Procedures & surgery prices at South Lincoln Medical Center
Kemmerer, WY · every code in this section with a posted price and a Medicare benchmark.
453 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$125.58–$1,426.62 | $167.44–$1,902.16 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $208.03 | $277.37 | 0.2× |
| Acne surgery (10040) | $289.11 | $385.48 | 1.4× |
| Acromiopl/Acromionect Partial (23130) | $2,322.06 | $3,096.08 | 0.7× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $494.09 | $658.78 | 0.2× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $634.55 | $846.07 | 0.3× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $859.29 | $1,145.72 | 0.2× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $802.84 | $1,070.45 | 0.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$605.60–$3,163.52 | $807.47–$4,218.02 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $553.41 | $737.88 | 0.3× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $747.09 | $996.12 | 0.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $690.90 | $921.20 | 0.3× |
| Amputation toe interphalangeal joint (28825) | $4,297.29 | $5,729.72 | 1.3× |
| Amputation toe metatarsophalangeal joint (28820) | $4,297.29 | $5,729.72 | 1.3× |
| Anoscopy diagnostic (46600) | $204.75 | $273 | 1.5× |
| Appendectomy (44950) | $4,828.01 | $6,437.34 | 0.7× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $48.75 | $65 | 0.3× |
| Application cast elbow finger short arm (29075) | $118.76 | $158.34 | 0.4× |
| Application Finger Splint Dynamic (29131) | $128.58 | $171.44 | 2.1× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$65.87–$103.19 | $87.82–$137.59 | varies |
| Application long arm splint shoulder hand (29105) | $98.28 | $131.04 | 0.6× |
| Application Long Leg Splint (29505) | $138.41 | $184.55 | 0.8× |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$151.50–$192.47 | $202–$256.62 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$83.54–$161.34 | $111.38–$215.12 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$148.05–$167.08 | $197.40–$222.77 | varies |
| Apply long arm cast (29065) | $151.52 | $202.02 | 0.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$110.57–$127.58 | $147.42–$170.10 | varies |
| Apply Short Leg Cast (29405) | $183.46 | $244.61 | 0.6× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$19.50–$301.86 | $26–$402.48 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$101.56–$352.17 | $135.41–$469.56 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$101.56–$704.34 | $135.41–$939.12 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$88.46–$212.16 | $117.94–$282.88 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) | $17,549.54 | $23,399.38 | 1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 4 matching MRF lines |
$1,074.53–$4,942.08 | $1,432.70–$6,589.44 | varies |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) range across 2 matching MRF lines |
$1,845.48–$17,549.54 | $2,460.64–$23,399.38 | varies |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) range across 2 matching MRF lines |
$2,322.06–$4,297.29 | $3,096.08–$5,729.72 | varies |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) | $4,297.29 | $5,729.72 | 1.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $2,322.06 | $3,096.08 | 0.7× |
| Arthroscopy shoulder distal claviculectomy (29824) | $2,322.06 | $3,096.08 | 0.7× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $9,336.60 | $12,448.80 | 1.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) range across 2 matching MRF lines |
$2,322.06–$4,297.29 | $3,096.08–$5,729.72 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$5,159.70–$9,336.60 | $6,879.60–$12,448.80 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $2,149.06 | $2,865.41 | 0.6× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $4,297.29 | $5,729.72 | 1.3× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$5,159.70–$9,336.60 | $6,879.60–$12,448.80 | varies |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$5,159.70–$9,336.60 | $6,879.60–$12,448.80 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$2,790.75 | $3,721 | 0.2× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $9,336.60 | $12,448.80 | 1.3× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $4,297.29 | $5,729.72 | 1.3× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $4,297.29 | $5,729.72 | 1.3× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $4,297.29 | $5,729.72 | 1.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $1,311.69 | $1,748.92 | 0.8× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $877.15 | $1,169.53 | 0.5× |
| Aspirate pleura w/ imaging (32555) | $336.61 | $448.81 | 0.5× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$106.08–$928.98 | $141.44–$1,238.64 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $117.94 | $157.25 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$113.84–$200.81 | $151.79–$267.75 | varies |
| Biopsy external ear (69100) | $187.20 | $249.60 | 0.8× |
| Biopsy of breast; open, incisional (19101) | $665.03 | $886.70 | 0.2× |
| Biopsy of lip (40490) | $264.60 | $352.80 | 1.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $447.17 | $596.23 | 0.5× |
| Bladder Irrigation (51700) | $530.40 | $707.20 | 2.1× |
