Procedures & surgery prices at Pulaski Memorial Hospital
Winamac, IN · every code in this section with a posted price and a Medicare benchmark.
658 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
$212.03–$1,471.12 | $302.90–$2,101.60 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $178.50 | $255 | 0.2× |
| Acromiopl/Acromionect Partial (23130) | $646.10 | $923 | 0.2× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $569.80 | $814 | 0.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $878.50 | $1,255 | 0.2× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) range across 2 matching MRF lines |
$301–$665 | $430–$950 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $700.70 | $1,001 | 0.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $639.10 | $913 | 0.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $941.43 | $1,344.90 | 0.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$574–$2,467.71 | $820–$3,525.30 | varies |
| Amniocentesis diagnostic (59000) | $978.04 | $1,397.20 | 1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,228.94 | $3,184.20 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$592.20–$1,831.69 | $846–$2,616.70 | varies |
| Amputation metatarsal with toe single (28810) | $406 | $580 | 0.1× |
| Amputation thigh through femur any level (27590) | $947.80 | $1,354 | 0.3× |
| Amputation toe interphalangeal joint (28825) | $507.50 | $725 | 0.1× |
| Amputation toe metatarsophalangeal joint (28820) | $532 | $760 | 0.2× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) | $764.40 | $1,092 | 0.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $617.40 | $882 | 0.2× |
| Anoscopy Ablation Lesion (46615) | $199.50 | $285 | 0.1× |
| Anoscopy Control Bleeding (46614) | $119.70 | $171 | 0.1× |
| Anoscopy diagnostic (46600) | $320.81 | $458.30 | 2.3× |
| Anoscopy W/Rmvl Foreign Body (46608) | $2,168.81 | $3,098.30 | 2.2× |
| Anoscopy; with biopsy, single or multiple (46606) | $54.60 | $78 | 0.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $102.20 | $146 | 0.0× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$596.40 | $852 | 0.1× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $155.26 | $221.80 | 0.9× |
| Application cast elbow finger short arm (29075) | $724.92 | $1,035.60 | 2.4× |
| Application finger splint static (29130) | $152.39 | $217.70 | 1.1× |
| Application long arm splint shoulder hand (29105) | $253.75 | $362.50 | 1.5× |
| Application Long Leg Splint (29505) | $253.75 | $362.50 | 1.5× |
| Application multiplane external fixation system (20692) likely a partial charge, not the full procedure |
$1,043 | $1,490 | 0.1× |
| Application of long leg cast (29345) | $128.10 | $183 | 0.4× |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$163.10–$612.01 | $233–$874.30 | varies |
| Application Short Arm Splint Dynamic (29126) | $311.50 | $445 | 2.2× |
| Application short arm splint forearm-hand static (29125) | $211.40 | $302 | 1.5× |
| Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$561.40 | $802 | 0.1× |
| Apply hand/wrist cast (29085) | $401.45 | $573.50 | 2.3× |
| Apply long arm cast (29065) | $724.92 | $1,035.60 | 2.4× |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$87.50–$526.12 | $125–$751.60 | varies |
| Apply Short Leg Cast (29405) | $724.92 | $1,035.60 | 2.4× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$26.46–$270.69 | $37.80–$386.70 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$73.64–$747.60 | $105.20–$1,068 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,659.98 | $2,371.40 | 2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$89.81–$558.46 | $128.30–$797.80 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$98.70–$747.60 | $141–$1,068 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$58.80–$747.60 | $84–$1,068 | varies |
| Arthrodesis subtalar (28725) likely a partial charge, not the full procedure |
$747.60 | $1,068 | 0.1× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) likely a partial charge, not the full procedure |
$363.30 | $519 | 0.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $852.60 | $1,218 | 0.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $1,087.80 | $1,554 | 0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $732.90 | $1,047 | 0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $724.50 | $1,035 | 0.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $670.60 | $958 | 0.2× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $640.50 | $915 | 0.2× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) | $3,410.96 | $4,872.80 | 1.0× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) | $445.20 | $636 | 0.1× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $633.50 | $905 | 0.2× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $523.60 | $748 | 0.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $1,784.23 | $2,548.90 | 1.0× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $7,844.97 | $11,207.10 | 2.3× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$217.14–$1,871.31 | $310.20–$2,673.30 | varies |
| Aspirate Pleura W/O Imaging (32554) | $761.32 | $1,087.60 | 1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) | $93.10 | $133 | 0.4× |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$164.78–$801.57 | $235.40–$1,145.10 | varies |
| Biopsy muscle percutaneous needle (20206) | $218.40 | $312 | 0.1× |
| Biopsy of breast; open, incisional (19101) | $311.50 | $445 | 0.1× |
| Biopsy of foot joint lining (28052) | $273 | $390 | 0.1× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$174.51–$949.48 | $249.30–$1,356.40 | varies |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) | $431.90 | $617 | 0.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $234.50 | $335 | 0.1× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $1,203.02 | $1,718.60 | 0.4× |
| Biopsy/removal lymph nodes (38510) | $482.30 | $689 | 0.1× |
| Bladder instillation anticarcinogenic agent (51720) | $717.57 | $1,025.10 | 1.0× |
| Bladder Irrigation (51700) | $510.74 | $729.63 | 1.9× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$24.50–$375.83 | $35–$536.90 | varies |
| Blood Transfusion Service (36430) range across 7 matching MRF lines |
$333.41–$2,332.89 | $476.30–$3,332.70 | varies |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$156.10–$666.26 | $223–$951.80 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$305.76–$3,933.51 | $436.80–$5,619.30 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $404.60 | $578 | 0.1× |
