Procedures & surgery prices at Southwest Health Center

Platteville, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,973.25 $2,631 2.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$845.25–$880.50 $1,127–$1,174 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $2,916 $3,888 1.9×
Acne surgery (10040) $210 $280 1.1×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $3,355.50 $4,474 1.7×
Amniocentesis diagnostic (59000) $415.50 $554 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,786.50 $2,382 0.6×
Amputation toe interphalangeal joint (28825) $788.25 $1,051 0.2×
Anoscopy diagnostic (46600) $124.50 $166 1.0×
Anterior colporraphy rpr cystocele w/cysto (57240) $2,993.25 $3,991 0.6×
Apheresis Platelets (36513) $3,581.25 $4,775 8.4×
Appendectomy (44950)
likely a partial charge, not the full procedure
$1,107 $1,476 0.2×
Application cast elbow finger short arm (29075) $224.25 $299 0.8×
Application finger splint static (29130) $88.50 $118 0.7×
Application long arm splint shoulder hand (29105) $204 $272 1.3×
Application Long Leg Splint (29505) $344.25 $459 2.2×
Application of long leg cast (29345) $231.75 $309 0.9×
Application of rigid total contact leg cast (29445) $498 $664 1.8×
Application short arm splint forearm-hand static (29125) $123.75 $165 1.0×
Application short leg splint calf foot (29515) $132.75 $177 0.8×
Apply hand/wrist cast (29085) $134.25 $179 0.9×
Apply long arm cast (29065) $134.25 $179 0.5×
Apply Short Leg Cast (29405) $186.75 $249 0.7×
Apply short leg cast (29425) $549.75 $733 2.0×
Arterial puncture (36600)
range across 3 matching MRF lines
$130.50–$149.25 $174–$199 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $659.25 $879 2.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $879 $1,172 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $654 $872 2.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $483 $644 1.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $654 $872 2.2×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $6,121.50 $8,162 1.9×
Arthroscopy knee synovectomy limited spx (29875) $5,864.25 $7,819 1.8×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $6,217.50 $8,290 2.0×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $5,171.25 $6,895 1.6×
Aspirate pleura w/ imaging (32555) $1,224.75 $1,633 2.0×
Aspirate Pleura W/O Imaging (32554) $804.75 $1,073 1.3×
Aspirate/Inj Ganglion Cyst (20612) $68.25 $91 0.2×
Aspiration and/or injection thyroid cyst (60300) $1,188 $1,584 1.7×
Avulsion nail plate partial/complete simple 1 (11730) $152.25 $203 0.8×
Biopsy Abdominal Mass (49180) $2,115 $2,820 1.3×
Biopsy External Auditory Canal (69105) $2,916 $3,888 1.9×
Biopsy external ear (69100) $638.25 $851 2.8×
Biopsy nail unit (11755) $1,165.50 $1,554 1.7×
Biopsy of breast; open, incisional (19101) $441 $588 0.1×
Biopsy of floor of mouth (41108) $3,032.25 $4,043 1.9×
Biopsy of lip (40490) $638.25 $851 2.8×
Biopsy of liver, needle; percutaneous (47000) $2,300.25 $3,067 1.4×
Biopsy of palate, uvula (42100) $2,448 $3,264 1.6×
Biopsy of penis (54100) $743.25 $991 0.5×
Biopsy Oropharynx (42800) $2,843.25 $3,791 1.9×
Biopsy Pleura Percutaneous Needle (32400) $1,483.50 $1,978 0.9×
Biopsy Salivary Gland Needle (42400) $1,553.25 $2,071 2.3×
Biopsy soft tissue forearm&/wrist superficial (25065) $390 $520 0.2×
Biopsy soft tissue neck/thorax (21550) $351.75 $469 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $356.25 $475 0.7×
Biopsy Tongue Posterior One-Third (41105) $4,826.25 $6,435 1.5×
Biopsy Vaginal Mucosa Simple (57100) $102 $136 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $96 $128 0.1×
Biopsy, vestibule of mouth (40808) $1,195.50 $1,594 2.3×
Bladder Irrigation (51700) $168 $224 0.7×
Bladder Scan (51798) $75.75 $101 1.3×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $1,028.25 $1,371 0.5×
Blepharotomy drainage abscess eyelid (67700) $576.75 $769 1.9×
Blood Transfusion Service (36430)
range across 3 matching MRF lines
$647.25–$1,925.25 $863–$2,567 varies
Blood/Lymph System Procedure (38999) $958.50 $1,278 2.2×
Bone Marrow Biopsy (38221) $2,601.75 $3,469 1.6×
Bone Marrow; Aspiration Only (38220) $3,038.25 $4,051 1.9×
Bronchoscopy/Needle Bx Each (31629) $72.75 $97 0.0×
Bx breast 1st lesion strtctc (19081) $2,387.25 $3,183 1.5×
Bx breast 1st lesion us imag (19083) $2,441.25 $3,255 1.5×
Bx breast needle core w/o imaging guidance spx (19100) $1,736.25 $2,315 1.1×
Bx Cervix (57500) $140.25 $187 0.2×
Bx/exc lymph node open deep axillary node (38525) $879 $1,172 0.2×
Bx/exc lymph node open superficial (38500) $500.25 $667 0.1×
Capsulotomy Iphal Joint Each Joint Spx (28272) $2,604.75 $3,473 1.7×
Carpal Tunnel Surgery (64721) $3,552.75 $4,737 1.9×
Cataract surgery complex (66982) $4,414.50 $5,886 2.0×
Catheter aspiration nasotracheal spx (31720) $378 $504 1.8×
Cautery Cervix Cryocautery Initial/Repeat (57511) $273.75 $365 0.9×
Cerclage cervix pregnancy vaginal (59320) $274.50 $366 0.1×
Chemical Cautery Tissue (17250) $378.75 $505 1.9×
Chemodenerv Musc Migraine (64615) $658.50 $878 2.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $192 $256 0.6×
Chest tube placement (32551) $1,216.50 $1,622 0.8×
Circumcision 28 days or older (54161) $5,199.75 $6,933 2.6×
Circumcision Neonate (54160) $399.75 $533 0.6×
Circumcision w/clamp/oth dev w/block (54150) $399.75 $533 0.2×
Clear outer ear canal (69200) $352.50 $470 2.7×
Closed rx talotarsal disloc,anesth (28575) $1,398 $1,864 0.4×
Closed Treat Vert Body Fract (22310) $657 $876 2.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,181.50 $4,242 2.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $402.75 $537 1.7×
Closed Treatment Ulnar Styloid Fracture (25650) $729.75 $973 3.0×
Closed tx ankle dislocation w/o anesthesia (27840) $1,160.25 $1,547 4.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,418.25 $1,891 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines
$517.50–$601.50 $690–$802 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $480.75 $641 2.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $632.25 $843 2.6×
Closed tx knee dislocation w/o anesthesia (27550) $450 $600 1.9×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $954.75 $1,273 1.8×
Closed tx metatarsal fracture w/o manipulation (28470) $567 $756 2.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,916 $3,888 1.9×
Closed tx patellar dislocation w/anesthesia (27562) $1,164.75 $1,553 4.9×
Closed tx patellar dislocation w/o anesthesia (27560) $1,020 $1,360 4.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $662.25 $883 2.8×
Closed tx radial head/neck fx w/manipulation (24655) $889.50 $1,186 0.6×
Closed tx radial head/neck fx w/o manipulation (24650) $606.75 $809 2.5×
Closed tx radial shaft fracture w/manipulation (25505) $2,125.50 $2,834 1.4×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $494.25 $659 2.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,431.50 $3,242 1.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $711.75 $949 3.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $538.50 $718 2.2×
Closed tx talus fracture w/o manipulation (28430) $456 $608 1.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $389.25 $519 1.6×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $593.25 $791 2.5×
Closed tx ulnar shaft fracture w/o manipulation (25530) $449.25 $599 1.9×
Closure lacrimal punctum (68760) $316.50 $422 1.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $516 $688 2.2×
Clsd tx clavicular fracture w/o manipulation (23500) $520.50 $694 2.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $792 $1,056 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$421.50–$520.50 $562–$694 varies
Clsr Lacrimal Punctum Plug Each (68761) $212.25 $283 0.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,698 $2,264 1.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $362.25 $483 0.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $496.50 $662 2.1×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $551.25 $735 2.3×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,423.50 $1,898 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $840 $1,120 3.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $636 $848 2.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $413.25 $551 1.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $520.50 $694 2.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $711 $948 3.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,388.25 $1,851 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,957.25 $3,943 1.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $871.50 $1,162 3.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $520.50 $694 2.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $711.75 $949 3.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $519.75 $693 2.2×
Cltx greater humeral tuberosity fx w/o manj (23620) $576 $768 2.4×
Cltx Greater Trochanteric Fx W/O Manj (27246) $719.25 $959 3.0×
Cltx hip dislocation traumatic req anesthesia (27252) $3,004.50 $4,006 1.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $696 $928 2.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $603.75 $805 2.5×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $402.75 $537 1.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,901.25 $2,535 7.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $186.75 $249 0.8×
Cltx Med Ankle Fx W/Mnpj (27762) $3,391.50 $4,522 2.2×
Cltx Medial Ankle Fx (27760) $681.75 $909 2.8×
Cltx metacarpal fx w/manipulation each bone (26605) $404.25 $539 1.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $449.25 $599 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $366.75 $489 1.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $486.75 $649 2.0×
Cltx post hip arthrp dislc req anes (27266) $2,556 $3,408 1.6×
Cltx post hip arthrp dislc w/o anes (27265) $1,191.75 $1,589 5.0×
Cltx prox fibula/shft fx w/o manj (27780) $631.50 $842 2.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $275.25 $367 1.1×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,589.75 $3,453 1.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,027 $4,036 1.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $688.50 $918 2.9×
Cltx tibial fx proximal w/o manipulation (27530) $642 $856 2.7×
Cltx tibial shaft fx w/o manipulation (27750) $713.25 $951 3.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $690.75 $921 0.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $655.50 $874 2.7×
Collect Blood From Catheter Venous Nos (36592) $168.75 $225 1.3×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$27–$28.50 $36–$38 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $2,211 $2,948 1.9×
Colonoscopy thru stoma (44388) $2,010 $2,680 2.2×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $2,605.50 $3,474 2.2×
Colonoscopy W/Band Ligation (45398) $2,211 $2,948 1.9×
Colonoscopy W/Resection (45390) $3,717.75 $4,957 1.4×
Colonoscopy w/submucosal inj (45381) $2,211 $2,948 1.9×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure
$418.50 $558 0.1×
Colporrhaphy (57200) $636.75 $849 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $227.25 $303 0.8×
Colposcopy Cervix Endocervical Curettage (57456) $162 $216 0.5×
Colposcopy cervix upper/adjacent vagina (57452) $427.50 $570 2.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $171 $228 0.6×
Colposcopy of vulva (56820) $440.25 $587 2.2×
Colposcopy Vulva W/Biopsy (56821) $708.75 $945 2.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,605.50 $3,474 2.2×
Combined anteroposterior colporrhaphy; (57260) $1,390.50 $1,854 0.3×
Complex drainage wound (10180) $5,110.50 $6,814 1.8×
Conization cervix w/wo d&c rpr eltrd exc (57522) $486.75 $649 0.2×
Conization of cervix (57520) $546 $728 0.2×
Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) $4,332 $5,776 1.9×
Control Nasal Hemorrhage Anterior Complex (30903) $426 $568 3.3×
