Procedures & surgery prices at Saint Alphonsus Medical Center - Nampa
Nampa, ID · every code in this section with a posted price and a Medicare benchmark.
747 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,378.94 | — | 1.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $1,119.30 | $1,722 | 0.7× |
| Acne surgery (10040) | $150.15 | $231 | 0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $7,728.66 | — | 2.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $7,646.18 | — | 2.2× |
| Amputation toe interphalangeal joint (28825) | $7,507.82 | — | 2.1× |
| Amputation toe metatarsophalangeal joint (28820) | $7,329.95 | — | 2.1× |
| Anoscopy Control Bleeding (46614) | $890.50 | $1,370 | 0.7× |
| Anoscopy diagnostic (46600) | $182 | $280 | 1.3× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$218.40–$327.60 | $336–$504 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$148.20–$222.30 | $228–$342 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$224.90–$337.35 | $346–$519 | varies |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$235.95–$354.25 | $363–$545 | varies |
| Application short arm splint forearm-hand static (29125) range across 18 matching MRF lines |
$97.50–$251.55 | $150–$387 | varies |
| Application short leg splint calf foot (29515) range across 12 matching MRF lines |
$118.95–$369.85 | $183–$569 | varies |
| Apply hand/wrist cast (29085) | $128.05 | $197 | 0.7× |
| Apply long arm cast (29065) range across 6 matching MRF lines |
$164.45–$274.95 | $253–$423 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 18 matching MRF lines |
$107.90–$196.95 | $166–$303 | varies |
| Apply Short Leg Cast (29405) range across 6 matching MRF lines |
$183.30–$274.95 | $282–$423 | varies |
| Apply short leg cast (29425) range across 3 matching MRF lines |
$201.50–$302.25 | $310–$465 | varies |
| Arterial puncture (36600) | $568.75 | — | 4.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) | $42,352.69 | — | 3.1× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) | $34,617.08 | — | 2.5× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $28,301.19 | — | 2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$243.75–$718.25 | — | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$468.65–$676.65 | $721–$1,041 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$345.80–$576.55 | — | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$335.40–$1,611.80 | — | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$408.20–$462.80 | — | varies |
| Arthrodesis great toe interphalangeal joint (28755) | $21,779.89 | — | 2.8× |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $22,832.74 | — | 2.9× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) | $29,078.50 | — | 1.5× |
| Arthrodesis sacroiliac joint percutaneous (27279) | $30,479.99 | — | 1.6× |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$13,851.01–$32,013.77 | — | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $16,170.63 | — | 4.6× |
| Arthroscopy knee synovectomy limited spx (29875) | $12,972.30 | — | 3.7× |
| Arthroscopy shoulder distal claviculectomy (29824) | $27,404.46 | — | 7.8× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $20,817.75 | — | 2.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $27,096.50 | — | 7.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $18,623.44 | — | 5.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $22,132.22 | — | 2.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $24,426.79 | — | 6.9× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $22,132.22 | — | 6.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $23,181.94 | — | 3.0× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $12,531.41 | — | 3.5× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $31,901.59 | — | 2.3× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) | $15,863.41 | — | 4.5× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) | $25,595.91 | — | 1.8× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $27,096.50 | — | 3.5× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $13,904.08 | — | 3.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $13,088.04 | — | 3.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $12,906.56 | — | 3.7× |
| Aspirate pleura w/ imaging (32555) range across 6 matching MRF lines |
$1,155.70–$1,733.55 | $1,778–$2,667 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $446.55 | $687 | 1.3× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,006.25 | $4,625 | 1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) | $102.05 | — | 0.5× |
| Biopsy Abdominal Mass (49180) | $1,817.40 | $2,796 | 1.0× |
| Biopsy bone trocar/needle deep (20225) | $2,341.95 | $3,603 | 1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,701.05 | $2,617 | 1.0× |
| Biopsy External Auditory Canal (69105) | $1,119.30 | $1,722 | 0.7× |
| Biopsy external ear (69100) | $196.30 | $302 | 0.8× |
| Biopsy muscle percutaneous needle (20206) | $1,589.25 | $2,445 | 0.9× |
| Biopsy nail unit (11755) | $531.70 | $818 | 0.7× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) | $2,449.85 | $3,769 | 0.7× |
| Biopsy of floor of mouth (41108) | $1,307.15 | $2,011 | 0.7× |
| Biopsy of lip (40490) | $189.15 | $291 | 0.7× |
| Biopsy of liver, needle; percutaneous (47000) | $1,903.20 | $2,928 | 1.1× |
| Biopsy of palate, uvula (42100) | $1,119.30 | $1,722 | 0.7× |
| Biopsy of upper nose/throat (42806) | $2,449.85 | $3,769 | 0.7× |
| Biopsy Oropharynx (42800) | $1,119.30 | $1,722 | 0.7× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,285.05 | $1,977 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $1,008.15 | $1,551 | 1.3× |
| Biopsy soft tissue neck/thorax (21550) | $1,065.35 | $1,639 | 0.6× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $432.25 | $665 | 0.7× |
| Biopsy Tongue Posterior One-Third (41105) | $289.90 | $446 | 0.1× |
| Biopsy, vestibule of mouth (40808) | $384.80 | $592 | 0.7× |
| Bladder Irrigation (51700) | $237.90 | $366 | 0.9× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$33,834.89–$38,045.60 | — | varies |
| Blood Transfusion Service (36430) | $10,155.60 | — | 21.3× |
| Bone Graft Any Donor Area Minor/Small (20900) | $17,240.82 | — | 2.2× |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$323.05–$484.90 | $497–$746 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $4,636.74 | — | 2.4× |
| Bronchoscopy Clear Airways (31645) | $4,636.74 | — | 2.4× |
| Bx breast 1st lesion strtctc (19081) range across 6 matching MRF lines |
$2,408.90–$3,613.35 | $3,706–$5,559 | varies |
| Bx breast 1st lesion us imag (19083) range across 6 matching MRF lines |
$2,499.90–$3,749.20 | $3,846–$5,768 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $15,035.94 | — | 3.6× |
| Bx/exc lymph node open superficial (38500) | $14,323.92 | — | 3.4× |
| Carpal Tunnel Surgery (64721) range across 4 matching MRF lines |
$1,475.50–$8,650.75 | — | varies |
| Carpectomy All Bones Proximal Row (25215) | $13,906.55 | — | 3.9× |
| Catheter aspiration nasotracheal spx (31720) | $180.05 | $277 | 0.8× |
| Cerv artific diskectomy (22856) | $36,829.95 | — | 1.9× |
| Change of Windpipe Airway (31502) | $689.65 | $1,061 | 2.7× |
| Change ureter stent percut (50382) range across 6 matching MRF lines |
$4,317.95–$6,477.25 | $6,643–$9,965 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$145.60–$150.15 | — | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $884 | $1,360 | 1.2× |
