Procedures & surgery prices at San Dimas Community Hospital

San Dimas, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,160 $6,232.50 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,160 $5,070.90 1.0×
Ablate inf turbinate submuc (30802) $1,985 $7,885.41 1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines
$4,535 $19,900–$19,900.01 1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,640 $6,120.83 1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,640 $8,150 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $4,187 $18,107 1.0×
Amputate Metacarpal Bone (26910) $4,187 $10,864.20 1.0×
Amputation metatarsal with toe single (28810) $4,187 $13,000 1.0×
Amputation toe interphalangeal joint (28825) $4,187 $13,000 1.0×
Amputation toe metatarsophalangeal joint (28820) $4,187 $12,500 1.0×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $3,552 $12,500 1.0×
Anterior colporraphy rpr cystocele w/cysto (57240)
range across 2 matching MRF lines
$6,402 $15,531.25–$15,531.30 1.0×
Application finger splint static (29130) $170 $839.80 1.0×
Application long arm splint shoulder hand (29105) $207 $1,052.19 1.0×
Application Long Leg Splint (29505) $207 $1,052.19 1.0×
Application short arm splint forearm-hand static (29125) $170 $923.78 1.0×
Application short leg splint calf foot (29515) $207 $1,052.19 1.0×
Apply hand/wrist cast (29085) $207 $8,666.66 1.0×
Apply long arm cast (29065) $357 $16,250 1.0×
Arterial puncture (36600) $170 $923.78 1.0×
Arteriovenous Anastomosis Open Direct (36821) $4,041 $30,000 1.0×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $16,431 $17,875 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $392 $1,656.85 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $903 $3,172.95 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$392 $1,945.83–$9,124.66 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $392 $1,558.05 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $392 $994.11 1.0×
Arthrodesis great toe interphalangeal joint (28755) $9,286 $5,250 1.0×
Arthroplasty glenohumeral joint total shoulder (23472) $22,440 $35,625 1.0×
Arthroplasty Radial Head W/Implant (24366) $16,431 $33,750 1.0×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $4,187 $9,458.33 1.0×
Arthroscopy knee synovectomy limited spx (29875) $4,187 $13,750 1.0×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $9,286 $27,500 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $4,187 $15,000 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $9,286 $10,349.40 1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $4,187 $9,166.66 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $4,187 $22,500 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines
$9,286 $23,518.75–$23,518.80 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines
$9,286 $20,713.20–$20,713.21 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $16,431 $39,738.90 1.0×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $4,187 $21,000 1.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $16,431 $40,125 1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $9,286 $22,766.70 1.0×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $16,431 $34,375 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,187 $16,250 1.0×
Aspirate pleura w/ imaging (32555) $802 $4,298.04 1.0×
Aspirate Pleura W/O Imaging (32554) $802 $3,220.52 1.0×
Aspirate/Inj Ganglion Cyst (20612) $392 $1,475.95 1.0×
Aspiration bladder insert suprapubic catheter (51102) $2,675 $9,400 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $256 $1,337.44 1.0×
Biopsy Abdominal Mass (49180) $2,113 $10,479 1.0×
Biopsy bone open deep (20245) $3,717 $14,127 1.0×
Biopsy bone open superficial (20240) $3,717 $12,000 1.0×
Biopsy bone trocar/needle deep (20225) $2,113 $5,441.72 1.0×
Biopsy muscle percutaneous needle (20206) $2,113 $7,497.75 1.0×
Biopsy of breast; open, incisional (19101) $5,011 $13,750 1.0×
Biopsy of liver, needle; percutaneous (47000) $2,113 $10,479 1.0×
Biopsy Pleura Percutaneous Needle (32400) $2,113 $8,101.20 1.0×
Bladder Irrigation (51700) $319 $1,585.44 1.0×
Bladder Scan (51798) $75 $342.17 1.0×
Blepharotomy drainage abscess eyelid (67700) $406 $1,558.57 1.0×
Blood Transfusion Service (36430) $564 $3,251.70 1.0×
Bone Marrow Biopsy (38221) $2,113 $8,383.19 1.0×
Bone Marrow; Aspiration Only (38220) $2,113 $8,383.19 1.0×
Brnchsc Brushing/Protected Brushings (31623) $2,278 $8,085.70 1.0×
Bronch Thermoplsty 1 Lobe (31660) $9,032 $32,606 1.0×
Bronchoscopic Thermoplasty 2/> Lobes (31661) $9,032 $32,606 1.0×
Bronchoscopy Clear Airways (31645) $2,278 $9,494.55 1.0×
Bronchoscopy Reclear Airway (31646) $500 $1,945.25 1.0×
Bronchoscopy W/Biopsy(S) (31625) $2,278 $8,914.10 1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $4,771 $18,434.80 1.0×
Bx breast 1st lesion us imag (19083) $2,113 $7,497.75 1.0×
Bx Cervix (57500) $1,178 $4,700 1.0×
Bx/exc lymph node open deep axillary node (38525) $5,011 $6,591.43 1.0×
Carpal Tunnel Surgery (64721) $2,499 $9,400 1.0×
Catheter aspiration nasotracheal spx (31720) $280 $1,312.46 1.0×
Cerclage cervix pregnancy vaginal (59320) $4,143 $9,400 1.0×
Cessj Therapy Cath Removal (37214) $4,041 $17,830.90 1.0×
Change Cystostomy Tube Simple (51705) $319 $1,981.80 1.0×
Change of Windpipe Airway (31502) $303 $1,260.49 1.0×
Chemical Cautery Tissue (17250) $256 $882.25 1.0×
Chest tube placement (32551) $2,014 $10,472.90 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,582 $18,956.20 1.0×
Circumcision 28 days or older (54161) $2,675 $11,883.30 1.0×
