Procedures & surgery prices at Saint Joseph Medical Center

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

1188 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $967 $1,878 1.0×
Ablate inf turbinate submuc (30802) $1,654 $8,909 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $18,697 $10,541 1.0×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,654 $7,794 1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,200 $30,094 1.0×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,200 $3,463.33 1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,778 $6,112.76 1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,200 $3,461.86 1.0×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $7,737 $23,109 1.0×
Amniocentesis diagnostic (59000) $982 $884 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,489 $10,037 1.0×
Amputate Metacarpal Bone (26910) $3,489 $10,390 1.0×
Amputation foot transmetarsal (28805) $3,489 $5,411 1.0×
Amputation metatarsal with toe single (28810) $3,489 $8,909 1.0×
Amputation toe interphalangeal joint (28825) $3,489 $8,909 1.0×
Amputation toe metatarsophalangeal joint (28820) $3,489 $8,909 1.0×
Anal Sp Inf Pmp W/Reprg&Fill (62369)
range across 2 matching MRF lines		 $327 $822–$12,254 1.0×
Ankle Arthroscopy/Surgery (29892) $7,737 $16,782 1.0×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,959 $10,228 1.0×
Anterior colporraphy rpr cystocele w/cysto (57240) $5,334 $11,139 1.0×
Appendectomy (44950) $6,903 $10,024 1.0×
Application finger splint static (29130) $141 $645 1.0×
Application long arm splint shoulder hand (29105) $173 $789 1.0×
Application Long Leg Splint (29505) $173 $789 1.0×
Application of rigid total contact leg cast (29445) $298 $1,245 1.0×
Application short arm splint forearm-hand static (29125) $141 $645 1.0×
Application short leg splint calf foot (29515) $173 $789 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines		 $173 $613–$933 1.0×
Arterial puncture (36600) $141 $196 1.0×
Arteriovenous Anastomosis Open Direct (36821) $3,367 $15,614 1.0×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $5,933 $12,812 1.0×
Artery-vein autograft (36825) $5,933 $14,219 1.0×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $13,690 $30,011 1.0×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $13,690 $2,673.30 1.0×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $13,690 $21,609 1.0×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $13,690 $19,335 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $327 $592–$3,603 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $752 $844–$3,603 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $327 $1,420–$4,119 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $327 $1,476–$3,603 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $327 $960 1.0×
Arthrodesis ankle open (27870) $13,690 $5,018.47 1.0×
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines		 $7,737 $16,316.08–$16,316.10 1.0×
Arthrodesis great toe metatarsophalangeal joint (28750) $7,737 $16,453 1.0×
Arthrodesis Posterior Interbody Lumbar (22630) $28,934 $31,564 1.0×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $18,697 $8,371.33 1.0×
Arthrodesis sacroiliac joint percutaneous (27279) $18,697 $19,744 1.0×
Arthrodesis subtalar (28725) $13,690 $31,108 1.0×
Arthrodesis triple (28715) $13,690 $19,540 1.0×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $28,934 $22,665 1.0×
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) $18,697 $21,541 1.0×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $18,697 $19,381 1.0×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $18,697 $17,516 1.0×
Arthroplasty Ankle W/Implant (27702) $28,934 $26,898 1.0×
Arthroplasty glenohumeral joint total shoulder (23472) $18,697 $24,266 1.0×
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) $13,690 $20,177 1.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $3,489 $7,659.96 1.0×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,489 $7,398.46 1.0×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,489 $5,594 1.0×
Arthroscopy hip w/femoroplasty (29914) $7,737 $22,613 1.0×
Arthroscopy Knee Osteochondral Allograft (29867)
range across 2 matching MRF lines		 $13,690 $11,474.50–$11,474.52 1.0×
Arthroscopy knee synovectomy limited spx (29875) $3,489 $22,613 1.0×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $3,489 $8,449.50 1.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $7,737 $23,677 1.0×
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) $7,737 $16,899 1.0×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
range across 2 matching MRF lines		 $7,737 $11,254.78–$11,254.80 1.0×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $7,737 $8,670.33 1.0×
Arthroscopy, hip, surgical; with synovectomy Facility (29863) $3,489 $8,670.33 1.0×
Arthroscopy, knee, surgical; with lateral release (29873) $3,489 $11,677 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,489 $17,915 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $7,737 $6,513.30 1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $3,489 $17,701 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $3,489 $7,497 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $7,737 $15,403 1.0×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $3,489 $5,574.50 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $7,737 $19,823 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $13,690 $24,264 1.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $13,690 $20,997 1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $7,737 $29,740 1.0×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $3,489 $20,919 1.0×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $3,489 $8,449.50 1.0×
Arthrs knee debridement/shaving artclr crtlg (29877) $3,489 $19,215 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $3,489 $16,243 1.0×
Arthrt w/synvct kne ant&post w/pop area (27335) $7,737 $22,613 1.0×
Aspirate pleura w/ imaging (32555) $668 $1,512 1.0×
Aspirate Pleura W/O Imaging (32554) $668 $1,205 1.0×
Aspirate/Inj Ganglion Cyst (20612) $327 $570 1.0×
Aspiration and/or injection thyroid cyst (60300) $755 $1,649 1.0×
Aspiration bladder insert suprapubic catheter (51102) $2,229 $2,404 1.0×
Av Fistula Revision Open (36832) $5,933 $12,640 1.0×
Av Fuse Uppr Arm Basilic (36819) $5,933 $21,862 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $213 $468 1.0×
Axillary lymphadenectomy; complete (38745) $6,446 $11,546 1.0×
Biopsy Abdominal Mass (49180) $1,761 $4,155 1.0×
Biopsy bone trocar/needle deep (20225) $1,761 $6,014 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,761 $2,800 1.0×
Biopsy external ear (69100) $252 $13,369 1.0×
Biopsy muscle percutaneous needle (20206) $1,761 $3,367 1.0×
Biopsy Muscle Superficial (20200) $1,761 $7,406 1.0×
Biopsy of liver, needle; percutaneous (47000) $1,761 $4,412 1.0×
Biopsy of rectum (45100)
range across 2 matching MRF lines		 $2,959 $4,363–$7,406 1.0×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $4,175 $5,742 1.0×
Biopsy Pleura Percutaneous Needle (32400) $1,761 $1,930 1.0×
Biopsy Salivary Gland Needle (42400) $755 $3,518 1.0×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $3,097 $3,276 1.0×
Biopsy Testis Needle Separate Procedure (54500) $3,097 $3,341.33 1.0×
Biopsy Tongue Anterior Two-Thirds (41100) $575 $5,698 1.0×
Biopsy Vaginal Mucosa Simple (57100) $982 $7,984 1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $982 $10,388 1.0×
Biopsy/removal lymph nodes (38510) $4,175 $10,396 1.0×
Bladder instillation anticarcinogenic agent (51720) $743 $3,991 1.0×
Bladder Irrigation (51700) $266 $591 1.0×
Bladder Scan (51798)
range across 3 matching MRF lines		 $62 $175–$3,337 1.0×
Blood Transfusion Service (36430)
range across 5 matching MRF lines		 $470 $1,587–$2,361 1.0×
Bone Graft Any Donor Area Major/Large (20902) $7,737 $8,665.22 1.0×
Bone Graft Any Donor Area Minor/Small (20900) $7,737 $8,506.33 1.0×
Bone Marrow Biopsy (38221) $1,761 $3,342 1.0×
Bone marrow harvest allogen (38230) $1,660 $6,973 1.0×
Bone Marrow Harvest Autolog (38232) $4,644 $4,845 1.0×
Bone Marrow; Aspiration Only (38220) $1,761 $1,605 1.0×
Breast augmentation with implant (19325) $8,715 $7,406 1.0×
Brnchsc Brushing/Protected Brushings (31623) $1,898 $2,770 1.0×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $3,975 $5,246 1.0×
Bx breast 1st lesion mr imag (19085) $1,761 $3,372 1.0×
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines		 $1,761 $8,038–$12,060 1.0×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines		 $1,761 $5,979–$8,967 1.0×
Bx breast needle core w/o imaging guidance spx (19100) $1,761 $3,000 1.0×
Bx Cervix (57500) $982 $6,125 1.0×
Bx prostate strtctc saturation sampling img gid (55706) $3,758 $7,731 1.0×
Bx/exc lymph node open deep axillary node (38525) $4,175 $11,907 1.0×
Bx/exc lymph node open superficial (38500) $4,175 $9,142 1.0×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,489 $5,880 1.0×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,714 $4,815.50 1.0×
Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) $3,489 $3,621 1.0×
Carpal Tunnel Surgery (64721) $2,082 $7,586 1.0×
Carpectomy All Bones Proximal Row (25215) $3,489 $6,840.25 1.0×
Cataract surgery complex (66982) $2,460 $9,072 1.0×
Cerclage cervix pregnancy vaginal (59320) $3,451 $6,070 1.0×
Cerv artific diskectomy (22856) $18,697 $22,544 1.0×
Cervical lymphadenectomy (complete) (38720) $7,080 $18,482 1.0×
Cessj Therapy Cath Removal (37214) $3,367 $4,594 1.0×
Change Cystostomy Tube Simple (51705) $266 $574 1.0×
Change of Windpipe Airway (31502) $252 $813 1.0×
Change ureter stent percut (50382) $2,229 $4,503 1.0×
Chemical Cautery Tissue (17250) $213 $491 1.0×
Chemodenerv 1 extrem 5/> mus (64644) $752 $1,500 1.0×
Chemodenerv 1 extremity 1-4 (64642) $752 $1,332 1.0×
