Procedures & surgery prices at Salem Regional Medical Center
Salem, OH · every code in this section with a posted price and a Medicare benchmark.
463 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) range across 3 matching MRF lines |
$1,511.25–$1,676 | $1,511.25–$1,676 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$985.75–$1,108.50 | $985.75–$1,108.50 | varies |
| Amniocentesis diagnostic (59000) | $801.50 | $801.50 | 0.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $3,196.25 | $3,196.25 | 1.0× |
| Application Body Cast Shoulder Hips (29035) | $613 | $613 | 2.3× |
| Application cast elbow finger short arm (29075) range across 4 matching MRF lines |
$150.50–$245.25 | $150.50–$245.25 | varies |
| Application Finger Splint Dynamic (29131) | $198 | $198 | 3.5× |
| Application finger splint static (29130) range across 30 matching MRF lines |
$148.50–$224.75 | $148.50–$224.75 | varies |
| Application Hip Spica Cast 1 Leg (29305) | $466.75 | $466.75 | 1.7× |
| Application long arm splint shoulder hand (29105) range across 9 matching MRF lines |
$201–$548 | $201–$548 | varies |
| Application Long Leg Splint (29505) range across 10 matching MRF lines |
$268–$550.25 | $268–$550.25 | varies |
| Application of long leg cast (29345) range across 4 matching MRF lines |
$585.25–$587.25 | $585.25–$587.25 | varies |
| Application of rigid total contact leg cast (29445) | $532.75 | $532.75 | 2.0× |
| Application Short Arm Splint Dynamic (29126) | $305 | $305 | 2.4× |
| Application short arm splint forearm-hand static (29125) range across 11 matching MRF lines |
$190.75–$517.25 | $190.75–$517.25 | varies |
| Application short leg splint calf foot (29515) range across 9 matching MRF lines |
$253.50–$517.25 | $253.50–$517.25 | varies |
| Apply hand/wrist cast (29085) | $187.50 | $187.50 | 1.2× |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$166–$371 | $166–$371 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$305–$607.75 | $305–$607.75 | varies |
| Apply Short Leg Cast (29405) range across 4 matching MRF lines |
$182.50–$434.75 | $182.50–$434.75 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$259.75–$651 | $259.75–$651 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$830.25–$831.25 | $830.25–$831.25 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 11 matching MRF lines |
$343–$1,030 | $343–$1,030 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$914.75–$916.75 | $914.75–$916.75 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
$210.25–$573.75 | $210.25–$573.75 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$596.50–$660.25 | $596.50–$660.25 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$594.50–$1,187.75 | $594.50–$1,187.75 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $105.25 | $105.25 | 0.4× |
| Aspiration and/or injection thyroid cyst (60300) | $533.75 | $533.75 | 0.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$183.50–$184.50 | $183.50–$184.50 | varies |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$1,354.50–$6,980 | $1,354.50–$6,980 | varies |
| Biopsy bone open deep (20245) | $4,507.50 | $4,507.50 | 1.6× |
| Biopsy bone open superficial (20240) | $4,441.50 | $4,441.50 | 1.6× |
| Biopsy bone trocar/needle deep (20225) | $5,498.75 | $5,498.75 | 3.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$1,497.75–$1,580.25 | $1,497.75–$1,580.25 | varies |
| Biopsy muscle percutaneous needle (20206) | $1,807.75 | $1,807.75 | 1.1× |
| Biopsy of breast; open, incisional (19101) | $5,149 | $5,149 | 1.4× |
| Biopsy of liver, needle; percutaneous (47000) range across 3 matching MRF lines |
$1,249.50–$2,106 | $1,249.50–$2,106 | varies |
| Biopsy Salivary Gland Needle (42400) | $951.75 | $951.75 | 1.4× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$254.50–$261.75 | $254.50–$261.75 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$99–$105.25 | $99–$105.25 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $820 | $820 | 2.7× |
| Blood Transfusion Service (36430) range across 6 matching MRF lines |
$514–$516.25 | $514–$516.25 | varies |
| Bone Marrow Biopsy (38221) | $1,388.50 | $1,388.50 | 0.9× |
| Bronchoscopy Clear Airways (31645) | $1,317.50 | $1,317.50 | 0.8× |
| Bronchoscopy Reclear Airway (31646) | $1,317.50 | $1,317.50 | 3.5× |
| Bx breast 1st lesion mr imag (19085) | $3,205.50 | $3,205.50 | 2.0× |
| Bx breast 1st lesion strtctc (19081) | $3,533.25 | $3,533.25 | 2.2× |
| Bx breast 1st lesion us imag (19083) | $2,807.75 | $2,807.75 | 1.8× |
| Bx breast needle core w/o imaging guidance spx (19100) range across 3 matching MRF lines |
$490.50–$1,256.75 | $490.50–$1,256.75 | varies |
