Procedures & surgery prices at Sentara Albemarle Medical Center

Elizabeth City, NC · every code in this section with a posted price and a Medicare benchmark.

1114 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		 $1,165–$1,665 $2,330–$3,330 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $813.50–$872.50 $1,627–$1,745 varies
Abdomen Surgery Procedure (22999) $375 $750 1.6×
Ablation 1/> liver tumor perq cryoablation (47383) $8,310 $16,620 0.8×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $6,164 $12,328 0.4×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $6,985 $13,970 1.0×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,380.50 $2,761 0.9×
Acne surgery (10040) $194 $388 1.0×
Adding Walker Previously Applied Cast (29440) $120 $240 0.8×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $3,136.50 $6,273 1.6×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,919.50 $5,839 1.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,585.50–$1,640 $3,171–$3,280 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,136.50 $6,273 1.6×
Amniocentesis diagnostic (59000) $1,249 $2,498 1.4×
Amniocentesis therapeutic (59001) $1,835 $3,670 6.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,192.50 $4,385 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,394 $2,788 0.4×
Amputation toe interphalangeal joint (28825)
range across 3 matching MRF lines		 $3,173–$3,649 $6,346–$7,298 varies
Amputation toe metatarsophalangeal joint (28820)
range across 2 matching MRF lines		 $3,173–$3,649 $6,346–$7,298 varies
Anal Sp Inf Pmp W/Reprg&Fill (62369) $408 $816 1.4×
Anoscopy Ablation Lesion (46615) $3,221.50 $6,443 1.2×
Anoscopy Control Bleeding (46614) $1,180.50 $2,361 1.0×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $138–$267 $276–$534 varies
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $1,745 $3,490 1.5×
Anoscopy W/Rmvl Foreign Body (46608) $1,435 $2,870 1.6×
Anoscopy; with biopsy, single or multiple (46606) $3,221.50 $6,443 2.8×
Apheresis Platelets (36513) $2,809.50 $5,619 6.7×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $120 $240 0.8×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $264.50 $529 1.0×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $208 $416 1.3×
Application Body Cast Shoulder Hips (29035) $264.50 $529 1.0×
Application Body Cast Shoulder Hips Both Thighs (29046) $264.50 $529 1.0×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $215.50–$260.50 $431–$521 varies
Application Cast Shoulder Spica (29055) $264.50 $529 1.0×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $112.50–$217.50 $225–$435 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $209.50–$387 $419–$774 varies
Application Halo Type Body Cast (29000) $149.50 $299 0.6×
Application Hip Spica Cast 1 Leg (29305) $264.50 $529 1.0×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $352–$425 $704–$850 varies
Application Long Leg Cast Brace (29358) $264.50 $529 1.0×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $151–$326.50 $302–$653 varies
Application of body cast, shoulder to hips; including 1 thigh Facility (29044) $264.50 $529 1.7×
Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) $149.50 $299 0.6×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $264.50–$319 $529–$638 varies
Application of rigid total contact leg cast (29445) $395.50 $791 1.5×
Application of Risser jacket, localizer, body; including head Facility (29015) $264.50 $529 1.0×
Application Patellar Tendon Bearing Cast (29435) $264.50 $529 1.0×
Application risser jacket localizer body only (29010) $264.50 $529 1.0×
Application Short Arm Splint Dynamic (29126) $108 $216 0.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $159–$367 $318–$734 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $202.50–$385 $405–$770 varies
Application, cast; figure-of-eight Facility (29049) $149.50 $299 0.6×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $137.50–$166 $275–$332 varies
Apply long arm cast (29065) $343.50 $687 1.3×
Apply Multlay Comprs Lwr Leg (29581)
range across 5 matching MRF lines		 $226–$452 $452–$904 varies
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $319–$656 $638–$1,312 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $199.50–$241.50 $399–$483 varies
Apply shoulder cast,plastr velpeau (29058) $149.50 $299 0.6×
Arterial puncture (36600)
range across 2 matching MRF lines		 $54.50–$56 $109–$112 varies
Arteriovenous Anastomosis Open Direct (36821) $5,201.50 $10,403 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $346.50–$366.50 $693–$733 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 4 matching MRF lines		 $547.50–$1,244.50 $1,095–$2,489 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $392.50–$481.50 $785–$963 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $570.50–$1,579.50 $1,141–$3,159 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $257.50–$399.50 $515–$799 varies
Arthrodesis Glenohumeral Joint (23800) $4,786.50 $9,573 0.7×
Arthroscopy Elbow Surgical Debridement Limited (29837) $4,645.50 $9,291 1.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $3,128.50–$3,598 $6,257–$7,196 varies
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $1,702–$2,055 $3,404–$4,110 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $934.50–$1,128.50 $1,869–$2,257 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $225.50–$302 $451–$604 varies
Aspiration and/or injection thyroid cyst (60300) $651 $1,302 1.0×
Aspiration bladder insert suprapubic catheter (51102) $868.50 $1,737 0.4×
Av Fistula Revision Open (36832) $4,147 $8,294 0.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $171–$227 $342–$454 varies
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $9,199 $18,398 1.5×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure		 $2,755 $5,510 0.3×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $2,755 $5,510 0.3×
Biliary ndsc prq t-tube w/bx single/multiple (47553)
unusually low: confirm this is the full procedure		 $2,593 $5,186 0.4×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure		 $2,593 $5,186 0.4×
Biopsy Abdominal Mass (49180) $1,405.50 $2,811 0.9×
Biopsy bone open superficial (20240) $3,870 $7,740 1.4×
Biopsy bone trocar/needle deep (20225) $2,580 $5,160 1.6×
Biopsy Bone Trocar/Needle Superficial (20220) $2,243.50 $4,487 1.4×
Biopsy External Auditory Canal (69105) $1,643 $3,286 1.1×
Biopsy external ear (69100) $246 $492 1.1×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $810–$1,405.50 $1,620–$2,811 varies
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $3,839–$4,414.50 $7,678–$8,829 varies
Biopsy of floor of mouth (41108) $2,209 $4,418 1.4×
Biopsy of lip (40490) $748.50 $1,497 3.3×
Biopsy of liver, needle; percutaneous (47000) $1,533 $3,066 1.0×
Biopsy of palate, uvula (42100) $1,023 $2,046 0.7×
Biopsy of penis (54100) $1,886.50 $3,773 1.2×
Biopsy of rectum (45100) $1,447.50 $2,895 0.5×
Biopsy Oropharynx (42800) $1,847.50 $3,695 1.2×
Biopsy Pleura Percutaneous Needle (32400) $1,074 $2,148 0.7×
Biopsy Salivary Gland Needle (42400) $818 $1,636 1.2×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,158.50 $2,317 0.7×
Biopsy soft tissue leg/ankle area superficial (27613) $2,214 $4,428 1.4×
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines		 $1,776–$1,880 $3,552–$3,760 varies
Biopsy Soft Tissue Shoulder Superficial (23065)
range across 2 matching MRF lines		 $1,925–$2,214 $3,850–$4,428 varies
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,121.50 $6,243 1.1×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,358.50 $2,717 0.9×
Biopsy Spinal Cord Percutaneous Needle (62269) $950 $1,900 0.6×
Biopsy Tongue Anterior Two-Thirds (41100) $650.50 $1,301 1.3×
Biopsy Vaginal Mucosa Simple (57100) $771 $1,542 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $896 $1,792 1.0×
Biopsy, vestibule of mouth (40808) $541 $1,082 1.0×
Bladder instillation anticarcinogenic agent (51720) $1,021.50 $2,043 1.5×
Bladder Irrigation (51700) $331 $662 1.4×
Bladder Scan (51798)
range across 3 matching MRF lines		 $80.50–$126 $161–$252 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $2,426 $4,852 1.6×
Blepharotomy drainage abscess eyelid (67700) $543.50 $1,087 1.8×
Blood Transfusion Service (36430) $595.50 $1,191 1.4×
Blood/Lymph System Procedure (38999) $637.50 $1,275 1.5×
Bone Marrow Biopsy (38221) $947 $1,894 0.6×
Bone Marrow; Aspiration Only (38220) $843 $1,686 0.5×
Brnchsc Brushing/Protected Brushings (31623) $1,919.50 $3,839 1.1×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $3,260 $6,520 0.9×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $3,260 $6,520 0.9×
Bronchoscopy W/Biopsy(S) (31625) $1,919.50 $3,839 1.1×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $7,296.50 $14,593 1.1×
Bronchoscopy W/Removal Foreign Body (31635) $1,939.50 $3,879 1.1×
Bronchoscopy/Needle Bx Each (31629) $3,938.50 $7,877 1.1×
Bx breast 1st lesion mr imag (19085) $4,424.50 $8,849 2.8×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $4,424.50–$5,372.50 $8,849–$10,745 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $2,515.50–$2,723 $5,031–$5,446 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $702.50–$926.50 $1,405–$1,853 varies
Bx Cervix (57500) $1,448 $2,896 1.6×
Bx prostate strtctc saturation sampling img gid (55706) $4,489 $8,978 1.3×
Bx/exc lymph node open superficial (38500) $5,252 $10,504 1.4×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,649 $7,298 1.2×
Catheter aspiration nasotracheal spx (31720) $90 $180 0.4×
