Procedures & surgery prices at Shriners Hospitals For Children Northern Calif
Sacramento, CA · every code in this section with a posted price and a Medicare benchmark.
513 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) range across 3 matching MRF lines |
$4,454.85–$21,099.22 | $4,454.85–$21,099.22 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 7 matching MRF lines |
$3,370.77–$11,193.93 | $3,370.77–$11,193.93 | varies |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) range across 3 matching MRF lines |
$3,411.33–$11,193.93 | $3,411.33–$11,193.93 | varies |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) range across 2 matching MRF lines |
$3,411.33–$11,193.93 | $3,411.33–$11,193.93 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $19,306.62 | $19,306.62 | 4.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$12,987.10–$19,306.62 | $12,987.10–$19,306.62 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $13,760.45 | $13,760.45 | 3.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) | $5,781.80 | $5,781.80 | 1.4× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $1,794.35 | $1,794.35 | 4.5× |
| Anal/Urinary Muscle Study (51784) | $552.90 | $552.90 | 3.3× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) range across 2 matching MRF lines |
$5,333.53–$6,885.24 | $5,333.53–$6,885.24 | varies |
| Anterior Tibial Tubercleplasty (27418) | $8,813.60 | $8,813.60 | 0.9× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) range across 3 matching MRF lines |
$427.40–$945.40 | $427.40–$945.40 | varies |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) range across 3 matching MRF lines |
$1,659.64–$5,519.41 | $1,659.64–$5,519.41 | varies |
| Application Body Cast Shoulder Hips (29035) | $12,987.10 | $12,987.10 | 35.8× |
| Application cast elbow finger short arm (29075) range across 4 matching MRF lines |
$821.20–$3,240 | $821.20–$3,240 | varies |
| Application Cast Finger (29086) | $945.40 | $945.40 | 4.5× |
| Application Cast Shoulder Spica (29055) | $1,556.06 | $1,556.06 | 4.3× |
| Application Finger Splint Dynamic (29131) | $400.40 | $400.40 | 5.2× |
| Application finger splint static (29130) | $753.09 | $753.09 | 4.4× |
| Application Hip Spica Cast 1 Leg (29305) range across 3 matching MRF lines |
$1,722.55–$12,213.75 | $1,722.55–$12,213.75 | varies |
| Application long arm splint shoulder hand (29105) | $945.40 | $945.40 | 4.5× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$1,620–$1,853.37 | $1,620–$1,853.37 | varies |
| Application Long Leg Splint (29505) | $945.40 | $945.40 | 4.5× |
| Application of cylinder cast (thigh to ankle) (29365) | $1,620 | $1,620 | 4.5× |
| Application of long leg cast (29345) range across 4 matching MRF lines |
$1,620–$5,114.42 | $1,620–$5,114.42 | varies |
| Application of rigid total contact leg cast (29445) | $1,620 | $1,620 | 4.5× |
| Application Patellar Tendon Bearing Cast (29435) | $1,620 | $1,620 | 4.5× |
| Application Short Arm Splint Dynamic (29126) | $734 | $734 | 4.3× |
| Application short arm splint forearm-hand static (29125) | $753.09 | $753.09 | 4.4× |
| Application short leg splint calf foot (29515) | $945.40 | $945.40 | 4.5× |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$945.40–$2,934.50 | $945.40–$2,934.50 | varies |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$427.40–$7,706.89 | $427.40–$7,706.89 | varies |
| Apply Short Leg Cast (29405) range across 7 matching MRF lines |
$821.20–$8,196.73 | $821.20–$8,196.73 | varies |
| Apply short leg cast (29425) range across 4 matching MRF lines |
$821.20–$5,021.94 | $821.20–$5,021.94 | varies |
| Arrest Epiphyseal Distal Femur (27475) range across 3 matching MRF lines |
$5,768.41–$16,080.50 | $5,768.41–$16,080.50 | varies |
| Arrest Epiphyseal Open Distal Tibia (27730) range across 3 matching MRF lines |
$4,835–$16,853.85 | $4,835–$16,853.85 | varies |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) range across 4 matching MRF lines |
$5,657.74–$12,213.75 | $5,657.74–$12,213.75 | varies |
| Arterial puncture (36600) | $114.70 | $114.70 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $1,763.48 | $1,763.48 | 4.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$4,179.19–$10,667.05 | $4,179.19–$10,667.05 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$1,763.48–$6,837.95 | $1,763.48–$6,837.95 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$1,914.60–$5,418.81 | $1,914.60–$5,418.81 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $1,763.48 | $1,763.48 | 4.4× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $19,306.62 | $19,306.62 | 4.5× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) range across 3 matching MRF lines |
$5,909.65–$14,533.80 | $5,909.65–$14,533.80 | varies |
| Arthroscopy hip w/femoroplasty (29914) range across 3 matching MRF lines |
$6,493.55–$7,266.90 | $6,493.55–$7,266.90 | varies |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $4,758.50 | $4,758.50 | 1.1× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $10,661.77 | $10,661.77 | 2.5× |
| Arthroscopy knee synovectomy limited spx (29875) | $8,417.22 | $8,417.22 | 2.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) range across 3 matching MRF lines |
