Procedures & surgery prices at Riverside Smithfield Hospital

Smithfield, VA · every code in this section with a posted price and a Medicare benchmark.

1067 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $705.44 $1,410.87 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $693.33 $1,386.66 0.8×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $6,757.03 $13,514.05 0.4×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,915.43 $3,830.86 1.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,915.43 $3,830.86 1.0×
Amniocentesis diagnostic (59000) $386.88 $773.75 0.4×
Amniocentesis therapeutic (59001) $154.39 $308.77 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,101.05 $4,202.10 0.7×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $300.69 $601.37 1.0×
Anal/Urinary Muscle Study (51784) $267.75 $535.50 2.1×
Anoscopy diagnostic (46600) $110.88 $221.75 0.9×
Anoscopy; with biopsy, single or multiple (46606) $1,972.95 $3,945.90 1.7×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $1,972.95 $3,945.90 0.7×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines		 $145–$280 $290–$560 varies
Application cast elbow finger short arm (29075) $155 $310 0.6×
Application Finger Splint Dynamic (29131) $162.88 $325.75 2.8×
Application finger splint static (29130) $178.15 $356.30 1.4×
Application Halo Cranial Including Removal (20661) $2,381.61 $4,763.22 1.5×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $166.75–$183.38 $333.50–$366.75 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $136.94 $273.87 0.5×
Application Long Leg Splint (29505) $132.50 $265 0.8×
Application of long leg cast (29345) $175 $350 0.6×
Application of rigid total contact leg cast (29445) $136.94 $273.87 0.5×
Application Patellar Tendon Bearing Cast (29435) $136.94 $273.87 0.5×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $140–$166.38 $280–$332.75 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $182.50–$189 $365–$378 varies
Application short leg splint calf foot (29515) $132.50 $265 0.8×
Apply hand/wrist cast (29085) $132.50 $265 0.8×
Apply long arm cast (29065) $157.50 $315 0.6×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $134.50–$245 $269–$490 varies
Apply Short Leg Cast (29405) $143.25 $286.50 0.5×
Apply short leg cast (29425) $140.88 $281.75 0.5×
Apply shoulder cast,plastr velpeau (29058) $136.94 $273.87 0.5×
Arterial puncture (36600) $66.46 $132.92 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $290 $580 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $460 $920 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $294.75 $589.50 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $510.38 $1,020.75 1.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $259 $518 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,287.57 $6,575.14 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $6,443 $12,886 0.5×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $5,155.21 $10,310.41 0.7×
Aspirate pleura w/ imaging (32555) $793.25 $1,586.50 1.3×
Aspirate Pleura W/O Imaging (32554) $775.25 $1,550.50 1.3×
Aspirate/Inj Ganglion Cyst (20612) $259.50 $519 0.9×
Aspiration bladder insert suprapubic catheter (51102) $2,433.92 $4,867.83 1.2×
Aspiration Bladder Needle (51100) $257.31 $514.62 1.1×
Avulsion nail plate partial/complete simple 1 (11730) $140.50 $281 0.7×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $5,368.06 $10,736.11 0.5×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure		 $1,819.60 $3,639.19 0.3×
Biopsy Abdominal Mass (49180) $835.40 $1,670.80 0.5×
Biopsy bone open deep (20245) $1,503.01 $3,006.01 0.5×
Biopsy bone open superficial (20240) $2,188.89 $4,377.78 0.8×
Biopsy bone trocar/needle deep (20225) $835.40 $1,670.80 0.5×
Biopsy Bone Trocar/Needle Superficial (20220) $835.40 $1,670.80 0.5×
Biopsy External Auditory Canal (69105) $1,849.77 $3,699.53 1.2×
Biopsy external ear (69100) $474.32 $948.64 2.1×
Biopsy muscle percutaneous needle (20206) $835.40 $1,670.80 0.5×
Biopsy Muscle Superficial (20200) $1,753.29 $3,506.58 1.1×
Biopsy Nasopharynx Visible Lesion Simple (42804) $1,761.68 $3,523.36 0.5×
Biopsy of breast; open, incisional (19101) $2,057.15 $4,114.30 0.5×
Biopsy of floor of mouth (41108) $835.40 $1,670.80 0.5×
Biopsy of lip (40490) $251.88 $503.75 1.1×
Biopsy of liver, needle; percutaneous (47000) $793.23 $1,586.45 0.5×
Biopsy of palate, uvula (42100) $763.75 $1,527.50 0.5×
Biopsy of penis (54100) $1,698.96 $3,397.91 1.1×
Biopsy Oropharynx (42800) $763.75 $1,527.50 0.5×
Biopsy ovary uni/bi separate procedure (58900) $2,986.28 $5,972.56 0.9×
Biopsy Pleura Percutaneous Needle (32400) $835.40 $1,670.80 0.5×
Biopsy Salivary Gland Incisional (42405) $1,916.50 $3,833 1.3×
Biopsy Salivary Gland Needle (42400) $543.48 $1,086.95 0.8×
Biopsy soft tissue neck/thorax (21550) $1,972.95 $3,945.90 1.2×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,698.96 $3,397.91 1.1×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $2,283.19 $4,566.37 1.4×
Biopsy Spinal Cord Percutaneous Needle (62269) $835.40 $1,670.80 0.5×
Biopsy Tongue Anterior Two-Thirds (41100) $743 $1,486 1.4×
Biopsy Tongue Posterior One-Third (41105) $1,915.13 $3,830.25 0.6×
Biopsy Vaginal Mucosa Extensive (57105) $2,268.15 $4,536.29 0.7×
Biopsy Vaginal Mucosa Simple (57100) $448.96 $897.91 0.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $482.60 $965.20 0.5×
Biopsy, vestibule of mouth (40808) $425 $850 0.8×
Biopsy/removal lymph nodes (38510) $2,010.95 $4,021.90 0.5×
Bladder instillation anticarcinogenic agent (51720) $381 $762 0.6×
Bladder Irrigation (51700) $194.63 $389.25 0.8×
Bladder Scan (51798) $110 $220 1.9×
Blepharotomy drainage abscess eyelid (67700) $374.50 $748.99 1.2×
Blood Transfusion Service (36430) $515.85 $1,031.69 1.2×
Blood/Lymph System Procedure (38999) $506.99 $1,013.98 1.2×
Bone Marrow Biopsy (38221) $835.40 $1,670.80 0.5×
Bone Marrow; Aspiration Only (38220) $835.40 $1,670.80 0.5×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $889.14 $1,778.28 0.5×
Brnchsc Removal Bronchial Valve Initial (31648) $2,591.75 $5,183.50 0.7×
Bronchial Valve Init Insert (31647) $3,569.25 $7,138.49 0.5×
Bronchoscopy Balloon Occlusion (31634) $3,569.25 $7,138.49 0.5×
Bronchoscopy Bronch Stents (31636) $3,569.25 $7,138.49 0.5×
Bronchoscopy Clear Airways (31645) $1,151.25 $2,302.50 0.7×
Bronchoscopy Reclear Airway (31646) $1,177.72 $2,355.43 3.1×
Bronchoscopy W/Biopsy(S) (31625) $1,146.18 $2,292.36 0.7×
Bronchoscopy W/Removal Foreign Body (31635) $1,426 $2,852 0.8×
Bx breast 1st lesion mr imag (19085) $1,311.75 $2,623.50 0.8×
Bx breast 1st lesion strtctc (19081) $1,433.50 $2,867 0.9×
Bx breast 1st lesion us imag (19083) $1,311.75 $2,623.50 0.8×
Bx breast needle core w/o imaging guidance spx (19100) $835.40 $1,670.80 0.5×
Bx Cervix (57500) $448.96 $897.91 0.5×
Bx/exc lymph node open superficial (38500) $2,400.70 $4,801.39 0.6×
Canthotomy Separate Procedure (67715) $2,087.99 $4,175.98 0.9×
Cessj Therapy Cath Removal (37214) $2,938.30 $5,876.60 1.0×
Change Cystostomy Tube Complicated (51710) $344.15 $688.30 0.5×
Change Cystostomy Tube Simple (51705) $290 $580 1.2×
Change of Windpipe Airway (31502) $325 $650 1.4×
Chemical Cautery Tissue (17250) $142.75 $285.50 0.7×
Chemical Pleurodesis (32560) $654.61 $1,309.22 1.1×
Chemodenerv 1 extrem 5/> mus (64644) $612.84 $1,225.68 0.9×
Chemodenerv 1 extremity 1-4 (64642) $612.84 $1,225.68 0.9×
Chemodenerv Musc Migraine (64615) $369 $738 1.2×
Chemodenerv musc neck dyston (64616) $355.95 $711.89 1.2×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $358.75 $717.50 1.2×
Chemodenerv trunk musc 1-5 (64646) $623.55 $1,247.09 0.9×
Chemodenerv trunk musc 6/> (64647) $623.55 $1,247.09 0.9×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $623.55 $1,247.09 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $274.50 $549 0.9×
Chest tube placement (32551) $800.96 $1,601.92 0.5×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,056.22 $2,112.43 0.5×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,819.60 $3,639.19 0.5×
Chorionic Villus Sampling (59015) $386.88 $773.75 0.4×
Circumcision Neonate (54160) $350.52 $701.04 0.5×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $2,225.25 $184.10–$4,450.50 1.1×
Cl Tx Tib Shft Fx W Manip (27752) $825.18 $1,650.35 0.5×
Clear outer ear canal (69200) $83.10 $166.20 0.6×
Closed Treat Vert Body Fract (22310) $314.60 $629.20 1.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $314.60 $629.20 1.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $825.18 $1,650.35 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $314.60 $629.20 1.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $250.30 $500.59 1.0×
Closed Treatment Sesamoid Fracture (28530) $320.10 $640.20 1.3×
Closed Treatment Ulnar Styloid Fracture (25650) $320.10 $640.20 1.3×
