Procedures & surgery prices at SSM Health Saint Louis University Hospital

St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $2,167.55–$2,493.15 $3,941–$4,533 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,711.05–$1,967.90 $3,111–$3,578 varies
Ablate Pulm Tumor Perq Crybl (32994) $5,705.15 $10,373 0.5×
Ablation 1/> liver tumor perq cryoablation (47383) $6,275.50 $11,410 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $16,467 $29,940 0.9×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $14,529.35 $26,417 2.0×
Ablt trurl prst8 tis thrm us ins trurl us trnsdc (55882) $21,595.20 $39,264 1.6×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $707 $1,285.46 0.2×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $591.71 $1,075.84 0.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $445.90–$3,822.50 $810.72–$6,950 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $586.37 $1,066.13 0.3×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
unusually low: confirm this is the full procedure		 $2,863.30 $5,206 0.4×
Allogeneic lymphocyte infusions (38242) $2,587.20 $4,704 1.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $6,295.30 $11,446 1.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,971 $7,220 1.2×
Amputation toe interphalangeal joint (28825) $3,293.95 $5,989 1.0×
Anal/Urinary Muscle Study (51784) $387.75 $705 3.0×
Anoscopy Control Bleeding (46614) $1,942.05 $3,531 1.6×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $96.62–$123.75 $175.67–$225 varies
Anoscopy W/Rmvl Foreign Body (46608) $841.50 $1,530 0.9×
Apheresis Platelets (36513) $5,908.65 $10,743 13.4×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $255.20 $464 1.6×
Appl cranial tong/strtctc frame w/removal spx (20660)
range across 2 matching MRF lines		 $5,441.15–$6,256.80 $9,893–$11,376 varies
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $667.70–$769.45 $1,214–$1,399 varies
Application Cast Finger (29086) $441.65 $803 2.7×
Application Finger Splint Dynamic (29131) $693.55 $1,261 11.7×
Application finger splint static (29130)
range across 2 matching MRF lines		 $765.05–$881.10 $1,391–$1,602 varies
Application Halo Cranial Including Removal (20661) $855.80 $1,556 0.5×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $774.95–$891.55 $1,409–$1,621 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $387.75–$446.05 $705–$811 varies
Application of cylinder cast (thigh to ankle) (29365) $552.75 $1,005 2.0×
Application of long leg cast (29345)
range across 2 matching MRF lines		 $755.15–$869 $1,373–$1,580 varies
Application Short Arm Splint Dynamic (29126) $746.35 $1,357 5.6×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $338.80–$389.40 $616–$708 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $348.70–$400.95 $634–$729 varies
Application uniplane external fixation system (20690) $11,535.70 $20,974 1.6×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $867.35–$996.05 $1,577–$1,811 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $667.70–$769.45 $1,214–$1,399 varies
Apply Multlay Comprs Lwr Leg (29581) $102.17 $185.76 0.6×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $667.70–$769.45 $1,214–$1,399 varies
Apply short leg cast (29425) $425.70 $774 1.5×
Arterial puncture (36600) $107.80 $196 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $697.40 $1,268 2.3×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,215.50 $2,210 1.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $956.45–$966.35 $1,739–$1,757 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $1,154.45–$1,304.60 $2,099–$2,372 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $527.45–$607.20 $959–$1,104 varies
Arthroplasty interphalangeal joint each (26535) $5,715.05 $10,391 1.7×
Arthrotomy biopsy interphalangeal joint each (26110) $2,615.25 $4,755 1.6×
Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) $12,552.10 $22,822 3.8×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,518.45 $4,579 1.6×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $12,552.10 $22,822 3.8×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $2,905.65–$3,341.80 $5,283–$6,076 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $2,130.70–$2,450.25 $3,874–$4,455 varies
Aspirate/Inj Ganglion Cyst (20612) $300.30 $546 1.0×
Aspiration & Injection Treatment Bone Cyst (20615) $1,453.10 $2,642 2.0×
Aspiration and/or injection thyroid cyst (60300) $1,129.15 $2,053 1.6×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $7,555.35–$8,689.45 $13,737–$15,799 varies
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $2,536.05 $4,611 1.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $530.75–$609.95 $965–$1,109 varies
Biliary ndsc prq t-tube dilat strix w/stent (47556)
likely a partial charge, not the full procedure		 $2,506.90 $4,558 0.2×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure		 $2,506.90 $4,558 0.4×
Biopsy Abdominal Mass (49180) $4,164.60 $7,572 2.5×
Biopsy bone open deep (20245) $480.35 $873.36 0.2×
Biopsy bone trocar/needle deep (20225) $4,843.30 $8,806 2.9×
Biopsy Bone Trocar/Needle Superficial (20220) $3,777.40 $6,868 2.3×
Biopsy External Auditory Canal (69105) $2,615.25 $4,755 1.7×
Biopsy external ear (69100) $398.75 $725 1.7×
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines		 $2,905.65–$3,341.80 $5,283–$6,076 varies
Biopsy Muscle Superficial (20200) $2,151.60 $3,912 1.3×
Biopsy of conjunctiva (68100) $253.84 $461.52 0.1×
Biopsy of floor of mouth (41108)
range across 2 matching MRF lines		 $2,664.75–$3,064.60 $4,845–$5,572 varies
Biopsy of lip (40490) $398.75 $725 1.7×
Biopsy of liver, needle; percutaneous (47000) $2,257.20 $4,104 1.4×
Biopsy of nerve (64795) $4,261.95 $7,749 2.2×
Biopsy of palate, uvula (42100) $124.60 $226.54 0.1×
Biopsy of penis (54100) $2,615.25 $4,755 1.6×
Biopsy Oropharynx (42800)
range across 2 matching MRF lines		 $2,615.25–$3,007.40 $4,755–$5,468 varies
Biopsy Pleura Percutaneous Needle (32400) $862.40 $1,568 0.5×
Biopsy Salivary Gland Incisional (42405) $244.18 $443.97 0.2×
Biopsy Salivary Gland Needle (42400) $827.75 $1,505 1.2×
Biopsy soft tissue neck/thorax (21550) $3,003 $5,460 1.8×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040)
range across 2 matching MRF lines		 $2,905.65–$3,341.80 $5,283–$6,076 varies
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,377 $6,140 1.2×