| Cessj Therapy Cath Removal (37214) | $1,346.25 | $1,346.25 | 0.4× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$463.50–$881 | $463.50–$881 | varies |
| Chemical Cautery Tissue (17250) | $282.25 | $282.25 | 1.5× |
| Chemical Pleurodesis (32560) | $898 | $898 | 1.5× |
| Chemodenerv 1 extrem 5/> mus (64644) | $519.25 | $519.25 | 0.8× |
| Chemodenerv 1 extremity 1-4 (64642) | $555.25 | $555.25 | 0.8× |
| Chemodenerv Musc Migraine (64615) | $382.25 | $382.25 | 1.3× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$465.75–$928.25 | $465.75–$928.25 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $610 | $610 | 0.9× |
| Chemodenerv trunk musc 6/> (64647) | $643.75 | $643.75 | 0.9× |
| Chemodenervation of internal anal sphincter (46505) | $3,332.25 | $3,332.25 | 2.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$364.75–$726.25 | $364.75–$726.25 | varies |
| Chest tube placement (32551) range across 5 matching MRF lines |
$1,384.50–$2,767.75 | $1,384.50–$2,767.75 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) range across 2 matching MRF lines |
$3,138.50–$3,667 | $3,138.50–$3,667 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $2,136.25 | $2,136.25 | 1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,139.50 | $2,139.50 | 1.4× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$207.25–$410 | $207.25–$410 | varies |
| Closed Treat Vert Body Fract (22310) | $542 | $542 | 2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $802.50 | $802.50 | 3.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 4 matching MRF lines |
$1,896.25–$3,791.50 | $1,896.25–$3,791.50 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 4 matching MRF lines |
$561.50–$562.50 | $561.50–$562.50 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $2,053 | $2,053 | 1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $497.50 | $497.50 | 2.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,819 | $1,819 | 1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) | $748 | $748 | 3.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 4 matching MRF lines |
$584.25–$586.25 | $584.25–$586.25 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,984 | $1,984 | 1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $480 | $480 | 2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,702.75 | $1,702.75 | 1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,470–$1,473 | $1,470–$1,473 | varies |
| Closed tx septal&nose fx (21337) | $4,197.25 | $4,197.25 | 1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $646 | $646 | 2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 5 matching MRF lines |
$1,618.25–$3,233.25 | $1,618.25–$3,233.25 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 6 matching MRF lines |
$807.75–$1,613 | $807.75–$1,613 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$1,588.50–$1,591.50 | $1,588.50–$1,591.50 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $693.25 | $693.25 | 2.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $856 | $856 | 3.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $545 | $545 | 2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $817 | $817 | 3.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $565.50 | $565.50 | 2.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 5 matching MRF lines |
$545–$662.50 | $545–$662.50 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 6 matching MRF lines |
$2,155–$2,161 | $2,155–$2,161 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $3,035.50 | $3,035.50 | 2.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $597.50 | $597.50 | 2.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $748 | $748 | 3.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,980 | $2,980 | 1.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $2,387.75 | $2,387.75 | 1.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 5 matching MRF lines |
$1,618.25–$3,233.25 | $1,618.25–$3,233.25 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 5 matching MRF lines |
$532.75–$1,061 | $532.75–$1,061 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,566.75 | $1,566.75 | 1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,746 | $1,746 | 1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $620.25 | $620.25 | 2.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 11 matching MRF lines |
$618–$619.25 | $618–$619.25 | varies |
| Cltx Medial Ankle Fx (27760) | $616 | $616 | 2.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$771.50–$773.75 | $771.50–$773.75 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $482.25 | $482.25 | 2.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,503 | $1,503 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $670.75 | $670.75 | 2.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$443–$485.25 | $443–$485.25 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 5 matching MRF lines |