Closed tx ankle dislocation w/o anesthesia (27840) $320.10 $640.20 1.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $825.18 $1,650.35 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $320.10 $640.20 1.3×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $328.16 $656.31 1.4×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $320.10 $640.20 1.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $320.10 $640.20 1.3×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,415.25 $2,830.50 0.9×
Closed tx femoral fracture prox head w/o manj (27267) $1,672.93 $3,345.86 0.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $379.02 $758.03 1.6×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,702.06 $3,404.12 1.1×
Closed tx knee dislocation w/o anesthesia (27550) $314.60 $629.20 1.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $825.18 $1,650.35 0.5×
Closed tx metatarsal fracture w/o manipulation (28470) $320.10 $640.20 1.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $825.18 $1,650.35 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $763.75 $1,527.50 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,672.14 $3,344.27 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $320.10 $640.20 1.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $320.10 $640.20 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $825.18 $1,650.35 0.5×
Closed tx radial head/neck fx w/o manipulation (24650) $320.10 $640.20 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $825.18 $1,650.35 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $320.10 $640.20 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $825.18 $1,650.35 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $320.10 $640.20 1.3×
Closed Tx Scapular Fracture W/O Manipulation (23570) $320.10 $640.20 1.3×
Closed tx talotarsal joint dislc w/o anes (28570) $314.60 $629.20 1.3×
Closed Tx Talus Fracture W/Manipulation (28435) $825.18 $1,650.35 0.5×
Closed tx talus fracture w/o manipulation (28430) $320.10 $640.20 1.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $320.10 $640.20 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $240.19 $480.37 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $825.18 $1,650.35 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $320.10 $640.20 1.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $320.10 $640.20 1.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $244.38 $488.75 1.1×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $730.24 $1,460.47 1.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $320.10 $640.20 1.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $825.18 $1,650.35 0.5×
Clsd tx clavicular fracture w/o manipulation (23500) $320.10 $640.20 1.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $341 $682 1.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,628.06 $3,256.11 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $320.10 $640.20 1.3×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $825.18 $1,650.35 0.5×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $320.10 $640.20 1.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $825.18 $1,650.35 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $320.10 $640.20 1.3×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $825.18 $1,650.35 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $320.10 $640.20 1.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $320.10 $640.20 1.3×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $125.97 $251.94 0.5×
Cltx dstl fibular fx lat malls w/manj (27788) $320.10 $640.20 1.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $320.10 $640.20 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $320.10 $640.20 1.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $320.10 $640.20 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $320.10 $640.20 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $825.18 $1,650.35 0.5×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,784.15 $3,568.29 1.1×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $825.18 $1,650.35 0.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $320.10 $640.20 1.3×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $303.49 $606.97 0.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $320.10 $640.20 1.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $825.18 $1,650.35 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $320.10 $640.20 1.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $320.10 $640.20 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $320.10 $640.20 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $320.10 $640.20 1.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $825.18 $1,650.35 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $320.10 $640.20 1.3×
Cltx greater humeral tuberosity fx w/o manj (23620) $320.10 $640.20 1.3×
Cltx Greater Trochanteric Fx W/O Manj (27246) $320.10 $640.20 1.3×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $825.18 $1,650.35 0.5×
Cltx hip dislocation traumatic req anesthesia (27252) $1,628.06 $3,256.11 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $314.60 $629.20 1.3×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $320.10 $640.20 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $825.18 $1,650.35 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $320.10 $640.20 1.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $825.18 $1,650.35 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $320.10 $640.20 1.3×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $696.25 $1,392.50 0.4×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,577.60 $3,155.20 5.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $320.10 $640.20 1.3×
Cltx Med Ankle Fx W/Mnpj (27762) $825.18 $1,650.35 0.5×
Cltx Medial Ankle Fx (27760) $320.10 $640.20 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $320.10 $640.20 1.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $320.10 $640.20 1.3×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $703.14 $1,406.28 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $320.10 $640.20 1.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $320.10 $640.20 1.3×
Cltx post hip arthrp dislc req anes (27266) $1,628.06 $3,256.11 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $314.60 $629.20 1.3×
Cltx prox fibula/shft fx w/manj (27781) $825.18 $1,650.35 0.5×
Cltx prox fibula/shft fx w/o manj (27780) $320.10 $640.20 1.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $825.18 $1,650.35 0.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $314.60 $629.20 1.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $320.10 $640.20 1.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $825.18 $1,650.35 0.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $825.18 $1,650.35 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $825.18 $1,650.35 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $320.10 $640.20 1.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $825.18 $1,650.35 0.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $314.60 $629.20 1.3×
Cltx tibial fx proximal w/o manipulation (27530) $320.10 $640.20 1.3×
Cltx tibial shaft fx w/o manipulation (27750) $320.10 $640.20 1.3×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $314.60 $629.20 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $825.18 $1,650.35 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $320.10 $640.20 1.3×
Collect Blood From Catheter Venous Nos (36592) $66.46 $132.92 0.5×
Collection of venous blood by venipuncture (36415) $14.16 $28.32 1.5×
Colonoscopy Flexible With Decompression (45393) $1,498 $2,996 1.3×
Colonoscopy stoma w/balloon dilation (44405) $1,972.95 $3,945.90 1.7×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,340.20 $2,680.39 1.1×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,972.95 $3,945.90 1.7×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,225 $2,450 1.0×
Colonoscopy thru stoma (44388) $1,286.25 $2,572.50 1.4×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,225 $2,450 1.0×
Colonoscopy w/ablation (45388) $1,647.88 $3,295.75 1.4×
Colonoscopy w/fb removal (45379) $1,113.75 $2,227.50 1.0×
Colonoscopy W/Resection (45390) $1,647.88 $3,295.75 0.6×
Colonoscopy w/stent plcmt (45389) $3,069.29 $6,138.57 0.5×
Colonoscopy w/submucosal inj (45381) $1,448 $2,896 1.2×
Colporrhaphy (57200) $2,268.15 $4,536.29 0.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $354 $708 1.2×
Colposcopy Cervix Endocervical Curettage (57456) $358.88 $717.75 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $270.75 $541.50 1.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $400.38 $800.75 1.3×
Colposcopy cervix vag eltrd conization cervix (57461) $2,307.13 $4,614.26 0.7×
Colposcopy entire vagina w/cervix if present (57420) $348 $696 1.2×
Colposcopy of vulva (56820) $134.20 $268.39 0.7×
Colposcopy Vulva W/Biopsy (56821) $270.75 $541.50 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $448.96 $897.91 0.5×