$8,723.90–$13,760.45 | $8,723.90–$13,760.45 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 3 matching MRF lines |
$7,279.69–$19,173.90 | $7,279.69–$19,173.90 | varies |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) | $12,293.67 | $12,293.67 | 1.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) range across 2 matching MRF lines |
$5,860.63–$12,987.10 | $5,860.63–$12,987.10 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
$8,426.92–$16,248.04 | $8,426.92–$16,248.04 | varies |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 5 matching MRF lines |
$4,323.19–$9,586.95 | $4,323.19–$9,586.95 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $5,387.72 | $5,387.72 | 1.3× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $19,306.62 | $19,306.62 | 4.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 9 matching MRF lines |
$2,578.57–$44,210.72 | $2,578.57–$44,210.72 | varies |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) | $19,947.25 | $19,947.25 | 1.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 3 matching MRF lines |
$4,329.03–$6,880.22 | $4,329.03–$6,880.22 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$4,489.49–$12,987.10 | $4,489.49–$12,987.10 | varies |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) range across 3 matching MRF lines |
$8,813.60–$12,213.75 | $8,813.60–$12,213.75 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $12,987.10 | $12,987.10 | 3.1× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $4,523.82 | $4,523.82 | 1.1× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) | $5,706.30 | $5,706.30 | 1.3× |
| Aspirate Pleura W/O Imaging (32554) | $3,752.15 | $3,752.15 | 4.6× |
| Aspirate/Inj Ganglion Cyst (20612) | $1,763.48 | $1,763.48 | 4.4× |
| Aspiration and/or injection thyroid cyst (60300) | $4,209.22 | $4,209.22 | 4.6× |
| Avulsion nail plate partial/complete simple 1 (11730) | $1,329.50 | $1,329.50 | 5.1× |
| Biopsy of rectum (45100) range across 2 matching MRF lines |
$4,329.03–$4,530.77 | $4,329.03–$4,530.77 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $9,726.08 | $9,726.08 | 4.5× |
| Bladder Scan (51798) | $427.40 | $427.40 | 5.6× |
| Blood Transfusion Service (36430) | $2,538.20 | $2,538.20 | 4.4× |
| Bone Graft Any Donor Area Minor/Small (20900) | $8,813.60 | $8,813.60 | 0.9× |
| Breast Reduction (19318) range across 2 matching MRF lines |
$23,040.65–$23,538.09 | $23,040.65–$23,538.09 | varies |
| Capsular contracture release (23020) | $5,440.29 | $5,440.29 | 1.3× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $5,703.92 | $5,703.92 | 2.7× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$4,586.81–$11,658.71 | $4,586.81–$11,658.71 | varies |
| Catheter aspiration nasotracheal spx (31720) | $200.60 | $200.60 | 0.7× |
| Change of Windpipe Airway (31502) | $665.70 | $665.70 | 2.2× |
| Chemical Cautery Tissue (17250) | $1,171.24 | $1,171.24 | 4.5× |
| Chemodenerv 1 extrem 5/> mus (64644) range across 2 matching MRF lines |
$4,179.19–$9,893.70 | $4,179.19–$9,893.70 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 5 matching MRF lines |
$4,179.19–$8,358.38 | $4,179.19–$8,358.38 | varies |
| Chemodenerv musc neck dyston (64616) | $1,763.48 | $1,763.48 | 4.4× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) range across 2 matching MRF lines |
$1,763.48–$6,853.20 | $1,763.48–$6,853.20 | varies |
| Chemodenerv trunk musc 1-5 (64646) | $4,179.19 | $4,179.19 | 4.6× |
| Chemodenerv trunk musc 6/> (64647) | $4,179.19 | $4,179.19 | 4.6× |
| Chemodenervation eccrine glands oth area per day (64653) | $1,763.48 | $1,763.48 | 4.4× |
| Chemodenervation of internal anal sphincter (46505) range across 4 matching MRF lines |
$5,718.74–$9,893.70 | $5,718.74–$9,893.70 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $1,763.48 | $1,763.48 | 4.4× |
| Circumcision 28 days or older (54161) range across 3 matching MRF lines |
$6,493.55–$12,030.75 | $6,493.55–$12,030.75 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $9,304.30 | $9,304.30 | 4.5× |
| Clear outer ear canal (69200) | $753.09 | $753.09 | 4.4× |
| Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
$6,493.55–$19,306.62 | $6,493.55–$19,306.62 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $1,342.67 | $1,342.67 | 4.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $9,304.30 | $9,304.30 | 4.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Treatment Sesamoid Fracture (28530) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $9,304.30 | $9,304.30 | 4.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $1,342.67 | $1,342.67 | 4.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $9,304.30 | $9,304.30 | 4.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $1,342.67 | $1,342.67 | 4.2× |
| Closed tx femoral fracture prox head w/o manj (27267) | $23,855.57 | $23,855.57 | 5.6× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $1,342.67 | $1,342.67 | 4.2× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,342.67 | $1,342.67 | 4.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $9,304.30 | $9,304.30 | 4.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $1,342.67 | $1,342.67 | 4.2× |
