Procedures & surgery prices at Scotland County Hospital

Memphis, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $364–$579.60 $520–$828 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $235.20–$350 $336–$500 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $217 $310 0.1×
Acne surgery (10040) $94.50 $135 0.5×
Acromiopl/Acromionect Partial (23130) $1,375.50 $1,965 0.4×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,239 $1,770 0.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,221.50 $1,745 0.6×
Amniocentesis diagnostic (59000) $269.50 $385 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $807.10–$1,288 $1,153–$1,840 varies
Amputation Foot Midtarsal (28800) $625.10 $893 0.2×
Amputation metatarsal with toe single (28810)
range across 2 matching MRF lines		 $499.80–$812 $714–$1,160 varies
Amputation thigh through femur any level (27590)
range across 2 matching MRF lines		 $933.80–$1,519 $1,334–$2,170 varies
Amputation toe interphalangeal joint (28825) $1,015 $1,450 0.3×
Amputation toe metatarsophalangeal joint (28820) $665 $950 0.2×
Amputation, leg, through tibia and fibula; (27880)
range across 2 matching MRF lines		 $1,068.90–$1,564.50 $1,527–$2,235 varies
Anoscopy Control Bleeding (46614) $248.50 $355 0.2×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $157.50–$175 $225–$250 varies
Anoscopy W/Rmvl Foreign Body (46608) $467.60 $668 0.5×
Anoscopy; with biopsy, single or multiple (46606) $381.50 $545 0.3×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $913.50 $1,305 0.2×
Appendectomy (44950)
range across 2 matching MRF lines		 $766.50–$1,127 $1,095–$1,610 varies
Application cast elbow finger short arm (29075) $122.50 $175 0.4×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $52.50–$109.73 $75–$156.75 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $77–$88.90 $110–$127 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $150.50–$168 $215–$240 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $196 $280 0.7×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $182–$192.85 $260–$275.50 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $1,330 $1,900 0.1×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $196–$288.40 $280–$412 varies
Application of rigid total contact leg cast (29445) $282.10 $403 1.0×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $143.50–$159.60 $205–$228 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $80.50–$90.80 $115–$129.72 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $147–$170.80 $210–$244 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $705.60 $1,008 0.1×
Application, cast; figure-of-eight Facility (29049) $140.70 $201 0.5×
Apply hand/wrist cast (29085) $126 $180 0.8×
Apply long arm cast (29065) $185.50 $265 0.7×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $133–$175.21 $190–$250.30 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $51.80–$147 $74–$210 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $178.50–$198.80 $255–$284 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $42–$62.30 $60–$89 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $94.50–$233.10 $135–$333 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $157.50–$700 $225–$1,000 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $127.02–$493.50 $181.45–$705 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $199.50–$700 $285–$1,000 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $77–$216.30 $110–$309 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $1,192.80 $1,704 0.1×
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines		 $574–$955.50 $820–$1,365 varies
Arthrodesis knee any technique (27580)
likely a partial charge, not the full procedure		 $1,738.10 $2,483 0.1×
Arthrodesis Wrist Complete W/O Bone Graft (25800)
likely a partial charge, not the full procedure		 $863.80 $1,234 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $1,705.90 $2,437 0.1×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
likely a partial charge, not the full procedure		 $1,414.70 $2,021 0.1×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $1,617 $2,310 0.5×
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines		 $586.60–$1,774.50 $838–$2,535 varies
Arthroscopy ankle w/removal loose/foreign body (29894)
range across 2 matching MRF lines		 $596.40–$1,375.50 $852–$1,965 varies
Arthroscopy Elbow Surgical Debridement Limited (29837)
range across 2 matching MRF lines		 $620.20–$1,484 $886–$2,120 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $1,697.50 $2,425 0.5×
Arthroscopy knee synovectomy limited spx (29875) $1,410.50 $2,015 0.4×
Arthroscopy shoulder distal claviculectomy (29824) $1,375.50 $1,965 0.4×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895)
range across 2 matching MRF lines		 $548.80–$1,344 $784–$1,920 varies
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834)
range across 2 matching MRF lines		 $580.30–$1,365 $829–$1,950 varies
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860)
likely a partial charge, not the full procedure		 $774.20 $1,106 0.1×
Arthroscopy, knee, surgical; with lateral release (29873) $1,298.50 $1,855 0.4×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $2,345 $3,350 0.7×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,879.50 $2,685 0.6×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $2,072 $2,960 0.3×
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $638.40–$1,687 $912–$2,410 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $6,664.70 $9,521 0.9×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $2,552.90 $3,647 0.4×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $1,645 $2,350 0.5×
Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843)
range across 2 matching MRF lines		 $575.40–$1,298.50 $822–$1,855 varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $762.30 $1,089 0.2×
Arthrotomy W/Meniscus Repair Knee (27403)
likely a partial charge, not the full procedure		 $1,452.50 $2,075 0.2×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $1,517.60–$1,785 $2,168–$2,550 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $1,355.90 $1,937 0.1×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $2,415–$2,555 $3,450–$3,650 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,662.50 $2,375 0.5×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,977.50 $2,825 0.6×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $2,026.50–$3,631.60 $2,895–$5,188 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $847–$2,096.50 $1,210–$2,995 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $668.50 $955 0.2×
Artificial insemination intra-uterine (58322) $143.50 $205 0.7×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $693–$983.50 $990–$1,405 varies
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines		 $175.70–$983.50 $251–$1,405 varies
Aspirate/Inj Ganglion Cyst (20612) $112 $160 0.4×
Aspiration and/or injection thyroid cyst (60300) $143.50 $205 0.2×
Aspiration bladder insert suprapubic catheter (51102) $423.50 $605 0.2×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $70.49–$91 $100.70–$130 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $308–$321.30 $440–$459 varies
Biopsy bone open deep (20245) $763 $1,090 0.3×
Biopsy bone open superficial (20240) $430.50 $615 0.1×
Biopsy bone trocar/needle deep (20225) $731.50 $1,045 0.4×
Biopsy Bone Trocar/Needle Superficial (20220) $315 $450 0.2×
Biopsy external ear (69100) $98 $140 0.4×
Biopsy of breast; open, incisional (19101) $400.40 $572 0.1×
Biopsy of liver, needle; percutaneous (47000) $373.80 $534 0.2×
Biopsy of penis (54100) $185.50 $265 0.1×
Biopsy of rectum (45100) $581 $830 0.2×
Biopsy ovary uni/bi separate procedure (58900) $990.50 $1,415 0.3×
Biopsy soft tissue leg/ankle area superficial (27613) $325.50 $465 0.2×
Biopsy soft tissue thigh/knee area superficial (27323) $269.50 $385 0.2×
Biopsy Vaginal Mucosa Simple (57100) $168 $240 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $159.37 $227.67 0.2×
Biopsy, vestibule of mouth (40808) $1,041.53 $1,487.90 1.9×
Biopsy/removal lymph nodes (38510) $605.50 $865 0.2×
Bladder instillation anticarcinogenic agent (51720) $140 $200 0.2×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $147–$163.80 $210–$234 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $42–$49.88 $60–$71.25 varies
Blepharoplasty Lower Eyelid (15820) $1,102.50 $1,575 0.5×
Blepharoplasty upper eyelid (15822) $976.50 $1,395 0.5×
Blepharotomy drainage abscess eyelid (67700) $245 $350 0.8×
Blood Transfusion Service (36430) $788.20 $1,126 1.8×
Bone Marrow Biopsy (38221) $308 $440 0.2×
Bone Marrow; Aspiration Only (38220) $245 $350 0.1×
Breast Reduction (19318)
likely a partial charge, not the full procedure		 $1,772.40 $2,532 0.3×
Brnchsc Brushing/Protected Brushings (31623) $392 $560 0.2×
Bronchoscopy W/Biopsy(S) (31625) $591.50 $845 0.3×
Bronchoscopy W/Removal Foreign Body (31635) $619.50 $885 0.3×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $387.10–$675.50 $553–$965 varies
Bx breast 1st lesion us imag (19083) $560 $800 0.3×
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $145.60–$169.40 $208–$242 varies
Bx Cervix (57500) $161 $230 0.2×
Bx/exc lymph node open deep axillary node (38525) $630 $900 0.2×
