Procedures & surgery prices at Providence St. Mary Medical Center

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

1018 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $201.60–$1,879.50 $288–$2,685 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $130.20–$312.20 $186–$446 varies
Ablate Pulm Tumor Perq Crybl (32994) $10,059 $14,370 0.8×
Ablation 1/> liver tumor perq cryoablation (47383) $9,884 $14,120 0.8×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $12,140.80 $17,344 1.5×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,324.70 $3,321 1.3×
Acne surgery (10040) $154 $220 0.7×
Adding Walker Previously Applied Cast (29440) $314.30 $449 1.7×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,143.30 $5,919 1.0×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,673.60 $5,248 1.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,718.40 $5,312 1.6×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines		 $995.40–$4,335.10 $1,422–$6,193 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,652.60 $5,218 1.6×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $6,874.70 $9,821 0.9×
Amniocentesis diagnostic (59000) $1,755.60 $2,508 1.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $4,855.90 $6,937 1.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $4,815.30 $6,879 1.3×
Amputation metatarsal with toe single (28810) $4,298 $6,140 1.2×
Amputation toe interphalangeal joint (28825) $4,718.70 $6,741 1.3×
Anoscopy Control Bleeding (46614) $4,277.70 $6,111 3.2×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $166.60–$294.70 $238–$421 varies
Anoscopy W/Rmvl Foreign Body (46608) $883.40 $1,262 0.9×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $314.30 $449 1.7×
Appl cranial tong/strtctc frame w/removal spx (20660) $6,018.60 $8,598 3.4×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $517.30 $739 1.7×
Application Body Cast Shoulder Hips (29035) $517.30 $739 1.7×
Application cast elbow finger short arm (29075) $298.20 $426 1.0×
Application Cast Finger (29086) $253.40 $362 1.4×
Application Cast Shoulder Spica (29055) $406.70 $581 1.3×
Application Finger Splint Dynamic (29131) $167.30 $239 2.5×
Application finger splint static (29130)
range across 2 matching MRF lines		 $15.40–$315.70 $22–$451 varies
Application Halo Cranial Including Removal (20661)
range across 2 matching MRF lines		 $501.20–$895.30 $716–$1,279 varies
Application Hip Spica Cast 1 Leg (29305) $387.10 $553 1.2×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $162.40–$378.70 $232–$541 varies
Application Long Leg Cast Brace (29358) $534.80 $764 1.7×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $154.70–$315.70 $221–$451 varies
Application of cylinder cast (thigh to ankle) (29365) $635.60 $908 2.0×
Application of long leg cast (29345) $413.70 $591 1.3×
Application Short Arm Splint Dynamic (29126) $263.20 $376 1.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $121.10–$315.70 $173–$451 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $133–$395.50 $190–$565 varies
Application, cast; figure-of-eight Facility (29049) $517.30 $739 1.7×
Apply hand/wrist cast (29085) $239.40 $342 1.3×
Apply long arm cast (29065) $338.80 $484 1.1×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $370.30–$390.60 $529–$558 varies
Apply Short Leg Cast (29405) $338.80 $484 1.1×
Apply short leg cast (29425) $459.90 $657 1.5×
Apply shoulder cast,plastr velpeau (29058) $517.30 $739 1.7×
Arterial puncture (36600)
range across 4 matching MRF lines		 $57.40–$160.30 $82–$229 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $118.30–$801.50 $169–$1,145 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $88.90–$880.60 $127–$1,258 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $80.50–$1,225.70 $115–$1,751 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $105–$1,361.50 $150–$1,945 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $85.40–$662.20 $122–$946 varies
Arthroplasty interphalangeal joint each (26535) $5,770.10 $8,243 1.6×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $3,072.30 $4,389 1.7×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $189–$2,680.30 $270–$3,829 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $150.50–$679 $215–$970 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $108.50–$662.20 $155–$946 varies
Aspiration and/or injection thyroid cyst (60300) $1,749.30 $2,499 2.2×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $4,069.80 $131–$5,814 1.7×
Aspiration Bladder Needle (51100) $528.50 $755 1.9×
Aspiration bladder trocar/intracatheter (51101) $5,893.30 $8,419 6.2×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $4,469.50 $6,385 1.7×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $178.50–$583.10 $255–$833 varies
Biopsy Abdominal Mass (49180) $2,798.60 $3,998 1.5×
Biopsy bone open superficial (20240) $3,572.10 $5,103 1.1×
Biopsy bone trocar/needle deep (20225) $2,780.40 $3,972 1.5×
Biopsy Bone Trocar/Needle Superficial (20220) $1,946.70 $2,781 1.1×
Biopsy muscle percutaneous needle (20206) $2,613.80 $3,734 1.4×
Biopsy of floor of mouth (41108) $1,383.20 $1,976 0.8×
Biopsy of liver, needle; percutaneous (47000) $2,468.20 $3,526 1.3×
Biopsy Pleura Percutaneous Needle (32400) $1,562.40 $2,232 0.8×
Biopsy Salivary Gland Needle (42400) $807.80 $1,154 1.0×
Biopsy soft tissue neck/thorax (21550) $2,638.30 $3,769 1.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $861 $1,230 0.8×
Biopsy/removal lymph nodes (38510) $5,560.10 $7,943 1.3×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $149.80–$695.80 $214–$994 varies
Bladder Scan (51798) $202.30 $289 3.1×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $504–$943.60 $720–$1,348 varies
Blood Transfusion Service (36430) $782.60 $1,118 1.6×
Bone Marrow Biopsy (38221) $966 $1,380 0.5×
Bone Marrow; Aspiration Only (38220) $966 $1,380 0.5×
Bronchoscopy Clear Airways (31645) $2,846.20 $4,066 1.4×
Bronchoscopy W/Removal Foreign Body (31635) $3,620.40 $5,172 1.8×
Bronchoscopy/Needle Bx Each (31629) $3,418.10 $4,883 0.8×
Bx breast 1st lesion mr imag (19085) $3,003 $4,290 1.6×
Bx breast 1st lesion strtctc (19081) $3,305.40 $4,722 1.8×
Bx breast 1st lesion us imag (19083) $1,740.20 $2,486 0.9×
Bx Cervix (57500) $1,085 $1,550 1.1×
Bx/exc lymph node open deep axillary node (38525) $4,483.50 $6,405 1.0×
Canthoplasty (67950) $3,666.60 $5,238 1.4×
Canthotomy Separate Procedure (67715) $3,081.40 $4,402 1.2×
Carpal Tunnel Surgery (64721) $3,867.50 $5,525 1.8×
Catheter aspiration nasotracheal spx (31720) $269.50 $385 1.1×
Cautery Cervix Electro/Thermal (57510) $6,518.40 $9,312 1.8×
Cessj Therapy Cath Removal (37214) $6,438.60 $9,198 1.8×
Change Cystostomy Tube Complicated (51710) $1,904.70 $2,721 2.5×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $165.20–$632.10 $236–$903 varies
Change of Windpipe Airway (31502) $552.30 $789 2.1×
Change ureter stent percut (50382) $5,710.60 $8,158 2.5×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $147.70–$340.90 $211–$487 varies
Chemodenerv 1 extremity 1-4 (64642) $789.60 $1,128 1.0×
Chest tube placement (32551)
range across 3 matching MRF lines		 $320.60–$1,048.60 $458–$1,498 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $6,196.40 $8,852 1.6×
Circumcision w/clamp/oth dev w/block (54150) $149.10 $213 0.1×
Cl Tx Scapular Fx; W Manip (23575) $2,507.40 $3,582 1.4×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $862.40–$3,512.60 $1,232–$5,018 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $232.40–$583.10 $332–$833 varies
Closed Rx Metacarpal Fx,Percut (26608) $4,377.80 $6,254 1.2×
Closed Rx Spontaneous Hip Disloc (27256) $648.90 $927 2.4×
Closed rx talotarsal disloc,anesth (28575) $5,288.50 $7,555 1.5×
Closed Treat Vert Body Fract (22310) $913.50 $1,305 3.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $662.20 $946 2.4×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,156.40 $1,652 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,156.40 $1,652 4.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $780.50 $1,115 2.8×
Closed Treatment Sesamoid Fracture (28530) $522.90 $747 1.9×
Closed Treatment Sternum Fracture (21820)
range across 2 matching MRF lines		 $254.80–$256.90 $364–$367 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $590.10–$976.50 $843–$1,395 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $662.20–$686.70 $946–$981 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $325.50–$502.60 $465–$718 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $249.20–$620.20 $356–$886 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $620.90 $887 2.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $141.40–$527.80 $202–$754 varies
Closed tx carpal scaphoid fracture w/manj (25624) $1,906.80 $2,724 1.1×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $562.10–$608.30 $803–$869 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $3,276.70 $4,681 1.8×
Closed tx femoral fracture prox head w/o manj (27267) $6,136.90 $8,767 1.7×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $954.10 $1,363 3.5×
