Procedures & surgery prices at Sky Lakes Medical Center

Klamath Falls, OR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $1,797.11–$2,085.61 $2,396.15–$2,780.81 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,103.83–$1,723.69 $1,471.77–$2,298.25 varies
Ablate inf turbinate submuc (30802) $2,238.10 $2,984.14 1.1×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,434.62 $1,912.83 0.7×
Acne surgery (10040) $198.28 $264.37 0.8×
Adding Walker Previously Applied Cast (29440) $165.80 $221.07 0.8×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,736.98 $2,315.97 0.7×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $2,244.77 $2,993.03 0.9×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,009.52 $5,346.02 0.9×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,244.77 $2,993.03 0.9×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,244.77 $2,993.03 0.9×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,736.98 $2,315.97 0.7×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,244.77 $2,993.03 0.9×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,244.77 $2,993.03 0.9×
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines		 $626.24–$793.61 $834.99–$1,058.15 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $5,451.71 $7,268.95 1.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $6,834.22 $9,112.29 1.6×
Amputation toe interphalangeal joint (28825) $6,198.83 $8,265.11 1.5×
Anal/Urinary Muscle Study (51784) $167.78 $223.70 1.0×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $137.42–$331.25 $183.22–$441.67 varies
Anoscopy; with biopsy, single or multiple (46606) $1,150.60 $1,534.13 0.8×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $541.90 $722.54 2.6×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $263.78–$476.33 $351.70–$635.11 varies
Application Cast Finger (29086)
range across 2 matching MRF lines		 $165.80–$334.41 $221.07–$445.88 varies
Application Cast Shoulder Spica (29055) $263.78 $351.70 0.7×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $69.08–$322.18 $92.11–$429.57 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $69.08–$288.74 $92.11–$384.98 varies
Application Hip Spica Cast 1 Leg (29305) $263.78 $351.70 0.7×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $165.80–$331.15 $221.07–$441.53 varies
Application Long Leg Cast Brace (29358) $263.78 $351.70 0.7×
Application Long Leg Cast Walker/Ambulatory Type (29355) $263.78 $351.70 0.7×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $165.80–$434.74 $221.07–$579.65 varies
Application of cylinder cast (thigh to ankle) (29365) $263.78 $351.70 0.7×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $263.78–$438.81 $351.70–$585.08 varies
Application of rigid total contact leg cast (29445) $263.78 $351.70 0.7×
Application Patellar Tendon Bearing Cast (29435) $263.78 $351.70 0.7×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $131.26–$333.59 $175.01–$444.79 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $131.26–$434.74 $175.01–$579.65 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $165.80–$296.90 $221.07–$395.86 varies
Application, cast; figure-of-eight Facility (29049) $215.32 $287.10 0.6×
Apply hand/wrist cast (29085) $165.80 $221.07 0.8×
Apply long arm cast (29065) $263.78 $351.70 0.7×
Apply Multlay Comprs Lwr Leg (29581) $165.80 $221.07 0.8×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $263.78–$382.53 $351.70–$510.04 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $263.78–$361.33 $351.70–$481.77 varies
Apply shoulder cast,plastr velpeau (29058) $263.78 $351.70 0.7×
Arterial puncture (36600)
range across 2 matching MRF lines		 $29.32–$34.17 $39.10–$45.56 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $277.24–$1,006.49 $369.65–$1,341.99 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $672 $896 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $277.24–$1,025.26 $369.65–$1,367.01 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $277.24 $369.65 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $277.24–$798.51 $369.65–$1,064.68 varies
Artificial insemination intra-uterine (58322) $185.72 $247.63 0.7×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $695.33–$2,199.77 $927.11–$2,933.03 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $695.33–$1,141.89 $927.11–$1,522.52 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $277.24–$546.47 $369.65–$728.63 varies
Aspiration & Injection Treatment Bone Cyst (20615) $1,551.34 $2,068.45 1.7×
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $1,951.41–$3,517.84 $2,601.88–$4,690.45 varies
Aspiration Bladder Needle (51100) $401.30 $535.06 1.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $198.28–$426.58 $264.37–$568.77 varies
Biopsy Abdominal Mass (49180) $5,078.15 $6,770.87 2.4×
Biopsy bone trocar/needle deep (20225) $7,358.67 $9,811.56 3.5×
Biopsy Bone Trocar/Needle Superficial (20220) $2,638.58 $3,518.11 1.3×
Biopsy External Auditory Canal (69105) $1,434.62 $1,912.83 0.7×
Biopsy external ear (69100)
range across 2 matching MRF lines		 $231.48–$1,013.02 $308.64–$1,350.69 varies
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $105.81–$3,897.11 $141.08–$5,196.15 varies
Biopsy nail unit (11755) $649.58 $866.10 0.7×
Biopsy Nasopharynx Visible Lesion Simple (42804) $2,502.29 $3,336.39 0.6×
Biopsy of floor of mouth (41108) $1,542.28 $2,056.38 0.7×
Biopsy of lip (40490) $231.48 $308.64 0.8×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $1,542.28–$3,349.82 $2,056.38–$4,466.42 varies
Biopsy of palate, uvula (42100) $1,434.62 $1,912.83 0.7×
Biopsy of penis (54100) $1,542.28 $2,056.38 0.7×
Biopsy of rectum (45100) $12,325.08 $16,433.44 3.5×
Biopsy Oropharynx (42800) $2,502.29 $3,336.39 1.3×
Biopsy Salivary Gland Incisional (42405) $2,502.29 $3,336.39 1.3×
Biopsy Salivary Gland Needle (42400)
range across 3 matching MRF lines		 $649.58–$1,891.46 $866.10–$2,521.95 varies
Biopsy soft tissue forearm&/wrist superficial (25065) $1,542.28 $2,056.38 0.7×
Biopsy soft tissue neck/thorax (21550) $1,542.28 $2,056.38 0.7×
Biopsy Tongue Anterior Two-Thirds (41100) $546.40 $728.53 0.8×
Biopsy Tongue Posterior One-Third (41105) $2,502.29 $3,336.39 0.6×
Biopsy Vaginal Mucosa Simple (57100) $626.24 $834.99 0.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $626.24 $834.99 0.5×
Biopsy, vestibule of mouth (40808) $546.40 $728.53 0.8×
Bladder instillation anticarcinogenic agent (51720) $317.46 $423.28 0.4×
Bladder Irrigation (51700)
range across 3 matching MRF lines		 $259.29–$411.08 $345.72–$548.11 varies
Bladder Scan (51798) $69.08 $92.11 0.9×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $317.61–$1,056.25 $423.48–$1,408.33 varies
Blood Transfusion Service (36430) $483.68 $644.90 0.9×
Bone Marrow Biopsy (38221) $4,306.56 $5,742.08 2.1×
Bone Marrow; Aspiration Only (38220) $337.67 $450.23 0.2×
Brnchsc Brushing/Protected Brushings (31623)
range across 3 matching MRF lines		 $1,608.02–$2,621.50 $2,144.02–$3,495.34 varies
Bronchoscopy Balloon Occlusion (31634) $6,043.22 $8,057.62 0.7×
Bronchoscopy Clear Airways (31645)
range across 3 matching MRF lines		 $1,608.02–$1,750.84 $2,144.02–$2,334.45 varies
Bronchoscopy Reclear Airway (31646)
range across 2 matching MRF lines		 $453.67–$1,892.63 $604.89–$2,523.51 varies
Bronchoscopy W/Biopsy(S) (31625)
range across 3 matching MRF lines		 $1,608.02–$2,759.23 $2,144.02–$3,678.97 varies
Bronchoscopy W/Excision Tumor (31640) $3,188.06 $4,250.75 0.7×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $6,043.22 $8,057.62 0.7×
Bronchoscopy W/Removal Foreign Body (31635)
range across 3 matching MRF lines		 $1,608.02–$2,928.33 $2,144.02–$3,904.44 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,217.91 $4,290.55 0.7×
Bronchoscopy/Needle Bx Each (31629)
range across 2 matching MRF lines		 $1,375.30–$3,217.91 $1,833.73–$4,290.55 varies
Bx breast 1st lesion mr imag (19085) $3,033.40 $4,044.53 1.4×
Bx breast 1st lesion strtctc (19081) $3,099.20 $4,132.27 1.5×
Bx breast 1st lesion us imag (19083) $3,099.20 $4,132.27 1.5×
Bx breast needle core w/o imaging guidance spx (19100) $1,542.28 $2,056.38 0.7×
Bx Cervix (57500) $626.24 $834.99 0.5×
Bx/exc lymph node open superficial (38500) $3,158.14 $4,210.86 0.6×
Canthotomy Separate Procedure (67715) $1,689.84 $2,253.12 0.6×
Catheter aspiration nasotracheal spx (31720)
range across 3 matching MRF lines		 $307.49–$362.14 $409.99–$482.86 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $305.95 $407.93 0.8×
Cautery Cervix Electro/Thermal (57510) $2,685.89 $3,581.19 0.7×
Cessj Therapy Cath Removal (37214) $7,269.80 $9,693.07 1.8×
Change Cystostomy Tube Complicated (51710) $630.74 $840.98 0.7×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $259.29–$668 $345.72–$890.67 varies
Change of Windpipe Airway (31502)
range across 3 matching MRF lines		 $231.48–$1,073.08 $308.64–$1,430.78 varies
Chemical Cautery Tissue (17250) $198.28 $264.37 0.8×
