Procedures & surgery prices at Samaritan Hospital

Moses Lake, WA · every code in this section with a posted price and a Medicare benchmark.

1021 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 5 matching MRF lines		 $502–$2,064 $502–$2,064 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $324–$2,211 $324–$2,211 varies
Abdomen Surgery Procedure (22999) $1,124 $1,124 4.1×
Acne surgery (10040) $259 $259 1.2×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,606 $1,606 0.7×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,918 $1,918 0.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $1,928 $1,928 0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,979 $1,979 0.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,756 $1,756 0.8×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,258 $2,258 1.0×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $1,559 $1,559 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,164 $1,164 0.3×
Amputation follow-up surgery (27594) $823 $823 0.2×
Amputation Foot Midtarsal (28800) $971 $971 0.3×
Amputation foot transmetarsal (28805) $2,110 $2,110 0.6×
Amputation metatarsal with toe single (28810) $1,572 $1,572 0.4×
Amputation toe interphalangeal joint (28825) $1,474 $1,474 0.4×
Amputation toe metatarsophalangeal joint (28820) $1,718 $1,718 0.5×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $2,274 $2,274 0.3×
Amputation, leg, through tibia and fibula; re-amputation (27886) $1,086 $1,086 0.3×
Ankle Arthroscopy/Surgery (29892)
likely a partial charge, not the full procedure		 $1,137 $1,137 0.1×
Anoscopy diagnostic (46600) $209 $209 1.4×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $195 $195 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $1,615 $1,615 0.3×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,546 $1,546 0.2×
Application cast elbow finger short arm (29075) $283 $283 0.9×
Application finger splint static (29130)
range across 3 matching MRF lines		 $129–$415 $129–$415 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $272–$415 $272–$415 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $292–$415 $292–$415 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $2,751 $2,751 0.2×
Application of long leg cast (29345) $456 $456 1.5×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $141–$418 $141–$418 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $186–$415 $186–$415 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $225–$546 $225–$546 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $967 $967 0.1×
Apply hand/wrist cast (29085) $155 $155 0.9×
Apply long arm cast (29065) $340 $340 1.1×
Apply Multlay Comprs Lwr Leg (29581) $219 $219 1.2×
Apply Short Leg Cast (29405) $349 $349 1.1×
Apply short leg cast (29425) $258 $258 0.8×
Arterial puncture (36600)
range across 2 matching MRF lines		 $401–$418 $401–$418 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $2,034 $2,034 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $206–$1,034 $206–$1,034 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $201 $201 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines		 $242–$1,216 $242–$1,216 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 5 matching MRF lines		 $242–$1,026 $242–$1,026 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $199–$1,025 $199–$1,025 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $2,511 $2,511 0.2×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $929 $929 0.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,447 $1,447 0.2×
Arthrodesis sacroiliac joint percutaneous (27279)
likely a partial charge, not the full procedure		 $1,301 $1,301 0.1×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $1,397 $1,397 0.1×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $1,527 $1,527 0.1×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278)
likely a partial charge, not the full procedure		 $707 $707 0.0×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $3,538 $3,538 0.2×
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure		 $1,436 $1,436 0.1×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $1,017 $1,017 0.3×
Arthroscopy Ankle Surgical Debridement Limited (29897) $846 $846 0.2×
Arthroscopy ankle w/removal loose/foreign body (29894) $856 $856 0.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $946 $946 0.3×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $2,436 $2,436 0.7×
Arthroscopy knee synovectomy limited spx (29875) $1,909 $1,909 0.5×
Arthroscopy shoulder distal claviculectomy (29824) $1,085 $1,085 0.3×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
likely a partial charge, not the full procedure		 $1,869 $1,869 0.2×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $856 $856 0.2×
Arthroscopy, knee, surgical; with lateral release (29873) $853 $853 0.2×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $2,469 $2,469 0.7×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $2,239 $2,239 0.3×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $2,568 $2,568 0.7×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $922 $922 0.3×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure		 $2,549 $2,549 0.3×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $1,486 $1,486 0.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $2,645 $2,645 0.3×
Arthrotomy ankle w/expl drainage/removal fb (27610) $2,117 $2,117 0.6×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure		 $2,357 $2,357 0.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
unusually low: confirm this is the full procedure		 $6,641 $6,641 0.5×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $2,618 $2,618 0.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $4,148 $4,148 0.5×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,157 $1,157 0.3×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,596 $1,596 0.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,304 $2,304 0.6×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887)
likely a partial charge, not the full procedure		 $1,295 $1,295 0.2×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,634 $2,634 0.7×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $924 $924 0.3×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $1,099 $1,099 0.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $631 $631 0.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $768 $768 0.2×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $1,377 $1,377 0.4×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,283 $1,283 0.4×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $928 $928 0.3×
Artificial insemination intra-uterine (58322) $209 $209 0.9×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $1,855–$2,466 $1,855–$2,466 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $1,855–$2,443 $1,855–$2,443 varies
Aspirate/Inj Ganglion Cyst (20612) $199 $199 0.6×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $581–$3,850 $581–$3,850 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $265–$540 $265–$540 varies
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $1,506 $1,506 0.2×
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $294–$3,607 $294–$3,607 varies
Biopsy bone open superficial (20240) $537 $537 0.2×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $890–$4,543 $890–$4,543 varies
Biopsy Bone Trocar/Needle Superficial (20220) $394 $394 0.2×
Biopsy muscle percutaneous needle (20206) $3,536 $3,536 1.9×
Biopsy nail unit (11755) $239 $239 0.3×
Biopsy of foot joint lining (28050) $775 $775 0.2×
Biopsy of lip (40490) $234 $234 0.9×
Biopsy of liver, needle; percutaneous (47000) $4,223 $4,223 2.3×
Biopsy of penis (54100) $486 $486 0.3×
Biopsy of penis; deep structures (54105) $664 $664 0.2×
Biopsy of rectum (45100) $489 $489 0.2×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $759 $759 0.2×
Biopsy Salivary Gland Needle (42400) $1,391 $1,391 1.8×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $622 $622 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $258 $258 0.3×
Bladder instillation anticarcinogenic agent (51720) $205 $205 0.3×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $198–$1,034 $198–$1,034 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $38–$635 $38–$635 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $533–$1,681 $533–$1,681 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $150–$1,078 $150–$1,078 varies
Breast Reduction (19318)
likely a partial charge, not the full procedure		 $1,989 $1,989 0.3×
Bronchoscopy Clear Airways (31645) $430 $430 0.2×
Bx breast 1st lesion strtctc (19081) $4,900 $4,900 2.7×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines		 $1,077–$4,140 $1,077–$4,140 varies
Bx Cervix (57500) $299 $299 0.3×
Bx/exc lymph node open deep axillary node (38525) $1,646 $1,646 0.4×
Bx/exc lymph node open superficial (38500) $608 $608 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $898 $898 0.2×
Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450)
