Procedures & surgery prices at Providence Valdez Medical Center

Valdez, AK · every code in this section with a posted price and a Medicare benchmark.

884 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 2 matching MRF lines		 $1,068.60–$2,581.80 $1,370–$3,310 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $735.54–$1,684.80 $943–$2,160 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,706.60 $3,470 1.6×
Acne surgery (10040) $351.78 $451 1.6×
Adding Walker Previously Applied Cast (29440) $283.92 $364 1.6×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $7,295.34 $9,353 1.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,870.36 $4,962 1.7×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,870.36 $4,962 1.7×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,365.70 $4,315 1.5×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,870.36 $4,962 1.7×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $14,834.04 $19,018 1.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $2,648.10–$4,591.08 $3,395–$5,886 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $2,648.10–$3,633.24 $3,395–$4,658 varies
Amputation metatarsal with toe single (28810) $6,675.24 $8,558 1.8×
Amputation toe interphalangeal joint (28825) $5,804.76 $7,442 1.6×
Anoscopy Control Bleeding (46614) $2,428.14 $3,113 1.8×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $134.94–$261.30 $173–$335 varies
Anoscopy W/Rmvl Foreign Body (46608) $1,864.20 $2,390 1.8×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $283.92 $364 1.6×
Appl cranial tong/strtctc frame w/removal spx (20660) $2,797.08 $3,586 1.6×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $468 $600 1.5×
Application Body Cast Shoulder Hips (29035) $468 $600 1.5×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $417.30–$430.56 $535–$552 varies
Application Cast Finger (29086)
range across 2 matching MRF lines		 $282.36–$283.92 $362–$364 varies
Application Cast Shoulder Spica (29055) $468 $600 1.5×
Application Finger Splint Dynamic (29131) $209.82 $269 3.2×
Application finger splint static (29130)
range across 3 matching MRF lines		 $216.84–$229.32 $278–$294 varies
Application Halo Cranial Including Removal (20661) $1,608.36 $2,062 0.9×
Application Hip Spica Cast 1 Leg (29305) $468 $600 1.5×
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $229.32–$355.68 $294–$456 varies
Application Long Leg Cast Brace (29358) $468 $600 1.5×
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $229.32–$392.34 $294–$503 varies
Application of cylinder cast (thigh to ankle) (29365) $468 $600 1.5×
Application of long leg cast (29345)
range across 3 matching MRF lines		 $430.56–$657.54 $552–$843 varies
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $226.20–$337.74 $290–$433 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $229.32–$259.74 $294–$333 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $229.32–$326.04 $294–$418 varies
Application, cast; figure-of-eight Facility (29049) $468 $600 1.5×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $219.18–$229.32 $281–$294 varies
Apply long arm cast (29065)
range across 3 matching MRF lines		 $430.56–$484.38 $552–$621 varies
Apply Multlay Comprs Lwr Leg (29581) $283.92 $364 1.6×
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $430.56–$480.48 $552–$616 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $430.56–$538.98 $552–$691 varies
Apply shoulder cast,plastr velpeau (29058) $468 $600 1.5×
Arterial puncture (36600) $226.20 $290 1.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $283.92–$694.20 $364–$890 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,256.58 $1,611 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $370.50–$804.96 $475–$1,032 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $187.98–$1,084.20 $241–$1,390 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $235.56–$500.76 $302–$642 varies
Arthroplasty interphalangeal joint each (26535) $5,804.76 $7,442 1.6×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,797.08 $3,586 1.6×
Aspirate pleura w/ imaging (32555) $1,881.36 $2,412 2.7×
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $1,225.38–$1,782.30 $1,571–$2,285 varies
Aspirate/Inj Ganglion Cyst (20612) $430.56 $552 1.3×
Aspiration and/or injection thyroid cyst (60300) $1,265.16 $1,622 1.6×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $1,825.20–$3,616.86 $2,340–$4,637 varies
Aspiration Bladder Needle (51100) $418.86 $537 1.5×
Aspiration bladder trocar/intracatheter (51101) $1,822.08 $2,336 1.9×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $4,211.22 $5,399 1.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $229.32–$331.50 $294–$425 varies
Biopsy bone open superficial (20240) $5,037.24 $6,458 1.6×
Biopsy nail unit (11755) $195 $250 0.2×
Biopsy of floor of mouth (41108) $2,924.22 $3,749 1.6×
Biopsy soft tissue neck/thorax (21550) $2,924.22 $3,749 1.6×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,493.62 $1,914.90 1.5×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $322.14–$430.56 $413–$552 varies
Bladder Scan (51798)
range across 4 matching MRF lines		 $134.94–$312.78 $173–$401 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $516.36–$922.74 $662–$1,183 varies
Blood Transfusion Service (36430) $870.48 $1,116 1.8×
Bronchoscopy Clear Airways (31645) $3,584.10 $4,595 1.8×
Bronchoscopy W/Removal Foreign Body (31635) $3,584.10 $4,595 1.8×
Bx Cervix (57500) $1,372.02 $1,759 1.3×
Canthoplasty (67950) $4,123.08 $5,286 1.6×
Canthotomy Separate Procedure (67715) $4,123.08 $5,286 1.6×
Carpal Tunnel Surgery (64721) $3,505.32 $4,494 1.6×
Catheter aspiration nasotracheal spx (31720) $373.62 $479 1.5×
Cautery Cervix Electro/Thermal (57510) $5,513.82 $7,069 1.5×
Change Cystostomy Tube Complicated (51710) $1,219.14 $1,563 1.6×
Change Cystostomy Tube Simple (51705) $1,212.12 $1,554 4.4×
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $229.32–$741 $294–$950 varies
Chemical Cautery Tissue (17250) $351.78 $451 1.6×
Chest tube placement (32551)
range across 3 matching MRF lines		 $554.58–$1,116.18 $711–$1,431 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $310.44–$2,751.84 $398–$3,528 varies
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $2,644.20–$3,149.64 $3,390–$4,038 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $967.20–$4,559.10 $1,240–$5,845 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $229.32–$561.60 $294–$720 varies
Closed Rx Metacarpal Fx,Percut (26608) $6,675.24 $8,558 1.8×
Closed Rx Spontaneous Hip Disloc (27256) $229.32 $294 0.8×
Closed rx talotarsal disloc,anesth (28575) $5,804.76 $7,442 1.6×
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $464.88–$1,804.92 $596–$2,314 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $229.32–$2,026.44 $294–$2,598 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $1,315.08–$2,844.66 $1,686–$3,647 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $251.94–$3,557.58 $323–$4,561 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 2 matching MRF lines		 $229.32–$1,829.10 $294–$2,345 varies
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines		 $404.04–$839.28 $518–$1,076 varies
Closed Treatment Sternum Fracture (21820) $303.42 $389 1.1×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $229.32–$1,597.44 $294–$2,048 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $229.32–$2,446.08 $294–$3,136 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,315.08–$3,682.38 $1,686–$4,721 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $229.32–$2,845.44 $294–$3,648 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $404.04 $518 1.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $229.32–$1,307.28 $294–$1,676 varies
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $554.58–$3,878.94 $711–$4,973 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $229.32–$1,791.66 $294–$2,297 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $6,675.24 $8,558 3.7×
Closed tx femoral fracture prox head w/o manj (27267) $6,675.24 $8,558 1.8×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $404.04–$4,220.58 $518–$5,411 varies
