Procedures & surgery prices at Sistersville General Hospital
Sistersville, WV · every code in this section with a posted price and a Medicare benchmark.
553 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,146.97 | $1,911.62 | 1.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $917.32 | $1,528.86 | 0.6× |
| Acne surgery (10040) | $147.59 | $245.99 | 0.8× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $611.93 | $1,019.88 | 0.2× |
| Amputation toe interphalangeal joint (28825) | $5,324.33 | $8,873.88 | 1.7× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $236.33 | $393.88 | 0.8× |
| Anoscopy remove lesion (46610) | $256.61 | $427.68 | 0.1× |
| Anoscopy; with biopsy, single or multiple (46606) | $266.72 | $444.53 | 0.2× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$74.45–$213.06 | $124.08–$355.10 | varies |
| Application Cast Finger (29086) range across 2 matching MRF lines |
$55.42–$298.78 | $92.36–$497.97 | varies |
| Application finger splint static (29130) range across 5 matching MRF lines |
$32.23–$313.94 | $53.72–$523.23 | varies |
| Application long arm splint shoulder hand (29105) range across 6 matching MRF lines |
$138.02–$527.42 | $230.03–$879.04 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $216.19 | $360.31 | 0.8× |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$72.07–$404.36 | $120.12–$673.93 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $244.03 | $406.72 | 0.9× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$216.19–$259.94 | $360.31–$433.23 | varies |
| Application of rigid total contact leg cast (29445) range across 4 matching MRF lines |
$264.03–$808.68 | $440.05–$1,347.80 | varies |
| Application Short Arm Splint Dynamic (29126) | $124.70 | $207.83 | 1.0× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$108.25–$404.36 | $180.41–$673.93 | varies |
| Application short leg splint calf foot (29515) range across 5 matching MRF lines |
$39.78–$606.53 | $66.30–$1,010.89 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$117.88–$135.11 | $196.46–$225.19 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$123.55–$216.19 | $205.91–$360.31 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 6 matching MRF lines |
$34.82–$826.47 | $58.04–$1,377.45 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$210.31–$216.19 | $350.52–$360.31 | varies |
| Apply short leg cast (29425) | $118.51 | $197.51 | 0.4× |
| Arterial puncture (36600) | $132.73 | $221.21 | 1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$251.16 | $418.60 | 0.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 10 matching MRF lines |
$45.79–$960.72 | $76.32–$1,601.20 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
$65.60–$890.84 | $109.34–$1,484.74 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$56.40–$960.72 | $94–$1,601.20 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 6 matching MRF lines |
$74.92–$996.97 | $124.87–$1,661.62 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 8 matching MRF lines |
$44.11–$905.74 | $73.52–$1,509.56 | varies |
| Arthroplasty Ankle W/Implant (27702) likely a partial charge, not the full procedure |
$1,459.67 | $2,432.78 | 0.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) range across 2 matching MRF lines |
$119.39–$619.06 | $198.99–$1,031.76 | varies |
| Artificial insemination intra-uterine (58322) | $168.46 | $280.76 | 0.9× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,920.47–$2,041.13 | $3,200.78–$3,401.89 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$51.13–$196.75 | $85.22–$327.91 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 6 matching MRF lines |
$67.64–$643.70 | $112.73–$1,072.83 | varies |
| Biopsy Abdominal Mass (49180) | $915.08 | $1,525.14 | 0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$897.18–$4,837.27 | $1,495.30–$8,062.11 | varies |
| Biopsy External Auditory Canal (69105) | $828.11 | $1,380.19 | 0.6× |
| Biopsy external ear (69100) | $180.94 | $301.56 | 0.8× |
| Biopsy nail unit (11755) | $417.73 | $696.21 | 0.6× |
| Biopsy of breast; open, incisional (19101) | $1,928.32 | $3,213.86 | 0.5× |
| Biopsy of floor of mouth (41108) | $190.75 | $317.92 | 0.1× |
| Biopsy of lip (40490) | $213.39 | $355.65 | 0.9× |
| Biopsy of palate, uvula (42100) | $201.10 | $335.16 | 0.1× |
| Biopsy of penis (54100) | $961.51 | $1,602.51 | 0.6× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) | $566.56 | $944.26 | 0.2× |
| Biopsy Oropharynx (42800) | $1,448.74 | $2,414.56 | 1.0× |
| Biopsy Salivary Gland Incisional (42405) | $1,588.12 | $2,646.86 | 1.1× |
| Biopsy Salivary Gland Needle (42400) | $137.52 | $229.20 | 0.2× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $225.41 | $375.69 | 0.4× |
| Biopsy Tongue Posterior One-Third (41105) | $1,447.31 | $2,412.19 | 0.5× |
| Biopsy Vaginal Mucosa Simple (57100) | $410.21 | $683.68 | 0.5× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $401.38 | $668.97 | 0.5× |
| Biopsy, vestibule of mouth (40808) | $243.16 | $405.27 | 0.5× |
| Bladder instillation anticarcinogenic agent (51720) | $188.18 | $313.63 | 0.3× |
| Bladder Irrigation (51700) | $173.56 | $289.26 | 0.7× |
| Bladder Scan (51798) range across 3 matching MRF lines |
$32.89–$224.81 | $54.82–$374.69 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $305.39 | $508.98 | 1.0× |
| Blood Transfusion Service (36430) | $1,623.53 | $2,705.88 | 3.8× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $338.79 | $564.65 | 0.1× |
| Bronchoscopy Bronch Stents (31636) likely a partial charge, not the full procedure |
$291.35 | $485.59 | 0.0× |
| Bronchoscopy Reclear Airway (31646) | $355.42 | $592.36 | 0.9× |
| Bronchoscopy W/Removal Foreign Body (31635) range across 2 matching MRF lines |