Chemical Pleurodesis (32560) $695.33 $927.11 0.9×
Chemodenerv 1 extrem 5/> mus (64644) $672 $896 0.8×
Chemodenerv 1 extremity 1-4 (64642) $672 $896 0.8×
Chemodenerv Eccrine Glands (64650) $277.24 $369.65 0.7×
Chemodenerv Musc Migraine (64615) $277.24 $369.65 0.7×
Chemodenerv musc neck dyston (64616) $277.24 $369.65 0.7×
Chemodenerv trunk musc 1-5 (64646) $672 $896 0.8×
Chemodenerv trunk musc 6/> (64647) $672 $896 0.8×
Chemodenervation eccrine glands oth area per day (64653) $277.24 $369.65 0.7×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $277.24 $369.65 0.7×
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,095.40–$1,141.89 $1,460.53–$1,522.52 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $6,427.88 $8,570.51 1.4×
Circumcision w/clamp/oth dev w/block (54150) $1,951.41 $2,601.88 0.7×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $1,473.20–$3,363.68 $1,964.27–$4,484.91 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,473.20–$2,070.90 $1,964.27–$2,761.20 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $131.26–$225.93 $175.01–$301.24 varies
Closed rx talotarsal disloc,anesth (28575) $2,941.92 $3,922.56 0.7×
Closed Treat Vert Body Fract (22310) $325.82 $434.43 1.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $567.38 $756.50 1.8×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $637.83 $850.44 0.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $252.11–$835.22 $336.15–$1,113.62 varies
Closed Treatment Sesamoid Fracture (28530) $252.11 $336.15 0.8×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $252.11–$368.67 $336.15–$491.56 varies
Closed tx ankle dislocation w/o anesthesia (27840) $692.48 $923.30 2.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,473.20–$2,141.05 $1,964.27–$2,854.73 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $252.11 $336.15 0.8×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $252.11–$637.83 $336.15–$850.44 varies
Closed tx carpal scaphoid fracture w/manj (25624) $1,473.20 $1,964.27 0.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $879.26 $1,172.34 2.8×
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,223.37 $4,297.83 1.6×
Closed tx knee dislocation w/o anesthesia (27550) $385.79 $514.39 1.2×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,689.16 $3,585.54 1.3×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,689.16 $3,585.54 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $1,434.62–$2,992.57 $1,912.83–$3,990.09 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $2,502.29–$2,992.57 $3,336.39–$3,990.09 varies
Closed tx patellar dislocation w/anesthesia (27562) $2,743.80 $3,658.40 8.8×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $252.11–$609.28 $336.15–$812.37 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines		 $252.11–$637.83 $336.15–$850.44 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $539.95–$1,473.20 $719.93–$1,964.27 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $252.11–$552.19 $336.15–$736.25 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $710.42–$1,473.20 $947.23–$1,964.27 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $252.11–$368.67 $336.15–$491.56 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,398–$1,473.20 $1,864–$1,964.27 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $252.11–$429.02 $336.15–$572.03 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $252.11–$478.78 $336.15–$638.37 varies
Closed tx talotarsal joint dislc w/o anes (28570) $252.11 $336.15 0.8×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $761.80–$1,473.20 $1,015.74–$1,964.27 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $252.11–$455.12 $336.15–$606.83 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $252.11 $336.15 0.8×
Closed tx tarsometatarsal dislocation w/o anes (28600) $252.11 $336.15 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $442.89 $590.52 1.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $584–$1,473.20 $778.66–$1,964.27 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $252.11–$360.51 $336.15–$480.68 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,595.38 $2,127.18 2.3×
Clsd tx acromioclavicular dislc w/manipulation (23545) $252.11 $336.15 0.8×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $252.11–$428.21 $336.15–$570.95 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $1,473.20–$3,585.53 $1,964.27–$4,780.71 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $252.11–$461.65 $336.15–$615.53 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,935.48 $3,913.97 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $252.11–$664.74 $336.15–$886.32 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,743.80 $3,658.40 1.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $612.54–$1,473.20 $816.72–$1,964.27 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $252.11–$272.42 $336.15–$363.23 varies
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,473.20 $1,964.27 0.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $252.11–$425.76 $336.15–$567.68 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,473.20 $1,964.27 0.7×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $252.11–$612.54 $336.15–$816.72 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $252.11–$641.90 $336.15–$855.87 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $252.11–$420.87 $336.15–$561.16 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $252.11–$637.83 $336.15–$850.44 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,011.39–$1,473.20 $1,348.52–$1,964.27 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $2,818.02 $3,757.36 1.4×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $584 $778.66 1.9×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $252.11 $336.15 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $5,935.30 $7,913.73 2.9×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $252.11 $336.15 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines		 $1,473.20–$2,066 $1,964.27–$2,754.67 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $252.11–$539.14 $336.15–$718.85 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines		 $252.11–$368.67 $336.15–$491.56 varies
Cltx Greater Trochanteric Fx W/O Manj (27246) $252.11 $336.15 0.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $1,473.20 $1,964.27 0.7×
Cltx hip dislocation traumatic req anesthesia (27252) $2,479.18 $3,305.57 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $609.28 $812.37 1.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 2 matching MRF lines		 $252.11–$368.67 $336.15–$491.56 varies
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $553–$1,473.20 $737.34–$1,964.27 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $816.45–$1,473.20 $1,088.60–$1,964.27 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $252.11 $336.15 0.8×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $593.78 $791.71 0.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665)
range across 2 matching MRF lines		 $263.78–$1,215.30 $351.70–$1,620.40 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $263.78–$2,743.80 $351.70–$3,658.40 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $252.11–$471.44 $336.15–$628.58 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,473.20–$2,154.10 $1,964.27–$2,872.13 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $252.11–$637.83 $336.15–$850.44 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $252.11–$604.39 $336.15–$805.85 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $1,473.20–$2,194.88 $1,964.27–$2,926.50 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,473.20 $1,964.27 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $252.11–$791.17 $336.15–$1,054.89 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Cltx post hip arthrp dislc req anes (27266) $3,211.97 $4,282.63 1.6×
Cltx post hip arthrp dislc w/o anes (27265) $483.68 $644.90 1.5×
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $1,473.20–$2,087.21 $1,964.27–$2,782.95 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $252.11–$360.51 $336.15–$480.68 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,473.20–$3,585.53 $1,964.27–$4,780.71 varies
Cltx prox tibfib jt dislc w/o anes (27830) $252.11 $336.15 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $252.11–$417.61 $336.15–$556.81 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,903.88 $2,538.51 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,703.86 $2,271.82 0.8×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,932.24 $2,576.32 0.9×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $642.72–$1,473.20 $856.96–$1,964.27 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $252.11–$539.95 $336.15–$719.93 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $904.29 $1,205.72 0.4×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $633.02 $844.03 2.0×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $2,941.92 $3,922.56 0.7×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $252.11–$519.56 $336.15–$692.75 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $252.11–$637.83 $336.15–$850.44 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $252.11–$402.92 $336.15–$537.23 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $550.55 $734.07 1.8×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,473.20–$2,433.04 $1,964.27–$3,244.06 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $252.11 $336.15 0.8×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315)