Chemodenerv Musc Migraine (64615) $327 $773 1.0×
Chemodenerv musc neck dyston (64616) $327 $677 1.0×
Chemodenerv trunk musc 1-5 (64646) $752 $1,318 1.0×
Chemodenerv trunk musc 6/> (64647) $752 $1,542 1.0×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $752 $1,542 1.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $327 $727 1.0×
Chest tube placement (32551) $1,678 $2,987 1.0×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,229 $2,275 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,818 $4,467 1.0×
Circumcision 28 days or older (54161) $2,229 $8,047 1.0×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $2,229 $3,887–$8,198 1.0×
Clear outer ear canal (69200) $141 $392 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $263 $9,080.50 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $263 $8,002 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,714 $8,002 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $263 $1,199 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,654 $6,154 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,535 $5,964 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $263 $14,310 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,714 $8,003–$8,909 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,714 $14,310 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,714 $7,510 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $263 $1,199 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $263 $10,822 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,714 $8,002 1.0×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,714 $6,791 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,714 $8,002 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $1,714 $8,260 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $263 $1,199 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $263 $1,199 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $263 $1,199 1.0×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,714 $5,698–$8,002 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $263 $1,199 1.0×
Cltx prox fibula/shft fx w/manj (27781) $1,714 $21,541 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $263 $712 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,714 $8,101 1.0×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $141 $234–$243 1.0×
Collection of venous blood by venipuncture (36415) $9 $72 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,276 $8,561 1.0×
Colonoscopy W/Band Ligation (45398) $1,276 $7,676 1.0×
Colpopexy extraperitoneal (57282) $7,907 $23,106 1.0×
Colpopexy vaginal intraperitoneal approach (57283)
range across 2 matching MRF lines		 $7,907 $10,649.07–$10,649.10 1.0×
Colporrhaphy (57200) $3,451 $4,963 1.0×
Colposcopy Cervix Endocervical Curettage (57456) $324 $4,454.50 1.0×
Colposcopy entire vagina w/cervix if present (57420) $324 $4,454.50 1.0×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $982 $8,260 1.0×
Combined anteroposterior colporrhaphy; (57260) $5,334 $11,139 1.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,451 $10,024 1.0×
Conization of cervix (57520) $3,451 $9,781 1.0×
Conjunctivoplasty w/grf/xtnsv rearrangement (68320) $2,535 $11,139 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $141 $8,909 1.0×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $141 $366–$674 1.0×
Control oropharyngeal hemorrhage simple (42960) $575 $7,861 1.0×
Conversion ext bil drg cath (47535) $3,818 $10,797 1.0×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,046 $2,643 1.0×
Convert Nephrostomy Catheter (50434)
range across 3 matching MRF lines		 $2,229 $2,072–$3,105 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,761 $5,885 1.0×
Correction hammertoe (28285) $3,489 $15,301 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,489 $11,669 1.0×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $3,489 $10,528 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $13,690 $19,742 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $7,737 $11,139 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,489 $13,369 1.0×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $7,737 $16,157 1.0×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $5,933 $20,059 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $141 $2,184 1.0×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $3,535 $7,461 1.0×
Curettage postpartum (59160) $3,451 $8,909 1.0×
Curette/treat cornea (65435) $1,063 $7,012 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $2,229 $11,222 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $2,229 $9,493 1.0×
Cysto w/complex removal stone & stent (52315) $2,229 $8,698 1.0×
Cysto w/destruction of lesions (52214) $3,758 $14,024 1.0×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $5,717 $10,207 1.0×
Cysto w/insert ureteral stent (52332) $3,758 $10,003 1.0×
Cysto w/irrig & evac multple obstructing clots (52001) $3,758 $10,658 1.0×
Cysto w/removal of lesions small (52224) $3,758 $10,978 1.0×
Cysto w/removal of tumors small (52234) $3,758 $12,614 1.0×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $3,758 $9,234 1.0×
Cysto W/Simple Removal Stone & Stent (52310) $2,229 $10,063 1.0×
Cysto w/ureteroscopy w/lithotripsy (52353) $5,717 $12,790 1.0×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $3,758 $10,712 1.0×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $3,758 $9,234 1.0×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,758 $8,722 1.0×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $5,717 $11,882 1.0×
Cysto/uretero w/lithotripsy (52356) $5,717 $14,527 1.0×
Cystostomy Cystotomy W/Drainage (51040) $2,229 $10,024 1.0×
Cystouretero w/excise tumor (52355) $5,717 $18,822 1.0×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $743 $3,337–$7,875 1.0×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $3,758 $10,582 1.0×
Cystourethroscopy inj chemodenervation bladder (52287) $2,229 $8,686 1.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,758 $12,633 1.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $5,717 $14,482 1.0×
Cystourethroscopy w/dil bladder general anesth (52260) $2,229 $7,023 1.0×
Cystourethroscopy with biopsy (52204) $2,229 $9,316 1.0×
Cystourethroscopy with direct vision internal urethrotomy (52276) $2,229 $11,218 1.0×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334)
range across 2 matching MRF lines		 $3,758 $5,500–$20,418 1.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,097 $12,254 1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $755 $2,477 1.0×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $3,489 $11,357 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $788 $3,486–$6,552 1.0×
Debride nail 1-5 (11720) $62 $246 1.0×
Debride nail 6 or more (11721) $62 $262 1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,761 $4,443–$6,552 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $433 $2,955–$7,994 1.0×
Declot vascular device (36593) $352 $1,162 1.0×
Decompress Fingers/Hand (26035) $3,489 $3,506 1.0×
Decompression of tibia nerve (28035) $2,082 $8,561 1.0×
Deep Muscle Biopsy (20205) $3,097 $6,979 1.0×
Delivery of placenta (59414) $3,451 $6,070 1.0×
Destr penis lesion(s) (54065) $2,200 $5,773 1.0×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $2,082 $2,482–$9,887 1.0×
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $2,082 $2,981–$9,989 1.0×
Destruct B9 Lesion 1-14 (17110) $213 $7,406 1.0×
Destruction Benign Lesions 15/> (17111) $213 $7,406 1.0×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $2,082 $7,191–$10,087 1.0×
Dilat Xst Trc New Access Rcs (50437) $3,758 $9,408 1.0×
Dilate Esophagus 1/Mult Pass (43450) $967 $4,195 1.0×
Dilation & curettage dx&/ther nonobstetric (58120) $3,451 $9,817 1.0×
Dilation and catheterization of salivary duct, with or without injection (42660) $575 $1,365 1.0×
Dilation Cervical Canal (57800) $3,451 $12,645 1.0×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $1,898 $9,281 1.0×
Drain Cerebro Spinal Fluid (62272) $752 $1,238 1.0×
Drain Spinal Cord Cyst (62268) $943 $1,542 1.0×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $327 $983–$1,261 1.0×
Drainage external ear abscess/hematoma cmplx (69005) $1,761 $6,791 1.0×
Drainage Finger Abscess Complicated (26011) $1,761 $8,101 1.0×
Drainage of gum lesion (41800) $141 $645 1.0×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $1,761 $238–$8,363 1.0×
Drainage of rectal abscess (45020) $2,959 $4,363 1.0×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,761 $7,794–$8,101 1.0×
Draw Blood Off Venous Device (36591) $141 $545 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $433 $535 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $213 $409 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $213 $318–$1,998 1.0×
Dstrj Extensive Retinopathy (67227) $4,192 $5,633 1.0×
Dstrj les/scar vestibule mouth physical meths (40820) $3,535 $7,134 1.0×
Dstrj lesion anus simple surg excision (46922) $2,959 $10,024 1.0×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,200 $11,677 1.0×
Dstrj lesion penis simple laser (54057) $2,200 $9,968 1.0×
Dstrj lesion penis simple surg excision (54060) $2,200 $9,684 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $943 $3,276–$9,776 1.0×
Dx Bone Marrow Bx & Aspir (38222) $3,097 $3,515 1.0×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $1,898 $2,728–$6,552 1.0×
Dx Laryngoscopy Excl Nb (31525) $1,898 $5,745.33 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $752 $2,613 1.0×
Egd lesion ablation (43270) $2,046 $4,530 1.0×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $11,335 $14,024 1.0×
Egd place gastrostomy tube (43246) $2,046 $3,890.83 1.0×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $327 $1,072 1.0×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $327 $814 1.0×
