Procedures & surgery prices at Shasta Regional Medical Center

Redding, CA · every code in this section with a posted price and a Medicare benchmark.

1066 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		 $1,160 $3,929.60–$4,048 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,160 $3,929.60 1.0×
Abdomen Surgery Procedure (22999) $315 $17,925 1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,640 $22,406.30 1.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,640 $7,170 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $4,187 $17,925 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $4,187 $7,870.02–$17,925 1.0×
Amputation foot transmetarsal (28805) $4,187 $8,962.50 1.0×
Amputation metatarsal with toe single (28810) $4,187 $20,912.50 1.0×
Amputation toe interphalangeal joint (28825) $4,187 $17,925 1.0×
Amputation toe metatarsophalangeal joint (28820)
range across 3 matching MRF lines		 $4,187 $7,276.30–$17,925 1.0×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $4,187 $17,925 1.0×
Ankle Arthroscopy/Surgery (29892) $9,286 $8,066.25 1.0×
Anoscopy Control Bleeding (46614) $1,531 $839 1.0×
Anoscopy diagnostic (46600) $170 $745.25 1.0×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $1,531 $2,238.10 1.0×
Anoscopy W/Rmvl Foreign Body (46608) $1,190 $2,370.10 1.0×
Anoscopy; with biopsy, single or multiple (46606) $1,531 $423 1.0×
Anterior colporraphy rpr cystocele w/cysto (57240) $6,402 $31,368.80 1.0×
Application cast elbow finger short arm (29075) $357 $873.70 1.0×
Application finger splint static (29130) $170 $321.45 1.0×
Application long arm splint shoulder hand (29105) $207 $1,266.10 1.0×
Application Long Leg Cast Walker/Ambulatory Type (29355) $357 $873.70 1.0×
Application Long Leg Splint (29505) $207 $1,266.10 1.0×
Application multiplane external fixation system (20692)
range across 2 matching MRF lines		 $16,431 $11,203.10–$11,203.12 1.0×
Application of long leg cast (29345) $357 $873.70 1.0×
Application of rigid total contact leg cast (29445) — $1,149.10 —
Application short arm splint forearm-hand static (29125) $170 $1,266.10 1.0×
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $207 $1,233.10–$1,266.10 1.0×
Apply hand/wrist cast (29085) $207 $728.80 1.0×
Apply long arm cast (29065) $357 $873.70 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $207 $460–$882.37 1.0×
Apply Short Leg Cast (29405) $357 $1,149.10 1.0×
Apply short leg cast (29425) $357 $1,149.10 1.0×
Arterial puncture (36600) $170 $491.25 1.0×
Arteriovenous Anastomosis Open Direct (36821) $4,041 $31,368.80 1.0×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
range across 2 matching MRF lines		 $16,431 $13,443.75–$13,443.80 1.0×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $16,431 $44,812.50 1.0×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $9,286 $6,401.78 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $392 $1,308.85 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $903 $3,172.95 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $392 $1,308.85 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $392 $1,237.40–$1,475.95 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $392 $1,308.85 1.0×
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $16,431 $21,622–$21,622.03 1.0×
Arthrodesis great toe interphalangeal joint (28755) $9,286 $26,887.50 1.0×
Arthrodesis great toe metatarsophalangeal joint (28750) $9,286 $26,887.50 1.0×
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $16,431 $14,964.17–$14,964.20 1.0×
Arthrodesis triple (28715)
range across 2 matching MRF lines		 $16,431 $18,437.10–$18,437.14 1.0×
Arthrodesis Wrist Complete W/O Bone Graft (25800)
range across 2 matching MRF lines		 $9,286 $19,045.30–$19,045.31 1.0×
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830)
range across 2 matching MRF lines		 $9,286 $13,443.75–$13,443.80 1.0×
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) $16,431 $31,368.80 1.0×
Arthroplasty ankle revision total ankle (27703)
range across 2 matching MRF lines		 $22,440 $15,803.88–$15,803.90 1.0×
Arthroplasty Ankle W/Implant (27702) $34,727 $53,775 1.0×
Arthroplasty glenohumeral joint total shoulder (23472) $22,440 $52,281.30 1.0×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
range across 2 matching MRF lines		 $16,431 $47,053.10–$47,053.13 1.0×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $4,187 $18,821.30 1.0×
Arthroplasty Radial Head W/Implant (24366)
range across 2 matching MRF lines		 $16,431 $22,406.25–$22,406.30 1.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $4,187 $10,531.80–$10,531.83 1.0×
Arthroscopy Ankle Surgical Debridement Limited (29897) $4,187 $6,668.52 1.0×
Arthroscopy ankle w/removal loose/foreign body (29894) $4,187 $8,962.50 1.0×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $4,187 $13,533.37–$13,533.40 1.0×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $4,187 $17,925 1.0×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $4,187 $26,887.50 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $4,187 $17,488.90 1.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines		 $9,286 $21,472.65–$21,472.70 1.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $4,187 $13,694.97–$13,695 1.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines		 $4,187 $14,497.67–$14,497.70 1.0×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $9,286 $11,203.10–$11,203.12 1.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $9,286 $49,293.80 1.0×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $4,187 $19,418.80 1.0×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040)
range across 2 matching MRF lines		 $4,187 $20,165.60–$20,165.63 1.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $16,431 $38,090.60 1.0×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 2 matching MRF lines		 $4,187 $16,182.29–$16,182.30 1.0×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $16,431 $22,406.25–$22,406.30 1.0×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $9,286 $17,925 1.0×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $9,286 $23,624.30–$23,624.31 1.0×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $4,187 $10,456.25–$10,456.30 1.0×
Arthrs knee debridement/shaving artclr crtlg (29877) $4,187 $22,406.30 1.0×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $4,187 $21,659.40 1.0×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620)
range across 2 matching MRF lines		 $4,187 $10,082.80–$10,082.81 1.0×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines		 $802 $2,344.25–$4,918.72 1.0×
Aspirate Pleura W/O Imaging (32554) $802 $3,152.55 1.0×
Aspirate/Inj Ganglion Cyst (20612) $392 $1,237.40 1.0×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $2,675 $8,857–$8,857.75 1.0×
Av Fistula Revision Open (36832) $7,121 $31,368.80 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $256 $882.25 1.0×
Axillary lymphadenectomy; complete (38745) $7,737 $31,368.80 1.0×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) $8,285 $890 1.0×
Biopsy Abdominal Mass (49180) $2,113 $4,709.90 1.0×
Biopsy bone open superficial (20240) $3,717 $17,925 1.0×
Biopsy bone trocar/needle deep (20225) $2,113 $669 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $2,113 $2,187.25 1.0×
Biopsy muscle percutaneous needle (20206) $2,113 $4,709.90 1.0×
Biopsy of breast; open, incisional (19101) $5,011 $17,925 1.0×
Biopsy of liver, needle; percutaneous (47000) $2,113 $3,163.75 1.0×
Biopsy Pleura Percutaneous Needle (32400) $2,113 $7,035 1.0×
Biopsy Salivary Gland Needle (42400) $906 $3,177.70 1.0×
Biopsy soft tissue back/flank deep (21925) $2,113 $17,925 1.0×
Biopsy Spinal Cord Percutaneous Needle (62269) $2,113 $14.24 1.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $1,178 $13,443.75–$13,443.80 1.0×
Biopsy/removal lymph nodes (38510) $5,011 $31,368.80 1.0×
Bladder instillation anticarcinogenic agent (51720) $892 $8,962.50 1.0×
Bladder Irrigation (51700) $319 $1,068.90 1.0×
Bladder Scan (51798) $75 $284.25 1.0×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,640 $17,925 1.0×
Blepharotomy drainage abscess eyelid (67700) $406 $2,081.40 1.0×
Blood Transfusion Service (36430) $564 $1,940.20 1.0×
Bone Graft Any Donor Area Major/Large (20902) $9,286 $9,540.76 1.0×
Bone Graft Any Donor Area Minor/Small (20900)
range across 2 matching MRF lines		 $9,286 $10,599.88–$10,599.90 1.0×
Bone Marrow Biopsy (38221) $2,113 $1,954 1.0×
Bone marrow harvest allogen (38230)
range across 2 matching MRF lines		 $1,993 $13,443.75–$13,443.80 1.0×
Bone Marrow; Aspiration Only (38220) $2,113 $4,126.50 1.0×
Brnchsc Brushing/Protected Brushings (31623)
range across 2 matching MRF lines		 $2,278 $3,645.91–$8,085.70 1.0×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $4,771 $16,668.30 1.0×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines		 $4,771 $16,668.30–$25,393.80 1.0×
Bronchoscopy Clear Airways (31645) $2,278 $3,300.75 1.0×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $9,032 $30,935.40 1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628)
range across 2 matching MRF lines		 $4,771 $11,229–$17,840.30 1.0×
Bronchoscopy/Needle Bx Each (31629) $4,771 $9,160.43 1.0×
Bx/exc lymph node open deep axillary node (38525) $5,011 $40,331.30 1.0×
Bx/exc lymph node open superficial (38500) $5,011 $22,406.30 1.0×
