| Abd paracentesis w/imaging (49083) |
$494.40 |
$618 |
0.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$466.40 |
$583 |
0.4× |
| Amputation toe interphalangeal joint (28825) |
$700 |
$875 |
0.2× |
| Anoscopy diagnostic (46600) |
$356 |
$445 |
2.1× |
| Application cast elbow finger short arm (29075) |
$620 |
$775 |
1.7× |
| Application finger splint static (29130) |
$114.40 |
$143 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$199.20 |
$249 |
1.0× |
| Application Long Leg Splint (29505) |
$509.60 |
$637 |
2.4× |
| Application of long leg cast (29345) |
$972.80 |
$1,216 |
2.7× |
| Application short arm splint forearm-hand static (29125) |
$170.40 |
$213 |
1.0× |
| Application short leg splint calf foot (29515) |
$160.80 |
$201 |
0.8× |
| Apply hand/wrist cast (29085) |
$615.20 |
$769 |
2.9× |
| Apply long arm cast (29065) |
$731.20 |
$914 |
2.0× |
| Apply Short Leg Cast (29405) |
$269.60 |
$337 |
0.7× |
| Apply short leg cast (29425) |
$232 |
$290 |
0.6× |
| Arterial puncture (36600) |
$502.40 |
$628 |
2.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$140.80 |
$176 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$254.40 |
$318 |
0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$378.40 |
$473 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$913.60 |
$1,142 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$140.80 |
$176 |
0.5× |
| Bladder Irrigation (51700) |
$243.20 |
$304 |
0.8× |
| Bladder Scan (51798) |
$48 |
$60 |
0.6× |
Blood Transfusion Service (36430)
range across 4 matching MRF lines |
$186.40–$783.20 |
$233–$979 |
varies |
| Catheter aspiration nasotracheal spx (31720) |
$213.60 |
$267 |
0.8× |
| Change Cystostomy Tube Complicated (51710) |
$328 |
$410 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$292 |
$365 |
0.9× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,268 |
$1,585 |
1.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,309.60 |
$1,637 |
1.4× |
| Chemodenerv Eccrine Glands (64650) |
$595.20 |
$744 |
1.5× |
| Chemodenerv Musc Migraine (64615) |
$1,039.20 |
$1,299 |
2.6× |
| Chemodenerv musc neck dyston (64616) |
$1,091.20 |
$1,364 |
2.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$922.40 |
$1,153 |
2.3× |
| Chest tube placement (32551) |
$784.80 |
$981 |
0.4× |
| Clear outer ear canal (69200) |
$318.40 |
$398 |
1.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,902.40 |
$2,378 |
0.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$2,136 |
$2,670 |
6.7× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$1,013.60 |
$1,267 |
3.2× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,136 |
$1,420 |
0.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$3,329.60 |
$4,162 |
10.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,328 |
$1,660 |
4.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,280 |
$1,600 |
4.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,477.60 |
$1,847 |
0.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$800 |
$1,000 |
2.5× |
| Closed tx talus fracture w/o manipulation (28430) |
$717.60 |
$897 |
2.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$997.60 |
$1,247 |
3.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$800 |
$1,000 |
2.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,352.80 |
$1,691 |
4.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$911.20 |
$1,139 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$805.60 |
$1,007 |
2.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$707.20 |
$884 |
0.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$707.20 |
$884 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$520 |
$650 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$466.40 |
$583 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$964 |
$1,205 |
3.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,080.80 |
$2,601 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$333.60 |
$417 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,596.80 |
$1,996 |
0.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,944.80 |
$2,431 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$540 |
$675 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$502.40 |
$628 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$686.40 |
$858 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$787.20 |
$984 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$717.60 |
$897 |
2.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,448.80 |
$1,811 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$422.40 |
$528 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,583.20 |
$1,979 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,596.80 |
$1,996 |
0.8× |
| Collection of venous blood by venipuncture (36415) |
$32 |
$40 |
3.4× |
| Colonoscopy w/ablation (45388) |
$2,764 |
$3,455 |
1.8× |
| Colonoscopy W/Band Ligation (45398) |
$1,683.20 |
$2,104 |
1.1× |
| Colonoscopy w/fb removal (45379) |
$2,376 |
$2,970 |
1.5× |
| Colonoscopy w/submucosal inj (45381) |
$2,601.60 |
$3,252 |
1.7× |
| Colposcopy entire vagina w/cervix if present (57420) |
$971.20 |
$1,214 |
2.5× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$2,601.60 |
$3,252 |
1.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,764 |
$3,455 |
1.8× |
| Complex drainage wound (10180) |
$1,348 |
$1,685 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$401.60 |
$502 |
2.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$284 |
$355 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$641.60 |
$802 |
3.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$666.40 |
$833 |
2.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$128 |
$160 |
0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$408 |
$510 |
0.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$555.20 |
$694 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$366.40 |
$458 |
0.7× |
| Declot vascular device (36593) |
$260 |
$325 |
0.6× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$564 |
$705 |
0.4× |
| Diagnostic sigmoidoscopy (45330) |
$435.20 |
$544 |
0.4× |
| Drainage of finger abscess simple (26010) |
$365.60 |
$457 |
1.4× |
| Drainage of gum lesion (41800) |
$444.80 |
$556 |
2.6× |
| Drainage of hematoma/fluid (10140) |
$603.20 |
$754 |
0.3× |
| Draw Blood Off Venous Device (36591) |
$91.20 |
$114 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$424 |
$530 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$331.20 |
$414 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$209.60 |
$262 |
0.8× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,921.60 |
$2,402 |
0.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,919.20 |
$2,399 |
0.8× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,097.60 |
$2,622 |
0.8× |
| Egd Flexible Foreign Body Removal (43247) |
$2,306.40 |
$2,883 |
2.0× |
| Egd Varices Ligation (43244) |
$859.20 |
$1,074 |
0.3× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,919.20 |
$2,399 |
0.8× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$650.40 |
$813 |
0.6× |
| Evacuation of subungual hematoma (11740) |
$95.20 |
$119 |
0.6× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,948.80 |
$3,686 |
1.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,693.60 |
$2,117 |
0.8× |