Closed tx fx orbit except blowout w/manipulation (21401) $2,706.60 $3,470 1.6×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $3,286.14–$5,811.78 $4,213–$7,451 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $229.32–$1,767.48 $294–$2,266 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $967.20 $1,240 0.5×
Closed tx mandibular fracture w/manipulation (21451) $3,156.66 $4,047 1.8×
Closed Tx Mandibular Fracture W/O Manipulation (21450)
range across 2 matching MRF lines		 $2,200.38–$2,869.62 $2,821–$3,679 varies
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $10,412.22 $13,349 1.6×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $229.32–$1,550.64 $294–$1,988 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $2,797.08–$2,897.70 $3,586–$3,715 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $967.20–$1,318.20 $1,240–$1,690 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $1,819.74–$2,891.46 $2,333–$3,707 varies
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $6,380.40 $8,180 1.7×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $513.24–$3,795.48 $658–$4,866 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $229.32–$2,317.38 $294–$2,971 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $229.32–$3,474.90 $294–$4,455 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $554.58–$3,149.64 $711–$4,038 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $229.32–$1,538.94 $294–$1,973 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $554.58–$3,083.34 $711–$3,953 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $229.32 $294 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $554.58–$3,414.06 $711–$4,377 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $229.32–$1,599 $294–$2,050 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $229.32–$1,361.10 $294–$1,745 varies
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $2,784.60–$5,548.14 $3,570–$7,113 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines		 $554.58–$1,440.66 $711–$1,847 varies
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines		 $229.32–$1,550.64 $294–$1,988 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $1,315.08–$3,311.10 $1,686–$4,245 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $229.32–$2,760.42 $294–$3,539 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $404.04 $518 1.5×
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $229.32–$948.48 $294–$1,216 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $666.12–$956.28 $854–$1,226 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,315.08–$3,529.50 $1,686–$4,525 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $229.32–$1,871.22 $294–$2,399 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $229.32–$1,495.26 $294–$1,917 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $430.56–$862.68 $552–$1,106 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $554.58–$2,156.70 $711–$2,765 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $554.58–$2,662.92 $711–$3,414 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $229.32–$2,081.82 $294–$2,669 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $1,315.08–$2,995.20 $1,686–$3,840 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $404.04–$1,601.34 $518–$2,053 varies
Clsd tx fx orbit except blowout w/o manipulation (21400) $890.76 $1,142 1.5×
Clsd Tx Pelvic Ring Fx (27198) $404.04 $518 1.5×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $404.04 $518 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $2,421.90–$2,557.62 $3,105–$3,279 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $229.32–$2,733.90 $294–$3,505 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines		 $554.58–$1,153.62 $711–$1,479 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 2 matching MRF lines		 $464.88–$3,060.72 $596–$3,924 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $2,797.08–$5,375.76 $3,586–$6,892 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $1,315.08–$2,445.30 $1,686–$3,135 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $229.32–$1,898.52 $294–$2,434 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $2,797.08–$3,656.64 $3,586–$4,688 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $229.32–$2,147.34 $294–$2,753 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $229.32–$1,275.30 $294–$1,635 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675)
range across 2 matching MRF lines		 $1,379.04–$3,467.10 $1,768–$4,445 varies
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $404.04 $518 1.5×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $251.94–$3,194.10 $323–$4,095 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $229.32–$2,163.72 $294–$2,774 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $251.94–$2,160.60 $323–$2,770 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $229.32–$1,145.82 $294–$1,469 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $229.32–$1,867.32 $294–$2,394 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $554.58–$4,203.42 $711–$5,389 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,797.08 $3,586 1.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $735.54–$2,410.98 $943–$3,091 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $229.32–$2,413.32 $294–$3,094 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $464.88 $596 0.3×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $229.32–$2,544.36 $294–$3,262 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $1,280.76–$4,019.34 $1,642–$5,153 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $251.94–$1,103.70 $323–$1,415 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $229.32–$939.90 $294–$1,205 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $251.94–$1,135.68 $323–$1,456 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $229.32–$897 $294–$1,150 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $967.20 $1,240 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $229.32–$3,365.70 $294–$4,315 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $229.32–$1,604.46 $294–$2,057 varies
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines		 $554.58–$1,870.44 $711–$2,398 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $967.20–$2,892.24 $1,240–$3,708 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $4,371.12–$6,630 $5,604–$8,500 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $229.32–$2,773.68 $294–$3,556 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $577.98–$2,266.68 $741–$2,906 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $2,644.20–$4,000.62 $3,390–$5,129 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $1,315.08–$4,223.70 $1,686–$5,415 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $229.32–$1,998.36 $294–$2,562 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,797.08 $3,586 1.6×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $468 $600 1.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $229.32–$517.14 $294–$663 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,216.72 $4,124 1.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $468–$2,531.10 $600–$3,245 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $229.32–$2,257.32 $294–$2,894 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $967.20–$3,684.72 $1,240–$4,724 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $229.32–$2,087.28 $294–$2,676 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $251.94–$2,028 $323–$2,600 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $229.32–$1,932.06 $294–$2,477 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $2,797.08–$3,099.72 $3,586–$3,974 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,797.08 $3,586 1.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $251.94–$2,067.78 $323–$2,651 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $229.32–$1,359.54 $294–$1,743 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $3,310.32–$4,070.82 $4,244–$5,219 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $229.32–$2,771.34 $294–$3,553 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $967.20–$3,188.64 $1,240–$4,088 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $229.32–$2,115.36 $294–$2,712 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $967.20–$3,563.04 $1,240–$4,568 varies