| Chemodenerv 1 extremity 1-4 (64642) | $455 | $700 | 0.6× |
| Chemodenerv Eccrine Glands (64650) | $222.95 | $343 | 0.7× |
| Chemodenerv Musc Migraine (64615) | $240.50 | $370 | 0.7× |
| Chemodenerv musc neck dyston (64616) range across 6 matching MRF lines |
$222.30–$333.45 | $342–$513 | varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $282.75 | $435 | 0.9× |
| Chemodenerv trunk musc 1-5 (64646) | $937.30 | $1,442 | 1.2× |
| Chemodenervation of internal anal sphincter (46505) | $890.50 | $1,370 | 0.7× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,908.15 | $7,551 | 1.3× |
| Circumcision 28 days or older (54161) | $8,354.48 | — | 3.7× |
| Claviculectomy partial (23120) | $18,158.15 | — | 5.1× |
| Clear outer ear canal (69200) | $199.55 | — | 1.4× |
| Closed Rx Metacarpal Fx,Percut (26608) | $6,057.87 | — | 1.7× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 3 matching MRF lines |
$204.75–$307.45 | $315–$473 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$287.95–$432.25 | $443–$665 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $273.65 | $421 | 1.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $181.35 | $279 | 0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $181.35 | $279 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $11,659.98 | — | 3.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$224.25–$351.65 | $345–$541 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$255.45–$383.50 | $393–$590 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $319.15 | $491 | 1.2× |
| Closed tx septal&nose fx (21337) | $11,659.98 | — | 3.3× |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$222.30–$333.45 | $342–$513 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$376.35–$564.85 | $579–$869 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$190.45–$286 | $293–$440 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$139.75–$209.95 | $215–$323 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $214.50 | $330 | 0.8× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $264.55 | $407 | 1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$184.60–$276.90 | $284–$426 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$344.50–$516.75 | $530–$795 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $248.95 | $383 | 0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$172.25–$258.70 | $265–$398 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 3 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 3 matching MRF lines |
$184.60–$276.90 | $284–$426 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$181.35–$238.55 | $279–$367 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $173.55 | $267 | 0.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $304.20 | $468 | 1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $230.10 | $354 | 0.9× |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$237.25–$356.20 | $365–$548 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $20,174.24 | — | 75.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $248.95 | $383 | 0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $5,612.46 | — | 21.1× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $258.70 | $398 | 1.0× |
| Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
$2,040.35–$3,060.85 | $3,139–$4,709 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$325–$487.50 | $500–$750 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$321.75–$482.95 | $495–$743 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$181.35–$258.70 | $279–$398 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$187.85–$282.10 | $289–$434 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $113.10 | $174 | 0.8× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$274.95–$1,822.60 | — | varies |
| Colonoscopy thru stoma (44388) | $2,827.50 | — | 2.8× |
| Colonoscopy w/ablation (45388) | $4,728.29 | — | 3.7× |
| Colonoscopy w/submucosal inj (45381) | $5,230.78 | — | 4.0× |
| Colpocleisis (le fort type) (57120) | $16,618.75 | — | 3.1× |
| Colpopexy vaginal intraperitoneal approach (57283) | $24,381.17 | — | 3.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $185.25 | $285 | 0.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $276.90 | $426 | 0.8× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $9,336.47 | — | 7.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $5,205.04 | — | 4.0× |
| Combined anteroposterior colporrhaphy; (57260) | $21,902.83 | — | 4.1× |
| Complex drainage wound (10180) | $2,161.90 | $3,326 | 0.7× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $11,657.81 | — | 3.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $202.15 | $311 | 1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $538.85 | — | 3.8× |
| Control oropharyngeal hemorrhage simple (42960) | $1,789.45 | — | 3.1× |
| Conversion ext bil drg cath (47535) | $4,594.85 | $7,069 | 1.2× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $2,167.10 | $3,334 | 1.0× |
| Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$5,081.70–$7,622.55 | $7,818–$11,727 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,609.35 | — | 2.0× |
| Correction hammertoe (28285) | $16,739.40 | — | 4.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $12,920.32 | — | 3.7× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $28,301.19 | — | 2.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $26,340.40 | — | 3.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $12,355.49 | — | 3.5× |
| Create Eardrum Opening (69433) range across 9 matching MRF lines |
$384.80–$553.80 | $592–$852 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $175.50 | $270 | 0.7× |
| Curettage postpartum (59160) | $1,861.60 | $2,864 | 0.5× |
| Cysto w/complex removal stone & stent (52315) | $11,812.55 | — | 5.2× |
| Cysto w/insert ureteral stent (52332) range across 3 matching MRF lines |
$10,186.75–$10,801.39 | — | varies |
| Cysto w/removal of tumors small (52234) | $13,421.52 | — | 3.5× |
| Cysto W/Simple Removal Stone & Stent (52310) | $8,772.98 | — | 3.9× |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$14,203.23–$15,430.85 | — | varies |
| Cystolithotomy (51050) | $16,226.34 | — | 2.8× |
| Cystostomy Cystotomy W/Drainage (51040) | $10,228.50 | — | 4.5× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) | $18,306.53 | — | 3.2× |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) | $14,068.70 | — | 6.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $462.15 | $711 | 1.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $6,060.31 | — | 1.9× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $2,593.50 | $3,990 | 1.2× |
| Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) | $11,655.80 | $17,932 | 1.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $9,429.97 | — | 11.8× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$195–$297.05 | — | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$150.15–$207.35 | — | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $10,950.87 | — | 6.1× |
| Debridement Mastoidectomy Cavity Cmplx (69222) range across 6 matching MRF lines |
$487.50–$731.25 | $750–$1,125 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) range across 6 matching MRF lines |