likely a partial charge, not the full procedure		 $1,537 $1,537 0.2×
Capsulorrhaphy Anterior W/Labral Repair (23455)
likely a partial charge, not the full procedure		 $2,421 $2,421 0.3×
Capsulotomy Iphal Joint Each Joint Spx (28272) $712 $712 0.4×
Carpal Tunnel Surgery (64721) $1,983 $1,983 0.9×
Catheter aspiration nasotracheal spx (31720) $720 $720 3.0×
Cerclage cervix pregnancy vaginal (59320) $276 $276 0.1×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $324–$2,136 $324–$2,136 varies
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $234–$1,034 $234–$1,034 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $58–$614 $58–$614 varies
Chemical Cautery Tissue (17250) $209 $209 0.9×
Chemodenerv 1 extrem 5/> mus (64644) $265 $265 0.3×
Chemodenerv 1 extremity 1-4 (64642) $229 $229 0.3×
Chemodenerv Musc Migraine (64615) $371 $371 1.1×
Chemodenerv musc neck dyston (64616) $328 $328 1.0×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $192 $192 0.6×
Chemodenerv trunk musc 6/> (64647) $282 $282 0.4×
Chemodenervation of internal anal sphincter (46505) $525 $525 0.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $214 $214 0.6×
Chest tube placement (32551)
range across 3 matching MRF lines		 $695–$2,064 $695–$2,064 varies
Circumcision 28 days or older (54161) $488 $488 0.2×
Circumcision w/clamp/oth dev w/block (54150) $389 $389 0.2×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $726–$5,018 $726–$5,018 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines		 $2,064–$2,241 $2,064–$2,241 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $298–$415 $298–$415 varies
Closed rx talotarsal disloc,anesth (28575) $677 $677 0.2×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $1,034–$1,658 $1,034–$1,658 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 4 matching MRF lines		 $1,936–$5,018 $1,936–$5,018 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 4 matching MRF lines		 $403–$759 $403–$759 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $489 $489 1.8×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $1,036–$4,620 $1,036–$4,620 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $1,034–$2,067 $1,034–$2,067 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $770 $770 0.4×
Closed tx metatarsal fracture w/o manipulation (28470) $869 $869 3.2×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $2,470–$4,848 $2,470–$4,848 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $794–$1,138 $794–$1,138 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $603–$1,034 $603–$1,034 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $520 $520 1.9×
Closed tx radial head/neck fx w/o manipulation (24650) $420 $420 1.5×
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines		 $866–$4,848 $866–$4,848 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $440 $440 1.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 4 matching MRF lines		 $2,128–$5,018 $2,128–$5,018 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $446 $446 1.6×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $555 $555 2.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $180–$1,034 $180–$1,034 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,881–$5,018 $1,881–$5,018 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $468 $468 1.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $422 $422 1.5×
Closure of cystostomy (separate procedure) Facility (51880) $801 $801 0.2×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $570 $570 0.3×
Clsd tx clavicular fracture w/o manipulation (23500) $358 $358 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines		 $3,258–$5,018 $3,258–$5,018 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $1,034–$2,337 $1,034–$2,337 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $860–$4,848 $860–$4,848 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $2,755–$5,018 $2,755–$5,018 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $491 $491 1.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $573–$1,001 $573–$1,001 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675)
range across 2 matching MRF lines		 $822–$5,018 $822–$5,018 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $1,034–$1,749 $1,034–$1,749 varies
Cltx dstl fibular fx lat malls w/o manj (27786) $1,298 $1,298 4.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 3 matching MRF lines		 $1,034–$2,258 $1,034–$2,258 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $296 $296 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $554 $554 2.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $2,330–$5,018 $2,330–$5,018 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,234–$5,018 $1,234–$5,018 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $1,306–$5,460 $1,306–$5,460 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $289 $289 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $643–$1,034 $643–$1,034 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $197 $197 0.7×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 4 matching MRF lines		 $2,228–$5,018 $2,228–$5,018 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $506 $506 1.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $611–$5,365 $611–$5,365 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,361–$4,848 $1,361–$4,848 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $812–$1,034 $812–$1,034 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $546 $546 2.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,193 $2,193 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $515 $515 1.9×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 3 matching MRF lines		 $263–$920 $263–$920 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 3 matching MRF lines		 $199–$875 $199–$875 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 3 matching MRF lines		 $2,861–$6,128 $2,861–$6,128 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $1,034–$2,086 $1,034–$2,086 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $704–$1,981 $704–$1,981 varies
Cltx Medial Ankle Fx (27760) $620 $620 2.3×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 4 matching MRF lines		 $571–$1,034 $571–$1,034 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $472 $472 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 4 matching MRF lines		 $598–$1,034 $598–$1,034 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $318 $318 1.2×
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines		 $976–$2,608 $976–$2,608 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $1,034–$1,799 $1,034–$1,799 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $708–$5,018 $708–$5,018 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $748–$7,331 $748–$7,331 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $671–$952 $671–$952 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $424–$1,034 $424–$1,034 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $903 $903 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $3,233–$5,018 $3,233–$5,018 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $4,086–$5,018 $4,086–$5,018 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $1,187 $1,187 4.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,371 $1,371 0.8×
Cltx tibial fx proximal w/o manipulation (27530) $538 $538 2.0×
Cltx tibial shaft fx w/o manipulation (27750) $558 $558 2.0×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $1,965–$5,018 $1,965–$5,018 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,295 $1,295 4.7×
Collect Blood From Catheter Venous Nos (36592) $402 $402 2.7×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $10–$28 $10–$28 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $672 $672 0.5×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $789 $789 0.6×
Colonoscopy thru stoma (44388) $722 $722 0.7×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $834 $834 0.6×
Colonoscopy w/ablation (45388) $7,430 $7,430 5.6×
Colonoscopy W/Resection (45390) $834 $834 0.3×
Colonoscopy w/submucosal inj (45381) $987 $987 0.7×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $619 $619 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $684 $684 2.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $366 $366 1.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $470 $470 0.1×
Colposcopy entire vagina w/cervix if present (57420) $350 $350 1.0×
Colpotomy; with exploration (57000) $459 $459 0.1×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,404 $1,404 1.1×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,124 $1,124 0.8×
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $2,032 $2,032 0.4×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $611–$5,956 $611–$5,956 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $966 $966 0.3×
Conization of cervix (57520) $1,000 $1,000 0.3×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $483–$593 $483–$593 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $256–$415 $256–$415 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $280–$1,933 $280–$1,933 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