Cautery Cervix Electro/Thermal (57510) $4,118.50 $8,237 1.3×
Cerclage cervix pregnancy vaginal (59320) $1,684 $3,368 0.5×
Cessj Therapy Cath Removal (37214) $3,642.50 $7,285 1.2×
Change Cystostomy Tube Complicated (51710) $1,155 $2,310 1.7×
Change Cystostomy Tube Simple (51705) $341 $682 1.4×
Change of Windpipe Airway (31502) $212 $424 0.9×
Change ureter stent percut (50382) $2,648.50 $5,297 1.3×
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines		 $175.50–$216.50 $351–$433 varies
Chemical Pleurodesis (32560) $2,134 $4,268 3.6×
Chemodenerv 1 extrem 5/> mus (64644) $997 $1,994 1.5×
Chemodenerv 1 extremity 1-4 (64642) $1,021 $2,042 1.5×
Chemodenerv Musc Migraine (64615) $425 $850 1.4×
Chemodenerv musc neck dyston (64616) $382 $764 1.3×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $397 $794 1.4×
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines		 $867–$997 $1,734–$1,994 varies
Chemodenerv trunk musc 6/> (64647) $1,178.50 $2,357 1.7×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $263 $526 0.9×
Chest tube placement (32551)
range across 3 matching MRF lines		 $847–$1,128.50 $1,694–$2,257 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,756.50 $3,513 0.9×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,223.50 $8,447 1.2×
Ciliary body dstrj cyclophotocoag transsceral (66710) $1,607.50 $3,215 0.7×
Circumcision 28 days or older (54161) $1,210 $2,420 0.6×
Circumcision Neonate (54160) $1,028 $2,056 1.5×
Circumcision w/clamp/oth dev w/block (54150) $1,313.50 $2,627 0.7×
Cl Tx Scapular Fx; W Manip (23575) $1,034.50 $2,069 0.7×
Cl Tx Tib Shft Fx W Manip (27752) $3,071.50 $6,143 2.0×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $210.50–$254.50 $421–$509 varies
Closed Treat Vert Body Fract (22310) $430.50 $861 1.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $207 $414 0.9×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,939 $3,878 1.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,045 $2,090 4.4×
Closed Treatment Sesamoid Fracture (28530) $387.50 $775 1.6×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $259–$313 $518–$626 varies
Closed tx ankle dislocation w/o anesthesia (27840) $527.50 $1,055 2.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $729 $1,458 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $188.50–$228.50 $377–$457 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines		 $428–$492 $856–$984 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $228.50 $457 1.0×
Closed tx carpal scaphoid fracture w/manj (25624) $1,022.50 $2,045 0.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $142–$172 $284–$344 varies
Closed tx femoral fracture prox head w/o manj (27267) $4,013.50 $8,027 1.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $402 $804 1.7×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,307 $2,614 0.9×
Closed tx knee dislocation w/o anesthesia (27550) $188.50 $377 0.8×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,754.50 $3,509 1.1×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $288.50 $577 0.6×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $3,857.50 $7,715 0.7×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $208.50–$252.50 $417–$505 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,597.50 $3,195 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,632 $3,264 1.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,876 $3,752 0.6×
Closed tx patellar dislocation w/o anesthesia (27560) $154.50 $309 0.7×
Closed Tx Patellar Fracture W/O Manipulation (27520) $330.50 $661 1.4×
Closed tx radial head/neck fx w/manipulation (24655) $729 $1,458 0.5×
Closed tx radial head/neck fx w/o manipulation (24650) $326 $652 1.4×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,116–$1,348.50 $2,232–$2,697 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $142–$172 $284–$344 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,901 $3,802 1.2×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $303–$348.50 $606–$697 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $332.50 $665 1.4×
Closed tx septal&nose fx (21337) $1,445 $2,890 0.5×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $590 $1,180 2.5×
Closed tx talotarsal joint dislc w/o anes (28570) $285 $570 1.2×
Closed Tx Talus Fracture W/Manipulation (28435) $729 $1,458 0.5×
Closed tx talus fracture w/o manipulation (28430) $259.50 $519 1.1×
Closed tx tarsometatarsal dislocation w/o anes (28600) $336.50 $673 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $106.50 $213 0.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $729 $1,458 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $142–$172 $284–$344 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $327 $654 1.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $358 $716 1.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,283 $2,566 2.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $806.50 $1,613 3.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $283 $566 1.2×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,547.50 $3,095 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $342 $684 1.5×
Clsd tx fx orbit except blowout w/o manipulation (21400) $641.50 $1,283 1.2×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $172 $344 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,104.50 $2,209 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $1,069.50–$1,291.50 $2,139–$2,583 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $155 $310 0.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,909 $3,818 1.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $729 $1,458 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $265.50–$321.50 $531–$643 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $689.50 $1,379 0.4×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $299.50 $599 1.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $195 $390 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $172.50 $345 0.7×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $146–$176.50 $292–$353 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $303 $606 1.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $303–$348.50 $606–$697 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $242.50–$294 $485–$588 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $794.50–$960 $1,589–$1,920 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,293 $4,586 1.5×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,066.50 $2,133 0.7×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $348.50 $697 1.5×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $378 $756 0.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $378 $756 1.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,322.50 $4,645 1.5×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $415–$502 $830–$1,004 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $229.50 $459 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $272.50–$329.50 $545–$659 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $230.50–$279 $461–$558 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,061.50 $4,123 1.3×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $268.50 $537 1.1×
Cltx greater humeral tuberosity fx w/o manj (23620) $332.50 $665 1.4×
Cltx Greater Trochanteric Fx W/O Manj (27246) $1,156 $2,312 4.9×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,047 $2,094 0.7×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,450–$1,667.50 $2,900–$3,335 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $151 $302 0.6×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $348.50 $697 1.5×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,901 $3,802 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $729 $1,458 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $224 $448 1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,947.50 $3,895 1.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $577.50 $1,155 2.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $159.50 $319 0.7×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,947.50 $3,895 1.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,713.50 $3,427 6.4×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $152.50–$184.50 $305–$369 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,670.50 $3,341 1.1×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $188.50–$228.50 $377–$457 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $431–$521 $862–$1,042 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $152.50–$184.50 $305–$369 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $729 $1,458 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines		 $233–$268 $466–$536 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $202–$244 $404–$488 varies
Cltx post hip arthrp dislc req anes (27266) $1,392.50 $2,785 0.9×
Cltx post hip arthrp dislc w/o anes (27265) $234 $468 1.0×
Cltx prox fibula/shft fx w/manj (27781) $2,061.50 $4,123 1.3×
Cltx prox fibula/shft fx w/o manj (27780) $229.50 $459 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,032 $2,064 0.7×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $142 $284 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $145 $290 0.6×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $729 $1,458 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,392.50 $2,785 0.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,215 $2,430 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $729 $1,458 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $172 $344 0.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 2 matching MRF lines		 $2,010–$2,184.50 $4,020–$4,369 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $300 $600 1.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $3,341.50 $6,683 1.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $188.50 $377 0.8×