Bx/exc lymph node open superficial (38500) $395.50 $565 0.1×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $520.80–$966 $744–$1,380 varies
Cataract surgery complex (66982) $855.40 $1,222 0.4×
Catheter aspiration nasotracheal spx (31720) $128.80 $184 0.6×
Cautery Cervix Cryocautery Initial/Repeat (57511) $203 $290 0.7×
Cautery Cervix Electro/Thermal (57510) $178.50 $255 0.1×
Cerclage cervix pregnancy vaginal (59320)
range across 2 matching MRF lines		 $181.30–$658 $259–$940 varies
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $129.50–$609 $185–$870 varies
Change of Windpipe Airway (31502) $115.50 $165 0.5×
Change ureter stent percut (50382) $1,333.50 $1,905 0.6×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $108.50–$508.90 $155–$727 varies
Chemodenerv Musc Migraine (64615) $990.50 $1,415 3.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $602 $860 2.0×
Chest tube placement (32551)
range across 3 matching MRF lines		 $179.20–$217 $256–$310 varies
Circumcision 28 days or older (54161)
range across 2 matching MRF lines		 $465.50–$485.80 $665–$694 varies
Circumcision Neonate (54160)
range across 2 matching MRF lines		 $245–$523.60 $350–$748 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $304.50–$354.20 $435–$506 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $422.80–$635.60 $604–$908 varies
Claviculectomy partial (23120) $1,127 $1,610 0.3×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $105–$140.70 $150–$201 varies
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines		 $569.10–$1,025.50 $813–$1,465 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $665 $950 2.7×
Closed tx ankle dislocation w/o anesthesia (27840) $317.80 $454 1.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $168.70 $241 0.7×
Closed tx carpal scaphoid fracture w/manj (25624) $384.30 $549 0.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $549.50–$612.50 $785–$875 varies
Closed tx knee dislocation w/o anesthesia (27550) $406 $580 1.6×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $151.20–$332.50 $216–$475 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $697.20–$983.50 $996–$1,405 varies
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $406–$581.70 $580–$831 varies
Closed tx patellar dislocation w/o anesthesia (27560) $239.40 $342 1.0×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $273.70–$591.50 $391–$845 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $205.10–$374.50 $293–$535 varies
Closed tx radial shaft fracture w/manipulation (25505) $1,049.30 $1,499 0.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $364 $520 1.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $312.20–$3,379.60 $446–$4,828 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $233.80–$427 $334–$610 varies
Closed tx septal&nose fx (21337) $759.50 $1,085 0.2×
Closed tx talus fracture w/o manipulation (28430) $151.20 $216 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $175 $250 0.7×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $170.80 $244 0.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $392 $560 1.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $555.77 $793.96 2.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $210.70 $301 0.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $315 $450 1.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 3 matching MRF lines		 $216.30–$490 $309–$700 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $134.40–$423.50 $192–$605 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $319.20 $456 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $546–$630 $780–$900 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $47.60–$392 $68–$560 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $590.10–$840 $843–$1,200 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $875 $1,250 0.5×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $169.40–$444.50 $242–$635 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $584.50–$651.70 $835–$931 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $69.30–$224 $99–$320 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $233.80–$441 $334–$630 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $385.35–$749 $550.50–$1,070 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $169.40 $242 0.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $896–$1,754.20 $1,280–$2,506 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $216.30 $309 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $95.90 $137 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $94.50–$231 $135–$330 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $602–$670.60 $860–$958 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $888.30–$1,478.40 $1,269–$2,112 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $959 $1,370 3.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $612.50 $875 2.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $62.30 $89 0.3×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,806 $2,580 1.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $158.90 $227 0.6×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $430.50–$518 $615–$740 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines		 $580.30–$1,050 $829–$1,500 varies
Cltx Medial Ankle Fx (27760) $448 $640 1.8×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $390.60–$616 $558–$880 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $102.20–$315 $146–$450 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $644 $920 2.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $388.50–$689.50 $555–$985 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $913.50–$1,075.20 $1,305–$1,536 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $626.50–$684.60 $895–$978 varies
Cltx prox fibula/shft fx w/manj (27781) $284.20 $406 0.2×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $169.40–$385 $242–$550 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $193.90 $277 0.1×
Cltx prox tibfib jt dislc w/o anes (27830) $291.90 $417 1.2×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $81.20 $116 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $259–$289.10 $370–$413 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,074.50 $1,535 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $1,144.50–$1,336.30 $1,635–$1,909 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $703.50–$784 $1,005–$1,120 varies
Cltx tibial fx proximal w/o manipulation (27530) $567 $810 2.3×
Cltx tibial shaft fx w/o manipulation (27750) $668.50 $955 2.7×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $885.50 $1,265 3.6×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $587.30–$1,023.40 $839–$1,462 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
unusually low: confirm this is the full procedure		 $1,589 $2,270 0.3×
Collect Blood From Catheter Venous Nos (36592) $105 $150 0.8×
Collection of venous blood by venipuncture (36415) $18.20 $26 1.9×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $714 $1,020 0.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389)
range across 2 matching MRF lines		 $553–$1,778 $790–$2,540 varies
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $511–$1,778 $730–$2,540 varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394)
range across 2 matching MRF lines		 $920.50–$1,778 $1,315–$2,540 varies
Colonoscopy W/Band Ligation (45398) $1,197 $1,710 1.0×
Colonoscopy w/fb removal (45379)
range across 2 matching MRF lines		 $714–$1,704.50 $1,020–$2,435 varies
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $644–$1,687 $920–$2,410 varies
Colpocentesis (57020)
likely a partial charge, not the full procedure		 $287 $410 0.1×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $1,491 $2,130 0.2×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $584.50–$614.60 $835–$878 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $252 $360 0.8×
Colposcopy Cervix Endocervical Curettage (57456) $252 $360 0.8×
Colposcopy cervix upper/adjacent vagina (57452) $175 $250 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $266 $380 0.9×
Colposcopy cervix vag eltrd conization cervix (57461) $623 $890 0.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines		 $357–$570.50 $510–$815 varies
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $154.70–$206.50 $221–$295 varies
Colposcopy Vulva W/Biopsy (56821) $227.50 $325 0.7×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $248.50 $355 0.3×
Colpotomy; with drainage of pelvic abscess (57010) $710.50 $1,015 0.2×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $794.50–$2,060.10 $1,135–$2,943 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $787.50–$1,500.80 $1,125–$2,144 varies
Combined anteroposterior colporrhaphy; (57260)
likely a partial charge, not the full procedure		 $1,365 $1,950 0.3×
Complex Cystometrogram (51726) $472.50 $675 1.9×
Complex drainage wound (10180) $294 $420 0.1×
Conization cervix w/wo d&c rpr eltrd exc (57522) $675.50 $965 0.2×
Conization of cervix (57520) $745.50 $1,065 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $84.46–$402.50 $120.65–$575 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $32.20–$133 $46–$190 varies
