Procedures & surgery prices at Republic County Hospital
Belleville, KS · every code in this section with a posted price and a Medicare benchmark.
618 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 |
$120–$792 | $160–$1,056 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$82.50–$623.25 | $110–$831 | varies |
| Acne surgery (10040) range across 2 matching MRF lines |
$135–$285.75 | $180–$381 | varies |
| Acromiopl/Acromionect Partial (23130) range across 2 matching MRF lines |
$748.50–$936 | $998–$1,248 | varies |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $2,859.75 | $3,813 | 0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$562.50–$1,575 | $750–$2,100 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) range across 2 matching MRF lines |
$825–$1,953.75 | $1,100–$2,605 | varies |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$637.50–$2,625 | $850–$3,500 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,036.87 | $2,715.83 | 0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,968.75 | $2,625 | 0.7× |
| Amputation foot transmetarsal (28805) | $9,843.75 | $13,125 | 3.3× |
| Amputation metatarsal with toe single (28810) | $4,814.25 | $6,419 | 1.6× |
| Amputation thigh through femur any level (27590) range across 2 matching MRF lines |
$1,063.50–$2,550 | $1,418–$3,400 | varies |
| Amputation toe interphalangeal joint (28825) | $3,228.75 | $4,305 | 1.1× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$1,698–$4,177.50 | $2,264–$5,570 | varies |
| Amputation, leg, through tibia and fibula; (27880) range across 2 matching MRF lines |
$787.50–$4,200 | $1,050–$5,600 | varies |
| Amputation, leg, through tibia and fibula; re-amputation (27886) range across 2 matching MRF lines |
$637.50–$3,187.50 | $850–$4,250 | varies |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$75–$750 | $100–$1,000 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 2 matching MRF lines |
$104.25–$591 | $139–$788 | varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $1,870.50 | $2,494 | 0.4× |
| Appendectomy (44950) | $5,718.75 | $7,625 | 1.0× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$98.25–$354.75 | $131–$473 | varies |
| Application finger splint static (29130) | $37.50 | $50 | 0.3× |
| Application long arm splint shoulder hand (29105) | $66.75 | $89 | 0.4× |
| Application of long leg cast (29345) | $283.50 | $378 | 1.1× |
| Application Short Arm Splint Dynamic (29126) | $237 | $316 | 1.9× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$47.25–$58.50 | $63–$78 | varies |
| Application short leg splint calf foot (29515) | $71.25 | $95 | 0.5× |
| Apply long arm cast (29065) | $426 | $568 | 1.7× |
| Apply Multlay Comprs Lwr Leg (29581) | $276.75 | $369 | 1.9× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$87–$97.50 | $116–$130 | varies |
| Arterial puncture (36600) | $64.50 | $86 | 0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 9 matching MRF lines |
$45–$423.75 | $60–$565 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$51.75–$354.75 | $69–$473 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$112.50–$562.50 | $150–$750 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$45–$389.25 | $60–$519 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $8,367.75 | $11,157 | 1.3× |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$1,890–$4,429.50 | $2,520–$5,906 | varies |
| Arthroplasty Patella W/Prosthesis (27438) range across 2 matching MRF lines |
$1,050–$6,512.25 | $1,400–$8,683 | varies |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 2 matching MRF lines |
$945–$4,414.50 | $1,260–$5,886 | varies |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$866.25–$2,490.75 | $1,155–$3,321 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$827.25–$2,436.75 | $1,103–$3,249 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$866.25–$4,429.50 | $1,155–$5,906 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$669.75–$3,692.25 | $893–$4,923 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$866.25–$3,937.50 | $1,155–$5,250 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$1,417.50–$10,188.75 | $1,890–$13,585 | varies |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $3,975 | $5,300 | 1.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$1,417.50–$5,414.25 | $1,890–$7,219 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$2,250–$9,622.50 | $3,000–$12,830 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$1,112.25–$8,241 | $1,483–$10,988 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $3,761.25 | $5,015 | 1.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$906–$4,414.50 | $1,208–$5,886 | varies |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) | $4,414.50 | $5,886 | 1.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$925.50–$4,528.50 | $1,234–$6,038 | varies |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$120–$921 | $160–$1,228 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$418.50–$713.25 | $558–$951 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$48.75–$131.25 | $65–$175 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $168.75 | $225 | 0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$76.50–$138.75 | $102–$185 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) | $566.25 | $755 | 0.4× |
| Biopsy external ear (69100) | $172.50 | $230 | 0.8× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$640.50–$703.50 | $854–$938 | varies |
| Biopsy Muscle Superficial (20200) range across 2 matching MRF lines |
$105–$656.25 | $140–$875 | varies |
| Biopsy of breast; open, incisional (19101) | $1,644.75 | $2,193 | 0.5× |
| Biopsy of lip (40490) | $936 | $1,248 | 4.3× |
| Biopsy of liver, needle; percutaneous (47000) | $1,127.25 | $1,503 | 0.7× |
| Biopsy of palate, uvula (42100) | $369.75 | $493 | 0.3× |
| Biopsy of urethra (53200) | $562.50 | $750 | 0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $369.75 | $493 | 0.2× |
| Biopsy Vaginal Mucosa Simple (57100) | $1,181.25 | $1,575 | 1.4× |
| Biopsy/removal lymph nodes (38510) | $2,717.25 | $3,623 | 0.8× |
| Bladder instillation anticarcinogenic agent (51720) | $866.25 | $1,155 | 1.4× |
| Bladder Irrigation (51700) | $69.75 | $93 | 0.3× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$75–$216.75 | $100–$289 | varies |
| Blood Transfusion Service (36430) range across 7 matching MRF lines |
$90.75–$1,028.25 | $121–$1,371 | varies |
| Bone Marrow Biopsy (38221) | $512.25 | $683 | 0.3× |
