Procedures & surgery prices at Saint Joseph Regional Medical Center
Mishawaka, IN · every code in this section with a posted price and a Medicare benchmark.
830 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,417 | $2,180 | 1.5× |
| Abdomen Surgery Procedure (22999) | $23,240.06 | — | 89.0× |
| Ablate inf turbinate submuc (30802) | $15,628.05 | — | 9.5× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $8,752.90 | $13,466 | 0.8× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $41,373.55 | — | 2.2× |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) | $10,588.57 | $16,290.11 | 0.9× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) | $2,211.95 | $3,403 | 1.3× |
| Acromiopl/Acromionect Partial (23130) | $34,229.03 | — | 9.9× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $23,578.52 | — | 10.8× |
| Amniocentesis therapeutic (59001) | $438.75 | $675 | 1.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $15,171.19 | — | 4.4× |
| Amputation foot transmetarsal (28805) | $11,568.15 | — | 3.3× |
| Amputation metatarsal with toe single (28810) | $16,074.21 | — | 4.6× |
| Amputation thigh through femur any level (27590) range across 3 matching MRF lines |
$11,189.10–$16,783.65 | $17,214–$25,821 | varies |
| Amputation toe interphalangeal joint (28825) | $14,609.72 | — | 4.2× |
| Amputation toe metatarsophalangeal joint (28820) | $12,078.59 | — | 3.5× |
| Anterior Tibial Tubercleplasty (27418) | $27,525 | — | 3.6× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$330.20–$495.30 | $508–$762 | varies |
| Application long arm splint shoulder hand (29105) range across 6 matching MRF lines |
$351.65–$527.15 | $541–$811 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$346.45–$520.65 | $533–$801 | varies |
| Application of rigid total contact leg cast (29445) range across 12 matching MRF lines |
$374.40–$1,062.75 | $576–$1,635 | varies |
| Application short arm splint forearm-hand static (29125) range across 9 matching MRF lines |
$217.75–$328.25 | $335–$505 | varies |
| Application short leg splint calf foot (29515) range across 6 matching MRF lines |
$260.65–$391.30 | $401–$602 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$2,724.15–$2,822.30 | — | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$332.15–$499.20 | $511–$768 | varies |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) | $48,501.03 | — | 8.6× |
| Aqueous Shunt Extraocular Reservoir W/O Graft (66179) | $17,587.76 | — | 3.1× |
| Arterial puncture (36600) | $1,433.25 | — | 10.2× |
| Arteriovenous Anastomosis Open Direct (36821) range across 2 matching MRF lines |
$21,818.45–$23,443.61 | — | varies |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) range across 2 matching MRF lines |
$25,347.85–$38,845.59 | — | varies |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) | $52,305.25 | — | 3.9× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $45,411.70 | — | 3.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $1,279.82 | — | 3.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$506.35–$760.50 | $779–$1,170 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $2,665.39 | — | 8.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$1,684.15–$2,816.45 | $2,591–$4,333 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$277.55–$417.30 | $427–$642 | varies |
| Arthrodesis ankle open (27870) | $57,041.01 | — | 4.2× |
| Arthrodesis great toe interphalangeal joint (28755) | $26,060.77 | — | 3.4× |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $32,191.25 | — | 4.2× |
| Arthrodesis Posterior Interbody Lumbar (22630) | $33,549 | — | 1.2× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) | $50,441.42 | — | 2.7× |
| Arthrodesis sacroiliac joint percutaneous (27279) | $45,235.48 | — | 2.4× |
| Arthrodesis subtalar (28725) | $49,833.22 | — | 3.7× |
| Arthrodesis triple (28715) | $67,148.50 | — | 4.9× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) | $34,700.43 | — | 2.6× |
| Arthroplasty ankle revision total ankle (27703) | $67,937.45 | — | 3.7× |
| Arthroplasty Ankle W/Implant (27702) | $54,778.07 | — | 1.9× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $45,562.46 | — | 2.5× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $19,129.26 | — | 5.5× |
| Arthroplasty Patella W/Prosthesis (27438) | $39,104.36 | — | 2.9× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $26,606.55 | — | 7.7× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $25,959.34 | — | 7.5× |
| Arthroscopy hip w/femoroplasty (29914) | $26,189.99 | — | 3.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $16,931.26 | — | 4.9× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $21,347.07 | — | 6.2× |
| Arthroscopy knee synovectomy limited spx (29875) | $17,507.26 | — | 5.1× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $23,223.10 | — | 6.7× |
| Arthroscopy shoulder distal claviculectomy (29824) | $25,510.99 | — | 7.4× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $28,261.27 | — | 3.7× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) | $23,672.67 | — | 6.8× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) | $26,617.43 | — | 3.5× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) | $26,617.43 | — | 7.7× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $21,156.59 | — | 6.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $42,432.94 | — | 12.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $32,260.66 | — | 9.3× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $30,228.93 | — | 3.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $27,756.29 | — | 8.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $27,085.68 | — | 7.8× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $33,335.01 | — | 4.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $30,465.49 | — | 4.0× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $19,052.77 | — | 5.5× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) | $37,414.49 | — | 4.9× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $40,606.30 | — | 3.0× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) | $21,025.35 | — | 6.1× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) | $37,313.89 | — | 2.7× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $38,620.63 | — | 5.0× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $36,782.58 | — | 10.6× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $22,314.08 | — | 6.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $17,658.74 | — | 5.1× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $20,124.65 | — | 5.8× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,736.54–$1,830.40 | — | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$808.60–$1,214.20 | $1,244–$1,868 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $915.20 | $1,408 | 1.2× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,024.45 | $4,653 | 1.4× |
| Av fistula revision (36833) range across 2 matching MRF lines |
$24,742.17–$43,519.31 | — | varies |
| Av Fistula Revision Open (36832) | $28,647.68 | — | 4.9× |
| Av Fuse Uppr Arm Basilic (36819) | $29,010.56 | — | 4.9× |
| Avulsion nail plate partial/complete simple 1 (11730) | $10,791.95 | — | 50.8× |
| Biopsy Abdominal Mass (49180) | $1,639.95 | $2,523 | 0.9× |
| Biopsy bone open superficial (20240) | $9,084.40 | — | 3.0× |
| Biopsy bone trocar/needle deep (20225) | $1,676.35 | $2,579 | 1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $4,279.13 | — | 2.4× |
| Biopsy muscle percutaneous needle (20206) | $1,097.85 | $1,689 | 0.6× |
| Biopsy Muscle Superficial (20200) | $1,630.20 | $2,508 | 0.9× |
| Biopsy of cornea (65410) | $10,092.78 | — | 4.0× |
| Biopsy of liver, needle; percutaneous (47000) | $1,649.70 | $2,538 | 0.9× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,275.30 | $1,962 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $1,817.40 | $2,796 | 2.4× |
| Biopsy soft tissue neck/thorax (21550) | $1,873.30 | $2,882 | 1.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $20,529.87 | — | 21.1× |
| Bladder instillation anticarcinogenic agent (51720) | $23,265.83 | — | 31.5× |
| Bladder Irrigation (51700) | $53,565.67 | — | 202.6× |
