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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $17,416.78 | $17,416.78 | 4.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $9,240.25 | $9,240.25 | 4.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) range across 2 matching MRF lines |
$3,101.18–$9,240.25 | $3,101.18–$9,240.25 | varies |
| 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× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $15,937.04 | $15,937.04 | 4.4× |
| Amputation toe metatarsophalangeal joint (28820) | $2,295.39 | $2,295.39 | 0.6× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $1,481.18 | $1,481.18 | 4.3× |
| Anal/Urinary Muscle Study (51784) | $469.60 | $469.60 | 3.3× |
| Ankle Arthroscopy/Surgery (29892) | $6,383.53 | $6,383.53 | 0.8× |
| Anterior Tibial Tubercleplasty (27418) range across 3 matching MRF lines |
$4,900.73–$8,641.20 | $4,900.73–$8,641.20 | varies |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) range across 2 matching MRF lines |
$718–$780.40 | $718–$780.40 | varies |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) range across 2 matching MRF lines |
$1,369.98–$10,186.85 | $1,369.98–$10,186.85 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$1,337.20–$2,674.40 | $1,337.20–$2,674.40 | varies |
| Application Cast Finger (29086) | $780.40 | $780.40 | 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) range across 2 matching MRF lines |
$1,337.20–$1,529.91 | $1,337.20–$1,529.91 | varies |
| Application Long Leg Splint (29505) | $780.40 | $780.40 | 4.3× |
| Application of cylinder cast (thigh to ankle) (29365) | $1,337.20 | $1,337.20 | 4.3× |
| Application of long leg cast (29345) range across 4 matching MRF lines |
$689.90–$2,674.40 | $689.90–$2,674.40 | varies |
| 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) range across 3 matching MRF lines |
$621.65–$4,448.37 | $621.65–$4,448.37 | varies |
| Application short leg splint calf foot (29515) | $780.40 | $780.40 | 4.3× |
| Apply hand/wrist cast (29085) | $780.40 | $780.40 | 4.3× |
| Apply long arm cast (29065) | $1,337.20 | $1,337.20 | 4.3× |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$689.90–$2,674.40 | $689.90–$2,674.40 | varies |
| Apply short leg cast (29425) range across 6 matching MRF lines |
$689.90–$2,568.96 | $689.90–$2,568.96 | varies |
| Arrest Epiphyseal Open Distal Tibia (27730) | $4,685.71 | $4,685.71 | 1.3× |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) range across 3 matching MRF lines |
$5,415.95–$10,831.90 | $5,415.95–$10,831.90 | varies |
| 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× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) unusually low: confirm this is the full procedure |
$2,772.89 | $2,772.89 | 0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$1,455.70–$2,911.40 | $1,455.70–$2,911.40 | varies |
| 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) range across 4 matching MRF lines |
$1,455.70–$5,703.15 | $1,455.70–$5,703.15 | varies |
| 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) range across 4 matching MRF lines |
$1,058.03–$1,455.70 | $1,058.03–$1,455.70 | varies |
| 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× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $15,937.04 | $15,937.04 | 4.4× |
| 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 Ankle Surgical Debridement Limited (29897) range across 2 matching MRF lines |
$6,383.52–$10,186.85 | $6,383.52–$10,186.85 | varies |
| Arthroscopy Elbow Surgical Debridement Limited (29837) | $6,706.05 | $6,706.05 | 1.8× |
| Arthroscopy Knee Osteochondral Allograft (29867) unusually low: confirm this is the full procedure |
$5,975.81 | $5,975.81 | 0.4× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $10,186.85 | $10,186.85 | 2.8× |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$8,641.20–$10,831.90 | $8,641.20–$10,831.90 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
$12,122–$15,129 | $12,122–$15,129 | varies |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (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; with lateral release (29873) range across 2 matching MRF lines |
$4,470.70–$5,093.42 | $4,470.70–$5,093.42 | varies |
| 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) range across 2 matching MRF lines |
$7,673.62–$9,286.25 | $7,673.62–$9,286.25 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $12,122 | $12,122 | 1.5× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $15,937.04 | $15,937.04 | 4.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 3 matching MRF lines |