Emblc/thrmbc ax brach innominate subcla art (34101) $5,933 $18,995 1.0×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $5,933 $18,920 1.0×
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) $5,933 $16,488 1.0×
Endocervical curettage (57505) $982 $5,341.75 1.0×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $5,334 $11,472 1.0×
Endoscopic injection/implant (51715) $3,758 $8,912 1.0×
Endoscopic plantar fasciotomy (29893) $3,489 $9,873 1.0×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $12,310 $14,407 1.0×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $3,367 $4,885 1.0×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,367 $6,891 1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,367 $11,398 1.0×
Endoven ther chem adhes 1st (36482) $5,933 $9,713 1.0×
Enterorrhaphy single perforation (44602) $4,111 $7,242 1.0×
Epididymectomy unilateral (54860) $3,758 $8,950.25 1.0×
Epidural Blood Patch (62273)
range across 4 matching MRF lines		 $752 $2,982–$8,078 1.0×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $6,473 $3,761 1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264) $4,111 $2,930 1.0×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $967 $5,012 1.0×
Esophagoscopy rigid trnso dx (43191) $2,046 $10,024 1.0×
Evacuation of subungual hematoma (11740) $141 $452 1.0×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $1,761 $3,540 1.0×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $1,761 $5,281.25 1.0×
Exc arm/elbow les sc < 3 cm (24075) $1,761 $3,024.18 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $755 $11,139 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,761 $7,338 1.0×
Exc Back Les Sc < 3 Cm (21930) $1,761 $10,024 1.0×
Exc Back Tum Deep 5 Cm/> (21933) $3,097 $10,997 1.0×
Exc back tum deep < 5 cm (21932) $3,097 $9,629 1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $4,175 $7,975 1.0×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $755 $11,139 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,761 $2,784.75 1.0×
Exc Face Les Sbq 2 Cm/> (21012) $1,761 $10,303 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $755 $5,012 1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $755 $8,909 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $755 $7,173 1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,761 $6,552 1.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,761 $10,390 1.0×
Exc Forearm Les Sc 3 Cm/> (25071) $1,761 $8,909 1.0×
Exc Forearm Tum Deep 3 Cm/> (25073) $3,097 $10,981 1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,761 $10,024 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $755 $7,121 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,761 $9,072 1.0×
Exc Hand Les Sc < 1.5 Cm (26115) $1,761 $6,791 1.0×
Exc hydrocele sprmatic cord uni spx (55500) $3,758 $6,552 1.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,714 $7,406 1.0×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,714 $7,406 1.0×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $3,535 $10,024 1.0×
Exc neuroma hand/foot xcp digital nerve (64782) $2,082 $7,392.66 1.0×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) $6,312 $12,254 1.0×
Exc Rct Tum Incl Muscularis Propria (45172) $2,959 $5,698 1.0×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,959 $9,234 1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,097 $12,626 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $755 $7,998 1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,761 $9,652 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,097 $8,260 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,761 $10,599 1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,097 $11,546 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,761 $8,471.11 1.0×
Exc tendon shth lesion leg/ankle (27630) $3,489 $5,548.50 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $3,097 $8,777 1.0×
Exc thigh/knee tum dep 5cm/> (27339) $3,097 $10,240 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,276 $10,024 1.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $433 $4,918.50 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $755 $8,036 1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,761 $9,269 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,097 $8,909 1.0×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $3,097 $13,369 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,097 $10,683 1.0×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $3,097 $10,873 1.0×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $3,097 $8,082.66 1.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,097 $5,012 1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,761 $11,139 1.0×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $3,097 $10,049 1.0×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $3,097 $6,791 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,761 $11,139 1.0×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,761 $7,406 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,097 $8,260 1.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,761 $10,331 1.0×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $3,097 $6,127 1.0×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,097 $10,822 1.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,097 $8,909 1.0×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $3,758 $11,139 1.0×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) $7,737 $9,770 1.0×
Exc/fulguration urethral caruncle (53265) $2,229 $11,677 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,818 $10,797 1.0×
Exchange Intraocular Lens (66986)
range across 2 matching MRF lines		 $2,460 $11,363.60–$11,363.64 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines		 $2,229 $2,072–$3,105 1.0×
Exchange Transfusion Blood Newborn (36450) $470 $975 1.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,046 $3,241 1.0×
Excis Mouth Mucosa/Sub,No Repair (40810) $3,535 $6,979 1.0×
Excis urethral prolapse (53275) $3,758 $6,791 1.0×
Excision Chalazion Single (67800) $338 $5,698 1.0×
Excision Chest Wall Tumor Including Ribs (21601) $3,097 $8,909 1.0×
Excision H/P/P/U Simple/Intermediate Repair (11470) $3,097 $9,114 1.0×
Excision Hidradenitis Axillary Complex Repair (11451) $3,097 $8,260 1.0×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $3,097 $8,715 1.0×
Excision inferior turbinate partial/complete (30130) $3,535 $4,084.60 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $755 $2,886.50 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $755 $10,024 1.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,761 $11,139 1.0×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,097 $11,676 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $2,959 $10,390 1.0×
Excision nasal polyp(s) simple (30110) $1,654 $9,403 1.0×
Excision of bartholin's gland or cyst (56740) $3,451 $7,406 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,714 $9,185 1.0×
Excision of hydrocele; bilateral (55041) $3,818 $5,583.92 1.0×
Excision of hydrocele; unilateral (55040) $3,818 $8,073 1.0×
Excision of lingual tonsil (42870) $6,312 $9,684 1.0×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $6,312 $14,484 1.0×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $6,312 $12,702 1.0×
Excision of pilonidal cyst or sinus; simple (11770) $3,097 $7,910 1.0×
Excision of single external papilla or tag, anus (46220) $1,276 $10,024 1.0×
Excision of submandibular (submaxillary) gland (42440) $6,312 $15,617 1.0×
Excision olecranon bursa (24105) $3,489 $11,139 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,097 $8,260 1.0×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,097 $8,655 1.0×
Excision prepatellar bursa (27340) $3,489 $8,909 1.0×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $7,080 $11,838 1.0×
Excision spermatocele w/wo epididymectomy (54840) $2,229 $12,452 1.0×
Excision synovial cyst popliteal space (27345) $3,489 $10,024 1.0×
Excision Thyroglossal Duct Cyst/Sinus (60280) $6,446 $9,580 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,761 $8,607 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,097 $7,506 1.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,761 $7,833 1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,761 $10,024 1.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,761 $8,715 1.0×
Excision, interdigital (morton) neuroma, single, each (28080) $1,714 $8,260 1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,097 $11,654 1.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $3,097 $7,295 1.0×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $3,097 $9,234 1.0×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,097 $15,014 1.0×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,761 $6,351 1.0×
Excision/Transposition Pterygium W/Grafg (65426) $2,535 $8,808 1.0×
Excision; trochanteric bursa or calcification (27062) $3,489 $23,455 1.0×
Explo/Drain Breast Abscess (19020) $1,761 $5,165.50 1.0×
Exploration of knee joint (27310) $3,489 $8,561 1.0×
Explore for undescended testis (54550) $3,818 $3,848 1.0×
External cephalic version (59412) $3,451 $4,860 1.0×
Fasciotomy, foot and/or toe (28008) $3,489 $5,594 1.0×
Fasciotomy, hip or thigh, any type (27025) $3,489 $10,908 1.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,489 $12,254 1.0×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $215 $1,006–$1,687 1.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $755 $1,863 1.0×
Fine needle aspiration without imaging guidance (10021) $433 $988 1.0×
Fixation contralateral testis separate procedure (54620) $3,758 $3,850 1.0×
Fluoro exam of g/colon tube (49465) $254 $372 1.0×
Fna Bx W/Fluor Gdn 1St Les (10007) $755 $1,863 1.0×
Fna bx w/us gdn 1st les (10005) $755 $1,863 1.0×