Cltx prox tibfib jt dislc req anes (27831) $5,804.76 $7,442 1.6×
Cltx prox tibfib jt dislc w/o anes (27830) $404.04 $518 1.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $229.32–$1,715.22 $294–$2,199 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $229.32–$680.94 $294–$873 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $3,216.72 $4,124 1.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $554.58–$4,903.86 $711–$6,287 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,797.08 $3,586 1.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $554.58–$4,633.20 $711–$5,940 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $229.32–$2,226.90 $294–$2,855 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $3,216.72 $4,124 1.8×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $464.88 $596 1.7×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $5,804.76 $7,442 1.6×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $229.32–$570.18 $294–$731 varies
Cltx tibial fx proximal w/o manipulation (27530) $229.32 $294 0.8×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $229.32–$1,439.88 $294–$1,846 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $404.04 $518 1.5×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $554.58–$2,321.28 $711–$2,976 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $229.32–$2,234.70 $294–$2,865 varies
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $6,675.24 $8,558 1.8×
Collect Blood From Catheter Venous Nos (36592) $229.32 $294 1.6×
Collection of venous blood by venipuncture (36415) $24.96 $32 2.7×
Colpocentesis (57020) $9,038.64 $11,588 1.6×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $6,340.62 $8,129 1.8×
Colporrhaphy (57200) $6,340.62 $8,129 1.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $431.34 $553 1.3×
Colposcopy Cervix Endocervical Curettage (57456) $326.82 $419 1.0×
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $27.30–$399.36 $35–$512 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $351.78 $451 1.0×
Colposcopy cervix vag eltrd conization cervix (57461) $594.36 $762 0.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $517.14 $663 0.1×
Colposcopy of vulva (56820) $347.10 $445 1.5×
Colpotomy; with drainage of pelvic abscess (57010) $6,340.62 $8,129 1.8×
Colpotomy; with exploration (57000) $6,340.62 $8,129 1.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,111.46 $2,707 1.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $727.74 $933 0.5×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $967.20–$1,021.02 $1,240–$1,309 varies
Composite Skin Graft (15760) $3,870.36 $4,962 1.7×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $347.10–$619.32 $445–$794 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $347.10–$428.22 $445–$549 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $229.32–$691.86 $294–$887 varies
Conversion ext bil drg cath (47535) $7,942.74 $10,183 2.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,924.22 $3,749 1.6×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $7,187.70 $9,215 1.8×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,804.76 $7,442 1.6×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $5,804.76 $7,442 1.6×
Csf shunt reprogram (62252) $620.88 $796 1.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $347.10–$1,335.36 $445–$1,712 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $347.10–$1,055.34 $445–$1,353 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $6,380.40 $8,180 1.7×
Curettage postpartum (59160) $6,340.62 $8,129 1.8×
Curette/treat cornea (65435) $1,701.96 $2,182 1.5×
Cysto Bladder W/Ureteral Catheterization (52005) $4,159.74 $5,333 1.8×
Cysto calibration dilat urtl strix/stenosis (52281) $4,159.74 $5,333 1.8×
Cysto w/destruction of lesions (52214) $7,187.70 $9,215 1.8×
Cysto w/irrig & evac multple obstructing clots (52001) $7,187.70 $9,215 1.8×
Cysto W/Simple Removal Stone & Stent (52310) $4,159.74 $5,333 1.8×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $7,187.70 $9,215 1.8×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $7,187.70 $9,215 1.8×
Cystostomy Cystotomy W/Drainage (51040) $4,159.74 $5,333 1.8×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $4,159.74 $5,333 1.8×
Cystourethroscopy (52000) $1,401.66 $1,797 1.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $223.08–$430.56 $286–$552 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,371.98 $3,041 0.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $554.58 $711 0.7×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,265.16 $1,622 1.6×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $5,804.76 $7,442 1.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $430.56 $552 0.5×
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $86.58–$229.32 $111–$294 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $120.12–$229.32 $154–$294 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $554.58–$2,044.38 $711–$2,621 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $430.56–$602.16 $552–$772 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $648.96–$2,636.40 $832–$3,380 varies
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $5,804.76 $7,442 1.6×
Decompressive fasciotomy hand (26037) $6,675.24 $8,558 1.8×
Delivery of placenta (59414) $5,513.82 $7,069 1.5×
Derma-fat-fascia graft (15770) $7,295.34 $9,353 1.9×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $218.40–$351.78 $280–$451 varies
Destruction Benign Lesions 15/> (17111) $267.54 $343 1.2×
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $727.74–$1,113.84 $933–$1,428 varies
Destruction Premalignant Lesion 15/> (17004) $321.36 $412 0.7×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $177.84–$351.78 $228–$451 varies
Diagnostic anoscopy (46601) $280.02 $359 0.6×
Diagnostic sigmoidoscopy (45330) $1,620.84 $2,078 1.6×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $283.92 $364 2.0×
Dilate Urethra Stricture (53620) $1,219.14 $1,563 1.6×
Dilate Urethra Stricture (53600) $418.86 $537 1.5×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $762.06–$5,513.82 $977–$7,069 varies
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $1,339.26–$1,574.82 $1,717–$2,019 varies
Drain Hand Tendon Sheath (26020) $5,804.76 $7,442 1.6×
Drain penis lesion (54015) $2,924.22 $3,749 1.6×
Drain/inj small joint/bursa w/us (20604) $869.70 $1,115 2.6×
Drainage abscess parotid simple (42300) $2,706.60 $3,470 1.6×
Drainage Abscess/Hematoma Nasal Septum (30020) $890.76 $1,142 1.5×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $229.32–$845.52 $294–$1,084 varies
Drainage external ear abscess/hematoma cmplx (69005) $2,924.22 $3,749 1.6×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $229.32–$510.90 $294–$655 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $967.20–$2,597.40 $1,240–$3,330 varies
Drainage Mouth Roof Lesion (42000) $405.60 $520 1.5×
Drainage of eye (65800) $4,211.22 $5,399 1.6×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $591.24–$991.38 $758–$1,271 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $229.32–$668.46 $294–$857 varies
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $684.84–$967.20 $878–$1,240 varies
Drainage of mouth lesion (41017) $5,548.14 $7,113 1.5×
Drainage of nose lesion (30000) $405.60 $520 1.5×
Drainage of rectal abscess (45005) $2,111.46 $2,707 1.6×
Drainage of salivary gland (42320) $890.76 $1,142 1.5×
Drainage of salivary gland (42305) $5,548.14 $7,113 1.5×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,246.44–$3,430.44 $1,598–$4,398 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $684.84–$3,617.64 $878–$4,638 varies
Drainage of skene's gland abscess or cyst (53060) $3,616.86 $4,637 1.6×
Draw Blood Off Venous Device (36591) $229.32 $294 1.6×