| Closed tx radial head/neck fx w/manipulation (24655) | $9,304.30 | $9,304.30 | 4.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $1,342.67 | $1,342.67 | 4.2× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$8,130.13–$19,306.62 | $8,130.13–$19,306.62 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$6,671.63–$9,304.30 | $6,671.63–$9,304.30 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $9,304.30 | $9,304.30 | 4.5× |
| Closed tx talus fracture w/o manipulation (28430) | $1,342.67 | $1,342.67 | 4.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $9,304.30 | $9,304.30 | 4.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $1,342.67 | $1,342.67 | 4.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $1,342.67 | $1,342.67 | 4.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,342.67 | $1,342.67 | 4.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $1,342.67 | $1,342.67 | 4.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $9,304.30 | $9,304.30 | 4.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $1,342.67 | $1,342.67 | 4.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$781.70–$1,342.67 | $781.70–$1,342.67 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,342.67 | $1,342.67 | 0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $1,556.06 | $1,556.06 | 4.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,555.86 | $1,555.86 | 4.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx Medial Ankle Fx (27760) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$1,342.67–$6,493.55 | $1,342.67–$6,493.55 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$821.20–$1,342.67 | $821.20–$1,342.67 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx prox fibula/shft fx w/manj (27781) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,342.67 | $1,342.67 | 4.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $9,304.30 | $9,304.30 | 4.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $1,342.67 | $1,342.67 | 4.2× |
| Collection of venous blood by venipuncture (36415) | $22.80 | $22.80 | 2.4× |
| Colonoscopy thru stoma (44388) | $5,440.17 | $5,440.17 | 4.5× |
| Complex Cystometrogram (51726) | $1,598.20 | $1,598.20 | 4.9× |
| Complex drainage wound (10180) | $5,790.94 | $5,790.94 | 1.5× |
| Correction hammertoe (28285) | $15,307.15 | $15,307.15 | 3.6× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | $5,782.76 | $5,782.76 | 1.4× |
| Csf shunt reprogram (62252) | $1,794.35 | $1,794.35 | 4.5× |
| Cystometrogram W/Up (51727) | $4,055.96 | $4,055.96 | 4.5× |
| Cystometrogram W/Vp (51728) | $4,055.96 | $4,055.96 | 4.5× |
| Cystometrogram W/Vp&Up (51729) | $4,620.63 | $4,620.63 | 5.1× |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$4,406.80–$5,320.60 | $4,406.80–$5,320.60 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $16,754.96 | $16,754.96 | 4.4× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) | $8,747.44 | $8,747.44 | 2.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$6,832.47–$9,726.08 | $6,832.47–$9,726.08 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$2,419.73–$6,022.93 | $2,419.73–$6,022.93 | varies |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) | $6,473.51 | $6,473.51 | 2.4× |
| Delay Flap/Sectioning Flap Trunk (15600) | $21,099.22 | $21,099.22 | 4.6× |
| Destruct B9 Lesion 1-14 (17110) | $1,171.24 | $1,171.24 | 4.5× |
| Destruction Lesions Vulva Simple (56501) | $11,193.93 | $11,193.93 | 4.2× |
| Destruction of skin lesions (17106) | $4,946.85 | $4,946.85 | 9.4× |
| Destruction premalignant lesion 1st (17000) | $1,171.24 | $1,171.24 | 4.5× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $7,323.84 | $7,323.84 | 4.7× |
| Drain Cerebro Spinal Fluid (62272) | $4,114.98 | $4,114.98 | 4.5× |
| Drain/inj small joint/bursa w/us (20604) | $2,034.01 | $2,034.01 | 5.1× |
| Drainage external auditory canal abscess (69020) | $4,209.22 | $4,209.22 | 4.6× |
| Drainage external ear abscess/hematoma cmplx (69005) | $9,726.08 | $9,726.08 | 4.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $4,209.22 | $4,209.22 | 4.6× |
| Dressing Change Under Anesthesia (15852) range across 2 matching MRF lines |
$3,768.04–$5,164.29 | $3,768.04–$5,164.29 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $4,209.22 | $4,209.22 | 4.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $2,419.73 | $2,419.73 | 4.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $1,171.24 | $1,171.24 | 4.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$427.40–$1,171.24 | $427.40–$1,171.24 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $9,893.70 | $9,893.70 | 10.3× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) range across 2 matching MRF lines |
$10,667.05–$11,864.39 | $10,667.05–$11,864.39 | varies |
| Dstrj lesion anus simple surg excision (46922) range across 2 matching MRF lines |
$4,406.80–$5,111.27 | $4,406.80–$5,111.27 | varies |
| Dx Bronchoscope/Wash (31622) | $4,762.90 | $4,762.90 | 2.1× |
| Egd dilation gastric/duodenal stricture (43245) | $12,213.75 | $12,213.75 | 4.9× |
| Egd Optical Endomicroscopy (43252) | $3,813.46 | $3,813.46 | 1.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $1,794.35 | $1,794.35 | 4.5× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $1,794.35 | $1,794.35 | 4.5× |