| Bone Marrow; Aspiration Only (38220) | $679.50 | $906 | 0.4× |
| Brnchsc Brushing/Protected Brushings (31623) | $1,757.25 | $2,343 | 1.1× |
| Bronchoscopy W/Biopsy(S) (31625) | $512.25 | $683 | 0.3× |
| Bx breast 1st lesion strtctc (19081) | $1,185 | $1,580 | 0.8× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,299.75–$1,641 | $1,733–$2,188 | varies |
| Bx Cervix (57500) | $1,304.25 | $1,739 | 1.5× |
| Bx/exc lymph node open deep axillary node (38525) | $4,075.50 | $5,434 | 1.1× |
| Bx/exc lymph node open superficial (38500) | $906 | $1,208 | 0.3× |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) range across 2 matching MRF lines |
$1,181.25–$4,676.25 | $1,575–$6,235 | varies |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$551.25–$1,924.50 | $735–$2,566 | varies |
| Cataract surgery complex (66982) | $2,717.25 | $3,623 | 1.3× |
| Catheter aspiration nasotracheal spx (31720) | $531.75 | $709 | 2.6× |
| Change Cystostomy Tube Simple (51705) | $75 | $100 | 0.3× |
| Chemical Cautery Tissue (17250) | $386.25 | $515 | 2.1× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$187.50–$398.25 | $250–$531 | varies |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$325.50–$2,830.50 | $434–$3,774 | varies |
| Circumcision w/clamp/oth dev w/block (54150) range across 4 matching MRF lines |
$93.75–$339.75 | $125–$453 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,575 | $2,100 | 1.1× |
| Claviculectomy partial (23120) range across 2 matching MRF lines |
$728.25–$4,075.50 | $971–$5,434 | varies |
| Clear outer ear canal (69200) | $111.75 | $149 | 0.9× |
| Closed Rx Metacarpal Fx,Percut (26608) | $1,800 | $2,400 | 0.6× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,035 | $1,380 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $177 | $236 | 0.1× |
| Closed tx patellar dislocation w/anesthesia (27562) | $591 | $788 | 2.6× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$431.25–$1,012.50 | $575–$1,350 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$591–$1,476.75 | $788–$1,969 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $237 | $316 | 1.0× |
| Closure Gastrostomy Surg (43870) | $1,698 | $2,264 | 0.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $742.50 | $990 | 3.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $248.25 | $331 | 0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $337.50 | $450 | 1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $487.50 | $650 | 0.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $315 | $420 | 1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $1,182 | $1,576 | 5.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$669.75–$1,476.75 | $893–$1,969 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $1,870.50 | $2,494 | 1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,585.50 | $2,114 | 7.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $1,417.50 | $1,890 | 6.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $197.25 | $263 | 0.9× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $768.75 | $1,025 | 0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $630 | $840 | 2.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $742.50 | $990 | 3.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$283.50–$712.50 | $378–$950 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $444 | $592 | 2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $804 | $1,072 | 0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $397.50 | $530 | 1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $709.50 | $946 | 3.1× |
| Cltx post hip arthrp dislc req anes (27266) | $1,134 | $1,512 | 0.8× |
| Cltx post hip arthrp dislc w/o anes (27265) | $993 | $1,324 | 4.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $201 | $268 | 0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,443.75 | $1,925 | 1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) | $374.25 | $499 | 1.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,115 | $2,820 | 1.4× |
| Coccygectomy, primary (27080) | $1,870.50 | $2,494 | 0.6× |
| Collect Blood From Catheter Venous Nos (36592) | $75 | $100 | 0.6× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$11.25–$12 | $15–$16 | varies |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) range across 2 matching MRF lines |
$337.50–$1,406.25 | $450–$1,875 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$330–$1,653.75 | $440–$2,205 | varies |
| Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$262.50–$2,250 | $350–$3,000 | varies |
| Colonoscopy w/fb removal (45379) | $1,329.75 | $1,773 | 1.2× |
| Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$861.75 | $1,149 | 0.1× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $1,644.75 | $2,193 | 1.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$266.25–$1,500.75 | $355–$2,001 | varies |
| Combined anteroposterior colporrhaphy; (57260) | $7,019.25 | $9,359 | 1.5× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$187.50–$369.75 | $250–$493 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$66.75–$162 | $89–$216 | varies |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) range across 2 matching MRF lines |
$2,244.75–$9,622.50 | $2,993–$12,830 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
$369.75–$443.25 | $493–$591 | varies |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$492–$5,094.75 | $656–$6,793 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $2,925 | $3,900 | 1.0× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | $3,199.50 | $4,266 | 1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) range across 2 matching MRF lines |
$669.75–$3,115.50 | $893–$4,154 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $306.75 | $409 | 2.5× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $3,422.25 | $4,563 | 1.1× |
| Curettage postpartum (59160) | $1,811.25 | $2,415 | 0.6× |
| Cystostomy Cystotomy W/Drainage (51040) | $443.25 | $591 | 0.2× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) | $2,038.50 | $2,718 | 1.1× |
| Cystourethroscopy (52000) | $1,181.25 | $1,575 | 1.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $264.75 | $353 | 0.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$197.25–$339.75 | $263–$453 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$19.50–$113.25 | $26–$151 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$51–$304.50 | $68–$406 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$260.25–$325.50 | $347–$434 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines |
$105–$369.75 | $140–$493 | varies |
| Deep Muscle Biopsy (20205) | $3,692.25 | $4,923 | 1.4× |
| Delivery of placenta (59414) | $1,476.75 | $1,969 | 0.5× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$225–$1,875 | $300–$2,500 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$225–$1,875 | $300–$2,500 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$63.75–$418.50 | $85–$558 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$117.75–$936 | $157–$1,248 | varies |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) range across 2 matching MRF lines |
$135–$712.50 | $180–$950 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$180–$1,875 | $240–$2,500 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $152.25 | $203 | 0.4× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$93.75–$339.75 | $125–$453 | varies |
| Destruction Vaginal Lesions Simple (57061) range across 2 matching MRF lines |
$112.50–$1,312.50 | $150–$1,750 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$60–$837 | $80–$1,116 | varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $1,019.25 | $1,359 | 0.9× |
| Dilat female urethra general/cndj spinal anes (53665) | $1,417.50 | $1,890 | 0.7× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $85.50 | $114 | 0.7× |
| Dilate Esophagus 1/Mult Pass (43450) | $738.75 | $985 | 0.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$243.75–$2,097 | $325–$2,796 | varies |
| Dilation Esophagus Guide Wire (43453) | $640.50 | $854 | 0.4× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$460.50–$654 | $614–$872 | varies |
| Drain Hand Tendon Sheath (26020) | $1,365 | $1,820 | 0.5× |
| Drainage Mouth Roof Lesion (42000) | $86.25 | $115 | 0.4× |
| Drainage of gum lesion (41800) | $135 | $180 | 1.1× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$135–$1,304.25 | $180–$1,739 | varies |
| Draw Blood Off Venous Device (36591) | $75 | $100 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$141.75–$407.25 | $189–$543 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $340.50 | $454 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$98.25–$453 | $131–$604 | varies |
| Dstrj les/scar vestibule mouth physical meths (40820) | $453 | $604 | 0.1× |
| Dstrj Lesion Anus Extensive (46924) range across 2 matching MRF lines |
$225–$2,437.50 | $300–$3,250 | varies |
| Dstrj Lesion Anus Simple Chemical (46900) range across 3 matching MRF lines |
$268.50–$300 | $358–$400 | varies |
| Dstrj lesion anus simple cryosurgery (46916) | $345 | $460 | 1.9× |
| Dstrj lesion anus simple surg excision (46922) range across 2 matching MRF lines |
$366.75–$1,807.50 | $489–$2,410 | varies |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) range across 2 matching MRF lines |
$131.25–$2,156.25 | $175–$2,875 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $492 | $656 | 2.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$148.50–$843.75 | $198–$1,125 | varies |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$93.75–$679.50 | $125–$906 | varies |
| Dx Bronchoscope/Lavage (31624) | $1,472.25 | $1,963 | 0.9× |
| Dx Bronchoscope/Wash (31622) | $936 | $1,248 | 0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$306.75–$640.50 | $409–$854 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $1,811.25 | $2,415 | 1.0× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$168.75–$1,048.50 | $225–$1,398 | varies |
| Egd guide wire insertion (43248) | $1,343.25 | $1,791 | 1.6× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$187.50–$1,048.50 | $250–$1,398 | varies |
| Egd remove lesion snare (43251) | $1,279.50 | $1,706 | 0.7× |
| Enterorrhaphy single perforation (44602) | $6,339.75 | $8,453 | 1.8× |
| Epididymectomy unilateral (54860) | $984.75 | $1,313 | 0.3× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$433.50–$654 | $578–$872 | varies |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $9,843.75 | $13,125 | 2.8× |
| Ercp,Sphincterotomy (43262) | $9,843.75 | $13,125 | 2.8× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $1,019.25 | $1,359 | 0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $936 | $1,248 | 0.5× |
| Evacuation of subungual hematoma (11740) | $39.75 | $53 | 0.3× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $1,476.75 | $1,969 | 1.0× |
| Exc arm/elbow les sc < 3 cm (24075) range across 3 matching MRF lines |
$588–$1,275 | $784–$1,700 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$102.75–$339.75 | $137–$453 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $90.75 | $121 | 0.1× |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$611.25–$1,406.25 | $815–$1,875 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) | $708.75 | $945 | 0.3× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $2,830.50 | $3,774 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $633 | $844 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 4 matching MRF lines |
$187.50–$712.50 | $250–$950 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $512.25 | $683 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $81.75 | $109 | 0.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$176.25–$285.75 | $235–$381 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,710.75 | $2,281 | 2.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,358.25 | $1,811 | 0.9× |
| Exc Frenum Labial/Buccal (40819) range across 2 matching MRF lines |
$225–$1,687.50 | $300–$2,250 | varies |
| Exc ganglion wrist recurrent (25112) | $2,209.50 | $2,946 | 1.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$76.50–$109.50 | $102–$146 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$135–$1,181.25 | $180–$1,575 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$156.75–$1,575 | $209–$2,100 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $690 | $920 | 0.5× |
| Exc hydrocele sprmatic cord uni spx (55500) | $4,528.50 | $6,038 | 1.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $2,578.50 | $3,438 | 1.7× |
| Exc Rct Tum Incl Muscularis Propria (45172) range across 2 matching MRF lines |
$825–$3,562.50 | $1,100–$4,750 | varies |
| Exc Rct Tum Not Incl Muscularis Propria (45171) range across 2 matching MRF lines |
$709.50–$1,187.25 | $946–$1,583 | varies |
| Exc Shoulder Tum Deep 5 Cm/> (23073) range across 2 matching MRF lines |
