Procedures & surgery prices at Providence St. Vincent Medical Center

Portland, OR · every code in this section with a posted price and a Medicare benchmark.

1116 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $396 $528 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $273.75 $365 0.3×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $19,740.75 $26,321 2.4×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $4,135.50 $5,514 2.4×
Acne surgery (10040) $537.75 $717 2.4×
Adding Walker Previously Applied Cast (29440) $433.50 $578 2.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $7,343.25 $9,791 1.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $5,444.25 $7,259 2.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $5,443.50 $7,258 2.4×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $5,142.75 $6,857 2.2×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $5,443.50 $7,258 2.4×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $16,708.50 $22,278 2.1×
Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) $13,323.75 $17,765 3.6×
Amniocentesis diagnostic (59000) $1,865.25 $2,487 1.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,612.25 $3,483 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,688.75 $3,585 0.7×
Amputation metatarsal with toe single (28810) $6,719.25 $8,959 1.8×
Amputation toe interphalangeal joint (28825) $8,870.25 $11,827 2.4×
Anoscopy Control Bleeding (46614) $245.25 $327 0.2×
Anoscopy diagnostic (46600) $157.50 $210 1.1×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $822 $1,096 0.6×
Anoscopy W/Rmvl Foreign Body (46608) $321.75 $429 0.3×
Anoscopy; with biopsy, single or multiple (46606) $4,632.75 $6,177 3.5×
Apheresis Platelets (36513) $2,541 $3,388 5.2×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $433.50 $578 2.4×
Appl cranial tong/strtctc frame w/removal spx (20660) $4,274.25 $5,699 2.4×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $714.75 $953 2.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $687.75 $917 3.8×
Application Body Cast Shoulder Hips (29035) $714.75 $953 2.3×
Application cast elbow finger short arm (29075) $242.25 $323 0.8×
Application Cast Finger (29086) $433.50 $578 2.4×
Application Cast Shoulder Spica (29055) $1,229.25 $1,639 4.0×
Application Finger Splint Dynamic (29131) $171 $228 2.6×
Application finger splint static (29130) $109.50 $146 0.7×
Application Halo Cranial Including Removal (20661) $1,618.50 $2,158 0.9×
Application Hip Spica Cast 1 Leg (29305) $714.75 $953 2.3×
Application long arm splint shoulder hand (29105) $157.50 $210 0.9×
Application Long Leg Cast Brace (29358) $714.75 $953 2.3×
Application Long Leg Splint (29505) $202.50 $270 1.1×
Application of cylinder cast (thigh to ankle) (29365) $714.75 $953 2.3×
Application of long leg cast (29345) $714.75 $953 2.3×
Application of rigid total contact leg cast (29445)
range across 4 matching MRF lines		 $283.50–$1,248.75 $378–$1,665 varies
Application Short Arm Splint Dynamic (29126) $345.75 $461 2.3×
Application short arm splint forearm-hand static (29125) $154.50 $206 1.0×
Application short leg splint calf foot (29515) $191.25 $255 1.1×
Application, cast; figure-of-eight Facility (29049) $714.75 $953 2.3×
Apply hand/wrist cast (29085) $433.50 $578 2.4×
Apply long arm cast (29065) $261.75 $349 0.8×
Apply Multlay Comprs Lwr Leg (29581) $693.75 $925 3.8×
Apply Short Leg Cast (29405) $225 $300 0.7×
Apply short leg cast (29425) $544.50 $726 1.8×
Apply shoulder cast,plastr velpeau (29058) $714.75 $953 2.3×
Arterial puncture (36600) $55.50 $74 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $138 $184 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $150–$1,611 $200–$2,148 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $171 $228 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $222.75 $297 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $134.25 $179 0.4×
Arthroplasty interphalangeal joint each (26535) $8,870.25 $11,827 2.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $4,274.25 $5,699 2.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $14,980.50 $19,974 4.1×
Aspirate pleura w/ imaging (32555) $403.50 $538 0.6×
Aspirate Pleura W/O Imaging (32554) $327.75 $437 0.5×
Aspirate/Inj Ganglion Cyst (20612) $156 $208 0.5×
Aspiration and/or injection thyroid cyst (60300) $3,111 $4,148 4.0×
Aspiration bladder insert suprapubic catheter (51102) $529.50 $706 0.2×
Aspiration Bladder Needle (51100) $582 $776 2.1×
Aspiration bladder trocar/intracatheter (51101) $2,784.75 $3,713 2.9×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $4,049.25 $5,399 1.6×
Av Fistula Revision Open (36832) $15,798 $21,064 2.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $154.50–$202.50 $206–$270 varies
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $5,307 $7,076 0.7×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $16,218.75 $21,625 1.4×
Biliary ndsc prq t-tube w/bx single/multiple (47553) $15,287.25 $20,383 2.1×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $5,224.50–$9,145.50 $6,966–$12,194 varies
Biopsy bone open deep (20245)
range across 2 matching MRF lines		 $987–$5,813.25 $1,316–$7,751 varies
Biopsy bone open superficial (20240)
range across 4 matching MRF lines		 $403.50–$9,736.50 $538–$12,982 varies
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $5,112–$5,135.25 $6,816–$6,847 varies
Biopsy Bone Trocar/Needle Superficial (20220) $3,160.50 $4,214 1.7×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $3,419.25–$4,025.25 $4,559–$5,367 varies
Biopsy Muscle Superficial (20200) $8,943 $11,924 4.9×
Biopsy of breast; open, incisional (19101) $13,870.50 $18,494 3.2×
Biopsy of floor of mouth (41108) $4,468.50 $5,958 2.4×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $3,385.50–$4,025.25 $4,514–$5,367 varies
Biopsy of palate, uvula (42100) $7,707 $10,276 4.5×
Biopsy Oropharynx (42800) $4,629 $6,172 2.7×
Biopsy Pleura Percutaneous Needle (32400) $2,993.25 $3,991 1.6×
Biopsy Salivary Gland Needle (42400) $3,954 $5,272 5.0×
Biopsy soft tissue neck/thorax (21550) $4,468.50 $5,958 2.4×
Biopsy Tongue Anterior Two-Thirds (41100) $2,141.25 $2,855 3.6×
Biopsy Tongue Posterior One-Third (41105) $14,888.25 $19,851 4.0×
Biopsy Vaginal Mucosa Simple (57100) $3,528.75 $4,705 3.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,892.25 $2,523 1.8×
Biopsy, vestibule of mouth (40808) $380.25 $507 0.6×
Bladder instillation anticarcinogenic agent (51720) $725.25 $967 0.9×
Bladder Irrigation (51700) $111.75 $149 0.4×
Bladder Scan (51798) $44.25 $59 0.7×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206)
range across 2 matching MRF lines		 $3,726.75–$4,386.75 $4,969–$5,849 varies
Blepharotomy drainage abscess eyelid (67700) $438.75 $585 1.2×
Blood Transfusion Service (36430) $162 $216 0.3×
Blood/Lymph System Procedure (38999) $1,158 $1,544 2.4×
Bone Marrow Biopsy (38221) $8,670.75 $11,561 4.7×
Bone Marrow; Aspiration Only (38220) $2,612.25 $3,483 1.4×
Bronchoscopy Clear Airways (31645) $4,647 $6,196 2.3×
Bronchoscopy W/Removal Foreign Body (31635) $4,531.50 $6,042 2.3×
Bx breast 1st lesion mr imag (19085) $6,513.75 $8,685 3.5×
Bx breast 1st lesion strtctc (19081) $5,205.75 $6,941 2.8×
Bx breast 1st lesion us imag (19083) $4,212.75 $5,617 2.3×
Bx Cervix (57500) $3,528.75 $4,705 3.4×
Canthoplasty (67950) $3,964.50 $5,286 1.5×
Canthotomy Separate Procedure (67715) $407.25 $543 0.2×
Car-t admn autologous (38228) $1,059 $1,412 2.9×
Carpal Tunnel Surgery (64721) $8,400.75 $11,201 3.9×
Catheter aspiration nasotracheal spx (31720) $571.50 $762 2.3×
Cautery Cervix Electro/Thermal (57510) $427.50 $570 0.1×
Cessj Therapy Cath Removal (37214) $7,780.50 $10,374 2.2×
Change Cystostomy Tube Complicated (51710) $2,877 $3,836 3.7×
Change Cystostomy Tube Simple (51705) $197.25 $263 0.7×
Change of Windpipe Airway (31502) $129.75 $173 0.5×
Change ureter stent percut (50382) $4,794 $6,392 2.1×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $141.75–$1,319.25 $189–$1,759 varies
Chemical Pleurodesis (32560) $2,775 $3,700 4.0×
Chemodenerv 1 extremity 1-4 (64642) $3,420 $4,560 4.4×
Chemodenerv trunk musc 1-5 (64646) $3,462.75 $4,617 4.4×
Chest tube placement (32551) $579.75 $773 0.3×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $5,815.50 $7,754 2.5×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines		 $4,580.25–$6,705 $6,107–$8,940 varies
Circumcision w/clamp/oth dev w/block (54150) $469.50 $626 0.2×
Cl Tx Scapular Fx; W Manip (23575) $1,502.25 $2,003 0.8×
Cl Tx Tib Shft Fx W Manip (27752) $1,911 $2,548 1.1×
Clear outer ear canal (69200) $180.75 $241 1.2×
Closed Rx Metacarpal Fx,Percut (26608) $6,719.25 $8,959 1.8×
Closed Rx Spontaneous Hip Disloc (27256) $917.25 $1,223 3.3×
Closed rx talotarsal disloc,anesth (28575) $1,341 $1,788 0.4×
Closed Treat Vert Body Fract (22310) $1,154.25 $1,539 4.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,635 $2,180 6.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,761 $2,348 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,796.25 $2,395 6.6×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $1,161.75 $1,549 4.2×
Closed Treatment Sesamoid Fracture (28530) $617.25 $823 2.3×
Closed Treatment Sternum Fracture (21820) $591.75 $789 2.2×
Closed Treatment Ulnar Styloid Fracture (25650) $1,218 $1,624 4.4×
