Procedures & surgery prices at Resurrection Medical Center

Chicago, IL · every code in this section with a posted price and a Medicare benchmark.

1167 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $967 $4,687.80 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $967 $4,886.52 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $18,697 $10,486.60 1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,200 $10,790.50 1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $3,778 $15,573–$15,573.05 1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,200 $4,678.71 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,489 $14,060 1.0×
Amputation Foot Midtarsal (28800) $3,489 $3,731.17 1.0×
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines		 $3,489 $11,096.20–$11,096.24 1.0×
Amputation metatarsal with toe single (28810) $3,489 $13,104 1.0×
Amputation toe interphalangeal joint (28825) $3,489 $11,097 1.0×
Amputation toe metatarsophalangeal joint (28820) $3,489 $10,264 1.0×
Anoplasty, plastic operation for stricture; adult Facility (46700) $2,959 $8,771.50 1.0×
Anoscopy diagnostic (46600) $141 $671.82 1.0×
Anoscopy W/Rmvl Foreign Body (46608) $991 $4,751.79 1.0×
Anoscopy; with biopsy, single or multiple (46606)
range across 2 matching MRF lines		 $1,276 $6,145.31–$9,090 1.0×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,276 $6,145.31 1.0×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,959 $8,715.33 1.0×
Anterior colporraphy rpr cystocele w/cysto (57240)
range across 2 matching MRF lines		 $5,334 $16,675.38–$16,675.40 1.0×
Anterior Tibial Tubercleplasty (27418)
range across 2 matching MRF lines		 $7,737 $11,096.20–$11,096.24 1.0×
Appendectomy (44950) $6,903 $15,111 1.0×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $173 $422.28 1.0×
Application cast elbow finger short arm (29075) $298 $1,327.90 1.0×
Application Finger Splint Dynamic (29131) $62 $174.92 1.0×
Application finger splint static (29130) $141 $174.92 1.0×
Application long arm splint shoulder hand (29105) $173 $788.95 1.0×
Application Long Leg Splint (29505) $173 $422.28 1.0×
Application of rigid total contact leg cast (29445) $298 $1,327.90 1.0×
Application Short Arm Splint Dynamic (29126) $141 $328.10 1.0×
Application short arm splint forearm-hand static (29125) $141 $644.50 1.0×
Application short leg splint calf foot (29515) $173 $788.95 1.0×
Application uniplane external fixation system (20690) $7,737 $16,002 1.0×
Apply Multlay Comprs Lwr Leg (29581) $173 $788.95 1.0×
Arterial puncture (36600) $141 $644.50 1.0×
Arteriovenous Anastomosis Open Direct (36821) $3,367 $20,000.80 1.0×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $5,933 $29,829 1.0×
Artery-vein autograft (36825) $5,933 $25,146 1.0×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $13,690 $35,845 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $327 $1,106.42 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $752 $3,462.60 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $327 $1,475.95–$6,843 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $327 $1,007.06 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $327 $7,699.25 1.0×
Arthrodesis great toe interphalangeal joint (28755) $7,737 $17,118 1.0×
Arthrodesis great toe metatarsophalangeal joint (28750) $7,737 $19,125 1.0×
Arthrodesis sacroiliac joint percutaneous (27279) $18,697 $18,442 1.0×
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $13,690 $12,312.66–$12,312.70 1.0×
Arthroplasty glenohumeral joint total shoulder (23472) $18,697 $35,425.50 1.0×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,489 $23,889 1.0×
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) $18,697 $36,581 1.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,489 $12,901 1.0×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $3,489 $5,548.50 1.0×
Arthroscopy hip w/femoroplasty (29914)
range across 2 matching MRF lines		 $7,737 $23,485.60–$23,485.61 1.0×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines		 $3,489 $13,551.26–$13,551.30 1.0×
Arthroscopy knee synovectomy limited spx (29875) $3,489 $8,001 1.0×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $3,489 $11,853.68–$11,853.70 1.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $7,737 $25,802 1.0×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861)
range across 2 matching MRF lines		 $7,737 $26,314.88–$26,314.90 1.0×
Arthroscopy, knee, surgical; with lateral release (29873) $3,489 $15,028 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,489 $19,499.30 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,737 $8,757.43 1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,489 $6,903.18 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,489 $23,352 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $7,737 $27,027 1.0×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,489 $11,676 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,737 $30,702 1.0×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $3,489 $6,774.56 1.0×
Arthrotomy ankle w/expl drainage/removal fb (27610) $3,489 $11,097 1.0×
Arthrotomy biopsy interphalangeal joint each (26110) $1,714 $5,548.50 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $13,690 $31,995.60 1.0×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 2 matching MRF lines		 $3,489 $13,551.26–$13,551.30 1.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $13,690 $31,821.50 1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $7,737 $33,366 1.0×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,489 $16,002 1.0×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,489 $14,060 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,489 $15,715.70 1.0×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $3,489 $4,854.80 1.0×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $3,489 $11,944.50 1.0×
Aspirate pleura w/ imaging (32555) $668 $3,091.30 1.0×
Aspirate Pleura W/O Imaging (32554) $668 $3,222.34 1.0×
Aspiration and/or injection thyroid cyst (60300) $755 $1,217.16 1.0×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $2,229 $3,172.28–$11,342.50 1.0×
Av Fistula Revision Open (36832) $5,933 $20,990.30 1.0×
Av Fuse Uppr Arm Basilic (36819) $5,933 $23,440.20 1.0×
Av fusion/forearm vein (36820) $5,933 $15,111 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $213 $441.95 1.0×
Axillary lymphadenectomy; complete (38745) $6,446 $12,792.60 1.0×
Biopsy Abdominal Mass (49180) $1,761 $4,860.72 1.0×
Biopsy bone open deep (20245) $3,097 $10,660.50 1.0×
Biopsy bone open superficial (20240) $3,097 $5,548.12 1.0×
Biopsy bone trocar/needle deep (20225) $1,761 $4,860.72 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,761 $3,077.06 1.0×
Biopsy muscle percutaneous needle (20206) $1,761 $3,332.70 1.0×
Biopsy of breast; open, incisional (19101) $4,175 $8,240 1.0×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $1,761 $8,444.61–$25,802 1.0×
Biopsy of rectum (45100) $2,959 $6,797.50 1.0×
Biopsy of tear sac (68525) $2,535 $4,368 1.0×
Biopsy Oropharynx (42800) $1,654 $2,842.80 1.0×
Biopsy Pleura Percutaneous Needle (32400) $1,761 $2,521.26 1.0×
Biopsy Salivary Gland Needle (42400) $755 $2,332.89 1.0×
Biopsy soft tissue back/flank deep (21925) $1,761 $4,357.35 1.0×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,761 $2,332.89 1.0×
Biopsy soft tissue neck/thorax (21550) $1,761 $3,152.61 1.0×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,761 $2,521.26 1.0×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,761 $5,135.67 1.0×
Biopsy Tongue Posterior One-Third (41105) $3,535 $3,698.74 1.0×
Biopsy Vaginal Mucosa Simple (57100) $982 $6,731.50 1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $982 $10,726 1.0×
Biopsy/removal lymph nodes (38510) $4,175 $12,555.70 1.0×
Bladder instillation anticarcinogenic agent (51720) $743 $7,086.75 1.0×
Bladder Irrigation (51700) $266 $1,216.05 1.0×
Bladder Scan (51798) $62 $297 1.0×
Blood Transfusion Service (36430) $470 $2,278.56 1.0×
Blood/Lymph System Procedure (38999) $470 $21,249 1.0×
Bone Graft Any Donor Area Major/Large (20902)
range across 2 matching MRF lines		 $7,737 $13,870.29–$13,870.30 1.0×
Bone Graft Any Donor Area Minor/Small (20900) $7,737 $9,020.68 1.0×
Bone Marrow Biopsy (38221) $1,761 $8,444.61 1.0×
Bone Marrow Harvest Autolog (38232) $4,644 $8,322.17 1.0×
Bone Marrow; Aspiration Only (38220) $1,761 $2,332.89 1.0×
Breast Reduction (19318) $7,080 $36,497 1.0×
Brnchsc Brushing/Protected Brushings (31623)
range across 2 matching MRF lines		 $1,898 $8,987.85–$20,135.50 1.0×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 2 matching MRF lines		 $3,975 $8,668.63–$19,216.20 1.0×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines		 $3,975 $7,494–$19,216.20 1.0×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $1,898 $8,987.85 1.0×
Brnchsc Removal Bronchial Valve Initial (31648) $3,975 $19,216.20 1.0×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $7,525 $36,079.60 1.0×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $3,975 $19,216.20 1.0×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,898 $8,987.85 1.0×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $3,975 $19,216.20 1.0×
Bronch Thermoplsty 1 Lobe (31660) $7,525 $36,079.60 1.0×
Bronchial Valve Init Insert (31647) $7,525 $36,079.60 1.0×
Bronchoscopic Thermoplasty 2/> Lobes (31661) $7,525 $36,079.60 1.0×
Bronchoscopy Balloon Occlusion (31634) $7,525 $36,079.60 1.0×
Bronchoscopy Bronch Stents (31636) $7,525 $36,079.60 1.0×
Bronchoscopy Clear Airways (31645) $1,898 $8,987.85 1.0×
Bronchoscopy Dilate W/Stent (31631) $7,525 $36,079.60 1.0×
Bronchoscopy Reclear Airway (31646) $417 $2,023.85 1.0×
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines		 $1,898 $7,356–$8,987.85 1.0×
Bronchoscopy W/Excision Tumor (31640) $3,975 $19,216.20 1.0×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $7,525 $36,079.60 1.0×
Bronchoscopy W/Removal Foreign Body (31635) $1,898 $8,987.85 1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,975 $19,216.20 1.0×
Bronchoscopy/Needle Bx Each (31629)
range across 2 matching MRF lines		 $3,975 $19,216.20–$21,478 1.0×
