Procedures & surgery prices at Shriners Hospital For Children - Portland
Portland, OR · every code in this section with a posted price and a Medicare benchmark.
513 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $17,873.83 | $17,873.83 | 4.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$5,592.46–$9,482.74 | $5,592.46–$9,482.74 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $9,482.74 | $9,482.74 | 4.1× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $9,482.74 | $9,482.74 | 4.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $16,355.26 | $16,355.26 | 4.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $16,355.26 | $16,355.26 | 4.5× |
| Amputation metatarsal with toe single (28810) | $12,718.40 | $12,718.40 | 3.5× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $12,041.90 | $12,041.90 | 3.3× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $1,520.05 | $1,520.05 | 4.5× |
| Anal/Urinary Muscle Study (51784) | $489.50 | $489.50 | 3.4× |
| Anterior Tibial Tubercleplasty (27418) range across 2 matching MRF lines |
$4,711.83–$5,366.96 | $4,711.83–$5,366.96 | varies |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) range across 2 matching MRF lines |
$800.88–$1,435.20 | $800.88–$1,435.20 | varies |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) range across 3 matching MRF lines |
$1,405.93–$8,723.50 | $1,405.93–$8,723.50 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$717.60–$1,372.40 | $717.60–$1,372.40 | varies |
| Application Cast Finger (29086) | $800.88 | $800.88 | 4.4× |
| Application Cast Shoulder Spica (29055) | $1,318.18 | $1,318.18 | 4.2× |
| Application Finger Splint Dynamic (29131) | $339.20 | $339.20 | 5.2× |
| Application finger splint static (29130) | $637.97 | $637.97 | 4.3× |
| Application Hip Spica Cast 1 Leg (29305) | $1,459.23 | $1,459.23 | 4.7× |
| Application long arm splint shoulder hand (29105) | $800.88 | $800.88 | 4.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $1,372.40 | $1,372.40 | 4.4× |
| Application Long Leg Splint (29505) | $800.88 | $800.88 | 4.4× |
| Application of cylinder cast (thigh to ankle) (29365) | $1,372.40 | $1,372.40 | 4.4× |
| Application of long leg cast (29345) | $1,372.40 | $1,372.40 | 4.4× |
| Application of rigid total contact leg cast (29445) | $1,372.40 | $1,372.40 | 4.4× |
| Application Patellar Tendon Bearing Cast (29435) | $1,372.40 | $1,372.40 | 4.4× |
| Application risser jacket localizer body only (29010) | $12,041.90 | $12,041.90 | 38.7× |
| Application Short Arm Splint Dynamic (29126) | $621.80 | $621.80 | 4.2× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$373.50–$637.97 | $373.50–$637.97 | varies |
| Application short leg splint calf foot (29515) | $800.88 | $800.88 | 4.4× |
| Apply hand/wrist cast (29085) | $800.88 | $800.88 | 4.4× |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$717.60–$2,744.80 | $717.60–$2,744.80 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$1,372.40–$2,744.80 | $1,372.40–$2,744.80 | varies |
| Apply short leg cast (29425) range across 4 matching MRF lines |
$1,318.19–$2,744.80 | $1,318.19–$2,744.80 | varies |
| Arrest Epiphyseal Distal Femur (27475) | $10,012.40 | $10,012.40 | 1.2× |
| Arrest Epiphyseal Open Distal Tibia (27730) | $4,361.75 | $4,361.75 | 1.2× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) range across 3 matching MRF lines |
$4,361.75–$11,365.40 | $4,361.75–$11,365.40 | varies |
| Arterial puncture (36600) | $668.74 | $668.74 | 4.5× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) range across 3 matching MRF lines |
$3,247.23–$3,585.48 | $3,247.23–$3,585.48 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$1,493.90–$5,341 | $1,493.90–$5,341 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $3,540.33 | $3,540.33 | 4.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$1,493.90–$5,341 | $1,493.90–$5,341 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,621.92 | $1,621.92 | 4.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $1,493.90 | $1,493.90 | 4.4× |
| Arthrodesis great toe interphalangeal joint (28755) | $7,373.95 | $7,373.95 | 0.9× |
| Arthrodesis great toe metatarsophalangeal joint (28750) unusually low: confirm this is the full procedure |
$2,475.22 | $2,475.22 | 0.3× |
| Arthrodesis subtalar (28725) likely a partial charge, not the full procedure |
$3,761.38 | $3,761.38 | 0.3× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) | $5,592.48 | $5,592.48 | 0.7× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) likely a partial charge, not the full procedure |
$2,475.22 | $2,475.22 | 0.2× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $16,355.26 | $16,355.26 | 4.5× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) | $11,365.40 | $11,365.40 | 6.4× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $7,373.95 | $7,373.95 | 2.0× |
| Arthroscopy hip w/femoroplasty (29914) range across 3 matching MRF lines |