Foreskin manipulation (54450) $266 $1,216 1.0×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $3,535 $4,234 1.0×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,200 $3,322.66 1.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,200 $9,472 1.0×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,200 $442.50 1.0×
Fusion of foot bones (28740) $7,737 $7,465.43 1.0×
Fusion of knuckle joint (26516) $3,489 $3,604.50 1.0×
Gastrocnemius recession (27687) $3,489 $5,747.33 1.0×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $6,312 $7,242 1.0×
Guide Cathet Fluid Drainage (10030) $755 $1,210 1.0×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $7,737 $16,172 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,959 $9,801 1.0×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,959 $10,873 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,959 $10,879 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $991 $7,634 1.0×
Hip arthro acetabuloplasty (29915) $7,737 $18,538 1.0×
Hysteroscopy Biopsy (58558) $3,451 $11,432 1.0×
Hysteroscopy Dx Sep Proc (58555) $3,451 $12,645 1.0×
Hysteroscopy Endometrial Ablation (58563) $5,334 $12,022 1.0×
Hysteroscopy Removal Impacted Foreign Body (58562) $3,451 $10,854 1.0×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $5,334 $13,214 1.0×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $213 $596–$8,777 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,097 $10,018 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,097 $9,467 1.0×
I&d perianal abscess superficial (46050) $991 $9,234 1.0×
I&d pilonidal cyst simple (10080) $755 $3,518 1.0×
Icd Pocket Revision (33223) $2,200 $4,106 1.0×
Image Cath Fluid Colxn Visc (49405) $1,761 $3,711 1.0×
Image Cath Fluid Peri/Retro (49406) $1,761 $3,711 1.0×
Image Cath Fluid Trns/Vgnl (49407) $1,761 $3,948 1.0×
Implant cochlear device (69930) $35,160 $14,515 1.0×
Implant neuroelectrodes (63650) $6,795 $12,300 1.0×
Implant Neuroelectrodes (64561) $6,795 $3,591.17 1.0×
Implant Periph/Gastric Neurostim/Receiver (64590) $20,687 $9,424 1.0×
Implant Spine Infusion Pump (62362) $19,220 $8,287 1.0×
Implant temple bone w/stimul (69714) $13,690 $10,024 1.0×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $9,358 $4,195 1.0×
Incise external hemorrhoid (46083) $266 $5,895 1.0×
Incise finger tendon sheath (26055) $1,714 $6,837 1.0×
Incise Wrist/Forearm Tendon (25290) $3,489 $8,952.50 1.0×
Incision & drainage abscess complicated/multiple (10061) $433 $1,101 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $3,097 $7,155 1.0×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $1,761 $5,605–$5,621 1.0×
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $433 $279–$8,715 1.0×
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $215 $705–$8,909 1.0×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $324 $1,521–$9,788 1.0×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) $7,737 $10,390 1.0×
Incision extensor tendon sheath wrist (25000) $1,714 $5,569.50 1.0×
Incision of eardrum (69421) $3,535 $7,794 1.0×
Incision of Foot Tendon (28234) $1,714 — 1.0×
Incision of lingual frenum (frenotomy) (41010) $1,654 $5,012 1.0×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,276 $5,895–$8,780 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,761 $5,698 1.0×
Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) $3,489 $16,782 1.0×
Incisional biopsy skin single lesion (11106) $788 $1,010 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $213 $994 1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 7 matching MRF lines		 $943 $4,350–$48,031 1.0×
Inj W/Fluor Eval Cv Device (36598) $226 $2,824 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $943 $1,898 1.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $943 $2,058–$3,603 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $327 $478–$3,603 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $943 $1,870–$3,242 1.0×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines		 $752 $2,613–$4,520 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $943 $2,447–$3,686 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $752 $2,613–$20,177 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $752 $1,927–$2,023 1.0×
Injection Anes Superior Hypogastric Plexus (64517) $943 $1,353 1.0×
Injection anesthetic agent suprascapular nerve (64418) $752 $2,037 1.0×
Injection for identification of sentinel node (38792) $426 $587 1.0×
Injection single tendon origin/insertion (20551) $327 $516 1.0×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $327 $1,024–$5,698 1.0×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $327 $1,164–$5,698 1.0×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,654 $1,808 1.0×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $327 $381–$574 1.0×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $943 $1,730–$4,451 1.0×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $752 $1,768–$3,463 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $752 $1,174–$3,463 1.0×
Injection, intralesional; up to and including 7 lesions (11900) $213 $310 1.0×
Inner ear surgery proc unlisted (69949) $252 $3,341.33 1.0×
Ins cath ren art 1st bilat (36252) $3,367 $11,684 1.0×
Ins cath ren art 1st unilat (36251) $3,367 $5,865 1.0×
Ins endovas vena cava filtr (37191) $5,933 $8,296 1.0×
Ins Vag Brachytx Device (57156) $324 $1,114 1.0×
Ins/Rep Subq Defibrillator (33270) $33,472 $124,807 1.0×
Insert 1 Electrode Pm-Defib (33216) $8,824 $23,894 1.0×
Insert Bladder Cath Complex (51703) $137 $342 1.0×
Insert cath pleura w/ image (32557) $1,678 $2,577 1.0×
Insert cath pleura w/o image (32556) $2,046 $1,747 1.0×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $1,276 $4,363 1.0×
Insert cervical dilator (59200) — $661 —
Insert Drug Implant Device (11981) $141 $4,130 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $2,046 $2,005 1.0×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $11,145 $12,041–$12,279 1.0×
Insert hepatic shunt (tips) (37182) $19,548 $13,469 1.0×
Insert multi-comp penis pros (54405) $22,101 $15,815 1.0×
Insert non-tunnel cv cath (36556) $3,367 $2,339 1.0×
Insert Pacing Lead & Connect (33224) $11,145 $21,640 1.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,678 $3,521 1.0×
Insert pulse gen dual leads (33213) $11,145 $41,428 1.0×
Insert self-contd prosthesis (54401) $22,101 $15,599 1.0×
Insert spine infusion device (62360) $19,220 $4,984 1.0×
Insert Temp Bladder Cath (51702) $141 $272 1.0×
Insert tun ip cath perc (49418) $3,818 $4,091 1.0×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $3,367 $5,126–$10,941 1.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $141 $219–$536 1.0×
Insertion indwelling tunneled pleural catheter (32550) $3,818 $5,242 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $1,678 $3,516–$5,587 1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,824 $23,801 1.0×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,818 $4,906 1.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
range across 2 matching MRF lines		 $5,334 $2,742–$9,799 1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $8,824 $8,514 1.0×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $2,460 $8,909 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,367 $11,017 1.0×
Insj Picc Rs&I <5 Yr (36572) $668 $2,173 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,678 $2,707 1.0×
Insj Stablj Dev W/Dcmprn (22867) $18,697 $6,916 1.0×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
range across 2 matching MRF lines		 $13,690 $7,201–$51,700 1.0×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $3,367 $4,787 1.0×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $5,933 $2,985.50 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $3,367 $3,397 1.0×
Insj/rplcmt breast implant sep day mastectomy (19342) $8,715 $11,838.50 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249) $33,472 $86,623 1.0×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $32,905 $12,849 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $8,824 $7,749 1.0×
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $11,145 $13,136–$13,432 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $23,719 $18,573 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $433 $8,909–$9,146 1.0×
Intro cath dialysis circuit (36901) $1,678 $1,641 1.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $12,310 $14,555 1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $6,069 $8,961 1.0×
Intubation endotracheal emergency procedure (31500) $252 $956 1.0×
Iridotomy/irridectomy laser surg per session (66761) $586 $7,267.50 1.0×
Irrigation of corpora cavernosa for priapism (54220) $266 $852 1.0×
Lam facetec & foramot lumbar (63047) $7,737 $23,821 1.0×
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) $7,737 $34,928 1.0×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $7,737 $25,914 1.0×
Laminotomy Single Lumbar (63042) $7,737 $18,161 1.0×
Lap insert tunnel ip cath (49324) $6,446 $16,899 1.0×
Lap paraesoph her rpr w/mesh (43282) $11,335 $28,918 1.0×
Lap revision perm ip cath (49325) $6,446 $19,215 1.0×
Laparo ablate renal mass (50542) $11,335 $25,418 1.0×
Laparo-vag hyst incl t/o (58552) $11,335 $25,972 1.0×
Laparoscopic myomectomy (58545) $6,446 $27,077 1.0×
Laparoscopy aspiration (49322) $6,446 $12,645 1.0×
Laparoscopy Enterolysis Separate Procedure (44180) $6,446 $20,919 1.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $6,446 $23,852 1.0×
Laparoscopy surgical orchiectomy (54690) $6,446 $13,369 1.0×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $11,335 $31,586 1.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $11,335 $28,912 1.0×
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $6,446 $11,286.70–$11,286.71 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $6,446 $17,344 1.0×