Dressing Change Under Anesthesia (15852) $1,132.56 $1,452 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $890.76 $1,142 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $229.32–$494.52 $294–$634 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $890.76 $1,142 1.5×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $5,037.24 $6,458 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $727.74–$940.68 $933–$1,206 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $539.76–$663 $692–$850 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $394.68–$490.62 $506–$629 varies
Dstrj Lesion Anus Simple Chemical (46900) $727.74 $933 1.6×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,661.40 $2,130 1.7×
Dx Bronchoscope/Lavage (31624) $3,584.10 $4,595 1.8×
Dx Bronchoscope/Wash (31622) $3,584.10 $4,595 1.8×
Dx gastr intub w/asp spec (43754) $546 $700 2.3×
Dx gastr intub w/asp specs (43755) $283.92 $364 2.0×
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $1,049.88–$6,950.58 $1,346–$8,911 varies
Dx laryngoscopy w/oper scope (31526) $3,584.10 $4,595 1.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,256.58 $1,611 1.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,592.72 $3,324 1.2×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $564.72–$2,357.16 $724–$3,022 varies
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,947.66 $2,497 0.9×
Egd place gastrostomy tube (43246) $2,142.66 $2,747 1.0×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $539.76 $692 1.6×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $202.02–$347.10 $259–$445 varies
Epidural Blood Patch (62273) $967.20 $1,240 1.2×
Episiotomy or vaginal repair (59300) $5,513.82 $7,069 1.5×
Escharotomy; initial incision (16035) $727.74 $933 1.6×
Esophagoscopy Flexible Transoral Diagnostic (43200)
range across 2 matching MRF lines		 $282.36–$1,609.92 $362–$2,064 varies
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $329.94 $423 0.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $451.62–$3,396.12 $579–$4,354 varies
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $102.18–$229.32 $131–$294 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $273–$1,265.16 $350–$1,622 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $507–$3,892.20 $650–$4,990 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $503.10 $645 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $586.56 $752 0.7×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $908.70 $1,165 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $345.54–$1,391.52 $443–$1,784 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $432.12–$1,531.14 $554–$1,963 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $476.58–$1,684.02 $611–$2,159 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $579.54–$1,852.50 $743–$2,375 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $730.86–$2,037.36 $937–$2,612 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $267.54–$2,924.22 $343–$3,749 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $355.68–$3,216.72 $456–$4,124 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $440.70–$3,538.08 $565–$4,536 varies
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $5,548.14 $7,113 1.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $484.38–$1,684.02 $621–$2,159 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 3 matching MRF lines		 $578.76–$4,281.42 $742–$5,489 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $873.60–$4,709.64 $1,120–$6,038 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $804.18–$2,037.36 $1,031–$2,612 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $1,022.58–$2,240.94 $1,311–$2,873 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $677.04 $868 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $941.46 $1,207 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,021.02 $1,309 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,111.46 $2,707 1.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $345.54–$1,391.52 $443–$1,784 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $375.18–$1,531.14 $481–$1,963 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 3 matching MRF lines		 $533.52–$1,852.50 $684–$2,375 varies
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,924.22 $3,749 1.6×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $7,942.74 $10,183 2.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,905.46 $5,007 1.8×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,706.60 $3,470 1.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $624 $800 0.8×
Excision Chalazion Single (67800) $516.36 $662 1.5×
Excision Excessive Skin & Subq Tissue Other Area (15839) $5,793.06 $7,427 1.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $396.24 $508 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $479.70 $615 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $521.04 $668 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $687.18 $881 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $408.72 $524 0.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $732.42 $939 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,257.36 $1,612 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $398.58 $511 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $482.82–$1,265.16 $619–$1,622 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $546.78 $701 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $767.52 $984 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $5,010.72 $6,424 1.6×
Excision of bartholin's gland or cyst (56740) $5,513.82 $7,069 1.5×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,797.08 $3,586 1.6×
Excision of pilonidal cyst or sinus; simple (11770) $5,037.24 $6,458 1.6×
Excision of vaginal cyst or tumor (57135) $6,340.62 $8,129 1.8×
Excision Pilonidal Cyst/Sinus Complicated (11772) $5,037.24 $6,458 1.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $5,037.24 $6,458 1.6×
Excision soft tissue lesion, external auditory canal (69145) $5,037.24 $6,458 1.6×
Expl penetrating wound spx abdomen/flank/back (20102) $3,365.70 $4,315 1.5×
Explo/Drain Breast Abscess (19020) $2,924.22 $3,749 1.6×
Exploration of knee joint (27310) $5,804.76 $7,442 1.6×
Exploration penetrating wound spx chest (20101) $3,365.70 $4,315 1.5×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $2,924.22–$3,459.30 $3,749–$4,435 varies
Exploration Penetrating Wound Spx Neck (20100) $890.76 $1,142 1.5×
External cephalic version (59412) $6,340.62 $8,129 1.8×
Fetal Contraction Stress Test (59020) $347.10 $445 1.5×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $159.12–$775.32 $204–$994 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $3,365.70 $4,315 1.5×
Fine needle aspiration without imaging guidance (10021)
range across 4 matching MRF lines		 $413.40–$631.02 $530–$809 varies
Fluid Pressure Muscle (20950) $1,265.16 $1,622 1.6×
Fna bx w/us gdn 1st les (10005) $2,008.50 $2,575 2.6×
Forehead flap w/vasc pedicle (15731) $7,295.34 $9,353 1.9×
Foreskin manipulation (54450) $418.86 $537 1.5×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $3,870.36 $4,962 1.7×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $3,870.36 $4,962 1.7×
Fusion Finger Joint (26860) $5,804.76 $7,442 1.6×
Fusion of hand bones (25820) $12,898.86 $16,537 1.6×
Guide Cathet Fluid Drainage (10030) $1,265.16 $1,622 1.6×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,010.72 $6,424 1.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $5,010.72 $6,424 1.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,620.84 $2,078 1.6×
Hemorrhoidopexy by stapling (46947) $5,010.72 $6,424 1.6×
Hymenotomy Simple Incision (56442) $6,340.62 $8,129 1.8×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720)
range across 2 matching MRF lines		 $967.20–$1,069.38 $1,240–$1,371 varies
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $430.56–$831.48 $552–$1,066 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $229.32–$524.16 $294–$672 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $3,153.54–$5,776.68 $4,043–$7,406 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $5,037.24 $6,458 1.6×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $5,804.76 $7,442 1.6×
