Procedures & surgery prices at Sheridan Memorial Hospital

Sheridan, WY · every code in this section with a posted price and a Medicare benchmark.

1126 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) $2,393.60 $2,992 0.7×
1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) $3,248 $4,060 0.9×
Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines		 $324.80–$1,010.40 $406–$1,263 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $937.60 $1,172 1.0×
Ablate inf turbinate submuc (30802) $1,554.40 $1,943 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 2 matching MRF lines		 $926.40–$1,715.20 $1,158–$2,144 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $583.20 $729 0.4×
Acne surgery (10040) $188 $235 0.9×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,909.60 $2,387 0.9×
Amniocentesis diagnostic (59000)
range across 3 matching MRF lines		 $148–$445.60 $185–$557 varies
Amniocentesis therapeutic (59001) $972.80 $1,216 3.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,360 $1,700 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,756 $2,195 0.5×
Amputation metatarsal with toe single (28810) $1,629.60 $2,037 0.5×
Amputation thigh through femur any level (27590) $3,324.80 $4,156 1.0×
Amputation toe metatarsophalangeal joint (28820) $1,713.60 $2,142 0.5×
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure		 $3,444.80 $4,306 0.5×
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882)
range across 2 matching MRF lines		 $681.60–$2,725.60 $852–$3,407 varies
Amputation, leg, through tibia and fibula; re-amputation (27886) $3,066.40 $3,833 0.9×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $2,372.80 $2,966 0.7×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $907.20 $1,134 0.3×
Anoscopy Control Bleeding (46614) $573.60 $717 0.5×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $175.20–$246.40 $219–$308 varies
Anoscopy W/Rmvl Foreign Body (46608) $443.20 $554 0.5×
Anoscopy; with biopsy, single or multiple (46606) $596.80 $746 0.5×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 2 matching MRF lines		 $342.40–$445.60 $428–$557 varies
Anterior colporraphy rpr cystocele w/cysto (57240)
range across 3 matching MRF lines		 $392–$2,248.80 $490–$2,811 varies
Appendectomy (44950) $3,779.20 $4,724 0.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines		 $331.20–$480.80 $414–$601 varies
Application cast elbow finger short arm (29075) $299.20 $374 1.0×
Application finger splint static (29130)
range across 2 matching MRF lines		 $129.60–$138.40 $162–$173 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $124.80–$286.40 $156–$358 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $144.80–$232 $181–$290 varies
Application of cylinder cast (thigh to ankle) (29365) $440 $550 1.5×
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $369.60–$1,284 $462–$1,605 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $89.60–$200.80 $112–$251 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $107.20–$240 $134–$300 varies
Apply hand/wrist cast (29085) $305.60 $382 1.8×
Apply long arm cast (29065) $331.20 $414 1.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines		 $127.20–$409.60 $159–$512 varies
Apply Short Leg Cast (29405) $320.80 $401 1.1×
Arterial puncture (36600)
range across 2 matching MRF lines		 $38.40–$44 $48–$55 varies
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $9,095.20 $11,369 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines		 $66.40–$260.80 $83–$326 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $164–$622.40 $205–$778 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines		 $82.40–$288 $103–$360 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $109.60–$368.80 $137–$461 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $164–$203.20 $205–$254 varies
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $7,780 $9,725 0.3×
Artificial insemination intra-uterine (58322) $336 $420 1.6×
Aspirate pleura w/ imaging (32555)
range across 7 matching MRF lines		 $520–$1,320 $650–$1,650 varies
Aspirate Pleura W/O Imaging (32554) $216 $270 0.3×
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $195.20–$232 $244–$290 varies
Aspiration and/or injection thyroid cyst (60300) $119.20 $149 0.2×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $496–$765.60 $620–$957 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 5 matching MRF lines		 $180–$315.20 $225–$394 varies
Axillary lymphadenectomy; complete (38745) $3,664.80 $4,581 0.6×
Biopsy Abdominal Mass (49180)
range across 5 matching MRF lines		 $397.60–$2,219.20 $497–$2,774 varies
Biopsy bone trocar/needle deep (20225)
range across 4 matching MRF lines		 $477.60–$1,020 $597–$1,275 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines		 $332.80–$788.80 $416–$986 varies
Biopsy External Auditory Canal (69105) $409.60 $512 0.3×
Biopsy external ear (69100) $388 $485 1.6×
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $104.80–$1,920 $131–$2,400 varies
Biopsy Muscle Superficial (20200) $626.40 $783 0.4×
Biopsy Nasopharynx Visible Lesion Simple (42804) $541.60 $677 0.2×
Biopsy of breast; open, incisional (19101) $934.40 $1,168 0.2×
Biopsy of lip (40490) $215.20 $269 0.9×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $417.60–$593.60 $522–$742 varies
Biopsy of palate, uvula (42100) $472.80 $591 0.3×
Biopsy of rectum (45100) $1,152 $1,440 0.4×
Biopsy Oropharynx (42800) $504 $630 0.3×
Biopsy ovary uni/bi separate procedure (58900) $1,952 $2,440 0.6×
Biopsy Salivary Gland Incisional (42405) $939.20 $1,174 0.6×
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines		 $181.60–$558.40 $227–$698 varies
Biopsy soft tissue back/flank deep (21925) $1,425.60 $1,782 0.8×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614)
range across 2 matching MRF lines		 $862.40–$5,556 $1,078–$6,945 varies
Biopsy soft tissue leg/ankle area superficial (27613)
range across 2 matching MRF lines		 $344.80–$3,213.60 $431–$4,017 varies
Biopsy soft tissue neck/thorax (21550) $534.40 $668 0.3×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041)
range across 2 matching MRF lines		 $1,325.60–$1,448.80 $1,657–$1,811 varies
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $576.80 $721 0.3×
Biopsy Tongue Anterior Two-Thirds (41100) $502.40 $628 0.9×
Biopsy Tongue Posterior One-Third (41105) $516.80 $646 0.2×
Biopsy Vaginal Mucosa Extensive (57105) $708.80 $886 0.2×
Biopsy Vaginal Mucosa Simple (57100) $316.80 $396 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $329.60 $412 0.4×
Biopsy, vestibule of mouth (40808) $499.20 $624 0.9×
Biopsy/removal lymph nodes (38510) $1,753.60 $2,192 0.4×
Bladder instillation anticarcinogenic agent (51720) $374.40 $468 0.5×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $195.20–$232 $244–$290 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $66.40–$110.40 $83–$138 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,076.80 $2,596 1.0×
Blepharotomy drainage abscess eyelid (67700)
range across 3 matching MRF lines		 $340–$516.80 $425–$646 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $916.80–$1,024.80 $1,146–$1,281 varies
Blood/Lymph System Procedure (38999) $2,550.40 $3,188 5.7×
Bone Marrow Biopsy (38221) $488.80 $611 0.3×
Bone Marrow; Aspiration Only (38220) $456 $570 0.3×
Brnchsc Brushing/Protected Brushings (31623) $872.80 $1,091 0.5×
Bronchoscopy Clear Airways (31645) $994.40 $1,243 0.5×
Bronchoscopy W/Biopsy(S) (31625) $1,015.20 $1,269 0.6×
Bx breast 1st lesion strtctc (19081)
range across 4 matching MRF lines		 $788–$3,348.80 $985–$4,186 varies
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines		 $740–$1,812 $925–$2,265 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines		 $393.60–$432 $492–$540 varies
Bx Cervix (57500)
range across 2 matching MRF lines		 $252–$417.60 $315–$522 varies
Bx/exc lymph node open deep axillary node (38525) $2,776 $3,470 0.7×
Bx/exc lymph node open superficial (38500) $1,070.40 $1,338 0.3×
Canthotomy Separate Procedure (67715) $200.80 $251 0.1×
Catheter aspiration nasotracheal spx (31720) $233.60 $292 1.0×
Cautery Cervix Cryocautery Initial/Repeat (57511) $510.40 $638 1.6×
Cautery Cervix Electro/Thermal (57510) $523.20 $654 0.2×
Cerclage cervix pregnancy vaginal (59320) $1,108 $1,385 0.3×
Cerclage Uterine Cervix Nonobstetrical (57700) $1,058.40 $1,323 0.3×
Cessj Therapy Cath Removal (37214)
range across 2 matching MRF lines		 $128–$1,534.40 $160–$1,918 varies
Change Cystostomy Tube Complicated (51710) $682.40 $853 1.0×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $197.60–$320.80 $247–$401 varies
Change of Windpipe Airway (31502) $247.20 $309 1.0×
Change ureter stent percut (50382)
range across 2 matching MRF lines		 $488.80–$1,465.60 $611–$1,832 varies
Chemical Cautery Tissue (17250)
range across 5 matching MRF lines		 $124.80–$261.60 $156–$327 varies
Chemical Pleurodesis (32560)
range across 2 matching MRF lines		 $489.60–$869.60 $612–$1,087 varies
Chest tube placement (32551)
range across 3 matching MRF lines		 $885.60–$1,100.80 $1,107–$1,376 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 3 matching MRF lines		 $1,522.40–$2,785.60 $1,903–$3,482 varies
Circumcision 28 days or older (54161) $756 $945 0.4×
Circumcision Neonate (54160) $501.60 $627 0.7×
Circumcision w/clamp/oth dev w/block (54150) $336 $420 0.2×
Cl Tx Tib Shft Fx W Manip (27752) $2,974.40 $3,718 1.8×
Clear outer ear canal (69200)
range across 4 matching MRF lines		 $170.40–$286.40 $213–$358 varies
Closed Rx Spontaneous Hip Disloc (27256) $799.20 $999 3.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,695.20 $2,119 6.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,885.60 $2,357 7.5×
Closed Treatment Sternum Fracture (21820) $880.80 $1,101 3.5×
Closed tx ankle dislocation w/o anesthesia (27840) $1,695.20 $2,119 6.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,064.80 $2,581 1.3×
Closed tx carpal scaphoid fracture w/manj (25624) $842.40 $1,053 0.5×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $2,925.60 $3,657 1.8×
Closed tx knee dislocation w/o anesthesia (27550) $3,714.40 $4,643 14.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $847.20 $1,059 0.5×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $2,445.60 $3,057 4.4×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $3,592 $4,490 0.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,208.80 $1,511 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $551.20–$795.20 $689–$994 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $1,111.20–$1,380.80 $1,389–$1,726 varies
Closed tx patellar dislocation w/o anesthesia (27560) $1,425.60 $1,782 5.7×
Closed tx radial head/neck fx w/manipulation (24655) $1,044.80 $1,306 0.6×
Closed tx radial shaft fracture w/manipulation (25505) $815.20 $1,019 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $2,407.20 $3,009 9.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,234.40 $2,793 1.4×
Closed tx septal&nose fx (21337) $1,424 $1,780 0.4×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $1,504.80 $1,881 6.0×
Closed tx talotarsal joint dislc w/o anes (28570) $432 $540 1.7×
Closed Tx Talus Fracture W/Manipulation (28435) $1,277.60 $1,597 0.8×
Closed tx tarsometatarsal dislocation w/o anes (28600) $955.20 $1,194 3.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $163.20 $204 0.6×