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) $11,335 $21,849 1.0×
Laparoscopy, surgical, appendectomy (44970) $6,446 $11,574 1.0×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
range across 2 matching MRF lines		 $11,335 $22,461.90–$22,461.93 1.0×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $11,335 $23,455 1.0×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $4,111 $13,369 1.0×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $11,335 $25,496 1.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $6,446 $27,779.50 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $6,446 $20,323 1.0×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $11,335 $23,593 1.0×
Laparoscopy, surgical; partial nephrectomy (50543) $11,335 $46,429 1.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $6,446 $25,258 1.0×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $6,446 $10,940.50 1.0×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $6,446 $15,184 1.0×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
range across 2 matching MRF lines		 $11,335 $25,573.75–$25,573.80 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $6,446 $17,958 1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $6,446 $16,397 1.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $6,446 $18,900 1.0×
Laps Gastric Restrictive Px Remove Device & Port (43774) $4,111 $12,254 1.0×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
range across 2 matching MRF lines		 $11,335 $16,470.88–$16,470.90 1.0×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $11,335 $38,035 1.0×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $3,975 $7,796 1.0×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $417 $1,274 1.0×
Laryngoscopy W/Biopsy (31535) $3,975 $6,885 1.0×
Laryngoscopy w/biopsy microscope/telescope (31536) $3,975 $6,552 1.0×
Laryngoscopy W/Foreign Body Removal (31530) $1,898 $7,794 1.0×
Larynscop w/tumr exc + scope (31541) $3,975 $7,622 1.0×
Laser treatment of retina (67040) $4,407 $14,242 1.0×
Laser vaporization of prostate (52648) $5,717 $19,857 1.0×
Late closure of wound (13160) $3,778 $7,833 1.0×
Lateral retinacular release open (27425) $3,489 $8,449.50 1.0×
Lig&div long saph vein saphfem junct/interrupj (37700) $3,367 $9,472 1.0×
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines		 $7,737 $10,369.30–$10,369.33 1.0×
Ligamentous reconstruction knee intra-articular (27428) $13,690 $22,873 1.0×
Ligation of a-v fistula (37607) $3,367 $12,254 1.0×
Ligation of hemorrhoids (46946) $2,959 $11,921 1.0×
Ligation or biopsy temporal artery (37609) $1,761 $8,940 1.0×
Litholapaxy comp/lg > 2.5 cm (52318) $3,758 $14,117 1.0×
Litholapaxy smpl/sm <2.5 cm (52317) $3,758 $11,707 1.0×
Lithotripsy, extracorporeal shock wave (50590) $3,758 $14,170 1.0×
Low Back Disk Surgery (63030) $7,737 $21,352 1.0×
Lsh uterus 250 g or less (58541) $11,335 $13,699.50 1.0×
Lyse chest fibrin init day (32561) $668 $1,952 1.0×
Lyse Chest Fibrin Subq Day (32562) $668 $1,858 1.0×
Lysis/excision penile postcircumcision adhesions (54162) $2,229 $6,552 1.0×
Male sling procedure (53440) $14,069 $11,676 1.0×
Manipulation knee joint under general anesthesia (27570) $1,714 $8,449.50 1.0×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,714 $5,195 1.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,714 $3,735 1.0×
Marsupialization of bartholin's gland cyst (56440) $3,451 $7,406 1.0×
Mast mod rad (19307) $7,080 $14,524.10 1.0×
Mastectomy partial (19301) $4,175 $10,484 1.0×
Mastectomy partial w/axillary lymphadenectomy (19302) $7,080 $33,112 1.0×
Mastectomy simple complete (19303) $7,080 $16,115 1.0×
Mastopexy (19316) $7,080 $7,769.20 1.0×
Mech remov tunneled cv cath (36595) $3,367 $3,332 1.0×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $2,200 $3,454.20 1.0×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $3,778 $15,021 1.0×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $3,778 $7,058 1.0×
Myelography Lumbar Injection (62305) $835 $5,578 1.0×
Myelography Lumbar Injection (62304) $835 $5,349 1.0×
Myelography via lumbar injection rs&i cervical (62302) $835 $5,426 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $835 $3,679 1.0×
N Block Inj Celiac Pelus (64530) $943 $2,983 1.0×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $752 $2,494–$2,618 1.0×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $752 $1,806–$4,451 1.0×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $327 $1,720–$3,438 1.0×
N Block Inj Pudendal (64430) $943 $7,792 1.0×
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines		 $943 $894–$11,266 1.0×
Nasal Endoscopy Dx (31231) $212 $3,603 1.0×
Nasal surgery procedure (30999) $252 $3,658.27 1.0×
Nasal/Orogastric W/Tube Plmt (43752) $476 $504 1.0×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $3,975 $3,490.68 1.0×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $7,525 $2,599.83 1.0×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $6,312 $6,684.50 1.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,898 $10,396 1.0×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $1,898 $3,152.05 1.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,898 $6,552 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $7,525 $3,713 1.0×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $7,525 $17,829 1.0×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $7,525 $17,829 1.0×
Nasal/sinus ndsc total with sphenoidotomy (31257) $7,525 $3,543.32 1.0×
Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) $1,898 $8,288 1.0×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $7,525 $17,326 1.0×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $7,525 $3,446.16 1.0×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $7,525 $5,188.46 1.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $991 $17,516 1.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,714 $8,741 1.0×
Neck spine disk surgery (63020) $7,737 $26,733 1.0×
Neck spine fusion (22600) $18,697 $5,229.75 1.0×
Needle Biopsy Lymph Nodes (38505) $1,761 $2,994 1.0×
Needle Biopsy Pancreas (48102) $1,761 $2,418 1.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,082 $13,897 1.0×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,082 $4,441.73 1.0×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $943 $849–$5,698 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 5 matching MRF lines		 $327 $1,908–$4,839 1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,818 $1,388 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,818 $4,091 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 5 matching MRF lines		 $943 $3,440–$5,431 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325)
range across 3 matching MRF lines		 $943 $2,106–$3,603 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $752 $1,673–$3,680 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320)
range across 2 matching MRF lines		 $752 $1,337–$3,603 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $943 $1,683 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $943 $2,106 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $752 $2,106–$3,734 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $943 $1,683 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 3 matching MRF lines		 $743 $823–$1,237 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines		 $743 $2,585–$3,880 1.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $433 $468 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $433 $596 1.0×
Njx Sclrsnt Spider Veins (36468) $433 $649 1.0×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $7,525 $3,885 1.0×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $7,525 $12,254 1.0×
Obstructive material removal from gi tube (49460) $967 $1,785 1.0×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $327 $1,683–$5,132 1.0×
Open biopsy/excision inguinofemoral nodes (38531) $4,175 $10,024 1.0×
Open Implantation Nea Sacral Nerve (64581) $6,795 $5,059.25 1.0×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $32,905 $15,046 1.0×
Open Treatment Bimalleolar Ankle Fracture (27814) $7,737 $17,475 1.0×
Open treatment calcaneal fracture (28415) $7,737 $19,871 1.0×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $7,737 $11,149 1.0×
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $7,737 $12,202.67–$12,202.70 1.0×
Open treatment metatarsal fracture each (28485) $7,737 $13,975 1.0×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
range across 2 matching MRF lines		 $7,737 $19,990.80–$19,990.85 1.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $7,737 $20,189 1.0×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $7,737 $19,540 1.0×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $7,737 $5,229.75 1.0×
Open Treatment of Ulnar Shaft Fracture (25545) $7,737 $19,540 1.0×
Open Treatment Proximal Humeral Fracture (23615) $13,690 $27,500 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,489 $4,215 1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $7,737 $16,734 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $3,489 $10,088 1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829) $7,737 $9,630.73 1.0×
Open tx humeral supracondylar fracture w/o xtn (24545) $13,690 $30,464 1.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $3,489 $12,472 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,489 $8,640.33 1.0×
Open Tx Radial Head/Neck Fracture (24665) $7,737 $7,892.33 1.0×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $7,737 $20,209 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $7,737 $20,919 1.0×
Open tx ulnar fx proximal end (24685) $7,737 $19,255 1.0×
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines		 $12,310 $33,917–$56,703 1.0×