Control oropharyngeal hemorrhage simple (42960) $318.50 $455 0.6×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $616.70–$1,001 $881–$1,430 varies
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $1,526–$2,065 $2,180–$2,950 varies
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $1,809.50 $2,585 0.6×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $1,358 $1,940 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $799.40–$1,484 $1,142–$2,120 varies
Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) $2,897.66 $4,139.52 1.5×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $104.29 $148.98 1.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $210.70 $301 1.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $126–$353.50 $180–$505 varies
Curettage postpartum (59160) $507.50 $725 0.2×
Cysto Bladder W/Ureteral Catheterization (52005) $511 $730 0.2×
Cysto calibration dilat urtl strix/stenosis (52281) $525 $750 0.3×
Cysto w/insert ureteral stent (52332) $913.50 $1,305 0.3×
Cysto w/removal of lesions small (52224) $1,386 $1,980 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $490 $700 0.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $417.20 $596 0.1×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $920.50 $1,315 0.2×
Cystometrogram W/Up (51727) $577.50 $825 0.8×
Cystometrogram W/Vp&Up (51729) $581 $830 0.8×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
likely a partial charge, not the full procedure		 $1,281 $1,830 0.1×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $784 $1,120 0.4×
Cystourethroscopy (52000) $280 $400 0.4×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $714 $1,020 0.2×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $1,435 $2,050 0.3×
Cystourethroscopy w/dil bladder general anesth (52260) $416.50 $595 0.2×
Cystourethroscopy with biopsy (52204) $710.50 $1,015 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $66.50–$77 $95–$110 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,298.50 $1,855 0.4×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $640.50 $915 0.9×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,256.22 $1,794.60 1.8×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $360.50–$1,228.50 $515–$1,755 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $19.60–$28 $28–$40 varies
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $29.40–$105 $42–$150 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $515.90–$3,499.30 $737–$4,999 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $50.40–$884.10 $72–$1,263 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $66.50–$105 $95–$150 varies
Decompression of tibia nerve (28035) $602 $860 0.3×
Delivery of placenta (59414)
range across 2 matching MRF lines		 $273–$280 $390–$400 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $492.10–$980 $703–$1,400 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $948.50–$2,800 $1,355–$4,000 varies
Destruct B9 Lesion 1-14 (17110) $171.50 $245 0.9×
Destruction Benign Lesions 15/> (17111) $105 $150 0.5×
Destruction Internal Hemorrhoid Thermal Energy (46930) $420 $600 0.4×
Destruction Lesions Vulva Extensive (56515) $381.50 $545 0.2×
Destruction Lesions Vulva Simple (56501) $164.50 $235 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $154 $220 0.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $182 $260 0.9×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $231 $330 0.6×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $129.50 $185 0.6×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $129.50 $185 0.6×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $129.50 $185 0.6×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $140 $200 0.7×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $192.50 $275 0.5×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $112 $160 0.6×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $700–$1,750 $1,000–$2,500 varies
Destruction of skin lesions (17106)
range across 2 matching MRF lines		 $350–$455 $500–$650 varies
Destruction Premalignant Lesion 15/> (17004) $220.50 $315 0.5×
Destruction premalignant lesion 1st (17000) $115.50 $165 0.6×
Destruction Vaginal Lesions Extensive (57065) $511 $730 0.2×
Destruction Vaginal Lesions Simple (57061) $168 $240 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $227.50–$504 $325–$720 varies
Diaphragm or cervical cap fitting with instructions (57170) $122.50 $175 0.6×
Dilat female urethra general/cndj spinal anes (53665) $95.90 $137 0.0×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $266 $380 2.1×
Dilate Esophagus 1/Mult Pass (43450) $248.50 $355 0.3×
Dilate Urethra Stricture (53600) $133 $190 0.5×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 3 matching MRF lines		 $222.60–$574 $318–$820 varies
Dilation Cervical Canal (57800) $122.50 $175 0.0×
Dilation Esophagus Guide Wire (43453) $3,080 $4,400 1.6×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $164.50 $235 0.0×
Dilation of vagina (57400) $350 $500 0.1×
Drain Hand Tendon Sheath (26020) $834.40 $1,192 0.3×
Drain/inj small joint/bursa w/us (20604) $420 $600 1.4×
Drainage external ear abscess/hematoma cmplx (69005) $318.50 $455 0.2×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $527.80–$544.60 $754–$778 varies
Drainage of eye (65800) $164.50 $235 0.1×
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $525–$584.50 $750–$835 varies
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $161.70–$3,755.50 $231–$5,365 varies
Drainage of hydrocele (55000) $766.50 $1,095 1.1×
Drainage of salivary gland (42305) $850.50 $1,215 0.3×
Drainage of scrotum (54700) $416.50 $595 0.2×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $913.50 $1,305 0.3×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $633.50 $905 0.2×
Draw Blood Off Venous Device (36591) $105 $150 0.8×
Dressing Change Under Anesthesia (15852) $112 $160 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $171.50 $245 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines		 $350–$858.20 $500–$1,226 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $105–$524.30 $150–$749 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $87.50–$524.30 $125–$749 varies
Dstrj les/scar vestibule mouth physical meths (40820) $245 $350 0.1×
Dstrj Lesion Anus Simple Chemical (46900) $374.50 $535 0.9×
Dstrj lesion anus simple cryosurgery (46916) $374.50 $535 1.9×
Dstrj lesion anus simple surg excision (46922) $283.50 $405 0.1×
Dstrj Lesion Penis Simple Chemical (54050) $136.50 $195 0.3×
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 2 matching MRF lines		 $147–$155.40 $210–$222 varies
Dstrj Lesion Penis Simple Electrodesiccation (54055) $224 $320 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $280–$1,050 $400–$1,500 varies
Dx Bone Marrow Bx & Aspir (38222) $1,071 $1,530 0.4×
Dx Bronchoscope/Lavage (31624) $420 $600 0.2×
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $282.80–$444.50 $404–$635 varies
Dx gastr intub w/asp spec (43754) $170.10 $243 0.8×
Dx Laryngoscopy Excl Nb (31525) $465.50 $665 0.3×
Dx laryngoscopy w/oper scope (31526) $497 $710 0.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,151.50–$2,340.80 $1,645–$3,344 varies
Egd cautery tumor polyp (43250)
range across 2 matching MRF lines		 $598.50–$1,474.90 $855–$2,107 varies
Egd control bleeding any (43255)
range across 2 matching MRF lines		 $609–$627.90 $870–$897 varies
Egd dilation gastric/duodenal stricture (43245)
range across 2 matching MRF lines		 $770–$1,327.20 $1,100–$1,896 varies
Egd Flexible Foreign Body Removal (43247)
range across 3 matching MRF lines		 $549.50–$1,432.20 $785–$2,046 varies
Egd guide wire insertion (43248) $504 $720 0.6×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $654.50 $935 0.3×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $672–$1,591.80 $960–$2,274 varies
Egd remove lesion snare (43251)
range across 2 matching MRF lines		 $598.50–$1,620.50 $855–$2,315 varies
Egd Tube/Cath Insertion (43241) $595 $850 0.3×
Egd Varices Ligation (43244) $630 $900 0.3×
Electro-Uroflowmetry First (51741) $119 $170 0.6×
Endocervical curettage (57505) $154 $220 0.2×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure		 $1,099 $1,570 0.2×
Endometrial Biopsy (58100) $164.50 $235 0.8×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,135 $3,050 0.7×
Enterorrhaphy single perforation (44602) $1,512 $2,160 0.4×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $434 $620 0.2×
Epidural Blood Patch (62273)
range across 4 matching MRF lines		 $420–$913.50 $600–$1,305 varies
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $364–$406.70 $520–$581 varies
Escharotomy; initial incision (16035) $214.20 $306 0.5×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,730 $3,900 3.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $458.50 $655 0.2×
Esophagoscopy Flex Transoral Injection Varices (43204) $413 $590 0.2×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $640.50 $915 0.3×
Esophagoscopy Flexible Guide Wire Dilation (43226) $395.50 $565 0.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $423.50 $605 0.5×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $574 $820 0.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $542.50 $775 0.3×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $290.50 $415 0.2×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $570.50 $815 0.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $59.50–$80.50 $85–$115 varies