Circumcision Neonate (54160) — $2,292.80 —
Cl Tx Scapular Fx; W Manip (23575) $2,058 $7,656.65 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $2,058 $8,990.74 1.0×
Claviculectomy partial (23120)
range across 2 matching MRF lines
$4,187 $18,333.30–$18,333.34 1.0×
Clear outer ear canal (69200) $170 $839.80 1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $315 $1,035.05 1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,058 $5,394.45 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $315 $1,075.89 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $315 $1,228.03 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,058 $8,298.68 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $315 $791.52 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $315 $1,669.75 1.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,058 $7,656.65 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,058 $5,394.45 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $4,243 $8,527 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $315 $1,319.20 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $2,058 $8,298.68 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,058 $8,298.68 1.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $315 $1,123.45 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $315 $1,228.03 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,058 $8,002.05 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $315 $1,530.91 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,058 $8,990.74 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $315 $791.52 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $315 $1,418.13 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $315 $1,228.03 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,058 $8,990.74 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $315 $1,319.20 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,058 $8,298.68 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $315 $1,388.54 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $315 $1,228.03 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $315 $1,319.20 1.0×
Cltx Med Ankle Fx W/Mnpj (27762) $2,058 $5,394.45 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $315 $1,319.20 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $315 $1,319.20 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $315 $1,243.27 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,058 $5,394.45 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $315 $1,319.20 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,058 $5,394.45 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,058 $5,394.45 1.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $315 $791.52 1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $315 $1,228.03 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $315 $1,283.30 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,058 $8,298.68 1.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $315 $791.52 1.0×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $6,402 $14,350 1.0×
Collection of venous blood by venipuncture (36415) $9 $67.62 1.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,531 $3,960.81 1.0×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,531 $5,895.40 1.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,531 $6,178.41 1.0×
Colonoscopy thru stoma (44388) $1,190 $4,728.22 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,531 $6,178.41 1.0×
Colonoscopy w/ablation (45388) $1,531 $3,960.81 1.0×
Colonoscopy W/Band Ligation (45398) $1,531 $6,601.34 1.0×
Colonoscopy w/fb removal (45379) $1,531 $5,895.40 1.0×
Colonoscopy W/Resection (45390) $3,552 $12,475.20 1.0×
Colonoscopy w/submucosal inj (45381) $1,531 $7,723.01 1.0×
Colpopexy extraperitoneal (57282) $9,490 $11,375 1.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,531 $6,178.41 1.0×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,531 $6,178.41 1.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,531 $6,601.34 1.0×
Combined anteroposterior colporrhaphy; (57260) $6,402 $26,000 1.0×
Conization cervix w/wo d&c rpr eltrd exc (57522) $4,143 $10,540.80 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $170 $714.58 1.0×
Control Nasal Hemorrhage Anterior Simple (30901) $170 $839.80 1.0×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $16,431 $13,750 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines
$2,113 $1,879.75–$9,069.54 1.0×
Correction hammertoe (28285) $4,187 $12,500 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,187 $19,062.50 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $4,187 $5,585.93 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $170 $708 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $2,675 $10,850 1.0×
Cysto w/complex removal stone & stent (52315) $2,675 $15,625 1.0×
Cysto w/dilat rx balo cath urtl strix/sten male (52284)
range across 2 matching MRF lines
$6,862 $16,041.67–$16,041.70 1.0×
Cysto w/insert ureteral stent (52332) $4,511 $14,533.30 1.0×
Cysto w/removal of tumors small (52234) $4,511 $13,937.50 1.0×
Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $4,511 $12,500 1.0×
Cysto w/ureter stricture tx (52341) $4,511 $7,175 1.0×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines
$4,511 $11,979.17–$11,979.20 1.0×
Cysto/uretero w/lithotripsy (52356) $6,862 $20,990.70 1.0×
Cystostomy Cystotomy W/Drainage (51040) $2,675 $12,500 1.0×
Cystourethroscopy (52000) $892 $27,500 1.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $4,511 $13,000 1.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $6,862 $24,600 1.0×