range across 2 matching MRF lines		 $1,695.76–$3,801.97 $2,261.01–$5,069.29 varies
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $129.28–$179.44 $172.38–$239.25 varies
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $19.83–$24.22 $26.44–$32.29 varies
Colporrhaphy (57200)
range across 2 matching MRF lines		 $2,409.13–$3,422.80 $3,212.17–$4,563.74 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $320.29 $427.05 0.8×
Colposcopy Cervix Endocervical Curettage (57456) $320.29 $427.05 0.8×
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $194.43–$372.22 $259.24–$496.29 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $320.29 $427.05 0.8×
Colposcopy cervix vag eltrd conization cervix (57461) $2,772.70 $3,696.94 0.7×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,772.70 $3,696.94 0.7×
Colposcopy entire vagina w/cervix if present (57420) $305.95 $407.93 0.8×
Colposcopy of vulva (56820) $185.72 $247.63 0.7×
Colposcopy Vulva W/Biopsy (56821) $305.95 $407.93 0.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $626.24 $834.99 0.5×
Colpotomy; with exploration (57000) $2,165.19 $2,886.92 0.5×
Complex Cystometrogram (51726) $259.29 $345.72 0.8×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $2,667.38–$6,142.55 $3,556.50–$8,190.07 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,648.54 $3,531.38 0.6×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $131.26–$392.32 $175.01–$523.09 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $131.26–$401.30 $175.01–$535.06 varies
Control oropharyngeal hemorrhage simple (42960) $487.75 $650.33 0.7×
Conversion ext bil drg cath (47535) $11,783.99 $15,711.99 2.6×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $3,384.89 $4,513.19 1.4×
Convert Nephrostomy Catheter (50434) $931.12 $1,241.50 0.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,883.24 $5,177.66 1.9×
Create Eardrum Opening (69433) $546.40 $728.53 0.8×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $360.94 $481.25 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $131.26–$409.45 $175.01–$545.93 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $231.48–$382.53 $308.64–$510.04 varies
Curettage postpartum (59160) $5,096.29 $6,795.05 1.2×
Curette/treat cornea (65435) $1,905.67 $2,540.89 1.5×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $2,042.90–$4,081.57 $2,723.86–$5,442.09 varies
Cysto w/complex removal stone & stent (52315) $2,042.90 $2,723.86 0.8×
Cysto w/insert ureteral stent (52332) $3,055.41 $4,073.88 0.7×
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines		 $2,683.90–$3,436.76 $3,578.54–$4,582.35 varies
Cysto w/removal of lesions small (52224)
range across 2 matching MRF lines		 $2,042.90–$4,235.40 $2,723.86–$5,647.20 varies
Cysto w/removal of tumors small (52234) $3,436.76 $4,582.35 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $2,042.90 $2,723.86 0.8×
Cystometrogram W/Up (51727) $624.45 $832.60 0.7×
Cystometrogram W/Vp (51728) $630.74 $840.98 0.7×
Cystometrogram W/Vp&Up (51729) $624.45 $832.60 0.7×
Cystoscopy implant stent (52282) $3,315.53 $4,420.71 0.7×
Cystostomy Cystotomy W/Drainage (51040) $4,766.79 $6,355.72 1.8×
Cystourethroscopy (52000) $660.30 $880.40 0.7×
Cystourethroscopy tx female urethral syndrome (52285) $660.30 $880.40 0.7×
Cystourethroscopy with biopsy (52204) $2,042.90 $2,723.86 0.8×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $2,042.90 $2,723.86 0.8×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $2,042.90 $2,723.86 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $541.90–$955.93 $722.54–$1,274.57 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $2,667.38–$5,583.85 $3,556.50–$7,445.13 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $649.58 $866.10 0.7×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines		 $649.58–$1,677.76 $866.10–$2,237.02 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $541.90–$1,460.80 $722.54–$1,947.74 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $69.08–$148.04 $92.11–$197.38 varies
Debride nail 6 or more (11721) $69.08 $92.11 0.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $1,542.28–$2,801.71 $2,056.38–$3,735.61 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $546.40 $728.53 0.8×
Debridement Mastoidectomy Cavity Simple (69220) $198.28 $264.37 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $352.60–$1,309.91 $470.13–$1,746.55 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $333.76–$516.30 $445.01–$688.40 varies
Decompress Fingers/Hand (26035) $2,952.60 $3,936.80 0.7×
Delivery of placenta (59414) $2,641.03 $3,521.37 0.6×
Destr penis lesion(s) (54065) $1,736.98 $2,315.97 0.7×
Destroy cerv/thor facet jnt (64633) $2,116.33 $2,821.77 0.9×
Destroy lumb/sac facet jnt (64635) $2,116.33 $2,821.77 0.9×
Destruct B9 Lesion 1-14 (17110) $198.28 $264.37 0.8×
Destruction Benign Lesions 15/> (17111) $198.28 $264.37 0.8×
Destruction Lesions Vulva Extensive (56515) $1,736.98 $2,315.97 0.7×
Destruction Lesions Vulva Simple (56501) $1,736.98 $2,315.97 0.7×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $352.60 $470.13 1.4×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $352.60 $470.13 1.4×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $352.60 $470.13 0.7×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $541.90 $722.54 0.6×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $541.90 $722.54 0.6×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $198.28 $264.37 0.8×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $198.28 $264.37 0.8×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $198.28 $264.37 0.8×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $352.60 $470.13 0.7×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $352.60 $470.13 0.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $198.28 $264.37 0.8×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $198.28 $264.37 0.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $198.28 $264.37 0.8×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $198.28 $264.37 0.8×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $352.60 $470.13 0.7×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $352.60 $470.13 0.7×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $198.28 $264.37 0.8×
Destruction of skin lesions (17106) $352.60 $470.13 0.7×
Destruction Premalignant Lesion 15/> (17004) $352.60 $470.13 0.7×
Destruction premalignant lesion 1st (17000) $198.28 $264.37 0.8×
Destruction Vaginal Lesions Extensive (57065) $2,648.54 $3,531.38 0.6×
Destruction Vaginal Lesions Simple (57061) $2,648.54 $3,531.38 0.6×
Diagnostic sigmoidoscopy (45330) $1,184.22 $1,578.96 1.0×
Diaphragm or cervical cap fitting with instructions (57170) $185.72 $247.63 0.7×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $167.78 $223.70 1.0×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $131.26 $175.01 0.8×
Dilat Urethral Strix Dilator Male Sbsq (53601) $131.26 $175.01 0.8×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $259.29 $345.72 0.8×
Dilat Xst Trc New Access Rcs (50437) $10,190.94 $13,587.92 2.3×
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $630.74–$3,747.85 $840.98–$4,997.13 varies
Dilate Urethra Stricture (53600) $1,015.47 $1,353.96 3.2×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $2,648.54–$4,870.16 $3,531.38–$6,493.55 varies
Dilation Cervical Canal (57800) $2,648.54 $3,531.38 0.6×
Drain Cerebro Spinal Fluid (62272)
range across 3 matching MRF lines		 $679.64–$1,225.90 $906.18–$1,634.53 varies
Drain Hand Tendon Sheath (26020) $2,725.85 $3,634.47 0.7×
Drain/inj small joint/bursa w/us (20604) $277.24 $369.65 0.7×
Drainage abscess parotid simple (42300)
range across 2 matching MRF lines		 $1,434.62–$3,503.64 $1,912.83–$4,671.52 varies
Drainage Abscess/Hematoma Nasal Septum (30020)
range across 2 matching MRF lines		 $546.40–$1,074.20 $728.53–$1,432.26 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $371.93–$649.58 $495.91–$866.10 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $1,542.28–$3,249.50 $2,056.38–$4,332.66 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $441.26–$649.58 $588.35–$866.10 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,486.90–$1,542.28 $1,982.54–$2,056.38 varies
Drainage Mouth Roof Lesion (42000) $457.58 $610.10 1.5×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $198.28–$370.30 $264.37–$493.73 varies
