Procedures & surgery prices at Sentara RMH Medical Center

Harrisonburg, VA · every code in this section with a posted price and a Medicare benchmark.

1133 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $991 $1,982 1.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $933 $1,866 1.1×
Abdomen Surgery Procedure (22999) $409.50 $819 1.7×
Ablate Pulm Tumor Perq Crybl (32994) $10,326.50 $20,653 1.0×
Ablation 1/> liver tumor perq cryoablation (47383) $10,440 $20,880 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $7,619 $15,238 0.4×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $9,457.50 $18,915 1.3×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,484 $2,968 1.0×
Acne surgery (10040) $186 $372 1.0×
Adding Walker Previously Applied Cast (29440) $156.50 $313 1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,383 $4,766 1.2×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,186 $6,372 1.6×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,880 $3,760 0.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,740.50 $5,481 1.4×
Amniocentesis diagnostic (59000) $1,715.50 $3,431 1.9×
Amniocentesis therapeutic (59001) $1,974 $3,948 6.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,563 $5,126 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,269 $4,538 0.7×
Amputation toe interphalangeal joint (28825) $3,922 $7,844 1.2×
Amputation toe metatarsophalangeal joint (28820) $3,922 $7,844 1.2×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $445.50 $891 1.5×
Anoscopy Ablation Lesion (46615) $2,514 $5,028 0.9×
Anoscopy Control Bleeding (46614) $516 $1,032 0.4×
Anoscopy diagnostic (46600) $155 $310 1.2×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $516 $1,032 0.4×
Anoscopy W/Rmvl Foreign Body (46608) $1,304.50 $2,609 1.4×
Anoscopy; with biopsy, single or multiple (46606) $2,514 $5,028 2.2×
Apheresis Platelets (36513) $2,929.50 $5,859 6.8×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $156.50 $313 1.0×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $343 $686 1.3×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $257 $514 1.6×
Application Body Cast Shoulder Hips (29035) $343 $686 1.3×
Application Body Cast Shoulder Hips Both Thighs (29046) $343 $686 1.3×
Application cast elbow finger short arm (29075) $351.50 $703 1.3×
Application Cast Shoulder Spica (29055) $343 $686 1.3×
Application Finger Splint Dynamic (29131) $342 $684 5.9×
Application finger splint static (29130) $342 $684 2.6×
Application Halo Type Body Cast (29000) $156.50 $313 0.6×
Application Hip Spica Cast 1 Leg (29305) $343 $686 1.3×
Application long arm splint shoulder hand (29105) $171.50 $343 1.1×
Application Long Leg Cast Brace (29358) $343 $686 1.3×
Application Long Leg Splint (29505) $216 $432 1.4×
Application of body cast, shoulder to hips; including 1 thigh Facility (29044) $343 $686 2.2×
Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) $156.50 $313 0.6×
Application of long leg cast (29345) $343 $686 1.3×
Application of rigid total contact leg cast (29445) $489 $978 1.8×
Application of Risser jacket, localizer, body; including head Facility (29015) $343 $686 1.3×
Application Patellar Tendon Bearing Cast (29435) $343 $686 1.3×
Application risser jacket localizer body only (29010) $343 $686 1.3×
Application Short Arm Splint Dynamic (29126) $342 $684 2.6×
Application short arm splint forearm-hand static (29125) $297 $594 2.3×
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $175–$219 $350–$438 varies
Application, cast; figure-of-eight Facility (29049) $156.50 $313 0.6×
Apply hand/wrist cast (29085) $185.50 $371 1.2×
Apply long arm cast (29065) $188.50 $377 0.7×
Apply Multlay Comprs Lwr Leg (29581)
range across 5 matching MRF lines		 $279.50–$559 $559–$1,118 varies
Apply Short Leg Cast (29405) $395 $790 1.4×
Apply short leg cast (29425) $259.50 $519 1.0×
Apply shoulder cast,plastr velpeau (29058) $156.50 $313 0.6×
Arterial puncture (36600) $60 $120 0.5×
Arteriovenous Anastomosis Open Direct (36821) $4,286.50 $8,573 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $254.50 $509 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $647.50 $1,295 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $268 $536 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $562 $1,124 1.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $232 $464 0.8×
Arthrodesis Glenohumeral Joint (23800)
unusually low: confirm this is the full procedure		 $3,367.50 $6,735 0.5×
Arthroscopy Elbow Surgical Debridement Limited (29837) $3,625 $7,250 1.1×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $3,867.50 $7,735 2.5×
Aspirate pleura w/ imaging (32555) $2,209 $4,418 3.6×
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $1,046.50–$1,213 $2,093–$2,426 varies
Aspirate/Inj Ganglion Cyst (20612) $282.50 $565 0.9×
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines		 $876–$1,007 $1,752–$2,014 varies
Aspiration bladder insert suprapubic catheter (51102) $3,494 $6,988 1.7×
Av Fistula Revision Open (36832) $3,417.50 $6,835 0.6×
Avulsion nail plate partial/complete simple 1 (11730) $213 $426 1.1×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $8,362.50 $16,725 1.3×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure		 $2,504.50 $5,009 0.2×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $2,504.50 $5,009 0.2×
Biliary ndsc prq t-tube w/bx single/multiple (47553)
likely a partial charge, not the full procedure		 $1,702 $3,404 0.3×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure		 $1,702 $3,404 0.3×
Biopsy Abdominal Mass (49180) $1,092.50 $2,185 0.7×
Biopsy bone open superficial (20240) $2,341.50 $4,683 0.8×
Biopsy bone trocar/needle deep (20225) $2,773 $5,546 1.7×
Biopsy Bone Trocar/Needle Superficial (20220) $2,773 $5,546 1.7×
Biopsy External Auditory Canal (69105) $1,766 $3,532 1.2×
Biopsy external ear (69100) $246 $492 1.1×
Biopsy muscle percutaneous needle (20206) $1,085 $2,170 0.7×
Biopsy of breast; open, incisional (19101) $4,745.50 $9,491 1.2×
Biopsy of floor of mouth (41108) $2,374.50 $4,749 1.5×
Biopsy of lip (40490) $236.50 $473 1.0×
Biopsy of liver, needle; percutaneous (47000) $1,092.50 $2,185 0.7×
Biopsy of palate, uvula (42100)
range across 2 matching MRF lines		 $1,023–$1,099.50 $2,046–$2,199 varies
Biopsy of penis (54100) $2,027.50 $4,055 1.3×
Biopsy of rectum (45100) $1,789 $3,578 0.7×
Biopsy Oropharynx (42800) $2,283.50 $4,567 1.5×
Biopsy Pleura Percutaneous Needle (32400) $1,079.50 $2,159 0.7×
Biopsy Salivary Gland Needle (42400) $417.50 $835 0.6×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,158.50 $2,317 0.7×
Biopsy soft tissue leg/ankle area superficial (27613) $2,379.50 $4,759 1.5×
Biopsy soft tissue neck/thorax (21550) $1,909 $3,818 1.2×
Biopsy Soft Tissue Shoulder Superficial (23065) $2,379.50 $4,759 1.5×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $2,376 $4,752 0.8×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,460 $2,920 0.9×
Biopsy Spinal Cord Percutaneous Needle (62269) $1,036.50 $2,073 0.6×
Biopsy Tongue Anterior Two-Thirds (41100)
range across 2 matching MRF lines		 $748–$804 $1,496–$1,608 varies
Biopsy Vaginal Mucosa Simple (57100) $828.50 $1,657 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $963–$1,107.50 $1,926–$2,215 varies
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $541–$581.50 $1,082–$1,163 varies
Bladder instillation anticarcinogenic agent (51720) $807.50 $1,615 1.2×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $366.50–$394 $733–$788 varies
Bladder Scan (51798) $79 $158 1.4×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $2,999 $5,998 2.0×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $522–$600.50 $1,044–$1,201 varies
Blood Transfusion Service (36430) $1,084.50 $2,169 2.5×
Blood/Lymph System Procedure (38999) $696 $1,392 1.6×
Bone Marrow Biopsy (38221) $1,165.50 $2,331 0.7×
Bone Marrow; Aspiration Only (38220) $1,166 $2,332 0.7×
Brnchsc Brushing/Protected Brushings (31623) $1,745 $3,490 1.0×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,500 $5,000 0.7×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $2,500 $5,000 0.7×
Bronchoscopy W/Biopsy(S) (31625) $1,745 $3,490 1.0×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $6,633 $13,266 1.0×
Bronchoscopy W/Removal Foreign Body (31635) $1,284 $2,568 0.7×
Bronchoscopy/Needle Bx Each (31629) $3,580.50 $7,161 1.0×
Bx breast 1st lesion mr imag (19085) $1,737.50 $3,475 1.1×
Bx breast 1st lesion strtctc (19081) $1,737.50 $3,475 1.1×
Bx breast 1st lesion us imag (19083) $1,510.50 $3,021 0.9×
Bx breast needle core w/o imaging guidance spx (19100) $1,545 $3,090 1.0×
Bx Cervix (57500) $1,556.50 $3,113 1.7×
Bx prostate strtctc saturation sampling img gid (55706) $4,825 $9,650 1.4×
Bx/exc lymph node open superficial (38500) $1,759.50 $3,519 0.5×
Canthotomy Separate Procedure (67715) $2,571 $5,142 1.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,523.50 $3,047 0.5×
Catheter aspiration nasotracheal spx (31720) $250 $500 1.2×
Cautery Cervix Electro/Thermal (57510) $4,426.50 $8,853 1.4×
Cerclage cervix pregnancy vaginal (59320) $2,186 $4,372 0.7×
Cessj Therapy Cath Removal (37214) $4,418 $8,836 1.4×