Biopsy Tongue Anterior Two-Thirds (41100) $943.25 $1,715 1.7×
Biopsy Tongue Posterior One-Third (41105)
range across 2 matching MRF lines		 $4,323–$4,971.45 $7,860–$9,039 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $115.63–$1,258.95 $210.24–$2,289 varies
Biopsy, vestibule of mouth (40808)
range across 2 matching MRF lines		 $943.25–$1,085.15 $1,715–$1,973 varies
Bladder instillation anticarcinogenic agent (51720) $158.40 $288 0.2×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $166.83–$697.95 $303.33–$1,269 varies
Bladder Scan (51798) $135.30 $246 2.3×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $6,586.80 $11,976 4.2×
Blepharoplasty Lower Eyelid (15820) $7,443.15 $13,533 3.6×
Blepharoplasty upper eyelid (15822) $7,443.15 $13,533 3.6×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $651.20–$748.55 $1,184–$1,361 varies
Blood Transfusion Service (36430) $1,142.35 $2,077 2.6×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines		 $2,033.90–$2,339.70 $3,698–$4,254 varies
Bone Marrow; Aspiration Only (38220) $2,033.90 $3,698 1.2×
Brnchsc Brushing/Protected Brushings (31623) $1,705 $3,100 1.0×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,750 $5,000 0.7×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $2,862.20 $5,204 0.8×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $3,234.55 $5,881 0.9×
Bronch Thermoplsty 1 Lobe (31660) $4,791.05 $8,711 0.7×
Bronchoscopy Clear Airways (31645) $1,485 $2,700 0.8×
Bronchoscopy W/Biopsy(S) (31625) $1,562.55 $2,841 0.9×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,287.45 $4,159 0.6×
Bronchoscopy/Needle Bx Each (31629) $2,262.15 $4,113 0.6×
Bx breast 1st lesion mr imag (19085) $4,450.05 $8,091 2.7×
Bx breast 1st lesion strtctc (19081) $4,400 $8,000 2.7×
Bx breast 1st lesion us imag (19083) $2,970 $5,400 1.8×
Bx breast needle core w/o imaging guidance spx (19100) $1,336.50 $2,430 0.8×
Bx/exc lymph node open deep axillary node (38525) $3,296.70 $5,994 0.8×
Bx/exc lymph node open superficial (38500) $392.44 $713.52 0.1×
Canthoplasty (67950) $1,537.25 $2,795 0.6×
Canthotomy Separate Procedure (67715) $1,607.10 $2,922 0.7×
Car-t admn autologous (38228) $546.15 $993 1.7×
Carpal Tunnel Surgery (64721) $2,853.95 $5,189 1.5×
Cessj Therapy Cath Removal (37214) $3,080.55 $5,601 1.0×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $508.20–$584.65 $924–$1,063 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $170.52–$403.15 $310.04–$733 varies
Change ureter stent percut (50382) $5,327.30 $9,686 2.5×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $571.45–$657.25 $1,039–$1,195 varies
Chemodenerv 1 extrem 5/> mus (64644) $1,160.50 $2,110 1.6×
Chemodenerv 1 extremity 1-4 (64642) $170.28 $309.60 0.2×
Chemodenerv Musc Migraine (64615) $479.60 $872 1.6×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $227.30–$479.60 $413.28–$872 varies
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $152.06 $276.48 0.5×
Chemodenervation Muscle Larynx Unilat W/Emg (64617)
range across 2 matching MRF lines		 $149.94–$484.55 $272.62–$881 varies
Chemodenervation of extraocular muscle (67345) $396 $720 1.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $479.60 $872 1.6×
Chest tube placement (32551)
range across 2 matching MRF lines		 $2,712.05–$3,119.05 $4,931–$5,671 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,537.05 $6,431 1.0×
Circumcision w/clamp/oth dev w/block (54150) $3,262.05 $5,931 1.6×
Cl Tx Scapular Fx; W Manip (23575) $2,615.25 $4,755 1.6×
Cl Tx Tib Shft Fx W Manip (27752) $3,777.40 $6,868 2.3×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $206.80–$238.15 $376–$433 varies
Closed Rx Metacarpal Fx,Percut (26608) $3,137.75 $5,705 1.0×
Closed Treat Vert Body Fract (22310) $473.55 $861 1.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $536.25 $975 2.2×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $3,100.35 $5,637 1.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $969.10 $1,762 3.9×
Closed Treatment Ulnar Styloid Fracture (25650) $435.60 $792 1.8×
Closed tx ankle dislocation w/o anesthesia (27840) $969.10 $1,762 3.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $3,293.95–$3,787.85 $5,989–$6,887 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,162.70 $2,114 4.7×
Closed tx carpal scaphoid fracture w/manj (25624) $2,518.45 $4,579 1.6×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $1,167.65 $2,123 4.7×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $519.20 $944 0.3×
Closed tx fx orbit except blowout w/manipulation (21401) $2,345.20 $4,264 1.5×
Closed tx knee dislocation w/o anesthesia (27550) $948.75 $1,725 3.8×
Closed Tx Lunate Dislocation W/Manipulation (25690) $6,586.80 $11,976 4.1×
Closed tx mandibular fracture w/manipulation (21451) $2,345.20 $4,264 1.5×
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
range across 2 matching MRF lines		 $10,997.25–$12,646.70 $19,995–$22,994 varies
Closed tx metatarsal fracture w/o manipulation (28470) $393.25 $715 1.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $6,586.80 $11,976 4.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,478.30 $4,506 1.6×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $4,323–$4,971.45 $7,860–$9,039 varies
Closed tx patellar dislocation w/anesthesia (27562) $1,937.10 $3,522 7.8×
Closed tx patellar dislocation w/o anesthesia (27560) $1,453.10 $2,642 5.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $602.25 $1,095 2.4×
Closed tx radial head/neck fx w/manipulation (24655) $3,003 $5,460 1.9×
Closed tx radial shaft fracture w/manipulation (25505) $2,712.05 $4,931 1.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $521.95 $949 2.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,905.65 $5,283 1.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $235.40 $428 1.0×
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $2,531.65–$2,911.70 $4,603–$5,294 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $619.30 $1,126 2.5×
Closed tx talotarsal joint dislc w/o anes (28570) $969.10 $1,762 3.9×
Closed Tx Talus Fracture W/Manipulation (28435) $5,424.65 $9,863 3.4×
Closed tx tarsometatarsal dislocation w/o anes (28600) $861.30 $1,566 3.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $969.10 $1,762 3.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,905.65 $5,283 1.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $395.45 $719 1.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $1,937.10–$2,228.05 $3,522–$4,051 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $2,228.05 $4,051 4.1×
