Procedures & surgery prices at San Juan Hospital

Monticello, UT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $426.19 $608.84 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $117.03–$120.01 $167.19–$171.44 varies
Acromiopl/Acromionect Partial (23130) $1,167.43 $1,667.76 0.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $902.24 $1,288.91 0.4×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,112.06 $1,588.66 0.5×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,380.03 $1,971.47 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $958.53–$976.31 $1,369.33–$1,394.73 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $73.54–$611.13 $105.05–$873.04 varies
Amputate Metacarpal Bone (26910) $1,083.73 $1,548.18 0.3×
Amputation foot transmetarsal (28805) $1,107.43 $1,582.04 0.3×
Amputation metatarsal with toe single (28810) $380.01 $542.87 0.1×
Amputation toe interphalangeal joint (28825) $819.28 $1,170.40 0.2×
Amputation toe metatarsophalangeal joint (28820) $832.61 $1,189.44 0.3×
Ankle Arthroscopy/Surgery (29892)
likely a partial charge, not the full procedure		 $988.90 $1,412.72 0.1×
Anoscopy diagnostic (46600) $182.69 $260.98 1.4×
Anoscopy; with biopsy, single or multiple (46606) $323.31 $461.87 0.3×
Ant Vesicourethropexy/Urethropexy Smpl (51840)
likely a partial charge, not the full procedure		 $568.90 $812.71 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $800.02 $1,142.88 0.2×
Anterior Tibial Tubercleplasty (27418)
likely a partial charge, not the full procedure		 $1,271.14 $1,815.91 0.2×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $765.95 $1,094.21 0.1×
Application cast elbow finger short arm (29075) $88.15 $125.93 0.3×
Application Cast Finger (29086) $113.34 $161.91 0.7×
Application Finger Splint Dynamic (29131) $75.88 $108.40 1.3×
Application finger splint static (29130) $44.98 $64.25 0.3×
Application long arm splint shoulder hand (29105) $133.34 $190.48 0.8×
Application Long Leg Cast Brace (29358) $261.49 $373.56 0.9×
Application Long Leg Splint (29505) $123.68 $176.69 0.8×
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $1,779.29 $2,541.84 0.1×
Application of cylinder cast (thigh to ankle) (29365) $177.04 $252.91 0.6×
Application of long leg cast (29345) $200.40 $286.29 0.7×
Application of rigid total contact leg cast (29445) $157.78 $225.40 0.6×
Application Short Arm Splint Dynamic (29126) $161.49 $230.70 1.2×
Application short arm splint forearm-hand static (29125) $95.56 $136.51 0.7×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $66.68–$68.82 $95.25–$98.31 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $111.85–$117.03 $159.79–$167.19 varies
Apply long arm cast (29065) $102.22 $146.03 0.4×
Apply Multlay Comprs Lwr Leg (29581) $90.38 $129.11 0.5×
Apply Short Leg Cast (29405) $123.70 $176.72 0.4×
Apply short leg cast (29425) $97.03 $138.62 0.3×
Arterial puncture (36600) $107.41 $153.44 0.8×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
likely a partial charge, not the full procedure		 $1,180.03 $1,685.75 0.1×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $1,109.65 $1,585.22 0.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $95.56–$256.31 $136.51–$366.15 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $117.49 $167.84 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $118.52–$143.71 $169.32–$205.30 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $136.60–$721.49 $195.14–$1,030.70 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $83.71 $119.58 0.3×
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $1,542.99 $2,204.27 0.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,200.02 $1,714.32 0.2×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $1,162.99 $1,661.41 0.1×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810)
likely a partial charge, not the full procedure		 $905.94 $1,294.20 0.1×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $1,441.52 $2,059.31 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $1,882.27 $2,688.95 0.1×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $810.38 $1,157.69 0.2×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $872.61 $1,246.59 0.3×
Arthroscopy Ankle Surgical Debridement Limited (29897) $755.57 $1,079.39 0.2×
Arthroscopy ankle w/removal loose/foreign body (29894) $651.87 $931.24 0.2×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $871.87 $1,245.53 0.3×
Arthroscopy knee synovectomy limited spx (29875) $671.13 $958.75 0.2×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $806.69 $1,152.41 0.2×
Arthroscopy shoulder distal claviculectomy (29824) $1,091.87 $1,559.82 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $749.64 $1,070.92 0.2×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $1,410.40 $2,014.86 0.2×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $932.61 $1,332.30 0.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $736.32 $1,051.88 0.2×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
likely a partial charge, not the full procedure		 $1,145.95 $1,637.07 0.2×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure		 $1,595.59 $2,279.42 0.2×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 3 matching MRF lines		 $2,177.82–$2,243.01 $3,111.17–$3,204.30 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $1,168.17 $1,668.82 0.2×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $1,011.87 $1,445.53 0.3×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $896.32 $1,280.45 0.3×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $502.23–$988.16 $717.47–$1,411.66 varies
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) $858.54 $1,226.48 0.3×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887)
likely a partial charge, not the full procedure		 $1,117.80 $1,596.86 0.2×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $871.87 $1,245.53 0.3×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $2,637.09 $3,767.27 0.8×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075)
range across 2 matching MRF lines		 $487.42–$1,587.44 $696.32–$2,267.77 varies
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $720.01 $1,028.59 0.2×
Aspirate pleura w/ imaging (32555) $419.62 $599.46 0.7×
Aspirate Pleura W/O Imaging (32554) $320.75 $458.21 0.5×
Aspirate/Inj Ganglion Cyst (20612) $64.44 $92.06 0.2×
Aspiration bladder insert suprapubic catheter (51102) $1,785.22 $2,550.32 0.8×
Aspiration Bladder Needle (51100) $68.89 $98.42 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $96.29 $137.56 0.5×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure		 $1,692.63 $2,418.04 0.3×
Biopsy Abdominal Mass (49180) $166.67 $238.10 0.1×
Biopsy bone open superficial (20240) $238.53 $340.75 0.1×
Biopsy Bone Trocar/Needle Superficial (20220) $248.15 $354.50 0.1×
Biopsy external ear (69100) $142.17 $203.10 0.6×
Biopsy Muscle Superficial (20200) $306.67 $438.10 0.2×
Biopsy nail unit (11755) $197.04 $281.49 0.3×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $341.21–$344.46 $487.44–$492.08 varies
Biopsy of liver, needle; percutaneous (47000) $443.71 $633.87 0.3×
Biopsy of rectum (45100) $705.20 $1,007.43 0.3×
Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) $845.94 $1,208.48 0.2×
Biopsy Vaginal Mucosa Simple (57100) $153.87 $219.81 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $45.92 $65.60 0.0×
Biopsy/removal lymph nodes (38510) $403.71 $576.73 0.1×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $109.63–$112.16 $156.62–$160.23 varies
Blepharotomy drainage abscess eyelid (67700) $377.86 $539.80 1.2×
Blood Transfusion Service (36430)
range across 12 matching MRF lines		 $152.59–$1,457.06 $217.99–$2,081.52 varies
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $434.08 $620.12 0.1×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $588.16 $840.23 0.1×
Bx breast 1st lesion strtctc (19081) $925.23 $1,321.75 0.6×
Bx breast 1st lesion us imag (19083) $860.76 $1,229.66 0.5×
Bx breast needle core w/o imaging guidance spx (19100) $218.90 $312.71 0.1×
Bx Cervix (57500) $118.52 $169.32 0.1×
Bx/exc lymph node open deep axillary node (38525) $332.60 $475.14 0.1×