Change Cystostomy Tube Complicated (51710) $1,427.50 $2,855 2.1×
Change Cystostomy Tube Simple (51705) $472.50 $945 1.9×
Change of Windpipe Airway (31502) $275.50 $551 1.2×
Change ureter stent percut (50382) $3,274 $6,548 1.6×
Chemical Cautery Tissue (17250) $246.50 $493 1.3×
Chemical Pleurodesis (32560) $2,637.50 $5,275 4.3×
Chemodenerv 1 extrem 5/> mus (64644) $1,112.50 $2,225 1.6×
Chemodenerv 1 extremity 1-4 (64642) $886 $1,772 1.3×
Chemodenerv Musc Migraine (64615) $562 $1,124 1.9×
Chemodenerv musc neck dyston (64616) $410.50 $821 1.4×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $471 $942 1.6×
Chemodenerv trunk musc 1-5 (64646) $1,071.50 $2,143 1.6×
Chemodenerv trunk musc 6/> (64647) $1,457 $2,914 2.1×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $867 $1,734 1.3×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $262.50 $525 0.9×
Chest tube placement (32551) $1,213 $2,426 0.8×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $958 $1,916 0.5×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,884.50 $7,769 1.1×
Ciliary body dstrj cyclophotocoag transsceral (66710) $1,108 $2,216 0.5×
Circumcision 28 days or older (54161) $1,495.50 $2,991 0.7×
Circumcision Neonate (54160) $1,270.50 $2,541 1.9×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $1,412–$1,623.50 $2,824–$3,247 varies
Cl Tx Scapular Fx; W Manip (23575) $1,278.50 $2,557 0.8×
Cl Tx Tib Shft Fx W Manip (27752) $741 $1,482 0.5×
Clear outer ear canal (69200) $206.50 $413 1.6×
Closed Treat Vert Body Fract (22310) $510 $1,020 2.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $268.50 $537 1.1×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,397 $4,794 1.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $406.50 $813 1.7×
Closed Treatment Sesamoid Fracture (28530) $416.50 $833 1.7×
Closed Treatment Ulnar Styloid Fracture (25650) $336.50 $673 1.4×
Closed tx ankle dislocation w/o anesthesia (27840) $409 $818 1.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $783.50 $1,567 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $336.50 $673 1.4×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $529 $1,058 2.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $106.50 $213 0.4×
Closed tx carpal scaphoid fracture w/manj (25624) $1,264 $2,528 0.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $336.50 $673 1.4×
Closed tx femoral fracture prox head w/o manj (27267) $4,760 $9,520 1.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $432 $864 1.8×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,427 $2,854 0.9×
Closed tx knee dislocation w/o anesthesia (27550) $245.50 $491 1.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $741 $1,482 0.5×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $375 $750 0.7×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $5,007 $10,014 0.9×
Closed tx metatarsal fracture w/o manipulation (28470) $271.50 $543 1.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $741 $1,482 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,171 $4,342 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,781 $5,562 0.9×
Closed tx patellar dislocation w/o anesthesia (27560) $440.50 $881 1.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $106.50 $213 0.4×
Closed tx radial head/neck fx w/manipulation (24655) $783.50 $1,567 0.5×
Closed tx radial head/neck fx w/o manipulation (24650) $106.50 $213 0.4×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $734.50–$741 $1,469–$1,482 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $185 $370 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,349.50 $4,699 1.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $374.50 $749 1.6×
Closed Tx Scapular Fracture W/O Manipulation (23570) $106.50 $213 0.4×
Closed tx septal&nose fx (21337) $1,875.50 $3,751 0.6×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $729.50 $1,459 3.0×
Closed tx talotarsal joint dislc w/o anes (28570) $352.50 $705 1.5×
Closed Tx Talus Fracture W/Manipulation (28435) $783.50 $1,567 0.5×
Closed tx talus fracture w/o manipulation (28430) $106.50 $213 0.4×
Closed tx tarsometatarsal dislocation w/o anes (28600) $416 $832 1.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $351 $702 1.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $783.50 $1,567 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $185 $370 0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $106.50 $213 0.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $360 $720 1.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,665 $3,330 3.2×
Clsd tx acromioclavicular dislc w/manipulation (23545) $372.50 $745 1.5×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $367.50 $735 1.5×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $741 $1,482 0.5×
Clsd tx clavicular fracture w/o manipulation (23500) $106.50 $213 0.4×
Clsd tx fx orbit except blowout w/o manipulation (21400) $833 $1,666 1.6×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $185 $370 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,434.50 $2,869 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $329–$353.50 $658–$707 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $106 $212 0.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,360 $4,720 1.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $783.50 $1,567 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $336.50 $673 1.4×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $741 $1,482 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $106.50 $213 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $252.50 $505 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $409 $818 1.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $336.50 $673 1.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $374.50 $749 1.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $374.50 $749 1.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $440.50 $881 1.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,049 $2,098 0.7×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,464.50 $4,929 1.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,164.50 $2,329 0.7×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $374.50 $749 1.6×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $434.50 $869 0.3×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $406.50 $813 1.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $737 $1,474 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $372.50 $745 1.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $106.50 $213 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $353.50 $707 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $300 $600 1.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $741 $1,482 0.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $349.50 $699 1.5×
Cltx greater humeral tuberosity fx w/o manj (23620) $106.50 $213 0.4×
Cltx Greater Trochanteric Fx W/O Manj (27246) $701.50 $1,403 2.9×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,294 $2,588 0.8×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,661.50–$1,910.50 $3,323–$3,821 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $197 $394 0.8×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $374.50 $749 1.6×
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,349.50 $4,699 1.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $783.50 $1,567 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $241 $482 1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,093.50 $4,187 1.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $713.50 $1,427 2.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $332.50 $665 1.4×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,082 $4,164 1.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $2,224 $4,448 8.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $336.50 $673 1.4×
Cltx Med Ankle Fx W/Mnpj (27762) $741 $1,482 0.5×
Cltx Medial Ankle Fx (27760) $336.50 $673 1.4×
Cltx metacarpal fx w/manipulation each bone (26605) $409 $818 1.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $198.50 $397 0.8×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,854 $3,708 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $288 $576 1.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $262.50 $525 1.1×
Cltx post hip arthrp dislc req anes (27266) $1,808.50 $3,617 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $427.50 $855 1.8×
Cltx prox fibula/shft fx w/manj (27781) $741 $1,482 0.5×
Cltx prox fibula/shft fx w/o manj (27780) $106.50 $213 0.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $741 $1,482 0.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $185 $370 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $440.50 $881 1.8×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $779.50 $1,559 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $741 $1,482 0.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $741 $1,482 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $783.50 $1,567 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $106.50 $213 0.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,384 $4,768 1.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $912.50 $1,825 3.8×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $4,130 $8,260 1.3×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $245.50 $491 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $106.50 $213 0.4×