likely a partial charge, not the full procedure		 $3,012 $3,012 0.2×
Cordocentesis (59012) $1,111 $1,111 3.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,384 $4,384 2.4×
Correction hammertoe (28285) $1,388 $1,388 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,082 $3,082 0.8×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $2,325 $2,325 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $3,223 $3,223 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,442 $1,442 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $593–$600 $593–$600 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $602 $602 2.3×
Curettage postpartum (59160) $726 $726 0.2×
Cysto Bladder W/Ureteral Catheterization (52005) $717 $717 0.3×
Cysto calibration dilat urtl strix/stenosis (52281) $786 $786 0.3×
Cysto w/complex removal stone & stent (52315) $1,137 $1,137 0.5×
Cysto w/destruction of lesions (52214) $1,781 $1,781 0.5×
Cysto w/insert ureteral stent (52332) $1,109 $1,109 0.3×
Cysto w/irrig & evac multple obstructing clots (52001) $1,019 $1,019 0.3×
Cysto w/removal of lesions small (52224) $1,862 $1,862 0.5×
Cysto w/removal of tumors small (52234) $607 $607 0.2×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $691 $691 0.2×
Cysto W/Simple Removal Stone & Stent (52310) $708 $708 0.3×
Cysto w/ureter stricture tx (52341) $702 $702 0.2×
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $969 $969 0.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $876 $876 0.2×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $452 $452 0.1×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $746 $746 0.2×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure		 $714 $714 0.1×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $1,026 $1,026 0.2×
Cystometrogram W/Vp (51728) $857 $857 1.1×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $1,844 $1,844 0.2×
Cystostomy Cystotomy W/Drainage (51040) $714 $714 0.3×
Cystouretero w/excise tumor (52355)
likely a partial charge, not the full procedure		 $1,154 $1,154 0.2×
Cystourethroscopy (52000) $514 $514 0.7×
Cystourethroscopy inj chemodenervation bladder (52287) $879 $879 0.4×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $712 $712 0.2×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $969 $969 0.2×
Cystourethroscopy w/rmvl ureteral calculus (52320) $609 $609 0.2×
Cystourethroscopy with biopsy (52204) $939 $939 0.4×
Cystourethroscopy with direct vision internal urethrotomy (52276) $432 $432 0.2×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $931 $931 0.4×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $837 $837 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $141–$1,963 $141–$1,963 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,821 $1,821 0.6×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,161 $1,161 1.5×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $948 $948 1.2×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $1,206 $1,206 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $587 $587 0.7×
Debride nail 1-5 (11720) $83 $83 1.3×
Debride nail 6 or more (11721) $115 $115 1.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $807 $807 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $304–$916 $304–$916 varies
Declot vascular device (36593) $1,034 $1,034 2.8×
Decomp forearm,1 compart,w/o debride (25020) $1,035 $1,035 0.6×
Decompression of tibia nerve (28035) $2,213 $2,213 1.0×
Decompressive fasciotomy hand (26037) $964 $964 0.3×
Deep Muscle Biopsy (20205) $501 $501 0.2×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $789–$8,519 $789–$8,519 varies
Destroy cerv/thor facet jnt (64633) $1,019 $1,019 0.5×
Destroy lumb/sac facet jnt (64635) $1,005 $1,005 0.5×
Destruct B9 Lesion 1-14 (17110) $290 $290 1.3×
Destruction Benign Lesions 15/> (17111) $343 $343 1.5×
Destruction Lesions Vulva Simple (56501) $338 $338 0.1×
Destruction neurolytic agt genicular nerve w/img (64624) $677 $677 0.3×
Destruction Premalignant Lesion 15/> (17004) $405 $405 0.9×
Destruction premalignant lesion 1st (17000) $212 $212 0.9×
Diagnostic sigmoidoscopy (45330) $418 $418 0.4×
Dilat female urethra general/cndj spinal anes (53665) $102 $102 0.0×
Dilat Urethral Strix Dilator Male Sbsq (53601) $149 $149 1.0×
Dilate Urethra Stricture (53600) $209 $209 0.8×
Dilation & curettage dx&/ther nonobstetric (58120) $470 $470 0.1×
Dilation Cervical Canal (57800) $123 $123 0.0×
Drain Cerebro Spinal Fluid (62272) $2,679 $2,679 3.4×
Drain Hand Tendon Sheath (26020) $1,035 $1,035 0.3×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $176–$1,081 $176–$1,081 varies
Drainage external auditory canal abscess (69020) $377 $377 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $643 $643 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $492 $492 0.6×
Drainage Finger Abscess Complicated (26011)
range across 3 matching MRF lines		 $837–$4,312 $837–$4,312 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $276–$1,053 $276–$1,053 varies
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $626–$1,046 $626–$1,046 varies
Drainage of gum lesion (41800)
range across 4 matching MRF lines		 $415–$682 $415–$682 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $467–$6,473 $467–$6,473 varies
Drainage of nose lesion (30000) $479 $479 1.8×
Drainage of palmar bursa single bursa (26025) $1,173 $1,173 0.3×
Drainage of rectal abscess (45020) $1,360 $1,360 0.4×
Drainage of scrotal wall abscess (55100)
range across 3 matching MRF lines		 $742–$4,166 $742–$4,166 varies
Drainage of scrotum (54700)
range across 4 matching MRF lines		 $386–$6,894 $386–$6,894 varies
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $646 $646 0.2×
Draw Blood Off Venous Device (36591) $402 $402 2.7×
Dressing Change Under Anesthesia (15852) $81 $81 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $351–$1,895 $351–$1,895 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $298–$994 $298–$994 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $403–$1,033 $403–$1,033 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $275–$540 $275–$540 varies
Dstrj Lesion Anus Extensive (46924) $1,024 $1,024 0.3×
Dstrj lesion anus simple surg excision (46922) $483 $483 0.2×
Dstrj Lesion Penis Simple Chemical (54050) $228 $228 0.5×
Dstrj Lesion Penis Simple Cryosurgery (54056) $343 $343 1.5×
Dstrj lesion penis simple surg excision (54060) $415 $415 0.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $331 $331 0.3×
Dx Bronchoscope/Lavage (31624) $558 $558 0.3×
Dx Bronchoscope/Wash (31622) $399 $399 0.2×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,980 $1,980 2.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,823 $1,823 0.9×
Egd cautery tumor polyp (43250) $801 $801 0.4×
Egd control bleeding any (43255) $1,606 $1,606 0.8×
Egd dilation gastric/duodenal stricture (43245) $992 $992 0.5×
Egd Flexible Foreign Body Removal (43247) $1,089 $1,089 1.1×
Egd place gastrostomy tube (43246) $1,596 $1,596 0.7×
Egd remove lesion snare (43251) $885 $885 0.4×
Egd Tube/Cath Insertion (43241) $246 $246 0.1×
Egd Varices Ligation (43244) $438 $438 0.2×
Elbow arthroscopy (29830) $773 $773 0.2×
Endocervical curettage (57505) $220 $220 0.2×
Endometrial Biopsy (58100) $305 $305 1.4×
Enterorrhaphy single perforation (44602) $3,405 $3,405 0.8×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $339–$5,369 $339–$5,369 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $478–$4,046 $478–$4,046 varies
Ercp Destruction/Lithotripsy Calculi Any Method (43265)
likely a partial charge, not the full procedure		 $729 $729 0.1×
Ercp duct stent placement (43274)
likely a partial charge, not the full procedure		 $778 $778 0.1×
Ercp Dx Collection Specimen Brushing/Washing (43260) $545 $545 0.1×
Ercp ea duct/ampulla dilate (43277) $639 $639 0.1×
Ercp remove calculi/debris biliary/pancreas duct (43264) $614 $614 0.1×
Ercp remove forgn body duct (43275) $635 $635 0.3×
Ercp Stent Exchange W/Dilate (43276)
likely a partial charge, not the full procedure		 $810 $810 0.1×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $728 $728 0.2×
Ercp W/Biopsy Single/Multiple (43261) $572 $572 0.1×
Ercp w/pressure measurement sphincter of oddi (43263) $604 $604 0.3×
Ercp,Sphincterotomy (43262) $602.48 $602.48 0.1×
Esophagogastroduodenoscopy Submucosal Injection (43236) $857 $857 0.8×
Esophagoscopy Flexible Transoral Diagnostic (43200) $558 $558 0.6×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $128–$415 $128–$415 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $888 $888 0.5×
Exc abdl tum deep 5 cm/> (22901) $1,140 $1,140 0.4×
Exc arm/elbow les sc < 3 cm (24075) $1,146 $1,146 0.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $321 $321 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $618 $618 0.3×
Exc Back Les Sc < 3 Cm (21930) $867 $867 0.5×