Colpotomy; with drainage of pelvic abscess (57010) $2,268.15 $4,536.29 0.7×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,286.25 $2,572.50 1.1×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,225 $2,450 1.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,286.25 $2,572.50 1.1×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,299.38 $2,598.75 1.1×
Complex Cystometrogram (51726) $381.04 $762.07 1.6×
Complex drainage wound (10180) $1,475.68 $2,951.36 0.5×
Constj tracheoesophgl fstl&insj sp prosth (31611) $2,646.38 $5,292.76 0.8×
Control Nasal Hemorrhage Anterior Complex (30903) $209.91 $419.81 1.6×
Control Nasal Hemorrhage Anterior Simple (30901) $209.91 $419.81 1.6×
Control oropharyngeal hemorrhage simple (42960) $262.57 $525.14 0.5×
Conversion ext bil drg cath (47535) $3,780.96 $7,561.91 1.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,083.68 $2,167.35 0.6×
Convert Nephrostomy Catheter (50434) $1,056.22 $2,112.43 0.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $793.25 $1,586.50 0.5×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $3,744.47 $7,488.94 1.1×
Create Eardrum Opening (69433) $742.99 $1,485.97 1.4×
Csf shunt reprogram (62252) $373.75 $747.50 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $206.38 $412.75 1.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $206.38 $412.75 0.9×
Cysto Bladder W/Ureteral Catheterization (52005) $2,011.05 $4,022.09 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $2,011.05 $4,022.09 1.0×
Cysto w/complex removal stone & stent (52315) $1,915.28 $3,830.56 0.9×
Cysto w/destruction of lesions (52214) $2,636.46 $5,272.91 0.8×
Cysto w/irrig & evac multple obstructing clots (52001) $1,778.30 $3,556.60 0.5×
Cysto w/removal of lesions small (52224) $2,636.46 $5,272.91 0.8×
Cysto w/removal of tumors small (52234) $2,591.22 $5,182.43 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $1,056.22 $2,112.43 0.5×
Cysto w/ureter stricture tx (52341) $2,510.91 $5,021.82 0.7×
Cysto w/ureteroscopy w/lithotripsy (52353) $3,632.44 $7,264.87 0.7×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $2,591.22 $5,182.43 0.8×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $1,778.30 $3,556.60 0.5×
Cysto/uretero w/lithotripsy (52356) $5,544.61 $11,089.22 1.1×
Cysto/uretero w/up stricture (52345) $2,510.91 $5,021.82 0.7×
Cystometrogram W/Vp (51728) $386.58 $773.15 0.6×
Cystometrogram W/Vp&Up (51729) $405.38 $810.75 0.6×
Cystostomy Cystotomy W/Drainage (51040) $2,591.22 $5,182.43 1.3×
Cystourethroscopy (52000) $825 $1,650 1.2×
Cystourethroscopy inj chemodenervation bladder (52287) $2,030.74 $4,061.48 1.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $2,175.25 $4,350.50 0.6×
Cystourethroscopy with biopsy (52204) $2,011.05 $4,022.09 1.0×
Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865)
unusually low: confirm this is the full procedure		 $4,250 $8,500 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $273.21 $546.41 0.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,121.06 $4,242.11 0.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $2,121.06 $4,242.11 3.1×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $2,227.11 $4,454.22 3.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $334.87 $669.73 0.5×
Debride nail 1-5 (11720) $80.64 $161.28 1.4×
Debride nail 6 or more (11721) $80.64 $161.28 1.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $931.97 $1,863.93 0.6×
Debridement Mastoidectomy Cavity Cmplx (69222) $1,761.68 $3,523.36 3.3×
Debridement Mastoidectomy Cavity Simple (69220) $167 $334 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $334.87 $669.73 0.8×
Declot vascular device (36593) $317.63 $635.26 1.0×
Decompress Fingers/Hand (26035) $1,784.15 $3,568.29 0.6×
Delivery of placenta (59414) $1,639.38 $3,278.75 0.5×
Destr W Neurolytic; Celiac Plexus (64680) $1,509.98 $3,019.95 1.7×
Destroy cerv/thor facet jnt (64633) $1,150.13 $2,300.25 0.6×
Destroy lumb/sac facet jnt (64635) $1,638.63 $3,277.26 0.9×
Destruct B9 Lesion 1-14 (17110) $94.50 $189 0.5×
Destruction Internal Hemorrhoid Thermal Energy (46930) $924.53 $1,849.05 0.8×
Destruction Lesions Vulva Simple (56501) $2,025.82 $4,051.64 1.0×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $187.60 $375.20 1.0×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $206.25 $412.50 1.1×
Destruction neurolytic agt genicular nerve w/img (64624) $1,006.86 $2,013.71 0.5×
Destruction premalignant lesion 1st (17000) $102.45 $204.90 0.5×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $640.88–$1,081.38 $1,281.75–$2,162.75 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $144.05 $288.09 1.1×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $144.05 $288.09 1.1×
Dilat Urethral Strix Dilator Male Sbsq (53601) $137.19 $274.37 1.1×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $141.57 $283.14 0.6×
Dilate Esophagus 1/Mult Pass (43450) $908.78 $1,817.55 1.0×
Dilate Urethra Stricture (53620) $1,042.50 $2,085 1.5×
Dilate Urethra Stricture (53600) $381.04 $762.07 1.6×
Dilation & curettage dx&/ther nonobstetric (58120) $1,951.13 $3,902.25 0.6×
Dilation Cervical Canal (57800) $1,910.25 $3,820.50 0.6×
Dilation Esophagus Guide Wire (43453) $1,972.80 $3,945.60 1.1×
Dilation Salivary Duct (42650) $1,720.68 $3,441.35 1.1×
Drain Cerebro Spinal Fluid (62272) $613.10 $1,226.20 0.9×
Drain Spinal Cord Cyst (62268) $459.04 $918.07 0.5×
Drain/inj small joint/bursa w/us (20604) $397.50 $795 1.3×
Drainage Abscess/Hematoma Nasal Septum (30020) $250 $500 0.5×
Drainage external auditory canal abscess (69020) $362.78 $725.55 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $1,282.83 $2,565.66 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $362.78 $725.55 0.5×
Drainage Finger Abscess Complicated (26011) $1,282.83 $2,565.66 0.8×
Drainage Mouth Roof Lesion (42000) $262.13 $524.25 1.1×
Drainage of finger abscess simple (26010) $229.61 $459.21 1.2×
Drainage of gum lesion (41800) $262.13 $524.25 2.0×
Drainage of hematoma/fluid (10140) $1,282.83 $2,565.66 0.8×
Drainage of hydrocele (55000) $362.78 $725.55 0.5×
Drainage of nose lesion (30000) $244.38 $488.75 1.1×
Drainage of scrotal wall abscess (55100) $1,288.13 $2,576.25 0.8×
Drainage of scrotum (54700) $2,722 $5,444 1.3×
Draw Blood Off Venous Device (36591) $66.46 $132.92 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $742.99 $1,485.97 1.4×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $362.78 $725.55 0.5×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $2,067.06 $4,134.12 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $223.38 $446.75 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $198.13 $396.25 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $150 $300 0.8×
Dstrj lesion anus simple surg excision (46922) $3,251.38 $6,502.75 1.2×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,025.82 $4,051.64 1.0×
Dstrj lesion penis simple surg excision (54060) $2,025.82 $4,051.64 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $738.06 $1,476.12 0.9×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,747 $3,494 2.0×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,484.07 $2,968.13 1.7×
Dx Bone Marrow Bx & Aspir (38222) $2,157.09 $4,314.18 0.8×
Dx Bronchoscope/Lavage (31624) $1,151.25 $2,302.50 0.7×
Dx Bronchoscope/Wash (31622) $1,151.25 $2,302.50 0.7×
Dx Laryngoscopy Excl Nb (31525) $2,000.38 $4,000.75 1.2×
Dx laryngoscopy w/oper scope (31526) $2,386.45 $4,772.89 1.4×
Dx lmbr spi pnxr w/fluor/CT (62328) $924 $1,848 1.3×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,972.95 $3,945.90 1.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,972.50 $3,945 1.1×
Egd cautery tumor polyp (43250) $978.10 $1,956.19 0.5×
Egd control bleeding any (43255) $1,068.75 $2,137.50 0.6×
Egd dilation gastric/duodenal stricture (43245) $1,068.75 $2,137.50 0.6×
Egd endo mucosal resection (43254) $1,161.51 $2,323.01 0.6×
Egd Endoscopic Stent Place (43266) $4,177.85 $8,355.70 0.7×
Egd Flexible Foreign Body Removal (43247) $1,068.75 $2,137.50 1.2×
Egd guide wire insertion (43248) $1,972.50 $3,945 2.2×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $978.10 $1,956.19 0.5×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $978.10 $1,956.19 0.5×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,048.75 $2,097.50 0.6×
Egd lesion ablation (43270) $1,913.88 $3,827.75 1.0×
Egd place gastrostomy tube (43246) $1,068.75 $2,137.50 0.6×
Egd remove lesion snare (43251) $1,068.75 $2,137.50 0.6×
Egd Tube/Cath Insertion (43241) $1,061.13 $2,122.25 0.6×
Egd us exam duodenum/jejunum (43259) $1,658 $3,316 0.9×
Egd us transmural injxn/mark (43253) $2,385.08 $4,770.15 1.3×
Egd Varices Ligation (43244) $1,068.75 $2,137.50 0.6×
Egd W/Transmural Drain Cyst (43240) $3,069.29 $6,138.57 0.5×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $300.69 $601.37 1.0×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $373.65 $747.30 1.2×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $367.24 $734.47 1.2×
Electro-Uroflowmetry First (51741) $165 $330 0.8×
Endocervical curettage (57505) $448.96 $897.91 0.5×
Endometrial Biopsy (58100) $270.80 $541.60 1.4×