| Bladder Scan (51798) | $143.65 | — | 2.3× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$3,392.67–$10,166.45 | — | varies |
| Bone Graft Any Donor Area Major/Large (20902) | $38,890.75 | — | 5.1× |
| Bone Graft Any Donor Area Minor/Small (20900) | $43,132.91 | — | 5.6× |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$2,102.10–$3,153.15 | $3,234–$4,851 | varies |
| Bone Marrow; Aspiration Only (38220) | $52,934.57 | — | 30.3× |
| Breast augmentation with implant (19325) | $39,288 | — | 4.5× |
| Breast Reduction (19318) range across 2 matching MRF lines |
$28,095.01–$33,121.45 | — | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $16,874.58 | — | 9.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $16,582.93 | — | 4.2× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $16,692.16 | — | 4.2× |
| Bronchoscopy W/Biopsy(S) (31625) | $9,950.85 | — | 5.3× |
| Bronchoscopy W/Removal Foreign Body (31635) | $5,861.60 | — | 3.1× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $16,598.79 | — | 4.2× |
| Bronchoscopy/Needle Bx Each (31629) | $16,779.68 | — | 4.3× |
| Bx breast 1st lesion mr imag (19085) range across 9 matching MRF lines |
$3,583.45–$5,374.85 | $5,513–$8,269 | varies |
| Bx breast 1st lesion strtctc (19081) range across 6 matching MRF lines |
$4,139.20–$6,208.80 | $6,368–$9,552 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$5,361.93–$7,466.72 | — | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 3 matching MRF lines |
$1,287–$1,608.75 | $1,980–$2,475 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $21,778.38 | — | 5.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $14,473.89 | — | 4.2× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $47,867.53 | — | 28.1× |
| Carpal Tunnel Surgery (64721) | $11,510.39 | — | 5.6× |
| Carpectomy All Bones Proximal Row (25215) | $33,496.77 | — | 9.7× |
| Cataract surgery complex (66982) | $8,765.51 | — | 3.6× |
| Catheter aspiration nasotracheal spx (31720) | $100.10 | $154 | 0.4× |
| Cerclage cervix pregnancy vaginal (59320) | $13,835.90 | — | 4.0× |
| Cerv artific diskectomy (22856) | $39,487.32 | — | 2.1× |
| Cessj Therapy Cath Removal (37214) | $3,456.05 | $5,317 | 1.0× |
| Change Cystostomy Tube Complicated (51710) | $683.15 | $1,051 | 0.9× |
| Change Cystostomy Tube Simple (51705) | $24,011.10 | — | 90.8× |
| Change of Windpipe Airway (31502) | $328.90 | $506 | 1.3× |
| Change ureter stent percut (50382) range across 3 matching MRF lines |
$2,807.35–$4,208.75 | $4,319–$6,475 | varies |
| Chemical Cautery Tissue (17250) | $1,971.45 | — | 9.3× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$2,187.25–$3,280.55 | $3,365–$5,047 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $1,402.70 | $2,158 | 0.6× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,711.80 | $4,172 | 0.7× |
| Circumcision 28 days or older (54161) | $16,172.93 | — | 7.3× |
| Circumcision w/clamp/oth dev w/block (54150) | $712.40 | $1,096 | 0.3× |
| Claviculectomy partial (23120) | $26,748.12 | — | 7.7× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $26,011.79 | — | 99.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $19,937.74 | — | 76.4× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $26,575.28 | — | 15.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $26,424.16 | — | 101.2× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$46,969.93–$64,805.64 | — | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $32,612.58 | — | 19.2× |
| Collect Blood From Catheter Venous Nos (36592) | $152.10 | $234 | 1.1× |
| Collection of venous blood by venipuncture (36415) | $871.65 | — | 93.3× |
| Colonoscopy w/ablation (45388) | $5,998.85 | — | 4.7× |
| Colonoscopy w/submucosal inj (45381) | $6,788.18 | — | 5.4× |
| Colpopexy extraperitoneal (57282) | $23,225.68 | — | 3.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $53,154.67 | — | 15.5× |
| Combined anteroposterior colporrhaphy; (57260) | $23,225.68 | — | 4.4× |
| Complex drainage wound (10180) | $14,323.79 | — | 4.7× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $15,148.89 | — | 4.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $16,344.09 | — | 116.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 6 matching MRF lines |
$506.35–$760.50 | $779–$1,170 | varies |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) | $50,177.95 | — | 3.7× |
| Conversion ext bil drg cath (47535) | $4,072.25 | $6,265 | 1.1× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,247.35 | $1,919 | 0.6× |
| Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$1,135.55–$1,704.30 | $1,747–$2,622 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $4,934.64 | — | 2.8× |
| Correction hammertoe (28285) | $19,806.43 | — | 5.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$15,828.41–$24,397.72 | — | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $32,087.64 | — | 2.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $23,381.34 | — | 6.8× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $19,611.87 | — | 2.6× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) | $27,348.42 | — | 4.6× |
| Curettage postpartum (59160) | $17,587.13 | — | 5.1× |
| Cysto w/insert ureteral stent (52332) range across 3 matching MRF lines |
$17,561.52–$20,672.45 | — | varies |
| Cysto W/Simple Removal Stone & Stent (52310) | $12,871.01 | — | 5.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) range across 2 matching MRF lines |
$19,857.82–$20,672.45 | — | varies |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $18,588.02 | — | 5.0× |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$21,552.13–$22,198.48 | — | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $16,699.31 | — | 7.6× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $21,411.83 | — | 5.7× |
| Cystourethroscopy with biopsy (52204) | $20,124.97 | — | 9.1× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) range across 3 matching MRF lines |
$4,398.55–$6,598.15 | $6,767–$10,151 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $4,083.95 | — | 5.2× |
| Debride nail 1-5 (11720) | $202.15 | $311 | 3.2× |
| Debride nail 6 or more (11721) | $217.75 | $335 | 3.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $6,117.15 | — | 3.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $2,115.10 | — | 4.9× |
| Declot vascular device (36593) | $800.15 | $1,231 | 2.3× |
| Decompression of leg (27892) range across 3 matching MRF lines |
$4,398.55–$6,598.15 | $6,767–$10,151 | varies |
| Decompression of tibia nerve (28035) | $30,931.05 | — | 15.0× |
| Deep Muscle Biopsy (20205) | $14,202.24 | — | 4.6× |
| Delivery of placenta (59414) | $14,223.95 | — | 4.2× |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$2,032.55–$3,047.85 | $3,127–$4,689 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$9,849.47–$9,935.67 | — | varies |
| Destruction Benign Lesions 15/> (17111) | $19,062.06 | — | 89.8× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$997.75–$1,496.30 | $1,535–$2,302 | varies |
| Dilate Esophagus 1/Mult Pass (43450) | $15,087.77 | — | 15.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $13,257.89 | — | 3.9× |
| Drain Cerebro Spinal Fluid (62272) | $939.90 | $1,446 | 1.3× |
| Drainage of hematoma/fluid (10140) | $14,245.82 | — | 8.2× |
| Drainage of hydrocele (55000) range across 3 matching MRF lines |
$965.90–$1,448.85 | $1,486–$2,229 | varies |
| Drainage of skene's gland abscess or cyst (53060) | $26,354.04 | — | 11.9× |
| Draw Blood Off Venous Device (36591) | $159.90 | $246 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $585.65 | $901 | 1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $1,758.25 | — | 8.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $1,196.65 | — | 5.6× |
| Dstrj Lesion Anus Extensive (46924) | $14,838.59 | — | 5.1× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,413.75 | $2,175 | 1.5× |
| Dx Bone Marrow Bx & Aspir (38222) range across 8 matching MRF lines |
$2,949.70–$4,645.55 | $4,538–$7,147 | varies |
| Dx Bronchoscope/Lavage (31624) | $15,778.26 | — | 8.4× |
| Dx Bronchoscope/Wash (31622) | $5,500.62 | — | 2.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,432.60 | $2,204 | 1.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $6,956.04 | — | 3.4× |