$9,286.25–$36,494.63 | $9,286.25–$36,494.63 | varies |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$4,900.73–$5,330.76 | $4,900.73–$5,330.76 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 3 matching MRF lines |
$5,975.81–$10,186.85 | $5,975.81–$10,186.85 | varies |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) range across 2 matching MRF lines |
$12,122–$14,702.20 | $12,122–$14,702.20 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $9,931.30 | $9,931.30 | 2.7× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) range across 2 matching MRF lines |
$5,545.78–$10,831.90 | $5,545.78–$10,831.90 | varies |
| Aspirate Pleura W/O Imaging (32554) | $3,097.29 | $3,097.29 | 4.4× |
| 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× |
| Autologous Chondrocyte Implantation 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× |
| Bladder Scan (51798) | $350.20 | $350.20 | 5.3× |
| Blood Transfusion Service (36430) | $2,095.30 | $2,095.30 | 4.3× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) | $3,610.64 | $3,610.64 | 2.0× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$9,541.80–$9,623.92 | $9,541.80–$9,623.92 | varies |
| Catheter aspiration nasotracheal spx (31720) | $167.30 | $167.30 | 0.7× |
| Change of Windpipe Airway (31502) | $555.20 | $555.20 | 2.1× |
| 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 1 extremity 1-4 (64642) range across 2 matching MRF lines |
$3,449.80–$5,703.15 | $3,449.80–$5,703.15 | varies |
| 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 eccrine glands oth area per day (64653) | $1,455.70 | $1,455.70 | 4.3× |
| Chemodenervation of internal anal sphincter (46505) | $5,797.90 | $5,797.90 | 4.3× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $1,455.70 | $1,455.70 | 4.3× |
| Circumcision 28 days or older (54161) | $9,931.03 | $9,931.03 | 4.3× |
| Cl Tx Tib Shft Fx W Manip (27752) | $7,680.42 | $7,680.42 | 4.3× |
| Clear outer ear canal (69200) | $621.65 | $621.65 | 4.2× |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$9,541.80–$15,937.04 | $9,541.80–$15,937.04 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $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 posterior malleolus fracture; with manipulation (27768) | $7,680.42 | $7,680.42 | 4.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$1,108.33–$6,061 | $1,108.33–$6,061 | varies |
| 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 Calcaneal Fracture W/O Manipulation (28400) | $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 Carpal Scaphoid Fracture W/O Manj (25622) | $1,108.33 | $1,108.33 | 4.0× |
| 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 Patellar Fracture W/O Manipulation (27520) | $1,108.33 | $1,108.33 | 4.0× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$7,680.42–$8,896.75 | $7,680.42–$8,896.75 | varies |
| 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 Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$689.90–$1,108.33 | $689.90–$1,108.33 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$5,703.15–$8,896.75 | $5,703.15–$8,896.75 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $1,108.33 | $1,108.33 | 4.0× |
| 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 talus fracture w/o manipulation (28430) | $1,108.33 | $1,108.33 | 4.0× |
| 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 Acromioclavicular Dislc W/O Manipulation (23540) | $1,108.33 | $1,108.33 | 4.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $7,680.42 | $7,680.42 | 4.3× |
| 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 Carpal Bone Fx W/O Manj Each Bone (25630) | $1,108.33 | $1,108.33 | 4.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$1,108.33–$4,448.37 | $1,108.33–$4,448.37 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$359–$1,108.33 | $359–$1,108.33 | varies |
| 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) range across 2 matching MRF lines |
$689.90–$1,108.33 | $689.90–$1,108.33 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$5,703.15–$8,251.70 | $5,703.15–$8,251.70 | varies |
| 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) range across 2 matching MRF lines |
$7,680.42–$10,186.85 | $7,680.42–$10,186.85 | varies |
| 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) range across 3 matching MRF lines |