Cystourethroscopy with biopsy (52204) $2,675 $11,700 1.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,717 $13,750 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $945 $3,060.65 1.0×
Debride nail 6 or more (11721) $75 $9,400 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $520 $5,449 1.0×
Deep Muscle Biopsy (20205) $3,717 $12,916.30 1.0×
Delivery of placenta (59414) — $10,493.40 —
Destroy lumb/sac facet jnt (64635) $2,499 $8,111.20 1.0×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines
$1,190 $4,558.55–$5,910.28 1.0×
Dilate Esophagus 1/Mult Pass (43450) $1,160 $4,687.80 1.0×
Dilation & curettage dx&/ther nonobstetric (58120) $4,143 $9,400 1.0×
Drain Cerebro Spinal Fluid (62272) $903 $3,783.39 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $906 $3,707.67 1.0×
Drainage Finger Abscess Complicated (26011) $2,113 $8,383.19 1.0×
Drainage Mouth Roof Lesion (42000) $303 $1,260.49 1.0×
Drainage of finger abscess simple (26010) $256 $1,569.36 1.0×
Drainage of gum lesion (41800) $170 $714.58 1.0×
Drainage of hematoma/fluid (10140) $2,113 $9,069.54 1.0×
Drainage of hydrocele (55000) $906 $4,375 1.0×
Drainage of scrotal wall abscess (55100) $2,113 $8,383.19 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $256 $1,337.44 1.0×
Dstrj lesion anus simple surg excision (46922) $3,552 $7,000 1.0×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,640 $9,400 1.0×
Dstrj lesion penis simple surg excision (54060) $2,640 $7,000 1.0×
Dx Bronchoscope/Lavage (31624) $2,278 $10,444 1.0×
Dx Bronchoscope/Wash (31622) $2,278 $11,142.60 1.0×
Dx Laryngoscopy Excl Nb (31525) $2,278 $5,696.73 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $903 $3,462.60 1.0×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,455 $9,064.95 1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines
$2,455 $5,354–$9,677.23 1.0×
Egd cautery tumor polyp (43250) $2,455 $6,386.66 1.0×
Egd control bleeding any (43255)
range across 2 matching MRF lines
$2,455 $9,400–$12,096.50 1.0×
Egd dilation gastric/duodenal stricture (43245) $2,455 $9,677.23 1.0×
Egd endo mucosal resection (43254) $2,455 $9,484.95 1.0×
Egd Flexible Foreign Body Removal (43247) $1,160 $4,821.03 1.0×
Egd guide wire insertion (43248) $1,160 $6,026.29 1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $2,455 $6,386.66 1.0×
Egd place gastrostomy tube (43246) $2,455 $13,306.20 1.0×
Egd remove lesion snare (43251)
range across 2 matching MRF lines
$2,455 $9,400–$12,096.50 1.0×
Egd Varices Ligation (43244) $2,455 $12,096.50 1.0×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $6,402 $10,500 1.0×
Endoscopic injection/implant (51715) $4,511 $17,187.50 1.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,455 $9,677.23 1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,934 $22,868 1.0×
Ercp ea duct/ampulla dilate (43277)
range across 2 matching MRF lines
$4,934 $9,400–$21,423.80 1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264) $4,934 $21,423.80 1.0×
Ercp remove forgn body duct (43275) $2,455 $9,064.95 1.0×
Ercp Stent Exchange W/Dilate (43276) $7,769 $3,437.50 1.0×
Ercp W/Biopsy Single/Multiple (43261) $4,934 $8,593.76 1.0×
Ercp,Sphincterotomy (43262)
range across 2 matching MRF lines
$4,934 $20,900–$22,868 1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,160 $6,026.29 1.0×
Esophagosc Dilate Balloon 30 (43214) $2,455 $9,677.23 1.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,455 $9,484.95 1.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,160 $3,133.33 1.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $2,455 $11,693.80 1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,455 $9,064.95 1.0×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $2,455 $9,064.95 1.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $2,455 $9,677.23 1.0×
Evacuate mole of uterus (59870) $4,143 $9,400 1.0×
Evacuation of subungual hematoma (11740) $170 $671.84 1.0×
Exc Back Les Sc < 3 Cm (21930) $2,113 $5,729.16 1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $5,011 $17,187.50 1.0×
Exc Face Les Sbq 2 Cm/> (21012) $2,113 $11,700 1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $906 $15,750 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $906 $7,300 1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,113 $10,500 1.0×
Exc Forearm Tum Deep 3 Cm/> (25073) $3,717 $11,700 1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,113 $5,441.72 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $906 $9,400 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,113 $11,375 1.0×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $4,243 $34,375 1.0×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $4,243 $10,950 1.0×
Exc Rct Tum Incl Muscularis Propria (45172) $3,552 $10,500 1.0×
Exc Rct Tum Not Incl Muscularis Propria (45171) $3,552 $9,400 1.0×
Exc Shoulder Tum Deep 5 Cm/> (23073) $3,717 $10,500 1.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,717 $5,833.33 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,113 $14,000 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,113 $4,180 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $3,717 $5,639 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,531 $3,960.81 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $906 $5,250 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,717 $11,262.50 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,717 $16,025 1.0×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,717 $10,500 1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,113 $7,000 1.0×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $3,717 $13,000 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,717 $7,000 1.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,113 $9,677 1.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,717 $11,700 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,675 $6,836.40 1.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,985 $13,587.70 1.0×