Closed tx ankle dislocation w/o anesthesia (27840) $1,519.50 $2,026 5.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,679.25 $2,239 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,215.75 $1,621 4.4×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,599 $2,132 5.8×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $906 $1,208 3.3×
Closed tx carpal scaphoid fracture w/manj (25624) $1,762.50 $2,350 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,134.75 $1,513 4.1×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $6,719.25 $8,959 3.8×
Closed tx femoral fracture prox head w/o manj (27267) $1,710.75 $2,281 0.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,865.25 $2,487 6.8×
Closed tx fx orbit except blowout w/manipulation (21401) $4,135.50 $5,514 2.4×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,461.50 $3,282 1.4×
Closed tx knee dislocation w/o anesthesia (27550) $1,840.50 $2,454 6.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,928.25 $2,571 1.1×
Closed tx mandibular fracture w/manipulation (21451) $4,135.50 $5,514 2.4×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,816.50 $2,422 3.0×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $15,909.75 $21,213 2.4×
Closed tx metatarsal fracture w/o manipulation (28470) $808.50 $1,078 2.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,295 $3,060 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $227.25 $303 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $359.25 $479 0.1×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $6,422.25 $8,563 1.7×
Closed tx patellar dislocation w/anesthesia (27562) $1,919.25 $2,559 7.0×
Closed tx patellar dislocation w/o anesthesia (27560) $1,346.25 $1,795 4.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $1,197.75 $1,597 4.4×
Closed tx radial head/neck fx w/manipulation (24655) $1,599 $2,132 0.9×
Closed tx radial head/neck fx w/o manipulation (24650) $989.25 $1,319 3.6×
Closed tx radial shaft fracture w/manipulation (25505) $1,812.75 $2,417 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $1,033.50 $1,378 3.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,820.25 $2,427 1.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $1,038 $1,384 3.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $972.75 $1,297 3.5×
Closed tx septal&nose fx (21337) $1,160.25 $1,547 0.3×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $617.25 $823 2.3×
Closed tx talotarsal joint dislc w/o anes (28570) $788.25 $1,051 2.9×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $990.75–$5,787.75 $1,321–$7,717 varies
Closed tx talus fracture w/o manipulation (28430) $832.50 $1,110 3.0×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $1,212 $1,616 4.4×
Closed tx tarsometatarsal dislocation w/o anes (28600) $734.25 $979 2.7×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $2,908.50 $3,878 1.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $119.25 $159 0.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,640.25 $2,187 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,068.75 $1,425 3.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $978 $1,304 3.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $559.50 $746 2.1×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $773.25 $1,031 1.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,287 $1,716 4.7×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $941.25 $1,255 3.4×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,327.50 $1,770 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $917.25 $1,223 3.3×
Clsd tx fx orbit except blowout w/o manipulation (21400) $661.50 $882 1.1×
Clsd Tx Pelvic Ring Fx (27198) $1,206.75 $1,609 4.4×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $506.25 $675 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,595.25 $2,127 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,195.50 $1,594 4.4×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $957.75 $1,277 0.5×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,600.50 $2,134 5.8×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,914.75 $2,553 1.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,326 $1,768 0.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $886.50 $1,182 3.2×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,674 $2,232 0.9×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $1,136.25 $1,515 4.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,254.75 $1,673 4.6×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $7,464.75 $9,953 4.2×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $617.25 $823 2.3×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $2,677.50 $3,570 1.5×
Cltx dstl fibular fx lat malls w/manj (27788) $1,513.50 $2,018 5.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,134.75 $1,513 4.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,097.25 $1,463 4.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $766.50 $1,022 2.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,298.25 $1,731 4.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,002.50 $2,670 1.1×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $4,274.25 $5,699 2.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,620.50 $3,494 1.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,944.75 $2,593 7.1×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $861 $1,148 0.5×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,863 $2,484 6.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,895 $3,860 1.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $591 $788 2.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $494.25 $659 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $563.25 $751 2.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $477.75 $637 1.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,926.75 $2,569 1.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $987.75 $1,317 3.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $1,037.25 $1,383 3.8×
Cltx Greater Trochanteric Fx W/O Manj (27246) $1,513.50 $2,018 5.5×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,380 $1,840 0.8×
Cltx hip dislocation traumatic req anesthesia (27252) $2,863.50 $3,818 1.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $677.25 $903 2.5×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $617.25 $823 2.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,998.75 $2,665 1.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,945.50 $2,594 1.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $1,173.75 $1,565 4.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,824 $2,432 1.0×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $483 $644 1.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $363 $484 1.3×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,664.50 $4,886 2.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,405.50 $1,874 4.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,050.75 $1,401 3.8×
Cltx Med Ankle Fx W/Mnpj (27762) $1,716.75 $2,289 1.0×
Cltx Medial Ankle Fx (27760) $1,224 $1,632 4.5×
Cltx metacarpal fx w/manipulation each bone (26605) $1,182.75 $1,577 4.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $1,150.50 $1,534 4.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,567.50 $2,090 0.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $502.50 $670 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,210.50 $1,614 4.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $760.50 $1,014 2.8×
Cltx post hip arthrp dislc req anes (27266) $2,246.25 $2,995 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $1,635 $2,180 6.0×
Cltx prox fibula/shft fx w/manj (27781) $1,588.50 $2,118 0.9×
Cltx prox fibula/shft fx w/o manj (27780) $1,134.75 $1,513 4.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,677.75 $2,237 0.9×
Cltx prox tibfib jt dislc req anes (27831) $8,870.25 $11,827 2.4×
Cltx prox tibfib jt dislc w/o anes (27830) $1,426.50 $1,902 5.2×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,770 $2,360 6.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $300.75 $401 1.1×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,139.75 $2,853 1.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,578.75 $2,105 0.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,958.25 $2,611 1.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,241 $2,988 1.3×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,392.75 $1,857 5.1×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $3,827.25 $5,103 2.1×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $467.25 $623 1.7×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $1,074.75 $1,433 0.3×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $688.50 $918 2.5×
Cltx tibial fx proximal w/o manipulation (27530) $1,151.25 $1,535 4.2×
Cltx tibial shaft fx w/o manipulation (27750) $1,279.50 $1,706 4.7×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $2,080.50 $2,774 7.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,727.25 $2,303 1.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,169.25 $1,559 4.3×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $6,719.25 $8,959 1.8×
Collect Blood From Catheter Venous Nos (36592) $239.25 $319 1.6×
Collection of venous blood by venipuncture (36415) $19.50 $26 2.1×
Colpocentesis (57020) $13,811.25 $18,415 2.5×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $1,491 $1,988 0.4×
Colporrhaphy (57200) $1,262.25 $1,683 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,328.25 $1,771 3.9×