$86.48–$432.41 | $144.13–$720.69 | varies |
| Bx Cervix (57500) | $419.27 | $698.78 | 0.5× |
| Bx/exc lymph node open deep axillary node (38525) | $497.93 | $829.89 | 0.1× |
| Catheter aspiration nasotracheal spx (31720) | $144.79 | $241.31 | 0.7× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $323.77 | $539.61 | 1.1× |
| Change Cystostomy Tube Complicated (51710) | $428.75 | $714.58 | 0.6× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$153.23–$959.94 | $255.39–$1,599.90 | varies |
| Change of Windpipe Airway (31502) | $164.57 | $274.28 | 0.7× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$148.12–$448.02 | $246.86–$746.70 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) | $498.01 | $830.01 | 0.7× |
| Chemodenerv 1 extremity 1-4 (64642) | $485.21 | $808.68 | 0.7× |
| Chemodenerv Eccrine Glands (64650) | $197.30 | $328.83 | 0.7× |
| Chemodenerv Musc Migraine (64615) | $298.60 | $497.66 | 1.0× |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$281.01–$562.02 | $468.35–$936.70 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 3 matching MRF lines |
$288.16–$704.57 | $480.27–$1,174.29 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$174.28–$2,310.33 | $290.47–$3,850.55 | varies |
| Circumcision 28 days or older (54161) | $633.16 | $1,055.26 | 0.3× |
| Circumcision w/clamp/oth dev w/block (54150) | $1,145.21 | $1,908.68 | 0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$717.27–$6,459.85 | $1,195.45–$10,766.41 | varies |
| Clear outer ear canal (69200) range across 6 matching MRF lines |
$98.02–$363.89 | $163.37–$606.49 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$417.93–$490.01 | $696.55–$816.68 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $471.37 | $785.61 | 2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $515.77 | $859.61 | 0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$358.10–$736.27 | $596.84–$1,227.12 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$269.40–$736.27 | $449–$1,227.12 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$577.19–$716.42 | $961.98–$1,194.03 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$240.32–$736.27 | $400.54–$1,227.12 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $933.95 | $1,556.59 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,474.68 | $2,457.80 | 0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$516.49–$597.94 | $860.81–$996.56 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $487.04 | $811.74 | 2.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $420.10 | $700.17 | 1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$561.85–$3,344.33 | $936.41–$5,573.88 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$299.69–$736.32 | $499.48–$1,227.20 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$296.48–$1,984.53 | $494.13–$3,307.55 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$301.99–$736.32 | $503.32–$1,227.20 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $417.59 | $695.99 | 1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$231.17–$572.39 | $385.28–$953.98 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$249.16–$736.32 | $415.26–$1,227.20 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $448.49 | $747.48 | 1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$282.60–$736.27 | $471–$1,227.12 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $407.55 | $679.25 | 1.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,217.78 | $2,029.64 | 0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$129.35–$399.18 | $215.59–$665.30 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $284.63 | $474.39 | 1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$521.65–$5,600.99 | $869.42–$9,334.98 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 5 matching MRF lines |
$125.15–$672.28 | $208.59–$1,120.47 | varies |
| Clsr Lacrimal Punctum Plug Each (68761) | $348.73 | $581.21 | 1.1× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $734.53 | $1,224.21 | 3.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$595.39–$3,909.02 | $992.32–$6,515.04 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$261.86–$507.07 | $436.44–$845.12 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
$502.36–$3,513.83 | $837.26–$5,856.38 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$456.10–$729.01 | $760.17–$1,215.01 | varies |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $506.10 | $843.50 | 0.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$362.45–$558.17 | $604.08–$930.28 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 4 matching MRF lines |
$214.28–$569.33 | $357.14–$948.89 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$406.89–$569.33 | $678.15–$948.89 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$219.97–$736.27 | $366.62–$1,227.12 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$371.30–$736.27 | $618.84–$1,227.12 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$824.21–$1,984.53 | $1,373.68–$3,307.55 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $733.82 | $1,223.04 | 3.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $707.11 | $1,178.52 | 3.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $227.51 | $379.18 | 1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $155.26 | $258.77 | 0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $198.36 | $330.60 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$139.78–$736.32 | $232.96–$1,227.20 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
$429.97–$490.16 | $716.61–$816.94 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $599.47 | $999.11 | 2.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $422.64 | $704.40 | 0.3× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