Bx breast 1st lesion strtctc (19081) $1,761 $6,557.76 1.0×
Bx breast 1st lesion us imag (19083) $1,761 $5,255.73 1.0×
Bx Cervix (57500) $982 $6,988.20 1.0×
Bx/exc lymph node open deep axillary node (38525) $4,175 $19,818.30 1.0×
Bx/exc lymph node open superficial (38500) $4,175 $12,848 1.0×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,489 $4,931.94 1.0×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,714 $3,814.53 1.0×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $3,489 $1,397.60 1.0×
Carpal Tunnel Surgery (64721) $2,082 $6,552.18 1.0×
Catheter aspiration nasotracheal spx (31720) $233 $380.88 1.0×
Cautery Cervix Electro/Thermal (57510) $3,451 $11,097 1.0×
Cerclage cervix pregnancy vaginal (59320) $3,451 $11,097 1.0×
Cerv artific diskectomy (22856) $18,697 $23,256.60 1.0×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $266 $307.40–$7,083 1.0×
Change of Windpipe Airway (31502) $252 $1,136.43 1.0×
Chemical Cautery Tissue (17250) $213 $700.70 1.0×
Chemodenerv Musc Migraine (64615) $327 $1,024.65 1.0×
Chemodenerv musc neck dyston (64616) $327 $900.45 1.0×
Chemodenervation of internal anal sphincter (46505) $1,276 $7,802.33 1.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $327 $1,475.95 1.0×
Chest tube placement (32551) $1,678 $8,096.45 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,818 $10,587.20 1.0×
Circumcision 28 days or older (54161) $2,229 $8,528 1.0×
Circumcision Neonate (54160) — $3,337.35 —
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $2,229 $6,145.53–$14,688 1.0×
Cl Tx Scapular Fx; W Manip (23575) $1,714 $4,208.31 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $1,714 $4,208.31 1.0×
Clear outer ear canal (69200) $141 $386.70 1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $263 $669.65 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $263 $669.65 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,714 $7,184.35 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,714 $4,208.31 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,535 $8,245.67 1.0×
Closed tx patellar dislocation w/anesthesia (27562) $263 $669.65 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $263 $669.65 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,714 $4,208.31 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,714 $4,208.31 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,714 $4,208 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $263 $1,762.61 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,714 $4,208.31–$5,448 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $263 $1,199.40 1.0×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $2,959 $16,983.50 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,714 $4,208.31 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $263 $669.65 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $263 $669.65 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,714 $8,002.05 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $263 $669.65 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $263 $669.65–$8,782 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $1,714 $2,525.40 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $263 $529.92 1.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,714 $4,208.31 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $263 $1,199.40 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $263 $669.65 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $263 $1,138.50 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,714 $4,208 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $263 $669.65 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,714 $4,208.31 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,714 $4,208.31 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,714 $4,208 1.0×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
range across 2 matching MRF lines		 $5,334 $21,717.87–$21,717.90 1.0×
Collect Blood From Catheter Venous Nos (36592) $141 $386.70 1.0×
Collection of venous blood by venipuncture (36415) $9 $68.31 1.0×
Colonoscopy Flexible With Decompression (45393) $1,276 $6,145.31 1.0×
Colonoscopy Stoma Ablation Lesion (44401) $1,276 $6,145.31 1.0×
Colonoscopy Stoma Control Bleeding (44391) $1,276 $6,145.31 1.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,276 $6,145.31 1.0×
Colonoscopy stoma w/balloon dilation (44405) $1,276 $6,145.31 1.0×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,276 $6,145.31 1.0×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $6,473 $31,025.80 1.0×
Colonoscopy Stoma W/Rmvl Foreign Body (44390) $991 $4,751.79 1.0×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,276 $6,145.31 1.0×
Colonoscopy Through Stoma With Decompression (44408) $991 $4,751.79 1.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,276 $6,145.31 1.0×
Colonoscopy thru stoma (44388) $991 $4,751.79 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,276 $6,145.31 1.0×
Colonoscopy w/ablation (45388) $1,276 $6,145.31 1.0×
Colonoscopy W/Band Ligation (45398) $1,276 $6,145.31 1.0×
Colonoscopy w/fb removal (45379) $1,276 $6,145.31 1.0×
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $2,959 $11,608–$14,293.20 1.0×
Colonoscopy w/stent plcmt (45389) $6,473 $31,025.80 1.0×
Colonoscopy w/submucosal inj (45381) $1,276 $6,145.31 1.0×
Colpocleisis (le fort type) (57120) $5,334 $19,125 1.0×
Colpopexy extraperitoneal (57282)
range across 2 matching MRF lines		 $7,907 $12,623.40–$12,623.42 1.0×
Colpopexy vaginal intraperitoneal approach (57283)
range across 2 matching MRF lines		 $7,907 $18,803.40–$18,803.42 1.0×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $3,451 $11,326.58–$11,326.60 1.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $324 $5,548.50 1.0×
Colposcopy cervix vag eltrd conization cervix (57461) $3,451 $11,097 1.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,451 $12,100.50 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $982 $5,685.60 1.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,276 $6,145.31 1.0×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,276 $6,145.31 1.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,276 $6,145.31 1.0×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,276 $6,145.31 1.0×
Combined anteroposterior colporrhaphy; (57260)
range across 2 matching MRF lines		 $5,334 $21,593.75–$21,593.80 1.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,451 $9,954.67 1.0×
Conization of cervix (57520) $3,451 $8,503.71 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $141 $644.50 1.0×
Control Nasal Hemorrhage Anterior Simple (30901) $141 $644.50 1.0×
Control oropharyngeal hemorrhage simple (42960) $575 $13,104 1.0×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 2 matching MRF lines		 $13,690 $44,041.58–$44,041.60 1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,046 $9,887.02 1.0×
Convert Nephrostomy Catheter (50434) $2,229 $10,242.50 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,761 $8,101.20 1.0×
Correction hammertoe (28285) $3,489 $12,504.30 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,489 $16,937.50 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines		 $13,690 $11,944.40–$11,944.42 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $7,737 $7,534.97 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,489 $14,442 1.0×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $7,737 $18,121.50 1.0×
Create Tear Sac-Nasal Fistula (68720) $4,192 $19,654.30 1.0×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $5,933 $21,491.30 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $141 $699.66 1.0×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $3,535 $9,090 1.0×
Curettage postpartum (59160) $3,451 $7,083 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $2,229 $8,629.50 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $2,229 $10,660.50 1.0×
Cysto w/destruction of lesions (52214) $3,758 $13,552 1.0×
Cysto w/insert ureteral stent (52332) $3,758 $8,299.19 1.0×
Cysto w/irrig & evac multple obstructing clots (52001) $3,758 $7,146 1.0×
Cysto w/removal of lesions small (52224) $3,758 $8,213.25 1.0×
Cysto w/removal of tumors small (52234) $3,758 $11,796.30 1.0×
Cysto W/Simple Removal Stone & Stent (52310) $2,229 $8,982 1.0×
Cysto w/ureter stricture tx (52341) $3,758 $6,988 1.0×
Cysto w/ureteroscopy w/lithotripsy (52353) $5,717 $16,852.30 1.0×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,758 $7,932.50 1.0×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $3,758 $9,090 1.0×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,758 $9,431 1.0×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $5,717 $15,111 1.0×
Cysto/uretero w/lithotripsy (52356) $5,717 $16,586.90 1.0×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) $10,094 $36,069.50 1.0×
Cystostomy Cystotomy W/Drainage (51040) $2,229 $10,093.50 1.0×
Cystouretero w/excise tumor (52355) $5,717 $5,551 1.0×
Cystourethroscopy (52000) $743 $5,448 1.0×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $5,717 $4,264 1.0×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $3,758 $6,988 1.0×
Cystourethroscopy inj chemodenervation bladder (52287) $2,229 $9,090 1.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,758 $12,676.70 1.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $5,717 $10,744.20 1.0×
Cystourethroscopy w/dil bladder general anesth (52260) $2,229 $8,528.40 1.0×
Cystourethroscopy w/rmvl ureteral calculus (52320) $3,758 $9,090 1.0×
Cystourethroscopy with biopsy (52204) $2,229 $7,758 1.0×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,229 $11,513 1.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $3,097 $13,904.75–$13,904.80 1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $755 $13,870.30–$13,870.34 1.0×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $2,082 $17,827 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $788 $2,134.17–$8,528 1.0×
Debride nail 1-5 (11720) $62 $120.06 1.0×
Debride nail 6 or more (11721) $62 $297 1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,761 $4,860.72–$9,090 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $433 $2,115.54–$9,216.75 1.0×