Cltx tibial shaft fx w/o manipulation (27750) $336.50 $673 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,166.50 $2,333 0.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $245.50 $491 1.0×
Collect Blood From Catheter Venous Nos (36592) $74 $148 0.6×
Collection of venous blood by venipuncture (36415) $17.50 $35 1.9×
Colporrhaphy (57200) $1,776 $3,552 0.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $449.50 $899 1.5×
Complex Cystometrogram (51726) $507.50 $1,015 2.1×
Complex drainage wound (10180) $4,783.50 $9,567 1.7×
Control Nasal Hemorrhage Anterior Complex (30903) $468 $936 3.6×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $405.50–$436 $811–$872 varies
Control oropharyngeal hemorrhage simple (42960) $889 $1,778 1.7×
Conversion ext bil drg cath (47535) $3,931 $7,862 1.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,909 $3,818 1.0×
Convert Nephrostomy Catheter (50434) $2,463.50 $4,927 1.2×
Cordocentesis (59012) $1,029.50 $2,059 3.5×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,824 $3,648 1.1×
Cornea Scraping Diagnostic Smear &/Culture (65430) $399.50 $799 0.9×
Correction hammertoe (28285) $1,523.50 $3,047 0.5×
Create Eardrum Opening (69433)
range across 2 matching MRF lines		 $711.50–$765 $1,423–$1,530 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $401 $802 3.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $255.50 $511 1.1×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $4,349 $8,698 1.3×
Curettage postpartum (59160) $2,725.50 $5,451 0.9×
Cysto Bladder W/Ureteral Catheterization (52005) $1,743 $3,486 0.9×
Cysto calibration dilat urtl strix/stenosis (52281) $1,683.50 $3,367 0.8×
Cysto w/insert ureteral stent (52332) $3,709.50 $7,419 1.1×
Cysto w/irrig & evac multple obstructing clots (52001) $1,743 $3,486 0.5×
Cysto w/removal of lesions small (52224) $1,526.50 $3,053 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $1,743 $3,486 0.9×
Cysto w/ureter stricture tx (52341) $2,785.50 $5,571 0.8×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $1,743 $3,486 0.5×
Cystometrogram W/Vp (51728) $550.50 $1,101 0.8×
Cystourethroscopy (52000) $1,262 $2,524 1.9×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $3,394.50 $6,789 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $331 $662 0.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,494 $4,988 0.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,149.50 $2,299 1.7×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,149.50 $2,299 1.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $664.50 $1,329 0.9×
Debride nail 1-5 (11720) $88.50 $177 1.5×
Debride nail 6 or more (11721) $88.50 $177 1.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,265 $4,530 1.4×
Debridement Mastoidectomy Cavity Simple (69220) $214 $428 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $649 $1,298 1.6×
Declot vascular device (36593) $488 $976 1.5×
Delay Flap/Sectioning Flap Trunk (15600) $4,884 $9,768 1.4×
Delivery of placenta (59414) $1,460.50 $2,921 0.5×
Destr W Neurolytic; Celiac Plexus (64680) $753 $1,506 0.9×
Destroy cerv/thor facet jnt (64633) $1,677.50 $3,355 0.9×
Destroy lumb/sac facet jnt (64635) $2,844 $5,688 1.5×
Destruct B9 Lesion 1-14 (17110) $119 $238 0.6×
Destruction Benign Lesions 15/> (17111) $271.50 $543 1.4×
Destruction by neurolytic agent, intercostal nerve (64620) $753 $1,506 0.9×
Destruction by neurolytic agent; plantar common digital nerve (64632) $158 $316 0.5×
Destruction by neurolytic agent; pudendal nerve (64630) $750 $1,500 0.9×
Destruction Internal Hemorrhoid Thermal Energy (46930) $551.50 $1,103 0.5×
Destruction Lesions Vulva Simple (56501) $3,028 $6,056 1.5×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $322.50 $645 1.6×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $371 $742 1.9×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $444 $888 1.1×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $261 $522 1.3×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $318 $636 1.6×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $345.50 $691 1.8×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $371.50 $743 0.9×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $371.50 $743 0.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $256 $512 1.3×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $295.50 $591 1.5×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $338 $676 1.7×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $377.50 $755 1.0×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $256 $512 1.3×
Destruction neurolytic agt genicular nerve w/img (64624) $2,980 $5,960 1.6×
Destruction Premalignant Lesion 15/> (17004) $273 $546 0.7×
Destruction premalignant lesion 1st (17000) $106.50 $213 0.5×
Diagnostic sigmoidoscopy (45330) $839 $1,678 0.9×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $280 $560 2.2×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $132 $264 1.0×
Dilat Urethral Strix Dilator Male Sbsq (53601) $226.50 $453 1.7×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $200.50 $401 0.8×
Dilat Xst Trc New Access Rcs (50437) $3,883.50 $7,767 1.1×
Dilate Urethra Stricture (53620) $1,134.50 $2,269 1.7×
Dilate Urethra Stricture (53600) $438.50 $877 1.8×
Dilation & curettage dx&/ther nonobstetric (58120) $2,186 $4,372 0.7×
Dilation Salivary Duct (42650) $967 $1,934 0.6×
Drain ant chmbr,remv vitreous (65810) $2,081.50 $4,163 0.9×
Drain Cerebro Spinal Fluid (62272) $603 $1,206 0.9×
Drain Hand Tendon Sheath (26020) $4,933 $9,866 1.5×
Drain Spinal Cord Cyst (62268) $821 $1,642 1.0×
Drain/inj small joint/bursa w/us (20604) $647.50 $1,295 2.2×
Drainage abscess parotid simple (42300) $1,906 $3,812 1.3×
Drainage Abscess/Hematoma Nasal Septum (30020) $382 $764 0.7×
Drainage external auditory canal abscess (69020) $497 $994 0.7×
Drainage external ear abscess/hematoma cmplx (69005) $1,437 $2,874 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $497 $994 0.7×
Drainage Finger Abscess Complicated (26011) $1,631.50 $3,263 1.0×
Drainage Mouth Roof Lesion (42000) $375 $750 1.6×
Drainage of eye (65800) $1,201 $2,402 0.5×
Drainage of finger abscess simple (26010) $394 $788 2.0×
Drainage of gum lesion (41800) $351 $702 2.7×
Drainage of hematoma/fluid (10140) $1,757 $3,514 1.1×
Drainage of hydrocele (55000) $1,057.50 $2,115 1.5×
Drainage of mouth lesion (41017) $1,699.50 $3,399 0.5×
Drainage of nose lesion (30000) $382 $764 1.7×
Drainage of rectal abscess (45005) $559.50 $1,119 0.5×
Drainage of scrotal wall abscess (55100) $1,775 $3,550 1.1×
Drainage of scrotum (54700) $1,940.50 $3,881 1.0×
Drainage of skene's gland abscess or cyst (53060) $1,979 $3,958 1.0×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $3,532 $7,064 1.1×
Draw Blood Off Venous Device (36591) $103.50 $207 0.8×
Dressing Change Under Anesthesia (15852) $862 $1,724 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,173.50 $2,347 2.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $360 $720 0.5×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $766.50 $1,533 1.5×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $1,393 $2,786 0.5×
Drg privesical/prevesical space absc (51080) $1,385.50 $2,771 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $639.50 $1,279 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $349.50 $699 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $349.50 $699 1.8×
Dstrj lesion anus simple cryosurgery (46916) $419 $838 2.1×
Dstrj lesion anus simple surg excision (46922) $1,315 $2,630 0.5×
Dstrj Lesion Penis Simple Chemical (54050) $325.50 $651 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $275.50 $551 1.4×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $3,036.50 $6,073 1.5×
Dstrj lesion penis simple surg excision (54060) $883.50 $1,767 0.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $753 $1,506 0.9×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,770.50 $3,541 2.1×
Dx Bone Marrow Bx & Aspir (38222) $3,118 $6,236 1.1×
Dx Bronchoscope/Lavage (31624) $1,745 $3,490 1.0×
Dx Bronchoscope/Wash (31622) $1,745 $3,490 1.0×
Dx Laryngoscopy Excl Nb (31525) $1,088 $2,176 0.6×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,811 $3,622 2.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $942.50 $1,885 0.5×
Egd Flexible Foreign Body Removal (43247) $1,140 $2,280 1.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $445.50 $891 1.5×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $465.50 $931 1.6×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $394.50 $789 1.3×
Electro-Uroflowmetry First (51741) $74.50 $149 0.4×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $239–$274.50 $478–$549 varies
