (19300) $872 $1,090 0.2×
Mastectomy partial (19301) $979.20 $1,224 0.2×
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,344.80 $1,681 0.2×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure		 $1,419.20 $1,774 0.2×
Muscle-skin graft trunk (15734) $2,208 $2,760 0.6×
Myelography Lumbar Injection (62305) $1,020 $1,275 1.3×
Myelography Lumbar Injection (62304) $1,020 $1,275 1.3×
Myelography via lumbar injection rs&i cervical (62302) $1,020 $1,275 1.3×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,020 $1,275 1.3×
Myringoplasty (69620) $1,109.60 $1,387 0.3×
N Block Inj Ilio-Ing/Hypogi (64425) $165.60 $207 0.2×
N block inj intercost sng (64420) $144 $180 0.2×
N Block Inj Paracervical (64435)
range across 2 matching MRF lines		 $118.40–$120.80 $148–$151 varies
N Block Inj Plantar Digit (64455) $73.60 $92 0.2×
N Block Inj Pudendal (64430) $146.40 $183 0.2×
Nasal Endoscopy Dx (31231) $280.80 $351 1.4×
Nasal sinus therapy (30210) $225.60 $282 0.1×
Nasal/Orogastric W/Tube Plmt (43752) $59.20 $74 0.1×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $294.40 $368 0.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $379.20 $474 0.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $369.60 $462 0.2×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $587.20 $734 2.3×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $754.40 $943 0.5×
Needle Biopsy Lymph Nodes (38505) $977.60 $1,222 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $80.80 $101 2.7×
Needle insertion w/o injection 3 or more muscles (20561) $55.20 $69 1.9×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $886.40 $1,108 0.4×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $740.80 $926 0.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $168.80 $211 0.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $931.20 $1,164 0.3×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $5,757.60 $7,197 1.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $996 $1,245 1.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,079.20 $1,349 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $150.40–$872 $188–$1,090 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $841.60 $1,052 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324)
range across 2 matching MRF lines		 $146.40–$1,060.80 $183–$1,326 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,079.20 $1,349 1.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $138.40–$872 $173–$1,090 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,060.80 $1,326 1.2×
Occipital Nerve Block (64405) $111.20 $139 0.4×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,167.20 $1,459 0.2×
Open bowel to skin (44300) $1,245.60 $1,557 0.6×
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $1,209.60 $1,512 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,128 $1,410 0.2×
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure		 $1,659.20 $2,074 0.2×
Open Treatment Fracture Distal Tibia & Fibula (27828)
likely a partial charge, not the full procedure		 $1,964.80 $2,456 0.1×
Open treatment interphalangeal joint dislocation (28675) $848 $1,060 0.3×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $893.60 $1,117 0.1×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $826.40 $1,033 0.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,063.20 $1,329 0.1×
Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344)
unusually low: confirm this is the full procedure		 $2,055.20 $2,569 0.3×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure		 $1,424.80 $1,781 0.2×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
likely a partial charge, not the full procedure		 $1,965.60 $2,457 0.3×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812)
likely a partial charge, not the full procedure		 $1,056 $1,320 0.1×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811)
likely a partial charge, not the full procedure		 $871.20 $1,089 0.1×
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) $1,448 $1,810 0.9×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $924 $1,155 0.1×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $1,303.20 $1,629 0.1×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $989.60 $1,237 0.1×
Open Tx Acute/Chronic Elbow Dislocation (24615)
range across 3 matching MRF lines		 $1,068.80–$9,407.20 $1,336–$11,759 varies
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,096 $1,370 0.3×
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure		 $1,063.20 $1,329 0.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $953.60 $1,192 0.1×