$366.52–$736.32 | $610.86–$1,227.20 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $481.60 | $802.66 | 2.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 2 matching MRF lines |
$557.90–$1,378.54 | $929.84–$2,297.56 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$145.41–$451.47 | $242.35–$752.45 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$308.71–$736.32 | $514.52–$1,227.20 | varies |
| Cltx Medial Ankle Fx (27760) range across 4 matching MRF lines |
$110.68–$736.27 | $184.47–$1,227.12 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$204.40–$736.27 | $340.66–$1,227.12 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$460.06–$3,909.02 | $766.76–$6,515.04 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$442.10–$569.33 | $736.83–$948.89 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$218.54–$736.27 | $364.24–$1,227.12 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 3 matching MRF lines |
$480.83–$3,909.02 | $801.38–$6,515.04 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $377.71 | $629.51 | 1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$221.70–$569.33 | $369.50–$948.89 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$411.05–$736.27 | $685.08–$1,227.12 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 2 matching MRF lines |
$443.86–$590.94 | $739.76–$984.90 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$335.66–$736.32 | $559.44–$1,227.20 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $432.20 | $720.34 | 1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $532.55 | $887.59 | 0.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$344.76–$736.32 | $574.60–$1,227.20 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $401.10 | $668.50 | 3.1× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$3.89–$12.34 | $6.48–$20.57 | varies |
| Colporrhaphy (57200) | $432.71 | $721.19 | 0.1× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $303.02 | $505.04 | 1.0× |
| Colposcopy Cervix Endocervical Curettage (57456) | $266.95 | $444.92 | 0.9× |
| Colposcopy cervix upper/adjacent vagina (57452) | $196.10 | $326.83 | 1.0× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $275.79 | $459.65 | 0.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $395.60 | $659.34 | 0.1× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $479.11 | $798.51 | 0.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $808.13 | $1,346.89 | 0.7× |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$1,399.36–$7,407.84 | $2,332.27–$12,346.40 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 4 matching MRF lines |
$248.44–$616.21 | $414.06–$1,027.01 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$98.28–$410.80 | $163.80–$684.67 | varies |
| Conversion ext bil drg cath (47535) | $1,507.13 | $2,511.88 | 0.4× |
| Correction of trichiasis; epilation, by forceps only (67820) | $103.69 | $172.82 | 0.8× |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$443.96–$887.92 | $739.93–$1,479.86 | varies |
| Csf shunt reprogram (62252) | $253 | $421.66 | 0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$191.84–$410.80 | $319.74–$684.67 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $288.32 | $480.53 | 1.3× |
| Curette/treat cornea (65435) | $633.32 | $1,055.53 | 0.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $1,135.73 | $1,892.89 | 0.6× |
| Cysto w/complex removal stone & stent (52315) | $1,278.43 | $2,130.72 | 0.6× |
| Cysto w/destruction of lesions (52214) | $1,164.95 | $1,941.59 | 0.3× |
| Cysto w/removal of lesions small (52224) | $1,196.77 | $1,994.62 | 0.4× |
| Cysto w/removal of tumors small (52234) | $1,900 | $3,166.66 | 0.6× |
| Cysto W/Simple Removal Stone & Stent (52310) | $1,135.22 | $1,892.04 | 0.6× |
| Cystourethroscopy (52000) | $404.07 | $673.45 | 0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $319.46 | $532.43 | 0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$369.36–$1,950.56 | $615.60–$3,250.93 | varies |
| Debride nail 1-5 (11720) range across 4 matching MRF lines |
$18.12–$154.45 | $30.20–$257.42 | varies |
| Debride nail 6 or more (11721) range across 4 matching MRF lines |
$30.66–$229.68 | $51.10–$382.80 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$1,052.13–$3,590.59 | $1,753.55–$5,984.31 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) range across 2 matching MRF lines |
$166.39–$332.77 | $277.31–$554.61 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines |
$72.92–$1,460.48 | $121.54–$2,434.14 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$544.30–$625.94 | $907.16–$1,043.23 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$67.50–$185.49 | $112.50–$309.15 | varies |
| Destruction Benign Lesions 15/> (17111) | $204.59 | $340.98 | 1.1× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $662.48 | $1,104.13 | 0.8× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $241.79 | $402.98 | 0.8× |
| Destruction Lesions Vulva Simple (56501) | $1,054.97 | $1,758.28 | 0.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $334.54 | $557.56 | 1.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $358.36 | $597.27 | 1.9× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $212.62 | $354.36 | 1.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $243.28 | $405.46 | 1.3× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $212.65 | $354.42 | 1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $192.02 | $320.04 | 1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $189.44 | $315.74 | 1.0× |
| Destruction Premalignant Lesion 15/> (17004) | $305.08 | $508.47 | 0.8× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$67.50–$167.84 | $112.50–$279.74 | varies |