Open/Perq Place Stent Same (37238) $12,310 $35,577 1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $7,737 $17,005 1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $7,737 $16,914 1.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $13,690 $23,868 1.0×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $7,737 $35,970 1.0×
Orchiectomy radical tumor inguinal approach (54530) $3,818 $12,254 1.0×
Orchiopexy Ingun/Scrot Appr (54640) $3,818 $8,935 1.0×
Ostc prtl exostc/condylc metar head (28288) $3,489 $14,484 1.0×
Ostectomy calcaneus (28118) $3,489 $16,782 1.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $3,489 $4,084.68 1.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,489 $6,684.50 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,489 $8,561 1.0×
Osteochondral talus autogrft (28446) $7,737 $16,170 1.0×
Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) $7,737 $4,828 1.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $7,737 $12,254 1.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,489 $12,626 1.0×
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines		 $7,737 $16,793.45–$16,793.50 1.0×
Osteotomy, clavicle, with or without internal fixation; Facility (23480) $7,737 $22,298 1.0×
Palatopharyngoplasty (42145) $6,312 $7,242 1.0×
Parathyroidectomy or exploration of parathyroid(s); (60500) $6,312 $22,697 1.0×
Part exc bone femur prox tibia (27360) $3,489 $13,871 1.0×
Part remv talus or calcaneus (28120) $3,489 $7,980 1.0×
Partial Excision Distal Phalanx Finger (26236) $1,714 $3,838 1.0×
Partial hymenectomy or revision of hymenal ring (56700) $3,451 $5,633 1.0×
Partial removal of fibula (27641) $3,489 $4,885 1.0×
Partial removal of thyroid (60220) $6,446 $15,497 1.0×
Partial removal of toe (28160) $3,489 $6,605.78 1.0×
Partial removal of tongue (41120) $6,312 $10,024 1.0×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $6,446 $16,146 1.0×
Partical Excision Bone Phalanx Toe (28124) $3,489 $8,909 1.0×
Pelvic examination under anesthesia (other than local) (57410) $3,451 $9,887 1.0×
Perc Cryo Ablate Renal Tum (50593) $11,335 $8,300 1.0×
Perc Rf Ablate Renal Tumor (50592) $6,446 $8,194 1.0×
Percut Ablate Liver Rf (47382) $6,446 $11,415 1.0×
Percut Drain/Inject Renal Cyst (50390) $755 $2,418 1.0×
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,367 $18,430 1.0×
Pericardiocentesis W/Imaging (33016) $1,678 $6,821 1.0×
Peritoneal Lavage (49084) $967 $1,369 1.0×
Perm Occlusion/Embolization,Percut,Cns (61624) $19,548 $11,766 1.0×
Perq av fistula creation uxtr single access (36836) $19,548 $15,042 1.0×
Perq Cervicothoracic Inject (22510) $3,489 $9,645 1.0×
Perq dev breast 1st mr guide (19287) $755 $1,261 1.0×
Perq dev breast 1st strtctc (19283) $755 $47,854 1.0×
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines		 $755 $1,419–$19,540 1.0×
Perq device breast 1st imag (19281)
range across 4 matching MRF lines		 $1,761 $2,182–$8,101 1.0×
Perq dilation xst trc endourologic px w/img (50436) $3,758 $5,592 1.0×
Perq Lumbosacral Injection (22511) $3,489 $9,050 1.0×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $10,094 $20,000 1.0×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $6,446 $14,596 1.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $755 $1,512 1.0×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 2 matching MRF lines		 $3,489 $12,645–$16,223 1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $12,310 $14,555 1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,069 $8,961 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines		 $7,737 $13,695–$13,985 1.0×
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines		 $7,737 $12,645–$15,916 1.0×
Phalangectomy toe each toe (28150) $3,489 $11,266 1.0×
Phleb Veins - Extrem 20+ (37766) $3,367 $10,395 1.0×
Place Cath Subclavian Art (36225)
range across 9 matching MRF lines		 $3,367 $1,995–$23,606 1.0×
Place Cath Thoracic Aorta (36221)
range across 4 matching MRF lines		 $3,367 $8,087–$11,112 1.0×
Place Cath Vertebral Art (36226)
range across 9 matching MRF lines		 $5,933 $22,438–$33,657 1.0×
Place Duod/Jej Tube Perc (49441) $2,046 $2,825 1.0×
Placement Needle Pelvic Organ Radioelement Appl (55920) $5,334 $6,089 1.0×
Placement of needle for intraosseous infusion (36680) $476 $1,072 1.0×
Placement of seton (46020) $2,959 $8,561 1.0×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $6,903 $8,439 1.0×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,446 $10,353 1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $6,446 $17,878 1.0×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $6,446 $19,668 1.0×
Plmt expandable cath brst following prtl mast (19296) $8,715 $13,325 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines		 $2,229 $5,055–$7,583 1.0×
Plmt Nephroureteral Catheter (50433)
range across 3 matching MRF lines		 $3,758 $4,829–$7,245 1.0×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 4 matching MRF lines		 $3,758 $10,024–$15,354 1.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 3 matching MRF lines		 $3,758 $5,249–$7,874 1.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 3 matching MRF lines		 $3,758 $8,081–$12,119 1.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $5,334 $8,260 1.0×
Prim art mech thrombectomy (37184) $19,548 $9,294 1.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $755 $1,976 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,818 $7,356 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,818 $8,091 1.0×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $7,737 $8,260 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,489 $12,143 1.0×
Pseudoaneurysm Injection Trt (36002) $668 $888 1.0×
Punch biopsy skin single lesion (11104) $433 $568 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $433 $386–$415 1.0×
Puncture Aspiration Cyst Breast (19000) $755 $2,088 1.0×
Puncture shunt tube/reservoir aspiration/inj px (61070) $752 $905 1.0×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $3,097 $6,684.50 1.0×
Rad resection tumor soft tis thigh/knee 5 cm/> (27364) $3,097 $10,822 1.0×
Radical resection of tumor, radial head or neck Facility (24152) $7,737 $13,549 1.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,082 $7,191 1.0×
Rcnstj angular dfrm toe soft tiss px only (28313) $3,489 $6,127 1.0×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $7,737 $7,242 1.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,758 $8,260 1.0×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $6,312 $8,092 1.0×
Reconstruction of throat (42950) $6,312 $7,242 1.0×
Reconstruction Tongue Fold (41520) $3,535 $5,698 1.0×
Redo Endovas Vena Cava Filtr (37192) $3,367 $4,594 1.0×
Reinsert spinal fixation (22849) $13,690 $26,011 1.0×
Relieve Pressure on Nerve(S) (64722) $2,082 $6,929 1.0×
Relocation Pocket Pacemaker (33222) $2,200 $4,565 1.0×
Rem Endovas Vena Cava Filter (37193) $3,367 $12,987 1.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $967 $1,451 1.0×
Removal foreign body foot deep (28192) $1,761 $11,139 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $755 $7,406 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,761 $8,909 1.0×
Removal Foreign Body Pelvis/Hip Deep (27087) $3,489 $18,161 1.0×
Removal Foreign Body Scrotum (55120)
range across 2 matching MRF lines		 $2,229 $6,791–$10,243 1.0×
Removal foreign body, intranasal; requiring general anesthesia (30310) $3,535 $3,735 1.0×
Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) $3,642 $8,909 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $62 $207 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $62 $266–$5,698 1.0×
Removal Implant Deep (20680) $3,097 $12,110 1.0×
Removal Implant Superficial Separate Procedure (20670) $1,761 $7,794 1.0×
Removal of a lesion from the floor of the mouth (41116) $3,535 $10,390 1.0×
Removal of adenoids (42831) $3,535 $4,625 1.0×
Removal of adenoids (42830) $3,535 $4,096 1.0×
Removal of anal fissure (46200) $2,959 $10,761 1.0×
Removal of anterior instrumentation (22855) $7,737 $5,172.14 1.0×
Removal of heel spur (28119) $3,489 $6,548.89 1.0×
Removal of implanted material, anterior segment of eye (65920) $2,460 $7,509.50 1.0×
Removal of kidney stone (50081) $10,094 $19,180 1.0×
Removal of lens material (66852) $4,407 $14,851 1.0×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $433 $636–$4,787 1.0×
Removal of sesamoid bone (28315) $3,489 $11,139 1.0×
Removal of sperm cord lesion (55520) $3,758 $7,236 1.0×
Removal of testis (54520) $3,758 $4,746.78 1.0×
Removal of thyroid (60271) $6,312 $19,540 1.0×
Removal of tonsils (42825) $6,312 $10,024 1.0×
Removal of tonsils (42826) $3,535 $8,974 1.0×
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) $7,737 $7,169.72 1.0×
Removal of tumor, temporal bone Facility (69970) $6,312 $15,021 1.0×
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $3,367 $2,458–$10,024 1.0×
Removal or bivalving full arm or full leg cast (29705) $298 $325 1.0×
Removal Pacemaker Electrode (33235) $3,984 $4,446 1.0×
Removal parotid stone (42340) $3,535 $10,761 1.0×
Removal ppm generator only (33233) $8,824 $5,047 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $213 $3,463.33 1.0×
Removal subcutaneous cardiac rhythm monitor (33286) $755 $1,863 1.0×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,200 $7,406 1.0×
Removal sweat gland lesion (11450) $3,097 $11,451 1.0×
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines		 $1,714 $11,948.75–$11,948.80 1.0×
Remove armpit lymph nodes (38740) $6,446 $10,024 1.0×
Remove cerclage suture (59871) $3,451 $6,070 1.0×
Remove Elctrd Transvenously (33244) $3,984 $4,903 1.0×
Remove Forearm Foreign Body (25248) $1,714 $9,411 1.0×
Remove foreign body from eye (65205) $141 $254 1.0×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $324 $434–$8,909 1.0×