Control Nasal Hemorrhage Anterior Simple (30901) $332.25 $443 2.6×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,676.25 $2,235 1.0×
Cornea Scraping Diagnostic Smear &/Culture (65430) $447 $596 1.0×
Correction of trichiasis; epilation, by forceps only (67820) $74.25 $99 0.6×
Create Eardrum Opening (69433) $120 $160 0.2×
Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) $2,384.25 $3,179 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $455.25 $607 3.5×
Curettage postpartum (59160) $318.75 $425 0.1×
Cysto w/complex removal stone & stent (52315) $3,840.75 $5,121 1.9×
Cysto w/destruction of lesions (52214) $6,466.50 $8,622 1.9×
Cysto w/removal of lesions small (52224) $6,466.50 $8,622 1.9×
Cysto w/removal of tumors small (52234) $6,466.50 $8,622 1.9×
Cystourethroscopy (52000) $1,275.75 $1,701 1.9×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $6,466.50 $8,622 1.9×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $9,531.75 $12,709 1.8×
Cystourethroscopy with biopsy (52204) $5,617.50 $7,490 2.8×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,553.25 $2,071 2.3×
Dcmprn fasct leg post compartment only (27601) $51 $68 0.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,386.75 $1,849 1.9×
Debride nail 1-5 (11720) $116.25 $155 2.0×
Debride nail 6 or more (11721) $90.75 $121 1.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,983.50 $3,978 1.9×
Debridement Mastoidectomy Cavity Simple (69220) $251.25 $335 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $867.75 $1,157 2.2×
Declot vascular device (36593) $495.75 $661 1.5×
Delivery of placenta (59414) $148.50 $198 0.0×
Destr W Neurolytic; Celiac Plexus (64680) $1,071 $1,428 1.2×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines
$3,816–$5,721.75 $5,088–$7,629 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines
$2,233.50–$4,671.75 $2,978–$6,229 varies
Destruct B9 Lesion 1-14 (17110) $282 $376 1.4×
Destruction Benign Lesions 15/> (17111) $363 $484 1.9×
Destruction by neurolytic agent, intercostal nerve (64620) $2,469 $3,292 2.9×
Destruction by neurolytic agent; plantar common digital nerve (64632) $545.25 $727 1.8×
Destruction by neurolytic agent; pudendal nerve (64630) $2,012.25 $2,683 2.3×
Destruction Internal Hemorrhoid Thermal Energy (46930) $2,211 $2,948 1.9×
Destruction Lesions Vulva Extensive (56515) $387.75 $517 0.2×
Destruction Lesions Vulva Simple (56501) $251.25 $335 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $516 $688 2.6×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $648 $864 3.3×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $367.50 $490 1.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $361.50 $482 1.9×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $345.75 $461 1.8×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $427.50 $570 2.2×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $378.75 $505 1.9×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $282 $376 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $3,814.50 $5,086 2.0×
Destruction of lesion of lid margin (up to 1 cm) (67850) $2,034 $2,712 2.1×
Destruction of lesion, conjunctiva (68135) $3,204 $4,272 1.4×
Destruction Premalignant Lesion 15/> (17004) $636 $848 1.6×
Destruction premalignant lesion 1st (17000) $162.75 $217 0.8×
Destruction Vaginal Lesions Extensive (57065) $332.25 $443 0.1×
Destruction Vaginal Lesions Simple (57061) $222 $296 0.1×
Diagnostic sigmoidoscopy (45330) $1,932.75 $2,577 2.1×
Diaphragm or cervical cap fitting with instructions (57170) $173.25 $231 0.9×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $123.75 $165 0.5×
Dilate Urethra Stricture (53620) $1,374 $1,832 2.0×
Dilation & curettage dx&/ther nonobstetric (58120) $6,333.75 $8,445 2.0×
Dilation And Curettage Of Cervical Stump (57558) $225.75 $301 0.1×
Dilation Cervical Canal (57800) $93 $124 0.0×
Dilation Lacrimal Punctum W/WO Irrgation (68801) $142.50 $190 0.3×
Drain Cerebro Spinal Fluid (62272) $645 $860 0.9×
Drain/inj small joint/bursa w/us (20604) $753.75 $1,005 2.5×
Drainage external auditory canal abscess (69020) $1,553.25 $2,071 2.3×
Drainage external ear abscess/hematoma cmplx (69005) $1,830 $2,440 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $546.75 $729 0.8×
Drainage Finger Abscess Complicated (26011) $3,348 $4,464 2.1×
Drainage of eye (65800) $3,307.50 $4,410 1.5×
Drainage of finger abscess simple (26010) $512.25 $683 2.6×
Drainage of gum lesion (41800) $156 $208 1.2×
Drainage of hematoma/fluid (10140) $810 $1,080 0.5×
Drainage of hydrocele (55000) $1,319.25 $1,759 1.9×
Drainage of nose lesion (30000) $250.50 $334 1.1×
Drainage of scrotal wall abscess (55100) $797.25 $1,063 0.5×
Drainage of scrotum (54700) $3,840.75 $5,121 1.9×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$170.25–$171 $227–$228 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $889.50 $1,186 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $255 $340 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $157.50 $210 0.8×
Dstrj Lesion Anus Extensive (46924) $5,538.75 $7,385 2.1×
Dstrj Lesion Anus Simple Chemical (46900) $300.75 $401 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $270.75 $361 1.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $783.75 $1,045 0.9×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,316.25 $1,755 1.5×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,404.75 $1,873 1.6×
Dx Bone Marrow Bx & Aspir (38222) $3,153 $4,204 1.1×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines
$168.75–$1,527 $225–$2,036 varies
Egd Balloon Dil Esoph30 Mm/> (43233) $5,926.50 $7,902 3.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,937.75 $3,917 1.6×
Egd cautery tumor polyp (43250) $2,559.75 $3,413 1.4×
Egd Flexible Foreign Body Removal (43247) $3,078 $4,104 3.5×
Egd place gastrostomy tube (43246) $2,584.50 $3,446 1.4×
Endocervical curettage (57505) $212.25 $283 0.2×
Endometrial Biopsy (58100) $135.75 $181 0.7×