Cltx tibial fx proximal w/o manipulation (27530) $330.50 $661 1.4×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $202–$387.50 $404–$775 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $947–$1,089 $1,894–$2,178 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $188.50–$228.50 $377–$457 varies
Collect Blood From Catheter Venous Nos (36592) $127 $254 1.0×
Collection of venous blood by venipuncture (36415)
range across 10 matching MRF lines		 $15.50–$16.50 $31–$33 varies
Colporrhaphy (57200) $1,549.50 $3,099 0.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $494.50 $989 1.7×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $3,870–$4,450.50 $7,740–$8,901 varies
Control Nasal Hemorrhage Anterior Complex (30903) $360 $720 2.8×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $337.50–$408 $675–$816 varies
Control oropharyngeal hemorrhage simple (42960) $719 $1,438 1.4×
Conversion ext bil drg cath (47535) $3,602 $7,204 1.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,544.50 $3,089 0.8×
Convert Nephrostomy Catheter (50434) $2,257 $4,514 1.1×
Cordocentesis (59012) $833 $1,666 2.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,475.50 $2,951 0.9×
Cornea Scraping Diagnostic Smear &/Culture (65430) $404.50 $809 0.9×
Correction hammertoe (28285) $4,735 $9,470 1.5×
Create Eardrum Opening (69433) $618.50 $1,237 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $196 $392 1.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $196 $392 0.9×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $3,984 $7,968 1.3×
Curettage postpartum (59160) $2,497 $4,994 0.8×
Cysto Bladder W/Ureteral Catheterization (52005) $4,371.50 $8,743 2.2×
Cysto calibration dilat urtl strix/stenosis (52281) $2,711.50 $5,423 1.4×
Cysto w/irrig & evac multple obstructing clots (52001) $4,371.50 $8,743 1.3×
Cysto W/Simple Removal Stone & Stent (52310) $2,673 $5,346 1.3×
Cysto w/ureter stricture tx (52341) $5,022 $10,044 1.5×
Cystometrogram W/Vp (51728) $1,017 $2,034 1.5×
Cystourethroscopy (52000) $951 $1,902 1.4×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $4,350 $8,700 1.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $277–$295.50 $554–$591 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,453.50 $2,907 0.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $930 $1,860 1.4×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $930 $1,860 1.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $982.50–$1,130 $1,965–$2,260 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $100–$266 $200–$532 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $125–$163 $250–$326 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $2,046.50–$2,353.50 $4,093–$4,707 varies
Debridement Mastoidectomy Cavity Simple (69220) $214 $428 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $656.50–$755 $1,313–$1,510 varies
Declot vascular device (36593) $457.50 $915 1.4×
Delay Flap/Sectioning Flap Trunk (15600) $4,118 $8,236 1.2×
Delivery of placenta (59414) $1,420 $2,840 0.5×
Destr W Neurolytic; Celiac Plexus (64680) $1,474.50 $2,949 1.7×
Destroy cerv/thor facet jnt (64633) $1,806 $3,612 1.0×
Destroy lumb/sac facet jnt (64635) $2,606 $5,212 1.4×
Destruct B9 Lesion 1-14 (17110) $197.50 $395 1.0×
Destruction Benign Lesions 15/> (17111) $194.50 $389 1.0×
Destruction by neurolytic agent, intercostal nerve (64620) $1,446.50 $2,893 1.7×
Destruction by neurolytic agent; plantar common digital nerve (64632) $562.50 $1,125 1.9×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,139 $2,278 1.0×
Destruction Lesions Vulva Simple (56501) $2,817 $5,634 1.4×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $576.50 $1,153 3.0×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $576.50 $1,153 3.0×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $576.50 $1,153 1.5×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $317 $634 1.7×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $317 $634 1.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $317 $634 1.7×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $317 $634 0.8×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $317 $634 0.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $317 $634 1.7×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $317 $634 1.7×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $317 $634 1.7×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $576.50 $1,153 1.5×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $238 $476 1.2×
Destruction neurolytic agt genicular nerve w/img (64624) $2,411 $4,822 1.3×
Destruction Premalignant Lesion 15/> (17004) $576.50 $1,153 1.5×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $93.50–$140.50 $187–$281 varies
Diagnostic sigmoidoscopy (45330) $965 $1,930 1.1×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $260.50 $521 2.1×
Dilat Urethral Strix Dilator Male Sbsq (53601) $210.50 $421 1.7×
Dilat Xst Trc New Access Rcs (50437) $3,158.50 $6,317 0.9×
Dilate Urethra Stricture (53620) $804.50 $1,609 1.2×
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $355–$408 $710–$816 varies
Dilation & curettage dx&/ther nonobstetric (58120) $1,324 $2,648 0.4×
Dilation Salivary Duct (42650) $2,066.50 $4,133 1.4×
Drain ant chmbr,remv vitreous (65810) $2,790.50 $5,581 1.3×
Drain Cerebro Spinal Fluid (62272) $1,069.50 $2,139 1.6×
Drain Hand Tendon Sheath (26020) $4,589.50 $9,179 1.5×
Drain/inj small joint/bursa w/us (20604)
range across 4 matching MRF lines		 $399.50–$887 $799–$1,774 varies
Drainage abscess parotid simple (42300) $1,542 $3,084 1.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $620 $1,240 1.2×
Drainage external auditory canal abscess (69020) $359 $718 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $1,664.50 $3,329 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $359 $718 0.5×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $886–$1,070.50 $1,772–$2,141 varies
Drainage Mouth Roof Lesion (42000) $288.50 $577 1.3×
Drainage of eye (65800) $1,215.50 $2,431 0.6×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $129–$156 $258–$312 varies
Drainage of gum lesion (41800) $217 $434 1.7×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $1,712.50–$1,856.50 $3,425–$3,713 varies
Drainage of hydrocele (55000) $984 $1,968 1.5×
Drainage of mouth lesion (41017) $1,375 $2,750 0.4×
Drainage of nose lesion (30000) $1,626 $3,252 7.2×
Drainage of rectal abscess (45005) $1,187 $2,374 1.0×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,078–$1,302 $2,156–$2,604 varies
Drainage of scrotum (54700) $1,495 $2,990 0.7×
Drainage of skene's gland abscess or cyst (53060) $1,524.50 $3,049 0.8×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $2,410 $4,820 0.8×
Draw Blood Off Venous Device (36591) $127 $254 1.0×
Dressing Change Under Anesthesia (15852) $697.50 $1,395 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,392.50 $2,785 2.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $358 $716 0.5×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $620 $1,240 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $517.50 $1,035 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $282.50–$325 $565–$650 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $282.50–$325 $565–$650 varies
Dstrj lesion anus simple cryosurgery (46916) $317 $634 1.7×
Dstrj lesion anus simple surg excision (46922) $3,324.50 $6,649 1.3×
Dstrj Lesion Penis Simple Chemical (54050) $303 $606 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $194 $388 1.0×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $2,825 $5,650 1.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $848 $1,696 1.0×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,647 $3,294 1.9×
Dx Bone Marrow Bx & Aspir (38222) $2,077 $4,154 0.7×
Dx Bronchoscope/Lavage (31624) $1,919.50 $3,839 1.1×
Dx Bronchoscope/Wash (31622) $1,919.50 $3,839 1.1×
Dx Laryngoscopy Excl Nb (31525) $1,139.50 $2,279 0.7×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,465 $2,930 2.2×
Egd Flexible Foreign Body Removal (43247) $721.50 $1,443 0.8×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $408 $816 1.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $376.50 $753 1.3×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $319 $638 1.1×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $323–$779.50 $646–$1,559 varies
Endoscopy of ureter (50953) $4,018 $8,036 1.2×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $12,354 $24,708 1.1×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $4,018 $8,036 1.3×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,775 $7,550 1.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,522 $7,044 1.2×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,584 $3,168 0.9×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,199.50 $4,399 1.2×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $2,564 $5,128 1.3×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,564 $5,128 1.3×
Epidural Blood Patch (62273) $744 $1,488 1.1×
Epidural lysis mult sessions (62263) $1,816 $3,632 2.1×
Episiotomy or vaginal repair (59300) $3,503 $7,006 1.1×