| Diagnostic sigmoidoscopy (45330) | $237.75 | $396.25 | 0.3× |
| Dilat rct strix spx under anes oth/thn local (45910) | $254.76 | $424.60 | 0.2× |
| Dilate Urethra Stricture (53620) | $438.70 | $731.16 | 0.7× |
| Dilate Urethra Stricture (53600) | $215.03 | $358.38 | 0.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $1,659.54 | $2,765.90 | 0.5× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) range across 2 matching MRF lines |
$337.28–$674.56 | $562.13–$1,124.27 | varies |
| Drain Cerebro Spinal Fluid (62272) | $455.26 | $758.77 | 0.7× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$203.10–$406.19 | $338.50–$676.99 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $428.27 | $713.78 | 0.8× |
| Drainage external auditory canal abscess (69020) | $168.06 | $280.10 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $484.54 | $807.56 | 0.7× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$271.79–$491.67 | $452.98–$819.45 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$345.59–$538.58 | $575.99–$897.64 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$952.51–$4,687.16 | $1,587.51–$7,811.94 | varies |
| Drainage of nose lesion (30000) | $262.99 | $438.31 | 1.2× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$200.41–$4,075.58 | $334.02–$6,792.63 | varies |
| Drainage of scrotum (54700) | $1,528.05 | $2,546.75 | 0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $276.01 | $460.02 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $1,327.24 | $2,212.07 | 3.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $540.21 | $900.35 | 2.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$109.54–$540.21 | $182.57–$900.35 | varies |
| Dstrj Lesion Anus Extensive (46924) | $1,594.91 | $2,658.18 | 0.6× |
| Dstrj lesion anus simple surg excision (46922) | $1,539.58 | $2,565.96 | 0.6× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $317.41 | $529.02 | 0.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$563.01–$1,126.03 | $938.35–$1,876.72 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $937.23 | $1,562.05 | 0.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $251.92 | $419.86 | 0.9× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $208.28 | $347.14 | 0.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $195.86 | $326.44 | 0.7× |
| Endocervical curettage (57505) | $443.83 | $739.71 | 0.5× |
| Endometrial Biopsy (58100) | $183.41 | $305.68 | 0.9× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $955.11 | $1,591.85 | 0.5× |
| Evacuation of subungual hematoma (11740) | $101.10 | $168.50 | 0.8× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,209.23 | $2,015.39 | 0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $438.32 | $730.53 | 0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $998.13 | $1,663.55 | 0.6× |
| Exc Back Les Sc < 3 Cm (21930) | $1,252.93 | $2,088.21 | 0.8× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $4,438.40 | $7,397.33 | 1.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $530.92 | $884.87 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $565.03 | $941.71 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,157.81 | $1,929.68 | 0.7× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,220.85 | $2,034.75 | 0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $464.17 | $773.62 | 0.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $498.43 | $830.71 | 0.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $515.57 | $859.29 | 0.8× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,024.67 | $1,707.78 | 0.6× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,084.53 | $1,807.55 | 0.7× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $519.33 | $865.55 | 0.3× |
| Exc Frenum Labial/Buccal (40819) | $1,071.90 | $1,786.50 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $907.15 | $1,511.92 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $473.61 | $789.35 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $973.16 | $1,621.93 | 0.6× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $663.70 | $1,106.16 | 0.7× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) | $1,525.45 | $2,542.41 | 0.5× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $1,615.06 | $2,691.76 | 0.5× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) | $1,647.58 | $2,745.97 | 0.5× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $261.71 | $436.19 | 0.1× |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) | $391.65 | $652.75 | 0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $519.64 | $866.06 | 0.8× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,027.34 | $1,712.24 | 0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,735.84 | $2,893.07 | 0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,110.62 | $1,851.04 | 0.7× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,794.82 | $2,991.36 | 0.6× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,067.69 | $1,779.48 | 0.7× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,760.07 | $2,933.45 | 0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,202.46 | $2,004.10 | 0.8× |
| Exc tendon shth lesion leg/ankle (27630) | $721.82 | $1,203.03 | 0.2× |
| Exc thigh/knee les sc 3 cm/> (27337) | $2,073.08 | $3,455.13 | 0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $713.05 | $1,188.41 | 0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $310.37 | $517.29 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $479.28 | $798.80 | 0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $282.59 | $470.98 | 0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,945.44 | $3,242.40 | 0.7× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $643.99 | $1,073.31 | 0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,212.36 | $2,020.60 | 0.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,192.19 | $1,986.99 | 0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) range across 2 matching MRF lines |