Bx/exc lymph node open superficial (38500) $248.15 $354.50 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $745.94 $1,065.63 0.2×
Capsulorrhaphy Anterior W/Labral Repair (23455)
likely a partial charge, not the full procedure		 $1,317.80 $1,882.57 0.2×
Capsulotomy Iphal Joint Each Joint Spx (28272) $596.31 $851.87 0.4×
Carpal Tunnel Surgery (64721) $675.57 $965.10 0.3×
Carpectomy All Bones Proximal Row (25215) $957.80 $1,368.28 0.3×
Cautery Cervix Electro/Thermal (57510) $143.71 $205.30 0.0×
Change Cystostomy Tube Complicated (51710) $195.56 $279.37 0.3×
Change Cystostomy Tube Simple (51705) $105.18 $150.26 0.4×
Chemical Cautery Tissue (17250) $116.30 $166.14 0.6×
Chemodenerv Musc Migraine (64615) $230.43 $329.18 0.7×
Chemodenerv trunk musc 1-5 (64646) $228.11 $325.87 0.3×
Chest tube placement (32551) $67.41 $96.30 0.0×
Circumcision 28 days or older (54161) $208.15 $297.36 0.1×
Circumcision Neonate (54160) $208.15 $297.36 0.3×
Circumcision w/clamp/oth dev w/block (54150) $105.83 $151.18 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $794.09 $1,134.41 0.5×
Claviculectomy partial (23120) $836.32 $1,194.74 0.3×
Clear outer ear canal (69200) $119.27 $170.38 0.9×
Closed Rx Metacarpal Fx,Percut (26608) $618.53 $883.61 0.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $420.07 $600.10 1.7×
Closed Treatment Sesamoid Fracture (28530) $86.67 $123.81 0.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $706.69 $1,009.55 0.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $334.82 $478.32 1.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $195.56–$294.08 $279.37–$420.12 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $443.52 $633.60 1.8×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $400.75–$565.19 $572.50–$807.42 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $720.76 $1,029.65 0.4×
Closed tx metatarsal fracture w/o manipulation (28470) $245.19 $350.27 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $459.27 $656.10 0.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,455.59 $2,079.41 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,635.59 $2,336.55 0.5×
Closed tx patellar dislocation w/anesthesia (27562) $720.01 $1,028.59 2.9×
Closed tx patellar dislocation w/o anesthesia (27560) $284.45 $406.36 1.1×
Closed Tx Patellar Fracture W/O Manipulation (27520) $250.38 $357.68 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $611.87 $874.10 0.4×
Closed tx radial head/neck fx w/o manipulation (24650) $314.08 $448.69 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $728.16 $1,040.23 0.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $322.97 $461.38 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $531.13 $758.75 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $226.67 $323.82 0.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $165.93 $237.04 0.7×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $567.41 $810.59 2.3×
Closed tx talotarsal joint dislc w/o anes (28570) $86.67 $123.81 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $241.49 $344.98 1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $325.19 $464.56 1.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $381.33 $544.76 1.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $217.04 $310.06 0.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $742.24 $1,060.34 1.4×
Clsd tx acromioclavicular dislc w/manipulation (23545) $509.64 $728.06 2.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $165.93 $237.04 0.7×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,504.48 $2,149.25 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $168.15 $240.21 0.7×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $190.55 $272.21 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $449.64–$1,434.10 $642.34–$2,048.72 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $476.12 $680.17 1.9×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $822.24 $1,174.63 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $536.31 $766.15 2.1×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $654.92 $935.60 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $521.49 $744.99 2.1×
Cltx dstl fibular fx lat malls w/manj (27788) $624.46 $892.08 2.5×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $374.83–$500.75 $535.47–$715.36 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $165.93 $237.04 0.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $177.04 $252.91 0.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $226.67 $323.82 0.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $363.03–$1,306.69 $518.61–$1,866.70 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $611.87 $874.10 0.4×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $221.49 $316.41 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,602.99 $2,289.99 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $165.93–$235.56 $237.04–$336.51 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $200.67 $286.67 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $165.93 $237.04 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $122.96 $175.66 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $244.45 $349.22 1.0×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $392.81–$1,005.21 $561.16–$1,436.01 varies
Cltx hip dislocation traumatic req anesthesia (27252) $1,371.88 $1,959.83 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $236.30 $337.57 0.9×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $515.56 $736.52 0.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $231.12 $330.17 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $174.08 $248.68 0.7×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $394.83–$425.19 $564.04–$607.41 varies
Cltx Med Ankle Fx W/Mnpj (27762) $382.97 $547.10 0.2×
Cltx Medial Ankle Fx (27760) $265.19 $378.84 1.1×
Cltx metacarpal fx w/manipulation each bone (26605) $491.48 $702.11 2.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $291.12 $415.88 1.2×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $395.56 $565.09 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $509.29 $727.55 2.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $182.22 $260.32 0.7×
Cltx post hip arthrp dislc req anes (27266) $1,363.73 $1,948.19 0.8×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $526.67–$963.73 $752.39–$1,376.75 varies
Cltx prox fibula/shft fx w/manj (27781) $632 $902.85 0.4×
Cltx prox fibula/shft fx w/o manj (27780) $297.05 $424.35 1.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,504.48 $2,149.25 0.9×
Cltx prox tibfib jt dislc w/o anes (27830) $477.79 $682.56 1.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $214.08 $305.83 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $622.51 $889.30 0.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $734.09 $1,048.70 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $540.16 $771.65 2.2×
Cltx tibial fx proximal w/o manipulation (27530) $382.23 $546.04 1.5×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $377.78–$502.26 $539.69–$717.52 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $373.34 $533.34 1.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $519.27 $741.82 0.3×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $376.31–$377.78 $537.58–$539.69 varies
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $24.54–$25.27 $35.05–$36.10 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $552.78 $789.69 0.5×
Colonoscopy thru stoma (44388) $432.60 $618 0.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $409.64 $585.20 0.3×
Colonoscopy w/ablation (45388) $551.12 $787.32 0.5×
Colonoscopy W/Band Ligation (45398) $988.90 $1,412.72 0.8×
Colonoscopy w/fb removal (45379) $433.34 $619.06 0.4×
Colonoscopy W/Resection (45390) $500.01 $714.30 0.2×
Colonoscopy w/submucosal inj (45381) $713.35 $1,019.07 0.6×
Colpocleisis (le fort type) (57120)
likely a partial charge, not the full procedure		 $783.72 $1,119.60 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $116.30 $166.14 0.4×
Colposcopy cervix upper/adjacent vagina (57452) $188.20 $268.86 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $236.47 $337.82 0.8×