| Egd control bleeding any (43255) | $6,023.78 | — | 3.0× |
| Egd dilation gastric/duodenal stricture (43245) | $8,136.86 | — | 4.0× |
| Egd endo mucosal resection (43254) | $9,495.72 | — | 4.7× |
| Egd Flexible Foreign Body Removal (43247) | $6,926.43 | — | 7.2× |
| Egd guide wire insertion (43248) | $5,910.51 | — | 6.2× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $7,365.86 | — | 3.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $9,240.76 | — | 4.6× |
| Egd lesion ablation (43270) | $6,158.30 | — | 3.0× |
| Egd place gastrostomy tube (43246) | $6,027.81 | — | 3.0× |
| Egd remove lesion snare (43251) | $7,149.74 | — | 3.5× |
| Egd us exam duodenum/jejunum (43259) | $5,693.97 | — | 2.8× |
| Egd us transmural injxn/mark (43253) | $7,839.55 | — | 3.9× |
| Egd Varices Ligation (43244) | $5,728.42 | — | 2.8× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) range across 3 matching MRF lines |
$7,127.25–$10,690.55 | $10,965–$16,447 | varies |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) range across 3 matching MRF lines |
$7,127.25–$10,691.85 | $10,965–$16,449 | varies |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $21,523.32 | — | 4.1× |
| Endoscopic us exam esoph (43237) | $5,057.94 | — | 2.5× |
| Endoscopy upper small intestine w/biopsy (44361) | $4,336.64 | — | 2.1× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) range across 3 matching MRF lines |
$4,296.50–$6,444.75 | $6,610–$9,915 | varies |
| Epidural Blood Patch (62273) | $2,035.31 | — | 2.7× |
| Episiotomy or vaginal repair (59300) | $4,066.40 | $6,256 | 1.2× |
| Ercp duct stent placement (43274) | $17,861.45 | — | 2.8× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $10,865.04 | — | 2.7× |
| Ercp remove forgn body duct (43275) | $9,598.35 | — | 4.7× |
| Ercp Stent Exchange W/Dilate (43276) | $12,686.96 | — | 2.0× |
| Ercp W/Biopsy Single/Multiple (43261) | $18,350.31 | — | 4.5× |
| Ercp,Sphincterotomy (43262) | $10,871.15 | — | 2.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $7,364.11 | — | 7.7× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) | $6,183.55 | — | 3.0× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $10,466.98 | — | 6.0× |
| Exc arm/elbow les sc < 3 cm (24075) | $11,019.63 | — | 6.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $13,976.07 | — | 8.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$14,511.77–$18,596.73 | — | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $14,214.22 | — | 8.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $11,081.32 | — | 6.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $13,698.03 | — | 7.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $10,535.26 | — | 6.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $13,941.48 | — | 8.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $19,741.41 | — | 11.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $22,778.26 | — | 13.4× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $19,129.26 | — | 9.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $13,647.63 | — | 7.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $15,102.33 | — | 8.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $22,954.67 | — | 7.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $14,690.68 | — | 8.4× |
| Exc tendon shth lesion leg/ankle (27630) | $25,547.78 | — | 7.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $14,867.31 | — | 8.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $14,452.75 | — | 4.7× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $16,955.68 | — | 5.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $14,512.19 | — | 8.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $16,950.11 | — | 5.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $22,590.10 | — | 7.4× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $14,615.51 | — | 8.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $4,541.55 | $6,987 | 1.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 6 matching MRF lines |
$1,363.05–$1,704.30 | $2,097–$2,622 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $3,361.60 | — | 1.7× |
| Excise intraspinal lesion (63267) | $25,793.21 | — | 3.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $15,501.80 | — | 5.0× |
| Excision Infected Graft Extremity (35903) | $29,776.26 | — | 8.9× |
| Excision Lesion Conjunctiva </1 Cm (68110) | $11,640.26 | — | 4.6× |
| Excision lesion conjunctiva > 1 cm (68115) | $11,162.35 | — | 4.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $13,826.21 | — | 18.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $12,927.30 | — | 7.6× |
| Excision of hydrocele; unilateral (55040) | $16,708.05 | — | 4.4× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $20,729.31 | — | 10.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) | $21,233.93 | — | 3.4× |
| Excision of pilonidal cyst or sinus; simple (11770) | $15,966.14 | — | 5.2× |
| Excision olecranon bursa (24105) | $20,353.06 | — | 5.9× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $15,186.44 | — | 4.9× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $24,528.81 | — | 3.5× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $21,329.15 | — | 3.3× |
| Excision Torus Mandibularis (21031) range across 2 matching MRF lines |
$18,869.04–$19,663.57 | — | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $15,123.73 | — | 8.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $10,917.45 | — | 3.6× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $13,546.19 | — | 7.8× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $16,074.21 | — | 9.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $14,298.15 | — | 4.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $18,699.51 | — | 6.1× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $14,249.69 | — | 4.6× |
| Excision; trochanteric bursa or calcification (27062) | $31,546.68 | — | 9.1× |
| External cephalic version (59412) | $1,198.60 | $1,844 | 0.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 2 matching MRF lines |
$9,411.71–$14,671.57 | — | varies |
| Fasciotomy Iliotibial Open (27305) | $26,617.43 | — | 7.7× |
| Fasciotomy, foot and/or toe (28008) range across 2 matching MRF lines |
$12,222.86–$13,331.56 | — | varies |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $16,052.17 | — | 4.6× |
| Fetal non-stress test (59025) | $569.40 | $876 | 2.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,117.35 | $1,719 | 1.5× |
| Fluoro exam of g/colon tube (49465) | $678.94 | — | 2.7× |
| Fna bx w/us gdn 1st les (10005) | $1,117.35 | $1,719 | 1.5× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) | $23,802.76 | — | 6.8× |
| Fuse hand bones with graft (25825) | $33,190.20 | — | 4.3× |
| Fusion of foot bones (28740) | $41,355.92 | — | 5.4× |
| Gastrocnemius recession (27687) | $38,570.97 | — | 11.1× |
| Guide Cathet Fluid Drainage (10030) | $550.55 | $847 | 0.7× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) | $18,487.49 | — | 2.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $14,593.25 | — | 5.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $14,399.59 | — | 4.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) | $19,043.34 | — | 6.5× |
| Hip arthro acetabuloplasty (29915) | $26,189.99 | — | 3.4× |
| Hip arthro w/labral repair (29916) | $28,572.63 | — | 3.7× |
| Hysteroscopy Biopsy (58558) | $20,324.02 | — | 5.9× |
| Hysteroscopy Endometrial Ablation (58563) | $18,994.95 | — | 3.6× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $14,967.74 | — | 4.4× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) | $19,989.98 | — | 3.8× |
| I&d abscess peritonsillar (42700) | $317.20 | $488 | 1.3× |
| I&d abscess simple (10060) | $1,671.15 | — | 7.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $13,800.17 | — | 4.5× |
| Icd Pocket Revision (33223) | $3,385.20 | $5,208 | 1.6× |
| Image Cath Fluid Colxn Visc (49405) | $3,061.50 | $4,710 | 1.8× |
| Image Cath Fluid Peri/Retro (49406) | $3,367.65 | $5,181 | 1.9× |
| Immediate breast prosthesis (19340) range across 2 matching MRF lines |
$45,154.95–$75,054.77 | — | varies |
| Incise finger tendon sheath (26055) | $11,599.02 | — | 6.8× |