Open Tx Distal Phalangeal Fracture Each (26765) $743.20 $929 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,049.60 $1,312 0.1×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $1,423.20 $1,779 0.1×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $851.20 $1,064 0.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $879.20 $1,099 0.3×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $972.80 $1,216 0.1×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $1,321.60 $1,652 0.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,298.40 $1,623 0.2×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $966.40 $1,208 0.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,220.80 $1,526 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
likely a partial charge, not the full procedure		 $1,548.80 $1,936 0.2×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure		 $1,754.40 $2,193 0.2×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $1,300.80 $1,626 0.1×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure		 $1,745.60 $2,182 0.2×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $1,322.40 $1,653 0.1×
Osteochondral allograft knee open (27415)
likely a partial charge, not the full procedure		 $2,016.80 $2,521 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $836.80 $1,046 0.3×
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure		 $1,400.80 $1,751 0.1×
Osteotomy Tibia (27705)
likely a partial charge, not the full procedure		 $1,119.20 $1,399 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge, not the full procedure		 $1,136 $1,420 0.2×
Palatopharyngoplasty (42145)
likely a partial charge, not the full procedure		 $1,013.60 $1,267 0.2×
Parathyroidectomy or exploration of parathyroid(s); (60500)
likely a partial charge, not the full procedure		 $1,455.20 $1,819 0.2×
Partial Excision Distal Phalanx Finger (26236) $654.40 $818 0.4×
Partial hymenectomy or revision of hymenal ring (56700) $304.80 $381 0.1×
Partial removal of toe (28160) $603.20 $754 0.2×
Partial thyroid excision (60212)
likely a partial charge, not the full procedure		 $1,539.20 $1,924 0.2×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,065.60 $1,332 0.2×
Patellectomy or hemipatellectomy (27350)
likely a partial charge, not the full procedure		 $968.80 $1,211 0.1×
Pelvic examination under anesthesia (other than local) (57410) $154.40 $193 0.0×
Penile Injection (54235) $137.60 $172 0.5×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $664.80 $831 0.2×
Pericardiocentesis W/Imaging (33016) $342.40 $428 0.2×
Perq Cervicothoracic Inject (22510) $2,784.80 $3,481 0.8×
Perq dev breast 1st mr guide (19287) $343.20 $429 0.5×
Perq dev breast 1st strtctc (19283) $343.20 $429 0.5×
Perq dev breast 1st us imag (19285) $526.40 $658 0.7×
Perq device breast 1st imag (19281) $343.20 $429 0.2×
Perq Lumbosacral Injection (22511) $2,780.80 $3,476 0.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,017.60 $1,272 1.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $988 $1,235 0.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,862.40 $11,078 1.2×
Place Duod/Jej Tube Perc (49441) $1,444.80 $1,806 0.7×
Place Rt Device/Marker Pros (55876) $222.40 $278 0.2×
Placement of needle for intraosseous infusion (36680) $86.40 $108 0.2×
Placement of seton (46020) $170.40 $213 0.1×
Plastic Repair Introitus (56800) $373.60 $467 0.1×
Plmt expandable cath brst following prtl mast (19296) $5,816 $7,270 0.7×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $911.20 $1,139 0.2×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $1,337.60 $1,672 0.2×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $1,172.80 $1,466 0.2×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $715.20 $894 0.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $865.60 $1,082 0.3×
Pseudoaneurysm Injection Trt (36002) $461.60 $577 0.7×
Punch biopsy skin single lesion (11104) $188 $235 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $191.20 $239 0.5×
Puncture Aspiration Cyst Breast (19000) $152.80 $191 0.2×
Pvb thoracic cont infusion (64463) $1,214.40 $1,518 1.7×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,214.40 $1,518 1.7×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430)
likely a partial charge, not the full procedure		 $1,097.60 $1,372 0.1×
Rdctj torsion tstis w/wo fixj clat testis (54600) $680 $850 0.2×
Realignment of knee (27457)
likely a partial charge, not the full procedure		 $1,416.80 $1,771 0.2×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $1,097.60 $1,372 0.1×
Release of shoulder ligament (23415)
likely a partial charge, not the full procedure		 $1,032.80 $1,291 0.1×
Removal Foreign Body Deep Thigh/Knee (27372) $885.60 $1,107 0.3×
Removal foreign body foot deep (28192) $675.20 $844 0.4×