Colposcopy cervix vag eltrd conization cervix (57461) $763.71 $1,091.02 0.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $469.27 $670.38 0.1×
Colposcopy entire vagina w/cervix if present (57420) $254.56 $363.66 0.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $254.08 $362.97 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $522.98 $747.11 0.4×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $442.97–$445.93 $632.82–$637.04 varies
Complex drainage wound (10180)
range across 2 matching MRF lines		 $319.26–$371.27 $456.09–$530.38 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $441.49 $630.70 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $325.93 $465.62 2.4×
Control Nasal Hemorrhage Anterior Simple (30901) $84.45 $120.64 0.6×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
likely a partial charge, not the full procedure		 $2,183.01 $3,118.58 0.2×
Correction hammertoe (28285) $811.13 $1,158.75 0.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,343.73 $1,919.61 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $1,543.74 $2,205.34 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,133.36 $1,619.09 0.3×
Create Eardrum Opening (69433) $160.01 $228.58 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $517.50 $739.29 3.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $511.86 $731.23 2.1×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $498.53 $712.19 0.1×
Curettage postpartum (59160)
range across 2 matching MRF lines		 $316.30–$383.08 $451.86–$547.25 varies
Curette/treat cornea (65435) $715.57 $1,022.24 0.7×
Cysto W/Simple Removal Stone & Stent (52310) $367.42 $524.88 0.2×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $623.72 $891.03 0.1×
Cystoscopy and radiotracer (52250) $583.72 $833.88 0.2×
Cystostomy Cystotomy W/Drainage (51040) $244.45 $349.22 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $85.18–$92.60 $121.69–$132.28 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $311.12 $444.45 0.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $234.08 $334.40 0.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $632.60 $903.72 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043) $343.71 $491.02 0.5×
Debride nail 1-5 (11720) $47.41 $67.73 0.8×
Debride nail 6 or more (11721) $66.68 $95.25 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $459.05–$1,728.19 $655.78–$2,468.84 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $203.71 $291.01 0.5×
Declot vascular device (36593) $44.72 $63.89 0.1×
Decompress Fingers/Hand (26035) $1,265.95 $1,808.50 0.4×
Decompression of leg (27892) $821.50 $1,173.57 0.2×
Decompression of tibia nerve (28035) $784.46 $1,120.65 0.4×
Delivery of placenta (59414) $128.89 $184.13 0.0×
Destruct B9 Lesion 1-14 (17110) $158.52 $226.45 0.8×
Destruction Benign Lesions 15/> (17111) $133.34 $190.48 0.7×
Destruction by neurolytic agent; plantar common digital nerve (64632) $126.79 $181.13 0.4×
Destruction Internal Hemorrhoid Thermal Energy (46930) $247.41 $353.44 0.2×
Destruction Lesions Vulva Simple (56501) $159.26 $227.52 0.1×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $331.35 $473.35 0.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $224.45 $320.64 1.1×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $120.74 $172.49 0.6×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $102.22 $146.03 0.5×
Destruction of skin lesions (17106) $514.82 $735.46 1.3×
Destruction Premalignant Lesion 15/> (17004) $221.49 $316.41 0.5×
Destruction premalignant lesion 1st (17000) $94.97 $135.67 0.5×
Destruction Vaginal Lesions Simple (57061) $109.63 $156.62 0.0×
Diagnostic sigmoidoscopy (45330) $246.67 $352.39 0.3×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $694.09 $991.56 0.6×
Dilation & curettage dx&/ther nonobstetric (58120) $511.13 $730.18 0.2×
Dilation Cervical Canal (57800) $97.78 $139.69 0.0×
Drain Cerebro Spinal Fluid (62272) $253.34 $361.91 0.4×
Drain Hand Tendon Sheath (26020) $820.02 $1,171.45 0.2×
Drain/inj small joint/bursa w/us (20604) $107.41 $153.44 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $294.08 $420.12 0.4×
Drainage Finger Abscess Complicated (26011) $869.65 $1,242.36 0.5×
Drainage Mouth Roof Lesion (42000) $223.71 $319.58 0.9×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $142.97–$161.49 $204.24–$230.70 varies
Drainage of gum lesion (41800) $403.48 $576.40 3.0×
Drainage of hematoma/fluid (10140) $185.93 $265.61 0.1×
Drainage of hydrocele (55000) $172.62 $246.60 0.2×
Drainage of nose lesion (30000) $544.45 $777.79 2.3×
Drainage of rectal abscess (45020) $877.06 $1,252.94 0.3×
Drainage of rectal abscess (45005) $1,251.88 $1,788.40 1.0×
Drainage of scrotal wall abscess (55100) $262.97 $375.67 0.2×
Drainage of scrotum (54700) $257.04 $367.20 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $280.04 $400.05 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $160.01 $228.58 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $137.04 $195.77 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $82.22 $117.46 0.4×
Dstrj Lesion Penis Simple Cryosurgery (54056) $223.71 $319.58 1.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $37.04–$196.30 $52.92–$280.43 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $362.97 $518.53 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $263.71 $376.73 0.1×
Egd control bleeding any (43255) $1,012.61 $1,446.59 0.5×
Egd dilation gastric/duodenal stricture (43245) $797.80 $1,139.71 0.4×
Egd Flexible Foreign Body Removal (43247) $302.97 $432.82 0.3×
Egd place gastrostomy tube (43246) $340.75 $486.78 0.2×
Egd remove lesion snare (43251) $334.82 $478.32 0.2×
Egd Tube/Cath Insertion (43241) $220.75 $315.36 0.1×
Egd Varices Ligation (43244) $368.90 $527 0.2×
Endometrial Biopsy (58100) $134.08 $191.54 0.7×
Endoscopic plantar fasciotomy (29893) $941.50 $1,345 0.3×
Endoscopic us exam esoph (43237) $188.89 $269.84 0.1×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,043.74 $2,919.63 0.6×
Enterorrhaphy single perforation (44602) $2,040.78 $2,915.40 0.5×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $187.41–$943.73 $267.73–$1,348.18 varies
Esophagoscopy Flexible Transoral Diagnostic (43200) $174.82 $249.74 0.2×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $215.56 $307.94 0.1×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $247.41 $353.44 0.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $817.05 $1,167.22 0.4×
Evacuation of subungual hematoma (11740) $71.11 $101.59 0.5×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $535.56 $765.09 0.3×
Exc abdl tum deep 5 cm/> (22901) $790.38 $1,129.12 0.3×
Exc arm/elbow les sc < 3 cm (24075) $742.97 $1,061.39 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $141.48 $202.12 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $187.41 $267.73 0.1×
Exc Back Les Sc < 3 Cm (21930) $617.05 $881.50 0.4×
Exc back tum deep < 5 cm (21932) $1,060.02 $1,514.31 0.4×
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge, not the full procedure		 $826.69 $1,180.98 0.1×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $780.02 $1,114.31 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $278.52 $397.89 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $396.84 $566.92 0.6×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $579.50 $827.86 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $99.26 $141.80 0.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $196.30 $280.43 0.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $142.23 $203.18 0.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $244.45–$474.08 $349.22–$677.26 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $418.18 $597.40 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $660.01 $942.87 0.4×
Exc ganglion wrist recurrent (25112) $560.76 $801.08 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $91.85 $131.22 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $117.78 $168.25 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $154.82 $221.17 0.1×
Exc Hand Les Sc < 1.5 Cm (26115) $513.35 $733.35 0.3×
Exc hand tum deep < 1.5 cm (26116) $791.87 $1,131.24 0.5×