| Electro-Uroflowmetry First (51741) | $552.90 | $552.90 | 2.0× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) | $4,946.85 | $4,946.85 | 1.2× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) | $5,257.85 | $5,257.85 | 1.2× |
| Evacuation of subungual hematoma (11740) | $836.05 | $836.05 | 4.8× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $6,481.58 | $6,481.58 | 3.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $4,209.22 | $4,209.22 | 4.6× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) | $6,844.09 | $6,844.09 | 0.9× |
| Exc Face Les Sbq 2 Cm/> (21012) | $5,640.83 | $5,640.83 | 2.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $4,209.22 | $4,209.22 | 4.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$4,209.22–$4,708 | $4,209.22–$4,708 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$4,209.22–$4,554.99 | $4,209.22–$4,554.99 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$9,142.71–$9,726.08 | $9,142.71–$9,726.08 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $9,726.08 | $9,726.08 | 4.5× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $6,007.29 | $6,007.29 | 2.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $4,209.22 | $4,209.22 | 4.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $9,726.08 | $9,726.08 | 4.5× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $9,726.08 | $9,726.08 | 4.5× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $11,658.71 | $11,658.71 | 4.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$4,209.22–$6,493.55 | $4,209.22–$6,493.55 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$3,370.77–$9,726.08 | $3,370.77–$9,726.08 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $4,364.15 | $4,364.15 | 1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $9,726.08 | $9,726.08 | 4.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$2,419.73–$7,707.36 | $2,419.73–$7,707.36 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$4,209.22–$6,839.72 | $4,209.22–$6,839.72 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $9,726.08 | $9,726.08 | 4.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $8,475.24 | $8,475.24 | 4.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $12,213.75 | $12,213.75 | 3.2× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $7,836.45 | $7,836.45 | 3.9× |
| Excision lesion meniscus/capsule knee (27347) | $4,489.49 | $4,489.49 | 1.1× |
| Excision Lingual Frenum Frenectomy (41115) | $9,607.58 | $9,607.58 | 4.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $4,209.22 | $4,209.22 | 4.6× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) | $5,852.70 | $5,852.70 | 1.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 4 matching MRF lines |
$4,586.83–$11,440.40 | $4,586.83–$11,440.40 | varies |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$5,460.96–$5,720.20 | $5,460.96–$5,720.20 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) | $8,699.79 | $8,699.79 | 2.3× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $6,331.13 | $6,331.13 | 1.5× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$8,668.66–$11,440.40 | $8,668.66–$11,440.40 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $8,667.02 | $8,667.02 | 2.3× |
| Excision tendon finger flexor/extensor each (26180) | $4,232.99 | $4,232.99 | 2.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $6,887.85 | $6,887.85 | 3.2× |
| Excision/curettage cyst/tumor phalanx finger (26210) range across 3 matching MRF lines |
$9,200.27–$9,304.30 | $9,200.27–$9,304.30 | varies |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) | $5,461.75 | $5,461.75 | 1.3× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $6,649.08 | $6,649.08 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) | $2,419.73 | $2,419.73 | 4.6× |
| Fluid Pressure Muscle (20950) | $4,563.48 | $4,563.48 | 5.0× |
| 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) range across 2 matching MRF lines |
$4,713.42–$11,193.93 | $4,713.42–$11,193.93 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $4,796.22 | $4,796.22 | 1.8× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $4,454.85 | $4,454.85 | 1.7× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $11,193.93 | $11,193.93 | 4.2× |
| Fusion of knuckle (26850) | $6,146.83 | $6,146.83 | 0.7× |
| Hip arthro w/labral repair (29916) range across 2 matching MRF lines |
$6,815.59–$12,987.10 | $6,815.59–$12,987.10 | varies |
| I&d abscess peritonsillar (42700) | $1,347.99 | $1,347.99 | 4.4× |
| I&d abscess simple (10060) | $417 | $417 | 1.6× |
| I&d pilonidal cyst simple (10080) | $4,209.22 | $4,209.22 | 4.6× |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) | $21,034.55 | $21,034.55 | 4.9× |
| Incise finger tendon sheath (26055) range across 3 matching MRF lines |
$6,294.31–$11,440.40 | $6,294.31–$11,440.40 | varies |
| Incise Wrist/Forearm Tendon (25290) | $5,430.16 | $5,430.16 | 1.3× |
| Incision & drainage abscess complicated/multiple (10061) | $2,419.73 | $2,419.73 | 4.6× |
| Incision extensor tendon sheath wrist (25000) range across 2 matching MRF lines |