Exc arm/elbow les sc < 3 cm (24075) $647.50 $925 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $54.60–$115.50 $78–$165 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $245 $350 0.1×
Exc Back Les Sc < 3 Cm (21930) $626.50 $895 0.4×
Exc Back Tum Deep 5 Cm/> (21933) $1,438.50 $2,055 0.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $588 $840 0.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $346.50 $495 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $378 $540 0.5×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $615.30 $879 0.4×
Exc Face Les Sbq 2 Cm/> (21012) $658 $940 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $203 $290 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $178.50 $255 0.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $217 $310 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $395.50 $565 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $367.50 $525 0.2×
Exc Forearm Les Sc 3 Cm/> (25071) $812 $1,160 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $161 $230 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $154 $220 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $185.50 $265 0.1×
Exc Hand Les Sc < 1.5 Cm (26115) $1,018.50 $1,455 0.6×
Exc hydrocele sprmatic cord uni spx (55500) $463.40 $662 0.1×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $529.90–$637 $757–$910 varies
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,141 $1,630 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $210 $300 0.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $420 $600 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $413 $590 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $364 $520 0.2×
Exc Skin Benig >4cm Face,Facial (11446) $455 $650 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $388.50 $555 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $661.50 $945 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $476 $680 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $784 $1,120 0.3×
Exc thigh/knee tum dep 5cm/> (27339) $1,424.50 $2,035 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $189–$362.60 $270–$518 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $140 $200 0.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $164.50 $235 0.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $262.50 $375 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $672 $960 0.2×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,348.45 $1,926.36 0.8×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $738.50 $1,055 0.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $836.50 $1,195 0.3×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,039.50 $1,485 0.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $693 $990 0.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $623 $890 0.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,386 $1,980 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $476 $680 0.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $493.50 $705 0.2×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,155 $1,650 0.7×
Excis Mouth Mucosa/Sub,No Repair (40810) $199.50 $285 0.1×
Excise excessive skin arm (15836) $1,522.50 $2,175 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $262.50 $375 0.4×
Excision Chalazion Single (67800) $164.50 $235 0.5×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $654.50 $935 0.2×
Excision Lingual Frenum Frenectomy (41115) $280 $400 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $168 $240 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $311.50 $445 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $220.50 $315 0.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $444.50 $635 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $213.50 $305 0.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $409.50 $585 0.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $626.50 $895 0.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $248.50 $355 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $227.50 $325 0.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $259 $370 0.4×
Excision Multiple External Papillae/Tags Anus (46230) $532 $760 0.2×
Excision of bartholin's gland or cyst (56740) $595 $850 0.2×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555)
range across 2 matching MRF lines		 $736.40–$1,211 $1,052–$1,730 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $383.60–$669.90 $548–$957 varies
Excision of hydrocele; bilateral (55041) $717.50 $1,025 0.2×
Excision of hydrocele; unilateral (55040)
range across 2 matching MRF lines		 $728–$2,185.40 $1,040–$3,122 varies
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
unusually low: confirm this is the full procedure		 $2,646 $3,780 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $462 $660 0.2×
Excision of vaginal cyst or tumor (57135) $420 $600 0.1×
Excision of vaginal septum (57130) $388.50 $555 0.1×
Excision olecranon bursa (24105) $686 $980 0.2×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,519 $2,170 0.5×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $884.10–$917 $1,263–$1,310 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 2 matching MRF lines		 $723.10–$770 $1,033–$1,100 varies
Excision prepatellar bursa (27340) $752.50 $1,075 0.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $2,268 $3,240 0.3×
Excision spermatocele w/wo epididymectomy (54840)
range across 2 matching MRF lines		 $381.50–$668.50 $545–$955 varies
Excision synovial cyst popliteal space (27345) $574.70 $821 0.2×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,010.80 $1,444 0.3×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $759.50 $1,085 0.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $819 $1,170 0.5×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $1,711.50 $2,445 0.6×
Excision, interdigital (morton) neuroma, single, each (28080) $994 $1,420 0.6×
Excision, sacral pressure ulcer, with primary suture; Facility (15931) $1,092 $1,560 0.4×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,148 $1,640 0.4×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $378 $540 0.2×
Excision; trochanteric bursa or calcification (27062) $973 $1,390 0.3×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $525–$945 $750–$1,350 varies
Expl po hemrrg thrombosis/infctj xtr (35860) $1,321.60 $1,888 0.4×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $458.50–$534.80 $655–$764 varies
Exploration of knee joint (27310) $1,484 $2,120 0.5×
Exploration penetrating wound spx chest (20101) $439.60 $628 0.2×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $696.50–$875 $995–$1,250 varies
Explore/Treat Knee Joint (27331) $1,057 $1,510 0.3×
External cephalic version (59412)
range across 2 matching MRF lines		 $238–$325.50 $340–$465 varies
Fasciectomy Palm Only (26121) $1,757 $2,510 0.5×
Fasciectomy Plantar Fascia Partial Spx (28060) $980 $1,400 0.3×
Fasciotomy palmar open partial (26045)
range across 2 matching MRF lines		 $1,039.50–$1,838.90 $1,485–$2,627 varies
Fasciotomy palmar percutaneous (26040)
range across 2 matching MRF lines		 $373.10–$707 $533–$1,010 varies
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $487.90–$812 $697–$1,160 varies
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $2,065 $2,950 0.6×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $93.80–$101.50 $134–$145 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $158.90–$183.40 $227–$262 varies
Fluoro exam of g/colon tube (49465) $284.20 $406 1.2×
Fna bx w/us gdn 1st les (10005) $483 $690 0.7×
Foreskin manipulation (54450) $91 $130 0.4×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $980 $1,400 0.5×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $829.50 $1,185 0.4×
Fusion Finger Joint (26860)
range across 2 matching MRF lines		 $701.40–$1,302 $1,002–$1,860 varies
Gastrocnemius recession (27687) $966 $1,380 0.3×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $1,459.50 $2,085 0.4×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,305.50 $1,865 0.7×
Grafting of autologous soft tiss by direct exc (15769) $1,240.04 $1,771.48 0.3×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $1,335.60 $1,908 0.1×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $822.50 $1,175 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $679 $970 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,071 $1,530 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $203–$320.60 $290–$458 varies
Hemorrhoidopexy by stapling (46947) $731.50 $1,045 0.3×
Hymenotomy Simple Incision (56442) $94.50 $135 0.0×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $822.50–$1,443.40 $1,175–$2,062 varies
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines		 $406–$602 $580–$860 varies
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $1,792–$2,272.90 $2,560–$3,247 varies