Closure Gastrostomy Surg (43870) $3,066.40 $3,833 0.8×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $369.60–$500 $462–$625 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $633.60–$1,305.60 $792–$1,632 varies
Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330)
unusually low: confirm this is the full procedure		 $3,008.80 $3,761 0.4×
Clsd tx clavicular fracture w/o manipulation (23500) $939.20 $1,174 3.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,759.20 $2,199 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,244.80 $1,556 4.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,959.20 $2,449 1.2×
Cltx dstl fibular fx lat malls w/manj (27788) $1,192 $1,490 4.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $446.40–$853.60 $558–$1,067 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,046.40 $3,808 1.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,396.80 $1,746 0.9×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $4,114.40 $5,143 2.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,256 $2,820 1.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $372 $465 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $268.80–$380 $336–$475 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $372 $465 1.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,152.80 $1,441 0.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,122.40 $1,403 4.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $2,357.60 $2,947 9.4×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $1,192 $1,490 4.7×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,281.60 $1,602 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,307.20 $2,884 1.4×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $1,210.40 $1,513 4.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $336.80–$432 $421–$540 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $630.40–$1,108.80 $788–$1,386 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $761.60–$1,296.80 $952–$1,621 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $705.60 $882 2.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $720.80 $901 2.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $851.20 $1,064 3.4×
Cltx post hip arthrp dislc w/o anes (27265) $1,992 $2,490 7.9×
Cltx prox fibula/shft fx w/manj (27781) $828.80 $1,036 0.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,510.40 $3,138 1.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $1,264.80 $1,581 5.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $416 $520 1.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,903.20 $2,379 1.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $880 $1,100 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,210.40 $1,513 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,149.60 $2,687 1.3×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $3,638.40 $4,548 0.7×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $72–$162.40 $90–$203 varies
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $12.80–$58.40 $16–$73 varies
Colonoscopy Flexible With Decompression (45393) $1,405.60 $1,757 1.1×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,579.20 $1,974 1.3×
Colonoscopy thru stoma (44388) $1,112.80 $1,391 1.2×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $1,400.80 $1,751 1.1×
Colonoscopy w/ablation (45388) $1,656.80 $2,071 1.4×
Colonoscopy W/Band Ligation (45398) $1,236.80 $1,546 1.0×
Colonoscopy w/fb removal (45379) $1,475.20 $1,844 1.2×
Colonoscopy W/Resection (45390) $1,575.20 $1,969 0.6×
Colonoscopy w/submucosal inj (45381) $1,680 $2,100 1.4×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $1,474.40 $1,843 0.4×
Colpopexy extraperitoneal (57282)
range across 2 matching MRF lines		 $460–$3,072 $575–$3,840 varies
Colpopexy vaginal intraperitoneal approach (57283)
range across 2 matching MRF lines		 $540–$2,699.20 $675–$3,374 varies
Colporrhaphy (57200)
range across 2 matching MRF lines		 $1,280–$1,376 $1,600–$1,720 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $611.20 $764 2.0×
Colposcopy Cervix Endocervical Curettage (57456) $610.40 $763 2.0×
Colposcopy cervix upper/adjacent vagina (57452) $539.20 $674 2.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $610.40 $763 2.0×
Colposcopy cervix vag eltrd conization cervix (57461) $1,127.20 $1,409 0.3×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,236 $1,545 0.4×
Colposcopy entire vagina w/cervix if present (57420) $392 $490 1.3×
Colposcopy of vulva (56820) $211.20 $264 1.0×
Colposcopy Vulva W/Biopsy (56821) $420.80 $526 1.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $564.80 $706 0.6×
Colpotomy; with exploration (57000) $743.20 $929 0.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,681.60 $2,102 1.4×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,745.60 $2,182 1.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,661.60 $2,077 1.4×
Combined anteroposterior colporrhaphy; (57260)
range across 4 matching MRF lines		 $540–$2,699.20 $675–$3,374 varies
Complex Cystometrogram (51726) $928 $1,160 3.6×
Complex drainage wound (10180) $692 $865 0.2×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,428 $1,785 0.4×
Conization of cervix (57520) $1,381.60 $1,727 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $414.40–$520.80 $518–$651 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines		 $272–$322.40 $340–$403 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $604–$855.20 $755–$1,069 varies
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines		 $636.80–$2,028 $796–$2,535 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines		 $681.60–$1,895.20 $852–$2,369 varies
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $1,337.60 $1,672 0.4×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $1,583.20 $1,979 0.4×
Create Eardrum Opening (69433) $675.20 $844 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $413.60–$728 $517–$910 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $724.80 $906 3.0×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,857.60 $2,322 0.5×
Curettage postpartum (59160)
range across 2 matching MRF lines		 $178.40–$1,028.80 $223–$1,286 varies
Cysto Bladder W/Ureteral Catheterization (52005) $685.60 $857 0.3×
Cysto calibration dilat urtl strix/stenosis (52281) $604 $755 0.3×
Cysto w/destruction of lesions (52214) $2,361.60 $2,952 0.7×
Cysto w/insert ureteral stent (52332) $906.40 $1,133 0.3×
Cysto w/removal of lesions small (52224) $1,755.20 $2,194 0.5×
Cysto w/removal of tumors small (52234) $545.60 $682 0.2×
Cysto W/Simple Removal Stone & Stent (52310) $854.40 $1,068 0.4×
Cysto w/up stricture tx (52342) $829.60 $1,037 0.2×
Cysto w/ureteroscopy w/lithotripsy (52353)
unusually low: confirm this is the full procedure		 $2,337.60 $2,922 0.4×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $1,648 $2,060 0.5×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $1,292 $1,615 0.2×
Cystolithotomy (51050)
range across 2 matching MRF lines		 $512.80–$2,048.80 $641–$2,561 varies
Cystometrogram W/Up (51727) $878.40 $1,098 1.2×
Cystometrogram W/Vp (51728)
range across 2 matching MRF lines		 $1,056.80–$2,240 $1,321–$2,800 varies
Cystometrogram W/Vp&Up (51729) $1,404 $1,755 2.0×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
range across 3 matching MRF lines		 $731.20–$3,656 $914–$4,570 varies
Cystostomy Cystotomy W/Drainage (51040) $1,373.60 $1,717 0.6×
Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) $1,066.40 $1,333 0.3×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $1,311.20 $1,639 0.4×
Cystouretero W/Congen Repr (52400) $1,480 $1,850 0.4×
Cystourethroscopy (52000) $756 $945 1.1×
Cystourethroscopy inj chemodenervation bladder (52287) $966.40 $1,208 0.5×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $1,728 $2,160 0.5×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240)
likely a partial charge, not the full procedure		 $1,216.80 $1,521 0.2×
Cystourethroscopy with biopsy (52204) $1,511.20 $1,889 0.7×
Cystourethroscopy with direct vision internal urethrotomy (52276) $1,233.60 $1,542 0.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $163.20–$587.20 $204–$734 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,219.20 $2,774 0.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $1,124.80–$1,371.20 $1,406–$1,714 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 5 matching MRF lines		 $592–$1,128 $740–$1,410 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $52–$90.40 $65–$113 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $91.20–$95.20 $114–$119 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $992–$1,928.80 $1,240–$2,411 varies
Debridement Mastoidectomy Cavity Simple (69220) $228.80 $286 1.1×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 6 matching MRF lines		 $278.40–$840.80 $348–$1,051 varies
Declot vascular device (36593)
range across 3 matching MRF lines		 $101.60–$407.20 $127–$509 varies
Deep Muscle Biopsy (20205) $963.20 $1,204 0.3×
Delivery of placenta (59414)
range across 3 matching MRF lines		 $487.20–$592 $185–$740 varies
Destr W Neurolytic; Celiac Plexus (64680)
range across 2 matching MRF lines		 $617.60–$729.60 $772–$912 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $1,328–$3,576 $1,660–$4,470 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $1,328–$3,576 $1,660–$4,470 varies
Destruct B9 Lesion 1-14 (17110)
range across 4 matching MRF lines		 $140–$215.20 $175–$269 varies
Destruction Benign Lesions 15/> (17111) $270.40 $338 1.3×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $617.60–$630.40 $772–$788 varies
Destruction Lesions Vulva Extensive (56515) $799.20 $999 0.4×
Destruction Lesions Vulva Simple (56501) $403.20 $504 0.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $273.60 $342 1.3×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $215.20 $269 1.0×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines		 $403.20–$2,469.60 $504–$3,087 varies
Destruction of rectal tumor transanal approach (45190) $2,840.80 $3,551 1.0×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $140.80–$180.80 $176–$226 varies
Destruction Vaginal Lesions Extensive (57065) $1,312 $1,640 0.4×
Destruction Vaginal Lesions Simple (57061) $656 $820 0.2×
Diagnostic sigmoidoscopy (45330) $1,141.60 $1,427 1.2×
Diaphragm or cervical cap fitting with instructions (57170) $252 $315 1.2×
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $283.20–$384 $354–$480 varies
Dilation & curettage dx&/ther nonobstetric (58120) $1,296 $1,620 0.4×
Dilation and catheterization of salivary duct, with or without injection (42660)
range across 2 matching MRF lines		 $343.20–$384 $429–$480 varies
Dilation Cervical Canal (57800) $229.60 $287 0.1×
Drain/inj small joint/bursa w/us (20604) $181.60 $227 0.6×
Drainage abscess parotid simple (42300) $744 $930 0.5×
Drainage Abscess/Hematoma Nasal Septum (30020) $716 $895 1.3×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $416.80–$684.80 $521–$856 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $441.60–$549.60 $552–$687 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $903.20–$957.60 $1,129–$1,197 varies
Drainage Mouth Roof Lesion (42000) $790.40 $988 3.3×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $636–$699.20 $795–$874 varies
Drainage of gum lesion (41800)