$7,373.95–$8,050.45 | $7,373.95–$8,050.45 | varies |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $8,047 | $8,047 | 2.2× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $16,100.90 | $16,100.90 | 4.4× |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$12,041.90–$13,394.90 | $12,041.90–$13,394.90 | varies |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $7,035.70 | $7,035.70 | 1.9× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$11,429.50–$15,424.40 | $11,429.50–$15,424.40 | varies |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) | $5,682.70 | $5,682.70 | 1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
$7,621.96–$10,076.50 | $7,621.96–$10,076.50 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 3 matching MRF lines |
$6,945.46–$18,806.90 | $6,945.46–$18,806.90 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $11,429.50 | $11,429.50 | 1.4× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $16,355.26 | $16,355.26 | 4.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 6 matching MRF lines |
$6,945.48–$37,452.33 | $6,945.48–$37,452.33 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 3 matching MRF lines |
$5,682.70–$9,400 | $5,682.70–$9,400 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$4,363.47–$7,712.20 | $4,363.47–$7,712.20 | varies |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) | $16,100.90 | $16,100.90 | 4.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $11,432.95 | $11,432.95 | 3.1× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) | $6,359.20 | $6,359.20 | 1.7× |
| Aspirate Pleura W/O Imaging (32554) | $3,178.57 | $3,178.57 | 4.6× |
| Aspirate/Inj Ganglion Cyst (20612) | $1,493.90 | $1,493.90 | 4.4× |
| Aspiration and/or injection thyroid cyst (60300) | $3,565.77 | $3,565.77 | 4.5× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$1,126.26–$9,335.90 | $1,126.26–$9,335.90 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $8,239.28 | $8,239.28 | 4.5× |
| Bladder Scan (51798) | $364.40 | $364.40 | 5.6× |
| Blood Transfusion Service (36430) | $2,150.30 | $2,150.30 | 4.4× |
| Bone Graft Any Donor Area Minor/Small (20900) | $7,035.70 | $7,035.70 | 0.9× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) range across 3 matching MRF lines |
$4,363.47–$9,403.45 | $4,363.47–$9,403.45 | varies |
| Carpal Tunnel Surgery (64721) | $9,876.47 | $9,876.47 | 4.6× |
| Catheter aspiration nasotracheal spx (31720) | $175.60 | $175.60 | 0.7× |
| Change of Windpipe Airway (31502) | $582.60 | $582.60 | 2.2× |
| Chemical Cautery Tissue (17250) | $364.40 | $364.40 | 1.6× |
| Chemodenerv 1 extrem 5/> mus (64644) | $3,540.33 | $3,540.33 | 4.5× |
| Chemodenerv 1 extremity 1-4 (64642) range across 3 matching MRF lines |
$717.60–$4,329.70 | $717.60–$4,329.70 | varies |
| Chemodenerv musc neck dyston (64616) range across 3 matching MRF lines |
$717.60–$2,987.80 | $717.60–$2,987.80 | varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) | $1,493.90 | $1,493.90 | 4.4× |
| Chemodenerv trunk musc 1-5 (64646) | $3,540.33 | $3,540.33 | 4.5× |
| Chemodenerv trunk musc 6/> (64647) | $700.10 | $700.10 | 0.9× |
| Chemodenervation eccrine glands oth area per day (64653) | $1,493.90 | $1,493.90 | 4.4× |
| Chemodenervation of internal anal sphincter (46505) | $5,950.05 | $5,950.05 | 4.5× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $1,493.90 | $1,493.90 | 4.4× |
| Circumcision 28 days or older (54161) | $10,191.64 | $10,191.64 | 4.4× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$7,370.50–$7,881.97 | $7,370.50–$7,881.97 | varies |
| Clear outer ear canal (69200) | $637.97 | $637.97 | 4.3× |
| Closed Rx Metacarpal Fx,Percut (26608) | $16,355.26 | $16,355.26 | 4.5× |
| Closed Rx Spontaneous Hip Disloc (27256) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $1,137.42 | $1,137.42 | 4.1× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $7,881.97 | $7,881.97 | 4.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$1,137.42–$5,006.20 | $1,137.42–$5,006.20 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Treatment Sesamoid Fracture (28530) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $7,881.97 | $7,881.97 | 4.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $1,137.42 | $1,137.42 | 4.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $7,881.97 | $7,881.97 | 4.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $1,137.42 | $1,137.42 | 4.1× |
| Closed tx femoral fracture prox head w/o manj (27267) | $20,208.83 | $20,208.83 | 5.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $1,137.42 | $1,137.42 | 4.1× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,137.42 | $1,137.42 | 4.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $7,881.97 | $7,881.97 | 4.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $1,137.42 | $1,137.42 | 4.1× |
| Closed tx radial head/neck fx w/manipulation (24655) | $7,881.97 | $7,881.97 | 4.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $1,137.42 | $1,137.42 | 4.1× |