Hysteroscopy Removal Impacted Foreign Body (58562) $682.50 $975 0.2×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure		 $1,347.50 $1,925 0.3×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $161.70–$501.20 $231–$716 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $833 $1,190 0.3×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines		 $518–$555.80 $740–$794 varies
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 3 matching MRF lines		 $263.20–$1,046.50 $376–$1,495 varies
I&d perianal abscess superficial (46050) $185.50 $265 0.2×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $60.20–$147 $86–$210 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $408.80 $584 0.1×
I&d vaginal hematoma obstetrical/postpartum (57022) $301 $430 0.1×
Implant neuroelectrodes (63650) $15,595.30 $22,279 2.4×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure		 $1,046.50 $1,495 0.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $189–$224.70 $270–$321 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $658.70–$1,088.50 $941–$1,555 varies
Incise/Drain Conjunctiva (68020) $259 $370 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $189–$334.17 $270–$477.38 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $731.50 $1,045 0.3×
Incision & removal foreign body subq tiss compl (10121) $294 $420 0.2×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $105–$119 $150–$170 varies
Incision and drainage of bartholin's gland abscess (56420) $192.50 $275 1.0×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $392 $560 0.1×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $79.80–$192.50 $114–$275 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010)
likely a partial charge, not the full procedure		 $1,151.50 $1,645 0.2×
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015)
likely a partial charge, not the full procedure		 $1,123.50 $1,605 0.2×
Incision extensor tendon sheath wrist (25000) $840 $1,200 0.5×
Incision of eardrum (69421) $259 $370 0.1×
Incision of eardrum (69420) $192.50 $275 0.8×
Incision of labial frenum (frenotomy) (40806) $98 $140 0.2×
Incision of lingual frenum (frenotomy) (41010) $388.50 $555 0.2×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $770–$857.50 $1,100–$1,225 varies
Incision of urethra (53020) $252 $360 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $340.20–$630 $486–$900 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $136.50–$858.20 $195–$1,226 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $70–$524.30 $100–$749 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $219.10–$2,100 $313–$3,000 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $126 $180 0.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $700–$1,559.60 $1,000–$2,228 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines		 $67.20–$560 $96–$800 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $840 $1,200 0.9×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $247.80–$2,100 $354–$3,000 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $406–$980 $580–$1,400 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $339.50–$2,100 $485–$3,000 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $416.50–$468.30 $595–$669 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $980 $1,400 3.2×
Injection anesthetic agent suprascapular nerve (64418) $840 $1,200 1.2×
Injection for identification of sentinel node (38792) $91 $130 0.2×
Injection single tendon origin/insertion (20551) $112 $160 0.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $60.90–$140 $87–$200 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $119–$147 $170–$210 varies
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $143.50–$420 $205–$600 varies
Injection, anesthetic agent; brachial plexus, single (64415) $581 $830 0.7×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $490–$1,400.70 $700–$2,001 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $185.50–$1,050 $265–$1,500 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $52.50–$420 $75–$600 varies
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282)
range across 2 matching MRF lines		 $553–$733.60 $790–$1,048 varies
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $455 $650 0.5×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $210–$231.70 $300–$331 varies
Insert cath pleura w/ image (32557) $836.50 $1,195 0.5×
Insert cath pleura w/o image (32556) $672 $960 0.3×
Insert cervical dilator (59200) $150.50 $215 0.5×
Insert Drug Implant Device (11981) $182 $260 1.4×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $402.50–$448.70 $575–$641 varies
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $84–$86.80 $120–$124 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $88.90–$132.30 $127–$189 varies
Insert tunneled cv cath (36561)
range across 3 matching MRF lines		 $1,862–$2,074.80 $2,660–$2,964 varies
Insert tunneled cv cath (36563)
unusually low: confirm this is the full procedure		 $1,715 $2,450 0.3×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $84–$158.90 $120–$227 varies
Insertion indwelling tunneled pleural catheter (32550) $917 $1,310 0.3×
Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260)
likely a partial charge, not the full procedure		 $661.50 $945 0.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $441 $630 0.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,127 $1,610 0.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $252–$280 $360–$400 varies
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $35,089.60 $50,128 2.7×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
likely a partial charge, not the full procedure		 $850.50 $1,215 0.2×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $1,561 $2,230 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $850.50–$1,380.40 $1,215–$1,972 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $242.90 $347 0.0×
Insrt heart pm atrial & vent (33208)
likely a partial charge, not the full procedure		 $1,088.50 $1,555 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $280 $400 0.1×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,178.32 $1,683.32 0.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $332.50 $475 0.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $2,465.33 $3,521.90 6.1×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $247.80–$693 $354–$990 varies
Knee arthroscopy/drainage (29871) $608.30 $869 0.2×
Knee Arthroscopy/Surgery (29874) $1,442 $2,060 0.4×
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure		 $696.50 $995 0.1×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $2,005.50 $2,865 0.2×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $833 $1,190 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,319.50 $1,885 0.2×
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines		 $1,043–$2,396.80 $1,490–$3,424 varies
Laparoscopy salpingostomy (58673)
range across 2 matching MRF lines		 $948.50–$1,540 $1,355–$2,200 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $1,060.50–$2,415 $1,515–$3,450 varies
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,361.50 $1,945 0.2×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $1,417.50 $2,025 0.2×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge, not the full procedure		 $1,242.50 $1,775 0.2×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $717.50–$1,144.50 $1,025–$1,635 varies
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
range across 2 matching MRF lines		 $1,285.20–$2,138.50 $1,836–$3,055 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
range across 2 matching MRF lines		 $1,052.80–$2,324 $1,504–$3,320 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $1,900.50 $2,715 0.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $2,114 $3,020 0.2×
Laparoscopy, surgical; partial nephrectomy (50543)
likely a partial charge, not the full procedure		 $1,761.90 $2,517 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $1,095.50–$3,154.20 $1,565–$4,506 varies
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992)
likely a partial charge, not the full procedure		 $1,382.50 $1,975 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $1,001 $1,430 0.2×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $1,001 $1,430 0.2×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $913.50 $1,305 0.2×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $851.20–$1,463 $1,216–$2,090 varies
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure		 $1,442 $2,060 0.2×
Laryngoscopy diagnostic (31505) $94.50 $135 0.5×
Laryngoscopy flexible diagnostic (31575) $210 $300 1.1×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $126 $180 0.3×
Larynscop w/tumr exc + scope (31541) $385 $550 0.1×
Laser vaporization of prostate (52648)
unusually low: confirm this is the full procedure		 $2,495.50 $3,565 0.5×
Late closure of wound (13160) $1,820 $2,600 0.5×
Lateral retinacular release open (27425) $1,109.50 $1,585 0.3×
Ligamentous reconstruction knee intra-articular (27428)
unusually low: confirm this is the full procedure		 $5,898.20 $8,426 0.5×
Ligation of hemorrhoids (46946) $322 $460 0.1×
Ligation or biopsy temporal artery (37609) $455 $650 0.3×
Litholapaxy comp/lg > 2.5 cm (52318) $1,074.50 $1,535 0.3×
Litholapaxy smpl/sm <2.5 cm (52317) $1,582 $2,260 0.4×
Lithotripsy, extracorporeal shock wave (50590)