range across 3 matching MRF lines		 $396–$592.80 $495–$741 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $355.20–$493.60 $444–$617 varies
Drainage of rectal abscess (45020)
range across 2 matching MRF lines		 $1,563.20–$2,092.80 $1,954–$2,616 varies
Drainage of rectal abscess (45005) $735.20 $919 0.6×
Drainage of salivary gland (42305) $1,794.40 $2,243 0.5×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $707.20–$736 $884–$920 varies
Drainage of scrotum (54700) $543.20 $679 0.3×
Drainage of skene's gland abscess or cyst (53060) $468.80 $586 0.2×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $2,105.60 $2,632 0.6×
Draw Blood Off Venous Device (36591) $197.60 $247 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $430.40 $538 0.6×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $496 $620 0.9×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $793.60 $992 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines		 $285.60–$734.40 $357–$918 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 4 matching MRF lines		 $303.20–$565.60 $379–$707 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 5 matching MRF lines		 $201.60–$279.20 $252–$349 varies
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines		 $594.40–$756 $743–$945 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $292–$1,111.20 $365–$1,389 varies
Dx Bone Marrow Bx & Aspir (38222)
range across 4 matching MRF lines		 $133.60–$871.20 $167–$1,089 varies
Dx Bronchoscope/Lavage (31624) $1,052.80 $1,316 0.6×
Dx Bronchoscope/Wash (31622) $639.20 $799 0.4×
Dx Laryngoscopy Excl Nb (31525) $882.40 $1,103 0.5×
Dx laryngoscopy w/oper scope (31526) $752 $940 0.4×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines		 $138.40–$623.20 $173–$779 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,112 $1,390 0.6×
Egd control bleeding any (43255) $1,342.40 $1,678 0.7×
Egd dilation gastric/duodenal stricture (43245) $1,320.80 $1,651 0.7×
Egd Flexible Foreign Body Removal (43247) $1,151.20 $1,439 1.2×
Egd lesion ablation (43270) $1,979.20 $2,474 1.0×
Egd place gastrostomy tube (43246) $1,174.40 $1,468 0.6×
Egd remove lesion snare (43251) $1,265.60 $1,582 0.6×
Egd Tube/Cath Insertion (43241) $319.20 $399 0.2×
Electro-Uroflowmetry First (51741) $248.80 $311 1.1×
Emblc/thrmbc ax brach innominate subcla art (34101)
unusually low: confirm this is the full procedure		 $2,132.80 $2,666 0.4×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $3,320.80 $4,151 0.6×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $3,074.40 $3,843 0.5×
Endocervical curettage (57505) $308 $385 0.3×
Endometrial Biopsy (58100) $334.40 $418 1.6×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $896.80–$4,057.60 $1,121–$5,072 varies
Enterorrhaphy single perforation (44602) $4,404.80 $5,506 1.1×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $585.60 $732 0.3×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $2,935.20 $3,669 1.4×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $317.60–$568 $397–$710 varies
Episiotomy or vaginal repair (59300) $743.20 $929 0.2×
Ercp remove forgn body duct (43275) $1,248.80 $1,561 0.6×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,380.80 $1,726 1.5×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,044.80 $1,306 0.5×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,117.60 $1,397 0.6×
Esophagoscopy Flexible Transoral Diagnostic (43200) $917.60 $1,147 1.0×
Esophagoscopy Rigid Balloon (43195) $764.80 $956 0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,286.40 $1,608 0.7×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,004 $1,255 0.5×
Ethmoidectomy Intranasal Anterior (31200)
likely a partial charge, not the full procedure		 $1,323.20 $1,654 0.2×
Evacuate mole of uterus (59870) $1,223.20 $1,529 0.4×
Evacuation of subungual hematoma (11740) $105.60 $132 0.8×
Exc abdl tum deep 5 cm/> (22901) $2,273.60 $2,842 0.8×
Exc arm/elbow les sc < 3 cm (24075) $1,388 $1,735 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $296.80 $371 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $365.60–$520.80 $457–$651 varies
Exc Back Les Sc < 3 Cm (21930) $1,487.20 $1,859 0.9×
Exc Back Tum Deep 5 Cm/> (21933) $2,704.80 $3,381 0.9×
Exc back tum deep < 5 cm (21932) $2,382.40 $2,978 0.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,965.60 $2,457 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $725.60 $907 1.0×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $786.40 $983 1.1×
Exc Face Les Sbq 2 Cm/> (21012) $1,279.20 $1,599 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $279.20–$309.60 $349–$387 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 3 matching MRF lines		 $356.80–$374.40 $446–$468 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $593.60–$656.80 $742–$821 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 3 matching MRF lines		 $501.60–$560 $627–$700 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $664–$697.60 $830–$872 varies
Exc Forearm Les Sc 3 Cm/> (25071) $1,611.20 $2,014 1.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $323.20–$358.40 $404–$448 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $285.60–$378.40 $357–$473 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 4 matching MRF lines		 $355.20–$614.40 $444–$768 varies
Exc hydrocele sprmatic cord uni spx (55500) $1,295.20 $1,619 0.4×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $739.20 $924 0.2×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $855.20 $1,069 0.3×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $1,046.40 $1,308 0.3×
Exc Rct Tum Incl Muscularis Propria (45172) $3,025.60 $3,782 1.1×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,150.40 $2,688 0.8×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,777.60 $2,222 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $471.20 $589 0.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $656.80 $821 0.4×
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 4 matching MRF lines		 $615.20–$876 $769–$1,095 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $547.20–$574.40 $684–$718 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $1,310.40–$1,351.20 $1,638–$1,689 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $638.40 $798 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $1,008–$1,020.80 $1,260–$1,276 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $741.60 $927 0.4×
Exc thigh/knee les sc 3 cm/> (27337) $1,530.40 $1,913 0.5×
Exc thigh/knee tum dep 5cm/> (27339) $3,242.40 $4,053 1.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 3 matching MRF lines		 $261.60–$533.60 $327–$667 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 4 matching MRF lines		 $228–$296.80 $285–$371 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 4 matching MRF lines		 $262.40–$527.20 $328–$659 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 3 matching MRF lines		 $421.60–$445.60 $527–$557 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,555.20 $1,944 0.5×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,979.20 $2,474 0.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,752 $2,190 0.6×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,144.80 $2,681 0.7×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,623.20 $3,279 0.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900)
range across 3 matching MRF lines		 $410.40–$1,640.80 $513–$2,051 varies
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,431.20 $1,789 0.8×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $1,350.40–$1,386.40 $1,688–$1,733 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,608.80 $3,261 0.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines		 $1,253.60–$1,387.20 $1,567–$1,734 varies
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048)
range across 2 matching MRF lines		 $1,346.40–$1,916 $1,683–$2,395 varies
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $2,100 $2,625 0.7×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,509.60 $1,887 0.5×
Exc urethral diverticulum spx female (53230) $2,844.80 $3,556 0.5×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $1,627.20 $2,034 0.5×
Exc/fulguration urethral caruncle (53265) $520.80 $651 0.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines		 $1,475.20–$4,130.40 $1,844–$5,163 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $546.40–$5,232.80 $683–$6,541 varies
Excis Mouth Mucosa/Sub,No Repair (40810) $570.40 $713 0.2×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $694.40 $868 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $378.40–$484.80 $473–$606 varies
Excision Aural Polyp (69540) $539.20 $674 0.3×
Excision Chest Wall Tumor Including Ribs (21601) $3,836.80 $4,796 1.3×
Excision Excessive Skin & Subq Tissue Other Area (15839) $2,034.40 $2,543 0.7×
Excision External Ear Partial Simple Repair (69110)
range across 2 matching MRF lines		 $585.60–$1,669.60 $732–$2,087 varies
Excision H/P/P/U Simple/Intermediate Repair (11470)
range across 2 matching MRF lines		 $852.80–$1,012 $1,066–$1,265 varies
Excision Hidradenitis Axillary Complex Repair (11451) $1,342.40 $1,678 0.5×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $977.60 $1,222 0.3×
Excision inferior turbinate partial/complete (30130) $1,196.80 $1,496 0.4×
Excision lesion mouth roof (42104) $412 $515 0.1×
Excision Lesion Tongue W/O Closure (41110) $588 $735 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $369.60 $462 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $429.60 $537 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $421.60 $527 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $521.60 $652 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $424 $530 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $874.40 $1,093 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $389.60 $487 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $463.20 $579 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $593.60 $742 0.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,149.60 $1,437 0.7×
Excision Multiple External Papillae/Tags Anus (46230) $732.80 $916 0.3×
Excision Nasal Polyp Extensive (30115) $1,202.40 $1,503 0.4×
Excision nasal polyp(s) simple (30110) $324.80 $406 0.2×
Excision of bartholin's gland or cyst (56740) $722.40 $903 0.2×
Excision of hydrocele; unilateral (55040) $1,378.40 $1,723 0.4×
Excision of pilonidal cyst or sinus; simple (11770)
range across 4 matching MRF lines		 $470.40–$830.40 $588–$1,038 varies
Excision of single external papilla or tag, anus (46220) $529.60 $662 0.4×
Excision of submandibular (submaxillary) gland (42440)
unusually low: confirm this is the full procedure		 $2,092.80 $2,616 0.3×
Excision of vaginal cyst or tumor (57135) $900 $1,125 0.3×
Excision of vaginal septum (57130) $1,177.60 $1,472 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,903.20 $2,379 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $1,349.60 $1,687 0.5×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $3,638.40 $4,548 0.5×
Excision spermatocele w/wo epididymectomy (54840) $1,200 $1,500 0.6×
Excision Thyroglossal Duct Cyst/Sinus (60280)