Excision External Ear Partial Simple Repair (69110) $3,717 $4,666.68 1.0×
Excision external ear; complete amputation Facility (69120) $7,576 $29,578.30 1.0×
Excision Hidradenitis Axillary Complex Repair (11451) $3,717 $8,150 1.0×
Excision lesion mouth roof (42104) $4,243 $11,714.50 1.0×
Excision Lingual Frenum Frenectomy (41115) $1,985 $7,377 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $520 $7,750 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $3,552 $13,750 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,058 $7,377 1.0×
Excision of hydrocele; unilateral (55040) $4,582 $11,812.50 1.0×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $7,576 $48,750 1.0×
Excision of submandibular (submaxillary) gland (42440) $7,576 $11,700 1.0×
Excision of vaginal cyst or tumor (57135) $4,143 $2,625 1.0×
Excision of vaginal septum (57130) $4,143 $2,625 1.0×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $4,187 $15,750 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,717 $15,000 1.0×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,717 $9,139.15 1.0×
Excision soft tissue lesion, external auditory canal (69145) $3,717 $13,125 1.0×
Excision Thyroglossal Duct Cyst/Sinus (60280)
range across 2 matching MRF lines
$7,737 $35,368.75–$35,368.80 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,113 $11,700 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,717 $13,000 1.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,113 $13,000 1.0×
Excision/Curettage Cyst/Tumor Radius/Ulna (25120) $4,187 $12,250 1.0×
Excision/destruction lesion pharynx any method (42808)
range across 2 matching MRF lines
$4,243 $12,031.25–$12,031.30 1.0×
External cephalic version (59412) — $45,378 —
Fetal non-stress test (59025) — $1,025 —
Fine needle aspiration without imaging guidance (10021) $520 $2,059.37 1.0×
Fluoro exam of g/colon tube (49465) $305 $1,507.82 1.0×
Fna Bx W/Fluor Gdn 1St Les (10007) $906 $3,517.95 1.0×
Fna bx w/us gdn 1st les (10005) $906 $3,707.67 1.0×
Foreskin manipulation (54450) $319 $1,565.98 1.0×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $4,243 $7,218.75 1.0×
Gastrocnemius recession (27687) $4,187 $4,726.56 1.0×
Guide Cathet Fluid Drainage (10030) $906 $6,782 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,552 $8,200 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,552 $10,688.20 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,190 $4,172.94 1.0×
Hymenotomy Simple Incision (56442) $4,143 $5,250 1.0×
Hysteroscopy Biopsy (58558) $4,143 $9,633.79 1.0×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $6,402 $5,354 1.0×
Hysteroscopy Dx Sep Proc (58555) $4,143 $6,500 1.0×
Hysteroscopy Endometrial Ablation (58563) $6,402 $9,112.59 1.0×
Hysteroscopy Removal Impacted Foreign Body (58562) $4,143 $9,538.50 1.0×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $6,402 $10,209 1.0×
I&d abscess peritonsillar (42700) $303 $1,318.34 1.0×
I&d abscess simple (10060) $256 $1,337.44 1.0×
I&D Below Fascia Foot 1 Bursal Space (28002) $2,058 $10,500 1.0×
I&d perianal abscess superficial (46050) $1,190 $4,728.22 1.0×
I&d pilonidal cyst complicated (10081) $906 $3,824.50 1.0×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$906 $3,935.82–$13,125 1.0×
Icd Pocket Revision (33223) $2,640 $6,120.83 1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,160 $4,318.45 1.0×
Image Cath Fluid Colxn Visc (49405) $2,113 $9,069.54 1.0×
Image Cath Fluid Peri/Retro (49406) $2,113 $8,383.19 1.0×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines
$8,156 $11,458.30–$11,458.34 1.0×
Implant Periph/Gastric Neurostim/Receiver (64590) $24,829 $5,729.16 1.0×
Incise external hemorrhoid (46083) $319 $1,585.44 1.0×
Incise finger tendon sheath (26055) $2,058 $3,714.28 1.0×
Incision & drainage abscess complicated/multiple (10061) $520 $2,230.59 1.0×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$520 $2,059.37–$9,400 1.0×
Incision and drainage of bartholin's gland abscess (56420) $258 $1,114.71 1.0×
Incision and drainage of vulva or perineal abscess (56405) $390 $1,794.59 1.0×
Incision of fibula (27707) $4,187 $2,812.50 1.0×
Incision of lingual frenum (frenotomy) (41010) $1,985 $11,700 1.0×
Incision of rectal abscess (46040) $1,531 $8,307.50 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $256 $1,119.93 1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,132 $2,506.67 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,132 $4,451.45 1.0×
Injection aa&/strd genicular nrv branches w/img (64454) $903 $8,400 1.0×
Injection for identification of sentinel node (38792) $511 $2,009.15 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $392 $1,945.83 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $392 $1,656.85 1.0×
Injection, anesthetic agent; brachial plexus, single (64415) $1,132 $5,427.81 1.0×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$903 $4,118.13–$29,250 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$903 $4,729.24–$10,500 1.0×
Ins cath ren art 1st bilat (36252) $4,041 $15,185 1.0×