$156–$234 | $240–$360 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$301.60–$333.45 | — | varies |
| Declot vascular device (36593) | $583.70 | $898 | 1.6× |
| Deep Muscle Biopsy (20205) | $2,161.90 | $3,326 | 0.7× |
| Delivery of placenta (59414) | $2,369.90 | $3,646 | 0.7× |
| Destr W Neurolytic; Celiac Plexus (64680) | $3,601 | $5,540 | 3.8× |
| Destroy cerv/thor facet jnt (64633) range across 6 matching MRF lines |
$1,811.55–$2,717.65 | $2,787–$4,181 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$3,821.35–$5,853.96 | — | varies |
| Destruct B9 Lesion 1-14 (17110) | $139.10 | $214 | 0.6× |
| Destruction Benign Lesions 15/> (17111) | $180.70 | $278 | 0.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,244.10 | $1,914 | 1.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $250.25 | $385 | 1.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $203.45 | $313 | 0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $190.45 | $293 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $200.85 | $309 | 0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $150.15 | $231 | 0.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$2,535.65–$3,803.80 | $3,901–$5,852 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $301.60 | $464 | 0.7× |
| Destruction premalignant lesion 1st (17000) | $252.20 | — | 1.2× |
| Diagnostic sigmoidoscopy (45330) | $3,563.92 | — | 3.5× |
| Dilate Esophagus 1/Mult Pass (43450) | $5,539.17 | — | 5.7× |
| Dilation and catheterization of salivary duct, with or without injection (42660) range across 3 matching MRF lines |
$411.45–$617.50 | $633–$950 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 6 matching MRF lines |
$243.75–$365.95 | $375–$563 | varies |
| Drainage external auditory canal abscess (69020) | $531.70 | $818 | 0.7× |
| Drainage external ear abscess/hematoma cmplx (69005) range across 3 matching MRF lines |
$387.40–$581.10 | $596–$894 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $531.70 | $818 | 0.7× |
| Drainage Finger Abscess Complicated (26011) | $1,415.70 | — | 0.8× |
| Drainage of finger abscess simple (26010) | $360.10 | $554 | 1.7× |
| Drainage of hematoma/fluid (10140) | $1,223.95 | — | 0.7× |
| Draw Blood Off Venous Device (36591) | $149.50 | $230 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $152.10 | $234 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $144.30 | — | 0.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $4,694.01 | — | 4.9× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) | $3,601 | $5,540 | 3.8× |
| Dx Bone Marrow Bx & Aspir (38222) range across 8 matching MRF lines |
$1,214.85–$1,822.60 | $1,869–$2,804 | varies |
| Dx Bronchoscope/Lavage (31624) | $7,225.01 | — | 3.8× |
| Dx Bronchoscope/Wash (31622) | $5,424.05 | — | 2.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,103.05 | $1,697 | 1.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $4,463.69 | — | 2.2× |
| Egd control bleeding any (43255) | $4,593.74 | — | 2.2× |
| Egd dilation gastric/duodenal stricture (43245) | $4,463.69 | — | 2.2× |
| Egd guide wire insertion (43248) | $5,099.05 | — | 5.2× |
| Egd place gastrostomy tube (43246) | $4,525.36 | — | 2.2× |
| Egd remove lesion snare (43251) | $5,021.05 | — | 2.4× |
| Egd Varices Ligation (43244) | $3,907.96 | — | 1.9× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $246.35 | $379 | 0.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $329.55 | $507 | 1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $16,513.44 | — | 3.1× |
| Epidural Blood Patch (62273) | $1,235 | $1,900 | 1.6× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $7,324.13 | — | 7.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $5,242.25 | — | 2.9× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,236.95 | $1,903 | 0.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,223.95 | $1,883 | 0.7× |
| Exc Back Les Sc < 3 Cm (21930) | $9,344.79 | — | 5.2× |
| Exc Back Tum Deep 5 Cm/> (21933) | $19,922.88 | — | 6.4× |
| Exc back tum deep < 5 cm (21932) | $10,099.70 | — | 3.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $531.70 | $818 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $531.70 | $818 | 0.7× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,223.95 | $1,883 | 0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $24,131.81 | — | 31.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $209.95 | $323 | 0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,223.95 | $1,883 | 0.7× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $11,856.23 | — | 6.6× |
| Exc ganglion wrist recurrent (25112) | $8,951.60 | — | 5.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $531.70 | $818 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $9,118.39 | — | 5.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $8,526.96 | — | 4.8× |
| Exc hand tum deep < 1.5 cm (26116) | $2,178.80 | — | 1.2× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $731.90 | $1,126 | 0.7× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) | $2,616.90 | $4,026 | 0.7× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $8,696.38 | — | 5.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $2,450.50 | $3,770 | 0.7× |
| Exc neuroma hand/foot xcp digital nerve (64782) | $16,697.55 | — | 7.9× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $8,147.39 | — | 2.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,168.70 | — | 1.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,223.95 | $1,883 | 0.7× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $9,157.06 | — | 5.1× |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,161.90 | $3,326 | 0.7× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,223.95 | $1,883 | 0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,161.90 | $3,326 | 0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $13,080.07 | — | 7.3× |
| Exc thigh/knee les sc 3 cm/> (27337) | $11,856.23 | — | 3.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $890.50 | $1,370 | 0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $301.60 | — | 0.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $715 | — | 0.9× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $10,445.01 | — | 5.9× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$10,207.19–$16,662.65 | — | varies |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $10,141.79 | — | 5.7× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $7,142.46 | — | 4.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $6,966.63 | — | 3.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) range across 2 matching MRF lines |
$8,423.52–$9,811.70 | — | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $9,094.86 | — | 5.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $8,630.54 | — | 2.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $5,452.20 | $8,388 | 1.4× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 6 matching MRF lines |
$2,795–$4,192.50 | $4,300–$6,450 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,961.40 | $4,556 | 1.4× |
| Excis Mouth Complex,Exc Thru Muscle (40816) | $2,600.65 | $4,001 | 0.7× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $2,449.85 | $3,769 | 0.7× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $1,119.30 | $1,722 | 0.7× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $14,323.92 | — | 18.7× |