Colposcopy Cervix Endocervical Curettage (57456) $1,328.25 $1,771 3.9×
Colposcopy cervix upper/adjacent vagina (57452) $797.25 $1,063 3.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $1,328.25 $1,771 3.9×
Colposcopy entire vagina w/cervix if present (57420) $1,647.75 $2,197 4.9×
Colposcopy of vulva (56820) $783.75 $1,045 3.5×
Colposcopy Vulva W/Biopsy (56821) $618 $824 1.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $4,372.50 $5,830 4.3×
Colpotomy; with drainage of pelvic abscess (57010) $6,382.50 $8,510 1.8×
Colpotomy; with exploration (57000) $6,382.50 $8,510 1.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,740.50 $3,654 2.1×
Complex Cystometrogram (51726) $1,557 $2,076 5.6×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $522–$16,228.50 $696–$21,638 varies
Composite Skin Graft (15760) $5,151.75 $6,869 2.2×
Control Nasal Hemorrhage Anterior Complex (30903) $291.75 $389 2.0×
Control Nasal Hemorrhage Anterior Simple (30901) $212.25 $283 1.4×
Control oropharyngeal hemorrhage simple (42960) $615.75 $821 1.0×
Conversion ext bil drg cath (47535)
range across 3 matching MRF lines		 $7,995–$8,779.50 $10,660–$11,706 varies
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446)
range across 2 matching MRF lines		 $4,523.25–$7,573.50 $6,031–$10,098 varies
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines		 $2,051.25–$10,016.25 $2,735–$13,355 varies
Cordocentesis (59012) $618 $824 1.8×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,579.50 $6,106 2.5×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $7,234.50 $9,646 1.8×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $8,870.25 $11,827 2.4×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $8,870.25 $11,827 2.4×
Csf shunt reprogram (62252) $624.75 $833 1.8×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $1,569 $2,092 6.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $401.25 $535 2.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $498 $664 1.9×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $6,422.25 $8,563 1.7×
Curettage postpartum (59160) $7,375.50 $9,834 2.0×
Curette/treat cornea (65435) $260.25 $347 0.2×
Cysto Bladder W/Ureteral Catheterization (52005) $500.25 $667 0.2×
Cysto calibration dilat urtl strix/stenosis (52281) $10,137 $13,516 4.4×
Cysto w/destruction of lesions (52214) $9,087 $12,116 2.3×
Cysto w/insert ureteral stent (52332) $13,448.25 $17,931 3.4×
Cysto w/irrig & evac multple obstructing clots (52001) $9,087 $12,116 2.3×
Cysto W/Simple Removal Stone & Stent (52310) $9,392.25 $12,523 4.0×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $9,087 $12,116 2.3×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $9,087 $12,116 2.3×
Cystostomy Cystotomy W/Drainage (51040) $4,186.50 $5,582 1.8×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $4,186.50 $5,582 1.8×
Cystourethroscopy (52000) $3,253.50 $4,338 4.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $100.50 $134 0.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $15,740.25 $20,987 4.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,047 $1,396 1.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,933.50 $2,578 2.5×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $8,870.25 $11,827 2.4×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $17,965.50 $23,954 4.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $443.25 $591 0.5×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $41.25–$54 $55–$72 varies
Debride nail 6 or more (11721) $345.75 $461 5.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $645.75–$4,059.75 $861–$5,413 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $174.75–$741.75 $233–$989 varies
Declot vascular device (36593) $130.50 $174 0.4×
Decomp forearm,1 compart,w/o debride (25020) $3,783 $5,044 2.1×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $8,870.25 $11,827 2.4×
Decompressive fasciotomy hand (26037) $1,626 $2,168 0.4×
Delivery of placenta (59414) $343.50 $458 0.1×
Derma-fat-fascia graft (15770) $7,343.25 $9,791 1.9×
Destr W Neurolytic; Celiac Plexus (64680) $2,145 $2,860 2.2×
Destruct B9 Lesion 1-14 (17110) $1,319.25 $1,759 5.9×
Destruction Lesions Vulva Simple (56501) $7,944.75 $10,593 3.5×
Destruction of skin lesions (17106) $1,054.50 $1,406 2.3×
Destruction premalignant lesion 1st (17000) $1,036.50 $1,382 4.6×
Destruction Vaginal Lesions Simple (57061)
range across 2 matching MRF lines		 $6,672–$7,357.50 $8,896–$9,810 varies
Diagnostic anoscopy (46601) $469.50 $626 0.9×
Diagnostic sigmoidoscopy (45330) $2,103.75 $2,805 2.0×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $837 $1,116 5.9×
Dilate Urethra Stricture (53620) $1,863 $2,484 2.4×
Dilate Urethra Stricture (53600) $639.75 $853 2.3×
Dilation & curettage dx&/ther nonobstetric (58120) $8,424.75 $11,233 2.3×
Drain Cerebro Spinal Fluid (62272) $353.25 $471 0.5×
Drain Hand Tendon Sheath (26020) $2,160.75 $2,881 0.6×
Drain penis lesion (54015) $7,034.25 $9,379 3.8×
Drain shoulder bursa (23031) $861 $1,148 0.3×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $133.50–$1,531.50 $178–$2,042 varies
Drainage abscess parotid simple (42300) $597 $796 0.3×
Drainage Abscess/Hematoma Nasal Septum (30020) $467.25 $623 0.8×
Drainage external auditory canal abscess (69020) $546.75 $729 0.7×
Drainage external ear abscess/hematoma cmplx (69005) $615.75 $821 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $477.75 $637 0.6×
Drainage Finger Abscess Complicated (26011) $714 $952 0.4×
Drainage Mouth Roof Lesion (42000) $417 $556 1.6×
Drainage of eye (65800) $6,039.75 $8,053 2.4×
Drainage of finger abscess simple (26010) $541.50 $722 2.4×
Drainage of gum lesion (41800) $604.50 $806 4.1×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $345.75–$6,392.25 $461–$8,523 varies
Drainage of mouth lesion (41017) $1,305.75 $1,741 0.4×
Drainage of nose lesion (30000) $466.50 $622 1.8×
Drainage of rectal abscess (45005) $643.50 $858 0.5×
Drainage of salivary gland (42320) $1,361.25 $1,815 2.3×
Drainage of salivary gland (42305) $8,478 $11,304 2.3×
Drainage of scrotal wall abscess (55100) $642 $856 0.3×
Drainage of scrotum (54700) $814.50 $1,086 0.4×
Drainage of skene's gland abscess or cyst (53060) $5,526.75 $7,369 2.4×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $7,889.25 $10,519 2.2×
Draw Blood Off Venous Device (36591) $276 $368 1.9×
Dressing Change Under Anesthesia (15852) $1,730.25 $2,307 2.1×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $769.50 $1,026 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $459 $612 0.6×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $516.75 $689 0.9×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $7,696.50 $10,262 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $384–$502.50 $512–$670 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $321–$420 $428–$560 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $162–$212.25 $216–$283 varies
Dstrj Lesion Anus Simple Chemical (46900) $1,112.25 $1,483 2.5×
Dstrj lesion anus simple cryosurgery (46916) $1,036.50 $1,382 4.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,145 $2,860 2.2×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $2,538.75 $3,385 2.6×
Dx Bone Marrow Bx & Aspir (38222) $11,850.75 $15,801 3.7×
Dx Bronchoscope/Lavage (31624) $5,131.50 $6,842 2.6×
Dx Bronchoscope/Wash (31622) $4,271.25 $5,695 2.2×
Dx gastr intub w/asp spec (43754) $834 $1,112 3.5×
Dx gastr intub w/asp specs (43755) $433.50 $578 3.0×
Dx Laryngoscopy Excl Nb (31525) $604.50 $806 0.3×
Dx laryngoscopy w/oper scope (31526) $4,531.50 $6,042 2.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $318 $424 0.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,667.50 $4,890 1.7×
Egd Flexible Foreign Body Removal (43247) $3,265.50 $4,354 3.2×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $3,265.50 $4,354 1.5×
Egd place gastrostomy tube (43246) $3,265.50 $4,354 1.5×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $824.25 $1,099 2.4×
Endocervical curettage (57505) $3,528.75 $4,705 3.4×
Endometrial Biopsy (58100) $862.50 $1,150 3.8×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $22,593.75 $30,125 1.8×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,880.25 $6,507 1.4×
Epidural Blood Patch (62273) $426 $568 0.5×
Episiotomy or vaginal repair (59300) $558 $744 0.2×
Escharotomy; initial incision (16035) $1,112.25 $1,483 2.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $838.50 $1,118 0.8×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $3,489 $4,652 1.6×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $95.25–$124.50 $127–$166 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $246.75–$1,933.50 $329–$2,578 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $4,999.50 $6,666 2.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,933.50 $2,578 2.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,933.50 $2,578 2.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $3,511.50 $4,682 4.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $684.75 $913 0.4×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $8,433.75 $11,245 4.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $315.75 $421 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $4,468.50 $5,958 5.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $4,468.50 $5,958 2.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $8,263.50 $11,018 2.2×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $8,478 $11,304 2.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,164.50 $2,886 2.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $695.25 $927 0.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $8,263.50 $11,018 2.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $724.50–$4,468.50 $966–$5,958 varies