Closed tx fx orbit except blowout w/manipulation (21401) $4,221 $6,030 2.4×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $559.30–$1,089.20 $799–$1,556 varies
Closed tx knee dislocation w/o anesthesia (27550) $639.80 $914 2.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,854.30 $2,649 1.0×
Closed tx mandibular fracture w/manipulation (21451) $2,990.40 $4,272 1.7×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $1,155.70–$9,971.50 $1,651–$14,245 varies
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $12,575.50 $17,965 1.9×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $249.20–$410.20 $356–$586 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,461.20 $3,516 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $529.90–$2,520 $757–$3,600 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $4,024.30 $5,749 1.1×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $10,753.40 $15,362 2.9×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $365.40–$662.20 $522–$946 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $662.20–$672 $946–$960 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $479.50–$598.50 $685–$855 varies
Closed tx radial head/neck fx w/manipulation (24655) $662.20 $946 0.4×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $249.20–$483 $356–$690 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $803.60–$992.60 $1,148–$1,418 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $662.20 $946 2.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $662.20–$955.50 $946–$1,365 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $438.90–$513.80 $627–$734 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $349.30 $499 1.3×
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $760.90–$3,651.90 $1,087–$5,217 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $931 $1,330 3.4×
Closed tx talotarsal joint dislc w/o anes (28570) $446.60 $638 1.6×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $662.90–$1,019.20 $947–$1,456 varies
Closed tx talus fracture w/o manipulation (28430) $421.40 $602 1.5×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $446.60 $638 1.6×
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $346.50–$399 $495–$570 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $183.40–$606.90 $262–$867 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,478.40 $2,112 0.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $517.30 $739 1.9×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $156.10–$483.70 $223–$691 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $297.50–$623 $425–$890 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $247.80–$781.20 $354–$1,116 varies
Clsd tx acromioclavicular dislc w/manipulation (23545) $502.60 $718 1.8×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $413–$858.20 $590–$1,226 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505) $662.20 $946 0.4×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $402.50–$662.20 $575–$946 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,479.80 $2,114 2.5×
Clsd Tx Pelvic Ring Fx (27198)
range across 2 matching MRF lines		 $290.50–$701.40 $415–$1,002 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197)
range across 2 matching MRF lines		 $93.80–$701.40 $134–$1,002 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $692.30–$2,135.70 $989–$3,051 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $579.60–$641.90 $828–$917 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $2,081.10 $2,973 1.2×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $438.90 $627 1.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $380.10–$662.20 $543–$946 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $602–$864.50 $860–$1,235 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $403.20 $576 1.5×
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $268.80–$846.30 $384–$1,209 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $249.20 $356 0.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $592.90–$606.20 $847–$866 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $3,090.50 $4,415 1.7×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $363.30 $519 1.3×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $662.20–$676.20 $946–$966 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $585.90–$595.70 $837–$851 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $197.40–$653.10 $282–$933 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $485.10 $693 1.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $475.30–$606.20 $679–$866 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,005.20–$1,656.90 $1,436–$2,367 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $3,752 $5,360 2.1×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $570.50–$674.10 $815–$963 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $712.60 $1,018 2.6×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $3,540.60 $5,058 2.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $620.20 $886 2.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $673.40–$1,336.30 $962–$1,909 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $127.40–$249.20 $182–$356 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $273–$368.90 $390–$527 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $299.60–$662.20 $428–$946 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $229.60–$486.50 $328–$695 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,512.60 $5,018 2.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $570.50 $815 2.1×
Cltx greater humeral tuberosity fx w/o manj (23620) $443.80 $634 1.6×
Cltx Greater Trochanteric Fx W/O Manj (27246) $490.70 $701 1.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,793.40 $2,562 1.0×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $674.80–$1,822.80 $964–$2,604 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $328.30–$801.50 $469–$1,145 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $524.30 $749 1.9×
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,538.20 $3,626 1.4×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $883.40 $1,262 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $393.40 $562 1.4×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $3,343.90 $4,777 1.9×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines		 $285.60–$517.30 $408–$739 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $217–$401.10 $310–$573 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,032.10 $2,903 1.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $604.10–$949.90 $863–$1,357 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $509.60–$662.20 $728–$946 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $334.60–$662.20 $478–$946 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $502.60–$618.80 $718–$884 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $563.50–$662.20 $805–$946 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $490.70–$662.20 $701–$946 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,670.90 $2,387 0.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,784.60 $3,978 1.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $590.10–$662.20 $843–$946 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $366.80–$478.10 $524–$683 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,011.50–$3,240.30 $1,445–$4,629 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $502.60–$737.10 $718–$1,053 varies
Cltx prox fibula/shft fx w/manj (27781) $662.20 $946 0.4×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $567.70–$662.20 $811–$946 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $901.60–$1,793.40 $1,288–$2,562 varies
Cltx prox tibfib jt dislc req anes (27831) $6,413.40 $9,162 1.8×
Cltx prox tibfib jt dislc w/o anes (27830) $4,594.10 $6,563 16.7×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $641.90–$701.40 $917–$1,002 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $263.90–$662.20 $377–$946 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines		 $450.80–$498.40 $644–$712 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $271.60–$1,395.10 $388–$1,993 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,842.40 $2,632 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $662.20 $946 0.4×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $478.10 $683 1.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,143.40 $3,062 1.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $371.70 $531 1.4×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $5,459.30 $7,799 1.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $239.40–$355.60 $342–$508 varies
Cltx tibial fx proximal w/o manipulation (27530) $662.20 $946 2.4×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $387.80–$546 $554–$780 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $682.50 $975 2.5×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $331.10–$502.60 $473–$718 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $485.80 $694 1.8×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $4,582.90 $6,547 1.3×
