Procedures & surgery prices at Sarah D Culbertson Memorial Hospital
Rushville, IL · every code in this section with a posted price and a Medicare benchmark.
686 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $945 | $1,050 | 1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$531.90–$1,821.60 | $591–$2,024 | varies |
| Ablate inf turbinate submuc (30802) | $1,431.90 | $1,591 | 0.9× |
| Acne surgery (10040) | $229.50 | $255 | 1.1× |
| Adding Walker Previously Applied Cast (29440) | $108 | $120 | 0.6× |
| Amputation foot transmetarsal (28805) | $3,675.60 | $4,084 | 1.0× |
| Amputation metatarsal with toe single (28810) | $1,789.20 | $1,988 | 0.5× |
| Amputation toe interphalangeal joint (28825) | $903.60 | $1,004 | 0.3× |
| Amputation toe metatarsophalangeal joint (28820) | $2,722.50 | $3,025 | 0.8× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$160.20–$438.30 | $178–$487 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $357.30 | $397 | 0.4× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $2,476.80 | $2,752 | 0.8× |
| Appendectomy (44950) | $4,569.30 | $5,077 | 0.7× |
| Application cast elbow finger short arm (29075) | $190.80 | $212 | 0.6× |
| Application Finger Splint Dynamic (29131) | $280.80 | $312 | 4.4× |
| Application finger splint static (29130) | $280.80 | $312 | 2.0× |
| Application long arm splint shoulder hand (29105) | $327.60 | $364 | 1.9× |
| Application Long Leg Splint (29505) | $369 | $410 | 2.1× |
| Application of rigid total contact leg cast (29445) | $387 | $430 | 1.3× |
| Application Short Arm Splint Dynamic (29126) | $296.10 | $329 | 2.1× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$124.20–$296.10 | $138–$329 | varies |
| Application short leg splint calf foot (29515) | $247.50 | $275 | 1.4× |
| Apply long arm cast (29065) | $237.60 | $264 | 0.8× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$165.60–$358.20 | $184–$398 | varies |
| Apply Short Leg Cast (29405) | $248.40 | $276 | 0.8× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$135.90–$138.60 | $151–$154 | varies |
| Arteriovenous Anastomosis Open Direct (36821) | $2,852.10 | $3,169 | 0.8× |
| Artery-vein autograft (36825) unusually low: confirm this is the full procedure |
$2,605.50 | $2,895 | 0.4× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$3,765.60 | $4,184 | 0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$232.20–$314.10 | $258–$349 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$311.40–$393.30 | $346–$437 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$140.40–$233.10 | $156–$259 | varies |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $1,253.70 | $1,393 | 0.4× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) | $982.80 | $1,092 | 0.3× |
| Aspirate pleura w/ imaging (32555) | $810.90 | $901 | 1.2× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$606.60–$1,319.40 | $674–$1,466 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $467.10 | $519 | 0.2× |
| Av fistula revision (36833) unusually low: confirm this is the full procedure |
$2,630.70 | $2,923 | 0.4× |
| Av Fistula Revision Open (36832) | $3,245.40 | $3,606 | 0.5× |
| Av Fuse Uppr Arm Basilic (36819) | $3,146.40 | $3,496 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$190.80–$294.30 | $212–$327 | varies |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) | $774 | $860 | 0.2× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $1,991.70 | $2,213 | 0.6× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $663.30 | $737 | 1.1× |
| Biopsy Vaginal Mucosa Simple (57100) | $333.90 | $371 | 0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $333.90 | $371 | 0.3× |
| Biopsy/removal lymph nodes (38510) | $2,152.80 | $2,392 | 0.5× |
| Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$385.20–$966.60 | $428–$1,074 | varies |
| Bladder Irrigation (51700) | $143.10 | $159 | 0.5× |
| Bladder Scan (51798) | $134.10 | $149 | 2.1× |
| Blepharotomy drainage abscess eyelid (67700) | $712.80 | $792 | 2.1× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$970.20–$1,017.90 | $1,078–$1,131 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$2,746.80–$4,167.90 | $3,052–$4,631 | varies |
| Bx Cervix (57500) | $795.60 | $884 | 0.8× |
| Bx/exc lymph node open deep axillary node (38525) | $1,071 | $1,190 | 0.3× |
| Bx/exc lymph node open superficial (38500) | $2,091.60 | $2,324 | 0.5× |
| Carpal Tunnel Surgery (64721) | $2,640.60 | $2,934 | 1.3× |
| Change Cystostomy Tube Complicated (51710) | $410.40 | $456 | 0.5× |
| Change Cystostomy Tube Simple (51705) | $205.20 | $228 | 0.8× |
| Change of Windpipe Airway (31502) | $500.40 | $556 | 2.0× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$242.10–$375.30 | $269–$417 | varies |
| Chemical Pleurodesis (32560) | $639 | $710 | 1.0× |
| Chemodenerv Musc Migraine (64615) | $658.80 | $732 | 2.0× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $513.90 | $571 | 1.6× |
| Chemodenervation of internal anal sphincter (46505) | $1,948.50 | $2,165 | 1.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $658.80 | $732 | 2.0× |
| Chest tube placement (32551) | $392.40 | $436 | 0.2× |
| Circumcision 28 days or older (54161) | $1,814.40 | $2,016 | 0.8× |
| Circumcision w/clamp/oth dev w/block (54150) | $319.50 | $355 | 0.1× |
| Cl Tx Scapular Fx; W Manip (23575) | $1,106.10 | $1,229 | 0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,449.90 | $1,611 | 0.8× |
| Clear outer ear canal (69200) | $280.80 | $312 | 2.0× |
| Closed Rx Spontaneous Hip Disloc (27256) | $859.50 | $955 | 3.3× |
| Closed rx talotarsal disloc,anesth (28575) | $1,007.10 | $1,119 | 0.3× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,205.10 | $1,339 | 0.7× |
| Closed Treatment Sesamoid Fracture (28530) | $294.30 | $327 | 1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,032.30 | $1,147 | 3.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,278 | $1,420 | 0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $884.70 | $983 | 3.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $1,179.90 | $1,311 | 4.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $1,329.30 | $1,477 | 5.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $1,401.30 | $1,557 | 5.3× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,695.60 | $1,884 | 1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,376.10 | $1,529 | 5.2× |
