Procedures & surgery prices at Shriners Hospital For Children
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
413 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) range across 2 matching MRF lines |
$5,989.65–$16,570.99 | $5,989.65–$16,570.99 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 3 matching MRF lines |
$2,846.28–$8,791.53 | $2,846.28–$8,791.53 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $8,791.53 | $8,791.53 | 4.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$5,905–$8,791.53 | $5,905–$8,791.53 | varies |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) | $9,430.10 | $9,430.10 | 1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $15,163.11 | $15,163.11 | 4.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $15,163.11 | $15,163.11 | 4.3× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $1,409.26 | $1,409.26 | 4.3× |
| Anal/Urinary Muscle Study (51784) | $469.90 | $469.90 | 3.4× |
| Anterior Tibial Tubercleplasty (27418) | $5,692.56 | $5,692.56 | 0.7× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) range across 4 matching MRF lines |
$357.70–$8,155.50 | $357.70–$8,155.50 | varies |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) range across 2 matching MRF lines |
$1,303.45–$13,253.90 | $1,303.45–$13,253.90 | varies |
| Application cast elbow finger short arm (29075) | $1,272.20 | $1,272.20 | 4.2× |
| Application Cast Finger (29086) | $742.50 | $742.50 | 4.3× |
| Application Cast Shoulder Spica (29055) | $1,222.10 | $1,222.10 | 4.1× |
| Application Finger Splint Dynamic (29131) | $314.40 | $314.40 | 5.0× |
| Application finger splint static (29130) | $591.46 | $591.46 | 4.1× |
| Application Hip Spica Cast 1 Leg (29305) | $1,352.86 | $1,352.86 | 4.5× |
| Application long arm splint shoulder hand (29105) | $742.50 | $742.50 | 4.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 3 matching MRF lines |
$1,272.20–$1,455.61 | $1,272.20–$1,455.61 | varies |
| Application Long Leg Splint (29505) | $742.50 | $742.50 | 4.3× |
| Application of cylinder cast (thigh to ankle) (29365) | $1,272.20 | $1,272.20 | 4.2× |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$1,272.20–$6,274.20 | $1,272.20–$6,274.20 | varies |
| Application of rigid total contact leg cast (29445) | $1,272.20 | $1,272.20 | 4.2× |
| Application Patellar Tendon Bearing Cast (29435) | $1,272.20 | $1,272.20 | 4.2× |
| Application Short Arm Splint Dynamic (29126) | $591.46 | $591.46 | 4.1× |
| Application short arm splint forearm-hand static (29125) | $591.46 | $591.46 | 4.1× |
| Application short leg splint calf foot (29515) | $742.50 | $742.50 | 4.3× |
| Apply hand/wrist cast (29085) | $742.50 | $742.50 | 4.3× |
| Apply long arm cast (29065) | $1,272.20 | $1,272.20 | 4.2× |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$357.70–$1,272.20 | $357.70–$1,272.20 | varies |
| Apply short leg cast (29425) range across 7 matching MRF lines |
$1,222.10–$5,033.70 | $1,222.10–$5,033.70 | varies |
| Arrest Epiphyseal Distal Femur (27475) | $9,430.10 | $9,430.10 | 1.2× |
| Arrest Epiphyseal Open Distal Tibia (27730) | $10,132.10 | $10,132.10 | 2.9× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) range across 4 matching MRF lines |
$5,055.26–$11,342 | $5,055.26–$11,342 | varies |
| Arterial puncture (36600) | $619.99 | $619.99 | 4.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $1,385.01 | $1,385.01 | 4.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $3,282.27 | $3,282.27 | 4.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$1,385.01–$8,155.50 | $1,385.01–$8,155.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,503.70 | $1,503.70 | 4.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $1,385.01 | $1,385.01 | 4.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $15,163.11 | $15,163.11 | 4.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $11,342 | $11,342 | 3.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $11,979.30 | $11,979.30 | 3.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
$9,176.15–$12,616.60 | $9,176.15–$12,616.60 | varies |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $15,163.11 | $15,163.11 | 4.3× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 3 matching MRF lines |