Collect Blood From Catheter Venous Nos (36592) $192.50 $275 1.3×
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines		 $35.70–$60.20 $51–$86 varies
Colpocentesis (57020) $9,971.50 $14,245 1.8×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $7,291.90 $10,417 2.0×
Colporrhaphy (57200) $6,489.70 $9,271 1.8×
Colposcopy cervix upper/adjacent vagina (57452) $434 $620 1.9×
Colposcopy of vulva (56820) $333.20 $476 1.5×
Colpotomy; with drainage of pelvic abscess (57010) $2,844.10 $4,063 0.8×
Colpotomy; with exploration (57000) $5,830.30 $8,329 1.6×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,011.10 $2,873 1.5×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $455–$5,599.30 $650–$7,999 varies
Composite Skin Graft (15760) $11,015.20 $15,736 4.8×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $312.20–$387.80 $446–$554 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $176.40–$583.10 $252–$833 varies
Control oropharyngeal hemorrhage simple (42960) $583.10 $833 1.0×
Conversion ext bil drg cath (47535) $4,740.40 $6,772 1.2×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,826.60 $4,038 1.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,675.70 $5,251 2.0×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $6,310.50 $9,015 1.6×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $6,039.60 $8,628 1.7×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295)
range across 2 matching MRF lines		 $524.30–$8,551.20 $749–$12,216 varies
Csf shunt reprogram (62252) $462.70 $661 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $312.20–$483 $446–$690 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $422.80 $604 1.6×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $6,963.60 $9,948 1.9×
Curettage postpartum (59160) $6,899.20 $9,856 1.9×
Curette/treat cornea (65435) $1,344.70 $1,921 1.2×
Cysto Bladder W/Ureteral Catheterization (52005) $4,094.30 $5,849 1.8×
Cysto calibration dilat urtl strix/stenosis (52281) $4,892.30 $6,989 2.1×
Cysto w/destruction of lesions (52214) $5,400.50 $7,715 1.4×
Cysto w/irrig & evac multple obstructing clots (52001) $5,609.80 $8,014 1.4×
Cysto W/Simple Removal Stone & Stent (52310) $3,182.90 $4,547 1.4×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $5,269.60 $7,528 1.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $4,717.30 $6,739 1.2×
Cystostomy Cystotomy W/Drainage (51040) $4,235.70 $6,051 1.8×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $4,265.80 $6,094 1.8×
Cystourethroscopy (52000) $1,522.50 $2,175 2.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $49.70–$1,015.70 $71–$1,451 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $763–$3,221.40 $1,090–$4,602 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $256.20–$2,533.30 $366–$3,619 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $4,368.70 $6,241 5.5×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $4,473.70 $6,391 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $421.40–$1,386 $602–$1,980 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $58.80–$583.10 $84–$833 varies
Debride nail 6 or more (11721) $75.60 $108 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $579.60–$3,257.10 $828–$4,653 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $216.30–$583.10 $309–$833 varies
Declot vascular device (36593)
range across 3 matching MRF lines		 $53.20–$856.80 $76–$1,224 varies
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $6,413.40 $9,162 1.8×
Decompressive fasciotomy hand (26037) $2,857.40 $4,082 0.8×
Delivery of placenta (59414) $7,702.10 $11,003 2.1×
Derma-fat-fascia graft (15770) $2,781.80 $3,974 0.7×
Destroy cerv/thor facet jnt (64633) $3,000.20 $4,286 1.4×
Destroy lumb/sac facet jnt (64635) $2,454.20 $3,506 1.1×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $185.50–$205.80 $265–$294 varies
Destruction neurolytic agt genicular nerve w/img (64624) $4,517.80 $6,454 2.1×
Destruction of skin lesions (17106) $646.10 $923 1.4×
Destruction premalignant lesion 1st (17000) $175 $250 0.8×
Destruction Vaginal Lesions Simple (57061) $3,574.20 $5,106 1.0×
Diagnostic anoscopy (46601)
range across 2 matching MRF lines		 $312.20–$392.70 $446–$561 varies
Diagnostic sigmoidoscopy (45330) $1,773.10 $2,533 1.7×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $217.70 $311 1.5×
Dilat Xst Trc New Access Rcs (50437) $6,345.50 $9,065 1.6×
Dilate Urethra Stricture (53620) $2,935.10 $4,193 3.8×
Dilate Urethra Stricture (53600) $483 $690 1.7×
Dilation & curettage dx&/ther nonobstetric (58120) $4,818.80 $6,884 1.3×
Drain Cerebro Spinal Fluid (62272)
range across 3 matching MRF lines		 $190.40–$377.30 $272–$539 varies
Drain Hand Tendon Sheath (26020) $3,680.60 $5,258 1.0×
Drain penis lesion (54015) $3,231.20 $4,616 1.8×
Drain/inj small joint/bursa w/us (20604) $728.70 $1,041 2.1×
Drainage abscess parotid simple (42300) $4,566.10 $6,523 2.6×
Drainage Abscess/Hematoma Nasal Septum (30020) $7,473.90 $10,677 12.4×
Drainage external auditory canal abscess (69020) $546.70 $781 0.7×
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $132.30–$3,208.10 $189–$4,583 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $220.50–$353.50 $315–$505 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $130.20–$2,551.50 $186–$3,645 varies
Drainage Mouth Roof Lesion (42000) $532.70 $761 2.0×
Drainage of eye (65800) $2,252.60 $3,218 0.9×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $493.50–$557.20 $705–$796 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $526.40–$662.20 $752–$946 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $298.90–$662.20 $427–$946 varies
Drainage of mouth lesion (41017) $3,864 $5,520 1.0×
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $207.20–$772.10 $296–$1,103 varies
Drainage of rectal abscess (45005) $3,687.60 $5,268 2.8×
Drainage of salivary gland (42320) $4,680.90 $6,687 7.8×
Drainage of salivary gland (42305) $6,129.90 $8,757 1.7×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $142.80–$2,100 $204–$3,000 varies
Drainage of scrotum (54700) $4,340 $6,200 1.9×
Drainage of skene's gland abscess or cyst (53060) $892.50 $1,275 0.4×
Draw Blood Off Venous Device (36591) $185.50 $265 1.3×
Dressing Change Under Anesthesia (15852) $917 $1,310 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $3,042.90 $4,347 5.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $149.10–$583.10 $213–$833 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $303.10 $433 0.5×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $2,580.20 $3,686 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $336.70–$662.20 $481–$946 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $269.50–$631.40 $385–$902 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $149.80–$491.40 $214–$702 varies
Dstrj Lesion Anus Simple Chemical (46900) $327.60 $468 0.7×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,365 $1,950 1.4×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $3,472 $4,960 3.5×
Dx Bone Marrow Bx & Aspir (38222) $4,489.10 $6,413 1.4×
Dx Bronchoscope/Lavage (31624) $3,235.40 $4,622 1.6×
Dx Bronchoscope/Wash (31622) $3,575.60 $5,108 1.8×
Dx gastr intub w/asp spec (43754) $504 $720 2.1×
Dx gastr intub w/asp specs (43755) $313.60 $448 2.2×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $3,184.30–$3,661.70 $4,549–$5,231 varies
Dx laryngoscopy w/oper scope (31526) $4,143.30 $5,919 2.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,642.90 $2,347 2.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,091.60 $2,988 1.0×
Egd Flexible Foreign Body Removal (43247) $2,263.10 $3,233 2.2×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,304.70 $4,721 1.5×
Egd place gastrostomy tube (43246) $2,885.40 $4,122 1.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $536.90 $767 1.6×
Endometrial Biopsy (58100) $293.30 $419 1.3×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $5,572.70 $7,961 1.6×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $8,379 $11,970 2.4×
Endoven ther chem adhes 1st (36482) $9,556.40 $13,652 1.5×
Epidural Blood Patch (62273) $1,323.70 $1,891 1.7×
Episiotomy or vaginal repair (59300) $5,175.10 $7,393 1.4×
Escharotomy; initial incision (16035) $2,068.50 $2,955 4.6×