Removal Foreign Body Foot Subcutaneous (28190) $359.20 $449 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $322.40 $403 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $22.40–$24 $28–$30 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $69.60–$72 $87–$90 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $262.40 $328 0.1×
Removal Implant Deep (20680) $892 $1,115 0.3×
Removal Implant Superficial Separate Procedure (20670) $536.80 $671 0.3×
Removal implantable contraceptive capsules (11976) $212.80 $266 0.3×
Removal of a lesion from the floor of the mouth (41116) $495.20 $619 0.1×
Removal of adenoids (42831) $338.40 $423 0.1×
Removal of adenoids (42830) $312 $390 0.1×
Removal of anal fissure (46200) $712 $890 0.3×
Removal of intranasal lesion (30118) $1,183.20 $1,479 0.3×
Removal of ischial bursa (27060)
likely a partial charge, not the full procedure		 $689.60 $862 0.1×
Removal of nail bed (11750) $236.80 $296 0.6×
Removal of sesamoid bone (28315) $712 $890 0.2×
Removal of sperm cord lesion (55520) $680 $850 0.2×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $394.40 $493 0.1×
Removal of tonsils (42826) $375.20 $469 0.1×
Removal or bivalving full arm or full leg cast (29705) $115.20 $144 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $132.80 $166 0.6×
Removal subcutaneous cardiac rhythm monitor (33286) $190.40 $238 0.3×
Removal Sutures/Staples Requiring Anesthesia (15851) $85.60 $107 0.0×
Removal sweat gland lesion (11450) $638.40 $798 0.2×
Removal tong/halo applied by another individual (20665) $179.20 $224 0.4×
Removal, under anesthesia, of external fixation system (20694) $652.80 $816 0.4×
Removal/bivalving gauntlet boot/body cast (29700) $100 $125 0.3×
Remove Brain Cavity Fluid (61020) $1,042.40 $1,303 1.2×
Remove drug implant device (11982) $167.20 $209 0.4×
Remove elbow lesion (24120) $819.20 $1,024 0.2×
Remove foreign body from eye (65205) $42.40 $53 0.3×
Remove groin lymph nodes (38760)
range across 2 matching MRF lines		 $1,231.20–$1,256 $1,539–$1,570 varies
Remove Intrauterine Device (58301) $164.80 $206 0.5×
Remove knee joint lining (27334) $1,014.40 $1,268 0.3×
Remove Lower Leg Bone Lesion (27635) $854.40 $1,068 0.3×
Remove Nasal Foreign Body (30300) $315.20 $394 2.3×
Remove Peritoneal Foreign Body (49402) $1,284.80 $1,606 0.4×
Remove renal tube w/fluoro (50389) $914.40 $1,143 1.3×
Remove Shoulder Foreign Body (23330) $450.40 $563 0.3×
Remove Tendon Sheath Lesion (26160) $926.40 $1,158 0.6×
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure		 $1,006.40 $1,258 0.2×
Remove/graft leg bone lesion (27637)
likely a partial charge, not the full procedure		 $1,084 $1,355 0.1×
Remove/Insert Drug Implant (11983) $210.40 $263 0.5×
Renal Biopsy Perq (50200) $1,434.40 $1,793 0.9×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $232.80 $291 0.0×
Repair arm/leg nerve (64857) $1,576 $1,970 0.5×
Repair Blood Vessel Direct Hand Finger (35207) $1,140.80 $1,426 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $627.20 $784 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $735.20 $919 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $575.20 $719 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $698.40 $873 1.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $524.80 $656 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $631.20 $789 1.5×
Repair complex trunk 1.1-2.5 cm (13100) $504 $630 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $590.40 $738 0.8×
Repair extensor tendon finger w/o graft each (26418) $941.60 $1,177 0.6×
Repair Finger/Hand Tendon (26350) $1,124.80 $1,406 0.3×
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $1,218.40 $1,523 0.2×
Repair Hallux Rigidus (28289) $1,009.60 $1,262 0.3×
Repair Hand Tendon (26410) $908 $1,135 0.6×
Repair incomplete circumcision (54163) $330.40 $413 0.2×
Repair inguinal hernia, sliding, any age (49525) $852.80 $1,066 0.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $940 $1,175 0.3×
Repair initial femoral hernia, any age; reducible (49550) $856.80 $1,071 0.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $872 $1,090 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $421.60 $527 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $468 $585 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $540.80 $676 1.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $573.60 $717 1.4×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $900 $1,125 2.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $605.60 $757 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $390.40–$393.60 $488–$492 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $460–$463.20 $575–$579 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $565.60 $707 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $578.40 $723 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $392–$392.80 $490–$491 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $448–$451.20 $560–$564 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $644.80 $806 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $496 $620 1.2×