unusually low: confirm this is the full procedure		 $2,425.60 $3,032 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,215.20 $2,769 1.3×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,560 $1,950 0.9×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,218.40 $1,523 0.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $1,576 $1,970 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,256 $1,570 0.7×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,324 $1,655 0.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,728 $2,160 0.6×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $2,973.60 $3,717 1.0×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,112.80 $1,391 0.7×
Excision/destruction intranasal lesion int appr (30117) $2,573.60 $3,217 0.8×
Excision/destruction lesion pharynx any method (42808) $777.60 $972 0.2×
Expl penetrating wound spx abdomen/flank/back (20102) $1,526.40 $1,908 0.7×
Expl Po Hemrrg Thrombosis/Infctj Nck (35800)
range across 2 matching MRF lines		 $436.80–$1,747.20 $546–$2,184 varies
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $863.20–$1,272.80 $1,079–$1,591 varies
Exploration penetrating wound spx chest (20101) $992.80 $1,241 0.5×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,972–$2,640 $2,465–$3,300 varies
Exploration Penetrating Wound Spx Neck (20100) $2,257.60 $2,822 4.1×
Explore for undescended testis (54550) $1,532.80 $1,916 0.4×
External cephalic version (59412)
range across 3 matching MRF lines		 $314.40–$2,814.40 $393–$3,518 varies
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $170.40–$367.20 $213–$459 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $352.80–$539.20 $441–$674 varies
Fixation contralateral testis separate procedure (54620) $926.40 $1,158 0.3×
Fluid Pressure Muscle (20950) $280 $350 0.4×
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $140–$637.60 $175–$797 varies
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $384.80–$824.80 $481–$1,031 varies
Fracture Nasal Inferior Turbinate Therapeutic (30930) $252 $315 0.1×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $2,658.40 $3,323 0.7×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $4,204 $5,255 1.1×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830)
range across 2 matching MRF lines		 $714.40–$2,854.40 $893–$3,568 varies
Graft Ear Crtlg Autogenous Nose/Ear (21235)
unusually low: confirm this is the full procedure		 $2,806.40 $3,508 0.5×
Grafting of autologous soft tiss by direct exc (15769)
range across 2 matching MRF lines		 $2,208–$2,255.20 $2,760–$2,819 varies
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $482.40–$493.60 $603–$617 varies
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,596 $1,995 0.6×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,313.60 $1,642 0.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,859.20 $2,324 0.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) $1,975.20 $2,469 0.7×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $1,480 $1,850 0.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $668.80 $836 0.7×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $1,687.20 $2,109 0.6×
Hymenotomy Simple Incision (56442) $164.80 $206 0.0×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $6,809.60 $8,512 1.3×
Hysteroscopy Biopsy (58558) $2,012.80 $2,516 0.6×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $2,836 $3,545 0.6×
Hysteroscopy Dx Sep Proc (58555)
range across 2 matching MRF lines		 $832–$1,322.40 $1,040–$1,653 varies
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $966.40–$4,957.60 $1,208–$6,197 varies
Hysteroscopy Lysis Intrauterine Adhesions (58559)
range across 2 matching MRF lines		 $440.80–$2,206.40 $551–$2,758 varies
Hysteroscopy Removal Impacted Foreign Body (58562) $2,325.60 $2,907 0.7×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $3,300 $4,125 0.6×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $1,360.80 $1,701 0.4×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $581.60–$656.80 $727–$821 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $276–$435.20 $345–$544 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,210.40 $1,513 0.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $1,431.20 $1,789 0.5×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $2,787.20 $3,484 0.8×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $381.60–$484 $477–$605 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $359.20–$1,353.60 $449–$1,692 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $216–$812.80 $270–$1,016 varies
I&d vaginal hematoma obstetrical/postpartum (57022) $437.60 $547 0.1×
Icd Pocket Revision (33223)
range across 2 matching MRF lines		 $1,180–$2,971.20 $1,475–$3,714 varies
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $949.60 $1,187 1.0×
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines		 $924–$2,213.60 $1,155–$2,767 varies
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $924–$2,592.80 $1,155–$3,241 varies
Implant Neuroelectrodes (64561)
unusually low: confirm this is the full procedure		 $2,975.20 $3,719 0.5×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $1,660.80 $2,076 0.1×
Incise external hemorrhoid (46083)
range across 4 matching MRF lines		 $359.20–$736 $449–$920 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $507.20–$736 $634–$920 varies
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $640.80–$918.40 $801–$1,148 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $302.40–$331.20 $378–$414 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 4 matching MRF lines		 $303.20–$499.20 $379–$624 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $1,062.40 $1,328 0.4×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $610.40–$789.60 $763–$987 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) $4,360 $5,450 0.6×
Incision of eardrum (69421) $652.80 $816 0.2×
Incision of eardrum (69420) $518.40 $648 2.1×
Incision of labial frenum (frenotomy) (40806) $261.60 $327 0.5×
Incision of lingual frenum (frenotomy) (41010) $588 $735 0.4×
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $1,188.80–$1,635.20 $1,486–$2,044 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $353.60–$792.80 $442–$991 varies
Incisional biopsy skin single lesion (11106)
range across 4 matching MRF lines		 $103.20–$440.80 $129–$551 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $130.40–$232.80 $163–$291 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $180–$1,207.20 $225–$1,509 varies
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines		 $544–$812 $680–$1,015 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $604.80–$1,508 $756–$1,885 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $183.20–$202.40 $229–$253 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $265.60–$795.20 $332–$994 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $1,099.20–$1,324.80 $1,374–$1,656 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 3 matching MRF lines		 $449.60–$952 $562–$1,190 varies
Injection for identification of sentinel node (38792)
range across 3 matching MRF lines		 $167.20–$322.40 $209–$403 varies
Injection of sclerosing solution, hemorrhoids (46500) $445.60 $557 0.5×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $74.40–$212 $93–$265 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 6 matching MRF lines		 $67.20–$352.80 $84–$441 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 5 matching MRF lines		 $208.80–$578.40 $261–$723 varies
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines		 $105.60–$272.80 $132–$341 varies
Injection Turbinate Therapeutic (30200) $197.60 $247 0.4×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $173.60–$360 $217–$450 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines		 $112–$812.80 $140–$1,016 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $93.60–$109.60 $117–$137 varies
Ins cath ren art 1st bilat (36252)
range across 3 matching MRF lines		 $2,116–$5,132.80 $2,645–$6,416 varies
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $897.60–$2,903.20 $1,122–$3,629 varies
Ins cath ren art 2nd+ unilat (36253)
range across 2 matching MRF lines		 $1,703.20–$3,796.80 $2,129–$4,746 varies
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $3,844.80–$7,667.20 $4,806–$9,584 varies
Insert 1 Electrode Pm-Defib (33216)
range across 2 matching MRF lines		 $1,073.60–$1,162.40 $1,342–$1,453 varies
Insert and remove bone pin (20650) $272 $340 0.1×
Insert Bladder Cath Complex (51703) $410.40 $513 3.1×
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $628.80–$1,438.40 $786–$1,798 varies
Insert cervical dilator (59200) $344.80 $431 1.1×
Insert Drug Implant Device (11981) $378.40 $473 2.8×
Insert Gastrostomy Tube Percutaneous (49440)
range across 3 matching MRF lines		 $941.60–$1,962.40 $1,177–$2,453 varies
Insert Heart Pm Atrial (33206)
range across 2 matching MRF lines		 $1,309.60–$13,847.20 $1,637–$17,309 varies
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $1,372.80–$6,960 $1,716–$8,700 varies
Insert multi-comp penis pros (54405)
likely a partial charge, not the full procedure		 $3,372.80 $4,216 0.2×
Insert Nasal Septal Button (30220) $793.60 $992 0.5×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $588–$627.20 $735–$784 varies
Insert Pacing Lead & Connect (33224)
range across 2 matching MRF lines		 $1,415.20–$13,847.20 $1,769–$17,309 varies
Insert pessary/other device (57160) $267.20 $334 1.3×
Insert pulse gen dual leads (33213)
likely a partial charge, not the full procedure		 $967.20 $1,209 0.1×
Insert Pulse Gen Sngl Lead (33212)
likely a partial charge, not the full procedure		 $924 $1,155 0.1×
Insert semi-rigid prosthesis (54400)
likely a partial charge, not the full procedure		 $1,635.20 $2,044 0.1×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $88–$191.20 $110–$239 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $802.40–$3,551.20 $1,003–$4,439 varies
Insert tunneled cv cath (36561)
range across 3 matching MRF lines		 $1,703.20–$3,703.20 $2,129–$4,629 varies
Insert Uro/Ves Nck Sphincter (53445)
likely a partial charge, not the full procedure		 $4,134.40 $5,168 0.2×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $138.40–$180 $173–$225 varies
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines		 $1,852–$4,130.40 $2,315–$5,163 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $833.60–$1,919.20 $1,042–$2,399 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,000 $10,000 0.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 3 matching MRF lines		 $1,703.20–$3,773.60 $2,129–$4,717 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $228–$476.80 $285–$596 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines		 $1,507.20–$3,703.20 $1,884–$4,629 varies
Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886)
likely a partial charge, not the full procedure		 $2,961.60 $3,702 0.1×
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $2,620.80–$26,944 $3,276–$33,680 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 3 matching MRF lines		 $459.20–$10,377.60 $574–$12,972 varies
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines		 $1,134.40–$7,295.20 $1,418–$9,119 varies
Insrt Pulse Gen W/Singl Lead (33240)
likely a partial charge, not the full procedure		 $1,052.80 $1,316 0.0×
Insrt/Redo Neurostim 1 Array (61885)
likely a partial charge, not the full procedure		 $2,235.20 $2,794 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $941.60 $1,177 0.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,314.40 $1,643 3.2×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,658.40 $2,073 4.0×