Remove intrvas foreign body (37197) $3,367 $7,015 1.0×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $668 $826–$5,379 1.0×
Remove Nasal Foreign Body (30300) $141 $334 1.0×
Remove prostate regrowth (52630) $5,717 $16,782 1.0×
Remove Pulse Generator (33241) $3,984 $5,818 1.0×
Remove renal tube w/fluoro (50389) $743 $1,378 1.0×
Remove spine eltrd plate (63662) $3,728 $9,114 1.0×
Remove spine fixation device (22850) $7,737 $15,817 1.0×
Remove spine lamina 1/2 lmbr (63005) $7,737 $20,177 1.0×
Remove spine lamina 1/2 thrc (63003) $7,737 $5,199.66 1.0×
Remove Tendon Sheath Lesion (26160) $1,714 $10,390 1.0×
Remove ureter stent percut (50384) $2,229 $3,887 1.0×
Remove&replace pm gen singl (33227) $8,824 $14,259 1.0×
Remv&replc cvd gen dual lead (33263) $23,719 $80,432 1.0×
Remv&replc cvd gen mult lead (33264) $33,472 $83,863 1.0×
Remv&replc cvd gen sing lead (33262) $23,719 $77,385 1.0×
Remv&replc pm gen dual lead (33228) $11,145 $36,113 1.0×
Remv&replc pm gen mult leads (33229) $20,540 $37,139 1.0×
Renal Biopsy Perq (50200) $1,761 $4,804 1.0×
Reopen fallopian tube (58350) $5,334 $6,059.13 1.0×
Repair Achilles Tendon (27650) $7,737 $20,230 1.0×
Repair arm/leg nerve (64857) $3,642 $2,804.80 1.0×
Repair Collat Ankle Ligmnt,Secondary (27698) $7,737 $16,782 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $788 $7,676 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $788 $5,570.88 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $433 $15,403 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $433 $3,061 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $788 $7,267.50 1.0×
Repair Entropion Extensive (67924) $2,535 $8,909 1.0×
Repair Extensor Tendon Finger W/Graft Each (26420) $3,489 $3,838 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,714 $3,175.88 1.0×
Repair Finger/Hand Tendon (26350) $3,489 $8,260 1.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,489 $15,883 1.0×
Repair Foot Dislocation (28615) $7,737 $15,403 1.0×
Repair Hallux Rigidus (28289) $3,489 $11,139 1.0×
Repair Hand Joint (26540) $3,489 $2,916.18 1.0×
Repair humerus with graft (24435) $13,690 $26,435 1.0×
Repair incomplete circumcision (54163) $2,229 $9,446 1.0×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,818 $11,546 1.0×
Repair initial femoral hernia, any age; reducible (49550) $3,818 $9,694.67 1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,818 $12,997 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $433 $9,146 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $433 $1,998 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $433 $8,909 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $433 $1,998 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $433 $4,617 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $788 $3,061 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $433 $1,910 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $433 $4,380.50 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $433 $1,146–$3,061 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $788 $11,139 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $433 $1,998 1.0×
Repair Lead Pace-Defib One (33218) $3,984 $6,307.68 1.0×
Repair lower leg tendons (27676) $7,737 $3,472.03 1.0×
Repair nasal septal perforations (30630) $3,535 $13,369 1.0×
Repair of biceps tendon (24340) $7,737 $12,588.50 1.0×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $7,737 $7,477.50 1.0×
Repair of hammertoe (28286) $3,489 $6,322.50 1.0×
Repair of metatarsals (28322) $7,737 $16,714 1.0×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $788 $687–$8,260 1.0×
Repair of rectocele (45560) $2,959 $6,552 1.0×
Repair of Ruptured Tendon (24342) $7,737 $17,827 1.0×
Repair retinal detach cplx (67113) $5,674 $17,132 1.0×
Repair Retinal Detachment Scleral Buckling (67107) $4,407 $13,369 1.0×
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines		 $7,737 $11,221.20–$11,221.22 1.0×
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $476 $987–$9,234 1.0×
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) $7,737 $56,593 1.0×
Repair, primary, disrupted ligament, ankle; collateral (27695) $7,737 $7,677.08 1.0×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $7,737 $23,455 1.0×
Repair/graft achilles tendon (27652) $7,737 $2,898.83 1.0×
Replace duodenostomy/jejunostomy tube perq (49451) $967 $1,205 1.0×
Replace G-J Tube Perc (49452) $967 $1,174 1.0×
Replace g/c tube perc (49450) $967 $1,079 1.0×
Reposition Gastrostomy Tube (43761) $266 $1,143 1.0×
Reposition L Ventric Lead (33226) $3,367 $4,326 1.0×
Reposition Pacing-Defib Lead (33215) $3,367 $5,501 1.0×
Reposition Venous Catheter (36597) $1,678 $2,919 1.0×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $2,460 $6,513.33 1.0×
Rerepair ing hernia reduce (49520) $3,818 $11,164 1.0×
Resection, partial or complete, phalangeal base, each toe (28126) $3,489 $6,053.66 1.0×
Rev/rmv prph sac/gstr npg/r (64595) $3,728 $4,804.50 1.0×
Revise Hand/Foot Nerve (64704) $2,082 $10,026 1.0×
Revise lower leg tendon (27690) $7,737 $5,555 1.0×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $3,451 $9,234 1.0×
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) $18,697 $25,094 1.0×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $3,778 $14,535 1.0×
Revision of foot and ankle (28262) $7,737 $7,034.50 1.0×
Revision of foot bones (28737) $13,690 $12,242 1.0×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $3,489 $12,068.30–$12,068.33 1.0×
Revision of urethra (57220) $5,334 $5,775.34 1.0×
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) $11,882 $16,170 1.0×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines		 $13,690 $21,112.40–$21,112.44 1.0×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $6,069 $19,464 1.0×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,728 $11,894 1.0×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,728 $2,294 1.0×
Revj/rpr oprative wound anterior segment (66250) $2,535 $6,127 1.0×
Rhinoplasty primary w/major septal repair (30420) $6,312 $18,944 1.0×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 3 matching MRF lines		 $2,229 $5,274–$7,913 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $967 $3,282 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $476 $1,397 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $141 $452 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,097 $6,552 1.0×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $2,460 $14,024 1.0×
Rmvl Lens Material Phacofragmentation Aspir (66850) $2,460 $8,078 1.0×
Rmvl of subq implantable defibrillator electrode (33272) $3,984 $3,678 1.0×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,082 $4,184.63 1.0×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $3,642 $9,808 1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,984 $4,317 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $1,678 $6,909–$8,340 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $668 $2,244–$8,630 1.0×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $2,460 $11,266 1.0×
Rmvl/revj sling stress incontinence (57287) $3,451 $8,260 1.0×
Rplc Gtube No Revj Trc (43762) $266 $744 1.0×
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $266 $737–$744 1.0×
Rplcmt cath ctr vad subq port/pmp (36578) $3,367 $4,195 1.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,678 $3,017 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 3 matching MRF lines		 $1,678 $2,052–$2,330 1.0×
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines		 $3,367 $4,594–$7,155 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,367 $4,322 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $6,446 $16,147 1.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,818 $15,501 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $6,903 $16,960 1.0×
Rpr aa hernia recr 3-10 cm reducible (49615) $6,903 $19,961 1.0×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $6,446 $13,139 1.0×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $3,818 $10,024 1.0×
Rpr aa hrn 1st 3-10 rdc (49593) $6,903 $15,462 1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $6,446 $13,498 1.0×
Rpr blood vessel direct lower extremity (35226) $755 $1,816 1.0×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $3,489 $18,161 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $213 $1,998 1.0×
Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) $5,674 $7,012 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $575 $2,546 1.0×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $7,737 $7,430.75 1.0×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $2,460 $16,628 1.0×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $4,407 $14,727 1.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,489 $19,081 1.0×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,489 $12,254 1.0×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $7,737 $11,721.90 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $668 $1,882 1.0×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $3,489 $7,012 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $3,489 $8,260 1.0×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $3,489 $5,388.15 1.0×
Sclerotx Fluid Collection (49185) $1,761 $1,965 1.0×
Scrotal exploration (55110) $3,758 $3,463.33 1.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,535 $11,697 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,276 $3,463.33 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $991 $7,794 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $213 $994–$6,552 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $213 $994 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $213 $994 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $213 $994 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $213 $994 1.0×