| Excision Distal Ulna Partial/Complete (25240) | $12,531.41 | — | 3.5× |
| Excision inferior turbinate partial/complete (30130) | $16,287.86 | — | 4.5× |
| Excision lesion mouth roof (42104) | $2,616.90 | $4,026 | 0.7× |
| Excision Lesion Tongue W/O Closure (41110) | $2,449.85 | $3,769 | 0.7× |
| Excision Lingual Frenum Frenectomy (41115) | $1,119.30 | $1,722 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $531.70 | $818 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $531.70 | $818 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $326.95 | $503 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $531.70 | $818 | 0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $531.70 | $818 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,223.95 | $1,883 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $531.70 | $818 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $531.70 | $818 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,223.95 | $1,883 | 0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) | $2,071.55 | $3,187 | 0.7× |
| Excision Nasal Polyp Extensive (30115) range across 2 matching MRF lines |
$18,850.56–$21,102.51 | — | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $8,226.33 | — | 4.7× |
| Excision of pilonidal cyst or sinus; simple (11770) | $8,364.46 | — | 2.7× |
| Excision of single external papilla or tag, anus (46220) | $890.50 | $1,370 | 0.7× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $10,164.24 | — | 3.2× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $10,764.42 | — | 3.4× |
| Excision prepatellar bursa (27340) | $8,062.57 | — | 2.3× |
| Excision soft tissue lesion, external auditory canal (69145) | $2,161.90 | $3,326 | 0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$9,120.80–$16,662.65 | — | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $8,752.09 | — | 4.9× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 3 matching MRF lines |
$1,223.95–$1,630.20 | $1,883–$2,508 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) | $7,758.27 | — | 4.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $8,636.13 | — | 2.8× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $2,161.90 | $3,326 | 0.7× |
| Excision/destruction intranasal lesion int appr (30117) | $2,450.50 | $3,770 | 0.7× |
| External cephalic version (59412) | $2,951.58 | — | 0.8× |
| Fasciectomy Palm Only (26121) | $8,393.77 | — | 2.4× |
| Fasciotomy palmar percutaneous (26040) | $1,209 | $1,860 | 0.7× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $10,663.35 | — | 3.0× |
| Fetal non-stress test (59025) | $433.55 | — | 2.0× |
| Fine needle aspiration without imaging guidance (10021) | $308.10 | $474 | 0.7× |
| Fluoro exam of g/colon tube (49465) | $403 | $620 | 1.6× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,184.30 | $1,822 | 1.5× |
| Fna bx w/us gdn 1st les (10005) | $1,000.35 | $1,539 | 1.3× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $11,659.98 | — | 3.3× |
| Fuse hand bones with graft (25825) | $23,732.86 | — | 3.0× |
| Fusion Finger Joint (26860) | $14,521.58 | — | 4.1× |
| Fusion of knuckle (26850) | $15,746.79 | — | 2.0× |
| Guide Cathet Fluid Drainage (10030) | $852.80 | $1,312 | 1.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $689 | $1,060 | 0.7× |
| Hysteroscopy Biopsy (58558) | $12,860.25 | — | 3.7× |
| Hysteroscopy Dx Sep Proc (58555) | $12,562.81 | — | 3.6× |
| Hysteroscopy Endometrial Ablation (58563) | $13,165.39 | — | 2.4× |
| Hysteroscopy Removal Impacted Foreign Body (58562) range across 2 matching MRF lines |
$10,318.29–$14,357.33 | — | varies |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $13,299.04 | — | 2.5× |
| I&d abscess peritonsillar (42700) | $211.25 | $325 | 0.8× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$252.20–$402.35 | — | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $11,535.45 | — | 3.7× |
| I&d pilonidal cyst simple (10080) | $318.50 | $490 | 0.4× |
| Icd Pocket Revision (33223) | $3,455.40 | $5,316 | 1.6× |
| Image Cath Fluid Colxn Visc (49405) | $3,053.05 | $4,697 | 1.7× |
| Image Cath Fluid Peri/Retro (49406) | $2,692.95 | $4,143 | 1.5× |
| Implant neuroelectrodes (63650) | $9,386.10 | — | 1.4× |
| Incise finger tendon sheath (26055) range across 3 matching MRF lines |
$2,856.75–$4,391.04 | — | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$403.65–$705.25 | — | varies |
| Incision & removal foreign body subq tiss compl (10121) | $9,975.94 | — | 5.6× |
| Incision & removal foreign body subq tiss simple (10120) | $16,557.84 | — | 37.7× |
| Incision and drainage of bartholin's gland abscess (56420) | $282.10 | $434 | 1.3× |
| Incision extensor tendon sheath wrist (25000) | $7,566.13 | — | 4.4× |
| Incision of eardrum (69420) range across 6 matching MRF lines |
$252.20–$378.30 | $388–$582 | varies |
| Incisional biopsy skin single lesion (11106) | $180.70 | $278 | 0.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 8 matching MRF lines |
$1,368.25–$2,052.70 | $2,105–$3,158 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 3 matching MRF lines |
$429.65–$644.80 | $661–$992 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$1,593.15–$2,390.05 | $2,451–$3,677 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$338–$648.70 | — | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$1,021.80–$1,532.70 | $1,572–$2,358 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$921.05–$1,381.90 | $1,417–$2,126 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 6 matching MRF lines |
$627.90–$941.85 | $966–$1,449 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 3 matching MRF lines |
$1,063.40–$1,595.10 | $1,636–$2,454 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$371.80–$557.70 | $572–$858 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,955.85 | $3,009 | 2.0× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$1,021.80–$1,532.70 | $1,572–$2,358 | varies |
| Injection enzyme palmar fascial cord (20527) range across 3 matching MRF lines |
$222.95–$295.10 | $343–$454 | varies |
| Injection for identification of sentinel node (38792) | $3,937.70 | — | 9.1× |
| Injection single tendon origin/insertion (20551) | $325 | — | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $406.48 | — | 1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) | $286.65 | — | 0.9× |
| Injection therapeutic carpal tunnel (20526) range across 6 matching MRF lines |
$181.35–$272.35 | $279–$419 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $884 | $1,360 | 0.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$578.50–$867.75 | $890–$1,335 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$352.95–$4,352.40 | — | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $150.15 | $231 | 0.7× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $2,167.10 | $3,334 | 2.3× |
| Ins cath ren art 1st bilat (36252) | $7,277.40 | $11,196 | 2.1× |
| Ins cath ren art 1st unilat (36251) | $4,850.95 | $7,463 | 1.4× |
| Ins endovas vena cava filtr (37191) | $7,105.15 | $10,931 | 1.2× |
| Insert 1 Electrode Pm-Defib (33216) unusually low: confirm this is the full procedure |
$3,868.15 | $5,951 | 0.4× |
| Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$1,453.40–$2,180.10 | $2,236–$3,354 | varies |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$2,611.70–$3,917.55 | $4,018–$6,027 | varies |