range across 3 matching MRF lines		 $1,820–$5,819.80 $2,600–$8,314 varies
Low Back Disk Surgery (63030)
unusually low: confirm this is the full procedure		 $2,660.70 $3,801 0.4×
Lsh uterus 250 g or less (58541)
range across 2 matching MRF lines		 $870.80–$1,627.50 $1,244–$2,325 varies
Lyse chest fibrin init day (32561) $1,456.70 $2,081 2.3×
Lysis/excision penile postcircumcision adhesions (54162) $472.50 $675 0.2×
Manipulation knee joint under general anesthesia (27570) $395.50 $565 0.2×
Manipulation wrist under anesthesia (25259) $288.40 $412 0.2×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $437.50 $625 0.3×
Marsupialization of bartholin's gland cyst (56440) $514.50 $735 0.2×
Mast mod rad (19307)
range across 2 matching MRF lines		 $1,400–$1,775.20 $2,000–$2,536 varies
Mastectomy partial (19301)
range across 2 matching MRF lines		 $568.40–$785.40 $812–$1,122 varies
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 2 matching MRF lines		 $1,078.70–$1,192.80 $1,541–$1,704 varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $1,022–$1,140.30 $1,460–$1,629 varies
Maternity Care Procedure (59899) $287 $410 1.4×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $2,772 $3,960 0.8×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $1,424.50 $2,035 0.4×
N Block Inj Celiac Pelus (64530) $1,820 $2,600 2.1×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $304.50–$1,428 $435–$2,040 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $112–$980 $160–$1,400 varies
N Block Inj Plantar Digit (64455) $91 $130 0.3×
N Block Inj Pudendal (64430) $700 $1,000 0.8×
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines		 $256.20–$455 $366–$650 varies
Nasal Endoscopy Dx (31231) $203 $290 1.0×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $105–$116.90 $150–$167 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $423.50 $605 0.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $500.50 $715 0.3×
Needle Biopsy Pancreas (48102) $779.10 $1,113 0.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $171.51 $245.02 5.9×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines		 $709.10–$1,277.50 $1,013–$1,825 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $364.70 $521 0.2×
Nipple Exploration (19110) $481.60 $688 0.1×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $165.20–$2,100 $236–$3,000 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $255.50–$1,400 $365–$2,000 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $383.60 $548 0.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $200.20–$1,818.60 $286–$2,598 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $294.70–$1,514.10 $421–$2,163 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $584.50–$1,486.80 $835–$2,124 varies
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $469 $670 0.5×
Njx Sclrsnt Spider Veins (36468) $178.50 $255 0.4×
Obstructive material removal from gi tube (49460) $1,186.50 $1,695 1.3×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $87.50–$1,050 $125–$1,500 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $815.50 $1,165 0.3×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,501.50 $2,145 0.2×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $968.10–$1,862 $1,383–$2,660 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,627.50 $2,325 0.2×
Open treatment calcaneal fracture (28415)
likely a partial charge, not the full procedure		 $1,320.20 $1,886 0.2×
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $712.60–$1,354.50 $1,018–$1,935 varies
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines		 $662.20–$1,025.50 $946–$1,465 varies
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $851.20 $1,216 0.1×
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		 $1,578.50 $2,255 0.2×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $1,291.50 $1,845 0.2×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $1,043 $1,490 0.1×
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $793.80–$1,333.50 $1,134–$1,905 varies
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $1,526 $2,180 0.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,309 $1,870 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,326.50 $1,895 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,134 $1,620 0.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $702.80–$983.50 $1,004–$1,405 varies
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $1,059.80 $1,514 0.1×
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines		 $1,354.50–$1,610 $1,935–$2,300 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $1,409.10–$2,408 $2,013–$3,440 varies
Optx tibial fx prox bicondylar w/wo int fixj (27536)
unusually low: confirm this is the full procedure		 $2,348.50 $3,355 0.3×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $1,058.40 $1,512 0.1×
Orchiectomy radical tumor inguinal approach (54530)
range across 2 matching MRF lines		 $602.70–$1,032.50 $861–$1,475 varies
Orchiopexy Ingun/Scrot Appr (54640) $513.10 $733 0.1×
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $844.20 $1,206 0.2×
Ostc prtl exostc/condylc metar head (28288) $1,144.50 $1,635 0.3×
Osteochondral allograft knee open (27415)
likely a partial charge, not the full procedure		 $3,143 $4,490 0.2×
Osteotomy calcaneus w/wo internal fixation (28300)
likely a partial charge, not the full procedure		 $1,372 $1,960 0.2×
Osteotomy, clavicle, with or without internal fixation; Facility (23480)
likely a partial charge, not the full procedure		 $1,788.50 $2,555 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge, not the full procedure		 $1,442 $2,060 0.3×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
unusually low: confirm this is the full procedure		 $1,813 $2,590 0.4×
Partial Excision Bone Humerus (24140) $1,326.50 $1,895 0.4×
Partial Excision Distal Phalanx Finger (26236) $929.60 $1,328 0.6×
Partial hymenectomy or revision of hymenal ring (56700)
range across 2 matching MRF lines		 $239.40–$399 $342–$570 varies
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,634.50 $2,335 0.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,274 $1,820 0.2×
Partical Excision Bone Phalanx Toe (28124) $451.50 $645 0.1×
Pelvic examination under anesthesia (other than local) (57410) $187.60 $268 0.1×
Penile Injection (54235) $175 $250 0.7×
Pericardiocentesis W/Imaging (33016) $476 $680 0.3×
Perineoplasty rpr perineum nonobstetrical spx (56810) $602 $860 0.2×
Perq Cervicothoracic Inject (22510) $1,964.20 $2,806 0.6×
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $284.20–$361.20 $406–$516 varies
Perq Lumbosacral Injection (22511) $1,957.90 $2,797 0.6×
Perq Vertebral Augmentation (22513) $6,083.70 $8,691 0.8×
Phleb Veins - Extrem 20+ (37766) $1,301.30 $1,859 0.4×
Pin hand dislocation (26676) $1,071 $1,530 0.3×
Place Duod/Jej Tube Perc (49441) $2,459.10 $3,513 1.3×
Placement of needle for intraosseous infusion (36680) $264.60 $378 0.6×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
range across 2 matching MRF lines		 $732.20–$955.50 $1,046–$1,365 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $783.30 $1,119 0.8×
Proctosgmdsc Rigid Control Bleeding (45317) $441 $630 0.4×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $315 $450 0.3×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $427 $610 0.4×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $164.50 $235 0.1×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $2,009 $2,870 0.3×
Prq skel fixj metar fx w/manj (28476) $700 $1,000 0.2×
Prq Skel Fixj Tars Jt Dislc W/Manj (28606) $847 $1,210 0.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,137.50 $1,625 0.3×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $112–$436.10 $160–$623 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $60.20–$105 $86–$150 varies
Puncture Aspiration Cyst Breast (19000) $210 $300 0.3×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $840 $1,200 1.2×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $529.20 $756 0.3×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $1,732.50 $2,475 0.5×
Rcnstj Dislocating Patella (27420)
likely a partial charge, not the full procedure		 $1,561 $2,230 0.2×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,543.50 $2,205 0.2×
Release of big toe (28240) $864.50 $1,235 0.3×
Release or recession, hamstring, proximal Facility (27097) $808.50 $1,155 0.2×
Relieve Pressure on Nerve(S) (64722) $875 $1,250 0.4×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $60.20–$241.50 $86–$345 varies
Removal Foreign Body Deep Thigh/Knee (27372) $41.30 $59 0.0×
Removal Foreign Body Foot Complicated (28193) $386.40 $552 0.2×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $235.20–$518 $336–$740 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $189–$248.50 $270–$355 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $325.50–$385 $465–$550 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $434.70 $621 0.1×
Removal foreign body upper arm/elbow deep (24201) $282.10 $403 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $28–$214.20 $40–$306 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $91–$100.80 $130–$144 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $245 $350 0.1×
Removal Implant Deep (20680)