$4,448.38–$9,541.80 | $4,448.38–$9,541.80 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $1,108.33 | $1,108.33 | 4.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $1,108.33 | $1,108.33 | 4.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $7,680.42 | $7,680.42 | 4.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,108.33 | $1,108.33 | 4.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$689.90–$1,108.33 | $689.90–$1,108.33 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $7,680.42 | $7,680.42 | 4.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $7,680.42 | $7,680.42 | 4.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $1,108.33 | $1,108.33 | 4.0× |
| 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 Med Ankle Fx W/Mnpj (27762) | $7,680.42 | $7,680.42 | 4.3× |
| Cltx Medial Ankle Fx (27760) | $1,108.33 | $1,108.33 | 4.0× |
| 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) range across 3 matching MRF lines |
$359–$1,108.33 | $359–$1,108.33 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$1,108.33–$4,770.90 | $1,108.33–$4,770.90 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$689.90–$1,108.33 | $689.90–$1,108.33 | varies |
| 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 Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $1,108.33 | $1,108.33 | 4.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $1,108.33 | $1,108.33 | 4.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $7,680.42 | $7,680.42 | 4.3× |
| 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 Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,108.33 | $1,108.33 | 4.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $1,108.33 | $1,108.33 | 4.0× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$689.90–$1,108.33 | $689.90–$1,108.33 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,108.33 | $1,108.33 | 4.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $7,680.42 | $7,680.42 | 4.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $1,108.33 | $1,108.33 | 4.0× |
| Collection of venous blood by venipuncture (36415) | $18.90 | $18.90 | 2.0× |
| Complex Cystometrogram (51726) | $1,150.41 | $1,150.41 | 4.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $10,831.90 | $10,831.90 | 1.3× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $12,767.05 | $12,767.05 | 1.6× |
| Csf shunt reprogram (62252) | $1,481.18 | $1,481.18 | 4.3× |
| Cystometrogram W/Up (51727) | $3,348.07 | $3,348.07 | 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× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $6,706.05 | $6,706.05 | 8.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $8,028.59 | $8,028.59 | 4.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $1,997.42 | $1,997.42 | 4.4× |
| Decompression of tibia nerve (28035) range across 2 matching MRF lines |
$3,610.63–$4,040.66 | $3,610.63–$4,040.66 | varies |
| Delay Flap/Sectioning Flap Trunk (15600) | $17,416.78 | $17,416.78 | 4.4× |
| Destruct B9 Lesion 1-14 (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× |
| Drain Cerebro Spinal Fluid (62272) | $3,396.79 | $3,396.79 | 4.3× |
| 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 cmplx (69005) | $8,028.59 | $8,028.59 | 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× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $3,474.59 | $3,474.59 | 4.4× |
| 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× |
| 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× |
| Electro-Uroflowmetry First (51741) | $469.60 | $469.60 | 2.0× |
| 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 Face-Mm B9+Marg 0.5 Cm/< (11440) | $3,474.59 | $3,474.59 | 4.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $3,474.59 | $3,474.59 | 4.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $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 Face-Mm B9+Marg 3.1-4 Cm (11444) | $8,028.59 | $8,028.59 | 4.4× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $3,474.59 | $3,474.59 | 4.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $8,028.59 | $8,028.59 | 4.4× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $8,028.59 | $8,028.59 | 4.4× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $9,623.92 | $9,623.92 | 4.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $3,474.59 | $3,474.59 | 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 0.6-1 Cm (11401) | $1,997.42 | $1,997.42 | 4.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$3,474.59–$9,541.80 | $3,474.59–$9,541.80 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $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× |