Intranasal Biopsy (30100) $368 $460 0.2×
Intraoral i&d tongue/floor submental space (41007) $1,256.80 $1,571 0.8×
Intraoral i&d tongue/floor submndblr space (41008) $1,286.40 $1,608 0.4×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines		 $959.20–$1,588 $1,199–$1,985 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903)
range across 2 matching MRF lines		 $3,343.20–$13,552 $4,179–$16,940 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $785.60–$8,196 $982–$10,245 varies
Intro Gastrointestinal Tube (44500)
range across 4 matching MRF lines		 $140.80–$1,068 $176–$1,335 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $641.60–$861.60 $802–$1,077 varies
Irrigation of corpora cavernosa for priapism (54220) $344.80 $431 1.4×
Labyrinthotomy Transcanal (69801) $685.60 $857 0.4×
Lap paraesophag hern repair (43281)
range across 2 matching MRF lines		 $1,292.80–$6,466.40 $1,616–$8,083 varies
Lap replace gastr adj device (43773) $10,231.20 $12,789 1.7×
Laparo new ureter/bladder (50947)
unusually low: confirm this is the full procedure		 $4,283.20 $5,354 0.4×
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines		 $817.60–$4,085.60 $1,022–$5,107 varies
Laparoscopic myomectomy (58545) $4,312.80 $5,391 0.7×
Laparoscopy aspiration (49322)
range across 2 matching MRF lines		 $684.80–$2,009.60 $856–$2,512 varies
Laparoscopy Enterolysis Separate Procedure (44180)
range across 3 matching MRF lines		 $856.80–$3,425.60 $1,071–$4,282 varies
Laparoscopy fulguration oviducts (58670)
unusually low: confirm this is the full procedure		 $1,957.60 $2,447 0.3×
Laparoscopy salpingostomy (58673)
unusually low: confirm this is the full procedure		 $4,556 $5,695 0.4×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $652.80–$2,610.40 $816–$3,263 varies
Laparoscopy surgical orchiectomy (54690)
unusually low: confirm this is the full procedure		 $2,676 $3,345 0.4×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
range across 2 matching MRF lines		 $1,707.20–$5,349.60 $2,134–$6,687 varies
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
range across 2 matching MRF lines		 $1,334.40–$4,331.20 $1,668–$5,414 varies
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines		 $1,345.60–$3,364 $1,682–$4,205 varies
Laparoscopy w/rmvl adnexal structures (58661)
range across 3 matching MRF lines		 $644.80–$3,564 $806–$4,455 varies
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $752–$3,751.20 $940–$4,689 varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
likely a partial charge, not the full procedure		 $2,964 $3,705 0.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
range across 2 matching MRF lines		 $972.80–$4,864 $1,216–$6,080 varies
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $9,590.40 $11,988 0.9×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $5,173.60 $6,467 1.3×
Laparoscopy, surgical, splenectomy (38120)
unusually low: confirm this is the full procedure		 $4,540.80 $5,676 0.4×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
range across 2 matching MRF lines		 $1,346.40–$3,847.20 $1,683–$4,809 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
range across 2 matching MRF lines		 $733.60–$3,666.40 $917–$4,583 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
range across 2 matching MRF lines		 $1,017.60–$5,113.60 $1,272–$6,392 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $1,057.60–$4,229.60 $1,322–$5,287 varies
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $3,839.20 $4,799 0.4×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
unusually low: confirm this is the full procedure		 $2,741.60 $3,427 0.4×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)
unusually low: confirm this is the full procedure		 $2,500.80 $3,126 0.4×
Laparoscopy, surgical; partial nephrectomy (50543)
unusually low: confirm this is the full procedure		 $4,606.40 $5,758 0.4×
Laparoscopy, surgical; pyeloplasty (50544) $5,936.80 $7,421 0.5×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $3,214.40 $4,018 0.5×
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948)
unusually low: confirm this is the full procedure		 $4,029.60 $5,037 0.4×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571)
unusually low: confirm this is the full procedure		 $3,912 $4,890 0.4×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
range across 3 matching MRF lines		 $440–$1,895.20 $550–$2,369 varies
Laparoscopy, Tubal Block (58671)
unusually low: confirm this is the full procedure		 $1,957.60 $2,447 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 4 matching MRF lines		 $540–$2,201.60 $675–$2,752 varies
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $695.20–$3,478.40 $869–$4,348 varies
Laps Gastric Restrictive Px Remove Device & Port (43774) $5,221.60 $6,527 1.3×
Laps surg prst8ect smpl stot robotic assistance (55867)
unusually low: confirm this is the full procedure		 $5,428.80 $6,786 0.5×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $7,141.60 $8,927 1.2×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
unusually low: confirm this is the full procedure		 $2,850.40 $3,563 0.5×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
range across 2 matching MRF lines		 $843.20–$4,216.80 $1,054–$5,271 varies
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $245.60–$429.60 $307–$537 varies
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $1,383.20 $1,729 0.4×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $443.20–$480 $554–$600 varies
Laryngoscopy Indirect W/Removal Foreign Body (31511) $245.60 $307 1.2×
Laryngoscopy W/Biopsy (31535) $973.60 $1,217 0.3×
Laryngoscopy w/biopsy microscope/telescope (31536) $1,323.20 $1,654 0.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $776.80 $971 1.9×
Larynscop w/tumr exc + scope (31541) $1,757.60 $2,197 0.5×
Laser vaporization of prostate (52648) $3,630.40 $4,538 0.7×
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,928–$3,582.40 $2,410–$4,478 varies
Lig&div long saph vein saphfem junct/interrupj (37700) $955.20 $1,194 0.3×
Ligate leg veins open (37761) $1,894.40 $2,368 0.6×
Ligate/strip long leg vein (37722) $1,956 $2,445 0.6×
Ligate/strip short leg vein (37718) $1,614.40 $2,018 0.5×
Ligation Major Artery Abdomen (37617) $3,444 $4,305 0.6×
Ligation of hemorrhoids (46946) $920 $1,150 0.3×
Ligation or biopsy temporal artery (37609) $1,012 $1,265 0.6×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $1,440 $1,800 0.4×
Litholapaxy comp/lg > 2.5 cm (52318) $2,206.40 $2,758 0.6×
Litholapaxy smpl/sm <2.5 cm (52317) $1,991.20 $2,489 0.6×
Lithotripsy, extracorporeal shock wave (50590) $2,421.60 $3,027 0.7×
Lmtd lmphadec staging spx pel&para-aortic (38562) $6,301.60 $7,877 0.8×
Lsh uterus 250 g or less (58541)
unusually low: confirm this is the full procedure		 $3,562.40 $4,453 0.3×
Lsh uterus above 250 g (58543)
unusually low: confirm this is the full procedure		 $3,981.60 $4,977 0.4×
Lyse chest fibrin init day (32561)
range across 2 matching MRF lines		 $341.60–$869.60 $427–$1,087 varies
Lyse Chest Fibrin Subq Day (32562)
range across 2 matching MRF lines		 $318.40–$869.60 $398–$1,087 varies
Lysis Intranasal Synechia (30560) $712 $890 1.3×
Lysis of labial adhesions (56441) $500 $625 0.2×
Marsupialization of bartholin's gland cyst (56440) $635.20 $794 0.2×
Mast mod rad (19307) $4,072 $5,090 0.6×
Mastectomy for gynecomastia (19300) $2,000.80 $2,501 0.5×
Mastectomy partial (19301)
range across 2 matching MRF lines		 $312–$1,558.40 $390–$1,948 varies
Mastectomy partial w/axillary lymphadenectomy (19302) $3,520 $4,400 0.5×
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $542.40–$2,715.20 $678–$3,394 varies
Maternity Care Procedure (59899)
range across 2 matching MRF lines		 $1,222.40–$1,320 $1,528–$1,650 varies
Muscle-skin graft trunk (15734) $7,009.60 $8,762 1.9×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines		 $292–$1,433.60 $365–$1,792 varies
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines		 $144.80–$1,223.20 $181–$1,529 varies
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines		 $673.60–$1,318.40 $842–$1,648 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 2 matching MRF lines		 $144.80–$1,196.80 $181–$1,496 varies
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $2,090.40 $2,613 0.6×
Myringoplasty (69620) $3,309.60 $4,137 1.0×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $279.20–$494.40 $349–$618 varies
N Block Inj Ilio-Ing/Hypogi (64425) $542.40 $678 0.8×
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $304.80–$992 $381–$1,240 varies
N Block Inj Paracervical (64435)
range across 2 matching MRF lines		 $542.40–$557.60 $678–$697 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $141.60–$386.40 $177–$483 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $143.20–$823.20 $179–$1,029 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $247.20–$1,391.20 $309–$1,739 varies
Nasal Endoscopy Dx (31231) $350.40 $438 1.7×
Nasal surgery procedure (30999) $84 $105 0.3×
Nasal/Orogastric W/Tube Plmt (43752)
range across 3 matching MRF lines		 $149.60–$488.80 $187–$611 varies
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $584.80 $731 1.5×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $1,470.40 $1,838 0.4×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $1,596 $1,995 0.2×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $7,006.40 $8,758 1.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,285.60 $1,607 0.7×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $888 $1,110 0.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $1,036.80–$1,331.20 $1,296–$1,664 varies
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $14,205.60 $17,757 2.0×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $8,010.40 $10,013 1.1×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $6,084.80 $7,606 0.8×
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) $7,168.80 $8,961 1.0×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure		 $1,915.20 $2,394 0.3×
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure		 $1,804.80 $2,256 0.3×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
unusually low: confirm this is the full procedure		 $2,295.20 $2,869 0.3×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
unusually low: confirm this is the full procedure		 $3,062.40 $3,828 0.4×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $4,032 $5,040 0.6×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $868.80 $1,086 0.9×
Needle Biopsy Lymph Nodes (38505)
range across 4 matching MRF lines		 $328.80–$584 $411–$730 varies
Nipple Exploration (19110) $1,391.20 $1,739 0.3×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $223.20–$376 $279–$470 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $213.60–$266.40 $267–$333 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $330.40–$517.60 $413–$647 varies
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines		 $1,396–$4,130.40 $1,745–$5,163 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $415.20–$1,492.80 $519–$1,866 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $431.20–$729.60 $539–$912 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $417.60 $522 0.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $400–$772 $500–$965 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $584–$875.20 $730–$1,094 varies