Ercp W/Biopsy Single/Multiple (43261) $4,233.50 $8,467 1.1×
Esc i p ulcer w ostect & flap (15946) $4,568 $9,136 2.3×
Escharotomy; initial incision (16035) $261.50 $523 0.7×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,150.50 $2,301 0.6×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $143–$164.50 $286–$329 varies
Exc arm/elbow les sc < 3 cm (24075) $3,789 $7,578 2.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $771–$886.50 $1,542–$1,773 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,038 $4,076 1.3×
Exc Back Les Sc < 3 Cm (21930) $3,789 $7,578 2.4×
Exc back tum deep < 5 cm (21932) $3,416 $6,832 1.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $1,671–$1,921.50 $3,342–$3,843 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $1,671–$1,921.50 $3,342–$3,843 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $2,184–$2,193 $4,368–$4,386 varies
Exc Face Les Sbq 2 Cm/> (21012) $1,782.50 $3,565 1.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $930–$1,069.50 $1,860–$2,139 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $930–$1,069.50 $1,860–$2,139 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $1,550–$1,782.50 $3,100–$3,565 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,783 $3,566 1.1×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $1,896–$2,315.50 $3,792–$4,631 varies
Exc Forearm Les Sc 3 Cm/> (25071) $5,007 $10,014 3.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,782.50 $3,565 1.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $1,100–$1,492.50 $2,200–$2,985 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $1,224.50–$1,378 $2,449–$2,756 varies
Exc Hand Les Sc < 1.5 Cm (26115) $3,789 $7,578 2.4×
Exc hand tum deep < 1.5 cm (26116) $3,789 $7,578 2.4×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,425.50 $4,851 1.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $1,158.50–$1,172.50 $2,317–$2,345 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $1,883.50–$2,448 $3,767–$4,896 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,997 $5,994 1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $1,551–$3,789 $3,102–$7,578 varies
Exc Skin Benig >4cm Face,Facial (11446) $1,981.50 $3,963 0.7×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,335.50 $4,671 1.5×
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $3,510.50–$4,037 $7,021–$8,074 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,335.50 $4,671 1.5×
Exc thigh/knee les sc 3 cm/> (27337) $5,007 $10,014 1.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,511–$1,825 $3,022–$3,650 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $572.50–$771 $1,145–$1,542 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $999.50–$1,019.50 $1,999–$2,039 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $1,348.50–$3,789 $2,697–$7,578 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $5,007 $10,014 1.8×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,149.50 $4,299 1.4×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $5,007 $10,014 1.8×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $4,045.50 $8,091 1.5×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $3,789 $7,578 1.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,764.50 $7,529 1.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $3,789 $7,578 2.4×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $3,789 $7,578 2.4×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $3,789 $7,578 2.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $3,789 $7,578 2.4×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $3,416 $6,832 1.2×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $3,733 $7,466 1.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $5,007 $10,014 1.8×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,938.50 $3,877 0.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $868.50 $1,737 0.4×
Exchange Transfusion Blood Newborn (36450) $684 $1,368 1.6×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,522 $3,044 0.8×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,643 $3,286 1.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines		 $855.50–$984 $1,711–$1,968 varies
Excision Chalazion Single (67800) $578 $1,156 1.9×
Excision H/P/P/U Simple/Intermediate Repair (11470) $4,037 $8,074 1.5×
Excision Lesion Conjunctiva </1 Cm (68110) $1,146 $2,292 0.5×
Excision lesion mouth roof (42104) $3,367.50 $6,735 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $984 $1,968 1.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $855.50–$984 $1,711–$1,968 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $855.50–$930 $1,711–$1,860 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $984 $1,968 1.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $1,671–$1,921.50 $3,342–$3,843 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $1,671–$1,921.50 $3,342–$3,843 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,230.50 $4,461 0.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,031 $4,062 1.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $2,335.50 $4,671 3.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,335.50 $4,671 3.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,335.50 $4,671 1.5×
Excision Multiple External Papillae/Tags Anus (46230) $5,101 $10,202 1.9×
Excision of chalazion; multiple, different lids (67805) $1,266 $2,532 4.2×
Excision of pilonidal cyst or sinus; simple (11770) $2,830 $5,660 1.0×
Excision of single external papilla or tag, anus (46220) $3,377 $6,754 3.0×
Excision of vaginal septum (57130) $3,725 $7,450 1.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,918.50 $7,837 1.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $5,007 $10,014 3.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,808.50 $5,617 1.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $4,675 $9,350 3.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $5,007 $10,014 3.2×
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) $4,118 $8,236 1.2×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $4,118 $8,236 2.1×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $4,118 $8,236 1.2×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $4,118 $8,236 1.2×
Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) $4,118 $8,236 2.1×
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) $4,118 $8,236 1.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $4,175.50 $8,351 1.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,782.50 $3,565 1.1×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $4,838.50 $9,677 1.7×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $5,007 $10,014 1.8×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $3,789 $7,578 2.4×
Expl penetrating wound spx abdomen/flank/back (20102) $2,010 $4,020 1.0×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,557.50–$1,881.50 $3,115–$3,763 varies
Exploration penetrating wound spx chest (20101) $2,010 $4,020 1.0×
Exploration penetrating wound spx extremity (20103) $1,061 $2,122 0.7×
Exploration Penetrating Wound Spx Neck (20100) $641.50 $1,283 1.2×
Exploratory elbow surgery (24000) $2,667.50 $5,335 0.9×
External cephalic version (59412) $1,600 $3,200 0.5×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,870 $5,740 1.3×
Fetal Contraction Stress Test (59020) $317 $634 1.6×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $1,554 $3,108 5.3×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $206.50–$403 $413–$806 varies
Fetal Shunt Placement W/Ultrasound Guidance (59076) $1,554 $3,108 5.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 3 matching MRF lines		 $905–$1,041 $1,810–$2,082 varies
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $371–$374 $742–$748 varies
Fluid Pressure Muscle (20950) $330 $660 0.5×
Fluoro exam of g/colon tube (49465) $346.50 $693 1.5×
Fna Bx W/Fluor Gdn 1St Les (10007)
range across 2 matching MRF lines		 $823–$946.50 $1,646–$1,893 varies
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $747.50–$859.50 $1,495–$1,719 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $558.50–$674.50 $1,117–$1,349 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $2,359.50–$2,564 $4,719–$5,128 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,564 $5,128 1.3×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,564 $5,128 1.3×
Guide Cathet Fluid Drainage (10030) $1,225.50 $2,451 1.8×
Head Surgery Procedure (21499) $2,538.50 $5,077 11.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,592 $3,184 0.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,262.50 $2,525 1.4×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $3,779.50 $7,559 1.4×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $2,300 $4,600 0.7×
I&d abscess peritonsillar (42700) $486 $972 2.1×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $364.50–$523.50 $729–$1,047 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,175 $4,350 0.8×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,284.50 $4,569 0.8×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $4,453 $8,906 1.4×
I&D Intramural Im/Absc Transanal Anes (46045) $1,491.50 $2,983 0.6×
I&D Mouth/Tong Intra,Masticator (41009) $553 $1,106 1.1×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $1,187–$1,433.50 $2,374–$2,867 varies
I&d pilonidal cyst complicated (10081) $2,102 $4,204 3.1×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $359–$413 $718–$826 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $1,630 $3,260 0.6×
