Procedures & surgery prices at SMP Health St. Aloisius
Harvey, ND · every code in this section with a posted price and a Medicare benchmark.
454 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $199 | $221 | 0.2× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $2,416 | $2,684 | 1.5× |
| Acne surgery (10040) | $345 | $383 | 1.7× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $3,137 | $3,485 | 1.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$4,680–$4,820 | $5,200–$5,356 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $5,297 | $5,885 | 1.6× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$230–$248 | $256–$275 | varies |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $384 | $427 | 2.3× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) | $730 | $811 | 2.6× |
| Application Body Cast Shoulder Hips Both Thighs (29046) | $842 | $936 | 2.9× |
| Application cast elbow finger short arm (29075) | $492 | $547 | 1.7× |
| Application Cast Finger (29086) | $203 | $226 | 1.2× |
| Application Cast Shoulder Spica (29055) | $597 | $663 | 2.1× |
| Application Finger Splint Dynamic (29131) | $143 | $159 | 2.4× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$109–$212 | $121–$235 | varies |
| Application Halo Type Body Cast (29000) | $948 | $1,053 | 3.3× |
| Application Hip Spica Cast 1 Leg (29305) | $662 | $735 | 2.3× |
| Application long arm splint shoulder hand (29105) | $285 | $317 | 1.7× |
| Application Long Leg Cast Brace (29358) | $428 | $476 | 1.5× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $379 | $421 | 1.3× |
| Application Long Leg Splint (29505) | $281 | $312 | 1.7× |
| Application of cylinder cast (thigh to ankle) (29365) | $329 | $366 | 1.2× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$362–$482 | $402–$536 | varies |
| Application of rigid total contact leg cast (29445) | $338 | $376 | 1.2× |
| Application Patellar Tendon Bearing Cast (29435) | $307 | $341 | 1.1× |
| Application Short Arm Splint Dynamic (29126) | $207 | $230 | 1.5× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$172–$255 | $191–$283 | varies |
| Application short leg splint calf foot (29515) | $281 | $312 | 1.7× |
| Application, cast; figure-of-eight Facility (29049) | $372 | $413 | 1.3× |
| Apply hand/wrist cast (29085) | $281 | $312 | 1.7× |
| Apply long arm cast (29065) | $482 | $536 | 1.7× |
| Apply Multlay Comprs Lwr Leg (29581) | $265 | $294 | 1.6× |
| Apply Short Leg Cast (29405) | $510 | $567 | 1.8× |
| Apply short leg cast (29425) | $482 | $536 | 1.7× |
| Apply shoulder cast,plastr velpeau (29058) | $329 | $366 | 1.2× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$26–$499 | $29–$554 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$135–$517 | $150–$574 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$161–$529 | $179–$588 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$131–$517 | $145–$574 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $11,724 | $13,027 | 1.6× |
| Arthroplasty Ankle W/Implant (27702) | $18,991 | $21,101 | 0.7× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $11,724 | $13,027 | 1.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $5,297 | $5,885 | 1.6× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $5,297 | $5,885 | 1.6× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $11,724 | $13,027 | 1.6× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $11,724 | $13,027 | 1.6× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) | $11,724 | $13,027 | 1.6× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $5,297 | $5,885 | 0.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $5,297 | $5,885 | 1.6× |
| Aspirate Pleura W/O Imaging (32554) | $1,205 | $1,339 | 1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$291–$345 | $323–$383 | varies |
| Biopsy of upper nose/throat (42806) range across 2 matching MRF lines |
$7–$16 | $8–$18 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,090 | $1,211 | 1.2× |
| Bladder Irrigation (51700) | $471 | $523 | 1.8× |
| Bladder Scan (51798) | $113 | $125 | 1.9× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$851–$1,003 | $946–$1,114 | varies |
| Bx Cervix (57500) | $347 | $386 | 0.4× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $5,297 | $5,885 | 1.6× |
| Carpal Tunnel Surgery (64721) | $3,850 | $4,278 | 1.9× |
| Cataract surgery complex (66982) | $5,072 | $5,636 | 2.2× |
| Change Cystostomy Tube Simple (51705) | $471 | $523 | 1.8× |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$407–$773 | $452–$859 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$334–$345 | $371–$383 | varies |
| Chemodenerv Musc Migraine (64615) | $408 | $453 | 1.3× |
| Chemodenervation eccrine glands oth area per day (64653) | $251 | $279 | 0.8× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $572 | $636 | 1.8× |
| Chest tube placement (32551) | $2,712 | $3,013 | 1.7× |
| Clear outer ear canal (69200) | $271 | $301 | 2.0× |
| Closed Rx Metacarpal Fx,Percut (26608) | $5,297 | $5,885 | 1.6× |
| Closed Treat Vert Body Fract (22310) | $470 | $522 | 1.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $470 | $522 | 1.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $470 | $522 | 1.9× |
| Closed Treatment Sternum Fracture (21820) | $470 | $522 | 1.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $470 | $522 | 1.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,414 | $2,682 | 1.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $470 | $522 | 1.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $470 | $522 | 1.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $470 | $522 | 1.9× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $470 | $522 | 1.9× |