I&D Intramural Im/Absc Transanal Anes (46045) $5,010.72 $6,424 1.6×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $5,804.76 $7,442 1.6×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $967.20–$1,056.12 $1,240–$1,354 varies
I&d pilonidal cyst complicated (10081)
range across 3 matching MRF lines		 $967.20–$1,482 $1,240–$1,900 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $229.32–$822.12 $294–$1,054 varies
I&d shoulder deep abscess/hematoma (23030) $5,037.24 $6,458 1.6×
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $967.20–$1,705.08 $1,240–$2,186 varies
I&d vaginal hematoma obstetrical/postpartum (57022) $5,037.24 $6,458 1.6×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $430.56–$666.12 $552–$854 varies
Incise flexor carpi radialis (25001) $5,804.76 $7,442 1.6×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $326.04–$992.16 $418–$1,272 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $5,037.24 $6,458 1.6×
Incision & drainage leg/ankle infected bursa (27604) $6,675.24 $8,558 1.8×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $967.20–$1,101.36 $1,240–$1,412 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $430.56–$605.28 $552–$776 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $663–$729.30 $850–$935 varies
Incision and drainage of the tear gland (68400) $1,701.96 $2,182 1.5×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $5,037.24 $6,458 1.6×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $569.40–$647.40 $730–$830 varies
Incision extensor tendon sheath wrist (25000) $2,797.08 $3,586 1.6×
Incision of eardrum (69420) $553.02 $709 2.1×
Incision of lingual frenum (frenotomy) (41010) $354.90 $455 0.2×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $967.20–$4,188.60 $1,240–$5,370 varies
Incision of urethra (53020) $3,616.86 $4,637 1.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $1,280.76–$1,705.08 $1,642–$2,186 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $179.40–$1,132.56 $230–$1,452 varies
Induced abortion dilation and curettage (59840)
range across 2 matching MRF lines		 $729.30–$5,513.82 $935–$7,069 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $210.60–$229.32 $270–$294 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,661.40 $2,130 1.7×
Inject Intravitreal Pharmcologic (67028) $648.96 $832 1.8×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $307.32–$430.56 $394–$552 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,661.40 $2,130 1.7×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,661.40 $2,130 1.7×
Injection aa&/strd genicular nrv branches w/img (64454) $1,256.58 $1,611 1.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,661.40 $2,130 1.7×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,256.58 $1,611 1.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,256.58 $1,611 1.6×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,661.40 $2,130 1.7×
Injection Anes Agent Sphenopalatine Ganglion (64505) $530.40 $680 1.6×
Injection of sclerosing solution, hemorrhoids (46500) $1,620.84 $2,078 1.6×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $127.14–$530.40 $163–$680 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $352.56–$430.56 $452–$552 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $430.56–$726.18 $552–$931 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $185.64–$865.80 $238–$1,110 varies
Injection, anesthetic agent; femoral nerve, single (64447) $1,256.58 $1,611 1.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $554.58–$769.08 $711–$986 varies
Injection, intralesional; up to and including 7 lesions (11900) $351.78 $451 1.6×
Injx Anterior Chamber Eye Medication Spx (66030) $4,211.22 $5,399 1.6×
Insert and remove bone pin (20650) $5,804.76 $7,442 1.6×
Insert Bladder Cath Complex (51703) $229.32 $294 1.6×
Insert cath pleura w/ image (32557) $3,735.42 $4,789 2.1×
Insert cath pleura w/o image (32556) $3,396.12 $4,354 1.6×
Insert cervical dilator (59200) $569.40 $730 1.7×
Insert Drug Implant Device (11981) $202.80 $260 1.4×
Insert Gastrostomy Tube Percutaneous (49440) $3,396.12 $4,354 1.6×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $1,287–$6,976.32 $1,650–$8,944 varies
Insert pessary/other device (57160) $347.10 $445 1.5×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,901.60 $3,720 1.7×
Insert prost urethral stent (53855) $3,616.86 $4,637 1.6×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $80.34–$229.32 $103–$294 varies
Insert tunneled cv cath (36561) $5,808.66 $7,447 1.7×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $10,022.22 $12,849 1.6×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $81.90–$229.32 $105–$294 varies
Insertion indwelling tunneled pleural catheter (32550) $6,906.90 $8,855 1.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,901.60 $3,720 1.7×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $7,942.74 $10,183 2.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $5,808.66 $7,447 1.7×
Insj Picc Rs&I <5 Yr (36572) $1,127.88 $1,446 1.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,670.76–$3,513.90 $2,142–$4,505 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $4,594.98–$7,589.40 $5,891–$9,730 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $15,917.46 $20,407 1.7×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $15,917.46 $20,407 1.7×
Int hrhc by ligation single hroid w/o img gdn (46945) $5,010.72 $6,424 1.6×
Interdental fixation (21110) $2,706.60 $3,470 1.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $701.22–$2,509.26 $899–$3,217 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $771.42–$2,888.34 $989–$3,703 varies
Intranasal Biopsy (30100) $2,706.60 $3,470 1.6×
Intraoral i&d tongue/floor lingual (41000) $890.76 $1,142 1.5×
Intraoral i&d tongue/floor sublngl supfc (41005) $405.60 $520 1.5×
Intraoral i&d tongue/floor submental space (41007) $2,706.60 $3,470 1.6×
Intraoral i&d tongue/floor submndblr space (41008) $5,548.14 $7,113 1.5×
Intro Gastrointestinal Tube (44500) $1,609.92 $2,064 1.6×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $570.18–$773.76 $731–$992 varies
Irrigation of corpora cavernosa for priapism (54220) $418.86 $537 1.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $11,687.52 $14,984 1.7×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $263.64–$466.44 $338–$598 varies
Laryngoscopy flexible diagnostic (31575) $400.92 $514 1.8×
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $3,807.18 $4,881 0.9×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,614.60 $2,070 0.8×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,776.06 $2,277 4.1×
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines		 $495.30–$1,453.14 $635–$1,863 varies
Laryngoscopy W/Foreign Body Removal (31530) $3,584.10 $4,595 1.8×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $845.52 $1,084 1.9×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $845.52 $1,084 1.9×
Late closure of wound (13160) $3,365.70 $4,315 0.9×
Lateral Canthopexy (21282) $6,380.40 $8,180 1.7×
Ligation Of Neck Artery (37615) $5,808.66 $7,447 1.7×
Ligation or biopsy temporal artery (37609) $2,924.22 $3,749 1.6×
Manipulation Elbow Under Anesthesia (24300) $2,797.08 $3,586 1.6×
Manipulation knee joint under general anesthesia (27570) $2,797.08 $3,586 1.6×
Manipulation tmj therapeutic require anesthesia (21073) $3,112.20 $3,990 1.8×
Manipulation wrist under anesthesia (25259) $2,797.08 $3,586 1.6×
Marsupialization of bartholin's gland cyst (56440) $5,513.82 $7,069 1.5×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $4,123.08 $5,286 1.6×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $7,295.34 $9,353 1.9×
N Block Inj Celiac Pelus (64530) $1,661.40 $2,130 1.7×
N Block Inj Ilio-Ing/Hypogi (64425) $1,256.58 $1,611 1.6×
N block inj intercost sng (64420) $1,256.58 $1,611 1.6×
N Block Inj Plantar Digit (64455) $530.40 $680 1.6×
N Block Inj Pudendal (64430) $1,661.40 $2,130 1.7×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $210.60–$400.92 $270–$514 varies
Nasal/Orogastric W/Tube Plmt (43752) $736.32 $944 1.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,584.10 $4,595 1.8×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $13,874.64 $17,788 1.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $48.36 $62 1.5×