Canthotomy Separate Procedure (67715) $3,042 $7,005.80 1.0×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $4,187 $17,925 1.0×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $2,058 $11,950 1.0×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $4,187 $17,925 1.0×
Capsulotomy Midfoot W/Tendon Lengthening (28261)
range across 2 matching MRF lines		 $2,058 $14,190.60–$14,190.62 1.0×
Carpal Tunnel Surgery (64721) $2,499 $17,988.10 1.0×
Carpectomy All Bones Proximal Row (25215) $4,187 $17,925 1.0×
Cessj Therapy Cath Removal (37214) $4,041 $10,781.80 1.0×
Change Cystostomy Tube Simple (51705) $319 $665.75 1.0×
Chemical Cautery Tissue (17250) $256 $585.25 1.0×
Chemical Pleurodesis (32560) $802 $3,152.55 1.0×
Chest tube placement (32551) $2,014 $3,280.89 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines		 $4,582 $19,128.10–$19,128.13 1.0×
Circumcision 28 days or older (54161) $2,675 $22,406.30 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $2,058 $6,560.90 1.0×
Clear outer ear canal (69200) $170 $532.40 1.0×
Closed Rx Spontaneous Hip Disloc (27256) $315 $527.70 1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $315 $1,187.50 1.0×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,058 $5,482.25 1.0×
Closed Treatment Ulnar Styloid Fracture (25650) $315 $1,187.50 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $315 $861.65 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,058 $5,482.25 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $315 $847 1.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $315 $1,052.50 1.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $315 $790.86 1.0×
Closed tx carpal scaphoid fracture w/manj (25624) $2,058 $5,482.25 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $315 $906.70 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $315 $1,069.15 1.0×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,058 $5,482.25 1.0×
Closed tx mandibular fracture w/manipulation (21451) $1,985 $8,084.50 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $690 $1,379.61 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $315 $672.35 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,985 $8,084.50 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $4,243 $8,084.50 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $315 $1,125.45 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $315 $644.70 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $2,058 $5,482.25 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $315 $1,078.20 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,058 $3,940.02 1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $315 $1,030.95 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $315 $1,125.45 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,058 $5,482.25 1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $315 $801.80 1.0×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $303 $618.60 1.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $315 $1,130 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $315 $652.53 1.0×
Clsd tx fx orbit except blowout w/o manipulation (21400) $690 $2,425.50 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,058 $4,267.35 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $315 $1,056.50 1.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,058 $5,482.25 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,058 $3,940.02 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,058 $6,566.70 1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $315 $805.53 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $315 $1,030.95 1.0×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $2,058 $5,482.25 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $315 $1,216.50 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $315 $886.29 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $315 $1,125.45 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $315 $644.70 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $315 $1,078.20 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,058 $4,049.82 1.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,058 $6,566.70 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,058 $5,482.25 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $315 $598 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $315 $644.70 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $315 $1,125.45 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $315 $644.70 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,058 $7,958.90 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $315 $1,125.45 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,058 $5,482.25 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $315 $644.70 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $315 $1,125.45 1.0×
Cltx Med Ankle Fx W/Mnpj (27762) $2,058 $5,482.25 1.0×
Cltx Medial Ankle Fx (27760) $315 $768.76 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $315 $1,125.45 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $315 $658.83 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $315 $1,125.45 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $315 $861.65 1.0×
Cltx post hip arthrp dislc req anes (27266) $2,058 $17,925 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $315 $1,187.50 1.0×
Cltx prox fibula/shft fx w/manj (27781) $2,058 $3,327.42 1.0×
Cltx prox fibula/shft fx w/o manj (27780) $315 $845.05 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,058 $8,042 1.0×
Cltx prox tibfib jt dislc req anes (27831) $4,187 $5,482.25 1.0×
Cltx prox tibfib jt dislc w/o anes (27830) $315 $861.65 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $315 $1,125.45 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,058 $5,482.25 1.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,058 $6,776.95 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,058 $6,566.70 1.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $315 $825.18 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $315 $1,162.52 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $315 $1,067.27 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,058 $5,482.25 1.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $315 $1,225.71 1.0×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $6,402 $40,331.30 1.0×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $9 $20–$73 1.0×
Colonoscopy Flexible With Decompression (45393) $1,531 $3,763.80 1.0×
Colonoscopy Stoma Ablation Lesion (44401) $1,531 $3,763.80 1.0×
Colonoscopy Stoma Control Bleeding (44391) $1,531 $1,959.58 1.0×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $1,531 $979.79 1.0×
Colonoscopy stoma w/balloon dilation (44405) $1,531 $3,763.80 1.0×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $1,531 $3,763.80 1.0×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $7,769 $18,067.80 1.0×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $1,531 $3,763.80 1.0×
Colonoscopy Stoma W/Rmvl Foreign Body (44390)
range across 2 matching MRF lines		 $1,190 $2,904–$2,906 1.0×
Colonoscopy Stoma W/Submucosal Injection (44404) $1,531 $3,763.80 1.0×
Colonoscopy Through Stoma With Decompression (44408) $1,190 $3,763.80 1.0×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,531 $3,763.80 1.0×
Colonoscopy thru stoma (44388) $1,190 $2,968.80 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,531 $3,763.80 1.0×
Colonoscopy w/ablation (45388) $1,531 $3,763.80 1.0×
Colonoscopy W/Band Ligation (45398) $1,531 $3,763.80 1.0×
Colonoscopy w/fb removal (45379) $1,531 $3,763.80 1.0×
Colonoscopy w/ndl aspir/bx (44407) $1,531 $3,763.80 1.0×
Colonoscopy W/Resection (45390) $3,552 $3,763.85 1.0×
Colonoscopy w/stent plcmt (45389) $7,769 $18,067.80 1.0×
Colonoscopy w/submucosal inj (45381) $1,531 $2,939.37 1.0×
Colpopexy vaginal intraperitoneal approach (57283)
range across 2 matching MRF lines		 $9,490 $21,566–$21,566.02 1.0×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,531 $2,939.37 1.0×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,531 $3,763.80 1.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,531 $979.79 1.0×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,531 $8,307.50 1.0×
Combined anteroposterior colporrhaphy; (57260) $6,402 $38,090.60 1.0×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $3,717 $11,891.50–$19,717.50 1.0×
Conization of cervix (57520) $4,143 $22,406.30 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $170 $364.25 1.0×
Control Nasal Hemorrhage Anterior Simple (30901) $170 $532.40 1.0×
Convert Nephrostomy Catheter (50434) $2,675 $2,622.40 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,113 $7,228.56 1.0×
Correction hammertoe (28285) $4,187 $22,406.30 1.0×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 2 matching MRF lines		 $4,187 $13,932.09–$13,932.10 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines		 $16,431 $13,177–$13,177.01 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 2 matching MRF lines		 $9,286 $10,061.65–$10,061.70 1.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $4,187 $5,965.42 1.0×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 2 matching MRF lines		 $9,286 $15,310.90–$15,310.94 1.0×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $7,121 $35,850 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $170 $364.25 1.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $303 $364.25 1.0×