Closure lacrimal punctum (68760) $202.49 $368.16 0.6×
Clsd tx fx orbit except blowout w/o manipulation (21400) $130.44 $237.16 0.2×
Clsd Tx Pelvic Ring Fx (27198) $412.50 $750 1.7×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $435.60 $792 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $5,133.70 $9,334 3.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $969.10–$1,113.75 $1,762–$2,025 varies
Clsr Lacrimal Punctum Plug Each (68761) $91.96 $167.20 0.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $3,100.35 $5,637 1.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,712.05 $4,931 1.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $393.80–$453.20 $716–$824 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,355.75 $2,465 5.5×
Cltx dstl fibular fx lat malls w/manj (27788) $1,355.75 $2,465 5.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $512.60 $932 2.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $969.10–$1,113.75 $1,762–$2,025 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $148.61 $270.20 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $521.95–$600.60 $949–$1,092 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,937.10–$2,228.05 $3,522–$4,051 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,768.25 $3,215 1.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $970.20 $1,764 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $378.95 $689 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $426.25 $775 1.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $221.65–$321.20 $403–$584 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,584.35 $6,517 2.2×
Cltx greater humeral tuberosity fx w/o manj (23620) $448.80 $816 1.8×
Cltx hip dislocation traumatic req anesthesia (27252) $1,477.85 $2,687 0.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,065.90 $1,938 4.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,293.60 $2,352 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,615.25 $4,755 1.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $819.50 $1,490 3.3×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $872.30–$1,002.65 $1,586–$1,823 varies
Cltx Med Ankle Fx W/Mnpj (27762) $3,584.35 $6,517 2.2×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $396–$537.90 $720–$978 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $1,549.35–$1,782 $2,817–$3,240 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $512.60–$589.60 $932–$1,072 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $969.10–$1,113.75 $1,762–$2,025 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $166.32 $302.40 0.7×
Cltx post hip arthrp dislc req anes (27266) $2,905.65 $5,283 1.8×
Cltx post hip arthrp dislc w/o anes (27265) $561 $1,020 2.3×
Cltx prox fibula/shft fx w/manj (27781) $4,649.70 $8,454 2.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $6,295.30 $11,446 3.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $435.60 $792 1.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $397.65 $723 1.6×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,540.55 $2,801 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $3,196.60 $5,812 2.0×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,293.60 $2,352 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,003 $5,460 1.9×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $755.15 $1,373 3.1×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $562.10 $1,022 2.3×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $2,712.05–$3,119.05 $4,931–$5,671 varies
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $3,065.15 $5,573 0.9×
Collect Blood From Catheter Venous Nos (36592) $126.50 $230 0.9×
Collection of venous blood by venipuncture (36415) $24.20 $44 2.6×
Colporrhaphy (57200) $2,909.50 $5,290 0.9×
Complex Cystometrogram (51726) $339.90 $618 1.4×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $4,472.60–$5,144.70 $8,132–$9,354 varies
Composite Skin Graft (15760) $3,252.15 $5,913 1.6×
Conjunctivorhinostomy Insj Tube/Stent (68750) $7,613.10 $13,842 1.9×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $206.80–$238.15 $376–$433 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $19.43–$552.75 $35.32–$1,005 varies
Control oropharyngeal hemorrhage simple (42960) $1,453.10 $2,642 2.7×
Conversion ext bil drg cath (47535) $3,168 $5,760 0.9×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,421.65 $4,403 1.3×
Convert Nephrostomy Catheter (50434) $2,738.45 $4,979 1.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,003 $5,460 1.8×
Cornea Scraping Diagnostic Smear &/Culture (65430)
range across 2 matching MRF lines		 $268.39–$475.20 $487.98–$864 varies
Correction of trichiasis; epilation, by forceps only (67820) $72.13 $131.14 0.5×
Create Eardrum Opening (69433) $943.25 $1,715 1.7×
Cryosurgical Ablation Fibroadenoma, Each (19105) $8,292.35 $15,077 2.1×
Csf shunt reprogram (62252)
range across 2 matching MRF lines		 $265.65–$305.25 $483–$555 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $969.10–$1,113.75 $1,762–$2,025 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $189.97 $345.40 0.8×
Cysto Bladder W/Ureteral Catheterization (52005) $2,849.55 $5,181 1.4×
Cysto calibration dilat urtl strix/stenosis (52281) $2,849.55 $5,181 1.4×
Cysto w/destruction of lesions (52214) $4,466 $8,120 1.3×
Cysto w/irrig & evac multple obstructing clots (52001) $1,840.85 $3,347 0.5×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $358.78–$1,829.85 $652.32–$3,327 varies
Cystometrogram W/Vp (51728) $262.68 $477.60 0.4×
Cystostomy Cystotomy W/Drainage (51040) $5,191.45 $9,439 2.5×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $234.43–$968 $426.24–$1,760 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $5,133.70 $9,334 1.8×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $852.50 $1,550 1.2×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $3,387.45 $6,159 4.8×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $2,457.95–$2,814.35 $4,469–$5,117 varies
Debride nail 1-5 (11720) $108.90 $198 1.8×
Debride nail 6 or more (11721) $108.90 $198 1.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $2,428.25–$2,791.80 $4,415–$5,076 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $943.25 $1,715 1.7×