Declot vascular device (36593) $352 $511.29 1.0×
Decompression of leg (27892) $3,489 $12,100.50 1.0×
Decompression of tibia nerve (28035) $2,082 $15,111 1.0×
Destr W Neurolytic; Celiac Plexus (64680) $943 $1,785.38 1.0×
Destroy cerv/thor facet jnt (64633) $2,082 $9,763.85 1.0×
Destroy lumb/sac facet jnt (64635) $2,082 $9,763.85 1.0×
Destruc retinal lesn,photocoag (67210) $586 $2,859.28 1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,276 $6,145.31 1.0×
Destruction Lesions Vulva Extensive (56515) $2,200 $13,104 1.0×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $2,082 $6,404–$6,937.61 1.0×
Destruction Vaginal Lesions Extensive (57065) $3,451 $9,090 1.0×
Destruction Vaginal Lesions Simple (57061) $3,451 $11,102 1.0×
Diagnostic sigmoidoscopy (45330) $991 $4,751.79 1.0×
Dilate Esophagus 1/Mult Pass (43450) $967 $4,886.52 1.0×
Dilation & curettage dx&/ther nonobstetric (58120) $3,451 $9,678.36 1.0×
Drain/inj small joint/bursa w/us (20604) $327 $1,475.95 1.0×
Drainage external ear abscess/hematoma cmplx (69005) $1,761 $3,562.47 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $755 $1,070.19 1.0×
Drainage Finger Abscess Complicated (26011) $1,761 $8,101.20 1.0×
Drainage of finger abscess simple (26010) $213 $289.80 1.0×
Drainage of gum lesion (41800) $141 $268.07 1.0×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,761 $8,101.20–$19,711.50 1.0×
Drainage of rectal abscess (45005) $1,276 $9,728 1.0×
Drainage of scrotal wall abscess (55100) $1,761 $8,101.20 1.0×
Draw Blood Off Venous Device (36591) $141 $386.70 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $755 $1,070.19 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $213 $993.50 1.0×
Dstrj Lesion Anus Extensive (46924) $2,959 $1,849.37 1.0×
Dstrj lesion anus simple surg excision (46922) $2,959 $8,389.33 1.0×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,200 $3,837.66 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $943 $2,087.60 1.0×
Dx Bone Marrow Bx & Aspir (38222) $3,097 $14,916.90 1.0×
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $1,898 $3,089–$8,987.85 1.0×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $1,898 $8,660.50–$8,987.85 1.0×
Dx Laryngoscopy Excl Nb (31525) $1,898 $39,195 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $752 $3,462.60 1.0×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,046 $9,887.02 1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $2,046 $8,014.67–$9,887.02 1.0×
Egd cautery tumor polyp (43250) $2,046 $9,887.02 1.0×
Egd control bleeding any (43255) $2,046 $9,887.02 1.0×
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $2,046 $9,887.02–$10,068 1.0×
Egd endo mucosal resection (43254) $2,046 $9,887.02 1.0×
Egd Endoscopic Stent Place (43266)
range across 2 matching MRF lines		 $6,473 $10,668–$31,025.80 1.0×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $967 $4,886.52–$7,758 1.0×
Egd guide wire insertion (43248) $967 $4,886.52 1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $2,046 $9,887.02 1.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $2,046 $9,887.02 1.0×
Egd intrmural us needle aspirate/biopsy esophags (43238) $2,046 $9,887.02 1.0×
Egd lesion ablation (43270) $2,046 $9,887.02 1.0×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $11,335 $27,062 1.0×
Egd place gastrostomy tube (43246) $2,046 $9,887.02 1.0×
Egd remove lesion snare (43251) $2,046 $9,887.02 1.0×
Egd Tube/Cath Insertion (43241) $2,046 $9,887.02 1.0×
Egd us exam duodenum/jejunum (43259) $2,046 $9,887.02 1.0×
Egd us transmural injxn/mark (43253) $2,046 $9,887.02 1.0×
Egd Varices Ligation (43244) $2,046 $9,887.02 1.0×
Egd W/Thrml Txmnt Gerd (43257) $4,111 $19,022.70 1.0×
Egd W/Transmural Drain Cyst (43240) $6,473 $31,025.80 1.0×
Endoscopic injection/implant (51715) $3,758 $8,039 1.0×
Endoscopic us exam esoph (43237) $2,046 $9,887.02 1.0×
Endoscopy Upper Small Intestine (44360) $2,046 $9,887.02 1.0×
Endoscopy upper small intestine w/biopsy (44361) $2,046 $9,887.02 1.0×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $2,046 $9,887.02 1.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $2,046 $9,887.02 1.0×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $2,046 $9,887.02 1.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $2,046 $9,887.02 1.0×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $6,473 $31,025.80 1.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,046 $9,887.02 1.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $2,046 $9,887.02 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $2,046 $9,887.02 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $2,046 $9,887.02 1.0×
Epidural Blood Patch (62273) $752 $1,488.33 1.0×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $6,473 $31,025.80 1.0×
Ercp duct stent placement (43274) $6,473 $31,025.80 1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,111 $19,829 1.0×
Ercp ea duct/ampulla dilate (43277) $4,111 $19,829 1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264) $4,111 $19,829 1.0×
Ercp remove forgn body duct (43275) $2,046 $9,887.02 1.0×
Ercp Stent Exchange W/Dilate (43276) $6,473 $31,025.80 1.0×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $4,111 $19,829 1.0×
Ercp W/Biopsy Single/Multiple (43261) $4,111 $19,829 1.0×
Ercp w/pressure measurement sphincter of oddi (43263) $2,046 $9,887.02 1.0×
Ercp,Sphincterotomy (43262) $4,111 $19,829 1.0×
Esoph Scope W/Submucous Inj (43201) $2,046 $9,887.02 1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $967 $4,886.52 1.0×
Esophagosc Dilate Balloon 30 (43214) $2,046 $9,887.02 1.0×
Esophagoscop Mucosal Resect (43211) $2,046 $9,887.02 1.0×
Esophagoscop Stent Placement (43212) $6,473 $31,025.80 1.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,046 $9,887.02 1.0×
Esophagoscopy Flex Transoral Injection Varices (43204) $2,046 $9,887.02 1.0×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $4,111 $19,829 1.0×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $2,046 $9,887.02 1.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,046 $9,887.02 1.0×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $967 $4,886.52 1.0×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $967 $4,886.52 1.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $967 $4,886.52 1.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $2,046 $9,887.02 1.0×
Esophagoscopy Flexible W/Bleeding Control (43227) $2,046 $9,887.02 1.0×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $2,046 $9,887.02 1.0×
Esophagoscopy Retro Balloon (43213) $2,046 $9,887.02 1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,046 $9,887.02 1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,046 $9,887.02 1.0×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $6,312 $14,646.20 1.0×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $2,046 $9,887.02 1.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $2,046 $9,887.02 1.0×
Ethmoidectomy; intranasal, total Facility (31201) $1,654 $6,634.80 1.0×
Evacuation of subungual hematoma (11740) $141 $250.47 1.0×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,761 $11,097 1.0×
Exc abdl tum deep 5 cm/> (22901) $3,097 $9,090 1.0×
Exc arm/elbow les sc < 3 cm (24075) $1,761 $4,066.68 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $755 $5,097.88 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $1,761 $8,039–$8,444.61 1.0×
Exc Back Les Sc < 3 Cm (21930) $1,761 $13,104 1.0×
Exc Back Tum Deep 5 Cm/> (21933)
range across 2 matching MRF lines		 $3,097 $11,674.50–$14,916.90 1.0×
Exc back tum deep < 5 cm (21932) $3,097 $11,097 1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $4,175 $14,004 1.0×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $755 $3,667.08 1.0×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $755 $11,569.50 1.0×
Exc Face Les Sbq 2 Cm/> (21012) $1,761 $15,111 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $755 $3,236.40 1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $755 $4,412.13 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $755 $3,667.08–$5,448 1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,761 $8,444.61 1.0×
Exc Forearm Les Sc 3 Cm/> (25071) $1,761 $7,038.26 1.0×
Exc Forearm Tum Deep 3 Cm/> (25073) $3,097 $13,104 1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,761 $5,548.13 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $755 $8,545 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,761 $11,357 1.0×
Exc Hand Les Sc < 1.5 Cm (26115) $1,761 $7,083 1.0×
Exc hand tum deep < 1.5 cm (26116) $1,761 $4,000.50 1.0×
Exc hydrocele sprmatic cord uni spx (55500) $3,758 $6,426.92 1.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,714 $2,774.06 1.0×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,535 $17,118 1.0×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $3,535 $20,902 1.0×
Exc neuroma hand/foot xcp digital nerve (64782) $2,082 $2,132.10 1.0×
Exc Rct Tum Incl Muscularis Propria (45172) $2,959 $39,754 1.0×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,959 $16,644.40 1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,097 $8,450.12 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $755 $3,667.08–$6,988 1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,761 $8,444.61 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,097 $11,495.70 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $1,761 $8,444.61–$8,925.75 1.0×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,761 $3,198.15 1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,097 $19,841 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,761 $8,444.61 1.0×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $3,097 $13,104–$14,916.90 1.0×
Exc thigh/knee tum dep 5cm/> (27339)