Curette/treat cornea (65435) $1,275 $2,100.25 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $2,675 $17,925 1.0×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $2,675 $3,334–$35,850 1.0×
Cysto w/destruction of lesions (52214) $4,511 $8,962.50 1.0×
Cysto w/insert ureteral stent (52332) $4,511 $19,045.30 1.0×
Cysto w/irrig & evac multple obstructing clots (52001) $4,511 $17,925 1.0×
Cysto w/removal of tumors small (52234) $4,511 $17,925 1.0×
Cysto W/Simple Removal Stone & Stent (52310) $2,675 $19,418.80 1.0×
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 2 matching MRF lines		 $6,862 $28,206.25–$28,206.30 1.0×
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 2 matching MRF lines		 $4,511 $14,564.06–$14,564.10 1.0×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $4,511 $17,925 1.0×
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines		 $6,862 $1,353–$30,631.30 1.0×
Cystolithotomy (51050) $6,862 $35,850 1.0×
Cystostomy Cystotomy W/Drainage (51040) $2,675 $44,812.50 1.0×
Cystourethroscopy (52000) $892 $2,873.85 1.0×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $4,511 $8,962.50 1.0×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $4,511 $22,406.30 1.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $6,862 $17,925 1.0×
Cystourethroscopy w/dil bladder general anesth (52260) $2,675 $11,950 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $945 $1,800 1.0×
Debride nail 1-5 (11720) $75 $337 1.0×
Debride nail 6 or more (11721) $75 $318 1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,113 $3,681 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $520 $1,600–$17,925 1.0×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $2,499 $11,129.96–$11,130 1.0×
Deep Muscle Biopsy (20205) $3,717 $26,887.50 1.0×
Delivery of placenta (59414) $4,143 $4,355.75 1.0×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $256 $15,310.90–$15,310.93 1.0×
Diagnostic anoscopy (46601) $571 $259.10 1.0×
Diagnostic sigmoidoscopy (45330)
range across 3 matching MRF lines		 $1,190 $1,854.05–$2,234.67 1.0×
Dilat Xst Trc New Access Rcs (50437) $4,511 $3,701.60 1.0×
Dilate Esophagus 1/Mult Pass (43450)
range across 2 matching MRF lines		 $1,160 $1,802.48–$17,925 1.0×
Dilate Urethra Stricture (53600) $319 $1,157.10 1.0×
Dilation Esophagus Guide Wire (43453) $2,455 $5,171 1.0×
Drain Hand Tendon Sheath (26020) $4,187 $17,925 1.0×
Drain/inj small joint/bursa w/us (20604) $392 $1,305.85 1.0×
Drainage Abscess/Hematoma Nasal Septum (30020) $690 $2,261.80 1.0×
Drainage external auditory canal abscess (69020) $906 $3,109.85 1.0×
Drainage external ear abscess/hematoma cmplx (69005) $2,113 $7,071.40 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $906 $1,738.02 1.0×
Drainage Finger Abscess Complicated (26011) $2,113 $5,335 1.0×
Drainage Mouth Roof Lesion (42000) $303 $1,564.65 1.0×
Drainage of finger abscess simple (26010) $256 $1,078.20 1.0×
Drainage of gum lesion (41800) $170 $809.80 1.0×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $2,113 $5,335–$11,630 1.0×
Drainage of nose lesion (30000) $303 $1,163.65 1.0×
Drainage of scrotal wall abscess (55100) $2,113 $4,970.75 1.0×
Drainage of scrotum (54700) $2,675 $7,532.10 1.0×
Dressing Change Under Anesthesia (15852) $945 $3,932.50 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $906 $468 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $520 $1,597.55 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $256 $873.65 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $256 $882.25 1.0×
Dstrj Lesion Anus Extensive (46924) $3,552 $11,720.90 1.0×
Dstrj lesion anus simple surg excision (46922) $3,552 $11,720.90 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,132 $7,842.18 1.0×
Duodenal intubat w/imag guided multiple specimen (43757) $1,160 $467.95 1.0×
Dx Bone Marrow Bx & Aspir (38222) $3,717 $2,751 1.0×
Dx Bronchoscope/Lavage (31624) $2,278 $3,447.30 1.0×
Dx Bronchoscope/Wash (31622) $2,278 $7,153 1.0×
Dx duod intub w/asp spec (43756) $1,160 $467.95 1.0×
Dx gastr intub w/asp spec (43754) $276 $252.31 1.0×
Dx gastr intub w/asp specs (43755) $164 $135.95 1.0×
Dx Laryngoscopy Excl Nb (31525) $2,278 $4,600.30 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $903 $3,125.25 1.0×
Egd Balloon Dil Esoph30 Mm/> (43233) $2,455 $5,440 1.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $2,455 $2,966.70–$17,925 1.0×
Egd cautery tumor polyp (43250) $2,455 $1,483.35 1.0×
Egd control bleeding any (43255) $2,455 $2,966.70 1.0×
Egd dilation gastric/duodenal stricture (43245) $2,455 $2,967.50 1.0×
Egd Endoscopic Stent Place (43266) $7,769 $18,067.80 1.0×
Egd Flexible Foreign Body Removal (43247)
range across 3 matching MRF lines		 $1,160 $3,726.80–$20,165.60 1.0×
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $1,160 $2,284.65–$20,165.60 1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $2,455 $2,966.70 1.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $2,455 $5,440 1.0×
Egd intrmural us needle aspirate/biopsy esophags (43238) $2,455 $5,440 1.0×
Egd lesion ablation (43270) $2,455 $5,440 1.0×
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines		 $2,455 $2,966.70–$17,925 1.0×
Egd remove lesion snare (43251) $2,455 $2,966.70 1.0×
Egd Tube/Cath Insertion (43241) $2,455 $1,483.35 1.0×
Egd us exam duodenum/jejunum (43259) $2,455 $5,440 1.0×
Egd Varices Ligation (43244) $2,455 $2,966.70 1.0×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $6,402 $8,962.50 1.0×
Endoscopic us exam esoph (43237) $2,455 $1,099 1.0×
Endoscopy Upper Small Intestine (44360) $2,455 $7,243.85 1.0×
Endoscopy upper small intestine w/biopsy (44361) $2,455 $800 1.0×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $2,455 $5,440 1.0×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $2,455 $5,440 1.0×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $2,455 $2,966.70 1.0×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $2,455 $5,440 1.0×
Enteroscopy > 2nd prtn tndsc stent plmt (44370) $7,769 $18,067.80 1.0×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $2,455 $2,966.70 1.0×
Enteroscopy > 2nd prtn w/rmvl foreign body (44363) $2,455 $5,440 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $2,455 $5,440 1.0×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $2,455 $5,440 1.0×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $2,640 $4,705.30 1.0×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,640 $4,705.30 1.0×
Epidural Blood Patch (62273) $903 $2,929.15 1.0×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $7,769 $7,243.85 1.0×
Ercp duct stent placement (43274) $7,769 $18,067.80 1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260) $4,934 $7,243.85 1.0×
Ercp ea duct/ampulla dilate (43277) $4,934 $12,215.10 1.0×
Ercp remove calculi/debris biliary/pancreas duct (43264)
range across 2 matching MRF lines		 $4,934 $7,243.85–$17,925 1.0×
Ercp remove forgn body duct (43275) $2,455 $9,902.15 1.0×
Ercp Stent Exchange W/Dilate (43276)
range across 2 matching MRF lines		 $7,769 $17,925–$18,067.80 1.0×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $4,934 $9,902.15 1.0×
Ercp W/Biopsy Single/Multiple (43261) $4,934 $5,649.38 1.0×
Ercp w/pressure measurement sphincter of oddi (43263) $2,455 $5,649.38 1.0×
Ercp,Sphincterotomy (43262) $4,934 $7,243.85 1.0×
Esoph Scope W/Submucous Inj (43201) $2,455 $5,440 1.0×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,160 $2,284.65 1.0×
Esophagosc Dilate Balloon 30 (43214) $2,455 $5,440 1.0×
Esophagoscop Stent Placement (43212) $7,769 $18,067.80 1.0×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,455 $2,966.70 1.0×
Esophagoscopy Flex Transoral Injection Varices (43204) $2,455 $2,575 1.0×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $4,934 $9,902.15 1.0×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $2,455 $1,464 1.0×
Esophagoscopy Flexible Guide Wire Dilation (43226) $2,455 $1,483.35 1.0×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $1,160 $3,726.80 1.0×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $1,160 $3,726.80 1.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,160 $2,857.90 1.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $2,455 $5,440 1.0×
Esophagoscopy Flexible W/Bleeding Control (43227) $2,455 $5,649.38 1.0×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $2,455 $5,440 1.0×
Esophagoscopy Retro Balloon (43213) $2,455 $5,440 1.0×
Esophagoscopy rig transoral removal foreign body (43194) $2,455 $5,440 1.0×
Esophagoscopy rigid trnso dx (43191) $2,455 $1,483.35 1.0×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $2,455 $2,857.90 1.0×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,455 $2,966.70 1.0×
Esophagoscp Rig Trnso Biopsy (43193) $2,455 $5,440 1.0×
Esophagoscp Rig Trnso Inject (43192) $2,455 $5,440 1.0×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $2,455 $1,336 1.0×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $2,455 $2,966.70 1.0×
Evacuation of subungual hematoma (11740) $170 $532.40 1.0×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,113 $17,925 1.0×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $2,113 $17,925 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $906 $2,864.25 1.0×