Drainage of gum lesion (41800)
range across 3 matching MRF lines		 $131.26–$571.76 $175.01–$762.35 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,542.28–$3,172.82 $2,056.38–$4,230.43 varies
Drainage of hydrocele (55000) $649.58 $866.10 0.7×
Drainage of mouth lesion (41017)
range across 2 matching MRF lines		 $2,502.29–$2,653.27 $3,336.39–$3,537.69 varies
Drainage of rectal abscess (45020) $3,201.38 $4,268.50 0.9×
Drainage of rectal abscess (45005)
range across 2 matching MRF lines		 $1,099.07–$2,446.10 $1,465.43–$3,261.46 varies
Drainage of salivary gland (42320) $546.40 $728.53 0.8×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,542.28–$2,184.27 $2,056.38–$2,912.36 varies
Drainage of scrotum (54700) $4,864.46 $6,485.94 1.8×
Drainage of skene's gland abscess or cyst (53060) $7,641.70 $10,188.93 2.9×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $129.28–$179.44 $172.38–$239.25 varies
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $546.40 $728.53 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $548.92–$649.58 $731.90–$866.10 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $546.40 $728.53 0.8×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $1,542.28 $2,056.38 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $526.09 $701.45 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $198.28–$666.38 $264.37–$888.50 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $198.28–$421.69 $264.37–$562.25 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $541.90 $722.54 0.6×
Dstrj les/scar vestibule mouth physical meths (40820) $2,502.29 $3,336.39 0.6×
Dstrj Lesion Anus Extensive (46924) $2,618.02 $3,490.70 0.7×
Dstrj Lesion Anus Simple Chemical (46900) $352.60 $470.13 0.7×
Dstrj lesion anus simple cryosurgery (46916) $198.28 $264.37 0.8×
Dstrj lesion anus simple surg excision (46922) $2,618.02 $3,490.70 0.7×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $1,736.98 $2,315.97 0.7×
Dstrj Lesion Penis Simple Chemical (54050) $352.60 $470.13 0.7×
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 2 matching MRF lines		 $198.28–$1,736.98 $264.37–$2,315.97 varies
Dstrj lesion penis simple surg excision (54060) $1,736.98 $2,315.97 0.7×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $352.60 $470.13 0.7×
Dx Bone Marrow Bx & Aspir (38222) $1,519.53 $2,026.04 0.4×
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines		 $1,436.85–$1,892.63 $1,915.80–$2,523.51 varies
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $1,608.02–$2,063.06 $2,144.02–$2,750.74 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines		 $1,608.02–$2,353.44 $2,144.02–$3,137.92 varies
Dx lmbr spi pnxr w/fluor/CT (62328) $1,346.62 $1,795.49 1.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,377.90 $1,837.20 0.6×
Egd control bleeding any (43255) $1,529.19 $2,038.92 0.6×
Egd Flexible Foreign Body Removal (43247) $1,802.36 $2,403.14 1.6×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,379.77 $1,839.69 0.6×
Egd place gastrostomy tube (43246) $2,073.97 $2,765.29 0.9×
Egd Varices Ligation (43244) $1,379.77 $1,839.69 0.6×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $356.43 $475.24 0.9×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $272.42 $363.23 0.7×
Electro-Uroflowmetry First (51741) $167.78 $223.70 0.6×
Endocervical curettage (57505) $626.24 $834.99 0.5×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $185.72–$518.74 $247.63–$691.66 varies
Endoscopic injection/implant (51715) $3,436.76 $4,582.35 0.8×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $1,347.43–$1,638 $1,796.57–$2,184 varies
Episiotomy or vaginal repair (59300) $2,366.16 $3,154.88 0.6×
Escharotomy; initial incision (16035) $804.22 $1,072.29 1.6×
Esophagoscopy Flexible Transoral Diagnostic (43200) $974.09 $1,298.79 0.8×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,282.50 $1,710 0.5×
Esophagoscopy Retro Balloon (43213) $3,039.15 $4,052.20 1.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $1,390.50–$2,085.26 $1,854–$2,780.34 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $131.26–$177.81 $175.01–$237.08 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $649.58–$1,470.59 $866.10–$1,960.79 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $1,542.28–$2,648.37 $2,056.38–$3,531.16 varies
Exc Back Les Sc < 3 Cm (21930) $1,542.28 $2,056.38 0.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $649.58 $866.10 0.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $649.58 $866.10 0.7×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,542.28 $2,056.38 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $649.58 $866.10 0.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $649.58 $866.10 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $649.58 $866.10 0.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,542.28 $2,056.38 0.7×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,542.28 $2,056.38 0.7×
Exc Frenum Labial/Buccal (40819) $1,434.62 $1,912.83 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,542.28–$3,526.81 $2,056.38–$4,702.41 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $649.58–$3,142.64 $866.10–$4,190.19 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $1,542.28–$1,656.56 $2,056.38–$2,208.74 varies
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $2,502.29 $3,336.39 0.6×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $2,502.29 $3,336.39 0.6×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,473.20 $1,964.27 0.7×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $2,502.29 $3,336.39 0.6×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $2,502.29 $3,336.39 0.6×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $2,502.29 $3,336.39 0.6×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $2,502.29 $3,336.39 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $234–$3,154.88 $312–$4,206.51 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,542.28 $2,056.38 0.7×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,667.38 $3,556.50 0.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,542.28 $2,056.38 0.7×
Exc Skin Benig >4cm Face,Facial (11446) $2,667.38 $3,556.50 0.7×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,542.28 $2,056.38 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,667.38 $3,556.50 0.7×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,542.28 $2,056.38 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $1,099.07–$3,141.83 $1,465.43–$4,189.11 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $352.60–$1,871.89 $470.13–$2,495.85 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $649.58–$2,012.18 $866.10–$2,682.90 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $1,542.28–$3,154.88 $2,056.38–$4,206.51 varies
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $2,667.38 $3,556.50 0.7×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $1,542.28 $2,056.38 0.7×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $2,667.38 $3,556.50 0.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,542.28 $2,056.38 0.7×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,667.38 $3,556.50 0.7×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $11,783.99 $15,711.99 2.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 6 matching MRF lines		 $2,160.62–$2,312.32 $2,880.83–$3,083.10 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $7,159.60 $9,546.14 2.9×
Excis Mouth Mucosa/Sub,No Repair (40810) $2,502.29 $3,336.39 0.6×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $2,502.29 $3,336.39 1.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $649.58 $866.10 0.7×
Excision Aural Polyp (69540) $1,854.02 $2,472.03 0.9×
Excision External Ear Partial Simple Repair (69110) $2,667.38 $3,556.50 0.7×
Excision H/P/P/U Simple/Intermediate Repair (11470) $5,986.77 $7,982.36 1.6×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $2,667.38 $3,556.50 0.7×
Excision lesion mouth roof (42104) $2,502.29 $3,336.39 0.6×
Excision Lesion Tongue W/O Closure (41110)
range across 2 matching MRF lines		 $2,502.29–$3,893.03 $3,336.39–$5,190.71 varies
Excision Lingual Frenum Frenectomy (41115) $1,434.62 $1,912.83 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $649.58 $866.10 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $649.58 $866.10 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $352.60 $470.13 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $649.58 $866.10 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $649.58 $866.10 0.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,542.28 $2,056.38 0.7×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,667.38 $3,556.50 0.7×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,542.28 $2,056.38 0.7×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $649.58 $866.10 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $649.58 $866.10 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,542.28 $2,056.38 0.7×