| Closed tx mandibular fracture w/manipulation (21451) | $1,966.50 | $2,185 | 1.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,474.20 | $1,638 | 2.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $999.90 | $1,111 | 3.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,572.30 | $1,747 | 0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $392.40 | $436 | 0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $565.20 | $628 | 0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $732.60 | $814 | 2.8× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $1,230.30 | $1,367 | 4.7× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,179.90 | $1,311 | 0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $792 | $880 | 0.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $639 | $710 | 2.4× |
| Closed tx septal&nose fx (21337) | $1,091.70 | $1,213 | 0.3× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,066.50 | $1,185 | 4.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $613.80 | $682 | 2.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $982.80 | $1,092 | 0.6× |
| Closed tx talus fracture w/o manipulation (28430) | $1,351.80 | $1,502 | 5.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $909 | $1,010 | 3.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $547.20 | $608 | 2.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,228.50 | $1,365 | 0.7× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $786.60 | $874 | 3.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $761.40 | $846 | 1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $972.90 | $1,081 | 3.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $648.90 | $721 | 2.5× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,176.30 | $1,307 | 0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $747.90 | $831 | 2.8× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $1,786.50 | $1,985 | 6.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,010.70 | $1,123 | 0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $873 | $970 | 3.3× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $648.90 | $721 | 0.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $1,130.40 | $1,256 | 4.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,326.60 | $1,474 | 0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,007.10 | $1,119 | 0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $590.40 | $656 | 2.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $934.20 | $1,038 | 3.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $1,228.50 | $1,365 | 0.7× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $1,376.10 | $1,529 | 5.2× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $1,868.40 | $2,076 | 1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,130.40 | $1,256 | 4.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,261.80 | $1,402 | 4.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $192.60 | $214 | 0.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $602.10 | $669 | 2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,622.70 | $1,803 | 0.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,818.90 | $2,021 | 1.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,278 | $1,420 | 4.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,040.30 | $2,267 | 1.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $467.10 | $519 | 1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $564.30 | $627 | 2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $417.60 | $464 | 1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $458.10 | $509 | 1.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,474.20 | $1,638 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $1,494 | $1,660 | 5.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $737.10 | $819 | 2.8× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $1,056.60 | $1,174 | 4.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,056.60 | $1,174 | 0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,096.20 | $1,218 | 0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,096.20 | $1,218 | 4.1× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $934.20 | $1,038 | 3.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,474.20 | $1,638 | 0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $1,474.20 | $1,638 | 0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $884.70 | $983 | 3.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,253.70 | $1,393 | 0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$400.50–$520.20 | $445–$578 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $968.40 | $1,076 | 3.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $379.80 | $422 | 1.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,303.20 | $1,448 | 0.8× |
| Cltx Medial Ankle Fx (27760) | $1,321.20 | $1,468 | 5.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $192.60 | $214 | 0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $1,098.90 | $1,221 | 4.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,179.90 | $1,311 | 0.7× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $441.90 | $491 | 0.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,198.80 | $1,332 | 4.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $692.10 | $769 | 2.6× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,130.40 | $1,256 | 4.3× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,179.90 | $1,311 | 0.7× |
| Cltx prox fibula/shft fx w/o manj (27780) | $1,087.20 | $1,208 | 4.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,278 | $1,420 | 0.7× |
| Cltx prox tibfib jt dislc req anes (27831) | $1,106.10 | $1,229 | 0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $1,032.30 | $1,147 | 3.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $400.50 | $445 | 1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $376.20 | $418 | 1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,179.90 | $1,311 | 0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,474.20 | $1,638 | 0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,672.20 | $1,858 | 1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $982.80 | $1,092 | 3.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $2,163.60 | $2,404 | 1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $1,376.10 | $1,529 | 5.2× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $810.90 | $901 | 0.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $490.50 | $545 | 1.9× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,596.60 | $1,774 | 6.0× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,774.80 | $1,972 | 6.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,326.60 | $1,474 | 0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $884.70 | $983 | 3.3× |