| Closed tx radial shaft fracture w/manipulation (25505) | $16,355.26 | $16,355.26 | 9.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $7,881.97 | $7,881.97 | 4.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $7,881.97 | $7,881.97 | 4.4× |
| Closed tx talus fracture w/o manipulation (28430) | $1,137.42 | $1,137.42 | 4.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $7,881.97 | $7,881.97 | 4.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$717.60–$1,137.42 | $717.60–$1,137.42 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $1,137.42 | $1,137.42 | 4.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,137.42 | $1,137.42 | 4.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $1,137.42 | $1,137.42 | 4.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $7,881.97 | $7,881.97 | 4.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $1,137.42 | $1,137.42 | 4.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$717.60–$1,137.42 | $717.60–$1,137.42 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,137.42 | $1,137.42 | 0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $1,318.19 | $1,318.19 | 4.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,318.02 | $1,318.02 | 4.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx Medial Ankle Fx (27760) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$1,137.42–$6,017.50 | $1,137.42–$6,017.50 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$717.60–$1,137.42 | $717.60–$1,137.42 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx prox fibula/shft fx w/manj (27781) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx prox fibula/shft fx w/o manj (27780) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$717.60–$1,137.42 | $717.60–$1,137.42 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,137.42 | $1,137.42 | 4.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $7,881.97 | $7,881.97 | 4.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $1,137.42 | $1,137.42 | 4.1× |
| Collection of venous blood by venipuncture (36415) | $19.40 | $19.40 | 2.1× |
| Complex Cystometrogram (51726) | $1,180.60 | $1,180.60 | 4.3× |
| Construct thumb replacement (26550) | $10,012.40 | $10,012.40 | 2.8× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$2,181.73–$2,181.79 | $2,181.73–$2,181.79 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $5,592.48 | $5,592.48 | 1.5× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $5,592.46 | $5,592.46 | 1.5× |
| Csf shunt reprogram (62252) | $1,520.05 | $1,520.05 | 4.5× |
| Cystometrogram W/Up (51727) | $3,435.93 | $3,435.93 | 4.4× |
| Cystometrogram W/Vp (51728) | $3,435.93 | $3,435.93 | 4.4× |
| Cystometrogram W/Vp&Up (51729) | $3,914.28 | $3,914.28 | 5.1× |
| Cystourethroscopy (52000) | $3,914.28 | $3,914.28 | 5.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $14,193.67 | $14,193.67 | 4.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $8,239.28 | $8,239.28 | 4.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $2,049.83 | $2,049.83 | 4.5× |
| Deep Muscle Biopsy (20205) | $4,915.96 | $4,915.96 | 1.5× |
| Delay Flap/Sectioning Flap Trunk (15600) | $17,873.83 | $17,873.83 | 4.5× |
| Destruct B9 Lesion 1-14 (17110) | $992.20 | $992.20 | 4.4× |
| Destruction Lesions Vulva Simple (56501) | $9,482.74 | $9,482.74 | 4.1× |
| Destruction premalignant lesion 1st (17000) | $992.20 | $992.20 | 4.4× |
| Drain Cerebro Spinal Fluid (62272) | $3,485.93 | $3,485.93 | 4.4× |
| Drain/inj small joint/bursa w/us (20604) | $1,723.08 | $1,723.08 | 5.1× |
| Drainage external auditory canal abscess (69020) | $3,565.77 | $3,565.77 | 4.5× |
| Drainage external ear abscess/hematoma cmplx (69005) | $8,239.28 | $8,239.28 | 4.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $3,565.77 | $3,565.77 | 4.5× |
| Dressing Change Under Anesthesia (15852) | $2,501.20 | $2,501.20 | 3.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $3,565.77 | $3,565.77 | 4.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $2,049.83 | $2,049.83 | 4.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $364.40 | $364.40 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $364.40 | $364.40 | 1.6× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $10,050.70 | $10,050.70 | 4.4× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $1,520.05 | $1,520.05 | 4.5× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $1,520.05 | $1,520.05 | 4.5× |
| Electro-Uroflowmetry First (51741) | $489.50 | $489.50 | 2.0× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) | $10,688.90 | $10,688.90 | 2.9× |