Exc Back Tum Deep 5 Cm/> (21933) $1,868 $1,868 0.6×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,636 $1,636 0.4×
Exc Face Les Sbq 2 Cm/> (21012) $822 $822 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $351 $351 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $418 $418 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $317 $317 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $527 $527 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $590 $590 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $1,047 $1,047 0.6×
Exc Forearm Tum Deep 3 Cm/> (25073) $864 $864 0.3×
Exc ganglion wrist recurrent (25112) $657 $657 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $319 $319 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $407 $407 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 4 matching MRF lines		 $452–$4,166 $452–$4,166 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,417 $1,417 0.8×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $808 $808 0.5×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $650 $650 0.3×
Exc neuroma hand/foot xcp digital nerve (64782) $811 $811 0.4×
Exc neuroma major peripheral nrv xcp sciatic (64784) $1,791 $1,791 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $508 $508 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $543 $543 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $989 $989 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 4 matching MRF lines		 $891–$2,500 $891–$2,500 varies
Exc Skin Benig >4cm Face,Facial (11446) $659 $659 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $800 $800 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $771 $771 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,056 $1,056 0.6×
Exc tendon shth lesion leg/ankle (27630) $1,010 $1,010 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $968 $968 0.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $501–$7,347 $501–$7,347 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $386 $386 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $429 $429 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $717 $717 0.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,081 $1,081 0.3×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,317 $1,317 0.4×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,232 $1,232 0.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,292 $1,292 0.4×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,286 $1,286 0.4×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,165 $1,165 0.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $883 $883 0.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,341 $1,341 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $794 $794 0.4×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,125 $1,125 0.3×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $852 $852 0.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $864 $864 0.5×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $1,175 $1,175 0.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,157 $1,157 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,168 $2,168 0.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $735 $735 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $793 $793 0.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $738 $738 0.2×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $962 $962 0.3×
Exc/fulguration urethral caruncle (53265) $534 $534 0.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $486 $486 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $665 $665 0.8×
Excision H/P/P/U Complex Repair (11471) $861 $861 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $777 $777 0.2×
Excision Hidradenitis Axillary Complex Repair (11451) $1,100 $1,100 0.3×
Excision Lesion Tongue W/O Closure (41110) $384 $384 0.1×
Excision Lingual Frenum Frenectomy (41115) $449 $449 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $324 $324 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $534 $534 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $639 $639 1.4×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $822 $822 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $450 $450 0.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 2 matching MRF lines		 $574–$603 $574–$603 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $544 $544 0.3×
Excision of bartholin's gland or cyst (56740) $484 $484 0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $759 $759 0.4×
Excision of hydrocele; unilateral (55040) $833 $833 0.2×
Excision of neuroma; sciatic nerve Facility (64786) $1,837 $1,837 0.5×
Excision of pilonidal cyst or sinus; simple (11770) $636 $636 0.2×
Excision of single external papilla or tag, anus (46220) $481 $481 0.4×
Excision of vaginal cyst or tumor (57135) $415 $415 0.1×
Excision olecranon bursa (24105) $1,729 $1,729 0.5×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,094 $1,094 0.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,577 $1,577 0.5×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,878 $1,878 0.6×
Excision prepatellar bursa (27340) $634 $634 0.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $2,844 $2,844 0.4×
Excision spermatocele w/wo epididymectomy (54840) $794 $794 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,842 $1,842 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,461 $1,461 0.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $970 $970 0.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $991 $991 0.5×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $828 $828 0.4×
Excision, interdigital (morton) neuroma, single, each (28080) $1,417 $1,417 0.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,053 $1,053 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $562 $562 0.3×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,000 $1,000 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $847 $847 0.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $864 $864 0.5×
Excision/destruction intranasal lesion int appr (30117) $1,628 $1,628 0.4×
Explo/Drain Breast Abscess (19020) $1,213 $1,213 0.7×
Exploration of knee joint (27310) $1,227 $1,227 0.3×
Exploration penetrating wound spx chest (20101) $135 $135 0.1×
Exploration penetrating wound spx extremity (20103) $1,035 $1,035 0.6×
Explore/Treat Wrist Joint (25040) $942 $942 0.3×
External cephalic version (59412)
range across 2 matching MRF lines		 $229–$8,518 $229–$8,518 varies
Fasciectomy Plantar Fascia Partial Spx (28060) $1,550 $1,550 0.4×
Fasciotomy palmar percutaneous (26040) $741 $741 0.4×
Fasciotomy Plantar Fascia Radical Spx (28062) $991 $991 0.3×
Fasciotomy, foot and/or toe (28008) $786 $786 0.2×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $141–$329 $141–$329 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,961 $1,961 2.5×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $389–$1,034 $389–$1,034 varies
Fixation contralateral testis separate procedure (54620) $741 $741 0.2×
Fluoro exam of g/colon tube (49465) $991 $991 3.7×
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $227–$1,667 $227–$1,667 varies
Foreskin manipulation (54450) $120 $120 0.4×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $2,356 $2,356 0.3×
Gastrocnemius recession (27687) $1,452 $1,452 0.4×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $3,270 $3,270 0.8×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,204 $1,204 0.6×
Grafting of autologous fat by lipo 50 cc or less (15771) $945 $945 0.2×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $1,252–$4,312 $1,252–$4,312 varies
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $1,318 $1,318 0.2×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $1,847 $1,847 0.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $905 $905 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,073 $1,073 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,130 $1,130 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $871 $871 0.8×
Hysteroscopy Biopsy (58558) $2,351 $2,351 0.7×
Hysteroscopy Dx Sep Proc (58555) $808 $808 0.2×
Hysteroscopy Endometrial Ablation (58563) $4,564 $4,564 0.8×
Hysteroscopy Removal Impacted Foreign Body (58562) $711 $711 0.2×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
unusually low: confirm this is the full procedure		 $2,213 $2,213 0.4×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $642–$1,384 $642–$1,384 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $342–$540 $342–$540 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $1,158 $1,158 0.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,728 $1,728 0.5×
I&D Deep Absc/Hematoma Neck/Chest (21501) $811 $811 0.3×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,108 $1,108 0.3×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $777 $777 0.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,489 $1,489 0.4×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $733–$2,064 $733–$2,064 varies
I&d pilonidal cyst complicated (10081)