Excision Multiple External Papillae/Tags Anus (46230)
range across 2 matching MRF lines		 $2,618.02–$3,919.90 $3,490.70–$5,226.53 varies
Excision nasal polyp(s) simple (30110) $1,434.62 $1,912.83 0.7×
Excision of bartholin's gland or cyst (56740) $2,648.54 $3,531.38 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $2,667.38 $3,556.50 0.7×
Excision of single external papilla or tag, anus (46220) $1,099.07 $1,465.43 0.7×
Excision of tonsil tags (42860) $2,502.29 $3,336.39 0.6×
Excision of vaginal cyst or tumor (57135) $3,422.80 $4,563.74 0.8×
Excision prepatellar bursa (27340) $3,610 $4,813.34 0.9×
Excision soft tissue lesion, external auditory canal (69145) $2,667.38 $3,556.50 0.7×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $5,190.70 $6,920.94 2.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,542.28 $2,056.38 0.7×
Excision/destruction intranasal lesion int appr (30117) $2,502.29 $3,336.39 0.6×
Excision/destruction lesion pharynx any method (42808) $2,502.29 $3,336.39 0.6×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $1,736.98–$3,143.46 $2,315.97–$4,191.28 varies
Expl po hemrrg thrombosis/infctj xtr (35860) $2,650.53 $3,534.04 0.7×
Explo/Drain Breast Abscess (19020) $2,954.24 $3,938.98 1.4×
Exploration of knee joint (27310) $5,260.85 $7,014.47 1.3×
Exploration penetrating wound spx extremity (20103) $2,239.74 $2,986.32 1.1×
External cephalic version (59412) $479.21 $638.95 0.1×
Fetal Contraction Stress Test (59020) $185.72 $247.63 0.7×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $185.72–$624.43 $247.63–$832.57 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,388.18 $3,184.24 2.7×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $352.60–$535.88 $470.13–$714.50 varies
Fluid Pressure Muscle (20950) $576.65 $768.87 0.6×
Fluoro exam of g/colon tube (49465) $279.76 $373.02 0.9×
Fna Bx W/Fluor Gdn 1St Les (10007) $2,388.18 $3,184.24 2.7×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $714.53–$2,388.18 $952.71–$3,184.24 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $259.29–$659.85 $345.72–$879.80 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,244.77 $2,993.03 0.9×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,244.77 $2,993.03 0.9×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $6,411.98 $8,549.30 0.9×
Guide Cathet Fluid Drainage (10030) $538.32 $717.76 0.6×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,618.02 $3,490.70 0.7×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $2,618.02 $3,490.70 0.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $835.29 $1,113.72 0.7×
Hymenotomy Simple Incision (56442) $2,978.57 $3,971.43 0.7×
Hysteroscopy Dx Sep Proc (58555) $2,648.54 $3,531.38 0.6×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $2,502.29 $3,336.39 0.6×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $231.48–$672.08 $308.64–$896.11 varies
I&d abscess simple (10060)
range across 4 matching MRF lines		 $153–$717.76 $204–$957.01 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,562.70 $4,750.26 1.0×
I&D Intramural Im/Absc Transanal Anes (46045) $10,794.13 $14,392.17 3.1×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $835.29–$1,811.53 $1,113.72–$2,415.37 varies
I&d pilonidal cyst complicated (10081) $649.58 $866.10 0.7×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $584–$649.58 $778.66–$866.10 varies
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines		 $1,542.28–$3,536.60 $2,056.38–$4,715.46 varies
Image Cath Fluid Colxn Visc (49405) $4,783.80 $6,378.40 2.3×
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines		 $4,966.04–$4,987.58 $6,621.38–$6,650.11 varies
Image Cath Fluid Trns/Vgnl (49407) $3,258.94 $4,345.26 1.6×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $259.29–$791.17 $345.72–$1,054.89 varies
Incise finger tendon sheath (26055) $1,473.20 $1,964.27 0.7×
Incise/Drain Conjunctiva (68020) $832.42 $1,109.90 0.7×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $352.60–$656.59 $470.13–$875.45 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $2,667.38 $3,556.50 0.7×
Incision & removal foreign body subq tiss compl (10121) $1,542.28 $2,056.38 0.7×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $352.60–$664.74 $470.13–$886.32 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $185.72–$540.76 $247.63–$721.02 varies
Incision and drainage of the tear gland (68400) $832.42 $1,109.90 0.7×
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $305.95–$612.54 $407.93–$816.72 varies
Incision of eardrum (69420) $231.48 $308.64 0.8×
Incision of labial frenum (frenotomy) (40806) $546.40 $728.53 0.8×
Incision of lingual frenum (frenotomy) (41010) $1,434.62 $1,912.83 0.7×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,099.07–$3,110.02 $1,465.43–$4,146.69 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $1,993.16–$2,101.26 $2,657.55–$2,801.68 varies
Incisional biopsy eyelid skin & lid margin (67810) $317.61 $423.48 0.8×
Incisional biopsy skin single lesion (11106) $386.87 $515.83 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $239.80 $319.73 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $2,607.58–$2,770.72 $3,476.78–$3,694.29 varies
Inj W/Fluor Eval Cv Device (36598) $810.74 $1,080.99 3.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,770.72 $3,694.29 2.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $277.24–$1,118.24 $369.65–$1,490.98 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $880.84 $1,174.46 0.8×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $880.84 $1,174.46 0.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $857.72–$880.84 $1,143.63–$1,174.46 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,085.61 $1,447.48 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $679.64 $906.18 0.8×
Injection anesthetic agent suprascapular nerve (64418) $679.64 $906.18 0.8×
Injection for identification of sentinel node (38792) $732.97 $977.29 1.4×
Injection Into Brain Canal (61055) $1,955.90 $2,607.86 5.0×
Injection procedure for peyronie disease (54200) $259.29 $345.72 0.8×
Injection single tendon origin/insertion (20551) $277.24 $369.65 0.7×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines		 $277.24–$1,269.13 $369.65–$1,692.17 varies
Injection single/mlt trigger point 3/> muscles (20553) $277.24 $369.65 0.7×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $277.24–$1,118.24 $369.65–$1,490.98 varies
Injection, anesthetic agent; brachial plexus, single (64415) $880.84 $1,174.46 0.8×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 4 matching MRF lines		 $672–$1,602.35 $896–$2,136.47 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $672–$1,047.28 $896–$1,396.37 varies
Injection, anesthetic agent; vagus nerve (64408) $279.71 $372.95 0.7×
Injection, Intralesional; More Than 7 Lesions (11901) $198.28 $264.37 0.8×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $179.44–$198.28 $239.25–$264.37 varies
Ins cath ren art 1st bilat (36252) $3,861.38 $5,148.50 1.0×
Ins cath ren art 1st unilat (36251) $3,861.38 $5,148.50 1.0×
Ins endovas vena cava filtr (37191) $7,606.44 $10,141.92 1.1×
Insert 1 Electrode Pm-Defib (33216) $5,347.42 $7,129.89 0.5×
Insert and remove bone pin (20650) $4,375.07 $5,833.43 1.1×
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $167.78–$527.72 $223.70–$703.62 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $3,058.64–$3,145.90 $4,078.18–$4,194.54 varies
Insert cath pleura w/o image (32556) $2,148.38 $2,864.51 0.9×
Insert cervical dilator (59200) $860.97 $1,147.96 2.2×
Insert Drug Implant Device (11981) $131.26 $175.01 0.8×
Insert Gastrostomy Tube Percutaneous (49440) $3,340.03 $4,453.37 1.4×
Insert Heart Pm Atrial (33206) $13,513.70 $18,018.26 1.0×
Insert Heart Pm Ventricular (33207) $13,059.68 $17,412.91 1.0×
Insert Nasal Septal Button (30220) $1,434.62 $1,912.83 0.7×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $2,323.75–$2,422.44 $3,098.33–$3,229.92 varies
Insert Pacing Lead & Connect (33224) $24,703.12 $32,937.50 1.9×
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $185.72–$197.38 $247.63–$263.18 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $2,252.79–$2,348.21 $3,003.72–$3,130.95 varies
Insert pulse gen dual leads (33213) $12,761.43 $17,015.24 1.0×
Insert Pulse Gen Sngl Lead (33212) $11,169.63 $14,892.84 1.1×
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $4,717.64 $6,290.19 0.2×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $55.29–$251.21 $73.72–$334.95 varies
Insert tunneled cv cath (36561) $8,042.18 $10,722.90 2.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines		 $32.30–$228.55 $43.07–$304.73 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $5,392.17 $7,189.56 2.7×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,330.07 $12,440.09 0.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $15,087.44 $20,116.58 1.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,026.04 $2,701.39 0.5×