$8,127.08–$9,304.30 | $8,127.08–$9,304.30 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $9,607.58 | $9,607.58 | 4.8× |
| Incision of tibia & fibula (27709) range across 2 matching MRF lines |
$7,354.25–$17,627.20 | $7,354.25–$17,627.20 | varies |
| Incision of urethra (53020) | $4,739.32 | $4,739.32 | 1.7× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $1,171.24 | $1,171.24 | 4.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $5,527.24 | $5,527.24 | 4.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $5,860.94 | $5,860.94 | 5.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,763.48 | $1,763.48 | 4.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $6,106.87 | $6,106.87 | 5.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $5,483.17 | $5,483.17 | 6.0× |
| Injection single tendon origin/insertion (20551) | $1,763.48 | $1,763.48 | 4.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$1,763.48–$5,418.82 | $1,763.48–$5,418.82 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $1,763.48 | $1,763.48 | 4.4× |
| Injection therapeutic carpal tunnel (20526) | $1,763.48 | $1,763.48 | 4.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$898.38–$5,483.18 | $898.38–$5,483.18 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$4,179.19–$20,479.92 | $4,179.19–$20,479.92 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
$1,171.24–$10,667.05 | $1,171.24–$10,667.05 | varies |
| Insert and remove bone pin (20650) | $19,306.62 | $19,306.62 | 4.5× |
| Insert Temp Bladder Cath (51702) | $966.80 | $966.80 | 5.6× |
| Insert tissue expander(s) (11960) range across 2 matching MRF lines |
$5,527.32–$16,853.85 | $5,527.32–$16,853.85 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $322 | $322 | 1.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $7,689.20 | $7,689.20 | 3.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $10,075.61 | $10,075.61 | 4.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $4,364.15 | $4,364.15 | 8.3× |
| Intubation endotracheal emergency procedure (31500) | $1,155.80 | $1,155.80 | 3.8× |
| Knee Arthroscopy/Surgery (29885) | $7,266.90 | $7,266.90 | 0.8× |
| Knee Arthroscopy/Surgery (29874) range across 2 matching MRF lines |
$5,720.62–$12,987.10 | $5,720.62–$12,987.10 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 3 matching MRF lines |
$4,406.80–$33,806 | $4,406.80–$33,806 | varies |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) | $14,421.66 | $14,421.66 | 1.8× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$4,634.46–$5,090.57 | $4,634.46–$5,090.57 | varies |
| Laryngoscopy flexible diagnostic (31575) | $1,159.37 | $1,159.37 | 4.5× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $2,446.13 | $2,446.13 | 4.8× |
| Lateral Canthopexy (21282) | $18,452.86 | $18,452.86 | 4.3× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) range across 4 matching MRF lines |
$2,578.57–$11,520.33 | $2,578.57–$11,520.33 | varies |
| Manipulation Elbow Under Anesthesia (24300) | $10,667.05 | $10,667.05 | 5.1× |
| Manipulation hip joint general anesthesia (27275) | $8,288.09 | $8,288.09 | 4.0× |
| Manipulation, finger joint, under anesthesia, each joint (26340) range across 2 matching MRF lines |
$3,454.65–$4,820.02 | $3,454.65–$4,820.02 | varies |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $11,193.93 | $11,193.93 | 4.2× |
| N block inj intercost sng (64420) | $6,106.88 | $6,106.88 | 6.7× |
| Nasal Endoscopy Dx (31231) | $417 | $417 | 1.6× |
| Nasal/Orogastric W/Tube Plmt (43752) | $7,588.35 | $7,588.35 | 13.1× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $1,013.60 | $1,013.60 | 3.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $188.60 | $188.60 | 5.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $188.60 | $188.60 | 5.0× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) unusually low: confirm this is the full procedure |
$5,440.30 | $5,440.30 | 0.5× |
| Nerve graft arm/leg <4 cm (64892) unusually low: confirm this is the full procedure |
$5,430.16 | $5,430.16 | 0.5× |
| Nerve Pedicle Transfer First Stage (64905) unusually low: confirm this is the full procedure |
$5,440.29 | $5,440.29 | 0.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 3 matching MRF lines |
$6,614.92–$16,853.85 | $6,614.92–$16,853.85 | varies |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) range across 2 matching MRF lines |
$5,430.16–$5,461.75 | $5,430.16–$5,461.75 | varies |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) | $5,440.30 | $5,440.30 | 2.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $2,703.24 | $2,703.24 | 6.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $5,527.24 | $5,527.24 | 4.8× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $20,720.60 | $20,720.60 | 1.2× |
| Open treatment fracture distal tibia only (27827) | $14,533.80 | $14,533.80 | 0.9× |
| Open treatment metacarpophalangeal dislocation (26715) | $6,064.40 | $6,064.40 | 1.4× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) | $34,633.10 | $34,633.10 | 4.5× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) | $34,633.10 | $34,633.10 | 4.5× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) | $13,760.45 | $13,760.45 | 1.5× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) range across 2 matching MRF lines |