range across 2 matching MRF lines		 $3,097 $11,726.50–$11,726.55 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,276 $11,097 1.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $433 $3,338.55 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $755 $3,667.08 1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,761 $6,988 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,097 $8,902.67 1.0×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,097 $8,528.40 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,097 $9,870.76 1.0×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $3,097 $12,100.50 1.0×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $3,097 $6,552 1.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900)
range across 2 matching MRF lines		 $3,097 $16,861.30–$16,861.34 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,761 $8,444.61 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,097 $11,924.70 1.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,761 $11,097 1.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,097 $8,066.62 1.0×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $3,489 $3,553.50 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,818 $4,295.25 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,229 $6,145.53 1.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,046 $5,690.97 1.0×
Excise intraspinal lesion (63267) $7,737 $26,122.70 1.0×
Excise mandible lesion (21040) $3,535 $8,623.46 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $755 $3,667.08 1.0×
Excision Distal Ulna Partial/Complete (25240) $3,489 $9,548.62 1.0×
Excision inferior turbinate partial/complete (30130) $3,535 $4,545 1.0×
Excision lesion meniscus/capsule knee (27347) $3,489 $11,944.50 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $755 $3,667.08–$8,809 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $755 $3,667.08 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $433 $2,082.33 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $755 $3,667.08 1.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,761 $8,444.61 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,761 $9,579 1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $755 $3,667.08 1.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,761 $8,444.61 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $2,959 $14,293.20 1.0×
Excision of bartholin's gland or cyst (56740) $3,451 $9,535.84 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,714 $11,279 1.0×
Excision of hydrocele; bilateral (55041) $3,818 $10,068 1.0×
Excision of hydrocele; unilateral (55040) $3,818 $11,608 1.0×
Excision of local lesion of epididymis (54830) $3,758 $9,920.50 1.0×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $6,312 $25,146 1.0×
Excision of pilonidal cyst or sinus; simple (11770) $3,097 $8,528 1.0×
Excision of single external papilla or tag, anus (46220) $1,276 $10,155 1.0×
Excision olecranon bursa (24105) $3,489 $13,104 1.0×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $3,489 $15,111 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,097 $10,022.90 1.0×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,097 $9,167.33 1.0×
Excision prepatellar bursa (27340) $3,489 $9,090 1.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
range across 2 matching MRF lines		 $7,080 $29,589.97–$29,590 1.0×
Excision spermatocele w/wo epididymectomy (54840) $2,229 $8,528 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931)
range across 2 matching MRF lines		 $1,761 $8,444.61–$10,129.40 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,097 $5,568.44 1.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,761 $5,196.99 1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,761 $8,528 1.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,761 $8,444.61 1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,097 $9,090 1.0×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,761 $8,444.61 1.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $3,097 $11,097 1.0×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $3,097 $13,104–$14,916.90 1.0×
Excision/curettage cyst/tumor carpal bones (25130) $3,489 $8,528.40 1.0×
Excision/destruction intranasal lesion int appr (30117) $3,535 $8,528.40 1.0×
Explo/Drain Breast Abscess (19020) $1,761 $6,988 1.0×
Exploration maxillary sinus (31020) $3,535 $6,634.80 1.0×
External cephalic version (59412) — $4,250.75 —
Fasciectomy Palm Only (26121) $3,489 $11,097 1.0×
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines		 $3,489 $11,096.20–$11,096.24 1.0×
Fasciotomy palmar open partial (26045) $3,489 $6,552 1.0×
Fasciotomy palmar percutaneous (26040) $1,714 $13,104 1.0×
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $3,489 $11,096.20–$11,096.24 1.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,489 $11,480.20 1.0×
Fetal non-stress test (59025) — $1,092.96 —
Fine needle aspiration without imaging guidance (10021) $433 $9,246.87 1.0×
Fluoro exam of g/colon tube (49465) $254 $419.18 1.0×
Fna bx w/us gdn 1st les (10005) $755 $3,517.95 1.0×
Forehead flap w/vasc pedicle (15731) $3,778 $8,539.50 1.0×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $3,535 $3,698.74 1.0×
Frenulotomy of penis (54164) $2,229 $8,528 1.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,200 $8,539.50 1.0×
Fusion of foot bones (28740) $7,737 $23,139 1.0×
Graft Bone Nasal/Maxillary/Malar Areas (21210) $6,312 $30,498.50 1.0×
Grafting of autologous fat by lipo 50 cc or less (15771)
range across 2 matching MRF lines		 $3,778 $13,516.80–$13,516.83 1.0×
Guide Cathet Fluid Drainage (10030) $755 $2,332.89 1.0×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $7,737 $17,015 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,959 $11,708.40 1.0×
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines		 $2,959 $13,104–$14,293.20 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,959 $13,332.10 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $2,959 $7,555.50 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $991 $4,751.79 1.0×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948)
range across 2 matching MRF lines		 $2,959 $15,257.30–$15,257.33 1.0×
Hip arthro w/labral repair (29916)
range across 2 matching MRF lines		 $7,737 $23,485.60–$23,485.61 1.0×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $2,959 $5,548.50 1.0×
Hysteroscopy Biopsy (58558) $3,451 $10,079.70 1.0×
Hysteroscopy Dx Sep Proc (58555) $3,451 $13,104 1.0×
Hysteroscopy Endometrial Ablation (58563) $5,334 $10,650.50 1.0×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $5,334 $11,676 1.0×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,451 $10,388 1.0×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $5,334 $11,884.70 1.0×
I&d abscess peritonsillar (42700) $252 $1,695.33 1.0×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $213 $1,035.61–$8,240 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,097 $9,090 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,097 $11,097 1.0×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $991 $4,057.20–$6,100 1.0×
I&d pilonidal cyst complicated (10081) $755 $1,752.26 1.0×
I&d pilonidal cyst simple (10080) $755 $1,070.19 1.0×
Icd Pocket Revision (33223) $2,200 $3,456.90 1.0×
Ileoscopy Stoma W/Balloon Dilation (44381) $2,046 $9,887.02 1.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $967 $4,886.52 1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $967 $4,886.52 1.0×
Image Cath Fluid Colxn Visc (49405) $1,761 $2,332.89 1.0×
Image Cath Fluid Peri/Retro (49406) $1,761 $4,860.72 1.0×
Immediate breast prosthesis (19340) $8,715 $14,126 1.0×
Implant neuroelectrodes (63650) $6,795 $12,617.70 1.0×
Implant Neuroelectrodes (64561) $6,795 $17,993.80 1.0×
Implant Periph/Gastric Neurostim/Receiver (64590) $20,687 $7,938.93 1.0×
Implant Spine Infusion Pump (62362) $19,220 $10,838 1.0×
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) $19,220 $12,565 1.0×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
range across 2 matching MRF lines		 $9,358 $10,773.60–$10,773.62 1.0×
Incise external hemorrhoid (46083) $266 $972.90 1.0×
Incise finger tendon sheath (26055) $1,714 $5,668 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $433 $2,082.33–$8,528 1.0×
Incision & removal foreign body subq tiss compl (10121) $1,761 $9,041.33 1.0×
Incision & removal foreign body subq tiss simple (10120) $433 $1,007.06 1.0×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $215 $505.08–$8,528 1.0×
Incision and drainage of vulva or perineal abscess (56405) $324 $355.01 1.0×
Incision extensor tendon sheath wrist (25000) $1,714 $8,421 1.0×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,276 $6,745.10–$9,090 1.0×
Incisional biopsy skin single lesion (11106) $788 $8,528 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $213 $313.61 1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $943 $4,451.45 1.0×
Inj W/Fluor Eval Cv Device (36598) $226 $1,053.45 1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $943 $2,851.43 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $943 $4,451.45 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $752 $3,462.60 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $943 $4,074.40 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $752 $2,521.26 1.0×
Injection anesthetic agent suprascapular nerve (64418) $752 $2,077.56 1.0×
Injection of sclerosing solution, hemorrhoids (46500) $991 $4,751.79 1.0×
Injection single tendon origin/insertion (20551) $327 $583.74 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $327 $1,557.68 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $327 $1,771.92 1.0×
Injection therapeutic carpal tunnel (20526) $327 $524.75 1.0×
Injection, anesthetic agent; brachial plexus, single (64415) $943 $4,451.45 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $752 $3,462.60 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $752 $3,462.60–$5,448 1.0×
Ins cath ren art 1st bilat (36252) $3,367 $7,355.75 1.0×
Ins cath ren art 1st unilat (36251) $3,367 $5,396.49 1.0×
Ins cath ren art 2nd+ unilat (36253) $5,933 $6,311.43 1.0×
Ins endovas vena cava filtr (37191) $5,933 $16,217.10 1.0×
Ins Vag Brachytx Device (57156) $324 $5,961.33 1.0×
Ins/Rep Subq Defibrillator (33270) $33,472 $57,909.30 1.0×
Insert 1 Electrode Pm-Defib (33216)
range across 2 matching MRF lines		 $8,824 $13,786–$13,786.20 1.0×