Insj Picc Rs&I <5 Yr (36572) $2,348.21 $3,130.95 3.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines		 $4,701.32–$4,901.97 $6,268.43–$6,535.96 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $3,623.87–$5,436.22 $4,831.83–$7,248.29 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $26,726.31 $35,635.08 0.7×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $6,654.64–$7,280.96 $8,872.85–$9,707.94 varies
Insrt heart pm atrial & vent (33208) $15,232.92 $20,310.56 1.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $725.10 $966.80 1.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $619.06 $825.42 1.2×
Intranasal Biopsy (30100) $1,434.62 $1,912.83 0.7×
Intraoral i&d tongue/floor lingual (41000) $3,000.73 $4,000.97 4.4×
Intraoral i&d tongue/floor sublngl supfc (41005) $231.48 $308.64 0.8×
Intraoral i&d tongue/floor submndblr space (41008)
range across 2 matching MRF lines		 $2,502.29–$3,586.35 $3,336.39–$4,781.80 varies
Intro Gastrointestinal Tube (44500) $2,424.88 $3,233.18 2.1×
Intubation endotracheal emergency procedure (31500) $811.13 $1,081.51 2.7×
Irrigation maxillary sinus (31000) $231.48 $308.64 0.8×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $259.29–$809.92 $345.72–$1,079.90 varies
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) $5,085.04 $6,780.06 0.7×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $192.55–$278.84 $256.73–$371.79 varies
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $192.55–$571.54 $256.73–$762.06 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,608.02 $2,144.02 0.7×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $453.67 $604.89 0.9×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $995.80 $1,327.73 2.0×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $266.99 $355.99 1.1×
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $1,608.02–$3,939.75 $2,144.02–$5,253 varies
Ligation of a-v fistula (37607) $3,473.84 $4,631.79 0.9×
Ligation or biopsy temporal artery (37609) $1,542.28 $2,056.38 0.7×
Ligation, internal jugular vein Facility (37565) $6,479.11 $8,638.81 1.6×
Lithotripsy, extracorporeal shock wave (50590)
range across 4 matching MRF lines		 $309.39–$7,589.49 $412.52–$10,119.32 varies
Lysis Intranasal Synechia (30560) $546.40 $728.53 0.8×
Lysis of labial adhesions (56441) $2,648.54 $3,531.38 0.6×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $541.90 $722.54 0.6×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $541.90 $722.54 0.6×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $679.64–$879.26 $906.18–$1,172.34 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $672–$879.26 $896–$1,172.34 varies
N Block Inj Plantar Digit (64455) $277.24 $369.65 0.7×
N Block Inj Pudendal (64430) $1,561.94 $2,082.59 1.4×
N Block Lumbar/Thoracic (64520) $2,068.46 $2,757.94 1.8×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $192.55–$515.50 $256.73–$687.33 varies
Nasal/Orogastric W/Tube Plmt (43752) $868.65 $1,158.20 1.5×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $453.67 $604.89 0.9×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,608.02 $2,144.02 0.7×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $1,608.02–$4,174.91 $2,144.02–$5,566.55 varies
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $6,043.22 $8,057.62 0.7×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $6,043.22 $8,057.62 0.7×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $1,608.02 $2,144.02 0.7×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $1,418.18–$3,583.50 $1,890.90–$4,778 varies
Needle Biopsy Pancreas (48102) $3,830.62 $5,107.50 1.8×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $656.25 $875 0.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $453.86 $605.15 1.1×
Njx anes stellate ganglion crv sympathetic (64510) $1,003.23 $1,337.64 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $277.24–$597.86 $369.65–$797.15 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,523.81 $2,031.75 0.3×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $8,297.63 $11,063.51 1.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $2,607.58–$2,770.72 $3,476.78–$3,694.29 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,137.81 $1,517.08 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,137.81 $1,517.08 1.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 3 matching MRF lines		 $714.66–$1,064 $952.88–$1,418.67 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines		 $714.66–$1,429.31 $952.88–$1,905.75 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $352.60 $470.13 0.7×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $352.60 $470.13 0.7×
Njx Sclrsnt Spider Veins (36468) $198.28 $264.37 0.4×
Obstructive material removal from gi tube (49460) $1,117.36 $1,489.81 1.0×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $277.24–$1,334.38 $369.65–$1,779.17 varies
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $8,260.19 $11,013.59 0.9×
Open Tx Distal Phalangeal Fracture Each (26765) $4,820.41 $6,427.21 1.2×
Open Tx Distal Tibiofibular Joint Disruption (27829) $5,772.37 $7,696.49 0.6×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $8,088.66 $10,784.88 2.0×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $9,164.98 $12,219.97 1.0×
Open/Perq Place Stent 1St (37236) $13,363.16 $17,817.54 0.9×
Open/Perq Place Stent Same (37238) $16,811.71 $22,415.61 1.1×
Partial Excision Distal Phalanx Finger (26236) $4,126.30 $5,501.74 2.0×
Partial excision of lip (40520) $2,502.29 $3,336.39 0.6×
Penile Injection (54235)
range across 2 matching MRF lines		 $259.29–$381.72 $345.72–$508.96 varies
Perc Rf Ablate Renal Tumor (50592) $12,199.47 $16,265.96 1.6×
Percut Ablate Liver Rf (47382) $13,046.57 $17,395.43 1.7×
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines		 $1,650–$1,665 $2,200–$2,220 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $7,623 $10,164 1.9×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $2,941.92 $3,922.56 0.7×
Pericardiocentesis W/Imaging (33016) $3,183.64 $4,244.86 1.6×
Perq Cervicothoracic Inject (22510) $8,116.42 $10,821.90 2.0×
Perq dev breast 1st mr guide (19287) $2,729.05 $3,638.73 3.0×
Perq dev breast 1st strtctc (19283) $2,480.96 $3,307.94 2.8×
Perq dev breast 1st us imag (19285) $2,729.05 $3,638.73 3.0×
Perq device breast 1st imag (19281) $2,729.05 $3,638.73 1.3×
Perq dilation xst trc endourologic px w/img (50436) $6,057.54 $8,076.72 1.4×
Perq Lumbosacral Injection (22511) $8,116.42 $10,821.90 2.0×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $6,843.78 $9,125.04 0.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,191.61 $2,922.15 2.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $7,414.13 $9,885.51 1.8×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $8,803.46 $11,737.94 0.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,355.53 $5,807.37 0.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $12,947.94 $17,263.92 1.4×
Perq Vertebral Augmentation (22513) $12,947.94 $17,263.92 1.4×
Place Cath Subclavian Art (36225) $6,193.69 $8,258.25 1.5×
Place Duod/Jej Tube Perc (49441) $3,947.68 $5,263.57 1.6×
Place Rt Device/Marker Pros (55876) $3,205.69 $4,274.25 1.8×
Placement of needle for intraosseous infusion (36680) $509.78 $679.70 0.9×
Plastic Repair Canaliculi (68700) $2,711.48 $3,615.30 0.9×
Plmt Bile Duct Stent Prq Existing Access (47538) $18,974.14 $25,298.86 2.5×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
unusually low: confirm this is the full procedure		 $3,166.54 $4,222.06 0.4×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $22,291.89 $29,722.52 2.9×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines		 $3,014.32–$3,285.59 $4,019.10–$4,380.79 varies
Plmt Nephroureteral Catheter (50433) $2,396.09 $3,194.79 0.5×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,225.02 $4,300.03 0.7×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,242.15 $4,322.87 0.7×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,853.10 $3,804.13 0.6×
Prim art mech thrombectomy (37184) $25,410 $33,880 1.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $698.25–$1,103.34 $931–$1,471.12 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $2,051.32 $2,735.10 2.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $10,029.88 $13,373.17 2.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $10,029.88 $13,373.17 2.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $3,699.73 $4,932.97 0.9×
Pseudoaneurysm Injection Trt (36002)
range across 3 matching MRF lines		 $497.89–$720.07 $663.85–$960.09 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $217.12–$1,003.23 $289.50–$1,337.64 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $352.60–$571.76 $470.13–$762.35 varies