| Exploration Penetrating Wound Spx Neck (20100) |
$3,694.40 |
$4,618 |
5.3× |
| Fna bx w/us gdn 1st les (10005) |
$299.20 |
$374 |
0.3× |
| I&d abscess peritonsillar (42700) |
$374.40 |
$468 |
1.2× |
| I&d abscess simple (10060) |
$249.60 |
$312 |
1.0× |
| I&d perianal abscess superficial (46050) |
$468 |
$585 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$346.40 |
$433 |
0.4× |
| Incise external hemorrhoid (46083) |
$440.80 |
$551 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$372 |
$465 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$553.60 |
$692 |
0.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$275.20 |
$344 |
0.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$348 |
$435 |
0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$140.80 |
$176 |
0.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,931.20 |
$2,414 |
1.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,352 |
$2,940 |
2.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$148 |
$185 |
0.4× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$356.80 |
$446 |
0.3× |
| Injection single tendon origin/insertion (20551) |
$139.20 |
$174 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$435.20 |
$544 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$489.60 |
$612 |
1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$356.80 |
$446 |
0.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$312 |
$390 |
0.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$466.40 |
$583 |
0.5× |
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines |
$243.20–$446.40 |
$304–$558 |
varies |
| Insert non-tunnel cv cath (36556) |
$987.20 |
$1,234 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,584.80 |
$1,981 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$243.20 |
$304 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$243.20 |
$304 |
1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$364 |
$455 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$530.40 |
$663 |
1.7× |
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure |
$1,903.60 |
$2,379.50 |
0.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$356.80 |
$446 |
0.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$119.20 |
$149 |
0.2× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
$309.60 |
$387 |
0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$769.60 |
$962 |
1.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,931.20 |
$2,414 |
1.7× |
| Occipital Nerve Block (64405) |
$625.60 |
$782 |
1.6× |
| Placement of needle for intraosseous infusion (36680) |
$404.80 |
$506 |
0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$236 |
$295 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$279.20 |
$349 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$44 |
$55 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$127.20 |
$159 |
1.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$821.60 |
$1,027 |
0.4× |
| Removal of nail bed (11750) |
$422.40 |
$528 |
0.8× |
| Removal or bivalving full arm or full leg cast (29705) |
$192.80 |
$241 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$129.60 |
$162 |
0.5× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,480 |
$1,850 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$116.80 |
$146 |
0.3× |
| Remove foreign body from eye (65205) |
$236.80 |
$296 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$245.60 |
$307 |
1.4× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,162.40 |
$5,203 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$972 |
$1,215 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,898.40 |
$2,373 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$956 |
$1,195 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,412 |
$1,765 |
2.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$956 |
$1,195 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$601.60 |
$752 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$581.60 |
$727 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$882.40 |
$1,103 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$967.20 |
$1,209 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$912.80 |
$1,141 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$496.80 |
$621 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$536.80 |
$671 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$616.80 |
$771 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$616.80 |
$771 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$384 |
$480 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$536.80 |
$671 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$992.80 |
$1,241 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$590.40 |
$738 |
1.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$600 |
$750 |
0.5× |
| Replace g/c tube perc (49450) |
$1,468 |
$1,835 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$276 |
$345 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$875.20 |
$1,094 |
5.1× |
| Rplc Gtube No Revj Trc (43762) |
$887.20 |
$1,109 |
2.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,000 |
$1,250 |
0.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,000 |
$1,250 |
0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$655.20 |
$819 |
2.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,180 |
$1,475 |
1.2× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$440 |
$550 |
0.5× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$781.60 |
$977 |
0.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$656 |
$820 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$952.80 |
$1,191 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$436.80 |
$546 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$436.80 |
$546 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$536 |
$670 |
2.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$361.60 |
$452 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$616.80 |
$771 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$540.80 |
$676 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$436.80 |
$546 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$571.20 |
$714 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$684.80 |
$856 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$426.40 |
$533 |
0.5× |
| Strapping ankle (29540) |
$216.80 |
$271 |
1.0× |
| Strapping hand/finger (29280) |
$152 |
$190 |
2.0× |
| Strapping knee (29530) |
$292 |
$365 |
1.7× |
| Strapping shoulder (29240) |
$114.40 |
$143 |
0.7× |
| Strapping toes (29550) |
$68 |
$85 |
0.9× |
| Strapping Unna Boot (29580) |
$136 |
$170 |
0.7× |
| Thrombolytic Therapy Stroke (37195) |
$1,505.60 |
$1,882 |
3.5× |
| Treat humerus fracture (24500) |
$1,014.40 |
$1,268 |
3.2× |
| Treat humerus fracture (23600) |
$732.80 |
$916 |
2.3× |
| Treat Knuckle Dislocation (26700) |
$524.80 |
$656 |
1.7× |
| Treat toe dislocation (28630) |
$628 |
$785 |
2.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,186.40 |
$1,483 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$685.60 |
$857 |
2.2× |
| Vaginal delivery only (59409) |
$1,572 |
$1,965 |
0.4× |
| Wedge excision skin nail fold (11765) |
$232 |
$290 |
0.4× |
| Wound Prep F/N/Hf/G (15004) |
$904.80 |
$1,131 |
1.7× |