Debridement Mastoidectomy Cavity Simple (69220) $341.55 $621 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $1,937.10–$2,228.05 $3,522–$4,051 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $1,549.35–$1,782 $2,817–$3,240 varies
Decomp forearm,1 compart,w/o debride (25020) $6,405.85 $11,647 4.0×
Deep Muscle Biopsy (20205) $5,715.05 $10,391 2.0×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $181.32 $329.68 0.1×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $7,610.35 $13,837 3.7×
Destr W Neurolytic; Celiac Plexus (64680) $1,065.90 $1,938 1.2×
Destroy cerv/thor facet jnt (64633) $1,141.25 $2,075 0.6×
Destroy lumb/sac facet jnt (64635) $1,768.25 $3,215 0.9×
Destruct B9 Lesion 1-14 (17110) $195.25 $355 1.0×
Destruction Benign Lesions 15/> (17111) $201.85 $367 1.0×
Destruction by neurolytic agent, intercostal nerve (64620) $1,093.95 $1,989 1.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $92.41 $168.02 0.5×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $119.84 $217.90 0.6×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $58.28 $105.97 0.3×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $76.87 $139.76 0.4×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $97.51 $177.29 0.5×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $161.38 $293.41 0.4×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $49.25 $89.54 0.2×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $70.57 $128.31 0.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $46.14 $83.90 0.2×
Destruction neurolytic agt genicular nerve w/img (64624) $3,183.40 $5,788 1.6×
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) $281.23 $511.33 0.5×
Destruction Premalignant Lesion 15/> (17004) $185.72 $337.68 0.5×
Destruction premalignant lesion 1st (17000) $341.55 $621 1.7×
Diagnostic anoscopy (46601) $161.15 $293 0.4×
Dilat Urethral Strix Dilator Male Sbsq (53601) $188.10 $342 1.4×
Dilat Xst Trc New Access Rcs (50437) $1,953.60 $3,552 0.6×
Dilate Urethra Stricture (53600)
range across 2 matching MRF lines		 $2,370.50–$2,725.80 $4,310–$4,956 varies
Dilation and catheterization of salivary duct, with or without injection (42660)
range across 2 matching MRF lines		 $943.25–$1,085.15 $1,715–$1,973 varies
Drain ant chmbr,remv vitreous (65810) $6,989.40 $12,708 3.0×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $1,156.65–$1,330.45 $2,103–$2,419 varies
Drain Hand Tendon Sheath (26020) $5,066.60 $9,212 1.5×
Drain/inj small joint/bursa w/us (20604) $852.50 $1,550 2.8×
Drainage Abscess/Hematoma Nasal Septum (30020) $2,182.40 $3,968 4.0×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $1,122.55–$1,291.95 $2,041–$2,349 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $2,664.75–$3,064.60 $4,845–$5,572 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $1,122.55–$1,291.95 $2,041–$2,349 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $2,611.40–$3,003 $4,748–$5,460 varies
Drainage Mouth Roof Lesion (42000) $969.10 $1,762 4.1×
Drainage of eye (65800) $2,166.45 $3,939 0.9×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $920.15–$1,058.75 $1,673–$1,925 varies
Drainage of gum lesion (41800) $1,162.70 $2,114 8.7×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $3,390.75–$3,898.95 $6,165–$7,089 varies
Drainage of hydrocele (55000) $190.65 $346.63 0.3×
Drainage of mouth lesion (41017) $2,539.90 $4,618 0.8×
Drainage of nose lesion (30000) $231 $420 1.0×
Drainage of salivary gland (42305) $5,031.40 $9,148 1.5×
Drainage of scrotal wall abscess (55100) $3,874.75 $7,045 2.3×
Drainage of scrotum (54700) $7,361.75 $13,385 3.5×
Draw Blood Off Venous Device (36591) $203.50 $370 1.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,742.95 $3,169 2.5×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $1,162.70 $2,114 2.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,065.90 $1,938 2.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $969.10 $1,762 4.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $697.95 $1,269 3.5×
Dstrj les/scar vestibule mouth physical meths (40820) $4,323 $7,860 1.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $176.22 $320.40 0.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,809.40 $5,108 3.2×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $2,160.95–$2,484.90 $3,929–$4,518 varies
Dx Bronchoscope/Lavage (31624) $1,562.55 $2,841 0.9×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $2,475–$2,846.25 $4,500–$5,175 varies
Dx Laryngoscopy Excl Nb (31525) $1,559.25 $2,835 0.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $2,228.05 $4,051 3.2×
Egd Flexible Foreign Body Removal (43247) $1,656.60 $3,012 1.8×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,645.60 $2,992 0.9×
Egd place gastrostomy tube (43246) $2,246.75 $4,085 1.2×
Egd Varices Ligation (43244)
range across 2 matching MRF lines		 $2,240.70–$2,576.75 $4,074–$4,685 varies
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $186.52 $339.12 0.6×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $71.46 $129.93 0.2×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $40.95 $74.46 0.1×
Electro-Uroflowmetry First (51741) $44.88 $81.60 0.2×
Endometrial Biopsy (58100) $338.80 $616 1.7×
Endovasc Temp Balloon Occlus,Head/Nck (61623)
range across 2 matching MRF lines		 $11,910.25–$13,696.65 $21,655–$24,903 varies
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,589.30 $6,526 1.1×
Endoven ther chem adhes 1st (36482) $5,364.70 $9,754 1.0×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $1,937.10–$2,228.05 $3,522–$4,051 varies
Ercp remove calculi/debris biliary/pancreas duct (43264) $1,532.30 $2,786 0.4×
Ercp remove forgn body duct (43275) $2,494.25 $4,535 1.3×
Escharotomy; initial incision (16035) $629.20 $1,144 1.5×
Esophagoscopy Flexible Transoral Diagnostic (43200) $837.65 $1,523 0.9×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $232.10–$267.30 $422–$486 varies
Exc arm/elbow les sc < 3 cm (24075) $434.02 $789.12 0.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $142.56–$1,108.80 $259.20–$2,016 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $164.34 $298.80 0.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,122.55 $2,041 1.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $184.96 $336.30 0.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $244.50 $444.54 0.1×