$827.25–$4,248 | $1,103–$5,664 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$81.75–$243.75 | $109–$325 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,151 | $2,868 | 1.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $906 | $1,208 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$93.75–$2,323.50 | $125–$3,098 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $398.25 | $531 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,550 | $3,400 | 1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$373.50–$2,038.50 | $498–$2,718 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$450–$2,830.50 | $600–$3,774 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$248.25–$1,645.01 | $331–$2,193.35 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$112.50–$891 | $150–$1,188 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 5 matching MRF lines |
$81.75–$843.75 | $109–$1,125 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$258.32–$453 | $344.42–$604 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,115.50 | $4,154 | 1.2× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $2,830.50 | $3,774 | 1.1× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) range across 2 matching MRF lines |
$787.50–$3,075 | $1,050–$4,100 | varies |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) range across 2 matching MRF lines |
$562.50–$1,575 | $750–$2,100 | varies |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $2,830.50 | $3,774 | 1.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $2,436.75 | $3,249 | 1.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $304.50 | $406 | 0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,151 | $2,868 | 1.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) range across 2 matching MRF lines |
$375–$393.75 | $500–$525 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$375–$1,922.25 | $500–$2,563 | varies |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $2,625 | $3,500 | 0.9× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $2,808 | $3,744 | 1.9× |
| Exc/fulguration urethral caruncle (53265) | $2,904.75 | $3,873 | 1.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $910.50 | $1,214 | 0.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 3 matching MRF lines |
$206.25–$1,078.50 | $275–$1,438 | varies |
| Excision External Ear Partial Simple Repair (69110) | $172.50 | $230 | 0.1× |
| Excision H/P/P/U Complex Repair (11471) range across 2 matching MRF lines |
$337.50–$1,641 | $450–$2,188 | varies |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $1,472.25 | $1,963 | 0.6× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $295.50 | $394 | 0.1× |
| Excision lesion mouth roof (42104) range across 2 matching MRF lines |
$273.75–$637.50 | $365–$850 | varies |
| Excision Lingual Frenum Frenectomy (41115) range across 2 matching MRF lines |
$168.75–$1,800 | $225–$2,400 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$146.25–$768.75 | $195–$1,025 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$262.50–$773.25 | $350–$1,031 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$281.25–$398.25 | $375–$531 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$281.25–$2,097 | $375–$2,796 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
$179.25–$542.25 | $239–$723 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 3 matching MRF lines |
$206.25–$1,034.25 | $275–$1,379 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 3 matching MRF lines |
$461.25–$2,830.50 | $615–$3,774 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$142.50–$693.75 | $190–$925 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines |
$157.50–$693.75 | $210–$925 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,132.50 | $1,510 | 0.7× |
| Excision of bartholin's gland or cyst (56740) | $851.25 | $1,135 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$393.75–$2,377.50 | $525–$3,170 | varies |
| Excision of hydrocele; unilateral (55040) | $3,681.75 | $4,909 | 1.1× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $1,802.25 | $2,403 | 1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) | $1,698 | $2,264 | 0.6× |
| Excision of single external papilla or tag, anus (46220) | $1,698 | $2,264 | 1.5× |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$393.75–$1,870.50 | $525–$2,494 | varies |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) range across 2 matching MRF lines |
$748.50–$1,245 | $998–$1,660 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $3,375 | $4,500 | 1.3× |
| Excision prepatellar bursa (27340) | $2,707.50 | $3,610 | 0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,717.25 | $3,623 | 1.8× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) range across 2 matching MRF lines |
$393.75–$1,350 | $525–$1,800 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,983.75 | $2,645 | 1.3× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $453 | $604 | 0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,662.50 | $3,550 | 1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) range across 2 matching MRF lines |
$307.50–$465 | $410–$620 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $1,644.75 | $2,193 | 0.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $422.25 | $563 | 0.3× |
| Excision/curettage cyst/tumor phalanx finger (26210) range across 2 matching MRF lines |
$512.25–$1,968.75 | $683–$2,625 | varies |
| Exploration penetrating wound spx extremity (20103) | $322.50 | $430 | 0.2× |
| Explore/Treat Elbow Joint (24101) | $2,845.14 | $3,793.52 | 0.9× |
| Fasciectomy Palm Only (26121) | $2,100 | $2,800 | 0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 2 matching MRF lines |
$750–$2,085.75 | $1,000–$2,781 | varies |
| Fetal non-stress test (59025) | $135.75 | $181 | 0.7× |
| Fixation contralateral testis separate procedure (54620) | $1,547.25 | $2,063 | 0.5× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$562.50–$703.50 | $750–$938 | varies |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $453 | $604 | 0.2× |
| Gastrocnemius recession (27687) | $1,875 | $2,500 | 0.6× |
| Hemiarthroplasty hip partial (27125) likely a partial charge, not the full procedure |
$1,496.25 | $1,995 | 0.1× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$356.25–$2,550 | $475–$3,400 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$300–$1,811.25 | $400–$2,415 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$637.50–$3,703.50 | $850–$4,938 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 4 matching MRF lines |