$5,777.53–$19,173.90 | $5,777.53–$19,173.90 | varies |
| Open Treatment of Ulnar Shaft Fracture (25545) | $12,987.10 | $12,987.10 | 1.4× |
| Open Treatment Radial Shaft Fracture (25515) range across 2 matching MRF lines |
$6,076.27–$13,760.45 | $6,076.27–$13,760.45 | varies |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) range across 3 matching MRF lines |
$6,792.24–$15,307.15 | $6,792.24–$15,307.15 | varies |
| Open tx carpal scaphoid navicular fracture (25628) | $8,813.60 | $8,813.60 | 0.9× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $9,586.95 | $9,586.95 | 1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $4,602.80 | $4,602.80 | 1.1× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $9,586.95 | $9,586.95 | 1.0× |
| Open Tx Humeral Epicondylar Fracture (24575) unusually low: confirm this is the full procedure |
$5,438.10 | $5,438.10 | 0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$5,803.68–$14,533.80 | $5,803.68–$14,533.80 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 3 matching MRF lines |
$11,956.81–$14,533.80 | $11,956.81–$14,533.80 | varies |
| Open tx ulnar fx proximal end (24685) | $24,156.96 | $24,156.96 | 2.6× |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) | $6,663.14 | $6,663.14 | 1.6× |
| Orchiopexy Ingun/Scrot Appr (54640) | $7,266.90 | $7,266.90 | 1.6× |
| Osteochondral allograft knee open (27415) | $12,293.68 | $12,293.68 | 0.7× |
| Osteoplasty Radius/Ulna Shortening (25390) range across 2 matching MRF lines |
$6,715.62–$16,853.85 | $6,715.62–$16,853.85 | varies |
| Osteoplasty, carpal bone, shortening Facility (25394) | $5,021.94 | $5,021.94 | 1.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $13,760.45 | $13,760.45 | 3.2× |
| Osteotomy calcaneus w/wo internal fixation (28300) | $15,387.08 | $15,387.08 | 1.6× |
| Osteotomy Metacarpal Each (26565) | $6,391.30 | $6,391.30 | 1.5× |
| Osteotomy Phalanx Finger Each (26567) range across 2 matching MRF lines |
$6,133.51–$16,080.50 | $6,133.51–$16,080.50 | varies |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) | $15,307.15 | $15,307.15 | 1.6× |
| Osteotomy Tibia (27705) | $19,173.90 | $19,173.90 | 2.0× |
| Osteotomy Ulna (25360) | $7,266.90 | $7,266.90 | 0.8× |
| Part remv talus or calcaneus (28120) | $7,151.52 | $7,151.52 | 1.7× |
| Partical Excision Bone Phalanx Toe (28124) | $8,426.93 | $8,426.93 | 2.0× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) | $5,241.81 | $5,241.81 | 0.6× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) | $5,668.07 | $5,668.07 | 1.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) range across 2 matching MRF lines |
$6,701.04–$14,533.80 | $6,701.04–$14,533.80 | varies |
| Pin knuckle dislocation (26706) | $4,326.50 | $4,326.50 | 1.0× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) range across 2 matching MRF lines |
$7,864.25–$8,779.88 | $7,864.25–$8,779.88 | varies |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $19,306.62 | $19,306.62 | 4.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $2,419.73 | $2,419.73 | 4.6× |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) | $5,897.65 | $5,897.65 | 0.6× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $4,586.81 | $4,586.81 | 2.2× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) | $5,452.35 | $5,452.35 | 1.3× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) | $6,215.90 | $6,215.90 | 1.5× |
| Reconstruct extra finger (26587) range across 3 matching MRF lines |
$4,319.43–$17,627.20 | $4,319.43–$17,627.20 | varies |
| Reconstruction Toe Polydactyly (28344) range across 5 matching MRF lines |
$9,200.28–$20,956.01 | $9,200.28–$20,956.01 | varies |
| Reinforce hip bones (27187) | $7,653.57 | $7,653.57 | 0.8× |
| Release of big toe (28240) | $5,706.30 | $5,706.30 | 1.3× |
| Relieve Pressure on Nerve(S) (64722) | $3,585.55 | $3,585.55 | 1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $385.27 | $385.27 | 5.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $372.82 | $372.82 | 4.9× |
| Removal Implant Deep (20680) range across 7 matching MRF lines |
$2,862.90–$14,533.80 | $2,862.90–$14,533.80 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 6 matching MRF lines |
$5,551.80–$11,440.40 | $5,551.80–$11,440.40 | varies |
| Removal of bone lesion (23140) range across 2 matching MRF lines |
$6,576.64–$13,760.45 | $6,576.64–$13,760.45 | varies |
| Removal of nail bed (11750) | $4,713.42 | $4,713.42 | 8.9× |
| Removal of testis (54520) | $4,052.78 | $4,052.78 | 0.9× |
| Removal or bivalving full arm or full leg cast (29705) | $1,556.06 | $1,556.06 | 4.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$1,171.24–$5,255.84 | $1,171.24–$5,255.84 | varies |
| Removal Sutures/Staples Requiring Anesthesia (15851) range across 2 matching MRF lines |
$3,454.64–$11,866.33 | $3,454.64–$11,866.33 | varies |
| Remove Lower Leg Bone Lesion (27635) range across 3 matching MRF lines |
$14,533.80–$26,510.10 | $14,533.80–$26,510.10 | varies |
| Remove Nasal Foreign Body (30300) | $753.09 | $753.09 | 4.4× |
| Remove Tendon Sheath Lesion (26160) | $6,101.72 | $6,101.72 | 2.9× |