$9,176.15–$34,722.39 | $9,176.15–$34,722.39 | varies |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) range across 2 matching MRF lines |
$14,528.50–$16,440.40 | $14,528.50–$16,440.40 | varies |
| Aspirate Pleura W/O Imaging (32554) | $2,946.88 | $2,946.88 | 4.4× |
| Aspirate/Inj Ganglion Cyst (20612) | $1,385.01 | $1,385.01 | 4.2× |
| Aspiration and/or injection thyroid cyst (60300) | $3,305.85 | $3,305.85 | 4.4× |
| Avulsion nail plate partial/complete simple 1 (11730) | $1,044.17 | $1,044.17 | 4.9× |
| Biopsy Pleura Percutaneous Needle (32400) | $7,638.71 | $7,638.71 | 4.3× |
| Bladder Scan (51798) | $357.70 | $357.70 | 5.7× |
| Blood Transfusion Service (36430) | $1,993.50 | $1,993.50 | 4.2× |
| Bone Graft Any Donor Area Minor/Small (20900) | $5,989.65 | $5,989.65 | 0.8× |
| Breast Reduction (19318) | $19,626.90 | $19,626.90 | 2.8× |
| Canthoplasty (67950) | $3,543 | $3,543 | 1.4× |
| Capsular contracture release (23020) | $8,220.20 | $8,220.20 | 2.3× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) range across 2 matching MRF lines |
$2,846.28–$2,846.30 | $2,846.28–$2,846.30 | varies |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) | $14,528.50 | $14,528.50 | 8.4× |
| Carpal Tunnel Surgery (64721) | $9,156.57 | $9,156.57 | 4.4× |
| Catheter aspiration nasotracheal spx (31720) | $165.30 | $165.30 | 0.7× |
| Change of Windpipe Airway (31502) | $548.80 | $548.80 | 2.2× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$156.20–$919.87 | $156.20–$919.87 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) range across 2 matching MRF lines |
$2,718.50–$3,282.27 | $2,718.50–$3,282.27 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 4 matching MRF lines |
$687.50–$7,901.55 | $687.50–$7,901.55 | varies |
| Chemodenerv musc neck dyston (64616) | $1,385.01 | $1,385.01 | 4.2× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $1,385.01 | $1,385.01 | 4.2× |
| Chemodenerv trunk musc 1-5 (64646) | $3,282.27 | $3,282.27 | 4.3× |
| Chemodenerv trunk musc 6/> (64647) | $3,282.27 | $3,282.27 | 4.3× |
| Chemodenervation eccrine glands oth area per day (64653) | $1,385.01 | $1,385.01 | 4.2× |
| Chemodenervation of internal anal sphincter (46505) | $5,516.34 | $5,516.34 | 4.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $1,385.01 | $1,385.01 | 4.2× |
| Circumcision 28 days or older (54161) | $5,989.65 | $5,989.65 | 2.7× |
| Cl Tx Tib Shft Fx W Manip (27752) | $7,307.44 | $7,307.44 | 4.2× |
| Clear outer ear canal (69200) | $591.46 | $591.46 | 4.1× |
| Closed Rx Metacarpal Fx,Percut (26608) | $15,163.11 | $15,163.11 | 4.3× |
| Closed Rx Spontaneous Hip Disloc (27256) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $1,054.51 | $1,054.51 | 4.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $7,307.44 | $7,307.44 | 4.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Treatment Sesamoid Fracture (28530) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $7,307.44 | $7,307.44 | 4.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $1,054.51 | $1,054.51 | 4.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $7,307.44 | $7,307.44 | 4.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $1,054.51 | $1,054.51 | 4.0× |
| Closed tx femoral fracture prox head w/o manj (27267) | $18,735.78 | $18,735.78 | 5.3× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $1,054.51 | $1,054.51 | 4.0× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,054.51 | $1,054.51 | 4.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $7,307.44 | $7,307.44 | 4.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $1,054.51 | $1,054.51 | 4.0× |
| Closed tx radial head/neck fx w/manipulation (24655) | $7,307.44 | $7,307.44 | 4.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $1,054.51 | $1,054.51 | 4.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $15,163.11 | $15,163.11 | 8.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $7,307.44 | $7,307.44 | 4.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $7,307.44 | $7,307.44 | 4.2× |
