Procedures & surgery prices at Rural Wellness Fairfax Hospital
Fairfax, OK · every code in this section with a posted price and a Medicare benchmark.
345 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $3,280.01 | $5,466.69 | 3.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$139.54–$232.56 | $232.56–$387.60 | varies |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) range across 2 matching MRF lines |
$975.22–$20,774.65 | $1,625.37–$34,624.41 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,629.14–$5,379.48 | $2,715.24–$8,965.80 | varies |
| Amputate Metacarpal Bone (26910) | $9,507.11 | $15,845.19 | 3.0× |
| Amputate Thigh,Re-Amputatn (27596) range across 2 matching MRF lines |
$2,233.19–$16,537.77 | $3,721.98–$27,562.95 | varies |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$1,325.59–$11,814.66 | $2,209.32–$19,691.10 | varies |
| Amputation thigh through femur any level (27590) range across 2 matching MRF lines |
$2,456.57–$16,537.77 | $4,094.28–$27,562.95 | varies |
| Amputation toe interphalangeal joint (28825) | $11,814.66 | $19,691.10 | 3.8× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$565.18–$11,814.66 | $941.97–$19,691.10 | varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
$1,646.89–$14,328.76 | $2,744.82–$23,881.26 | varies |
| Application finger splint static (29130) | $80.78 | $134.64 | 0.6× |
| Application long arm splint shoulder hand (29105) | $171.97 | $286.62 | 1.1× |
| Application Long Leg Splint (29505) | $151.16 | $251.94 | 1.0× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$99.14–$228.58 | $165.24–$380.97 | varies |
| Application short leg splint calf foot (29515) | $131.89 | $219.81 | 0.8× |
| Arterial puncture (36600) | $304.78 | $507.96 | 2.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $117.20 | $195.33 | 0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$120.56–$859.55 | $200.94–$1,432.59 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$95.78–$907.29 | $159.63–$1,512.15 | varies |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) range across 2 matching MRF lines |
$4,954.75–$86,911.96 | $8,257.92–$144,853.26 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) range across 2 matching MRF lines |
$2,217.58–$55,378.96 | $3,695.97–$92,298.27 | varies |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 2 matching MRF lines |
$1,730.43–$9,186.73 | $2,884.05–$15,311.22 | varies |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$1,313.66–$9,829.64 | $2,189.43–$16,382.73 | varies |
| Arthroscopy, knee, surgical; with lateral release (29873) range across 2 matching MRF lines |
$1,416.47–$9,110.54 | $2,360.79–$15,184.23 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$1,826.21–$9,110.54 | $3,043.68–$15,184.23 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 4 matching MRF lines |
$1,570.70–$9,110.54 | $2,617.83–$15,184.23 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$1,432.69–$9,186.73 | $2,387.82–$15,311.22 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$2,738.09–$19,794.22 | $4,563.48–$32,990.37 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$2,835.40–$19,794.22 | $4,725.66–$32,990.37 | varies |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) range across 2 matching MRF lines |
$1,383.12–$9,507.11 | $2,305.20–$15,845.19 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$2,592.74–$19,794.22 | $4,321.23–$32,990.37 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$1,751.85–$9,829.64 | $2,919.75–$16,382.73 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$1,645.36–$9,186.73 | $2,742.27–$15,311.22 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$1,487.77–$9,110.54 | $2,479.62–$15,184.23 | varies |
| Aspirate pleura w/ imaging (32555) | $1,825.90 | $3,043.17 | 3.0× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$384.95–$6,041.97 | $641.58–$10,069.95 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) | $180.54 | $300.90 | 0.9× |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$378.52–$8,053.31 | $630.87–$13,422.18 | varies |
| Biopsy bone trocar/needle deep (20225) | $5,952.01 | $9,920.01 | 3.7× |
| Bladder Scan (51798) | $146.88 | $244.80 | 2.6× |
| Blepharoplasty upper eyelid (15822) range across 2 matching MRF lines |
$1,044.07–$5,379.48 | $1,740.12–$8,965.80 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) range across 2 matching MRF lines |