Ins cath ren art 1st unilat (36251) $4,041 $10,698.50 1.0×
Ins endovas vena cava filtr (37191) $7,121 $18,444.70 1.0×
Insert cath pleura w/ image (32557) $2,014 $10,472.90 1.0×
Insert cath pleura w/o image (32556) $2,455 $9,677.23 1.0×
Insert cervical dilator (59200) — $1,680.36 —
Insert Nasal Septal Button (30220) $1,985 $8,200 1.0×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$4,041 $19,500–$23,452 1.0×
Insert Pacing Lead & Connect (33224) $13,377 $35,840.70 1.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,014 $5,390.69 1.0×
Insert pulse gen dual leads (33213) $13,377 $61,951.40 1.0×
Insert Pulse Gen Sngl Lead (33212) $10,591 $28,515 1.0×
Insert Temp Bladder Cath (51702) $170 $839.80 1.0×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines
$4,041 $16,135.70–$18,618.60 1.0×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $7,121 $35,515.30 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $170 $839.80 1.0×
Insertion indwelling tunneled pleural catheter (32550) $4,582 $17,645.30 1.0×
Insertion of cannula (36800) $7,121 $30,741.10 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,014 $9,854.94 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $4,041 $10,698.50 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines
$4,041 $15,156.30–$17,830.90 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$2,014 $5,375.42–$11,520.20 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines
$4,041 $11,700–$15,737.50 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249) $40,173 $184,039 1.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $10,591 $41,379.90 1.0×
Insrt heart pm atrial & vent (33208) $13,377 $77,439.30 1.0×
Intraoral i&d tongue/floor submndblr space (41008) $4,243 $11,156.40 1.0×
Intro cath dialysis circuit (36901) $2,014 $8,959.04 1.0×
Intubation endotracheal emergency procedure (31500) $303 $1,733.17 1.0×
Irrigation of corpora cavernosa for priapism (54220) $319 $1,177.40 1.0×
Lap insert tunnel ip cath (49324) $7,737 $9,400 1.0×
Laparo-vag hyst incl t/o (58552) $13,604 $43,875 1.0×
Laparoscopic myomectomy (58545) $7,737 $23,000 1.0×
Laparoscopy fulguration oviducts (58670) $7,737 $13,049.80 1.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $7,737 $33,437.50 1.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $13,604 $13,750 1.0×
Laparoscopy W/Lysis Of Adhesions (58660) $7,737 $25,857.10 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $7,737 $20,215.90 1.0×
Laparoscopy, surgical, appendectomy (44970) $7,737 $15,930 1.0×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $13,604 $17,250 1.0×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) $13,604 $35,750 1.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $7,737 $30,000 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $7,737 $19,586 1.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $7,737 $39,000 1.0×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $7,737 $19,500 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines
$7,737 $12,031.27–$12,031.30 1.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $7,737 $15,758.80 1.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $7,737 $20,209.70 1.0×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
range across 2 matching MRF lines
$13,604 $29,166.67–$29,166.70 1.0×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $13,604 $34,250 1.0×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $4,771 $9,400 1.0×
Laryngoscopy w/biopsy microscope/telescope (31536) $4,771 $3,133.34 1.0×
Larynscop w/tumr exc + scope (31541) $4,771 $16,300 1.0×
Litholapaxy comp/lg > 2.5 cm (52318) $4,511 $9,750 1.0×
Litholapaxy smpl/sm <2.5 cm (52317) $4,511 $12,500 1.0×
Lithotripsy, extracorporeal shock wave (50590) $4,511 $14,389.40 1.0×
Lysis Intranasal Synechia (30560) $690 $7,583.33 1.0×
Manipulation knee joint under general anesthesia (27570) $2,058 $8,400 1.0×
Manipulation wrist under anesthesia (25259) $2,058 $10,312.50 1.0×
Manipulation, finger joint, under anesthesia, each joint (26340) $2,058 $5,156.25 1.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,058 $3,500 1.0×
Mastectomy partial (19301) $5,011 $14,060.90 1.0×
Mastectomy simple complete (19303) $8,498 $31,250 1.0×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $4,143 $10,500 1.0×
Nasal Endoscopy Dx (31231) $255 $5,550 1.0×
Nasal/Orogastric W/Tube Plmt (43752) $571 $1,337.33 1.0×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $4,771 $5,835.98 1.0×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $9,032 $5,126.04 1.0×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $7,576 $19,500 1.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,278 $14,000 1.0×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,278 $6,044.96 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $9,032 $6,205.40 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $9,032 $39,000 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $9,032 $7,583.34 1.0×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $9,032 $5,753.34 1.0×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $9,032 $4,872.39 1.0×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $9,032 $6,794.33 1.0×
Nasal/sinus ndsc total with sphenoidotomy (31257) $9,032 $5,648.98 1.0×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $9,032 $11,746.30 1.0×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $9,032 $4,128.18 1.0×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $9,032 $6,533.15 1.0×