Exc Skin Benig >4cm Face,Facial (11446) $14,250 $19,000 4.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $432.75 $577 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $403.50 $538 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $2,164.50 $2,886 2.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $4,468.50 $5,958 2.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $4,468.50 $5,958 2.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $4,999.50 $6,666 2.7×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 3 matching MRF lines		 $7,995–$8,166.75 $10,660–$10,889 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $3,336–$8,148 $4,448–$10,864 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 3 matching MRF lines		 $3,339–$3,930.75 $4,452–$5,241 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $1,908 $2,544 0.5×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $4,135.50 $5,514 2.4×
Excision Chalazion Single (67800) $496.50 $662 1.4×
Excision Excessive Skin & Subq Tissue Other Area (15839) $5,830.50 $7,774 1.8×
Excision Lesion Tongue W/O Closure (41110) $9,487.50 $12,650 2.6×
Excision Lingual Frenum Frenectomy (41115) $4,629 $6,172 2.7×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,933.50 $2,578 2.5×
Excision Multiple External Papillae/Tags Anus (46230) $665.25 $887 0.2×
Excision of bartholin's gland or cyst (56740) $8,424.75 $11,233 2.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $4,274.25 $5,699 2.4×
Excision of pilonidal cyst or sinus; simple (11770) $7,696.50 $10,262 2.4×
Excision of vaginal cyst or tumor (57135) $6,382.50 $8,510 1.8×
Excision Pilonidal Cyst/Sinus Complicated (11772) $7,696.50 $10,262 2.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $7,696.50 $10,262 2.4×
Excision soft tissue lesion, external auditory canal (69145) $7,696.50 $10,262 2.4×
Expl penetrating wound spx abdomen/flank/back (20102) $972.75 $1,297 0.4×
Explo/Drain Breast Abscess (19020) $8,984.25 $11,979 4.9×
Exploration of knee joint (27310) $8,870.25 $11,827 2.4×
Exploration penetrating wound spx chest (20101) $795.75 $1,061 0.3×
Exploration penetrating wound spx extremity (20103) $1,309.50 $1,746 0.7×
Exploration Penetrating Wound Spx Neck (20100) $2,271.75 $3,029 3.8×
External cephalic version (59412) $6,382.50 $8,510 1.8×
Fetal Contraction Stress Test (59020) $530.25 $707 2.4×
Fetal non-stress test (59025) $1,284 $1,712 5.7×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $5,142.75 $6,857 2.2×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $3,171 $4,228 4.0×
Fine needle aspiration without imaging guidance (10021) $207.75 $277 0.5×
Fluid Pressure Muscle (20950) $338.25 $451 0.4×
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $674.25–$783 $899–$1,044 varies
Fna bx w/us gdn 1st les (10005) $3,171 $4,228 4.0×
Forehead flap w/vasc pedicle (15731) $7,343.25 $9,791 1.9×
Foreskin manipulation (54450) $215.25 $287 0.8×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,895.50 $5,194 1.7×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,895.50 $5,194 1.7×
Fusion Finger Joint (26860) $8,870.25 $11,827 2.4×
Fusion of hand bones (25820) $19,710 $26,280 2.4×
Guide Cathet Fluid Drainage (10030) $8,541 $11,388 10.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $7,656 $10,208 2.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $7,656 $10,208 2.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $740.25 $987 0.7×
Hemorrhoidopexy by stapling (46947) $7,656 $10,208 2.5×
Hymenotomy Simple Incision (56442) $6,382.50 $8,510 1.8×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $14,888.25 $19,851 4.0×
I&d abscess peritonsillar (42700) $522 $696 2.0×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $311.25–$714 $415–$952 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,963.50 $2,618 0.6×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,302 $1,736 0.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $8,870.25 $11,827 2.4×
I&D Intramural Im/Absc Transanal Anes (46045) $10,368 $13,824 3.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $8,870.25 $11,827 2.4×
I&d perianal abscess superficial (46050) $390 $520 0.4×
I&d pilonidal cyst complicated (10081) $651 $868 0.8×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $306–$401.25 $408–$535 varies
I&d shoulder deep abscess/hematoma (23030) $7,696.50 $10,262 2.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $831 $1,108 0.3×
I&d vaginal hematoma obstetrical/postpartum (57022) $7,696.50 $10,262 2.4×
Icd Pocket Revision (33223) $4,035 $5,380 1.8×
Image Cath Fluid Colxn Visc (49405) $4,895.25 $6,527 2.7×
Image Cath Fluid Peri/Retro (49406) $5,038.50 $6,718 2.7×
Image Cath Fluid Trns/Vgnl (49407) $4,895.25 $6,527 2.7×
Impression & Preparation Oral Surgical Splint (21085) $3,115.50 $4,154 11.8×
Incise external hemorrhoid (46083) $422.25 $563 1.5×
Incise flexor carpi radialis (25001) $15,246 $20,328 4.2×
Incise/Drain Conjunctiva (68020) $2,024.25 $2,699 1.8×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $534–$749.25 $712–$999 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,488 $1,984 0.5×
Incision & drainage leg/ankle infected bursa (27604) $6,719.25 $8,959 1.8×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $532.50–$2,700 $710–$3,600 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $307.50–$402 $410–$536 varies
Incision and drainage of bartholin's gland abscess (56420) $417 $556 1.9×
Incision and drainage of the tear gland (68400) $1,636.50 $2,182 1.5×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $7,696.50 $10,262 2.4×
Incision and drainage of vulva or perineal abscess (56405) $483.75 $645 1.4×
Incision extensor tendon sheath wrist (25000) $4,274.25 $5,699 2.4×
Incision of eardrum (69420) $619.50 $826 2.4×
Incision of lingual frenum (frenotomy) (41010) $4,913.25 $6,551 2.8×
Incision of rectal abscess (46040) $1,641.75 $2,189 1.2×
Incision of urethra (53020) $5,526.75 $7,369 2.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $621 $828 0.3×
Incisional biopsy skin single lesion (11106) $212.25 $283 0.3×
Induced abortion dilation and curettage (59840) $8,424.75 $11,233 2.3×
Initial Tx 1st Degree Burn Local Tx (16000) $172.50 $230 0.8×
Inj W/Fluor Eval Cv Device (36598) $445.50 $594 1.9×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $2,538.75 $3,385 2.6×
Inject Intravitreal Pharmcologic (67028) $624 $832 1.7×
Injection 1 tendon sheath/ligament aponeurosis (20550) $147 $196 0.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $2,538.75 $3,385 2.6×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $2,538.75 $3,385 2.6×
Injection aa&/strd genicular nrv branches w/img (64454) $3,774 $5,032 4.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $91.50 $122 0.1×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $309 $412 0.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $2,148.75 $2,865 2.7×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $2,538.75 $3,385 2.6×
Injection Anes Agent Sphenopalatine Ganglion (64505) $403.50 $538 1.2×
Injection anesthetic agent suprascapular nerve (64418) $208.50 $278 0.3×
Injection for identification of sentinel node (38792) $636 $848 1.4×
Injection of sclerosing solution, hemorrhoids (46500) $2,476.50 $3,302 2.4×
Injection single tendon origin/insertion (20551) $1,306.50 $1,742 3.8×
Injection single/mlt trigger point 1/2 muscles (20552) $137.25 $183 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $156 $208 0.5×
Injection therapeutic carpal tunnel (20526) $810.75 $1,081 2.4×
Injection, anesthetic agent; brachial plexus, single (64415) $185.25 $247 0.2×
Injection, anesthetic agent; femoral nerve, single (64447) $238.50 $318 0.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $156 $208 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $110.25 $147 0.5×
Injx Anterior Chamber Eye Medication Spx (66030) $4,049.25 $5,399 1.6×
Ins cath ren art 1st bilat (36252) $10,233.75 $13,645 2.9×
Ins cath ren art 1st unilat (36251) $6,802.50 $9,070 1.9×
Ins cath ren art 2nd+ unilat (36253) $6,802.50 $9,070 1.1×
Ins endovas vena cava filtr (37191) $7,296 $9,728 1.2×
Ins Vag Brachytx Device (57156) $897.75 $1,197 2.7×
Ins/Rep Subq Defibrillator (33270) $97,512 $130,016 2.8×
Insert 1 Electrode Pm-Defib (33216) $31,535.25 $42,047 3.4×
Insert and remove bone pin (20650) $8,870.25 $11,827 2.4×
Insert Bladder Cath Complex (51703) $285 $380 2.0×
Insert cath pleura w/ image (32557) $550.50 $734 0.3×
Insert cath pleura w/o image (32556) $463.50 $618 0.2×
Insert cervical dilator (59200) $870.75 $1,161 2.6×
Insert Drug Implant Device (11981) $534.75 $713 3.6×
Insert Gastrostomy Tube Percutaneous (49440) $755.25 $1,007 0.4×
Insert Heart Pm Atrial (33206) $25,851 $34,468 2.2×
Insert Heart Pm Ventricular (33207) $25,928.25 $34,571 2.2×
Insert hepatic shunt (tips) (37182) $46,338.75 $61,785 2.3×
Insert non-tunnel cv cath (36556) $312.75 $417 0.1×
Insert Pacing Lead & Connect (33224) $31,137 $41,516 2.7×
