Procedures & surgery prices at Shriners Children's Spokane

Spokane, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $17,416.78 $17,416.78 4.4×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $9,793.70 $9,793.70 4.3×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $6,170.72 $6,170.72 2.7×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $9,240.25 $9,240.25 4.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $15,937.04 $15,937.04 4.4×
Amputation Finger/Thumb (26951) $15,937.04 $15,937.04 4.4×
Amputation toe metatarsophalangeal joint (28820) $2,295.39 $2,295.39 0.6×
Anterior tibial tubercleplasty (27418) $7,028.57 $7,028.57 0.9×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $749.20 $749.20 4.1×
Application cast elbow finger short arm (29075) $1,337.20 $1,337.20 4.3×
Application Cast Finger (29086) $780.40 $780.40 4.3×
Application cast shoulder hand long arm (29065) $1,337.20 $1,337.20 4.3×
Application Cast Shoulder Spica (29055) $1,284.48 $1,284.48 4.1×
Application Finger Splint Dynamic (29131) $330.60 $330.60 5.0×
Application finger splint static (29130) $621.65 $621.65 4.2×
Application Hip Spica Cast 1 Leg (29305) $1,421.92 $1,421.92 4.6×
Application long arm splint shoulder hand (29105) $780.40 $780.40 4.3×
Application Long Leg Cast Walker/Ambulatory Type (29355) $1,433.56 $1,433.56 4.6×
Application of cylinder cast (thigh to ankle) (29365) $1,337.20 $1,337.20 4.3×
Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) $5,778.42 $5,778.42 18.5×
Application of long leg cast (29345) $1,337.20 $1,337.20 4.3×
Application of rigid total contact leg cast (29445) $1,337.20 $1,337.20 4.3×
Application Patellar Tendon Bearing Cast (29435) $1,337.20 $1,337.20 4.3×
Application Short Arm Splint Dynamic (29126) $605.90 $605.90 4.1×
Application short arm splint forearm-hand static (29125) $1,243.30 $1,243.30 8.4×
Apply Hand/Wrist Cast (29085) $780.40 $780.40 4.3×
Apply long leg splint (29505) $780.40 $780.40 4.3×
Apply short leg cast (29405) $1,337.20 $1,337.20 4.3×
Apply short leg cast (29425) $1,310.84 $1,310.84 4.2×
Apply short leg splint (29515) $780.40 $780.40 4.3×
Arrest Epiphyseal Open Distal Tibia (27730) $4,685.71 $4,685.71 1.3×
Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula Facility (27734) $9,541.80 $9,541.80 2.6×
Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Facility (27479) $11,476.95 $11,476.95 1.4×
Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal Facility (27477) $10,509.38 $10,509.38 1.3×
Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Facility (27485) $10,332.70 $10,332.70 1.3×
Arterial puncture (36600) $651.64 $651.64 4.4×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
unusually low: confirm this is the full procedure
$5,760.80 $5,760.80 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $2,183.55 $2,183.55 6.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $3,449.80 $3,449.80 4.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $3,113.30 $3,113.30 9.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,580.45 $1,580.45 4.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $1,256.88 $1,256.88 3.7×
Arthrodesis great toe interphalangeal joint (28755) $7,028.58 $7,028.58 0.9×
Arthrodesis triple (28715) $9,931.30 $9,931.30 0.7×
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760)
unusually low: confirm this is the full procedure
$2,772.89 $2,772.89 0.3×
Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) $15,937.04 $15,937.04 4.4×
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) $6,383.53 $6,383.53 0.8×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $14,702.20 $14,702.20 8.2×
Arthroscopy knee synovectomy 2/>compartments (29876) $10,186.85 $10,186.85 2.8×
Arthroscopy knee synovectomy limited spx (29875) $9,736.55 $9,736.55 2.7×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Facility (29897) $8,285.18 $8,285.18 2.3×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Facility (29895) $10,831.90 $10,831.90 3.0×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $12,122 $12,122 3.3×