| Bx/exc lymph node open superficial (38500) | $305.90 | $437 | 0.1× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$398.30–$1,854.09 | $569–$2,648.70 | varies |
| Cataract surgery complex (66982) | $913.50 | $1,305 | 0.4× |
| Change Cystostomy Tube Complicated (51710) | $1,401.69 | $2,002.41 | 1.9× |
| Change Cystostomy Tube Simple (51705) | $510.74 | $729.63 | 1.9× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$74.20–$445.76 | $106–$636.80 | varies |
| Chemodenerv trunk musc 1-5 (64646) range across 2 matching MRF lines |
$142.10–$1,526.63 | $203–$2,180.90 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$203.70–$869.33 | $291–$1,241.90 | varies |
| Circumcision 28 days or older (54161) | $883.82 | $1,262.60 | 0.4× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$192.50–$274.12 | $275–$391.60 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $4,123.84 | $5,891.20 | 2.4× |
| Claviculectomy partial (23120) | $577.50 | $825 | 0.2× |
| Clear outer ear canal (69200) | $38.50 | $55 | 0.3× |
| Closed Rx Spontaneous Hip Disloc (27256) | $656.53 | $937.90 | 2.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $4,123.84 | $5,891.20 | 2.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $656.53 | $937.90 | 2.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $620.90 | $887 | 2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $656.53 | $937.90 | 2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $4,123.84 | $5,891.20 | 2.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $620.90 | $887 | 2.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $503.75 | $719.64 | 1.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $503.75 | $719.64 | 1.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $620.90 | $887 | 2.4× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $3,360.86 | $4,801.23 | 2.0× |
| Closed tx knee dislocation w/o anesthesia (27550) | $656.53 | $937.90 | 2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $204.40 | $292 | 0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) | $503.75 | $719.64 | 1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $656.53 | $937.90 | 2.5× |
| Closed tx radial head/neck fx w/manipulation (24655) | $4,123.84 | $5,891.20 | 2.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $620.90 | $887 | 2.4× |
| Closed tx radial shaft fracture w/manipulation (25505) | $4,123.84 | $5,891.20 | 2.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $620.90 | $887 | 2.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $4,123.84 | $5,891.20 | 2.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $637.77 | $911.10 | 2.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $4,123.84 | $5,891.20 | 2.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $620.90 | $887 | 2.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $242.20 | $346 | 0.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $592.27 | $846.10 | 0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $620.90 | $887 | 2.4× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $503.75 | $719.64 | 1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$3,360.86–$4,004.07 | $4,801.23–$5,720.10 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $592.27 | $846.10 | 2.3× |
| Clsr Lacrimal Punctum Plug Each (68761) range across 2 matching MRF lines |
$210–$648.69 | $300–$926.70 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$3,360.86–$4,004.07 | $4,801.23–$5,720.10 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $656.53 | $937.90 | 2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $637.77 | $911.10 | 2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $656.53 | $937.90 | 2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $620.90 | $887 | 2.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $637.77 | $911.10 | 2.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $620.90 | $887 | 2.4× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $656.53 | $937.90 | 2.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $620.90 | $887 | 2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $656.53 | $937.90 | 2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $620.90 | $887 | 2.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $620.90 | $887 | 2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $656.53 | $937.90 | 2.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $557.72 | $796.74 | 1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $656.53 | $937.90 | 2.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $557.72 | $796.74 | 1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $656.53 | $937.90 | 2.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx Medial Ankle Fx (27760) | $620.90 | $887 | 2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $296.80 | $424 | 1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $270.20 | $386 | 1.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $3,360.86 | $4,801.23 | 2.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $3,360.86 | $4,801.23 | 2.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $656.53 | $937.90 | 2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $620.90 | $887 | 2.4× |
| Cltx post hip arthrp dislc req anes (27266) | $3,360.86 | $4,801.23 | 2.0× |
| Cltx post hip arthrp dislc w/o anes (27265) | $656.53 | $937.90 | 2.5× |
| Cltx prox fibula/shft fx w/manj (27781) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx prox fibula/shft fx w/o manj (27780) | $620.90 | $887 | 2.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $592.27 | $846.10 | 2.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $425.32 | $607.60 | 0.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $620.90 | $887 | 2.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $620.90 | $887 | 2.4× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $7,845.81 | $11,208.30 | 2.3× |
| Cltx tibial shaft fx w/o manipulation (27750) | $620.90 | $887 | 2.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $4,123.84 | $5,891.20 | 2.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $620.90 | $887 | 2.4× |
| Collect Blood From Catheter Venous Nos (36592) | $119.49 | $170.70 | 0.8× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$15.05–$26.74 | $21.50–$38.20 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $364 | $520 | 0.3× |
| Colonoscopy thru stoma (44388) | $325.50 | $465 | 0.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $458.50 | $655 | 0.4× |