Needle insertion w/o injection 3 or more muscles (20561) $48.36 $62 1.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,916.46 $2,457 4.6×
Njx anes stellate ganglion crv sympathetic (64510) $1,661.40 $2,130 1.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $430.56–$1,004.64 $552–$1,288 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,256.58 $1,611 1.6×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,256.58 $1,611 1.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,661.40 $2,130 1.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,256.58 $1,611 1.6×
Obstructive material removal from gi tube (49460) $1,851.72 $2,374 1.8×
Occipital Nerve Block (64405) $554.58 $711 1.6×
Open Treatment Bimalleolar Ankle Fracture (27814) $14,834.04 $19,018 1.8×
Open Treatment Fracture Distal Tibia & Fibula (27828) $29,260.14 $37,513 2.1×
Open treatment fracture distal tibia only (27827) $29,260.14 $37,513 2.1×
Open treatment interphalangeal joint dislocation (28675) $6,675.24 $8,558 1.8×
Open Treatment Lunate Dislocation (25695) $12,898.86 $16,537 1.6×
Open Treatment Medial Malleolus Fracture (27766) $12,898.86 $16,537 1.6×
Open treatment metacarpophalangeal dislocation (26715) $3,098.94 $3,973 0.9×
Open treatment metatarsal fracture each (28485) $12,898.86 $16,537 1.6×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $12,898.86 $16,537 1.6×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $11,973.78 $15,351 1.8×
Open treatment of nasal fracture; uncomplicated Facility (21325) $5,548.14 $7,113 1.5×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $6,675.24 $8,558 1.8×
Open Treatment of Ulnar Shaft Fracture (25545) $12,898.86 $16,537 1.6×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $12,898.86 $16,537 1.6×
Open Treatment Proximal Humeral Fracture (23615) $29,260.14 $37,513 2.1×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $5,804.76 $7,442 1.6×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $12,898.86 $16,537 1.6×
Open Tx Distal Phalangeal Fracture Each (26765) $5,804.76 $7,442 1.6×
Open Tx Distal Tibiofibular Joint Disruption (27829) $14,834.04 $19,018 1.8×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $5,804.76 $7,442 1.6×
Open tx humeral supracondylar fracture w/o xtn (24545) $29,260.14 $37,513 2.1×
Open tx interphalangeal joint dislocation (26785) $5,804.76 $7,442 1.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $6,675.24 $8,558 1.8×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $5,804.76 $7,442 1.6×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $14,834.04 $19,018 1.8×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $14,834.04 $19,018 1.8×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $14,834.04 $19,018 1.8×
Orbital implant removal/revision (67560) $6,816.42 $8,739 1.6×
Orchiopexy Ingun/Scrot Appr (54640) $7,942.74 $10,183 2.0×
Osteotomy Phalanx Finger Each (26567) $5,804.76 $7,442 1.6×
Partial Excision Distal Phalanx Finger (26236) $2,797.08 $3,586 1.6×
Partial Excision Proximal/Middle Phalanx Finger (26235) $2,797.08 $3,586 1.6×
Partial hymenectomy or revision of hymenal ring (56700) $6,340.62 $8,129 1.8×
Partial removal of toe (28160) $5,804.76 $7,442 1.6×
Partical Excision Bone Phalanx Toe (28124) $6,675.24 $8,558 1.8×
Pelvic examination under anesthesia (other than local) (57410) $5,513.82 $7,069 1.5×
Penile Injection (54235) $418.86 $537 1.5×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $5,804.76 $7,442 1.6×
Pericardiocentesis W/Imaging (33016) $2,901.60 $3,720 1.7×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $735.54–$1,068.60 $943–$1,370 varies
Perq Cervicothoracic Inject (22510) $6,675.24 $8,558 1.8×
Perq Lumbosacral Injection (22511) $6,675.24 $8,558 1.8×
Perq skel fixj distal radial fx/epiphysl sep (25606) $5,804.76 $7,442 1.6×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $229.32–$693.42 $294–$889 varies
Placement of seton (46020) $5,010.72 $6,424 1.6×
Probe lacrimal canaliculi w/wo irrigation (68840) $516.36 $662 1.5×
Proctopexy Perineal Approach (45541) $5,762.64 $7,388 1.9×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,620.84 $2,078 1.6×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $5,010.72 $6,424 1.6×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $5,804.76 $7,442 1.6×
Prq skel fixj femoral fx prox end neck (27235) $14,834.04 $19,018 1.8×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $12,898.86 $16,537 1.6×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $14,834.04 $19,018 1.8×
Pseudoaneurysm Injection Trt (36002) $1,127.88 $1,446 1.6×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $152.10–$861.12 $195–$1,104 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $319.02–$439.92 $409–$564 varies
Puncture Aspiration Cyst Breast (19000) $1,265.16 $1,622 1.6×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,256.58 $1,611 1.6×
Push Transfusion Blood 2 Yr/Under (36440) $794.82 $1,019 1.6×
Rdctj torsion tstis w/wo fixj clat testis (54600) $7,187.70 $9,215 1.8×
Reconstruct Finger Joint (26548) $6,675.24 $8,558 1.8×
Reconstruction Nail Bed W/Graft (11762) $3,365.70 $4,315 1.5×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $5,804.76 $7,442 1.6×
Reduction of rectal prolapse (45900) $1,620.84 $2,078 1.6×
Release of big toe (28240) $5,804.76 $7,442 1.6×
Removal Anal Seton Other Marker (46030) $2,111.46 $2,707 1.6×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $516.36–$978.90 $662–$1,255 varies
Removal Foreign Body Deep Thigh/Knee (27372) $5,037.24 $6,458 1.6×
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $554.58–$3,174.60 $711–$4,070 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $967.20–$1,475.76 $1,240–$1,892 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $425.88–$946.14 $546–$1,213 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $554.58–$871.26 $711–$1,117 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $6,675.24 $8,558 1.8×
Removal Foreign Body Scrotum (55120) $3,616.86 $4,637 1.6×
Removal foreign body upper arm/elbow deep (24201) $5,037.24 $6,458 1.6×
Removal foreign body, intranasal; requiring general anesthesia (30310) $2,644.20 $3,390 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $91.26–$199.68 $117–$256 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $200.46–$229.32 $257–$294 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $6,340.62 $8,129 1.8×
Removal Implant Deep (20680) $5,037.24 $6,458 1.6×
Removal Implant Superficial Separate Procedure (20670) $2,924.22 $3,749 1.6×
Removal implantable contraceptive capsules (11976) $1,265.16 $1,622 1.6×
Removal intact breast implant (19328) $7,709.52 $9,884 1.8×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $229.32–$629.46 $294–$807 varies
Removal of implant from finger or hand (26320) $2,924.22 $3,749 1.6×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $554.58–$845.52 $711–$1,084 varies
Removal or bivalving full arm or full leg cast (29705)
range across 3 matching MRF lines		 $177.06–$229.32 $227–$294 varies
Removal shoulder foreign body deep subfascial/im (23333) $5,037.24 $6,458 1.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $287.82–$602.16 $369–$772 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $3,365.70 $4,315 1.5×
Removal tong/halo applied by another individual (20665) $736.32 $944 1.5×
Removal, under anesthesia, of external fixation system (20694) $2,797.08 $3,586 1.6×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $106.86–$468 $137–$600 varies
Remove cerclage suture (59871) $5,513.82 $7,069 1.5×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $239.46–$736.32 $307–$944 varies
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $1,411.80–$2,272.92 $1,810–$2,914 varies
Remove foreign body from eye (65235)
range across 2 matching MRF lines		 $4,211.22–$4,570.02 $5,399–$5,859 varies
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $274.56–$453.18 $352–$581 varies
Remove Hand Bone Lesion (26200) $2,797.08 $3,586 1.6×
Remove Int Dwell Ureteral Stent Transurethral (50386) $4,159.74 $5,333 1.8×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $215.28–$569.40 $276–$730 varies