| Bladder Scan (51798) | $111.54 | $148.72 | 1.9× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$598.52–$888.42 | $798.03–$1,184.56 | varies |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$1,433.25–$2,552.94 | $1,911–$3,403.92 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $210.48 | $280.64 | 0.1× |
| Bx Cervix (57500) | $229.32 | $305.76 | 0.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $500.41 | $667.21 | 0.1× |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$1,402.44–$2,672.40 | $1,869.92–$3,563.20 | varies |
| Catheter aspiration nasotracheal spx (31720) | $518.70 | $691.60 | 2.3× |
| Cerclage cervix pregnancy vaginal (59320) | $620.81 | $827.74 | 0.2× |
| Chemical Cautery Tissue (17250) | $90.09 | $120.12 | 0.4× |
| Chemodenerv Musc Migraine (64615) | $299.75 | $399.67 | 1.0× |
| Chest tube placement (32551) | $401.31 | $535.08 | 0.2× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$281.74–$1,446.90 | $375.65–$1,929.20 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,032.76 | $1,377.01 | 0.6× |
| Claviculectomy partial (23120) | $4,092.66 | $5,456.88 | 1.2× |
| Clear outer ear canal (69200) | $143.33 | $191.10 | 1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $726.45 | $968.60 | 0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $758.39 | $1,011.19 | 3.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $452.91 | $603.88 | 1.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $647.01 | $862.68 | 2.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $352.17 | $469.56 | 1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,133.50 | $1,511.33 | 4.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $552.01 | $736.01 | 2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $375.92 | $501.23 | 1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) | $837.84 | $1,117.12 | 0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$401.31–$745.29 | $535.08–$993.72 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,021.29 | $1,361.72 | 0.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $537.26 | $716.35 | 2.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $433.25 | $577.67 | 1.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $429.98 | $573.30 | 1.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $868.14 | $1,157.52 | 3.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $286.65 | $382.20 | 1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $936.12 | $1,248.16 | 0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $417.69 | $556.92 | 1.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $615.07 | $820.09 | 2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $449.63 | $599.51 | 1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $177.72 | $236.96 | 0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$351.78–$464.37 | $469.04–$619.16 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,268.63 | $1,691.51 | 0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$186.74–$1,270.27 | $248.98–$1,693.69 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $162.98 | $217.31 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $621.62 | $828.83 | 2.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $582.31 | $776.41 | 2.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $615.89 | $821.18 | 2.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $432.44 | $576.58 | 1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $191.65 | $255.53 | 0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $506.96 | $675.95 | 2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $679.77 | $906.36 | 2.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $810.81 | $1,081.08 | 0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $488.94 | $651.92 | 1.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $204.75 | $273 | 0.8× |
| Cltx post hip arthrp dislc req anes (27266) | $1,321.87 | $1,762.49 | 0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) | $372.65 | $496.86 | 1.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $792.80 | $1,057.06 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $188.37 | $251.16 | 0.7× |
| Cltx tibial fx proximal w/o manipulation (27530) | $787.06 | $1,049.41 | 3.1× |
| Cltx tibial shaft fx w/o manipulation (27750) | $721.54 | $962.05 | 2.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $639.64 | $852.85 | 2.5× |
| Collect Blood From Catheter Venous Nos (36592) | $91.26 | $121.68 | 0.7× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$7.88–$46.80 | $10.50–$62.40 | varies |
| Colonoscopy Flexible With Decompression (45393) | $982.80 | $1,310.40 | 0.8× |
| Colonoscopy thru stoma (44388) | $656.79 | $875.72 | 0.7× |
| Colonoscopy w/submucosal inj (45381) | $834.56 | $1,112.75 | 0.7× |
| Colpopexy vaginal intraperitoneal approach (57283) range across 2 matching MRF lines |
$1,998.36–$10,392.29 | $2,664.48–$13,856.39 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $372.65 | $496.86 | 1.2× |
| Colposcopy cervix upper/adjacent vagina (57452) | $249.80 | $333.06 | 1.2× |
| Colposcopy Vulva W/Biopsy (56821) | $290.75 | $387.66 | 0.9× |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$524.16–$3,895.98 | $698.88–$5,194.64 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $786.24 | $1,048.32 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $165.28 | $220.37 | 1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $140.05 | $186.73 | 1.0× |