Insert pessary/other device (57160) $702.75 $937 3.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $344.25 $459 0.2×
Insert prost urethral stent (53855) $5,526.75 $7,369 2.4×
Insert pulse gen dual leads (33213) $24,666 $32,888 2.1×
Insert pulse gen mult leads (33221) $43,489.50 $57,986 2.0×
Insert Temp Bladder Cath (51702) $93 $124 0.6×
Insert tun ip cath perc (49418) $10,756.50 $14,342 2.7×
Insert tunneled cv cath (36561) $10,128 $13,504 2.9×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 2 matching MRF lines		 $12,933.75–$15,314.25 $17,245–$20,419 varies
Insert,Non-Indwelling Bladder Catheter (51701) $94.50 $126 0.6×
Insertion indwelling tunneled pleural catheter (32550) $756.75 $1,009 0.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $5,985.75 $7,981 3.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $26,775 $35,700 2.9×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $7,995 $10,660 2.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $4,860 $6,480 0.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $31,535.25 $42,047 3.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $312.75 $417 0.1×
Insj Picc Rs&I <5 Yr (36572) $1,996.50 $2,662 2.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $8,563.50 $11,418 2.4×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $16,879.50 $22,506 4.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $353.25 $471 0.2×
Insj Subq Impltbl Dfb Elctrd (33271) $16,986 $22,648 1.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $10,128 $13,504 2.9×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $1,908.75–$59,146.50 $2,545–$78,862 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $595.50 $794 0.1×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure		 $618.75 $825 0.1×
Insrt heart pm atrial & vent (33208) $25,928.25 $34,571 2.2×
Insrt Pulse Gen W/Dual Leads (33230) $58,970.25 $78,627 2.4×
Int hrhc by ligation single hroid w/o img gdn (46945) $7,656 $10,208 2.5×
Interdental fixation (21110) $6,593.25 $8,791 3.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,142.25 $1,523 2.5×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,463.25 $1,951 3.2×
Intranasal Biopsy (30100) $4,629 $6,172 2.7×
Intraoral i&d tongue/floor lingual (41000) $408.75 $545 0.7×
Intraoral i&d tongue/floor sublngl supfc (41005) $450 $600 1.7×
Intraoral i&d tongue/floor submental space (41007) $4,135.50 $5,514 2.4×
Intraoral i&d tongue/floor submndblr space (41008) $1,004.25 $1,339 0.3×
Intro cath dialysis circuit (36901) $2,431.50 $3,242 1.4×
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
likely a partial charge, not the full procedure		 $2,431.50 $3,242 0.2×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $12,455.25 $16,607 2.0×
Intro Gastrointestinal Tube (44500)
range across 3 matching MRF lines		 $2,083.50–$2,460 $2,778–$3,280 varies
Intubation endotracheal emergency procedure (31500) $531.75 $709 2.0×
Irrigation of corpora cavernosa for priapism (54220) $506.25 $675 1.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $11,764.50 $15,686 1.8×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $13,580.25 $18,107 2.0×
Laryngoscopy diagnostic (31505) $188.25 $251 0.8×
Laryngoscopy flexible diagnostic (31575) $262.50 $350 1.2×
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $9,450.75 $12,601 2.3×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $6,210 $8,280 3.1×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $505.50 $674 1.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $506.25 $675 2.3×
Laryngoscopy W/Foreign Body Removal (31530) $749.25 $999 0.4×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $420.75 $561 1.0×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $591.75 $789 1.4×
Laser Surgery Anal Lesions (46917) $1,065.75 $1,421 0.3×
Late closure of wound (13160) $10,617 $14,156 2.7×
Lateral Canthopexy (21282) $6,422.25 $8,563 1.7×
Ligation Of Neck Artery (37615) $7,097.25 $9,463 2.0×
Ligation or biopsy temporal artery (37609) $4,468.50 $5,958 2.4×
Lyse chest fibrin init day (32561) $3,345 $4,460 4.8×
Lyse Chest Fibrin Subq Day (32562) $3,345 $4,460 4.8×
Manipulation Elbow Under Anesthesia (24300) $4,274.25 $5,699 2.4×
Manipulation knee joint under general anesthesia (27570) $4,274.25 $5,699 2.4×
Manipulation tmj therapeutic require anesthesia (21073) $940.50 $1,254 0.5×
Manipulation wrist under anesthesia (25259) $4,274.25 $5,699 2.4×
Marsupialization of bartholin's gland cyst (56440) $15,389.25 $20,519 4.3×
Mech remov tunneled cv cath (36595) $7,077 $9,436 2.0×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $1,283.25 $1,711 0.5×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $7,343.25 $9,791 1.9×
Myelography Lumbar Injection (62305) $3,528 $4,704 4.0×
Myelography Lumbar Injection (62304) $2,292.75 $3,057 2.6×
Myelography via lumbar injection rs&i cervical (62302) $2,487 $3,316 2.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,349 $3,132 2.7×
N Block Inj Celiac Pelus (64530)
range across 3 matching MRF lines		 $2,986.50–$3,501.75 $3,982–$4,669 varies
N Block Inj Ilio-Ing/Hypogi (64425) $3,174 $4,232 4.0×
N block inj intercost sng (64420) $221.25 $295 0.3×
N Block Inj Plantar Digit (64455) $810.75 $1,081 2.4×
N Block Inj Pudendal (64430) $2,538.75 $3,385 2.6×
Nasal Endoscopy Dx (31231) $242.25 $323 1.1×
Nasal/Orogastric W/Tube Plmt (43752) $149.25 $199 0.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $7,879.50 $10,506 4.0×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $17,541 $23,388 2.2×
Needle Biopsy Lymph Nodes (38505) $4,025.25 $5,367 2.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $56.25 $75 1.7×
Needle insertion w/o injection 3 or more muscles (20561) $85.50 $114 2.7×
Njx anes stellate ganglion crv sympathetic (64510) $2,538.75 $3,385 2.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $197.25 $263 0.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $1,482–$1,752 $1,976–$2,336 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $7,167.75 $9,557 1.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,145 $2,860 2.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,920 $2,560 2.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,920 $2,560 2.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,538.75 $3,385 2.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $3,228.75 $4,305 4.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $2,145 $2,860 2.2×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $16,740.75 $22,321 7.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $2,214.75–$2,229.75 $2,953–$2,973 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,865.25 $2,487 2.4×
Obstructive material removal from gi tube (49460) $1,863.75 $2,485 1.8×
Occipital Nerve Block (64405) $199.50 $266 0.6×
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
unusually low: confirm this is the full procedure		 $6,354 $8,472 0.4×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $2,932.50 $3,910 0.4×
Open Treatment Fracture Distal Tibia & Fibula (27828) $29,451 $39,268 2.1×
Open treatment fracture distal tibia only (27827) $29,451 $39,268 2.1×
Open treatment interphalangeal joint dislocation (28675) $6,719.25 $8,959 1.8×
Open Treatment Lunate Dislocation (25695) $29,229 $38,972 3.6×
Open Treatment Medial Malleolus Fracture (27766) $19,710 $26,280 2.4×
Open treatment metatarsal fracture each (28485) $19,710 $26,280 2.4×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $19,710 $26,280 2.4×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $12,051.75 $16,069 1.8×
Open treatment of nasal fracture; uncomplicated Facility (21325) $8,478 $11,304 2.3×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $6,719.25 $8,959 1.8×
Open Treatment of Ulnar Shaft Fracture (25545) $19,710 $26,280 2.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $19,710 $26,280 2.4×
Open Treatment Proximal Humeral Fracture (23615) $29,451 $39,268 2.1×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $8,870.25 $11,827 2.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $19,710 $26,280 2.4×
Open Tx Distal Phalangeal Fracture Each (26765) $1,963.50 $2,618 0.5×
Open Tx Distal Tibiofibular Joint Disruption (27829) $14,931 $19,908 1.9×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $8,870.25 $11,827 2.4×
Open tx humeral supracondylar fracture w/o xtn (24545) $29,451 $39,268 2.1×
Open tx interphalangeal joint dislocation (26785) $16,215.75 $21,621 4.5×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $6,719.25 $8,959 1.8×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $8,870.25 $11,827 2.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $14,931 $19,908 1.9×
Open/Perq Place Stent 1St (37236) $26,900.25 $35,867 2.1×
Open/Perq Place Stent Same (37238) $26,900.25 $35,867 2.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $14,931 $19,908 1.9×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $14,931 $19,908 1.9×
Orbital implant removal/revision (67560) $6,554.25 $8,739 1.5×
Orchiopexy Ingun/Scrot Appr (54640) $7,995 $10,660 2.0×
Osteotomy Phalanx Finger Each (26567) $8,870.25 $11,827 2.4×
Partial Excision Distal Phalanx Finger (26236) $4,274.25 $5,699 2.4×
Partial Excision Proximal/Middle Phalanx Finger (26235) $4,274.25 $5,699 2.4×
Partial hymenectomy or revision of hymenal ring (56700) $6,382.50 $8,510 1.8×
Partial removal of toe (28160) $16,624.50 $22,166 4.6×
Partical Excision Bone Phalanx Toe (28124) $9,546 $12,728 2.6×