range across 2 matching MRF lines		 $688.10–$1,151.50 $983–$1,645 varies
Removal Implant Superficial Separate Procedure (20670)
range across 3 matching MRF lines		 $394.10–$679 $563–$970 varies
Removal implantable contraceptive capsules (11976) $206.50 $295 0.3×
Removal of adenoids (42830)
range across 2 matching MRF lines		 $249.90–$458.50 $357–$655 varies
Removal of ankle implant (27704) $669.20 $956 0.2×
Removal of bone lesion (23140) $1,456 $2,080 0.4×
Removal of heel spur (28119)
range across 2 matching MRF lines		 $601.30–$994 $859–$1,420 varies
Removal of nail bed (11750) $252 $360 0.6×
Removal of sperm cord lesion (55520) $868 $1,240 0.2×
Removal of testis (54520)
range across 2 matching MRF lines		 $388.50–$721 $555–$1,030 varies
Removal of thyroid (60271)
unusually low: confirm this is the full procedure		 $2,044 $2,920 0.3×
Removal of tonsils (42825)
range across 2 matching MRF lines		 $315.70–$598.50 $451–$855 varies
Removal of tonsils (42826) $567 $810 0.2×
Removal or bivalving full arm or full leg cast (29705) $98 $140 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $80.50 $115 0.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $136.50 $195 0.1×
Removal sweat gland lesion (11450) $518 $740 0.2×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $63–$72.10 $90–$103 varies
Remove armpit lymph nodes (38740)
likely a partial charge, not the full procedure		 $1,036 $1,480 0.2×
Remove cerclage suture (59871) $301 $430 0.1×
Remove drug implant device (11982) $203 $290 0.5×
Remove elbow lesion (24120) $1,211 $1,730 0.4×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $67.20–$98 $96–$140 varies
Remove Hand Bone Lesion (26200) $1,036 $1,480 0.6×
Remove Intrauterine Device (58301) $122.50 $175 0.4×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $213.50–$486.50 $305–$695 varies
Remove Shoulder Foreign Body (23330) $120.40 $172 0.1×
Remove Skin Nerve Lesion (64774) $623 $890 0.3×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $690.20–$1,141 $986–$1,630 varies
Remove thigh pressure sore (15956) $1,991.50 $2,845 1.0×
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure		 $1,274 $1,820 0.2×
Remove/Insert Drug Implant (11983) $322 $460 0.7×
Renal Biopsy Perq (50200) $619.50 $885 0.4×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $192.50 $275 0.0×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $774.90–$1,508.50 $1,107–$2,155 varies
Repair Bladder-Vagina Lesion (57320)
likely a partial charge, not the full procedure		 $878.50 $1,255 0.2×
Repair Blood Vessel Direct Hand Finger (35207) $2,662.80 $3,804 0.8×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $619.50–$1,585.50 $885–$2,265 varies
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $1,411.90 $2,017 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $273.70–$472.50 $391–$675 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $840 $1,200 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $325.50–$399 $465–$570 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $319.90–$528.50 $457–$755 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $279.30–$336 $399–$480 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $423.50–$795.90 $605–$1,137 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $280–$362.60 $400–$518 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $364–$490 $520–$700 varies
Repair extensor tendon finger w/o graft each (26418)
range across 3 matching MRF lines		 $711.90–$1,333.50 $1,017–$1,905 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $855.40–$1,463 $1,222–$2,090 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 2 matching MRF lines		 $436.10–$822.50 $623–$1,175 varies
Repair Hallux Rigidus (28289) $1,414 $2,020 0.4×
Repair incomplete circumcision (54163) $511 $730 0.2×
Repair inguinal hernia, sliding, any age (49525)
range across 2 matching MRF lines		 $1,148–$3,205.30 $1,640–$4,579 varies
Repair initial femoral hernia, any age; incarcerated or strangulated (49553)
range across 2 matching MRF lines		 $1,088.50–$3,532.90 $1,555–$5,047 varies
Repair initial femoral hernia, any age; reducible (49550)
range across 2 matching MRF lines		 $1,102.50–$3,227.70 $1,575–$4,611 varies
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $1,172.50–$3,283 $1,675–$4,690 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $150.50–$315 $215–$450 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $159.60–$399 $228–$570 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $346.50–$437.50 $495–$625 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $239.40–$686 $342–$980 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $478.10 $683 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $205.80 $294 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $210–$482.30 $300–$689 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $140.65–$245 $200.93–$350 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $176.40–$682.50 $252–$975 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $384.30 $549 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $707–$787.50 $1,010–$1,125 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $189–$208.60 $270–$298 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $297.50–$315.21 $425–$450.30 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $735–$1,827.56 $1,050–$2,610.80 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $504–$562.10 $720–$803 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $595 $850 0.3×
Repair lumbar hernia (49540)
range across 2 matching MRF lines		 $1,281–$3,791.90 $1,830–$5,417 varies
Repair Non/Malunion Humerus W/O Graft (24430)
likely a partial charge, not the full procedure		 $2,082.50 $2,975 0.2×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure		 $1,046.50 $1,495 0.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $406–$452.20 $580–$646 varies
Repair of rectocele (45560) $983.50 $1,405 0.4×
Repair of shoulder (23420)
likely a partial charge, not the full procedure		 $2,079 $2,970 0.3×
Repair of urethra injury (53502) $850.50 $1,215 0.2×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
range across 2 matching MRF lines		 $1,340.50–$3,999.10 $1,915–$5,713 varies
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $1,006.60–$2,100 $1,438–$3,000 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $616 $880 0.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,731.10 $2,473 0.2×
Repair tongue laceration (41250) $301.70 $431 0.7×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure		 $3,578.40 $5,112 0.5×
Replantation digit complete (20822) $3,937.50 $5,625 2.4×
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $1,155–$3,533.60 $1,650–$5,048 varies
Revise ulnar nerve at wrist (64719)
range across 2 matching MRF lines		 $480.20–$966 $686–$1,380 varies
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345)
range across 2 matching MRF lines		 $1,246–$1,347.50 $1,780–$1,925 varies
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $1,466.50 $2,095 0.4×
Revision of leg vein (37780) $399 $570 0.1×
Revj Arthrp W/Removal Implant Wrist Joint (25449)
likely a partial charge, not the full procedure		 $1,219.40 $1,742 0.2×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
likely a partial charge, not the full procedure		 $2,249.80 $3,214 0.2×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
likely a partial charge, not the full procedure		 $1,656.90 $2,367 0.1×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $7,798 $11,140 2.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $264.60 $378 0.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $242.20–$252 $346–$360 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $107.80–$161 $154–$230 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $76.30 $109 0.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $39.90 $57 0.1×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines		 $301–$335.30 $430–$479 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $532 $760 0.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)
range across 2 matching MRF lines		 $123.20–$588 $176–$840 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $367.50–$420 $525–$600 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $441–$1,402.10 $630–$2,003 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $329 $470 0.5×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $535.50–$674.10 $765–$963 varies
Rplc gtube revj gstrst trc (43763) $420 $600 1.7×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $4,148.20 $5,926 0.7×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines		 $980–$1,900.50 $1,400–$2,715 varies
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $4,282.60 $6,118 0.7×
Rpr aa hernia recr 3-10 cm reducible (49615) $3,554.60 $5,078 0.5×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $3,178 $4,540 0.5×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $2,342.20 $3,346 0.7×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure		 $3,185.70 $4,551 0.5×
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines		 $1,276.80–$2,644.60 $1,824–$3,778 varies
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,321.60–$1,498 $1,888–$2,140 varies