$202.39–$2,604.35 | $337.32–$4,340.59 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,769.76 | $2,949.60 | 1.1× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,895.24 | $3,158.74 | 0.7× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $1,464.92 | $2,441.54 | 0.5× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $1,549.28 | $2,582.14 | 1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $579.10 | $965.16 | 0.9× |
| Excision Chalazion Multiple Same Lid (67801) | $720.30 | $1,200.50 | 0.8× |
| Excision Chalazion Single (67800) | $329.17 | $548.62 | 1.1× |
| Excision External Ear Partial Simple Repair (69110) | $1,784.51 | $2,974.19 | 0.6× |
| Excision inferior turbinate partial/complete (30130) | $3,540.56 | $5,900.93 | 1.1× |
| Excision Lingual Frenum Frenectomy (41115) | $928.34 | $1,547.24 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $486.41 | $810.68 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $522.04 | $870.07 | 0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $383.29 | $638.81 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $603.14 | $1,005.24 | 0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $493.02 | $821.70 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,089.91 | $1,816.51 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,883.97 | $3,139.95 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$478.27–$956.54 | $797.12–$1,594.24 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $523.32 | $872.20 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $549.24 | $915.40 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,102.92 | $1,838.20 | 0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) | $1,585.57 | $2,642.61 | 0.6× |
| Excision of bartholin's gland or cyst (56740) | $381.86 | $636.44 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,158.37 | $1,930.62 | 0.8× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) range across 2 matching MRF lines |
$1,622.08–$1,805.53 | $2,703.47–$3,009.22 | varies |
| Excision of single external papilla or tag, anus (46220) | $721.81 | $1,203.02 | 0.6× |
| Excision of vaginal cyst or tumor (57135) | $1,819.42 | $3,032.37 | 0.6× |
| Excision soft tissue lesion, external auditory canal (69145) | $1,769.51 | $2,949.19 | 0.6× |
| Excision synovial cyst popliteal space (27345) | $2,125.74 | $3,542.90 | 0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,385.42 | $2,309.04 | 0.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $1,129 | $1,881.66 | 0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,321.87 | $2,203.12 | 0.8× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $1,188.73 | $1,981.22 | 0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $1,937.95 | $3,229.91 | 0.7× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $1,119.29 | $1,865.49 | 0.7× |
| Excision/destruction intranasal lesion int appr (30117) | $1,710.79 | $2,851.32 | 0.5× |
| Exploration penetrating wound spx extremity (20103) | $933.89 | $1,556.48 | 0.6× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) | $1,184.09 | $1,973.48 | 0.8× |
| Fetal non-stress test (59025) | $335.67 | $559.45 | 1.7× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$193.01–$1,135.40 | $321.69–$1,892.34 | varies |
| Fluoro exam of g/colon tube (49465) | $209.77 | $349.61 | 0.9× |
| Fna bx w/us gdn 1st les (10005) | $2,082.95 | $3,471.59 | 3.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $2,355.30 | $3,925.50 | 1.2× |
| Hysteroscopy Biopsy (58558) | $1,672.98 | $2,788.30 | 0.5× |
| Hysteroscopy Dx Sep Proc (58555) | $1,575.10 | $2,625.17 | 0.5× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $1,660.55 | $2,767.58 | 0.5× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $603.31 | $1,005.52 | 0.2× |
| I&d abscess peritonsillar (42700) | $256.96 | $428.27 | 1.1× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$85.18–$695.47 | $141.96–$1,159.12 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $1,790.26 | $2,983.76 | 0.6× |
| I&d perianal abscess superficial (46050) | $557.03 | $928.38 | 0.6× |
| I&d pilonidal cyst simple (10080) | $464.43 | $774.05 | 0.7× |
| I&d shoulder deep abscess/hematoma (23030) | $1,704.55 | $2,840.91 | 0.6× |
| Image Cath Fluid Colxn Visc (49405) | $1,196.50 | $1,994.16 | 0.8× |
| Image Cath Fluid Peri/Retro (49406) | $1,197.20 | $1,995.33 | 0.8× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$137.48–$638.51 | $229.13–$1,064.18 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$163.80–$1,056.15 | $273–$1,760.25 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $5,549.42 | $9,249.04 | 2.0× |
| Incision & removal foreign body subq tiss compl (10121) | $1,034.68 | $1,724.46 | 0.7× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$228.88–$1,035.11 | $381.46–$1,725.19 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$214.10–$590.34 | $356.84–$983.90 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$276.47–$590.34 | $460.79–$983.90 | varies |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) likely a partial charge, not the full procedure |
$236.47 | $394.11 | 0.0× |
| Incision of labial frenum (frenotomy) (40806) | $325.40 | $542.33 | 0.6× |
| Incision of lingual frenum (frenotomy) (41010) | $882.28 | $1,470.46 | 0.6× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$258.96–$1,104.55 | $431.60–$1,840.92 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $130.58 | $217.64 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 6 matching MRF lines |