| Closed tx talus fracture w/o manipulation (28430) | $1,054.51 | $1,054.51 | 4.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $7,307.44 | $7,307.44 | 4.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $1,054.51 | $1,054.51 | 4.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $1,054.51 | $1,054.51 | 4.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,054.51 | $1,054.51 | 4.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $1,054.51 | $1,054.51 | 4.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $7,307.44 | $7,307.44 | 4.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $1,054.51 | $1,054.51 | 4.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$357.70–$1,054.51 | $357.70–$1,054.51 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$7,307.44–$10,067.40 | $7,307.44–$10,067.40 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,054.51 | $1,054.51 | 0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $1,222.10 | $1,222.10 | 4.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,221.95 | $1,221.95 | 4.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx Medial Ankle Fx (27760) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx prox fibula/shft fx w/manj (27781) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx prox fibula/shft fx w/o manj (27780) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,054.51 | $1,054.51 | 4.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $7,307.44 | $7,307.44 | 4.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $1,054.51 | $1,054.51 | 4.0× |
| Collection of venous blood by venipuncture (36415) | $17.90 | $17.90 | 1.9× |
| Complex Cystometrogram (51726) range across 2 matching MRF lines |
$1,325.20–$1,358.30 | $1,325.20–$1,358.30 | varies |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) | $3,543 | $3,543 | 1.4× |
| Csf shunt reprogram (62252) | $1,409.26 | $1,409.26 | 4.3× |
| Cystometrogram W/Up (51727) | $3,185.48 | $3,185.48 | 4.3× |
| Cystometrogram W/Vp (51728) | $3,185.48 | $3,185.48 | 4.3× |
| Cystometrogram W/Vp&Up (51729) | $3,628.97 | $3,628.97 | 4.9× |
| Cystourethroscopy (52000) | $3,628.97 | $3,628.97 | 4.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $8,792.80 | $8,792.80 | 3.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $13,159.08 | $13,159.08 | 4.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$7,638.71–$10,704.70 | $7,638.71–$10,704.70 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$1,900.42–$10,067.40 | $1,900.42–$10,067.40 | varies |
| Delay Flap/Sectioning Flap Trunk (15600) | $16,570.99 | $16,570.99 | 4.4× |
| Destruct B9 Lesion 1-14 (17110) | $919.87 | $919.87 | 4.3× |
| Destruction premalignant lesion 1st (17000) | $919.87 | $919.87 | 4.3× |
| Drain Cerebro Spinal Fluid (62272) | $3,231.84 | $3,231.84 | 4.3× |
| Drain/inj small joint/bursa w/us (20604) | $1,597.48 | $1,597.48 | 4.9× |
| Drainage external auditory canal abscess (69020) | $3,305.85 | $3,305.85 | 4.4× |
| Drainage external ear abscess/hematoma cmplx (69005) | $7,638.71 | $7,638.71 | 4.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $3,305.85 | $3,305.85 | 4.4× |
| Dressing Change Under Anesthesia (15852) | $2,959.36 | $2,959.36 | 3.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $3,305.85 | $3,305.85 | 4.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $1,900.42 | $1,900.42 | 4.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $349 | $349 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $919.87 | $919.87 | 4.3× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $9,318.10 | $9,318.10 | 4.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $4,842.84 | $4,842.84 | 5.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $1,409.26 | $1,409.26 | 4.3× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $1,409.26 | $1,409.26 | 4.3× |
| Electro-Uroflowmetry First (51741) | $469.90 | $469.90 | 2.0× |
| Evacuation of subungual hematoma (11740) | $656.61 | $656.61 | 4.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$3,305.85–$4,396.40 | $3,305.85–$4,396.40 | varies |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) | $5,989.65 | $5,989.65 | 0.9× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) | $10,704.70 | $10,704.70 | 1.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $3,305.85 | $3,305.85 | 4.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$2,523.32–$3,305.85 | $2,523.32–$3,305.85 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$2,523.32–$3,305.85 | $2,523.32–$3,305.85 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $7,638.71 | $7,638.71 | 4.