| Correction hammertoe (28285) | $724.82 | $966.42 | 0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $1,701.06 | $2,268.08 | 0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $396.40 | $528.53 | 2.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $380.84 | $507.78 | 1.6× |
| Curettage postpartum (59160) | $718.26 | $957.68 | 0.2× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$450.45–$921.38 | $600.60–$1,228.50 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $125.31 | $167.08 | 0.3× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $945.95 | $1,261.26 | 1.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$578.21–$592.14 | $770.95–$789.52 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$65.36–$135.96 | $87.15–$181.28 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$102.38–$565.11 | $136.50–$753.48 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$726.45–$1,170 | $968.60–$1,560 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$182.64–$329.24 | $243.52–$438.98 | varies |
| Declot vascular device (36593) | $553.80 | $738.40 | 1.6× |
| Decomp forearm,1 compart,w/o debride (25020) | $2,151.51 | $2,868.68 | 1.3× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$962.33–$2,672.40 | $1,283.10–$3,563.20 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$954.14–$2,672.40 | $1,272.18–$3,563.20 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$132.68–$691.27 | $176.90–$921.69 | varies |
| Destruction Benign Lesions 15/> (17111) | $165.44 | $220.58 | 0.8× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $438.98 | $585.31 | 0.4× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $139.28 | $185.70 | 0.7× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $160.16 | $213.54 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $192.10 | $256.13 | 0.5× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $219.80 | $293.06 | 0.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $112.01 | $149.34 | 0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $136.58 | $182.10 | 0.7× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $149.31 | $199.08 | 0.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $160.65 | $214.20 | 0.4× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $182.43 | $243.24 | 0.4× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $226.86 | $302.48 | 1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $181 | $241.33 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $127.94 | $170.58 | 0.6× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $294.84 | $393.12 | 1.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $162.95 | $217.26 | 0.4× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $192.59 | $256.79 | 0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$165.36–$3,335.28 | $220.48–$4,447.04 | varies |
| Destruction of skin lesions (17106) | $266.92 | $355.89 | 0.6× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$364.46–$735.92 | $485.94–$981.22 | varies |
| Destruction premalignant lesion 1st (17000) range across 5 matching MRF lines |
$72.89–$615.21 | $97.19–$820.28 | varies |
| Diagnostic sigmoidoscopy (45330) | $338.25 | $451 | 0.4× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$167.08–$345.62 | $222.77–$460.82 | varies |
| Draw Blood Off Venous Device (36591) | $91.26 | $121.68 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $252.26 | $336.34 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $142.51 | $190.01 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $85.18 | $113.57 | 0.4× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $345.61 | $460.81 | 0.5× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $504.67 | $672.89 | 0.2× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $224.24 | $298.98 | 0.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$307.94–$1,253.07 | $410.59–$1,670.76 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $843.57 | $1,124.76 | 0.4× |
| Egd Flexible Foreign Body Removal (43247) range across 3 matching MRF lines |
$675.68–$1,250.61 | $900.90–$1,667.48 | varies |
| Electrolysis Epilation Each 30 Minutes (17380) | $83.54 | $111.38 | 0.1× |
| Endometrial Biopsy (58100) | $199.84 | $266.45 | 1.0× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$134.16–$947.70 | $178.88–$1,263.60 | varies |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,248.16 | $1,664.21 | 1.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $730.55 | $974.06 | 0.4× |
| Evacuation of subungual hematoma (11740) | $79.44 | $105.92 | 0.6× |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$1,139.23–$1,170 | $1,518.97–$1,560 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 4 matching MRF lines |