Remove Lower Leg Bone Lesion (27635) $6,675.24 $8,558 1.8×
Remove lung catheter (32552) $1,127.88 $1,446 1.6×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $229.32–$385.32 $294–$494 varies
Remove Peritoneal Foreign Body (49402) $7,942.74 $10,183 2.0×
Remove Shoulder Foreign Body (23330) $2,924.22 $3,749 1.6×
Remove Tendon Sheath Lesion (26160) $2,797.08 $3,586 1.6×
Remove tissue expander (11971) $5,793.06 $7,427 1.8×
Remove/Insert Drug Implant (11983) $334.62 $429 0.7×
Repair Achilles Tendon (27650) $14,834.04 $19,018 1.8×
Repair arm/leg nerve (64857) $13,855.92 $17,764 3.7×
Repair Blood Vessel Direct Hand Finger (35207) $5,808.66 $7,447 1.7×
Repair blood vessel direct neck (35201) $10,022.22 $12,849 1.6×
Repair Blood Vessel Direct Upper Extremity (35206) $5,808.66 $7,447 1.7×
Repair blood vessel lesion (35190) $10,022.22 $12,849 1.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $554.58–$2,035.02 $711–$2,609 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $609.96–$3,035.76 $782–$3,892 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $430.56–$1,931.28 $552–$2,476 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $554.58–$1,910.22 $711–$2,449 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $430.56–$1,180.92 $552–$1,514 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $473.46–$1,441.44 $607–$1,848 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $554.58–$1,139.58 $711–$1,461 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $609.96–$1,402.44 $782–$1,798 varies
Repair extensor tendon finger w/o graft each (26418) $2,797.08 $3,586 1.6×
Repair Extensor Tendon Hand W/Graft Each (26412) $5,804.76 $7,442 1.6×
Repair Eyelid Wound (67935) $4,123.08 $5,286 1.6×
Repair Finger Tendon (26433) $5,804.76 $7,442 1.6×
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $4,190.16–$5,804.76 $5,372–$7,442 varies
Repair Hand Joint (26540) $5,804.76 $7,442 1.6×
Repair Hand Tendon (26410) $2,797.08 $3,586 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $430.56–$1,137.24 $552–$1,458 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $526.50–$1,131.78 $675–$1,451 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $579.54–$1,513.20 $743–$1,940 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $637.26–$1,889.16 $817–$2,422 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $847.86–$2,968.68 $1,087–$3,806 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $579.54–$2,135.64 $743–$2,738 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $229.32–$1,001.52 $294–$1,284 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $430.56–$1,084.20 $552–$1,390 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $526.50–$1,616.16 $675–$2,072 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $1,640.34–$2,838.42 $2,103–$3,639 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $573.30–$1,828.32 $735–$2,344 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $430.56–$824.46 $552–$1,057 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $473.46–$1,001.52 $607–$1,284 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $630.24–$2,120.04 $808–$2,718 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $521.04–$1,295.58 $668–$1,661 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $693.42–$2,245.62 $889–$2,879 varies
Repair intrinsic muscles hand each muscle (26591) $6,675.24 $8,558 1.8×
Repair Laceration Palate </2 Cm (42180)
range across 2 matching MRF lines		 $430.56–$775.32 $552–$994 varies
Repair Laceration Palate >2 Cm/Complex (42182) $10,412.22 $13,349 1.6×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $229.32–$1,435.20 $294–$1,840 varies
Repair of rectum (45505) $5,010.72 $6,424 1.6×
Repair Spica/Body/Jacket Cast (29720) $229.32 $294 1.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $5,804.76 $7,442 1.6×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $12,898.86 $16,537 1.6×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $735.54–$2,111.46 $943–$2,707 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $229.32–$722.28 $294–$926 varies
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $10,022.22 $12,849 1.6×
Repair, primary, disrupted ligament, ankle; collateral (27695) $12,898.86 $16,537 1.6×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $12,898.86 $16,537 1.6×
Repair/graft achilles tendon (27652) $14,834.04 $19,018 1.8×
Replace duodenostomy/jejunostomy tube perq (49451) $1,609.92 $2,064 1.6×
Replace G-J Tube Perc (49452) $1,609.92 $2,064 1.6×
Replace g/c tube perc (49450) $1,609.92 $2,064 1.6×
Replantation digit complete (20822) $3,216.72 $4,124 1.8×
Reposition Gastrostomy Tube (43761) $554.58 $711 2.0×
Revise finger joint each (26140) $2,797.08 $3,586 1.6×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $4,123.08 $5,286 1.6×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,706.60 $3,470 1.6×
Rmvl embedded fb vestibule mouth comp (40805) $1,770.60 $2,270 3.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,609.92 $2,064 1.6×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,924.22 $3,749 1.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $274.56–$435.24 $352–$558 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines		 $332.28–$720.72 $426–$924 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 3 matching MRF lines		 $562.38–$666.12 $721–$854 varies
Rmvl fecal impaction/fb spx under anes (45915) $2,111.46 $2,707 1.6×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $2,706.60 $3,470 1.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $1,411.80–$2,765.88 $1,810–$3,546 varies
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $554.58 $711 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $554.58–$895.44 $711–$1,148 varies
Rmvl spinal nstim eltrd prq array incl fluor (63661) $4,031.04 $5,168 1.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,901.60 $3,720 1.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,127.88 $1,446 1.6×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $468 $600 1.5×
Rplc Gtube No Revj Trc (43762) $783.12 $1,004 2.8×
Rplc gtube revj gstrst trc (43763) $418.86 $537 1.5×
Rplcmt cath ctr vad subq port/pmp (36578) $5,808.66 $7,447 1.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,901.60 $3,720 1.7×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,901.60 $3,720 1.7×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $5,808.66 $7,447 1.7×
Rpr blood vessel direct lower extremity (35226) $1,265.16 $1,622 1.6×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $12,898.86 $16,537 1.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $304.98–$1,366.56 $391–$1,752 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $637.26–$2,780.70 $817–$3,565 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $405.60 $520 1.5×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $4,123.08 $5,286 1.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $890.76 $1,142 1.5×
Rpr Lip Full Thickness Vermilion Only (40650) $890.76 $1,142 1.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,706.60 $3,470 1.6×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $5,804.76 $7,442 1.6×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $1,411.80–$3,946.02 $1,810–$5,059 varies
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270)