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $805 $1,150 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $464.10–$497 $663–$710 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $273.70 $391 0.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,701 $2,430 0.5×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,100 $3,000 0.6×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $1,564.50 $2,235 0.5×
Scrotal exploration (55110) $724.50 $1,035 0.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 2 matching MRF lines		 $504–$644 $720–$920 varies
Shave skin lesion 0.5 cm/< (11300) $73.50 $105 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $91 $130 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $70 $100 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $98 $140 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $115.50 $165 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $154 $220 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $108.50 $155 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $126 $180 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $91 $130 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $168 $240 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $178.50 $255 0.9×
Sigmoidoscopy & Polypectomy (45333) $343 $490 0.4×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $770 $1,100 0.6×
Sigmoidoscopy w/fb removal (45332) $406 $580 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $231–$527.10 $330–$753 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $550.20–$644 $786–$920 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $275.10 $393 1.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $276.98–$283.50 $395.68–$405 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,026.69 $1,466.70 2.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $325.50–$362.60 $465–$518 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $457.10 $653 2.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $210–$245.70 $300–$351 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $534.80 $764 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $297.50–$333.90 $425–$477 varies
Skin Full Grft Face/Genit/Hf (15240) $1,057 $1,510 0.5×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $297.50–$6,449.10 $425–$9,213 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $280–$6,085.10 $400–$8,693 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $574–$8,948.80 $820–$12,784 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $822.50–$5,627.30 $1,175–$8,039 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $1,613.50 $2,305 0.3×
Slitting of prepuce (54001) $339.50 $485 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $248.50–$277.20 $355–$396 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $409.50 $585 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $536.90–$563.50 $767–$805 varies
Sperm washing artificial insemination (58323) $87.50 $125 0.4×
Sphincterotomy anal division sphincter spx (46080) $420 $600 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $165.90–$840 $237–$1,200 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,295 $1,850 0.4×
Strapping ankle (29540)
range across 2 matching MRF lines		 $52.50–$52.54 $75–$75.05 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $23.10–$56 $33–$80 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $14.70–$59.50 $21–$85 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $21.70–$59.50 $31–$85 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $38.50–$57.05 $55–$81.50 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $49–$56 $70–$80 varies
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $98–$524.30 $140–$749 varies
Suction assisted lipectomy; trunk (15877) $1,253 $1,790 0.4×
Surg tx anal fistula subq (46270) $553 $790 0.2×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,221.50 $1,745 0.2×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,599.50 $2,285 0.2×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $91–$484.40 $130–$692 varies
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $879.20–$1,603 $1,256–$2,290 varies
Tenotomy Hip Abd/Ext Open (27006) $1,375.50 $1,965 0.4×
Therapeutic pneumothorax (32960) $248.50 $355 0.4×
Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) $1,403.50 $2,005 2.2×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low: confirm this is the full procedure		 $2,600.50 $3,715 0.4×
Tnot elbow lateral/medial debride open (24358) $1,043 $1,490 0.3×
Tnot elbow lateral/medial debride open tdn rpr (24359) $1,445.50 $2,065 0.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $672 $960 0.2×
Tooth extraction (41899) $406 $580 1.7×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $1,514.80–$1,575 $2,164–$2,250 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $581 $830 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $430.50–$479.50 $615–$685 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $32.20 $46 0.0×
Transrectal Drainage of Pelvic Abscess (45000) $490 $700 0.4×
Treat Big Toe Fracture (28505) $751.10 $1,073 0.2×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $1,533 $2,190 0.3×
Treat Elbow Fracture (24635)
likely a partial charge, not the full procedure		 $798 $1,140 0.1×
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $874.30–$1,452.50 $1,249–$2,075 varies
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $205.10–$479.50 $293–$685 varies
Treat Humerus Fracture (24505)
range across 3 matching MRF lines		 $336–$599.20 $480–$856 varies
Treat humerus fracture (23600) $226.80 $324 0.9×
Treat knee fracture (27532) $735 $1,050 0.2×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $890.40–$1,452.50 $1,272–$2,075 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $602–$670.60 $860–$958 varies
Treat lower jaw fracture (21452)
likely a partial charge, not the full procedure		 $801.50 $1,145 0.1×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $307.30–$490 $439–$700 varies
Treat scapula fracture (23585)
likely a partial charge, not the full procedure		 $1,152.90 $1,647 0.2×
Treat Thumb Dislocation (26641) $586.60 $838 2.4×
Treat toe dislocation (28630) $239.40 $342 1.0×
Treat Vaginal Bleeding (57180)
range across 2 matching MRF lines		 $262.50–$292.60 $375–$418 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $254.03 $362.90 0.2×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $63–$679 $90–$970 varies
Treatment of ankle fracture (27823)
likely a partial charge, not the full procedure		 $2,058 $2,940 0.3×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $42–$369.60 $60–$528 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $42–$102.20 $60–$146 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $36.40–$49 $52–$70 varies
Trimming Nondystrophic Nails Any Number (11719) $21 $30 0.4×
Tubal ligation (58600)
range across 2 matching MRF lines		 $441.70–$1,004.50 $631–$1,435 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,050 $1,500 0.4×
Tx Gastro Intub W/Asp (43753) $45.50 $65 0.2×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $222.60–$584.50 $318–$835 varies
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $738.50–$1,025.50 $1,055–$1,465 varies
Tx Missed Abortion Second Trimester Surgical (59821) $693 $990 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $311.50–$347.20 $445–$496 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $175–$195.30 $250–$279 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $205.10 $293 0.1×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $434 $620 0.3×
Tympanostomy general anesthesia (69436) $465.50 $665 0.3×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $878.50 $1,255 0.2×
Unlisted hysteroscopy procedure, uterus (58579) $707 $1,010 3.5×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $707 $1,010 0.1×
Unlisted procedure anus (46999) $315 $450 0.3×
Unlisted procedure colon (45399) $2,002 $2,860 2.1×
Unlisted Procedure Male Genital System (55899) $273 $390 1.1×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $661.50–$735 $945–$1,050 varies
Unlisted Procedure Rectum (45999) $31.50 $45 0.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,519 $2,170 1.7×
Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431)
unusually low: confirm this is the full procedure		 $2,016 $2,880 0.4×
Urinary Reflex Study (51792) $663.40 $947.72 11.2×
Vag hyst incl t/o complex (58291)
unusually low: confirm this is the full procedure		 $2,054.50 $2,935 0.4×
Vaginal delivery only (59409)
range across 3 matching MRF lines		 $742–$1,208.90 $1,060–$1,727 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260)
range across 2 matching MRF lines		 $1,000.30–$1,890 $1,429–$2,700 varies
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
unusually low: confirm this is the full procedure		 $2,310 $3,300 0.5×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $2,047.50 $2,925 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $507.50–$1,170.40 $725–$1,672 varies
Ventilating tube removal requiring general anesthesia (69424) $175 $250 0.1×
Vulvectomy simple partial (56620) $688.10 $983 0.2×
Wedge excision skin nail fold (11765) $108.50 $155 0.3×

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