$1,946.75–$3,889.50 | $1,946.75–$3,889.50 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 6 matching MRF lines |
$537.75–$1,072.25 | $537.75–$1,072.25 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $552.25 | $552.25 | 2.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,955.25 | $2,955.25 | 1.9× |
| Cltx prox tibfib jt dislc req anes (27831) | $3,127.25 | $3,127.25 | 1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 5 matching MRF lines |
$314.25–$625.25 | $314.25–$625.25 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,744 | $1,744 | 1.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,528.75 | $1,528.75 | 1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $509 | $509 | 2.1× |
| Cltx tibial fx proximal w/o manipulation (27530) | $653.25 | $653.25 | 2.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,532.75 | $1,532.75 | 1.0× |
| Collect Blood From Catheter Venous Nos (36592) | $109.25 | $109.25 | 0.8× |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$28–$50.50 | $28–$50.50 | varies |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$2,555.50–$4,826.75 | $2,555.50–$4,826.75 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$496.50–$993 | $496.50–$993 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$296.75–$590.25 | $296.75–$590.25 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $3,200.25 | $3,200.25 | 6.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $4,049 | $4,049 | 2.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $309 | $309 | 2.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $302 | $302 | 1.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,205.25 | $1,205.25 | 0.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $783 | $783 | 1.1× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $3,959.50 | $3,959.50 | 5.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$670.75–$673.75 | $670.75–$673.75 | varies |
| Debride nail 1-5 (11720) | $174.25 | $174.25 | 3.1× |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$169–$174.25 | $169–$174.25 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$1,576–$1,580.25 | $1,576–$1,580.25 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines |
$670.75–$673.75 | $670.75–$673.75 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$523.25–$579 | $523.25–$579 | varies |
| Decompress Fingers/Hand (26035) | $4,218 | $4,218 | 1.3× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,930.25–$3,860.50 | $1,930.25–$3,860.50 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$1,930.25–$3,860.50 | $1,930.25–$3,860.50 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$297.75–$298.75 | $297.75–$298.75 | varies |
| Destruction Benign Lesions 15/> (17111) | $382.25 | $382.25 | 2.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,338 | $1,338 | 1.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $8,168.50 | $8,168.50 | 4.3× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $4,464.25 | $4,464.25 | 3.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $6,144 | $6,144 | 2.0× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$782–$1,564 | $782–$1,564 | varies |
| Drainage external auditory canal abscess (69020) | $329.75 | $329.75 | 0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $614 | $614 | 0.9× |
| Drainage Finger Abscess Complicated (26011) | $1,319.50 | $1,319.50 | 0.8× |
| Drainage of finger abscess simple (26010) | $364.75 | $364.75 | 1.9× |
| Drainage of gum lesion (41800) | $357.50 | $357.50 | 2.8× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$2,555.50–$2,561.75 | $2,555.50–$2,561.75 | varies |
| Drainage of rectal abscess (45005) | $1,729.50 | $1,729.50 | 1.5× |
| Drainage of scrotal wall abscess (55100) | $1,385.50 | $1,385.50 | 0.9× |
| Draw Blood Off Venous Device (36591) | $109.25 | $109.25 | 0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $818 | $818 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$381.25–$668.50 | $381.25–$668.50 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$305–$306 | $305–$306 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $280.25 | $280.25 | 1.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,574 | $1,574 | 1.8× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) range across 2 matching MRF lines |
$1,230–$1,551.25 | $1,230–$1,551.25 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $1,902.50 | $1,902.50 | 0.7× |