Skin Full Grft Face/Genit/Hf (15240) $2,200 $3,783.36 1.0×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $788 $4,720–$6,552 1.0×
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $788 $4,171–$6,894 1.0×
Skin sub grft t/arm/lg child (15273) $2,200 $7,137 1.0×
Skin Tissue Procedure (17999) $213 $5,012 1.0×
Skn sub grft f/n/hf/g child (15277) $2,200 $8,047 1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 9 matching MRF lines		 $5,933 $12,866–$27,029 1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 6 matching MRF lines		 $3,367 $10,439–$15,658 1.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 9 matching MRF lines		 $5,933 $19,265–$40,543 1.0×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $5,334 $11,734 1.0×
Slitting of prepuce (54001) $2,229 $11,139 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $213 $994 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $433 $1,998 1.0×
Sphincterotomy anal division sphincter spx (46080) $2,959 $6,552 1.0×
Spinal puncture lumbar diagnostic (62270) $752 $1,865 1.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,200 $963.33 1.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $3,367 $2,790–$7,281 1.0×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) $6,312 $12,254 1.0×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $6,312 $13,623 1.0×
Strapping shoulder (29240) $141 $452 1.0×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $173 $829–$1,245 1.0×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $3,535 $9,467 1.0×
Suction assisted lipectomy; trunk (15877) $3,778 $15,975.50 1.0×
Surg Implnt Neuroelect,Epidural (63655) $20,687 $16,782 1.0×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $6,312 $6,552 1.0×
Surg tx anal fistula subq (46270) $2,959 $8,898 1.0×
Suture digital nerve hand/foot 1 nerve (64831) $2,082 $2,691.40 1.0×
Suture infrapatellar tendon primary (27380) $7,737 $15,403 1.0×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $7,737 $19,540 1.0×
Suture of quadriceps or hamstring muscle rupture primary (27385) $7,737 $15,529 1.0×
Tangential biopsy skin single lesion (11102) $433 $568 1.0×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $30,587 $94,320 1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $3,489 $16,782 1.0×
Tenodesis long tendon biceps (23430) $7,737 $9,331.88 1.0×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $3,489 $10,024 1.0×
Tenotomy Percutaneous Single Each Digit (26060) $1,714 $5,195 1.0×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $3,489 $6,274 1.0×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $4,644 $11,355 1.0×
Ther Apheresis,Red Blood Cells (36512) $1,660 $3,278 1.0×
Ther Spi Pnxr Csf Fluor/Ct (62329) $752 $2,613 1.0×
Therapeutic plasma exchange (36514) $1,660 $3,181 1.0×
Therapeutic pneumothorax (32960) $668 $1,205 1.0×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $5,933 $13,135 1.0×
Thrmbc/Nfs Dialysis Circuit (36906) $19,548 $18,357 1.0×
Thromblytic art/ven therapy (37213) $3,367 $7,174 1.0×
Thrombolytic Art Therapy (37211) $5,933 $8,296 1.0×
Thrombolytic Therapy Stroke (37195) $352 $769 1.0×
Thrombolytic Venous Therapy (37212) $3,367 $6,484 1.0×
Thyroid biopsy (60100) $755 $1,000 1.0×
Thyroidectomy, total or complete (60240) $6,446 $18,401 1.0×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $6,312 $19,540 1.0×
Tibial Arthroscopy/Surgery (29855) $7,737 $8,995.83 1.0×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,200 $10,024 1.0×
Tissue Expander Placement Breast Reconstruction (19357) $14,695 $8,908.80 1.0×
Tlh uterus over 250 g (58572) $11,335 $44,172 1.0×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,535 $10,203 1.0×
Tooth extraction (41899) $252 $13,830 1.0×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) $18,697 $28,372 1.0×
Total Knee Arthroplasty (27447) $13,690 $25,399 1.0×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
range across 2 matching MRF lines		 $6,446 $10,483.40–$10,483.43 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $252 $813 1.0×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,654 $2,080 1.0×
Transcatheter biopsy (37200) $5,933 $8,055 1.0×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $3,451 $4,860 1.0×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,082 $7,345.83 1.0×
Transplant hand tendon (26480) $3,489 $19,263 1.0×
Transrectal Drainage of Pelvic Abscess (45000) $1,276 $4,363 1.0×
Transur electr resection of prostate (52601) $5,717 $15,034 1.0×
Transurethral incision of prostate (52450) $3,758 $12,645 1.0×
Transurethral resection bladder neck (52500) $3,758 $9,029 1.0×
Treat ankle fracture (28445) $7,737 $5,594 1.0×
Treat dislocation/fracture (23670) $7,737 $36,088 1.0×
Treat ectopic pregnancy (59151) $6,446 $16,642 1.0×
Treat elbow fracture (24586) $13,690 $28,370 1.0×
Treat Finger Fracture Each (26727) $3,489 $3,713 1.0×
Treat Fx Rad Extra-Articul (25607) $7,737 $21,880 1.0×
Treat Kneecap Fracture (27524) $7,737 $19,101 1.0×
Treatment closed elbow dislocation w/o anes (24600) $263 $8,002 1.0×
Treatment extensive retinopathy photocoagulation (67228) $586 $6,553 1.0×
Treatment of ankle fracture (27823) $7,737 $20,919 1.0×
Treatment of foot infection (28003) $3,489 $3,703 1.0×
Treatment of tibia fracture (27756) $7,737 $15,403 1.0×
Trim skin lesion (11055) $213 $381 1.0×
Trim skin lesions 2 to 4 (11056) $213 $490 1.0×
Trim skin lesions over 4 (11057) $213 $621 1.0×
Trluml Balo Angiop 1St Art (37246) $6,069 $8,961 1.0×
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $6,069 $8,962–$13,442 1.0×
Trnsplj autologous hematopoietic cells per donor (38241) $1,660 $4,845 1.0×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $2,959 $8,650 1.0×
Tx Gastro Intub W/Asp (43753) $230 $462 1.0×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $13,690 $22,932 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,451 $9,270 1.0×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $7,737 $19,497 1.0×
Tx Missed Abortion First Trimester Surgical (59820) $3,451 $8,995 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $788 $3,061 1.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $13,690 $21,370 1.0×
Tympanoplasty (69631) $6,312 $12,335 1.0×
Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) $6,312 $16,714 1.0×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $6,312 $7,242 1.0×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) $6,312 $18,944 1.0×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) $6,312 $12,915 1.0×
Tympanostomy general anesthesia (69436) $1,654 $7,568 1.0×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $3,818 $9,133 1.0×
Unlisted hysteroscopy procedure, uterus (58579) $215 $12,094 1.0×
Unlisted laparoscopic procedure liver (47379) $6,446 $14,901 1.0×
Unlisted laparoscopy procedure appendix (44979) $6,446 $5,390 1.0×
Unlisted laparoscopy procedure oviduct ovary (58679) $6,446 $5,569.50 1.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $6,446 $21,140 1.0×
Unlisted laparoscopy procedure, biliary tract (47579) $6,446 $29,302 1.0×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $6,446 $11,240 1.0×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $6,446 $16,782 1.0×
Unlisted laparoscopy procedure, lymphatic system (38589) $6,446 $24,058 1.0×
Unlisted laparoscopy procedure, spermatic cord (55559) $6,446 $7,624.66 1.0×
Unlisted laparoscopy procedure, uterus (58578) $6,446 $14,651 1.0×
Unlisted procedure anus (46999) $991 $9,325 1.0×
Unlisted procedure arthroscopy (29999) $263 $23,455 1.0×
Unlisted procedure breast (19499) $4,175 $2,741 1.0×
Unlisted Procedure Esophagus (43499) $967 $13,106 1.0×
Unlisted Procedure Leg/Ankle (27899) $263 $11,139 1.0×
Unlisted Procedure Muscskeletal System General (20999) $263 $2,263 1.0×
Unlisted procedure nervous system (64999) $327 $18,161 1.0×
Unlisted Procedure Palate Uvula (42299) $252 $5,012 1.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $252 $3,463.33 1.0×
Unlisted procedure spine (22899) $263 $6,552 1.0×
Unlisted procedure stomach (43999) $967 $3,192.80 1.0×
Unlisted Procedure Trachea Bronchi (31899) $212 $8,078 1.0×
Unlisted Procedure Vascular Surgery (37799)
range across 4 matching MRF lines		 $668 $1,946–$20,357 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $967 $8,849 1.0×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $266 $358–$6,552 1.0×
Unlisted px female genital system nonobstetrical (58999) $215 $14,024 1.0×
Upgrade of pacemaker system (33214) $11,145 $13,518 1.0×
Urethroplasty, reconstruction of female urethra Facility (53430) $5,717 $10,029.50 1.0×
Uvulectomy excision of uvula (42140) $3,535 $7,794 1.0×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $5,334 $19,540 1.0×
Vasc embolize/occlude artery (37242) $19,548 $28,546 1.0×
Vasc Embolize/Occlude Bleed (37244) $12,310 $52,604 1.0×
Vasc Embolize/Occlude Organ (37243) $12,310 $44,899 1.0×
Vasc embolize/occlude venous (37241) $12,310 $16,325 1.0×
Venous Cutdown >1 Y/O (36425) $476 $450 1.0×
Venous Mech Thrombectomy (37187) $12,310 $11,381 1.0×
Ventilating tube removal requiring general anesthesia (69424) $3,535 $2,849 1.0×
Vit for membrane dissect (67043) $4,407 $14,618 1.0×
Vitrectomy mechanical pars plana (67036) $4,407 $13,893 1.0×
Vitrectomy pars plana remove int memb retina (67042) $4,407 $13,989 1.0×
Vitrectomy Pars Plana Remove Preretinal Membrane (67041) $4,407 $14,042 1.0×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $4,407 $13,564 1.0×
Vulvectomy simple partial (56620) $3,451 $10,518 1.0×
Vulvectomy simple; complete (56625) $3,451 $8,260 1.0×
Wedging of cast (29740) $298 $431 1.0×
Wound Prep F/N/Hf/G (15004) $433 $7,406 1.0×
Wound Prep Trk/Arm/Leg (15002) $788 $5,103.83 1.0×
Xfer Single Deep Low Leg Tendon (27691) $7,737 $7,768.25 1.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.