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Facility (29886) $13,412.10 $13,412.10 3.7×
Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty) Facility (29867)
unusually low: confirm this is the full procedure
$5,975.81 $5,975.81 0.4×
Arthroscopy, knee, surgical; with lateral release (29873) $4,782.06 $4,782.06 1.3×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) $9,931.30 $9,931.30 2.7×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $10,576.35 $10,576.35 2.9×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $8,479.94 $8,479.94 2.3×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $12,122 $12,122 1.5×
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $13,625.50 $13,625.50 1.7×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $15,937.04 $15,937.04 4.4×
Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) $8,188.84 $8,188.84 2.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $17,927.45 $17,927.45 2.2×
Arthrs knee debridement/shaving artclr crtlg (29877) $7,673.62 $7,673.62 2.1×
Aspirate/Inj Ganglion Cyst (20612) $1,455.70 $1,455.70 4.3×
Aspiration and/or injection thyroid cyst (60300) $3,474.59 $3,474.59 4.4×
Autochondrocyte implant knee (27412) $7,480.93 $7,480.93 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $1,097.46 $1,097.46 4.9×
Biopsy pleura percutaneous needle (32400) $8,028.59 $8,028.59 4.4×
Blood transfusion service (36430) $2,095.30 $2,095.30 4.3×
Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262) $9,914.56 $9,914.56 1.2×
Capsulotomy, midfoot; with tendon lengthening Facility (28261) $3,610.64 $3,610.64 2.0×
Catheter Aspiration Nasotracheal Spx (31720) $167.30 $167.30 0.7×
Chemical cautery tissue (17250) $350.20 $350.20 1.6×
Chemodenerv 1 extrem 5/> mus (64644) $3,449.80 $3,449.80 4.4×
Chemodenerv Musc Neck Dyston (64616) $1,455.70 $1,455.70 4.3×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $1,455.70 $1,455.70 4.3×
Chemodenerv trunk musc 1-5 (64646) $3,449.80 $3,449.80 4.4×
Chemodenerv trunk musc 6/> (64647) $3,449.80 $3,449.80 4.4×
Chemodenervation internal anal sphincter (46505) $5,797.90 $5,797.90 4.3×
Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) $1,455.70 $1,455.70 4.3×
Chemodenervation of one extremity; 1-4 muscle(s) (64642) $4,576.48 $4,576.48 5.8×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $1,455.70 $1,455.70 4.3×
Circum 28 days or older (54161) $9,931.03 $9,931.03 4.3×
Close Rx Prox/Mid Fing Shft Fx (26720) $899.12 $899.12 3.3×
Closed Rx Gr Tuberosity Hum Fx (23620) $1,108.33 $1,108.33 4.0×
Closed Rx Humer Epicondylr Fx,Manip (24565) $7,680.42 $7,680.42 4.3×
Closed Rx Humeral Supracondylar Fx (24530) $1,108.33 $1,108.33 4.0×
Closed Rx Radial Shaft Fx (25500) $899.12 $899.12 3.3×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $7,680.42 $7,680.42 4.3×
Closed Rx Spontaneous Hip Disloc (27256) $1,108.33 $1,108.33 4.0×
Closed Rx Tibia Shaft Fx (27750) $1,108.33 $1,108.33 4.0×
Closed Rx Tibial Plateau Fx (27530) $899.12 $899.12 3.3×
Closed treat wrist dislocation (25660) $1,108.33 $1,108.33 4.0×
Closed treatment of calcaneal fracture; without manipulation (28400) $1,108.33 $1,108.33 4.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,108.33 $1,108.33 4.0×
Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) $7,680.42 $7,680.42 4.3×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) $1,108.33 $1,108.33 4.0×
Closed treatment of patellar fracture, without manipulation (27520) $1,108.33 $1,108.33 4.0×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $1,108.33 $1,108.33 4.0×
Closed treatment of talus fracture; without manipulation (28430) $1,108.33 $1,108.33 4.0×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $7,680.42 $7,680.42 4.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $3,584.66 $3,584.66 13.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $1,108.33 $1,108.33 4.0×