Endoscopy Upper Small Intestine (44360) $1,861.50 $2,482 1.0×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $4,131 $5,508 1.3×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $5,901.75 $7,869 1.9×
Endoven ther chem adhes 1st (36482) $10,135.50 $13,514 1.9×
Epidural Blood Patch (62273) $1,527 $2,036 2.2×
Episiotomy or vaginal repair (59300) $268.50 $358 0.1×
Esophagoscop Stent Placement (43212) $8,200.50 $10,934 1.4×
Evacuate mole of uterus (59870) $1,007.25 $1,343 0.3×
Evacuation of subungual hematoma (11740) $177 $236 1.4×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $3,164.25 $4,219 2.0×
Exc abdl tum deep 5 cm/> (22901) $1,265.25 $1,687 0.4×
Exc arm/elbow les sc < 3 cm (24075) $3,072.75 $4,097 1.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,553.25 $2,071 2.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,164.25 $4,219 2.0×
Exc Back Les Sc < 3 Cm (21930) $796.50 $1,062 0.5×
Exc back tum deep < 5 cm (21932) $5,772.75 $7,697 2.0×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,553.25 $2,071 2.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,553.25 $2,071 2.3×
Exc Face Les Sbq 2 Cm/> (21012) $745.50 $994 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,526.25 $2,035 2.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $315.75 $421 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,313.25 $1,751 1.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,884.75 $2,513 1.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $3,557.25 $4,743 2.2×
Exc Forearm Les Sc 3 Cm/> (25071) $896.25 $1,195 0.6×
Exc Frenum Labial/Buccal (40819) $3,192 $4,256 2.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $3,164.25 $4,219 2.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $3,164.25 $4,219 4.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,457.75 $3,277 1.5×
Exc hand tum deep < 1.5 cm (26116) $3,164.25 $4,219 2.0×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $627 $836 0.6×
Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) $5,896.50 $7,862 1.8×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $5,896.50 $7,862 1.8×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $8,211 $10,948 2.5×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $5,829 $7,772 1.8×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,376.25 $1,835 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,553.25 $2,071 2.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,164.25 $4,219 2.0×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,164.25 $4,219 1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,072 $4,096 1.9×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $3,164.25 $4,219 2.0×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,692.50 $3,590 1.7×
Exc thigh/knee les sc 3 cm/> (27337) $6,631.50 $8,842 2.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,604 $3,472 2.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $867.75 $1,157 2.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $443.25 $591 0.6×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $407.25 $543 0.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $899.25 $1,199 0.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $7,360.50 $9,814 2.6×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,983.50 $3,978 1.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $3,072 $4,096 1.9×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $4,176 $5,568 2.6×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $700.50 $934 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $4,779 $6,372 1.7×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $848.25 $1,131 0.3×
Exchange Intraocular Lens (66986) $5,663.25 $7,551 2.5×
Excis Mouth Mucosa/Sub,No Repair (40810) $5,563.50 $7,418 1.7×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $490.50 $654 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,553.25 $2,071 2.3×
Excision Aural Polyp (69540) $255 $340 0.2×
Excision Chalazion Multiple Same Lid (67801) $1,762.50 $2,350 1.8×
Excision Chalazion Single (67800) $222.75 $297 0.7×
Excision External Ear Partial Simple Repair (69110) $5,110.50 $6,814 1.8×
Excision Facial Bone (21026) $10,962 $14,616 1.9×
Excision Lesion Conjunctiva </1 Cm (68110) $3,807 $5,076 1.6×
Excision lesion mouth roof (42104) $5,896.50 $7,862 1.8×
Excision Lesion Tongue W/O Closure (41110) $661.50 $882 0.2×
Excision Lingual Frenum Frenectomy (41115) $842.25 $1,123 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,264.50 $1,686 1.8×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,264.50 $1,686 1.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $702 $936 1.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,553.25 $2,071 2.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,972.50 $2,630 2.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $3,059.25 $4,079 1.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $3,164.25 $4,219 2.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $3,164.25 $4,219 4.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,457.75 $3,277 3.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $3,164.25 $4,219 2.0×
Excision of bartholin's gland or cyst (56740) $541.50 $722 0.2×
Excision of chalazion; multiple, different lids (67805) $1,003.50 $1,338 3.3×
Excision of local lesion of epididymis (54830) $5,433 $7,244 1.6×
Excision of pilonidal cyst or sinus; simple (11770) $376.50 $502 0.1×
Excision of single external papilla or tag, anus (46220) $262.50 $350 0.2×
Excision of vaginal cyst or tumor (57135) $328.50 $438 0.1×
Excision soft tissue lesion, external auditory canal (69145) $5,293.50 $7,058 1.9×
Excision spermatocele w/wo epididymectomy (54840) $5,433 $7,244 2.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $942.75 $1,257 0.6×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $4,517.25 $6,023 2.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $108.75 $145 0.1×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $3,072 $4,096 1.9×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $870 $1,160 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $639.75 $853 0.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $6,161.25 $8,215 2.2×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $5,110.50 $6,814 1.8×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $3,129.75 $4,173 2.0×