$262.90–$949.22 | $350.53–$1,265.63 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$411.86–$465.20 | $549.15–$620.26 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$1,170–$2,253.07 | $1,560–$3,004.09 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $414.41 | $552.55 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $521.70 | $695.60 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $787.06 | $1,049.41 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $172.81 | $230.41 | 0.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$226.04–$356.27 | $301.39–$475.02 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $301.40 | $401.86 | 0.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $563.48 | $751.30 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$156.43–$2,253.07 | $208.57–$3,004.09 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$191.65–$332.51 | $255.53–$443.35 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$247.34–$371.01 | $329.78–$494.68 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $2,253.07 | $3,004.09 | 1.3× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,603.68 | $2,138.24 | 1.6× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $646.19 | $861.59 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$282.56–$406.22 | $376.74–$541.63 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$343.16–$2,253.07 | $457.55–$3,004.09 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$541.18–$563.48 | $721.57–$751.30 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $707.62 | $943.49 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $541.36 | $721.81 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $654.38 | $872.51 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $722.36 | $963.14 | 0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) | $2,015.52 | $2,687.36 | 0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$201.47–$802.62 | $268.63–$1,070.16 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $165.44 | $220.58 | 0.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$220.31–$506.22 | $293.75–$674.96 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $398.03 | $530.71 | 0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,895.98 | $5,194.64 | 1.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 3 matching MRF lines |
$1,022.12–$2,253.07 | $1,362.82–$3,004.09 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,170 | $1,560 | 0.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $2,253.07 | $3,004.09 | 1.3× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 3 matching MRF lines |
$1,093.37–$2,253.07 | $1,457.82–$3,004.09 | varies |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $869.78 | $1,159.70 | 0.3× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $620.81 | $827.74 | 0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $404.59 | $539.45 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $208.03 | $277.37 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $253.07 | $337.43 | 0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$299.75–$522.53 | $399.67–$696.70 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $497.96 | $663.94 | 0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $321.05 | $428.06 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $668.30 | $891.07 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $293.21 | $390.94 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $347.26 | $463.01 | 0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $414.41 | $552.55 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $641.28 | $855.04 | 0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) | $3,824.73 | $5,099.64 | 1.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,151.51 | $2,868.68 | 1.3× |
| Excision of single external papilla or tag, anus (46220) | $150.70 | $200.93 | 0.1× |
| Excision olecranon bursa (24105) | $4,297.29 | $5,729.72 | 1.3× |
| Excision synovial cyst popliteal space (27345) | $4,297.29 | $5,729.72 | 1.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 3 matching MRF lines |
$1,103.19–$2,253.07 | $1,470.92–$3,004.09 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 3 matching MRF lines |
$680.59–$2,253.07 | $907.45–$3,004.09 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $1,948.40 | $2,597.87 | 0.7× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $2,015.52 | $2,687.36 | 0.7× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $2,253.07 | $3,004.09 | 1.3× |
| Explo/Drain Breast Abscess (19020) | $485.67 | $647.56 | 0.3× |
| Exploration penetrating wound spx extremity (20103) | $1,170 | $1,560 | 0.7× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $1,097.46 | $1,463.28 | 0.3× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$94.19–$139.62 | $125.58–$186.16 | varies |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$515.15–$633.90 | $686.87–$845.20 | varies |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $989.82 | $1,319.76 | 0.5× |
| Fuse hand bones with graft (25825) | $9,336.60 | $12,448.80 | 1.3× |
| Fusion Finger Joint (26860) | $3,786 | $5,048 | 1.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$561.02–$1,220.31 | $748.02–$1,627.08 | varies |
| Hysteroscopy Biopsy (58558) | $1,105.65 | $1,474.20 | 0.3× |
| Hysteroscopy Endometrial Ablation (58563) range across 3 matching MRF lines |
$2,620.80–$6,758.39 | $3,494.40–$9,011.18 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$247.34–$289.11 | $329.78–$385.48 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $821.46 | $1,095.28 | 0.3× |
| I&d perianal abscess superficial (46050) | $1,220.31 | $1,627.08 | 1.3× |
| I&d pilonidal cyst simple (10080) | $949.22 | $1,265.63 | 1.3× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$945.95–$5,151.12 | $1,261.26–$6,868.16 | varies |