Exc Back Les Sc < 3 Cm (21930) $2,113 $17,925 1.0×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $5,011 $23,544.80 1.0×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $906 $2,896.70 1.0×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $906 $2,896.70 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $2,113 $6,877.50 1.0×
Exc Face Les Sbq 2 Cm/> (21012) $2,113 $26,887.50 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $906 $2,896.70 1.0×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $906 $8,962.50 1.0×
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines		 $2,113 $11,203.10–$11,203.13 1.0×
Exc ganglion wrist recurrent (25112) $2,058 $17,925 1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,113 $6,877.50 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $906 $7,468.75 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,113 $17,925 1.0×
Exc Hand Les Sc < 1.5 Cm (26115) $2,113 $17,925 1.0×
Exc hand tum deep < 1.5 cm (26116) $2,113 $17,925 1.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $2,058 $6,894.23 1.0×
Exc neuroma hand/foot xcp digital nerve (64782) $2,499 $17,925 1.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $906 $2,864.25–$17,925 1.0×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $2,113 $22,406.25–$22,406.30 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $2,113 $6,740.15–$17,925 1.0×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,113 $6,877.50 1.0×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,717 $11,891.50 1.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $2,113 $6,877.50–$26,887.50 1.0×
Exc tendon shth lesion leg/ankle (27630) $4,187 $7,842.18 1.0×
Exc thigh/knee les sc 3 cm/> (27337) $3,717 $20,165.60 1.0×
Exc thigh/knee tum dep 5cm/> (27339) $3,717 $23,900 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,531 $1,042.85 1.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $520 $2,403.20 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $906 $4,131 1.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $2,113 $6,740.15–$17,925 1.0×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,717 $20,165.60 1.0×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $3,717 $20,165.60 1.0×
Exc tumor soft tiss shoulder subfasc <5cm (23076)
range across 2 matching MRF lines		 $3,717 $22,406.25–$22,406.30 1.0×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073)
range across 2 matching MRF lines		 $3,717 $13,443.75–$13,443.80 1.0×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $3,717 $17,925 1.0×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,113 $26,887.50 1.0×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,113 $17,925 1.0×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634)
range across 2 matching MRF lines		 $3,717 $16,431.25–$16,431.30 1.0×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,717 $22,406.30 1.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $2,113 $15,684.37–$15,684.40 1.0×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $3,717 $17,925 1.0×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,717 $26,887.50 1.0×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $4,187 $17,925 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,582 $10,885.50 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,675 $2,622.40 1.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,455 $1,994 1.0×
Excise breast duct fistula (19112) $5,011 $17,925 1.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $906 $2,896.70 1.0×
Excision Distal Ulna Partial/Complete (25240)
range across 2 matching MRF lines		 $4,187 $15,124.20–$15,124.22 1.0×
Excision Facial Bone (21026)
range across 2 matching MRF lines		 $7,576 $11,651.25–$11,651.30 1.0×
Excision inferior turbinate partial/complete (30130) $4,243 $7,842.21 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $906 $2,896.70 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $906 $2,896.70 1.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $520 $1,570.40 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $906 $2,896.70 1.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $906 $2,896.70 1.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,113 $6,877.50 1.0×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,717 $11,891.50 1.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $2,113 $6,877.50 1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $906 $2,896.70 1.0×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $906 $2,896.70 1.0×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,113 $6,877.50 1.0×
Excision Multiple External Papillae/Tags Anus (46230) $3,552 $8,307.50 1.0×
Excision nasal polyp(s) simple (30110) $1,985 $8,962.50 1.0×
Excision of bartholin's gland or cyst (56740) $4,143 $9,305.90 1.0×
Excision of extraparenchymal lesion of testis (54512) $4,511 $8,962.50 1.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $2,058 $17,925 1.0×
Excision of hydrocele; bilateral (55041) $4,582 $31,368.80 1.0×
Excision of hydrocele; unilateral (55040) $4,582 $11,950 1.0×
Excision of single external papilla or tag, anus (46220) $1,531 $8,307.50 1.0×
Excision olecranon bursa (24105)
range across 2 matching MRF lines		 $4,187 $7,276.30–$31,368.80 1.0×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $4,187 $8,215.62 1.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,717 $22,406.30 1.0×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,717 $31,368.80 1.0×
Excision spermatocele w/wo epididymectomy (54840) $2,675 $17,925 1.0×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,113 $26,887.50 1.0×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $3,717 $7,842.18 1.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,113 $3,259.09 1.0×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,113 $26,887.50 1.0×
Excision, interdigital (morton) neuroma, single, each (28080) $2,058 $18,671.90 1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,717 $17,925 1.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines		 $3,717 $29,128.10–$29,128.13 1.0×
Excision/curettage cyst/tumor phalanx finger (26210) $2,058 $17,925 1.0×
Expl penetrating wound spx abdomen/flank/back (20102) $2,640 $5,414.20 1.0×
Explo/Drain Breast Abscess (19020) $2,113 $17,925 1.0×
Exploration penetrating wound spx chest (20101) $2,640 $5,414.20 1.0×
Exploration penetrating wound spx extremity (20103) $2,113 $2,557 1.0×
Exploration Penetrating Wound Spx Neck (20100) $690 $2,076 1.0×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $8,285 $31,368.80 1.0×
Explore/Treat Hand Joint (26070) $2,058 $2,800.78 1.0×
Explore/Treat Knee Joint (27331)
range across 2 matching MRF lines		 $4,187 $24,646.87–$24,646.90 1.0×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,953 $8,728.50 1.0×
Fasciectomy Palm Only (26121) $4,187 $17,925 1.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $4,187 $7,059.74 1.0×
Fasciotomy Plantar Fascia Radical Spx (28062)
range across 2 matching MRF lines		 $4,187 $10,242.85–$10,242.90 1.0×
Fasciotomy, foot and/or toe (28008)
range across 2 matching MRF lines		 $4,187 $24,646.87–$24,646.90 1.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $4,187 $17,925 1.0×
Fetal non-stress test (59025) $258 $405.35 1.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $906 $1,718.55 1.0×
Fine needle aspiration without imaging guidance (10021) $520 $932.40 1.0×
Finger tendon transfer (26497) $4,187 $17,925 1.0×
Fixation contralateral testis separate procedure (54620) $4,511 $17,925 1.0×
Fluid Pressure Muscle (20950) $906 $714.35 1.0×
Fna Bx W/Fluor Gdn 1St Les (10007) $906 $2,403.20 1.0×
Fna bx w/us gdn 1st les (10005) $906 $4,055.40 1.0×
Foreskin manipulation (54450) $319 $777.30 1.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,640 $35,850 1.0×
Fusion Finger Joint (26860) $4,187 $20,165.60 1.0×
Fusion of foot bones (28740) $9,286 $12,998.50 1.0×
Fusion of hand bones (25820) $9,286 $24,646.90 1.0×
Fusion of knuckle (26850) $9,286 $17,925 1.0×
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $4,187 $12,491.85–$12,491.90 1.0×
Guide Cathet Fluid Drainage (10030) $906 $4,275 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,552 $26,887.50 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,552 $22,406.30 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,190 $645 1.0×
Hysteroscopy Biopsy (58558) $4,143 $19,350.80 1.0×
Hysteroscopy Dx Sep Proc (58555) $4,143 $11,950 1.0×
Hysteroscopy Endometrial Ablation (58563) $6,402 $18,671.90 1.0×
I&d abscess peritonsillar (42700) $303 $1,564.65 1.0×
I&d abscess simple (10060) $256 $1,107 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,717 $9,914.40 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines		 $3,717 $15,684.37–$15,684.40 1.0×
I&d perianal abscess superficial (46050) $1,190 $6,208.40 1.0×
I&d pilonidal cyst complicated (10081) $906 $3,472.95 1.0×
I&d pilonidal cyst simple (10080) $906 $1,738.02 1.0×
Icd Pocket Revision (33223) $2,640 $4,533 1.0×
Ileoscopy Stoma W/Balloon Dilation (44381) $2,455 $3,726.80 1.0×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,160 $3,726.80 1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,160 $3,726.80 1.0×
Image Cath Fluid Colxn Visc (49405) $2,113 $3,268.25 1.0×
Image Cath Fluid Peri/Retro (49406) $2,113 $3,063 1.0×
Incise external hemorrhoid (46083) $319 $1,157.10 1.0×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $2,058 $7,276.30–$17,925 1.0×