| 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 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 or curettage of bone cyst or benign tumor of femur; (27355) range across 2 matching MRF lines |
$6,061–$6,706.05 | $6,061–$6,706.05 | varies |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $7,996.15 | $7,996.15 | 2.2× |
| Excision/curettage cyst/tumor phalanx finger (26210) range across 4 matching MRF lines |
$4,928.13–$10,831.90 | $4,928.13–$10,831.90 | varies |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) | $10,186.85 | $10,186.85 | 2.8× |
| 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× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) | $9,240.25 | $9,240.25 | 4.0× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $9,240.25 | $9,240.25 | 4.0× |
| Fusion of foot bones (28740) range across 2 matching MRF lines |
$5,738.48–$7,996.15 | $5,738.48–$7,996.15 | varies |
| Gastrocnemius recession (27687) range across 2 matching MRF lines |
$3,514.28–$4,685.73 | $3,514.28–$4,685.73 | varies |
| 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) range across 2 matching MRF lines |
$8,896.75–$9,541.80 | $8,896.75–$9,541.80 | varies |
| 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 hip tendon (27001) | $3,514.28 | $3,514.28 | 1.0× |
| Incision of lingual frenum (frenotomy) (41010) | $7,930.77 | $7,930.77 | 4.6× |
| Incision of tibia & fibula (27709) range across 2 matching MRF lines |
$5,760.80–$14,057.15 | $5,760.80–$14,057.15 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $966.83 | $966.83 | 4.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $4,562.57 | $4,562.57 | 4.6× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $4,838.03 | $4,838.03 | 4.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,455.70 | $1,455.70 | 4.3× |
| Injection single tendon origin/insertion (20551) | $1,455.70 | $1,455.70 | 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× |
| Injection therapeutic carpal tunnel (20526) | $1,455.70 | $1,455.70 | 4.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $741.58 | $741.58 | 0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $3,449.80 | $3,449.80 | 4.4× |
| Injection, intralesional; up to and including 7 lesions (11900) | $966.83 | $966.83 | 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× |
| 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) | $8,317.12 | $8,317.12 | 4.7× |
| Knee Arthroscopy/Surgery (29874) | $6,383.53 | $6,383.53 | 1.8× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (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 Knee Extra-Articular (27427) range across 3 matching MRF lines |
$4,470.70–$7,673.63 | $4,470.70–$7,673.63 | varies |
| Manipulation Elbow Under Anesthesia (24300) | $5,093.42 | $5,093.42 | 2.8× |
| Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$4,448.38–$8,251.70 | $4,448.38–$8,251.70 | varies |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $9,240.25 | $9,240.25 | 4.0× |
| Nasal Endoscopy Dx (31231) | $350.20 | $350.20 | 1.6× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $860.90 | $860.90 | 3.1× |
| 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× |
| 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) range across 2 matching MRF lines |
$11,476.95–$14,057.15 | $11,476.95–$14,057.15 | varies |
| Open treatment fracture distal tibia only (27827) range across 2 matching MRF lines |
$10,831.90–$11,476.95 | $10,831.90–$11,476.95 | varies |
| Open Treatment Humeral Condylar Fracture (24579) range across 2 matching MRF lines |
$10,831.90–$12,122 | $10,831.90–$12,122 | varies |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$3,610.64–$11,476.95 | $3,610.64–$11,476.95 | varies |
| 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 orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) | $28,588.59 | $28,588.59 | 4.3× |
| Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines |
$6,061–$6,706.05 | $6,061–$6,706.05 | varies |
| Open treatment of ulnar styloid fracture (25652) | $6,383.52 | $6,383.52 | 0.8× |
| Open Treatment Radial Shaft Fracture (25515) range across 2 matching MRF lines |
$6,061–$6,706.05 | $6,061–$6,706.05 | varies |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$5,415.95–$10,186.85 | $5,415.95–$10,186.85 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$4,770.90–$8,896.75 | $4,770.90–$8,896.75 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $5,415.95 | $5,415.95 | 0.7× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) unusually low: confirm this is the full procedure |