| Colonoscopy w/ablation (45388) | $625.10 | $893 | 0.5× |
| Colonoscopy W/Band Ligation (45398) | $231 | $330 | 0.2× |
| Colonoscopy w/submucosal inj (45381) | $429.10 | $613 | 0.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $555.80 | $794 | 0.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$428.40–$1,750.07 | $612–$2,500.10 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$225.40–$5,886.23 | $322–$8,408.90 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $320.81 | $458.30 | 2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $338.52 | $483.60 | 2.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,622.85 | $5,175.50 | 2.1× |
| Correction hammertoe (28285) | $504 | $720 | 0.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $534.80 | $764 | 0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $761.32 | $1,087.60 | 5.4× |
| Curette/treat cornea (65435) | $2,469.53 | $3,527.90 | 2.3× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $5,420.24 | $7,743.20 | 1.0× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) likely a partial charge, not the full procedure |
$816.20 | $1,166 | 0.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $450.10 | $643 | 0.6× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $483 | $690 | 0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$211.40–$1,300.25 | $302–$1,857.50 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$32.20–$138.18 | $46–$197.40 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$42.70–$138.18 | $61–$197.40 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$292.60–$3,493 | $418–$4,990 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$109.20–$858.13 | $156–$1,225.90 | varies |
| Declot vascular device (36593) | $489.09 | $698.70 | 1.4× |
| Decompress Fingers/Hand (26035) | $795.20 | $1,136 | 0.2× |
| Delivery of placenta (59414) | $6,943.09 | $9,918.70 | 2.0× |
| Destroy cerv/thor facet jnt (64633) | $441.70 | $631 | 0.2× |
| Destroy lumb/sac facet jnt (64635) | $434 | $620 | 0.2× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$102.20–$133.63 | $146–$190.90 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) | $325.50 | $465 | 0.2× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$74.20–$118.65 | $106–$169.50 | varies |
| Diagnostic sigmoidoscopy (45330) | $127.40 | $182 | 0.1× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $159.60 | $228 | 0.1× |
| Drain Hand Tendon Sheath (26020) | $474.60 | $678 | 0.1× |
| Drain/inj small joint/bursa w/us (20604) | $747.60 | $1,068 | 2.3× |
| Drainage Finger Abscess Complicated (26011) | $510.74 | $729.63 | 0.3× |
| Drainage of finger abscess simple (26010) | $242.90 | $347 | 1.1× |
| Drainage of gum lesion (41800) | $268.31 | $383.30 | 1.9× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$151.20–$3,493 | $216–$4,990 | varies |
| Drainage of scrotal wall abscess (55100) | $4,118.24 | $5,883.20 | 2.4× |
| Draw Blood Off Venous Device (36591) | $220.50 | $315 | 1.6× |
| Dressing Change Under Anesthesia (15852) | $74.34 | $106.20 | 0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$172.90–$858.13 | $247–$1,225.90 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$137.90–$609 | $197–$870 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$84–$445.76 | $120–$636.80 | varies |
| Dstrj lesion anus simple surg excision (46922) | $247.10 | $353 | 0.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$331.10–$1,962.45 | $473–$2,803.50 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$6,250.72 | $193–$8,929.60 | 2.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$171.01–$1,576.75 | $244.30–$2,252.50 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $995.40 | $1,422 | 0.5× |
| Egd control bleeding any (43255) | $401.80 | $574 | 0.2× |
| Egd dilation gastric/duodenal stricture (43245) | $569.10 | $813 | 0.3× |
| Egd Endoscopic Stent Place (43266) likely a partial charge, not the full procedure |
$226.80 | $324 | 0.0× |
| Egd Flexible Foreign Body Removal (43247) | $378.70 | $541 | 0.4× |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$200.90–$2,345.07 | $287–$3,350.10 | varies |
| Egd remove lesion snare (43251) | $466.20 | $666 | 0.2× |
| Egd Tube/Cath Insertion (43241) | $187.60 | $268 | 0.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) range across 2 matching MRF lines |
$42–$44.10 | $60–$63 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$132.30–$661.50 | $189–$945 | varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $65.10 | $93 | 0.2× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $1,397.20 | $1,996 | 0.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) range across 2 matching MRF lines |
$766.50–$4,252.15 | $1,095–$6,074.50 | varies |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$753.90–$4,252.15 | $1,077–$6,074.50 | varies |
| Epidural Blood Patch (62273) | $1,611.54 | $2,302.20 | 2.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $623.70 | $891 | 0.2× |
| Escharotomy; initial incision (16035) | $732.55 | $1,046.50 | 1.7× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $210 | $300 | 0.1× |
| Evacuation of subungual hematoma (11740) | $169.26 | $241.80 | 1.2× |
| Exc abdl tum deep 5 cm/> (22901) | $667.59 | $953.70 | 0.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $146.30 | $209 | 0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $186.90 | $267 | 0.1× |
| Exc Back Les Sc < 3 Cm (21930) | $434.70 | $621 | 0.2× |
| Exc Back Tum Deep 5 Cm/> (21933) | $732.20 | $1,046 | 0.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $501.90 | $717 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $219.10 | $313 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$249.20–$762.23 | $356–$1,088.90 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$362.60–$1,193.71 | $518–$1,705.30 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $358.47 | $512.10 | 0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$125.30–$1,566.81 | $179–$2,238.30 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $155.40 | $222 | 0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $173.60 | $248 | 0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$205.80–$849.94 | $294–$1,214.20 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$259–$872.13 | $370–$1,245.90 | varies |
| Exc ganglion wrist recurrent (25112) range across 2 matching MRF lines |