Icd Pocket Revision (33223) $1,630 $3,260 0.8×
Image Cath Fluid Colxn Visc (49405) $2,054 $4,108 1.3×
Image Cath Fluid Peri/Retro (49406) $2,596 $5,192 1.6×
Image Cath Fluid Trns/Vgnl (49407) $1,992.50 $3,985 1.3×
Implant neuroelectrodes (63650) $6,574.50 $13,149 1.1×
Implant Neuroelectrodes (64561) $9,772.50 $19,545 1.6×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure		 $3,138.50 $6,277 0.4×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $286–$345 $572–$690 varies
Incise finger tendon sheath (26055) $3,598 $7,196 2.3×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $540.50–$652.50 $1,081–$1,305 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $3,251.50 $6,503 1.2×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $2,449.50–$2,958 $4,899–$5,916 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $480.50–$497.50 $961–$995 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $758.50–$796.50 $1,517–$1,593 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $344–$426.50 $688–$853 varies
Incision of Foot Tendon (28234) $1,737 $3,474 1.1×
Incision of lingual frenum (frenotomy) (41010) $1,662 $3,324 1.1×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,116.50–$2,433.50 $4,233–$4,867 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $3,521–$3,644 $7,042–$7,288 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $327–$376 $654–$752 varies
Initial Tx 1st Degree Burn Local Tx (16000) $175 $350 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,488 $2,976 1.8×
Inj W/Fluor Eval Cv Device (36598) $437.50 $875 2.2×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,119 $2,238 1.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,603 $3,206 1.9×
Inject Intravitreal Pharmcologic (67028) $540 $1,080 1.7×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $263–$319.50 $526–$639 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $659 $1,318 0.8×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,272.50 $2,545 1.5×
Injection aa&/strd genicular nrv branches w/img (64454) $877 $1,754 1.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $1,139–$1,310 $2,278–$2,620 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $1,119 $2,238 1.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $876.50 $1,753 1.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $637.50 $1,275 0.9×
Injection Anes Agent Sphenopalatine Ganglion (64505) $410.50 $821 1.4×
Injection Anes Superior Hypogastric Plexus (64517) $1,112.50 $2,225 1.3×
Injection anesthetic agent suprascapular nerve (64418) $659 $1,318 1.0×
Injection enzyme palmar fascial cord (20527) $530 $1,060 1.8×
Injection for identification of sentinel node (38792) $422 $844 1.1×
Injection of sclerosing solution, hemorrhoids (46500) $1,083.50 $2,167 1.2×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $228–$287.50 $456–$575 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $327.50–$541 $655–$1,082 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $331–$425.50 $662–$851 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $912.50 $1,825 0.6×
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $228.50–$263 $457–$526 varies
Injection, anesthetic agent; brachial plexus, single (64415) $418.50 $837 0.5×
Injection, anesthetic agent; femoral nerve, single (64447) $332 $664 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $833–$1,006 $1,666–$2,012 varies
Injection, Intralesional; More Than 7 Lesions (11901) $304 $608 1.6×
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $168.50–$194 $337–$388 varies
Injx Anterior Chamber Eye Medication Spx (66030) $1,215.50 $2,431 0.6×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,162.50 $2,325 1.4×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $1,083.50 $2,167 1.3×
Ins cath ren art 1st bilat (36252) $3,416.50 $6,833 1.1×
Ins cath ren art 1st unilat (36251) $4,145 $8,290 1.4×
Ins cath ren art 2nd+ bilat (36254) $3,870.50 $7,741 1.3×
Ins cath ren art 2nd+ unilat (36253) $3,870.50 $7,741 0.7×
Ins endovas vena cava filtr (37191) $4,417 $8,834 0.8×
Ins/Rep Subq Defibrillator (33270) $67,011.50 $134,023 2.2×
Insert 1 Electrode Pm-Defib (33216)
unusually low: confirm this is the full procedure		 $3,922.50 $7,845 0.5×
Insert and remove bone pin (20650) $1,849 $3,698 0.6×
Insert Bladder Cath Complex (51703) $175.50 $351 1.4×
Insert cath pleura w/ image (32557) $1,787 $3,574 1.2×
Insert cath pleura w/o image (32556) $934.50 $1,869 0.5×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,490.50 $4,981 2.2×
Insert cervical dilator (59200) $505.50 $1,011 1.7×
Insert Drug Implant Device (11981) $799 $1,598 6.3×
Insert Gastrostomy Tube Percutaneous (49440) $1,544.50 $3,089 0.8×
Insert Heart Pm Atrial (33206) $15,834.50 $31,669 1.6×
Insert Heart Pm Ventricular (33207) $15,042.50 $30,085 1.5×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $2,522 $5,044 0.1×
Insert non-tunnel cv cath (36556) $1,395 $2,790 0.5×
Insert Pacing Lead & Connect (33224) $15,832 $31,664 1.6×
Insert pessary/other device (57160) $207.50 $415 1.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,501.50 $3,003 1.0×
Insert pulse gen dual leads (33213) $14,349 $28,698 1.4×
Insert pulse gen mult leads (33221) $16,501.50 $33,003 0.9×
Insert Pulse Gen Sngl Lead (33212) $12,477.50 $24,955 1.6×
Insert spine infusion device (62360)
unusually low: confirm this is the full procedure		 $8,604 $17,208 0.5×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $100.50–$138 $201–$276 varies
Insert tun ip cath perc (49418) $3,764.50 $7,529 1.1×
Insert tunneled cv cath (36561) $2,556 $5,112 0.8×
Insert tunneled cv cath (36563) $6,444 $12,888 1.2×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $2,665 $5,330 0.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $109.50–$120 $219–$240 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $3,030–$3,089 $6,060–$6,178 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,310.50 $4,621 1.5×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $6,926 $13,852 0.9×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,025.50 $6,051 0.9×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $2,354.50 $4,709 0.5×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $10,716.50 $21,433 1.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,419 $2,838 0.5×
Insj Picc Rs&I <5 Yr (36572) $1,958.50 $3,917 3.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,360 $4,720 0.8×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $2,360 $4,720 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,550 $3,100 1.0×
Insj Subq Impltbl Dfb Elctrd (33271) $5,295 $10,590 0.7×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $3,885.50 $7,771 1.3×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $6,444 $12,888 1.2×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,235 $4,470 0.7×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,745 $5,490 0.9×
Insj/Rplcmt Defib W/Lead(S) (33249) $58,730.50 $117,461 2.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,990.50 $11,981 0.8×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $4,857.50 $9,715 0.6×
Insrt heart pm atrial & vent (33208) $19,561.50 $39,123 2.0×
Insrt Pulse Gen W/Dual Leads (33230) $42,990 $85,980 2.0×
Insrt Pulse Gen W/Mult Leads (33231) $58,730.50 $117,461 2.0×
Insrt Pulse Gen W/Singl Lead (33240) $41,146.50 $82,293 1.9×
Interdental Wiring Other Than Fracture (21497) $1,005.50 $2,011 0.7×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $903 $1,806 0.7×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $341.50 $683 0.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $392.50 $785 1.0×
Intranasal Biopsy (30100) $1,846.50 $3,693 1.2×
Intraoral i&d tongue/floor lingual (41000) $1,445 $2,890 2.8×
Intraoral i&d tongue/floor sublngl supfc (41005) $353.50 $707 1.6×
Intraoral i&d tongue/floor submental space (41007) $2,027.50 $4,055 1.4×
Intraoral i&d tongue/floor submndblr space (41008) $2,072.50 $4,145 0.7×
Intro cath dialysis circuit (36901) $1,879 $3,758 1.2×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $18,352.50 $36,705 1.7×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $9,081 $18,162 1.7×
Intro Gastrointestinal Tube (44500) $1,126 $2,252 1.3×
Intubation endotracheal emergency procedure (31500) $1,022.50 $2,045 4.5×
Iridotomy/irridectomy laser surg per session (66761) $948.50 $1,897 1.8×
Irrigation of corpora cavernosa for priapism (54220) $1,241 $2,482 5.2×
IV injection test vascular flow flap/graft (15860) $684 $1,368 1.6×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
unusually low: confirm this is the full procedure		 $2,805 $5,610 0.5×
Laryngoscopy diagnostic (31505) $94 $188 0.5×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $261–$263.50 $522–$527 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,081 $4,162 1.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $587 $1,174 1.6×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $691 $1,382 1.8×
Late closure of wound (13160)
range across 2 matching MRF lines		 $2,222–$2,683.50 $4,444–$5,367 varies
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $5,752.50 $11,505 1.9×
Ligation of a-v fistula (37607) $5,063.50 $10,127 1.7×
Ligation Of Neck Artery (37615) $4,493 $8,986 1.5×
Ligation, internal jugular vein Facility (37565) $1,856.50 $3,713 0.6×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $5,201.50 $10,403 1.7×
Lip Surgery Procedure (40799) $295.50 $591 1.3×
Lyse chest fibrin init day (32561) $925 $1,850 1.5×