$1,437.89–$5,379.48 | $2,396.49–$8,965.80 | varies |
| Blood Transfusion Service (36430) | $1,078.96 | $1,798.26 | 2.5× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$199.21–$2,217.58 | $332.01–$3,695.97 | varies |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$755.51–$11,440.42 | $1,259.19–$19,067.37 | varies |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$1,146.28–$5,666.20 | $1,910.46–$9,443.67 | varies |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$1,936.37–$6,658.25 | $3,227.28–$11,097.09 | varies |
| Catheter aspiration nasotracheal spx (31720) | $507.96 | $846.60 | 2.4× |
| Change Cystostomy Tube Simple (51705) | $107.71 | $179.52 | 0.4× |
| Chemical Cautery Tissue (17250) | $406.37 | $677.28 | 2.1× |
| Chest tube placement (32551) | $460.22 | $767.04 | 0.3× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$523.87–$6,041.97 | $873.12–$10,069.95 | varies |
| Clear outer ear canal (69200) | $247.86 | $413.10 | 1.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,078.65 | $1,797.75 | 0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,391.08 | $2,318.46 | 5.9× |
| Closed tx patellar dislocation w/anesthesia (27562) | $928.10 | $1,546.83 | 3.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,066.10 | $1,776.84 | 4.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $940.34 | $1,567.23 | 0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $79.25 | $132.09 | 0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $815.18 | $1,358.64 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $586.91 | $978.18 | 2.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $801.11 | $1,335.18 | 0.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $687.89 | $1,146.48 | 2.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $578.34 | $963.90 | 2.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$749.09–$852.52 | $1,248.48–$1,420.86 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,031.22 | $1,718.70 | 0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $355.88 | $593.13 | 1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $185.44 | $309.06 | 0.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,126.08 | $1,876.80 | 4.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $438.19 | $730.32 | 1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $920.75 | $1,534.59 | 3.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $603.43 | $1,005.72 | 2.5× |
| Cltx post hip arthrp dislc req anes (27266) | $1,390.46 | $2,317.44 | 0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,004.90 | $1,674.84 | 4.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $153.61 | $256.02 | 0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $883.73 | $1,472.88 | 0.6× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) range across 2 matching MRF lines |
$2,347.94–$14,328.76 | $3,913.23–$23,881.26 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $222.16 | $370.26 | 1.7× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$3.37–$27.85 | $5.61–$46.41 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$533.36–$3,252.17 | $888.93–$5,420.28 | varies |
| Colpopexy extraperitoneal (57282) range across 2 matching MRF lines |
$1,866.29–$23,280.79 | $3,110.49–$38,801.31 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$608.63–$2,311.52 | $1,014.39–$3,852.54 | varies |
| Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
$2,096.41–$14,328.76 | $3,494.01–$23,881.26 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $246.64 | $411.06 | 1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $211.14 | $351.90 | 1.7× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) range across 2 matching MRF lines |
$2,034.29–$26,569.67 | $3,390.48–$44,282.79 | varies |
| Curette/treat cornea (65435) range across 2 matching MRF lines |
$203.49–$3,646.60 | $339.15–$6,077.67 | varies |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$350.68–$6,152.44 | $584.46–$10,254.06 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$402.08–$6,152.44 | $670.14–$10,254.06 | varies |
| Cysto w/complex removal stone & stent (52315) range across 2 matching MRF lines |
$727.06–$6,041.97 | $1,211.76–$10,069.95 | varies |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$411.26–$10,164.71 | $685.44–$16,941.18 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$400.86–$6,041.97 | $668.10–$10,069.95 | varies |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) range across 2 matching MRF lines |