Esophagoscopy Flexible Transoral Diagnostic (43200) $2,224.60 $3,178 2.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,811.90 $4,017 1.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $90.30–$583.10 $129–$833 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $140.70–$1,937.60 $201–$2,768 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,360.40 $3,372 1.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $817.60 $1,168 1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $861.70 $1,231 1.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,248.10 $1,783 1.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,320.50 $3,315 1.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,635.50 $3,765 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $142.80–$2,370.90 $204–$3,387 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $289.80–$1,178.10 $414–$1,683 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,796.20 $2,566 1.0×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $3,985.80 $5,694 1.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,301.30 $1,859 1.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,046.40 $4,352 1.7×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,955 $5,650 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,402 $4,860 1.8×
Exc Skin Benig >4cm Face,Facial (11446) $3,236.80 $4,624 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $343–$2,900.10 $490–$4,143 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $508.20 $726 1.1×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $806.40 $1,152 1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,368.80 $3,384 1.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $3,095.40 $4,422 1.7×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,812.50 $6,875 1.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,948.80 $2,784 0.8×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 2 matching MRF lines		 $1,936.20–$2,712.50 $2,766–$3,875 varies
Excis Mouth Mucosa/Sub,No Repair (40810)
range across 2 matching MRF lines		 $230.30–$3,418.80 $329–$4,884 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,399.20 $4,856 2.0×
Excision Chalazion Single (67800) $367.50 $525 1.0×
Excision Excessive Skin & Subq Tissue Other Area (15839) $6,079.50 $8,685 1.9×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,434.30 $2,049 1.8×
Excision Multiple External Papillae/Tags Anus (46230) $3,353 $4,790 1.1×
Excision of bartholin's gland or cyst (56740) $6,932.10 $9,903 1.9×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $4,214.70 $6,021 2.4×
Excision of pilonidal cyst or sinus; simple (11770) $4,977 $7,110 1.5×
Excision of vaginal cyst or tumor (57135) $5,096.70 $7,281 1.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $5,600 $8,000 1.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $6,529.60 $9,328 2.0×
Excision soft tissue lesion, external auditory canal (69145) $5,762.40 $8,232 1.8×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $459.90–$1,048.60 $657–$1,498 varies
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $533.40–$3,152.10 $762–$4,503 varies
Exploration of knee joint (27310) $6,672.40 $9,532 1.8×
Exploration penetrating wound spx chest (20101) $1,948.80 $2,784 0.8×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $632.10–$662.20 $903–$946 varies
Exploration Penetrating Wound Spx Neck (20100) $662.20 $946 1.1×
External cephalic version (59412) $4,071.90 $5,817 1.1×
Fetal Contraction Stress Test (59020) $659.40 $942 2.9×
Fetal non-stress test (59025) $700.70 $1,001 3.1×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $1,932.70 $2,761 0.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,504.30 $2,149 1.9×
Fine needle aspiration without imaging guidance (10021) $662.20 $946 1.5×
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $476.70–$662.20 $681–$946 varies
Fluoro exam of g/colon tube (49465) $630 $900 2.4×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,504.30 $2,149 1.9×
Fna bx w/us gdn 1st les (10005) $1,533 $2,190 1.9×
Forehead flap w/vasc pedicle (15731) $5,925.50 $8,465 1.5×
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $101.50–$949.90 $145–$1,357 varies
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,552.20 $3,646 1.1×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,022.60 $4,318 1.3×
Fusion Finger Joint (26860) $6,103.30 $8,719 1.7×
Fusion of hand bones (25820) $5,584.60 $7,978 0.7×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $606.90–$1,821.40 $867–$2,602 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,018.30 $7,169 1.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $4,765.60 $6,808 1.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,013.60 $1,448 1.0×
Hemorrhoidopexy by stapling (46947) $5,030.20 $7,186 1.6×
Hymenotomy Simple Incision (56442) $5,518.10 $7,883 1.5×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $5,641.30 $8,059 1.5×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $361.20–$964.60 $516–$1,378 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $212.10–$583.10 $303–$833 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $4,959.50 $7,085 1.5×
I&D Deep Absc/Hematoma Neck/Chest (21501) $6,832.70 $9,761 2.1×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $4,678.80 $6,684 1.3×
I&D Intramural Im/Absc Transanal Anes (46045) $3,604.30 $5,149 1.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $5,568.50 $7,955 1.5×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $382.90–$583.10 $547–$833 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $333.20–$1,015.70 $476–$1,451 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $333.20–$591.50 $476–$845 varies
I&d shoulder deep abscess/hematoma (23030) $7,291.90 $10,417 2.3×
I&d upper arm/elbow deep abscess/hematoma (23930) $4,408.60 $6,298 1.4×
I&d vaginal hematoma obstetrical/postpartum (57022) $4,972.80 $7,104 1.5×
Image Cath Fluid Colxn Visc (49405) $2,522.80 $3,604 1.4×
Image Cath Fluid Peri/Retro (49406) $2,522.80 $3,604 1.4×
Image Cath Fluid Trns/Vgnl (49407) $2,522.80 $3,604 1.4×
Implant neuroelectrodes (63650) $12,849.90 $18,357 1.8×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $7,098.70 $10,141 0.7×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $187.60–$631.40 $268–$902 varies
Incise flexor carpi radialis (25001) $2,970.80 $4,244 0.8×
Incise/Drain Conjunctiva (68020) $1,084.30 $1,549 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $373.80–$662.20 $534–$946 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $5,119.10 $7,313 1.6×
Incision & drainage leg/ankle infected bursa (27604) $5,730.90 $8,187 1.6×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $506.80–$662.20 $724–$946 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $280.70–$583.10 $401–$833 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $224.70–$468.30 $321–$669 varies
Incision and drainage of the tear gland (68400) $1,008 $1,440 0.9×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $5,565.70 $7,951 1.7×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $202.30–$583.10 $289–$833 varies
Incision extensor tendon sheath wrist (25000) $3,406.20 $4,866 1.9×
Incision of eardrum (69420) $371.70 $531 1.4×
Incision of lingual frenum (frenotomy) (41010) $2,017.40 $2,882 1.2×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $328.30–$662.20 $469–$946 varies
Incision of urethra (53000) $135.80 $194 0.1×
Incision of urethra (53020) $4,637.50 $6,625 2.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,836.10 $2,623 1.0×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $105.70–$816.20 $151–$1,166 varies
Induced abortion dilation and curettage (59840) $2,034.90 $2,907 0.6×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $126–$268.80 $180–$384 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,906.80 $2,724 1.9×
Inj W/Fluor Eval Cv Device (36598) $1,547.70 $2,211 6.5×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $2,534 $3,620 2.6×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,605 $5,150 3.7×
Inject Intravitreal Pharmcologic (67028) $590.10 $843 1.6×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $105–$602 $150–$860 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,447.60 $2,068 1.5×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $2,223.90 $3,177 2.3×
Injection aa&/strd genicular nrv branches w/img (64454) $1,642.90 $2,347 2.1×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $284.90–$1,911.70 $407–$2,731 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,642.90 $2,347 2.1×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,541.40 $2,202 2.0×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,883.70 $2,691 1.9×
Injection Anes Agent Sphenopalatine Ganglion (64505) $452.90 $647 1.3×
Injection for identification of sentinel node (38792) $752.50 $1,075 1.7×
Injection of sclerosing solution, hemorrhoids (46500) $1,911 $2,730 1.8×
Injection single tendon origin/insertion (20551) $457.80 $654 1.3×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $100.10–$457.10 $143–$653 varies
Injection single/mlt trigger point 3/> muscles (20553) $827.40 $1,182 2.4×
Injection therapeutic carpal tunnel (20526) $303.10 $433 0.9×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $87.50–$1,843.80 $125–$2,634 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $146.30–$583.10 $209–$833 varies
Injection, intralesional; up to and including 7 lesions (11900) $193.20 $276 0.9×
Injx Anterior Chamber Eye Medication Spx (66030) $2,691.50 $3,845 1.0×
Ins cath ren art 1st bilat (36252) $13,216.70 $18,881 3.8×