Insert Bladder Cath Complex (51703) $137 $313.61 1.0×
Insert cath pleura w/ image (32557) $1,678 $8,096.45 1.0×
Insert cath pleura w/o image (32556) $2,046 $9,887.02 1.0×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,276 $4,209.35 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $2,046 $9,887.02 1.0×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $11,145 $13,454–$14,606 1.0×
Insert hepatic shunt (tips) (37182) $19,548 $3,206.43 1.0×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $3,367 $9,058–$9,442.50 1.0×
Insert Pacing Lead & Connect (33224) $11,145 $32,050 1.0×
Insert pulse gen dual leads (33213) $11,145 $52,326.70 1.0×
Insert Temp Bladder Cath (51702) $141 $644.50 1.0×
Insert tun ip cath perc (49418) $3,818 $4,027.19 1.0×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $3,367 $9,434.57–$15,737.50 1.0×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $5,933 $7,975.71 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $141 $231.84 1.0×
Insertion indwelling tunneled pleural catheter (32550) $3,818 $10,587.20 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,678 $4,660.32 1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
range across 2 matching MRF lines		 $8,824 $22,641.30–$24,827.90 1.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $5,334 $9,058.50 1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
range across 2 matching MRF lines		 $8,824 $13,786.20–$14,362 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,367 $1,526.63 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,367 $4,911.08 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,678 $8,096.45–$11,608 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,367 $9,442.50 1.0×
Insj/rplcmt breast implant sep day mastectomy (19342)
range across 2 matching MRF lines		 $8,715 $10,191.08–$10,191.10 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $33,472 $18,670.50–$96,184.70 1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $32,905 $11,875.20 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,824 $13,786.20 1.0×
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $11,145 $17,355.90–$31,396 1.0×
Insrt Pulse Gen W/Mult Leads (33231) $33,472 $16,228 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $23,719 $112,231 1.0×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,959 $14,293.20 1.0×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,475 $3,894.71 1.0×
Intro cath dialysis circuit (36901) $1,678 $7,767.20 1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $6,069 $17,104.60–$18,981 1.0×
Intubation endotracheal emergency procedure (31500) $252 $1,161.10 1.0×
Irrigation of corpora cavernosa for priapism (54220) $266 $623.07 1.0×
Knee arthroscopy/drainage (29871) $3,489 $9,090 1.0×
Lam facetec & foramot lumbar (63047) $7,737 $29,794.50 1.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $7,737 $38,167.50 1.0×
Laminotomy Single Lumbar (63042) $7,737 $20,902 1.0×
Lap insert tunnel ip cath (49324) $6,446 $19,747.80 1.0×
Lap paraesoph her rpr w/mesh (43282) $11,335 $57,036.70 1.0×
Lap paraesophag hern repair (43281) $11,335 $58,499.50 1.0×
Lap revision perm ip cath (49325) $6,446 $32,426 1.0×
Laparo-vag hyst incl t/o (58552) $11,335 $50,408.10 1.0×
Laparoscopic myomectomy (58545)
range across 2 matching MRF lines		 $6,446 $17,543.25–$17,543.30 1.0×
Laparoscopy aspiration (49322) $6,446 $16,002 1.0×
Laparoscopy Enterolysis Separate Procedure (44180) $6,446 $24,928 1.0×
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines		 $6,446 $11,096.20–$11,096.24 1.0×
Laparoscopy salpingostomy (58673) $11,335 $25,375 1.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $6,446 $29,171.80–$33,226.90 1.0×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $11,335 $48,609.10 1.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $11,335 $38,834.90 1.0×
Laparoscopy W/Lysis Of Adhesions (58660) $6,446 $23,352 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $6,446 $26,039.30 1.0×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $6,446 $13,113.40–$29,171.80 1.0×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
range across 2 matching MRF lines		 $11,335 $30,161.10–$30,161.11 1.0×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $11,335 $52,757.10 1.0×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) $11,335 $35,602 1.0×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $11,335 $52,605.50 1.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $6,446 $33,169 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $6,446 $22,507.10 1.0×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $11,335 $45,295.50 1.0×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
range across 2 matching MRF lines		 $6,446 $13,171.90–$13,171.93 1.0×
Laparoscopy, surgical; pyeloplasty (50544)
range across 2 matching MRF lines		 $11,335 $37,527.60–$37,527.63 1.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $6,446 $36,281 1.0×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
range across 2 matching MRF lines		 $6,446 $22,336.18–$22,336.20 1.0×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) $11,335 $18,533 1.0×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
range across 2 matching MRF lines		 $11,335 $25,916.18–$25,916.20 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $6,446 $21,538 1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $6,446 $16,002 1.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $6,446 $23,784.70 1.0×
Laps Gastric Restrictive Px Remove Device & Port (43774) $4,111 $19,125 1.0×
Laps pelvic lymphadec (38573)
range across 2 matching MRF lines		 $11,335 $33,722.67–$33,722.70 1.0×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $11,335 $80,991 1.0×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $6,446 $33,169 1.0×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $3,975 $9,129.30 1.0×
Laryngoscopy flexible diagnostic (31575) $212 $970.70 1.0×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,898 $10,068 1.0×
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $417 $9,728 1.0×
Laryngoscopy w/biopsy microscope/telescope (31536) $3,975 $4,623.43 1.0×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $417 $7,397.50 1.0×
Laser treatment of retina (67040) $4,407 $20,967 1.0×
Laser vaporization of prostate (52648) $5,717 $25,375 1.0×
Late closure of wound (13160) $3,778 $8,528 1.0×
Lig&div long saph vein saphfem junct/interrupj (37700) $3,367 $17,768 1.0×
Ligamentous Reconstruction Knee Extra-Articular (27427) $7,737 $27,062 1.0×
Ligamentous reconstruction knee intra-articular (27428) $13,690 $16,704 1.0×
Ligate/strip long leg vein (37722)
range across 2 matching MRF lines		 $3,367 $13,551.26–$13,551.30 1.0×
Ligation of a-v fistula (37607) $3,367 $23,808 1.0×
Ligation of hemorrhoids (46946) $2,959 $14,293.20 1.0×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $1,761 $12,483.27–$12,483.30 1.0×
Litholapaxy comp/lg > 2.5 cm (52318) $3,758 $16,818.70 1.0×
Litholapaxy smpl/sm <2.5 cm (52317)
range across 2 matching MRF lines		 $3,758 $10,372.56–$10,372.60 1.0×
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines		 $3,758 $11,096.20–$11,096.24 1.0×
Low Back Disk Surgery (63030) $7,737 $25,313.30 1.0×
Lyse chest fibrin init day (32561) $668 $1,854.78 1.0×
Lyse Chest Fibrin Subq Day (32562) $668 $1,854.78 1.0×
Lysis Intranasal Synechia (30560) $575 $5,548.12 1.0×
Male sling procedure (53440) $14,069 $28,172 1.0×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $1,714 $4,585.35–$8,341.26 1.0×
Marsupialization of bartholin's gland cyst (56440) $3,451 $6,988 1.0×
Mast mod rad (19307) $7,080 $37,705.50 1.0×
Mastectomy for gynecomastia (19300) $4,175 $19,640.70 1.0×
Mastectomy partial (19301) $4,175 $13,592.20 1.0×
Mastectomy partial w/axillary lymphadenectomy (19302) $7,080 $41,202 1.0×
Mastectomy simple complete (19303) $7,080 $33,367.20 1.0×
Mastopexy (19316)
range across 2 matching MRF lines		 $7,080 $14,794.98–$14,795 1.0×
Muscle-skin graft trunk (15734) $3,778 $14,688 1.0×
Myelography Lumbar Injection (62305) $835 $2,448.81 1.0×
Myelography Lumbar Injection (62304) $835 $2,342.21 1.0×
Myelography via lumbar injection rs&i cervical (62302) $835 $2,388.78 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $835 $2,410.52 1.0×
N Block Inj Celiac Pelus (64530) $943 $4,640.15 1.0×
N block inj intercost sng (64420) $752 $755.55 1.0×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $943 $4,451.45–$6,988 1.0×
N Block Lumbar/Thoracic (64520) $943 $1,461.42 1.0×
Nasal Endoscopy Dx (31231) $212 $1,011.85 1.0×
Nasal/Orogastric W/Tube Plmt (43752) $476 $1,995.20 1.0×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $417 $2,023.85 1.0×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $3,975 $19,216.20 1.0×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $7,525 $36,079.60 1.0×
Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) $7,525 $36,079.60 1.0×
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) $7,525 $36,079.60 1.0×
Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) $7,525 $36,079.60 1.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $1,898 $8,987.85–$9,090 1.0×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $1,898 $8,987.85 1.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,898 $8,987.85 1.0×
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239)
range across 2 matching MRF lines		 $3,975 $11,097–$19,216.20 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $7,525 $36,079.60 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $7,525 $36,079.60 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $7,525 $36,079.60 1.0×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $7,525 $36,079.60 1.0×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $7,525 $36,079.60 1.0×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $7,525 $36,079.60 1.0×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $1,898 $8,987.85 1.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $991 $4,751.79 1.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $991 $4,751.79 1.0×