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$2,523.32–$7,638.71 | $2,523.32–$7,638.71 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $3,305.85 | $3,305.85 | 4.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $7,638.71 | $7,638.71 | 4.3× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $7,638.71 | $7,638.71 | 4.3× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $9,156.57 | $9,156.57 | 4.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $3,305.85 | $3,305.85 | 4.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$6,308.30–$7,638.71 | $6,308.30–$7,638.71 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$4,110.10–$9,813.45 | $4,110.10–$9,813.45 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $7,638.71 | $7,638.71 | 4.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$1,900.42–$4,396.40 | $1,900.42–$4,396.40 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $3,305.85 | $3,305.85 | 4.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $7,638.71 | $7,638.71 | 4.3× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $19,626.90 | $19,626.90 | 6.3× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $13,253.90 | $13,253.90 | 7.7× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) | $11,342 | $11,342 | 1.8× |
| Excision Lingual Frenum Frenectomy (41115) | $7,545.64 | $7,545.64 | 4.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $3,305.85 | $3,305.85 | 4.4× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) | $5,905 | $5,905 | 1.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $10,704.70 | $10,704.70 | 6.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $10,067.40 | $10,067.40 | 3.2× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $11,342 | $11,342 | 3.2× |
| Excision Radial Head (24130) | $8,220.20 | $8,220.20 | 2.3× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $7,307.44 | $7,307.44 | 4.2× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) range across 2 matching MRF lines |
$6,308.30–$14,528.50 | $6,308.30–$14,528.50 | varies |
| Fine needle aspiration without imaging guidance (10021) | $1,900.42 | $1,900.42 | 4.4× |
| Fluid Pressure Muscle (20950) | $3,584.09 | $3,584.09 | 4.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $267.70 | $267.70 | 0.4× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) | $8,791.53 | $8,791.53 | 4.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $4,110.10 | $4,110.10 | 1.9× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $8,791.53 | $8,791.53 | 4.0× |
| Gastrocnemius recession (27687) | $4,052.84 | $4,052.84 | 1.2× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) range across 2 matching MRF lines |
$3,543–$7,582.90 | $3,543–$7,582.90 | varies |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) | $7,179.60 | $7,179.60 | 1.1× |
| Grafting of autologous fat by lipo 25 cc or less (15773) | $10,450.75 | $10,450.75 | 4.7× |
| Grafting of autologous soft tiss by direct exc (15769) | $9,813.45 | $9,813.45 | 2.6× |
| I&d abscess peritonsillar (42700) | $1,058.69 | $1,058.69 | 4.2× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$919.87–$6,626.95 | $919.87–$6,626.95 | varies |
| I&d pilonidal cyst simple (10080) | $3,305.85 | $3,305.85 | 4.4× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) | $16,520.20 | $16,520.20 | 4.6× |
| Incision & drainage abscess complicated/multiple (10061) | $1,900.42 | $1,900.42 | 4.4× |
| Incision & removal foreign body subq tiss simple (10120) | $2,523.32 | $2,523.32 | 5.8× |
| Incision extensor tendon sheath wrist (25000) | $7,307.44 | $7,307.44 | 4.2× |
| Incision of hip tendon (27001) | $7,582.90 | $7,582.90 | 2.2× |
| Incision of lingual frenum (frenotomy) (41010) | $7,545.64 | $7,545.64 | 4.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $919.87 | $919.87 | 4.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $4,341 | $4,341 | 4.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $4,603.09 | $4,603.09 | 4.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,385.01 | $1,385.01 | 4.2× |
| Injection single tendon origin/insertion (20551) | $1,385.01 | $1,385.01 | 4.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $1,385.01 | $1,385.01 | 4.2× |
| Injection single/mlt trigger point 3/> muscles (20553) | $1,385.01 | $1,385.01 | 4.2× |