| Insert cervical dilator (59200) | $679.25 | $1,045 | 2.1× |
| Insert Drug Implant Device (11981) | $166.40 | $256 | 1.2× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,297.10 | $3,534 | 1.1× |
| Insert Heart Pm Atrial (33206) unusually low: confirm this is the full procedure |
$5,123.30 | $7,882 | 0.5× |
| Insert Heart Pm Ventricular (33207) unusually low: confirm this is the full procedure |
$5,123.30 | $7,882 | 0.5× |
| Insert non-tunnel cv cath (36556) | $2,078.70 | $3,198 | 0.6× |
| Insert Pacing Lead & Connect (33224) unusually low: confirm this is the full procedure |
$4,750.85 | $7,309 | 0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,769 | $4,260 | 1.6× |
| Insert pulse gen dual leads (33213) unusually low: confirm this is the full procedure |
$5,188.95 | $7,983 | 0.5× |
| Insert pulse gen mult leads (33221) | $15,830.10 | $24,354 | 0.8× |
| Insert Temp Bladder Cath (51702) | $193.70 | $298 | 1.3× |
| Insert tun ip cath perc (49418) | $6,139.25 | $9,445 | 1.6× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$7,679.51–$10,517.42 | — | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $193.70 | $298 | 1.3× |
| Insertion indwelling tunneled pleural catheter (32550) | $5,920.20 | $9,108 | 1.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,078.84 | — | 2.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) unusually low: confirm this is the full procedure |
$3,445 | $5,300 | 0.4× |
| Insj Picc Rs&I <5 Yr (36572) | $1,292.85 | $1,989 | 1.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 3 matching MRF lines |
$5,406.05–$8,109.40 | $8,317–$12,476 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,769 | $4,260 | 1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 6 matching MRF lines |
$4,614.25–$6,921.72 | $7,098.84–$10,648.80 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) likely a partial charge, not the full procedure |
$9,954.75 | $15,315 | 0.3× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $41,171.53 | — | 1.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$4,249.70 | $6,538 | 0.5× |
| Insrt heart pm atrial & vent (33208) | $6,199.05 | $9,537 | 0.5× |
| Insrt Pulse Gen W/Dual Leads (33230) unusually low: confirm this is the full procedure |
$8,057.40 | $12,396 | 0.3× |
| Insrt Pulse Gen W/Mult Leads (33231) unusually low: confirm this is the full procedure |
$12,149.80 | $18,692 | 0.4× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,539.55 | $3,907 | 1.7× |
| Intranasal Biopsy (30100) | $1,119.30 | $1,722 | 0.7× |
| Intro cath dialysis circuit (36901) | $1,485.25 | $2,285 | 0.9× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $10,268.70 | $15,798 | 1.7× |
| Intro Gastrointestinal Tube (44500) | $1,151.80 | $1,772 | 1.2× |
| Intubation endotracheal emergency procedure (31500) | $412.75 | $635 | 1.6× |
| Labyrinthotomy Transcanal (69801) | $1,119.30 | $1,722 | 0.7× |
| Lam facetec & foramot lumbar (63047) | $26,199.34 | — | 3.3× |
| Laparoscope proc ureter (50949) range across 2 matching MRF lines |
$20,467.85–$21,057.69 | — | varies |
| Laparoscopy aspiration (49322) | $23,910.15 | — | 3.7× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$19,546.88–$22,083.20 | — | varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $23,605.35 | — | 2.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $22,740.42 | — | 2.0× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$14,745.09–$15,807.63 | — | varies |
| Laparoscopy, surgical, appendectomy (44970) | $13,732.48 | — | 2.1× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) | $31,594.24 | — | 2.8× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $22,571.97 | — | 2.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $16,731.55 | — | 2.6× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$19,655.27–$20,732.86 | — | varies |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) | $32,251.52 | — | 2.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
$19,307.29–$22,675.22 | — | varies |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) | $31,594.24 | — | 2.8× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) | $10,559.90 | — | 2.6× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) | $8,852.19 | — | 2.2× |
| Laryngoscopy flexible diagnostic (31575) | $135.20 | $208 | 0.6× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) | $1,302.60 | $2,004 | 0.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 2 matching MRF lines |
$293.15–$316.55 | $451–$487 | varies |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $12,108.65 | — | 3.0× |
| Late closure of wound (13160) | $1,721.85 | $2,649 | 0.4× |
| Ligation or biopsy temporal artery (37609) | $15,330.80 | — | 8.6× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $12,560.75 | — | 3.3× |
| Lithotripsy, extracorporeal shock wave (50590) | $8,961.58 | — | 2.4× |
| Lumbar spine fusion combined (22633) | $50,393.08 | — | 1.7× |
| Lyse chest fibrin init day (32561) | $1,125.15 | $1,731 | 1.7× |
| Lyse Chest Fibrin Subq Day (32562) | $1,051.70 | $1,618 | 1.6× |
| Maniplatn palar fascial crd post inj single cord (26341) | $181.35 | $279 | 0.7× |
| Manipulation knee joint under general anesthesia (27570) | $4,753.38 | — | 2.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $5,345.34 | — | 3.1× |
| Mastectomy partial (19301) | $13,684.23 | — | 3.2× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$21,621.94–$22,419.47 | — | varies |
| Mech remov tunneled cv cath (36595) | $4,361.50 | $6,710 | 1.3× |
| Myelography Lumbar Injection (62305) | $1,151.15 | $1,771 | 1.4× |
| Myelography Lumbar Injection (62304) | $1,200.55 | $1,847 | 1.4× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,200.55 | $1,847 | 1.4× |
| N Block Inj Celiac Pelus (64530) | $1,517.10 | $2,334 | 1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$1,671.80–$2,507.70 | $2,572–$3,858 | varies |
| N block inj intercost sng (64420) range across 6 matching MRF lines |
$633.10–$949.65 | $974–$1,461 | varies |
| N Block Inj Plantar Digit (64455) | $222.95 | $343 | 0.7× |
| N Block Inj Pudendal (64430) range across 3 matching MRF lines |
$720.85–$1,081.60 | $1,109–$1,664 | varies |
| N Block Lumbar/Thoracic (64520) range across 6 matching MRF lines |
$2,166.45–$3,250 | $3,333–$5,000 | varies |
| Nasal Endoscopy Dx (31231) | $302.90 | — | 1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) | $323.70 | $498 | 0.7× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) | $4,469.40 | $6,876 | 0.7× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $1,404.65 | — | 0.7× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) range across 2 matching MRF lines |
$21,838.15–$25,395.04 | — | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $1,404.65 | — | 0.7× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) | $19,437.28 | — | 2.6× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) | $19,437.28 | — | 2.6× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) | $21,102.51 | — | 2.8× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $21,838.15 | — | 2.9× |
| Needle Biopsy Lymph Nodes (38505) range across 6 matching MRF lines |
$1,623.70–$2,436.20 | $2,498–$3,748 | varies |