| Evacuation of subungual hematoma (11740) | $708.24 | $708.24 | 4.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $3,565.77 | $3,565.77 | 4.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $3,565.77 | $3,565.77 | 4.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $3,565.77 | $3,565.77 | 4.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $3,565.77 | $3,565.77 | 4.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $8,239.28 | $8,239.28 | 4.5× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $8,239.28 | $8,239.28 | 4.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $3,565.77 | $3,565.77 | 4.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $8,239.28 | $8,239.28 | 4.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $8,239.28 | $8,239.28 | 4.5× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $9,876.47 | $9,876.47 | 4.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $3,565.77 | $3,565.77 | 4.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $8,239.28 | $8,239.28 | 4.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $8,239.28 | $8,239.28 | 4.5× |
| Exc thigh/knee tum dep 5cm/> (27339) | $8,723.50 | $8,723.50 | 2.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $2,049.83 | $2,049.83 | 4.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $3,565.77 | $3,565.77 | 4.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $8,239.28 | $8,239.28 | 4.5× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $5,344.45 | $5,344.45 | 2.9× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) | $12,041.90 | $12,041.90 | 1.5× |
| Excision inferior turbinate partial/complete (30130) | $6,268.96 | $6,268.96 | 1.7× |
| Excision Lingual Frenum Frenectomy (41115) | $8,138.89 | $8,138.89 | 4.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $3,565.77 | $3,565.77 | 4.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $10,688.90 | $10,688.90 | 6.0× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $12,718.40 | $12,718.40 | 3.5× |
| Excision Radial Head (24130) | $14,071.40 | $14,071.40 | 3.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $9,335.90 | $9,335.90 | 5.1× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $7,881.97 | $7,881.97 | 4.4× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) | $4,464.98 | $4,464.98 | 1.2× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $3,490.78 | $3,490.78 | 1.0× |
| Fine needle aspiration without imaging guidance (10021) | $2,049.83 | $2,049.83 | 4.5× |
| Fluid Pressure Muscle (20950) | $3,865.88 | $3,865.88 | 4.9× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) | $9,482.74 | $9,482.74 | 4.1× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $9,482.74 | $9,482.74 | 4.1× |
| Fusion Finger Joint (26860) | $5,592.46 | $5,592.46 | 1.5× |
| Fusion of knuckle (26850) | $5,366.98 | $5,366.98 | 0.7× |
| Gastrocnemius recession (27687) range across 2 matching MRF lines |
$6,697.45–$10,688.90 | $6,697.45–$10,688.90 | varies |
| Grafting of autologous soft tiss by direct exc (15769) | $6,020.95 | $6,020.95 | 1.5× |
| Hip arthro acetabuloplasty (29915) | $8,388.70 | $8,388.70 | 1.0× |
| Hip arthro w/labral repair (29916) range across 3 matching MRF lines |
$7,373.95–$8,050.45 | $7,373.95–$8,050.45 | varies |
| I&d abscess peritonsillar (42700) | $1,141.92 | $1,141.92 | 4.3× |
| I&d abscess simple (10060) | $364.40 | $364.40 | 1.6× |
| I&d pilonidal cyst simple (10080) | $3,565.77 | $3,565.77 | 4.5× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) | $17,819.05 | $17,819.05 | 4.8× |
| Incise finger tendon sheath (26055) range across 4 matching MRF lines |
$5,006.20–$9,335.90 | $5,006.20–$9,335.90 | varies |
| Incise Wrist/Forearm Tendon (25290) | $5,592.46 | $5,592.46 | 1.5× |
| Incision & drainage abscess complicated/multiple (10061) | $2,049.83 | $2,049.83 | 4.5× |
| Incision & removal foreign body subq tiss compl (10121) | $6,694 | $6,694 | 3.6× |
| Incision & removal foreign body subq tiss simple (10120) | $9,335.90 | $9,335.90 | 20.7× |
| Incision extensor tendon sheath wrist (25000) | $7,881.97 | $7,881.97 | 4.4× |
| Incision of lingual frenum (frenotomy) (41010) | $8,138.89 | $8,138.89 | 4.7× |
| Incision of tibia & fibula (27709) | $18,130.40 | $18,130.40 | 1.3× |
| Incisional biopsy skin single lesion (11106) | $5,344.45 | $5,344.45 | 6.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $992.20 | $992.20 | 4.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $4,682.30 | $4,682.30 | 4.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $4,964.99 | $4,964.99 | 5.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,493.90 | $1,493.90 | 4.4× |
| Injection single tendon origin/insertion (20551) | $1,493.90 | $1,493.90 | 4.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $1,493.90 | $1,493.90 | 4.4× |
| Injection single/mlt trigger point 3/> muscles (20553) | $1,493.90 | $1,493.90 | 4.4× |
| Injection therapeutic carpal tunnel (20526) | $1,493.90 | $1,493.90 | 4.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $761.04 | $761.04 | 1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $3,540.33 | $3,540.33 | 4.5× |
| Injection, intralesional; up to and including 7 lesions (11900) | $992.20 | $992.20 | 4.4× |
| Insert and remove bone pin (20650) | $16,355.26 | $16,355.26 | 4.5× |