Exc hydrocele sprmatic cord uni spx (55500) $491.86 $702.66 0.1×
Exc neuroma hand/foot xcp digital nerve (64782) $685.94 $979.91 0.3×
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
likely a partial charge, not the full procedure		 $972.62 $1,389.45 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $244.45 $349.22 0.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $345.07 $492.95 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $257.04–$394.83 $367.20–$564.04 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $281.48 $402.12 0.2×
Exc Skin Benig >4cm Face,Facial (11446) $579.52 $827.89 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $438.13 $625.90 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $552.32 $789.03 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $384.45 $549.21 0.2×
Exc tendon shth lesion leg/ankle (27630) $704.46 $1,006.37 0.2×
Exc thigh/knee les sc 3 cm/> (27337) $637.05 $910.07 0.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $433.34 $619.06 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $172.60 $246.57 0.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $188.15 $268.78 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $262.23 $374.62 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $680.01 $971.44 0.2×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $354.08 $505.83 0.1×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,837.07 $2,624.39 0.6×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $626.68 $895.25 0.2×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $677.05 $967.22 0.2×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $868.91 $1,241.30 0.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $621.22 $887.45 0.4×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $742.97 $1,061.39 0.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $541.49 $773.56 0.2×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure		 $588.16 $840.23 0.1×
Exc/fulguration urethral caruncle (53265) $234.08 $334.40 0.1×
Excis Mouth Mucosa/Sub,No Repair (40810) $302.43 $432.04 0.1×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $417.05 $595.78 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $332.60 $475.14 0.5×
Excision External Ear Partial Simple Repair (69110) $661.24 $944.63 0.2×
Excision lesion meniscus/capsule knee (27347) $813.35 $1,161.93 0.2×
Excision Lingual Frenum Frenectomy (41115) $363.85 $519.78 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $177.78 $253.97 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $244.45 $349.22 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $318.52 $455.03 0.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $270.38 $386.25 0.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $150.37 $214.82 0.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $471.12 $673.03 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $756.38 $1,080.54 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $285.19 $407.42 0.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $237.78 $339.69 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $498.89 $712.70 0.3×
Excision of bartholin's gland or cyst (56740) $299.26 $427.52 0.1×
Excision of extraparenchymal lesion of testis (54512) $574.08 $820.12 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $394.08 $562.97 0.2×
Excision of hydrocele; unilateral (55040) $4,266.01 $6,094.30 1.2×
Excision of pilonidal cyst or sinus; simple (11770) $288.89 $412.70 0.1×
Excision of single external papilla or tag, anus (46220) $140.74 $201.06 0.1×
Excision of sublingual salivary cyst (ranula) (42408) $340 $485.72 0.1×
Excision of vaginal cyst or tumor (57135) $368.75 $526.79 0.1×
Excision olecranon bursa (24105) $622.24 $888.91 0.2×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $799.27 $1,141.82 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $886.68 $1,266.69 0.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $677.79 $968.27 0.2×
Excision prepatellar bursa (27340) $454.82 $649.74 0.1×
Excision synovial cyst popliteal space (27345) $737.05 $1,052.93 0.2×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $425.94 $608.48 0.1×
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines		 $252.60–$607.42 $360.86–$867.74 varies
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $637.18 $910.26 0.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $721.49 $1,030.70 0.4×
Excision, interdigital (morton) neuroma, single, each (28080) $774.84 $1,106.91 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $519.27 $741.82 0.3×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $622.24 $888.91 0.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $946.68 $1,352.40 0.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $715.57 $1,022.24 0.4×
Excision/curettage cyst/tumor carpal bones (25130) $1,038.54 $1,483.63 0.3×
Excision/curettage cyst/tumor phalanx finger (26210) $671.87 $959.81 0.4×
Expl penetrating wound spx abdomen/flank/back (20102) $719.27 $1,027.53 0.3×
Exploration of knee joint (27310) $1,103.73 $1,576.76 0.3×
Exploration penetrating wound spx extremity (20103) $831.13 $1,187.33 0.5×
Exploratory elbow surgery (24000)
range across 2 matching MRF lines		 $683.72–$2,468.94 $976.74–$3,527.06 varies
Explore/Treat Wrist Joint (25040) $808.16 $1,154.52 0.2×
External cephalic version (59412) $159.26 $227.52 0.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $785.95 $1,122.78 0.2×
Fasciotomy, foot and/or toe (28008) $642.24 $917.48 0.2×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $76.29–$530.38 $108.99–$757.69 varies
Fine Needle Aspiration Orbital Contents (67415) $84.45 $120.64 0.0×
Fine needle aspiration without imaging guidance (10021) $234.08 $334.40 0.6×
Fna bx w/us gdn 1st les (10005) $276.35 $394.78 0.4×
Foreskin manipulation (54450) $104.34 $149.06 0.4×
Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) $1,006.68 $1,438.12 0.3×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,291.14 $1,844.48 0.2×
Gastrocnemius recession (27687) $698.53 $997.90 0.2×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $2,108.93 $3,012.76 0.5×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $1,077.06 $1,538.65 0.1×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $1,343.73 $1,919.61 0.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $363.71 $519.58 0.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $200.75 $286.78 0.2×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $645.94 $922.77 0.2×
Hemorrhoidopexy by stapling (46947) $609.64 $870.91 0.2×
Hysteroscopy Biopsy (58558) $1,033.62 $1,476.60 0.3×
Hysteroscopy Dx Sep Proc (58555) $523.78 $748.25 0.2×
Hysteroscopy Removal Impacted Foreign Body (58562) $647.72 $925.32 0.2×
I&d abscess peritonsillar (42700) $456.30 $651.86 1.9×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $134.08–$185.19 $191.54–$264.56 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $671.13 $958.75 0.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $988.90 $1,412.72 0.3×
I&D Deep Absc/Hematoma Neck/Chest (21501) $699.27 $998.96 0.2×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $755.57 $1,079.39 0.3×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $248.15–$522.24 $354.50–$746.05 varies
I&d pilonidal cyst simple (10080) $271.85 $388.36 0.4×
Image Cath Fluid Peri/Retro (49406) $1,257.81 $1,796.87 0.8×
Incise external hemorrhoid (46083) $128.89 $184.13 0.5×
Incise finger tendon sheath (26055) $735.57 $1,050.82 0.5×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $180.75–$238.53 $258.21–$340.75 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $798.53 $1,140.76 0.3×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $291.12–$1,484.48 $415.88–$2,120.68 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $109.63–$351.86 $156.62–$502.65 varies
Incision and drainage of bartholin's gland abscess (56420) $252.48 $360.69 1.2×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $425.94 $608.48 0.1×
Incision and drainage of vulva or perineal abscess (56405) $121.49 $173.55 0.4×
Incision extensor tendon sheath wrist (25000) $390.38 $557.68 0.2×
Incision of eardrum (69421) $200.75 $286.78 0.1×