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure		 $915.20 $1,144 0.1×
Repair of nail bed (11760) $280 $350 0.4×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405)
likely a partial charge, not the full procedure		 $1,528.80 $1,911 0.2×
Repair of shoulder (23420)
likely a partial charge, not the full procedure		 $1,436 $1,795 0.2×
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure		 $1,024 $1,280 0.1×
Repair radius & ulna (25415)
likely a partial charge, not the full procedure		 $1,429.60 $1,787 0.2×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $1,086.40 $1,358 0.3×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,063.20 $1,329 0.2×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $1,256.80 $1,571 0.2×
Repair shoulder capsule (23466)
likely a partial charge, not the full procedure		 $1,649.60 $2,062 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $528 $660 0.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,099.20 $1,374 0.1×
Repair tongue laceration (41252) $489.60 $612 2.0×
Repair tongue laceration (41250) $423.20 $529 0.9×
Repair/Revise Wrist Joint (25320)
likely a partial charge, not the full procedure		 $1,449.60 $1,812 0.2×
Replace duodenostomy/jejunostomy tube perq (49451) $988.80 $1,236 1.1×
Replace G-J Tube Perc (49452) $569.60 $712 0.6×
Replace g/c tube perc (49450) $920 $1,150 1.0×
Repr torn cruciate knee ligam (27407)
likely a partial charge, not the full procedure		 $1,177.60 $1,472 0.2×
Rerepair ing hernia reduce (49520) $941.60 $1,177 0.3×
Resection of scrotum (55150) $741.60 $927 0.2×
Revise ulnar nerve at wrist (64719) $601.60 $752 0.3×
Revise ureter (50727) $765.60 $957 0.2×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $742.40 $928 0.2×
Revision of urethra (57220)
likely a partial charge, not the full procedure		 $520 $650 0.1×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $925.60 $1,157 0.3×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $2,061.60 $2,577 0.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $278.40 $348 0.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $143.20–$2,132.80 $179–$2,666 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $88–$90.40 $110–$113 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $98.40 $123 0.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $56.80 $71 0.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $695.20 $869 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $333.60 $417 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $333.60 $417 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $244–$245.60 $305–$307 varies
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $189.60 $237 0.7×
Rmvl/revj sling stress incontinence (57287) $1,098.40 $1,373 0.3×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $326.40–$348 $408–$435 varies
Rplc gtube revj gstrst trc (43763) $524.80 $656 2.1×
Rplcmt cath ctr vad subq port/pmp (36578) $666.40 $833 0.2×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,204.80 $1,506 0.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $508.80 $636 0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $712 $890 0.1×
Rpr blood vessel direct lower extremity (35226) $1,210.40 $1,513 1.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $255.20 $319 1.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $745.60 $932 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $863.20 $1,079 0.5×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $729.60 $912 0.2×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358)
likely a partial charge, not the full procedure		 $1,456.80 $1,821 0.2×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $1,175.20 $1,469 0.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $1,319.20 $1,649 0.4×
Sclerotx Fluid Collection (49185) $1,564 $1,955 0.9×
Scrotal exploration (55110) $586.40 $733 0.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $1,008 $1,260 0.3×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $176.80 $221 0.1×