Exc Face Les Sbq 2 Cm/> (21012) $4,622.20 $8,404 2.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $115.24–$1,162.70 $209.52–$2,114 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,258.95 $2,289 1.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,355.75 $2,465 1.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,453.10 $2,642 0.9×
Exc Forearm Les Sc 3 Cm/> (25071) $312.73 $568.60 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $128.30–$1,188.55 $233.28–$2,161 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $3,522.75 $6,405 2.1×
Exc hand tum deep < 1.5 cm (26116) $3,410.55 $6,201 2.1×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840)
range across 2 matching MRF lines		 $233.71–$2,955.15 $424.93–$5,373 varies
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $4,323 $7,860 1.3×
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $4,323 $7,860 1.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $158.40 $288 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,549.35 $2,817 0.9×
Exc Skin Malig >4 Cm Remaindr Body (11626) $209.37 $380.68 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $380.95 $692.64 0.2×
Exc thigh/knee les sc 3 cm/> (27337) $285.82 $519.68 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $125.53 $228.24 0.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,188.55 $2,161 1.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $180.58 $328.32 0.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,541 $4,620 1.5×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,792.70 $8,714 1.3×
Exchange Intraocular Lens (66986) $6,577.45 $11,959 2.8×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $5,812.40 $10,568 2.8×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,738.45 $4,979 1.4×
Excis Mouth Mucosa/Sub,No Repair (40810) $4,323 $7,860 1.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $4,323 $7,860 2.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $224.14 $407.52 0.3×
Excision Chalazion Single (67800) $87.87 $159.77 0.3×
Excision External Ear Partial Simple Repair (69110) $8,156.50 $14,830 2.8×
Excision Hidradenitis Axillary Complex Repair (11451) $320.36 $582.48 0.1×
Excision lesion mouth roof (42104) $4,323 $7,860 1.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $184.54 $335.52 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $198.40 $360.72 0.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $249.88 $454.32 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $257.89 $468.89 0.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $159.87 $290.68 0.1×
Excision of chalazion; multiple, different lids (67805) $299.63 $544.78 0.9×
Excision of pilonidal cyst or sinus; simple (11770) $6,526.30 $11,866 2.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $6,855.20 $12,464 2.4×
Excision Pilonidal Cyst/Sinus Extensive (11771) $6,759.50 $12,290 2.3×
Expl penetrating wound spx abdomen/flank/back (20102) $3,293.95 $5,989 1.6×
Expl po hemrrg thrombosis/infctj xtr (35860) $2,860 $5,200 0.9×
Exploration of knee joint (27310) $13,560.80 $24,656 4.1×
Exploration penetrating wound spx chest (20101) $3,003 $5,460 1.5×
Exploration penetrating wound spx extremity (20103) $2,712.05 $4,931 1.6×
Exploration Penetrating Wound Spx Neck (20100) $891.55 $1,621 1.7×
Exploratory elbow surgery (24000) $12,552.10 $22,822 3.8×
Fasciotomy palmar percutaneous (26040) $3,610.20 $6,564 2.2×
Fetal non-stress test (59025) $515.35 $937 2.5×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,549.35 $2,817 2.2×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,646.70 $2,994 2.3×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $969.10–$1,113.75 $1,762–$2,025 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $1,937.10–$2,228.05 $3,522–$4,051 varies
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines		 $969.10–$1,113.75 $1,762–$2,025 varies
Fna Bx W/Fluor Gdn 1St Les (10007) $1,453.10 $2,642 2.0×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $1,332.10–$1,533.40 $2,422–$2,788 varies
Forehead flap w/vasc pedicle (15731) $600.37 $1,091.58 0.2×
Foreskin manipulation (54450) $359.15 $653 1.4×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $465.86 $847.01 0.2×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines		 $393.87–$2,919.95 $716.12–$5,309 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $331.19 $602.16 0.2×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $8,258.80 $15,016 2.1×
Graft Ear Crtlg Autogenous Nose/Ear (21235)
likely a partial charge, not the full procedure		 $417.09 $758.34 0.1×
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines		 $2,905.65–$3,341.80 $5,283–$6,076 varies
Hem vw factor&clgn iii bndg (0279U) $14.85 $27 1.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,581.70 $4,694 2.8×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $1,467.95–$1,687.95 $2,669–$3,069 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $1,065.90–$1,225.40 $1,938–$2,228 varies
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines		 $4,609–$5,299.80 $8,380–$9,636 varies
I&D Intramural Im/Absc Transanal Anes (46045) $10,989 $19,980 4.0×
I&D Mouth/Tong Intra,Masticator (41009) $1,162.70 $2,114 2.2×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $2,948–$3,390.75 $5,360–$6,165 varies
I&d pilonidal cyst complicated (10081) $1,893.10 $3,442 2.7×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $1,646.70–$1,893.10 $2,994–$3,442 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $2,187.90 $3,978 0.8×
Icd Pocket Revision (33223) $2,585 $4,700 1.3×
Image Cath Fluid Colxn Visc (49405) $1,312.30 $2,386 0.8×
Image Cath Fluid Peri/Retro (49406) $970.20 $1,764 0.6×
Image Cath Fluid Trns/Vgnl (49407)
range across 2 matching MRF lines		 $798.60–$918.50 $1,452–$1,670 varies
Implant neuroelectrodes (63650) $5,705.15 $10,373 0.9×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $170.68–$609.95 $310.32–$1,109 varies
Incise finger tendon sheath (26055) $2,263.25 $4,115 1.4×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $1,533.40–$1,763.30 $2,788–$3,206 varies
Incision & removal foreign body subq tiss compl (10121) $4,358.75 $7,925 2.6×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $969.10–$1,113.75 $1,762–$2,025 varies