$225–$2,625 | $300–$3,500 | varies |
| Hemorrhoidopexy by stapling (46947) | $3,962.25 | $5,283 | 1.6× |
| Hysteroscopy Biopsy (58558) | $3,169.50 | $4,226 | 1.1× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $237 | $316 | 0.1× |
| I&d abscess peritonsillar (42700) | $492 | $656 | 2.3× |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$110.25–$378.75 | $147–$505 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$300–$792 | $400–$1,056 | varies |
| I&D Intramural Im/Absc Transanal Anes (46045) | $936 | $1,248 | 0.4× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,772.25 | $2,363 | 0.6× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$112.50–$900 | $150–$1,200 | varies |
| I&d pilonidal cyst simple (10080) | $293.25 | $391 | 0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $443.25 | $591 | 0.2× |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $345 | $460 | 0.1× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$157.50–$300 | $210–$400 | varies |
| Incise finger tendon sheath (26055) range across 3 matching MRF lines |
$562.50–$1,312.50 | $750–$1,750 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$212.25–$1,530.75 | $283–$2,041 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $797.25 | $1,063 | 0.3× |
| Incision & removal foreign body subq tiss compl (10121) | $1,585.50 | $2,114 | 1.0× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$118.50–$1,034.25 | $158–$1,379 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $422.25 | $563 | 2.3× |
| Incision and drainage of vulva or perineal abscess (56405) | $936 | $1,248 | 3.3× |
| Incision extensor tendon sheath wrist (25000) | $1,698 | $2,264 | 1.1× |
| Incision of eardrum (69421) | $1,304.25 | $1,739 | 0.4× |
| Incision of eardrum (69420) | $625.50 | $834 | 2.9× |
| Incision of labial frenum (frenotomy) (40806) range across 2 matching MRF lines |
$131.25–$512.25 | $175–$683 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$37.50–$285.75 | $50–$381 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$487.50–$2,460.75 | $650–$3,281 | varies |
| Incisional biopsy skin single lesion (11106) | $263.25 | $351 | 0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 4 matching MRF lines |
$121.50–$443.25 | $162–$591 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $325.50 | $434 | 1.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$157.50–$591 | $210–$788 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 6 matching MRF lines |
$48–$162 | $64–$216 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$135–$487.50 | $180–$650 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$180–$750 | $240–$1,000 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $72 | $96 | 0.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $325.50 | $434 | 1.2× |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$135–$270 | $180–$360 | varies |
| Injection enzyme palmar fascial cord (20527) range across 3 matching MRF lines |
$75–$138 | $100–$184 | varies |
| Injection single tendon origin/insertion (20551) range across 4 matching MRF lines |
$51–$142.50 | $68–$190 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 7 matching MRF lines |
$43.50–$197.25 | $58–$263 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
$47.25–$157.50 | $63–$210 | varies |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$70.50–$172.50 | $94–$230 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$98.25–$281.25 | $131–$375 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $113.25 | $151 | 0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$51.75–$708.75 | $69–$945 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$39.75–$216.75 | $53–$289 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$120–$738.75 | $160–$985 | varies |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$93.75–$187.50 | $125–$250 | varies |
| Insert Heart Pm Ventricular (33207) unusually low: confirm this is the full procedure |
$4,267.50 | $5,690 | 0.4× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,500.75–$2,707.50 | $2,001–$3,610 | varies |
| Insert pulse gen mult leads (33221) likely a partial charge, not the full procedure |
$3,888.75 | $5,185 | 0.2× |
| Insert Pulse Gen Sngl Lead (33212) | $4,267.50 | $5,690 | 0.6× |
| Insert Temp Bladder Cath (51702) | $76.50 | $102 | 0.6× |
| Insert tun ip cath perc (49418) | $4,075.50 | $5,434 | 1.2× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$318.75–$2,830.50 | $425–$3,774 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $75 | $100 | 0.6× |
| Insertion indwelling tunneled pleural catheter (32550) range across 2 matching MRF lines |
$195–$787.50 | $260–$1,050 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,516 | $4,688 | 2.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) unusually low: confirm this is the full procedure |
$2,460.75 | $3,281 | 0.3× |
| Insj Picc Rs&I <5 Yr (36572) | $1,132.50 | $1,510 | 2.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
$3,790.50–$3,888.75 | $5,054–$5,185 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,435.50 | $1,914 | 1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$1,435.50–$1,500.75 | $1,914–$2,001 | varies |
| Insrt heart pm atrial & vent (33208) unusually low: confirm this is the full procedure |
$4,267.50 | $5,690 | 0.4× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$197.25–$337.50 | $263–$450 | varies |
| Laparo-vag hyst incl t/o (58552) | $5,606.25 | $7,475 | 0.6× |
| Laparoscopy aspiration (49322) range across 2 matching MRF lines |
$337.50–$1,811.25 | $450–$2,415 | varies |
| Laparoscopy Enterolysis Separate Procedure (44180) | $4,828.50 | $6,438 | 0.9× |
| Laparoscopy fulguration oviducts (58670) range across 2 matching MRF lines |
$356.25–$5,094.75 | $475–$6,793 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$487.50–$7,087.50 | $650–$9,450 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) | $5,606.25 | $7,475 | 1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$742.50–$5,886.75 | $990–$7,849 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$562.50–$5,379.75 | $750–$7,173 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $7,875 | $10,500 | 1.4× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $5,661 | $7,548 | 1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$337.50–$1,983.75 | $450–$2,645 | varies |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $7,358.25 | $9,811 | 0.8× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$731.25–$2,156.25 | $975–$2,875 | varies |