| Incision & drainage abscess complicated/multiple (10061) | $592.15 | $911 | 1.4× |
| Incision & removal foreign body subq tiss compl (10121) | $11,517.54 | — | 6.6× |
| Incision & removal foreign body subq tiss simple (10120) | $443.95 | $683 | 1.0× |
| Incision and drainage of bartholin's gland abscess (56420) | $667.55 | $1,027 | 3.1× |
| Incision and drainage of vulva or perineal abscess (56405) | $6,245.59 | — | 19.4× |
| Incision extensor tendon sheath wrist (25000) | $10,491.91 | — | 6.2× |
| Incision of labial frenum (frenotomy) (40806) | $10,416.27 | — | 18.3× |
| Incision of lingual frenum (frenotomy) (41010) | $2,017.60 | $3,104 | 1.2× |
| Incisional biopsy skin single lesion (11106) | $8,995.54 | — | 11.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 4 matching MRF lines |
$1,147.90–$1,721.85 | $1,766–$2,649 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 3 matching MRF lines |
$464.75–$697.45 | $715–$1,073 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 3 matching MRF lines |
$831.35–$1,246.05 | $1,279–$1,917 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 3 matching MRF lines |
$1,367.60–$2,052.05 | $2,104–$3,157 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $12,248.20 | — | 37.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 3 matching MRF lines |
$798.85–$1,198.60 | $1,229–$1,844 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 3 matching MRF lines |
$1,675.05–$2,512.25 | $2,577–$3,865 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$997.75–$1,496.30 | $1,535–$2,302 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 3 matching MRF lines |
$997.75–$1,496.30 | $1,535–$2,302 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$807.30–$1,212.25 | $1,242–$1,865 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) range across 3 matching MRF lines |
$969.15–$1,452.75 | $1,491–$2,235 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$642.20–$963.30 | $988–$1,482 | varies |
| Injection for identification of sentinel node (38792) | $45,154.95 | — | 106.8× |
| Injection single tendon origin/insertion (20551) | $564.20 | $868 | 1.7× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $2,017.60 | $3,104 | 1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $43,801.06 | — | 46.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$642.20–$963.30 | $988–$1,482 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$761.80–$1,143.35 | $1,172–$1,759 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $271.05 | $417 | 1.3× |
| Ins cath ren art 1st bilat (36252) | $4,548.70 | $6,998 | 1.4× |
| Ins cath ren art 1st unilat (36251) | $5,526.95 | $8,503 | 1.7× |
| Ins cath ren art 2nd+ unilat (36253) | $5,526.95 | $8,503 | 0.9× |
| Ins endovas vena cava filtr (37191) | $8,098.35 | $12,459 | 1.4× |
| Ins/Rep Subq Defibrillator (33270) | $40,303.90 | $62,006 | 1.2× |
| Insert 1 Electrode Pm-Defib (33216) | $7,827.30 | $12,042 | 0.9× |
| Insert Bladder Cath Complex (51703) | $472.55 | $727 | 3.5× |
| Insert cath pleura w/ image (32557) | $2,410.04 | — | 1.4× |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$815.75–$1,223.95 | $1,255–$1,883 | varies |
| Insert cervical dilator (59200) | $231.40 | $356 | 0.7× |
| Insert Drug Implant Device (11981) | $32,545.58 | — | 231.2× |
| Insert Gastrostomy Tube Percutaneous (49440) | $5,732.36 | — | 2.8× |
| Insert Heart Pm Atrial (33206) | $12,277.20 | $18,888 | 1.1× |
| Insert Heart Pm Ventricular (33207) | $11,688.95 | $17,983 | 1.1× |
| Insert hepatic shunt (tips) (37182) unusually low: confirm this is the full procedure |
$8,405.15 | $12,931 | 0.4× |
| Insert non-tunnel cv cath (36556) | $9,620.51 | — | 2.9× |
| Insert Pacing Lead & Connect (33224) unusually low: confirm this is the full procedure |
$3,322.15 | $5,111 | 0.3× |
| Insert pessary/other device (57160) | $263.90 | $406 | 1.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,604.20 | $2,468 | 1.0× |
| Insert pulse gen dual leads (33213) | $11,055.20 | $17,008 | 1.0× |
| Insert Pulse Gen Sngl Lead (33212) | $11,699.35 | $17,999 | 1.3× |
| Insert Temp Bladder Cath (51702) | $302.90 | $466 | 2.2× |
| Insert tun ip cath perc (49418) | $4,727.45 | $7,273 | 1.2× |
| Insert tunneled cv cath (36561) | $8,087.98 | — | 2.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $176.80 | $272 | 1.3× |
| Insertion indwelling tunneled pleural catheter (32550) | $5,028.40 | $7,736 | 1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $5,690.81 | — | 3.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $6,253 | $9,620 | 0.7× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) | $7,407.40 | $11,396 | 1.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,662.70 | $2,558 | 0.5× |
| Insj Picc Rs&I <5 Yr (36572) | $1,788.15 | $2,751 | 2.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 3 matching MRF lines |
$4,269.85–$6,404.45 | $6,569–$9,853 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $7,522.86 | — | 4.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 6 matching MRF lines |
$4,319.25–$6,479.85 | $6,645–$9,969 | varies |
| Insj/rplcmt breast implant sep day mastectomy (19342) | $28,289.20 | — | 3.3× |
| Insj/Rplcmt Defib W/Lead(S) (33249) unusually low: confirm this is the full procedure |
$15,548.65 | $23,921 | 0.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $7,138.95 | $10,983 | 0.8× |
| Insrt heart pm atrial & vent (33208) | $15,087.80 | $23,212 | 1.4× |
| Insrt Pulse Gen W/Dual Leads (33230) | $22,926.15 | $35,271 | 1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) unusually low: confirm this is the full procedure |
$7,668.70 | $11,798 | 0.3× |
| Intro cath dialysis circuit (36901) | $2,033.85 | $3,129 | 1.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $35,547.19 | — | 2.9× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $19,214.38 | — | 3.2× |
| Intubation endotracheal emergency procedure (31500) | $648.70 | $998 | 2.6× |
| Iridoplasty photocoagulation 1/> sessions (66762) | $10,092.78 | — | 17.3× |
| Keratoplasty (corneal transplant); endothelial (65756) | $23,864.36 | — | 5.5× |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) | $27,264.90 | — | 6.2× |
| Knee Arthroscopy/Surgery (29874) | $35,974.96 | — | 10.4× |
| Lam facetec & foramot lumbar (63047) | $29,842.49 | — | 3.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) | $27,039.94 | — | 3.5× |
| Lap insert tunnel ip cath (49324) | $19,451.07 | — | 3.0× |
| Lap paraesoph her rpr w/mesh (43282) | $40,400.29 | — | 3.6× |
| Lap paraesophag hern repair (43281) | $37,286.05 | — | 3.3× |
| Lap revision perm ip cath (49325) | $16,095.71 | — | 2.5× |
| Laparo-vag hyst incl t/o (58552) | $37,393.91 | — | 3.3× |
| Laparoscopic myomectomy (58545) | $46,705.56 | — | 7.3× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $46,547.03 | — | 7.3× |
| Laparoscopy fimbrioplasty (58672) | $41,351.15 | — | 6.5× |
| Laparoscopy salpingostomy (58673) | $35,982.19 | — | 3.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$30,239.33–$32,394.82 | — | varies |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $39,424.93 | — | 3.5× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
$40,345.21–$41,032.45 | — | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) | $37,079.11 | — | 5.8× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$28,513.82–$34,007 | — | varies |
| Laparoscopy, surgical, appendectomy (44970) | $19,162.10 | — | 3.0× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) | $48,688.94 | — | 4.3× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $33,263.95 | — | 3.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $31,516.45 | — | 4.9× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$29,941.73–$36,615.64 | — | varies |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) | $49,984.08 | — | 4.4× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $50,675.07 | — | 7.9× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $37,062.78 | — | 5.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 3 matching MRF lines |
$44,502.41–$54,042.11 | — | varies |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) | $26,730.36 | — | 2.4× |
| Laryngoscopy W/Biopsy (31535) range across 2 matching MRF lines |