Endoscopic us exam esoph (43237) $1,073.88 $2,147.75 0.6×
Endoscopy Upper Small Intestine (44360) $1,259.50 $2,519 0.7×
Endoscopy upper small intestine w/biopsy (44361) $1,322.50 $2,645 0.7×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $5,847.23 $11,694.46 0.5×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,397.68 $6,795.36 1.1×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,600 $7,200 1.2×
Endoven ther chem adhes 1st (36482) $6,824.69 $13,649.38 1.3×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,972.95 $3,945.90 1.1×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $1,972.95 $3,945.90 1.1×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $1,024.27 $2,048.53 0.5×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,972.95 $3,945.90 1.1×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,972.95 $3,945.90 1.1×
Epidural Blood Patch (62273) $613.10 $1,226.20 0.9×
Episiotomy or vaginal repair (59300) $1,874.16 $3,748.32 0.6×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $3,441.50 $6,883 0.6×
Ercp duct stent placement (43274) $3,613.58 $7,227.15 0.6×
Ercp Dx Collection Specimen Brushing/Washing (43260) $2,203.41 $4,406.82 0.6×
Ercp ea duct/ampulla dilate (43277) $3,613.58 $7,227.15 1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,203.41 $4,406.82 0.6×
Ercp remove forgn body duct (43275) $3,613.58 $7,227.15 1.9×
Ercp Stent Exchange W/Dilate (43276) $3,613.58 $7,227.15 0.6×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $3,613.58 $7,227.15 1.0×
Ercp W/Biopsy Single/Multiple (43261) $2,203.41 $4,406.82 0.6×
Ercp w/pressure measurement sphincter of oddi (43263) $2,347.63 $4,695.25 1.3×
Ercp,Sphincterotomy (43262) $2,203.41 $4,406.82 0.6×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,068.13 $2,136.25 1.2×
Esophagoscop Mucosal Resect (43211) $1,972.95 $3,945.90 1.1×
Esophagoscop Stent Placement (43212) $4,106.16 $8,212.32 0.7×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,017.88 $2,035.75 0.5×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $3,613.58 $7,227.15 1.0×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,181.78 $2,363.56 1.3×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $1,972.95 $3,945.90 2.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,017.88 $2,035.75 1.2×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,061.13 $2,122.25 0.6×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,061.13 $2,122.25 0.6×
Esophagoscopy rig transoral removal foreign body (43194) $1,754.21 $3,508.42 0.9×
Esophagoscopy Rigid Balloon (43195) $2,207.75 $4,415.50 0.6×
Esophagoscopy rigid trnso dx (43191) $1,218.25 $2,436.50 0.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $945.15 $1,890.30 0.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,972.95 $3,945.90 1.1×
Esophagoscp Guide Wire Dilat (43196) $1,972.95 $3,945.90 1.1×
Esophagoscp Rig Trnso Biopsy (43193) $1,379 $2,758 0.7×
Evacuation of subungual hematoma (11740) $82.38 $164.75 0.6×
Exc arm/elbow les sc < 3 cm (24075) $1,850 $3,700 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $499.75 $999.50 0.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $920.25 $1,840.50 0.6×
Exc Back Les Sc < 3 Cm (21930) $2,227.11 $4,454.22 1.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $920.25 $1,840.50 1.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $920.27 $1,840.53 1.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,753.29 $3,506.58 1.1×
Exc Face Les Sbq 2 Cm/> (21012) $1,000.15 $2,000.29 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $482.60 $965.20 0.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $499.75 $999.50 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $953.25 $1,906.50 1.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $953.25 $1,906.50 0.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $953.25 $1,906.50 0.6×
Exc Forearm Les Sc 3 Cm/> (25071) $2,852.11 $5,704.21 1.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $935.42 $1,870.84 0.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $953.25 $1,906.50 1.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $953.25 $1,906.50 0.6×
Exc Hand Les Sc < 1.5 Cm (26115) $2,188.89 $4,377.78 1.4×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $1,849.77 $3,699.53 0.6×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $1,818.03 $3,636.05 0.6×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $4,384.63 $8,769.25 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $920.25 $1,840.50 1.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,783.90 $3,567.80 1.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,188.89 $4,377.78 0.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,783.90 $3,567.80 1.1×
Exc Skin Benig >4cm Face,Facial (11446) $2,227.11 $4,454.22 0.8×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $920.25 $1,840.50 0.6×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,227.11 $4,454.22 0.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,783.90 $3,567.80 1.1×
Exc thigh/knee les sc 3 cm/> (27337) $2,994.71 $5,989.42 1.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $871.44 $1,742.87 0.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $499.75 $999.50 1.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $499.75 $999.50 0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $920.25 $1,840.50 0.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,852.11 $5,704.21 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,502.73 $3,005.46 0.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,188.89 $4,377.78 0.8×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,133.95 $4,267.90 1.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,783.93 $3,567.85 1.1×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,783.91 $3,567.81 1.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,227.11 $4,454.22 1.4×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $2,288.39 $4,576.77 0.8×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,188.89 $4,377.78 0.8×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $2,188.89 $4,377.78 0.8×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,994.71 $5,989.42 1.1×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,716.08 $7,432.16 1.1×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,056.22 $2,112.43 0.5×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,284.07 $2,568.13 0.7×
Excis Mouth Mucosa/Sub,No Repair (40810) $1,849.77 $3,699.53 0.6×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,849.77 $3,699.53 1.2×
Excise mandible lesion (21040) $1,703.10 $3,406.20 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $920.25 $1,840.50 1.3×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,139.28 $4,278.56 0.8×
Excision lesion mouth roof (42104) $1,849.77 $3,699.53 0.6×
Excision Lesion Tongue W/O Closure (41110) $1,849.77 $3,699.53 0.6×
Excision Lingual Frenum Frenectomy (41115) $1,230.25 $2,460.50 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $482.60 $965.20 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $499.75 $999.50 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $499.75 $999.50 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $920.25 $1,840.50 1.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $920.25 $1,840.50 1.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $920.25 $1,840.50 0.6×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $920.25 $1,840.50 0.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $482.60 $965.20 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $920.25 $1,840.50 1.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,753.29 $3,506.58 1.1×
Excision Multiple External Papillae/Tags Anus (46230) $2,096.63 $4,193.25 0.8×
Excision nasal polyp(s) simple (30110) $1,849.75 $3,699.50 1.2×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $3,050.13 $6,100.26 0.5×
Excision of pilonidal cyst or sinus; simple (11770) $2,227.13 $4,454.25 0.8×
Excision of single external papilla or tag, anus (46220) $2,100 $4,200 1.8×
Excision of vaginal cyst or tumor (57135) $2,268.15 $4,536.29 0.7×
Excision soft tissue lesion, external auditory canal (69145) $1,783.90 $3,567.80 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,852.11 $5,704.21 1.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,994.71 $5,989.42 1.9×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,227.11 $4,454.22 1.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,000.15 $2,000.29 0.6×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $2,994.71 $5,989.42 1.1×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,852.11 $5,704.21 1.0×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,753.29 $3,506.58 1.1×
Excision/destruction intranasal lesion int appr (30117) $1,850 $3,700 0.6×
Excision/destruction lesion pharynx any method (42808) $1,849.77 $3,699.53 0.6×
Explo/Drain Breast Abscess (19020) $2,067.06 $4,134.12 1.3×
Exploration penetrating wound spx extremity (20103) $835.40 $1,670.80 0.5×