$938.20–$12,870.67 | $1,563.66–$21,451.11 | varies |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 2 matching MRF lines |
$801.41–$10,483.25 | $1,335.69–$17,472.09 | varies |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) range across 2 matching MRF lines |
$1,105.88–$14,695.96 | $1,843.14–$24,493.26 | varies |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$1,102.52–$13,963.09 | $1,837.53–$23,271.81 | varies |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) range across 2 matching MRF lines |
$848.84–$13,963.09 | $1,414.74–$23,271.81 | varies |
| Cystourethroscopy tx female urethral syndrome (52285) range across 2 matching MRF lines |
$516.53–$1,933 | $860.88–$3,221.67 | varies |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) range across 2 matching MRF lines |
$763.47–$10,164.71 | $1,272.45–$16,941.18 | varies |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) range across 2 matching MRF lines |
$1,039.79–$13,963.09 | $1,732.98–$23,271.81 | varies |
| Cystourethroscopy w/dil bladder general anesth (52260) range across 2 matching MRF lines |
$558.45–$6,152.44 | $930.75–$10,254.06 | varies |
| Cystourethroscopy w/rmvl ureteral calculus (52320) range across 2 matching MRF lines |
$653.31–$12,870.67 | $1,088.85–$21,451.11 | varies |
| Cystourethroscopy with direct vision internal urethrotomy (52276) range across 2 matching MRF lines |
$700.43–$6,041.97 | $1,167.39–$10,069.95 | varies |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) range across 2 matching MRF lines |
$482.87–$10,483.25 | $804.78–$17,472.09 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$389.84–$763.78 | $649.74–$1,272.96 | varies |
| Debride nail 1-5 (11720) | $228.28 | $380.46 | 4.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$571.30–$1,780.92 | $952.17–$2,968.20 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$187.58–$763.78 | $312.63–$1,272.96 | varies |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$511.02–$5,666.20 | $851.70–$9,443.67 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$511.02–$5,666.20 | $851.70–$9,443.67 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$172.58–$612.92 | $287.64–$1,021.53 | varies |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$352.21–$5,635.60 | $587.01–$9,392.67 | varies |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 2 matching MRF lines |
$224.91–$623.63 | $374.85–$1,039.38 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$446.76–$7,134.39 | $744.60–$11,890.65 | varies |
| Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$209.92–$2,582.33 | $349.86–$4,303.89 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $329.87 | $549.78 | 0.5× |
| Drainage of gum lesion (41800) | $448.29 | $747.15 | 3.5× |
| Drainage of hematoma/fluid (10140) | $509.18 | $848.64 | 0.3× |
| Draw Blood Off Venous Device (36591) | $222.16 | $370.26 | 1.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$315.79–$2,656.39 | $526.32–$4,427.31 | varies |
| Egd Balloon Dil Esoph30 Mm/> (43233) range across 2 matching MRF lines |
$611.08–$5,643.56 | $1,018.47–$9,405.93 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$451.96–$6,853.18 | $753.27–$11,421.96 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$470.93–$2,053.26 | $784.89–$3,422.10 | varies |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$634.64–$6,583.90 | $1,057.74–$10,973.16 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$521.42–$3,698.32 | $869.04–$6,163.86 | varies |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) range across 2 matching MRF lines |
$145.66–$1,098.23 | $242.76–$1,830.39 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$94.25–$974 | $157.08–$1,623.33 | varies |
| Epididymectomy unilateral (54860) range across 2 matching MRF lines |
$1,113.53–$6,041.97 | $1,855.89–$10,069.95 | varies |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$303.25–$2,079.88 | $505.41–$3,466.47 | varies |
| Evacuation of subungual hematoma (11740) | $58.45 | $97.41 | 0.5× |
| Exc abdl tum deep 5 cm/> (22901) range across 2 matching MRF lines |