$6,383.52 | $6,383.52 | 0.4× |
| Open Tx Humeral Epicondylar Fracture (24575) range across 2 matching MRF lines |
$5,415.95–$11,476.95 | $5,415.95–$11,476.95 | varies |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) | $14,057.15 | $14,057.15 | 1.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $10,186.85 | $10,186.85 | 2.8× |
| Open Tx Radial Head/Neck Fracture (24665) | $4,448.38 | $4,448.38 | 0.6× |
| Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
$11,476.95–$12,122 | $11,476.95–$12,122 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $13,412.10 | $13,412.10 | 1.7× |
| Osteochondral allograft knee open (27415) | $16,637.35 | $16,637.35 | 1.2× |
| Osteoplasty Radius/Ulna Shortening (25390) | $14,057.15 | $14,057.15 | 1.7× |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) | $7,028.58 | $7,028.58 | 0.9× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) range across 2 matching MRF lines |
$2,295.39–$12,260.35 | $2,295.39–$12,260.35 | varies |
| Osteotomy calcaneus w/wo internal fixation (28300) range across 2 matching MRF lines |
$3,191.76–$7,028.58 | $3,191.76–$7,028.58 | varies |
| Osteotomy radius distal third (25350) | $6,383.53 | $6,383.53 | 0.8× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) range across 2 matching MRF lines |
$5,115.75–$6,190.84 | $5,115.75–$6,190.84 | varies |
| Osteotomy Tibia (27705) range across 5 matching MRF lines |
$7,028.58–$13,412.10 | $7,028.58–$13,412.10 | varies |
| 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× |
| 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 ulnar styloid fracture (25651) | $5,415.95 | $5,415.95 | 1.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$6,348.20–$9,541.80 | $6,348.20–$9,541.80 | varies |
| Prq skel fixj metar fx w/manj (28476) | $3,610.63 | $3,610.63 | 1.0× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) range across 2 matching MRF lines |
$6,348.20–$8,896.75 | $6,348.20–$8,896.75 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $15,937.04 | $15,937.04 | 4.4× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $5,330.76 | $5,330.76 | 1.5× |
| Puncture aspiration abscess hematoma bulla/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) range across 2 matching MRF lines |
$4,900.73–$8,318.68 | $4,900.73–$8,318.68 | varies |
| Reconstruction Toe Polydactyly (28344) range across 3 matching MRF lines |
$9,541.80–$10,831.90 | $9,541.80–$10,831.90 | varies |
| Reinforce hip bones (27187) | $5,093.42 | $5,093.42 | 0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) | $8,251.70 | $8,251.70 | 10.5× |
| 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) range across 3 matching MRF lines |
$2,405.10–$9,541.80 | $2,405.10–$9,541.80 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 4 matching MRF lines |
$359–$9,541.80 | $359–$9,541.80 | varies |
| Removal of bone lesion (23140) | $11,762.82 | $11,762.82 | 3.2× |
| Removal or bivalving full arm or full leg cast (29705) | $1,284.48 | $1,284.48 | 4.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$966.83–$10,831.90 | $966.83–$10,831.90 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $9,795.30 | $9,795.30 | 4.3× |
| Remove Lower Leg Bone Lesion (27635) range across 4 matching MRF lines |
$6,706.05–$10,831.90 | $6,706.05–$10,831.90 | varies |
| Remove Nasal Foreign Body (30300) | $621.65 | $621.65 | 4.2× |
| Remove tissue expander (11971) | $13,830.72 | $13,830.72 | 4.3× |
| Repair arm/leg nerve (64857) | $33,080.49 | $33,080.49 | 8.7× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $6,706.05 | $6,706.05 | 0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) | $3,110.41 | $3,110.41 | 3.8× |
| Repair Finger/Hand Tendon (26350) | $15,937.04 | $15,937.04 | 4.4× |
| 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 lower leg epiphyses (27734) | $9,541.80 | $9,541.80 | 2.6× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) | $6,383.53 | $6,383.53 | 0.8× |
| Repair of metatarsals (28322) | $12,122 | $12,122 | 1.5× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$4,770.90–$4,928.13 | $4,770.90–$4,928.13 | varies |
| 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× |
| Replace g/c tube perc (49450) | $5,019.70 | $5,019.70 | 5.0× |
| Repr torn cruciate knee ligam (27407) | $8,641.20 | $8,641.20 | 1.1× |
| Respir iadna 18 viral&2 bact (0115U) | $1,474.22 | $1,474.22 | 5.4× |
| Revise lower leg tendon (27690) range across 4 matching MRF lines |
$3,191.77–$11,476.95 | $3,191.77–$11,476.95 | varies |
| Revise Lower Leg Tendons (27686) range across 2 matching MRF lines |