Needle Biopsy Lymph Nodes (38505) $2,113 $8,383.19 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $392 $1,945.83 1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,582 $18,956.20 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$1,132 $4,342.25–$9,400 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $903 $9,382.39 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $903 $9,111.54 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $892 $12,375 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $892 $3,427.75 1.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $520 $2,059.37 1.0×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $9,032 $5,798.77 1.0×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $9,032 $7,800 1.0×
Occipital Nerve Block (64405) $392 $1,475.95 1.0×
Open biopsy/excision inguinofemoral nodes (38531) $5,011 $8,500 1.0×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $9,286 $23,337.50 1.0×
Open Treatment Bimalleolar Ankle Fracture (27814) $9,286 $33,041.70 1.0×
Open treatment fracture distal tibia only (27827) $16,431 $30,937.50 1.0×
Open treatment interphalangeal joint dislocation (28675) $4,187 $12,191.70 1.0×
Open treatment metacarpophalangeal dislocation (26715) $4,187 $16,250 1.0×
Open treatment metatarsal fracture each (28485) $9,286 $18,750 1.0×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $9,286 $9,166.66 1.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $9,286 $28,131.30 1.0×
Open treatment of ulnar styloid fracture (25652)
range across 2 matching MRF lines
$9,286 $13,384.26–$13,384.30 1.0×
Open Treatment Proximal Humeral Fracture (23615) $16,431 $44,850 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $4,187 $22,750 1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $9,286 $13,812.50 1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines
$9,286 $14,729.50–$14,729.54 1.0×
Open tx interphalangeal joint dislocation (26785) $4,187 $20,625 1.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines
$4,187 $13,177.08–$13,177.10 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $4,187 $17,437.50 1.0×
Open Tx Radial Head/Neck Fracture (24665) $9,286 $26,000 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $9,286 $24,000 1.0×
Open tx ulnar fx proximal end (24685) $9,286 $33,500 1.0×
Open/Perq Place Stent 1St (37236) $14,775 $56,702.80 1.0×
Open/Perq Place Stent Same (37238) $14,775 $61,540.80 1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines
$9,286 $13,351.25–$13,351.30 1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $9,286 $34,026.80 1.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $16,431 $31,050 1.0×
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines
$9,286 $29,218.76–$29,218.80 1.0×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
range across 2 matching MRF lines
$9,286 $14,609.37–$14,609.40 1.0×
Ovarian cystectomy, unilateral or bilateral (58925) $6,402 $12,000 1.0×
Parathyroidectomy or exploration of parathyroid(s); (60500) $7,576 $35,750 1.0×
Partial Excision Distal Phalanx Finger (26236) $2,058 $9,400 1.0×
Partial removal of thyroid (60220) $7,737 $43,566 1.0×
Partial removal of tibia (27640) $4,187 $8,593.75 1.0×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $7,737 $29,250 1.0×
Partical Excision Bone Phalanx Toe (28124) $4,187 $10,500 1.0×
Penile Injection (54235) $319 $1,074.35 1.0×
Percut Mech Thrombectomy, Venous, Repeat (37188) $4,041 $15,737.50 1.0×
Pericardiocentesis W/Imaging (33016) $2,014 $7,767.20 1.0×
Perq dev breast 1st strtctc (19283) $906 $2,361.49 1.0×
Perq dev breast 1st us imag (19285) $906 $3,244.85 1.0×
Perq device breast 1st imag (19281) $2,113 $6,000 1.0×
Phleb Veins - Extrem 20+ (37766) $4,041 $17,062.50 1.0×
Place Cath Vertebral Art (36226) $7,121 $18,444.70 1.0×
Placement of needle for intraosseous infusion (36680) $571 $2,228.88 1.0×
Placement of seton (46020) $3,552 $8,475 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,675 $13,335.10 1.0×
Prim art mech thrombectomy (37184) $23,462 $98,092 1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,190 $10,500 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,582 $11,612.10 1.0×
Prq skel fixj femoral fx prox end neck (27235) $9,286 $13,750 1.0×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $9,286 $13,000 1.0×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $4,187 $10,500 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,187 $9,916.67 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $520 $2,230.59 1.0×
Rdctj torsion tstis w/wo fixj clat testis (54600) $4,511 $17,244.80 1.0×
Relocation Pocket Pacemaker (33222) $2,640 $8,687.65 1.0×
Removal Anal Seton Other Marker (46030) $1,531 $17,187.50 1.0×
Removal foreign body, intranasal; requiring general anesthesia (30310) $4,243 $4,700 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $75 $342.17 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $75 $414.59 1.0×
Removal Implant Deep (20680) $3,717 $11,475 1.0×
Removal Implant Superficial Separate Procedure (20670) $2,113 $10,500 1.0×
Removal of adenoids (42835) $4,243 $10,500 1.0×
Removal of adenoids (42831) $4,243 $9,950 1.0×
Removal of adenoids (42830) $4,243 $11,700 1.0×
Removal of anal fissure (46200) $3,552 $9,400 1.0×
Removal of ankle implant (27704) $4,187 $15,420.20 1.0×
Removal of foreign body from pharynx (42809) $571 $2,201.38 1.0×
Removal of nail bed (11750) $520 $2,230.59 1.0×
Removal of tonsils (42825) $7,576 $9,400 1.0×
Removal of tonsils (42826) $4,243 $12,305.70 1.0×
Removal of tunneled intraperitoneal catheter (49422) $4,041 $17,056 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $256 $1,069.95 1.0×