Extensive Retinopathy 1/> Sess Preterm Infant (67229) $666.04 $1,332.08 1.2×
External cephalic version (59412) $1,639.38 $3,278.75 0.5×
Fetal non-stress test (59025) $202.88 $405.75 1.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $917.16 $1,834.31 1.3×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $933.17 $1,866.33 1.4×
Fine needle aspiration without imaging guidance (10021) $294.50 $589 0.7×
Fluid Pressure Muscle (20950) $362.78 $725.55 0.5×
Fluoro exam of g/colon tube (49465) $174.03 $348.06 0.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $933.17 $1,866.33 1.4×
Fna bx w/us gdn 1st les (10005) $933.17 $1,866.33 1.4×
Foreskin manipulation (54450) $381.04 $762.07 1.6×
Guide Cathet Fluid Drainage (10030) $649.50 $1,298.99 0.9×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,590.06 $5,180.11 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $924.53 $1,849.05 1.0×
I&d abscess peritonsillar (42700) $244.38 $488.75 1.1×
I&d abscess simple (10060) $229.61 $459.21 1.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,067.06 $4,134.12 0.7×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,075.63 $4,151.25 0.7×
I&D Mouth/Tong Intra,Masticator (41009) $302.63 $605.25 0.6×
I&d perianal abscess superficial (46050) $858.19 $1,716.37 0.9×
I&d pilonidal cyst complicated (10081) $1,282.83 $2,565.66 1.9×
I&d pilonidal cyst simple (10080) $328.65 $657.30 0.5×
Iadna vag pthgn pnl 27 org amp probe vag swab (0330U) $221.38 $442.75 0.5×
Icd Pocket Revision (33223) $1,915.43 $3,830.86 1.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,322.50 $2,645 1.5×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,087.75 $2,175.50 1.2×
Image Cath Fluid Colxn Visc (49405) $2,154.87 $4,309.73 1.3×
Image Cath Fluid Peri/Retro (49406) $2,154.87 $4,309.73 1.3×
Image Cath Fluid Trns/Vgnl (49407) $1,335.43 $2,670.85 0.8×
Implant neuroelectrodes (63650) $17,840.24 $35,680.47 2.9×
Implant Neuroelectrodes (64561) $16,990.70 $33,981.40 2.7×
Incise external hemorrhoid (46083) $437.75 $875.50 1.8×
Incision & drainage abscess complicated/multiple (10061) $250 $500 0.6×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,503 $3,006 0.5×
Incision & removal foreign body subq tiss compl (10121) $1,783.90 $3,567.80 1.1×
Incision & removal foreign body subq tiss simple (10120) $229.63 $459.25 0.6×
Incision and drainage of bartholin's gland abscess (56420) $348.41 $696.82 1.8×
Incision and drainage of vulva or perineal abscess (56405) $348.41 $696.82 1.2×
Incision of eardrum (69420) $244.38 $488.75 1.1×
Incision of labial frenum (frenotomy) (40806) $262.50 $525 0.5×
Incision of lingual frenum (frenotomy) (41010) $1,849.75 $3,699.50 1.2×
Incision of rectal abscess (46040) $1,450 $2,900 1.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $982.90 $1,965.80 0.6×
Incisional biopsy skin single lesion (11106) $506.13 $1,012.25 0.7×
Initial Tx 1st Degree Burn Local Tx (16000) $137.89 $275.77 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $922.12 $1,844.23 1.1×
Inj W/Fluor Eval Cv Device (36598) $105.25 $210.50 0.5×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $459.04 $918.07 0.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $738.06 $1,476.12 0.9×
Inject Intravitreal Pharmcologic (67028) $640.09 $1,280.18 2.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $259.15 $518.30 0.9×
Injection aa&/strd axillary nerve w/img gdn (64417) $459.04 $918.07 0.5×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $459.04 $918.07 0.5×
Injection aa&/strd genicular nrv branches w/img (64454) $357.07 $714.13 0.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $834.96 $1,669.92 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $459.04 $918.07 0.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $357.07 $714.13 0.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $364.50 $729 0.5×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $459.04 $918.07 0.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $259.15 $518.30 0.9×
Injection Anes Superior Hypogastric Plexus (64517) $459.04 $918.07 0.5×
Injection anesthetic agent suprascapular nerve (64418) $317.38 $634.75 0.5×
Injection enzyme palmar fascial cord (20527) $334.25 $668.50 1.1×
Injection for identification of sentinel node (38792) $262.63 $525.25 0.7×
Injection procedure for peyronie disease (54200) $375 $750 1.5×
Injection single tendon origin/insertion (20551) $259.15 $518.30 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $259.15 $518.30 0.9×
Injection single/mlt trigger point 3/> muscles (20553) $259.15 $518.30 0.9×
Injection Sinus Tract Therapeutic Separate Proc (20500) $773.92 $1,547.84 0.5×
Injection therapeutic carpal tunnel (20526) $259.15 $518.30 0.9×
Injection, anesthetic agent; brachial plexus, single (64415) $459.04 $918.07 0.5×
Injection, anesthetic agent; femoral nerve, single (64447) $398.25 $796.50 0.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $357.07 $714.13 0.5×
Injection, anesthetic agent; vagus nerve (64408) $225 $450 0.8×
Injection, Intralesional; More Than 7 Lesions (11901) $95.56 $191.12 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $100.34 $200.68 0.5×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $924.53 $1,849.05 1.1×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $924.53 $1,849.05 1.1×
Ins cath ren art 1st bilat (36252) $3,821.50 $7,643 1.2×
Ins cath ren art 1st unilat (36251) $3,821.50 $7,643 1.2×
Ins cath ren art 2nd+ bilat (36254) $3,740.11 $7,480.22 1.2×
Ins cath ren art 2nd+ unilat (36253) $3,821.50 $7,643 0.7×
Ins endovas vena cava filtr (37191) $5,686.88 $11,373.75 1.0×
Ins Vag Brachytx Device (57156) $462.50 $925 1.6×
Ins/Rep Subq Defibrillator (33270) $52,285.26 $104,570.52 1.7×
Insert 1 Electrode Pm-Defib (33216) $6,898.82 $13,797.63 0.9×
Insert Bladder Cath Complex (51703) $262.63 $525.25 2.1×
Insert cath pleura w/ image (32557) $800.96 $1,601.92 0.5×
Insert cath pleura w/o image (32556) $978.10 $1,956.19 0.5×
Insert cervical dilator (59200) $379.18 $758.35 1.3×
Insert Drug Implant Device (11981) $210 $420 1.6×
Insert Gastrostomy Tube Percutaneous (49440) $1,123.13 $2,246.25 0.6×
Insert Heart Pm Atrial (33206) $14,472.38 $28,944.75 1.4×
Insert Heart Pm Ventricular (33207) $14,472.38 $28,944.75 1.4×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $5,021.50 $10,043 0.3×
Insert multi-comp penis pros (54405) $12,006.83 $24,013.66 0.6×
Insert Nasal Septal Button (30220) $742.99 $1,485.97 0.5×
Insert non-tunnel cv cath (36556) $1,622.86 $3,245.72 0.5×
Insert Pacing Lead & Connect (33224) $5,200.13 $10,400.25 0.5×
Insert pessary/other device (57160) $131.89 $263.78 0.7×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,445.95 $2,891.90 0.9×
Insert pulse gen dual leads (33213) $11,761.56 $23,523.11 1.2×
Insert pulse gen mult leads (33221) $13,004.48 $26,008.95 0.7×
Insert Pulse Gen Sngl Lead (33212) $11,262.33 $22,524.66 1.4×
Insert Temp Bladder Cath (51702) $109.75 $219.50 0.8×
Insert tun ip cath perc (49418) $3,901.04 $7,802.08 1.1×
Insert tunneled cv cath (36561) $3,323.25 $6,646.50 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $69.13 $138.25 0.5×
Insertion indwelling tunneled pleural catheter (32550) $3,864.74 $7,729.48 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,731.32 $3,462.63 1.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $11,721.39 $23,442.78 1.5×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,601.66 $7,203.32 1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,898.82 $13,797.63 0.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,622.86 $3,245.72 0.5×
Insj Picc Rs&I <5 Yr (36572) $1,395 $2,790 2.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,622.86 $3,245.72 0.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,500 $3,000 1.0×
Insj Subq Impltbl Dfb Elctrd (33271) $11,297.99 $22,595.97 1.4×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $3,323.25 $6,646.50 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,622.86 $3,245.72 0.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $55,316.13 $110,632.25 1.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $7,048.88 $14,097.75 0.9×
Insrt heart pm atrial & vent (33208) $15,461.38 $30,922.76 1.5×
Insrt Pulse Gen W/Dual Leads (33230) $43,736.34 $87,472.67 2.0×
Insrt Pulse Gen W/Mult Leads (33231) $43,736.34 $87,472.67 1.4×
Insrt Pulse Gen W/Singl Lead (33240) $41,768.38 $83,536.76 1.9×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $357 $714 0.9×
Intranasal Biopsy (30100) $763.75 $1,527.50 0.5×
Intraoral i&d tongue/floor sublngl supfc (41005) $240.19 $480.37 1.0×
Intraoral i&d tongue/floor submndblr space (41008) $1,849.75 $3,699.50 0.6×
Intro cath dialysis circuit (36901) $1,147.37 $2,294.74 0.7×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $16,356.15 $32,712.30 1.5×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $8,268.75 $16,537.50 1.5×
Intro Gastrointestinal Tube (44500) $483.41 $966.82 0.5×
Intubation endotracheal emergency procedure (31500) $537.50 $1,075 2.3×