| Remove tissue expander (11971) range across 2 matching MRF lines |
$14,182.39–$16,754.96 | $14,182.39–$16,754.96 | varies |
| Repair arm/leg nerve (64857) | $40,074.72 | $40,074.72 | 9.0× |
| Repair cleft lip/nasal (40720) | $5,075.59 | $5,075.59 | 1.2× |
| Repair cleft lip/nasal (40700) | $15,307.15 | $15,307.15 | 2.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $3,768.04 | $3,768.04 | 3.9× |
| Repair Finger/Hand Tendon (26350) | $19,306.62 | $19,306.62 | 4.5× |
| Repair Hand Joint (26540) | $4,974.72 | $4,974.72 | 1.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $4,773.85 | $4,773.85 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$2,419.73–$4,555 | $2,419.73–$4,555 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$2,419.73–$6,493.55 | $2,419.73–$6,493.55 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$2,419.73–$5,746.15 | $2,419.73–$5,746.15 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$2,419.73–$3,436.09 | $2,419.73–$3,436.09 | varies |
| Repair of fibula epiphysis (27732) range across 2 matching MRF lines |
$8,787.65–$14,533.80 | $8,787.65–$14,533.80 | varies |
| Repair of hammertoe (28286) | $5,310.34 | $5,310.34 | 1.3× |
| Repair of nail bed (11760) | $4,602.80 | $4,602.80 | 4.8× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) | $24,587.35 | $24,587.35 | 2.6× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) range across 2 matching MRF lines |
$5,257.85–$26,134.05 | $5,257.85–$26,134.05 | varies |
| Repair of rectum (45505) | $13,760.45 | $13,760.45 | 3.8× |
| Repair of web finger (26562) range across 3 matching MRF lines |
$8,763.38–$23,814 | $8,763.38–$23,814 | varies |
| Repair of web finger (26560) | $5,538.51 | $5,538.51 | 2.7× |
| Repair of web finger (26561) range across 3 matching MRF lines |
$5,503.52–$19,947.25 | $5,503.52–$19,947.25 | varies |
| Repair radius & ulna (25415) | $7,981.14 | $7,981.14 | 0.8× |
| Repair shoulder capsule (23462) | $8,187.71 | $8,187.71 | 0.9× |
| Repair webbed toe(s) (28345) | $9,200.27 | $9,200.27 | 4.4× |
| Repair/Graft Wrist Bone (25440) | $7,987.57 | $7,987.57 | 0.8× |
| Replace g/c tube perc (49450) | $6,081.01 | $6,081.01 | 5.2× |
| Respir iadna 18 viral&2 bact (0115U) | $1,785.92 | $1,785.92 | 6.5× |
| Revise lower leg tendon (27690) range across 3 matching MRF lines |
$4,721.57–$14,533.80 | $4,721.57–$14,533.80 | varies |
| Revision of foot (28116) range across 2 matching MRF lines |
$6,811.90–$15,387.07 | $6,811.90–$15,387.07 | varies |
| Revision of foot and ankle (28262) | $5,706.30 | $5,706.30 | 0.6× |
| Revision of foot fascia (28250) | $4,002.88 | $4,002.88 | 0.9× |
| Revision of lower leg tendon (27685) range across 4 matching MRF lines |
$4,002.88–$13,760.45 | $4,002.88–$13,760.45 | varies |
| Revision of neck muscle (21720) | $12,987.10 | $12,987.10 | 3.1× |
| Revision of penis (54300) | $6,493.55 | $6,493.55 | 1.4× |
| Revision of wrist joint (25450) range across 3 matching MRF lines |
$4,210.53–$12,213.75 | $4,210.53–$12,213.75 | varies |
| Rhinp Prim Complete Xtrnl Parts (30410) | $34,633.10 | $34,633.10 | 4.5× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $1,659.64 | $1,659.64 | 4.6× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$1,393.65–$6,106.88 | $1,393.65–$6,106.88 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$9,638.73–$12,987.10 | $9,638.73–$12,987.10 | varies |
| Rpr aa hrn 1st 3-10 rdc (49593) | $6,786.70 | $6,786.70 | 0.8× |
| Rpr ing hernia init reduce (49500) unusually low: confirm this is the full procedure |
$3,755.15 | $3,755.15 | 0.4× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $19,306.62 | $19,306.62 | 4.5× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) range across 2 matching MRF lines |
$4,232.99–$19,306.62 | $4,232.99–$19,306.62 | varies |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) | $19,306.62 | $19,306.62 | 4.5× |
| Simple Cystometrogram (51725) | $1,598.20 | $1,598.20 | 4.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $1,171.24 | $1,171.24 | 4.5× |
| Skin Full Grft Face/Genit/Hf (15240) range across 3 matching MRF lines |
$3,525.44–$11,193.93 | $3,525.44–$11,193.93 | varies |
| Skin sub graft face/nk/hf/g (15275) | $11,864.39 | $11,864.39 | 12.4× |
| Skin Tissue Procedure (17999) range across 4 matching MRF lines |
$3,768.04–$10,667.05 | $3,768.04–$10,667.05 | varies |
| Skn sub grft f/n/hf/g child (15277) | $13,672.29 | $13,672.29 | 5.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $1,171.24 | $1,171.24 | 4.5× |
| Spinal puncture lumbar diagnostic (62270) | $4,114.98 | $4,114.98 | 4.5× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $21,099.22 | $21,099.22 | 4.6× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $11,193.93 | $11,193.93 | 4.2× |
| Strapping ankle (29540) | $973.74 | $973.74 | 4.6× |
| Strapping elbow or wrist (29260) | $378 | $378 | 4.9× |
| Strapping hand/finger (29280) | $378 | $378 | 4.9× |
| Strapping knee (29530) | $789.41 | $789.41 | 4.6× |
| Strapping shoulder (29240) | $789.41 | $789.41 | 4.6× |
| Strapping toes (29550) | $400.40 | $400.40 | 5.2× |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $1,171.24 | $1,171.24 | 4.5× |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) | $3,768.04 | $3,768.04 | 3.9× |