| Ligamentous Reconstruction Knee Extra-Articular (27427) range across 2 matching MRF lines |
$712.50–$9,000 | $950–$12,000 | varies |
| Ligation of hemorrhoids (46946) range across 2 matching MRF lines |
$375–$3,937.50 | $500–$5,250 | varies |
| Ligation or biopsy temporal artery (37609) | $787.50 | $1,050 | 0.5× |
| Lysis/excision penile postcircumcision adhesions (54162) range across 2 matching MRF lines |
$512.25–$787.50 | $683–$1,050 | varies |
| Maniplatn palar fascial crd post inj single cord (26341) range across 2 matching MRF lines |
$87–$197.25 | $116–$263 | varies |
| Manipulation knee joint under general anesthesia (27570) range across 3 matching MRF lines |
$216.75–$1,644.75 | $289–$2,193 | varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 3 matching MRF lines |
$276–$1,181.25 | $368–$1,575 | varies |
| Mastectomy partial (19301) | $5,661 | $7,548 | 1.6× |
| Mastectomy simple complete (19303) | $7,087.50 | $9,450 | 1.2× |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$135–$375 | $180–$500 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$56.25–$322.50 | $75–$430 | varies |
| Nasal Endoscopy Dx (31231) | $1,378.50 | $1,838 | 7.5× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$36–$851.25 | $48–$1,135 | varies |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $1,245 | $1,660 | 1.5× |
| Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
$531.75–$664.50 | $709–$886 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $22.50 | $30 | 0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) | $33.75 | $45 | 1.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$768–$2,362.50 | $1,024–$3,150 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,102.50 | $1,470 | 2.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$93.75–$656.25 | $125–$875 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 4 matching MRF lines |
$126–$936 | $168–$1,248 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$237–$591 | $316–$788 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
$112.50–$885.75 | $150–$1,181 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 2 matching MRF lines |
$81–$664.50 | $108–$886 | varies |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$71.25–$334.50 | $95–$446 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $964.50 | $1,286 | 0.3× |
| Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
$945–$5,094.75 | $1,260–$6,793 | varies |
| Open treatment fracture distal tibia only (27827) range across 2 matching MRF lines |
$1,125–$6,093.75 | $1,500–$8,125 | varies |
| Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$543.75–$12,656.25 | $725–$16,875 | varies |
| Open treatment metatarsal fracture each (28485) | $7,875 | $10,500 | 1.2× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) unusually low: confirm this is the full procedure |
$3,199.50 | $4,266 | 0.5× |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) | $4,031.25 | $5,375 | 1.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $7,125 | $9,500 | 1.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $3,600 | $4,800 | 1.2× |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) likely a partial charge, not the full procedure |
$1,425 | $1,900 | 0.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
$1,125–$8,613.75 | $1,500–$11,485 | varies |
| Open tx ulnar fx proximal end (24685) | $3,450 | $4,600 | 0.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$1,012.50–$5,625 | $1,350–$7,500 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 2 matching MRF lines |
$1,417.50–$7,678.50 | $1,890–$10,238 | varies |
| Ostc prtl exostc/condylc metar head (28288) | $2,550 | $3,400 | 0.8× |
| Ostectomy calcaneus (28118) | $5,703.75 | $7,605 | 1.9× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) unusually low: confirm this is the full procedure |
$2,166 | $2,888 | 0.3× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $6,225.75 | $8,301 | 1.4× |
| Partial excision bone metacarpal (26230) | $3,187.50 | $4,250 | 1.1× |
| Partial excision bone olecranon process (24147) range across 2 matching MRF lines |
$562.50–$1,641 | $750–$2,188 | varies |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $3,543.75 | $4,725 | 0.6× |
| Partical Excision Bone Phalanx Toe (28124) range across 2 matching MRF lines |
$337.50–$2,343.75 | $450–$3,125 | varies |
| Pelvic examination under anesthesia (other than local) (57410) range across 2 matching MRF lines |
$93.75–$1,811.25 | $125–$2,415 | varies |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $2,212.50 | $2,950 | 0.7× |
| Peritoneal Lavage (49084) | $463.50 | $618 | 0.6× |
| Perq dev breast 1st us imag (19285) | $512.25 | $683 | 0.8× |
| Perq device breast 1st imag (19281) | $453 | $604 | 0.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$731.25–$2,250 | $975–$3,000 | varies |
| Placement of needle for intraosseous infusion (36680) | $312 | $416 | 0.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $6,512.25 | $8,683 | 1.4× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $3,562.50 | $4,750 | 1.2× |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
$78.75–$609.75 | $105–$813 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$122.25–$369.75 | $163–$493 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$120–$405 | $160–$540 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 3 matching MRF lines |
$225–$1,875 | $300–$2,500 | varies |
| Realignment extensor tendon hand each tendon (26437) | $1,172.25 | $1,563 | 0.4× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) range across 2 matching MRF lines |
$900–$3,656.25 | $1,200–$4,875 | varies |
| Reduction of rectal prolapse (45900) | $472.50 | $630 | 0.6× |
| Removal Embedded Foreign Body Eyelid (67938) | $331.50 | $442 | 1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$197.25–$2,038.50 | $263–$2,718 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $405 | $540 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$15.75–$28.50 | $21–$38 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$47.25–$453 | $63–$604 | varies |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$591–$2,775 | $788–$3,700 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$1,028.25–$1,245 | $1,371–$1,660 | varies |
| Removal of adenoids (42831) | $3,445.50 | $4,594 | 1.1× |
| Removal of adenoids (42830) | $2,038.50 | $2,718 | 0.7× |