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $163.20–$360 $204–$450 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $382.40–$640 $478–$800 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
unusually low: confirm this is the full procedure		 $2,940 $3,675 0.4×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure		 $2,032.80 $2,541 0.3×
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $292–$785.60 $365–$982 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
range across 2 matching MRF lines		 $2,367.20–$2,732.80 $2,959–$3,416 varies
Open biopsy/excision inguinofemoral nodes (38531) $2,207.20 $2,759 0.6×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $3,380.80 $4,226 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $1,081.60 $1,352 0.3×
Open Tx Mandibular Fx W/O Interdental Fixation (21461) $3,381.60 $4,227 0.6×
Open/Perq Place Stent 1St (37236)
range across 4 matching MRF lines		 $692.80–$15,417.60 $866–$19,272 varies
Open/Perq Place Stent Same (37238)
range across 4 matching MRF lines		 $854.40–$14,229.60 $1,068–$17,787 varies
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $2,637.60 $3,297 1.1×
Orchiectomy radical tumor inguinal approach (54530) $1,384.80 $1,731 0.4×
Orchiopexy Ingun/Scrot Appr (54640)
range across 2 matching MRF lines		 $525.60–$2,205.60 $657–$2,757 varies
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) $2,260.80 $2,826 0.6×
Ostectomy of sternum, partial Facility (21620) $1,543.20 $1,929 0.5×
Ovarian cystectomy, unilateral or bilateral (58925)
range across 2 matching MRF lines		 $653.60–$2,613.60 $817–$3,267 varies
Palatop cl palate soft&/hard palate only (42200) $5,150.40 $6,438 0.9×
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines		 $796.80–$3,985.60 $996–$4,982 varies
Partial Excision Distal Phalanx Finger (26236) $3,572 $4,465 2.2×
Partial hymenectomy or revision of hymenal ring (56700)
range across 2 matching MRF lines		 $168.80–$868.80 $211–$1,086 varies
Partial removal of penis (54120) $1,952 $2,440 0.5×
Partial removal of rib (21600)
unusually low: confirm this is the full procedure		 $2,853.60 $3,567 0.4×
Partial removal of thyroid (60220)
range across 2 matching MRF lines		 $606.40–$3,032.80 $758–$3,791 varies
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
range across 2 matching MRF lines		 $622.40–$2,489.60 $778–$3,112 varies
Pelvic examination under anesthesia (other than local) (57410) $392 $490 0.1×
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines		 $1,071.20–$2,196 $1,339–$2,745 varies
Percut Mech Thrombectomy, Venous, Repeat (37188)
range across 2 matching MRF lines		 $3,060–$3,703.20 $3,825–$4,629 varies
Peri-Implant Capsulectomy Breast Complete (19371) $3,654.40 $4,568 0.9×
Pericardiocentesis W/Imaging (33016)
range across 4 matching MRF lines		 $424.80–$1,253.60 $531–$1,567 varies
Perineoplasty rpr perineum nonobstetrical spx (56810)
range across 2 matching MRF lines		 $166.40–$832 $208–$1,040 varies
Perq Cervicothoracic Inject (22510)
range across 3 matching MRF lines		 $282.40–$5,556.80 $353–$6,946 varies
Perq dev breast 1st strtctc (19283)
range across 4 matching MRF lines		 $200.80–$1,345.60 $251–$1,682 varies
Perq dev breast 1st us imag (19285)
range across 4 matching MRF lines		 $403.20–$1,334.40 $504–$1,668 varies
Perq device breast 1st imag (19281)
range across 4 matching MRF lines		 $385.60–$1,298.40 $482–$1,623 varies
Perq Lumbosacral Injection (22511)
range across 3 matching MRF lines		 $282.40–$5,187.20 $353–$6,484 varies
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
likely a partial charge, not the full procedure		 $2,690.40 $3,363 0.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
range across 2 matching MRF lines		 $3,636.80–$7,275.20 $4,546–$9,094 varies
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
range across 2 matching MRF lines		 $1,155.20–$6,556.80 $1,444–$8,196 varies
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 3 matching MRF lines		 $1,529.60–$6,599.20 $1,912–$8,249 varies
Perq Vertebral Augmentation (22513)
range across 3 matching MRF lines		 $1,256.80–$9,686.40 $1,571–$12,108 varies
Phleb Veins - Extrem 20+ (37766) $1,980 $2,475 0.6×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $1,493.60–$5,028.80 $1,867–$6,286 varies
Place Cath Thoracic Aorta (36221)
range across 2 matching MRF lines		 $1,233.60–$3,703.20 $1,542–$4,629 varies
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $1,660.80–$9,163.20 $2,076–$11,454 varies
Place Duod/Jej Tube Perc (49441)
range across 2 matching MRF lines		 $890.40–$2,226.40 $1,113–$2,783 varies
Place Rt Device/Marker Pros (55876)
range across 2 matching MRF lines		 $177.60–$465.60 $222–$582 varies
Placement of needle for intraosseous infusion (36680) $337.60 $422 0.7×
Placement of seton (46020) $921.60 $1,152 0.3×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 4 matching MRF lines		 $860–$3,672.80 $1,075–$4,591 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $1,656 $2,070 0.5×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
range across 3 matching MRF lines		 $363.20–$2,305.60 $454–$2,882 varies
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines		 $4,023.20–$10,929.60 $5,029–$13,662 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $249.60–$326.40 $312–$408 varies
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $396 $495 0.3×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $692.80 $866 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $284 $355 0.2×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267)
range across 2 matching MRF lines		 $1,504.80–$2,348.80 $1,881–$2,936 varies
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534)
range across 2 matching MRF lines		 $2,343.20–$4,130.40 $2,929–$5,163 varies
Punch biopsy skin single lesion (11104)
range across 5 matching MRF lines		 $150.40–$541.60 $188–$677 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines		 $184.80–$360 $231–$450 varies
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines		 $79.20–$627.20 $99–$784 varies
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $3,588 $4,485 1.2×
Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) $5,553.60 $6,942 1.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 2 matching MRF lines		 $523.20–$1,071.20 $654–$1,339 varies
Rdctj torsion tstis w/wo fixj clat testis (54600) $1,460.80 $1,826 0.4×
Re-explore parathyroids (60502) $6,188.80 $7,736 1.0×
Reconstruction of urethra (54326) $3,379.20 $4,224 0.9×
Relocation Pocket Pacemaker (33222)
range across 3 matching MRF lines		 $1,453.60–$8,082.40 $1,817–$10,103 varies
Rem Endovas Vena Cava Filter (37193)
range across 2 matching MRF lines		 $2,670.40–$4,662.40 $3,338–$5,828 varies
Removal Anal Seton Other Marker (46030) $424 $530 0.3×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
likely a partial charge, not the full procedure		 $3,916 $4,895 0.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537)
range across 2 matching MRF lines		 $345.60–$1,780 $432–$2,225 varies
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $222.40–$372.80 $278–$466 varies
Removal Foreign Body Deep Thigh/Knee (27372) $1,393.60 $1,742 0.5×
Removal foreign body foot deep (28192)
range across 3 matching MRF lines		 $751.20–$1,691.20 $939–$2,114 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $469.60–$1,059.20 $587–$1,324 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $396.80–$728 $496–$910 varies
Removal foreign body, intranasal; requiring general anesthesia (30310) $696 $870 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $45.60–$96 $57–$120 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $100.80–$185.60 $126–$232 varies
Removal Implant Deep (20680) $1,635.20 $2,044 0.6×
Removal Implant Superficial Separate Procedure (20670) $438.40 $548 0.3×
Removal implantable contraceptive capsules (11976) $379.20 $474 0.5×
Removal of a lesion from the floor of the mouth (41116) $1,015.20 $1,269 0.3×
Removal of adenoids (42835) $752 $940 0.2×
Removal of adenoids (42831) $951.20 $1,189 0.3×
Removal of adenoids (42830) $920 $1,150 0.3×
Removal of adenoids (42836) $994.40 $1,243 0.3×
Removal of anal fissure (46200) $1,292.80 $1,616 0.5×
Removal of bladder cyst (51500)
unusually low: confirm this is the full procedure		 $2,957.60 $3,697 0.5×
Removal of bone lesion (23140) $2,139.20 $2,674 0.6×
Removal of foreign body from pharynx (42809) $628.80 $786 1.4×
Removal of kidney stone (50081)
unusually low: confirm this is the full procedure		 $4,171.20 $5,214 0.4×
Removal of mammary implant material (19330) $2,436 $3,045 0.6×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $534.40–$711.20 $668–$889 varies
Removal of sperm cord lesion (55520) $1,576.80 $1,971 0.4×
Removal of testis (54520) $1,009.60 $1,262 0.3×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $1,377.60 $1,722 0.2×
Removal of tonsils (42826) $1,584.80 $1,981 0.5×
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $1,657.60–$3,703.20 $2,072–$4,629 varies
Removal Pacemaker Electrode (33235)
range across 2 matching MRF lines		 $1,832.80–$11,456 $2,291–$14,320 varies
Removal ppm generator only (33233)
range across 2 matching MRF lines		 $676.80–$681.60 $846–$852 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $244–$301.60 $305–$377 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $385.60–$812.80 $482–$1,016 varies
Removal sweat gland lesion (11450) $1,050.40 $1,313 0.4×
Remove armpit lymph nodes (38740)
unusually low: confirm this is the full procedure		 $2,387.20 $2,984 0.4×
Remove cerclage suture (59871) $340 $425 0.1×
Remove drug implant device (11982) $399.20 $499 0.9×
Remove Elctrd Transvenously (33244)
range across 2 matching MRF lines		 $2,484.80–$5,120 $3,106–$6,400 varies
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines		 $1,666.40–$2,733.60 $2,083–$3,417 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $105.60–$178.40 $132–$223 varies
Remove Gastric Port Open (43887) $1,412 $1,765 0.7×
Remove groin lymph nodes (38760)
unusually low: confirm this is the full procedure		 $3,354.40 $4,193 0.5×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $307.20–$358.40 $384–$448 varies
Remove lung catheter (32552)
range across 2 matching MRF lines		 $733.60–$1,448.80 $917–$1,811 varies
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $259.20–$580.80 $324–$726 varies
Remove Peritoneal Foreign Body (49402) $3,110.40 $3,888 0.9×
Remove Pulse Generator (33241)
range across 2 matching MRF lines		 $1,330.40–$7,312.80 $1,663–$9,141 varies
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $156.80–$452.80 $196–$566 varies
Remove Shoulder Foreign Body (23330) $690.40 $863 0.4×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $1,227.20–$1,728 $1,534–$2,160 varies
Remove&replace pm gen singl (33227)
range across 2 matching MRF lines		 $976–$6,931.20 $1,220–$8,664 varies
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $554.40–$598.40 $693–$748 varies
Remove/replace penis prosth (54410)
likely a partial charge, not the full procedure		 $2,656.80 $3,321 0.1×
Remv&replc cvd gen dual lead (33263)
range across 2 matching MRF lines		 $1,113.60–$1,224.80 $1,392–$1,531 varies