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines		 $77.96–$1,736.74 $103.95–$2,315.66 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 3 matching MRF lines		 $672–$1,480.38 $896–$1,973.84 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,949.37 $2,599.16 0.8×
Rdctj torsion tstis w/wo fixj clat testis (54600) $4,398.03 $5,864.04 1.0×
Redo Endovas Vena Cava Filtr (37192) $6,225 $8,300 1.6×
Reduction of rectal prolapse (45900) $757.72 $1,010.30 0.6×
Relocation Pocket Pacemaker (33222) $1,725.36 $2,300.48 0.7×
Rem Endovas Vena Cava Filter (37193) $5,594.42 $7,459.23 1.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $2,613.10 $3,484.13 2.3×
Removal Embedded Foreign Body Eyelid (67938) $361.24 $481.66 0.9×
Removal foreign body foot deep (28192) $4,904.42 $6,539.23 2.3×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $649.58–$1,096.22 $866.10–$1,461.62 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $1,542.28–$1,887.38 $2,056.38–$2,516.51 varies
Removal foreign body upper arm/elbow deep (24201) $2,671.21 $3,561.61 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $69.08–$260.19 $92.11–$346.92 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $69.08–$201.46 $92.11–$268.62 varies
Removal Implant Superficial Separate Procedure (20670) $4,079.16 $5,438.88 1.9×
Removal implantable contraceptive capsules (11976) $649.58 $866.10 0.7×
Removal of a lesion from the floor of the mouth (41116) $2,502.29 $3,336.39 0.6×
Removal of foreign body from pharynx (42809) $257.74 $343.65 0.5×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $352.60–$1,749.54 $470.13–$2,332.72 varies
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $263.78–$472.25 $351.70–$629.67 varies
Removal Pacemaker Electrode (33235) $2,628.22 $3,504.30 0.6×
Removal ppm generator only (33233)
likely a partial charge, not the full procedure		 $2,628.22 $3,504.30 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $198.28–$338.49 $264.37–$451.32 varies
Removal subcutaneous cardiac rhythm monitor (33286) $942.10 $1,256.14 1.1×
Removal Submand Stone,Complicated (42335) $2,502.29 $3,336.39 0.6×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $225.11–$263.78 $300.15–$351.70 varies
Remove drug implant device (11982)
range across 2 matching MRF lines		 $390.28–$858.31 $520.38–$1,144.41 varies
Remove Elctrd Transvenously (33244) $6,466.04 $8,621.39 1.4×
Remove Forearm Foreign Body (25248) $3,261.04 $4,348.05 1.6×
Remove foreign body from eye (65235) $1,740.75 $2,321 0.6×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $109.72–$303.91 $146.30–$405.21 varies
Remove Int Dwell Ureteral Stent Transurethral (50386) $2,521.88 $3,362.51 1.0×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $185.72–$292 $247.63–$389.33 varies
Remove intrvas foreign body (37197) $8,464.57 $11,286.09 2.1×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $131.26–$327.07 $175.01–$436.09 varies
Remove Pulse Generator (33241) $6,466.04 $8,621.39 1.4×
Remove renal tube w/fluoro (50389)
range across 3 matching MRF lines		 $1,831.77–$1,996.64 $2,442.36–$2,662.18 varies
Remove Tendon Sheath Lesion (26160) $1,473.20 $1,964.27 0.7×
Remove&replace pm gen singl (33227) $12,610.94 $16,814.58 1.2×
Remove/Insert Drug Implant (11983) $390.28 $520.38 0.7×
Remv&replc cvd gen dual lead (33263) $30,390.40 $40,520.53 1.1×
Remv&replc cvd gen mult lead (33264) $36,425.38 $48,567.17 0.9×
Remv&replc cvd gen sing lead (33262) $30,390.40 $40,520.53 1.1×
Remv&replc pm gen dual lead (33228) $14,065.80 $18,754.40 1.1×
Remv&replc pm gen mult leads (33229) $18,967.06 $25,289.41 0.8×
Renal Biopsy Perq (50200) $6,641.35 $8,855.13 3.2×
Repair Achilles Tendon (27650) $9,420.84 $12,561.12 1.0×
Repair Blood Vessel Direct Hand Finger (35207) $3,309.20 $4,412.27 0.8×
Repair blood vessel direct neck (35201)
unusually low: confirm this is the full procedure		 $2,708.26 $3,611.01 0.4×
Repair Blood Vessel Direct Upper Extremity (35206) $2,963.17 $3,950.89 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $541.90–$1,406.97 $722.54–$1,875.96 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $541.90–$1,620.67 $722.54–$2,160.89 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $352.60–$692.48 $470.13–$923.30 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $541.90–$996.70 $722.54–$1,328.94 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $309.94–$541.90 $413.26–$722.54 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $541.90–$1,039.12 $722.54–$1,385.49 varies
Repair complex trunk 1.1-2.5 cm (13100) $541.90 $722.54 0.6×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $541.90–$1,018.73 $722.54–$1,358.31 varies
Repair extensor tendon finger w/o graft each (26418) $3,426.49 $4,568.65 1.7×
Repair Eyelid Wound (67935) $1,421.22 $1,894.96 0.5×
Repair Finger/Hand Tendon (26350) $4,413.40 $5,884.54 1.1×
Repair Hand Tendon (26410) $3,638.55 $4,851.40 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $352.60–$644.36 $470.13–$859.14 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $352.60–$662.30 $470.13–$883.06 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $352.60–$597.86 $470.13–$797.15 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $352.60–$661.48 $470.13–$881.97 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $541.90–$708.79 $722.54–$945.05 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $352.60–$763.43 $470.13–$1,017.91 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $352.60–$710.42 $470.13–$947.23 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $541.90–$631.30 $722.54–$841.74 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,736.98 $2,315.97 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $352.60–$1,083.98 $470.13–$1,445.31 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $352.60–$558.71 $470.13–$744.95 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $352.60–$675.34 $470.13–$900.46 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $541.90–$662.30 $722.54–$883.06 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $352.60–$591.34 $470.13–$788.45 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,212.04–$1,736.98 $1,616.05–$2,315.97 varies
Repair lead pace-defib dual (33220) $4,957.30 $6,609.73 1.0×
Repair Leg Fascia Defect (27656) $7,206.14 $9,608.19 1.7×
Repair of nail bed (11760) $594.60 $792.80 0.6×
Repair Spica/Body/Jacket Cast (29720) $165.80 $221.07 0.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,851.43 $5,135.24 0.9×
Repair tongue laceration (41252) $1,234.60 $1,646.14 4.1×
Repair tongue laceration (41250) $318.10 $424.13 0.6×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
unusually low: confirm this is the full procedure		 $3,384.08 $4,512.10 0.4×
Replace duodenostomy/jejunostomy tube perq (49451) $1,794.40 $2,392.53 1.6×
Replace G-J Tube Perc (49452) $1,973.84 $2,631.79 1.7×
Replace g/c tube perc (49450) $2,033.38 $2,711.17 1.8×
Reposition Pacing-Defib Lead (33215) $3,018.50 $4,024.67 0.8×
Revise/Repair Finger/Toe Nerve (64702) $5,184.18 $6,912.24 2.1×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $4,652.38 $6,203.18 2.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $854.14 $1,138.85 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $297.19–$358.88 $396.25–$478.50 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $320.25 $427 1.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $279.24 $372.32 0.5×
Rmvl fecal impaction/fb spx under anes (45915) $4,430.54 $5,907.38 2.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $918.40 $1,224.54 0.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,879.62 $5,172.83 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $695.33–$2,042.36 $927.11–$2,723.14 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $695.33–$1,922.45 $927.11–$2,563.27 varies
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $263.78 $351.70 0.7×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $285.22–$651.69 $380.29–$868.92 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,348.21 $3,130.95 1.2×
Rpr blood vessel direct lower extremity (35226) $1,933.67 $2,578.23 2.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $198.28–$450.23 $264.37–$600.31 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $352.60–$816.45 $470.13–$1,088.60 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $879.26 $1,172.34 2.9×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $2,108.89 $2,811.85 0.7×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $3,365.38 $4,487.18 0.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,283.81 $1,711.75 1.9×
Rpr Lip Full Thickness Vermilion Only (40650) $1,994.23 $2,658.97 2.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,373.50 $3,164.67 1.2×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $5,161.34 $6,881.79 1.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,260.85 $7,014.47 1.3×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $4,399.54 $5,866.05 1.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $937.16 $1,249.55 1.2×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $5,237.20 $6,982.93 1.3×