| Closed tx knee dislocation w/o anesthesia (27550) | $470 | $522 | 1.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,017 | $1,130 | 1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$470–$571 | $522–$634 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,414 | $2,682 | 1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,511 | $2,790 | 1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $392 | $436 | 0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$456–$470 | $507–$522 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $470 | $522 | 1.9× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,148 | $1,275 | 0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$470–$680 | $522–$755 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,414 | $2,682 | 1.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $470 | $522 | 1.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,414 | $2,682 | 1.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $470 | $522 | 1.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $470 | $522 | 1.9× |
| Closed tx septal&nose fx (21337) | $3,729 | $4,143 | 1.1× |
| Closed tx talus fracture w/o manipulation (28430) | $470 | $522 | 1.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $470 | $522 | 1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,194 | $1,327 | 0.7× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $470 | $522 | 1.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $470 | $522 | 1.9× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $470 | $522 | 1.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$2,342–$2,413 | $2,602–$2,681 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) | $470 | $522 | 1.9× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $1,017 | $1,130 | 1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,414 | $2,682 | 1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $470 | $522 | 1.9× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 2 matching MRF lines |
$2,342–$2,413 | $2,602–$2,681 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $470 | $522 | 1.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,156 | $1,284 | 0.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $807 | $897 | 3.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$456–$470 | $507–$522 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$470–$818 | $522–$909 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$385–$470 | $428–$522 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $470 | $522 | 1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$470–$857 | $522–$952 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $2,414 | $2,682 | 1.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $470 | $522 | 1.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $470 | $522 | 1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$456–$470 | $507–$522 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $470 | $522 | 1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$320–$470 | $356–$522 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,414 | $2,682 | 1.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $470 | $522 | 1.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $470 | $522 | 1.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,017 | $1,130 | 0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $470 | $522 | 1.9× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $470 | $522 | 1.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$470–$848 | $522–$942 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $2,414 | $2,682 | 1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $551 | $612 | 2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $470 | $522 | 1.9× |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$470–$866 | $522–$962 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $470 | $522 | 1.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$470–$814 | $522–$904 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $470 | $522 | 1.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$470–$514 | $522–$571 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$470–$808 | $522–$898 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,220 | $1,355 | 0.7× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $470 | $522 | 1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $470 | $522 | 1.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,414 | $2,682 | 1.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,633 | $1,814 | 1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $470 | $522 | 1.9× |
| Cltx tibial fx proximal w/o manipulation (27530) | $470 | $522 | 1.9× |
| Cltx tibial shaft fx w/o manipulation (27750) | $470 | $522 | 1.9× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $470 | $522 | 1.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $470 | $522 | 1.9× |
| Collect Blood From Catheter Venous Nos (36592) | $187 | $208 | 1.4× |
| Collection of venous blood by venipuncture (36415) | $17 | $19 | 1.8× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,787 | $1,985 | 1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) | $296 | $329 | 1.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,860 | $3,178 | 2.3× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$516–$4,333 | $573–$4,814 | varies |