Incision and drainage of bartholin's gland abscess (56420) $1,355.75 $2,465 6.7×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $138.60–$1,162.70 $252–$2,114 varies
Incision extensor tendon sheath wrist (25000) $3,610.20 $6,564 2.2×
Incision of eardrum (69420) $398.75 $725 1.7×
Incision of lingual frenum (frenotomy) (41010) $2,478.30 $4,506 1.6×
Incision of rectal abscess (46040) $6,683.60 $12,152 5.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,468.50 $2,670 0.9×
Incisional biopsy eyelid skin & lid margin (67810) $173.27 $315.03 0.5×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $774.95–$891.55 $1,409–$1,621 varies
Initial Tx 1st Degree Burn Local Tx (16000) $794.20 $1,444 4.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $4,068.35 $7,397 4.6×
Inj W/Fluor Eval Cv Device (36598) $1,340.90 $2,438 6.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,809.40 $5,108 3.2×
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines		 $290.80–$768.90 $528.73–$1,398 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $571.45 $1,039 1.9×
Injection aa&/strd axillary nerve w/img gdn (64417) $2,677.40 $4,868 3.0×
Injection aa&/strd genicular nrv branches w/img (64454) $1,156.65 $2,103 1.6×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $2,033.90–$2,339.70 $3,698–$4,254 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,156.65 $2,103 1.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $3,744.40–$4,305.95 $6,808–$7,829 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $298.10–$341.55 $542–$621 varies
Injection Anes Superior Hypogastric Plexus (64517) $2,033.90 $3,698 2.3×
Injection enzyme palmar fascial cord (20527) $499.95 $909 1.6×
Injection for identification of sentinel node (38792) $470.80 $856 1.2×
Injection into spinal artery (62294) $1,026.30 $1,866 1.2×
Injection medication/other subst tenon capsule (67515) $61.04 $110.98 0.2×
Injection single tendon origin/insertion (20551) $416.35 $757 1.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $969.10–$1,113.75 $1,762–$2,025 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $1,162.70–$1,336.50 $2,114–$2,430 varies
Injection therapeutic carpal tunnel (20526) $378.40 $688 1.2×
Injection, anesthetic agent; brachial plexus, single (64415) $3,587.65 $6,523 4.0×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $2,130.70–$2,450.25 $3,874–$4,455 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $2,228.05–$2,562.45 $4,051–$4,659 varies
Injection, anesthetic agent; vagus nerve (64408) $100.19 $182.16 0.3×
Injection, Intralesional; More Than 7 Lesions (11901) $30.80 $56 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $341.55 $621 1.7×
Injx anterior chamber eye air/liquid spx (66020)
range across 2 matching MRF lines		 $138.60–$3,843.95 $252–$6,989 varies
Injx Anterior Chamber Eye Medication Spx (66030) $2,935.90 $5,338 1.3×
Ins cath ren art 1st bilat (36252) $6,284.30 $11,426 2.0×
Ins cath ren art 1st unilat (36251) $6,032.95 $10,969 1.9×
Ins cath ren art 2nd+ bilat (36254) $5,631.45 $10,239 1.8×
Ins cath ren art 2nd+ unilat (36253) $7,121.95 $12,949 1.3×
Ins endovas vena cava filtr (37191) $6,275.50 $11,410 1.1×
Ins/Rep Subq Defibrillator (33270) $36,300 $66,000 1.2×
Insert 1 Electrode Pm-Defib (33216) $5,500 $10,000 0.7×
Insert and remove bone pin (20650) $13,560.80 $24,656 4.1×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $561–$645.70 $1,020–$1,174 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $4,484.70–$5,157.35 $8,154–$9,377 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $3,390.75–$3,898.95 $6,165–$7,089 varies
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $3,584.35–$4,229.50 $6,517–$7,690 varies
Insert Heart Pm Atrial (33206) $27,500 $50,000 2.6×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $31,350–$36,052.50 $57,000–$65,550 varies
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure		 $5,715.05 $10,391 0.3×
Insert Nasal Septal Button (30220) $2,478.30 $4,506 1.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $3,971–$4,566.65 $7,220–$8,303 varies
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure		 $3,960 $7,200 0.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,549.35 $2,817 1.0×
Insert pulse gen dual leads (33213) $22,000 $40,000 2.1×
Insert pulse gen mult leads (33221) $11,000 $20,000 0.6×
Insert Pulse Gen Sngl Lead (33212) $19,250 $35,000 2.3×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $312.40–$359.70 $568–$654 varies
Insert tun ip cath perc (49418) $9,686.60 $17,612 2.7×
Insert tunneled cv cath (36561) $5,491.75 $9,985 1.7×
Insert tunneled cv cath (36563) $8,427.65 $15,323 1.5×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $5,231.05 $9,511 0.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $271.15–$312.40 $493–$568 varies
Insertion indwelling tunneled pleural catheter (32550) $6,295.30 $11,446 1.8×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) $4,659.05 $8,471 0.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,305.50 $6,010 2.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $6,600 $12,000 0.8×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $2,224.75 $4,045 0.6×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,600 $12,000 0.8×
Insj Picc Rs&I <5 Yr (36572) $722.70 $1,314 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $4,456.10–$5,124.35 $8,102–$9,317 varies
Insj Subq Impltbl Dfb Elctrd (33271) $5,509.35 $10,017 0.7×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $7,702.75 $14,005 2.4×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $29,059.80 $52,836 5.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,846.60 $8,812 1.5×
Insj/Rplcmt Defib W/Lead(S) (33249) $43,450 $79,000 1.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $6,600–$7,590 $12,000–$13,800 varies
Insrt heart pm atrial & vent (33208) $9,350 $17,000 0.9×
Insrt Pulse Gen W/Dual Leads (33230) $37,851.55 $68,821 1.7×
Insrt Pulse Gen W/Mult Leads (33231) $37,851.55 $68,821 1.2×
Insrt Pulse Gen W/Singl Lead (33240) $70,950 $129,000 3.2×
Interdental fixation (21110) $5,400.45 $9,819 3.5×
Interdental Wiring Other Than Fracture (21497) $2,518.45 $4,579 1.6×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,825.80 $6,956 2.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $2,905.65 $5,283 7.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,092.30 $1,986 2.7×
Intraoral i&d tongue/floor lingual (41000) $2,615.25 $4,755 4.8×