Incise Wrist/Forearm Tendon (25290) $4,187 $17,925 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $520 $1,597.55–$22,406.30 1.0×
Incision & removal foreign body subq tiss compl (10121) $2,113 $4,462.85 1.0×
Incision & removal foreign body subq tiss simple (10120) $520 $1,340 1.0×
Incision and drainage of bartholin's gland abscess (56420) $258 $829.65 1.0×
Incision and drainage of vulva or perineal abscess (56405) $390 $1,365 1.0×
Incision extensor tendon sheath wrist (25000) $2,058 $17,925 1.0×
Incision of Foot Tendon (28234) $2,058 $6,749 1.0×
Incision of rectal abscess (46040) $1,531 $5,382.10 1.0×
Incision of tibia & fibula (27709)
range across 2 matching MRF lines		 $16,431 $22,032.80–$22,032.81 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,113 $7,796.95 1.0×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $945 $629–$17,925 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $256 $882.25 1.0×
Inj W/Fluor Eval Cv Device (36598) $272 $136 1.0×
Injection 1 tendon sheath/ligament aponeurosis (20550) $392 $734.10 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $1,132 $14,361.30–$14,361.34 1.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,132 $7,916.88 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,132 $4,886.69 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $903 $11,266.75–$11,266.80 1.0×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 2 matching MRF lines		 $1,132 $14,582.70–$14,582.74 1.0×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $511 $12,659.80–$12,659.81 1.0×
Injection single tendon origin/insertion (20551) $392 $1,277.35 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $392 $1,237.40 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $392 $1,237.40 1.0×
Injection therapeutic carpal tunnel (20526) $392 $1,237.40 1.0×
Injection, anesthetic agent; brachial plexus, single (64415) $1,132 $2,294.52 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $903 $3,172.95 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $903 $1,796.43–$26,887.50 1.0×
Ins cath ren art 1st bilat (36252) $4,041 $11,653.90 1.0×
Ins cath ren art 1st unilat (36251) $4,041 $11,653.90 1.0×
Ins cath ren art 2nd+ bilat (36254) $4,041 $11,653.90 1.0×
Ins cath ren art 2nd+ unilat (36253) $7,121 $11,653.90 1.0×
Ins endovas vena cava filtr (37191) $7,121 $17,276.30 1.0×
Ins Vag Brachytx Device (57156) $390 $1,397.30 1.0×
Insert 1 Electrode Pm-Defib (33216) $10,591 $8,300 1.0×
Insert Bladder Cath Complex (51703) $164 $658.75 1.0×
Insert cath pleura w/ image (32557) $2,014 $5,861.75 1.0×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $2,455 $2,344.25–$9,064.95 1.0×
Insert Drug Implant Device (11981) $170 $8,962.50 1.0×
Insert Gastrostomy Tube Percutaneous (49440) $2,455 $4,282.17 1.0×
Insert Heart Pm Atrial (33206) $13,377 $24,714 1.0×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $13,377 $13,079–$26,887.50 1.0×
Insert non-tunnel cv cath (36556) $4,041 $3,280.89 1.0×
Insert Pacing Lead & Connect (33224) $13,377 $23,831 1.0×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,014 $2,449.25 1.0×
Insert pulse gen dual leads (33213) $13,377 $40,373.30 1.0×
Insert pulse gen mult leads (33221) $24,652 $40,410.70 1.0×
Insert Pulse Gen Sngl Lead (33212) $10,591 $36,838.20 1.0×
Insert Temp Bladder Cath (51702) $170 $658.75 1.0×
Insert tun ip cath perc (49418) $4,582 $9,784 1.0×
Insert tunneled cv cath (36561) $4,041 $1,657 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $170 $532.40 1.0×
Insertion indwelling tunneled pleural catheter (32550) $4,582 $15,546.70 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $2,014 $4,164–$8,155.65 1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $10,591 $5,850 1.0×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $4,582 $17,925 1.0×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $10,591 $8,300 1.0×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $4,041 $2,449.25 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $2,014 $4,164–$8,155.65 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,041 $9,909.20 1.0×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $40,173 $61,312.80–$62,537.50 1.0×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $10,591 $16,644.10 1.0×
Insrt heart pm atrial & vent (33208)
range across 3 matching MRF lines		 $13,377 $19,253–$22,406.30 1.0×
Insrt Pulse Gen W/Dual Leads (33230) $28,468 $110,553 1.0×
Insrt Pulse Gen W/Mult Leads (33231) $40,173 $133,574 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $28,468 $110,553 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $520 $1,220.45 1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $520 $1,015.50 1.0×
Intro cath dialysis circuit (36901) $2,014 $5,468.15 1.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $14,775 $45,922 1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,284 $25,425 1.0×
Intubation endotracheal emergency procedure (31500) $303 $1,030.70 1.0×
Irrigation of corpora cavernosa for priapism (54220) $319 $1,157.10 1.0×
Lap insert tunnel ip cath (49324) $7,737 $23,900 1.0×
Lap paraesoph her rpr w/mesh (43282) $13,604 $49,189.50 1.0×
Lap revision perm ip cath (49325) $7,737 $26,887.50 1.0×
Laparo new ureter/bladder (50947) $13,604 $8,962.50 1.0×
Laparo-vag hyst incl t/o (58552) $13,604 $62,737.50 1.0×
Laparoscopy fulguration oviducts (58670) $7,737 $21,125.90 1.0×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $7,737 $31,635 1.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $13,604 $67,218.80 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $7,737 $29,128.10 1.0×
Laparoscopy, surgical, appendectomy (44970) $7,737 $24,086.70 1.0×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
range across 2 matching MRF lines		 $13,604 $24,646.88–$24,646.90 1.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $7,737 $26,887.50 1.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $7,737 $27,143.60 1.0×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $7,737 $37,450.40 1.0×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $7,737 $17,925 1.0×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
range across 2 matching MRF lines		 $13,604 $34,729.68–$34,729.70 1.0×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 2 matching MRF lines		 $7,737 $13,443.75–$13,443.80 1.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $7,737 $22,406.30 1.0×
Laps Gastric Restrictive Px Remove Device & Port (43774)
range across 2 matching MRF lines		 $4,934 $40,331.25–$40,331.30 1.0×
Laps surg prst8ect smpl stot robotic assistance (55867) $13,604 $35,850 1.0×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
range across 2 matching MRF lines		 $7,737 $25,891.67–$25,891.70 1.0×
Laryngoscopy diagnostic (31505) $255 $239.05 1.0×
Laryngoscopy flexible diagnostic (31575) $255 $709 1.0×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,278 $8,320.30 1.0×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $500 $1,875.65 1.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $255 $429.90 1.0×
Laryngoscopy W/Foreign Body Removal (31530) $2,278 $8,470.60 1.0×
Late closure of wound (13160)
range across 2 matching MRF lines		 $4,535 $10,687.50–$21,510 1.0×
Ligation of hemorrhoids (46946)
range across 2 matching MRF lines		 $3,552 $13,443.75–$13,443.80 1.0×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $2,113 $7,071.40–$22,406.30 1.0×
Litholapaxy comp/lg > 2.5 cm (52318)
range across 2 matching MRF lines		 $4,511 $10,895.80–$10,895.83 1.0×
Litholapaxy smpl/sm <2.5 cm (52317)
range across 2 matching MRF lines		 $4,511 $25,218.75–$25,218.80 1.0×
Low Back Disk Surgery (63030) $9,286 $76,181.30 1.0×
Manipulation knee joint under general anesthesia (27570) $2,058 $17,925 1.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,058 $17,925 1.0×
Mast mod rad (19307) $8,498 $50,787.50 1.0×
Mastectomy for gynecomastia (19300) $5,011 $20,165.60 1.0×
Mastectomy partial (19301) $5,011 $24,419.60 1.0×
Mastectomy partial w/axillary lymphadenectomy (19302) $8,498 $33,609.40 1.0×
Mastectomy simple complete (19303) $8,498 $35,850 1.0×
Mech remov tunneled cv cath (36595) $4,041 $3,995.96 1.0×
Muscle-skin graft trunk (15734)
range across 2 matching MRF lines		 $4,535 $15,684.37–$15,684.40 1.0×
N block inj intercost sng (64420) $903 $674.45 1.0×
Nasal/Orogastric W/Tube Plmt (43752) $571 $896 1.0×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $4,771 $6,769.40 1.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,278 $17,925 1.0×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $2,278 $7,212.43 1.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,278 $5,419 1.0×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 2 matching MRF lines		 $9,032 $10,767.45–$10,767.50 1.0×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $9,032 $26,887.50 1.0×
Nasal/sinus ndsc total with sphenoidotomy (31257) $9,032 $7,119.32 1.0×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $9,032 $6,916.06 1.0×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $9,032 $8,779.03 1.0×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $9,032 $6,773.09 1.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,190 $3,763.80 1.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $2,058 $17,925 1.0×
Needle Biopsy Lymph Nodes (38505) $2,113 $6,740.15 1.0×
Needle Biopsy Pancreas (48102) $2,113 $6,863 1.0×