Remv&replc cvd gen mult lead (33264) $38,442.40 $48,053 1.2×
Remv&replc cvd gen sing lead (33262)
range across 2 matching MRF lines		 $26,439.20 $1,342–$33,049 1.2×
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines		 $1,019.20–$8,389.60 $1,274–$10,487 varies
Remv&replc pm gen mult leads (33229)
range across 2 matching MRF lines		 $989.60–$9,200 $1,237–$11,500 varies
Remvl Inflatable Urethral/Bladder Neck Sphincter (53446)
unusually low: confirm this is the full procedure		 $1,724.80 $2,156 0.3×
Renal Biopsy Perq (50200)
range across 2 matching MRF lines		 $601.60–$827.20 $752–$1,034 varies
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $488 $610 0.1×
Repair Bladder-Vagina Lesion (57320)
unusually low: confirm this is the full procedure		 $1,536.80 $1,921 0.3×
Repair blood vessel direct neck (35201)
range across 2 matching MRF lines		 $732.80–$3,664 $916–$4,580 varies
Repair Blood Vessel Direct Upper Extremity (35206) $6,318.40 $7,898 2.0×
Repair blood vessel lesion (35190)
range across 2 matching MRF lines		 $552–$2,207.20 $690–$2,759 varies
Repair brow ptosis (67900) $1,974.40 $2,468 0.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,468.80 $1,836 1.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $1,063.20–$2,013.60 $1,329–$2,517 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $709.60–$1,170.40 $887–$1,463 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,378.40–$1,787.20 $1,723–$2,234 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,014.40 $1,268 2.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $848.80–$1,310.40 $1,061–$1,638 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 3 matching MRF lines		 $671.20–$1,038.40 $839–$1,298 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $660–$1,202.40 $825–$1,503 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,944.80–$3,349.60 $2,431–$4,187 varies
Repair Hand Tendon (26410) $3,369.60 $4,212 2.1×
Repair inguinal hernia, sliding, any age (49525) $2,666.40 $3,333 0.7×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,129.60 $3,912 0.9×
Repair initial femoral hernia, any age; reducible (49550) $2,620 $3,275 0.7×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines		 $703.20–$2,810.40 $879–$3,513 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 4 matching MRF lines		 $516–$756 $645–$945 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $644–$816 $805–$1,020 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 3 matching MRF lines		 $652.80–$916 $816–$1,145 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $736.80–$1,010.40 $921–$1,263 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,941.60 $2,427 4.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $1,169.60–$1,174.40 $1,462–$1,468 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $410.40–$649.60 $513–$812 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 4 matching MRF lines		 $518.40–$816 $648–$1,020 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $532–$943.20 $665–$1,179 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,548.80 $1,936 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $624–$1,124.80 $780–$1,406 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $337.60–$592 $422–$740 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $402.40–$850.40 $503–$1,063 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,299.20 $1,624 1.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $508–$860.80 $635–$1,076 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,052.80–$1,551.20 $1,316–$1,939 varies
Repair Laceration Palate </2 Cm (42180) $480.80 $601 0.9×
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure		 $1,216 $1,520 0.2×
Repair lead pace-defib dual (33220)
range across 2 matching MRF lines		 $1,042.40–$4,388.80 $1,303–$5,486 varies
Repair Lead Pace-Defib One (33218)
range across 2 matching MRF lines		 $1,126.40–$7,637.60 $1,408–$9,547 varies
Repair lumbar hernia (49540) $3,244 $4,055 0.5×
Repair nasal septal perforations (30630) $2,646.40 $3,308 0.8×
Repair of enterocele, vaginal approach (separate procedure) (57268) $2,580.80 $3,226 0.5×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $539.20–$564 $674–$705 varies
Repair penis post injury (54440) $2,256.80 $2,821 0.6×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $3,230.40 $4,038 0.9×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $3,234.40 $4,043 0.5×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $1,604.80 $2,006 0.5×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $1,044.80–$1,240.80 $1,306–$1,551 varies
Repair tongue laceration (41250) $699.20 $874 1.5×
Repair uro sphincter (53449)
likely a partial charge, not the full procedure		 $1,382.40 $1,728 0.1×
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491)
likely a partial charge, not the full procedure		 $1,815.20 $2,269 0.3×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 3 matching MRF lines		 $382.40–$1,160 $478–$1,450 varies
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines		 $320.80–$1,068 $401–$1,335 varies
Replace g/c tube perc (49450)
range across 3 matching MRF lines		 $208–$3,637.60 $260–$4,547 varies
Reposition L Ventric Lead (33226) $4,001.60 $5,002 1.2×
Reposition Pacing-Defib Lead (33215)
range across 2 matching MRF lines		 $892–$6,171.20 $1,115–$7,714 varies
Reposition Venous Catheter (36597)
range across 3 matching MRF lines		 $141.60–$1,534.40 $177–$1,918 varies
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $639.20–$2,555.20 $799–$3,194 varies
Resect shoulder tumor < 5 cm (23077) $4,020 $5,025 1.4×
Rev/rmv prph sac/gstr npg/r (64595) $1,113.60 $1,392 0.3×
Revise penis/urethra (54328) $2,494.40 $3,118 0.7×
Revise penis/urethra (54332) $3,275.20 $4,094 0.9×
Revise penis/urethra (54336) $2,663.20 $3,329 0.7×
Revision including removal of prosthetic vaginal graft vaginal approach (57295)
range across 2 matching MRF lines		 $785.60–$1,963.20 $982–$2,454 varies
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $2,773.60 $3,467 0.8×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $2,812.80 $3,516 0.8×
Revision of leg vein (37780) $1,103.20 $1,379 0.3×
Revision of urethra (53460) $1,156 $1,445 0.3×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,380 $1,725 0.4×
Revj/rmvl peripheral neurostimulator electrode (64585) $1,205.60 $1,507 0.3×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 2 matching MRF lines		 $698.40–$5,250.40 $873–$6,563 varies
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 2 matching MRF lines		 $2,944–$6,454.40 $3,680–$8,068 varies
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
range across 2 matching MRF lines		 $3,548.80–$9,354.40 $4,436–$11,693 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 2 matching MRF lines		 $2,880–$9,033.60 $3,600–$11,292 varies
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 2 matching MRF lines		 $1,950.40–$5,466.40 $2,438–$6,833 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 2 matching MRF lines		 $1,080.80–$16,468.80 $1,351–$20,586 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 2 matching MRF lines		 $2,640–$6,129.60 $3,300–$7,662 varies
Revsc evasc tpvt athrc uni sf les 1st vsl (37288)
range across 2 matching MRF lines		 $3,440.80–$6,877.60 $4,301–$8,597 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 2 matching MRF lines		 $463.20–$526.40 $579–$658 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205) $469.60 $587 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $144–$180.80 $180–$226 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $172–$234.40 $215–$293 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $224.80 $281 0.5×
Rmvl fecal impaction/fb spx under anes (45915) $867.20 $1,084 0.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $1,244.80–$1,482.40 $1,556–$1,853 varies
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $678.40 $848 0.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234)
range across 2 matching MRF lines		 $1,392.80–$8,487.20 $1,741–$10,609 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $580–$1,448.80 $725–$1,811 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 4 matching MRF lines		 $360–$869.60 $450–$1,087 varies
Rmvl/revj sling stress incontinence (57287) $2,700.80 $3,376 0.8×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $262.40–$305.60 $328–$382 varies
Rplcmt cath ctr vad subq port/pmp (36578)
range across 2 matching MRF lines		 $1,632–$1,694.40 $2,040–$2,118 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines		 $336–$1,378.40 $420–$1,723 varies
Rplcmt compl tun ctr vad w/subq port (36582) $2,630.40 $3,288 0.8×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,987.20 $4,984 0.6×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,682.40 $3,353 0.7×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $3,364 $4,205 0.5×
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low: confirm this is the full procedure		 $3,004 $3,755 0.5×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $3,560 $4,450 0.6×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $2,682.40 $3,353 0.7×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure		 $3,004 $3,755 0.5×
Rpr aa hrn 1st < 3 ncr/strn (49592) $3,560 $4,450 0.6×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $3,087.20–$4,327.20 $3,859–$5,409 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $897.60 $1,122 4.4×
Rpr Ing Hernia Baby, Reduc (49495) $2,555.20 $3,194 0.7×
Rpr ing hernia init reduce (49500)
unusually low: confirm this is the full procedure		 $2,304 $2,880 0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,406.40 $1,758 1.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,667.20 $3,334 4.8×
Rpr Lip Full Thickness Vermilion Only (40650)
range across 3 matching MRF lines		 $1,006.40–$1,375.20 $1,258–$1,719 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,916.80 $3,646 1.8×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,778.40 $4,723 1.1×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $1,063.20 $1,329 0.3×
Scrotal exploration (55110) $1,198.40 $1,498 0.3×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,419.20 $4,274 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $697.60 $872 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,155.20 $1,444 0.9×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $160.80–$194.40 $201–$243 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $297.60 $372 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $172.80–$208.80 $216–$261 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $231.20 $289 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $289.60 $362 1.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $256–$272.80 $320–$341 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 3 matching MRF lines		 $218.40–$264.80 $273–$331 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $691.20 $864 0.2×
Sigmoidoscopy & decompress (45337) $1,093.60 $1,367 1.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $520.80 $651 0.4×
Sigmoidoscopy w/fb removal (45332) $1,155.20 $1,444 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,256 $1,570 1.3×