Ins cath ren art 1st unilat (36251) $12,295.50 $17,565 3.5×
Ins cath ren art 2nd+ bilat (36254) $13,601 $19,430 3.9×
Ins cath ren art 2nd+ unilat (36253) $12,681.90 $18,117 2.0×
Ins endovas vena cava filtr (37191) $8,338.40 $11,912 1.3×
Ins Vag Brachytx Device (57156) $651 $930 1.9×
Insert 1 Electrode Pm-Defib (33216) $5,121.20 $7,316 0.6×
Insert and remove bone pin (20650) $1,661.80 $2,374 0.5×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $234.50–$357 $335–$510 varies
Insert cath pleura w/ image (32557) $3,542 $5,060 2.0×
Insert cath pleura w/o image (32556) $2,210.60 $3,158 1.0×
Insert cervical dilator (59200)
range across 3 matching MRF lines		 $79.80–$575.40 $114–$822 varies
Insert Gastrostomy Tube Percutaneous (49440) $2,578.80 $3,684 1.2×
Insert Heart Pm Atrial (33206) $9,207.80 $13,154 0.8×
Insert Heart Pm Ventricular (33207) $9,590.70 $13,701 0.8×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $217.70–$1,048.60 $311–$1,498 varies
Insert pessary/other device (57160) $189 $270 0.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,164.10 $1,663 0.7×
Insert prost urethral stent (53855) $4,650.80 $6,644 2.0×
Insert pulse gen dual leads (33213) $7,404.60 $10,578 0.6×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure		 $8,660.40 $12,372 0.4×
Insert Pulse Gen Sngl Lead (33212) $6,399.40 $9,142 0.7×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $136.50–$202.30 $195–$289 varies
Insert tunneled cv cath (36561) $5,856.90 $8,367 1.7×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $11,073.30 $15,819 1.8×
Insert,Non-Indwelling Bladder Catheter (51701) $202.30 $289 1.4×
Insertion indwelling tunneled pleural catheter (32550) $4,969.30 $7,099 1.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,941.40 $4,202 1.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $15,096.20 $21,566 1.6×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $7,119 $10,170 1.8×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $5,630.80 $8,044 0.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $209.30–$1,859.20 $299–$2,656 varies
Insj Picc Rs&I <5 Yr (36572) $2,294.60 $3,278 3.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines		 $105.70–$3,620.40 $151–$5,172 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $8,696.80 $12,424 2.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $23,301.60 $33,288 0.7×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,748.10 $6,783 0.5×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $8,550.50 $12,215 0.9×
Insrt heart pm atrial & vent (33208) $10,298.40 $14,712 0.9×
Int hrhc by ligation single hroid w/o img gdn (46945) $3,903.20 $5,576 1.3×
Interdental fixation (21110) $2,990.40 $4,272 1.7×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $783.30 $1,119 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $275.10–$923.30 $393–$1,319 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,252.30 $1,789 2.8×
Intranasal Biopsy (30100) $1,450.40 $2,072 0.8×
Intraoral i&d tongue/floor lingual (41000) $1,624 $2,320 2.7×
Intraoral i&d tongue/floor sublngl supfc (41005) $709.80 $1,014 2.7×
Intraoral i&d tongue/floor submental space (41007) $2,671.90 $3,817 1.5×
Intraoral i&d tongue/floor submndblr space (41008) $2,825.20 $4,036 0.8×
Intro cath dialysis circuit (36901) $2,006.20 $2,866 1.1×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $21,401.10 $30,573 1.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $10,588.90 $15,127 1.7×
Intro Gastrointestinal Tube (44500) $963.20 $1,376 1.0×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $196.70–$735.70 $281–$1,051 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $235.90–$764.40 $337–$1,092 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $10,153.50 $14,505 1.5×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $84.70–$336.70 $121–$481 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $58.80–$294 $84–$420 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $4,069.10 $5,813 1.0×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $3,975.30 $5,679 2.0×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $522.20 $746 1.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines		 $228.90–$345.10 $327–$493 varies
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $4,425.40–$5,089 $6,322–$7,270 varies
Laryngoscopy w/wo tracheoscopy aspiration (31515)
range across 2 matching MRF lines		 $389.20–$2,383.50 $556–$3,405 varies
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $923.30 $1,319 2.1×
Late closure of wound (13160) $5,315.80 $7,594 1.3×
Lateral Canthopexy (21282) $2,912.70 $4,161 0.8×
Ligation Of Neck Artery (37615) $7,380.10 $10,543 2.1×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $588.70–$5,828.90 $841–$8,327 varies
Lyse chest fibrin init day (32561) $1,624.70 $2,321 2.3×
Lyse Chest Fibrin Subq Day (32562) $1,077.30 $1,539 1.5×
Manipulation Elbow Under Anesthesia (24300) $4,117.40 $5,882 2.3×
Manipulation knee joint under general anesthesia (27570) $3,199 $4,570 1.8×
Manipulation tmj therapeutic require anesthesia (21073) $3,836 $5,480 2.2×
Manipulation wrist under anesthesia (25259) $2,938.60 $4,198 1.6×
Marsupialization of bartholin's gland cyst (56440) $4,725 $6,750 1.3×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $1,764.70 $2,521 0.7×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $4,564 $6,520 1.2×
Myelography Lumbar Injection (62305) $2,353.40 $3,362 2.7×
Myelography Lumbar Injection (62304) $2,148.30 $3,069 2.5×
Myelography via lumbar injection rs&i cervical (62302) $2,023 $2,890 2.3×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,224.60 $3,178 2.5×
N Block Inj Celiac Pelus (64530) $4,418.40 $6,312 4.5×
N Block Inj Ilio-Ing/Hypogi (64425) $1,178.10 $1,683 1.5×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $210–$956.90 $300–$1,367 varies
N Block Inj Plantar Digit (64455) $282.10 $403 0.8×
N Block Inj Pudendal (64430) $2,127.30 $3,039 2.2×
Nasal Endoscopy Dx (31231) $365.40 $522 1.6×
Nasal/Orogastric W/Tube Plmt (43752) $1,117.20 $1,596 2.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,438.80 $3,484 1.2×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
unusually low: confirm this is the full procedure		 $3,437 $4,910 0.4×
Needle Biopsy Lymph Nodes (38505) $2,612.40 $3,732 1.4×
Needle Biopsy Pancreas (48102) $1,449.70 $2,071 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $974.40 $1,392 30.2×
Needle insertion w/o injection 3 or more muscles (20561) $1,939.70 $2,771 60.2×
Njx anes stellate ganglion crv sympathetic (64510) $1,580.60 $2,258 1.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $217.70–$583.10 $311–$833 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,579.20 $2,256 0.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $3,021.20 $4,316 3.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $2,241.40 $3,202 2.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,779.40 $2,542 2.3×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,779.40 $2,542 2.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,241.40 $3,202 2.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,779.40 $2,542 2.3×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $5,222 $7,460 2.3×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $5,222 $7,460 2.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $2,020.20 $2,886 2.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $2,020.20 $2,886 2.6×
Obstructive material removal from gi tube (49460) $1,035.30 $1,479 1.0×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $95.90–$615.30 $137–$879 varies
Open Treatment Bimalleolar Ankle Fracture (27814) $12,390.70 $17,701 1.5×
Open Treatment Fracture Distal Tibia & Fibula (27828) $12,507.60 $17,868 0.9×
Open treatment fracture distal tibia only (27827) $8,872.50 $12,675 0.6×
Open treatment interphalangeal joint dislocation (28675) $4,708.90 $6,727 1.3×
Open Treatment Lunate Dislocation (25695)
unusually low: confirm this is the full procedure		 $3,818.50 $5,455 0.5×
Open Treatment Medial Malleolus Fracture (27766) $7,047.60 $10,068 0.9×
Open treatment metatarsal fracture each (28485) $7,091.70 $10,131 0.9×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $11,441.50 $16,345 1.4×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $12,520.20 $17,886 1.9×
Open treatment of nasal fracture; uncomplicated Facility (21325) $4,864.30 $6,949 1.3×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $3,875.90 $5,537 1.1×
Open Treatment of Ulnar Shaft Fracture (25545) $8,320.20 $11,886 1.0×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $6,373.50 $9,105 0.8×
Open Treatment Proximal Humeral Fracture (23615) $12,394.90 $17,707 0.9×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $6,583.50 $9,405 1.8×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $7,137.20 $10,196 0.9×
Open Tx Distal Phalangeal Fracture Each (26765) $3,928.40 $5,612 1.1×
Open Tx Distal Tibiofibular Joint Disruption (27829) $4,893 $6,990 0.6×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $3,873.80 $5,534 1.1×