$48.49–$388.22 | $80.82–$647.03 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$434.22–$1,125.59 | $723.70–$1,875.99 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $442.30 | $737.16 | 0.7× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$259.66–$402.84 | $432.76–$671.40 | varies |
| Injection enzyme palmar fascial cord (20527) | $235.51 | $392.52 | 0.8× |
| Injection medication/other subst tenon capsule (67515) | $286.54 | $477.57 | 0.9× |
| Injection single tendon origin/insertion (20551) | $194.87 | $324.79 | 0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$46.49–$192.10 | $77.48–$320.17 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $198.50 | $330.83 | 0.7× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $914.98 | $1,524.96 | 0.6× |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$70.76–$432.76 | $117.94–$721.26 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$138.89–$1,514.09 | $231.48–$2,523.48 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $163.03 | $271.71 | 0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) | $142.16 | $236.93 | 0.7× |
| Insert 1 Electrode Pm-Defib (33216) likely a partial charge, not the full procedure |
$602.56 | $1,004.27 | 0.1× |
| Insert Bladder Cath Complex (51703) | $175.59 | $292.65 | 1.4× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$199.54–$2,041.13 | $332.56–$3,401.89 | varies |
| Insert Drug Implant Device (11981) | $165.52 | $275.86 | 1.3× |
| Insert Heart Pm Atrial (33206) likely a partial charge, not the full procedure |
$730.55 | $1,217.59 | 0.1× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$238.77–$4,095.19 | $397.95–$6,825.32 | varies |
| Insert pessary/other device (57160) | $154.72 | $257.86 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$94.01–$340.94 | $156.68–$568.23 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$31.50–$340.94 | $52.50–$568.23 | varies |
| Insertion Vascular Pedicle Carpal Bone (25430) | $2,535.86 | $4,226.44 | 0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $350.45 | $584.09 | 0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $760.37 | $1,267.29 | 0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,876.28 | $3,127.13 | 0.6× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $685.91 | $1,143.18 | 0.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$577.73–$1,180.68 | $962.89–$1,967.80 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $435.91 | $726.52 | 1.1× |
| Intranasal Biopsy (30100) | $186.64 | $311.07 | 0.1× |
| Intraoral i&d tongue/floor submndblr space (41008) | $332.04 | $553.40 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$126.46–$458.09 | $210.76–$763.48 | varies |
| Iridotomy/irridectomy laser surg per session (66761) range across 2 matching MRF lines |
$650.61–$1,301.22 | $1,084.35–$2,168.70 | varies |
| Laryngoscopy diagnostic (31505) | $99.79 | $166.32 | 0.5× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) | $313.54 | $522.56 | 0.1× |
| Laryngoscopy flexible diagnostic (31575) | $166.06 | $276.77 | 0.9× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $261.35 | $435.59 | 0.7× |
| Larynscop w/tumr exc + scope (31541) | $1,813.67 | $3,022.78 | 0.5× |
| Ligate/strip long leg vein (37722) | $2,431.19 | $4,051.99 | 0.8× |
| Lip Surgery Procedure (40799) | $175.61 | $292.68 | 0.8× |
| Lyse chest fibrin init day (32561) range across 2 matching MRF lines |
$79.82–$964.13 | $133.04–$1,606.88 | varies |
| Lysis Intranasal Synechia (30560) | $450.89 | $751.49 | 0.9× |
| Lysis of labial adhesions (56441) | $1,562.05 | $2,603.42 | 0.5× |
| Maniplatn palar fascial crd post inj single cord (26341) | $221.32 | $368.87 | 0.9× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) likely a partial charge, not the full procedure |
$392.99 | $654.99 | 0.1× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) | $353.40 | $589 | 0.1× |
| Muscle-skin graft trunk (15734) | $419.53 | $699.22 | 0.1× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) | $2,338.18 | $3,896.96 | 0.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$468.68–$937.36 | $781.13–$1,562.26 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$106.91–$464 | $178.18–$773.33 | varies |
| N Block Inj Plantar Digit (64455) | $188.77 | $314.62 | 0.6× |
| Nasal Endoscopy Dx (31231) | $164.83 | $274.72 | 0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) | $1,224.38 | $2,040.63 | 2.9× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 2 matching MRF lines |
$937.91–$1,875.82 | $1,563.19–$3,126.37 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $422.56 | $704.26 | 0.2× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $250.42 | $417.37 | 1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $48.62 | $81.03 | 1.8× |
| Needle insertion w/o injection 3 or more muscles (20561) | $48.62 | $81.03 | 1.8× |
| Neuroeltrd Stim Post Tibial (64566) | $183.01 | $305.01 | 0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,293.47 | $2,155.79 | 3.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$157.15–$947.80 | $261.92–$1,579.66 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $957.85 | $1,596.41 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $205.25 | $342.09 | 0.3× |
| Njx Sclrsnt Spider Veins (36468) | $62.11 | $103.51 | 0.2× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$211.71–$423.41 | $352.85–$705.69 | varies |
| Ostectomy of sternum, partial Facility (21620) | $139.84 | $233.07 | 0.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) range across 3 matching MRF lines |
$213.74–$3,792.83 | $356.24–$6,321.39 | varies |
| Penile Injection (54235) range across 2 matching MRF lines |
$84.08–$460.54 | $140.14–$767.57 | varies |
| Place Cath Vertebral Art (36226) likely a partial charge, not the full procedure |