Closed Treatment Sesamoid Fracture (28530) $1,108.33 $1,108.33 4.0×
Closed Treatment Ulnar Styloid Fracture (25650) $1,108.33 $1,108.33 4.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $7,680.42 $7,680.42 4.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,108.33 $1,108.33 4.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,108.33 $1,108.33 4.0×
Closed tx carpal scaphoid fracture w/manj (25624) $7,680.42 $7,680.42 4.3×
Closed tx femoral fracture prox head w/o manj (27267) $19,692.07 $19,692.07 5.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,108.33 $1,108.33 4.0×
Closed tx knee dislocation w/o anesthesia (27550) $1,108.33 $1,108.33 4.0×
Closed tx metatarsal fracture w/o manipulation (28470) $1,108.33 $1,108.33 4.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $7,680.42 $7,680.42 4.3×
Closed tx patellar dislocation w/o anesthesia (27560) $1,108.33 $1,108.33 4.0×
Closed tx radial head/neck fx w/manipulation (24655) $7,680.42 $7,680.42 4.3×
Closed tx radial head/neck fx w/o manipulation (24650) $1,108.33 $1,108.33 4.0×
Closed tx radial shaft fracture w/manipulation (25505) $15,937.04 $15,937.04 8.9×
Closed tx radial&ulnar shaft fractures w/manj (25565) $7,680.42 $7,680.42 4.3×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $1,108.33 $1,108.33 4.0×
Closed Tx Talus Fracture W/Manipulation (28435) $7,680.42 $7,680.42 4.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $7,680.42 $7,680.42 4.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $1,108.33 $1,108.33 4.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $1,108.33 $1,108.33 4.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,108.33 $1,108.33 4.0×
Clsd tx clavicular fracture w/o manipulation (23500) $1,108.33 $1,108.33 4.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,108.33 $1,108.33 4.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $7,680.42 $7,680.42 4.3×
Cltx dstl fibular fx lat malls w/manj (27788) $2,778.35 $2,778.35 10.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $733.66 $733.66 2.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,108.33 $1,108.33 4.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $899.12 $899.12 3.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $7,680.42 $7,680.42 4.3×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $7,680.42 $7,680.42 4.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) $1,108.33 $1,108.33 4.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,108.33 $1,108.33 0.6×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,108.33 $1,108.33 4.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $8,933.64 $8,933.64 5.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $1,108.33 $1,108.33 4.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $1,108.33 $1,108.33 4.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,108.33 $1,108.33 4.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $1,108.33 $1,108.33 4.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $7,680.42 $7,680.42 4.3×
Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) $1,108.33 $1,108.33 4.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,108.33 $1,108.33 4.0×
Cltx humeral condylar fx medial/lat w/o mnpj (24576) $899.12 $899.12 3.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $7,680.42 $7,680.42 4.3×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $7,680.42 $7,680.42 4.3×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $7,680.42 $7,680.42 4.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,284.48 $1,284.48 4.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,108.33 $1,108.33 4.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,284.32 $1,284.32 4.7×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $1,108.33 $1,108.33 4.0×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $7,680.42 $7,680.42 4.3×