| Incise external hemorrhoid (46083) | $185.91 | $247.88 | 0.7× |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$1,119.30–$2,151.51 | $1,492.40–$2,868.68 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$437.35–$515.15 | $583.13–$686.87 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $327.60 | $436.80 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$131.86–$323.51 | $175.81–$431.34 | varies |
| Incision extensor tendon sheath wrist (25000) | $2,151.51 | $2,868.68 | 1.3× |
| Incision of lingual frenum (frenotomy) (41010) | $319.41 | $425.88 | 0.2× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$443.90–$1,605.24 | $591.86–$2,140.32 | varies |
| Incisional biopsy eyelid skin & lid margin (67810) | $118.23 | $157.64 | 0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $76.99 | $102.65 | 0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$439.80–$1,253.07 | $586.40–$1,670.76 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 2 matching MRF lines |
$70.98–$748.80 | $94.64–$998.40 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,253.07 | $1,670.76 | 1.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$96.65–$212.16 | $128.86–$282.88 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$63.18–$764.40 | $84.24–$1,019.20 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$66.30–$678.60 | $88.40–$904.80 | varies |
| Injection of sclerosing solution, hemorrhoids (46500) | $152.33 | $203.11 | 0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$112.61–$126.95 | $150.15–$169.26 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $147.42 | $196.56 | 0.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$454.74–$1,032.11 | $606.32–$1,376.14 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$61.62–$963.30 | $82.16–$1,284.40 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$49.92–$1,029.60 | $66.56–$1,372.80 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$75.35–$117.12 | $100.46–$156.16 | varies |
| Insert Bladder Cath Complex (51703) | $278.46 | $371.28 | 2.1× |
| Insert cervical dilator (59200) | $272.73 | $363.64 | 0.9× |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$290.75–$300.57 | $387.66–$400.76 | varies |
| Insert non-tunnel cv cath (36556) | $2,323.62 | $3,098.16 | 0.7× |
| Insert pessary/other device (57160) | $204.75 | $273 | 1.0× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$122.85–$131.04 | $163.80–$174.72 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$88.46–$225.42 | $117.94–$300.56 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$174.35–$292.50 | $232.46–$390 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $22,900.02 | $30,533.36 | 0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $718.26 | $957.68 | 1.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $432.99 | $577.32 | 1.0× |
| Intubation endotracheal emergency procedure (31500) range across 5 matching MRF lines |
$165.36–$572.52 | $220.48–$763.36 | varies |
| Laparo-vag hyst incl t/o (58552) range across 2 matching MRF lines |
$3,931.20–$12,681.40 | $5,241.60–$16,908.53 | varies |
| Laparoscopy aspiration (49322) unusually low: confirm this is the full procedure |
$1,941.03 | $2,588.04 | 0.3× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $4,066.14 | $5,421.52 | 0.7× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$1,597.05 | $2,129.40 | 0.3× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) | $12,681.40 | $16,908.53 | 1.2× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
$3,325.14–$12,681.40 | $4,433.52–$16,908.53 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) unusually low: confirm this is the full procedure |
$1,965.60 | $2,620.80 | 0.3× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$2,620.80–$7,528.25 | $3,494.40–$10,037.66 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$1,416.05–$7,528.25 | $1,888.07–$10,037.66 | varies |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) likely a partial charge, not the full procedure |
$2,987.72 | $3,983.62 | 0.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
$2,129.40–$4,066.14 | $2,839.20–$5,421.52 | varies |
| Late closure of wound (13160) | $1,000.82 | $1,334.42 | 0.3× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $2,151.51 | $2,868.68 | 1.3× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) range across 4 matching MRF lines |
$947.47–$4,974.23 | $1,263.29–$6,632.30 | varies |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) range across 3 matching MRF lines |
$372.84–$1,043.96 | $497.12–$1,391.95 | varies |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$440.63–$1,879.61 | $587.50–$2,506.14 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) | $64.74 | $86.32 | 0.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) range across 2 matching MRF lines |
$1,119.30–$2,151.51 | $1,492.40–$2,868.68 | varies |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$1,402.44–$2,672.40 | $1,869.92–$3,563.20 | varies |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $2,672.40 | $3,563.20 | 1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $208.85 | $278.46 | 0.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$398.03–$1,253.07 | $530.71–$1,670.76 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 4 matching MRF lines |