$1,782.14–$8,053.31 | $2,970.24–$13,422.18 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$272.95–$2,012.26 | $454.92–$3,353.76 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$445.54–$4,753.10 | $742.56–$7,921.83 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$354.96–$4,776.97 | $591.60–$7,961.61 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$718.49–$8,259.55 | $1,197.48–$13,765.92 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$549.58–$4,776.97 | $915.96–$7,961.61 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$773.26–$8,259.55 | $1,288.77–$13,765.92 | varies |
| Exc tendon shth lesion leg/ankle (27630) range across 2 matching MRF lines |
$951.05–$9,110.54 | $1,585.08–$15,184.23 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$511.33–$5,952.01 | $852.21–$9,920.01 | varies |
| Excision Chalazion Single (67800) range across 2 matching MRF lines |
$265.91–$939.42 | $443.19–$1,565.70 | varies |
| Excision Excessive Skin & Subq Tissue Other Area (15839) range across 2 matching MRF lines |
$1,953.50–$8,259.55 | $3,255.84–$13,765.92 | varies |
| Excision External Ear Partial Simple Repair (69110) range across 2 matching MRF lines |
$864.14–$8,230.79 | $1,440.24–$13,717.98 | varies |
| Excision lesion conjunctiva > 1 cm (68115) range across 2 matching MRF lines |
$473.99–$6,954.16 | $789.99–$11,590.26 | varies |
| Excision Lesion Cornea Xcp Pterygium (65400) range across 2 matching MRF lines |
$1,557.85–$2,803.88 | $2,596.41–$4,673.13 | varies |
| Excision lesion tendon sheath forearm&/wrist (25110) range across 2 matching MRF lines |
$917.39–$4,707.20 | $1,528.98–$7,845.33 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$1,033.36–$8,259.55 | $1,722.27–$13,765.92 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$854.05–$5,363.87 | $1,423.41–$8,939.79 | varies |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$898.72–$10,235.70 | $1,497.87–$17,059.50 | varies |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) range across 2 matching MRF lines |
$2,495.43–$26,569.67 | $4,159.05–$44,282.79 | varies |
| Excision of vaginal septum (57130) range across 2 matching MRF lines |
$677.18–$8,675.71 | $1,128.63–$14,459.52 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$1,537.34–$8,053.31 | $2,562.24–$13,422.18 | varies |
| Excision/Transposition Pterygium W/Grafg (65426) range across 2 matching MRF lines |
$1,469.41–$8,391.44 | $2,449.02–$13,985.73 | varies |
| Exploration of knee joint (27310) range across 2 matching MRF lines |
$1,941.88–$9,507.11 | $3,236.46–$15,845.19 | varies |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) range across 2 matching MRF lines |
$1,289.48–$5,447.11 | $2,149.14–$9,078.51 | varies |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) range across 2 matching MRF lines |
$2,211.16–$9,507.11 | $3,685.26–$15,845.19 | varies |
| Fine needle aspiration without imaging guidance (10021) | $173.81 | $289.68 | 0.4× |
| Fixation contralateral testis separate procedure (54620) range across 2 matching MRF lines |
$793.46–$10,483.25 | $1,322.43–$17,472.09 | varies |
| Fluoro exam of g/colon tube (49465) | $772.65 | $1,287.75 | 3.4× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) range across 2 matching MRF lines |
$2,103.44–$5,785.85 | $3,505.74–$9,643.08 | varies |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) range across 2 matching MRF lines |
$1,791.02–$5,486.58 | $2,985.03–$9,144.30 | varies |
| Goniotomy (65820) range across 2 matching MRF lines |
$2,147.20–$12,642.39 | $3,578.67–$21,070.65 | varies |
| Grafting of autologous soft tiss by direct exc (15769) range across 2 matching MRF lines |
$1,263.47–$10,340.05 | $2,105.79–$17,233.41 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$1,287.65–$8,107.78 | $2,146.08–$13,512.96 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) range across 2 matching MRF lines |
$1,412.50–$8,141.13 | $2,354.16–$13,568.55 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$513.47–$2,586.92 | $855.78–$4,311.54 | varies |
| I&d abscess simple (10060) | $196.76 | $327.93 | 1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$1,343.03–$8,053.31 | $2,238.39–$13,422.18 | varies |
| I&d perianal abscess superficial (46050) | $200.43 | $334.05 | 0.2× |
| I&d pilonidal cyst simple (10080) | $338.44 | $564.06 | 0.5× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$1,105.27–$7,981.09 | $1,842.12–$13,301.82 | varies |
| Implant Neuroelectrodes (64561) range across 2 matching MRF lines |
$810.29–$21,030.46 | $1,350.48–$35,050.77 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $38,276.01 | $63,793.35 | 2.1× |
| Implant Spine Infusion Pump (62362) range across 2 matching MRF lines |