Cltx metacarpal fx w/manipulation each bone (26605) $1,108.33 $1,108.33 4.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $689.90 $689.90 2.5×
Cltx metatarsophlngl jt dislc w/o anes (28630) $1,108.33 $1,108.33 4.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $2,939.62 $2,939.62 10.7×
Cltx post ankle fx w/mnpj (27768) $7,680.42 $7,680.42 4.3×
Cltx post hip arthrp dislc w/o anes (27265) $1,108.33 $1,108.33 4.0×
Cltx prox fibula/shft fx w/manj (27781) $7,680.42 $7,680.42 4.3×
Cltx prox fibula/shft fx w/o manj (27780) $1,108.33 $1,108.33 4.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $7,680.42 $7,680.42 4.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,108.33 $1,108.33 4.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $7,680.42 $7,680.42 4.3×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $7,680.42 $7,680.42 4.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $7,680.42 $7,680.42 4.3×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $1,108.33 $1,108.33 4.0×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $7,680.42 $7,680.42 4.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,108.33 $1,108.33 4.0×
Comp ext fixate strut change (20697) $8,568.60 $8,568.60 4.8×
Complex Cystometrogram (51726) $1,150.41 $1,150.41 4.1×
Complex cystometrogram urethral press profile (51727) $3,348.07 $3,348.07 4.3×
Complex Uroflowmetry (51741) $469.60 $469.60 2.0×
Correction of bunion (28298) $10,831.90 $10,831.90 1.3×
Correction of bunion (28299) $12,767.05 $12,767.05 1.6×
Csf shunt reprogram (62252) $1,481.18 $1,481.18 4.3×
Cystometrogram w/vp (51728) $3,348.07 $3,348.07 4.3×
Cystometrogram W/Vp&Up (51729) $3,814.19 $3,814.19 4.9×
Cystourethroscopy (52000) $3,814.19 $3,814.19 4.9×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $13,830.72 $13,830.72 4.3×
Debride tissue/muscle (11043) $6,706.05 $6,706.05 8.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,997.42 $1,997.42 4.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $8,028.59 $8,028.59 4.4×
Decompression Of Tibia Nerve (28035) $3,825.64 $3,825.64 1.8×
Delay Flap/Sectioning Flap Trunk (15600) $17,416.78 $17,416.78 4.4×
Destruction Benign Lesions Up To 14 (17110) $966.83 $966.83 4.3×
Destruction Lesions Vulva Simple (56501) $9,240.25 $9,240.25 4.0×
Destruction premalignant lesion 1st (17000) $966.83 $966.83 4.3×
Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Facility (28250) $4,889.56 $4,889.56 1.3×
Drain Ext Ear Absc/Blood,Complic (69005) $8,028.59 $8,028.59 4.4×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $3,474.59 $3,474.59 4.4×
Drain/inj small joint/bursa w/us (20604) $1,679.01 $1,679.01 4.9×
Drainage external auditory canal abscess (69020) $3,474.59 $3,474.59 4.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $3,474.59 $3,474.59 4.4×
Dressing change under anesthesia (15852) $2,405.10 $2,405.10 2.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,997.42 $1,997.42 4.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $350.20 $350.20 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $350.20 $350.20 1.6×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $9,793.70 $9,793.70 4.3×
Elbow Arthroscopy/Surgery (29837) $6,706.05 $6,706.05 1.8×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $1,481.18 $1,481.18 4.3×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,481.18 $1,481.18 4.3×
Elect Anlys Implt Ithcl/Edrl Pmp W/Reprg&Refil (62369) $1,481.18 $1,481.18 4.3×
EMG anal/urethral sphincter (51785) $860.90 $860.90 3.1×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $469.60 $469.60 3.3×
Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Facility (25450) $6,383.52 $6,383.52 1.8×