Excision/destruction intranasal lesion int appr (30117) $5,947.50 $7,930 1.8×
Explo/Drain Breast Abscess (19020) $3,129.75 $4,173 2.0×
External cephalic version (59412) $1,170.75 $1,561 0.4×
Fasciotomy, foot and/or toe (28008) $5,512.50 $7,350 1.7×
Fetal Contraction Stress Test (59020) $297.75 $397 1.5×
Fetal non-stress test (59025) $120.75 $161 0.6×
Fine needle aspiration without imaging guidance (10021) $171 $228 0.4×
Fluoro exam of g/colon tube (49465) $539.25 $719 2.3×
Fna bx w/us gdn 1st les (10005) $1,563 $2,084 2.3×
Foreskin manipulation (54450) $769.50 $1,026 3.2×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $5,043 $6,724 1.6×
Fusion Finger Joint (26860) $1,651.50 $2,202 0.5×
Guide Cathet Fluid Drainage (10030) $1,553.25 $2,071 2.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $690 $920 0.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $997.50 $1,330 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $464.25 $619 0.5×
Hymenotomy Simple Incision (56442) $102 $136 0.0×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $8,731.50 $11,642 1.8×
Hysteroscopy Biopsy (58558) $5,554.50 $7,406 1.8×
Hysteroscopy Dx Sep Proc (58555) $6,061.50 $8,082 1.9×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $545.25 $727 0.1×
Hysteroscopy Removal Impacted Foreign Body (58562) $465 $620 0.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $845.25 $1,127 0.2×
I&d abscess peritonsillar (42700) $593.25 $791 2.6×
I&d abscess simple (10060) $259.50 $346 1.3×
I&D Below Fascia Foot 1 Bursal Space (28002) $3,045.75 $4,061 2.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $6,781.50 $9,042 2.4×
I&d perianal abscess superficial (46050) $195 $260 0.2×
I&d pilonidal cyst simple (10080) $1,224.75 $1,633 1.8×
Image Cath Fluid Colxn Visc (49405) $4,357.50 $5,810 2.7×
Image Cath Fluid Peri/Retro (49406) $4,357.50 $5,810 2.7×
Image Cath Fluid Trns/Vgnl (49407) $2,699.25 $3,599 1.7×
Implant neuroelectrodes (63650) $7,857 $10,476 1.3×
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure
$5,171.25 $6,895 0.3×
Incise external hemorrhoid (46083) $667.50 $890 2.8×
Incise/Drain Conjunctiva (68020) $2,235.75 $2,981 2.3×
Incision & drainage abscess complicated/multiple (10061) $876.75 $1,169 2.2×
Incision & removal foreign body subq tiss simple (10120) $224.25 $299 0.6×
Incision and drainage of bartholin's gland abscess (56420) $519.75 $693 2.6×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $551.25 $735 0.2×
Incision and drainage of vulva or perineal abscess (56405) $434.25 $579 1.5×
Incision Drainage Lacrimal Sac (68420) $4,575.75 $6,101 2.0×
Incision of eardrum (69420) $429.75 $573 1.9×
Incision of labial frenum (frenotomy) (40806) $919.50 $1,226 1.8×
Incision of lingual frenum (frenotomy) (41010) $2,295.75 $3,061 1.5×
Incision of rectal abscess (46040) $940.50 $1,254 0.8×
Incision of urethra (53020) $4,770 $6,360 2.3×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,586.75 $3,449 1.6×
Incisional biopsy eyelid skin & lid margin (67810) $321 $428 1.0×
Incisional biopsy skin single lesion (11106) $1,386.75 $1,849 1.9×
Induced abortion, by dilation and evacuation (59841) $679.50 $906 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $110.25 $147 0.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$1,651.50–$2,980.50 $2,202–$3,974 varies
Inj W/Fluor Eval Cv Device (36598) $621.75 $829 3.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines
$833.25–$2,700.75 $1,111–$3,601 varies
Inject Intravitreal Pharmcologic (67028) $747.75 $997 2.3×
Injection 1 tendon sheath/ligament aponeurosis (20550) $654 $872 2.2×
Injection aa&/strd axillary nerve w/img gdn (64417) $2,469 $3,292 2.9×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,662.75 $2,217 1.9×
Injection aa&/strd genicular nrv branches w/img (64454) $1,903.50 $2,538 2.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,469 $3,292 2.9×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,903.50 $2,538 2.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,527 $2,036 2.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $798.75 $1,065 2.7×
Injection Anes Superior Hypogastric Plexus (64517) $2,283 $3,044 2.7×
Injection anesthetic agent suprascapular nerve (64418) $1,806.75 $2,409 2.6×
Injection enzyme palmar fascial cord (20527) $603.75 $805 2.0×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines
$62.25–$946.50 $83–$1,262 varies
Injection medication/other subst tenon capsule (67515) $173.25 $231 0.6×
Injection of sclerosing solution, hemorrhoids (46500) $1,760.25 $2,347 1.9×
Injection single tendon origin/insertion (20551) $612 $816 2.1×
Injection single/mlt trigger point 1/2 muscles (20552) $459.75 $613 1.5×
Injection single/mlt trigger point 3/> muscles (20553) $654 $872 2.2×
Injection therapeutic carpal tunnel (20526) $654 $872 2.2×
Injection, anesthetic agent; brachial plexus, single (64415) $2,012.25 $2,683 2.3×
Injection, anesthetic agent; femoral nerve, single (64447) $1,427.25 $1,903 2.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $2,319 $3,092 3.4×
Injection, Intralesional; More Than 7 Lesions (11901) $151.50 $202 0.8×
Injection, intralesional; up to and including 7 lesions (11900) $352.50 $470 1.8×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,989.75 $2,653 2.3×
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure
$33 $44 0.0×
Insert Bladder Cath Complex (51703) $381 $508 3.0×
Insert cath pleura w/ image (32557) $879 $1,172 0.6×
Insert cath pleura w/o image (32556) $3,153 $4,204 1.7×
Insert cervical dilator (59200) $73.50 $98 0.2×
Insert Drug Implant Device (11981) $120 $160 0.9×
Insert non-tunnel cv cath (36556) $144 $192 0.0×