Incision of Foot Tendon (28234) $616.31 $880.44 0.4×
Incision of lingual frenum (frenotomy) (41010) $320.75 $458.21 0.2×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $588.90–$657.05 $841.28–$938.64 varies
Incision&drainage bursa foot (28001) $411.12 $587.31 0.2×
Incisional biopsy skin single lesion (11106) $216.30 $309 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $109.15 $155.93 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $280.74 $401.06 0.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $718.54 $1,026.48 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $65.18–$79.01 $93.12–$112.87 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $217.78 $311.11 0.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $187.82 $268.31 0.6×
Injection enzyme palmar fascial cord (20527) $124.61 $178.02 0.4×
Injection for identification of sentinel node (38792) $59.26 $84.66 0.1×
Injection single tendon origin/insertion (20551) $91.11 $130.16 0.3×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $41.81–$320.75 $59.73–$458.21 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $77.04–$725.20 $110.06–$1,036 varies
Injection therapeutic carpal tunnel (20526) $118.80 $169.71 0.4×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $102.22–$162.97 $146.03–$232.81 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $59.26 $84.66 0.1×
Injection, Intralesional; More Than 7 Lesions (11901) $101.64 $145.20 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $82.96 $118.52 0.4×
Insert Bladder Cath Complex (51703) $129.63 $185.19 1.0×
Insert cath pleura w/ image (32557) $1,050.39 $1,500.56 0.7×
Insert cath pleura w/o image (32556) $1,059.28 $1,513.25 0.5×
Insert cervical dilator (59200) $68.15 $97.36 0.2×
Insert Drug Implant Device (11981) $162.23 $231.75 1.2×
Insert non-tunnel cv cath (36556) $277.04 $395.77 0.1×
Insert pessary/other device (57160) $107.37 $153.39 0.5×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $108.15–$213.21 $154.50–$304.59 varies
Insert tunneled cv cath (36561) $1,533.96 $2,191.37 0.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $60.60–$84.45 $86.57–$120.64 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $529.55 $756.50 0.3×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $329.64 $470.91 0.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $136.30–$191.12 $194.71–$273.03 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $324.45 $463.50 0.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $324.45 $463.50 0.8×
Intubation endotracheal emergency procedure (31500) $118.93 $169.90 0.5×
Knee arthroscopy/drainage (29871) $693.35 $990.50 0.2×
Knee Arthroscopy/Surgery (29874) $731.12 $1,044.46 0.2×
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure		 $590.39 $843.41 0.1×
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure		 $2,478.57 $3,540.82 0.2×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $1,414.84 $2,021.20 0.1×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $437.79 $625.41 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $737.79 $1,053.99 0.1×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $438.53 $626.47 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $612.71 $875.30 0.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,268.92 $1,812.74 0.1×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $572.61 $818.01 0.1×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $1,253.36 $1,790.51 0.2×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge, not the full procedure		 $505.20 $721.71 0.1×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $786.68 $1,123.83 0.1×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $1,359.29 $1,941.84 0.1×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $1,445.96 $2,065.65 0.4×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure		 $1,355.58 $1,936.54 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure		 $1,375.58 $1,965.12 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 3 matching MRF lines		 $848.91–$1,106.69 $1,212.73–$1,580.98 varies
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $429.64 $613.77 0.1×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
likely a partial charge, not the full procedure		 $1,369.66 $1,956.66 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $529.64 $756.63 0.1×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $586.68 $838.11 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $384.45 $549.21 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,253.36 $1,790.51 0.2×
Laps Gastric Restrictive Px Remove Device & Port (43774) $1,459.29 $2,084.70 0.4×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $1,268.92 $1,812.74 0.2×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $1,117.80 $1,596.86 0.1×
Laryngoscopy flexible diagnostic (31575) $92.60 $132.28 0.5×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $138.52 $197.88 0.7×
Late closure of wound (13160) $1,210.40 $1,729.14 0.3×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
likely a partial charge, not the full procedure		 $1,869.67 $2,670.95 0.1×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,099.28 $1,570.40 0.1×
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure		 $1,468.17 $2,097.39 0.1×
Ligate/strip long leg vein (37722) $1,330.40 $1,900.57 0.4×
Ligation nasal sinus artery (30915) $142.97 $204.24 0.0×
Ligation of hemorrhoids (46946) $357.78 $511.12 0.1×
Ligation or biopsy temporal artery (37609) $362.23 $517.47 0.2×
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure		 $868.91 $1,241.30 0.1×
Lysis of labial adhesions (56441) $260.44 $372.06 0.1×
Lysis/excision penile postcircumcision adhesions (54162) $383.93 $548.47 0.2×
Manipulation Elbow Under Anesthesia (24300) $622.24 $888.91 0.4×
Manipulation knee joint under general anesthesia (27570) $118.52 $169.32 0.1×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $196.30 $280.43 0.1×
Marsupialization of bartholin's gland cyst (56440) $188.15 $268.78 0.1×
Mast mod rad (19307)
range across 2 matching MRF lines		 $1,276.32–$1,829.67 $1,823.31–$2,613.81 varies
Mastectomy for gynecomastia (19300) $806.69 $1,152.41 0.2×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $865.94–$1,002.99 $1,237.06–$1,432.84 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,361.51 $1,945.01 0.2×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure		 $1,228.91 $1,755.59 0.2×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395)
likely a partial charge, not the full procedure		 $1,991.89 $2,845.56 0.3×
Muscle-skin graft trunk (15734) $2,300.79 $3,286.84 0.6×
N Block Inj Ilio-Ing/Hypogi (64425) $154.08 $220.11 0.2×
N Block Inj Paracervical (64435) $214.82 $306.89 0.3×
N Block Inj Plantar Digit (64455) $77.78 $111.12 0.3×
N Block Lumbar/Thoracic (64520) $270.38 $386.25 0.3×
Nasal/Orogastric W/Tube Plmt (43752) $62.97 $89.95 0.1×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $782.24 $1,117.48 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $88.89 $126.99 3.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $933.35 $1,333.36 0.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $156.52 $223.60 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $740.01 $1,057.16 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $725.20 $1,036 0.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $725.20 $1,036 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $503.71 $719.59 0.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $526.67 $752.39 0.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $725.20 $1,036 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $740.01 $1,057.16 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $526.67 $752.39 0.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $149.64 $213.77 0.4×
Occipital Nerve Block (64405) $160.75 $229.64 0.5×
Occlusion flp tube dev vag/suprapubic appr (58615) $217.78 $311.11 0.1×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $752.61 $1,075.15 0.1×
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $1,124.47 $1,606.38 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $942.24 $1,346.06 0.1×