Shave skin lesion 0.5 cm/< (11300) $198.28 $264.37 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $198.28 $264.37 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $352.60 $470.13 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $198.28 $264.37 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $198.28 $264.37 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $198.28–$338.49 $264.37–$451.32 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $352.60 $470.13 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $198.28 $264.37 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $352.60 $470.13 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $198.28 $264.37 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $352.60 $470.13 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $198.28 $264.37 0.8×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $2,502.29 $3,336.39 0.6×
Simple Cystometrogram (51725) $259.29 $345.72 0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $352.60–$420.87 $470.13–$561.16 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $198.28–$426.58 $264.37–$568.77 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $198.28–$426.58 $264.37–$568.77 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $352.60–$473.07 $470.13–$630.76 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $198.28–$455.12 $264.37–$606.83 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $521.19 $694.92 2.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $95.91–$426.58 $127.88–$568.77 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $198.28–$543.21 $264.37–$724.28 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $198.28–$442.07 $264.37–$589.43 varies
Skin Full Grft Face/Genit/Hf (15240) $2,244.77 $2,993.03 0.9×
Skin sub graft face/nk/hf/g (15275) $2,244.77 $2,993.03 2.4×
Skin sub graft trnk/arm/leg (15271) $2,244.77 $2,993.03 2.4×
Skin sub grft t/arm/lg child (15273) $4,009.52 $5,346.02 1.5×
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $261.82–$267.52 $349.09–$356.70 varies
Skn sub grft f/n/hf/g child (15277) $2,244.77 $2,993.03 0.9×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $6,712.16 $8,949.54 1.0×
Slitting of prepuce (54001) $2,824.54 $3,766.06 1.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $198.28–$426.58 $264.37–$568.77 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $352.60–$450.23 $470.13–$600.31 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $352.60–$529.35 $470.13–$705.80 varies
Sphincterotomy anal division sphincter spx (46080) $2,618.02 $3,490.70 0.7×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $679.64–$2,338.42 $906.18–$3,117.90 varies
Strapping ankle (29540) $165.80 $221.07 0.8×
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $39.48–$322.18 $52.64–$429.57 varies
Strapping hand/finger (29280) $39.48 $52.64 0.5×
Strapping Hip (29520) $69.08 $92.11 0.4×
Strapping knee (29530)
range across 2 matching MRF lines		 $131.26–$235.72 $175.01–$314.29 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $131.26–$309.13 $175.01–$412.17 varies
Strapping thorax (29200) $165.80 $221.07 0.8×
Strapping toes (29550) $69.08 $92.11 0.9×
Strapping Unna Boot (29580) $165.80 $221.07 0.8×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,279.89 $3,039.85 0.8×
Suture 1 nerve hand/foot common sensory nerve (64834) $9,629.40 $12,839.20 2.2×
Suture digital nerve hand/foot 1 nerve (64831) $9,295.81 $12,394.41 3.8×
Suture infrapatellar tendon primary (27380) $5,399.51 $7,199.35 0.6×
Suture pharynx for wound or injury (42900) $3,372.65 $4,496.87 1.7×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $217.12–$423.32 $289.50–$564.42 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,346.62 $1,795.49 1.5×
Thrmbc/Nfs Dialysis Circuit (36906) $13,343.75 $17,791.67 0.6×
Thromblytic art/ven therapy (37213) $7,996.78 $10,662.38 2.0×
Thrombolytic Art Therapy (37211) $12,120.57 $16,160.76 1.7×
Thrombolytic Therapy Stroke (37195) $692.08 $922.78 1.7×
Thrombolytic Venous Therapy (37212) $7,996.78 $10,662.38 2.0×
Thyroid biopsy (60100)
range across 3 matching MRF lines		 $649.58–$1,576.63 $866.10–$2,102.17 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $2,244.77–$5,350.67 $2,993.03–$7,134.23 varies
Tooth extraction (41899)
range across 3 matching MRF lines		 $299.15–$1,241.50 $398.87–$1,655.33 varies
Tprnl Plmt Biodegrdabl Matrl (55874) $11,971.04 $15,961.38 1.8×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $572.01–$1,912.87 $762.68–$2,550.49 varies
Tracheostoma revj smpl w/o flap rotation (31613) $2,502.29 $3,336.39 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $2,383.06 $3,177.42 7.9×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,361.40 $3,148.53 1.2×
Treat Big Toe Fracture (28505) $9,940.97 $13,254.63 2.4×
Treat Finger Fracture Each (26727) $5,937.83 $7,917.11 1.4×
Treat fracture radius/ulna (25575) $15,806.86 $21,075.81 1.7×
Treat Hip Socket Fracture (27222) $3,001.48 $4,001.98 9.6×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $252.11–$385.79 $336.15–$514.39 varies
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $891.49–$1,473.20 $1,188.65–$1,964.27 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $252.11–$637.83 $336.15–$850.44 varies
Treat knee fracture (27532)
range across 2 matching MRF lines		 $2,941.92–$3,652.42 $3,922.56–$4,869.89 varies
Treat Knee Fracture(S) (27538)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $252.11–$609.28 $336.15–$812.37 varies
Treat metacarpal fracture (26607) $1,565.20 $2,086.94 0.4×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Treat Tail Bone Fracture (27200) $252.11 $336.15 0.8×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Treat Thumb Fracture (26645) $1,473.20 $1,964.27 0.7×
Treat thumb fracture (26665) $5,549.59 $7,399.45 1.3×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Treat Vaginal Bleeding (57180) $518.74 $691.66 2.0×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $252.11–$637.83 $336.15–$850.44 varies
Treatment of gum lesion (41850) $1,434.62 $1,912.83 0.7×
Treatment of tibia fracture (27756)
unusually low: confirm this is the full procedure		 $3,640.25 $4,853.67 0.4×
Trim skin lesion (11055) $198.28 $264.37 0.8×
Trim skin lesions 2 to 4 (11056) $198.28 $264.37 0.8×
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $52.60–$198.28 $70.13–$264.37 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $69.08–$176.99 $92.11–$235.99 varies
Trluml Balo Angiop 1St Art (37246) $6,466.04 $8,621.39 0.9×
Trluml Balo Angiop 1St Vein (37248) $7,565.27 $10,087.03 1.0×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $2,648.54–$3,667.10 $3,531.38–$4,889.47 varies
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $2,648.54–$4,444.40 $3,531.38–$5,925.87 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $541.90–$1,512.19 $722.54–$2,016.25 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $668–$1,473.20 $890.67–$1,964.27 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $252.11–$584 $336.15–$778.66 varies
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $3,233.80 $4,311.74 1.6×
Unlisted Cardiac Surgery (33999) $5,361.82 $7,149.09 6.7×
Unlisted laparoscopy procedure stomach (43659) $8,453.25 $11,271 1.1×
Unlisted procedure anus (46999) $1,079.48 $1,439.31 0.9×
Unlisted procedure nervous system (64999) $4,275.46 $5,700.62 11.0×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $299.15–$699.63 $398.87–$932.84 varies
Unlisted procedure stomach (43999) $1,241.50 $1,655.33 1.1×
Unlisted Procedure Tongue Floor Mouth (41599) $699.63 $932.84 2.3×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $77.82–$668.16 $103.76–$890.88 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $1,117.36 $1,489.81 1.0×
Unlisted Procedure, Urinary System (53899) $335.09 $446.79 1.1×
Upgrade of pacemaker system (33214) $15,232.92 $20,310.56 1.2×
Urine Flow Measurement (51736) $131.26 $175.01 0.8×
Uvulectomy excision of uvula (42140) $2,502.29 $3,336.39 0.6×
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $2,860.96–$3,422.80 $3,814.61–$4,563.74 varies
Vasc embolize/occlude artery (37242) $15,056.45 $20,075.27 0.6×
Vasc Embolize/Occlude Bleed (37244) $15,156.26 $20,208.34 1.0×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 2 matching MRF lines		 $2,521.88–$3,129.30 $3,362.51–$4,172.40 varies
Vein Access Cutdown < 1 Yr (36420) $113.05 $150.73 0.7×
Venous Mech Thrombectomy (37187) $25,410 $33,880 1.7×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $352.60–$707.16 $470.13–$942.88 varies
Wedging of cast (29740) $263.78 $351.70 0.7×
Wedging of clubfoot cast (29750) $263.78 $351.70 0.7×
Windowing of cast (29730) $165.80 $221.07 0.8×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $11,983.33 $15,977.77 1.6×

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.