$203.12–$981.17 | $270.82–$1,308.22 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$981.17–$1,037.40 | $1,308.22–$1,383.20 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $665.34 | $887.12 | 0.7× |
| Open Treatment Humeral Condylar Fracture (24579) | $17,549.54 | $23,399.38 | 1.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $9,336.60 | $12,448.80 | 1.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $9,336.60 | $12,448.80 | 1.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $722.36 | $963.14 | 0.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $1,478.30 | $1,971.06 | 0.4× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,634.25 | $2,179 | 0.2× |
| Ostc prtl exostc/condylc metar head (28288) | $773.14 | $1,030.85 | 0.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $723.18 | $964.24 | 0.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $859.13 | $1,145.51 | 0.3× |
| Osteotomy Metacarpal Each (26565) | $4,297.29 | $5,729.72 | 1.3× |
| Placement of needle for intraosseous infusion (36680) | $70.20 | $93.60 | 0.2× |
| Placement of seton (46020) | $212.94 | $283.92 | 0.1× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) range across 2 matching MRF lines |
$1,891.89–$6,758.39 | $2,522.52–$9,011.18 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$116.30–$127.99 | $155.06–$170.65 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $119.57 | $159.43 | 0.3× |
| Puncture Aspiration Cyst Breast (19000) | $135.95 | $181.27 | 0.2× |
| Reconstruct elbow lat ligmnt (24344) | $9,336.60 | $12,448.80 | 1.3× |
| Reconstruct elbow med ligmnt (24346) | $17,409.14 | $23,212.18 | 1.3× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,308.75 | $1,745 | 0.2× |
| Relieve Pressure on Nerve(S) (64722) | $2,672.40 | $3,563.20 | 1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$25.99–$46.02 | $34.65–$61.36 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$57.33–$111.54 | $76.44–$148.72 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$701.06–$2,015.52 | $934.75–$2,687.36 | varies |
| Removal implantable contraceptive capsules (11976) | $268.64 | $358.18 | 0.4× |
| Removal of implant from finger or hand (26320) range across 2 matching MRF lines |
$1,170–$2,253.07 | $1,560–$3,004.09 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$359.54–$941.85 | $479.39–$1,255.80 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $75.35 | $100.46 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $112.20 | $149.60 | 0.5× |
| Removal sweat gland lesion (11450) | $3,895.98 | $5,194.64 | 1.3× |
| Remove drug implant device (11982) | $339.89 | $453.18 | 0.7× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $642.10 | $856.13 | 0.3× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$125.31–$193.73 | $167.08–$258.30 | varies |
| Remove Nasal Foreign Body (30300) | $145.79 | $194.38 | 1.1× |
| Remove Peritoneal Foreign Body (49402) | $2,130.22 | $2,840.29 | 0.6× |
| Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
$470.93–$472.56 | $627.90–$630.08 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$614.25–$1,434.14 | $819–$1,912.18 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,162.98 | $1,550.64 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$437.84–$656.78 | $583.79–$875.70 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$803.38–$950.04 | $1,071.17–$1,266.72 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $351.35 | $468.47 | 0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$588.05–$723.57 | $784.06–$964.76 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $307.94 | $410.59 | 0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $443.08 | $590.77 | 0.6× |
| Repair extensor tendon finger w/o graft each (26418) | $2,151.51 | $2,868.68 | 1.3× |
| Repair Hallux Rigidus (28289) | $889.43 | $1,185.91 | 0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$2,762.76–$4,828.01 | $3,683.68–$6,437.34 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $291.56 | $388.75 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$343.98–$619.98 | $458.64–$826.64 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $407.04 | $542.72 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $547.10 | $729.46 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $443.61 | $591.48 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $469.29 | $625.72 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $244.07 | $325.42 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$286.65–$609.34 | $382.20–$812.45 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $368.55 | $491.40 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $428.34 | $571.12 | 1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $543 | $724 | 1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$282.56–$638.82 | $376.74–$851.76 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $540.54 | $720.72 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $339.07 | $452.09 | 0.8× |
| Repair of shoulder (23420) | $4,961.25 | $6,615 | 0.7× |
| Repair Rotator Cuff Chronic (23412) | $9,336.60 | $12,448.80 | 1.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$933 | $1,244 | 0.1× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$1,488.95–$4,828.01 | $1,985.26–$6,437.34 | varies |
| Revision of big toe (28310) likely a partial charge, not the full procedure |