Lyse Chest Fibrin Subq Day (32562) $972 $1,944 1.6×
Lysis/excision penile postcircumcision adhesions (54162) $3,046 $6,092 1.5×
Maniplatn palar fascial crd post inj single cord (26341) $1,031.50 $2,063 4.4×
Manipulation knee joint under general anesthesia (27570) $1,237.50 $2,475 0.8×
Manipulation, finger joint, under anesthesia, each joint (26340) $1,901 $3,802 1.2×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,237.50 $2,475 0.8×
Maternity Care Procedure (59899) $311.50 $623 1.6×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,126.50 $2,253 0.7×
Mech remov tunneled cv cath (36595) $1,557 $3,114 0.5×
Middle ear surgery proc unlisted (69799) $326 $652 1.4×
Myelography Lumbar Injection (62305) $2,352.50 $4,705 3.1×
Myelography Lumbar Injection (62304) $2,046 $4,092 2.7×
Myelography via lumbar injection rs&i cervical (62302) $2,046 $4,092 2.7×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,046 $4,092 2.7×
N Block Inj Celiac Pelus (64530) $1,272.50 $2,545 1.5×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $877–$1,008.50 $1,754–$2,017 varies
N block inj intercost sng (64420)
range across 4 matching MRF lines		 $877–$1,008.50 $1,754–$2,017 varies
N Block Inj Paracervical (64435) $340.50 $681 0.5×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $489–$562.50 $978–$1,125 varies
N Block Inj Pudendal (64430) $607 $1,214 0.7×
N Block Lumbar/Thoracic (64520) $1,060.50 $2,121 1.3×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $174–$384 $348–$768 varies
Nasal surgery procedure (30999) $367 $734 1.6×
Nasal/Orogastric W/Tube Plmt (43752) $321.50 $643 0.8×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,852.50 $5,705 1.7×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,332 $2,664 0.8×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $417.50 $835 1.7×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $1,898.50 $3,797 2.1×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $1,533–$1,587 $3,066–$3,174 varies
Needle Biopsy Pancreas (48102) $1,583 $3,166 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $34 $68 1.2×
Needle insertion w/o injection 3 or more muscles (20561) $40 $80 1.4×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $214 $428 1.4×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $143 $286 0.9×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $386 $772 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $1,009.50 $2,019 1.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $431–$521 $862–$1,042 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,865 $9,730 1.4×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,865 $9,730 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,326 $2,652 1.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,190 $2,380 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,465 $2,930 2.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,272.50 $2,545 1.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,190 $2,380 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,190 $2,380 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,065 $2,130 1.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,187 $2,374 1.4×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $3,157 $6,314 1.6×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,157 $6,314 1.6×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,536.50 $3,073 2.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $346 $692 0.5×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $464.50–$534 $929–$1,068 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471) $464.50 $929 1.2×
Njx Sclrsnt Spider Veins (36468) $468.50 $937 1.2×
Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) $283 $566 1.2×
Obstructive material removal from gi tube (49460) $636.50 $1,273 0.7×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $506–$627.50 $1,012–$1,255 varies
Onc thyr mut alys 10 gen 37 RNA fsn xprsn 4 mrna (0245U) $507.50 $1,015 0.4×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $47,583 $95,166 1.1×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422)
unusually low: confirm this is the full procedure		 $2,537 $5,074 0.4×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,874 $5,748 0.9×
Open Tx Distal Phalangeal Fracture Each (26765) $2,533 $5,066 0.8×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,994 $5,988 1.0×
Open/Perq Place Stent 1St (37236) $19,002.50 $38,005 1.7×
Open/Perq Place Stent Same (37238) $19,002.50 $38,005 1.7×
Partial Excision Distal Phalanx Finger (26236) $1,485 $2,970 1.0×
Partical Excision Bone Phalanx Toe (28124) $1,673 $3,346 0.5×
Penile Injection (54235) $437.50 $875 1.8×
Perc Cryo Ablate Renal Tum (50593) $11,425 $22,850 1.1×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $2,434.50 $4,869 1.8×
Perc Rf Ablate Renal Tumor (50592) $4,719.50 $9,439 0.8×
Percut Ablate Liver Rf (47382) $5,101.50 $10,203 0.9×
Percut Cath Occlusn Non Cns Lesn (61626) $7,396 $14,792 0.7×
Percut Drain/Inject Renal Cyst (50390) $1,405.50 $2,811 2.1×
Percut Mech Thrombectomy, Venous, Repeat (37188) $6,709 $13,418 2.2×
Pericardiocentesis W/Imaging (33016) $1,776 $3,552 1.2×
Peritoneal Lavage (49084) $813.50 $1,627 0.9×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $3,131 $6,262 0.2×
Perq av fistula creation uxtr single access (36836) $20,329.50 $40,659 1.2×
Perq Cervicothoracic Inject (22510) $3,819.50 $7,639 1.2×
Perq dev breast 1st mr guide (19287) $4,418.50 $8,837 6.5×
Perq dev breast 1st strtctc (19283) $525.50 $1,051 0.8×
Perq dev breast 1st us imag (19285) $525.50 $1,051 0.8×
Perq device breast 1st imag (19281) $721 $1,442 0.5×
Perq dilation xst trc endourologic px w/img (50436) $2,871 $5,742 0.9×
Perq Lumbosacral Injection (22511) $3,828 $7,656 1.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $6,257 $12,514 1.1×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $934 $1,868 1.4×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $18,352.50 $36,705 1.7×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $9,081 $18,162 1.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,559.50 $15,119 1.1×
Perq Vertebral Augmentation (22513) $4,545.50 $9,091 0.7×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $4,523–$5,201.50 $9,046–$10,403 varies
Place Cath Subclavian Art (36225) $4,408 $8,816 1.5×
Place Cath Thoracic Aorta (36221) $4,408 $8,816 1.5×
Place Cath Vertebral Art (36226) $7,599.50 $15,199 1.4×
Place Duod/Jej Tube Perc (49441) $1,544.50 $3,089 0.8×
Place Rt Device/Marker Pros (55876) $5,226 $10,452 4.0×
Placement of needle for intraosseous infusion (36680) $256.50 $513 0.6×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $4,445 $8,890 0.7×
Plmt Bile Duct Stent Prq Existing Access (47538) $5,498 $10,996 1.0×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $6,810.50 $13,621 1.2×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $6,810.50 $13,621 1.2×
Plmt expandable cath brst following prtl mast (19296)
range across 2 matching MRF lines		 $11,020.50–$12,083 $22,041–$24,166 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,362.50 $4,725 1.2×
Plmt Nephroureteral Catheter (50433) $2,362.50 $4,725 0.7×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,294 $6,588 1.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,294 $6,588 1.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $3,294 $6,588 1.0×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $7,014.50 $14,029 0.4×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,059 $2,118 1.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $3,041 $6,082 1.1×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
unusually low: confirm this is the full procedure		 $2,495.50 $4,991 0.4×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $948.50 $1,897 1.8×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $891 $1,782 1.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,749 $7,498 1.1×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,311.50 $8,623 1.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $3,838 $7,676 1.2×
Pseudoaneurysm Injection Trt (36002) $1,087.50 $2,175 1.8×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $297.50–$342 $595–$684 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $224–$364.50 $448–$729 varies
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines		 $506–$552 $1,012–$1,104 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $652 $1,304 1.0×
Pvb thoracic cont infusion (64463) $1,061.50 $2,123 1.6×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,061.50 $2,123 1.6×
Radical resection of tumor; phalanx of toe Facility (28175) $2,778.50 $5,557 1.8×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,411 $4,822 1.3×
Reinsert ocular implant (65150) $4,422 $8,844 1.2×
Relocation Pocket Pacemaker (33222) $2,002 $4,004 1.0×
Rem Endovas Vena Cava Filter (37193) $4,170 $8,340 1.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $736 $1,472 0.8×
Removal Embedded Foreign Body Eyelid (67938) $738 $1,476 2.4×
Removal Foreign Body Deep Thigh/Knee (27372) $3,631 $7,262 1.3×
Removal foreign body foot deep (28192) $1,961 $3,922 1.2×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $954–$1,097 $1,908–$2,194 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $714–$762 $1,428–$1,524 varies
Removal foreign body upper arm/elbow deep (24201) $2,822 $5,644 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $79.50–$96 $159–$192 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $134–$162 $268–$324 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,648.50 $7,297 1.2×