| Collect Blood From Catheter Venous Nos (36592) | $58.50 | $65 | 0.4× |
| Collection of venous blood by venipuncture (36415) | $28.80 | $32 | 3.1× |
| Colonoscopy W/Resection (45390) | $1,718.10 | $1,909 | 0.6× |
| Colonoscopy w/submucosal inj (45381) | $1,934.10 | $2,149 | 1.5× |
| Colpocentesis (57020) likely a partial charge, not the full procedure |
$256.50 | $285 | 0.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $2,457.90 | $2,731 | 1.9× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,489.40 | $2,766 | 1.9× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) | $2,646.90 | $2,941 | 2.1× |
| Combined anteroposterior colporrhaphy; (57260) | $5,381.10 | $5,979 | 1.0× |
| Complex drainage wound (10180) | $2,890.80 | $3,212 | 0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $477.90 | $531 | 3.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$424.80–$621 | $472–$690 | varies |
| Correction hammertoe (28285) | $1,991.70 | $2,213 | 0.6× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) unusually low: confirm this is the full procedure |
$3,081.60 | $3,424 | 0.4× |
| Create Eardrum Opening (69433) | $682.20 | $758 | 1.2× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) unusually low: confirm this is the full procedure |
$2,871 | $3,190 | 0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $1,314.90 | $1,461 | 9.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $765 | $850 | 3.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $887.40 | $986 | 0.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $930.60 | $1,034 | 0.4× |
| Cysto w/complex removal stone & stent (52315) | $1,412.10 | $1,569 | 0.6× |
| Cysto w/removal of lesions small (52224) | $2,059.20 | $2,288 | 0.5× |
| Cysto W/Simple Removal Stone & Stent (52310) | $1,665 | $1,850 | 0.7× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) unusually low: confirm this is the full procedure |
$3,545.10 | $3,939 | 0.3× |
| Cystostomy Cystotomy W/Drainage (51040) | $934.20 | $1,038 | 0.4× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) | $1,621.80 | $1,802 | 0.7× |
| Cystourethroscopy (52000) | $819 | $910 | 1.1× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $889.20 | $988 | 0.4× |
| Cystourethroscopy with biopsy (52204) | $1,645.20 | $1,828 | 0.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $213.30 | $237 | 0.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $429.30 | $477 | 0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$239.40–$585.90 | $266–$651 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$54–$116.10 | $60–$129 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$65.70–$171 | $73–$190 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,612.80 | $1,792 | 0.9× |
| Debridement Mastoidectomy Cavity Cmplx (69222) | $716.40 | $796 | 1.2× |
| Debridement Mastoidectomy Cavity Simple (69220) | $266.40 | $296 | 1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$376.20–$391.50 | $418–$435 | varies |
| Declot vascular device (36593) | $82.80 | $92 | 0.2× |
| Decompression of leg (27894) | $2,187.90 | $2,431 | 0.6× |
| Decompression of leg (27892) | $1,449.90 | $1,611 | 0.4× |
| Destr penis lesion(s) (54065) | $540 | $600 | 0.2× |
| Destruct B9 Lesion 1-14 (17110) | $242.10 | $269 | 1.1× |
| Destruction Benign Lesions 15/> (17111) | $316.80 | $352 | 1.5× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$148.50–$167.40 | $165–$186 | varies |
| Diagnostic sigmoidoscopy (45330) | $886.50 | $985 | 0.9× |
| Dilate Urethra Stricture (53600) | $196.20 | $218 | 0.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $1,786.50 | $1,985 | 0.5× |
| Dilation Esophagus Guide Wire (43453) | $1,183.50 | $1,315 | 0.6× |
| Drain Cerebro Spinal Fluid (62272) | $471.60 | $524 | 0.6× |
| Drainage external auditory canal abscess (69020) | $613.80 | $682 | 0.8× |
| Drainage external ear abscess/hematoma cmplx (69005) | $575.10 | $639 | 0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $321.30 | $357 | 0.4× |
| Drainage Mouth Roof Lesion (42000) | $420.30 | $467 | 1.7× |
| Drainage of finger abscess simple (26010) | $212.40 | $236 | 1.0× |
| Drainage of gum lesion (41800) | $737.10 | $819 | 5.2× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$306–$585 | $340–$650 | varies |
| Drainage of nose lesion (30000) | $693 | $770 | 2.7× |
| Drainage of scrotal wall abscess (55100) | $590.40 | $656 | 0.3× |
| Drainage of scrotum (54700) | $1,098 | $1,220 | 0.5× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$68.40–$196.20 | $76–$218 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $306 | $340 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $699.30 | $777 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $490.50 | $545 | 2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$234.90–$351 | $261–$390 | varies |
| Dstrj Lesion Anus Extensive (46924) | $590.40 | $656 | 0.2× |
| Dstrj Lesion Anus Simple Chemical (46900) | $441.90 | $491 | 1.0× |
| Dstrj lesion anus simple cryosurgery (46916) | $441.90 | $491 | 2.1× |
| Dstrj lesion anus simple surg excision (46922) | $441.90 | $491 | 0.1× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $977.40 | $1,086 | 0.4× |
| Dstrj Lesion Penis Simple Chemical (54050) | $343.80 | $382 | 0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $343.80 | $382 | 1.6× |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $294.30 | $327 | 0.1× |
| Dstrj lesion penis simple laser (54057) | $319.50 | $355 | 0.1× |
| Dstrj lesion penis simple surg excision (54060) | $417.60 | $464 | 0.2× |
| Dx gastr intub w/asp spec (43754) | $590.40 | $656 | 2.6× |
| Egd cautery tumor polyp (43250) | $1,724.40 | $1,916 | 0.8× |
| Egd control bleeding any (43255) | $3,627.90 | $4,031 | 1.8× |
| Egd dilation gastric/duodenal stricture (43245) | $1,682.10 | $1,869 | 0.8× |
| Egd Flexible Foreign Body Removal (43247) | $1,511.10 | $1,679 | 1.6× |
| Egd guide wire insertion (43248) | $2,411.10 | $2,679 | 2.5× |
| Egd remove lesion snare (43251) | $1,962.90 | $2,181 | 1.0× |
| Endometrial Biopsy (58100) | $196.20 | $218 | 0.9× |
| Endoscopy Upper Small Intestine (44360) | $738.90 | $821 | 0.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $3,854.70 | $4,283 | 1.1× |
| Epididymectomy unilateral (54860) | $2,171.70 | $2,413 | 0.6× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $1,183.50 | $1,315 | 1.2× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$175.50–$206.10 | $195–$229 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $1,865.70 | $2,073 | 1.1× |