$395.50–$1,401.33 | $565–$2,001.90 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $113.40 | $162 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $145.60 | $208 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $161.70 | $231 | 0.1× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $560.70 | $801 | 0.2× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $642.60 | $918 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $176.40 | $252 | 0.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $215.60 | $308 | 0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$306.60–$934.50 | $438–$1,335 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $287 | $410 | 0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) | $359.80 | $514 | 0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $276.50 | $395 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $375.20 | $536 | 0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$413–$922.46 | $590–$1,317.80 | varies |
| Exc tendon shth lesion leg/ankle (27630) | $1,818.25 | $2,597.50 | 0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) | $411.60 | $588 | 0.1× |
| Exc thigh/knee tum dep 5cm/> (27339) | $742 | $1,060 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $171.50 | $245 | 0.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $176.40 | $252 | 0.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $165.20 | $236 | 0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $199.50 | $285 | 0.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $1,889.44 | $2,699.20 | 1.1× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $683.90 | $977 | 0.2× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $399.70 | $571 | 0.1× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $437.50 | $625 | 0.3× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $662.90 | $947 | 0.2× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $724.50 | $1,035 | 0.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $431.90 | $617 | 0.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $399 | $570 | 0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$259.70–$670.53 | $371–$957.90 | varies |
| Excision Chalazion Single (67800) range across 2 matching MRF lines |
$170.80–$648.69 | $244–$926.70 | varies |
| Excision External Ear Partial Simple Repair (69110) range across 2 matching MRF lines |
$320.60–$922.46 | $458–$1,317.80 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$210.70–$560.63 | $301–$800.90 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$226.80–$602.21 | $324–$860.30 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$289.80–$729.54 | $414–$1,042.20 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$184.10–$514.71 | $263–$735.30 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$294.70–$1,017.52 | $421–$1,453.60 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $475.30 | $679 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $178.50 | $255 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $211.40 | $302 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $235.90 | $337 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$310.80–$924.21 | $444–$1,320.30 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $252.70 | $361 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$318.50–$1,143.59 | $455–$1,633.70 | varies |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$357–$1,733.62 | $510–$2,476.60 | varies |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) likely a partial charge, not the full procedure |
$1,220.80 | $1,744 | 0.2× |
| Excision of single external papilla or tag, anus (46220) | $191.10 | $273 | 0.2× |
| Excision of vaginal cyst or tumor (57135) | $190.40 | $272 | 0.1× |
| Excision olecranon bursa (24105) | $1,149.33 | $1,641.90 | 0.3× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $636.30 | $909 | 0.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$523.60–$1,617.98 | $748–$2,311.40 | varies |
| Excision spermatocele w/wo epididymectomy (54840) | $343 | $490 | 0.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $410.20 | $586 | 0.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $422.10 | $603 | 0.2× |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) | $854 | $1,220 | 0.2× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) | $3,431.82 | $4,902.60 | 0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $406 | $580 | 0.1× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $429.80 | $614 | 0.2× |
| Explo/Drain Breast Abscess (19020) | $308 | $440 | 0.2× |
| Exploration of knee joint (27310) | $785.40 | $1,122 | 0.2× |
| Exploration penetrating wound spx extremity (20103) | $1,718.15 | $2,454.50 | 1.0× |
| Explore/Treat Elbow Joint (24101) range across 2 matching MRF lines |
$590.10–$2,788.31 | $843–$3,983.30 | varies |
| Explore/Treat Hand Joint (26070) | $393.40 | $562 | 0.2× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $5,665.80 | $8,094 | 2.3× |
| Fasciotomy, foot and/or toe (28008) | $407.40 | $582 | 0.1× |
| Fetal Contraction Stress Test (59020) range across 2 matching MRF lines |
$247.87–$637.07 | $354.10–$910.10 | varies |
| Fetal non-stress test (59025) | $428.68 | $612.40 | 2.0× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$109.55–$138.60 | $156.50–$198 | varies |
| Foreskin manipulation (54450) | $510.74 | $729.63 | 1.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $535.50 | $765 | 0.2× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $1,262.10 | $1,803 | 0.3× |
| Guide Cathet Fluid Drainage (10030) | $630 | $900 | 0.8× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $468.30 | $669 | 0.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $427.70 | $611 | 0.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$534.80–$1,988.98 | $764–$2,841.40 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $250.60 | $358 | 0.3× |
| Hysteroscopy Biopsy (58558) | $367.50 | $525 | 0.1× |
| Hysteroscopy Endometrial Ablation (58563) likely a partial charge, not the full procedure |
$1,505 | $2,150 | 0.3× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $380.80 | $544 | 0.1× |
| I&d abscess peritonsillar (42700) | $487.66 | $696.66 | 1.9× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$109.90–$445.76 | $157–$636.80 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $1,302.07 | $1,860.10 | 0.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $609.70 | $871 | 0.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $978.74 | $1,398.20 | 0.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $482.30 | $689 | 0.1× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $445.20 | $636 | 0.2× |