Removal Implant Deep (20680) $3,818 $7,636 1.4×
Removal Implant Superficial Separate Procedure (20670) $2,808.50 $5,617 1.8×
Removal intact breast implant (19328) $4,069 $8,138 1.1×
Removal of foreign body from pharynx (42809) $429.50 $859 1.0×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $517.50–$595 $1,035–$1,190 varies
Removal of tunneled intraperitoneal catheter (49422) $2,023.50 $4,047 0.7×
Removal Pacemaker Electrode (33235) $2,855 $5,710 0.8×
Removal peritoneal-venous shunt (49429) $1,883 $3,766 0.6×
Removal ppm generator only (33233) $5,295 $10,590 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $223.50–$231.50 $447–$463 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,904 $3,808 2.8×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,338 $4,676 1.2×
Removal sweat gland lesion (11450) $5,007 $10,014 1.8×
Removal/bivalving gauntlet boot/body cast (29700)
range across 3 matching MRF lines		 $395.50–$455 $791–$910 varies
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $3,036 $6,072 1.5×
Remove brain canal fluid (61050) $1,272.50 $2,545 4.3×
Remove cerclage suture (59871) $1,436.50 $2,873 0.5×
Remove drug implant device (11982) $510.50 $1,021 1.2×
Remove Elctrd Transvenously (33244) $2,886 $5,772 0.8×
Remove foreign body from eye (65235) $1,529.50 $3,059 0.7×
Remove foreign body from eye (65205) $334 $668 2.6×
Remove Int Dwell Ureteral Stent Transurethral (50386) $2,983.50 $5,967 1.5×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $202.50–$353 $405–$706 varies
Remove intrvas foreign body (37197) $4,405.50 $8,811 1.5×
Remove lung catheter (32552) $655.50 $1,311 1.1×
Remove Nasal Foreign Body (30300) $93.50 $187 0.7×
Remove Peritoneal Foreign Body (49402) $3,607.50 $7,215 1.1×
Remove Pulse Generator (33241) $3,985.50 $7,971 1.1×
Remove renal tube w/fluoro (50389) $996.50 $1,993 1.5×
Remove Shoulder Foreign Body (23330) $1,116 $2,232 0.7×
Remove Tendon Sheath Lesion (26160) $3,598 $7,196 2.3×
Remove thigh pressure sore (15956) $2,348 $4,696 1.2×
Remove ureter stent percut (50384) $2,648.50 $5,297 1.3×
Remove&replace pm gen singl (33227) $12,952 $25,904 1.6×
Remove/Insert Drug Implant (11983) $587.50 $1,175 1.4×
Remv&replc cvd gen dual lead (33263) $41,146.50 $82,293 1.9×
Remv&replc cvd gen mult lead (33264) $58,266.50 $116,533 1.9×
Remv&replc cvd gen sing lead (33262) $41,146.50 $82,293 1.9×
Remv&replc pm gen dual lead (33228) $15,536 $31,072 1.6×
Remv&replc pm gen mult leads (33229) $31,114.50 $62,229 1.7×
Renal Biopsy Perq (50200) $1,533 $3,066 1.0×
Repair Blood Vessel Direct Hand Finger (35207) $2,485 $4,970 0.8×
Repair Blood Vessel Direct Upper Extremity (35206) $3,401.50 $6,803 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $730 $1,460 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $839.50–$1,013.50 $1,679–$2,027 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $475.50–$574.50 $951–$1,149 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 4 matching MRF lines		 $548–$662 $1,096–$1,324 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $463.50 $927 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $531.50–$642.50 $1,063–$1,285 varies
Repair complex trunk 1.1-2.5 cm (13100) $348 $696 0.5×
Repair complex trunk 2.6-7.5 cm (13101)
range across 3 matching MRF lines		 $786–$904 $1,572–$1,808 varies
Repair extensor tendon finger w/o graft each (26418) $1,506 $3,012 1.0×
Repair Eyelid Wound (67935) $2,572.50 $5,145 1.1×
Repair Finger Tendon (26433) $3,865 $7,730 1.2×
Repair Finger/Hand Tendon (26350) $3,864.50 $7,729 1.2×
Repair Hand Tendon (26410) $1,903 $3,806 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $195.50–$225 $391–$450 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $225 $450 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $225–$258 $450–$516 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $297.50 $595 0.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $452 $904 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $306.50 $613 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $195.50–$225 $391–$450 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $195.50–$225 $391–$450 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $306.50–$352.50 $613–$705 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $981 $1,962 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $472.50–$543.50 $945–$1,087 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $472.50–$543.50 $945–$1,087 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $472.50–$543.50 $945–$1,087 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $716 $1,432 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $472.50–$543.50 $945–$1,087 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $2,342.50 $4,685 1.2×
Repair lead pace-defib dual (33220) $3,742 $7,484 1.0×
Repair Lead Pace-Defib One (33218) $3,742 $7,484 1.0×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $468–$565 $936–$1,130 varies
Repair paravag defect vag (57285) $9,617 $19,234 1.4×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,838 $7,676 1.2×
Repair tongue laceration (41252) $1,445 $2,890 6.4×
Repair tongue laceration (41250) $196 $392 0.5×
Replace duodenostomy/jejunostomy tube perq (49451) $846.50 $1,693 1.0×
Replace G-J Tube Perc (49452) $815 $1,630 0.9×
Replace g/c tube perc (49450) $652 $1,304 0.8×
Replantation digit complete (20822) $9,020.50 $18,041 5.9×
Reposition Gastrostomy Tube (43761) $774 $1,548 3.2×
Reposition L Ventric Lead (33226) $3,596.50 $7,193 1.2×
Reposition Pacing-Defib Lead (33215) $2,852 $5,704 0.9×
Reposition Venous Catheter (36597) $1,100.50 $2,201 0.7×
Revise Abdomen-Venous Shunt (49426) $1,658.50 $3,317 0.5×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $5,717 $11,434 1.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,648.50 $5,297 1.3×
Rmvl embedded fb vestibule mouth comp (40805) $1,392.50 $2,785 2.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,162 $2,324 1.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $5,007 $10,014 3.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $210 $420 0.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $210 $420 1.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $384 $768 0.9×
Rmvl fecal impaction/fb spx under anes (45915) $1,416 $2,832 1.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $5,007 $10,014 1.8×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,312.50 $2,625 0.5×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $762 $1,524 0.5×
Rmvl of subq implantable defibrillator electrode (33272) $2,886 $5,772 0.8×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $1,318.50 $2,637 0.7×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,886 $5,772 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 4 matching MRF lines		 $1,482–$2,280 $2,964–$4,560 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $957.50–$1,101 $1,915–$2,202 varies
Rplc Gtube No Revj Trc (43762) $731.50 $1,463 3.1×
Rplc gtube revj gstrst trc (43763) $699.50 $1,399 2.9×
Rplcmt cath ctr vad subq port/pmp (36578) $1,557 $3,114 0.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,536.50 $3,073 1.0×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,894 $7,788 1.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,536.50 $3,073 1.0×
Rplcmt compl tun ctr vad w/subq pmp (36583) $6,661 $13,322 1.3×
Rplcmt compl tun ctr vad w/subq port (36582) $3,894 $7,788 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $3,894 $7,788 1.3×
Rpr blood vessel direct lower extremity (35226) $793.50 $1,587 1.2×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $697 $1,394 0.5×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $5,594 $11,188 0.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $555 $1,110 2.9×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $578 $1,156 2.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,283 $2,566 2.5×
Rpr Lip Full Thickness Vermilion Only (40650) $641.50 $1,283 1.2×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,283 $2,566 0.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,109.50 $4,219 0.7×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $3,864.50 $7,729 1.2×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $717.50 $1,435 1.2×
Sclerotx Fluid Collection (49185) $1,729.50 $3,459 1.1×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $175–$194 $350–$388 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $194 $388 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $194 $388 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $194 $388 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $194 $388 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $275.50 $551 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $168.50–$194 $337–$388 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $225 $450 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $194 $388 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $317 $634 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $194 $388 1.0×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,511 $3,022 0.5×
Sigmoidoscopy w/plcmt stent (45347)
unusually low: confirm this is the full procedure		 $2,683 $5,366 0.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,059 $2,118 1.2×