| Constj tracheoesophgl fstl&insj sp prosth (31611) range across 2 matching MRF lines |
$97–$227 | $108–$252 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$248–$659 | $275–$732 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$248–$421 | $275–$468 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 4 matching MRF lines |
$5–$16 | $6–$18 | varies |
| Correction hammertoe (28285) | $5,578 | $6,198 | 1.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $5,297 | $5,885 | 1.6× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) | $11,724 | $13,027 | 0.9× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) | $11,724 | $13,027 | 1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$257–$854 | $286–$949 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$140–$942 | $156–$1,047 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $4,333 | $4,814 | 1.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$2,549–$2,572 | $2,832–$2,858 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$316–$614 | $351–$682 | varies |
| Decompression of tibia nerve (28035) | $3,284 | $3,649 | 1.6× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$294–$345 | $327–$383 | varies |
| Destruction Benign Lesions 15/> (17111) | $348 | $387 | 1.7× |
| Destruction Premalignant Lesion 15/> (17004) | $393 | $437 | 0.9× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$175–$345 | $194–$383 | varies |
| Dilate Urethra Stricture (53600) | $616 | $684 | 2.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$482–$1,220 | $536–$1,356 | varies |
| Drainage of gum lesion (41800) | $239 | $266 | 1.8× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$448–$2,573 | $498–$2,859 | varies |
| Drainage of hydrocele (55000) | $305 | $339 | 0.4× |
| Draw Blood Off Venous Device (36591) | $187 | $208 | 1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $106 | $118 | 0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $614 | $682 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $377 | $419 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $356 | $395 | 1.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,257 | $3,619 | 1.7× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$499–$2,565 | $554–$2,850 | varies |
| Egd place gastrostomy tube (43246) | $2,814 | $3,127 | 1.4× |
| Endometrial Biopsy (58100) | $248 | $276 | 1.2× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$133–$208 | $148–$231 | varies |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) | $2,712 | $3,013 | 1.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$332–$1,132 | $369–$1,258 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $542 | $602 | 0.3× |
| Exc Back Les Sc < 3 Cm (21930) | $2,840 | $3,155 | 1.7× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $5,774 | $6,415 | 1.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $617 | $686 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $704 | $782 | 1.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,023 | $1,137 | 0.6× |
| Exc Face Les Sbq 2 Cm/> (21012) | $2,633 | $2,926 | 1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$366–$1,132 | $407–$1,258 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$1,049–$1,132 | $1,165–$1,258 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$491–$1,132 | $545–$1,258 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$603–$758 | $670–$842 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $758 | $842 | 0.4× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) | $11,724 | $13,027 | 1.6× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $2,633 | $2,925 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$332–$2,364 | $369–$2,627 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$422–$1,132 | $469–$1,258 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $475 | $528 | 0.3× |
| Exc hand tum deep < 1.5 cm (26116) | $2,712 | $3,013 | 1.6× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $1,123 | $1,248 | 0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $519 | $577 | 0.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $628 | $698 | 0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $902 | $1,002 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $848 | $942 | 0.5× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,018 | $1,131 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $779 | $866 | 0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,061 | $1,179 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,208 | $1,342 | 0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) | $4,435 | $4,928 | 1.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $509 | $566 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$405–$1,134 | $450–$1,260 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$449–$1,229 | $499–$1,366 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $590 | $655 | 0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $4,435 | $4,928 | 1.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $2,468 | $2,742 | 1.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,363 | $1,514 | 0.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $856 | $951 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $759 | $843 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $519 | $577 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $613 | $681 | 0.8× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$663–$852 | $737–$947 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $841 | $934 | 1.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $539 | $599 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $829 | $921 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,335 | $1,483 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $508 | $564 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $598 | $664 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $686 | $762 | 0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $882 | $980 | 0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,606 | $2,895 | 1.6× |