| Surgery to stop leg growth (27479) range across 2 matching MRF lines |
$5,232.12–$15,307.15 | $5,232.12–$15,307.15 | varies |
| Surgery to stop leg growth (27477) | $14,533.80 | $14,533.80 | 1.5× |
| Suture digital nerve hand/foot 1 nerve (64831) | $4,232.99 | $4,232.99 | 1.7× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) | $3,768.04 | $3,768.04 | 3.9× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $6,146.86 | $6,146.86 | 1.4× |
| Tenodesis distal joint each (26474) | $6,146.83 | $6,146.83 | 2.9× |
| Tenolysis flexor tendon palm/finger each tendon (26440) | $6,133.53 | $6,133.53 | 2.9× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $15,307.15 | $15,307.15 | 3.6× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $19,306.62 | $19,306.62 | 4.5× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 3 matching MRF lines |
$4,721.57–$13,760.45 | $4,721.57–$13,760.45 | varies |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) range across 4 matching MRF lines |
$4,211.46–$18,608.60 | $4,211.46–$18,608.60 | varies |
| Thyroid biopsy (60100) | $4,209.22 | $4,209.22 | 4.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 4 matching MRF lines |
$4,796.23–$11,864.39 | $4,796.23–$11,864.39 | varies |
| Treat Finger Fracture Each (26727) range across 3 matching MRF lines |
$5,956.12–$12,987.10 | $5,956.12–$12,987.10 | varies |
| Treat forearm bone lesion (25035) | $18,400.55 | $18,400.55 | 2.0× |
| Treat fracture radius/ulna (25575) range across 2 matching MRF lines |
$5,555.13–$19,947.25 | $5,555.13–$19,947.25 | varies |
| Treat Fx Rad Extra-Articul (25607) | $6,170.03 | $6,170.03 | 0.7× |
| Treat humerus fracture (24500) | $1,342.67 | $1,342.67 | 4.2× |
| Treat Humerus Fracture (24505) | $9,304.30 | $9,304.30 | 4.5× |
| Treat humerus fracture (23600) | $1,342.67 | $1,342.67 | 4.2× |
| Treat knee fracture (27532) | $19,306.62 | $19,306.62 | 4.5× |
| Treat Knee Fracture(S) (27538) | $1,342.67 | $1,342.67 | 4.2× |
| Treat Metatarsal Fracture (28475) | $1,342.67 | $1,342.67 | 4.2× |
| Treat toe dislocation (28630) | $1,342.67 | $1,342.67 | 4.2× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,342.67 | $1,342.67 | 4.2× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) range across 2 matching MRF lines |
$7,653.58–$12,987.10 | $7,653.58–$12,987.10 | varies |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) unusually low: confirm this is the full procedure |
$8,223.95 | $8,223.95 | 0.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $6,493.55 | $6,493.55 | 3.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $1,342.67 | $1,342.67 | 4.2× |
| Unlisted laparoscopy procedure appendix (44979) | $16,080.50 | $16,080.50 | 2.0× |
| Unlisted laparoscopy procedure, testis (54699) | $4,602.86 | $4,602.86 | 0.6× |
| Unlisted procedure anus (46999) | $7,221.03 | $7,221.03 | 6.0× |
| Unlisted procedure arthroscopy (29999) range across 3 matching MRF lines |
$5,720.20–$11,761.72 | $5,720.20–$11,761.72 | varies |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$7,000.35–$12,987.10 | $7,000.35–$12,987.10 | varies |
| Unlisted procedure colon (45399) | $6,837.95 | $6,837.95 | 5.7× |
| Unlisted Procedure Esophagus (43499) | $6,106.87 | $6,106.87 | 5.2× |
| Unlisted Procedure External Ear (69399) | $1,506.18 | $1,506.18 | 4.9× |
| Unlisted procedure femur or knee (27599) range across 2 matching MRF lines |
$5,371.86–$6,106.88 | $5,371.86–$6,106.88 | varies |
| Unlisted procedure foot or toes (28899) | $8,426.92 | $8,426.92 | 26.3× |
| Unlisted procedure forearm or wrist (25999) range across 2 matching MRF lines |
$5,987.46–$8,813.60 | $5,987.46–$8,813.60 | varies |
| Unlisted Procedure Hands/Fingers (26989) range across 2 matching MRF lines |
$1,342.67–$15,307.15 | $1,342.67–$15,307.15 | varies |
| Unlisted procedure humerus/elbow (24999) range across 3 matching MRF lines |
$1,342.67–$7,266.90 | $1,342.67–$7,266.90 | varies |
| Unlisted Procedure Male Genital System (55899) | $4,602.86 | $4,602.86 | 14.2× |
| Unlisted Procedure Muscskeletal System General (20999) range across 2 matching MRF lines |
$8,837.51–$15,307.15 | $8,837.51–$15,307.15 | varies |
| Unlisted procedure nervous system (64999) | $11,440.40 | $11,440.40 | 28.7× |
| Unlisted Procedure Rectum (45999) | $12,987.10 | $12,987.10 | 10.8× |
| Unlisted procedure spine (22899) | $1,342.67 | $1,342.67 | 4.2× |
| Unlisted Procedure Vascular Surgery (37799) | $13,760.45 | $13,760.45 | 16.9× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $8,494.47 | $8,494.47 | 7.2× |
| Urinary Reflex Study (51792) | $526.40 | $526.40 | 6.9× |
| Wedge excision skin nail fold (11765) | $2,419.73 | $2,419.73 | 4.6× |
| Wedging of cast (29740) | $1,556.06 | $1,556.06 | 4.3× |
| Windowing of cast (29730) | $945.40 | $945.40 | 4.5× |
| Wound Prep F/N/Hf/G (15004) range across 3 matching MRF lines |
$3,525.44–$3,768.04 | $3,525.44–$3,768.04 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$3,440.11–$4,225 | $3,440.11–$4,225 | varies |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) | $10,380.26 | $10,380.26 | 5.0× |
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.