Nerve Repair W/Nerve Allograft First Strand (64912)
range across 2 matching MRF lines		 $11,231 $13,443.75–$13,443.80 1.0×
Neurectomy, Intrinsic Musculature Of Foot (28055)
range across 2 matching MRF lines		 $2,499 $22,406.25–$22,406.30 1.0×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,499 $19,916.70 1.0×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $2,499 $5,121.42 1.0×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $2,499 $8,322.32 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $392 $1,237.40 1.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,582 $1,758.55 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,582 $10,885.50 1.0×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $892 $6,038.75 1.0×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $9,032 $8,077.54 1.0×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
range across 2 matching MRF lines		 $9,032 $13,443.75–$13,443.80 1.0×
Obstructive material removal from gi tube (49460) $1,160 $2,414.15 1.0×
Occipital Nerve Block (64405) $392 $1,308.85 1.0×
Open biopsy/excision inguinofemoral nodes (38531) $5,011 $22,406.30 1.0×
Open Repair of Rotator Cuff Acute (23410)
range across 2 matching MRF lines		 $9,286 $12,323.40–$12,323.43 1.0×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $9,286 $18,298.40–$18,298.44 1.0×
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $9,286 $14,788.10–$14,788.13 1.0×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
range across 2 matching MRF lines		 $9,286 $13,443.75–$13,443.80 1.0×
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $9,286 $11,043.08–$11,043.10 1.0×
Open treatment metatarsal fracture each (28485) $9,286 $20,165.60 1.0×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
range across 2 matching MRF lines		 $9,286 $19,418.75–$19,418.80 1.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $9,286 $16,431.25–$16,431.30 1.0×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) $9,286 $35,850 1.0×
Open Treatment Proximal Humeral Fracture (23615) $16,431 $26,887.50 1.0×
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines		 $9,286 $13,817.19–$13,817.20 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $4,187 $17,925 1.0×
Open tx carpal scaphoid navicular fracture (25628) $9,286 $22,406.30 1.0×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $9,286 $13,271.97–$13,272 1.0×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $9,286 $10,668.90–$10,668.93 1.0×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $4,187 $7,095.31 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $4,187 $14,017–$17,925 1.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $9,286 $12,696.88–$12,696.90 1.0×
Open tx ulnar fx proximal end (24685) $9,286 $31,368.80 1.0×
Open/Perq Place Stent 1St (37236) $14,775 $34,565.50 1.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $9,286 $13,443.75–$13,443.80 1.0×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $9,286 $22,406.30 1.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
range across 2 matching MRF lines		 $16,431 $20,165.60–$20,165.63 1.0×
Orchiectomy partial (54522) $4,511 $31,368.80 1.0×
Orchiopexy Ingun/Scrot Appr (54640) $4,582 $26,887.50 1.0×
Ostc prtl exostc/condylc metar head (28288) $4,187 $7,468.75 1.0×
Ostectomy calcaneus (28118) $4,187 $9,418.09 1.0×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $4,187 $9,021.18 1.0×
Ostectomy, complete excision; fifth metatarsal head (28113) $4,187 $17,925 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines		 $4,187 $10,329.28–$10,329.30 1.0×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $9,286 $7,682.14 1.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $9,286 $11,950 1.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $4,187 $18,337 1.0×
Osteotomy calcaneus w/wo internal fixation (28300) $9,286 $10,689.20 1.0×
Osteotomy Phalanx Finger Each (26567) $4,187 $17,925 1.0×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
range across 2 matching MRF lines		 $9,286 $12,846.25–$12,846.30 1.0×
Part remv talus or calcaneus (28120) $4,187 $8,509.04 1.0×
Partial Excision Bone Ulna (25150) $4,187 $8,962.50 1.0×
Partial Excision Distal Phalanx Finger (26236) $2,058 $3,652.26 1.0×
Partial removal of fibula (27641) $4,187 $6,619.44 1.0×
Partial removal of toe (28160)
range across 2 matching MRF lines		 $4,187 $7,315.02–$17,925 1.0×
Partical Excision Bone Phalanx Toe (28124) $4,187 $7,315.02 1.0×
Penile Injection (54235) $319 $1,157.10 1.0×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,771 $6,310.90 1.0×
Percut Ablate Liver Rf (47382) $7,737 $24,168.50 1.0×
Percut Drain/Inject Renal Cyst (50390) $906 $657 1.0×
Pericardiocentesis W/Imaging (33016) $2,014 $7,180.80 1.0×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $12,115 $38,252.80 1.0×
Perq skel fixj distal radial fx/epiphysl sep (25606) $4,187 $17,925 1.0×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $14,775 $52,552.30 1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,284 $25,425 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $9,286 $28,032.10 1.0×
Perq Vertebral Augmentation (22513) $9,286 $28,032.10 1.0×
Place Cath Subclavian Art (36225) $4,041 $13,856.40 1.0×
Placement of needle for intraosseous infusion (36680) $571 $278.40 1.0×
Plmt Bile Duct Stent Prq Existing Access (47538) $7,737 $20,591.20 1.0×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,675 $7,532.10 1.0×
Plmt Nephroureteral Catheter (50433) $4,511 $7,532.10 1.0×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
range across 2 matching MRF lines		 $6,402 $31,368.75–$31,368.80 1.0×
Prim art mech thrombectomy (37184) $23,462 $16,037 1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,190 $1,489.78 1.0×
Proctosgmdsc Rigid Control Bleeding (45317) $1,531 $979.79 1.0×
Proctosgmdsc rigid w/dilation (45303) $1,531 $940 1.0×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $1,531 $632 1.0×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $906 $2,896.70 1.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,582 $10,885.50 1.0×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $9,286 $17,925 1.0×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,187 $21,510 1.0×
Punch biopsy skin single lesion (11104) $520 $629 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $520 $1,333.44 1.0×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,058 $17,925 1.0×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $4,187 $7,842.19 1.0×
Radical styloidectomy separate procedure (25230) $4,187 $7,468.75 1.0×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $9,286 $9,267.34 1.0×
Rdctj torsion tstis w/wo fixj clat testis (54600)
range across 2 matching MRF lines		 $4,511 $9,161.90–$26,887.50 1.0×
Realignment extensor tendon hand each tendon (26437) $4,187 $5,051.59 1.0×
Redo Endovas Vena Cava Filtr (37192) $4,041 $11,859.60 1.0×
Relocation Pocket Pacemaker (33222) $2,640 $10,789.80 1.0×
Rem Endovas Vena Cava Filter (37193)
range across 2 matching MRF lines		 $4,041 $11,859.60–$11,868.30 1.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,160 $2,414.15 1.0×
Removal Embedded Foreign Body Eyelid (67938) $406 $1,352.45 1.0×
Removal foreign body foot deep (28192) $2,113 $4,462.35 1.0×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $906 $1,815–$17,925 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,113 $4,044.09 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $75 $279.70 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $75 $269–$279.50 1.0×
Removal Implant Deep (20680) $3,717 $21,678 1.0×
Removal Implant Superficial Separate Procedure (20670) $2,113 $3,258.85 1.0×
Removal implantable contraceptive capsules (11976) $906 $3,177.70 1.0×
Removal of cervix (57530)
range across 2 matching MRF lines		 $6,402 $19,045.30–$19,045.31 1.0×
Removal of foreign body from pharynx (42809) $571 $182.60 1.0×
Removal of heel spur (28119) $4,187 $9,021.19 1.0×
Removal of implant from finger or hand (26320) $2,113 $17,925 1.0×
Removal of intranasal lesion (30118)
range across 2 matching MRF lines		 $4,243 $11,203.10–$11,203.13 1.0×
Removal of mammary implant material (19330) $5,011 $8,962.50 1.0×
Removal of nail bed (11750) $520 $1,892.80 1.0×
Removal of sesamoid bone (28315) $4,187 $7,842.19 1.0×
Removal of testis (54520)
range across 2 matching MRF lines		 $4,511 $11,203.10–$11,203.13 1.0×
Removal or bivalving full arm or full leg cast (29705) $357 $321.45 1.0×
Removal Pacemaker Electrode (33235) $4,782 $5,418 1.0×
Removal ppm generator only (33233) $10,591 $14,808.30 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $256 $506.85 1.0×
Removal subcutaneous cardiac rhythm monitor (33286) $906 $4,709.90 1.0×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,640 $8,962.50 1.0×
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines		 $2,058 $14,310.10–$14,310.12 1.0×
Remove Ankle Joint Lining (27626) $4,187 $7,041.96 1.0×
Remove Brain Cavity Fluid (61020) $1,132 $2,925.85 1.0×
Remove drug implant device (11982) $571 $26,887.50 1.0×
Remove Elctrd Transvenously (33244) $4,782 $5,418 1.0×
Remove foreign body from eye (65205) $170 $532.40 1.0×
Remove Intrauterine Device (58301) $390 $708.35 1.0×
Remove Lower Leg Bone Lesion (27635)
range across 2 matching MRF lines		 $4,187 $12,065.58–$12,065.60 1.0×
Remove lung catheter (32552) $802 $17,925 1.0×