| Excision of hydrocele; bilateral (55041) | $5,821 | $6,468 | 1.6× |
| Excision of hydrocele; unilateral (55040) | $5,821 | $6,468 | 1.6× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) likely a partial charge, not the full procedure |
$7 | $8 | 0.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $4,435 | $4,928 | 1.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $2,633 | $2,925 | 1.6× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $2,633 | $2,925 | 1.6× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $2,606 | $2,895 | 1.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $4,435 | $4,928 | 1.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $2,633 | $2,926 | 1.6× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $2,633 | $2,926 | 1.6× |
| Explo/Drain Breast Abscess (19020) | $1,268 | $1,409 | 0.8× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,175–$1,210 | $1,305–$1,344 | varies |
| Fasciotomy, foot and/or toe (28008) | $5,297 | $5,885 | 1.6× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $5,456 | $6,062 | 1.6× |
| Fusion Finger Joint (26860) | $5,306 | $5,895 | 1.6× |
| Fusion of foot bones (28740) | $11,724 | $13,027 | 1.6× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $4,836 | $5,373 | 1.7× |
| I&d abscess simple (10060) | $356 | $395 | 1.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $4,820 | $5,356 | 1.4× |
| I&d pilonidal cyst simple (10080) | $1,131 | $1,257 | 1.6× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$477–$816 | $530–$907 | varies |
| Incise finger tendon sheath (26055) | $2,606 | $2,895 | 1.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$552–$614 | $613–$682 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$708–$2,364 | $787–$2,627 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$407–$683 | $452–$759 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $515 | $572 | 1.7× |
| Incision of eardrum (69421) | $6,005 | $6,672 | 1.8× |
| Incision of Foot Tendon (28234) | $2,606 | $2,895 | 1.6× |
| Incision of labial frenum (frenotomy) (40806) | $89 | $99 | 0.2× |
| Incisional biopsy skin single lesion (11106) | $401 | $445 | 0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$183–$345 | $203–$383 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$141–$517 | $157–$574 | varies |
| Injection single tendon origin/insertion (20551) | $147 | $163 | 0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $148 | $164 | 0.5× |
| Injection single/mlt trigger point 3/> muscles (20553) | $171 | $190 | 0.5× |
| Injection therapeutic carpal tunnel (20526) | $218 | $242 | 0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$203–$210 | $225–$233 | varies |
| Insert cath pleura w/o image (32556) | $2,437 | $2,708 | 1.2× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$203–$225 | $226–$250 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$116–$225 | $129–$250 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$677–$1,238 | $752–$1,375 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,501 | $1,668 | 3.6× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$320–$438 | $356–$487 | varies |
| Ligation or biopsy temporal artery (37609) | $2,827 | $3,141 | 1.7× |
| Nasal Endoscopy Dx (31231) | $293 | $326 | 1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$728–$750 | $809–$833 | varies |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) | $10,397 | $11,552 | 1.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) | $10,397 | $11,552 | 1.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) | $10,397 | $11,552 | 1.4× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) | $10,397 | $11,552 | 1.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $2,606 | $2,895 | 1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $36 | $40 | 1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $36 | $40 | 1.2× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) | $3,284 | $3,649 | 1.6× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $3,965 | $4,405 | 2.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $307 | $341 | 0.7× |
| Njx Sclrsnt Spider Veins (36468) | $299 | $332 | 0.7× |
| Open Treatment Medial Malleolus Fracture (27766) | $11,724 | $13,027 | 1.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $5,297 | $5,885 | 1.6× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $5,297 | $5,885 | 1.6× |
| Ostc prtl exostc/condylc metar head (28288) | $5,297 | $5,885 | 1.6× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $5,578 | $6,198 | 1.7× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $5,297 | $5,885 | 1.6× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) | $11,724 | $13,027 | 1.6× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $5,297 | $5,885 | 1.6× |