| Removal of bladder cyst (51500) | $5,391 | $7,188 | 1.0× |
| Removal of bone lesion (23140) | $2,756.25 | $3,675 | 0.9× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$93.75–$423.75 | $125–$565 | varies |
| Removal of testis (54520) | $1,983.75 | $2,645 | 0.6× |
| Removal of tonsils (42825) unusually low: confirm this is the full procedure |
$2,215.50 | $2,954 | 0.4× |
| Removal of tonsils (42826) | $2,377.50 | $3,170 | 0.8× |
| Removal or bivalving full arm or full leg cast (29705) | $283.50 | $378 | 1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$93.75–$339.75 | $125–$453 | varies |
| Removal, under anesthesia, of external fixation system (20694) range across 2 matching MRF lines |
$472.50–$964.50 | $630–$1,286 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $69.75 | $93 | 0.3× |
| Remove armpit lymph nodes (38740) likely a partial charge, not the full procedure |
$738.75 | $985 | 0.1× |
| Remove drug implant device (11982) | $248.25 | $331 | 0.6× |
| Remove elbow lesion (24120) | $3,228.75 | $4,305 | 1.1× |
| Remove Forearm Foreign Body (25248) | $433.50 | $578 | 0.3× |
| Remove foreign body from eye (65205) | $114 | $152 | 0.9× |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$75–$1,078.50 | $100–$1,438 | varies |
| Remove knee joint lining (27334) range across 2 matching MRF lines |
$618.75–$3,562.50 | $825–$4,750 | varies |
| Remove Lower Leg Bone Lesion (27635) range across 2 matching MRF lines |
$562.50–$1,019.25 | $750–$1,359 | varies |
| Remove lung catheter (32552) range across 2 matching MRF lines |
$168.75–$450 | $225–$600 | varies |
| Remove Nasal Foreign Body (30300) | $82.50 | $110 | 0.7× |
| Remove radius head implant (24164) | $2,700 | $3,600 | 0.9× |
| Remove shoulder joint lining (23105) | $3,849.75 | $5,133 | 0.6× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$413.25–$2,550 | $551–$3,400 | varies |
| Remove thyroid lesion (60200) unusually low: confirm this is the full procedure |
$2,717.25 | $3,623 | 0.5× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$120–$375 | $160–$500 | varies |
| Remv&replc pm gen dual lead (33228) unusually low: confirm this is the full procedure |
$4,528.50 | $6,038 | 0.5× |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$925.50–$4,814.25 | $1,234–$6,419 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $339.75 | $453 | 0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $661.50 | $882 | 1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$270–$981 | $360–$1,308 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $306.75 | $409 | 0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$262.50–$609.75 | $350–$813 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$348.75–$525 | $465–$700 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $1,134 | $1,512 | 0.8× |
| Repair Hallux Rigidus (28289) | $3,703.50 | $4,938 | 1.2× |
| Repair incomplete circumcision (54163) | $1,358.25 | $1,811 | 0.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$600–$4,312.50 | $800–$5,750 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$192.75–$797.25 | $257–$1,063 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$236.25–$450 | $315–$600 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$225–$851.25 | $300–$1,135 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$169.50–$352.50 | $226–$470 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$228.75–$713.25 | $305–$951 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $850.50 | $1,134 | 1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,755 | $2,340 | 4.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$76.50–$442.50 | $102–$590 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$134.25–$450 | $179–$600 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,182 | $1,576 | 1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$236.25–$512.25 | $315–$683 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,437.50 | $3,250 | 1.3× |
| Repair lower leg tendons (27676) | $5,400 | $7,200 | 0.8× |
| Repair of hydrocele (55060) | $738.75 | $985 | 0.2× |
| Repair of nail bed (11760) | $340.50 | $454 | 0.5× |
| Repair of rectocele (45560) | $4,875 | $6,500 | 1.9× |
| Repair of rectum (45505) range across 2 matching MRF lines |
$637.50–$2,700 | $850–$3,600 | varies |
| Repair of shoulder (23420) likely a partial charge, not the full procedure |
$1,299.75 | $1,733 | 0.2× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) range across 2 matching MRF lines |
$712.50–$5,212.50 | $950–$6,950 | varies |
| Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
$1,181.25–$5,094.75 | $1,575–$6,793 | varies |
| Reposition Venous Catheter (36597) | $1,358.25 | $1,811 | 0.9× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$712.50–$5,156.25 | $950–$6,875 | varies |
| Rev/rmv prph sac/gstr npg/r (64595) | $2,625 | $3,500 | 0.8× |
| Revision of lower leg tendon (27685) | $1,387.50 | $1,850 | 0.5× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $8,367 | $11,156 | 2.6× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 2 matching MRF lines |
$1,800–$5,212.50 | $2,400–$6,950 | varies |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) unusually low: confirm this is the full procedure |
$5,625 | $7,500 | 0.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $131.25 | $175 | 0.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $904.50 | $1,206 | 0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $558 | $744 | 1.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,362.50 | $3,150 | 0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$187.50–$2,111.25 | $250–$2,815 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$131.25–$709.50 | $175–$946 | varies |
| Rplc Gtube No Revj Trc (43762) | $591 | $788 | 2.6× |
| Rplcmt compl tun ctr vad w/subq port (36582) range across 2 matching MRF lines |
$337.50–$1,585.50 | $450–$2,114 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$675–$3,450 | $900–$4,600 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$337.50–$4,078.50 | $450–$5,438 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) range across 2 matching MRF lines |
$731.25–$4,218.75 | $975–$5,625 | varies |
| Rpr aa hernia recr 3-10 cm reducible (49615) range across 2 matching MRF lines |
$618.75–$4,125 | $825–$5,500 | varies |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) range across 2 matching MRF lines |
$600–$6,468.75 | $800–$8,625 | varies |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines |
$450–$4,875 | $600–$6,500 | varies |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$525–$4,031.25 | $700–$5,375 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $3,281.25 | $4,375 | 0.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) range across 2 matching MRF lines |
$405–$2,250 | $540–$3,000 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $106.50 | $142 | 0.6× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $393.75 | $525 | 0.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $354.75 | $473 | 0.7× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $306.75 | $409 | 0.1× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) range across 2 matching MRF lines |
$315–$591 | $420–$788 | varies |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $1,894.50 | $2,526 | 0.6× |
| Shave skin lesion 0.5 cm/< (11300) | $87 | $116 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $101.25 | $135 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $423.75 | $565 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $87 | $116 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $107.25 | $143 | 0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $422.25 | $563 | 2.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$78.75–$453 | $105–$604 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$67.50–$468.75 | $90–$625 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$87–$369.75 | $116–$493 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$78.75–$393.75 | $105–$525 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $216.75 | $289 | 1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $102.75 | $137 | 0.6× |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$712.50–$3,656.25 | $950–$4,875 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$102.75–$542.25 | $137–$723 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$87–$378.75 | $116–$505 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $7,078.50 | $9,438 | 1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$110.25–$228.38 | $147–$304.50 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $271.50 | $362 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,620 | $2,160 | 4.3× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) | $2,038.50 | $2,718 | 0.8× |
| Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines |
$165–$1,279.50 | $220–$1,706 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$104.20–$536.25 | $138.93–$715 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 2 matching MRF lines |
$637.50–$4,218.75 | $850–$5,625 | varies |
| Strapping knee (29530) | $273.75 | $365 | 2.2× |
| Strapping shoulder (29240) | $260.25 | $347 | 2.1× |
| Strapping toes (29550) | $15.75 | $21 | 0.3× |
| Strapping Unna Boot (29580) range across 8 matching MRF lines |
$31.50–$596.25 | $42–$795 | varies |
| Surg Tx Anal Fistula 2nd Stage (46285) range across 2 matching MRF lines |
$412.50–$843.75 | $550–$1,125 | varies |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$375–$2,437.50 | $500–$3,250 | varies |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) range across 2 matching MRF lines |
$393.75–$891 | $525–$1,188 | varies |
| Suture infrapatellar tendon primary (27380) unusually low: confirm this is the full procedure |
$3,028.50 | $4,038 | 0.5× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) range across 2 matching MRF lines |
$748.50–$3,692.25 | $998–$4,923 | varies |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$45–$624.75 | $60–$833 | varies |
| Tenolysis flexor foot single tendon (28220) | $679.50 | $906 | 0.5× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $1,417.50 | $1,890 | 1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $4,641 | $6,188 | 1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) range across 2 matching MRF lines |
$300–$2,377.50 | $400–$3,170 | varies |
| Tooth extraction (41899) | $851.25 | $1,135 | 3.9× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$2,244.75–$9,622.50 | $2,993–$12,830 | varies |
| Treat Fx Rad Extra-Articul (25607) | $4,781.25 | $6,375 | 0.7× |
| Treat Humerus Fracture (24505) | $1,350 | $1,800 | 0.9× |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$711–$1,425 | $948–$1,900 | varies |
| Treat Kneecap Fracture (27524) range across 2 matching MRF lines |
$866.25–$5,094.75 | $1,155–$6,793 | varies |
| Treat toe dislocation (28630) | $855 | $1,140 | 3.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $547.50 | $730 | 0.4× |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) | $4,473.75 | $5,965 | 0.7× |
| Trim skin lesion (11055) range across 5 matching MRF lines |
$43.47–$285.75 | $57.96–$381 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$27.75–$152.25 | $37–$203 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$11.25–$79.50 | $15–$106 | varies |
| Tubal ligation (58600) | $2,830.50 | $3,774 | 1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) range across 2 matching MRF lines |
$487.50–$731.25 | $650–$975 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$300–$2,038.50 | $400–$2,718 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,151 | $2,868 | 0.7× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $423.75 | $565 | 0.1× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $512.25 | $683 | 0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $255.75 | $341 | 0.4× |
| Tympanostomy general anesthesia (69436) | $1,191.75 | $1,589 | 0.8× |
| Unlisted laparoscopic procedure liver (47379) range across 2 matching MRF lines |
$1,575–$4,500 | $2,100–$6,000 | varies |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) unusually low: confirm this is the full procedure |
$1,811.25 | $2,415 | 0.3× |
| Unlisted laparoscopy procedure, spleen (38129) | $3,984.75 | $5,313 | 0.7× |
| Unlisted procedure anus (46999) | $1,698 | $2,264 | 2.0× |
| Unlisted Procedure Male Genital System (55899) | $609.75 | $813 | 2.7× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$197.25–$276 | $263–$368 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $512.25 | $683 | 2.4× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $225 | $300 | 0.3× |
| Vag hyst incl t/o complex (58291) | $5,661 | $7,548 | 1.2× |
| Vaginal delivery only (59409) | $731.25 | $975 | 0.2× |
| Wedge excision skin nail fold (11765) | $738.75 | $985 | 2.0× |
| Xfer Single Deep Low Leg Tendon (27691) | $5,100 | $6,800 | 0.8× |
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.