Removal subcutaneous cardiac rhythm monitor (33286) $906 $2,625 1.0×
Removal sweat gland lesion (11450) $3,717 $15,750 1.0×
Remove foreign body from eye (65205) $170 $671.84 1.0×
Remove Intrauterine Device (58301) $390 $9,400 1.0×
Remove lung catheter (32552) $802 $3,152.55 1.0×
Remove Nasal Foreign Body (30300) $170 $671.84 1.0×
Remove prostate regrowth (52630) $6,862 $15,375 1.0×
Remove renal tube w/fluoro (50389) $892 $5,526.50 1.0×
Remove Tendon Sheath Lesion (26160) $2,058 $14,625 1.0×
Remv&replc cvd gen dual lead (33263) $28,468 $131,859 1.0×
Remv&replc cvd gen mult lead (33264) $40,173 $116,108 1.0×
Remv&replc pm gen dual lead (33228) $13,377 $59,734.50 1.0×
Renal Biopsy Perq (50200) $2,113 $8,383.19 1.0×
Reopen fallopian tube (58350) $6,402 $6,500 1.0×
Repair Achilles Tendon (27650) $9,286 $22,750 1.0×
Repair Choanal Atresia Intranasal (30540) $7,576 $7,583.34 1.0×
Repair Collat Ankle Ligmnt,Secondary (27698) $9,286 $21,875 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $945 $5,850 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $520 $3,120.44 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $520 $3,120.44 1.0×
Repair extensor tendon finger w/o graft each (26418) $2,058 $9,400 1.0×
Repair Finger Tendon (26433) $4,187 $13,125 1.0×
Repair Finger/Hand Tendon (26350) $4,187 $6,987.50 1.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $4,187 $7,031.25 1.0×
Repair Hallux Rigidus (28289) $4,187 $13,750 1.0×
Repair Hand Joint (26540) $4,187 $17,187.50 1.0×
Repair inguinal hernia, sliding, any age (49525) $4,582 $19,500 1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $4,582 $22,830.50 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $520 $2,059.37 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $520 $2,059.37 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $520 $1,338.35 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $520 $1,463.10 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $520 $2,059.37 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $520 $2,059.37 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $945 $3,120.44 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $520 $2,059.37 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $520 $2,059.37 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $520 $2,059.37 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $945 $2,108 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $520 $2,059.37 1.0×
Repair Nasal Vestibular Stenosis (30465) $7,576 $8,316.06 1.0×
Repair Non/Malunion Humerus W/O Graft (24430) $16,431 $33,750 1.0×
Repair of nail bed (11760) $945 $3,513.33 1.0×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $9,286 $11,375 1.0×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines
$9,286 $32,083.30–$32,083.33 1.0×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $8,285 $24,708.30 1.0×
Repair tongue laceration (41250) $571 $1,337.33 1.0×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) $9,286 $8,020.83 1.0×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
range across 2 matching MRF lines
$9,286 $18,416.68–$18,416.70 1.0×
Repair/Revise Wrist Joint (25320)
range across 2 matching MRF lines
$9,286 $20,833.30–$20,833.34 1.0×
Reposition Gastrostomy Tube (43761) $319 $5,436.03 1.0×
Revise ulnar nerve at wrist (64719) $2,499 $6,125 1.0×
Revision of lower leg tendon (27685) $4,187 $4,726.56 1.0×
Revision of urethra (57220) $6,402 $9,750 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,160 $3,042.54 1.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,113 $12,711.30 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $571 $2,228.88 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $170 $714.58 1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $571 $1,337.33 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,014 $22,750 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines
$802 $2,699.85–$13,000 1.0×
Rplc Gtube No Revj Trc (43762) $319 $1,981.80 1.0×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $4,041 $15,185 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines
$4,041 $5,354–$15,737.50 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,737 $18,312.50 1.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $4,582 $22,833.30 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $8,285 $39,000 1.0×
Rpr aa hernia recr 3-10 cm reducible (49615) $8,285 $55,250 1.0×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $7,737 $21,525 1.0×
Rpr aa hrn 1st 3-10 rdc (49593) $8,285 $36,504.20 1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $7,737 $22,257.70 1.0×
Rpr blood vessel direct lower extremity (35226) $906 $3,707.67 1.0×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
range across 2 matching MRF lines
$9,286 $16,041.67–$16,041.70 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $256 $1,161 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $690 $3,077.86 1.0×
Rpr Nsl Vlv Collapse W/Implt (30468) $7,576 $7,904.17 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,187 $3,714.29 1.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $4,243 $39,000 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,190 $4,728.22 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,531 $6,178.41 1.0×
Sigmoidoscopy & decompress (45337) $1,190 $4,354.05 1.0×
Sigmoidoscopy & Polypectomy (45333) $1,190 $5,112.70 1.0×