$12,553.25–$12,814.26 | — | varies |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $12,072.19 | — | 3.1× |
| Late closure of wound (13160) | $16,036.25 | — | 4.3× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $38,283.84 | — | 5.0× |
| Ligation of a-v fistula (37607) | $22,258.66 | — | 6.7× |
| Ligation or biopsy temporal artery (37609) | $23,547.47 | — | 13.5× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $24,011.10 | — | 6.4× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $21,460.20 | — | 5.8× |
| Lithotripsy, extracorporeal shock wave (50590) | $18,376.14 | — | 4.9× |
| Low Back Disk Surgery (63030) | $25,707.49 | — | 3.3× |
| Lumbar spine fusion combined (22633) | $81,370.26 | — | 2.8× |
| Lyse chest fibrin init day (32561) | $726.70 | $1,118 | 1.1× |
| Manipulation knee joint under general anesthesia (27570) | $9,691.89 | — | 5.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 3 matching MRF lines |
$1,996.15–$2,994.55 | $3,071–$4,607 | varies |
| Marsupialization of bartholin's gland cyst (56440) | $15,665.86 | — | 4.6× |
| Mast mod rad (19307) | $23,012.57 | — | 3.3× |
| Mastectomy partial (19301) range across 2 matching MRF lines |
$19,354.24–$30,128.62 | — | varies |
| Mastectomy partial w/axillary lymphadenectomy (19302) | $28,387.58 | — | 4.0× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$31,557.37–$66,920.94 | — | varies |
| Mastopexy (19316) | $27,781.96 | — | 4.0× |
| Mech remov tunneled cv cath (36595) | $1,605.50 | $2,470 | 0.5× |
| Muscle-skin graft trunk (15734) range across 2 matching MRF lines |
$23,888.46–$25,443.14 | — | varies |
| Myelography Lumbar Injection (62305) | $1,791.40 | $2,756 | 2.2× |
| Myelography Lumbar Injection (62304) | $1,475.50 | $2,270 | 1.8× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,475.50 | $2,270 | 1.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 3 matching MRF lines |
$763.75–$1,146.60 | $1,175–$1,764 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$362.70–$679.90 | $558–$1,046 | varies |
| N Block Lumbar/Thoracic (64520) range across 3 matching MRF lines |
$1,249.95–$1,874.60 | $1,923–$2,884 | varies |
| Nasal Endoscopy Dx (31231) | $16,485.98 | — | 78.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $477.75 | $735 | 1.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) | $23,802.76 | — | 6.0× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) | $28,575.30 | — | 3.8× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) | $25,400.67 | — | 13.5× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $11,898.48 | — | 6.3× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $25,400.67 | — | 3.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) | $24,200.38 | — | 3.2× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) | $28,575.30 | — | 3.8× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) | $23,802.76 | — | 3.2× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) | $21,141.28 | — | 2.8× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) range across 2 matching MRF lines |
$16,219.48–$20,668.60 | — | varies |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) range across 2 matching MRF lines |
$20,668.60–$21,141.28 | — | varies |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) range across 2 matching MRF lines |
$20,078.88–$25,574.90 | — | varies |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $516.75 | $795 | 2.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) range across 2 matching MRF lines |
$12,830.48–$17,951.93 | — | varies |
| Needle Biopsy Lymph Nodes (38505) range across 8 matching MRF lines |
$1,659.45–$2,488.85 | $2,553–$3,829 | varies |
| Needle Biopsy Pancreas (48102) | $1,336.40 | $2,056 | 0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $43.55 | $67 | 1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) | $45.50 | $70 | 1.5× |
| Nerve Repair W/Nerve Allograft First Strand (64912) | $24,516.77 | — | 2.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$11,563.50–$17,943.15 | — | varies |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $17,454.97 | — | 8.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $616.20 | $948 | 1.5× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $2,902.25 | $4,465 | 1.4× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 3 matching MRF lines |
$1,295.45–$1,942.85 | $1,993–$2,989 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,535 | $3,900 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,053.70 | $4,698 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$1,147.90–$1,874.60 | $1,766–$2,884 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,369.55 | $2,107 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,725.10 | $2,654 | 1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,369.55 | $2,107 | 1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,725.10 | $2,654 | 1.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 6 matching MRF lines |
$1,092–$1,489.80 | $1,680–$2,292 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 3 matching MRF lines |
$978.90–$1,335.10 | $1,506–$2,054 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 3 matching MRF lines |
$545.35–$818.35 | $839–$1,259 | varies |
| Njx Sclrsnt Spider Veins (36468) | $544.05 | $837 | 1.3× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 2 matching MRF lines |
$20,668.60–$25,574.90 | — | varies |
| Obstructive material removal from gi tube (49460) | $1,276.60 | $1,964 | 1.3× |
| Open biopsy/excision inguinofemoral nodes (38531) | $16,159.39 | — | 3.9× |
| Open Repair of Rotator Cuff Acute (23410) | $51,388.38 | — | 6.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $37,329.37 | — | 4.9× |
| Open treatment calcaneal fracture (28415) | $67,405.41 | — | 8.8× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) | $38,527.29 | — | 5.0× |
| Open Treatment Medial Malleolus Fracture (27766) | $23,099.41 | — | 3.0× |
| Open treatment metatarsal fracture each (28485) | $30,675.77 | — | 4.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) | $37,085.69 | — | 4.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $35,442.74 | — | 4.6× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) | $19,378.58 | — | 2.5× |
| Open Treatment of Ulnar Shaft Fracture (25545) | $23,082.23 | — | 3.0× |
| Open Treatment Proximal Humeral Fracture (23615) | $39,154.18 | — | 2.9× |
| Open Treatment Radial Shaft Fracture (25515) | $26,011.79 | — | 3.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $22,290.99 | — | 6.4× |
| Open tx carpal scaphoid navicular fracture (25628) | $31,869.99 | — | 4.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $32,122.97 | — | 4.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $11,688.94 | — | 3.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $32,612.58 | — | 4.2× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) | $39,446.20 | — | 6.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $22,291.65 | — | 6.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $23,166.29 | — | 6.7× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) | $26,876.93 | — | 3.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $34,489.10 | — | 4.5× |
| Open tx ulnar fx proximal end (24685) | $27,112.64 | — | 3.5× |
| Open/Perq Place Stent 1St (37236) range across 2 matching MRF lines |
$31,004.37–$48,771.60 | — | varies |
| Open/Perq Place Stent Same (37238) range across 8 matching MRF lines |
$22,826.05–$34,238.75 | $35,117–$52,675 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $31,869.99 | — | 4.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $25,623.43 | — | 3.3× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | $40,479.79 | — | 5.3× |
| Ostc prtl exostc/condylc metar head (28288) | $36,298.31 | — | 10.5× |
| Ostectomy calcaneus (28118) | $25,547.78 | — | 7.4× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $12,796.65 | — | 3.7× |
| Ostectomy, complete excision; first metatarsal head (28111) | $19,917.79 | — | 5.8× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $18,487.49 | — | 5.3× |
| Osteochondral allograft knee open (27415) | $65,887.22 | — | 4.9× |