$329.54 | $549.24 | 0.1× |
| Place Duod/Jej Tube Perc (49441) | $351.59 | $585.98 | 0.2× |
| Place Rt Device/Marker Pros (55876) | $936.37 | $1,560.61 | 0.7× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$80.86–$190.99 | $134.76–$318.31 | varies |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$729.25 | $1,215.41 | 0.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $467.12 | $778.53 | 0.5× |
| Pseudoaneurysm Injection Trt (36002) | $241.60 | $402.67 | 0.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$164.74–$620.52 | $274.57–$1,034.20 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$299.26–$986.21 | $498.76–$1,643.68 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $69.74 | $116.23 | 0.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) | $1,983.17 | $3,305.28 | 0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) | $1,781.07 | $2,968.45 | 0.6× |
| Reconstruction Tongue Fold (41520) | $475.15 | $791.91 | 0.1× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$160.49–$3,060.08 | $267.48–$5,100.14 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 6 matching MRF lines |
$14.93–$391.21 | $24.89–$652.01 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$59.85–$346.12 | $99.75–$576.86 | varies |
| Removal implantable contraceptive capsules (11976) | $455.05 | $758.42 | 0.7× |
| Removal intact breast implant (19328) | $2,562.51 | $4,270.85 | 0.7× |
| Removal of a lesion from the floor of the mouth (41116) | $1,577.16 | $2,628.60 | 0.5× |
| Removal of anal fissure (46200) | $568.46 | $947.44 | 0.2× |
| Removal of ankle implant (27704) | $876.52 | $1,460.87 | 0.3× |
| Removal of foot joint lining (28072) | $671.12 | $1,118.53 | 0.2× |
| Removal of foreign body from pharynx (42809) | $225.61 | $376.02 | 0.5× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$123.58–$1,662.16 | $205.97–$2,770.26 | varies |
| Removal Pacemaker Electrode (33235) | $939.08 | $1,565.13 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $191.60 | $319.33 | 1.0× |
| Removal Submand Stone,Complicated (42335) | $1,623.79 | $2,706.32 | 0.5× |
| Removal/bivalving gauntlet boot/body cast (29700) | $82.39 | $137.31 | 0.3× |
| Remove drug implant device (11982) | $327.83 | $546.39 | 0.8× |
| Remove Forearm Foreign Body (25248) | $1,273.67 | $2,122.79 | 0.8× |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
$108.90–$360.43 | $181.50–$600.71 | varies |
| Remove Intrauterine Device (58301) | $179.61 | $299.35 | 0.6× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$193.37–$307.78 | $322.28–$512.96 | varies |
| Remove Tendon Sheath Lesion (26160) | $1,173.72 | $1,956.20 | 0.8× |
| Remove&replace pm gen singl (33227) likely a partial charge, not the full procedure |
$522.75 | $871.25 | 0.1× |
| Remove/Insert Drug Implant (11983) | $424.47 | $707.45 | 1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $248.80 | $414.66 | 0.1× |
| Repair blood vessel lesion (35266) likely a partial charge, not the full procedure |
$1,369.07 | $2,281.78 | 0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $634.03 | $1,056.72 | 0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $708.19 | $1,180.31 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$483.18–$1,140.25 | $805.30–$1,900.42 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$667.21–$1,673.98 | $1,112.02–$2,789.96 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$260.57–$1,280 | $434.28–$2,133.34 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $609.24 | $1,015.40 | 1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) | $591.08 | $985.14 | 0.8× |
| Repair Entropion Suture (67921) | $2,045.57 | $3,409.29 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$392.39–$1,140.25 | $653.99–$1,900.42 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$408.19–$481.98 | $680.32–$803.30 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$451.23–$481.98 | $752.05–$803.30 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$160.97–$481.98 | $268.28–$803.30 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $609.86 | $1,016.44 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$366.04–$481.98 | $610.07–$803.30 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$387.98–$1,245.40 | $646.63–$2,075.66 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $545.55 | $909.25 | 0.8× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$416.65–$4,227.46 | $694.42–$7,045.77 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$477.56–$496.22 | $795.93–$827.04 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$370.14–$481.98 | $616.90–$803.30 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$419.72–$1,140.25 | $699.54–$1,900.42 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$436.95–$517.09 | $728.25–$861.81 | varies |
| Repair of nail bed (11760) | $422.18 | $703.64 | 0.6× |
| Repair radius & ulna (25415) range across 2 matching MRF lines |
$1,129.44–$14,385.47 | $1,882.40–$23,975.79 | varies |
| Reposition Venous Catheter (36597) | $159.07 | $265.11 | 0.1× |
| Rerepair ing hernia reduce (49520) | $1,773.27 | $2,955.45 | 0.5× |
| Revision of lower leg tendon (27685) | $2,107.44 | $3,512.40 | 0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$74.98–$289.93 | $124.96–$483.22 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$142.27–$300.67 | $237.12–$501.11 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $533.51 | $889.18 | 0.9× |
| Rplc Gtube No Revj Trc (43762) | $46.96 | $78.27 | 0.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) range across 3 matching MRF lines |
$88.72–$3,264.01 | $122.94–$5,440.01 | varies |