Simple Cystometrogram (51725) $377 $754 1.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $638 $1,276 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $268.50–$283.50 $537–$567 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $460 $920 2.4×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $733.50 $1,467 1.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $505.50 $1,011 2.6×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $843.50 $1,687 4.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $332–$401.50 $664–$803 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $817.50 $1,635 4.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $614.50 $1,229 3.2×
Skin Full Grft Face/Genit/Hf (15240) $2,564 $5,128 1.3×
Skin Pinch Graft (15050) $1,295.50 $2,591 1.8×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $2,707–$2,941.50 $5,414–$5,883 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $2,707–$2,941.50 $5,414–$5,883 varies
Skin sub grft t/arm/lg child (15273) $5,075 $10,150 2.6×
Skin Tissue Procedure (17999)
range across 3 matching MRF lines		 $514.50–$591.50 $1,029–$1,183 varies
Skn sub grft f/n/hf/g child (15277) $2,941.50 $5,883 1.5×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $4,408 $8,816 0.8×
Slctv cath carotid/innom art angio xtrcranl art (36222) $4,197 $8,394 1.4×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $7,599.50 $15,199 1.4×
Slitting of prepuce (54001) $2,448 $4,896 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $558.50–$674.50 $1,117–$1,349 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $675.50 $1,351 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $744 $1,488 1.9×
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $704.50–$1,291.50 $1,409–$2,583 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $4,703 $9,406 1.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,276 $4,552 1.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $4,523–$5,201.50 $9,046–$10,403 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $102.50–$319 $205–$638 varies
Strapping elbow or wrist (29260) $331 $662 5.9×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $158–$413.50 $316–$827 varies
Strapping Hip (29520) $120 $240 0.9×
Strapping knee (29530) $277 $554 2.2×
Strapping shoulder (29240) $160.50 $321 1.3×
Strapping thorax (29200) $145.50 $291 0.9×
Strapping toes (29550)
range across 2 matching MRF lines		 $270–$326.50 $540–$653 varies
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $226–$452 $452–$904 varies
Subcutaneous Injection Filling Matrl >10.0 Cc (11954) $553.50 $1,107 0.8×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $859 $1,718 1.2×
Suction Lipectomy Lwr Extrem (15879) $4,922.50 $9,845 1.5×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,572.50 $5,145 1.1×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure		 $3,149.50 $6,299 0.5×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $270–$310.50 $540–$621 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $47,011 $94,022 1.7×
Tcat Insj/Rpl Perm Ldls Pm (33274) $26,560.50 $53,121 1.4×
Tcat Rmvl Perm Ldls Pm (33275) $11,548.50 $23,097 3.8×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,247.50 $4,495 1.5×
Ther Apheresis,Red Blood Cells (36512) $2,110 $4,220 1.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,465 $2,930 2.2×
Therapeutic Apheresis White Blood Cells (36511) $2,110 $4,220 1.4×
Therapeutic plasma exchange (36514) $2,110 $4,220 1.4×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $4,147 $8,294 0.8×
Thrmbc/Nfs Dialysis Circuit (36906) $27,817.50 $55,635 1.6×
Thromblytic art/ven therapy (37213) $3,470 $6,940 1.1×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $2,470 $4,940 0.5×
Thrombolytic Therapy Stroke (37195) $1,458 $2,916 4.6×
Thrombolytic Venous Therapy (37212) $4,596 $9,192 1.5×
Thyroid biopsy (60100) $943 $1,886 1.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,919.50 $5,839 1.5×
Tooth extraction (41899) $1,873.50 $3,747 8.3×
Trabeculoplasty by laser surgery (65855) $962.50 $1,925 1.8×
Tracheobrnchsc Thru Est Trachs Inc (31615) $593 $1,186 1.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $963 $1,926 4.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $947.50 $1,895 0.6×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $256.50 $513 0.9×
Transcatheter biopsy (37200) $3,002.50 $6,005 0.6×
Transfusion Intrauterine Fetal (36460) $1,151 $2,302 2.7×
Treat ankle dislocation (27848) $3,945 $7,890 0.6×
Treat Dental Ridge Fracture (21440) $1,793.50 $3,587 0.6×
Treat dental ridge fracture (21445) $3,085 $6,170 0.5×
Treat Hand Bone Lesion (26034) $3,598 $7,196 2.3×
Treat Hip Socket Fracture (27222) $1,889 $3,778 8.0×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $246.50–$298.50 $493–$597 varies
Treat Humerus Fracture (24505) $729 $1,458 0.5×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $283–$342 $566–$684 varies
Treat knee fracture (27532) $1,512 $3,024 0.5×
Treat Knee Fracture(S) (27538) $348.50 $697 1.5×
Treat Knuckle Dislocation (26700) $271.50 $543 1.2×
Treat Metatarsal Fracture (28475) $240 $480 1.0×
Treat Tail Bone Fracture (27200) $142 $284 0.6×
Treat Thumb Dislocation (26641) $114 $228 0.5×
Treat Thumb Fracture (26645) $729 $1,458 0.5×
Treat toe dislocation (28630) $214.50 $429 0.9×
Treat Vaginal Bleeding (57180) $1,375.50 $2,751 7.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,472 $2,944 1.0×
Treatment closed elbow dislocation w/o anes (24600) $272.50 $545 1.2×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $122.50–$325 $245–$650 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $130–$199 $260–$398 varies
Trim skin lesions over 4 (11057) $325 $650 1.7×
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $82–$94.50 $164–$189 varies
Trluml Balo Angiop 1St Art (37246) $3,654 $7,308 0.7×
Trluml Balo Angiop 1St Vein (37248) $3,654 $7,308 0.7×
Trnsplj autologous hematopoietic cells per donor (38241) $2,467.50 $4,935 1.7×
Tx Gastro Intub W/Asp (43753) $156.50 $313 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,708 $3,416 0.6×
Tx Missed Abortion First Trimester Surgical (59820) $1,708 $3,416 0.6×
Tx Missed Abortion Second Trimester Surgical (59821) $1,708 $3,416 0.6×
Tx open tendon flexor toe 1 tendon spx (28232) $1,825 $3,650 1.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,861.50 $3,723 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $813 $1,626 1.2×
Tx superficial wound dehiscence w/packing (12021) $530.50 $1,061 1.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,379.50 $2,759 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $228.50 $457 1.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $3,803 $7,606 0.7×
Unlisted procedure anus (46999) $1,711 $3,422 1.9×
Unlisted Procedure Biliary Tract (47999) $2,039 $4,078 2.4×
Unlisted procedure breast (19499) $4,443.50 $8,887 1.2×
Unlisted procedure colon (45399) $1,331 $2,662 1.5×
Unlisted Procedure Endocrine System (60699) $4,850.50 $9,701 0.8×
Unlisted Procedure External Ear (69399) $268 $536 1.2×
Unlisted procedure femur or knee (27599) $2,909.50 $5,819 12.3×
Unlisted procedure foot or toes (28899) $1,069.50 $2,139 4.5×
Unlisted procedure forearm or wrist (25999) $345.50 $691 1.5×
Unlisted Procedure Hands/Fingers (26989) $180 $360 0.8×
Unlisted procedure humerus/elbow (24999) $357.50 $715 1.5×
Unlisted Procedure Intestine (44799) $1,210 $2,420 1.4×
Unlisted Procedure Leg/Ankle (27899) $399.50 $799 1.7×
Unlisted procedure lungs and pleura (32999) $1,032 $2,064 1.7×
Unlisted Procedure Male Genital System (55899) $220 $440 0.9×
Unlisted Procedure Muscskeletal System General (20999) $3,300 $6,600 14.0×
Unlisted procedure neck or thorax (21899) $322 $644 1.4×
Unlisted procedure nervous system (64999)
range across 7 matching MRF lines		 $380–$421.50 $760–$843 varies
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines		 $345.50–$383 $691–$766 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $268 $536 1.2×
Unlisted Procedure Rectum (45999) $1,249 $2,498 1.4×
Unlisted procedure shoulder (23929) $359.50 $719 1.5×
Unlisted procedure spine (22899) $3,300 $6,600 14.0×
Unlisted procedure stomach (43999)
range across 3 matching MRF lines		 $1,146–$1,245.50 $2,292–$2,491 varies
Unlisted Procedure Tongue Floor Mouth (41599) $268 $536 1.2×
Unlisted Procedure Trachea Bronchi (31899) $248 $496 1.3×
Unlisted Procedure Vascular Surgery (37799)
range across 6 matching MRF lines		 $388–$441 $776–$882 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $4,322.50 $8,645 5.0×
Unlisted procedure, orbit (67599) $384.50 $769 1.3×
Unlisted Procedure, Urinary System (53899) $409.50 $819 1.7×
Unlisted Px Salivary Glands/Ducts (42699) $2,465 $4,930 10.9×
Upgrade of pacemaker system (33214) $14,965.50 $29,931 1.5×
Vaginal delivery only (59409) $1,897.50 $3,795 0.6×
Vasc embolize/occlude artery (37242) $18,488.50 $36,977 1.1×
Vasc Embolize/Occlude Bleed (37244) $18,488.50 $36,977 1.7×
Vasc Embolize/Occlude Organ (37243) $18,488.50 $36,977 1.7×
Vasc embolize/occlude venous (37241) $18,488.50 $36,977 1.7×
Venous Mech Thrombectomy (37187) $6,709 $13,418 0.6×
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $195.50–$225 $391–$450 varies
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $1,060–$1,151.50 $2,120–$2,303 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $2,707–$2,941.50 $5,414–$5,883 varies
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $1,462 $2,924 1.0×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $2,889 $5,778 0.5×
Xtroral I&D Floor Masticator Space (41018) $1,847.50 $3,695 1.2×

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