range across 4 matching MRF lines		 $797–$3,480 $797–$3,480 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $469–$1,650 $469–$1,650 varies
I&d shoulder deep abscess/hematoma (23030) $712 $712 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,855 $1,855 0.6×
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $1,528–$1,998 $1,528–$1,998 varies
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $1,529–$6,472 $1,529–$6,472 varies
Implant neuroelectrodes (63650) $4,636 $4,636 0.7×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $471 $471 0.0×
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $483–$1,034 $483–$1,034 varies
Incise finger tendon sheath (26055) $1,461 $1,461 0.8×
Incise tendon(s) & muscle(s) (23406)
likely a partial charge, not the full procedure		 $1,901 $1,901 0.2×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $633–$1,034 $633–$1,034 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,392 $1,392 0.4×
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines		 $662–$5,445 $662–$5,445 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $395–$1,034 $395–$1,034 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 4 matching MRF lines		 $415–$733 $415–$733 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 5 matching MRF lines		 $496–$1,150 $496–$1,150 varies
Incision bone cortex foot (28005) $1,419 $1,419 0.4×
Incision extensor tendon sheath wrist (25000) $572 $572 0.3×
Incision of fibula (27707) $689 $689 0.2×
Incision of Foot Tendon (28234) $741 $741 0.4×
Incision of lingual frenum (frenotomy) (41010)
range across 4 matching MRF lines		 $557–$2,355 $557–$2,355 varies
Incision of rectal abscess (46040)
range across 3 matching MRF lines		 $1,864–$7,347 $1,864–$7,347 varies
Incision of urethra (53000) $470 $470 0.2×
Incision&drainage bursa foot (28001) $530 $530 0.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 3 matching MRF lines		 $521–$6,474 $521–$6,474 varies
Incisional biopsy skin single lesion (11106)
range across 4 matching MRF lines		 $270–$493 $270–$493 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $179–$540 $179–$540 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $462 $462 0.5×
Inj W/Fluor Eval Cv Device (36598) $1,561 $1,561 6.6×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines		 $176–$3,763 $176–$3,763 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $440 $440 0.4×
Inject Intravitreal Pharmcologic (67028) $910 $910 2.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $129 $129 0.4×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $317–$2,679 $317–$2,679 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $196 $196 0.2×
Injection aa&/strd genicular nrv branches w/img (64454) $519 $519 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $412–$433 $412–$433 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $364 $364 0.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $336–$3,657 $336–$3,657 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $259–$3,705 $259–$3,705 varies
Injection for identification of sentinel node (38792) $3,729 $3,729 8.4×
Injection single tendon origin/insertion (20551) $199 $199 0.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $219–$1,034 $219–$1,034 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $147–$1,575 $147–$1,575 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $192 $192 0.1×
Injection therapeutic carpal tunnel (20526) $256 $256 0.7×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 4 matching MRF lines		 $289–$1,071 $289–$1,071 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 5 matching MRF lines		 $298–$2,679 $298–$2,679 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 6 matching MRF lines		 $313–$1,650 $313–$1,650 varies
Injection, intralesional; up to and including 7 lesions (11900) $144 $144 0.6×
Insert and remove bone pin (20650)
range across 2 matching MRF lines		 $334–$5,891 $334–$5,891 varies
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $362–$1,603 $362–$1,603 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $844–$1,943 $844–$1,943 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $1,000–$5,528 $1,000–$5,528 varies
Insert cervical dilator (59200) $1,111 $1,111 3.3×
Insert Drug Implant Device (11981) $348 $348 2.3×
Insert Gastrostomy Tube Percutaneous (49440) $1,847 $1,847 0.9×
Insert non-tunnel cv cath (36556)
range across 7 matching MRF lines		 $549–$3,950 $549–$3,950 varies
Insert pessary/other device (57160) $198 $198 0.9×
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines		 $150–$440 $150–$440 varies
Insert tissue expander(s) (11960) $1,592 $1,592 0.4×
Insert tunneled cv cath (36561) $2,091 $2,091 0.6×
Insert tunneled cv cath (36563)
unusually low: confirm this is the full procedure		 $2,364 $2,364 0.4×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $98–$220 $98–$220 varies
Insertion indwelling tunneled pleural catheter (32550) $1,500 $1,500 0.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,196 $3,196 1.8×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,256 $8,256 0.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 3 matching MRF lines		 $458–$2,864 $458–$2,864 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,481 $3,481 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 6 matching MRF lines		 $3,053–$5,056 $3,053–$5,056 varies
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869)
likely a partial charge, not the full procedure		 $932 $932 0.1×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $3,693 $3,693 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 5 matching MRF lines		 $2,069–$10,284 $2,069–$10,284 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $889 $889 0.0×
Int hrhc by ligation single hroid w/o img gdn (46945) $537 $537 0.2×
Intraoral i&d tongue/floor submndblr space (41008)
range across 2 matching MRF lines		 $635–$7,500 $635–$7,500 varies
Intubation endotracheal emergency procedure (31500)
range across 7 matching MRF lines		 $493–$1,960 $493–$1,960 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 3 matching MRF lines		 $615–$1,034 $615–$1,034 varies
Knee arthroscopy/drainage (29871) $1,232 $1,232 0.3×
Knee Arthroscopy/Surgery (29885)
likely a partial charge, not the full procedure		 $1,286 $1,286 0.2×
Knee Arthroscopy/Surgery (29874) $1,295 $1,295 0.4×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $3,738 $3,738 0.3×
Laparoscopic myomectomy (58545)
likely a partial charge, not the full procedure		 $1,523 $1,523 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $892 $892 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $2,214 $2,214 0.3×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,417 $1,417 0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,023 $1,023 0.2×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure		 $2,054 $2,054 0.2×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,519 $1,519 0.1×
Laparoscopy W/Lysis Of Adhesions (58660)
unusually low: confirm this is the full procedure		 $2,298 $2,298 0.3×
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure		 $2,202 $2,202 0.3×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,497 $1,497 0.2×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $2,609 $2,609 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $1,311 $1,311 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,816 $1,816 0.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $1,882 $1,882 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $956 $956 0.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $594 $594 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $786 $786 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure		 $2,518 $2,518 0.4×
Laps Gastric Restrictive Px Remove Device & Port (43774) $2,306 $2,306 0.5×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure		 $1,888 $1,888 0.3×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $2,242 $2,242 0.2×
Laryngoscopy flexible diagnostic (31575)
range across 4 matching MRF lines		 $351–$846 $351–$846 varies
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $1,718 $1,718 3.9×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $508 $508 1.2×
Late closure of wound (13160) $2,874 $2,874 0.7×
Lateral retinacular release open (27425) $2,036 $2,036 0.6×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,214 $1,214 0.2×
Ligation Major Artery Abdomen (37617)
unusually low: confirm this is the full procedure		 $2,289 $2,289 0.4×
Ligation or biopsy temporal artery (37609) $537 $537 0.3×
Lip Surgery Procedure (40799) $342 $342 1.3×
Litholapaxy comp/lg > 2.5 cm (52318) $1,169 $1,169 0.3×
Litholapaxy smpl/sm <2.5 cm (52317) $2,137 $2,137 0.5×
Lithotripsy, extracorporeal shock wave (50590) $1,813 $1,813 0.5×
Lysis/excision penile postcircumcision adhesions (54162) $634 $634 0.3×
Manipulation knee joint under general anesthesia (27570) $760 $760 0.4×
Manipulation, finger joint, under anesthesia, each joint (26340) $594 $594 0.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $483 $483 0.3×