| Exc arm/elbow les sc < 3 cm (24075) | $2,420.10 | $2,689 | 1.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$270–$370.80 | $300–$412 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$529.20–$1,464.30 | $588–$1,627 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $2,688.30 | $2,987 | 1.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$490.50–$528.30 | $545–$587 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$623.70–$738.90 | $693–$821 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$884.70–$972 | $983–$1,080 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,531.80 | $1,702 | 0.9× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $603 | $670 | 0.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $603 | $670 | 0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $585 | $650 | 0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $565.20 | $628 | 0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $712.80 | $792 | 0.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $1,376.10 | $1,529 | 0.8× |
| Exc ganglion wrist recurrent (25112) | $1,278 | $1,420 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$340.20–$1,578.60 | $378–$1,754 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $664.20 | $738 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,393.20 | $1,548 | 0.8× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,810.80 | $2,012 | 1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$1,179.90–$2,306.70 | $1,311–$2,563 | varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $1,081.80 | $1,202 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$490.50–$493.20 | $545–$548 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,023.30 | $1,137 | 0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,579.50 | $1,755 | 0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,170.90 | $1,301 | 0.7× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,007.10 | $1,119 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$663.30–$722.70 | $737–$803 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$934.20–$1,004.40 | $1,038–$1,116 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,098 | $1,220 | 0.6× |
| Exc tendon shth lesion leg/ankle (27630) | $2,112.30 | $2,347 | 0.6× |
| Exc thigh/knee les sc 3 cm/> (27337) | $1,140.30 | $1,267 | 0.4× |
| Exc thigh/knee tum dep 5cm/> (27339) | $2,457.90 | $2,731 | 0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,225.80 | $1,362 | 1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$261.90–$350.10 | $291–$389 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$387–$483.30 | $430–$537 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$550.80–$1,147.50 | $612–$1,275 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,474.20 | $1,638 | 0.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $2,261.70 | $2,513 | 0.7× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,081.80 | $1,202 | 0.6× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $1,449.90 | $1,611 | 0.5× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $1,106.10 | $1,229 | 0.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,865.70 | $2,073 | 1.1× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $2,212.20 | $2,458 | 0.7× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $1,523.70 | $1,693 | 0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,673.10 | $1,859 | 0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,673.10 | $1,859 | 0.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $1,179.90 | $1,311 | 0.4× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $2,040.30 | $2,267 | 0.7× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $2,728.80 | $3,032 | 0.9× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$666–$738.90 | $740–$821 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$392.40–$552.60 | $436–$614 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$467.10–$503.10 | $519–$559 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$413.10–$552.60 | $459–$614 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$738.90–$1,055.70 | $821–$1,173 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$392.40–$423 | $436–$470 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$737.10–$782.10 | $819–$869 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$1,347.30–$1,771.20 | $1,497–$1,968 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$392.40–$409.50 | $436–$455 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$506.70–$724.50 | $563–$805 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$540–$579.60 | $600–$644 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$761.40–$819 | $846–$910 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $1,088.10 | $1,209 | 0.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,056.60 | $1,174 | 0.6× |
| Excision of hydrocele; unilateral (55040) | $3,581.10 | $3,979 | 0.9× |
| Excision of pilonidal cyst or sinus; simple (11770) | $613.80 | $682 | 0.2× |
| Excision of single external papilla or tag, anus (46220) | $967.50 | $1,075 | 0.8× |
| Excision of vaginal cyst or tumor (57135) | $3,101.40 | $3,446 | 0.9× |
| Excision olecranon bursa (24105) | $2,258.10 | $2,509 | 0.6× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $1,351.80 | $1,502 | 0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $2,239.20 | $2,488 | 0.7× |
| Excision prepatellar bursa (27340) | $2,169 | $2,410 | 0.6× |
| Excision spermatocele w/wo epididymectomy (54840) | $1,665 | $1,850 | 0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,548.90 | $1,721 | 0.9× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $1,106.10 | $1,229 | 0.4× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $836.10 | $929 | 0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,376.10 | $1,529 | 0.8× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $1,673.10 | $1,859 | 0.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $3,272.40 | $3,636 | 1.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,874.70 | $2,083 | 1.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $2,890.80 | $3,212 | 0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $1,548.90 | $1,721 | 0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,056.60 | $1,174 | 0.6× |
| Excision/destruction intranasal lesion int appr (30117) | $4,773.60 | $5,304 | 1.3× |