| Osteochondral knee autograft (27416) | $26,678.60 | — | 3.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $32,087.64 | — | 9.3× |
| Osteotomy calcaneus w/wo internal fixation (28300) range across 2 matching MRF lines |
$37,339.28–$43,132.91 | — | varies |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) range across 2 matching MRF lines |
$34,048.88–$37,339.28 | — | varies |
| Parathyroidectomy or exploration of parathyroid(s); (60500) | $27,339.53 | — | 4.4× |
| Part remv talus or calcaneus (28120) | $29,008.46 | — | 8.4× |
| Partial excision bone metacarpal (26230) | $20,729.31 | — | 6.0× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) | $29,118.98 | — | 8.4× |
| Partial removal of fibula (27641) | $19,749.21 | — | 5.7× |
| Partial removal of scapula (23190) | $26,748.12 | — | 7.7× |
| Partial removal of thyroid (60220) | $25,188.81 | — | 3.9× |
| Partical Excision Bone Phalanx Toe (28124) | $13,044.87 | — | 3.8× |
| Perc Cryo Ablate Renal Tum (50593) range across 3 matching MRF lines |
$6,202.95–$9,304.75 | $9,543–$14,315 | varies |
| Percut Ablate Liver Rf (47382) | $8,752.90 | $13,466 | 1.4× |
| Percut Cath Occlusn Non Cns Lesn (61626) unusually low: confirm this is the full procedure |
$5,563.35 | $8,559 | 0.5× |
| Percut Drain/Inject Renal Cyst (50390) range across 3 matching MRF lines |
$1,359.80–$2,039.05 | $2,092–$3,137 | varies |
| Peri-Implant Capsulectomy Breast Complete (19371) | $28,289.20 | — | 6.8× |
| Pericardiocentesis W/Imaging (33016) | $3,251.95 | $5,003 | 2.0× |
| Perq Cervicothoracic Inject (22510) | $5,560.10 | $8,554 | 1.6× |
| Perq dev breast 1st mr guide (19287) range across 3 matching MRF lines |
$1,370.20–$2,055.30 | $2,108–$3,162 | varies |
| Perq dev breast 1st strtctc (19283) range across 3 matching MRF lines |
$2,466.10–$3,698.50 | $3,794–$5,690 | varies |
| Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$2,597.95–$4,152.65 | — | varies |
| Perq device breast 1st imag (19281) | $19,354.24 | — | 11.1× |
| Perq dilation xst trc endourologic px w/img (50436) range across 3 matching MRF lines |
$3,456.05–$5,185.05 | $5,317–$7,977 | varies |
| Perq Lumbosacral Injection (22511) | $6,200.35 | $9,539 | 1.8× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) | $33,869.09 | — | 3.4× |
| Perq p-art revsc 1 nm nt uni (33900) unusually low: confirm this is the full procedure |
$6,047.60 | $9,304 | 0.5× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) | $9,786.40 | $15,056 | 0.5× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) | $14,679.60 | $22,584 | 1.2× |
| Perq p-art revsc st 1st nml native connj bi (33901) | $9,072.05 | $13,957 | 0.7× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) range across 3 matching MRF lines |
$6,193.20–$9,290.45 | $9,528–$14,293 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 3 matching MRF lines |
$611.65–$917.15 | $941–$1,411 | varies |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $14,683.69 | — | 4.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $26,345.80 | $40,532 | 2.2× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $13,687.05 | $21,057 | 2.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $29,983.35 | — | 3.9× |
| Perq Vertebral Augmentation (22513) | $15,066.35 | $23,179 | 2.0× |
| Place Cath Thoracic Aorta (36221) | $3,925.35 | $6,039 | 1.2× |
| Place Cath Vertebral Art (36226) range across 3 matching MRF lines |
$6,416.15–$9,623.25 | $9,871–$14,805 | varies |
| Place Duod/Jej Tube Perc (49441) | $2,583.75 | $3,975 | 1.3× |
| Placement of needle for intraosseous infusion (36680) | $421.20 | $648 | 0.9× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $10,173.15 | $15,651 | 1.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 6 matching MRF lines |
$4,594.85–$6,891.30 | $7,069–$10,602 | varies |
| Plmt Nephroureteral Catheter (50433) range across 3 matching MRF lines |
$2,497.30–$3,406.65 | $3,842–$5,241 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 3 matching MRF lines |
$3,950.05–$5,924.75 | $6,077–$9,115 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$4,404.40–$6,606.60 | $6,776–$10,164 | varies |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
$3,950.05–$5,924.75 | $6,077–$9,115 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $16,912.53 | — | 3.2× |
| Prim art mech thrombectomy (37184) range across 6 matching MRF lines |
$7,522.45–$11,284 | $11,573–$17,360 | varies |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,729.65 | $2,661 | 2.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $4,072.25 | $6,265 | 1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $4,541.55 | $6,987 | 1.2× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) | $53,752.37 | — | 15.5× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $19,806.43 | — | 5.7× |
| Pseudoaneurysm Injection Trt (36002) range across 4 matching MRF lines |
$570.05–$855.40 | $877–$1,316 | varies |
| Punch biopsy skin single lesion (11104) | $2,176.20 | — | 5.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $2,147.48 | — | 5.0× |
| Puncture Aspiration Cyst Breast (19000) | $1,439.20 | — | 1.9× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 6 matching MRF lines |
$1,376.70–$2,064.40 | $2,118–$3,176 | varies |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) | $28,295.70 | — | 3.7× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $13,157.64 | — | 7.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 3 matching MRF lines |
$1,197.95–$1,795.95 | $1,843–$2,763 | varies |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $23,090.89 | — | 3.0× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) | $47,262.01 | — | 7.5× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) | $34,321.79 | — | 4.5× |
| Reconstruction Toe Polydactyly (28344) | $13,571.15 | — | 3.9× |
| Reinforce tibia (27745) | $67,937.45 | — | 8.8× |
| Release of shoulder ligament (23415) | $28,529.51 | — | 3.7× |
| Relocation Pocket Pacemaker (33222) | $3,286.40 | $5,056 | 1.5× |
| Rem Endovas Vena Cava Filter (37193) | $7,946.25 | $12,225 | 2.4× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $713.70 | $1,098 | 0.7× |
| Removal foreign body foot deep (28192) | $11,595.48 | — | 6.6× |
| Removal Foreign Body Foot Subcutaneous (28190) | $11,517.54 | — | 15.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $16,143.99 | — | 258.7× |
| Removal Implant Deep (20680) | $24,515.01 | — | 8.0× |
| Removal intact breast implant (19328) | $39,288 | — | 9.5× |
| Removal of adenoids (42830) | $12,360.60 | — | 3.5× |
| Removal of heel spur (28119) | $13,930.47 | — | 4.0× |
| Removal of mammary implant material (19330) | $23,340.46 | — | 5.6× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$8,915.61–$9,103.61 | — | varies |
| Removal of sperm cord lesion (55520) | $16,518.63 | — | 4.4× |
| Removal of testis (54520) | $14,450.60 | — | 3.9× |
| Removal of thyroid (60271) | $29,405.36 | — | 4.7× |
| Removal of tonsils (42826) | $13,368.91 | — | 3.8× |
| Removal of tunneled intraperitoneal catheter (49422) | $2,233.14 | — | 0.7× |
| Removal Pacemaker Electrode (33235) | $3,560.05 | $5,477 | 0.9× |
| Removal ppm generator only (33233) unusually low: confirm this is the full procedure |
$3,277.95 | $5,043 | 0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $15,971.17 | — | 75.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $6,331 | $9,740 | 8.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $15,822.94 | — | 7.2× |
| Removal, under anesthesia, of external fixation system (20694) | $16,648.97 | — | 9.8× |
| Remove cerclage suture (59871) | $9,854.23 | — | 2.9× |
| Remove drug implant device (11982) | $70,118.23 | — | 148.4× |
| Remove Elbow Joint Lining (24102) | $19,223.78 | — | 5.6× |
| Remove Elctrd Transvenously (33244) | $5,107.05 | $7,857 | 1.3× |
| Remove Intrauterine Device (58301) | $18,736.30 | — | 58.1× |
| Remove intrvas foreign body (37197) | $4,390.10 | $6,754 | 1.3× |
| Remove lung catheter (32552) | $557.05 | $857 | 0.8× |
| Remove Pulse Generator (33241) | $3,219.45 | $4,953 | 0.8× |
| Remove renal tube w/fluoro (50389) range across 3 matching MRF lines |
$1,063.40–$1,595.10 | $1,636–$2,454 | varies |