Evacuation of subungual hematoma (11740) $690.13 $690.13 4.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $3,474.59 $3,474.59 4.4×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $5,093.43 $5,093.43 6.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $3,474.59 $3,474.59 4.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $8,028.59 $8,028.59 4.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $3,474.59 $3,474.59 4.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,997.42 $1,997.42 4.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $3,474.59 $3,474.59 4.4×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $8,028.59 $8,028.59 4.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $8,028.59 $8,028.59 4.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $8,028.59 $8,028.59 4.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $8,028.59 $8,028.59 4.4×
Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) $8,028.59 $8,028.59 4.4×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $10,831.90 $10,831.90 3.3×
Excise cutaneous neurofibroma (64788) $9,623.92 $9,623.92 4.4×
Excision Lingual Frenum Frenectomy (41115) $7,930.77 $7,930.77 4.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $3,474.59 $3,474.59 4.4×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $3,474.59 $3,474.59 4.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $3,474.59 $3,474.59 4.4×
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) $10,186.85 $10,186.85 2.8×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $8,028.59 $8,028.59 4.4×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $6,383.52 $6,383.52 1.8×
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) $10,186.85 $10,186.85 2.8×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $7,996.15 $7,996.15 2.2×
Fasciectomy Plantar Fascia Partial Spx (28060) $13,412.10 $13,412.10 3.7×
Fine needle aspiration without imaging guidance (10021) $1,997.42 $1,997.42 4.4×
Fluid pressure muscle (20950) $3,767.02 $3,767.02 4.8×
Fna bx w/fluor gdn 1st les (10007) $267.70 $267.70 0.3×
Forearm or wrist surgery (25999) $10,186.85 $10,186.85 37.1×
Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) $9,240.25 $9,240.25 4.0×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $6,108.20 $6,108.20 2.7×
Fth/gft free w/direct closure trunk 20 cm/< (15200) $9,240.25 $9,240.25 4.0×
Fusion of foot bones (28740) $6,867.32 $6,867.32 0.8×
Gastrocnemius recession (27687) $4,100 $4,100 1.1×
I&D Abscess Peritonsillar (42700) $1,112.72 $1,112.72 4.2×
I&d abscess simple (10060) $350.20 $350.20 1.6×
I&d pilonidal cyst simple (10080) $3,474.59 $3,474.59 4.4×
Impression and custom preparation; interim obturator prosthesis Facility (21079) $17,363.40 $17,363.40 4.7×
Incise finger tendon sheath (26055) $9,219.28 $9,219.28 5.1×
Incision & drainage abscess complicated/multiple (10061) $1,997.42 $1,997.42 4.4×
Incision extensor tendon sheath wrist (25000) $7,680.42 $7,680.42 4.3×
Incision of lingual frenum (frenotomy) (41010) $7,930.77 $7,930.77 4.6×
Incision of tibia (27705) $8,318.67 $8,318.67 1.0×
Incision of tibia & fibula (27709) $9,908.98 $9,908.98 0.7×
Initial tx 1st degree burn local tx (16000) $966.83 $966.83 4.3×
Inj paravert f jnt c/t 1 lev (64490) $4,562.57 $4,562.57 4.6×
Inj tendon sheath/ligament (20550) $1,455.70 $1,455.70 4.3×
Inj therapeutic carpal tunnel (20526) $1,455.70 $1,455.70 4.3×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $4,838.03 $4,838.03 4.9×
Inject Tendon Origin/Insert (20551) $1,455.70 $1,455.70 4.3×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $3,449.80 $3,449.80 4.4×
Injection anesthetic agent femoral nerve single (64447) $741.58 $741.58 0.9×
Injection into skin lesions (11900) $966.83 $966.83 4.3×
Injection single/mlt trigger point 1/2 muscles (20552) $1,455.70 $1,455.70 4.3×
Injection single/mlt trigger point 3/> muscles (20553) $1,455.70 $1,455.70 4.3×
Insert and remove bone pin (20650) $15,937.04 $15,937.04 4.4×
Insert Temp Bladder Cath (51702) $798.10 $798.10 5.4×
Insert,Non-Indwelling Bladder Catheter (51701) $273.50 $273.50 1.8×
Insj picc rs&i 5 yr+ (36573) $7,689.20 $7,689.20 4.4×
Knee Arthroscopy/Surgery (29874) $6,383.53 $6,383.53 1.8×
Knee Arthroscopy/Surgery (29879) $5,115.74 $5,115.74 1.4×
Lap ing hernia repair init (49650) $27,905.85 $27,905.85 4.1×