| Dx Bronchoscope/Lavage (31624) | $1,317.50 | $1,317.50 | 0.8× |
| Dx Bronchoscope/Wash (31622) | $1,317.50 | $1,317.50 | 0.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,358.75 | $1,358.75 | 2.0× |
| Egd lesion ablation (43270) | $3,887.25 | $3,887.25 | 2.1× |
| Egd place gastrostomy tube (43246) | $1,601.75 | $1,601.75 | 0.9× |
| Endometrial Biopsy (58100) | $467.75 | $467.75 | 2.4× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $3,148.75 | $3,148.75 | 1.7× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,444.50 | $3,444.50 | 1.7× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$820–$1,938.50 | $820–$1,938.50 | varies |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) | $3,294 | $3,294 | 0.9× |
| Evacuation of subungual hematoma (11740) | $146.50 | $146.50 | 1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $934.25 | $934.25 | 1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,581.25 | $1,581.25 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $1,294.75 | $1,294.75 | 1.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,774.75 | $1,774.75 | 2.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $2,599.75 | $2,599.75 | 1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,047.75 | $1,047.75 | 1.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,080.50 | $1,080.50 | 1.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,452.50 | $1,452.50 | 2.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,487.50 | $1,487.50 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,507 | $1,507 | 2.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,878.75 | $1,878.75 | 1.2× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $4,969 | $4,969 | 1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,846 | $1,846 | 2.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $3,003.50 | $3,003.50 | 1.9× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $3,713.25 | $3,713.25 | 1.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,031.50 | $3,031.50 | 1.9× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,792.25 | $1,792.25 | 1.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,858.25 | $2,858.25 | 1.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $934.25 | $934.25 | 2.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,222.75 | $1,222.75 | 1.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $2,500 | $2,500 | 1.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,755.50 | $3,755.50 | 1.1× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$2,094–$3,850.25 | $2,094–$3,850.25 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) range across 2 matching MRF lines |
$1,353.50–$1,680 | $1,353.50–$1,680 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $1,710 | $1,710 | 2.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,304 | $1,304 | 1.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $1,031.25 | $1,031.25 | 1.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,098 | $1,098 | 2.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,829.50 | $1,829.50 | 2.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $1,294.75 | $1,294.75 | 1.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,774.75 | $1,774.75 | 1.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $3,313.75 | $3,313.75 | 1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $1,487.50 | $1,487.50 | 0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $952.75 | $952.75 | 1.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,572 | $1,572 | 2.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $2,535 | $2,535 | 1.6× |
| Exploration penetrating wound spx extremity (20103) | $1,689.25 | $1,689.25 | 1.1× |
| Fasciotomy palmar percutaneous (26040) | $2,340.25 | $2,340.25 | 1.5× |
| Fasciotomy, foot and/or toe (28008) | $4,460 | $4,460 | 1.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $662.50 | $662.50 | 1.0× |
| Fine needle aspiration without imaging guidance (10021) | $1,671 | $1,671 | 4.2× |
| Fluid Pressure Muscle (20950) | $1,151.75 | $1,151.75 | 1.7× |
| Fluoro exam of g/colon tube (49465) | $218.50 | $218.50 | 0.9× |
| Fna bx w/us gdn 1st les (10005) | $843.75 | $843.75 | 1.2× |
| Guide Cathet Fluid Drainage (10030) | $750.50 | $750.50 | 1.1× |
| I&d abscess peritonsillar (42700) | $421.50 | $421.50 | 1.8× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$436.75–$437.75 | $436.75–$437.75 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$3,435.25–$3,443.50 | $3,435.25–$3,443.50 | varies |
| I&d perianal abscess superficial (46050) | $1,625.50 | $1,625.50 | 1.8× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$1,505–$1,509 | $1,505–$1,509 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$614–$615 | $614–$615 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines |
$1,912.75–$1,917 | $1,912.75–$1,917 | varies |
| Image Cath Fluid Colxn Visc (49405) | $3,753.50 | $3,753.50 | 2.3× |
| Image Cath Fluid Peri/Retro (49406) | $3,753.50 | $3,753.50 | 2.3× |
| Image Cath Fluid Trns/Vgnl (49407) | $2,325.75 | $2,325.75 | 1.5× |
| Incise external hemorrhoid (46083) | $452.25 | $452.25 | 1.9× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$550.25–$552.25 | $550.25–$552.25 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $3,870.75 | $3,870.75 | 2.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$528.50–$529.50 | $528.50–$529.50 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $408 | $408 | 2.1× |
| Incision and drainage of vulva or perineal abscess (56405) | $464.75 | $464.75 | 1.6× |
| Incision bone cortex foot (28005) | $4,307.50 | $4,307.50 | 1.4× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$2,268.25–$2,273.25 | $2,268.25–$2,273.25 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $206 | $206 | 1.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 4 matching MRF lines |
$1,195–$2,387.75 | $1,195–$2,387.75 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $358.50 | $358.50 | 1.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,280.50 | $1,280.50 | 1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,004.25 | $1,004.25 | 1.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$174.25–$578 | $174.25–$578 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$926–$1,174.25 | $926–$1,174.25 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,280.50 | $1,280.50 | 1.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $916.75 | $916.75 | 1.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,174.25 | $1,174.25 | 1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$733.50–$820 | $733.50–$820 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,280.50 | $1,280.50 | 1.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $935.25 | $935.25 | 3.1× |
| Injection Anes Superior Hypogastric Plexus (64517) | $3,724 | $3,724 | 4.4× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,114.50 | $1,114.50 | 1.6× |
| Injection for identification of sentinel node (38792) | $388.50 | $388.50 | 1.0× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$132–$492.50 | $132–$492.50 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$268–$421.50 | $268–$421.50 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $588.25 | $588.25 | 2.0× |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$171–$470.75 | $171–$470.75 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 5 matching MRF lines |
$606.75–$1,065 | $606.75–$1,065 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$733.50–$756.25 | $733.50–$756.25 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 15 matching MRF lines |
$733.50–$2,346.50 | $733.50–$2,346.50 | varies |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$382.25–$393.50 | $382.25–$393.50 | varies |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$1,534.75–$2,048.75 | $1,534.75–$2,048.75 | varies |
| Insert cath pleura w/o image (32556) | $2,356.75 | $2,356.75 | 1.3× |
| Insert Drug Implant Device (11981) | $451.25 | $451.25 | 3.5× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,303 | $1,303 | 0.7× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$3,627.75–$4,024.25 | $3,627.75–$4,024.25 | varies |
| Insert pessary/other device (57160) | $169 | $169 | 0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,732.50 | $1,732.50 | 1.1× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$312.25–$320.50 | $312.25–$320.50 | varies |
| Insert tun ip cath perc (49418) | $3,580.50 | $3,580.50 | 1.0× |
| Insert tunneled cv cath (36561) | $4,296.25 | $4,296.25 | 1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$178.25–$182.50 | $178.25–$182.50 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $6,795 | $6,795 | 2.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,761.50 | $1,761.50 | 1.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,495.75 | $1,495.75 | 0.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,602 | $2,602 | 0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$1,588.50–$1,591.50 | $1,588.50–$1,591.50 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,950 | $3,950 | 1.3× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $3,128.25 | $3,128.25 | 2.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $411 | $411 | 1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $479.50 | $479.50 | 1.2× |