Neck spine disk surgery (63020) $7,737 $30,702 1.0×
Needle Biopsy Lymph Nodes (38505) $1,761 $4,860.72 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $30 $122.45 1.0×
Needle insertion w/o injection 3 or more muscles (20561) $30 $122.45 1.0×
Nerve Pedicle Transfer First Stage (64905) $9,358 $4,854.60 1.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,082 $18,452 1.0×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,082 $12,002.50 1.0×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,126 $10,631 1.0×
Nipple Exploration (19110) $4,175 $13,816.30 1.0×
Nipple/areola reconstruction (19350)
range across 2 matching MRF lines		 $4,175 $16,913.26–$16,913.30 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $327 $1,475.95 1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,818 $5,445.14 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,818 $3,947.49 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $943 $4,451.45 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $752 $3,462.60–$5,226 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $752 $3,462.60–$4,072 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $943 $1,633.23 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $743 $1,328.94 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $743 $3,448 1.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $433 $1,007.06 1.0×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $7,525 $36,079.60 1.0×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $7,525 $36,079.60 1.0×
Obstructive material removal from gi tube (49460) $967 $4,886.52 1.0×
Occipital Nerve Block (64405) $327 $1,475.95 1.0×
Open biopsy/excision inguinofemoral nodes (38531) $4,175 $11,097 1.0×
Open bone biopsy (20251) $7,737 $6,055 1.0×
Open Implantation Nea Sacral Nerve (64581) $6,795 $7,053.75 1.0×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) $13,690 $16,602 1.0×
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) $13,690 $7,694.60 1.0×
Open Treatment Bimalleolar Ankle Fracture (27814) $7,737 $22,176 1.0×
Open treatment calcaneal fracture (28415) $7,737 $20,902 1.0×
Open Treatment Fracture Distal Tibia & Fibula (27828) $13,690 $30,702 1.0×
Open treatment fracture distal tibia only (27827) $13,690 $31,854 1.0×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $7,737 $28,252 1.0×
Open Treatment Medial Malleolus Fracture (27766) $7,737 $16,002 1.0×
Open treatment metatarsal fracture each (28485) $7,737 $15,111 1.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $7,737 $25,802 1.0×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $13,690 $25,802 1.0×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $6,312 $30,498.50 1.0×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $7,737 $23,352 1.0×
Open Treatment of Ulnar Shaft Fracture (25545) $7,737 $24,785 1.0×
Open treatment of ulnar styloid fracture (25652)
range across 2 matching MRF lines		 $7,737 $12,131.38–$12,131.40 1.0×
Open Treatment Proximal Humeral Fracture (23615) $13,690 $27,027.80 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,489 $14,777 1.0×
Open tx carpal scaphoid navicular fracture (25628) $7,737 $8,402.33 1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $7,737 $21,939.20 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $3,489 $18,452 1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $7,737 $10,163.10–$10,163.13 1.0×
Open tx humeral supracondylar fracture w/o xtn (24545) $13,690 $31,297.40 1.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines		 $3,489 $12,107.10–$12,107.12 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,489 $11,097 1.0×
Open Tx Radial Head/Neck Fracture Prosth (24666) $13,690 $8,409.21 1.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $7,737 $25,802 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $7,737 $22,528.80 1.0×
Open tx ulnar fx proximal end (24685) $7,737 $22,211.40 1.0×
Open/Perq Place Stent 1St (37236) $12,310 $19,658.80 1.0×
Open/Perq Place Stent Same (37238) $12,310 $36,568.60 1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $7,737 $25,990.80 1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $7,737 $24,471.40 1.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $13,690 $31,927 1.0×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $13,690 $20,902 1.0×
Orchiectomy radical tumor inguinal approach (54530) $3,818 $15,356.50 1.0×
Orchiopexy Ingun/Scrot Appr (54640) $3,818 $5,167.84 1.0×
Ostc prtl exostc/condylc metar head (28288) $3,489 $15,111 1.0×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $3,489 $11,096.20–$11,096.24 1.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $3,489 $13,601 1.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,489 $3,704.22 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,489 $9,045.45 1.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $7,737 $14,924.70 1.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,489 $4,175.36 1.0×
Osteotomy Clavicle W Bone Graft (23485) $13,690 $23,352 1.0×
Ovarian cystectomy, unilateral or bilateral (58925) $5,334 $41,456 1.0×
Parathyroidectomy or exploration of parathyroid(s); (60500) $6,312 $32,208 1.0×
Part remv talus or calcaneus (28120) $3,489 $4,264.20 1.0×
Partial Excision Distal Phalanx Finger (26236) $1,714 $2,842.80 1.0×
Partial hymenectomy or revision of hymenal ring (56700) $3,451 $10,909.80 1.0×
Partial removal of thyroid (60220) $6,446 $27,593.50 1.0×
Partial thyroid excision (60212) $6,446 $7,044 1.0×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $6,446 $9,720 1.0×
Partical Excision Bone Phalanx Toe (28124) $3,489 $11,097 1.0×
Pelvic examination under anesthesia (other than local) (57410) $3,451 $5,685.60 1.0×
Penile Injection (54235) $266 $360.18 1.0×
Perc Cryo Ablate Renal Tum (50593) $11,335 $16,005.20 1.0×
Percut Ablate Liver Rf (47382) $6,446 $14,861.60 1.0×
Percut Cath Occlusn Non Cns Lesn (61626) $12,310 $19,658.80 1.0×
Percut Drain/Inject Renal Cyst (50390) $755 $3,517.95 1.0×
Peri-Implant Capsulectomy Breast Complete (19371) $4,175 $9,889.75 1.0×
Pericardiocentesis W/Imaging (33016) $1,678 $6,580.53 1.0×
Peritoneal Lavage (49084) $967 $1,388.97 1.0×
Perm Occlusion/Embolization,Percut,Cns (61624)
range across 2 matching MRF lines		 $19,548 $15,342.80–$30,686 1.0×
Perq av fistula creation uxtr single access (36836) $19,548 $15,111 1.0×
Perq dev breast 1st us imag (19285) $755 $4,056.17 1.0×
Perq device breast 1st imag (19281) $1,761 $3,632.85 1.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $755 $2,312.19 1.0×
Perq skel fixj distal radial fx/epiphysl sep (25606) $3,489 $11,097 1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $12,310 $14,110.20 1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,069 $8,688.83 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $7,737 $10,461.80–$14,123.30 1.0×
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $7,737 $12,702.60–$13,004.50 1.0×
Phleb Veins - Extrem 20+ (37766) $3,367 $13,366 1.0×
Pin hand dislocation (26676) $3,489 $11,097 1.0×
Place Cath Subclavian Art (36225) $3,367 $15,737.50 1.0×
Place Cath Thoracic Aorta (36221) $3,367 $4,789.98 1.0×
Place Cath Vertebral Art (36226) $5,933 $16,217.10 1.0×
Placement of needle for intraosseous infusion (36680) $476 $617.90 1.0×
Placement of seton (46020)
range across 2 matching MRF lines		 $2,959 $9,472.50–$13,712 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,229 $6,145.53 1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,758 $5,942 1.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,758 $10,346.90 1.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,758 $4,521.92 1.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
range across 2 matching MRF lines		 $5,334 $19,064.40–$19,064.42 1.0×
Prim art mech thrombectomy (37184) $19,548 $53,870.20 1.0×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $2,535 $6,103.25 1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $991 $7,039.01 1.0×
Prostate laser enucleation (52649) $5,717 $36,797.90 1.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $755 $1,167.48 1.0×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $943 $2,670.87 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,818 $6,785.46 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,818 $4,890.38 1.0×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $3,489 $11,097 1.0×
Prq skel fixj femoral fx prox end neck (27235)
range across 2 matching MRF lines		 $7,737 $16,939.07–$16,939.10 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,489 $23,714.70 1.0×
Pseudoaneurysm Injection Trt (36002) $668 $796.95 1.0×
Punch biopsy skin single lesion (11104) $433 $534.06 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $433 $1,198.59 1.0×
Puncture Aspiration Cyst Breast (19000) $755 $1,745.01 1.0×
Rad resect elbow caps/sr bone w rels (24149)
range across 2 matching MRF lines		 $7,737 $10,163.40–$10,163.44 1.0×
Radical Resection Tumor Metatarsal (28173) $3,489 $12,573 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,082 $6,937.61 1.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,758 $15,111 1.0×
Re-explore parathyroids (60502) $6,312 $47,223 1.0×
Realignment extensor tendon hand each tendon (26437) $3,489 $9,417.36 1.0×
Reconstruct Finger Joint (26548) $3,489 $13,552 1.0×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
range across 2 matching MRF lines		 $7,737 $16,934.20–$16,934.24 1.0×
Relocation Pocket Pacemaker (33222)
range across 2 matching MRF lines		 $2,200 $3,578–$17,118 1.0×
Rem Endovas Vena Cava Filter (37193) $3,367 $12,183 1.0×
Removal Anal Seton Other Marker (46030) $1,276 $9,119.89 1.0×
Removal Embedded Foreign Body Eyelid (67938) $338 $1,494.65 1.0×
Removal foreign body foot deep (28192) $1,761 $11,097 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $755 $2,333 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $62 $297 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $62 $151.11 1.0×
Removal Implant Deep (20680) $3,097 $15,202.70 1.0×
Removal Implant Superficial Separate Procedure (20670) $1,761 $7,083 1.0×
Removal intact breast implant (19328)