| External cephalic version (59412) | $270 | $300 | 0.1× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) | $1,147.50 | $1,275 | 0.7× |
| Fasciotomy, foot and/or toe (28008) | $1,514.70 | $1,683 | 0.4× |
| Fetal non-stress test (59025) | $129.60 | $144 | 0.6× |
| Fine needle aspiration without imaging guidance (10021) | $333.90 | $371 | 0.8× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$846.90–$872.10 | $941–$969 | varies |
| Fusion of foot bones (28740) unusually low: confirm this is the full procedure |
$3,198.60 | $3,554 | 0.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,657.70 | $2,953 | 0.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $2,341.80 | $2,602 | 0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $3,320.10 | $3,689 | 1.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $966.60 | $1,074 | 1.0× |
| Hemorrhoidopexy by stapling (46947) | $3,567.60 | $3,964 | 1.2× |
| I&d abscess peritonsillar (42700) | $378 | $420 | 1.5× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$232.20–$317.70 | $258–$353 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $639 | $710 | 0.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $2,636.10 | $2,929 | 0.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $1,044.90 | $1,161 | 0.3× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,818.90 | $2,021 | 0.5× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$386.10–$945 | $429–$1,050 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$306–$527.40 | $340–$586 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $958.50 | $1,065 | 0.3× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $773.10 | $859 | 0.8× |
| Incise external hemorrhoid (46083) | $405.90 | $451 | 1.5× |
| Incise finger tendon sheath (26055) | $2,432.70 | $2,703 | 1.4× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$550.80–$1,132.20 | $612–$1,258 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $1,376.10 | $1,529 | 0.4× |
| Incision & drainage leg/ankle infected bursa (27604) | $1,179.90 | $1,311 | 0.3× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$666–$1,150.20 | $740–$1,278 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$323.10–$423.90 | $359–$471 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $334.80 | $372 | 1.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $551.70 | $613 | 1.7× |
| Incision of eardrum (69421) | $490.50 | $545 | 0.1× |
| Incision of eardrum (69420) | $621 | $690 | 2.4× |
| Incision of rectal abscess (46040) | $915.30 | $1,017 | 0.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,601.10 | $1,779 | 0.9× |
| Incisional biopsy skin single lesion (11106) | $212.40 | $236 | 0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $177.30 | $197 | 0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $206.10 | $229 | 0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $323.10 | $359 | 1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) | $315.90 | $351 | 1.0× |
| Injection therapeutic carpal tunnel (20526) | $196.20 | $218 | 0.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $202.50 | $225 | 0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) | $180.90 | $201 | 0.8× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$360.90–$694.80 | $401–$772 | varies |
| Insert cath pleura w/o image (32556) | $2,761.20 | $3,068 | 1.3× |
| Insert Drug Implant Device (11981) | $430.20 | $478 | 3.0× |
| Insert non-tunnel cv cath (36556) | $932.40 | $1,036 | 0.3× |
| Insert pessary/other device (57160) | $238.50 | $265 | 1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,317.50 | $2,575 | 1.4× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$238.50–$360.90 | $265–$401 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$2,531.70–$3,933.90 | $2,813–$4,371 | varies |
| Insert tunneled cv cath (36563) likely a partial charge, not the full procedure |
$1,179.90 | $1,311 | 0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$166.50–$170.10 | $185–$189 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,781 | $3,090 | 1.6× |
| Insj Picc Rs&I <5 Yr (36572) | $2,781 | $3,090 | 4.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $4,635 | $5,150 | 1.4× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $2,781 | $3,090 | 0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$295.20–$2,317.50 | $328–$2,575 | varies |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) likely a partial charge, not the full procedure |
$1,770.30 | $1,967 | 0.3× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $1,253.70 | $1,393 | 0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,138.40 | $2,376 | 0.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,327.50 | $1,475 | 3.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,529.10 | $1,699 | 3.5× |
| Intraoral i&d tongue/floor submndblr space (41008) | $1,862.10 | $2,069 | 0.5× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) likely a partial charge, not the full procedure |
$1,007.10 | $1,119 | 0.1× |
| Intubation endotracheal emergency procedure (31500) | $500.40 | $556 | 2.0× |
| Irrigation of corpora cavernosa for priapism (54220) | $651.60 | $724 | 2.4× |
| Labyrinthotomy Transcanal (69801) | $834.30 | $927 | 0.5× |
| Laparoscopy Enterolysis Separate Procedure (44180) unusually low: confirm this is the full procedure |
$3,169.80 | $3,522 | 0.5× |
| Laparoscopy fulguration oviducts (58670) unusually low: confirm this is the full procedure |
$3,169.80 | $3,522 | 0.5× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $5,124.60 | $5,694 | 0.8× |
| Laparoscopy, surgical, appendectomy (44970) | $5,076 | $5,640 | 0.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $5,483.70 | $6,093 | 0.8× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $4,654.80 | $5,172 | 0.7× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) unusually low: confirm this is the full procedure |
$3,063.60 | $3,404 | 0.5× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $4,932 | $5,480 | 0.8× |
| Laryngoscopy flexible diagnostic (31575) | $196.20 | $218 | 0.9× |
| Laser Surgery Anal Lesions (46917) | $441.90 | $491 | 0.1× |
| Late closure of wound (13160) | $2,136.60 | $2,374 | 0.6× |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) | $1,892.70 | $2,103 | 0.6× |
| Lig&div long saph vein saphfem junct/interrupj (37700) | $786.60 | $874 | 0.2× |
| Ligate leg veins open (37761) | $1,770.30 | $1,967 | 0.5× |
| Ligate/strip long leg vein (37722) | $1,523.70 | $1,693 | 0.5× |
| Ligate/strip short leg vein (37718) | $1,278 | $1,420 | 0.4× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) | $1,917.90 | $2,131 | 0.6× |