Endoscopy of ureter (50953) $3,652.50 $7,305 1.1×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $13,483.50 $26,967 1.2×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $3,379.50 $6,759 1.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $4,836 $9,672 1.6×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $3,431 $6,862 1.1×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,186.50 $2,373 0.6×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,999.50 $3,999 1.1×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $2,798.50 $5,597 1.4×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,798.50 $5,597 1.4×
Epidural Blood Patch (62273) $705 $1,410 1.0×
Epidural lysis mult sessions (62263) $825.50 $1,651 1.0×
Episiotomy or vaginal repair (59300) $4,330 $8,660 1.4×
Ercp W/Biopsy Single/Multiple (43261) $4,233.50 $8,467 1.1×
Esc i p ulcer w ostect & flap (15946) $4,910 $9,820 2.4×
Escharotomy; initial incision (16035) $339.50 $679 0.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,140 $2,280 0.6×
Evacuation of subungual hematoma (11740) $146.50 $293 1.1×
Exc arm/elbow les sc < 3 cm (24075) $891.50 $1,783 0.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $728.50 $1,457 1.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $2,190.50–$2,343.50 $4,381–$4,687 varies
Exc Back Les Sc < 3 Cm (21930) $1,236 $2,472 0.8×
Exc back tum deep < 5 cm (21932) $1,315 $2,630 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $906.50 $1,813 1.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $906.50 $1,813 1.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,854 $3,708 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,149.50 $2,299 1.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,149.50 $2,299 1.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,916 $3,832 2.8×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,916.50 $3,833 1.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $2,343.50–$2,489 $4,687–$4,978 varies
Exc Forearm Les Sc 3 Cm/> (25071) $1,359.50 $2,719 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,343.50 $4,687 1.5×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,916 $3,832 2.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,937.50 $3,875 1.2×
Exc Hand Les Sc < 1.5 Cm (26115) $4,072.50 $8,145 2.5×
Exc hand tum deep < 1.5 cm (26116) $961 $1,922 0.6×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,607 $5,214 1.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $1,782.50–$1,916 $3,565–$3,832 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,475 $2,950 0.9×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,221.50 $6,443 1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,475 $2,950 0.9×
Exc Skin Benig >4cm Face,Facial (11446) $2,449 $4,898 0.9×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,510.50 $5,021 1.6×
Exc Skin Malig >4 Cm Remaindr Body (11626) $4,339 $8,678 1.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,510.50 $5,021 1.6×
Exc thigh/knee les sc 3 cm/> (27337) $1,322 $2,644 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $578.50 $1,157 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $551–$633.50 $1,102–$1,267 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,149.50 $2,299 1.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,475 $2,950 0.9×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,322 $2,644 0.5×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $2,310.50 $4,621 1.4×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,322 $2,644 0.5×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $4,348.50 $8,697 1.5×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $1,322 $2,644 0.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $4,464.50 $8,929 1.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $798 $1,596 0.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,236 $2,472 0.8×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $818.50 $1,637 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $767.50 $1,535 0.5×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $1,315 $2,630 0.5×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $4,012.50 $8,025 1.4×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,931 $7,862 1.1×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,611 $3,222 0.8×
Exchange Transfusion Blood Newborn (36450) $746.50 $1,493 1.7×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,813 $7,626 2.0×
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) $1,236 $2,472 1.8×
Excision Chalazion Single (67800) $514 $1,028 1.7×
Excision H/P/P/U Simple/Intermediate Repair (11470) $4,339 $8,678 1.5×
Excision Lesion Conjunctiva </1 Cm (68110) $1,266.50 $2,533 0.5×
Excision lesion mouth roof (42104) $3,367.50 $6,735 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,057.50 $2,115 1.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,112.50 $2,225 1.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $930–$1,364.50 $1,860–$2,729 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,298 $2,596 1.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $906.50 $1,813 1.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,475 $2,950 0.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,757 $5,514 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,510.50 $5,021 1.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $2,510.50 $5,021 3.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,510.50 $5,021 3.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,510.50 $5,021 1.6×
Excision Multiple External Papillae/Tags Anus (46230) $1,315 $2,630 0.5×
Excision of chalazion; multiple, different lids (67805) $1,250.50 $2,501 4.0×
Excision of pilonidal cyst or sinus; simple (11770) $3,042 $6,084 1.1×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $554.50–$559.50 $1,109–$1,119 varies
Excision of vaginal septum (57130) $4,004 $8,008 1.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,212 $8,424 1.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,359.50 $2,719 0.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $767.50 $1,535 0.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,503.50 $5,007 1.6×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $835 $1,670 0.5×
Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) $4,884 $9,768 1.4×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $4,884 $9,768 2.4×
Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) $4,884 $9,768 1.4×
Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) $4,884 $9,768 1.4×
Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) $4,884 $9,768 2.4×
Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) $4,884 $9,768 1.4×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $4,488 $8,976 1.6×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $767.50 $1,535 0.5×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $3,638 $7,276 1.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $4,012.50 $8,025 1.4×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $853 $1,706 0.5×
Expl penetrating wound spx abdomen/flank/back (20102) $2,609 $5,218 1.3×
Explo/Drain Breast Abscess (19020) $1,757 $3,514 1.1×
Exploration penetrating wound spx chest (20101) $2,427.50 $4,855 1.2×
Exploration penetrating wound spx extremity (20103) $775 $1,550 0.5×
Exploration Penetrating Wound Spx Neck (20100) $450 $900 0.9×
Exploratory elbow surgery (24000) $3,462 $6,924 1.1×
External cephalic version (59412) $2,026 $4,052 0.6×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,835 $5,670 1.3×
Fetal Contraction Stress Test (59020) $271.50 $543 1.4×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $247 $494 0.8×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $196–$203.50 $392–$407 varies
Fetal Scalp Blood Sampling (59030) $218 $436 0.7×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $247 $494 0.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,119 $2,238 1.6×
Fine needle aspiration without imaging guidance (10021) $227.50 $455 0.6×
Fluid Pressure Muscle (20950) $339.50 $679 0.5×
Fluoro exam of g/colon tube (49465) $251 $502 1.1×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,017.50 $2,035 1.5×
Fna bx w/us gdn 1st les (10005) $924 $1,848 1.3×
Foreskin manipulation (54450) $725 $1,450 3.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,798.50 $5,597 1.4×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,798.50 $5,597 1.4×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $2,798.50 $5,597 1.4×
Guide Cathet Fluid Drainage (10030) $2,170.50 $4,341 3.1×
Head Surgery Procedure (21499) $2,902 $5,804 12.6×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,067 $4,134 0.8×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $489.50 $979 0.5×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $4,062.50 $8,125 1.5×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $2,721 $5,442 0.8×
I&d abscess peritonsillar (42700) $328.50 $657 1.4×
I&d abscess simple (10060) $398 $796 2.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,393 $2,786 0.5×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,393 $2,786 0.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $4,786.50 $9,573 1.5×
I&D Intramural Im/Absc Transanal Anes (46045) $1,936.50 $3,873 0.7×
I&D Mouth/Tong Intra,Masticator (41009) $382 $764 0.7×
I&d perianal abscess superficial (46050) $603 $1,206 0.7×
I&d pilonidal cyst complicated (10081) $834 $1,668 1.2×