range across 2 matching MRF lines		 $4,175 $16,158.99–$16,159 1.0×
Removal of adenoids (42830) $3,535 $7,344 1.0×
Removal of anal fissure (46200) $2,959 $6,552 1.0×
Removal of bladder cyst (51500) $6,446 $13,104 1.0×
Removal of foreign body from pharynx (42809) $476 $617.90 1.0×
Removal of heel spur (28119)
range across 2 matching MRF lines		 $3,489 $13,386.60–$13,386.62 1.0×
Removal of kidney stone (50081) $10,094 $35,254 1.0×
Removal of mammary implant material (19330)
range across 2 matching MRF lines		 $4,175 $11,079.15–$11,079.20 1.0×
Removal of nail bed (11750) $433 $534.06 1.0×
Removal of sesamoid bone (28315) $3,489 $11,097 1.0×
Removal of sperm cord lesion (55520) $3,758 $7,053.75 1.0×
Removal of testis (54520) $3,758 $11,430.40 1.0×
Removal of thyroid (60271) $6,312 $30,151 1.0×
Removal of tonsils (42826) $3,535 $13,906.80 1.0×
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $3,367 $4,431.87–$9,090 1.0×
Removal Pacemaker Electrode (33235) $3,984 $5,365.44 1.0×
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $8,824 $13,320–$13,786.20 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $213 $993.50 1.0×
Removal subcutaneous cardiac rhythm monitor (33286) $755 $3,715.85 1.0×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,200 $8,322.18 1.0×
Removal sweat gland lesion (11450) $3,097 $13,148 1.0×
Removal, under anesthesia, of external fixation system (20694) $1,714 $20,251 1.0×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $476 $25,093.75–$25,093.80 1.0×
Remove Elctrd Transvenously (33244) $3,984 $9,280.06 1.0×
Remove foreign body from eye (65205) $141 $549.59 1.0×
Remove Intrauterine Device (58301) $324 $11,097 1.0×
Remove intrvas foreign body (37197) $3,367 $5,670.77 1.0×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $668 $3,222.34–$6,988 1.0×
Remove Nasal Foreign Body (30300) $141 $330.17 1.0×
Remove Peritoneal Foreign Body (49402) $3,818 $4,368 1.0×
Remove prostate regrowth (52630) $5,717 $14,366.80 1.0×
Remove Pulse Generator (33241) $3,984 $8,278.97 1.0×
Remove renal tube w/fluoro (50389) $743 $1,057.77 1.0×
Remove self-contd penis pros (54415) $3,758 $5,252.91 1.0×
Remove spine lamina 1/2 lmbr (63005) $7,737 $33,879.30 1.0×
Remove Tendon Sheath Lesion (26160) $1,714 $8,086.50 1.0×
Remove tissue expander (11971)
range across 2 matching MRF lines		 $3,097 $12,483.29–$12,483.30 1.0×
Remove&replace pm gen singl (33227) $8,824 $12,659.10 1.0×
Remove/replace penis prosth (54410) $22,101 $21,017 1.0×
Remv&replc cvd gen dual lead (33263) $23,719 $34,890.90 1.0×
Remv&replc cvd gen mult lead (33264) $33,472 $57,909.30 1.0×
Remv&replc cvd gen sing lead (33262) $23,719 $33,498.80 1.0×
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $11,145 $17,894.70–$31,396 1.0×
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $20,540 $17,118–$22,565.10 1.0×
Renal Biopsy Perq (50200) $1,761 $4,860.72 1.0×
Reopen fallopian tube (58350)
range across 2 matching MRF lines		 $5,334 $10,369.26–$10,369.30 1.0×
Repair Achilles Tendon (27650) $7,737 $18,877.10 1.0×
Repair Collat Ankle Ligmnt,Secondary (27698) $7,737 $12,901 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $433 $7,462.36 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $433 $11,097 1.0×
Repair Finger Tendon (26433)
range across 2 matching MRF lines		 $3,489 $11,096.20–$11,096.24 1.0×
Repair Finger/Hand Tendon (26350) $3,489 $11,513 1.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,489 $10,068 1.0×
Repair Foot Dislocation (28615) $7,737 $18,452 1.0×
Repair Hallux Rigidus (28289) $3,489 $8,806.91 1.0×
Repair Hand Joint (26540) $3,489 $15,778 1.0×
Repair incomplete circumcision (54163) $2,229 $4,264 1.0×
Repair inguinal hernia, sliding, any age (49525) $3,818 $12,660 1.0×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,818 $16,261.20 1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,818 $15,233.80 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $433 $575.46 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $433 $636.53 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $433 $829.04 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $433 $848.70 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $788 $766.94 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $433 $2,082.33 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $433 $575.46 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $788 $609.62 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $433 $1,538.01 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $433 $1,007.06 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $433 $1,027.76 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $788 $8,848 1.0×
Repair of biceps tendon (24340)
range across 2 matching MRF lines		 $7,737 $10,364.80–$10,364.81 1.0×
Repair of enterocele, vaginal approach (separate procedure) (57268) $5,334 $33,174 1.0×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
range across 2 matching MRF lines		 $7,737 $11,096.20–$11,096.24 1.0×
Repair of hydrocele (55060) $3,758 $6,574 1.0×
Repair of metatarsals (28322) $7,737 $12,573 1.0×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $788 $1,531.80–$6,988 1.0×
Repair of rectocele (45560)
range across 2 matching MRF lines		 $2,959 $13,297.38–$13,297.40 1.0×
Repair of Ruptured Tendon (24342) $7,737 $21,215.60 1.0×
Repair penis post injury (54440) $3,758 $17,759 1.0×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
range across 2 matching MRF lines		 $6,903 $12,020.90–$12,020.92 1.0×
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $7,737 $16,644.36–$16,644.40 1.0×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $7,737 $20,069 1.0×
Repair tongue laceration (41250) $476 $951.17 1.0×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $7,737 $14,403.20–$14,403.21 1.0×
Repair/Graft Wrist Bone (25440) $7,737 $20,716 1.0×
Replace duodenostomy/jejunostomy tube perq (49451) $967 $1,321.70 1.0×
Replace elbow joint (24363) $18,697 $40,502 1.0×
Replace G-J Tube Perc (49452) $967 $2,812.68 1.0×
Replace g/c tube perc (49450) $967 $973.94 1.0×
Replacement Tissue Expander W/Permanent Implant (11970) $7,737 $11,137.40 1.0×
Reposition Pacing-Defib Lead (33215) $3,367 $4,381.16 1.0×
Repr elbow lat ligmnt w/tiss (24343) $3,489 $9,041.09 1.0×
Rerepair ing hernia reduce (49520) $3,818 $14,555.90 1.0×
Resection, partial or complete, phalangeal base, each toe (28126) $3,489 $13,104 1.0×
Rev/rmv prph sac/gstr npg/r (64595) $3,728 $2,842.80 1.0×
Revise finger joint each (26140) $1,714 $5,548.50 1.0×
Revise knuckle joint (26530) $7,737 $7,063 1.0×
Revise lower leg tendon (27690) $7,737 $3,731.17 1.0×
Revise ulnar nerve at wrist (64719) $2,082 $2,842.66 1.0×
Revise Wrist/Forearm Tendon (25280) $3,489 $6,038.25 1.0×
Revise/Implant Finger Joint (26536) $7,737 $4,708.66 1.0×
Revision of knee joint (27442) $13,690 $8,001 1.0×
Revision of reconstructed breast (19380) $7,080 $10,395 1.0×
Revision Peri-Implant Capsule Breast (19370)
range across 2 matching MRF lines		 $4,175 $13,736.58–$13,736.60 1.0×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $6,795 $8,001 1.0×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $13,690 $23,889 1.0×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $18,697 $30,490.30–$30,490.33 1.0×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $13,690 $39,754 1.0×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,728 $8,301 1.0×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,728 $5,685.60 1.0×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,229 $9,104.80 1.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,761 $8,528.40 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $476 $533.03 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $141 $651.02 1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $476 $664.47 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,097 $5,756.50 1.0×
Rmvl of subq implantable defibrillator electrode (33272) $3,984 $7,044 1.0×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,082 $18,452 1.0×
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines		 $2,082 $9,763.85–$16,002 1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)
range across 2 matching MRF lines		 $3,984 $5,365.44–$27,153 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,678 $6,218–$8,096.45 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $668 $3,091.30 1.0×
Rplc Gtube No Revj Trc (43762) $266 $1,267.60 1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,678 $1,822.64 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,678 $2,645.46 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $3,367 $9,442.50–$17,768 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $6,446 $25,396.10–$29,171.80 1.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,818 $24,660.10 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $6,903 $15,111 1.0×
Rpr aa hernia recr 3-10 cm reducible (49615) $6,903 $43,201.80 1.0×
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $6,903 $24,046–$31,198.80 1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $6,446 $27,261.50–$29,171.80 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $213 $1,275.12 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $575 $1,677.74 1.0×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $7,737 $12,114 1.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,489 $23,139 1.0×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $3,489 $3,553.50 1.0×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $3,489 $8,528 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,489 $8,311.75 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357)
range across 2 matching MRF lines		 $3,489 $11,096.20–$11,096.24 1.0×
Sclerotx Fluid Collection (49185) $1,761 $2,993.22 1.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $3,535 $10,020.70–$10,020.74 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $991 $4,751.79 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,276 $6,145.31 1.0×
Shoulder arthroscopy diagnostic (29805) $3,489 $13,870.30 1.0×
Sigmoidoscopy & decompress (45337) $991 $4,751.79 1.0×