Irrigation maxillary sinus (31000) $240.19 $480.37 1.0×
Irrigation of corpora cavernosa for priapism (54220) $374.50 $748.99 1.5×
Labyrinthotomy Transcanal (69801) $4,356.96 $8,713.91 2.9×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $2,527.63 $5,055.25 0.7×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $1,901 $3,802 0.5×
Laryngoscopy and dilation (31528) $1,901 $3,802 0.5×
Laryngoscopy diagnostic (31505) $145.82 $291.64 0.7×
Laryngoscopy flexible diagnostic (31575) $209 $418 1.1×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,517.04 $5,034.07 1.4×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $479.63 $959.25 1.3×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $650.13 $1,300.25 1.7×
Laryngoscopy W/Foreign Body Removal (31530) $2,517.04 $5,034.07 1.4×
Ligation of a-v fistula (37607) $3,045.81 $6,091.61 1.0×
Ligation of hemorrhoids (46946) $1,762.50 $3,525 0.7×
Ligation or biopsy temporal artery (37609) $1,753.29 $3,506.58 1.1×
Lithotripsy, extracorporeal shock wave (50590) $5,744.38 $11,488.75 1.7×
Lyse chest fibrin init day (32561) $644.22 $1,288.44 1.1×
Lyse Chest Fibrin Subq Day (32562) $274.84 $549.67 0.4×
Lysis/excision penile postcircumcision adhesions (54162) $2,277.83 $4,555.65 1.1×
Maniplatn palar fascial crd post inj single cord (26341) $646.35 $1,292.69 2.7×
Manipulation Ankle Under General Anesthesia (27860) $1,672.93 $3,345.86 0.5×
Manipulation Elbow Under Anesthesia (24300) $1,577.60 $3,155.20 1.0×
Manipulation knee joint under general anesthesia (27570) $1,692.50 $3,385 1.1×
Manipulation, finger joint, under anesthesia, each joint (26340) $825.18 $1,650.35 0.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,656.50 $3,313 1.1×
Marsupialization of bartholin's gland cyst (56440) $2,197.85 $4,395.70 0.7×
Maternity Care Procedure (59899)
range across 3 matching MRF lines		 $164–$366.69 $328–$733.38 varies
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $924.53 $1,849.05 0.6×
Mech remov tunneled cv cath (36595) $1,622.86 $3,245.72 0.5×
Mrgfus Stereotactic Ablation Target Intracranial (61715) $19,661.46 $39,322.92 1.8×
Myelography Lumbar Injection (62304) $407.36 $814.71 0.5×
Myelography via lumbar injection rs&i cervical (62302) $1,041.96 $2,083.91 1.4×
N Block Inj Celiac Pelus (64530) $702.92 $1,405.83 0.8×
N Block Inj Ilio-Ing/Hypogi (64425) $357.07 $714.13 0.5×
N block inj intercost sng (64420) $738.06 $1,476.12 1.1×
N Block Inj Plantar Digit (64455) $318.87 $637.73 1.1×
N Block Inj Pudendal (64430) $459.04 $918.07 0.5×
N Block Lumbar/Thoracic (64520) $738.06 $1,476.12 0.9×
Nasal Endoscopy Dx (31231) $225.25 $450.50 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $274.43 $548.86 0.6×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,517.04 $5,034.07 1.4×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,646.02 $3,292.03 0.9×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $4,072.04 $8,144.07 0.6×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,113.75 $2,227.50 1.2×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,113.75 $2,227.50 1.2×
Needle Biopsy Lymph Nodes (38505) $835.40 $1,670.80 0.5×
Needle Biopsy Pancreas (48102) $835.40 $1,670.80 0.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $15 $30 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $15 $30 0.5×
Neuroeltrd Stim Post Tibial (64566) $275 $550 0.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,208.90 $2,417.80 2.9×
Njx anes stellate ganglion crv sympathetic (64510) $1,087.50 $2,175 1.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $259.15 $518.30 0.9×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,819.60 $3,639.19 0.5×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,716.08 $7,432.16 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $922.12 $1,844.23 1.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,125.16 $2,250.31 1.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $893.13 $1,786.25 1.3×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $924.53 $1,849.05 1.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,125.16 $2,250.31 1.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,125.16 $2,250.31 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,143.98 $2,287.95 1.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,094.63 $2,189.25 1.3×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $2,553.58 $5,107.15 1.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $914.50 $1,829 1.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $2,067.45 $4,134.90 3.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $229.50 $459 0.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $230.38 $460.75 0.6×
Njx Sclrsnt Spider Veins (36468) $334.86 $669.72 0.8×
Obstructive material removal from gi tube (49460) $483.41 $966.82 0.5×
Occipital Nerve Block (64405) $259.15 $518.30 0.9×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $3,927 $7,854 0.6×
Open Tx Distal Phalangeal Fracture Each (26765) $3,572.02 $7,144.04 1.1×
Open tx interphalangeal joint dislocation (26785) $3,750.62 $7,501.24 1.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,686.27 $7,372.53 1.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $3,685.66 $7,371.32 0.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $3,683.33 $7,366.65 0.5×
Open/Perq Place Stent 1St (37236) $16,135.25 $32,270.50 1.4×
Open/Perq Place Stent Same (37238) $16,135.25 $32,270.50 1.4×
Partial hymenectomy or revision of hymenal ring (56700) $2,416.63 $4,833.25 0.8×
Penile Injection (54235) $144.05 $288.09 0.6×
Perc Cryo Ablate Renal Tum (50593) $5,657.08 $11,314.16 0.5×
Perc Rf Ablate Renal Tumor (50592) $4,982.18 $9,964.35 0.8×
Percut Ablate Liver Rf (47382) $3,008.21 $6,016.42 0.5×
Percut Cath Occlusn Non Cns Lesn (61626) $5,847.23 $11,694.46 0.5×
Percut Drain/Inject Renal Cyst (50390) $924.53 $1,849.05 1.3×
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,749.25 $9,498.50 1.5×
Pericardiocentesis W/Imaging (33016) $800.96 $1,601.92 0.5×
Peritoneal Lavage (49084) $705.44 $1,410.87 0.8×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $5,129.19 $10,258.38 0.3×
Perq av fistula creation uxtr sep access sites (36837) $16,309.13 $32,618.25 0.9×
Perq av fistula creation uxtr single access (36836) $9,258.54 $18,517.07 0.5×
Perq Cervicothoracic Inject (22510) $4,986.45 $9,972.90 1.6×
Perq dev breast 1st mr guide (19287) $1,174.38 $2,348.75 1.7×
Perq dev breast 1st strtctc (19283) $2,110.75 $4,221.50 3.1×
Perq dev breast 1st us imag (19285) $1,924 $3,848 2.8×
Perq device breast 1st imag (19281) $1,916 $3,832 1.2×
Perq Lumbosacral Injection (22511) $4,986.45 $9,972.90 1.6×
Perq p-art revsc 1 nm nt uni (33900) $8,032 $16,064 0.7×
Perq p-art revsc st 1st nml native connj bi (33901)
likely a partial charge, not the full procedure		 $1,032 $2,064 0.1×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $4,701.46 $9,402.91 0.8×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $16,712 $33,424 1.5×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $8,092.53 $16,185.06 1.5×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $10,726.60 $21,453.20 1.5×
Perq Vertebral Augmentation (22513) $10,726.60 $21,453.20 1.5×
Phleb Veins - Extrem 20+ (37766) $3,515.74 $7,031.48 1.1×
Place Cath Subclavian Art (36225) $4,002.75 $8,005.50 1.3×
Place Cath Thoracic Aorta (36221) $4,002.75 $8,005.50 1.3×
Place Cath Vertebral Art (36226) $6,598.55 $13,197.10 1.2×
Place Duod/Jej Tube Perc (49441) $1,069.64 $2,139.28 0.6×
Place Rt Device/Marker Pros (55876) $3,012.57 $6,025.13 2.2×
Placement of needle for intraosseous infusion (36680) $274.07 $548.13 0.6×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $3,780.96 $7,561.91 0.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $7,029.35 $14,058.70 1.2×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $7,152.08 $14,304.15 1.2×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $7,152.08 $14,304.15 1.2×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,627 $5,254 1.3×
Plmt Nephroureteral Catheter (50433) $2,627 $5,254 0.8×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,912.75 $7,825.50 1.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,829.39 $7,658.77 1.1×
Prim art mech thrombectomy (37184) $9,258.54 $18,517.07 0.5×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $574.34 $1,148.67 0.6×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $1,268.63 $2,537.25 0.5×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $1,972.95 $3,945.90 1.7×
Prostatic microwave thermotx (53850) $6,111.11 $12,222.21 1.8×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $575 $1,150 0.8×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,780.96 $7,561.91 1.1×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,780.96 $7,561.91 1.1×
Pseudoaneurysm Injection Trt (36002) $337.88 $675.75 0.6×
Punch biopsy skin single lesion (11104) $297.63 $595.25 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $192.88 $385.75 0.5×