| I&d perianal abscess superficial (46050) | $70 | $100 | 0.1× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$247.80–$1,544.90 | $354–$2,207 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$165.20–$1,544.90 | $236–$2,207 | varies |
| Implant neuroelectrodes (63650) likely a partial charge, not the full procedure |
$1,108.80 | $1,584 | 0.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$228.20 | $326 | 0.0× |
| Incise external hemorrhoid (46083) | $163.80 | $234 | 0.6× |
| Incise finger tendon sheath (26055) | $308 | $440 | 0.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$191.80–$858.13 | $274–$1,225.90 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$406–$2,191.77 | $580–$3,131.10 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$252–$3,493 | $360–$4,990 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$144.90–$858.13 | $207–$1,225.90 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $490.98 | $701.40 | 2.3× |
| Incision and drainage of vulva or perineal abscess (56405) | $102.90 | $147 | 0.3× |
| Incision extensor tendon sheath wrist (25000) | $341.60 | $488 | 0.2× |
| Incision of hip tendon (27001) | $501.20 | $716 | 0.1× |
| Incision of lingual frenum (frenotomy) (41010) | $324.10 | $463 | 0.2× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$494.20–$1,235.22 | $706–$1,764.60 | varies |
| Incision&drainage bursa foot (28001) | $263.90 | $377 | 0.2× |
| Incisional biopsy eyelid skin & lid margin (67810) | $57.40 | $82 | 0.2× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$123.20–$1,300.25 | $176–$1,857.50 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $169.26 | $241.80 | 0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $165.20 | $236 | 0.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $119 | $170 | 0.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$66.50–$175.70 | $95–$251 | varies |
| Injection anesthetic agent suprascapular nerve (64418) | $188.30 | $269 | 0.3× |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$64.40–$610.82 | $92–$872.60 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$70–$619.50 | $100–$885 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$73.50–$456.96 | $105–$652.80 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$77–$747.60 | $110–$1,068 | varies |
| Injection therapeutic carpal tunnel (20526) | $73.50 | $105 | 0.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $73.50 | $105 | 0.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $96.60 | $138 | 0.1× |
| Insert Bladder Cath Complex (51703) | $121.80 | $174 | 0.9× |
| Insert cath pleura w/o image (32556) | $508.20 | $726 | 0.3× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$218.40–$514.71 | $312–$735.30 | varies |
| Insert Temp Bladder Cath (51702) | $21 | $30 | 0.1× |
| Insert tun ip cath perc (49418) | $1,308.30 | $1,869 | 0.3× |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$273–$2,120.86 | $390–$3,029.80 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $287.77 | $411.10 | 2.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$165.90–$3,242.75 | $237–$4,632.50 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $2,837.94 | $4,054.20 | 0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $1,192.80 | $1,704 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$203.56–$1,308.51 | $290.80–$1,869.30 | varies |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) likely a partial charge, not the full procedure |
$427.70 | $611 | 0.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$564.20–$1,886.36 | $806–$2,694.80 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$551.60 | $788 | 0.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,667.54 | $2,382.20 | 3.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $2,123.17 | $3,033.10 | 4.9× |
| Intubation endotracheal emergency procedure (31500) | $106.40 | $152 | 0.4× |
| Iridotomy/irridectomy laser surg per session (66761) range across 2 matching MRF lines |
$448–$1,294.51 | $640–$1,849.30 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $510.74 | $729.63 | 1.9× |
| Lap paraesophag hern repair (43281) likely a partial charge, not the full procedure |
$1,552.60 | $2,218 | 0.1× |
| Laparo ligate spermatic vein (55550) likely a partial charge, not the full procedure |
$428.40 | $612 | 0.1× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$1,220.10 | $1,743 | 0.1× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$411.60 | $588 | 0.1× |
| Laparoscopy Enterolysis Separate Procedure (44180) likely a partial charge, not the full procedure |
$855.40 | $1,222 | 0.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$501.90–$2,475.20 | $717–$3,536 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$605.50–$3,428.95 | $865–$4,898.50 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$558.60–$2,297.19 | $798–$3,281.70 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) likely a partial charge, not the full procedure |
$823.20 | $1,176 | 0.1× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$935.20–$4,065.04 | $1,336–$5,807.20 | varies |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$1,031.80 | $1,474 | 0.1× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) likely a partial charge, not the full procedure |
$607.60 | $868 | 0.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$642.60–$2,616.18 | $918–$3,737.40 | varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) unusually low: confirm this is the full procedure |
$2,015.51 | $2,879.30 | 0.3× |
| Laparoscopy, Tubal Block (58671) range across 2 matching MRF lines |
$392.70–$2,086.70 | $561–$2,981 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$371.70 | $531 | 0.1× |
| Laryngoscopy W/Biopsy (31535) | $1,115.31 | $1,593.30 | 0.3× |
| Laryngoscopy W/Foreign Body Removal (31530) | $255.50 | $365 | 0.1× |
| Laser vaporization of prostate (52648) | $13,550.74 | $19,358.20 | 2.4× |
| Late closure of wound (13160) | $750.40 | $1,072 | 0.2× |
| Ligate leg veins open (37761) | $525 | $750 | 0.2× |
| Ligation Major Artery Abdomen (37617) likely a partial charge, not the full procedure |
$1,262.10 | $1,803 | 0.2× |
| Ligation or biopsy temporal artery (37609) | $287.70 | $411 | 0.2× |
| Lithotripsy, extracorporeal shock wave (50590) | $4,304.23 | $6,148.90 | 1.2× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $212.10 | $303 | 0.1× |