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure		 $1,739.30 $2,484.71 0.2×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $1,720.78 $2,458.25 0.1×
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure		 $1,130.36 $1,614.80 0.2×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure		 $254.08 $362.97 0.0×
Open treatment interphalangeal joint dislocation (28675) $740.01 $1,057.16 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $636.31 $909.01 0.1×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $831.13 $1,187.33 0.1×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $1,548.92 $2,212.74 0.2×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
range across 2 matching MRF lines		 $864.46–$945.95 $1,234.94–$1,351.35 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $1,085.21–$1,142.24 $1,550.30–$1,631.77 varies
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
likely a partial charge, not the full procedure		 $2,143.01 $3,061.44 0.3×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure		 $1,289.66 $1,842.37 0.2×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $958.53 $1,369.33 0.1×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $1,452.63 $2,075.18 0.2×
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure		 $960.76 $1,372.52 0.1×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $1,338.55 $1,912.21 0.1×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $874.09 $1,248.70 0.1×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $962.98 $1,375.69 0.3×
Open tx carpal scaphoid navicular fracture (25628)
likely a partial charge, not the full procedure		 $837.80 $1,196.85 0.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $854.83 $1,221.18 0.1×
Open Tx Distal Phalangeal Fracture Each (26765) $634.09 $905.84 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,072.62 $1,532.31 0.1×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $1,148.17 $1,640.24 0.1×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $2,373.38 $3,390.54 0.2×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $837.06 $1,195.80 0.3×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $1,386.69 $1,980.99 0.1×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540)
likely a partial charge, not the full procedure		 $1,248.18 $1,783.11 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $739.27 $1,056.10 0.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $757.05 $1,081.50 0.2×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $950.39 $1,357.70 0.1×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $1,130.39 $1,614.84 0.1×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $967.43 $1,382.04 0.1×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $2,131.16 $3,044.51 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,097.06 $1,567.23 0.1×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $853.35 $1,219.07 0.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $1,021.50–$1,930.40 $1,459.29–$2,757.72 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $1,490.40–$1,565.22 $2,129.14–$2,236.03 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $1,375.58 $1,965.12 0.1×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $1,402.99 $2,004.27 0.1×
Ostc prtl exostc/condylc metar head (28288) $914.83 $1,306.90 0.3×
Ostectomy calcaneus (28118) $885.94 $1,265.63 0.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $714.83 $1,021.19 0.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $897.80 $1,282.57 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $701.49 $1,002.13 0.2×
Osteochondral talus autogrft (28446)
likely a partial charge, not the full procedure		 $1,863 $2,661.43 0.3×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $890.39 $1,271.99 0.1×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $860.76 $1,229.66 0.3×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,008.91 $1,441.30 0.1×
Osteotomy Tibia (27705)
likely a partial charge, not the full procedure		 $1,150.39 $1,643.42 0.2×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
likely a partial charge, not the full procedure		 $1,013.36 $1,447.65 0.1×
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $1,169.53–$1,471.88 $1,670.76–$2,102.69 varies
Part remv talus or calcaneus (28120) $785.95 $1,122.78 0.2×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184)
likely a partial charge, not the full procedure		 $950.39 $1,357.70 0.1×
Partial excision bone metacarpal (26230) $748.17 $1,068.81 0.2×
Partial Excision Distal Phalanx Finger (26236) $674.83 $964.04 0.4×
Partial hymenectomy or revision of hymenal ring (56700) $300.31 $429.02 0.1×
Partial removal of fibula (27641) $1,005.94 $1,437.06 0.3×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $834.83 $1,192.61 0.1×
Partial thyroid excision (60212)
likely a partial charge, not the full procedure		 $1,582.25 $2,260.36 0.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $566.68 $809.54 0.1×
Partical Excision Bone Phalanx Toe (28124) $723.72 $1,033.89 0.2×
Pelvic examination under anesthesia (other than local) (57410) $159.26 $227.52 0.0×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $508.90 $727 0.2×
Peritoneal Lavage (49084) $168.15 $240.21 0.2×
Pin knuckle dislocation (26706) $614.09 $877.27 0.2×
Placement of needle for intraosseous infusion (36680) $85.93 $122.75 0.2×
Placement of seton (46020) $414.82 $592.60 0.1×
Plastic Repair Of Urethrocele (57230) $598.53 $855.04 0.2×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $823.59 $1,176.56 0.2×
Proctosgmdsc rigid w/dilation (45303) $1,279.29 $1,827.55 1.1×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,279.31 $3,256.15 0.7×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $1,172.61 $1,675.16 0.2×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $695.57 $993.67 0.2×
Prq Skeletal Fixj Femoral Fx Distal End (27509)
likely a partial charge, not the full procedure		 $776.31 $1,109.02 0.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $913.35 $1,304.79 0.3×
Punch biopsy skin single lesion (11104) $158.52 $226.45 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $149.64 $213.77 0.4×
Puncture Aspiration Cyst Breast (19000) $91.11 $130.16 0.1×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $123.70 $176.72 0.2×
Rcnstj Dislocating Patella (27420)
likely a partial charge, not the full procedure		 $921.50 $1,316.43 0.1×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $999.28 $1,427.54 0.1×
Rdctj torsion tstis w/wo fixj clat testis (54600) $654.09 $934.41 0.2×
Realignment extensor tendon hand each tendon (26437) $749.64 $1,070.92 0.2×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $553.34 $790.49 0.1×
Release of shoulder ligament (23415)
likely a partial charge, not the full procedure		 $1,055.58 $1,507.97 0.1×
Removal Embedded Foreign Body Eyelid (67938) $203.71 $291.01 0.6×
Removal foreign body foot deep (28192) $372.57 $532.24 0.2×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $372.57–$406.68 $532.24–$580.97 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $321.49 $459.27 0.2×
Removal foreign body upper arm/elbow deep (24201) $450.38 $643.40 0.2×
Removal foreign body, intranasal; requiring general anesthesia (30310)
range across 2 matching MRF lines		 $159.26–$1,332.62 $227.52–$1,903.74 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $73.52 $105.03 1.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $67.12 $95.89 1.1×
Removal Implant Deep (20680) $928.91 $1,327.01 0.3×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $460.75–$539.56 $658.21–$770.80 varies
Removal implantable contraceptive capsules (11976) $139.27 $198.95 0.2×
Removal intact breast implant (19328) $582.97 $832.82 0.1×
Removal of adenoids (42830) $318.52 $455.03 0.1×
Removal of anal fissure (46200) $665.94 $951.34 0.2×
Removal of calcium deposits (23000) $575.57 $822.24 0.2×
Removal of heel spur (28119) $662.98 $947.11 0.2×
Removal of implant from finger or hand (26320) $1,484.48 $2,120.68 0.9×
Removal of mammary implant material (19330) $745.94 $1,065.63 0.2×
Removal of nail bed (11750) $160.01 $228.58 0.4×
Removal of nose lesion (30124) $742.24 $1,060.34 0.5×