Open tx humeral supracondylar fracture w/o xtn (24545) $15,258.60 $21,798 1.1×
Open tx interphalangeal joint dislocation (26785) $4,464.60 $6,378 1.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $7,531.30 $10,759 2.1×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $5,380.20 $7,686 1.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $8,531.60 $12,188 1.1×
Open/Perq Place Stent 1St (37236) $21,607.60 $30,868 1.7×
Open/Perq Place Stent Same (37238) $21,607.60 $30,868 1.7×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $8,463 $12,090 1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $8,855.70 $12,651 1.1×
Orbital implant removal/revision (67560) $3,659.60 $5,228 0.8×
Orchiopexy Ingun/Scrot Appr (54640) $5,222.70 $7,461 1.3×
Osteotomy Phalanx Finger Each (26567) $8,749.30 $12,499 2.4×
Partial Excision Distal Phalanx Finger (26236) $3,227 $4,610 1.8×
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,919.70 $4,171 1.6×
Partial hymenectomy or revision of hymenal ring (56700) $5,361.30 $7,659 1.5×
Partial removal of toe (28160) $4,418.40 $6,312 1.2×
Partical Excision Bone Phalanx Toe (28124) $3,307.50 $4,725 0.9×
Pelvic examination under anesthesia (other than local) (57410) $3,816.40 $5,452 1.1×
Penile Injection (54235)
range across 2 matching MRF lines		 $69.30–$480.20 $99–$686 varies
Perc Cryo Ablate Renal Tum (50593) $13,330.10 $19,043 1.1×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $712.60 $1,018 0.5×
Perc Rf Ablate Renal Tumor (50592) $12,166.70 $17,381 1.8×
Percut Ablate Liver Rf (47382) $8,121.40 $11,602 1.2×
Percut Cath Occlusn Non Cns Lesn (61626) $7,655.90 $10,937 0.6×
Percut Drain/Inject Renal Cyst (50390) $2,664.90 $3,807 3.4×
Percut Mech Thrombectomy, Venous, Repeat (37188) $7,284.20 $10,406 2.1×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $3,705.10 $5,293 1.0×
Pericardiocentesis W/Imaging (33016) $3,827.60 $5,468 2.2×
Peritoneal Lavage (49084) $1,722 $2,460 1.7×
Perq Cervicothoracic Inject (22510)
range across 3 matching MRF lines		 $777–$6,280.40 $1,110–$8,972 varies
Perq dev breast 1st mr guide (19287) $2,571.80 $3,674 3.3×
Perq dev breast 1st strtctc (19283) $547.40 $782 0.7×
Perq dev breast 1st us imag (19285) $1,010.10 $1,443 1.3×
Perq device breast 1st imag (19281) $547.40 $782 0.3×
Perq dilation xst trc endourologic px w/img (50436) $3,771.60 $5,388 1.0×
Perq Lumbosacral Injection (22511)
range across 3 matching MRF lines		 $728.70–$6,280.40 $1,041–$8,972 varies
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $8,583.40 $12,262 1.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,850.80 $2,644 2.3×
Perq skel fixj distal radial fx/epiphysl sep (25606) $5,499.90 $7,857 1.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $21,401.10 $30,573 1.7×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $10,588.90 $15,127 1.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $15,257.90 $21,797 1.9×
Perq Vertebral Augmentation (22513) $15,257.90 $21,797 1.9×
Place Cath Subclavian Art (36225) $18,799.20 $26,856 5.3×
Place Cath Thoracic Aorta (36221) $14,735.70 $21,051 4.2×
Place Cath Vertebral Art (36226) $19,793.20 $28,276 3.2×
Place Duod/Jej Tube Perc (49441) $4,405.80 $6,294 2.1×
Place Rt Device/Marker Pros (55876) $2,603.30 $3,719 1.7×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $107.10–$583.10 $153–$833 varies
Placement of seton (46020) $4,467.40 $6,382 1.4×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
likely a partial charge, not the full procedure		 $1,030.40 $1,472 0.2×
Plmt expandable cath brst following prtl mast (19296) $5,674.20 $8,106 0.6×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $3,766.70 $5,381 1.6×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $6,645.80 $9,494 1.7×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $7,896.70 $11,281 0.4×
Probe lacrimal canaliculi w/wo irrigation (68840) $495.60 $708 1.4×
Proctopexy Perineal Approach (45541) $6,421.10 $9,173 2.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,394.40 $1,992 1.3×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $4,176.90 $5,967 1.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $6,447.70 $9,211 1.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $6,447.70 $9,211 1.6×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $4,995.20 $7,136 1.4×
Prq skel fixj femoral fx prox end neck (27235) $8,641.50 $12,345 1.1×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $16,251.90 $23,217 2.0×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $4,276.30 $6,109 0.5×
Pseudoaneurysm Injection Trt (36002) $1,152.20 $1,646 1.6×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $86.80–$457.80 $124–$654 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $238.70–$583.10 $341–$833 varies
Puncture Aspiration Cyst Breast (19000) $1,037.40 $1,482 1.3×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,164.80 $1,664 1.5×
Push Transfusion Blood 2 Yr/Under (36440) $1,496.60 $2,138 3.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $4,517.80 $6,454 2.1×
Rdctj torsion tstis w/wo fixj clat testis (54600) $5,556.60 $7,938 1.4×
Reconstruct Finger Joint (26548) $5,246.50 $7,495 1.4×
Reconstruction Nail Bed W/Graft (11762) $3,718.40 $5,312 1.6×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $10,010 $14,300 2.7×
Redo Endovas Vena Cava Filtr (37192) $4,897.90 $6,997 1.4×
Reduction of rectal prolapse (45900)
range across 2 matching MRF lines		 $360.50–$1,065.40 $515–$1,522 varies
Release of big toe (28240) $4,664.10 $6,663 1.3×
Relocation Pocket Pacemaker (33222) $2,688.70 $3,841 1.2×
Rem Endovas Vena Cava Filter (37193) $4,897.90 $6,997 1.4×
Removal Anal Seton Other Marker (46030) $2,909.20 $4,156 2.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,467.90 $2,097 1.5×
Removal Embedded Foreign Body Eyelid (67938) $595.70 $851 1.7×
Removal Foreign Body Deep Thigh/Knee (27372) $6,617.10 $9,453 2.0×
Removal Foreign Body Foot Complicated (28193) $3,284.40 $4,692 1.8×
Removal foreign body foot deep (28192) $5,460 $7,800 3.0×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $235.20–$662.20 $336–$946 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $373.80–$583.10 $534–$833 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $8,753.50 $12,505 2.4×
Removal Foreign Body Scrotum (55120) $4,342.80 $6,204 1.9×
Removal foreign body upper arm/elbow deep (24201) $6,612.20 $9,446 2.0×
Removal foreign body, intranasal; requiring general anesthesia (30310) $4,259.50 $6,085 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $21.70–$208.60 $31–$298 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $95.20–$583.10 $136–$833 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $4,398.10 $6,283 1.2×
Removal Implant Deep (20680) $1,048.60 $1,498 0.3×
Removal Implant Superficial Separate Procedure (20670) $3,838.80 $5,484 2.1×
Removal implantable contraceptive capsules (11976) $547.40 $782 0.7×
Removal intact breast implant (19328) $5,150.60 $7,358 1.2×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $217–$884.80 $310–$1,264 varies
Removal of implant from finger or hand (26320) $3,647.70 $5,211 2.0×
Removal of mammary implant material (19330) $522.20 $746 0.1×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $540.40–$583.10 $772–$833 varies
Removal of tunneled intraperitoneal catheter (49422) $5,619.60 $8,028 1.6×
Removal or bivalving full arm or full leg cast (29705) $494.20 $706 1.6×
Removal Pacemaker Electrode (33235) $2,676.80 $3,824 0.6×
Removal ppm generator only (33233)
likely a partial charge, not the full procedure		 $2,741.90 $3,917 0.3×
Removal shoulder foreign body deep subfascial/im (23333) $7,112 $10,160 2.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $161–$179.90 $230–$257 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,281.70 $1,831 1.6×
Removal Sutures/Staples Requiring Anesthesia (15851) $3,371.20 $4,816 1.5×
Removal tong/halo applied by another individual (20665) $719.60 $1,028 1.4×
Removal, under anesthesia, of external fixation system (20694) $5,094.60 $7,278 2.8×
Removal/bivalving gauntlet boot/body cast (29700) $346.50 $495 1.1×
Remove Brain Cavity Fluid (61020) $976.50 $1,395 1.0×
Remove cerclage suture (59871) $6,092.10 $8,703 1.7×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $133.70–$317.10 $191–$453 varies
Remove Forearm Foreign Body (25248) $3,585.40 $5,122 2.0×
Remove foreign body from eye (65235) $4,296.60 $6,138 1.7×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $103.60–$253.40 $148–$362 varies
Remove Hand Bone Lesion (26200) $1,790.60 $2,558 1.0×
Remove Int Dwell Ureteral Stent Transurethral (50386) $7,267.40 $10,382 3.1×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $175.70–$839.30 $251–$1,199 varies
Remove intrvas foreign body (37197) $9,641.80 $13,774 2.7×
Remove Lower Leg Bone Lesion (27635) $3,764.60 $5,378 1.0×
Remove lung catheter (32552) $1,838.90 $2,627 2.6×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $442.40–$583.10 $632–$833 varies