Puncture Aspiration Cyst Breast (19000) $375 $750 0.5×
Puncture shunt tube/reservoir aspiration/inj px (61070) $425 $850 0.6×
Pvb thoracic cont infusion (64463) $1,016.25 $2,032.49 1.5×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $998.81 $1,997.61 1.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,006.86 $2,013.71 0.5×
Reconstruct extra finger (26587) $1,557.71 $3,115.41 0.5×
Redo Endovas Vena Cava Filtr (37192) $3,819.37 $7,638.73 1.2×
Reduction of rectal prolapse (45900) $470.08 $940.16 0.5×
Relocation Pocket Pacemaker (33222) $1,915.43 $3,830.86 1.0×
Rem Endovas Vena Cava Filter (37193) $3,902.25 $7,804.50 1.3×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $838.52 $1,677.04 0.9×
Removal Embedded Foreign Body Eyelid (67938) $186.45 $372.90 0.6×
Removal Foreign Body Deep Thigh/Knee (27372) $2,188.89 $4,377.78 0.8×
Removal Foreign Body Foot Complicated (28193) $1,753.29 $3,506.58 1.1×
Removal foreign body foot deep (28192) $1,753.29 $3,506.58 1.1×
Removal Foreign Body Foot Subcutaneous (28190) $482.60 $965.20 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $800 $1,600 0.5×
Removal Foreign Body Scrotum (55120) $2,722.02 $5,444.04 1.3×
Removal foreign body upper arm/elbow deep (24201) $1,753.29 $3,506.58 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $97.50 $195 1.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $90.13 $180.25 1.6×
Removal Implant Deep (20680) $2,227.11 $4,454.22 0.8×
Removal Implant Superficial Separate Procedure (20670) $1,783.90 $3,567.80 1.1×
Removal implantable contraceptive capsules (11976) $482.60 $965.20 0.7×
Removal of a lesion from the floor of the mouth (41116) $1,761.68 $3,523.36 0.5×
Removal of esophageal sphincter augmentation device (43285) $7,042.52 $14,085.03 1.2×
Removal of foreign body from pharynx (42809) $205.75 $411.49 0.5×
Removal of implant from finger or hand (26320) $1,832.99 $3,665.97 1.1×
Removal of nail bed (11750) $482.60 $965.20 1.2×
Removal of tunneled intraperitoneal catheter (49422) $2,381 $4,761.99 0.8×
Removal or bivalving full arm or full leg cast (29705) $136.94 $273.87 0.5×
Removal Pacemaker Electrode (33235) $2,340.14 $4,680.28 0.6×
Removal ppm generator only (33233) $4,267.12 $8,534.24 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $142.75 $285.50 0.7×
Removal subcutaneous cardiac rhythm monitor (33286) $962.88 $1,925.75 1.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $943.16 $1,886.31 0.5×
Removal sweat gland lesion (11450) $2,188.89 $4,377.78 0.8×
Removal tong/halo applied by another individual (20665) $205.75 $411.49 0.5×
Removal, under anesthesia, of external fixation system (20694) $2,341.35 $4,682.70 1.5×
Removal/bivalving gauntlet boot/body cast (29700) $136.94 $273.87 0.5×
Remove cerclage suture (59871) $2,307.75 $4,615.49 0.7×
Remove drug implant device (11982) $275.75 $551.50 0.6×
Remove Elctrd Transvenously (33244) $2,340.14 $4,680.28 0.6×
Remove foreign body from eye (65205) $115.56 $231.11 0.9×
Remove Intrauterine Device (58301) $202.50 $405 0.7×
Remove intrvas foreign body (37197) $4,016.63 $8,033.25 1.3×
Remove lung catheter (32552) $469.38 $938.75 0.8×
Remove Nasal Foreign Body (30300) $83.10 $166.20 0.6×
Remove Pulse Generator (33241) $2,340.14 $4,680.28 0.6×
Remove renal tube w/fluoro (50389) $344.15 $688.30 0.5×
Remove Shoulder Foreign Body (23330) $904.48 $1,808.95 0.6×
Remove&replace pm gen singl (33227) $11,501.38 $23,002.75 1.4×
Remove/Insert Drug Implant (11983) $319.38 $638.75 0.7×
Remv&replc cvd gen dual lead (33263) $42,985.86 $85,971.71 2.0×
Remv&replc cvd gen mult lead (33264) $42,985.86 $85,971.71 1.4×
Remv&replc cvd gen sing lead (33262) $42,985.86 $85,971.71 2.0×
Remv&replc pm gen dual lead (33228) $13,004.48 $26,008.95 1.3×
Remv&replc pm gen mult leads (33229) $13,004.48 $26,008.95 0.7×
Renal Biopsy Perq (50200) $835.40 $1,670.80 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $315.62 $631.23 0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $750.37 $1,500.74 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $471.63 $943.25 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $657.13 $1,314.25 1.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $315.62 $631.23 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $407.82 $815.64 1.0×
Repair complex trunk 1.1-2.5 cm (13100) $714.64 $1,429.28 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $750.37 $1,500.74 1.0×
Repair Elbow Perc (24357) $3,840.54 $7,681.08 1.2×
Repair extensor tendon finger w/o graft each (26418) $2,101.05 $4,202.10 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $236.99 $473.98 0.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $287.50 $575 0.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $310.50 $621 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $314 $628 0.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $453 $906 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $236.99 $473.98 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $246.50 $493 0.6×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $294.20 $588.40 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $387.50 $775 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $325 $650 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $320 $640 0.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $622.75 $1,245.50 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $362.50 $725 0.9×
Repair intermediate s/a/t/e >30.0 cm (12037) $943.16 $1,886.31 0.5×
Repair Laceration Palate </2 Cm (42180) $262.57 $525.14 0.5×
Repair lead pace-defib dual (33220) $7,019.26 $14,038.52 1.9×
Repair Lead Pace-Defib One (33218) $6,898.82 $13,797.63 1.9×
Repair of nail bed (11760) $315.62 $631.23 0.4×
Repair tongue laceration (41252) $769.13 $1,538.25 3.3×
Repair tongue laceration (41250) $253 $506 0.6×
Replace duodenostomy/jejunostomy tube perq (49451) $483.41 $966.82 0.5×
Replace G-J Tube Perc (49452) $483.41 $966.82 0.5×
Replace g/c tube perc (49450) $483.41 $966.82 0.5×
Repos Previously Implanted Subq Implantable Dfb (33273) $5,674.73 $11,349.45 1.6×
Reposition Gastrostomy Tube (43761) $261.97 $523.93 1.1×
Reposition L Ventric Lead (33226) $2,339.54 $4,679.07 0.8×
Reposition Pacing-Defib Lead (33215) $2,553 $5,106 0.8×
Reposition Venous Catheter (36597) $800.96 $1,601.92 0.5×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $4,100.09 $8,200.17 0.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,056.22 $2,112.43 0.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $483.41 $966.82 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $272.86 $545.71 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $272.86 $545.71 2.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $272.86 $545.71 0.6×
Rmvl fecal impaction/fb spx under anes (45915) $607.94 $1,215.87 0.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $2,227.11 $4,454.22 0.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $835.40 $1,670.80 0.5×
Rmvl of subq implantable defibrillator electrode (33272) $3,982.84 $7,965.67 1.1×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,340.14 $4,680.28 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $968.63 $1,937.25 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $574 $1,148 0.9×
Rplc Gtube No Revj Trc (43762) $384.75 $769.50 1.6×
Rplc gtube revj gstrst trc (43763) $384.69 $769.37 1.6×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,445.95 $2,891.90 0.9×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $1,622.86 $3,245.72 0.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,445.95 $2,891.90 0.9×
Rplcmt compl tun ctr vad w/subq port (36582) $3,226.47 $6,452.93 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,622.86 $3,245.72 0.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $800.96 $1,601.92 0.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $300.50 $601 1.5×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $707.75 $1,415.50 1.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $730.24 $1,460.47 3.2×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $742.99 $1,485.97 1.4×
Rpr Lip Full Thickness Vermilion Only (40650) $742.99 $1,485.97 1.4×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $763.75 $1,527.50 0.5×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $557.21 $1,114.41 0.9×
Sclerotx Fluid Collection (49185) $1,607.85 $3,215.70 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $979.65 $1,959.30 1.1×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $912.25 $1,824.50 0.8×
Shave skin lesion 0.5 cm/< (11300) $206 $412 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $137.88 $275.75 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $137.88 $275.75 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $135.52 $271.04 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $137.89 $275.77 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $206 $412 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $98.62 $197.23 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $206 $412 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $137.88 $275.75 0.7×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,850 $3,700 0.6×