| Remove Tendon Sheath Lesion (26160) | $9,520.91 | — | 5.6× |
| Remove ureter stent percut (50384) range across 3 matching MRF lines |
$2,789.80–$4,184.70 | $4,292–$6,438 | varies |
| Remove&replace pm gen singl (33227) | $12,941.50 | $19,910 | 1.5× |
| Remv&replc cvd gen dual lead (33263) | $38,655.50 | $59,470 | 1.6× |
| Remv&replc cvd gen mult lead (33264) | $55,004.30 | $84,622 | 1.7× |
| Remv&replc cvd gen sing lead (33262) | $38,655.50 | $59,470 | 1.6× |
| Remv&replc pm gen dual lead (33228) | $17,455.10 | $26,854 | 1.6× |
| Remv&replc pm gen mult leads (33229) | $31,162.30 | $47,942 | 1.5× |
| Renal Biopsy Perq (50200) range across 6 matching MRF lines |
$1,710.15–$2,566.20 | $2,631–$3,948 | varies |
| Repair Achilles Tendon (27650) | $24,383.25 | — | 3.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) range across 3 matching MRF lines |
$4,353.05–$6,529.25 | $6,697–$10,045 | varies |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $36,782.58 | — | 4.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $15,093.29 | — | 35.1× |
| Repair complex trunk 2.6-7.5 cm (13101) | $15,867.98 | — | 20.3× |
| Repair Elbow Perc (24357) | $4,898.95 | — | 1.4× |
| Repair Extensor Tendon Finger W/Graft Each (26420) | $16,886.15 | — | 4.9× |
| Repair Finger Tendon (26433) | $19,264.52 | — | 5.6× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) range across 2 matching MRF lines |
$18,688.12–$30,192.03 | — | varies |
| Repair Foot Dislocation (28615) | $53,752.37 | — | 7.0× |
| Repair Hallux Rigidus (28289) | $17,817.51 | — | 5.1× |
| Repair Hand Joint (26540) | $18,603.51 | — | 5.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $18,123.55 | — | 4.8× |
| Repair initial femoral hernia, any age; reducible (49550) | $37,123.11 | — | 9.8× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $18,123.55 | — | 4.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $14,146.79 | — | 32.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $10,878.66 | — | 25.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $13,647.63 | — | 31.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $9,177.74 | — | 21.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $14,376.15 | — | 33.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $14,867.31 | — | 34.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $16,875.37 | — | 7.7× |
| Repair lead pace-defib dual (33220) | $6,945.90 | $10,686 | 1.8× |
| Repair Lead Pace-Defib One (33218) | $4,296.50 | $6,610 | 1.1× |
| Repair lower leg tendons (27676) | $24,184.87 | — | 3.2× |
| Repair Nasal Vestibular Stenosis (30465) | $17,542.91 | — | 2.8× |
| Repair Nonunion/Malunion Tarsal Bones (28320) | $38,908.84 | — | 2.9× |
| Repair of Ruptured Tendon (24342) | $17,134.71 | — | 2.2× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $16,381.38 | — | 2.4× |
| Repair Rotator Cuff Chronic (23412) | $32,988.15 | — | 4.3× |
| Repair secondary achilles tendon w/wo graft (27654) | $26,922.12 | — | 3.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $19,571.37 | — | 5.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $23,086.31 | — | 3.0× |
| Repair Tooth Socket (41874) | $20,266.13 | — | 5.8× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $25,959.34 | — | 3.4× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) | $54,004.35 | — | 7.0× |
| Repair/graft achilles tendon (27652) | $34,483.04 | — | 4.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,749.80 | $2,692 | 1.8× |
| Replace G-J Tube Perc (49452) | $1,749.80 | $2,692 | 1.8× |
| Replace g/c tube perc (49450) | $1,955.43 | — | 2.0× |
| Replacement Tissue Expander W/Permanent Implant (11970) | $31,318.66 | — | 4.1× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $4,979 | $7,660 | 1.3× |
| Reposition Gastrostomy Tube (43761) | $321.75 | $495 | 1.2× |
| Reposition Pacing-Defib Lead (33215) | $3,629.60 | $5,584 | 1.1× |
| Reposition Venous Catheter (36597) | $1,106.95 | $1,703 | 0.7× |
| Repr elbow lat ligmnt w/tiss (24343) | $19,781.71 | — | 5.7× |
| Rerepair ing hernia reduce (49520) | $19,975.04 | — | 5.3× |
| Revis reconst shoulder joint (23473) | $69,864.66 | — | 5.1× |
| Revise finger joint each (26140) | $20,729.31 | — | 12.2× |
| Revise Hand/Foot Nerve (64704) | $28,168.69 | — | 13.6× |
| Revise Wrist/Forearm Tendon (25280) | $31,869.99 | — | 9.2× |
| Revision of big toe (28310) | $32,087.64 | — | 4.2× |
| Revision of foot (28116) | $70,746.55 | — | 20.4× |
| Revision of lower leg tendon (27685) | $32,545.58 | — | 9.4× |
| Revision Peri-Implant Capsule Breast (19370) | $23,340.46 | — | 5.6× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) range across 2 matching MRF lines |
$37,215–$64,805.64 | — | varies |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $7,188.35 | $11,059 | 1.2× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $15,404.88 | — | 4.2× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) range across 3 matching MRF lines |
$6,349.20–$9,523.80 | $9,768–$14,652 | varies |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) range across 3 matching MRF lines |
$5,699.20–$8,548.80 | $8,768–$13,152 | varies |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) | $18,910.45 | $29,093 | 1.0× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) range across 3 matching MRF lines |
$9,157.85–$13,736.77 | $14,089–$21,133.50 | varies |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) range across 3 matching MRF lines |
$8,507.85–$12,761.77 | $13,089–$19,633.50 | varies |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) range across 3 matching MRF lines |
$12,149.15–$18,223.72 | $18,691–$28,036.50 | varies |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) range across 3 matching MRF lines |
$11,499.38–$17,249.06 | $17,691.35–$26,537.02 | varies |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) range across 3 matching MRF lines |
$6,349.20–$9,523.80 | $9,768–$14,652 | varies |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) range across 3 matching MRF lines |
$5,699.20–$8,548.80 | $8,768–$13,152 | varies |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) range across 3 matching MRF lines |
$9,157.85–$13,736.77 | $14,089–$21,133.50 | varies |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) range across 3 matching MRF lines |
$8,507.85–$12,761.45 | $13,089–$19,633 | varies |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) range across 3 matching MRF lines |
$6,349.20–$9,523.80 | $9,768–$14,652 | varies |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) range across 3 matching MRF lines |
$5,699.20–$8,548.80 | $8,768–$13,152 | varies |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 3 matching MRF lines |
$1,528.15–$2,291.90 | $2,351–$3,526 | varies |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $10,877.03 | — | 6.2× |
| Rmvl of subq implantable defibrillator electrode (33272) | $5,139.55 | $7,907 | 1.3× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $15,404.88 | — | 7.5× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $2,835.95 | $4,363 | 0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,747.78 | — | 1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,692.60 | $2,604 | 2.6× |
| Rplc Gtube No Revj Trc (43762) | $2,877.58 | — | 10.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,938.95 | $2,983 | 1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $549.25 | $845 | 0.3× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $5,773.95 | $8,883 | 1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $3,078.40 | $4,736 | 0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $18,440.63 | — | 2.9× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $31,254.63 | — | 8.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $18,856.88 | — | 2.8× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $16,014.83 | — | 2.5× |
| Rpr blood vessel direct lower extremity (35226) range across 3 matching MRF lines |
$960.70–$1,442.35 | $1,478–$2,219 | varies |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $22,994.20 | — | 6.6× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $26,606.55 | — | 7.7× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) | $28,761.26 | — | 3.7× |