| Insert Temp Bladder Cath (51702) | $819.10 | $819.10 | 5.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $285.10 | $285.10 | 1.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $7,689.20 | $7,689.20 | 4.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $8,535.38 | $8,535.38 | 4.9× |
| Intubation endotracheal emergency procedure (31500) | $1,011.60 | $1,011.60 | 3.8× |
| Knee Arthroscopy/Surgery (29874) | $8,770.75 | $8,770.75 | 2.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $28,638.16 | $28,638.16 | 4.3× |
| Laryngoscopy flexible diagnostic (31575) | $982.14 | $982.14 | 4.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $2,072.20 | $2,072.20 | 4.8× |
| Lateral Canthopexy (21282) | $15,632.02 | $15,632.02 | 4.2× |
| Lateral retinacular release open (27425) range across 5 matching MRF lines |
$4,363.47–$9,741.70 | $4,363.47–$9,741.70 | varies |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) | $4,915.96 | $4,915.96 | 1.4× |
| Lengthening of hamstring tendon; single tendon Facility (27393) unusually low: confirm this is the full procedure |
$4,013.98 | $4,013.98 | 0.5× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) range across 4 matching MRF lines |
$6,494.46–$18,130.40 | $6,494.46–$18,130.40 | varies |
| Low Back Disk Surgery (63030) range across 2 matching MRF lines |
$8,726.95–$14,071.40 | $8,726.95–$14,071.40 | varies |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $9,482.74 | $9,482.74 | 4.1× |
| Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) | $7,712.20 | $7,712.20 | 1.0× |
| Muscle/tendon transfer upper arm/elbow single (24301) | $8,050.45 | $8,050.45 | 1.0× |
| Nasal Endoscopy Dx (31231) | $982.14 | $982.14 | 4.4× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $897.40 | $897.40 | 3.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $159.80 | $159.80 | 5.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $159.80 | $159.80 | 5.0× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) | $20,836.40 | $20,836.40 | 2.1× |
| Nerve Repair W/Nerve Allograft First Strand (64912) | $13,394.90 | $13,394.90 | 1.4× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $5,682.70 | $5,682.70 | 2.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $2,290 | $2,290 | 5.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $4,682.30 | $4,682.30 | 4.8× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $13,394.90 | $13,394.90 | 1.7× |
| Open treatment fracture distal tibia only (27827) range across 2 matching MRF lines |
$11,365.40–$13,394.90 | $11,365.40–$13,394.90 | varies |
| Open Treatment Humeral Condylar Fracture (24579) range across 2 matching MRF lines |
$12,041.90–$14,812 | $12,041.90–$14,812 | varies |
| Open Treatment Medial Malleolus Fracture (27766) | $12,041.90 | $12,041.90 | 1.5× |
| Open treatment metacarpophalangeal dislocation (26715) | $12,041.90 | $12,041.90 | 3.3× |
| Open treatment metatarsal fracture each (28485) | $10,753 | $10,753 | 1.3× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) | $29,338.82 | $29,338.82 | 4.5× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) | $15,424.40 | $15,424.40 | 1.1× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) | $29,338.82 | $29,338.82 | 4.5× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) | $14,135.50 | $14,135.50 | 3.9× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $14,747.90 | $14,747.90 | 1.8× |
| Open Treatment Radial Shaft Fracture (25515) | $11,365.40 | $11,365.40 | 1.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $11,365.40 | $11,365.40 | 3.1× |
| Open tx carpal scaphoid navicular fracture (25628) | $11,365.40 | $11,365.40 | 1.4× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $14,071.40 | $14,071.40 | 1.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$5,344.45–$10,688.90 | $5,344.45–$10,688.90 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $9,403.45 | $9,403.45 | 1.2× |
| Open Tx Humeral Epicondylar Fracture (24575) | $11,365.40 | $11,365.40 | 0.8× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) | $14,071.40 | $14,071.40 | 1.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$10,012.40–$11,365.40 | $10,012.40–$11,365.40 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$11,365.40–$12,041.90 | $11,365.40–$12,041.90 | varies |
| Open Tx Radial Head/Neck Fracture (24665) | $13,394.90 | $13,394.90 | 1.7× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) | $7,035.70 | $7,035.70 | 0.9× |
| Open tx ulnar fx proximal end (24685) range across 4 matching MRF lines |
$9,400–$13,394.90 | $9,400–$13,394.90 | varies |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) | $16,100.90 | $16,100.90 | 1.1× |
| Osteochondral allograft knee open (27415) | $16,777.40 | $16,777.40 | 1.2× |
| Osteoplasty Radius/Ulna Shortening (25390) range across 2 matching MRF lines |
$6,359.20–$8,723.50 | $6,359.20–$8,723.50 | varies |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) | $4,532.60 | $4,532.60 | 0.6× |
| Osteotomy calcaneus w/wo internal fixation (28300) range across 3 matching MRF lines |
$2,475.24–$9,403.45 | $2,475.24–$9,403.45 | varies |