I&d pilonidal cyst simple (10080) $496 $992 0.7×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,393 $2,786 0.5×
Icd Pocket Revision (33223) $1,980.50 $3,961 1.0×
Image Cath Fluid Colxn Visc (49405) $2,242 $4,484 1.4×
Image Cath Fluid Peri/Retro (49406) $3,023 $6,046 1.9×
Image Cath Fluid Trns/Vgnl (49407) $2,174.50 $4,349 1.3×
Implant neuroelectrodes (63650) $3,988 $7,976 0.6×
Implant Neuroelectrodes (64561) $10,666 $21,332 1.7×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
unusually low: confirm this is the full procedure		 $3,373.50 $6,747 0.4×
Incise external hemorrhoid (46083) $598 $1,196 2.5×
Incise finger tendon sheath (26055) $1,010.50 $2,021 0.6×
Incision & drainage abscess complicated/multiple (10061) $394 $788 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $4,019 $8,038 1.4×
Incision & removal foreign body subq tiss compl (10121) $1,475 $2,950 0.9×
Incision & removal foreign body subq tiss simple (10120) $398 $796 1.0×
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $408–$469 $816–$938 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $1,444.50 $2,889 0.5×
Incision and drainage of vulva or perineal abscess (56405) $548 $1,096 1.8×
Incision of Foot Tendon (28234) $756.50 $1,513 0.5×
Incision of lingual frenum (frenotomy) (41010) $710.50 $1,421 0.5×
Incision of rectal abscess (46040) $2,302 $4,604 2.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,385.50 $2,771 0.9×
Incisional biopsy skin single lesion (11106) $404 $808 0.6×
Initial Tx 1st Degree Burn Local Tx (16000) $227.50 $455 1.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,331 $2,662 1.5×
Inj W/Fluor Eval Cv Device (36598) $106.50 $213 0.5×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,203 $2,406 1.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $753 $1,506 0.9×
Inject Intravitreal Pharmcologic (67028) $807 $1,614 2.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $399.50 $799 1.3×
Injection aa&/strd axillary nerve w/img gdn (64417) $708.50 $1,417 0.8×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,367.50 $2,735 1.6×
Injection aa&/strd genicular nrv branches w/img (64454) $1,084 $2,168 1.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,408 $2,816 1.6×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $1,383.50 $2,767 1.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,083.50 $2,167 1.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $685 $1,370 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $532.50 $1,065 1.8×
Injection Anes Superior Hypogastric Plexus (64517) $1,375.50 $2,751 1.6×
Injection anesthetic agent suprascapular nerve (64418) $753 $1,506 1.1×
Injection enzyme palmar fascial cord (20527) $155 $310 0.5×
Injection for identification of sentinel node (38792) $425 $850 1.1×
Injection Into Brain Canal (61055) $825.50 $1,651 2.8×
Injection of sclerosing solution, hemorrhoids (46500) $1,339.50 $2,679 1.5×
Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205)
unusually low: confirm this is the full procedure		 $2,394 $4,788 0.5×
Injection single tendon origin/insertion (20551) $227 $454 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $234 $468 0.8×
Injection single/mlt trigger point 3/> muscles (20553) $245.50 $491 0.8×
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,128 $2,256 0.7×
Injection therapeutic carpal tunnel (20526) $282.50 $565 0.9×
Injection, anesthetic agent; brachial plexus, single (64415) $473 $946 0.5×
Injection, anesthetic agent; femoral nerve, single (64447) $357 $714 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $602 $1,204 0.9×
Injection, Intralesional; More Than 7 Lesions (11901) $327 $654 1.7×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $181–$208.50 $362–$417 varies
Injx Anterior Chamber Eye Medication Spx (66030) $1,556.50 $3,113 0.7×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,237 $2,474 1.4×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $1,182 $2,364 1.4×
Ins cath ren art 1st bilat (36252) $4,866.50 $9,733 1.6×
Ins cath ren art 1st unilat (36251) $5,588 $11,176 1.8×
Ins cath ren art 2nd+ bilat (36254) $5,588 $11,176 1.8×
Ins cath ren art 2nd+ unilat (36253) $5,588 $11,176 1.0×
Ins endovas vena cava filtr (37191) $7,944.50 $15,889 1.5×
Ins Vag Brachytx Device (57156) $622.50 $1,245 2.1×
Ins/Rep Subq Defibrillator (33270) $55,228 $110,456 1.8×
Insert 1 Electrode Pm-Defib (33216) $4,153.50 $8,307 0.5×
Insert and remove bone pin (20650) $2,400.50 $4,801 0.8×
Insert Bladder Cath Complex (51703) $497.50 $995 4.0×
Insert cath pleura w/ image (32557) $2,209 $4,418 1.4×
Insert cath pleura w/o image (32556) $1,213 $2,426 0.6×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $3,078.50 $6,157 2.6×
Insert cervical dilator (59200) $625 $1,250 2.1×
Insert Drug Implant Device (11981)
range across 3 matching MRF lines		 $859–$988 $1,718–$1,976 varies
Insert Gastrostomy Tube Percutaneous (49440) $1,909 $3,818 1.0×
Insert Heart Pm Atrial (33206) $12,824 $25,648 1.3×
Insert Heart Pm Ventricular (33207) $12,824 $25,648 1.3×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $3,117.50 $6,235 0.2×
Insert non-tunnel cv cath (36556) $2,303.50 $4,607 0.7×
Insert Pacing Lead & Connect (33224) $5,255.50 $10,511 0.5×
Insert pessary/other device (57160) $223 $446 1.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,019.50 $4,039 1.3×
Insert pulse gen dual leads (33213) $7,380 $14,760 0.7×
Insert pulse gen mult leads (33221) $14,411.50 $28,823 0.8×
Insert Pulse Gen Sngl Lead (33212) $7,689.50 $15,379 1.0×
Insert spine infusion device (62360) $9,248 $18,496 0.5×
Insert Temp Bladder Cath (51702) $368 $736 2.8×
Insert tun ip cath perc (49418) $4,653 $9,306 1.3×
Insert tunneled cv cath (36561) $3,317.50 $6,635 1.1×
Insert tunneled cv cath (36563) $7,965 $15,930 1.5×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low: confirm this is the full procedure		 $2,655 $5,310 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $87 $174 0.7×
Insertion indwelling tunneled pleural catheter (32550) $3,320 $6,640 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,856 $5,712 1.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $6,565.50 $13,131 0.8×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,302.50 $6,605 0.9×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $2,707.50 $5,415 0.6×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $4,153.50 $8,307 0.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,842.50 $3,685 0.6×
Insj Picc Rs&I <5 Yr (36572) $2,784.50 $5,569 4.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,602 $5,204 0.8×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $2,602 $5,204 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,313 $4,626 1.5×
Insj Subq Impltbl Dfb Elctrd (33271) $12,305 $24,610 1.5×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $4,803 $9,606 1.6×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $7,965 $15,930 1.5×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,762.50 $5,525 0.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,303.50 $4,607 0.7×
Insj/Rplcmt Defib W/Lead(S) (33249) $34,463 $68,926 1.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $4,245 $8,490 0.5×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $4,245 $8,490 0.5×
Insrt heart pm atrial & vent (33208) $12,824 $25,648 1.3×
Insrt Pulse Gen W/Dual Leads (33230) $13,866.50 $27,733 0.6×
Insrt Pulse Gen W/Mult Leads (33231) $47,631 $95,262 1.6×
Insrt Pulse Gen W/Singl Lead (33240) $13,866.50 $27,733 0.6×
Interdental Wiring Other Than Fracture (21497) $1,306 $2,612 0.9×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $714 $1,428 0.5×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $618 $1,236 1.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $680 $1,360 1.7×
Intranasal Biopsy (30100)
range across 2 matching MRF lines		 $2,123.50–$2,282.50 $4,247–$4,565 varies
Intraoral i&d tongue/floor lingual (41000) $1,875.50 $3,751 3.6×
Intraoral i&d tongue/floor sublngl supfc (41005) $316.50 $633 1.4×
Intraoral i&d tongue/floor submental space (41007) $2,506 $5,012 1.7×
Intraoral i&d tongue/floor submndblr space (41008) $2,187.50 $4,375 0.7×
Intro cath dialysis circuit (36901) $1,548.50 $3,097 1.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $15,671 $31,342 1.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,755 $15,510 1.4×
Intro Gastrointestinal Tube (44500) $1,392 $2,784 1.6×
Intubation endotracheal emergency procedure (31500) $881 $1,762 3.8×
Iridotomy/irridectomy laser surg per session (66761) $937 $1,874 1.7×
Irrigation of corpora cavernosa for priapism (54220) $882.50 $1,765 3.6×
IV injection test vascular flow flap/graft (15860) $845.50 $1,691 1.9×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $3,467.50 $6,935 0.6×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $2,318.50 $4,637 0.6×
Laryngoscopy diagnostic (31505) $90 $180 0.5×
Laryngoscopy flexible diagnostic (31575) $138 $276 0.7×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,892 $3,784 1.1×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $533.50 $1,067 1.4×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $528 $1,056 1.4×