| Intro Gastrointestinal Tube (44500) | $722.25 | $722.25 | 0.8× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$470.75–$484.25 | $470.75–$484.25 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $798.25 | $798.25 | 3.3× |
| Laryngoscopy flexible diagnostic (31575) | $443 | $443 | 2.3× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $4,109.75 | $4,109.75 | 1.3× |
| Myelography Lumbar Injection (62305) | $3,585.50 | $3,585.50 | 4.7× |
| Myelography Lumbar Injection (62304) | $2,903.75 | $2,903.75 | 3.8× |
| Myelography via lumbar injection rs&i cervical (62302) | $2,974.75 | $2,974.75 | 3.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,986 | $2,986 | 3.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $507 | $507 | 0.7× |
| N block inj intercost sng (64420) | $1,174.25 | $1,174.25 | 1.7× |
| N Block Inj Plantar Digit (64455) | $404 | $404 | 1.4× |
| N Block Lumbar/Thoracic (64520) | $1,004.25 | $1,004.25 | 1.2× |
| Nasal/Orogastric W/Tube Plmt (43752) | $382.25 | $382.25 | 0.9× |
| Needle Biopsy Lymph Nodes (38505) | $1,417.50 | $1,417.50 | 0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,004.25 | $1,004.25 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 5 matching MRF lines |
$450.25–$1,088 | $450.25–$1,088 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $3,465 | $3,465 | 1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $2,877 | $2,877 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$1,195–$2,387.75 | $1,195–$2,387.75 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,896.50 | $2,896.50 | 4.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 3 matching MRF lines |
$1,004.25–$1,011.50 | $1,004.25–$1,011.50 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,058 | $1,058 | 1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,284.50 | $1,284.50 | 1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,297 | $1,297 | 1.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,767.50 | $1,767.50 | 2.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $2,896.50 | $2,896.50 | 4.3× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $1,671 | $1,671 | 4.2× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$434.75–$869.50 | $434.75–$869.50 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $4,132.50 | $4,132.50 | 1.3× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $4,012 | $4,012 | 1.3× |
| Open tx interphalangeal joint dislocation (26785) | $4,129.50 | $4,129.50 | 1.3× |
| Partial Excision Distal Phalanx Finger (26236) | $5,146 | $5,146 | 3.3× |
| Perc Cryo Ablate Renal Tum (50593) unusually low: confirm this is the full procedure |
$5,111 | $5,111 | 0.5× |
| Percut Drain/Inject Renal Cyst (50390) range across 2 matching MRF lines |
$1,032.25–$1,417.50 | $1,032.25–$1,417.50 | varies |
| Pericardiocentesis W/Imaging (33016) | $2,372.25 | $2,372.25 | 1.6× |
| Perirectal inj sclerosing solution prolapse (45520) | $1,112.50 | $1,112.50 | 1.2× |
| Perq dev breast 1st mr guide (19287) | $2,885.25 | $2,885.25 | 4.2× |
| Perq dev breast 1st strtctc (19283) | $2,701.75 | $2,701.75 | 3.9× |
| Perq dev breast 1st us imag (19285) | $4,389.75 | $4,389.75 | 6.4× |
| Perq device breast 1st imag (19281) | $1,295.75 | $1,295.75 | 0.8× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 2 matching MRF lines |
$1,292.75–$2,296 | $1,292.75–$2,296 | varies |
| Place Duod/Jej Tube Perc (49441) | $1,404.50 | $1,404.50 | 0.8× |
| Placement of needle for intraosseous infusion (36680) | $514 | $514 | 1.2× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $5,963.75 | $5,963.75 | 2.9× |
| Plmt Nephroureteral Catheter (50433) | $6,321.25 | $6,321.25 | 1.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $8,381.25 | $8,381.25 | 2.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $7,054.50 | $7,054.50 | 2.1× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $2,006.50 | $2,006.50 | 2.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $3,471.25 | $3,471.25 | 1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $6,092.50 | $6,092.50 | 1.8× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $5,096.50 | $5,096.50 | 1.6× |
| Pseudoaneurysm Injection Trt (36002) | $1,396.75 | $1,396.75 | 2.3× |
| Punch biopsy skin single lesion (11104) | $343 | $343 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 7 matching MRF lines |
$334.75–$379.25 | $334.75–$379.25 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 5 matching MRF lines |
$630.50–$697.50 | $630.50–$697.50 | varies |