| Osteotomy Metacarpal Each (26565) | $10,688.90 | $10,688.90 | 2.9× |
| Osteotomy Phalanx Finger Each (26567) range across 2 matching MRF lines |
$6,697.45–$13,394.90 | $6,697.45–$13,394.90 | varies |
| Osteotomy radius distal third (25350) | $12,782.50 | $12,782.50 | 1.6× |
| Osteotomy Radius Middle/Proximal Third (25355) | $7,035.70 | $7,035.70 | 1.9× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) range across 4 matching MRF lines |
$3,247.23–$4,532.60 | $3,247.23–$4,532.60 | varies |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) | $7,712.20 | $7,712.20 | 1.0× |
| Part remv talus or calcaneus (28120) | $12,718.40 | $12,718.40 | 3.5× |
| Partial removal of fibula (27641) | $6,020.95 | $6,020.95 | 1.7× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $10,688.90 | $10,688.90 | 2.9× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) range across 2 matching MRF lines |
$5,006.20–$5,344.45 | $5,006.20–$5,344.45 | varies |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) | $5,682.70 | $5,682.70 | 1.6× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$5,682.70–$11,365.40 | $5,682.70–$11,365.40 | varies |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $10,688.90 | $10,688.90 | 2.9× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) | $5,682.70 | $5,682.70 | 1.6× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) range across 2 matching MRF lines |
$7,370.50–$10,688.90 | $7,370.50–$10,688.90 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $16,355.26 | $16,355.26 | 4.5× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $11,365.40 | $11,365.40 | 3.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $2,049.83 | $2,049.83 | 4.5× |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $3,761.38 | $3,761.38 | 1.0× |
| Rcnstj Dislocating Patella (27420) | $6,043.46 | $6,043.46 | 0.7× |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) | $5,344.45 | $5,344.45 | 0.8× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $8,047 | $8,047 | 1.0× |
| Reconst lwr jaw w/fixation (21196) | $14,071.40 | $14,071.40 | 2.1× |
| Reconstruct cleft palate (42210) | $15,424.40 | $15,424.40 | 2.3× |
| Reconstruct elbow med ligmnt (24346) | $14,071.40 | $14,071.40 | 1.0× |
| Reconstruct extra finger (26587) range across 2 matching MRF lines |
$5,592.48–$8,047 | $5,592.48–$8,047 | varies |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) | $6,268.98 | $6,268.98 | 1.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) range across 2 matching MRF lines |
$7,373.95–$14,747.90 | $7,373.95–$14,747.90 | varies |
| Reconstruction Toe Polydactyly (28344) | $5,209.10 | $5,209.10 | 1.4× |
| Release Intrinsic Muscles Hand Each Muscle (26593) | $7,370.50 | $7,370.50 | 2.0× |
| Release Thenar Muscle (26508) | $5,366.96 | $5,366.96 | 1.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $326.37 | $326.37 | 5.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $315.82 | $315.82 | 4.8× |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$2,501.20–$12,041.90 | $2,501.20–$12,041.90 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$8,239.28–$16,478.56 | $8,239.28–$16,478.56 | varies |
| Removal of bone lesion (23140) range across 2 matching MRF lines |
$10,012.40–$12,041.90 | $10,012.40–$12,041.90 | varies |
| Removal of humerus lesion (23150) | $12,041.90 | $12,041.90 | 3.3× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$5,006.20–$9,335.90 | $5,006.20–$9,335.90 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $1,318.18 | $1,318.18 | 4.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$364.40–$5,209.10 | $364.40–$5,209.10 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $10,052.35 | $10,052.35 | 4.4× |
| Removal, under anesthesia, of external fixation system (20694) | $5,344.45 | $5,344.45 | 3.0× |
| Remove elbow lesion (24120) | $6,697.45 | $6,697.45 | 1.8× |
| Remove Lower Leg Bone Lesion (27635) range across 2 matching MRF lines |
$4,464.96–$5,682.70 | $4,464.96–$5,682.70 | varies |
| Remove Nasal Foreign Body (30300) | $637.97 | $637.97 | 4.3× |
| Remove Tendon Sheath Lesion (26160) | $9,335.90 | $9,335.90 | 5.2× |
| Remove tissue expander (11971) | $14,193.67 | $14,193.67 | 4.4× |
| Remove wrist joint cartilage (25107) range across 2 matching MRF lines |
$11,429.50–$13,394.90 | $11,429.50–$13,394.90 | varies |
| Remove/graft forearm lesion (25125) | $7,035.70 | $7,035.70 | 3.9× |
| Repair arm/leg nerve (64857) | $33,948.59 | $33,948.59 | 8.9× |
| Repair cleft lip/nasal (40700) | $8,726.95 | $8,726.95 | 1.3× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $12,718.40 | $12,718.40 | 1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $3,192.03 | $3,192.03 | 3.9× |
| Repair extensor tendon finger w/o graft each (26418) | $10,012.40 | $10,012.40 | 5.6× |
| Repair Finger/Hand Tendon (26350) | $16,355.26 | $16,355.26 | 4.5× |
| Repair Foot Dislocation (28615) | $7,035.70 | $7,035.70 | 0.9× |
| Repair Hand Joint (26540) range across 2 matching MRF lines |