Marsupialization of bartholin's gland cyst (56440) $308 $308 0.1×
Mast mod rad (19307)
likely a partial charge, not the full procedure		 $2,048 $2,048 0.3×
Mastectomy for gynecomastia (19300) $876 $876 0.2×
Mastectomy partial (19301) $1,543 $1,543 0.4×
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,465 $1,465 0.2×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,718 $2,718 0.4×
Metatarsectomy (28140) $1,481 $1,481 0.4×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $2,380 $2,380 0.6×
Muscle-skin graft trunk (15734) $2,735 $2,735 0.7×
Myelography Lumbar Injection (62305) $216 $216 0.2×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $924 $924 0.3×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $339–$2,679 $339–$2,679 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $299–$314 $299–$314 varies
N Block Inj Plantar Digit (64455) $118 $118 0.3×
N Block Lumbar/Thoracic (64520) $494 $494 0.5×
Nasal Endoscopy Dx (31231)
range across 3 matching MRF lines		 $375–$739 $375–$739 varies
Nasal/Orogastric W/Tube Plmt (43752)
range across 4 matching MRF lines		 $149–$985 $149–$985 varies
Ndsc eval intstinal pouch w/bx single/multiple (44386) $606 $606 0.6×
Needle Biopsy Lymph Nodes (38505) $3,747 $3,747 2.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $41 $41 1.3×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,008 $1,008 0.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $675 $675 1.6×
Njx anes stellate ganglion crv sympathetic (64510) $340 $340 0.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $313–$1,034 $313–$1,034 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $422 $422 0.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $615 $615 0.8×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $300 $300 0.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $609 $609 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,569 $1,569 2.0×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $992–$1,034 $992–$1,034 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,892 $1,892 0.3×
Open biopsy/excision inguinofemoral nodes (38531) $814 $814 0.2×
Open bowel to skin (44300) $1,381 $1,381 0.6×
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $1,336 $1,336 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $2,952 $2,952 0.4×
Open Treatment Fracture Distal Tibia & Fibula (27828)
range across 2 matching MRF lines		 $2,984–$3,134 $2,984–$3,134 varies
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $2,743 $2,743 0.2×
Open treatment interphalangeal joint dislocation (28675) $1,052 $1,052 0.3×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $2,144 $2,144 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,474 $1,474 0.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $1,364 $1,364 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $2,601 $2,601 0.3×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure		 $1,665 $1,665 0.2×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $4,774 $4,774 0.6×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
unusually low: confirm this is the full procedure		 $4,981 $4,981 0.3×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
likely a partial charge, not the full procedure		 $1,705 $1,705 0.2×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure		 $2,090 $2,090 0.3×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $1,487 $1,487 0.2×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $1,062 $1,062 0.1×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
likely a partial charge, not the full procedure		 $2,238 $2,238 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $1,438 $1,438 0.1×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $1,599 $1,599 0.2×
Open Treatment Tarsal Bone Dislocation (28555)
likely a partial charge, not the full procedure		 $2,126 $2,126 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure		 $2,429 $2,429 0.3×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 3 matching MRF lines		 $831–$3,516 $831–$3,516 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $2,262 $2,262 0.3×
Open tx femoral supracondylar fracture w/o xtn (27511)
unusually low: confirm this is the full procedure		 $4,359 $4,359 0.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $924 $924 0.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,501 $2,501 0.7×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,065 $1,065 0.3×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $1,313 $1,313 0.1×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $1,461 $1,461 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $1,536 $1,536 0.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure		 $3,476 $3,476 0.4×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $1,115 $1,115 0.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,305 $1,305 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $2,571 $2,571 0.3×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $4,991 $4,991 0.6×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure		 $2,036 $2,036 0.3×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $1,449 $1,449 0.1×
Orchiectomy radical tumor inguinal approach (54530) $1,253 $1,253 0.3×
Orchiopexy Ingun/Scrot Appr (54640) $1,075 $1,075 0.3×
Ostc compl all metar heads w/prtl prox phalangc (28114) $1,932 $1,932 0.5×
Ostc prtl exostc/condylc metar head (28288) $1,579 $1,579 0.4×
Ostectomy calcaneus (28118) $969 $969 0.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $799 $799 0.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,451 $1,451 0.4×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $846 $846 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,496 $1,496 0.4×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,594 $1,594 0.2×
Osteotomy Tibia (27705)
likely a partial charge, not the full procedure		 $1,297 $1,297 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $1,797 $1,797 0.3×
Part remv talus or calcaneus (28120) $1,320 $1,320 0.4×
Partial Excision Bone Humerus (24140) $1,194 $1,194 0.3×
Partial hymenectomy or revision of hymenal ring (56700) $453 $453 0.1×
Partial removal of fibula (27641) $1,612 $1,612 0.4×
Partial removal of tibia (27640) $1,409 $1,409 0.4×
Partical Excision Bone Phalanx Toe (28124) $869 $869 0.2×
Pelvic examination under anesthesia (other than local) (57410) $183 $183 0.1×
Penile Injection (54235) $218 $218 0.8×
Peri-Implant Capsulectomy Breast Complete (19371) $1,271 $1,271 0.3×
Perineoplasty rpr perineum nonobstetrical spx (56810) $632 $632 0.2×
Perq dev breast 1st strtctc (19283) $2,835 $2,835 3.6×
Perq dev breast 1st us imag (19285) $2,200 $2,200 2.8×
Perq device breast 1st imag (19281) $2,199 $2,199 1.2×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,636 $1,636 0.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $16,179 $16,179 2.0×
Phalangectomy toe each toe (28150) $771 $771 0.2×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $265–$669 $265–$669 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $1,647 $1,647 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $227 $227 0.2×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure		 $3,357 $3,357 0.5×
Prq skel fixj femoral fx prox end neck (27235) $4,490 $4,490 0.6×
Prq skel fixj metar fx w/manj (28476) $580 $580 0.2×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure		 $2,916 $2,916 0.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,992 $1,992 0.5×
Punch biopsy skin single lesion (11104) $303 $303 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines		 $342–$1,046 $342–$1,046 varies
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines		 $249–$3,143 $249–$3,143 varies
Pvb thoracic cont infusion (64463) $273 $273 0.3×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines		 $255–$2,679 $255–$2,679 varies
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $1,746 $1,746 0.5×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,211 $1,211 0.6×
Rcnstj angular dfrm toe soft tiss px only (28313)
range across 2 matching MRF lines		 $906–$952 $906–$952 varies
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $2,041 $2,041 0.3×
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,120 $1,120 0.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $1,266 $1,266 0.2×
Removal Foreign Body Deep Thigh/Knee (27372) $978 $978 0.3×
Removal foreign body foot deep (28192)
range across 4 matching MRF lines		 $1,423–$5,543 $1,423–$5,543 varies
Removal Foreign Body Foot Subcutaneous (28190) $677 $677 0.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $328 $328 0.2×
Removal foreign body upper arm/elbow deep (24201) $1,353 $1,353 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $62–$415 $62–$415 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $133–$415 $133–$415 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $285 $285 0.1×
Removal Implant Deep (20680) $1,606 $1,606 0.5×