Late closure of wound (13160) $2,740.50 $5,481 0.8×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $1,524.50 $3,049 0.5×
Ligation of a-v fistula (37607) $4,172.50 $8,345 1.4×
Ligation Of Neck Artery (37615) $3,703 $7,406 1.2×
Ligation, internal jugular vein Facility (37565) $1,530 $3,060 0.5×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $5,591 $11,182 1.8×
Lip Surgery Procedure (40799) $316 $632 1.4×
Lyse chest fibrin init day (32561) $883.50 $1,767 1.4×
Lyse Chest Fibrin Subq Day (32562) $883.50 $1,767 1.4×
Lysis/excision penile postcircumcision adhesions (54162) $3,274 $6,548 1.6×
Maniplatn palar fascial crd post inj single cord (26341) $180.50 $361 0.7×
Manipulation knee joint under general anesthesia (27570) $1,529.50 $3,059 1.0×
Manipulation, finger joint, under anesthesia, each joint (26340) $2,349.50 $4,699 1.5×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,529.50 $3,059 1.0×
Maternity Care Procedure (59899) $340 $680 1.7×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $814.50 $1,629 0.5×
Mech remov tunneled cv cath (36595) $1,842.50 $3,685 0.6×
Middle ear surgery proc unlisted (69799) $355.50 $711 1.5×
Myelography Lumbar Injection (62305) $2,999.50 $5,999 3.9×
Myelography Lumbar Injection (62304) $1,252 $2,504 1.6×
Myelography via lumbar injection rs&i cervical (62302) $679 $1,358 0.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,252 $2,504 1.6×
N Block Inj Celiac Pelus (64530) $753 $1,506 0.9×
N Block Inj Ilio-Ing/Hypogi (64425) $1,084 $2,168 1.6×
N block inj intercost sng (64420) $1,084 $2,168 1.6×
N Block Inj Paracervical (64435)
range across 2 matching MRF lines		 $366–$421 $732–$842 varies
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $139–$141 $278–$282 varies
N Block Inj Pudendal (64430) $788 $1,576 0.9×
N Block Lumbar/Thoracic (64520) $753 $1,506 0.9×
Nasal Endoscopy Dx (31231) $89.50 $179 0.5×
Nasal surgery procedure (30999) $380 $760 1.6×
Nasal/Orogastric W/Tube Plmt (43752) $397 $794 0.9×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $2,167.50–$2,709.50 $4,335–$5,419 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,272 $2,544 0.7×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $494 $988 2.0×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $396 $792 0.4×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines		 $895–$1,029 $1,790–$2,058 varies
Needle Biopsy Pancreas (48102) $1,162.50 $2,325 0.7×
Needle insertion w/o injection 1 or 2 muscles (20560) $42 $84 1.5×
Needle insertion w/o injection 3 or more muscles (20561) $42 $84 1.5×
Neuroeltrd Stim Post Tibial (64566) $235.50 $471 0.8×
Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) $283 $566 1.8×
Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) $189 $378 1.2×
Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) $2,148 $4,296 5.2×
Njx anes stellate ganglion crv sympathetic (64510) $753 $1,506 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $560 $1,120 1.9×
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) $1,160 $2,320 1.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $825.50 $1,651 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,144.50 $2,289 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,122 $2,244 1.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $825.50 $1,651 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $825.50 $1,651 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,157.50 $2,315 1.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $825.50 $1,651 1.0×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $3,902 $7,804 1.9×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,902 $7,804 1.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,172.50 $2,345 1.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,394.50 $2,789 2.0×
Njx Sclrsnt 1 Incmptnt Vein (36470) $574 $1,148 1.4×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $296.50 $593 0.7×
Njx Sclrsnt Spider Veins (36468) $578.50 $1,157 1.5×
Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) $345 $690 1.4×
Obstructive material removal from gi tube (49460) $695 $1,390 0.8×
Occipital Nerve Block (64405) $544 $1,088 1.8×
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) $58,816 $117,632 1.4×
Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) $2,907 $5,814 0.5×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $3,552.50 $7,105 1.1×
Open Tx Distal Phalangeal Fracture Each (26765) $3,131 $6,262 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $3,886 $7,772 1.2×
Open/Perq Place Stent 1St (37236) $17,369 $34,738 1.5×
Open/Perq Place Stent Same (37238) $17,369 $34,738 1.5×
Partial Excision Distal Phalanx Finger (26236) $1,836 $3,672 1.2×
Partical Excision Bone Phalanx Toe (28124) $1,826 $3,652 0.6×
Penile Injection (54235) $540.50 $1,081 2.2×
Perc Cryo Ablate Renal Tum (50593) $14,122.50 $28,245 1.4×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,924.50 $3,849 1.4×
Perc Rf Ablate Renal Tumor (50592) $7,717 $15,434 1.3×
Percut Ablate Liver Rf (47382) $5,567 $11,134 0.9×
Percut Cath Occlusn Non Cns Lesn (61626) $8,072.50 $16,145 0.7×
Percut Drain/Inject Renal Cyst (50390) $1,085 $2,170 1.6×
Percut Mech Thrombectomy, Venous, Repeat (37188) $7,322.50 $14,645 2.4×
Pericardiocentesis W/Imaging (33016) $1,464 $2,928 1.0×
Peritoneal Lavage (49084) $933 $1,866 1.1×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $3,417 $6,834 0.2×
Perq av fistula creation uxtr single access (36836) $21,527.50 $43,055 1.2×
Perq Cervicothoracic Inject (22510) $3,120 $6,240 1.0×
Perq dev breast 1st mr guide (19287) $333.50 $667 0.5×
Perq dev breast 1st strtctc (19283) $1,210.50 $2,421 1.8×
Perq dev breast 1st us imag (19285) $466.50 $933 0.7×
Perq device breast 1st imag (19281) $771 $1,542 0.5×
Perq dilation xst trc endourologic px w/img (50436) $3,530 $7,060 1.0×
Perq Lumbosacral Injection (22511) $6,857.50 $13,715 2.1×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $6,829.50 $13,659 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,053.50 $2,107 1.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $15,671 $31,342 1.4×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,755 $15,510 1.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,031 $18,062 1.3×
Perq Vertebral Augmentation (22513) $9,031 $18,062 1.3×
Phleb Veins - Extrem 20+ (37766) $5,591 $11,182 1.8×
Place Cath Subclavian Art (36225) $4,866 $9,732 1.6×
Place Cath Thoracic Aorta (36221) $4,866 $9,732 1.6×
Place Cath Vertebral Art (36226) $14,526.50 $29,053 2.7×
Place Duod/Jej Tube Perc (49441) $1,909 $3,818 1.0×
Place Rt Device/Marker Pros (55876) $2,487.50 $4,975 1.8×
Placement of needle for intraosseous infusion (36680) $333 $666 0.8×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $4,851.50 $9,703 0.8×
Plmt Bile Duct Stent Prq Existing Access (47538) $7,473 $14,946 1.3×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $7,433.50 $14,867 1.3×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $7,433.50 $14,867 1.3×
Plmt expandable cath brst following prtl mast (19296) $12,028 $24,056 1.5×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $953 $1,906 0.5×
Plmt Nephroureteral Catheter (50433) $2,463.50 $4,927 0.7×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $4,071.50 $8,143 1.2×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,071.50 $8,143 1.2×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $4,071.50 $8,143 1.2×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $7,658.50 $15,317 0.4×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $396 $792 0.4×
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		 $2,610 $5,220 0.4×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $937 $1,874 1.7×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,101 $2,202 1.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,350.50 $6,701 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,350.50 $6,701 1.0×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $4,744 $9,488 1.5×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $1,523.50 $3,047 0.5×
Pseudoaneurysm Injection Trt (36002) $473.50 $947 0.8×
Punch biopsy skin single lesion (11104) $367.50 $735 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $274 $548 0.7×
Puncture Aspiration Cyst Breast (19000) $368 $736 0.5×
Puncture shunt tube/reservoir aspiration/inj px (61070) $467 $934 0.7×
Pvb thoracic cont infusion (64463) $1,312 $2,624 1.9×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,312 $2,624 1.9×
Radical resection of tumor; phalanx of toe Facility (28175) $902.50 $1,805 0.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,980 $5,960 1.6×
Reinsert ocular implant (65150) $4,368.50 $8,737 1.1×
Relocation Pocket Pacemaker (33222) $1,980.50 $3,961 1.0×
Rem Endovas Vena Cava Filter (37193) $4,202 $8,404 1.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $803 $1,606 0.9×
Removal Embedded Foreign Body Eyelid (67938) $445.50 $891 1.4×
Removal Foreign Body Deep Thigh/Knee (27372) $4,488 $8,976 1.6×
Removal foreign body foot deep (28192) $2,375 $4,750 1.5×
Removal Foreign Body Foot Subcutaneous (28190) $1,179 $2,358 1.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,545 $3,090 1.0×