$10,688.90–$11,365.40 | $10,688.90–$11,365.40 | varies |
| Repair Hand Tendon (26410) | $10,012.40 | $10,012.40 | 5.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $2,049.83 | $2,049.83 | 4.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $2,049.83 | $2,049.83 | 4.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $2,049.83 | $2,049.83 | 4.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $2,049.83 | $2,049.83 | 4.5× |
| Repair lower leg epiphyses (27734) | $2,682.33 | $2,682.33 | 0.7× |
| Repair mouth/nose fistula (30600) | $8,723.50 | $8,723.50 | 1.3× |
| Repair Non/Malunion Humerus W/O Graft (24430) | $16,100.90 | $16,100.90 | 1.1× |
| Repair of fibula epiphysis (27732) | $2,682.33 | $2,682.33 | 0.7× |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$3,685.25–$9,335.90 | $3,685.25–$9,335.90 | varies |
| Repair of web finger (26562) | $14,071.40 | $14,071.40 | 3.9× |
| Repair of web finger (26560) | $6,694 | $6,694 | 3.7× |
| Repair of web finger (26561) | $5,209.10 | $5,209.10 | 1.4× |
| Repair shoulder capsule (23462) | $21,512.90 | $21,512.90 | 2.7× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 2 matching MRF lines |
$6,697.45–$13,394.90 | $6,697.45–$13,394.90 | varies |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $6,020.95 | $6,020.95 | 0.7× |
| Repair/Graft Wrist Bone (25440) | $13,394.90 | $13,394.90 | 1.7× |
| Replace g/c tube perc (49450) | $5,151.42 | $5,151.42 | 5.1× |
| Repr elbow lat ligmnt w/tiss (24343) | $12,718.40 | $12,718.40 | 3.5× |
| Respir iadna 18 viral&2 bact (0115U) | $1,512.91 | $1,512.91 | 5.5× |
| Revise lower leg tendon (27690) range across 4 matching MRF lines |
$3,247.23–$9,403.45 | $3,247.23–$9,403.45 | varies |
| Revise Lower Leg Tendons (27686) | $8,050.45 | $8,050.45 | 2.2× |
| Revise radius & ulna (25365) | $8,050.45 | $8,050.45 | 0.6× |
| Revise Wrist/Forearm Tendon (25280) range across 3 matching MRF lines |
$2,475.22–$5,592.46 | $2,475.22–$5,592.46 | varies |
| Revision of big toe (28310) | $5,592.46 | $5,592.46 | 0.7× |
| Revision of foot (28116) range across 2 matching MRF lines |
$4,023.50–$12,041.90 | $4,023.50–$12,041.90 | varies |
| Revision of foot and ankle (28262) | $9,403.45 | $9,403.45 | 1.2× |
| Revision of foot fascia (28250) range across 5 matching MRF lines |
$3,247.23–$8,050.45 | $3,247.23–$8,050.45 | varies |
| Revision of humerus (24400) | $14,812 | $14,812 | 1.8× |
| Revision of lower leg tendon (27685) range across 5 matching MRF lines |
$3,247.25–$11,365.40 | $3,247.25–$11,365.40 | varies |
| Revision of nose (30462) | $18,806.90 | $18,806.90 | 2.9× |
| Revision of wrist joint (25450) range across 2 matching MRF lines |
$6,359.20–$10,012.40 | $6,359.20–$10,012.40 | varies |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) | $27,601.40 | $27,601.40 | 4.2× |
| Rhinp Prim Complete Xtrnl Parts (30410) | $29,338.82 | $29,338.82 | 4.5× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $1,405.93 | $1,405.93 | 4.5× |
| Rplc Gtube No Revj Trc (43762) | $1,180.60 | $1,180.60 | 4.3× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $16,355.26 | $16,355.26 | 4.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) range across 2 matching MRF lines |
$6,020.95–$16,355.26 | $6,020.95–$16,355.26 | varies |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) | $16,355.26 | $16,355.26 | 4.5× |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) | $9,400 | $9,400 | 2.6× |
| Shorten radius & ulna (25392) | $6,391.25 | $6,391.25 | 0.8× |
| Simple Cystometrogram (51725) | $1,415.10 | $1,415.10 | 5.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $992.20 | $992.20 | 4.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $6,359.20 | $6,359.20 | 28.5× |
| Skin Full Grft Face/Genit/Hf (15240) | $9,482.74 | $9,482.74 | 4.1× |
| Skin sub graft face/nk/hf/g (15275) | $10,050.70 | $10,050.70 | 12.2× |
| Skin Tissue Procedure (17999) | $3,192.03 | $3,192.03 | 14.3× |
| Skn sub grft f/n/hf/g child (15277) | $11,582.24 | $11,582.24 | 5.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $992.20 | $992.20 | 4.4× |
| Spinal puncture lumbar diagnostic (62270) | $3,485.93 | $3,485.93 | 4.4× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $17,873.83 | $17,873.83 | 4.5× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $9,482.74 | $9,482.74 | 4.1× |
| Strapping ankle (29540) | $824.89 | $824.89 | 4.6× |
| Strapping elbow or wrist (29260) | $320.22 | $320.22 | 4.9× |
| Strapping hand/finger (29280) | $320.22 | $320.22 | 4.9× |
| Strapping knee (29530) | $668.74 | $668.74 | 4.5× |
| Strapping shoulder (29240) | $668.74 | $668.74 | 4.5× |
| Strapping toes (29550) | $339.20 | $339.20 | 5.2× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $992.20 | $992.20 | 4.4× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $3,192.03 | $3,192.03 | 3.9× |
| Surgery to stop leg growth (27479) range across 2 matching MRF lines |
$7,035.70–$12,718.40 | $7,035.70–$12,718.40 | varies |