| Marsupialization of bartholin's gland cyst (56440) | $1,134.70 | $1,621 | 0.3× |
| Mast mod rad (19307) likely a partial charge, not the full procedure |
$1,102.50 | $1,575 | 0.2× |
| Mastectomy partial (19301) range across 3 matching MRF lines |
$603.40–$3,887.10 | $862–$5,553 | varies |
| Mastectomy simple complete (19303) likely a partial charge, not the full procedure |
$826 | $1,180 | 0.1× |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) range across 2 matching MRF lines |
$291.20–$1,734.67 | $416–$2,478.10 | varies |
| N Block Lumbar/Thoracic (64520) | $140 | $200 | 0.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $978.74 | $1,398.20 | 2.1× |
| Needle Biopsy Pancreas (48102) | $469.21 | $670.30 | 0.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $548.80 | $784 | 0.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $916.37 | $1,309.10 | 2.2× |
| Njx anes stellate ganglion crv sympathetic (64510) | $112 | $160 | 0.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $747.60 | $1,068 | 2.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $149.10 | $213 | 0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $91 | $130 | 0.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$82.60–$86.10 | $118–$123 | varies |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) range across 2 matching MRF lines |
$1,250.20–$4,252.15 | $1,786–$6,074.50 | varies |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) range across 2 matching MRF lines |
$1,304.80–$4,252.15 | $1,864–$6,074.50 | varies |
| Occipital Nerve Block (64405) | $136.50 | $195 | 0.4× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$735 | $1,050 | 0.1× |
| Open Repair of Rotator Cuff Acute (23410) likely a partial charge, not the full procedure |
$1,002.40 | $1,432 | 0.1× |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) likely a partial charge, not the full procedure |
$1,362.20 | $1,946 | 0.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $745.08 | $1,064.40 | 0.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,304.10 | $1,863 | 0.2× |
| Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$733.60 | $1,048 | 0.1× |
| Orchiectomy radical tumor inguinal approach (54530) | $553.70 | $791 | 0.1× |
| Partial Excision Distal Phalanx Finger (26236) | $504 | $720 | 0.3× |
| Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$761.60 | $1,088 | 0.1× |
| Partical Excision Bone Phalanx Toe (28124) | $383.60 | $548 | 0.1× |
| Penile Injection (54235) | $510.74 | $729.63 | 1.9× |
| Percut Drain/Inject Renal Cyst (50390) range across 4 matching MRF lines |
$204.82–$852.67 | $292.60–$1,218.10 | varies |
| Peri-Implant Capsulectomy Breast Complete (19371) | $714 | $1,020 | 0.2× |
| Pericardiocentesis W/Imaging (33016) | $3,262.22 | $4,660.32 | 2.0× |
| Peritoneal Lavage (49084) | $2,271.22 | $3,244.60 | 2.4× |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$167.58–$1,676.57 | $239.40–$2,395.10 | varies |
| Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$196.56–$1,637.86 | $280.80–$2,339.80 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $613.90 | $877 | 0.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) likely a partial charge, not the full procedure |
$538.30 | $769 | 0.1× |
| Phleb Veins - Extrem 20+ (37766) | $723.10 | $1,033 | 0.2× |
| Placement of needle for intraosseous infusion (36680) | $338.52 | $483.60 | 0.7× |
| Placement of seton (46020) | $256.20 | $366 | 0.1× |
| Probing nasolacrimal duct (68810) range across 2 matching MRF lines |
$207.20–$648.69 | $296–$926.70 | varies |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) | $227.50 | $325 | 0.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $58.80 | $84 | 0.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) likely a partial charge, not the full procedure |
$255.50 | $365 | 0.0× |
| Prq skel fixj femoral fx prox end neck (27235) likely a partial charge, not the full procedure |
$1,009.40 | $1,442 | 0.1× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$101.50–$858.13 | $145–$1,225.90 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$121.10–$858.13 | $173–$1,225.90 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$92.26–$524.58 | $131.80–$749.40 | varies |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) | $1,267 | $1,810 | 0.4× |
| Release of big toe (28240) | $5.96 | $8.52 | 0.0× |
| Removal Embedded Foreign Body Eyelid (67938) | $372.33 | $531.90 | 1.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $6,895.77 | $9,851.10 | 2.2× |
| Removal Foreign Body Foot Complicated (28193) | $4,118.24 | $5,883.20 | 2.4× |
| Removal foreign body foot deep (28192) | $308 | $440 | 0.2× |
| Removal Foreign Body Foot Subcutaneous (28190) | $241.50 | $345 | 0.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $8,080.87 | $11,544.10 | 2.3× |
| Removal foreign body upper arm/elbow deep (24201) | $7,102.34 | $10,146.20 | 2.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$25.90–$138.18 | $37–$197.40 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$62.30–$138.18 | $89–$197.40 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $150.50 | $215 | 0.0× |
| Removal Implant Deep (20680) | $569.80 | $814 | 0.2× |
| Removal of foreign body from pharynx (42809) | $1,069.18 | $1,527.40 | 2.3× |
| Removal of infusion pump (36262) | $269.50 | $385 | 0.1× |
| Removal of mammary implant material (19330) | $511 | $730 | 0.1× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$207.20–$858.13 | $296–$1,225.90 | varies |
| Removal of sperm cord lesion (55520) | $420.70 | $601 | 0.1× |
| Removal of tonsils (42826) | $286.30 | $409 | 0.1× |
| Removal shoulder foreign body deep subfascial/im (23333) | $423.50 | $605 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$82.60–$104.09 | $118–$148.70 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) range across 2 matching MRF lines |
$92.40–$133.63 | $132–$190.90 | varies |
| Removal, under anesthesia, of external fixation system (20694) | $392.70 | $561 | 0.2× |
| Remove drug implant device (11982) | $166.60 | $238 | 0.4× |
| Remove elbow lesion (24120) | $1,908.62 | $2,726.60 | 0.6× |
| Remove Forearm Foreign Body (25248) | $1,683.29 | $2,404.70 | 1.0× |
| Remove foreign body from eye (65205) | $148.40 | $212 | 1.1× |
| Remove Intrauterine Device (58301) | $114.10 | $163 | 0.4× |
| Remove lung catheter (32552) | $175 | $250 | 0.3× |
| Remove Nasal Foreign Body (30300) | $320.81 | $458.30 | 2.3× |