| Needle Biopsy Pancreas (48102) | $1,853.15 | $2,851 | 1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $22.10 | $34 | 0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) | $25.35 | $39 | 0.8× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$10,233.73–$12,014.73 | — | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $858.65 | $1,321 | 2.1× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $1,583.40 | $2,436 | 0.7× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 6 matching MRF lines |
$755.95–$1,134.25 | $1,163–$1,745 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $1,429.35 | — | 4.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,671.15 | $2,571 | 0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $5,216.90 | $8,026 | 1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 8 matching MRF lines |
$616.20–$813.15 | $948–$1,251 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,142.05 | $1,757 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,324.05 | $2,037 | 1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,311.83 | — | 1.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 3 matching MRF lines |
$1,241.50–$1,862.25 | $1,910–$2,865 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 3 matching MRF lines |
$1,099.15–$1,649.05 | $1,691–$2,537 | varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) | $21,102.51 | — | 2.8× |
| Occipital Nerve Block (64405) range across 9 matching MRF lines |
$241.15–$362.05 | $371–$557 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $15,456.26 | — | 3.7× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) | $25,624.64 | — | 3.3× |
| Open treatment interphalangeal joint dislocation (28675) | $13,687.54 | — | 3.9× |
| Open treatment metatarsal fracture each (28485) | $20,179.87 | — | 2.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $22,945.65 | — | 2.9× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) | $24,520.18 | — | 3.1× |
| Open tx carpal scaphoid navicular fracture (25628) | $14,904.62 | — | 1.9× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) | $14,300.05 | — | 4.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $18,967.16 | — | 2.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $25,957.33 | — | 3.3× |
| Open Tx Humeral Epicondylar Fracture (24575) | $17,639.91 | — | 1.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $14,914.03 | — | 4.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $6,019.19 | — | 1.7× |
| Open/Perq Place Stent 1St (37236) range across 3 matching MRF lines |
$17,129.45–$25,694.50 | $26,353–$39,530 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $18,262.06 | — | 2.3× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $19,234.90 | — | 2.5× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $13,751.80 | — | 3.9× |
| Osteochondral allograft knee open (27415) | $20,426.05 | — | 1.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $16,739.40 | — | 4.7× |
| Part remv talus or calcaneus (28120) | $19,759.61 | — | 5.6× |
| Partial removal of thyroid (60220) | $25,023.76 | — | 3.8× |
| Partial removal of toe (28160) | $969.15 | $1,491 | 0.3× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $26,593.61 | — | 4.1× |
| Partical Excision Bone Phalanx Toe (28124) | $7,196.15 | — | 2.0× |
| Perc Cryo Ablate Renal Tum (50593) range across 3 matching MRF lines |
$6,932.90–$10,399.35 | $10,666–$15,999 | varies |
| Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$1,530.75–$2,296.45 | $2,355–$3,533 | varies |
| Pericardiocentesis W/Imaging (33016) | $963.30 | $1,482 | 0.6× |
| Perq Cervicothoracic Inject (22510) | $5,845.45 | $8,993 | 1.7× |
| Perq dev breast 1st us imag (19285) | $3,832.20 | — | 5.0× |
| Perq device breast 1st imag (19281) | $2,934.42 | — | 1.6× |
| Perq Lumbosacral Injection (22511) | $5,845.45 | $8,993 | 1.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,324.05 | $2,037 | 1.7× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $6,427.14 | — | 1.8× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $18,681 | $28,740 | 1.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $20,831.51 | — | 2.7× |
| Perq Vertebral Augmentation (22513) | $20,236.01 | — | 2.6× |
| Phalangectomy toe each toe (28150) | $1,114.75 | $1,715 | 0.3× |
| Place Cath Vertebral Art (36226) range across 3 matching MRF lines |
$6,983.60–$10,475.40 | $10,744–$16,116 | varies |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $9,820.20 | $15,108 | 1.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 6 matching MRF lines |
$5,081.70–$7,622.55 | $7,818–$11,727 | varies |
| Plmt Nephroureteral Catheter (50433) range across 3 matching MRF lines |
$4,067.70–$6,101.55 | $6,258–$9,387 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 3 matching MRF lines |
$6,764.55–$10,147.15 | $10,407–$15,611 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$6,764.55–$10,147.15 | $10,407–$15,611 | varies |
| Prim art mech thrombectomy (37184) range across 3 matching MRF lines |
$8,163.35–$12,245.35 | $12,559–$18,839 | varies |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $890.50 | $1,370 | 0.7× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $960.70 | $1,478 | 1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,452.20 | $8,388 | 1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $5,779.15 | $8,891 | 1.5× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $20,174.24 | — | 5.7× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $11,228.49 | — | 3.2× |
| Pseudoaneurysm Injection Trt (36002) | $577.20 | $888 | 0.9× |
| Punch biopsy skin single lesion (11104) | $617.50 | — | 1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,606.25 | — | 3.7× |
| Puncture Aspiration Cyst Breast (19000) | $653.25 | $1,005 | 0.9× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $453.70 | $698 | 0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 3 matching MRF lines |
$4,620.20–$6,930.30 | $7,108–$10,662 | varies |
| Realignment extensor tendon hand each tendon (26437) | $12,450.90 | — | 3.5× |
| Rem Endovas Vena Cava Filter (37193) | $4,860.70 | $7,478 | 1.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,317.55 | $2,027 | 1.3× |
| Removal foreign body foot deep (28192) range across 3 matching MRF lines |
$1,223.95–$1,501.50 | $1,883–$2,310 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$567.45–$851.50 | $873–$1,310 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,223.95 | $1,883 | 0.7× |
| Removal foreign body upper arm/elbow deep (24201) | $9,189.11 | — | 2.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 6 matching MRF lines |
$185.25–$341.25 | — | varies |
| Removal Implant Deep (20680) | $11,030.56 | — | 3.5× |
| Removal Implant Superficial Separate Procedure (20670) | $1,223.95 | — | 0.7× |
| Removal of adenoids (42830) | $7,547.12 | — | 2.1× |
| Removal of implant from finger or hand (26320) | $9,781.75 | — | 5.5× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$403.65–$6,178.31 | — | varies |
| Removal of sperm cord lesion (55520) | $11,419.51 | — | 3.0× |
| Removal of tonsils (42826) | $8,399.04 | — | 2.3× |
| Removal of tunneled intraperitoneal catheter (49422) | $3,907.15 | $6,011 | 1.1× |
| Removal Pacemaker Electrode (33235) | $4,179.50 | $6,430 | 1.0× |
| Removal peritoneal-venous shunt (49429) | $3,907.15 | $6,011 | 1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $150.15 | $231 | 0.7× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,607.45 | $2,473 | 2.1× |
| Removal sweat gland lesion (11450) | $7,347.70 | — | 2.3× |