| Injection therapeutic carpal tunnel (20526) | $1,385.01 | $1,385.01 | 4.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $705.57 | $705.57 | 0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $3,282.27 | $3,282.27 | 4.3× |
| Injection, intralesional; up to and including 7 lesions (11900) | $919.87 | $919.87 | 4.3× |
| Insert and remove bone pin (20650) | $15,163.11 | $15,163.11 | 4.3× |
| Insert Temp Bladder Cath (51702) | $759.30 | $759.30 | 5.3× |
| Insert tissue expander(s) (11960) | $6,308.30 | $6,308.30 | 1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $273.70 | $273.70 | 1.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $7,689.20 | $7,689.20 | 4.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $7,913.22 | $7,913.22 | 4.7× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $26,550.69 | $26,550.69 | 4.1× |
| Laryngoscopy flexible diagnostic (31575) | $910.55 | $910.55 | 4.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $2,085.80 | $2,085.80 | 5.0× |
| Lateral Canthopexy (21282) | $14,492.58 | $14,492.58 | 4.1× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) | $5,692.58 | $5,692.58 | 0.7× |
| Lip Surgery Procedure (40799) | $5,989.65 | $5,989.65 | 23.6× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $8,791.53 | $8,791.53 | 4.0× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) | $6,542.30 | $6,542.30 | 0.8× |
| Muscle/tendon transfer upper arm/elbow single (24301) | $8,220.20 | $8,220.20 | 1.1× |
| Nasal Endoscopy Dx (31231) | $910.55 | $910.55 | 4.3× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $861.40 | $861.40 | 3.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $148.10 | $148.10 | 4.8× |
| Needle insertion w/o injection 3 or more muscles (20561) | $148.10 | $148.10 | 4.8× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $6,308.30 | $6,308.30 | 3.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $2,123.08 | $2,123.08 | 5.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $4,341 | $4,341 | 4.6× |
| Open treatment fracture distal tibia only (27827) | $10,067.40 | $10,067.40 | 0.7× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) | $27,200.28 | $27,200.28 | 4.3× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) | $27,200.28 | $27,200.28 | 4.3× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) | $8,857.50 | $8,857.50 | 0.6× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) | $4,842.83 | $4,842.83 | 1.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) | $6,967.18 | $6,967.18 | 0.9× |
| Osteotomy calcaneus w/wo internal fixation (28300) range across 2 matching MRF lines |
$4,052.84–$7,582.90 | $4,052.84–$7,582.90 | varies |
| Osteotomy Metacarpal Each (26565) | $13,891.20 | $13,891.20 | 4.0× |
| Osteotomy Phalanx Finger Each (26567) range across 2 matching MRF lines |
$12,616.60–$14,528.50 | $12,616.60–$14,528.50 | varies |
| Osteotomy radius distal third (25350) | $8,538.85 | $8,538.85 | 1.1× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) | $5,066.05 | $5,066.05 | 0.7× |
| Osteotomy Tibia (27705) | $5,066.05 | $5,066.05 | 0.7× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) | $8,879.08 | $8,879.08 | 1.1× |
| Palatop cl palate soft&/hard palate only (42200) | $6,945.60 | $6,945.60 | 1.1× |
| Partial Excision Distal Phalanx Finger (26236) | $10,704.70 | $10,704.70 | 6.2× |
| Partical Excision Bone Phalanx Toe (28124) | $5,055.26 | $5,055.26 | 1.4× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) | $11,342 | $11,342 | 1.5× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $15,163.11 | $15,163.11 | 4.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,900.42 | $1,900.42 | 4.4× |
| Rcnstj Dislocating Patella (27420) | $5,692.56 | $5,692.56 | 0.7× |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) | $7,582.90 | $7,582.90 | 1.2× |
| Reconstruct cleft palate (42210) | $7,582.90 | $7,582.90 | 1.2× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) | $14,528.50 | $14,528.50 | 1.9× |
| Reconstruction Toe Polydactyly (28344) range across 2 matching MRF lines |
$5,055.26–$11,342 | $5,055.26–$11,342 | varies |
| Release of big toe (28240) | $4,052.84 | $4,052.84 | 1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $302.58 | $302.58 | 4.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $292.80 | $292.80 | 4.6× |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$2,396–$14,528.50 | $2,396–$14,528.50 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $7,638.71 | $7,638.71 | 4.3× |