Pelvic examination under anesthesia (other than local) (57410) $8,424.75 $11,233 2.3×
Penile Injection (54235) $281.25 $375 1.0×
Perc Cryo Ablate Renal Tum (50593) $18,109.50 $24,146 1.5×
Perc Rf Ablate Renal Tumor (50592) $18,075.75 $24,101 2.7×
Percut Ablate Liver Rf (47382)
range across 2 matching MRF lines		 $9,945–$10,512.75 $13,260–$14,017 varies
Percut Cath Occlusn Non Cns Lesn (61626) $22,662 $30,216 1.8×
Percut Drain/Inject Renal Cyst (50390) $4,025.25 $5,367 5.1×
Percut Mech Thrombectomy, Venous, Repeat (37188) $6,825 $9,100 1.9×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $8,870.25 $11,827 2.4×
Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) $1,255.50 $1,674 0.3×
Pericardiocentesis W/Imaging (33016) $866.25 $1,155 0.5×
Peritoneal Lavage (49084) $405 $540 0.4×
Perm Occlusion/Embolization,Percut,Cns (61624) $23,019.75 $30,693 1.1×
Perq Cervicothoracic Inject (22510)
range across 2 matching MRF lines		 $6,719.25–$9,933 $8,959–$13,244 varies
Perq dev breast 1st mr guide (19287) $6,513.75 $8,685 8.3×
Perq dev breast 1st us imag (19285) $1,680.75 $2,241 2.1×
Perq device breast 1st imag (19281) $987.75 $1,317 0.5×
Perq Lumbosacral Injection (22511)
range across 2 matching MRF lines		 $6,719.25–$9,903 $8,959–$13,204 varies
Perq p-art revsc 1 nm nt uni (33900) $34,247.25 $45,663 2.7×
Perq p-art revsc st 1st abnor connj unilateral (33902) $55,418.25 $73,891 2.7×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $55,418.25 $73,891 4.3×
Perq p-art revsc st 1st nml native connj bi (33901) $34,247.25 $45,663 2.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,845.75 $2,461 2.3×
Perq skel fixj distal radial fx/epiphysl sep (25606) $8,870.25 $11,827 2.4×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $43,933.50 $58,578 3.4×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $21,738 $28,984 3.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $24,056.25 $32,075 3.0×
Perq Vertebral Augmentation (22513) $24,129 $32,172 3.0×
Photopheresis extracorporeal (36522) $5,043 $6,724 1.0×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $10,691.25–$11,950.50 $14,255–$15,934 varies
Place Cath Thoracic Aorta (36221) $6,691.50 $8,922 1.9×
Place Cath Vertebral Art (36226) $11,950.50 $15,934 1.9×
Place Duod/Jej Tube Perc (49441) $4,509.75 $6,013 2.1×
Placement of needle for intraosseous infusion (36680) $223.50 $298 0.5×
Placement of seton (46020) $7,656 $10,208 2.5×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $12,673.50 $16,898 1.8×
Plmt Bile Duct Stent Prq Existing Access (47538) $32,875.50 $43,834 4.9×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $29,911.50 $39,882 4.5×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $29,911.50 $39,882 4.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $5,496.75–$8,213.25 $7,329–$10,951 varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines		 $7,464.75–$12,516.75 $9,953–$16,689 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $18,367.50 $24,490 4.7×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $21,335.25 $28,447 5.4×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines		 $10,731–$21,335.25 $14,308–$28,447 varies
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $8,385.75 $11,181 0.4×
Probe lacrimal canaliculi w/wo irrigation (68840) $496.50 $662 1.4×
Proctopexy Perineal Approach (45541) $5,800.50 $7,734 1.9×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $183.75 $245 0.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $382.50 $510 0.1×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $2,073.75 $2,765 2.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 2 matching MRF lines		 $9,296.25–$22,203.75 $12,395–$29,605 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)
range across 2 matching MRF lines		 $9,296.25–$28,391.25 $12,395–$37,855 varies
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $8,870.25 $11,827 2.4×
Prq skel fixj femoral fx prox end neck (27235) $14,931 $19,908 1.9×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $19,710 $26,280 2.4×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $14,931 $19,908 1.9×
Pseudoaneurysm Injection Trt (36002)
range across 3 matching MRF lines		 $872.25–$1,072.50 $1,163–$1,430 varies
Punch biopsy skin single lesion (11104) $176.25 $235 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $281.25–$783.75 $375–$1,045 varies
Puncture Aspiration Cyst Breast (19000) $159.75 $213 0.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $212.25 $283 0.3×
Push Transfusion Blood 2 Yr/Under (36440) $1,215 $1,620 2.5×
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,722 $2,296 0.4×
Reconstruct Finger Joint (26548) $6,719.25 $8,959 1.8×
Reconstruction Nail Bed W/Graft (11762) $5,142.75 $6,857 2.2×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $8,870.25 $11,827 2.4×
Reduction of rectal prolapse (45900) $813 $1,084 0.8×
Release of big toe (28240) $8,870.25 $11,827 2.4×
Relocation Pocket Pacemaker (33222) $4,035 $5,380 1.8×
Rem Endovas Vena Cava Filter (37193) $6,897.75 $9,197 2.0×
Removal Anal Seton Other Marker (46030) $329.25 $439 0.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537)
range across 2 matching MRF lines		 $1,763.25–$3,545.25 $2,351–$4,727 varies
Removal Embedded Foreign Body Eyelid (67938) $431.25 $575 1.2×
Removal Foreign Body Deep Thigh/Knee (27372) $1,551 $2,068 0.5×
Removal Foreign Body Foot Complicated (28193) $1,395 $1,860 0.8×
Removal foreign body foot deep (28192) $1,194 $1,592 0.7×
Removal Foreign Body Foot Subcutaneous (28190) $505.50 $674 0.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $567 $756 0.3×
Removal Foreign Body Pelvis/Hip Deep (27087) $7,058.25 $9,411 1.9×
Removal Foreign Body Scrotum (55120) $1,357.50 $1,810 0.6×
Removal foreign body upper arm/elbow deep (24201) $7,696.50 $10,262 2.4×
Removal foreign body, intranasal; requiring general anesthesia (30310) $8,478 $11,304 2.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $45–$59.25 $60–$79 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $92.25–$378.75 $123–$505 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $665.25 $887 0.2×
Removal Implant Deep (20680) $14,250 $19,000 4.4×
Removal Implant Superficial Separate Procedure (20670) $555.75 $741 0.3×
Removal implantable contraceptive capsules (11976) $3,305.25 $4,407 4.2×
Removal intact breast implant (19328) $7,760.25 $10,347 1.8×
Removal of foreign body from pharynx (42809) $480 $640 1.0×
Removal of implant from finger or hand (26320) $4,468.50 $5,958 2.4×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $294.75–$1,427.25 $393–$1,903 varies
Removal of tunneled intraperitoneal catheter (49422) $6,779.25 $9,039 1.9×
Removal or bivalving full arm or full leg cast (29705) $171 $228 0.6×
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines		 $1,940.25–$6,933 $2,587–$9,244 varies
Removal ppm generator only (33233) $17,511.75 $23,349 1.9×
Removal shoulder foreign body deep subfascial/im (23333) $7,696.50 $10,262 2.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $293.25 $391 1.3×
Removal subcutaneous cardiac rhythm monitor (33286) $2,387.25 $3,183 3.0×
Removal Sutures/Staples Requiring Anesthesia (15851) $247.50 $330 0.1×
Removal tong/halo applied by another individual (20665) $1,125 $1,500 2.3×
Removal, under anesthesia, of external fixation system (20694) $4,274.25 $5,699 2.4×
Removal/bivalving gauntlet boot/body cast (29700) $767.25 $1,023 2.5×
Remove Brain Cavity Fluid (61020)
range across 2 matching MRF lines		 $1,822.50–$2,145 $2,430–$2,860 varies
Remove cerclage suture (59871) $9,933.75 $13,245 2.8×
Remove drug implant device (11982) $273.75 $365 0.6×
Remove Elctrd Transvenously (33244) $6,933 $9,244 1.7×
Remove Forearm Foreign Body (25248) $4,274.25 $5,699 2.4×
Remove foreign body from eye (65235) $4,049.25 $5,399 1.6×
Remove foreign body from eye (65205) $108 $144 0.7×
Remove Hand Bone Lesion (26200) $4,274.25 $5,699 2.4×
Remove Int Dwell Ureteral Stent Transurethral (50386) $4,186.50 $5,582 1.8×
Remove Intrauterine Device (58301) $249 $332 0.7×
Remove intrvas foreign body (37197) $5,994.75 $7,993 1.7×
Remove Lower Leg Bone Lesion (27635) $6,719.25 $8,959 1.8×
Remove lung catheter (32552) $1,785 $2,380 2.6×
Remove Nasal Foreign Body (30300) $459.75 $613 3.1×
Remove Peritoneal Foreign Body (49402) $7,995 $10,660 2.0×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $6,933–$10,563.75 $9,244–$14,085 varies
Remove renal tube w/fluoro (50389) $1,332.75 $1,777 1.7×
Remove Shoulder Foreign Body (23330) $648.75 $865 0.4×
Remove Tendon Sheath Lesion (26160) $6,129.75 $8,173 3.4×
Remove tissue expander (11971) $5,830.50 $7,774 1.8×
Remove ureter stent percut (50384) $6,185.25 $8,247 2.7×
Remove&replace pm gen singl (33227) $21,624.75 $28,833 2.4×
Remv&replc cvd gen dual lead (33263) $65,815.50 $87,754 2.7×
Remv&replc cvd gen mult lead (33264) $59,146.50 $78,862 1.7×
Remv&replc cvd gen sing lead (33262) $65,815.50 $87,754 2.7×
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $1,577.25–$24,739.50 $2,103–$32,986 varies
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $1,940.25–$44,229 $2,587–$58,972 varies
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $4,500.75–$5,514 $6,001–$7,352 varies
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $2,534.25 $3,379 0.3×
Repair arm/leg nerve (64857) $13,947 $18,596 3.7×
Repair Blood Vessel Direct Hand Finger (35207) $7,097.25 $9,463 2.0×