Intraoral i&d tongue/floor submndblr space (41008) $6,780.40 $12,328 2.0×
Intro cath dialysis circuit (36901) $3,080 $5,600 2.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $25,300 $46,000 2.2×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,700 $14,000 1.4×
Intro Gastrointestinal Tube (44500)
range across 2 matching MRF lines		 $2,033.90–$2,339.70 $3,698–$4,254 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $1,198.45–$1,378.30 $2,179–$2,506 varies
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines		 $364.10–$595.40 $662–$1,082.54 varies
Irrigation of corpora cavernosa for priapism (54220) $736.45 $1,339 2.9×
Labyrinthotomy Transcanal (69801) $1,459.15 $2,653 0.9×
Lap insert tunnel ip cath (49324) $3,993.55 $7,261 0.7×
Laryngoscopy and dilation (31528) $3,171.85 $5,767 0.8×
Laryngoscopy diagnostic (31505) $176.55 $321 0.9×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $441.10–$507.10 $802–$922 varies
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $1,472.35 $2,677 0.8×
Laryngoscopy Flexible W/Biopsy(Ies) (31576)
range across 2 matching MRF lines		 $1,469.60–$1,690.15 $2,672–$3,073 varies
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $1,472.35 $2,677 0.8×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,690.15 $3,073 4.3×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579)
range across 2 matching MRF lines		 $494.45–$568.70 $899–$1,034 varies
Laryngoscopy Indirect W/Vocal Cord Injection (31513) $415.80 $756 1.1×
Laryngoscopy W/Foreign Body Removal (31530) $6,735.30 $12,246 3.8×
Late closure of wound (13160) $3,100.35 $5,637 0.9×
Ligation of a-v fistula (37607) $4,070 $7,400 1.3×
Ligation Of Neck Artery (37615) $5,465.90 $9,938 1.7×
Lip Surgery Procedure (40799) $498.30 $906 2.1×
Lithotripsy, extracorporeal shock wave (50590) $19,373.20 $35,224 5.5×
Lyse chest fibrin init day (32561) $552.75 $1,005 0.9×
Lyse Chest Fibrin Subq Day (32562) $552.75 $1,005 0.9×
Maniplatn palar fascial crd post inj single cord (26341) $393.25 $715 1.6×
Manipulation, finger joint, under anesthesia, each joint (26340) $3,512.30 $6,386 2.2×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,258.95 $2,289 0.8×
Mech remov tunneled cv cath (36595) $1,837 $3,340 0.6×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $412.76 $750.48 0.6×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $356.96 $649.02 0.5×
Myelography Lumbar Injection (62305) $3,777.40 $6,868 4.8×
Myelography Lumbar Injection (62304) $3,390.75 $6,165 4.3×
Myelography via lumbar injection rs&i cervical (62302) $3,584.35 $6,517 4.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,742.95 $3,169 2.2×
Myringoplasty (69620) $4,323 $7,860 1.3×
N Block Inj Celiac Pelus (64530) $1,808.40 $3,288 2.0×
N Block Inj Ilio-Ing/Hypogi (64425) $1,065.90 $1,938 1.5×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $1,555.40–$1,789.15 $2,828–$3,253 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $306.90–$353.10 $558–$642 varies
N Block Inj Pudendal (64430) $1,840.30 $3,346 2.1×
N Block Lumbar/Thoracic (64520) $2,033.90 $3,698 2.3×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines		 $322.30–$370.70 $586–$674 varies
Nasal surgery procedure (30999) $498.30 $906 2.1×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $2,033.90–$2,339.70 $3,698–$4,254 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $1,344.20–$1,545.50 $2,444–$2,810 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $1,344.20–$1,545.50 $2,444–$2,810 varies
Needle Biopsy Lymph Nodes (38505) $3,390.75 $6,165 2.0×
Needle Biopsy Pancreas (48102) $1,483.90 $2,698 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $33.55 $61 1.2×
Needle insertion w/o injection 3 or more muscles (20561) $38.50 $70 1.3×
Neuroeltrd Stim Post Tibial (64566) $129.49 $235.44 0.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,062.60 $1,932 2.5×
Njx anes stellate ganglion crv sympathetic (64510) $1,555.40 $2,828 1.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $183.74–$813.45 $334.08–$1,479 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,273.50 $7,770 1.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,519.45 $6,399 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $5,424.65 $9,863 6.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,487.55 $6,341 4.9×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,963.50 $3,570 2.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $813.45 $1,479 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,948.10 $3,542 2.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $27,933.40 $50,788 31.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $3,100.35 $5,637 4.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $6,620.35 $12,037 9.5×
Njx Sclrsnt 1 Incmptnt Vein (36470) $391.60 $712 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $948.75 $1,725 2.3×
Njx Sclrsnt Spider Veins (36468) $301.95 $549 0.7×
Obstructive material removal from gi tube (49460) $970.20 $1,764 1.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $1,258.95–$1,448.70 $2,289–$2,634 varies
Open Treatment Fracture Distal Tibia & Fibula (27828) $28,292 $51,440 2.2×
Open treatment fracture distal tibia only (27827) $28,292 $51,440 2.2×
Open treatment metacarpophalangeal dislocation (26715)
range across 2 matching MRF lines		 $4,811.40–$5,532.45 $8,748–$10,059 varies
Open Treatment of Ulnar Shaft Fracture (25545) $26,602.40 $48,368 3.7×
Open Treatment Proximal Humeral Fracture (23615) $12,976.70 $23,594 1.0×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $7,300.15 $13,273 2.2×
Open Tx Depressed Malar Fracture (21360) $8,570.65 $15,583 1.4×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $26,602.40 $48,368 3.7×
Open Tx Distal Phalangeal Fracture Each (26765) $16,467 $29,940 5.0×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
unusually low: confirm this is the full procedure		 $5,848.15 $10,633 0.5×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $12,552.10 $22,822 3.8×
Open tx interphalangeal joint dislocation (26785) $5,067.70 $9,214 1.5×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $5,288.80 $9,616 0.9×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $7,392.55 $13,441 2.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $9,589.80 $17,436 2.9×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $5,425.20 $9,864 0.7×