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure		 $637.79 $911.13 0.1×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $367.42 $524.88 0.1×
Removal of tonsils (42826) $261.49 $373.56 0.1×
Removal of tunneled intraperitoneal catheter (49422) $346.41 $494.87 0.1×
Removal or bivalving full arm or full leg cast (29705) $79.26 $113.23 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $90.38 $129.11 0.4×
Removal sweat gland lesion (11450) $271.11 $387.30 0.1×
Removal, under anesthesia, of external fixation system (20694) $532.60 $760.86 0.3×
Remove drug implant device (11982) $185.93 $265.61 0.4×
Remove elbow lesion (24120) $811.87 $1,159.81 0.2×
Remove foreign body from eye (65235) $524.02 $748.60 0.2×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $61.48–$133.34 $87.83–$190.48 varies
Remove Intrauterine Device (58301) $105.18 $150.26 0.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $282.97–$320.75 $404.24–$458.21 varies
Remove Shoulder Foreign Body (23330) $370.38 $529.11 0.2×
Remove Tendon Sheath Lesion (26160) $469.64 $670.91 0.3×
Remove/Insert Drug Implant (11983) $348.15 $497.36 0.8×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,041.50 $1,487.86 0.1×
Repair Anorectal Fistula Plug (46707) $727.42 $1,039.17 0.3×
Repair bladder neck (51845)
likely a partial charge, not the full procedure		 $632.60 $903.72 0.1×
Repair Blood Vessel Direct Hand Finger (35207) $2,128.94 $3,041.34 0.7×
Repair Blood Vessel Direct Upper Extremity (35206) $1,252.62 $1,789.45 0.4×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $991.14 $1,415.91 0.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $193.68 $276.68 0.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $700.34 $1,000.48 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $570.43 $814.90 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $41.81–$516.31 $59.73–$737.58 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $514.82 $735.46 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $638.53 $912.18 1.6×
Repair complex trunk 1.1-2.5 cm (13100) $517.05 $738.64 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $517.05 $738.64 0.7×
Repair extensor tendon finger w/o graft each (26418) $1,587.44 $2,267.77 1.0×
Repair Finger/Hand Tendon (26350) $1,050.39 $1,500.56 0.3×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $883.72 $1,262.46 0.3×
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $1,208.91 $1,727.02 0.2×
Repair Hand Joint (26540) $1,488.18 $2,125.97 0.4×
Repair incomplete circumcision (54163) $188.89 $269.84 0.1×
Repair initial femoral hernia, any age; reducible (49550) $450.38 $643.40 0.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $743.72 $1,062.46 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $194.08 $277.25 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $385.20 $550.28 0.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $408.16 $583.08 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $145.93 $208.47 0.4×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $517.05 $738.64 1.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $235.56 $336.51 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $41.81–$174.08 $59.73–$248.68 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $323.72 $462.45 0.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $541.93 $774.18 0.7×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $517.05 $738.64 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $135.56 $193.65 0.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $262.97 $375.67 0.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $263.71 $376.73 0.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $324.45 $463.50 0.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $262.23 $374.62 0.6×
Repair intermediate s/a/t/e >30.0 cm (12037) $524.45 $749.22 0.3×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $577.05 $824.35 0.1×
Repair of nail bed (11760) $271.52 $387.89 0.4×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
likely a partial charge, not the full procedure		 $1,137.06 $1,624.37 0.2×
Repair of rectocele (45560) $825.20 $1,178.86 0.3×
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,027.43 $1,467.75 0.1×
Repair of shoulder (23420)
likely a partial charge, not the full procedure		 $871.87 $1,245.53 0.1×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $608.90 $869.85 0.1×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $1,075.58 $1,536.54 0.1×
Repair secondary achilles tendon w/wo graft (27654)
likely a partial charge, not the full procedure		 $1,093.36 $1,561.94 0.1×
Repair shoulder capsule (23466)
likely a partial charge, not the full procedure		 $1,728.92 $2,469.89 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $705.94 $1,008.49 0.2×
Repair Toe Dislocation (28645) $1,000.01 $1,428.59 0.3×
Repair tongue laceration (41252) $742.24 $1,060.34 3.1×
Repair tongue laceration (41250) $151.86 $216.94 0.3×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $387.42 $553.45 0.1×
Repair/Revise Wrist Joint (25320)
likely a partial charge, not the full procedure		 $1,266.69 $1,809.55 0.2×
Repr torn cruciate knee ligam (27407)
likely a partial charge, not the full procedure		 $1,164.47 $1,663.53 0.2×
Rerepair ing hernia reduce (49520) $864.46 $1,234.94 0.2×
Resect Shoulder Tumor 5 Cm/> (23078) $1,512.62 $2,160.89 0.5×
Revise knuckle joint (26530)
likely a partial charge, not the full procedure		 $819.28 $1,170.40 0.1×
Revise ulnar nerve at wrist (64719) $612.61 $875.15 0.3×
Revision of big toe (28310)
likely a partial charge, not the full procedure		 $832.61 $1,189.44 0.1×
Revision of lower leg tendon (27685) $979.28 $1,398.97 0.3×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure		 $3,656.37 $5,223.39 0.3×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $2,291.89 $3,274.13 1.5×
Rmvl embedded fb vestibule mouth comp (40805) $742.24 $1,060.34 1.4×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $142.18 $203.12 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $86.58 $123.68 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $82.96 $118.52 0.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $114.08 $162.97 0.3×
Rmvl fecal impaction/fb spx under anes (45915) $240.74 $343.92 0.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $300.74 $429.63 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $240.74 $343.92 0.1×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $385.20 $550.28 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $318.81–$328.90 $455.44–$469.85 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $245.19 $350.27 0.4×
Rplc Gtube No Revj Trc (43762) $343.56 $490.80 1.4×
Rplcmt cath ctr vad subq port/pmp (36578) $665.94 $951.34 0.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $710.38 $1,014.83 0.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $264.45 $377.79 1.3×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure		 $737.05 $1,052.93 0.1×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $1,002.99 $1,432.84 0.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $235.56 $336.51 0.3×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $241.49 $344.98 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $496.30 $709 0.9×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $649.64 $928.06 0.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,468.94 $3,527.06 0.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,543.02 $3,632.88 0.8×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $1,122.24 $1,603.20 0.3×
Shave skin lesion 0.5 cm/< (11300) $62.22 $88.89 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $71.86 $102.65 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $282.97 $404.24 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $52.59–$148.90 $75.13–$212.71 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $113.34–$188.15 $161.91–$268.78 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $65.18 $93.12 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $235.56 $336.51 0.6×