Removal of calcium deposits (23000) $1,377 $1,377 0.4×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $349–$490 $349–$490 varies
Removal of kidney stone (50081)
likely a partial charge, not the full procedure		 $3,158 $3,158 0.3×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $615–$1,034 $615–$1,034 varies
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
likely a partial charge, not the full procedure		 $2,085 $2,085 0.3×
Removal of sesamoid bone (28315) $1,255 $1,255 0.3×
Removal of sperm cord lesion (55520) $1,130 $1,130 0.3×
Removal of testis (54520) $806 $806 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 4 matching MRF lines		 $157–$492 $157–$492 varies
Removal subcutaneous cardiac rhythm monitor (33286) $215 $215 0.3×
Removal sweat gland lesion (11450) $1,113 $1,113 0.3×
Removal/bivalving gauntlet boot/body cast (29700) $155 $155 0.5×
Remove Ankle Joint Lining (27626) $1,056 $1,056 0.3×
Remove armpit lymph nodes (38740)
likely a partial charge, not the full procedure		 $1,253 $1,253 0.2×
Remove drug implant device (11982)
range across 4 matching MRF lines		 $440–$504 $440–$504 varies
Remove Forearm Foreign Body (25248)
range across 3 matching MRF lines		 $982–$6,435 $982–$6,435 varies
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $201–$415 $201–$415 varies
Remove Intrauterine Device (58301)
range across 4 matching MRF lines		 $311–$1,150 $311–$1,150 varies
Remove Lower Leg Bone Lesion (27635) $1,425 $1,425 0.4×
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $415–$626 $415–$626 varies
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure		 $638 $638 0.1×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $916–$2,401 $916–$2,401 varies
Remove Tendon Sheath Lesion (26160) $1,018 $1,018 0.6×
Remove/Insert Drug Implant (11983) $535 $535 1.1×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $2,491 $2,491 0.3×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $1,151 $1,151 0.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $710–$1,984 $710–$1,984 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,505–$1,963 $1,505–$1,963 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $984–$1,963 $984–$1,963 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $843–$1,963 $843–$1,963 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,963 $1,963 4.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 4 matching MRF lines		 $755–$1,650 $755–$1,650 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $834–$6,459 $834–$6,459 varies
Repair complex trunk 2.6-7.5 cm (13101) $1,033 $1,033 1.3×
Repair Elbow Perc (24357) $1,025 $1,025 0.3×
Repair extensor tendon finger w/o graft each (26418) $946 $946 0.5×
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $2,006 $2,006 0.2×
Repair Hallux Rigidus (28289) $1,321 $1,321 0.4×
Repair Hand Tendon (26410) $912 $912 0.5×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,529 $1,529 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $782–$1,034 $782–$1,034 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $927–$1,034 $927–$1,034 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $941–$984 $941–$984 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $607–$1,405 $607–$1,405 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 3 matching MRF lines		 $679–$1,231 $679–$1,231 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines		 $711–$1,034 $711–$1,034 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 4 matching MRF lines		 $866–$1,034 $866–$1,034 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 3 matching MRF lines		 $923–$1,650 $923–$1,650 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $1,034–$1,084 $1,034–$1,084 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $697–$999 $697–$999 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines		 $889–$1,034 $889–$1,034 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $1,269–$1,963 $1,269–$1,963 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $889–$1,034 $889–$1,034 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 3 matching MRF lines		 $1,475–$5,942 $1,475–$5,942 varies
Repair Nonunion Hand (26546)
likely a partial charge, not the full procedure		 $2,325 $2,325 0.3×
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure		 $994 $994 0.1×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
likely a partial charge, not the full procedure		 $1,576 $1,576 0.2×
Repair of nail bed (11760)
range across 3 matching MRF lines		 $481–$1,963 $481–$1,963 varies
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure		 $1,304 $1,304 0.2×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,904 $1,904 0.2×
Repair of traumatic corporeal tear(s) (54437) $1,667 $1,667 0.4×
Repair of urethra injury (53502) $1,200 $1,200 0.3×
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure		 $1,120 $1,120 0.1×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,836 $1,836 0.3×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $1,386 $1,386 0.2×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,710 $1,710 0.2×
Repair shoulder capsule (23462)
likely a partial charge, not the full procedure		 $1,725 $1,725 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,384 $1,384 0.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,835 $1,835 0.2×
Repair Toe Dislocation (28645) $1,186 $1,186 0.3×
Repair tongue laceration (41252)
range across 3 matching MRF lines		 $554–$2,068 $554–$2,068 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $415–$708 $415–$708 varies
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure		 $1,023 $1,023 0.1×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,152 $1,152 0.1×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $895 $895 0.2×
Repair/graft achilles tendon (27652)
likely a partial charge, not the full procedure		 $1,685 $1,685 0.2×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $1,299–$2,286 $1,299–$2,286 varies
Replace elbow joint (24363)
likely a partial charge, not the full procedure		 $2,370 $2,370 0.1×
Rerepair ing hernia reduce (49520) $1,514 $1,514 0.4×
Resect Shoulder Tumor 5 Cm/> (23078) $2,583 $2,583 0.8×
Resect shoulder tumor < 5 cm (23077) $1,927 $1,927 0.6×
Resection of scrotum (55150) $799 $799 0.2×
Rev/rmv prph sac/gstr npg/r (64595) $436 $436 0.1×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure		 $2,865 $2,865 0.2×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure		 $1,577 $1,577 0.2×
Revise ulnar nerve at wrist (64719) $982 $982 0.5×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $2,853 $2,853 0.7×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $1,706 $1,706 0.4×
Revision of lower leg tendon (27685) $1,131 $1,131 0.3×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,024 $1,024 0.3×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $1,014 $1,014 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $435 $435 0.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $352–$1,349 $352–$1,349 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $193–$1,034 $193–$1,034 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $267–$415 $267–$415 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 3 matching MRF lines		 $110–$1,298 $110–$1,298 varies
Rmvl fecal impaction/fb spx under anes (45915)
range across 3 matching MRF lines		 $604–$4,297 $604–$4,297 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $811 $811 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $372 $372 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $837 $837 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $572–$3,944 $572–$3,944 varies
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $552–$2,064 $552–$2,064 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $384 $384 0.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,217 $1,217 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $560 $560 0.1×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure		 $1,257 $1,257 0.2×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $1,538 $1,538 0.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure		 $938 $938 0.1×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $754 $754 0.2×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $1,062 $1,062 0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $849 $849 0.1×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $831 $831 0.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $648 $648 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $440–$1,034 $440–$1,034 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $865 $865 0.1×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $749 $749 0.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $1,888–$3,051 $1,888–$3,051 varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,071 $1,071 0.3×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $831 $831 0.2×
Scrotal exploration (55110) $959 $959 0.2×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $537 $537 0.5×