$736.28 | $981.71 | 0.1× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) unusually low: confirm this is the full procedure |
$4,717.44 | $6,289.92 | 0.4× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $4,717.44 | $6,289.92 | 1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $234.23 | $312.31 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$105.65–$135.75 | $140.87–$181 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $136.77 | $182.36 | 1.0× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $1,027.79 | $1,370.38 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $683.87 | $911.82 | 0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $385.75 | $514.33 | 0.6× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $7,528.25 | $10,037.66 | 2.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$992.25 | $1,323 | 0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $395.58 | $527.44 | 1.9× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$95.82–$197.66 | $127.76–$263.55 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $124.49 | $165.98 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $141.69 | $188.92 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $141.69 | $188.92 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $306.34 | $408.45 | 0.7× |
| Shoulder joint surgery (23101) range across 2 matching MRF lines |
$2,322.06–$4,297.29 | $3,096.08–$5,729.72 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $164.62 | $219.49 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $194.10 | $258.80 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $122.03 | $162.71 | 0.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 3 matching MRF lines |
$578.58–$1,220.31 | $771.44–$1,627.08 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $491.40 | $655.20 | 1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $252.26 | $336.34 | 1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $276.83 | $369.10 | 1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $360.36 | $480.48 | 0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $326.78 | $435.71 | 1.6× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $409.50 | $546 | 2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$189.19–$205.57 | $252.25–$274.09 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $533.99 | $711.98 | 2.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $296.48 | $395.30 | 1.4× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$372.84–$2,535.62 | $497.12–$3,380.83 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$174–$2,535.62 | $232–$3,380.83 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
$2,628.99–$6,436.56 | $3,505.32–$8,582.08 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$222.86–$251.43 | $297.15–$335.24 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $384.11 | $512.15 | 0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $458.64 | $611.52 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$73.32–$1,053 | $97.76–$1,404 | varies |
| Strapping ankle (29540) range across 3 matching MRF lines |
$52.76–$105.53 | $70.35–$140.70 | varies |
| Strapping Unna Boot (29580) | $157.25 | $209.66 | 0.9× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$344.76–$1,657.50 | $459.68–$2,210 | varies |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) range across 2 matching MRF lines |
$2,322.06–$4,942.08 | $3,096.08–$6,589.44 | varies |
| Tenodesis long tendon biceps (23430) | $5,159.70 | $6,879.60 | 0.7× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $2,322.06 | $3,096.08 | 0.7× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) likely a partial charge, not the full procedure |
$881.24 | $1,174.99 | 0.1× |
| Thrombolytic Therapy Stroke (37195) | $635.70 | $847.60 | 1.9× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$619.07–$655.20 | $825.42–$873.60 | varies |
| Tooth extraction (41899) | $338.25 | $451 | 1.4× |
| Total Knee Arthroplasty (27447) | $17,549.54 | $23,399.38 | 1.3× |
| Treat ectopic pregnancy (59151) unusually low: confirm this is the full procedure |
$2,334.15 | $3,112.20 | 0.4× |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$8,892–$9,336.60 | $11,856–$12,448.80 | varies |
| Treat humerus fracture (24500) | $477.48 | $636.64 | 1.9× |
| Treat humerus fracture (23600) | $571.67 | $762.22 | 2.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $600.33 | $800.44 | 0.4× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$109.75–$390.60 | $146.33–$520.80 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$123.67–$247.34 | $164.89–$329.78 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$138.41–$150.70 | $184.55–$200.93 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $52.42 | $69.89 | 0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $647.01 | $862.68 | 0.9× |
| Tx superficial wound dehiscence w/packing (12021) | $378.38 | $504.50 | 0.9× |
| Unlisted procedure arthroscopy (29999) | $369.37 | $492.49 | 1.5× |
| Vag hyst w/t/o & vag repair (58263) | $4,750.20 | $6,333.60 | 0.9× |
| Vaginal delivery only (59409) | $1,983.62 | $2,644.82 | 0.6× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $3,931.20 | $5,241.60 | 0.8× |
| Vulvectomy simple partial (56620) | $2,205.84 | $2,941.12 | 0.7× |
| Wedge excision skin nail fold (11765) | $225.23 | $300.30 | 0.5× |
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.