Removal foreign body upper arm/elbow deep (24201) $1,995 $3,990 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $29.50–$30 $59–$60 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $209 $418 3.6×
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,982 $7,964 1.3×
Removal Implant Deep (20680) $1,322 $2,644 0.5×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $714–$767.50 $1,428–$1,535 varies
Removal intact breast implant (19328) $4,350.50 $8,701 1.1×
Removal of foreign body from pharynx (42809) $382 $764 0.9×
Removal of nail bed (11750) $639.50 $1,279 1.6×
Removal of tunneled intraperitoneal catheter (49422) $2,501 $5,002 0.8×
Removal Pacemaker Electrode (33235) $2,509.50 $5,019 0.7×
Removal peritoneal-venous shunt (49429) $2,327.50 $4,655 0.8×
Removal ppm generator only (33233) $4,882.50 $9,765 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $304.50 $609 1.6×
Removal subcutaneous cardiac rhythm monitor (33286) $1,603 $3,206 2.3×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,513 $5,026 1.2×
Removal sweat gland lesion (11450) $1,322 $2,644 0.5×
Removal/bivalving gauntlet boot/body cast (29700) $489 $978 1.8×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $3,246.50 $6,493 1.6×
Remove brain canal fluid (61050) $825.50 $1,651 2.8×
Remove cerclage suture (59871) $1,544 $3,088 0.5×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $548.50–$631 $1,097–$1,262 varies
Remove Elctrd Transvenously (33244) $2,463 $4,926 0.7×
Remove foreign body from eye (65235) $1,108 $2,216 0.5×
Remove foreign body from eye (65205) $378.50 $757 2.9×
Remove Int Dwell Ureteral Stent Transurethral (50386) $3,256.50 $6,513 1.6×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $205.50–$236 $411–$472 varies
Remove intrvas foreign body (37197) $3,300 $6,600 1.1×
Remove lung catheter (32552) $321.50 $643 0.5×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $294.50–$316.50 $589–$633 varies
Remove Pulse Generator (33241) $2,463 $4,926 0.7×
Remove renal tube w/fluoro (50389) $1,087.50 $2,175 1.6×
Remove Shoulder Foreign Body (23330) $906.50 $1,813 0.6×
Remove thigh pressure sore (15956) $2,785 $5,570 1.4×
Remove ureter stent percut (50384) $3,274 $6,548 1.6×
Remove&replace pm gen singl (33227) $13,823.50 $27,647 1.7×
Remove/Insert Drug Implant (11983) $631.50 $1,263 1.4×
Remv&replc cvd gen dual lead (33263) $49,527.50 $99,055 2.3×
Remv&replc cvd gen mult lead (33264) $49,527.50 $99,055 1.6×
Remv&replc cvd gen sing lead (33262) $15,904.50 $31,809 0.7×
Remv&replc pm gen dual lead (33228) $14,984.50 $29,969 1.5×
Remv&replc pm gen mult leads (33229) $14,984.50 $29,969 0.8×
Renal Biopsy Perq (50200) $1,077 $2,154 0.7×
Repair Blood Vessel Direct Hand Finger (35207) $4,336 $8,672 1.4×
Repair Blood Vessel Direct Upper Extremity (35206) $1,870.50 $3,741 0.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $848 $1,696 1.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $927 $1,854 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $734.50 $1,469 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $809 $1,618 2.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $679 $1,358 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $773 $1,546 1.9×
Repair complex trunk 1.1-2.5 cm (13100) $452 $904 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $848 $1,696 1.2×
Repair extensor tendon finger w/o graft each (26418) $2,269 $4,538 1.4×
Repair Eyelid Wound (67935) $2,467.50 $4,935 1.1×
Repair Finger Tendon (26433) $4,776.50 $9,553 1.5×
Repair Finger/Hand Tendon (26350) $4,776.50 $9,553 1.5×
Repair Hand Tendon (26410) $2,060 $4,120 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $478 $956 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $494.50 $989 1.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $741.50 $1,483 1.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $556 $1,112 1.4×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $741.50 $1,483 1.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $618 $1,236 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $478 $956 1.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $524 $1,048 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $649.50 $1,299 0.9×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,854 $3,708 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $584 $1,168 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $584 $1,168 1.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $584 $1,168 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $885 $1,770 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $584 $1,168 1.5×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,895.50 $5,791 1.4×
Repair lead pace-defib dual (33220) $3,100 $6,200 0.9×
Repair Lead Pace-Defib One (33218) $1,739 $3,478 0.5×
Repair of nail bed (11760) $478 $956 0.7×
Repair paravag defect vag (57285) $11,406 $22,812 1.6×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,744 $9,488 1.5×
Repair tongue laceration (41252) $1,656 $3,312 7.2×
Repair tongue laceration (41250) $360 $720 0.8×
Replace duodenostomy/jejunostomy tube perq (49451) $587 $1,174 0.7×
Replace G-J Tube Perc (49452) $587 $1,174 0.7×
Replace g/c tube perc (49450) $587 $1,174 0.7×
Replantation digit complete (20822) $6,494.50 $12,989 4.1×
Reposition Gastrostomy Tube (43761) $504 $1,008 2.1×
Reposition L Ventric Lead (33226) $2,378.50 $4,757 0.8×
Reposition Pacing-Defib Lead (33215) $3,040 $6,080 1.0×
Reposition Venous Catheter (36597) $814.50 $1,629 0.5×
Revise Abdomen-Venous Shunt (49426) $2,050.50 $4,101 0.6×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $7,066.50 $14,133 1.3×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,567 $3,134 0.8×
Rmvl embedded fb vestibule mouth comp (40805) $1,173.50 $2,347 2.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $426.50 $853 0.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $1,854 $3,708 1.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $172.50 $345 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $172.50 $345 1.3×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $420.50 $841 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $1,750.50 $3,501 1.5×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,410.50 $2,821 0.5×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $819 $1,638 0.5×
Rmvl of subq implantable defibrillator electrode (33272) $2,378.50 $4,757 0.7×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $1,438.50 $2,877 0.8×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,463 $4,926 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,692 $3,384 1.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,005 $2,010 1.6×
Rplc Gtube No Revj Trc (43762) $904 $1,808 3.7×
Rplc gtube revj gstrst trc (43763) $994 $1,988 4.1×
Rplcmt cath ctr vad subq port/pmp (36578) $1,924.50 $3,849 0.6×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,090.50 $4,181 1.4×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,078 $6,156 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,313 $4,626 1.5×
Rplcmt compl tun ctr vad w/subq pmp (36583) $4,664 $9,328 0.9×
Rplcmt compl tun ctr vad w/subq port (36582) $4,664 $9,328 1.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,155 $4,310 0.7×
Rpr blood vessel direct lower extremity (35226) $686.50 $1,373 1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $886.50 $1,773 0.6×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
unusually low: confirm this is the full procedure		 $3,416.50 $6,833 0.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $478 $956 2.4×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $750 $1,500 3.2×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,665 $3,330 3.2×
Rpr Lip Full Thickness Vermilion Only (40650) $833 $1,666 1.6×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,249.50 $4,499 1.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,738.50 $5,477 0.9×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $4,776.50 $9,553 1.5×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $886.50 $1,773 1.4×
Sclerotx Fluid Collection (49185) $2,138 $4,276 1.3×
Shave skin lesion 0.5 cm/< (11300) $309 $618 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $206.50 $413 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $181 $362 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $222.50–$223 $445–$446 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $261 $522 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $263.50 $527 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		 $177–$247 $354–$494 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $371 $742 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $217.50 $435 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $303 $606 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $256 $512 1.3×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $1,470 $2,940 0.5×
Sigmoidoscopy w/plcmt stent (45347)
unusually low: confirm this is the full procedure		 $2,610 $5,220 0.4×