range across 2 matching MRF lines		 $1,411.80–$3,182.40 $1,810–$4,080 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,127.88 $1,446 1.6×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $6,816.42 $8,739 1.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $6,675.24 $8,558 1.8×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $5,804.76 $7,442 1.6×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $5,548.14 $7,113 1.5×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $109.98–$727.74 $141–$933 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $148.98 $191 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $120.90–$351.78 $155–$451 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $155.22 $199 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $351.78 $451 1.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $162.24 $208 0.7×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $5,548.14 $7,113 1.5×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $2,111.46 $2,707 1.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $335.40–$1,723.80 $430–$2,210 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $229.32–$736.32 $294–$944 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $251.94–$933.66 $323–$1,197 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $368.94–$2,471.82 $473–$3,169 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $277.68–$1,086.54 $356–$1,393 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $430.56–$1,673.88 $552–$2,146 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $229.32–$596.70 $294–$765 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $368.94–$1,618.50 $473–$2,075 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $277.68–$982.02 $356–$1,259 varies
Skin Full Grft Face/Genit/Hf (15240) $3,870.36 $4,962 1.7×
Skin Pinch Graft (15050) $1,132.56 $1,452 1.4×
Skin sub graft trnk/arm/leg (15271) $3,870.36 $4,962 4.7×
Slitting of prepuce (54001) $3,616.86 $4,637 1.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $251.94–$799.50 $323–$1,025 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $304.98–$1,183.26 $391–$1,517 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $335.40–$1,438.32 $430–$1,844 varies
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $554.58–$833.82 $711–$1,069 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines		 $4,467.06–$7,295.34 $5,727–$9,353 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $235.56–$283.92 $302–$364 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $112.32–$171.60 $144–$220 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $112.32–$145.86 $144–$187 varies
Strapping Hip (29520) $226.20 $290 1.5×
Strapping knee (29530) $226.20 $290 1.5×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $195.78–$226.20 $251–$290 varies
Strapping thorax (29200) $283.92 $364 1.6×
Strapping toes (29550) $112.32 $144 1.7×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $85.80–$283.92 $110–$364 varies
Subconjunctival injection (68200)
range across 2 matching MRF lines		 $471.90–$736.32 $605–$944 varies
Surg tx anal fistula subq (46270) $5,010.72 $6,424 1.6×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $5,010.72 $6,424 1.6×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $4,123.08 $5,286 1.6×
Suture digital nerve hand/foot 1 nerve (64831) $3,505.32 $4,494 1.6×
Suture infrapatellar tendon primary (27380) $12,898.86 $16,537 1.6×
Suture pharynx for wound or injury (42900) $2,706.60 $3,470 1.6×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $3,368.04 $4,318 1.9×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $120.12–$351.78 $154–$451 varies
Temporary Closure Eyelids Suture (67875) $1,701.96 $2,182 1.5×
Tenotomy extensor hand/finger open each tendon (26460) $2,797.08 $3,586 1.6×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,732.38 $2,221 2.2×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $10,022.22 $12,849 1.6×
Thrombolytic Therapy Stroke (37195) $648.96 $832 1.8×
Thrombolytic Venous Therapy (37212) $6,679.92 $8,564 1.9×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,870.36 $4,962 1.7×
Tooth extraction (41899) $466.44 $598 1.8×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $5,513.82 $7,069 1.5×
Tracheobrnchsc Thru Est Trachs Inc (31615) $638.04 $818 1.1×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $735.54–$2,062.32 $943–$2,644 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines		 $735.54–$2,913.30 $943–$3,735 varies
Tracheostomy planned (31600) $6,380.40 $8,180 1.7×
Transrectal Drainage of Pelvic Abscess (45000) $2,111.46 $2,707 1.6×
Treat Ankle Dislocation (27846) $14,834.04 $19,018 1.8×
Treat Big Toe Fracture (28505) $5,804.76 $7,442 1.6×
Treat Dental Ridge Fracture (21440) $6,380.40 $8,180 1.7×
Treat dental ridge fracture (21445) $11,973.78 $15,351 1.8×
Treat Elbow Fracture (24635) $14,834.04 $19,018 1.8×
Treat Finger Fracture Each (26727) $5,804.76 $7,442 1.6×
Treat Fx Rad Extra-Articul (25607) $12,898.86 $16,537 1.6×
Treat Hip Socket Fracture (27222) $511.68 $656 1.9×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $229.32–$2,059.98 $294–$2,641 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $1,315.08–$3,548.22 $1,686–$4,549 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $229.32–$1,974.18 $294–$2,531 varies
Treat knee fracture (27532) $5,804.76 $7,442 1.6×
Treat Knee Fracture(S) (27538) $404.04 $518 1.5×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $229.32–$2,610.66 $294–$3,347 varies
Treat metacarpal fracture (26607) $5,804.76 $7,442 1.6×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $251.94–$1,927.38 $323–$2,471 varies
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $229.32–$916.50 $294–$1,175 varies
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $229.32–$1,566.24 $294–$2,008 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $554.58–$2,147.34 $711–$2,753 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $229.32–$776.10 $294–$995 varies
Treat Vaginal Bleeding (57180) $347.10 $445 1.5×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $2,797.86–$3,261.18 $3,587–$4,181 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $229.32–$3,076.32 $294–$3,944 varies
Treatment mouth roof lesion (42160) $5,548.14 $7,113 1.5×
Treatment of tibia fracture (27756) $14,834.04 $19,018 1.8×
Trim skin lesion (11055) $351.78 $451 1.6×
Trim skin lesions 2 to 4 (11056) $351.78 $451 1.6×
Trim skin lesions over 4 (11057) $351.78 $451 1.6×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $24.96–$112.32 $32–$144 varies
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $3,584.10 $4,595 1.8×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $173.16–$546 $222–$700 varies
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $29,260.14 $37,513 2.1×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 3 matching MRF lines		 $1,008.54–$1,719.90 $1,293–$2,205 varies
Tx Missed Abortion First Trimester Surgical (59820) $5,513.82 $7,069 1.5×
Tx Missed Abortion Second Trimester Surgical (59821) $5,513.82 $7,069 1.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $3,570.84 $4,578 2.0×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $554.58–$799.50 $711–$1,025 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $430.56–$806.52 $552–$1,034 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $1,315.08–$2,207.40 $1,686–$2,830 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $229.32–$1,595.88 $294–$2,046 varies
Unlisted procedure anus (46999) $1,864.20 $2,390 1.8×
Unlisted Procedure Hands/Fingers (26989) $464.88 $596 1.7×
Unlisted Procedure Intestine (44799) $1,851.72 $2,374 1.8×
Unlisted procedure nervous system (64999) $609.96 $782 1.8×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $466.44 $598 1.8×
Unlisted Procedure Rectum (45999) $1,864.20 $2,390 1.8×
Unlisted procedure shoulder (23929) $464.88 $596 1.7×
Unlisted Procedure Vascular Surgery (37799) $120.12 $154 0.2×
Unlisted Procedure, Urinary System (53899) $482.04 $618 1.7×
Unlisted px female genital system nonobstetrical (58999) $399.36 $512 1.8×
Unlisted Px Salivary Glands/Ducts (42699) $405.60 $520 1.5×
Vaginal Delivery After Cesarean Delivery (59612) $6,340.62 $8,129 1.8×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $2,602.86–$6,340.62 $3,337–$8,129 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $739.44 $948 0.3×
Vein Access Cutdown < 1 Yr (36420) $226.20 $290 1.5×
Venous Cutdown >1 Y/O (36425) $736.32 $944 1.5×
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $229.32–$351.78 $294–$451 varies
Wedging of cast (29740) $468 $600 1.5×
Windowing of cast (29730)
range across 2 matching MRF lines		 $140.40–$229.32 $180–$294 varies
Wound Prep F/N/Hf/G (15004) $1,302.60 $1,670 2.9×
Wound Prep Trk/Arm/Leg (15002) $3,870.36 $4,962 4.7×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $2,901.60 $3,720 1.7×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $890.76 $1,142 1.5×

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.