$1,017.14–$55,800.32 | $1,695.24–$93,000.54 | varies |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) range across 2 matching MRF lines |
$1,055.09–$15,857.53 | $1,758.48–$26,429.22 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$766.22–$4,561.24 | $1,277.04–$7,602.06 | varies |
| Incision & drainage abscess complicated/multiple (10061) | $354.04 | $590.07 | 0.9× |
| Incision & removal foreign body subq tiss simple (10120) | $273.26 | $455.43 | 0.7× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$336.60–$940.34 | $561–$1,567.23 | varies |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$906.98–$5,692.52 | $1,511.64–$9,487.53 | varies |
| Incision of urethra (53020) range across 2 matching MRF lines |
$256.43–$6,041.97 | $427.38–$10,069.95 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$281.52–$2,656.39 | $469.20–$4,427.31 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$349.45–$2,656.39 | $582.42–$4,427.31 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$123.93–$1,079.26 | $206.55–$1,798.77 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$221.85–$2,170.76 | $369.75–$3,617.94 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$67.32–$2,656.39 | $112.20–$4,427.31 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$105.26–$859.55 | $175.44–$1,432.59 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $67.32 | $112.20 | 0.2× |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$133.72–$1,079.26 | $222.87–$1,798.77 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$152.39–$909.13 | $253.98–$1,515.21 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$170.44–$2,656.39 | $284.07–$4,427.31 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $88.43 | $147.39 | 0.1× |
| Injection, intralesional; up to and including 7 lesions (11900) | $94.55 | $157.59 | 0.5× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) range across 2 matching MRF lines |
$3,165.88–$15,858.76 | $5,276.46–$26,431.26 | varies |
| Insert cath pleura w/ image (32557) | $441.56 | $735.93 | 0.3× |
| Insert cath pleura w/o image (32556) | $391.07 | $651.78 | 0.2× |
| Insert non-tunnel cv cath (36556) | $244.49 | $407.49 | 0.1× |
| Insert semi-rigid prosthesis (54400) range across 2 matching MRF lines |
$1,417.09–$56,675.79 | $2,361.81–$94,459.65 | varies |
| Insert Temp Bladder Cath (51702) | $201.35 | $335.58 | 1.6× |
| Insert tun ip cath perc (49418) range across 2 matching MRF lines |
$537.03–$10,798.43 | $895.05–$17,997.39 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1,039.18–$11,823.53 | $1,731.96–$19,705.89 | varies |
| Insert Uro/Ves Nck Sphincter (53445) range across 2 matching MRF lines |
$2,009.50–$61,032.31 | $3,349.17–$101,720.52 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $163.40 | $272.34 | 1.3× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) range across 2 matching MRF lines |
$2,373.03–$8,417.75 | $3,955.05–$14,029.59 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 5 matching MRF lines |
$251.84–$3,413.43 | $419.73–$5,689.05 | varies |
| Insj Stablj Dev W/Dcmprn (22867) range across 2 matching MRF lines |
$2,830.50–$53,381.70 | $4,717.50–$88,969.50 | varies |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) range across 2 matching MRF lines |
$1,159.74–$53,490.94 | $1,932.90–$89,151.57 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$821–$11,604.13 | $1,368.33–$19,340.22 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$37,572.52 | $1,593.75–$62,620.86 | 1.3× |
| Int hrhc by ligation single hroid w/o img gdn (46945) range across 2 matching MRF lines |
$897.19–$8,141.13 | $1,495.32–$13,568.55 | varies |
| Intubation endotracheal emergency procedure (31500) | $236.34 | $393.90 | 1.0× |
| Irrigation of corpora cavernosa for priapism (54220) | $400.25 | $667.08 | 1.7× |
| Laparoscopy W/Lysis Of Adhesions (58660) range across 2 matching MRF lines |
$1,832.02–$15,960.96 | $3,053.37–$26,601.60 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$1,925.35–$15,960.96 | $3,208.92–$26,601.60 | varies |
| Laser vaporization of prostate (52648) range across 2 matching MRF lines |
$1,839.98–$13,963.09 | $3,066.63–$23,271.81 | varies |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$1,517.15–$10,164.71 | $2,528.58–$16,941.18 | varies |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$401.78–$4,688.23 | $669.63–$7,813.71 | varies |