Remove Peritoneal Foreign Body (49402) $6,423.90 $9,177 1.6×
Remove Pulse Generator (33241) $3,787.70 $5,411 0.9×
Remove renal tube w/fluoro (50389) $1,400.70 $2,001 1.8×
Remove Shoulder Foreign Body (23330) $5,348.70 $7,641 2.9×
Remove Tendon Sheath Lesion (26160) $3,534.30 $5,049 2.0×
Remove tissue expander (11971) $5,610.50 $8,015 1.7×
Remove&replace pm gen singl (33227) $8,826.30 $12,609 1.0×
Remv&replc cvd gen dual lead (33263) $51,776.90 $73,967 2.1×
Remv&replc cvd gen mult lead (33264) $26,031.60 $37,188 0.7×
Remv&replc cvd gen sing lead (33262) $22,621.90 $32,317 0.9×
Remv&replc pm gen dual lead (33228) $9,388.40 $13,412 0.8×
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure		 $10,266.20 $14,666 0.5×
Renal Biopsy Perq (50200) $2,797.90 $3,997 1.5×
Repair Achilles Tendon (27650) $8,075.20 $11,536 1.0×
Repair arm/leg nerve (64857) $5,152.70 $7,361 1.4×
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $1,371.30–$3,390.80 $1,959–$4,844 varies
Repair blood vessel direct neck (35201) $3,191.30 $4,559 0.5×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $1,449.70–$7,073.50 $2,071–$10,105 varies
Repair blood vessel lesion (35190) $11,298.70 $16,141 1.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $662.20–$772.80 $946–$1,104 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $876.40–$1,568.70 $1,252–$2,241 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $706.30–$729.40 $1,009–$1,042 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $871.50–$1,329.30 $1,245–$1,899 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $642.60–$1,043 $918–$1,490 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $662.20–$784 $946–$1,120 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $613.20–$662.20 $876–$946 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $662.20–$729.40 $946–$1,042 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $668.50–$4,113.20 $955–$5,876 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $3,876.60 $5,538 1.1×
Repair Eyelid Wound (67935) $2,966.60 $4,238 1.1×
Repair Finger Tendon (26433) $4,041.10 $5,773 1.1×
Repair Finger/Hand Tendon (26350) $4,806.20 $6,866 1.3×
Repair Hand Joint (26540) $5,126.80 $7,324 1.4×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $662.20–$1,028.30 $946–$1,469 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $475.30–$668.50 $679–$955 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $540.40–$737.10 $772–$1,053 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $637.70–$743.40 $911–$1,062 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $679.70–$830.90 $971–$1,187 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $4,880.40 $6,972 10.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $737.10–$740.60 $1,053–$1,058 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $445.20–$583.10 $636–$833 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $529.90–$723.10 $757–$1,033 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $662.20–$1,005.90 $946–$1,437 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $5,358.50 $7,655 2.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $709.80–$715.40 $1,014–$1,022 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $438.90–$583.10 $627–$833 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $560–$583.10 $800–$833 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $779.10–$919.80 $1,113–$1,314 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $574–$583.10 $820–$833 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $856.80–$1,338.40 $1,224–$1,912 varies
Repair intrinsic muscles hand each muscle (26591) $1,640.80 $2,344 0.5×
Repair Laceration Palate </2 Cm (42180) $984.20 $1,406 1.6×
Repair Laceration Palate >2 Cm/Complex (42182) $9,620.10 $13,743 1.5×
Repair lead pace-defib dual (33220) $3,549 $5,070 0.9×
Repair Lead Pace-Defib One (33218) $3,667.30 $5,239 0.9×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $431.90–$737.10 $617–$1,053 varies
Repair of rectum (45505) $5,090.40 $7,272 1.6×
Repair Spica/Body/Jacket Cast (29720) $882 $1,260 4.9×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,940.30 $5,629 1.1×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $6,081.60 $8,688 0.8×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $374.50–$400.40 $535–$572 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $121.80–$511.70 $174–$731 varies
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $12,734.40 $18,192 2.1×
Repair, primary, disrupted ligament, ankle; collateral (27695) $5,105.80 $7,294 0.6×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
likely a partial charge, not the full procedure		 $1,785 $2,550 0.2×
Repair/graft achilles tendon (27652) $6,019.30 $8,599 0.7×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 3 matching MRF lines		 $162.40–$1,526 $232–$2,180 varies
Replace G-J Tube Perc (49452) $1,631 $2,330 1.6×
Replace g/c tube perc (49450) $1,548.40 $2,212 1.5×
Replantation digit complete (20822) $2,642.50 $3,775 1.5×
Reposition Gastrostomy Tube (43761) $2,615.20 $3,736 9.4×
Reposition Pacing-Defib Lead (33215) $3,451.70 $4,931 1.0×
Reposition Venous Catheter (36597) $4,935.70 $7,051 2.8×
Revise finger joint each (26140) $3,301.20 $4,716 1.8×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $9,185.40 $13,122 1.4×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $19,499.20 $27,856 1.0×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $33,771.50 $48,245 1.7×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $19,500.60 $27,858 1.5×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $9,185.40 $13,122 1.4×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $10,059 $14,370 0.8×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $9,185.40 $13,122 0.7×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $19,500.60 $27,858 1.0×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $33,771.50 $48,245 1.7×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $19,500.60 $27,858 1.0×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $2,568.30 $3,669 1.0×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,990.40 $4,272 1.7×
Rmvl embedded fb vestibule mouth comp (40805) $2,870.70 $4,101 4.8×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $250.60–$739.90 $358–$1,057 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,650.90 $3,787 1.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $107.10–$218.40 $153–$312 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $126–$305.90 $180–$437 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $128.80–$441.70 $184–$631 varies
Rmvl fecal impaction/fb spx under anes (45915) $3,775.10 $5,393 2.8×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $2,990.40 $4,272 1.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $583.10 $833 0.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $4,629.10 $6,613 1.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $247.10–$1,027.60 $353–$1,468 varies
Rmvl spinal nstim eltrd prq array incl fluor (63661) $4,071.90 $5,817 1.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,636.90 $3,767 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,567.90 $5,097 2.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 4 matching MRF lines		 $256.90–$4,032 $367–$5,760 varies
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $468.30 $669 1.5×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $66.50–$602 $95–$860 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $147–$487.90 $210–$697 varies
Rplcmt cath ctr vad subq port/pmp (36578) $6,256.60 $8,938 1.8×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $3,780 $5,400 2.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,506 $3,580 1.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,648 $6,640 1.3×