Remove Nasal Foreign Body (30300) $170 $532.40 1.0×
Remove prostate regrowth (52630) $6,862 $22,406.30 1.0×
Remove Pulse Generator (33241) $4,782 $5,418 1.0×
Remove self-contd penis pros (54415) $4,511 $17,925 1.0×
Remove Shoulder Foreign Body (23330) $2,113 $4,709.90 1.0×
Remove Skin Nerve Lesion (64774) $2,499 $5,377.50 1.0×
Remove Tendon Sheath Lesion (26160) $2,058 $17,925 1.0×
Remove ureter stent percut (50384) $2,675 $8,964.95 1.0×
Remove&replace pm gen singl (33227) $10,591 $36,844.50 1.0×
Remove/graft foot lesion (28102) $9,286 $7,842.18 1.0×
Remove/graft leg bone lesion (27637) $9,286 $9,858.75 1.0×
Remv&replc cvd gen dual lead (33263)
range across 2 matching MRF lines		 $28,468 $17,925–$110,553 1.0×
Remv&replc cvd gen mult lead (33264) $40,173 $133,574 1.0×
Remv&replc cvd gen sing lead (33262) $28,468 $110,553 1.0×
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $13,377 $19,045.30–$40,410.80 1.0×
Remv&replc pm gen mult leads (33229) $24,652 $40,410.70 1.0×
Renal Biopsy Perq (50200) $2,113 $3,163.75 1.0×
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) $12,115 $319.44 1.0×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $9,286 $10,565.40–$10,565.41 1.0×
Repair Blood Vessel Direct Upper Extremity (35206) $4,041 $13,696 1.0×
Repair Collat Ankle Ligmnt,Secondary (27698) $9,286 $62,737.50 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $945 $1,771 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $945 $1,971 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $520 $1,363.17 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $520 $1,739.12 1.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $520 $1,464.60 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $520 $1,464.60–$22,406.30 1.0×
Repair complex trunk 1.1-2.5 cm (13100) $945 $2,152.69 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $945 $1,573.20 1.0×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $2,058 $5,143.75–$19,045.30 1.0×
Repair Finger Tendon (26433) $4,187 $17,925 1.0×
Repair Finger/Hand Tendon (26350) $4,187 $17,925 1.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $4,187 $8,429.02 1.0×
Repair Foot Dislocation (28615) $9,286 $7,842.18 1.0×
Repair Hallux Rigidus (28289) $4,187 $10,003.60 1.0×
Repair Hand Joint (26540) $4,187 $18,821.30 1.0×
Repair Hand Tendon (26410) $2,058 $4,837.80 1.0×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $4,582 $44,812.50 1.0×
Repair initial femoral hernia, any age; reducible (49550) $4,582 $22,406.30 1.0×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $4,582 $25,767.18–$25,767.20 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $520 $1,578.55 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $520 $1,333.44 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $520 $1,333.44 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $520 $1,333.44 1.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $520 $1,127.75 1.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $945 $1,265.15 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $520 $1,333.44 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $520 $1,333.44 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $945 $1,464.60 1.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,640 $1,651.40 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $520 $1,333.44 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $520 $1,333.44 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $520 $1,333.44 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $945 $2,143.35 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $520 $1,333.44 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,640 $7,744.80 1.0×
Repair lead pace-defib dual (33220) $4,782 $5,418 1.0×
Repair Lead Pace-Defib One (33218) $4,782 $5,418 1.0×
Repair of biceps tendon (24340) $9,286 $14,937.50 1.0×
Repair of hydrocele (55060) $4,511 $17,925 1.0×
Repair of nail bed (11760) $945 $1,464.60 1.0×
Repair of rectocele (45560)
range across 2 matching MRF lines		 $3,552 $40,331.25–$40,331.30 1.0×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $9,286 $29,128.10–$29,128.13 1.0×
Repair of sternum separation (21750) $9,286 $37,790 1.0×
Repair radius & ulna (25415) $9,286 $18,968.40 1.0×
Repair Rotator Cuff Chronic (23412) $9,286 $14,478.70 1.0×
Repair secondary achilles tendon w/wo graft (27654) $9,286 $35,850 1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,187 $5,932.45 1.0×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines		 $9,286 $25,891.67–$25,891.70 1.0×
Repair Toe Dislocation (28645) $4,187 $5,975 1.0×
Repair tongue laceration (41252) $303 $2,411.20 1.0×
Repair tongue laceration (41250) $571 $618.60 1.0×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $9,286 $11,517.88–$11,517.90 1.0×
Repair/Graft Wrist Bone (25440) $9,286 $17,925 1.0×
Repair/Revise Wrist Joint (25320) $9,286 $22,406.30 1.0×
Replace duodenostomy/jejunostomy tube perq (49451) $1,160 $2,447.63 1.0×
Replace elbow joint (24363)
range across 2 matching MRF lines		 $22,440 $40,331.25–$40,331.30 1.0×
Replace G-J Tube Perc (49452) $1,160 $956.78 1.0×
Replace g/c tube perc (49450) $1,160 $2,862.30 1.0×
Replantation digit complete (20822) $2,058 $5,230 1.0×
Reposition Gastrostomy Tube (43761) $319 $250 1.0×
Reposition L Ventric Lead (33226) $4,041 $5,418 1.0×
Reposition Pacing-Defib Lead (33215) $4,041 $5,418 1.0×
Repr elbow lat ligmnt w/tiss (24343)
range across 2 matching MRF lines		 $4,187 $22,406.25–$22,406.30 1.0×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $16,431 $44,812.50 1.0×
Revise Hand/Foot Nerve (64704) $2,499 $17,925 1.0×
Revise lower leg tendon (27690) $9,286 $5,761.60 1.0×
Revise Lower Leg Tendons (27686) $4,187 $6,721.87 1.0×
Revise ulnar nerve at wrist (64719) $2,499 $17,925 1.0×
Revision of big toe (28310)
range across 2 matching MRF lines		 $9,286 $16,431.25–$16,431.30 1.0×
Revision of foot (28116) $4,187 $17,925 1.0×
Revision of foot bones (28737) $16,431 $15,404.30 1.0×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines		 $4,187 $15,168.35–$15,168.40 1.0×
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $4,535 $31,368.80 1.0×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $16,431 $31,368.80 1.0×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $7,284 $25,425 1.0×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,675 $6,038.75 1.0×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,985 $6,763.95 1.0×
Rmvl embedded fb vestibule mouth comp (40805) $690 $2,411.20 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,160 $182.60 1.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $571 $1,333.44 1.0×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $170 $532.40 1.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $571 $368.30 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $1,531 $8,307.50 1.0×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $1,985 $3,448.15 1.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,717 $5,823.65 1.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,113 $3,917 1.0×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $4,782 $5,418 1.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $2,014 $4,312.55–$8,793.80 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $802 $3,100.05 1.0×
Rmvl/revj sling stress incontinence (57287) $4,143 $17,925 1.0×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $319 $1,517.95–$1,610.26 1.0×
Rplc gtube revj gstrst trc (43763) $319 $1,337.50 1.0×
Rplcmt cath ctr vad subq port/pmp (36578) $4,041 $6,321.95 1.0×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,014 $2,564 1.0×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $4,041 $824 1.0×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,737 $28,951.10 1.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $4,582 $28,680 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $8,285 $56,762.50 1.0×
Rpr aa hernia recr 3-10 cm reducible (49615) $8,285 $34,729.70 1.0×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $7,737 $8,962.50 1.0×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $4,582 $26,887.50 1.0×
Rpr aa hrn 1st 3-10 rdc (49593) $8,285 $27,954.50 1.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $7,737 $22,904.20 1.0×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $3,042 $17,925 1.0×
Rpr blood vessel direct lower extremity (35226) $906 $3,544.20 1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,014 $4,164.65 1.0×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $4,187 $8,066.25 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $256 $846 1.0×
Rpr flexor tendon leg secondary w/o graft each (27659) $9,286 $9,958.33 1.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $945 $851 1.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $303 $1,058 1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $690 $2,411.20 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $690 $2,411.20 1.0×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $9,286 $8,640.88 1.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $4,187 $9,591.25 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $802 $4,164 1.0×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $4,187 $17,925 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,187 $17,925 1.0×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $4,187 $8,962.50 1.0×
Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) $4,187 $8,962.50 1.0×
Sclerotx Fluid Collection (49185) $2,113 $3,884 1.0×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $4,243 $9,546.11 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,190 $1,489.78 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338)
range across 3 matching MRF lines		 $1,531 $3,016.40–$44,812.50 1.0×
Shoulder arthroscopy (29820)
range across 2 matching MRF lines		 $9,286 $13,443.75–$13,443.80 1.0×
Sigmoidoscopy & decompress (45337) $1,190 $1,959.58 1.0×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $1,531 $3,763.80 1.0×
Sigmoidoscopy flx tndsc balo dilat (45340)
range across 2 matching MRF lines		 $1,531 $3,763.80–$17,925 1.0×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $1,531 $2,462.25 1.0×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,531 $3,763.80 1.0×
Sigmoidoscopy w/fb removal (45332) $1,531 $2,442 1.0×
Sigmoidoscopy w/plcmt stent (45347) $7,769 $18,067.80 1.0×
Sigmoidoscopy W/Resection (45349) $3,552 $3,763.80 1.0×
Sigmoidoscopy W/Ultrasound (45341) $1,190 $3,763.80 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,190 $2,234.67 1.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,531 $3,016.40 1.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $520 $1,333.44 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $256 $882.25 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $256 $882.25 1.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $520 $856 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $256 $882.25 1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $256 $750 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $256 $882.25 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $256 $1,127.75 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $256 $882.25 1.0×
Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030)
range across 2 matching MRF lines		 $7,576 $11,651.25–$11,651.30 1.0×
Skin sub graft face/nk/hf/g (15275) $945 $6,855.95 1.0×
Skin sub graft trnk/arm/leg (15271) $945 $6,855.95 1.0×
Skin sub grft t/arm/lg child (15273) $2,640 $22,604.60 1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $7,121 $13,856.40 1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222) $4,041 $13,856.40 1.0×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $6,402 $14,937.50 1.0×
Small bowel endoscopy (44384) $2,455 $18,067.80 1.0×
Small bowel endoscopy (44366) $2,455 $2,966.70 1.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $2,455 $5,440 1.0×
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) $7,769 $18,067.80 1.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $256 $882.25 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $520 $1,333.44 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $520 $1,333.44 1.0×
Spinal puncture lumbar diagnostic (62270) $903 $3,125.25 1.0×
Strapping ankle (29540)
range across 2 matching MRF lines		 $207 $668.70–$673.10 1.0×
Strapping elbow or wrist (29260) $75 $324.50 1.0×
Strapping hand/finger (29280) $75 $357.20 1.0×
Strapping Hip (29520) $170 $357.20 1.0×
Strapping knee (29530) $170 $532.40 1.0×
Strapping shoulder (29240) $170 $415.06 1.0×
Strapping toes (29550) $75 $321.45 1.0×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $207 $437–$882.37 1.0×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $4,243 $9,235.81 1.0×
Suture 1 nerve hand/foot common sensory nerve (64834) $4,372 $17,925 1.0×
Suture digital nerve hand/foot 1 nerve (64831) $2,499 $5,975 1.0×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) $9,286 $8,962.50 1.0×
Suture of quadriceps or hamstring muscle rupture primary (27385) $9,286 $26,887.50 1.0×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $9,286 $8,962.50 1.0×
Syndactylization toes (28280)
range across 2 matching MRF lines		 $4,187 $10,456.25–$10,456.30 1.0×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $2,058 $8,962.50 1.0×
Tangential biopsy skin single lesion (11102) $520 $629 1.0×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $36,710 $147,300 1.0×
Tcat Insj/Rpl Perm Ldls Pm (33274) $24,652 $48,192 1.0×
Tcat Rmvl Perm Ldls Pm (33275) $4,041 $14,305 1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $4,187 $22,406.30 1.0×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $4,187 $8,073.04 1.0×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $9,286 $20,014.47–$20,014.50 1.0×
Tenolysis flexor tendon palm/finger each tendon (26440) $2,058 $8,066.25 1.0×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $4,187 $8,962.50 1.0×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,058 $8,962.50 1.0×
Ther Spi Pnxr Csf Fluor/Ct (62329) $903 $3,125.25 1.0×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $7,121 $16,037 1.0×
Thrmbc/Nfs Dialysis Circuit (36906) $23,462 $45,922 1.0×
Thrombolytic Art Therapy (37211) $7,121 $18,976.40 1.0×
Thrombolytic Therapy Stroke (37195) $422 $1,441.90 1.0×
Thyroid biopsy (60100) $906 $2,832 1.0×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $2,640 $11,203.10–$11,203.12 1.0×
Tnot elbow lateral/medial debride open (24358) $4,187 $17,925 1.0×
Tnot elbow lateral/medial debride open tdn rpr (24359) $4,187 $17,925 1.0×
Tooth extraction (41899) $303 $5,661 1.0×
Total Knee Arthroplasty (27447) $16,431 $49,293.80 1.0×
Tracheobrnchsc Thru Est Trachs Inc (31615) $690 $3,448.15 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $303 $3,448.15 1.0×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,985 $3,448.15 1.0×
Transplant hand tendon (26480)
range across 2 matching MRF lines		 $4,187 $15,684.38–$15,684.40 1.0×
Transur electr resection of prostate (52601) $6,862 $28,381.30 1.0×
Treat Ankle Dislocation (27846) $9,286 $58,256.30 1.0×
Treat ankle fracture (28445)
range across 2 matching MRF lines		 $9,286 $13,443.75–$13,443.80 1.0×
Treat Big Toe Fracture (28505) $4,187 $26,887.50 1.0×
Treat Finger Fracture Each (26727) $4,187 $19,418.80 1.0×
Treat fracture radius/ulna (25575)
range across 2 matching MRF lines		 $9,286 $19,045.30–$19,045.32 1.0×
Treat Fx Rad Extra-Articul (25607) $9,286 $29,128.10 1.0×
Treat humerus fracture (24500) $315 $816.75 1.0×
Treat Humerus Fracture (24505) $2,058 $1,644.68 1.0×
Treat humerus fracture (23600) $315 $766.67 1.0×
Treat Kneecap Fracture (27524) $9,286 $26,887.50 1.0×
Treat Knuckle Dislocation (26700) $315 $1,125.45 1.0×
Treat Metatarsal Fracture (28475) $315 $1,030.95 1.0×
Treat toe dislocation (28630) $315 $861.65 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,058 $5,482.25 1.0×
Treatment closed elbow dislocation w/o anes (24600) $315 $1,125.45 1.0×
Treatment of ankle fracture (27823) $9,286 $58,256.30 1.0×
Trim skin lesion (11055) $256 $176 1.0×
Trim skin lesions 2 to 4 (11056) $256 $140 1.0×
Trluml Balo Angiop 1St Art (37246)
range across 6 matching MRF lines		 $7,284 $29,718.10–$29,718.30 1.0×
Trluml Balo Angiop 1St Vein (37248) $7,284 $25,425 1.0×
Trnspl prepj hematop progen tum cell deplj (38211) $564 $6,863 1.0×
Tx Gastro Intub W/Asp (43753) $276 $499 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812) $4,143 $17,925 1.0×
Tx open tendon flexor toe 1 tendon spx (28232) $2,058 $4,825.96 1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,058 $5,482.25 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $945 $3,584 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $315 $672.46 1.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $16,431 $49,293.80 1.0×
Tympanolysis transcanal (69450)
range across 2 matching MRF lines		 $4,243 $11,203.10–$11,203.13 1.0×
Tympanostomy general anesthesia (69436) $1,985 $22,406.30 1.0×
Unlisted laparoscopic procedure liver (47379) $7,737 $40,331.30 1.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $7,737 $13,443.75–$13,443.80 1.0×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $7,737 $25,393.80 1.0×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
range across 2 matching MRF lines		 $7,737 $11,203.10–$11,203.12 1.0×
Unlisted laparoscopy procedure, spermatic cord (55559)
range across 2 matching MRF lines		 $7,737 $10,456.25–$10,456.30 1.0×
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines		 $315 $10,285.50–$10,285.53 1.0×
Unlisted Procedure Casting/Strapping (29799) $207 $721.45 1.0×
Unlisted procedure colon (45399) $1,190 $3,763.80 1.0×
Unlisted Procedure Intestine (44799) $1,160 $13,062.90 1.0×
Unlisted procedure nervous system (64999) $392 $674.45 1.0×
Unlisted Procedure Vascular Surgery (37799) $802 $4,476.05 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,160 $22,406.30 1.0×
Upgrade of pacemaker system (33214) $13,377 $16,142 1.0×
Uvulectomy excision of uvula (42140) $4,243 $7,282.03 1.0×
Vaginal delivery only (59409) $4,143 $7,083.81 1.0×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $6,402 $14,937.50 1.0×
Vasc embolize/occlude venous (37241) $14,775 $4,293.82 1.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,675 $17,925 1.0×
Vein Access Cutdown < 1 Yr (36420) $170 $24.80 1.0×
Venous Cutdown >1 Y/O (36425) $571 $24.80 1.0×
Wedge excision skin nail fold (11765) $520 $1,333.44 1.0×
Windowing of cast (29730) $207 $596.20 1.0×
Xfer Single Deep Low Leg Tendon (27691)
range across 2 matching MRF lines		 $9,286 $12,867.59–$12,867.60 1.0×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $2,014 $17,925 1.0×

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