Insert pessary/other device (57160) $68.25 $91 0.3×
Insert Temp Bladder Cath (51702) $250.50 $334 1.9×
Insert tunneled cv cath (36561) $619.50 $826 0.2×
Insert,Non-Indwelling Bladder Catheter (51701) $40.50 $54 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,530.25 $4,707 2.3×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $1,464.75 $1,953 0.4×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $5,663.25 $7,551 2.5×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $3,030.75 $4,041 2.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,005.75 $1,341 0.3×
Int hrhc by ligation single hroid w/o img gdn (46945) $628.50 $838 0.2×
Intro Gastrointestinal Tube (44500) $236.25 $315 0.3×
Intubation endotracheal emergency procedure (31500) $417 $556 1.8×
Iridotomy/irridectomy laser surg per session (66761) $1,264.50 $1,686 2.4×
Labyrinthotomy Transcanal (69801) $2,916 $3,888 1.9×
Lap paraesoph her rpr w/mesh (43282)
unusually low: confirm this is the full procedure
$3,333 $4,444 0.3×
Laparoscopic myomectomy (58545)
likely a partial charge, not the full procedure
$1,496.25 $1,995 0.3×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure
$663.75 $885 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure
$1,572.75 $2,097 0.3×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure
$675 $900 0.1×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573)
likely a partial charge, not the full procedure
$2,214.75 $2,953 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure
$1,135.50 $1,514 0.2×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546)
likely a partial charge, not the full procedure
$1,832.25 $2,443 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure
$1,591.50 $2,122 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure
$1,508.25 $2,011 0.3×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553)
likely a partial charge, not the full procedure
$1,848.75 $2,465 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure
$644.25 $859 0.1×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure
$675 $900 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure
$606 $808 0.1×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure
$1,645.50 $2,194 0.2×
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure
$1,418.25 $1,891 0.2×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure
$2,164.50 $2,886 0.2×
Laryngoscopy flexible diagnostic (31575) $474.75 $633 2.4×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $728.25 $971 1.9×
Laryngoscopy W/Biopsy (31535) $363.75 $485 0.1×
Laryngoscopy w/biopsy microscope/telescope (31536) $390.75 $521 0.1×
Laryngoscopy W/Foreign Body Removal (31530) $4,533 $6,044 2.6×
Laser Surgery,Sever Vitreous Strands (67031) $1,264.50 $1,686 2.4×
Late closure of wound (13160) $4,026.75 $5,369 1.2×
Ligation or biopsy temporal artery (37609) $437.25 $583 0.3×
Lithotripsy, extracorporeal shock wave (50590) $9,362.25 $12,483 2.7×
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure
$1,489.50 $1,986 0.1×
Lsh uterus above 250 g (58543)
likely a partial charge, not the full procedure
$1,663.50 $2,218 0.2×
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure
$1,790.25 $2,387 0.2×
Maniplatn palar fascial crd post inj single cord (26341) $657.75 $877 2.7×
Manipulation knee joint under general anesthesia (27570) $3,045.75 $4,061 2.0×
Manipulation tmj therapeutic require anesthesia (21073) $2,052.75 $2,737 1.4×
Manipulation, finger joint, under anesthesia, each joint (26340) $2,486.25 $3,315 1.6×
Mast mod rad (19307) $4,952.25 $6,603 0.8×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure
$1,844.25 $2,459 0.3×
Myringoplasty (69620) $969.75 $1,293 0.3×
N Block Inj Celiac Pelus (64530) $2,502.75 $3,337 2.9×
N Block Inj Ilio-Ing/Hypogi (64425) $1,787.25 $2,383 2.6×
N block inj intercost sng (64420) $1,848 $2,464 2.7×
N Block Inj Paracervical (64435) $1,806.75 $2,409 2.6×
N Block Inj Plantar Digit (64455) $632.25 $843 2.1×
N Block Inj Pudendal (64430) $2,275.50 $3,034 2.6×
N Block Lumbar/Thoracic (64520) $846.75 $1,129 1.0×
Nasal Endoscopy Dx (31231) $413.25 $551 2.1×
Nasal/Orogastric W/Tube Plmt (43752) $310.50 $414 0.7×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $1,261.50 $1,682 3.3×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $4,793.25 $6,391 1.3×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $3,037.50 $4,050 0.5×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $5,659.50 $7,546 1.0×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,252.75 $4,337 1.9×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,225 $4,300 1.9×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) $4,212.75 $5,617 0.6×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $4,798.50 $6,398 0.7×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $3,731.25 $4,975 0.5×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $6,744.75 $8,993 1.0×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $861.75 $1,149 3.6×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $1,709.25 $2,279 1.9×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines
$166.50–$2,120.25 $222–$2,827 varies
Neuroeltrd Stim Post Tibial (64566) $654 $872 2.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $421.50 $562 1.0×
Njx anes stellate ganglion crv sympathetic (64510) $2,012.25 $2,683 2.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $654 $872 2.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $396.75 $529 0.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$993–$2,293.50 $1,324–$3,058 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,527 $2,036 2.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,527 $2,036 2.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,773.75 $2,365 2.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $370.50 $494 0.4×
Njx Sclrsnt 1 Incmptnt Vein (36470) $749.25 $999 1.9×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $687 $916 1.7×