Laryngoscopy flexible diagnostic (31575) $957.03 $957.03 4.3×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $2,019.21 $2,019.21 4.6×
Lateral canthopexy (21282) $15,232.29 $15,232.29 4.1×
Lateral retinacular release open (27425) $4,685.71 $4,685.71 1.3×
Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394)
unusually low: confirm this is the full procedure
$3,514.31 $3,514.31 0.4×
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $5,330.78 $5,330.78 0.7×
Manipulation knee joint under general anesthesia (27570) $6,350.04 $6,350.04 3.5×
Manipulation, elbow, under anesthesia (24300) $5,093.42 $5,093.42 2.8×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $9,240.25 $9,240.25 4.0×
Nasal endoscopy dx (31231) $350.20 $350.20 1.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $155.70 $155.70 4.8×
Needle insertion w/o injection 3 or more muscles (20561) $155.70 $155.70 4.8×
Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) $9,582.86 $9,582.86 4.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $2,231.44 $2,231.44 5.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $4,562.57 $4,562.57 4.6×
Open Treatment Bimalleolar Ankle Fracture (27814) $12,767.05 $12,767.05 1.6×
Open treatment fracture distal tibia only (27827) $11,154.42 $11,154.42 0.8×
Open treatment metatarsal fracture each (28485) $7,543.80 $7,543.80 0.9×
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) $28,588.59 $28,588.59 4.3×
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed… (27514)
unusually low: confirm this is the full procedure
$6,383.52 $6,383.52 0.4×
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Facility (24579) $11,476.95 $11,476.95 0.8×
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) $28,588.59 $28,588.59 4.3×
Open treatment of radial shaft fracture, includes internal fixation, when performed (25515) $6,383.52 $6,383.52 0.8×
Open treatment of ulnar shaft fracture, includes internal fixation, when performed Facility (25545) $6,383.52 $6,383.52 0.8×
Open treatment of ulnar styloid fracture (25652) $6,383.52 $6,383.52 0.8×
Open treatment talus fracture (28445) $12,767.05 $12,767.05 1.6×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $7,801.40 $7,801.40 1.0×
Open Tx Distal Phalangeal Fracture Each (26765) $6,833.82 $6,833.82 1.9×
Open Tx Distal Tibiofibular Joint Disruption (27829) $5,415.95 $5,415.95 0.7×
Open Tx Humeral Epicondylar Fracture (24575) $8,446.45 $8,446.45 0.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $10,186.85 $10,186.85 2.8×
Open tx ulnar fx proximal end (24685) $11,799.48 $11,799.48 1.5×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $13,412.10 $13,412.10 1.7×
Optx dstl radl x-artic fx/epiphysl sep (25607) $6,383.53 $6,383.53 0.8×
Osteochondral allograft, knee, open (27415) $16,637.35 $16,637.35 1.2×
Osteoplasty, femur; shortening (excluding 64876) Facility (27465) $7,028.58 $7,028.58 0.9×
Osteoplasty, radius OR ulna; shortening Facility (25390) $14,057.15 $14,057.15 1.7×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $7,277.87 $7,277.87 0.9×
Osteotomy calcaneus w/wo internal fixation (28300) $5,110.17 $5,110.17 0.6×
Osteotomy radius distal third (25350) $6,383.53 $6,383.53 0.8×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $5,653.30 $5,653.30 0.7×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $10,576.35 $10,576.35 1.3×
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Facility (27156) $24,460.15 $24,460.15 3.0×
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) $7,028.57 $7,028.57 0.9×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) $5,330.76 $5,330.76 1.5×
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) $11,476.95 $11,476.95 1.4×
Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) $10,831.90 $10,831.90 6.0×
Percutaneous skeletal fixation of metacarpal fracture, each bone (26608) $12,739.42 $12,739.42 3.5×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $5,415.95 $5,415.95 1.5×