| Remove Shoulder Foreign Body (23330) | $1,750.07 | $2,500.10 | 1.0× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$524.30–$1,319.99 | $749–$1,885.70 | varies |
| Renal Biopsy Perq (50200) range across 4 matching MRF lines |
$275.31–$1,209.04 | $393.30–$1,727.20 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $759.78 | $1,085.40 | 1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $464.80 | $664 | 0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $353.50 | $505 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$436.80–$1,395.87 | $624–$1,994.10 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $989.10 | $1,413 | 2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $389.90 | $557 | 0.9× |
| Repair complex trunk 1.1-2.5 cm (13100) | $626.50 | $895 | 0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) | $361.90 | $517 | 0.5× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$645.40–$2,037.70 | $922–$2,911 | varies |
| Repair Finger Tendon (26433) | $1,935.57 | $2,765.10 | 0.6× |
| Repair Hallux Rigidus (28289) | $413 | $590 | 0.1× |
| Repair Hand Tendon (26410) | $4,123.84 | $5,891.20 | 2.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $585.90 | $837 | 0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$569.10–$2,334.36 | $813–$3,334.80 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $236.60 | $338 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $270.20 | $386 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $317.10 | $453 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $337.40 | $482 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $399 | $570 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,031.31 | $1,473.30 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$221.90–$637.77 | $317–$911.10 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $266 | $380 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $789.25 | $1,127.50 | 1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,708.21 | $2,440.30 | 0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $925.68 | $1,322.40 | 2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $217.70 | $311 | 0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $277.20 | $396 | 0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,197.35 | $1,710.50 | 1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $284.90 | $407 | 0.7× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$210.70–$408.17 | $301–$583.10 | varies |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) likely a partial charge, not the full procedure |
$995.40 | $1,422 | 0.1× |
| Repair of shoulder (23420) likely a partial charge, not the full procedure |
$1,142.40 | $1,632 | 0.1× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) likely a partial charge, not the full procedure |
$663.60 | $948 | 0.1× |
| Repair Rotator Cuff Chronic (23412) likely a partial charge, not the full procedure |
$1,100.40 | $1,572 | 0.1× |
| Repair tongue laceration (41252) | $1,404.90 | $2,007 | 5.6× |
| Repair tongue laceration (41250) | $320.81 | $458.30 | 0.7× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) likely a partial charge, not the full procedure |
$584.50 | $835 | 0.1× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$589.40 | $842 | 0.1× |
| Reposition Venous Catheter (36597) | $119.70 | $171 | 0.1× |
| Rerepair ing hernia reduce (49520) | $586.60 | $838 | 0.2× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | $980.70 | $1,401 | 0.3× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) likely a partial charge, not the full procedure |
$1,311.10 | $1,873 | 0.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $432.60 | $618 | 0.1× |
| Rmvl embedded fb vestibule mouth comp (40805) | $1,404.90 | $2,007 | 2.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $2,271.22 | $3,244.60 | 2.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $97.30 | $139 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $1,008.14 | $1,440.20 | 2.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$75.60–$284.48 | $108–$406.40 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $1,008.14 | $1,440.20 | 2.1× |
| Rmvl fecal impaction/fb spx under anes (45915) | $308 | $440 | 0.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $441.70 | $631 | 0.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $4,118.24 | $5,883.20 | 1.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $4,118.24 | $5,883.20 | 2.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$272.30–$1,147.93 | $389–$1,639.90 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $999.81 | $1,428.30 | 1.5× |
| Rplc Gtube No Revj Trc (43762) | $36.40 | $52 | 0.1× |
| Rplc gtube revj gstrst trc (43763) | $67.20 | $96 | 0.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) likely a partial charge, not the full procedure |
$570.50 | $815 | 0.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $261.80 | $374 | 0.1× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) likely a partial charge, not the full procedure |
$589.40 | $842 | 0.1× |
| Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$489.30 | $699 | 0.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) likely a partial charge, not the full procedure |
$437.50 | $625 | 0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $322.70 | $461 | 0.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$438.20 | $626 | 0.1× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$364 | $520 | 0.1× |
| Rpr blood vessel direct lower extremity (35226) | $409.50 | $585 | 0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $881.86 | $1,259.80 | 4.2× |
| Rpr ing hernia init reduce (49500) likely a partial charge, not the full procedure |
$380.80 | $544 | 0.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,334.06 | $1,905.80 | 1.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $545.37 | $779.10 | 2.2× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $294.70 | $421 | 0.2× |
| Shave skin lesion 0.5 cm/< (11300) | $89.60 | $128 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $104.30 | $149 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $171.50 | $245 | 0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $102.90 | $147 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $147.70 | $211 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $111.30 | $159 | 0.5× |