| Reduction of rectal prolapse (45900) | $2,716.25 | $2,716.25 | 3.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $4,182 | $4,182 | 1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$1,219.75–$2,438.25 | $1,219.75–$2,438.25 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$193.75–$388.50 | $193.75–$388.50 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$193.75–$388.50 | $193.75–$388.50 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$2,979–$2,985 | $2,979–$2,985 | varies |
| Removal of nail bed (11750) | $650 | $650 | 1.7× |
| Removal or bivalving full arm or full leg cast (29705) range across 4 matching MRF lines |
$209.25–$415.25 | $209.25–$415.25 | varies |
| Removal shoulder foreign body deep subfascial/im (23333) range across 2 matching MRF lines |
$783–$1,563.75 | $783–$1,563.75 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $380.25 | $380.25 | 2.0× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$210.25–$417.25 | $210.25–$417.25 | varies |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$275.25–$548 | $275.25–$548 | varies |
| Remove lung catheter (32552) | $1,440 | $1,440 | 2.4× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$220.50–$439 | $220.50–$439 | varies |
| Remove renal tube w/fluoro (50389) | $1,339 | $1,339 | 2.0× |
| Renal Biopsy Perq (50200) | $1,249.50 | $1,249.50 | 0.8× |
| Repair Blood Vessel Direct Hand Finger (35207) range across 3 matching MRF lines |
$4,211.75–$4,221 | $4,211.75–$4,221 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,041 | $2,041 | 2.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $860.25 | $860.25 | 2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,010.50 | $1,010.50 | 2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,341.25 | $1,341.25 | 3.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $2,560 | $2,560 | 3.6× |
| Repair Elbow Perc (24357) | $5,082.25 | $5,082.25 | 1.6× |
| Repair extensor tendon finger w/o graft each (26418) | $4,607.25 | $4,607.25 | 3.0× |
| Repair Hand Joint (26540) | $5,124.25 | $5,124.25 | 1.6× |
| Repair Hand Tendon (26410) | $2,049.75 | $2,049.75 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $396.75 | $396.75 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $396.75 | $396.75 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $398.75 | $398.75 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $417.25 | $417.25 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $493.25 | $493.25 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $2,560.50 | $2,560.50 | 3.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $345.25 | $345.25 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $344.25 | $344.25 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $518.25 | $518.25 | 0.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $868.50 | $868.50 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $500.75 | $500.75 | 1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $252.50 | $252.50 | 0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$589.25–$591.25 | $589.25–$591.25 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $500.75 | $500.75 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$385.25–$386.25 | $385.25–$386.25 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $828.25 | $828.25 | 0.4× |
| Repair of nail bed (11760) | $519.25 | $519.25 | 0.7× |
| Repair tongue laceration (41252) | $1,214.50 | $1,214.50 | 5.3× |
| Repair tongue laceration (41250) | $596.50 | $596.50 | 1.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $869.75 | $869.75 | 1.0× |
| Replace g/c tube perc (49450) | $821.50 | $821.50 | 0.9× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$890–$936.50 | $890–$936.50 | varies |
| Reposition Venous Catheter (36597) | $1,534.75 | $1,534.75 | 1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$337–$670.75 | $337–$670.75 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 3 matching MRF lines |
$337–$670.75 | $337–$670.75 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$320.50–$635.75 | $320.50–$635.75 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$2,356.75–$2,967.50 | $2,356.75–$2,967.50 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $2,184 | $2,184 | 3.6× |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$555.25–$1,047.75 | $555.25–$1,047.75 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) range across 2 matching MRF lines |
$1,853–$2,050.75 | $1,853–$2,050.75 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,573 | $1,573 | 1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $405 | $405 | 2.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $412 | $412 | 0.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,261.75 | $1,261.75 | 2.4× |