Simple Cystometrogram (51725) $405 $810 1.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $551.50 $1,103 1.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $345.50–$382.50 $691–$765 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $478 $956 2.4×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $551.50 $1,103 1.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $478 $956 2.4×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $551.50 $1,103 2.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $386.50–$415.50 $773–$831 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $551.50 $1,103 2.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $309 $618 1.6×
Skin Full Grft Face/Genit/Hf (15240) $2,798.50 $5,597 1.4×
Skin Pinch Graft (15050) $1,681.50 $3,363 2.3×
Skin sub graft face/nk/hf/g (15275) $3,210 $6,420 4.5×
Skin sub graft trnk/arm/leg (15271) $3,210 $6,420 4.5×
Skin sub grft t/arm/lg child (15273) $5,539.50 $11,079 2.8×
Skin Tissue Procedure (17999) $340.50 $681 1.7×
Skn sub grft f/n/hf/g child (15277) $3,210 $6,420 1.6×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $9,756.50 $19,513 1.8×
Slctv cath carotid/innom art angio xtrcranl art (36222) $8,743.50 $17,487 2.8×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $11,148 $22,296 2.1×
Slitting of prepuce (54001) $3,025.50 $6,051 1.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $478 $956 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $478 $956 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $551.50 $1,103 1.4×
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $705–$758 $1,410–$1,516 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $5,132.50 $10,265 1.5×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,813.50 $5,627 1.4×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $5,591 $11,182 1.8×
Strapping ankle (29540) $194.50 $389 1.2×
Strapping elbow or wrist (29260) $56 $112 1.0×
Strapping hand/finger (29280) $99.50 $199 1.7×
Strapping Hip (29520) $156.50 $313 1.2×
Strapping knee (29530) $248.50 $497 1.9×
Strapping shoulder (29240) $395 $790 3.0×
Strapping thorax (29200) $74.50 $149 0.5×
Strapping toes (29550) $62.50 $125 1.1×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $279.50–$559 $559–$1,118 varies
Suction Lipectomy Lwr Extrem (15879) $5,291 $10,582 1.5×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,467.50 $4,935 1.1×
Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070)
unusually low: confirm this is the full procedure		 $3,367.50 $6,735 0.5×
Tangential biopsy skin single lesion (11102) $333.50 $667 0.8×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $38,744 $77,488 1.4×
Tcat Insj/Rpl Perm Ldls Pm (33274) $21,890 $43,780 1.2×
Tcat Rmvl Perm Ldls Pm (33275) $12,229 $24,458 4.0×
Tenotomy Adductor Hip Percutaneous Spx (27000) $2,723.50 $5,447 1.7×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,369.50 $4,739 1.5×
Tenotomy shoulder area single tendon (23405) $3,805 $7,610 0.5×
Ther Apheresis,Red Blood Cells (36512) $2,929.50 $5,859 1.9×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,811 $3,622 2.6×
Therapeutic Apheresis White Blood Cells (36511) $2,929.50 $5,859 1.9×
Therapeutic plasma exchange (36514) $2,929.50 $5,859 1.9×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $3,417.50 $6,835 0.6×
Thrmbc/Nfs Dialysis Circuit (36906) $23,753 $47,506 1.3×
Thromblytic art/ven therapy (37213) $5,316.50 $10,633 1.7×
Thrombolytic Art Therapy (37211)
unusually low: confirm this is the full procedure		 $2,641 $5,282 0.5×
Thrombolytic Therapy Stroke (37195) $3,608.50 $7,217 11.2×
Thrombolytic Venous Therapy (37212) $5,016 $10,032 1.6×
Thyroid biopsy (60100) $667.50 $1,335 1.0×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,186 $6,372 1.6×
Tooth extraction (41899) $2,045 $4,090 8.8×
Trabeculoplasty by laser surgery (65855) $897 $1,794 1.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $539 $1,078 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,104 $2,208 4.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,087 $2,174 0.7×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $279.50 $559 0.9×
Transcatheter biopsy (37200) $3,277 $6,554 0.6×
Transfusion Intrauterine Fetal (36460) $949 $1,898 2.2×
Treat ankle dislocation (27848) $4,306 $8,612 0.6×
Treat Dental Ridge Fracture (21440) $2,056 $4,112 0.6×
Treat dental ridge fracture (21445)
unusually low: confirm this is the full procedure		 $2,804 $5,608 0.5×
Treat Hand Bone Lesion (26034) $977.50 $1,955 0.6×
Treat Hip Socket Fracture (27222) $411.50 $823 1.7×
Treat humerus fracture (24500) $321 $642 1.3×
Treat Humerus Fracture (24505) $783.50 $1,567 0.5×
Treat humerus fracture (23600) $367.50 $735 1.5×
Treat knee fracture (27532) $1,625 $3,250 0.5×
Treat Knee Fracture(S) (27538) $374.50 $749 1.6×
Treat Knuckle Dislocation (26700) $353.50 $707 1.5×
Treat Metatarsal Fracture (28475) $406.50 $813 1.7×
Treat Tail Bone Fracture (27200) $185 $370 0.8×
Treat Thumb Dislocation (26641) $427.50 $855 1.8×
Treat Thumb Fracture (26645) $783.50 $1,567 0.5×
Treat toe dislocation (28630) $332.50 $665 1.4×
Treat Vaginal Bleeding (57180) $371.50 $743 1.9×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,910.50 $3,821 1.2×
Treatment closed elbow dislocation w/o anes (24600) $440.50 $881 1.8×
Trim skin lesion (11055) $160 $320 0.8×
Trim skin lesions 2 to 4 (11056) $160 $320 0.8×
Trim skin lesions over 4 (11057) $160 $320 0.8×
Trimming Nondystrophic Nails Any Number (11719) $101.50 $203 1.8×
Trluml Balo Angiop 1St Art (37246) $4,604 $9,208 0.8×
Trluml Balo Angiop 1St Vein (37248) $4,604 $9,208 0.8×
Trnsplj autologous hematopoietic cells per donor (38241) $931 $1,862 0.6×
Tx Gastro Intub W/Asp (43753) $217 $434 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,111 $4,222 0.7×
Tx Missed Abortion First Trimester Surgical (59820) $2,111 $4,222 0.7×
Tx Missed Abortion Second Trimester Surgical (59821) $2,111 $4,222 0.7×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $734.50–$741 $1,469–$1,482 varies
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,300.50 $4,601 1.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,005 $2,010 1.4×
Tx superficial wound dehiscence w/packing (12021) $441 $882 1.1×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,705 $3,410 1.1×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $106.50 $213 0.4×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $4,087.50 $8,175 0.7×
Unlisted procedure anus (46999) $2,311 $4,622 2.5×
Unlisted Procedure Biliary Tract (47999) $2,180 $4,360 2.5×
Unlisted procedure breast (19499) $1,766.50 $3,533 0.5×
Unlisted procedure colon (45399) $1,452.50 $2,905 1.6×
Unlisted Procedure Endocrine System (60699) $5,294 $10,588 0.9×
Unlisted Procedure External Ear (69399) $292.50 $585 1.3×
Unlisted procedure femur or knee (27599) $3,176 $6,352 13.2×
Unlisted procedure foot or toes (28899) $1,143.50 $2,287 4.8×
Unlisted procedure forearm or wrist (25999) $409.50 $819 1.7×
Unlisted Procedure Hands/Fingers (26989) $198 $396 0.8×
Unlisted procedure humerus/elbow (24999) $390 $780 1.6×
Unlisted Procedure Intestine (44799) $1,487.50 $2,975 1.7×
Unlisted Procedure Leg/Ankle (27899) $427 $854 1.8×
Unlisted procedure lungs and pleura (32999) $1,126.50 $2,253 1.8×
Unlisted Procedure Male Genital System (55899) $253 $506 1.0×
Unlisted Procedure Muscskeletal System General (20999) $3,601.50 $7,203 15.0×
Unlisted procedure neck or thorax (21899) $352 $704 1.5×
Unlisted procedure nervous system (64999)
range across 7 matching MRF lines		 $406.50–$411 $813–$822 varies
Unlisted procedure pelvis/hip joint (27299) $373.50 $747 1.6×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $292.50 $585 1.3×
Unlisted Procedure Rectum (45999) $427 $854 0.5×
Unlisted procedure shoulder (23929) $398.50 $797 1.7×
Unlisted procedure spine (22899) $3,601.50 $7,203 15.0×
Unlisted procedure stomach (43999) $1,359.50 $2,719 1.5×
Unlisted Procedure Tongue Floor Mouth (41599) $292.50 $585 1.3×
Unlisted Procedure Trachea Bronchi (31899) $270.50 $541 1.4×
Unlisted Procedure Vascular Surgery (37799) $363.50 $727 0.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 2 matching MRF lines		 $392–$424.50 $784–$849 varies
Unlisted procedure, orbit (67599) $380 $760 1.2×
Unlisted Procedure, Urinary System (53899) $447 $894 1.8×
Unlisted Px Salivary Glands/Ducts (42699) $3,047 $6,094 13.2×
Upgrade of pacemaker system (33214) $12,334 $24,668 1.2×
Vaginal delivery only (59409) $2,174.50 $4,349 0.7×
Vasc embolize/occlude artery (37242) $22,011.50 $44,023 1.2×
Vasc Embolize/Occlude Bleed (37244) $22,011.50 $44,023 2.0×
Vasc Embolize/Occlude Organ (37243) $22,011.50 $44,023 2.0×
Vasc embolize/occlude venous (37241) $22,011.50 $44,023 2.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $944.50 $1,889 0.5×
Venous Mech Thrombectomy (37187) $7,322.50 $14,645 0.7×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $342–$367.50 $684–$735 varies
Wound Prep F/N/Hf/G (15004) $1,257.50 $2,515 3.2×
Wound Prep Trk/Arm/Leg (15002) $3,210 $6,420 4.5×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $2,697.50 $5,395 1.8×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016)
unusually low: confirm this is the full procedure		 $2,758 $5,516 0.5×
Xtroral I&D Floor Masticator Space (41018) $2,283.50 $4,567 1.5×

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.