Sigmoidoscopy flx tndsc balo dilat (45340) $1,531 $5,621.80 1.0×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,531 $6,178.41 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,190 $5,112.70 1.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,531 $5,621.80 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $520 $1,338.35 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $256 $1,337.44 1.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $520 $1,997.65 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $256 $1,069.95 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $256 $1,471.18 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $256 $1,718 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $256 $1,337.44 1.0×
Skin sub graft face/nk/hf/g (15275) $945 $3,437.50 1.0×
Skin sub graft trnk/arm/leg (15271) $945 $4,151.39 1.0×
Skin sub grft t/arm/lg child (15273) $2,640 $3,437.50 1.0×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines
$6,402 $10,152.20–$10,152.21 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $256 $1,337.44 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $520 $2,230.59 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $520 $2,059.37 1.0×
Sphincterotomy anal division sphincter spx (46080) $3,552 $9,400 1.0×
Spinal puncture lumbar diagnostic (62270) $903 $3,868.53 1.0×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $4,041 $18,958.30 1.0×
Strapping ankle (29540) $207 $596.20 1.0×
Strapping elbow or wrist (29260) $75 $486.71 1.0×
Strapping hand/finger (29280) $75 $354 1.0×
Strapping knee (29530) $170 $714.58 1.0×
Strapping shoulder (29240) $170 $671.84 1.0×
Subcutaneous Hormone Pellet Implantation (11980) $571 $5,250 1.0×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines
$4,243 $13,330.20–$13,330.24 1.0×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $7,576 $6,093.75 1.0×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $7,576 $5,275 1.0×
Surg tx anal fistula subq (46270) $3,552 $13,662.50 1.0×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $3,552 $10,550 1.0×
Suture digital nerve hand/foot 1 nerve (64831) $2,499 $3,714.28 1.0×
Suture infrapatellar tendon primary (27380) $9,286 $20,637.50 1.0×
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $945 $2,108 1.0×
Tcat Insj/Rpl Perm Ldls Pm (33274) $24,652 $85,888 1.0×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines
$9,286 $19,547.20–$19,547.22 1.0×
Thrombolytic Therapy Stroke (37195) $422 $1,899.72 1.0×
Thyroid biopsy (60100) $906 $3,707.67 1.0×
Thyroidectomy, total or complete (60240) $7,737 $51,559.20 1.0×
Tnot elbow lateral/medial debride open tdn rpr (24359) $4,187 $10,500 1.0×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $4,243 $13,443.80 1.0×
Total Knee Arthroplasty (27447) $16,431 $35,096.30 1.0×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $390 $2,799 1.0×
Transur electr resection of prostate (52601) $6,862 $18,945.80 1.0×
Treat Big Toe Fracture (28505) $4,187 $16,250 1.0×
Treat ectopic pregnancy (59151) $7,737 $21,590.60 1.0×
Treat Finger Fracture Each (26727) $4,187 $27,500 1.0×
Treat fracture radius/ulna (25575) $9,286 $16,250 1.0×
Treat Fx Rad Extra-Articul (25607) $9,286 $24,600 1.0×
Treat Humerus Fracture (24505) $2,058 $8,002.05 1.0×
Treat knee fracture (27532) $4,187 $16,873.10 1.0×
Treat Kneecap Fracture (27524) $9,286 $35,750 1.0×
Treat Knuckle Dislocation (26700) $315 $1,228.03 1.0×
Treat Metatarsal Fracture (28475) $315 $1,228.03 1.0×
Treat toe dislocation (28630) $315 $791.52 1.0×
Treatment closed elbow dislocation w/o anes (24600) $315 $1,319.20 1.0×
Treatment of ankle fracture (27823) $9,286 $35,750 1.0×
Trim skin lesion (11055) $256 $902.90 1.0×
Trluml Balo Angiop 1St Art (37246) $7,284 $37,246 1.0×
Trluml Balo Angiop 1St Vein (37248) $7,284 $31,973.60 1.0×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $3,552 $12,125 1.0×
Tx Gastro Intub W/Asp (43753) $276 $1,576.84 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $4,143 $9,400 1.0×
Tx Missed Abortion First Trimester Surgical (59820) $4,143 $8,051.33 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $945 $3,513.33 1.0×
Tympanostomy general anesthesia (69436) $1,985 $9,792.63 1.0×
Unlisted hysteroscopy procedure, uterus (58579) $258 $2,625 1.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines
$7,737 $12,447.90–$12,447.92 1.0×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $7,737 $33,000 1.0×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $7,737 $27,000 1.0×
Unlisted laparoscopy procedure, uterus (58578) $7,737 $29,250 1.0×
Unlisted procedure anus (46999) $1,190 $4,354.05 1.0×
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines
$315 $14,609.37–$14,609.40 1.0×
Unlisted Procedure Leg/Ankle (27899) $315 $2,812.50 1.0×
Unlisted Procedure Male Genital System (55899) $319 $13,125 1.0×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines
$392 $1,656.85–$9,400 1.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $303 $6,925.17 1.0×
Unlisted Procedure Vascular Surgery (37799) $802 $3,100.05 1.0×
Unlisted Px Salivary Glands/Ducts (42699) $303 $1,161.10 1.0×
Uvulectomy excision of uvula (42140) $4,243 $9,400 1.0×
Vaginal delivery only (59409) $4,143 $15,632.20 1.0×
Vasc Embolize/Occlude Organ (37243) $14,775 $56,702.80 1.0×
Venous Mech Thrombectomy (37187) $14,775 $61,540.80 1.0×
Ventilating tube removal requiring general anesthesia (69424) $4,243 $10,500 1.0×
Vulvectomy simple partial (56620) $4,143 $14,000 1.0×
Wedge excision skin nail fold (11765) $520 $2,059.37 1.0×
Wound Prep F/N/Hf/G (15004) $520 $3,437.50 1.0×
Wound Prep Trk/Arm/Leg (15002) $945 $8,352.50 1.0×

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