| Manipulation, finger joint, under anesthesia, each joint (26340) range across 2 matching MRF lines |
$919.22–$4,707.20 | $1,532.04–$7,845.33 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$146.88–$2,079.88 | $244.80–$3,466.47 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$223.69–$2,656.39 | $372.81–$4,427.31 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $82.62 | $137.70 | 0.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$1,582.33–$5,666.20 | $2,637.21–$9,443.67 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $212.78 | $354.64 | 0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $126.68 | $211.14 | 0.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$238.99–$2,656.39 | $398.31–$4,427.31 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$286.42–$2,079.88 | $477.36–$3,466.47 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$265.30–$2,079.88 | $442.17–$3,466.47 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$141.07–$947.38 | $235.11–$1,578.96 | varies |
| Ocular Surface Reconstruction Amniotic Membrane (65780) range across 2 matching MRF lines |
$1,721.25–$13,925.14 | $2,868.75–$23,208.57 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines |
$1,188.20–$10,521.50 | $1,980.33–$17,535.84 | varies |
| Open bowel to skin (44300) range across 2 matching MRF lines |
$2,639.56–$16,537.77 | $4,399.26–$27,562.95 | varies |
| Open Implantation Nea Sacral Nerve (64581) range across 2 matching MRF lines |
$1,760.72–$21,030.46 | $2,934.54–$35,050.77 | varies |
| Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
$2,173.82–$19,794.22 | $3,623.04–$32,990.37 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,265.31 | $2,108.85 | 0.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$1,572.84–$9,110.54 | $2,621.40–$15,184.23 | varies |
| Part remv talus or calcaneus (28120) range across 2 matching MRF lines |
$1,317.02–$9,829.64 | $2,195.04–$16,382.73 | varies |
| Partical Excision Bone Phalanx Toe (28124) | $11,814.66 | $19,691.10 | 3.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$1,261.33–$19,794.22 | $2,102.22–$32,990.37 | varies |
| Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
$1,355.89–$19,794.22 | $2,259.81–$32,990.37 | varies |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) range across 2 matching MRF lines |
$142.29–$2,811.53 | $237.15–$4,685.88 | varies |
| Place Amniotic Membrane Ocular Surface Sutured (65779) range across 2 matching MRF lines |
$458.08–$13,873.73 | $763.47–$23,122.89 | varies |
| Placement of needle for intraosseous infusion (36680) | $143.21 | $238.68 | 0.3× |
| Plastic Repair Introitus (56800) range across 2 matching MRF lines |
$677.18–$8,675.71 | $1,128.63–$14,459.52 | varies |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) range across 2 matching MRF lines |
$873.94–$21,030.46 | $1,456.56–$35,050.77 | varies |
| Punch biopsy skin single lesion (11104) | $1,480.73 | $2,467.89 | 3.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $193.09 | $321.81 | 0.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 2 matching MRF lines |
$150.25–$2,079.88 | $250.41–$3,466.47 | varies |
| Realignment of knee (27455) range across 2 matching MRF lines |
$2,551.73–$20,837.38 | $4,252.89–$34,728.96 | varies |
| Reconstruction of urethra (54326) range across 2 matching MRF lines |
$2,508.59–$6,152.44 | $4,180.98–$10,254.06 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) | $760.41 | $1,267.35 | 0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) | $250.61 | $417.69 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $26.93 | $44.88 | 0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $63.34 | $105.57 | 1.1× |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$1,108.03–$8,259.55 | $1,846.71–$13,765.92 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$268.67–$1,090.89 | $447.78–$1,818.15 | varies |
| Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
$1,221.55–$6,041.97 | $2,035.92–$10,069.95 | varies |
| Removal of tunneled intraperitoneal catheter (49422) range across 2 matching MRF lines |
$593.33–$9,624.31 | $988.89–$16,040.52 | varies |
| Remove/replace penis prosth (54410) range across 2 matching MRF lines |
$2,296.22–$61,032.31 | $3,827.04–$101,720.52 | varies |
| Repair Achilles Tendon (27650) range across 2 matching MRF lines |