$3,836.81–$6,706.05 | $3,836.81–$6,706.05 | varies |
| Revision of foot (28116) | $10,831.90 | $10,831.90 | 3.0× |
| Revision of foot and ankle (28262) range across 2 matching MRF lines |
$3,836.81–$15,992.30 | $3,836.81–$15,992.30 | varies |
| Revision of foot fascia (28250) range across 4 matching MRF lines |
$3,610.63–$6,383.52 | $3,610.63–$6,383.52 | varies |
| Revision of lower leg tendon (27685) range across 5 matching MRF lines |
$3,450.41–$10,186.85 | $3,450.41–$10,186.85 | varies |
| Revision of wrist joint (25450) | $6,383.52 | $6,383.52 | 1.8× |
| Rhinp Prim Complete Xtrnl Parts (30410) | $28,588.59 | $28,588.59 | 4.3× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $1,369.98 | $1,369.98 | 4.4× |
| Rplc Gtube No Revj Trc (43762) | $1,150.41 | $1,150.41 | 4.1× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $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 Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$2,976.14–$9,240.25 | $2,976.14–$9,240.25 | varies |
| 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× |
| 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× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $17,416.78 | $17,416.78 | 4.4× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $9,240.25 | $9,240.25 | 4.0× |
| 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) range across 2 matching MRF lines |
$651.64–$1,303.28 | $651.64–$1,303.28 | varies |
| 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× |
| Surgery to stop leg growth (27479) | $11,476.95 | $11,476.95 | 1.4× |
| Surgery to stop leg growth (27477) range across 2 matching MRF lines |
$10,186.85–$10,831.90 | $10,186.85–$10,831.90 | varies |
| 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 or finger, each tendon (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 General Anes (27606) | $8,251.70 | $8,251.70 | 2.3× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) range across 3 matching MRF lines |
$7,680.42–$15,360.84 | $7,680.42–$15,360.84 | varies |
| Thyroid biopsy (60100) | $3,474.59 | $3,474.59 | 4.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $9,793.70 | $9,793.70 | 4.3× |
| Treat ankle fracture (28445) | $12,767.05 | $12,767.05 | 1.6× |
| Treat Big Toe Fracture (28505) | $10,186.85 | $10,186.85 | 2.8× |
| Treat Elbow Fracture (24635) | $10,186.85 | $10,186.85 | 1.3× |
| Treat Finger Fracture Each (26727) | $9,541.80 | $9,541.80 | 2.6× |
| Treat fracture radius/ulna (25575) | $11,476.95 | $11,476.95 | 1.4× |
| Treat Fx Rad Extra-Articul (25607) | $6,383.53 | $6,383.53 | 0.8× |
| Treat humerus fracture (24500) | $1,108.33 | $1,108.33 | 4.0× |
| Treat Humerus Fracture (24505) | $7,680.42 | $7,680.42 | 4.3× |
| 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(S) (27538) | $1,108.33 | $1,108.33 | 4.0× |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$1,108.33–$3,610.63 | $1,108.33–$3,610.63 | varies |
| Treat toe dislocation (28630) | $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) range across 2 matching MRF lines |
$4,770.90–$11,476.95 | $4,770.90–$11,476.95 | varies |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$5,330.78–$7,028.57 | $5,330.78–$7,028.57 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $4,770.90 | $4,770.90 | 2.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $1,108.33 | $1,108.33 | 4.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) range across 2 matching MRF lines |
$10,831.90–$14,057.15 | $10,831.90–$14,057.15 | varies |
| 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) range across 2 matching MRF lines |
$6,061–$10,831.90 | $6,061–$10,831.90 | varies |
| Unlisted procedure forearm or wrist (25999) | $10,186.85 | $10,186.85 | 37.1× |
| Unlisted Procedure Hands/Fingers (26989) | $1,108.33 | $1,108.33 | 4.0× |
| Unlisted procedure humerus/elbow (24999) range across 3 matching MRF lines |
$1,108.33–$10,831.90 | $1,108.33–$10,831.90 | varies |
| Unlisted Procedure Leg/Ankle (27899) | $10,576.35 | $10,576.35 | 38.5× |
| Unlisted procedure pelvis/hip joint (27299) | $5,143.15 | $5,143.15 | 18.7× |
| Unlisted procedure spine (22899) | $1,108.33 | $1,108.33 | 4.0× |
| Urinary Reflex Study (51792) | $436.20 | $436.20 | 6.6× |
| 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) range across 2 matching MRF lines |
$2,976.13–$3,110.41 | $2,976.13–$3,110.41 | varies |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) | $8,568.60 | $8,568.60 | 4.8× |
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.