Sigmoidoscopy & decompress (45337) $926.83 $1,853.65 1.0×
Sigmoidoscopy & Polypectomy (45333) $926.83 $1,853.66 1.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,404.38 $2,808.75 1.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $912.88 $1,825.75 0.8×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $951.13 $1,902.25 0.8×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,972.95 $3,945.90 1.7×
Sigmoidoscopy w/fb removal (45332) $565.63 $1,131.25 0.5×
Sigmoidoscopy w/plcmt stent (45347) $3,069.29 $6,138.57 0.5×
Sigmoidoscopy W/Resection (45349) $1,413.99 $2,827.97 0.5×
Sigmoidoscopy W/Ultrasound (45341) $951.13 $1,902.25 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $574.33 $1,148.66 0.6×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $912.25 $1,824.50 0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $331.38 $662.75 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $251.38 $502.75 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $262.50 $525 1.3×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $232.93 $465.85 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $275.38 $550.75 1.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $251.38 $502.75 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $334.25 $668.50 1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $288 $576 1.5×
Skin sub graft face/nk/hf/g (15275) $943.16 $1,886.31 1.3×
Skin sub graft trnk/arm/leg (15271) $1,158.50 $2,317 1.6×
Skin sub grft t/arm/lg child (15273) $2,100 $4,200 1.0×
Skn sub grft f/n/hf/g child (15277) $943.16 $1,886.31 0.5×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $4,002.75 $8,005.50 0.7×
Slctv cath carotid/innom art angio xtrcranl art (36222) $4,002.75 $8,005.50 1.3×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $6,545.38 $13,090.75 1.2×
Slitting of prepuce (54001) $1,940.24 $3,880.47 1.0×
Small bowel endoscopy (44366) $1,322.50 $2,645 0.7×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,322.50 $2,645 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $270 $540 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $298.75 $597.50 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $317.63 $635.25 0.8×
Spinal puncture lumbar diagnostic (62270) $657.63 $1,315.25 1.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $3,515.74 $7,031.48 1.1×
Strapping ankle (29540) $132.98 $265.95 0.8×
Strapping elbow or wrist (29260) $130.68 $261.36 2.3×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $132.96–$182.95 $265.92–$365.90 varies
Strapping knee (29530) $132.50 $265 1.0×
Strapping shoulder (29240) $132.96 $265.92 1.0×
Strapping toes (29550) $132.96 $265.92 2.3×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $132.50–$242 $265–$484 varies
Subcutaneous Hormone Pellet Implantation (11980) $263.63 $527.25 0.6×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,101.05 $4,202.10 0.9×
Tangential biopsy skin single lesion (11102) $305.13 $610.25 0.8×
Tcat Insj/Rpl Perm Ldls Pm (33274) $23,554.25 $47,108.50 1.3×
Tcat Rmvl Perm Ldls Pm (33275) $4,254.80 $8,509.59 1.4×
Tenodesis long tendon biceps (23430) $5,219.38 $10,438.75 0.7×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $2,288.08 $4,576.16 1.5×
Ther Spi Pnxr Csf Fluor/Ct (62329) $799.63 $1,599.25 1.2×
Therapeutic plasma exchange (36514) $1,885.18 $3,770.36 1.2×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $4,099.48 $8,198.96 0.8×
Thrmbc/Nfs Dialysis Circuit (36906) $9,258.54 $18,517.07 0.5×
Thromblytic art/ven therapy (37213) $3,163.25 $6,326.50 1.0×
Thrombolytic Art Therapy (37211) $2,787.20 $5,574.39 0.5×
Thrombolytic Therapy Stroke (37195) $4,171.67 $8,343.33 12.9×
Thrombolytic Venous Therapy (37212) $2,015 $4,030 0.7×
Thyroid biopsy (60100) $362.78 $725.55 0.5×
Tooth extraction (41899)
range across 3 matching MRF lines		 $1,849.77–$2,001 $3,699.53–$4,002 varies
Tprnl Plmt Biodegrdabl Matrl (55874) $5,930.29 $11,860.57 1.1×
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,126.51 $2,253.02 2.1×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,818.03 $3,636.05 7.9×
Tracheostomy Emergency Procedure Transtracheal (31603) $763.75 $1,527.50 0.5×
Tracheostomy planned (31600) $2,531.27 $5,062.54 0.8×
Transcatheter biopsy (37200) $2,787.20 $5,574.39 0.5×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $2,268.15 $4,536.29 0.7×
Transrectal Drainage of Pelvic Abscess (45000) $2,096.61 $4,193.22 1.8×
Treat Hip Socket Fracture (27222) $314.60 $629.20 1.3×
Treat humerus fracture (24500) $320.10 $640.20 1.3×
Treat Humerus Fracture (24505) $825.18 $1,650.35 0.5×
Treat humerus fracture (23600) $320.10 $640.20 1.3×
Treat knee fracture (27532) $1,672.93 $3,345.86 0.5×
Treat Knee Fracture(S) (27538) $320.10 $640.20 1.3×
Treat Kneecap Fracture (27524) $3,683.33 $7,366.65 0.5×
Treat Knuckle Dislocation (26700) $314.60 $629.20 1.3×
Treat Metatarsal Fracture (28475) $314.60 $629.20 1.3×
Treat Tail Bone Fracture (27200) $320.10 $640.20 1.3×
Treat Thumb Dislocation (26641) $314.60 $629.20 1.3×
Treat toe dislocation (28630) $320.10 $640.20 1.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,628.06 $3,256.11 1.0×
Treatment closed elbow dislocation w/o anes (24600) $320.10 $640.20 1.3×
Treatment of penis lesion (54115) $2,164.63 $4,329.25 0.8×
Trim skin lesion (11055) $100.34 $200.68 0.5×
Trim skin lesions 2 to 4 (11056) $100.34 $200.68 0.5×
Trim skin lesions over 4 (11057) $100.38 $200.75 0.5×
Trluml Balo Angiop 1St Art (37246) $8,092.53 $16,185.06 1.5×
Trluml Balo Angiop 1St Vein (37248) $8,092.53 $16,185.06 1.5×
Tx Gastro Intub W/Asp (43753) $160.56 $321.12 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,926.32 $3,852.64 0.6×
Tx Missed Abortion First Trimester Surgical (59820) $1,926.32 $3,852.64 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $425.38 $850.75 0.6×
Tx superficial wound dehiscence w/packing (12021) $237.50 $475 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $320.10 $640.20 1.3×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $6,634.17 $13,268.34 0.5×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $2,531.32 $5,062.64 1.7×
Unlisted Cardiac Surgery (33999) $3,406.75 $6,813.50 5.6×
Unlisted laparoscopic procedure liver (47379) $3,833.89 $7,667.77 0.6×
Unlisted Procedure Accessory Sinuses (31299) $117.55 $235.10 0.5×
Unlisted Procedure Casting/Strapping (29799) $105.38 $210.75 0.7×
Unlisted procedure colon (45399) $1,293 $2,586 1.4×
Unlisted Procedure Esophagus (43499) $932.91 $1,865.82 1.1×
Unlisted procedure femur or knee (27599) $314.60 $629.20 1.3×
Unlisted procedure foot or toes (28899)
range across 3 matching MRF lines		 $314.60–$320.10 $629.20–$640.20 varies
Unlisted Procedure Hands/Fingers (26989) $335.25 $670.50 1.4×
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines		 $314.60–$328.90 $629.20–$657.80 varies
Unlisted Procedure Intestine (44799) $1,477.50 $2,955 1.7×
Unlisted procedure lungs and pleura (32999) $422.90 $845.79 0.7×
Unlisted Procedure Male Genital System (55899) $417.39 $834.77 1.7×
Unlisted Procedure Muscskeletal System General (20999)
range across 5 matching MRF lines		 $693.33–$2,447.78 $1,386.66–$4,895.55 varies
Unlisted procedure nervous system (64999)
range across 15 matching MRF lines		 $271.38–$296.50 $542.75–$593 varies
Unlisted procedure pancreas (48999) $392.65 $785.29 0.6×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $1,159.38 $2,318.75 5.0×
Unlisted Procedure Rectum (45999) $470.08 $940.16 0.5×
Unlisted procedure stomach (43999) $932.91 $1,865.82 1.1×
Unlisted Procedure Tongue Floor Mouth (41599) $255.75 $511.50 1.1×
Unlisted Procedure Trachea Bronchi (31899)
range across 2 matching MRF lines		 $1,126.51–$1,177.72 $2,253.02–$2,355.43 varies
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $300.75–$337.50 $601.50–$675 varies
Unlisted Procedure, Urinary System (53899)
range across 3 matching MRF lines		 $141.57–$148.01 $283.14–$296.01 varies
Upgrade of pacemaker system (33214) $15,461.38 $30,922.76 1.5×
Vaginal Delivery After Cesarean Delivery (59612) $1,639.38 $3,278.75 0.5×
Vaginal delivery only (59409) $1,639.38 $3,278.75 0.5×
Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) $3,389.91 $6,779.82 1.1×
Vasc embolize/occlude artery (37242) $15,645 $31,290 0.9×
Vasc Embolize/Occlude Bleed (37244) $15,645 $31,290 1.4×
Vasc Embolize/Occlude Organ (37243) $15,645 $31,290 1.4×
Vasc embolize/occlude venous (37241) $15,312.21 $30,624.42 1.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,722 $5,444 1.3×
Venous Mech Thrombectomy (37187) $5,847.23 $11,694.46 0.5×
Wedge excision skin nail fold (11765) $206 $412 0.5×
Wound Prep F/N/Hf/G (15004) $661.87 $1,323.74 1.7×
Wound Prep Trk/Arm/Leg (15002) $943.16 $1,886.31 1.3×
Xtrnl fixj w/strtctc adjustment exchange strut (20697) $2,500.47 $5,000.93 1.6×

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.