| Ligation External Carotid Artery (37600) | $2,408.40 | $2,676 | 0.7× |
| Ligation Internal/Common Carotid Artery (37605) | $2,433.60 | $2,704 | 0.7× |
| Ligation Major Artery Abdomen (37617) | $3,343.50 | $3,715 | 0.6× |
| Ligation of a-v fistula (37607) | $1,228.50 | $1,365 | 0.4× |
| Ligation of femoral vein (37650) | $1,523.70 | $1,693 | 0.5× |
| Ligation Of Inf Vena Cava (37619) | $5,703.30 | $6,337 | 1.0× |
| Ligation or biopsy temporal artery (37609) | $1,278 | $1,420 | 0.7× |
| Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) | $2,433.60 | $2,704 | 0.7× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $1,474.20 | $1,638 | 0.4× |
| Lsh uterus 250 g or less (58541) | $8,073.90 | $8,971 | 0.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $1,595.70 | $1,773 | 0.9× |
| Mast mod rad (19307) | $3,884.40 | $4,316 | 0.5× |
| Mastectomy for gynecomastia (19300) range across 2 matching MRF lines |
$2,491.20–$3,326.40 | $2,768–$3,696 | varies |
| Mastectomy partial (19301) | $3,538.80 | $3,932 | 0.8× |
| Mastectomy partial w/axillary lymphadenectomy (19302) | $3,716.10 | $4,129 | 0.5× |
| Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,908.80 | $3,232 | 0.4× |
| N Block Inj Plantar Digit (64455) | $137.70 | $153 | 0.4× |
| Nasal Endoscopy Dx (31231) | $196.20 | $218 | 0.9× |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) likely a partial charge, not the full procedure |
$820.80 | $912 | 0.1× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $381.60 | $424 | 0.4× |
| Needle Biopsy Lymph Nodes (38505) | $774.90 | $861 | 0.4× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $938.70 | $1,043 | 0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $202.50 | $225 | 0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $511.20 | $568 | 0.1× |
| Occipital Nerve Block (64405) | $986.40 | $1,096 | 3.0× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) unusually low: confirm this is the full procedure |
$2,349 | $2,610 | 0.3× |
| Open biopsy/excision inguinofemoral nodes (38531) | $2,996.10 | $3,329 | 0.7× |
| Open treatment calcaneal fracture (28415) unusually low: confirm this is the full procedure |
$2,999.70 | $3,333 | 0.4× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) likely a partial charge, not the full procedure |
$3,564.90 | $3,961 | 0.3× |
| Open treatment metatarsal fracture each (28485) unusually low: confirm this is the full procedure |
$2,907 | $3,230 | 0.4× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $1,474.20 | $1,638 | 0.4× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) likely a partial charge, not the full procedure |
$1,966.50 | $2,185 | 0.1× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$3,220.20 | $3,578 | 0.4× |
| Ostc prtl exostc/condylc metar head (28288) | $2,984.40 | $3,316 | 0.9× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $1,614.60 | $1,794 | 0.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $2,188.80 | $2,432 | 0.6× |
| Ostectomy, complete excision; first metatarsal head (28111) | $1,647.90 | $1,831 | 0.5× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $2,003.40 | $2,226 | 0.6× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $4,313.70 | $4,793 | 0.8× |
| Penile Injection (54235) | $884.70 | $983 | 3.3× |
| Penis plastic surgery (54360) | $3,736.80 | $4,152 | 1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) likely a partial charge, not the full procedure |
$1,425.60 | $1,584 | 0.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) likely a partial charge, not the full procedure |
$1,179.90 | $1,311 | 0.2× |
| Placement of needle for intraosseous infusion (36680) | $222.30 | $247 | 0.5× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) likely a partial charge, not the full procedure |
$1,818.90 | $2,021 | 0.2× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$171.90–$1,071 | $191–$1,190 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$306–$317.70 | $340–$353 | varies |
| Puncture Aspiration Cyst Breast (19000) | $1,254.60 | $1,394 | 1.7× |
| Rad resect hand tumor 3 cm/> (26118) | $5,728.50 | $6,365 | 1.8× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,966.50 | $2,185 | 0.3× |
| Removal Embedded Foreign Body Eyelid (67938) | $400.50 | $445 | 1.2× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,752.30 | $1,947 | 0.6× |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$656.10–$1,880.10 | $729–$2,089 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$656.10–$1,594.80 | $729–$1,772 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$410.40–$680.40 | $456–$756 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $595.80 | $662 | 0.3× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $3,259.80 | $3,622 | 0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $38.70 | $43 | 0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$119.70–$338.40 | $133–$376 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $467.10 | $519 | 0.1× |
| Removal of adenoids (42835) | $639 | $710 | 0.2× |
| Removal of adenoids (42831) | $737.10 | $819 | 0.2× |
| Removal of adenoids (42830) | $688.50 | $765 | 0.2× |
| Removal of adenoids (42836) | $786.60 | $874 | 0.2× |
| Removal of foreign body from pharynx (42809) | $372.60 | $414 | 0.8× |
| Removal of heel spur (28119) | $1,880.10 | $2,089 | 0.5× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$326.70–$349.20 | $363–$388 | varies |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$859.50 | $955 | 0.1× |
| Removal of tonsils (42826) | $836.10 | $929 | 0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$213.30–$370.80 | $237–$412 | varies |
| Remove drug implant device (11982) | $529.20 | $588 | 1.1× |
| Remove Forearm Foreign Body (25248) | $2,057.40 | $2,286 | 1.2× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$258.30–$259.20 | $287–$288 | varies |
| Remove groin lymph nodes (38760) likely a partial charge, not the full procedure |
$2,091.60 | $2,324 | 0.3× |
| Remove Intrauterine Device (58301) | $232.20 | $258 | 0.7× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$328.50–$369 | $365–$410 | varies |
| Remove Tendon Sheath Lesion (26160) | $1,780.20 | $1,978 | 1.0× |
| Remove/graft foot lesion (28107) likely a partial charge, not the full procedure |