| Removal, under anesthesia, of external fixation system (20694) | $11,419.23 | — | 6.6× |
| Remove drug implant device (11982) | $12,936.11 | — | 26.8× |
| Remove Elctrd Transvenously (33244) | $4,464.20 | $6,868 | 1.1× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $1,662.70 | $2,558 | 0.7× |
| Remove Intrauterine Device (58301) | $12,562.81 | — | 38.2× |
| Remove intrvas foreign body (37197) | $3,515.20 | $5,408 | 1.0× |
| Remove lung catheter (32552) | $1,018.55 | $1,567 | 1.5× |
| Remove Nasal Foreign Body (30300) | $400.40 | — | 2.8× |
| Remove prostate regrowth (52630) | $14,516.38 | — | 2.5× |
| Remove Pulse Generator (33241) | $4,464.20 | $6,868 | 1.1× |
| Remove renal tube w/fluoro (50389) | $2,082.53 | — | 2.8× |
| Remove Tendon Sheath Lesion (26160) | $1,501.50 | — | 0.9× |
| Remove&replace pm gen singl (33227) | $4,941.30 | $7,602 | 0.6× |
| Remove/graft leg bone lesion (27637) | $41,503.20 | — | 5.3× |
| Remove/Insert Drug Implant (11983) | $301.60 | $464 | 0.6× |
| Remv&replc cvd gen dual lead (33263) unusually low: confirm this is the full procedure |
$10,507.25 | $16,165 | 0.4× |
| Remv&replc cvd gen mult lead (33264) unusually low: confirm this is the full procedure |
$12,608.05 | $19,397 | 0.4× |
| Remv&replc cvd gen sing lead (33262) likely a partial charge, not the full procedure |
$7,166.25 | $11,025 | 0.3× |
| Remv&replc pm gen dual lead (33228) | $7,967.70 | $12,258 | 0.7× |
| Renal Biopsy Perq (50200) range across 3 matching MRF lines |
$2,157.35–$3,236.35 | $3,319–$4,979 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,098.20 | — | 2.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $630.50 | $970 | 1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) | $462.80 | $712 | 0.6× |
| Repair extensor tendon finger w/o graft each (26418) | $10,708.03 | — | 6.2× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $20,429.27 | — | 5.8× |
| Repair Hand Joint (26540) | $13,554.29 | — | 3.8× |
| Repair inguinal hernia, sliding, any age (49525) | $13,259.59 | — | 3.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $490.75 | — | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $424.45 | $653 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $11,000.92 | — | 25.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $319.15 | $491 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $12,503.56 | — | 28.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $368.55 | $567 | 0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $8,947.83 | — | 20.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $19,429.21 | — | 44.3× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $13,640.78 | — | 6.1× |
| Repair lead pace-defib dual (33220) | $3,197.35 | $4,919 | 0.8× |
| Repair Nasal Vestibular Stenosis (30465) range across 2 matching MRF lines |
$14,456.27–$17,932.63 | — | varies |
| Repair of hammertoe (28286) | $10,216.54 | — | 2.9× |
| Repair of Ruptured Tendon (24342) | $17,029.69 | — | 2.2× |
| Repair Rotator Cuff Chronic (23412) | $29,761.05 | — | 3.8× |
| Repair shoulder capsule (23462) | $36,093.58 | — | 4.6× |
| Repair/Graft Wrist Bone (25440) | $16,697.55 | — | 2.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,296.10 | $1,994 | 1.3× |
| Replace G-J Tube Perc (49452) | $1,296.10 | $1,994 | 1.3× |
| Replace g/c tube perc (49450) | $1,317.55 | $2,027 | 1.3× |
| Reposition Gastrostomy Tube (43761) | $798.85 | $1,229 | 3.0× |
| Reposition L Ventric Lead (33226) | $4,179.50 | $6,430 | 1.2× |
| Reposition Venous Catheter (36597) | $1,211.60 | $1,864 | 0.7× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$12,970.83–$13,453.69 | — | varies |
| Revis reconst shoulder joint (23473) | $21,281.37 | — | 1.5× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $30,817.13 | — | 2.2× |
| Revise ulnar nerve at wrist (64719) | $9,393.02 | — | 4.5× |
| Revise/Implant Finger Joint (26536) | $17,378.15 | — | 2.2× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $39,699.01 | — | 5.8× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $31,466.29 | — | 8.3× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) range across 3 matching MRF lines |
$4,778.15–$7,167.55 | $7,351–$11,027 | varies |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) range across 3 matching MRF lines |
$4,778.15–$7,167.55 | $7,351–$11,027 | varies |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) range across 3 matching MRF lines |
$11,815.70–$17,723.55 | $18,178–$27,267 | varies |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) range across 3 matching MRF lines |
$11,815.70–$17,723.55 | $18,178–$27,267 | varies |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) range across 3 matching MRF lines |
$11,488.10–$17,232.15 | $17,674–$26,511 | varies |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) range across 3 matching MRF lines |
$11,488.10–$17,232.15 | $17,674–$26,511 | varies |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) range across 3 matching MRF lines |
$11,815.70–$17,723.55 | $18,178–$27,267 | varies |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) range across 3 matching MRF lines |
$11,815.70–$17,723.55 | $18,178–$27,267 | varies |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) range across 3 matching MRF lines |
$16,204.50–$24,306.75 | $24,930–$37,395 | varies |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) range across 3 matching MRF lines |
$16,204.50–$24,306.75 | $24,930–$37,395 | varies |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) range across 3 matching MRF lines |
$4,548.05–$6,822.40 | $6,997–$10,496 | varies |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) range across 3 matching MRF lines |
$4,548.05–$6,822.40 | $6,997–$10,496 | varies |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) range across 3 matching MRF lines |
$9,009–$13,513.50 | $13,860–$20,790 | varies |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) range across 3 matching MRF lines |
$9,009–$13,513.50 | $13,860–$20,790 | varies |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) range across 3 matching MRF lines |
$7,432.75–$11,149.45 | $11,435–$17,153 | varies |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) range across 3 matching MRF lines |
$7,432.75–$11,149.45 | $11,435–$17,153 | varies |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) range across 3 matching MRF lines |
$10,455.90–$15,683.85 | $16,086–$24,129 | varies |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) range across 3 matching MRF lines |
$10,455.90–$15,683.85 | $16,086–$24,129 | varies |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) | $14,855.16 | — | 2.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $301.60 | $464 | 0.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $8,080.38 | — | 2.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,223.95 | $1,883 | 0.7× |
| Rmvl of subq implantable defibrillator electrode (33272) | $4,179.50 | $6,430 | 1.0× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $13,521.23 | — | 6.4× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $4,179.50 | $6,430 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,807.06 | — | 1.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,422.20 | $2,188 | 2.1× |