$1,747.87–$9,110.54 | $2,913.12–$15,184.23 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $754.60 | $1,257.66 | 1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$677.18–$1,677.19 | $1,128.63–$2,795.31 | varies |
| Repair Ectropion Extensive (67917) range across 2 matching MRF lines |
$1,181.47–$6,295.34 | $1,969.11–$10,492.23 | varies |
| Repair Entropion Extensive (67924) range across 2 matching MRF lines |
$1,123.63–$6,759.54 | $1,872.72–$11,265.90 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,649.95–$4,561.24 | $2,749.92–$7,602.06 | varies |
| Repair Eyelid Wound (67935) range across 2 matching MRF lines |
$1,358.03–$8,391.44 | $2,263.38–$13,985.73 | varies |
| Repair Finger Tendon (26433) range across 2 matching MRF lines |
$1,520.21–$9,110.54 | $2,533.68–$15,184.23 | varies |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$1,571.92–$10,235.70 | $2,619.87–$17,059.50 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $498.78 | $831.30 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $488.99 | $814.98 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $651.47 | $1,085.79 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $442.48 | $737.46 | 1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $751.54 | $1,252.56 | 1.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $577.42 | $962.37 | 1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $878.22 | $1,463.70 | 1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $502.15 | $836.91 | 1.3× |
| Repair of hydrocele (55060) range across 2 matching MRF lines |
$1,008.58–$6,041.97 | $1,680.96–$10,069.95 | varies |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) range across 2 matching MRF lines |
$2,515.63–$14,695.96 | $4,192.71–$24,493.26 | varies |
| Repair of nail bed (11760) | $324.67 | $541.11 | 0.5× |
| Repair of shoulder (23420) range across 2 matching MRF lines |
$2,580.80–$19,794.22 | $4,301.34–$32,990.37 | varies |
| Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
$2,259.50–$19,794.22 | $3,765.84–$32,990.37 | varies |
| Repr torn cruciate knee ligam (27407) range across 2 matching MRF lines |
$2,113.85–$20,774.65 | $3,523.08–$34,624.41 | varies |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$1,697.69–$10,235.70 | $2,829.48–$17,059.50 | varies |
| Rev/rmv prph sac/gstr npg/r (64595) range across 2 matching MRF lines |
$334.15–$10,001.30 | $556.92–$16,668.84 | varies |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) range across 2 matching MRF lines |
$1,345.48–$8,200.49 | $2,242.47–$13,667.49 | varies |
| Revision of eyelid (67880) range across 2 matching MRF lines |
$950.44–$6,295.34 | $1,584.06–$10,492.23 | varies |
| Revision of foot (28116) range across 2 matching MRF lines |
$1,552.34–$9,829.64 | $2,587.23–$16,382.73 | varies |
| Revision of scrotum (55180) range across 2 matching MRF lines |
$1,840.59–$14,695.96 | $3,067.65–$24,493.26 | varies |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) range across 2 matching MRF lines |
$1,201.97–$21,487.32 | $2,003.28–$35,812.20 | varies |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) range across 2 matching MRF lines |
$984.10–$10,001.30 | $1,640.16–$16,668.84 | varies |
| Revj/rmvl peripheral neurostimulator electrode (64585) range across 2 matching MRF lines |
$379.13–$10,001.30 | $631.89–$16,668.84 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $122.40 | $204 | 0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $156.37 | $260.61 | 1.2× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) range across 2 matching MRF lines |
$2,426.89–$8,571.06 | $4,044.81–$14,285.10 | varies |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) range across 2 matching MRF lines |
$716.96–$5,666.20 | $1,194.93–$9,443.67 | varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 2 matching MRF lines |
$869.96–$5,666.20 | $1,449.93–$9,443.67 | varies |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) range across 2 matching MRF lines |
$779.08–$16,071.12 | $1,298.46–$26,785.20 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$433.91–$2,191.27 | $723.18–$3,652.11 | varies |
| Rmvl Vitreous Ant Appr Partial Removal (67005) range across 2 matching MRF lines |
$1,225.53–$6,658.25 | $2,042.55–$11,097.09 | varies |
| Rmvl/revj sling stress incontinence (57287) range across 2 matching MRF lines |
$1,987.78–$8,200.49 | $3,312.96–$13,667.49 | varies |