| Removal of tonsils (42825) | $4,715.05 | $4,715.05 | 0.7× |
| Removal or bivalving full arm or full leg cast (29705) | $1,222.10 | $1,222.10 | 4.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$919.87–$3,543 | $919.87–$3,543 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) range across 2 matching MRF lines |
$8,155.50–$9,319.63 | $8,155.50–$9,319.63 | varies |
| Remove Nasal Foreign Body (30300) | $591.46 | $591.46 | 4.1× |
| Remove tissue expander (11971) | $13,159.08 | $13,159.08 | 4.2× |
| Remove wrist joint cartilage (25107) | $6,308.30 | $6,308.30 | 1.8× |
| Repair arm/leg nerve (64857) | $31,474.04 | $31,474.04 | 8.6× |
| Repair cleft lip/nasal (40700) | $17,796.30 | $17,796.30 | 2.8× |
| Repair complex trunk 2.6-7.5 cm (13101) | $2,959.36 | $2,959.36 | 3.7× |
| Repair Finger/Hand Tendon (26350) | $15,163.11 | $15,163.11 | 4.3× |
| Repair Hand Joint (26540) | $4,842.84 | $4,842.84 | 1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $1,900.42 | $1,900.42 | 4.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $5,033.70 | $5,033.70 | 11.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $2,523.32 | $2,523.32 | 5.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,900.42 | $1,900.42 | 4.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $1,900.42 | $1,900.42 | 4.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $1,900.42 | $1,900.42 | 4.4× |
| Repair mouth/nose fistula (30600) | $7,582.90 | $7,582.90 | 1.2× |
| Repair nose to lip fistula (42260) | $6,945.60 | $6,945.60 | 1.1× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) | $12,616.60 | $12,616.60 | 1.6× |
| Repair of web finger (26561) range across 2 matching MRF lines |
$12,616.60–$13,891.20 | $12,616.60–$13,891.20 | varies |
| Repair Rotator Cuff Chronic (23412) | $6,542.30 | $6,542.30 | 0.8× |
| Repair webbed toe(s) (28345) | $5,055.28 | $5,055.28 | 2.9× |
| Replace g/c tube perc (49450) | $4,775.93 | $4,775.93 | 4.9× |
| Resect enlarged toe (28341) | $21,538.80 | $21,538.80 | 6.1× |
| Respir iadna 18 viral&2 bact (0115U) | $1,402.63 | $1,402.63 | 5.1× |
| Revise lower leg tendon (27690) range across 2 matching MRF lines |
$6,967.16–$13,253.90 | $6,967.16–$13,253.90 | varies |
| Revise/Repair Finger/Toe Nerve (64702) | $3,415.54 | $3,415.54 | 1.6× |
| Revision of foot (28116) | $18,352.30 | $18,352.30 | 5.2× |
| Revision of foot and ankle (28262) range across 2 matching MRF lines |
$10,132.10–$18,352.30 | $10,132.10–$18,352.30 | varies |
| Revision of foot fascia (28250) range across 2 matching MRF lines |
$5,066.05–$6,967.16 | $5,066.05–$6,967.16 | varies |
| Revision of lower leg tendon (27685) range across 2 matching MRF lines |
$7,582.90–$10,067.40 | $7,582.90–$10,067.40 | varies |
| Revision of nose (30462) | $9,813.45 | $9,813.45 | 1.5× |
| Revision of wrist joint (25450) | $8,538.85 | $8,538.85 | 2.4× |
| Rhinoplasty Secondary Intermediate Revision (30435) | $15,165.80 | $15,165.80 | 2.4× |
| Rhinoplasty Secondary Minor Revision (30430) | $9,813.45 | $9,813.45 | 1.5× |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) | $6,626.95 | $6,626.95 | 1.0× |
| Rhinp Prim Complete Xtrnl Parts (30410) | $27,200.28 | $27,200.28 | 4.3× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $1,303.45 | $1,303.45 | 4.3× |
| Rplc Gtube No Revj Trc (43762) | $1,094.55 | $1,094.55 | 4.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $15,163.11 | $15,163.11 | 4.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $15,163.11 | $15,163.11 | 4.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) | $15,163.11 | $15,163.11 | 4.3× |
| Simple Cystometrogram (51725) | $1,358.30 | $1,358.30 | 5.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $919.87 | $919.87 | 4.3× |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$3,415.54–$8,791.53 | $3,415.54–$8,791.53 | varies |
| Skin sub graft face/nk/hf/g (15275) | $9,318.10 | $9,318.10 | 11.8× |
| Skin Tissue Procedure (17999) | $2,959.36 | $2,959.36 | 13.8× |
| Skn sub grft f/n/hf/g child (15277) | $10,738 | $10,738 | 4.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $919.87 | $919.87 | 4.3× |