Rpr blood vessel direct lower extremity (35226) $1,041.60 $1,488 1.3×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $7,197.40 $10,282 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $315.70–$657.30 $451–$939 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $2,734.90 $3,907 3.3×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $263.20 $376 1.0×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $3,623.20 $5,176 1.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $619.50–$1,486.80 $885–$2,124 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $530.60–$1,540.70 $758–$2,201 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $527.80–$1,715.70 $754–$2,451 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $4,324.60 $6,178 1.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,048.60 $1,498 0.3×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $4,255.30 $6,079 1.2×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,953.70 $2,791 2.8×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $6,327.30 $9,039 1.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $5,134.50 $7,335 1.4×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $4,750.20 $6,786 1.3×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,787 $5,410 1.0×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $158.20–$220.50 $226–$315 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $184.80 $264 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $90.30–$310.80 $129–$444 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $226.10 $323 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $278.60 $398 0.6×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $6,439.30 $9,199 1.7×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,117.50 $3,025 1.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $392.70–$1,106 $561–$1,580 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $203–$310.80 $290–$444 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $221.90–$340.20 $317–$486 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $770 $1,100 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $259.70–$583.10 $371–$833 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,234.10 $1,763 5.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $165.90–$523.60 $237–$748 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $420–$662.20 $600–$946 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $235.90–$584.50 $337–$835 varies
Skin Full Grft Face/Genit/Hf (15240) $3,518.90 $5,027 1.5×
Skin Pinch Graft (15050) $1,826.30 $2,609 2.2×
Skin sub graft trnk/arm/leg (15271) $2,085.30 $2,979 2.5×
Skin Tissue Procedure (17999) $165.90 $237 0.7×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $30,865.80 $44,094 5.0×
Slctv cath carotid/innom art angio xtrcranl art (36222) $22,125.60 $31,608 6.3×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $30,865.80 $44,094 5.0×
Slitting of prepuce (54001) $1,500.10 $2,143 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $201.60–$583.10 $288–$833 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $305.20–$611.10 $436–$873 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $368.90–$641.20 $527–$916 varies
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $252.70–$294.70 $361–$421 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $4,796.40 $6,852 1.2×
Strapping ankle (29540) $166.60 $238 0.9×
Strapping elbow or wrist (29260) $158.20 $226 2.4×
Strapping hand/finger (29280) $131.60 $188 2.0×
Strapping Hip (29520) $182 $260 1.2×
Strapping knee (29530) $231.70 $331 1.6×
Strapping shoulder (29240) $221.90 $317 1.5×
Strapping thorax (29200) $170.80 $244 0.9×
Strapping toes (29550) $160.30 $229 2.4×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $456.40–$511 $652–$730 varies
Subconjunctival injection (68200) $350 $500 0.7×
Surg tx anal fistula subq (46270) $4,883.90 $6,977 1.6×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $5,382.30 $7,689 1.7×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $1,949.50 $2,785 0.7×
Suture digital nerve hand/foot 1 nerve (64831) $4,544.40 $6,492 2.1×
Suture infrapatellar tendon primary (27380) $8,302 $11,860 1.0×
Suture pharynx for wound or injury (42900) $2,737 $3,910 1.6×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $69.30–$457.80 $99–$654 varies
Tcat Insj/Rpl Perm Ldls Pm (33274) $21,922.60 $31,318 1.0×
Temporary Closure Eyelids Suture (67875) $2,235.10 $3,193 2.0×
Tenotomy extensor hand/finger open each tendon (26460) $2,607.50 $3,725 1.5×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,642.90 $2,347 2.1×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $4,552.80 $6,504 0.7×
Thrmbc/Nfs Dialysis Circuit (36906) $32,437.30 $46,339 1.6×
Thromblytic art/ven therapy (37213) $6,438.60 $9,198 1.8×
Thrombolytic Art Therapy (37211) $6,243.30 $8,919 1.0×
Thrombolytic Therapy Stroke (37195)
range across 3 matching MRF lines		 $267.40–$627.90 $382–$897 varies
Thrombolytic Venous Therapy (37212) $6,243.30 $8,919 1.8×
Thyroid biopsy (60100) $1,826.30 $2,609 2.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,329.90 $4,757 1.4×
Tooth extraction (41899) $382.90 $547 1.5×
Tprnl Plmt Biodegrdabl Matrl (55874) $4,266.50 $6,095 0.7×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $3,520.30 $5,029 1.0×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,421 $2,030 2.4×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 3 matching MRF lines		 $331.80–$1,008.70 $474–$1,441 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $3,430 $4,900 2.0×
Tracheostomy planned (31600) $4,857.30 $6,939 1.3×
Transrectal Drainage of Pelvic Abscess (45000) $2,333.10 $3,333 1.7×
Treat Ankle Dislocation (27846) $7,646.80 $10,924 0.9×
Treat Big Toe Fracture (28505) $5,945.10 $8,493 1.6×
Treat Dental Ridge Fracture (21440) $3,647 $5,210 1.0×
Treat dental ridge fracture (21445) $8,799 $12,570 1.3×
Treat Elbow Fracture (24635) $10,992.80 $15,704 1.4×
Treat Finger Fracture Each (26727) $4,974.90 $7,107 1.4×
Treat Fx Rad Extra-Articul (25607) $8,722 $12,460 1.1×
Treat Hip Socket Fracture (27222) $1,344 $1,920 4.9×
Treat humerus fracture (24500) $494.90 $707 1.8×
Treat Humerus Fracture (24505) $662.20 $946 0.4×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $249.20–$603.40 $356–$862 varies
Treat knee fracture (27532) $3,428.60 $4,898 0.9×
Treat Knee Fracture(S) (27538) $4,195.80 $5,994 15.3×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $559.30–$586.60 $799–$838 varies
Treat metacarpal fracture (26607) $7,855.40 $11,222 2.2×
Treat Metatarsal Fracture (28475) $662.20 $946 2.4×
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $317.80–$329 $454–$470 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $128.10–$239.40 $183–$342 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $779.10–$1,680 $1,113–$2,400 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $291.20–$539 $416–$770 varies
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $99.40–$532.70 $142–$761 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $813.40–$4,264.40 $1,162–$6,092 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $413.70–$641.90 $591–$917 varies
Treatment mouth roof lesion (42160) $5,717.60 $8,168 1.5×
Treatment of tibia fracture (27756) $7,637 $10,910 0.9×
Trim skin lesion (11055) $151.90 $217 0.7×
Trim skin lesions 2 to 4 (11056) $147.70 $211 0.7×
Trim skin lesions over 4 (11057) $172.20 $246 0.8×
Trimming Nondystrophic Nails Any Number (11719) $59.50 $85 0.9×
Trluml Balo Angiop 1St Art (37246) $10,588.90 $15,127 1.7×
Trluml Balo Angiop 1St Vein (37248) $10,588.90 $15,127 1.7×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $155.40 $222 0.1×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $36.40–$382.90 $52–$547 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $12,775 $18,250 0.9×
Tx Incomplete Abortion Any Trimester Surgical (59812) $4,216.80 $6,024 1.2×
Tx Missed Abortion First Trimester Surgical (59820) $5,950.70 $8,501 1.6×
Tx Missed Abortion Second Trimester Surgical (59821) $5,713.40 $8,162 1.6×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,545.60 $2,208 0.9×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $518–$1,464.40 $740–$2,092 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $312.90–$503.30 $447–$719 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $7,675.50 $10,965 4.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $156.10 $223 0.6×
Unlisted procedure anus (46999)
range across 2 matching MRF lines		 $347.90–$3,235.40 $497–$4,622 varies
Unlisted Procedure Endocrine System (60699) $8,766.10 $12,523 1.3×
Unlisted Procedure Hands/Fingers (26989) $5,492.20 $7,846 20.0×
Unlisted Procedure Intestine (44799) $2,804.20 $4,006 2.8×
Unlisted procedure nervous system (64999) $501.20 $716 1.5×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 3 matching MRF lines		 $72.10–$685.30 $103–$979 varies
Unlisted Procedure Rectum (45999) $3,530.10 $5,043 3.4×
Unlisted procedure shoulder (23929) $4,879.70 $6,971 17.8×
Unlisted Procedure Vascular Surgery (37799) $154.70 $221 0.2×
Unlisted Procedure, Urinary System (53899) $2,745.40 $3,922 9.9×
Unlisted px female genital system nonobstetrical (58999) $367.50 $525 1.6×
Unlisted Px Salivary Glands/Ducts (42699) $400.40 $572 1.5×
Upgrade of pacemaker system (33214) $11,335.10 $16,193 1.0×
Vaginal Delivery After Cesarean Delivery (59612) $5,208.70 $7,441 1.4×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $1,502.20–$2,580.90 $2,146–$3,687 varies
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $93.80–$142.80 $134–$204 varies
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $72.10–$448.70 $103–$641 varies
Venous Mech Thrombectomy (37187) $8,379 $11,970 0.7×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $305.90–$310.80 $437–$444 varies
Wedging of cast (29740) $517.30 $739 1.7×
Windowing of cast (29730) $337.40 $482 1.9×
Wound Prep F/N/Hf/G (15004) $2,209.20 $3,156 4.9×
Wound Prep Trk/Arm/Leg (15002) $2,639.70 $3,771 3.2×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $3,686.90 $5,267 2.1×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $984.20 $1,406 1.6×

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.