| Sigmoidoscopy & Polypectomy (45333) | $129.50 | $185 | 0.1× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $105 | $150 | 0.1× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $110.60 | $158 | 0.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $151.20 | $216 | 0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,088.29 | $1,554.70 | 2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $116.90 | $167 | 0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $607.46 | $867.80 | 2.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $2,178.47 | $3,112.10 | 5.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $697.13 | $995.90 | 3.3× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $2,603.02 | $3,718.60 | 12.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $84 | $120 | 0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $976.22 | $1,394.60 | 4.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $123.20 | $176 | 0.6× |
| Skin Full Grft Face/Genit/Hf (15240) | $683.20 | $976 | 0.3× |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$140.70–$2,203.04 | $201–$3,147.20 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 4 matching MRF lines |
$126–$2,203.04 | $180–$3,147.20 | varies |
| Skin sub grft t/arm/lg child (15273) | $2,203.04 | $3,147.20 | 1.0× |
| Skin Tissue Procedure (17999) | $649.25 | $927.50 | 3.1× |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$298.90–$2,203.04 | $427–$3,147.20 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $229.88 | $328.40 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $465.29 | $664.70 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $795.55 | $1,136.50 | 1.8× |
| Sperm washing artificial insemination (58323) | $82.25 | $117.50 | 0.4× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$423.01–$1,611.54 | $604.30–$2,302.20 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $783.30 | $1,119 | 0.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $788.90 | $1,127 | 0.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $609 | $870 | 0.2× |
| Strapping ankle (29540) | $125.16 | $178.80 | 0.7× |
| Strapping elbow or wrist (29260) | $125.16 | $178.80 | 2.0× |
| Strapping hand/finger (29280) | $125.16 | $178.80 | 2.0× |
| Strapping Hip (29520) | $125.16 | $178.80 | 0.9× |
| Strapping knee (29530) | $125.16 | $178.80 | 0.9× |
| Strapping shoulder (29240) | $125.16 | $178.80 | 0.9× |
| Strapping thorax (29200) | $125.16 | $178.80 | 0.7× |
| Strapping toes (29550) | $125.16 | $178.80 | 2.0× |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$50.40–$526.12 | $72–$751.60 | varies |
| Surg tx anal fistula subq (46270) | $469.70 | $671 | 0.2× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$95.90–$445.76 | $137–$636.80 | varies |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $774.90 | $1,107 | 0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 3 matching MRF lines |
$171.50–$3,486.56 | $245–$4,980.80 | varies |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) likely a partial charge, not the full procedure |
$394.80 | $564 | 0.0× |
| Thrombolytic Therapy Stroke (37195) | $930.58 | $1,329.40 | 2.7× |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$152.32–$741.16 | $217.60–$1,058.80 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $714.70 | $1,021 | 0.3× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,024.40 | $2,892 | 0.1× |
| Trabeculoplasty by laser surgery (65855) range across 2 matching MRF lines |
$395.50–$1,294.51 | $565–$1,849.30 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $266 | $380 | 1.1× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$689.50 | $985 | 0.1× |
| Treat humerus fracture (24500) | $620.90 | $887 | 2.4× |
| Treat humerus fracture (23600) | $620.90 | $887 | 2.4× |
| Treat knee fracture (27532) | $570.50 | $815 | 0.2× |
| Treat Knuckle Dislocation (26700) | $656.53 | $937.90 | 2.5× |
| Treat metacarpal fracture (26607) | $4,004.07 | $5,720.10 | 1.2× |
| Treat Metatarsal Fracture (28475) | $656.53 | $937.90 | 2.5× |
| Treat toe dislocation (28630) | $656.53 | $937.90 | 2.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$3,360.86–$3,790.85 | $4,801.23–$5,415.50 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $592.27 | $846.10 | 2.3× |
| Treatment of foot infection (28003) | $1,112.44 | $1,589.20 | 0.3× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) likely a partial charge, not the full procedure |
$1,276.80 | $1,824 | 0.2× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$54.60–$445.76 | $78–$636.80 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$56–$445.76 | $80–$636.80 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$62.30–$445.76 | $89–$636.80 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$16.80–$138.18 | $24–$197.40 | varies |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $460.60 | $658 | 0.2× |
| Tx Gastro Intub W/Asp (43753) | $23.10 | $33 | 0.1× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $306.60 | $438 | 0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) | $350.70 | $501 | 0.1× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $367.50 | $525 | 0.1× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $366.10 | $523 | 0.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $3,781.75 | $5,402.50 | 2.2× |
| Unlisted laparoscopic procedure liver (47379) likely a partial charge, not the full procedure |
$630 | $900 | 0.1× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) likely a partial charge, not the full procedure |
$466.20 | $666 | 0.1× |
| Unlisted laparoscopy procedure, biliary tract (47579) likely a partial charge, not the full procedure |
$1,018.50 | $1,455 | 0.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$534.80 | $764 | 0.1× |
| Unlisted Procedure Casting/Strapping (29799) | $125.16 | $178.80 | 0.7× |
| Unlisted procedure nervous system (64999) | $311.50 | $445 | 1.0× |
| Unlisted procedure pelvis/hip joint (27299) | $933.10 | $1,333 | 3.6× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,968.88 | $2,812.68 | 2.1× |
| Vaginal delivery only (59409) | $6,943.09 | $9,918.70 | 2.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$612.50–$883.82 | $875–$1,262.60 | varies |
| Vein Access Cutdown < 1 Yr (36420) | $170.87 | $244.10 | 1.2× |
| Venous Cutdown >1 Y/O (36425) | $1,008.14 | $1,440.20 | 2.1× |
| Wedge excision skin nail fold (11765) | $921.48 | $1,316.40 | 2.1× |
| Wound Prep F/N/Hf/G (15004) | $372.40 | $532 | 0.9× |
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.