Shave skin lesion 0.5 cm/< (11300) $152 $190 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $173.60 $217 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $269.60 $337 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $160 $200 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $183.20 $229 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $209.60 $262 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $217.60 $272 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $204 $255 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $231.20 $289 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $181.60 $227 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $226.40 $283 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $205.60 $257 1.0×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $346.40 $433 0.1×
Sigmoidoscopy & Polypectomy (45333) $504.80 $631 0.5×
Sigmoidoscopy flx tndsc balo dilat (45340) $710.40 $888 0.6×
Sigmoidoscopy w/fb removal (45332) $155.20 $194 0.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $439.20 $549 0.5×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $762.40 $953 0.6×
Simple Cystometrogram (51725) $308.80 $386 1.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $325.60 $407 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $166.40 $208 0.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $173.60 $217 0.8×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $228.80 $286 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $212.80 $266 1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $259.20 $324 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $139.20 $174 0.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $344.80 $431 1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $194.40 $243 0.9×
Skin Full Grft Face/Genit/Hf (15240) $1,392.80 $1,741 0.7×
Skin sub graft face/nk/hf/g (15275) $236.80 $296 0.3×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure		 $1,095.20 $1,369 0.2×
Slitting of prepuce (54001) $291.20 $364 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $167.20–$171.20 $209–$214 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $262.40 $328 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $306.40 $383 0.7×
Sphincterotomy anal division sphincter spx (46080) $433.60 $542 0.2×
Spinal puncture lumbar diagnostic (62270) $224.80 $281 0.3×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,244 $1,555 0.3×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,285.60 $1,607 0.6×
Strapping ankle (29540) $42.40 $53 0.3×
Strapping elbow or wrist (29260) $43.20 $54 0.7×
Strapping hand/finger (29280) $44.80 $56 0.7×
Strapping knee (29530) $44 $55 0.3×
Strapping shoulder (29240) $44 $55 0.3×
Strapping toes (29550) $29.60 $37 0.5×
Strapping Unna Boot (29580) $94.40 $118 0.6×
Subcutaneous Hormone Pellet Implantation (11980) $140.80 $176 0.3×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $117.60 $147 0.6×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $164 $205 0.2×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $218.40 $273 0.3×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $440.80 $551 0.1×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $3,934.40 $4,918 0.7×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $3,800 $4,750 0.6×
Surg tx anal fistula subq (46270) $803.20 $1,004 0.3×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $904 $1,130 0.1×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $794.40 $993 0.5×
Tangential biopsy skin single lesion (11102) $152 $190 0.4×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $1,099.20 $1,374 0.1×
Tenotomy Flexor Finger Open Each Tendon (26455) $691.20 $864 0.4×
Tenotomy Percutaneous Toe Single Tendon (28010) $340 $425 0.2×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $933.60 $1,167 0.1×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $705.60 $882 0.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $479.20 $599 0.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,038.40 $1,298 1.4×
Thrombolytic Therapy Stroke (37195) $574.40 $718 1.7×
Thyroid biopsy (60100) $163.20 $204 0.2×
Thyroidectomy Post Prev Thyr Surg (60260)
likely a partial charge, not the full procedure		 $1,603.20 $2,004 0.3×
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure		 $1,352.80 $1,691 0.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,152.80 $1,441 0.5×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $446.40 $558 0.1×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $1,884 $2,355 0.1×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
likely a partial charge, not the full procedure		 $1,409.60 $1,762 0.2×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720)
range across 2 matching MRF lines		 $497.60–$501.60 $622–$627 varies
Tracheobrnchsc Thru Est Trachs Inc (31615) $256 $320 0.5×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $428.80 $536 0.1×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $827.20 $1,034 0.4×