| Osteotomy calcaneus w/wo internal fixation (28300) | $11,724 | $13,027 | 1.6× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) | $11,724 | $13,027 | 1.6× |
| Partial Excision Distal Phalanx Finger (26236) | $2,684 | $2,982 | 1.6× |
| Placement of needle for intraosseous infusion (36680) | $563 | $626 | 1.2× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $5,297 | $5,885 | 1.6× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $5,297 | $5,885 | 1.6× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$331–$371 | $368–$412 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$338–$614 | $375–$682 | varies |
| Reconstruction of mouth (40844) likely a partial charge, not the full procedure |
$541 | $601 | 0.1× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$680–$700 | $755–$778 | varies |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$1,235–$2,528 | $1,372–$2,809 | varies |
| Removal foreign body foot deep (28192) | $2,528 | $2,809 | 1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,175–$1,210 | $1,305–$1,344 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $41 | $45 | 0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$127–$148 | $141–$164 | varies |
| Removal Implant Deep (20680) | $4,435 | $4,928 | 1.5× |
| Removal implantable contraceptive capsules (11976) | $386 | $429 | 0.5× |
| Removal of adenoids (42831) | $5,415 | $6,017 | 1.6× |
| Removal of adenoids (42830) | $5,415 | $6,017 | 1.6× |
| Removal of foreign body from pharynx (42809) | $751 | $834 | 1.6× |
| Removal of heel spur (28119) | $5,297 | $5,885 | 1.6× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$633–$900 | $703–$1,000 | varies |
| Removal of tonsils (42825) | $10,065 | $11,183 | 1.7× |
| Removal of tonsils (42826) | $5,415 | $6,017 | 1.6× |
| Removal or bivalving full arm or full leg cast (29705) | $492 | $547 | 1.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $236 | $262 | 1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 3 matching MRF lines |
$172–$492 | $191–$547 | varies |
| Remove foreign body from eye (65205) | $264 | $293 | 1.9× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$246–$312 | $273–$347 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$193–$199 | $214–$221 | varies |
| Remove Tendon Sheath Lesion (26160) | $2,606 | $2,895 | 1.6× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $11,724 | $13,027 | 1.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,059 | $1,177 | 1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $960 | $1,067 | 1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$677–$1,008 | $752–$1,120 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$1,059–$1,221 | $1,177–$1,357 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $942 | $1,047 | 2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$942–$1,109 | $1,047–$1,232 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $908 | $1,009 | 1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$1,039–$1,059 | $1,154–$1,177 | varies |
| Repair Ectropion Suture (67914) | $3,789 | $4,210 | 1.6× |
| Repair Entropion Excision Tarsal Wedge (67923) | $4,067 | $4,519 | 1.7× |
| Repair Entropion Suture (67921) | $3,789 | $4,210 | 1.6× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$2,414–$2,606 | $2,682–$2,895 | varies |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $5,297 | $5,885 | 1.6× |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$2,414–$2,606 | $2,682–$2,895 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$683–$689 | $759–$765 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$677–$779 | $752–$866 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$614–$912 | $682–$1,013 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$282–$954 | $313–$1,060 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,591 | $1,768 | 3.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,076 | $1,195 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$614–$635 | $682–$706 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$653–$767 | $726–$852 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$669–$950 | $743–$1,055 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,424 | $1,582 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$614–$997 | $682–$1,108 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$461–$683 | $512–$759 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$677–$788 | $752–$875 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,103–$1,138 | $1,226–$1,264 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$677–$826 | $752–$918 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$1,249–$3,228 | $1,388–$3,587 | varies |
| Repair of Ruptured Tendon (24342) | $11,724 | $13,027 | 1.6× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $6,300 | $7,000 | 1.0× |
| Repair Spica/Body/Jacket Cast (29720) | $229 | $254 | 1.4× |
| Repair tongue laceration (41250) | $230 | $256 | 0.5× |
| Revision of big toe (28310) | $11,724 | $13,027 | 1.6× |
| Revision of lower leg tendon (27685) | $4,365 | $4,850 | 1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $860 | $955 | 1.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$176–$183 | $196–$203 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $876 | $973 | 1.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$2,453–$2,528 | $2,726–$2,809 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
$428–$1,373 | $476–$1,526 | varies |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $325 | $361 | 1.1× |