| Shave skin lesion 0.5 cm/< (11300) | $187.50 | $187.50 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $185.50 | $185.50 | 1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $366.75 | $366.75 | 0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $374 | $374 | 1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $366.75 | $366.75 | 1.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $431.75 | $431.75 | 1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $390.50 | $390.50 | 2.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $431.75 | $431.75 | 2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $252.50 | $252.50 | 1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $448.25 | $448.25 | 2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $388.50 | $388.50 | 2.0× |
| Skin sub graft face/nk/hf/g (15275) | $668.50 | $668.50 | 0.9× |
| Skin sub graft trnk/arm/leg (15271) | $1,833.50 | $1,833.50 | 2.6× |
| Skin sub grft t/arm/lg child (15273) | $1,016.75 | $1,016.75 | 0.5× |
| Skn sub grft f/n/hf/g child (15277) | $1,016.75 | $1,016.75 | 0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $252.50 | $252.50 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $417.25 | $417.25 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $448.25 | $448.25 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) | $908.50 | $908.50 | 1.3× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$102–$263.75 | $102–$263.75 | varies |
| Strapping elbow or wrist (29260) | $102 | $102 | 1.8× |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$102–$225.75 | $102–$225.75 | varies |
| Strapping Hip (29520) | $117.50 | $117.50 | 0.9× |
| Strapping knee (29530) | $102 | $102 | 0.8× |
| Strapping shoulder (29240) range across 10 matching MRF lines |
$226.75–$465.75 | $226.75–$465.75 | varies |
| Strapping thorax (29200) | $113.50 | $113.50 | 0.7× |
| Strapping toes (29550) range across 2 matching MRF lines |
$102–$225.75 | $102–$225.75 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$252.50–$499.75 | $252.50–$499.75 | varies |
| Tenotomy Flexor Palm Open Each Tendon (26450) | $4,129.50 | $4,129.50 | 1.3× |
| Tenotomy Hip Abd/Ext Open (27006) | $7,441.75 | $7,441.75 | 2.4× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $4,817.50 | $4,817.50 | 3.1× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $5,265.50 | $5,265.50 | 1.7× |
| Tenotomy shoulder area single tendon (23405) | $7,480 | $7,480 | 1.1× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,239.25 | $1,239.25 | 1.8× |
| Thrombolytic Therapy Stroke (37195) | $1,036.25 | $1,036.25 | 3.2× |
| Thyroid biopsy (60100) | $736.50 | $736.50 | 1.1× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$309–$4,395.25 | $309–$4,395.25 | varies |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $5,515.75 | $5,515.75 | 1.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,884 | $1,884 | 8.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,822.25 | $1,822.25 | 1.2× |
| Treat ankle fracture (28445) | $8,253.50 | $8,253.50 | 1.2× |
| Treat Big Toe Fracture (28505) | $3,611.25 | $3,611.25 | 1.1× |
| Treat humerus fracture (24500) | $623.25 | $623.25 | 2.6× |
| Treat humerus fracture (23600) | $598.50 | $598.50 | 2.5× |
| Treat knee fracture (27532) | $3,043.75 | $3,043.75 | 1.0× |
| Treat Knuckle Dislocation (26700) | $725 | $725 | 3.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 6 matching MRF lines |
$1,439–$1,442 | $1,439–$1,442 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 6 matching MRF lines |
$508–$509 | $508–$509 | varies |
| Trim skin lesion (11055) | $185.50 | $185.50 | 1.0× |
| Trim skin lesions 2 to 4 (11056) | $185.50 | $185.50 | 1.0× |
| Trim skin lesions over 4 (11057) | $265.75 | $265.75 | 1.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $87.75 | $87.75 | 1.5× |
| Tx Gastro Intub W/Asp (43753) | $315.25 | $315.25 | 1.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,691.50 | $1,691.50 | 1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$659.25–$661.50 | $659.25–$661.50 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$405–$406 | $405–$406 | varies |
| Unlisted Procedure Casting/Strapping (29799) | $102 | $102 | 0.6× |
| Unlisted Procedure Intestine (44799) | $3,480 | $3,480 | 4.0× |
| Unlisted procedure nervous system (64999) | $421.50 | $421.50 | 1.4× |
| Vaginal delivery only (59409) | $3,552.50 | $3,552.50 | 1.1× |
| Wedge excision skin nail fold (11765) | $618 | $618 | 1.6× |
| Wedging of cast (29740) | $231.75 | $231.75 | 0.9× |
| Windowing of cast (29730) range across 5 matching MRF lines |
$126.75–$249.50 | $126.75–$249.50 | varies |
| Wound Prep F/N/Hf/G (15004) | $841.75 | $841.75 | 2.1× |
| Wound Prep Trk/Arm/Leg (15002) | $841.75 | $841.75 | 1.2× |
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.