$1,130.40 | $1,256 | 0.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,114.10 | $2,349 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,581.30 | $1,757 | 2.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,358.90 | $2,621 | 3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$1,147.50–$1,148.40 | $1,275–$1,276 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,807.20 | $2,008 | 4.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,517.40 | $1,686 | 3.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,385.10 | $1,539 | 3.2× |
| Repair complex trunk 1.1-2.5 cm (13100) | $623.70 | $693 | 0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,318.50 | $1,465 | 1.7× |
| Repair Foot Dislocation (28615) likely a partial charge, not the full procedure |
$2,187.90 | $2,431 | 0.3× |
| Repair Hallux Rigidus (28289) | $2,384.10 | $2,649 | 0.7× |
| Repair inguinal hernia, sliding, any age (49525) | $1,892.70 | $2,103 | 0.5× |
| Repair initial femoral hernia, any age; reducible (49550) | $4,785.30 | $5,317 | 1.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $4,123.80 | $4,582 | 1.1× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) | $2,016 | $2,240 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $587.70 | $653 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$768.60–$1,002.60 | $854–$1,114 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,017 | $1,130 | 2.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,128.60 | $1,254 | 2.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,727.10 | $1,919 | 4.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $999.90 | $1,111 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$452.70–$540 | $503–$600 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $780.30 | $867 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $832.50 | $925 | 1.1× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,327.50 | $1,475 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $943.20 | $1,048 | 2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$441.90–$496.80 | $491–$552 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$490.50–$730.80 | $545–$812 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,062 | $1,180 | 1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $805.50 | $895 | 1.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,288.80 | $1,432 | 0.6× |
| Repair of hydrocele (55060) | $2,222.10 | $2,469 | 0.6× |
| Repair of nail bed (11760) | $322.20 | $358 | 0.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$2,359.80 | $2,622 | 0.3× |
| Repair secondary achilles tendon w/wo graft (27654) unusually low: confirm this is the full procedure |
$3,723.30 | $4,137 | 0.5× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $1,656.90 | $1,841 | 0.5× |
| Repair tongue laceration (41252) | $859.50 | $955 | 3.4× |
| Repair tongue laceration (41250) | $737.10 | $819 | 1.5× |
| Repair umbilical lesion (49600) | $2,433.60 | $2,704 | 0.6× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) | $2,040.30 | $2,267 | 0.5× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) unusually low: confirm this is the full procedure |
$2,630.70 | $2,923 | 0.4× |
| Replace g/c tube perc (49450) | $1,523.70 | $1,693 | 1.6× |
| Rerepair ing hernia reduce (49520) | $3,449.70 | $3,833 | 0.9× |
| Revise lower leg tendon (27690) unusually low: confirm this is the full procedure |
$2,479.50 | $2,755 | 0.3× |
| Revision of leg vein (37780) | $761.40 | $846 | 0.2× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $1,613.70 | $1,793 | 0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $490.50 | $545 | 0.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $244.80 | $272 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $322.20 | $358 | 0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $402.30 | $447 | 2.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $270 | $300 | 0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) | $527.40 | $586 | 0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $1,306.80 | $1,452 | 0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,317.50 | $2,575 | 1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $688.50 | $765 | 1.0× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$457.20–$722.70 | $508–$803 | varies |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,317.50 | $2,575 | 0.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $490.50 | $545 | 0.3× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $909 | $1,010 | 0.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 2 matching MRF lines |
$278.10–$3,244.50 | $309–$3,605 | varies |
| Rplcmt compl tun ctr vad w/subq pmp (36583) likely a partial charge, not the full procedure |
$1,081.80 | $1,202 | 0.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $934.20 | $1,038 | 0.3× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $4,917.60 | $5,464 | 0.8× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $2,950.20 | $3,278 | 0.8× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $5,409 | $6,010 | 0.8× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $4,425.30 | $4,917 | 0.6× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $3,933.90 | $4,371 | 0.6× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $2,950.20 | $3,278 | 0.8× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $4,425.30 | $4,917 | 0.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $3,933.90 | $4,371 | 0.6× |
| Rpr blood vessel direct lower extremity (35226) | $2,261.70 | $2,513 | 3.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) range across 2 matching MRF lines |
$884.70–$2,301.30 | $983–$2,557 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $845.10 | $939 | 3.9× |
| Rpr ing hern premie blocked (49492) | $3,170.70 | $3,523 | 0.8× |
| Rpr Ing Hernia Baby, Reduc (49495) | $1,351.80 | $1,502 | 0.4× |
| Rpr ing hernia init reduce (49500) likely a partial charge, not the full procedure |
$1,376.10 | $1,529 | 0.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,162.80 | $1,292 | 1.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,253.70 | $1,393 | 2.2× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) likely a partial charge, not the full procedure |
$783 | $870 | 0.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $1,685.70 | $1,873 | 0.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) range across 2 matching MRF lines |