Shoulder arthroscopy diagnostic (29805) $697.05 $995.79 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $77.78 $111.12 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $224.45 $320.64 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $178.52 $255.03 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $242.23 $346.04 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $219.26 $313.23 1.1×
Sigmoidoscopy w/fb removal (45332) $371.85 $531.22 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $373.34 $533.34 0.4×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $207.41 $296.30 0.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $41.81–$137.04 $59.73–$195.77 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $82.39–$175.56 $117.70–$250.80 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $279.27 $398.95 0.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $234.82 $335.46 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $37.49–$160.75 $53.55–$229.64 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $231.12 $330.17 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $49.02–$188.89 $70.03–$269.84 varies
Skin sub graft face/nk/hf/g (15275) $703.72 $1,005.31 0.9×
Skin sub graft trnk/arm/leg (15271) $1,040.76 $1,486.80 1.4×
Skin Tissue Procedure (17999) $191.86 $274.08 0.9×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure		 $1,102.99 $1,575.70 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $41.81–$171.12 $59.73–$244.45 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $244.45 $349.22 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $49.02 $70.03 0.1×
Sphincterotomy anal division sphincter spx (46080) $166.67 $238.10 0.1×
Spinal puncture lumbar diagnostic (62270) $187.41 $267.73 0.3×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $734.09 $1,048.70 0.4×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $648.70 $926.72 0.2×
Strapping ankle (29540) $156.30 $223.28 0.9×
Strapping elbow or wrist (29260) $111.11 $158.73 1.9×
Strapping hand/finger (29280) $111.11 $158.73 1.9×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $29.63–$191.86 $42.33–$274.08 varies
Strapping thorax (29200) $222.97 $318.53 1.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $60.75–$82.22 $86.78–$117.46 varies
Surg tx anal fistula subq (46270) $440.01 $628.59 0.2×
Suture digital nerve hand/foot 1 nerve (64831) $1,053.35 $1,504.79 0.5×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,390.40 $1,986.29 0.2×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $870.39 $1,243.41 0.1×
Tangential biopsy skin single lesion (11102) $142.23 $203.18 0.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $896.53 $1,280.76 0.3×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $1,032.62 $1,475.17 0.3×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $1,181.50 $1,687.86 0.2×
Tenolysis extensor foot single tendon (28225) $611.13 $873.04 0.2×
Tenolysis Flexor Foot Multiple Tendons (28222) $757.79 $1,082.56 0.2×
Tenolysis flexor foot single tendon (28220) $667.21 $953.16 0.4×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $661.50 $945 0.2×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $925.95 $1,322.78 0.3×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $803.72 $1,148.17 0.2×
Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) $824.46 $1,177.80 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $341.95 $488.50 0.2×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $413.34 $590.48 0.1×
Thyroid biopsy (60100) $94.07 $134.39 0.1×
Thyroidectomy, total or complete (60240)
likely a partial charge, not the full procedure		 $1,155.58 $1,650.83 0.2×
Tnot elbow lateral/medial debride open (24358) $780.02 $1,114.31 0.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $318.52 $455.03 0.1×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $2,242.27 $3,203.24 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $742.24 $1,060.34 3.1×
Transplant hand tendon (26480) $802.24 $1,146.05 0.2×
Treat ankle fracture (28445)
likely a partial charge, not the full procedure		 $1,597.07 $2,281.53 0.2×
Treat Big Toe Fracture (28505)
range across 2 matching MRF lines		 $639.27–$1,734.11 $913.24–$2,477.30 varies
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $653.35 $933.36 0.1×
Treat Finger Fracture Each (26727) $699.27 $998.96 0.2×
Treat fracture radius/ulna (25575)
likely a partial charge, not the full procedure		 $2,114.85 $3,021.22 0.3×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $2,160.79 $3,086.84 0.3×
Treat Hand Bone Lesion (26034) $806.69 $1,152.41 0.5×
Treat Hip Socket Fracture (27222) $1,557.07 $2,224.38 6.2×
Treat humerus fracture (24500) $437.05 $624.35 1.7×
Treat Humerus Fracture (24505) $211.12 $301.60 0.1×
Treat humerus fracture (23600) $481.09 $687.27 1.9×
Treat knee fracture (27532) $1,331.14 $1,901.63 0.4×
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $1,161.50 $1,659.29 0.2×
Treat Metatarsal Fracture (28475) $377.05 $538.64 1.5×
Treat Tail Bone Fracture (27200) $165.93 $237.04 0.7×
Treat Thumb Dislocation (26641) $165.93 $237.04 0.7×
Treat Thumb Fracture (26645) $626.46 $894.94 0.4×
Treat thumb fracture (26665) $990.40 $1,414.85 0.3×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,408.18 $2,011.68 0.9×
Treatment closed elbow dislocation w/o anes (24600) $388.90 $555.57 1.6×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure		 $1,609.66 $2,299.52 0.2×
Treatment of tibia fracture (27756)
likely a partial charge, not the full procedure		 $868.91 $1,241.30 0.1×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $62.22–$108.89 $88.89–$155.56 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $65.18–$85.93 $93.12–$122.75 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $97.03–$100.74 $138.62–$143.92 varies
Trimming Nondystrophic Nails Any Number (11719) $57.78 $82.54 1.0×
Tubal ligation (58600) $308.90 $441.28 0.1×
Tx Gastro Intub W/Asp (43753)
range across 3 matching MRF lines		 $33.33–$34.81 $47.62–$49.73 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $527.25 $753.22 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
likely a partial charge, not the full procedure		 $1,872.63 $2,675.19 0.3×
Tx Missed Abortion First Trimester Surgical (59820) $572.61 $818.01 0.2×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $571.12–$584.46 $815.89–$834.94 varies
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $643.72 $919.60 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $440.36 $629.08 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $217.78 $311.11 0.9×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $1,265.95 $1,808.50 0.1×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $396.31 $566.15 0.3×
Tympanostomy general anesthesia (69436) $216.30 $309 0.1×
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure		 $1,331.88 $1,902.68 0.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $785.95–$928.91 $1,122.78–$1,327.01 varies
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure		 $1,580.03 $2,257.19 0.3×
Unlisted procedure anus (46999) $200.75 $286.78 0.2×
Unlisted procedure arthroscopy (29999) $297.79 $425.41 1.2×
Unlisted Procedure Casting/Strapping (29799) $97.03 $138.62 0.6×
Unlisted Procedure Esophagus (43499) $874.09 $1,248.70 1.0×
Unlisted procedure foot or toes (28899) $476.66 $680.94 1.9×
Unlisted procedure forearm or wrist (25999) $717.05 $1,024.36 2.9×
Unlisted Procedure Leg/Ankle (27899) $394.83 $564.04 1.6×
Unlisted Procedure Muscskeletal System General (20999) $808.16 $1,154.52 3.2×
Unlisted procedure nervous system (64999) $743.72 $1,062.46 2.4×
Unlisted procedure shoulder (23929) $645.20 $921.71 2.6×
Unlisted Procedure, Urinary System (53899) $294.82 $421.17 1.2×
Vaginal delivery only (59409) $732.61 $1,046.58 0.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $604.11 $863.02 0.3×
Ventilating tube removal requiring general anesthesia (69424) $166.67 $238.10 0.0×
Wedge excision skin nail fold (11765) $259.26 $370.37 0.6×
Wound Prep Trk/Arm/Leg (15002) $513.35 $733.35 0.7×
Xfer Single Deep Low Leg Tendon (27691)
likely a partial charge, not the full procedure		 $1,154.84 $1,649.77 0.2×

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