| Rplc Gtube No Revj Trc (43762) | $499 | $554 | 2.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $6,804 | $7,560 | 1.9× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $7,335 | $8,150 | 1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$345–$442 | $383–$491 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,296 | $1,440 | 1.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,049 | $1,166 | 1.9× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) | $11,724 | $13,027 | 1.6× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $5,297 | $5,885 | 1.6× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) | $5,297 | $5,885 | 1.6× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $4,885 | $5,428 | 1.4× |
| Shave skin lesion 0.5 cm/< (11300) | $260 | $289 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
$304–$329 | $338–$365 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $498 | $553 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $273 | $303 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $324 | $360 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $384 | $427 | 1.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $408 | $453 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $363 | $403 | 1.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $425 | $472 | 1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $320 | $355 | 1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $412 | $458 | 1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $374 | $416 | 1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$282–$555 | $313–$617 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$291–$356 | $323–$395 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$304–$356 | $338–$395 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $408 | $453 | 1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$356–$365 | $395–$405 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $463 | $514 | 2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$238–$356 | $264–$395 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$345–$581 | $383–$646 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$339–$356 | $377–$395 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$290–$356 | $322–$395 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$442–$614 | $491–$682 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$520–$663 | $578–$737 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$312–$321 | $347–$357 | varies |
| Strapping elbow or wrist (29260) | $78 | $87 | 1.3× |
| Strapping hand/finger (29280) | $79 | $88 | 1.3× |
| Strapping Hip (29520) | $92 | $102 | 0.7× |
| Strapping knee (29530) | $79 | $88 | 0.6× |
| Strapping shoulder (29240) | $80 | $89 | 0.6× |
| Strapping thorax (29200) | $86 | $96 | 0.5× |
| Strapping toes (29550) | $50 | $56 | 0.8× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$104–$265 | $115–$294 | varies |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) | $11,724 | $13,027 | 1.6× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $11,724 | $13,027 | 1.6× |
| Tangential biopsy skin single lesion (11102) | $263 | $292 | 0.6× |
| Tenodesis Wrist Extensors Fingers (25301) | $5,297 | $5,885 | 1.6× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,606 | $2,895 | 1.6× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $5,415 | $6,017 | 1.6× |
| Tracheostomy Fenestration W/Skin Flaps (31610) likely a partial charge, not the full procedure |
$570 | $633 | 0.1× |
| Treat Finger Fracture Each (26727) | $5,297 | $5,885 | 1.6× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$470–$932 | $522–$1,035 | varies |
| Treat humerus fracture (23600) | $470 | $522 | 1.9× |
| Treat Knuckle Dislocation (26700) | $470 | $522 | 1.9× |
| Treat Metatarsal Fracture (28475) | $654 | $727 | 2.6× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$456–$470 | $507–$522 | varies |
| Treat Thumb Fracture (26645) | $2,414 | $2,682 | 1.5× |
| Treat toe dislocation (28630) | $470 | $522 | 1.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $2,414 | $2,682 | 1.5× |
| Treatment closed elbow dislocation w/o anes (24600) | $291 | $323 | 1.2× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$149–$345 | $166–$383 | varies |
| Trim skin lesions 2 to 4 (11056) | $179 | $199 | 0.9× |
| Trim skin lesions over 4 (11057) | $198 | $220 | 1.0× |
| Trimming Nondystrophic Nails Any Number (11719) | $38 | $42 | 0.6× |
| Tx Gastro Intub W/Asp (43753) | $300 | $333 | 1.4× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $2,606 | $2,895 | 1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$745–$768 | $828–$853 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $447 | $497 | 1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $470 | $522 | 1.9× |
| Tympanostomy general anesthesia (69436) | $2,968 | $3,298 | 1.9× |
| Unlisted procedure arthroscopy (29999) | $385 | $428 | 1.5× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$5,147–$5,303 | $5,719–$5,892 | varies |
| Vestibuloplasty Anterior (40840) likely a partial charge, not the full procedure |
$74 | $82 | 0.0× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$438–$451 | $487–$501 | varies |
| Wedging of cast (29740) | $262 | $291 | 0.9× |
| Wedging of clubfoot cast (29750) | $284 | $315 | 1.0× |
| Windowing of cast (29730) | $169 | $188 | 1.0× |
| Xfer Single Deep Low Leg Tendon (27691) | $11,724 | $13,027 | 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.