Njx Sclrsnt Spider Veins (36468) $749.25 $999 1.9×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $3,778.50 $5,038 0.6×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$930.75–$969.75 $1,241–$1,293 varies
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $6,103.50 $8,138 1.9×
Open tx interphalangeal joint dislocation (26785) $1,904.25 $2,539 0.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $8,469 $11,292 2.7×
Ovarian cystectomy, unilateral or bilateral (58925) $1,296 $1,728 0.3×
Partial excision of lip (40520) $5,896.50 $7,862 1.8×
Partial hymenectomy or revision of hymenal ring (56700) $372 $496 0.1×
Percut Drain/Inject Renal Cyst (50390) $1,553.25 $2,071 2.3×
Perineoplasty rpr perineum nonobstetrical spx (56810) $465 $620 0.1×
Perq dev breast 1st us imag (19285) $1,563 $2,084 2.3×
Perq device breast 1st imag (19281) $1,422 $1,896 0.9×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $1,815.75 $2,421 1.9×
Place Amniotic Membrane Ocular Surface Sutured (65779) $5,550 $7,400 1.5×
Placement of seton (46020) $5,166.75 $6,889 1.9×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $1,160.25 $1,547 0.2×
Probe lacrimal canaliculi w/wo irrigation (68840) $643.50 $858 2.1×
Probing nasolacrimal duct (68810) $643.50 $858 2.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $110.25 $147 0.1×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,415.25 $1,887 1.6×
Punch biopsy skin single lesion (11104) $513 $684 1.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $880.50 $1,174 2.2×
Puncture Aspiration Cyst Breast (19000) $291.75 $389 0.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,552.75 $4,737 1.9×
Reconstruction Tongue Fold (41520) $5,896.50 $7,862 1.8×
Removal Embedded Foreign Body Eyelid (67938) $177.75 $237 0.6×
Removal Foreign Body Deep Thigh/Knee (27372) $6,079.50 $8,106 2.2×
Removal foreign body foot deep (28192) $629.25 $839 0.4×
Removal Foreign Body Foot Subcutaneous (28190) $439.50 $586 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $207.75 $277 3.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $116.25 $155 2.0×
Removal impacted vag fb spx w/anes oth/thn local (57415) $303 $404 0.1×
Removal implantable contraceptive capsules (11976) $140.25 $187 0.2×
Removal of a lesion from the floor of the mouth (41116) $6,081 $8,108 1.9×
Removal of adenoids (42831) $6,555 $8,740 2.0×
Removal of foreign body from pharynx (42809) $468 $624 1.1×
Removal of nail bed (11750) $867.75 $1,157 2.2×
Removal of testis (54520) $5,433 $7,244 1.6×
Removal of tonsils (42825) $6,555 $8,740 1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $16.88 $22.50 0.1×
Remove armpit lymph nodes (38740)
likely a partial charge, not the full procedure
$1,298.25 $1,731 0.2×
Remove cerclage suture (59871) $249.75 $333 0.1×
Remove drug implant device (11982) $585 $780 1.3×
Remove Forearm Foreign Body (25248) $990 $1,320 0.6×
Remove foreign body from eye (65205) $122.25 $163 0.9×
Remove Intrauterine Device (58301) $231.75 $309 0.8×
Remove lung catheter (32552) $1,159.50 $1,546 1.9×
Remove Nasal Foreign Body (30300) $184.50 $246 1.4×
Remove Tendon Sheath Lesion (26160) $3,027.75 $4,037 1.9×
Remove/Insert Drug Implant (11983) $214.50 $286 0.5×
Reopen fallopian tube (58350) $177 $236 0.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,463.25 $1,951 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $650.25 $867 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $814.50 $1,086 2.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $888.75 $1,185 2.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $2,079.75 $2,773 5.3×
Repair complex trunk 1.1-2.5 cm (13100) $1,486.50 $1,982 2.1×
Repair complex trunk 2.6-7.5 cm (13101) $1,486.50 $1,982 2.1×
Repair extensor tendon finger w/o graft each (26418) $931.50 $1,242 0.6×
Repair Hand Tendon (26410) $4,125 $5,500 2.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $431.25 $575 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $528.75 $705 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $880.50 $1,174 2.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $310.50 $414 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $431.25 $575 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,382.25 $1,843 1.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $565.50 $754 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $405 $540 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $867.75 $1,157 2.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $147 $196 0.4×
Repair Laceration Palate </2 Cm (42180) $483.75 $645 0.9×
Repair of nail bed (11760) $413.25 $551 0.6×
Repair of rectocele (45560) $3,853.50 $5,138 1.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $4,668.75 $6,225 0.7×
Repair tongue laceration (41252) $539.25 $719 2.3×
Repair tongue laceration (41250) $600 $800 1.4×
Repair/Graft Wrist Bone (25440) $10,830.75 $14,441 1.5×
Reposition Gastrostomy Tube (43761) $740.25 $987 3.1×
Rerepair ing hernia reduce (49520) $1,151.25 $1,535 0.3×
Revise eyelashes (67825) $877.50 $1,170 2.8×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $5,793 $7,724 1.8×
Revision of eyelid (67880) $4,332 $5,776 1.9×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $4,476 $5,968 2.0×
Revj/rpr oprative wound anterior segment (66250) $6,059.25 $8,079 2.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $324.75 $433 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $229.50 $306 1.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $107.25 $143 0.2×
Rmvl FB/Dacryolith Lacrimal Passages (68530) $643.50 $858 2.1×
Rmvl fecal impaction/fb spx under anes (45915) $3,242.25 $4,323 2.8×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $316.50 $422 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,628.75 $3,505 1.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $255.75 $341 0.4×
Rmvl/revj sling stress incontinence (57287) $1,194 $1,592 0.4×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$747–$769.50 $996–$1,026 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $191.25 $255 1.0×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure
$693.75 $925 0.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $808.50 $1,078 1.1×
Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) $8,205 $10,940 1.4×
Rpr Nsl Vlv Collapse W/Implt (30468) $8,205 $10,940 1.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,171.25 $2,895 1.9×
Shave skin lesion 0.5 cm/< (11300) $222 $296 0.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $489 $652 2.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $438.75 $585 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $250.50 $334 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $269.25 $359 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $280.50 $374 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $504.75 $673 1.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $480.75 $641 2.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $552 $736 1.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $72.75 $97 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $471.75 $629 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $295.50 $394 1.5×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $5,829 $7,772 1.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,017.50 $2,690 2.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $756 $1,008 1.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $490.50 $654 2.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$402–$417.75 $536–$557 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $187.50 $250 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $395.25 $527 2.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $441.75 $589 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $390 $520 2.0×
Skin sub graft face/nk/hf/g (15275) $145.50 $194 0.2×
Skin sub graft trnk/arm/leg (15271) $3,174 $4,232 4.4×
Skin sub grft t/arm/lg child (15273) $4,653 $6,204 2.3×
Skin Tissue Procedure (17999) $139.50 $186 0.7×
Skn sub grft f/n/hf/g child (15277) $3,532.50 $4,710 1.8×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $1,190.25 $1,587 0.2×
Slitting of prepuce (54001) $4,770 $6,360 2.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $454.50 $606 2.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $390 $520 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines
$734.25–$1,188.75 $979–$1,585 varies
Snip Incision Lacrimal Punctum (68440) $877.50 $1,170 2.8×
Spinal puncture lumbar diagnostic (62270) $1,527 $2,036 2.2×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $7,922.25 $10,563 2.3×
Strapping Unna Boot (29580) $66.75 $89 0.4×
Subconjunctival injection (68200) $330 $440 0.8×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $5,655.75 $7,541 1.8×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $4,436.25 $5,915 0.8×
Tangential biopsy skin single lesion (11102) $441.75 $589 1.1×
Temporary Closure Eyelids Suture (67875) $1,735.50 $2,314 1.8×
Tenolysis flexor foot single tendon (28220) $2,957.25 $3,943 1.9×
Tenotomy Percutaneous Toe Single Tendon (28010) $2,957.25 $3,943 1.9×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $3,000.75 $4,001 1.9×
Thyroid biopsy (60100) $155.25 $207 0.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,026.75 $5,369 2.0×
Tlh uterus over 250 g (58572)
likely a partial charge, not the full procedure
$1,933.50 $2,578 0.2×
Tnot elbow lateral/medial debride open tdn rpr (24359) $1,375.50 $1,834 0.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $6,630 $8,840 2.1×
Tooth extraction (41899) $207.75 $277 0.9×
Trabeculoplasty by laser surgery (65855) $1,063.50 $1,418 2.0×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $619.50 $826 0.2×
Treat Ankle Dislocation (27846) $3,948.75 $5,265 0.6×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure
$1,355.25 $1,807 0.2×
Treat humerus fracture (24500) $570.75 $761 2.4×
Treat humerus fracture (23600) $681 $908 2.8×
Treat Knuckle Dislocation (26700) $288.75 $385 1.2×
Treat midfoot fracture (28456)
likely a partial charge, not the full procedure
$83.25 $111 0.0×
Treat Thumb Fracture (26645) $3,027 $4,036 1.9×
Treat toe dislocation (28630) $520.50 $694 2.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,735.25 $3,647 1.8×
Treatment closed elbow dislocation w/o anes (24600) $513.75 $685 2.1×
Trim skin lesion (11055) $231 $308 1.2×
Trim skin lesions 2 to 4 (11056) $289.50 $386 1.5×
Trim skin lesions over 4 (11057) $413.25 $551 2.1×
Trimming Nondystrophic Nails Any Number (11719) $120 $160 2.1×
Tx Gastro Intub W/Asp (43753) $353.25 $471 1.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $583.50 $778 0.2×
Tx Missed Abortion First Trimester Surgical (59820) $3,454.50 $4,606 1.1×
Tx Missed Abortion Second Trimester Surgical (59821) $3,454.50 $4,606 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$653.25–$807 $871–$1,076 varies
Tx superficial wound dehiscence w/packing (12021) $876.75 $1,169 2.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $603 $804 2.5×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $556.50 $742 0.4×
Tympanoplasty (69631) $9,734.25 $12,979 1.7×
Unlisted Procedure Casting/Strapping (29799) $121.50 $162 0.8×
Unlisted procedure nervous system (64999) $3,676.50 $4,902 12.3×
Vag hyst complex (58290)
likely a partial charge, not the full procedure
$1,866 $2,488 0.3×
Vag hyst incl t/o complex (58291) $2,027.25 $2,703 0.4×
Vaginal Delivery After Cesarean Delivery (59612) $1,485 $1,980 0.5×
Vaginal delivery only (59409) $1,321.50 $1,762 0.4×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $1,390.50 $1,854 0.3×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $1,551.75 $2,069 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250) $358.50 $478 0.2×
Vulvectomy simple partial (56620) $1,032.75 $1,377 0.3×
Wedge excision skin nail fold (11765) $200.25 $267 0.5×
Wound Prep F/N/Hf/G (15004) $1,155.75 $1,541 2.9×

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.