Sigmoidoscopy & Polypectomy (45333) $991 $4,751.79 1.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,276 $6,145.31 1.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,276 $6,145.31 1.0×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,276 $6,145.31 1.0×
Sigmoidoscopy w/fb removal (45332) $1,276 $6,145.31 1.0×
Sigmoidoscopy w/plcmt stent (45347) $6,473 $31,025.80 1.0×
Sigmoidoscopy W/Resection (45349) $2,959 $14,293.20 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $991 $4,751.79 1.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,276 $6,145.31 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $433 $1,736.73 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $213 $993.50–$6,988 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $213 $999.81 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $213 $993.50 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $213 $2,169.36 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $213 $993.50 1.0×
Skin Full Grft Face/Genit/Hf (15240) $2,200 $1,776.75 1.0×
Skin sub graft face/nk/hf/g (15275) $788 $9,146.15 1.0×
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $788 $5,487.69–$6,988 1.0×
Skin sub grft t/arm/lg child (15273) $2,200 $3,198.15 1.0×
Skin Tissue Procedure (17999) $213 $668 1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $5,933 $16,217.10 1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222) $3,367 $6,063.03 1.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $5,933 $27,028.50 1.0×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $5,334 $14,229.40 1.0×
Small bowel endoscopy (44384) $2,046 $9,887.02 1.0×
Small bowel endoscopy (44366) $2,046 $9,887.02 1.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $2,046 $9,887.02 1.0×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) $6,473 $31,025.80 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $213 $993.50 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $433 $897.35 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $433 $987.39 1.0×
Spinal puncture lumbar diagnostic (62270) $752 $2,077.56 1.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,200 $15,111 1.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,367 $8,114 1.0×
Strapping ankle (29540) $173 $788.95 1.0×
Strapping elbow or wrist (29260) $62 $297 1.0×
Strapping knee (29530) $141 $644.50 1.0×
Strapping Unna Boot (29580) $173 $473.37 1.0×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $3,535 $13,104 1.0×
Surg Implnt Neuroelect,Epidural (63655) $20,687 $28,252 1.0×
Surg tx anal fistula subq (46270) $2,959 $7,068 1.0×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $2,959 $14,107.50 1.0×
Suture digital nerve hand/foot 1 nerve (64831) $2,082 $5,756.50 1.0×
Suture infrapatellar tendon primary (27380) $7,737 $10,446 1.0×
Suture of quadriceps or hamstring muscle rupture primary (27385) $7,737 $18,602 1.0×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
range across 2 matching MRF lines		 $7,737 $38,836.80–$38,836.83 1.0×
Synovectomy Tendon Sheath Foot Extensor (28088) $3,489 $5,037 1.0×
Synovectomy Tendon Sheath Foot Flexor (28086)
range across 2 matching MRF lines		 $3,489 $12,312.68–$12,312.70 1.0×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $3,489 $7,063 1.0×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,714 $4,264 1.0×
Tcat Insj/Rpl Perm Ldls Pm (33274) $20,540 $57,213.50 1.0×
Tendon lengthening upper arm/elbow ea tendon (24305) $3,489 $8,855.11 1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,489 $4,091 1.0×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $7,737 $13,961–$13,961.01 1.0×
Tenodesis proximal interphalangeal joint each (26471) $3,489 $4,708.66 1.0×
Tenolysis flexor tendon palm/finger each tendon (26440)
range across 2 matching MRF lines		 $1,714 $11,096.20–$11,096.24 1.0×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $3,489 $3,519.13 1.0×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $3,489 $1,921.70 1.0×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $3,489 $4,368 1.0×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,714 $11,569.50 1.0×
Therapeutic plasma exchange (36514) $1,660 $2,644.43 1.0×
Thoracoscopy w/bx nodule (32608) $11,335 $54,262.80 1.0×
Thoracoscopy w/bx pleura (32609) $6,446 $30,408.40 1.0×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) $11,335 $54,262.80 1.0×
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) $6,446 $30,408.40 1.0×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) $11,335 $54,262.80 1.0×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $6,446 $30,408.40 1.0×
Thrmbc/Nfs Dialysis Circuit (36906) $19,548 $29,965.30 1.0×
Thrombolytic Art Therapy (37211) $5,933 $7,975.71 1.0×
Thrombolytic Therapy Stroke (37195) $352 $1,796.76 1.0×
Thyroid biopsy (60100) $755 $2,131.07 1.0×
Thyroidectomy Post Prev Thyr Surg (60260)
range across 2 matching MRF lines		 $6,312 $16,310.70–$16,310.74 1.0×
Thyroidectomy, total or complete (60240) $6,446 $35,588.50 1.0×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
range across 2 matching MRF lines		 $6,312 $38,775.40–$38,775.41 1.0×
Tissue Expander Placement Breast Reconstruction (19357) $14,695 $33,152 1.0×
Tlh uterus over 250 g (58572) $11,335 $26,376 1.0×
Tnot elbow lateral/medial debride open (24358) $3,489 $6,552 1.0×
Tnot elbow lateral/medial debride open tdn rpr (24359)
range across 2 matching MRF lines		 $3,489 $12,483.27–$12,483.30 1.0×
Tooth extraction (41899) $252 $9,667.14 1.0×
Total Knee Arthroplasty (27447) $13,690 $31,742.70 1.0×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $6,446 $29,160 1.0×
Tracheostomy planned (31600) $3,535 $16,902.70 1.0×
Transcatheter biopsy (37200) $5,933 $7,975.71 1.0×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,082 $9,020.66 1.0×
Transur electr resection of prostate (52601) $5,717 $16,827.50 1.0×
Transurethral incision of prostate (52450) $3,758 $11,102 1.0×
Transurethral resection bladder neck (52500) $3,758 $23,352 1.0×
Treat ectopic pregnancy (59151) $6,446 $18,403.30 1.0×
Treat elbow fracture (24586) $13,690 $39,480 1.0×
Treat Finger Fracture Each (26727) $3,489 $15,111 1.0×
Treat fracture radius/ulna (25575) $7,737 $25,645 1.0×
Treat Fx Rad Extra-Articul (25607) $7,737 $23,481.60 1.0×
Treat Humerus Fracture (24505) $1,714 $4,208.31 1.0×
Treat Kneecap Fracture (27524) $7,737 $24,028 1.0×
Treat Knuckle Dislocation (26700) $263 $669.65 1.0×
Treat scapula fracture (23585)
range across 2 matching MRF lines		 $7,737 $26,858.76–$26,858.80 1.0×
Treat Thumb Dislocation (26641) $263 $669.65 1.0×
Treatment closed elbow dislocation w/o anes (24600) $263 $669.65 1.0×
Treatment of ankle fracture (27823) $7,737 $25,802 1.0×
Trluml Balo Angiop 1St Art (37246) $6,069 $8,688.83 1.0×
Trluml Balo Angiop 1St Vein (37248) $6,069 $17,104.60 1.0×
Trurl rescj postop bladder neck contracture (52640)
range across 2 matching MRF lines		 $3,758 $11,096.20–$11,096.24 1.0×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,959 $8,528.40 1.0×
Tx Gastro Intub W/Asp (43753) $230 $317.75 1.0×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $13,690 $30,326 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,451 $9,270.56 1.0×
Tx Missed Abortion First Trimester Surgical (59820) $3,451 $9,328.57 1.0×
Tx Missed Abortion Second Trimester Surgical (59821) $3,451 $9,090 1.0×
Tx open tendon flexor toe 1 tendon spx (28232) $1,714 $3,467.57 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $788 $1,089.86–$10,660.50 1.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $13,690 $23,352 1.0×
Tympanostomy general anesthesia (69436) $1,654 $6,064 1.0×
Unlisted hysteroscopy procedure, uterus (58579) $215 $9,090 1.0×
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines		 $6,446 $12,639.60–$12,639.62 1.0×
Unlisted laparoscopy procedure oviduct ovary (58679)
range across 2 matching MRF lines		 $6,446 $11,096.20–$11,096.24 1.0×
Unlisted laparoscopy procedure stomach (43659) $6,446 $49,273 1.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $6,446 $18,452 1.0×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $6,446 $7,904.90 1.0×
Unlisted laparoscopy procedure, lymphatic system (38589) $6,446 $23,352 1.0×
Unlisted laparoscopy procedure, spermatic cord (55559) $6,446 $6,552 1.0×
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines		 $263 $13,157.40–$13,157.43 1.0×
Unlisted Procedure Endocrine System (60699)
range across 2 matching MRF lines		 $6,446 $15,336.06–$15,336.10 1.0×
Unlisted procedure forearm or wrist (25999) $263 $1,250.24 1.0×
Unlisted Procedure Leg/Ankle (27899) $263 $8,707.73 1.0×
Unlisted procedure nervous system (64999) $327 $1,475.95 1.0×
Unlisted procedure pelvis/hip joint (27299) $263 $23,714.70 1.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $252 $1,161.10 1.0×
Unlisted procedure stomach (43999) $967 $4,886.52 1.0×
Unlisted Procedure Trachea Bronchi (31899) $212 $1,798.83 1.0×
Unlisted Procedure Vascular Surgery (37799) $668 $2,059.65 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $967 $15,134 1.0×
Unlisted Procedure, Urinary System (53899) $266 $8,528.40 1.0×
Unlisted px female genital system nonobstetrical (58999) $215 $2,842.80 1.0×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $5,334 $29,829 1.0×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
range across 2 matching MRF lines		 $5,334 $14,526.18–$14,526.20 1.0×
Vasc embolize/occlude artery (37242) $19,548 $53,870.20 1.0×
Vasc Embolize/Occlude Organ (37243) $12,310 $18,564.80 1.0×
Vasc embolize/occlude venous (37241) $12,310 $14,407.20 1.0×
Venous Mech Thrombectomy (37187) $12,310 $34,021.70 1.0×
Vulvectomy simple partial (56620) $3,451 $10,744 1.0×
Vulvectomy simple; complete (56625) $3,451 $10,093.50 1.0×
Vulvectomy, radical, partial; Facility (56630) $5,334 $9,090 1.0×
Wedge excision skin nail fold (11765) $433 $1,997.65 1.0×
Wound Prep F/N/Hf/G (15004) $433 $4,441.88 1.0×
Wound Prep Trk/Arm/Leg (15002) $788 $5,418.23 1.0×
Xfer Single Deep Low Leg Tendon (27691) $7,737 $14,126 1.0×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $5,933 $8,003.66 1.0×

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.