Simple Cystometrogram (51725) $664 $830 2.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,104 $1,380 2.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $332.80–$456 $416–$570 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $346.40–$592.80 $433–$741 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,333.60 $1,667 3.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $483.20–$711.20 $604–$889 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,569.60 $1,962 7.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $304–$443.20 $380–$554 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,202.40 $1,503 5.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $456–$659.20 $570–$824 varies
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $519.20–$2,900 $649–$3,625 varies
Skin sub graft trnk/arm/leg (15271)
range across 4 matching MRF lines		 $364.80–$716.80 $456–$896 varies
Skin sub grft t/arm/lg child (15273)
range across 3 matching MRF lines		 $1,061.60–$1,399.20 $1,327–$1,749 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $432–$451.20 $540–$564 varies
Skn sub grft f/n/hf/g child (15277)
range across 3 matching MRF lines		 $912–$2,171.20 $1,140–$2,714 varies
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $1,335.20–$8,318.40 $1,669–$10,398 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $1,381.60–$6,171.20 $1,727–$7,714 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines		 $648–$3,238.40 $810–$4,048 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $270.40–$559.20 $338–$699 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $472–$822.40 $590–$1,028 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,050.40 $1,313 2.5×
Sperm washing artificial insemination (58323) $168 $210 0.8×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750)
range across 2 matching MRF lines		 $435.20–$2,173.60 $544–$2,717 varies
Sphincterotomy anal division sphincter spx (46080) $1,392 $1,740 0.5×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $319.20–$570.40 $399–$713 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,069.60 $3,837 0.8×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,489.60 $3,112 1.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 3 matching MRF lines		 $817.60–$1,867.20 $1,022–$2,334 varies
Strapping ankle (29540) $72.80 $91 0.4×
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $109.60–$119.20 $137–$149 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $78.40–$120.80 $98–$151 varies
Strapping Hip (29520) $147.20 $184 1.1×
Strapping knee (29530) $148.80 $186 1.1×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $122.40–$148.80 $153–$186 varies
Strapping thorax (29200) $119.20 $149 0.7×
Strapping toes (29550)
range across 2 matching MRF lines		 $70.40–$78.40 $88–$98 varies
Strapping Unna Boot (29580)
range across 5 matching MRF lines		 $76–$320 $95–$400 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $2,356 $2,945 0.7×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $1,526.40 $1,908 0.5×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $10,182.40 $12,728 1.7×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $11,529.60 $14,412 1.9×
Surg Tx Anal Fistula 2nd Stage (46285) $1,336.80 $1,671 0.5×
Surg tx anal fistula subq (46270) $1,440 $1,800 0.5×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $1,924 $2,405 0.7×
Suture pharynx for wound or injury (42900)
range across 2 matching MRF lines		 $603.20–$1,472.80 $754–$1,841 varies
Tangential biopsy skin single lesion (11102)
range across 4 matching MRF lines		 $169.60–$416.80 $212–$521 varies
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines		 $796–$1,495.20 $995–$1,869 varies
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876)
unusually low: confirm this is the full procedure		 $2,838.40 $3,548 0.5×
Thromblytic art/ven therapy (37213)
range across 2 matching MRF lines		 $854.40–$2,210.40 $1,068–$2,763 varies
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $5,020 $6,275 0.9×
Thrombolytic Art Therapy (37211)
range across 3 matching MRF lines		 $304–$2,145.60 $380–$2,682 varies
Thrombolytic Therapy Stroke (37195) $2,340.80 $2,926 6.9×
Thrombolytic Venous Therapy (37212)
range across 3 matching MRF lines		 $1,211.20–$2,775.20 $1,514–$3,469 varies
Thyroid biopsy (60100)
range across 2 matching MRF lines		 $143.20–$342.40 $179–$428 varies
Thyroidectomy Post Prev Thyr Surg (60260) $4,787.20 $5,984 0.8×
Thyroidectomy, total or complete (60240)
range across 2 matching MRF lines		 $736.80–$5,025.60 $921–$6,282 varies
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
range across 2 matching MRF lines		 $1,312.80–$6,565.60 $1,641–$8,207 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,083.20 $2,604 1.0×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,588 $1,985 0.5×
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
unusually low: confirm this is the full procedure		 $8,819.20 $11,024 0.5×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $3,682.40 $4,603 0.6×
Tprnl Plmt Biodegrdabl Matrl (55874)
range across 3 matching MRF lines		 $4,020–$6,417.60 $5,025–$8,022 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720)
range across 2 matching MRF lines		 $445.60–$1,018.40 $557–$1,273 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $972 $1,215 4.0×
Tracheostomy planned (31600) $1,431.20 $1,789 0.4×
Transcatheter biopsy (37200)
range across 2 matching MRF lines		 $1,420–$2,228.80 $1,775–$2,786 varies
Transur electr resection of prostate (52601) $2,991.20 $3,739 0.5×
Transurethral resection bladder neck (52500) $1,908 $2,385 0.5×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $722.40–$2,889.60 $903–$3,612 varies
Treat Humerus Fracture (24505) $2,428 $3,035 1.5×
Treat knee fracture (27532) $1,015.20 $1,269 0.3×
Treat Knuckle Dislocation (26700) $1,332 $1,665 5.3×
Treat Metatarsal Fracture (28475) $453.60 $567 1.8×
Treat Thumb Dislocation (26641) $1,508 $1,885 6.0×
Treat Thumb Fracture (26645) $1,866.40 $2,333 1.1×
Treat toe dislocation (28630) $572 $715 2.3×
Treat Vaginal Bleeding (57180) $576 $720 2.8×
Treatment closed elbow dislocation w/o anes (24600) $1,566.40 $1,958 6.2×
Trim skin lesion (11055)
range across 4 matching MRF lines		 $68.80–$296.80 $86–$371 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $105.60–$355.20 $132–$444 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $62.40–$414.40 $78–$518 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $44–$45.60 $55–$57 varies
Trluml Balo Angiop 1St Art (37246)
range across 2 matching MRF lines		 $3,373.60–$7,127.20 $4,217–$8,909 varies
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $1,371.20–$10,929.60 $1,714–$13,662 varies
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,745.60 $2,182 0.6×
Tx Gastro Intub W/Asp (43753) $91.20 $114 0.4×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,296 $1,620 0.4×
Tx Missed Abortion First Trimester Surgical (59820) $1,412 $1,765 0.4×
Tx Missed Abortion Second Trimester Surgical (59821)
range across 2 matching MRF lines		 $516.80–$1,741.60 $646–$2,177 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 7 matching MRF lines		 $443.20–$1,184.80 $554–$1,481 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,134.40 $1,418 0.7×
Tympanoplasty (69631) $4,000 $5,000 0.7×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $1,159.20–$1,739.20 $1,449–$2,174 varies
Unlisted hysteroscopy procedure, uterus (58579)
range across 2 matching MRF lines		 $86.40–$344.80 $108–$431 varies
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure		 $1,566.40 $1,958 0.3×
Unlisted laparoscopy procedure stomach (43659) $4,284 $5,355 0.7×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 3 matching MRF lines		 $910.40–$4,556 $1,138–$5,695 varies
Unlisted laparoscopy procedure, biliary tract (47579) $4,620 $5,775 0.7×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
unusually low: confirm this is the full procedure		 $2,940 $3,675 0.5×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $3,889.60 $4,862 0.6×
Unlisted Procedure Accessory Sinuses (31299) $630.40 $788 2.6×
Unlisted procedure anus (46999) $647.20 $809 0.7×
Unlisted procedure colon (45399) $445.60 $557 0.5×
Unlisted Procedure Intestine (44799)
range across 3 matching MRF lines		 $314.40–$1,160 $393–$1,450 varies
Unlisted procedure liver (47399)
range across 2 matching MRF lines		 $283.20–$1,560.80 $354–$1,951 varies
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $144–$350.40 $180–$438 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $297.60 $372 1.2×
Unlisted Procedure Rectum (45999) $647.20 $809 0.7×
Unlisted procedure stomach (43999) $298.40 $373 0.3×
Unlisted Procedure Vascular Surgery (37799) $181.60 $227 0.3×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,596 $1,995 1.7×
Unlisted px female genital system nonobstetrical (58999) $516 $645 2.5×
Upgrade of pacemaker system (33214) $13,847.20 $17,309 1.3×
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961)
likely a partial charge, not the full procedure		 $877.60 $1,097 0.2×
Urethromeatoplasty W/Mucosal Advancement (53450) $1,045.60 $1,307 0.3×
Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405)
unusually low: confirm this is the full procedure		 $2,339.20 $2,924 0.4×
Vag hyst complex (58290)
range across 2 matching MRF lines		 $1,002.40–$5,009.60 $1,253–$6,262 varies
Vag hyst incl t/o complex (58291)
range across 2 matching MRF lines		 $854.40–$4,272 $1,068–$5,340 varies
Vag hyst w/t/o & vag repair (58263)
range across 2 matching MRF lines		 $844.80–$4,227.20 $1,056–$5,284 varies
Vaginal delivery only (59409)
range across 3 matching MRF lines		 $616.80–$2,933.60 $771–$3,667 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260)
range across 2 matching MRF lines		 $753.60–$3,768 $942–$4,710 varies
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270)
range across 2 matching MRF lines		 $752.80–$3,010.40 $941–$3,763 varies
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
range across 2 matching MRF lines		 $798.40–$3,990.40 $998–$4,988 varies
Vaginectomy, partial removal of vaginal wall; (57106) $1,768 $2,210 0.5×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $1,252.80–$7,143.20 $1,566–$8,929 varies
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines		 $1,126.40–$3,379.20 $1,408–$4,224 varies
Vasc Embolize/Occlude Organ (37243)
range across 2 matching MRF lines		 $5,249.60–$15,750.40 $6,562–$19,688 varies
Vasc embolize/occlude venous (37241)
range across 2 matching MRF lines		 $1,409.60–$14,949.60 $1,762–$18,687 varies
Vasectomy uni/bi spx w/postop semen exams (55250) $760 $950 0.4×
Vasovasostomy vasovasorrhaphy (55400) $1,376 $1,720 0.4×
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $3,367.20–$6,556.80 $4,209–$8,196 varies
Ventilating tube removal requiring general anesthesia (69424) $401.60 $502 0.1×
Vulvectomy simple partial (56620) $1,887.20 $2,359 0.6×
Vulvectomy simple; complete (56625)
range across 2 matching MRF lines		 $429.60–$2,148 $537–$2,685 varies
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $236.80–$256.80 $296–$321 varies
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
unusually low: confirm this is the full procedure		 $2,590.40 $3,238 0.3×
Wound Prep F/N/Hf/G (15004)
range across 3 matching MRF lines		 $1,299.20–$2,476.80 $1,624–$3,096 varies
Wound Prep Trk/Arm/Leg (15002)
range across 3 matching MRF lines		 $734.40–$3,618.40 $918–$4,523 varies

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.