| Spinal puncture lumbar diagnostic (62270) | $3,231.84 | $3,231.84 | 4.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $16,570.99 | $16,570.99 | 4.4× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $8,791.53 | $8,791.53 | 4.0× |
| Strapping ankle (29540) | $764.76 | $764.76 | 4.4× |
| Strapping elbow or wrist (29260) | $296.88 | $296.88 | 4.7× |
| Strapping hand/finger (29280) | $296.88 | $296.88 | 4.7× |
| Strapping knee (29530) | $619.99 | $619.99 | 4.3× |
| Strapping shoulder (29240) | $619.99 | $619.99 | 4.3× |
| Strapping toes (29550) | $314.40 | $314.40 | 5.0× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $919.87 | $919.87 | 4.3× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $2,959.36 | $2,959.36 | 3.7× |
| Surgery to stop leg growth (27477) range across 2 matching MRF lines |
$6,308.30–$11,088.05 | $6,308.30–$11,088.05 | varies |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) | $2,959.36 | $2,959.36 | 3.7× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $15,163.11 | $15,163.11 | 4.3× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) range across 2 matching MRF lines |
$5,671–$6,626.95 | $5,671–$6,626.95 | varies |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 2 matching MRF lines |
$10,067.40–$10,704.70 | $10,067.40–$10,704.70 | varies |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) range across 3 matching MRF lines |
$7,307.44–$8,792.80 | $7,307.44–$8,792.80 | varies |
| Thyroid biopsy (60100) | $3,305.85 | $3,305.85 | 4.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$6,626.95–$9,318.10 | $6,626.95–$9,318.10 | varies |
| Tooth extraction (41899) | $15,165.80 | $15,165.80 | 59.8× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $7,901.55 | $7,901.55 | 3.8× |
| Treat fracture radius/ulna (25575) | $14,528.50 | $14,528.50 | 1.9× |
| Treat humerus fracture (24500) | $1,054.51 | $1,054.51 | 4.0× |
| Treat Humerus Fracture (24505) | $7,307.44 | $7,307.44 | 4.2× |
| Treat humerus fracture (23600) | $1,054.51 | $1,054.51 | 4.0× |
| Treat knee fracture (27532) | $15,163.11 | $15,163.11 | 4.3× |
| Treat Knee Fracture(S) (27538) | $1,054.51 | $1,054.51 | 4.0× |
| Treat Kneecap Fracture (27524) range across 2 matching MRF lines |
$8,029.33–$12,616.60 | $8,029.33–$12,616.60 | varies |
| Treat Metatarsal Fracture (28475) | $1,054.51 | $1,054.51 | 4.0× |
| Treat toe dislocation (28630) | $1,054.51 | $1,054.51 | 4.0× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,054.51 | $1,054.51 | 4.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$5,671–$6,626.95 | $5,671–$6,626.95 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $1,054.51 | $1,054.51 | 4.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $13,891.20 | $13,891.20 | 1.0× |
| Tympanostomy general anesthesia (69436) | $8,155.50 | $8,155.50 | 4.9× |
| Unlisted Procedure Accessory Sinuses (31299) | $9,430.10 | $9,430.10 | 37.2× |
| Unlisted Procedure Casting/Strapping (29799) | $10,067.40 | $10,067.40 | 57.8× |
| Unlisted Procedure External Ear (69399) | $1,182.93 | $1,182.93 | 4.7× |
| Unlisted procedure femur or knee (27599) | $8,879.06 | $8,879.06 | 33.6× |
| Unlisted procedure foot or toes (28899) | $12,616.60 | $12,616.60 | 47.7× |
| Unlisted Procedure Hands/Fingers (26989) | $1,054.51 | $1,054.51 | 4.0× |
| Unlisted procedure humerus/elbow (24999) range across 2 matching MRF lines |
$1,054.51–$11,088.05 | $1,054.51–$11,088.05 | varies |
| Unlisted Procedure Leg/Ankle (27899) | $10,067.40 | $10,067.40 | 38.1× |
| Unlisted procedure shoulder (23929) | $6,542.30 | $6,542.30 | 24.8× |
| Unlisted procedure spine (22899) range across 2 matching MRF lines |
$1,054.51–$12,616.60 | $1,054.51–$12,616.60 | varies |
| Urinary Reflex Study (51792) | $447.50 | $447.50 | 7.1× |
| Wedge excision skin nail fold (11765) | $1,900.42 | $1,900.42 | 4.4× |
| Wedging of cast (29740) | $1,222.10 | $1,222.10 | 4.1× |
| Windowing of cast (29730) | $742.50 | $742.50 | 4.3× |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$2,959.36–$3,415.54 | $2,959.36–$3,415.54 | varies |
| Wound Prep Trk/Arm/Leg (15002) | $11,979.30 | $11,979.30 | 15.1× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) | $8,152.49 | $8,152.49 | 4.7× |
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.