$368.10–$959.40 | $409–$1,066 | varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,500.30 | $1,667 | 1.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $886.50 | $985 | 0.7× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$145.80–$195.30 | $162–$217 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$145.80–$262.80 | $162–$292 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $241.20 | $268 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$145.80–$280.80 | $162–$312 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$324.90–$634.50 | $361–$705 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $234.90 | $261 | 1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$261.90–$294.30 | $291–$327 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$145.80–$262.80 | $162–$292 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$145.80–$318.60 | $162–$354 | varies |
| Sigmoidoscopy w/fb removal (45332) | $2,152.80 | $2,392 | 1.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $2,098.80 | $2,332 | 2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $907.20 | $1,008 | 2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $413.10 | $459 | 1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $500.40 | $556 | 2.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,015.20 | $1,128 | 2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $554.40 | $616 | 2.6× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,047.60 | $1,164 | 4.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$368.10–$369 | $409–$410 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $908.10 | $1,009 | 4.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$249.30–$546.30 | $277–$607 | varies |
| Skin sub graft face/nk/hf/g (15275) | $1,138.50 | $1,265 | 1.4× |
| Skin sub graft trnk/arm/leg (15271) | $933.30 | $1,037 | 1.2× |
| Skin sub grft t/arm/lg child (15273) | $1,138.50 | $1,265 | 0.5× |
| Skn sub grft f/n/hf/g child (15277) | $1,245.60 | $1,384 | 0.6× |
| Slitting of prepuce (54001) | $742.50 | $825 | 0.3× |
| Slitting of prepuce (54000) | $368.10 | $409 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$189–$514.80 | $210–$572 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $766.80 | $852 | 1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $825.30 | $917 | 1.9× |
| Sphincterotomy anal division sphincter spx (46080) | $2,476.80 | $2,752 | 0.8× |
| Spinal puncture lumbar diagnostic (62270) | $662.40 | $736 | 0.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $1,770.30 | $1,967 | 0.5× |
| Strapping ankle (29540) | $151.20 | $168 | 0.9× |
| Strapping elbow or wrist (29260) | $78.30 | $87 | 1.2× |
| Strapping hand/finger (29280) | $165.60 | $184 | 2.6× |
| Strapping knee (29530) | $78.30 | $87 | 0.5× |
| Strapping shoulder (29240) | $78.30 | $87 | 0.5× |
| Strapping thorax (29200) | $82.80 | $92 | 0.5× |
| Strapping toes (29550) | $48.60 | $54 | 0.8× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$211.50–$358.20 | $235–$398 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $370.80 | $412 | 0.8× |
| Surg tx anal fistula subq (46270) | $2,435.40 | $2,706 | 0.8× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $2,127.60 | $2,364 | 0.7× |
| Synovectomy Tendon Sheath Foot Extensor (28088) | $934.20 | $1,038 | 0.3× |
| Synovectomy Tendon Sheath Foot Flexor (28086) | $1,130.40 | $1,256 | 0.3× |
| Tangential biopsy skin single lesion (11102) | $148.50 | $165 | 0.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $1,510.20 | $1,678 | 0.9× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $1,647.90 | $1,831 | 1.0× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) unusually low: confirm this is the full procedure |
$2,016 | $2,240 | 0.3× |
| Thrmbc/Nfs Dialysis Circuit (36906) likely a partial charge, not the full procedure |
$1,647 | $1,830 | 0.1× |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$240.30–$797.40 | $267–$886 | varies |
| Tnot elbow lateral/medial debride open (24358) | $2,189.70 | $2,433 | 0.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $982.80 | $1,092 | 0.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $884.70 | $983 | 3.5× |
| Treat Dental Ridge Fracture (21440) | $1,770.30 | $1,967 | 0.5× |
| Treat Finger Fracture Each (26727) | $1,278 | $1,420 | 0.4× |
| Treat Hip Socket Fracture (27222) | $2,654.10 | $2,949 | 10.0× |
| Treat humerus fracture (24500) | $1,107 | $1,230 | 4.2× |
| Treat Humerus Fracture (24505) | $1,278 | $1,420 | 0.7× |
| Treat humerus fracture (23600) | $1,139.40 | $1,266 | 4.3× |
| Treat knee fracture (27532) | $1,672.20 | $1,858 | 0.5× |
| Treat Knee Fracture(S) (27538) | $1,303.20 | $1,448 | 4.9× |
| Treat Knuckle Dislocation (26700) | $192.60 | $214 | 0.7× |
| Treat metacarpal fracture (26607) | $1,351.80 | $1,502 | 0.4× |
| Treat Metatarsal Fracture (28475) | $688.50 | $765 | 2.6× |
| Treat Thumb Dislocation (26641) | $1,130.40 | $1,256 | 4.3× |
| Treat Thumb Fracture (26645) | $1,179.90 | $1,311 | 0.7× |
| Treat toe dislocation (28630) | $392.40 | $436 | 1.5× |
| Treatment closed elbow dislocation w/o anes (24600) | $792 | $880 | 3.0× |
| Treatment of ankle fracture (27823) unusually low: confirm this is the full procedure |
$2,630.70 | $2,923 | 0.3× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$66.60–$100.80 | $74–$112 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$75.60–$90 | $84–$100 | varies |
| Trim skin lesions over 4 (11057) | $118.80 | $132 | 0.6× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$81.90–$102.60 | $91–$114 | varies |
| Tubal ligation (58600) | $3,169.80 | $3,522 | 0.9× |
| Tx Gastro Intub W/Asp (43753) | $58.50 | $65 | 0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $982.80 | $1,092 | 0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $786.60 | $874 | 1.0× |
| Tx superficial wound dehiscence w/packing (12021) | $467.10 | $519 | 1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $761.40 | $846 | 0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $540 | $600 | 2.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$2,679.30 | $2,977 | 0.2× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $1,112.40 | $1,236 | 0.7× |
| Tympanostomy general anesthesia (69436) | $858.60 | $954 | 0.5× |
| Unlisted Procedure Casting/Strapping (29799) | $20.70 | $23 | 0.1× |
| Unlisted procedure forearm or wrist (25999) | $272.70 | $303 | 1.0× |
| Unlisted Procedure Male Genital System (55899) | $376.20 | $418 | 1.4× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $7,238.70 | $8,043 | 1.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,536.30 | $1,707 | 0.7× |
| Wedge excision skin nail fold (11765) | $322.20 | $358 | 0.7× |
| Wedging of cast (29740) | $244.80 | $272 | 0.8× |
| Windowing of cast (29730) | $171.90 | $191 | 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.