| Rplcmt/irrigation ventricular catheter (62225) | $3,786.40 | $6,310.67 | 1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$250.34–$481.98 | $417.24–$803.30 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$48.65–$146.91 | $81.08–$244.85 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $161.83 | $269.71 | 0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $308.05 | $513.41 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $152.02 | $253.37 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $167.62 | $279.37 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $185.94 | $309.90 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $276.72 | $461.20 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $183.97 | $306.62 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $279.91 | $466.51 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $169.06 | $281.77 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $275.66 | $459.43 | 0.7× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $180.56 | $300.94 | 0.9× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $1,512.07 | $2,520.11 | 0.5× |
| Sigmoidoscopy & decompress (45337) range across 2 matching MRF lines |
$130.81–$177.01 | $218.01–$295.02 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$201.73–$481.98 | $336.21–$803.30 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$93.24–$481.98 | $155.40–$803.30 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$175.64–$481.98 | $292.73–$803.30 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$179.09–$812.68 | $298.48–$1,354.46 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$196.40–$481.98 | $327.34–$803.30 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $212.95 | $354.92 | 1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$74.34–$481.98 | $123.90–$803.30 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$193.80–$481.98 | $323–$803.30 | varies |
| Skin Pinch Graft (15050) | $820.82 | $1,368.04 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$982.38–$4,490.29 | $1,637.30–$7,483.81 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 4 matching MRF lines |
$117.48–$2,166.06 | $195.80–$3,610.10 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$98.28–$481.98 | $163.80–$803.30 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$292.24–$481.98 | $487.06–$803.30 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$282.34–$481.98 | $470.57–$803.30 | varies |
| Snip Incision Lacrimal Punctum (68440) | $321.83 | $536.38 | 1.1× |
| Sperm washing artificial insemination (58323) | $112.66 | $187.76 | 0.6× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$104.18–$1,400.65 | $173.63–$2,334.42 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$31.62–$363.91 | $52.70–$606.52 | varies |
| Strapping hand/finger (29280) | $62.74 | $104.57 | 1.1× |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$79.21–$826.47 | $132.01–$1,377.45 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $167.85 | $279.75 | 0.4× |
| Tangential biopsy skin single lesion (11102) | $152.39 | $253.98 | 0.4× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) likely a partial charge, not the full procedure |
$688.18 | $1,146.96 | 0.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $1,025.25 | $1,708.75 | 0.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) | $2,059.20 | $3,432 | 0.7× |
| Tenotomy shoulder area single tendon (23405) | $4,932.77 | $8,221.28 | 0.7× |
| Thoracoscopy w/bx nodule (32608) range across 2 matching MRF lines |
$70.69–$485.30 | $117.81–$808.83 | varies |
| Thrombolytic Therapy Stroke (37195) | $711.58 | $1,185.96 | 2.2× |
| Trabeculoplasty by laser surgery (65855) | $614.12 | $1,023.53 | 1.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) range across 2 matching MRF lines |
$129.11–$383.18 | $215.18–$638.63 | varies |
| Treat Big Toe Fracture (28505) | $2,150.03 | $3,583.38 | 0.7× |
| Treat humerus fracture (24500) | $525.78 | $876.30 | 2.2× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$691.51–$1,359.05 | $1,152.52–$2,265.09 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$366.78–$736.27 | $611.30–$1,227.12 | varies |
| Treat Metatarsal Fracture (28475) | $333.34 | $555.57 | 1.4× |
| Treat Tail Bone Fracture (27200) | $355.58 | $592.63 | 1.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$290.05–$560.67 | $483.42–$934.45 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$474.05–$569.33 | $790.09–$948.89 | varies |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$19.84–$315.37 | $33.06–$525.62 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$28.06–$195.44 | $46.77–$325.73 | varies |
| Trim skin lesions over 4 (11057) | $140.50 | $234.17 | 0.7× |
| Trimming Nondystrophic Nails Any Number (11719) range across 4 matching MRF lines |
$9.50–$130.62 | $15.83–$217.70 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$28.83–$232.60 | $48.05–$387.67 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$174.28–$512.88 | $290.47–$854.80 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $352.85 | $588.09 | 0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $283.91 | $473.19 | 1.2× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) | $1,399.38 | $2,332.30 | 0.9× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$207.02–$1,925.09 | $345.03–$3,208.48 | varies |
| Urine Flow Measurement (51736) | $72.96 | $121.60 | 0.6× |
| Vasc embolize/occlude artery (37242) likely a partial charge, not the full procedure |
$580.27 | $967.12 | 0.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,477.12 | $2,461.87 | 0.7× |
| Ventilating tube removal requiring general anesthesia (69424) | $1,386.76 | $2,311.26 | 0.4× |
| Wedge excision skin nail fold (11765) | $296.91 | $494.85 | 0.8× |
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.