Shave skin lesion 0.5 cm/< (11300) $255 $255 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $255 $255 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $314 $314 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $273 $273 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $220 $220 1.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $334 $334 1.5×
Sigmoidoscopy & decompress (45337) $200 $200 0.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $896 $896 0.7×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $651 $651 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $602–$1,034 $602–$1,034 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $456–$540 $456–$540 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $536–$540 $536–$540 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $353–$540 $353–$540 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $378–$540 $378–$540 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $670–$685 $670–$685 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $540–$567 $540–$567 varies
Skin sub graft face/nk/hf/g (15275) $2,831 $2,831 3.4×
Skin sub graft trnk/arm/leg (15271) $492 $492 0.6×
Skin sub grft t/arm/lg child (15273) $3,549 $3,549 1.5×
Skn sub grft f/n/hf/g child (15277) $3,549 $3,549 1.5×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $1,685 $1,685 0.3×
Slitting of prepuce (54001) $476 $476 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 5 matching MRF lines		 $456–$540 $456–$540 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $599–$1,034 $599–$1,034 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 4 matching MRF lines		 $724–$1,361 $724–$1,361 varies
Spinal puncture lumbar diagnostic (62270)
range across 6 matching MRF lines		 $348–$2,679 $348–$2,679 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,728 $1,728 0.8×
Strapping ankle (29540) $63 $63 0.3×
Strapping elbow or wrist (29260) $171 $171 2.6×
Strapping hand/finger (29280) $166 $166 2.5×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $48–$500 $48–$500 varies
Strapping toes (29550) $88 $88 1.3×
Strapping Unna Boot (29580) $162 $162 0.9×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
range across 3 matching MRF lines		 $5,768–$7,581 $5,768–$7,581 varies
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705)
range across 3 matching MRF lines		 $5,410–$7,008 $5,410–$7,008 varies
Surg tx anal fistula subq (46270) $908 $908 0.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $6,195 $6,195 2.3×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,861 $1,861 0.2×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,510 $1,510 0.2×
Suture/repair testicular injury (54670) $657 $657 0.2×
Synovectomy Tendon Sheath Foot Extensor (28088) $768 $768 0.2×
Tangential biopsy skin single lesion (11102) $241 $241 0.5×
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure		 $3,093 $3,093 0.4×
Tenotomy Adductor Hip Percutaneous Spx (27000) $709 $709 0.4×
Tenotomy Hip Abd/Ext Open (27006) $1,780 $1,780 0.5×
Tenotomy Percutaneous Toe Single Tendon (28010) $416 $416 0.2×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $485 $485 0.1×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $611 $611 0.3×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $847 $847 0.2×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $1,185 $1,185 0.3×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $1,529 $1,529 0.2×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $919 $919 0.3×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $835 $835 0.5×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge, not the full procedure		 $711 $711 0.0×
Thyroid biopsy (60100) $2,195 $2,195 2.8×
Tibial Arthroscopy/Surgery (29855)
likely a partial charge, not the full procedure		 $1,337 $1,337 0.2×
Tlh uterus over 250 g (58572)
likely a partial charge, not the full procedure		 $1,719 $1,719 0.1×
Tnot elbow lateral/medial debride open tdn rpr (24359) $1,069 $1,069 0.3×
Tooth extraction (41899) $701 $701 2.7×
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure		 $6,000 $6,000 0.4×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $742 $742 0.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,005 $1,005 0.6×
Transur electr resection of prostate (52601)
unusually low: confirm this is the full procedure		 $1,802 $1,802 0.3×
Treat ankle fracture (28445)
likely a partial charge, not the full procedure		 $1,439 $1,439 0.2×
Treat Big Toe Fracture (28505) $1,141 $1,141 0.3×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $1,841 $1,841 0.3×
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure		 $1,205 $1,205 0.1×
Treat Finger Fracture Each (26727) $835 $835 0.2×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $2,225 $2,225 0.3×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $1,802 $1,802 0.2×
Treat Hand Bone Lesion (26034) $869 $869 0.5×
Treat Humerus Fracture (24505)
range across 4 matching MRF lines		 $2,039–$5,929 $2,039–$5,929 varies
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $553–$727 $553–$727 varies
Treat knee fracture (27532)
range across 3 matching MRF lines		 $1,506–$7,617 $1,506–$7,617 varies
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $2,844 $2,844 0.4×
Treat Knuckle Dislocation (26700)
range across 3 matching MRF lines		 $572–$1,034 $572–$1,034 varies
Treat lower leg bone lesion (27607) $1,038 $1,038 0.3×
Treat metacarpal fracture (26607) $765 $765 0.2×
Treat Metatarsal Fracture (28475)
range across 3 matching MRF lines		 $460–$955 $460–$955 varies
Treat Thumb Fracture (26645) $746 $746 0.4×
Treat thumb fracture (26665) $1,025 $1,025 0.3×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $495–$1,034 $495–$1,034 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines		 $2,110–$5,018 $2,110–$5,018 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $1,034–$1,497 $1,034–$1,497 varies
Treatment of ankle fracture (27823) $4,094 $4,094 0.5×
Treatment of foot infection (28003) $1,882 $1,882 0.5×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure		 $2,108 $2,108 0.3×
Trim skin lesion (11055) $123 $123 0.6×
Trim skin lesions 2 to 4 (11056) $150 $150 0.7×
Trim skin lesions over 4 (11057) $168 $168 0.8×
Trimming Nondystrophic Nails Any Number (11719) $24 $24 0.4×
Trurl drainage prostatic abscess (52700) $716 $716 0.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $833 $833 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $5,489 $5,489 0.7×
Tx open tendon flexor toe 1 tendon spx (28232) $703 $703 0.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $425–$1,497 $425–$1,497 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines		 $845–$1,963 $845–$1,963 varies
Tx superficial wound dehiscence w/packing (12021)
range across 3 matching MRF lines		 $642–$1,896 $642–$1,896 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $2,412 $2,412 0.2×
Unlisted laparoscopy procedure appendix (44979)
likely a partial charge, not the full procedure		 $1,497 $1,497 0.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $857 $857 0.1×
Unlisted laparoscopy procedure, biliary tract (47579)
likely a partial charge, not the full procedure		 $1,930 $1,930 0.3×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $1,050 $1,050 0.2×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure		 $587 $587 0.1×
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $739 $739 0.1×
Unlisted procedure anus (46999) $501 $501 0.5×
Unlisted procedure colon (45399) $2,994 $2,994 2.9×
Unlisted procedure foot or toes (28899) $1,328 $1,328 4.8×
Unlisted procedure lungs and pleura (32999) $279 $279 0.4×
Unlisted Procedure Male Genital System (55899) $594 $594 2.1×
Unlisted Procedure Muscskeletal System General (20999) $2,874 $2,874 10.5×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $313–$2,183 $313–$2,183 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $1,384 $1,384 5.2×
Unlisted procedure stomach (43999) $1,607 $1,607 1.6×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $684–$1,745 $684–$1,745 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,006 $1,006 1.0×
Unlisted px female genital system nonobstetrical (58999) $1,371 $1,371 6.1×
Urethrorrhaphy sutr urethral wound/inj penile (53505)
likely a partial charge, not the full procedure		 $1,199 $1,199 0.2×
Vag hyst complex (58290)
unusually low: confirm this is the full procedure		 $2,817 $2,817 0.3×
Vaginal Delivery After Cesarean Delivery (59612) $2,027 $2,027 0.6×
Vaginal delivery only (59409) $2,644 $2,644 0.7×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $3,175 $3,175 0.6×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $2,255 $2,255 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $886 $886 0.4×
Vulvectomy simple partial (56620) $1,298 $1,298 0.4×
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $331–$1,034 $331–$1,034 varies
Wound Prep F/N/Hf/G (15004) $942 $942 2.1×
Wound Prep Trk/Arm/Leg (15002) $626 $626 0.8×
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure		 $2,699 $2,699 0.3×

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.