| Sclerotx Fluid Collection (49185) | $2,036.45 | $3,133 | 1.2× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $16,623.31 | — | 4.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $5,339.39 | — | 5.4× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $10,625.32 | — | 8.4× |
| Sigmoidoscopy w/plcmt stent (45347) | $14,403.58 | — | 2.2× |
| Sigmoidoscopy W/Ultrasound (45341) | $5,235.72 | — | 5.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $258.70 | $398 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) | $8,901.75 | — | 11.4× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$11,951.55–$22,829.56 | — | varies |
| Skin sub grft t/arm/lg child (15273) | $5,534.10 | $8,514 | 2.5× |
| Skin Tissue Procedure (17999) | $853.45 | $1,313 | 4.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 3 matching MRF lines |
$7,367.10–$11,050.65 | $11,334–$17,001 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 3 matching MRF lines |
$3,925.35–$5,888.35 | $6,039–$9,059 | varies |
| Spinal puncture lumbar diagnostic (62270) | $1,087.45 | $1,673 | 1.5× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $20,886.09 | — | 5.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $18,950.98 | — | 8.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) range across 3 matching MRF lines |
$7,055.75–$10,584.60 | $10,855–$16,284 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$232.05–$349.05 | $357–$537 | varies |
| Strapping knee (29530) range across 3 matching MRF lines |
$169.65–$294.45 | $261–$453 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$1,859–$1,983.15 | — | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $16,705.49 | — | 4.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $15,728 | — | 5.4× |
| Suture infrapatellar tendon primary (27380) | $20,717.81 | — | 2.7× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) | $26,678.60 | — | 3.5× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $31,546.68 | — | 4.1× |
| Syndactylization toes (28280) | $16,734.12 | — | 4.8× |
| Tangential biopsy skin single lesion (11102) | $585.65 | $901 | 1.4× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $26,463.45 | $40,713 | 1.3× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $33,190.20 | — | 9.6× |
| Tenodesis long tendon biceps (23430) | $30,428.60 | — | 4.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $28,168.69 | — | 8.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $3,518.45 | — | 2.1× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 3 matching MRF lines |
$4,366.70–$6,549.40 | $6,718–$10,076 | varies |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) range across 3 matching MRF lines |
$4,119.05–$6,178.90 | $6,337–$9,506 | varies |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $5,653.80 | — | 1.6× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) range across 3 matching MRF lines |
$2,914.60–$4,372.55 | $4,484–$6,727 | varies |
| Tenotomy shoulder area single tendon (23405) | $9,092.20 | $13,988 | 1.2× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,432.60 | $2,204 | 1.9× |
| Therapeutic plasma exchange (36514) | $2,583.10 | $3,974 | 1.6× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) | $4,858.10 | $7,474 | 0.8× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $35,813.05 | $55,097 | 1.8× |
| Thromblytic art/ven therapy (37213) | $3,456.05 | $5,317 | 1.0× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) range across 3 matching MRF lines |
$7,127.25–$10,690.55 | $10,965–$16,447 | varies |
| Thrombolytic Art Therapy (37211) range across 3 matching MRF lines |
$1,704.30–$2,555.80 | $2,622–$3,932 | varies |
| Thyroid biopsy (60100) | $820.30 | $1,262 | 1.1× |
| Thyroidectomy, total or complete (60240) | $27,704.93 | — | 4.3× |
| Tibial Arthroscopy/Surgery (29855) | $24,277.95 | — | 3.2× |
| Tissue Expander Placement Breast Reconstruction (19357) range across 2 matching MRF lines |
$26,999.50–$39,544.33 | — | varies |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $18,921.89 | — | 5.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $13,769.80 | — | 3.9× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$17,622.31–$18,487.84 | — | varies |
| Total Knee Arthroplasty (27447) | $40,740.44 | — | 3.0× |
| Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$893.10 | $1,374 | 0.2× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) range across 2 matching MRF lines |
$40,456.49–$45,856.16 | — | varies |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $33,190.20 | — | 16.1× |
| Transfer/transplant tendon palmar w/o graft each (26485) | $11,731.10 | — | 3.4× |
| Transurethral resection bladder neck (52500) | $18,820.25 | — | 5.0× |
| Treat Big Toe Fracture (28505) | $33,518.63 | — | 9.7× |
| Treat Finger Fracture Each (26727) | $10,762 | — | 3.1× |
| Treat fracture radius/ulna (25575) | $26,912.09 | — | 3.5× |
| Treat Kneecap Fracture (27524) | $33,255.09 | — | 4.3× |
| Treatment of ankle fracture (27823) | $34,446.20 | — | 4.5× |
| Trim skin lesion (11055) | $13,367.18 | — | 63.0× |
| Trimming Nondystrophic Nails Any Number (11719) | $144.95 | $223 | 2.3× |
| Trluml Balo Angiop 1St Art (37246) | $25,278.77 | — | 4.2× |
| Trluml Balo Angiop 1St Vein (37248) range across 8 matching MRF lines |
$8,689.85–$13,035.75 | $13,369–$20,055 | varies |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) | $51,388.38 | — | 3.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $15,091.37 | — | 4.4× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $39,423.08 | — | 5.1× |
| Tx Missed Abortion First Trimester Surgical (59820) | $14,284.27 | — | 4.2× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $4,075.50 | $6,270 | 1.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) range across 3 matching MRF lines |
$2,055.95–$3,084.25 | $3,163–$4,745 | varies |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $14,008.85 | — | 8.5× |
| Tympanoplasty (69631) | $19,639.05 | — | 3.1× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$11,344.91–$11,686.19 | — | varies |
| Unlisted laparoscopic procedure liver (47379) | $31,996.51 | — | 5.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) | $30,933.49 | — | 4.8× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) | $23,795.32 | — | 3.7× |
| Unlisted procedure arthroscopy (29999) | $35,848.72 | — | 137.4× |
| Unlisted procedure femur or knee (27599) | $24,200.60 | — | 92.7× |
| Unlisted procedure foot or toes (28899) | $13,633.20 | — | 52.2× |
| Unlisted procedure forearm or wrist (25999) | $26,575.28 | — | 101.8× |
| Unlisted procedure lungs and pleura (32999) range across 2 matching MRF lines |
$923.65–$1,899.30 | $1,421–$2,922 | varies |
| Unlisted Procedure Muscskeletal System General (20999) | $55,013.14 | — | 210.8× |
| Unlisted procedure nervous system (64999) | $700.05 | $1,077 | 2.2× |
| Unlisted procedure pelvis/hip joint (27299) | $38,189.40 | — | 146.3× |
| Unlisted procedure shoulder (23929) | $43,434.81 | — | 166.4× |
| Unlisted procedure spine (22899) | $5,796.05 | $8,917 | 22.2× |
| Unlisted Procedure Vascular Surgery (37799) | $25,278.77 | — | 38.1× |
| Vag hyst complex (58290) | $53,431.09 | — | 6.8× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $23,225.68 | — | 4.4× |
| Vasc embolize/occlude artery (37242) | $22,131.85 | $34,049 | 1.1× |
| Vasc Embolize/Occlude Bleed (37244) range across 2 matching MRF lines |
$38,954.12–$82,415.30 | — | varies |
| Vasc Embolize/Occlude Organ (37243) | $22,131.85 | $34,049 | 1.8× |
| Vasc embolize/occlude venous (37241) | $22,131.85 | $34,049 | 1.8× |
| Venous Mech Thrombectomy (37187) range across 4 matching MRF lines |
$7,164.95–$11,392.55 | $11,023–$17,527 | varies |
| Vulvectomy simple partial (56620) | $15,002.15 | — | 4.4× |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) | $43,969.13 | — | 5.6× |
| Wound Prep F/N/Hf/G (15004) | $16,340.02 | — | 38.0× |
| Wound Prep Trk/Arm/Leg (15002) | $18,802.52 | — | 24.0× |
| Wrist arthroscopy with partial removal of joint lining (29844) | $20,960.26 | — | 6.1× |
| Xfer Single Deep Low Leg Tendon (27691) | $37,325.39 | — | 4.9× |
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.