| Surgery to stop leg growth (27477) unusually low: confirm this is the full procedure |
$2,682.34 | $2,682.34 | 0.3× |
| Suture 1 nerve hand/foot common sensory nerve (64834) | $6,020.95 | $6,020.95 | 1.6× |
| Suture digital nerve hand/foot 1 nerve (64831) | $7,373.95 | $7,373.95 | 3.4× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) | $3,192.03 | $3,192.03 | 3.9× |
| Tendon transfer with graft (26492) | $12,718.40 | $12,718.40 | 3.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $7,373.95 | $7,373.95 | 2.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) | $5,141.48 | $5,141.48 | 1.4× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $16,355.26 | $16,355.26 | 4.5× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) | $4,013.96 | $4,013.96 | 2.2× |
| Tenotomy Hip Abd/Ext Open (27006) | $4,013.96 | $4,013.96 | 1.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $3,585.48 | $3,585.48 | 2.0× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) | $2,097.21 | $2,097.21 | 0.6× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) range across 5 matching MRF lines |
$5,341–$15,763.94 | $5,341–$15,763.94 | varies |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) | $6,697.45 | $6,697.45 | 1.8× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $3,490.78 | $3,490.78 | 2.0× |
| Thyroid biopsy (60100) | $3,565.77 | $3,565.77 | 4.5× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $10,050.70 | $10,050.70 | 4.4× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) | $2,475.22 | $2,475.22 | 0.7× |
| Transplant hand tendon (26480) | $5,141.46 | $5,141.46 | 1.4× |
| Treat Big Toe Fracture (28505) range across 2 matching MRF lines |
$8,047–$10,688.90 | $8,047–$10,688.90 | varies |
| Treat elbow fracture (24586) | $13,394.90 | $13,394.90 | 0.9× |
| Treat Finger Fracture Each (26727) range across 5 matching MRF lines |
$6,694–$10,688.90 | $6,694–$10,688.90 | varies |
| Treat forearm bone lesion (25035) | $12,718.40 | $12,718.40 | 1.6× |
| Treat fracture radius/ulna (25575) range across 2 matching MRF lines |
$11,365.40–$12,041.90 | $11,365.40–$12,041.90 | varies |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$8,723.50–$13,394.90 | $8,723.50–$13,394.90 | varies |
| Treat humerus fracture (24500) | $1,137.42 | $1,137.42 | 4.1× |
| Treat Humerus Fracture (24505) | $7,881.97 | $7,881.97 | 4.4× |
| Treat humerus fracture (23600) | $1,137.42 | $1,137.42 | 4.1× |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$10,012.40–$16,355.26 | $10,012.40–$16,355.26 | varies |
| Treat Knee Fracture(S) (27538) | $1,137.42 | $1,137.42 | 4.1× |
| Treat Metatarsal Fracture (28475) | $1,137.42 | $1,137.42 | 4.1× |
| Treat toe dislocation (28630) | $1,137.42 | $1,137.42 | 4.1× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,137.42 | $1,137.42 | 4.1× |
| Treatment of ankle fracture (27823) | $9,403.45 | $9,403.45 | 1.2× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) | $14,071.40 | $14,071.40 | 3.9× |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$2,097.17–$3,247.23 | $2,097.17–$3,247.23 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $4,013.98 | $4,013.98 | 2.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $10,012.40 | $10,012.40 | 12.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $1,137.42 | $1,137.42 | 4.1× |
| Tympanostomy general anesthesia (69436) | $8,726.95 | $8,726.95 | 5.1× |
| Unlisted Procedure Casting/Strapping (29799) | $10,688.90 | $10,688.90 | 59.2× |
| Unlisted Procedure External Ear (69399) | $1,275.93 | $1,275.93 | 4.8× |
| Unlisted procedure femur or knee (27599) | $11,365.40 | $11,365.40 | 41.5× |
| Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
$2,097.17–$2,475.22 | $2,097.17–$2,475.22 | varies |
| Unlisted procedure forearm or wrist (25999) | $12,041.90 | $12,041.90 | 43.9× |
| Unlisted Procedure Hands/Fingers (26989) range across 2 matching MRF lines |
$1,137.42–$10,012.40 | $1,137.42–$10,012.40 | varies |
| Unlisted procedure humerus/elbow (24999) range across 3 matching MRF lines |
$1,137.42–$10,688.90 | $1,137.42–$10,688.90 | varies |
| Unlisted Procedure Leg/Ankle (27899) range across 2 matching MRF lines |
$6,020.95–$12,718.40 | $6,020.95–$12,718.40 | varies |
| Unlisted Procedure Muscskeletal System General (20999) | $10,012.40 | $10,012.40 | 36.5× |
| Unlisted procedure spine (22899) range across 2 matching MRF lines |
$1,137.42–$9,400 | $1,137.42–$9,400 | varies |
| Urinary Reflex Study (51792) | $454.80 | $454.80 | 6.9× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$2,049.83–$5,344.45 | $2,049.83–$5,344.45 | varies |
| Wedging of cast (29740) | $1,318.18 | $1,318.18 | 4.2× |
| Windowing of cast (29730) | $800.88 | $800.88 | 4.4× |
| Wound Prep F/N/Hf/G (15004) | $3,192.03 | $3,192.03 | 7.1× |
| Xfer Single Deep Low Leg Tendon (27691) | $4,363.49 | $4,363.49 | 0.5× |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) | $8,793.45 | $8,793.45 | 4.9× |
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.