Repair blood vessel direct neck (35201)
range across 2 matching MRF lines		 $10,987.50–$12,245.25 $14,650–$16,327 varies
Repair Blood Vessel Direct Upper Extremity (35206) $2,971.50 $3,962 0.8×
Repair blood vessel lesion (35190) $12,245.25 $16,327 2.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,049.25 $1,399 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,260.75 $1,681 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $915 $1,220 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,138.50 $1,518 2.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $870.75 $1,161 1.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $974.25 $1,299 2.2×
Repair complex trunk 1.1-2.5 cm (13100) $759 $1,012 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $930 $1,240 1.1×
Repair extensor tendon finger w/o graft each (26418) $2,374.50 $3,166 1.3×
Repair Extensor Tendon Hand W/Graft Each (26412) $8,870.25 $11,827 2.4×
Repair Eyelid Wound (67935) $3,964.50 $5,286 1.5×
Repair Finger Tendon (26433) $8,870.25 $11,827 2.4×
Repair Finger/Hand Tendon (26350) $2,839.50 $3,786 0.8×
Repair Hand Joint (26540) $2,668.50 $3,558 0.7×
Repair Hand Tendon (26410) $2,283.75 $3,045 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $641.25 $855 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $756.75 $1,009 1.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $816 $1,088 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $833.25 $1,111 1.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,596.75 $2,129 3.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,034.25 $1,379 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $552.75 $737 1.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $743.25 $991 1.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $816 $1,088 1.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,342.50 $1,790 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $917.25 $1,223 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $574.50 $766 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $723 $964 1.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,073.25 $1,431 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $777.75 $1,037 1.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,243.50 $1,658 0.5×
Repair intrinsic muscles hand each muscle (26591) $6,719.25 $8,959 1.8×
Repair Laceration Palate </2 Cm (42180) $716.25 $955 1.2×
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure		 $983.25 $1,311 0.1×
Repair lead pace-defib dual (33220) $6,817.50 $9,090 1.6×
Repair of nail bed (11760) $414.75 $553 0.5×
Repair of rectum (45505) $7,656 $10,208 2.5×
Repair Spica/Body/Jacket Cast (29720) $433.50 $578 2.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,231.50 $1,642 0.3×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $19,710 $26,280 2.4×
Repair tongue laceration (41252) $795.75 $1,061 3.0×
Repair tongue laceration (41250) $588 $784 1.2×
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $12,245.25 $16,327 2.0×
Repair, primary, disrupted ligament, ankle; collateral (27695) $19,710 $26,280 2.4×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $8,811.75 $11,749 1.1×
Repair/graft achilles tendon (27652) $14,931 $19,908 1.9×
Replace duodenostomy/jejunostomy tube perq (49451) $327 $436 0.3×
Replace G-J Tube Perc (49452)
range across 3 matching MRF lines		 $2,085–$3,488.25 $2,780–$4,651 varies
Replace g/c tube perc (49450) $243.75 $325 0.2×
Replace/Revise Brain Shunt (62230) $16,737.75 $22,317 1.7×
Replantation digit complete (20822) $3,237.75 $4,317 1.8×
Repos Previously Implanted Subq Implantable Dfb (33273) $7,851.75 $10,469 1.9×
Reposition Gastrostomy Tube (43761) $4,202.25 $5,603 15.1×
Reposition Pacing-Defib Lead (33215) $4,479.75 $5,973 1.3×
Reposition Venous Catheter (36597)
range across 2 matching MRF lines		 $3,783–$4,722.75 $5,044–$6,297 varies
Revise finger joint each (26140) $4,274.25 $5,699 2.4×
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) $13,704 $18,272 2.2×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $40,707.75 $54,277 6.4×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $13,009.50 $17,346 2.1×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $13,009.50 $17,346 2.1×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $26,900.25 $35,867 1.3×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $26,900.25 $35,867 1.3×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $45,611.25 $60,815 2.2×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $45,611.25 $60,815 2.2×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $26,900.25 $35,867 2.1×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $26,900.25 $35,867 2.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $13,009.50 $17,346 2.1×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $13,009.50 $17,346 2.1×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $26,900.25 $35,867 2.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $26,900.25 $35,867 2.1×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $24,609.75 $32,813 1.9×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $24,609.75 $32,813 1.9×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $26,819.25 $35,759 1.3×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $26,819.25 $35,759 1.3×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $45,611.25 $60,815 2.2×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $45,611.25 $60,815 2.2×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $26,819.25 $35,759 1.3×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $26,819.25 $35,759 1.3×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $4,930.50–$5,832 $6,574–$7,776 varies
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $3,964.50 $5,286 1.5×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $4,135.50 $5,514 2.4×
Rmvl embedded fb vestibule mouth comp (40805) $3,841.50 $5,122 6.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $451.50 $602 0.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $360.75 $481 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $153 $204 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $186 $248 1.3×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $134.25 $179 0.3×
Rmvl fecal impaction/fb spx under anes (45915) $876 $1,168 0.7×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $4,135.50 $5,514 2.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $950.25 $1,267 0.3×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $7,696.50 $10,262 2.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $933.75 $1,245 0.5×
Rmvl of subq implantable defibrillator electrode (33272) $11,536.50 $15,382 2.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $4,057.50 $5,410 1.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $6,817.50 $9,090 1.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $4,434 $5,912 2.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $4,160.25 $5,547 6.0×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $714.75 $953 2.3×
Rplc Gtube No Revj Trc (43762) $141 $188 0.5×
Rplc gtube revj gstrst trc (43763) $330.75 $441 1.2×
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $8,875.50–$11,013 $11,834–$14,684 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580)
range across 3 matching MRF lines		 $3,783–$9,842.25 $5,044–$13,123 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $3,783–$4,434 $5,044–$5,912 varies
Rplcmt compl tun ctr vad w/subq port (36582) $8,463 $11,284 2.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $8,875.50 $11,834 2.5×
Rplcmt/irrigation ventricular catheter (62225) $13,930.50 $18,574 3.7×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,545.75–$1,788 $2,061–$2,384 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $3,126 $4,168 1.8×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $19,710 $26,280 2.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $353.25 $471 1.6×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,212 $1,616 1.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $700.50 $934 2.7×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $3,964.50 $5,286 1.5×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,394.25 $1,859 2.3×
Rpr Lip Full Thickness Vermilion Only (40650) $1,223.25 $1,631 2.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,638 $2,184 0.9×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $8,870.25 $11,827 2.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,467.50 $3,290 0.7×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $1,926 $2,568 0.5×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 3 matching MRF lines		 $95.25–$1,996.50 $127–$2,662 varies
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $6,554.25 $8,739 1.5×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $6,719.25 $8,959 1.8×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $8,870.25 $11,827 2.4×
Sclerotx Fluid Collection (49185) $6,708 $8,944 3.7×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $8,478 $11,304 2.3×