Transurethral incision of prostate (52450) $714.40 $893 0.2×
Transurethral resection bladder neck (52500) $740.80 $926 0.2×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $1,146.40 $1,433 0.2×
Treat Finger Fracture Each (26727) $732 $915 0.2×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $1,333.60 $1,667 0.2×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $1,090.40 $1,363 0.1×
Treat Hand Bone Lesion (26034) $816.80 $1,021 0.5×
Treat Humerus Fracture (24505)
range across 3 matching MRF lines		 $751.20–$783.20 $939–$979 varies
Treat humerus fracture (23616)
likely a partial charge, not the full procedure		 $1,860 $2,325 0.1×
Treat humerus fracture (23600) $498.40 $623 2.0×
Treat knee fracture (27532) $920.80 $1,151 0.3×
Treat kneecap dislocation (27566)
likely a partial charge, not the full procedure		 $1,316.80 $1,646 0.2×
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $1,112.80 $1,391 0.2×
Treat Knuckle Dislocation (26700) $505.60 $632 2.0×
Treat lower leg bone lesion (27607) $879.20 $1,099 0.3×
Treat lower leg dislocation (27832)
likely a partial charge, not the full procedure		 $1,118.40 $1,398 0.2×
Treat metacarpal fracture (26607) $773.60 $967 0.2×
Treat Metatarsal Fracture (28475) $402.40 $503 1.6×
Treat thumb fracture (26665) $962.40 $1,203 0.3×
Treat toe dislocation (28630) $226.40 $283 0.9×
Treat Vaginal Bleeding (57180) $292 $365 1.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $711.20 $889 0.4×
Treatment closed elbow dislocation w/o anes (24600) $559.20 $699 2.2×
Treatment of ankle fracture (27823)
likely a partial charge, not the full procedure		 $1,458.40 $1,823 0.2×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure		 $1,804.80 $2,256 0.2×
Trim skin lesion (11055) $107.20 $134 0.5×
Trim skin lesions 2 to 4 (11056) $123.20 $154 0.6×
Trim skin lesions over 4 (11057) $132 $165 0.6×
Trimming Nondystrophic Nails Any Number (11719) $20.80 $26 0.3×
Tubal ligation (58600) $556 $695 0.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $728 $910 0.3×
Tx Gastro Intub W/Asp (43753) $32.80 $41 0.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $541.60 $677 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
likely a partial charge, not the full procedure		 $1,803.20 $2,254 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $654.40 $818 0.2×
Tx Missed Abortion Second Trimester Surgical (59821) $644.80 $806 0.2×
Tx open tendon flexor toe 1 tendon spx (28232) $556.80 $696 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $445.60 $557 0.6×
Tx superficial wound dehiscence w/packing (12021) $263.20 $329 0.6×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $1,468.80 $1,836 0.1×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $567.20 $709 0.4×
Tympanostomy general anesthesia (69436) $234.40 $293 0.1×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $1,266.40 $1,583 0.2×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $651.20 $814 0.1×
Unlisted procedure anus (46999) $360 $450 0.4×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $160–$511.20 $200–$639 varies
Unlisted Procedure, Urinary System (53899) $96.80 $121 0.4×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961)
likely a partial charge, not the full procedure		 $579.20 $724 0.1×
Ureteral endoscopy via ureterostomy (50951) $568 $710 0.2×
Urine Flow Measurement (51736) $20.80 $26 0.2×
Vag hyst complex (58290)
likely a partial charge, not the full procedure		 $1,700.80 $2,126 0.2×
Vag hyst incl t/o complex (58291)
unusually low: confirm this is the full procedure		 $1,837.60 $2,297 0.4×
Vag hyst w/t/o & vag repair (58263)
likely a partial charge, not the full procedure		 $1,468 $1,835 0.3×
Vaginal Delivery After Cesarean Delivery (59612) $1,404.80 $1,756 0.4×
Vaginal delivery only (59409) $1,248 $1,560 0.4×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
likely a partial charge, not the full procedure		 $1,240 $1,550 0.2×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
likely a partial charge, not the full procedure		 $1,324 $1,655 0.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
likely a partial charge, not the full procedure		 $1,369.60 $1,712 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250) $496.80 $621 0.2×
Vasovasostomy vasovasorrhaphy (55400) $748.80 $936 0.2×
Ventilating tube removal requiring general anesthesia (69424) $192.80 $241 0.1×
Vulvectomy simple partial (56620)
range across 2 matching MRF lines		 $868.80–$880 $1,086–$1,100 varies
Wedge excision skin nail fold (11765) $245.60 $307 0.6×
Wedging of cast (29740) $152 $190 0.5×
Wound Prep F/N/Hf/G (15004) $583.20 $729 1.4×
Wound Prep Trk/Arm/Leg (15002) $516 $645 0.7×

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.