| Rplc Gtube No Revj Trc (43762) | $71.30 | $118.83 | 0.3× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) range across 2 matching MRF lines |
$1,485.32–$8,111.45 | $2,475.54–$13,519.08 | varies |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) range across 2 matching MRF lines |
$1,543.77–$6,295.34 | $2,572.95–$10,492.23 | varies |
| Rpr Component Inflatable Penile Prosthesis (54408) range across 2 matching MRF lines |
$2,104.36–$14,695.96 | $3,507.27–$24,493.26 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $197.68 | $329.46 | 1.0× |
| Scrotoplasty Simple (55175) range across 2 matching MRF lines |
$968.49–$10,164.71 | $1,614.15–$16,941.18 | varies |
| Severing tarsorrhaphy (67710) range across 2 matching MRF lines |
$300.80–$3,463.61 | $501.33–$5,772.69 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $190.03 | $316.71 | 1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $349.76 | $582.93 | 1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $414.63 | $691.05 | 2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $58.45 | $97.41 | 0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $376.38 | $627.30 | 2.0× |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$2,074.68–$5,379.48 | $3,457.80–$8,965.80 | varies |
| Skin sub graft face/nk/hf/g (15275) | $4,958.73 | $8,264.55 | 7.0× |
| Skin sub graft trnk/arm/leg (15271) | $4,958.73 | $8,264.55 | 7.0× |
| Skin sub grft t/arm/lg child (15273) | $4,958.73 | $8,264.55 | 2.5× |
| Skin Tissue Procedure (17999) | $607.10 | $1,011.84 | 3.1× |
| Skn sub grft f/n/hf/g child (15277) | $6,850.12 | $11,416.86 | 3.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
$1,992.37–$14,328.76 | $3,320.61–$23,881.26 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $320.99 | $534.99 | 1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $222.77 | $371.28 | 0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $244.19 | $406.98 | 0.6× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$166.46–$2,204.12 | $277.44–$3,673.53 | varies |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) range across 2 matching MRF lines |
$1,769.90–$7,015.05 | $2,949.84–$11,691.75 | varies |
| Temporary Closure Eyelids Suture (67875) range across 2 matching MRF lines |
$247.55–$2,802.65 | $412.59–$4,671.09 | varies |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 2 matching MRF lines |
$726.14–$9,110.54 | $1,210.23–$15,184.23 | varies |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) range across 2 matching MRF lines |
$1,158.82–$41,652.41 | $1,931.37–$69,420.69 | varies |
| Translum Dil Eye Canal (66174) range across 2 matching MRF lines |
$1,944.32–$12,642.39 | $3,240.54–$21,070.65 | varies |
| Transurethral incision of prostate (52450) range across 2 matching MRF lines |
$1,256.74–$10,483.25 | $2,094.57–$17,472.09 | varies |
| Treat Knuckle Dislocation (26700) | $613.84 | $1,023.06 | 2.6× |
| Treat metacarpal fracture (26607) range across 2 matching MRF lines |
$1,352.52–$9,507.11 | $2,254.20–$15,845.19 | varies |
| Treat Metatarsal Fracture (28475) | $712.06 | $1,186.77 | 3.0× |
| Treat Thumb Dislocation (26641) | $754.60 | $1,257.66 | 3.2× |
| Treat toe dislocation (28630) | $332.93 | $554.88 | 1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $948.60 | $1,581 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $747.56 | $1,245.93 | 3.2× |
| Trim skin lesion (11055) | $586.91 | $978.18 | 3.0× |
| Trurl rescj postop bladder neck contracture (52640) range across 2 matching MRF lines |
$846.70–$10,483.25 | $1,411.17–$17,472.09 | varies |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) range across 2 matching MRF lines |
$1,278.16–$8,141.13 | $2,130.27–$13,568.55 | varies |
| Tx Gastro Intub W/Asp (43753) | $71.91 | $119.85 | 0.3× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$126.07–$1,066.72 | $210.12–$1,777.86 | varies |
| Unlisted procedure spine (22899) range across 2 matching MRF lines |
$555.70–$781.83 | $926.16–$1,303.05 | varies |
| Vaginal delivery only (59409) | $1,523.27 | $2,538.78 | 0.5× |
| Wound Prep Trk/Arm/Leg (15002) | $5,379.48 | $8,965.80 | 7.6× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) range across 2 matching MRF lines |
$1,687.90–$14,058.56 | $2,813.16–$23,430.93 | varies |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) range across 2 matching MRF lines |
$2,000.93–$15,686.48 | $3,334.89–$26,144.13 | varies |
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.