Perq replacement gtube not req revj gstrst trc (43762) $1,150.41 $1,150.41 4.1×
Perq skel fixj distal radial fx/epiphysl sep (25606) $7,945 $7,945 2.2×
Picc line placement (36569) $8,317.12 $8,317.12 4.7×
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187) $5,093.42 $5,093.42 0.6×
Prq skel fixj metar fx w/manj (28476) $3,610.63 $3,610.63 1.0×
Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) $9,541.80 $9,541.80 2.6×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $7,622.48 $7,622.48 0.9×
Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) $15,937.04 $15,937.04 4.4×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $1,997.42 $1,997.42 4.4×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $8,318.67 $8,318.67 1.0×
Rcnstj Dislocating Patella (27420) $6,061 $6,061 0.7×
Reconstruct extra finger (26587) $10,831.90 $10,831.90 3.0×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $6,609.70 $6,609.70 0.8×
Reconstruction Toe Polydactyly (28344) $10,186.85 $10,186.85 2.8×
Removal foreign body foot subcutaneous (28190) $8,251.70 $8,251.70 10.5×
Removal foreign body intranasal (30300) $621.65 $621.65 4.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $318.03 $318.03 4.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $307.75 $307.75 4.7×
Removal implant deep (20680) $5,093.42 $5,093.42 1.6×
Removal Implant Superficial Separate Procedure (20670) $7,528.58 $7,528.58 4.1×
Removal of bone lesion (23140) $11,762.82 $11,762.82 3.2×
Removal of finger lesion (26210) $6,870.71 $6,870.71 3.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $5,899.36 $5,899.36 26.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $9,795.30 $9,795.30 4.3×
Removal/bivalving full arm/full leg cast (29705) $1,284.48 $1,284.48 4.1×
Remove Lower Leg Bone Lesion (27635) $8,299.58 $8,299.58 2.3×
Remove tissue expander (11971) $13,830.72 $13,830.72 4.3×
Remv Ext Canal Foreign Body (69200) $621.65 $621.65 4.2×
Remv/revisn shldr/hip spica cast (29710) $1,369.98 $1,369.98 4.4×
Repair arm/leg nerve (64857) $33,080.49 $33,080.49 8.7×
Repair complex trunk 2.6-7.5 cm (13101) $3,110.41 $3,110.41 3.8×
Repair Fibula Nonunion (27726) $6,383.53 $6,383.53 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,997.42 $1,997.42 4.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,997.42 $1,997.42 4.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,997.42 $1,997.42 4.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,997.42 $1,997.42 4.4×
Repair of nail bed (11760) $4,849.52 $4,849.52 5.9×
Repair of web finger (26560) $10,186.85 $10,186.85 5.7×
Repair of web finger (26561) $13,412.10 $13,412.10 3.7×
Repair webbed toe(s) (28345) $12,122 $12,122 6.8×
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Facility (28322) $12,122 $12,122 1.5×
Repair, primary, torn ligament and/or capsule, knee; cruciate Facility (27407) $8,641.20 $8,641.20 1.1×
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Facility (27698) $6,706.05 $6,706.05 0.8×
Replace gastrostomy/cecostomy tube percutaneous (49450) $5,019.70 $5,019.70 5.0×
Respir iadna 18 viral&2 bact (0115U) $1,474.22 $1,474.22 5.4×
Revise Lower Leg Tendons (27686) $5,271.43 $5,271.43 1.4×
Revision of foot (28116) $10,831.90 $10,831.90 3.0×
Revision of lower leg tendon (27685) $5,545.78 $5,545.78 1.5×
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) $28,588.59 $28,588.59 4.3×
Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) $15,937.04 $15,937.04 4.4×
Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) $15,937.04 $15,937.04 4.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $15,937.04 $15,937.04 4.4×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $15,937.04 $15,937.04 4.4×
Simple Cystometrogram (51725) $1,357.30 $1,357.30 4.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $966.83 $966.83 4.3×
Skin splt grft trnk/arm/leg (15100) $9,240.25 $9,240.25 4.0×
Skin sub graft face/nk/hf/g (15275) $9,793.70 $9,793.70 11.9×