| Rplc Gtube No Revj Trc (43762) | $372.45 | — | 1.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,892.80 | $2,912 | 1.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,060.50 | $3,170 | 1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $2,855.45 | $4,393 | 0.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $2,995.85 | $4,609 | 0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $20,261.86 | — | 3.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$4,322.63–$20,264.98 | — | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $22,191 | — | 3.2× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $19,155.11 | — | 2.9× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $20,003.13 | — | 5.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $20,774.94 | — | 3.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $19,310.78 | — | 3.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,768.65 | $2,721 | 1.0× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) | $4,469.40 | $6,876 | 0.7× |
| Rpr Nsl Vlv Collapse W/Implt (30468) | $15,689.55 | — | 2.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,087.45 | $1,673 | 1.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $14,185.89 | — | 4.0× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) | $17,261.96 | — | 2.2× |
| Sclerotx Fluid Collection (49185) | $2,404.35 | $3,699 | 1.3× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) range across 2 matching MRF lines |
$14,855.16–$17,932.63 | — | varies |
| Shave skin lesion 0.5 cm/< (11300) | $301.60 | $464 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $149.50 | $230 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $301.60 | $464 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $163.15 | $251 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $187.85 | $289 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $207.35 | $319 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $301.60 | $464 | 0.7× |
| Shoulder Arthroscopy/Surgery (29825) | $14,889.58 | — | 4.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $204.10 | $314 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $301.60 | $464 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $185.25 | $285 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $301.60 | $464 | 0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $204.10 | $314 | 0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $3,007.78 | — | 3.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $3,740.28 | — | 2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $150.15 | $231 | 0.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $135.85 | $209 | 0.6× |
| Skin sub graft face/nk/hf/g (15275) | $2,428.52 | — | 3.0× |
| Skin sub graft trnk/arm/leg (15271) | $1,882.40 | $2,896 | 2.4× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 3 matching MRF lines |
$8,667.10–$13,000.65 | $13,334–$20,001 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $23,066.54 | — | 4.3× |
| Spinal puncture lumbar diagnostic (62270) | $1,008.80 | $1,552 | 1.3× |
| Strapping Unna Boot (29580) range across 18 matching MRF lines |
$104.65–$198.25 | $161–$305 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$12,055.62–$14,219.73 | — | varies |
| Suture digital nerve hand/foot 1 nerve (64831) | $14,185.89 | — | 6.7× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $25,052.22 | — | 3.2× |
| Tangential biopsy skin single lesion (11102) | $164.45 | $253 | 0.4× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) | $462.15 | $711 | 0.6× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) unusually low: confirm this is the full procedure |
$9,878.70 | $15,198 | 0.3× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) likely a partial charge, not the full procedure |
$5,677.75 | $8,735 | 0.3× |
| Tenodesis long tendon biceps (23430) | $31,569.02 | — | 4.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $741 | $1,140 | 0.4× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,339.65 | $2,061 | 0.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,063.40 | $1,636 | 1.4× |
| Therapeutic plasma exchange (36514) | $3,069.30 | $4,722 | 1.8× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $11,909.30 | $18,322 | 0.9× |
| Thromblytic art/ven therapy (37213) | $3,185.65 | $4,901 | 0.9× |
| Thyroid biopsy (60100) | $945.10 | $1,454 | 1.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $10,369.35 | — | 2.9× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $8,781.30 | — | 2.5× |
| Tooth extraction (41899) | $14,829.68 | — | 58.0× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$29,591.79–$34,629.33 | — | varies |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $413.40 | $636 | 0.7× |
| Transcatheter biopsy (37200) | $3,807.05 | $5,857 | 0.6× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $10,300.39 | — | 4.9× |
| Transplant hand tendon (26480) | $8,773.34 | — | 2.5× |
| Transplant/graft palm tendon (26489) | $12,462.77 | — | 3.5× |
| Transur electr resection of prostate (52601) | $15,632.59 | — | 2.7× |
| Treat dislocation/fracture (23670) | $26,385.13 | — | 3.4× |
| Treat Finger Fracture Each (26727) | $6,491.61 | — | 1.8× |
| Treat Fx Rad Extra-Articul (25607) | $11,419.23 | — | 1.5× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$344.50–$516.75 | $530–$795 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$195.65–$293.80 | $301–$452 | varies |
| Treat scapula fracture (23585) | $28,713.78 | — | 3.7× |
| Trim skin lesion (11055) | $81.90 | $126 | 0.4× |
| Trim skin lesions 2 to 4 (11056) | $107.25 | $165 | 0.5× |
| Trim skin lesions over 4 (11057) | $122.20 | $188 | 0.6× |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$146.90–$252.20 | — | varies |
| Trluml Balo Angiop 1St Art (37246) range across 3 matching MRF lines |
$8,655.40–$12,983.10 | $13,316–$19,974 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $7,307.75 | — | 2.1× |
| Tx Missed Abortion First Trimester Surgical (59820) | $9,005.59 | — | 2.6× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $1,209 | — | 0.7× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) range across 3 matching MRF lines |
$1,023.75–$1,535.95 | $1,575–$2,363 | varies |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) range across 3 matching MRF lines |
$1,119.30–$1,227.85 | $1,722–$1,889 | varies |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$9,464.21–$9,662.41 | — | varies |
| Unlisted laparoscopy procedure appendix (44979) | $17,162.19 | — | 2.6× |
| Unlisted procedure foot or toes (28899) | $14,300.53 | — | 53.7× |
| Unlisted procedure lungs and pleura (32999) | $1,493.70 | $2,298 | 2.2× |
| Unlisted procedure nervous system (64999) range across 7 matching MRF lines |
$163.80–$2,166.45 | $252–$3,333 | varies |
| Unlisted procedure pelvis/hip joint (27299) | $21,748.58 | — | 81.7× |
| Unlisted procedure spine (22899) | $44,804.08 | — | 168.2× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,103.70 | $1,698 | 1.1× |
| Upgrade of pacemaker system (33214) unusually low: confirm this is the full procedure |
$3,800.55 | $5,847 | 0.3× |
| Uvulectomy excision of uvula (42140) | $2,449.85 | $3,769 | 0.7× |
| Vasc Embolize/Occlude Bleed (37244) | $20,163 | $31,020 | 1.6× |
| Ventilating tube removal requiring general anesthesia (69424) | $11,566.81 | — | 3.2× |
| Wedge excision skin nail fold (11765) | $403.65 | — | 0.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.