Shave skin lesion 0.5 cm/< (11300) $1,112.25 $1,483 2.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $139.50 $186 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $537.75 $717 2.4×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $8,478 $11,304 2.3×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,740.50 $3,654 2.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $479.25 $639 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $210 $280 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $217.50 $290 1.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $578.25 $771 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $279 $372 1.3×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $654.75 $873 2.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $168.75 $225 0.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $544.50 $726 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $275.25 $367 1.2×
Skin Full Grft Face/Genit/Hf (15240) $3,027.75 $4,037 1.3×
Skin Pinch Graft (15050) $1,730.25 $2,307 2.1×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $268.50–$4,967.25 $358–$6,623 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $242.25–$4,967.25 $323–$6,623 varies
Skin sub grft t/arm/lg child (15273) $7,523.25 $10,031 3.3×
Skn sub grft f/n/hf/g child (15277) $7,523.25 $10,031 3.3×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $11,950.50 $15,934 1.9×
Slctv cath carotid/innom art angio xtrcranl art (36222) $6,802.50 $9,070 1.9×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $17,713.50–$17,767.50 $23,618–$23,690 varies
Slitting of prepuce (54001) $10,083 $13,444 4.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $221.25 $295 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $354.75 $473 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $438.75 $585 1.0×
Spinal puncture lumbar diagnostic (62270) $242.25 $323 0.3×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $7,343.25 $9,791 1.9×
Strapping ankle (29540) $597 $796 3.3×
Strapping elbow or wrist (29260) $171 $228 2.6×
Strapping hand/finger (29280) $171 $228 2.6×
Strapping Hip (29520) $345.75 $461 2.3×
Strapping knee (29530) $597 $796 4.0×
Strapping shoulder (29240) $345.75 $461 2.3×
Strapping thorax (29200) $433.50 $578 2.4×
Strapping toes (29550) $231 $308 3.5×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $75–$693.75 $100–$925 varies
Subconjunctival injection (68200) $708 $944 1.4×
Surg tx anal fistula subq (46270) $7,656 $10,208 2.5×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $7,656 $10,208 2.5×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $3,964.50 $5,286 1.5×
Suture digital nerve hand/foot 1 nerve (64831) $5,356.50 $7,142 2.5×
Suture infrapatellar tendon primary (27380) $19,710 $26,280 2.4×
Suture of quadriceps or hamstring muscle rupture primary (27385) $16,836.75 $22,449 2.1×
Suture pharynx for wound or injury (42900) $4,135.50 $5,514 2.4×
Tangential biopsy skin single lesion (11102) $141 $188 0.3×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $106,103.25 $141,471 3.3×
Tcat Insj/Rpl Perm Ldls Pm (33274) $56,467.50 $75,290 2.6×
Tcat Rmvl Perm Ldls Pm (33275) $8,098.50 $10,798 2.3×
Temporary Closure Eyelids Suture (67875) $2,601 $3,468 2.3×
Tenotomy extensor hand/finger open each tendon (26460) $7,501.50 $10,002 4.2×
Thaw preserved stem cells (38208) $364.50 $486 0.7×
Ther Apheresis,Red Blood Cells (36512) $8,272.50 $11,030 4.8×
Ther Spi Pnxr Csf Fluor/Ct (62329) $3,782.25 $5,043 4.8×
Therapeutic Apheresis White Blood Cells (36511) $8,272.50 $11,030 4.8×
Therapeutic plasma exchange (36514) $8,287.50 $11,050 4.8×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $12,245.25 $16,327 2.0×
Thrmbc/Nfs Dialysis Circuit (36906) $66,589.50 $88,786 3.3×
Thromblytic art/ven therapy (37213) $6,406.50 $8,542 1.8×
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines		 $7,205.25–$14,809.50 $9,607–$19,746 varies
Thrombolytic Therapy Stroke (37195) $504 $672 1.4×
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $6,723.75–$7,094.25 $8,965–$9,459 varies
Thyroid biopsy (60100) $2,414.25 $3,219 3.1×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $5,444.25 $7,259 2.4×
Tooth extraction (41899) $468.75 $625 1.8×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $14,387.25 $19,183 4.0×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,295.25 $1,727 2.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,240.50 $1,654 4.7×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,195.50 $1,594 0.7×
Tracheostomy planned (31600) $8,178.75 $10,905 2.2×
Transcatheter biopsy (37200) $5,202.75 $6,937 0.8×
Transrectal Drainage of Pelvic Abscess (45000) $3,225.75 $4,301 2.4×
Treat Ankle Dislocation (27846)
unusually low: confirm this is the full procedure		 $2,781.75 $3,709 0.3×
Treat Big Toe Fracture (28505) $1,902.75 $2,537 0.5×
Treat Dental Ridge Fracture (21440) $6,422.25 $8,563 1.7×
Treat dental ridge fracture (21445) $12,051.75 $16,069 1.8×
Treat Elbow Fracture (24635) $14,931 $19,908 1.9×
Treat Finger Fracture Each (26727) $8,870.25 $11,827 2.4×
Treat Fx Rad Extra-Articul (25607) $19,710 $26,280 2.4×
Treat Hip Socket Fracture (27222) $467.25 $623 1.7×
Treat humerus fracture (24500) $1,329 $1,772 4.8×
Treat Humerus Fracture (24505) $1,775.25 $2,367 1.0×
Treat humerus fracture (23600) $1,262.25 $1,683 4.6×
Treat knee fracture (27532) $2,256 $3,008 0.6×
Treat Knee Fracture(S) (27538) $617.25 $823 2.3×
Treat Knuckle Dislocation (26700) $1,247.25 $1,663 4.5×
Treat metacarpal fracture (26607) $8,870.25 $11,827 2.4×
Treat Metatarsal Fracture (28475) $897.75 $1,197 3.3×
Treat Tail Bone Fracture (27200) $762.75 $1,017 2.8×
Treat Thumb Dislocation (26641) $1,515 $2,020 5.5×
Treat Thumb Fracture (26645) $1,560 $2,080 0.9×
Treat toe dislocation (28630) $427.50 $570 1.6×
Treat vagina infection (57150) $95.25 $127 1.5×
Treat Vaginal Bleeding (57180) $459 $612 2.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,861.50 $2,482 1.0×
Treatment closed elbow dislocation w/o anes (24600) $1,355.25 $1,807 4.9×
Treatment mouth roof lesion (42160) $8,478 $11,304 2.3×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure		 $3,580.50 $4,774 0.4×
Treatment of tibia fracture (27756) $14,931 $19,908 1.9×
Trim skin lesion (11055) $57.75 $77 0.3×
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $63–$727.50 $84–$970 varies
Trim skin lesions over 4 (11057) $727.50 $970 3.3×
Trimming Nondystrophic Nails Any Number (11719) $27.75 $37 0.4×
Trluml Balo Angiop 1St Art (37246) $21,801.75 $29,069 3.4×
Trluml Balo Angiop 1St Vein (37248) $21,801.75 $29,069 3.4×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $4,643.25 $6,191 9.5×
Trnsplj autologous hematopoietic cells per donor (38241) $3,665.25 $4,887 2.1×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $3,608.25 $4,811 1.8×
Tx Gastro Intub W/Asp (43753) $80.25 $107 0.3×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $29,451 $39,268 2.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $10,342.50 $13,790 2.9×
Tx Missed Abortion First Trimester Surgical (59820) $10,342.50 $13,790 2.9×
Tx Missed Abortion Second Trimester Surgical (59821) $8,424.75 $11,233 2.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,383 $1,844 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $719.25 $959 0.9×
Tx superficial wound dehiscence w/packing (12021) $534 $712 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $891 $1,188 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $754.50 $1,006 2.8×
Unlisted Cardiac Surgery (33999) $48,448.50 $64,598 69.5×
Unlisted procedure anus (46999) $1,876.50 $2,502 1.8×
Unlisted Procedure Biliary Tract (47999) $6,473.25 $8,631 6.4×
Unlisted procedure breast (19499) $8,161.50 $10,882 1.9×
Unlisted Procedure Hands/Fingers (26989) $1,589.25 $2,119 5.8×
Unlisted Procedure Intestine (44799)
range across 2 matching MRF lines		 $123.75–$127.50 $165–$170 varies
Unlisted procedure liver (47399) $1,386.75 $1,849 1.8×
Unlisted procedure lungs and pleura (32999) $1,665 $2,220 2.4×
Unlisted Procedure Muscskeletal System General (20999) $6,800.25 $9,067 24.8×
Unlisted procedure nervous system (64999) $306 $408 0.9×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $538.50 $718 2.0×
Unlisted Procedure Rectum (45999) $1,876.50 $2,502 1.8×
Unlisted procedure shoulder (23929) $603 $804 2.2×
Unlisted procedure stomach (43999) $2,431.50 $3,242 2.4×
Unlisted Procedure Vascular Surgery (37799) $2,218.50 $2,958 3.2×
Unlisted Procedure, Urinary System (53899) $485.25 $647 1.7×
Unlisted px female genital system nonobstetrical (58999) $596.25 $795 2.7×
Unlisted Px Salivary Glands/Ducts (42699) $619.50 $826 2.4×
Upgrade of pacemaker system (33214) $21,349.50 $28,466 1.8×
Vaginal Delivery After Cesarean Delivery (59612) $6,382.50 $8,510 1.8×
Vaginal delivery only (59409) $3,015.75 $4,021 0.8×
Vasc embolize/occlude artery (37242) $22,662 $30,216 1.1×
Vasc Embolize/Occlude Bleed (37244) $22,662 $30,216 1.8×
Vasc Embolize/Occlude Organ (37243) $22,662 $30,216 1.8×
Vasc embolize/occlude venous (37241) $22,593.75 $30,125 1.8×
Vein Access Cutdown < 1 Yr (36420) $176.25 $235 1.2×
Venous Cutdown >1 Y/O (36425) $147 $196 0.3×
Venous Mech Thrombectomy (37187) $8,385.75 $11,181 0.7×
Ventricular puncture previous burr hole w/inj (61026) $2,622.75 $3,497 3.3×
Wedge excision skin nail fold (11765) $354.75 $473 0.8×
Wedging of cast (29740) $1,317 $1,756 4.2×
Windowing of cast (29730) $168.75 $225 0.9×
Wound Prep F/N/Hf/G (15004) $1,311 $1,748 2.9×
Wound Prep Trk/Arm/Leg (15002) $3,895.50 $5,194 4.7×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $3,545.25 $4,727 2.0×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $2,820.75 $3,761 4.7×

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.