Skin Tissue Procedure (17999) $3,110.41 $3,110.41 13.9×
Skin tissue rearrangement (14040) $9,240.25 $9,240.25 4.0×
Skn splt a-grft fac/nck/hf/g (15120) $17,416.78 $17,416.78 4.4×
Skn sub grft f/n/hf/g child (15277) $11,286.07 $11,286.07 4.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $966.83 $966.83 4.3×
Spinal puncture lumbar diagnostic (62270) $3,396.79 $3,396.79 4.3×
Spinal Puncture Therapeutic (62272) $3,396.79 $3,396.79 4.3×
Spine Surgery Procedure Unlisted (22899) $1,108.33 $1,108.33 4.0×
Stimulus evoked response (51792) $436.20 $436.20 6.6×
Strapping ankle (29540) $803.80 $803.80 4.4×
Strapping elbow or wrist (29260) $312.03 $312.03 4.7×
Strapping hand/finger (29280) $312.03 $312.03 4.7×
Strapping knee (29530) $977.46 $977.46 6.6×
Strapping shoulder (29240) $651.64 $651.64 4.4×
Strapping toes (29550) $330.60 $330.60 5.0×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $966.83 $966.83 4.3×
Subcutaneous Injection Filling Matrl 1.1-5.0 Cc (11951) $3,110.41 $3,110.41 3.8×
Talectomy (astragalectomy) Facility (28130) $5,115.75 $5,115.75 0.6×
Tattooing Incl Micropigmentation 6.1-20.0 Cm (11921) $3,110.41 $3,110.41 3.8×
Tenolysis extensor tendon hand/finger each (26445) $15,937.04 $15,937.04 4.4×
Tenotomy Adductor Hip Percutaneous Spx (27000) $3,395.61 $3,395.61 1.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $8,896.75 $8,896.75 5.0×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $7,680.42 $7,680.42 4.3×
Tenotomy, adductor of hip, open Facility (27001) $3,514.28 $3,514.28 1.0×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $6,179.68 $6,179.68 3.4×
Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) $8,251.70 $8,251.70 2.3×
Thoracentesis needle/cath pleura w/o imaging (32554) $3,097.29 $3,097.29 4.4×
Thyroid biopsy (60100) $3,474.59 $3,474.59 4.4×
Tracheotomy tube change (31502) $555.20 $555.20 2.1×
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) $5,438.27 $5,438.27 0.7×
Treat Big Toe Fracture (28505) $10,186.85 $10,186.85 2.8×
Treat clavicle dislocation (23540) $1,108.33 $1,108.33 4.0×
Treat clavicle fracture (23505) $7,680.42 $7,680.42 4.3×
Treat Elbow Fracture (24635) $10,186.85 $10,186.85 1.3×
Treat fracture radius/ulna (25575) $11,476.95 $11,476.95 1.4×
Treat humerus fracture (24500) $1,108.33 $1,108.33 4.0×
Treat humerus fracture (23600) $1,108.33 $1,108.33 4.0×
Treat knee fracture (27532) $15,937.04 $15,937.04 4.4×
Treat Knee Fracture (27540) $14,057.15 $14,057.15 1.7×
Treat Knee Fracture(S) (27538) $1,108.33 $1,108.33 4.0×
Treat Metatarsal Fracture (28475) $2,359.48 $2,359.48 8.6×
Treat radius fracture (24665) $4,448.38 $4,448.38 0.6×
Treat wrist bone fracture (25622) $1,108.33 $1,108.33 4.0×
Treat Wrist Bone Fracture (25630) $1,108.33 $1,108.33 4.0×
Treatment closed elbow dislocation w/o anes (24600) $1,108.33 $1,108.33 4.0×
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $8,123.92 $8,123.92 2.2×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $1,108.33 $1,108.33 4.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $4,770.90 $4,770.90 2.7×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $12,444.52 $12,444.52 0.9×
Unlisted procedure arthroscopy (29999) $6,706.05 $6,706.05 24.4×
Unlisted Procedure External Ear (69399) $1,243.31 $1,243.31 4.7×
Unlisted procedure foot or toes (28899) $8,446.45 $8,446.45 30.7×
Unlisted procedure humerus/elbow (24999) $8,896.75 $8,896.75 32.4×
Unlisted procedure pelvis/hip joint (27299) $5,143.15 $5,143.15 18.7×
Unlisted procedure, hands or fingers (26989) $1,108.33 $1,108.33 4.0×
Unlisted procedure, leg or ankle (27899) $10,576.35 $10,576.35 38.5×
Us urine capacity measure (51798) $350.20 $350.20 5.3×
Venipuncture (36415) $18.90 $18.90 2.0×
Wedge excision skin nail fold (11765) $1,997.42 $1,997.42 4.4×
Wedging of cast (29740) $1,284.48 $1,284.48 4.1×
Windowing of cast (29730) $780.40 $780.40 4.3×
Wound Prep F/N/Hf/G (15004) $3,043.27 $3,043.27 6.7×