Open/Perq Place Stent 1St (37236) $7,700 $14,000 0.7×
Open/Perq Place Stent Same (37238) $18,700 $34,000 1.6×
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) $6,369.55 $11,581 0.9×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $7,197.85 $13,087 1.0×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $2,526.70–$2,905.65 $4,594–$5,283 varies
Partical Excision Bone Phalanx Toe (28124) $3,773 $6,860 1.2×
Patellectomy or hemipatellectomy (27350) $7,392.55 $13,441 1.0×
Penile Injection (54235)
range across 2 matching MRF lines		 $558.25–$641.30 $1,015–$1,166 varies
Perc Cryo Ablate Renal Tum (50593) $12,592.80 $22,896 1.2×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $2,768.15 $5,033 2.0×
Perc Rf Ablate Renal Tumor (50592) $10,655.70 $19,374 1.8×
Percut Ablate Liver Rf (47382) $9,900 $18,000 1.6×
Percut Cath Occlusn Non Cns Lesn (61626) $8,557.45 $15,559 0.7×
Percut Drain/Inject Renal Cyst (50390) $8,620.70 $15,674 12.2×
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,814.90 $5,118 0.9×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $2,971.65 $5,403 0.9×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $825–$948.75 $1,500–$1,725 varies
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $1,233.10–$1,418.45 $2,242–$2,579 varies
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure		 $7,987.65 $14,523 0.4×
Perq av fistula creation uxtr sep access sites (36837) $20,345.60 $36,992 1.1×
Perq av fistula creation uxtr single access (36836) $20,345.60 $36,992 1.1×
Perq Cervicothoracic Inject (22510) $2,527.80 $4,596 0.8×
Perq dev breast 1st mr guide (19287) $3,710.85 $6,747 5.2×
Perq dev breast 1st strtctc (19283) $2,167.55 $3,941 3.1×
Perq dev breast 1st us imag (19285) $1,654.95 $3,009 2.3×
Perq device breast 1st imag (19281) $2,567.40 $4,668 1.6×
Perq dilation xst trc endourologic px w/img (50436) $1,457.50 $2,650 0.4×
Perq Lumbosacral Injection (22511) $2,527.80 $4,596 0.8×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $4,482.50 $8,150 0.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,508.10 $2,742 2.1×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $13,750 $25,000 1.2×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $12,650 $23,000 2.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $6,115.45 $11,119 0.8×
Perq Vertebral Augmentation (22513) $14,834.05 $26,971 2.0×
Photopheresis extracorporeal (36522) $5,705.15 $10,373 1.3×
Place Cath Subclavian Art (36225) $10,055.65 $18,283 3.2×
Place Cath Thoracic Aorta (36221) $7,960.70 $14,474 2.5×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $11,602.25–$13,342.45 $21,095–$24,259 varies
Place Duod/Jej Tube Perc (49441) $2,421.65 $4,403 1.3×
Place Rt Device/Marker Pros (55876) $2,224.75 $4,045 1.6×
Placement of needle for intraosseous infusion (36680) $658.35 $1,197 1.5×
Plastic Repair Canaliculi (68700)
range across 2 matching MRF lines		 $514.80–$1,607.10 $936–$2,922 varies
Plmt Bile Duct Stent Prq Existing Access (47538) $8,620.70 $15,674 1.4×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $4,338.95 $7,889 0.7×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $4,338.95 $7,889 0.7×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $6,846.40 $12,448 3.3×
Plmt Nephroureteral Catheter (50433) $4,564.45 $8,299 1.3×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $8,717.50 $15,850 2.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $7,459.10 $13,562 2.1×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $7,459.10 $13,562 2.1×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $7,987.65 $14,523 0.4×
Probe lacrimal canaliculi w/wo irrigation (68840) $333.85 $607 1.1×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $4,613.40 $8,388 1.9×
Proctopexy Perineal Approach (45541) $2,681.25 $4,875 1.0×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $1,045 $1,900 1.1×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $834.31 $1,516.93 1.5×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $2,033.90 $3,698 2.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $7,748.95 $14,089 2.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $7,748.95 $14,089 2.2×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756)
range across 2 matching MRF lines		 $6,419.05–$7,381.55 $11,671–$13,421 varies
Pseudoaneurysm Injection Trt (36002) $935 $1,700 1.5×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $426.25–$489.50 $775–$890 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $1,162.70–$1,336.50 $2,114–$2,430 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $569.80–$655.60 $1,036–$1,192 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $2,905.65–$3,341.80 $5,283–$6,076 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $2,178 $3,960 3.1×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,183.40 $5,788 1.6×
Rcnstj Eyelid Full Thickness Second Stage (67975) $263.19 $478.53 0.1×
Reconstruct Finger Joint (26548) $7,392.55 $13,441 2.3×
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) $12,126.40 $22,048 2.0×
Redo Endovas Vena Cava Filtr (37192) $4,469.85 $8,127 1.4×
Relocation Pocket Pacemaker (33222) $2,585 $4,700 1.3×
Rem Endovas Vena Cava Filter (37193) $7,150 $13,000 2.3×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $3,879.70 $7,054 4.3×
Removal Foreign Body Deep Thigh/Knee (27372) $4,552.35 $8,277 1.6×
Removal foreign body foot deep (28192) $2,587.75 $4,705 1.6×
Removal Foreign Body Foot Subcutaneous (28190) $1,051.60 $1,912 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $11.35–$379.50 $20.64–$690 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $222.20–$446.05 $404–$811 varies
Removal Implant Deep (20680) $5,711.75 $10,385 2.0×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $4,484.70–$5,157.35 $8,154–$9,377 varies
Removal of foreign body from pharynx (42809) $1,977.80 $3,596 4.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $1,195.70–$1,375 $2,174–$2,500 varies
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines		 $4,552.35–$5,234.35 $8,277–$9,517 varies
Removal or bivalving full arm or full leg cast (29705) $591.25 $1,075 2.1×
Removal Pacemaker Electrode (33235) $3,080 $5,600 0.8×
Removal peritoneal-venous shunt (49429) $3,765.85 $6,847 1.2×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $3,190 $5,800 0.4×
Removal shoulder foreign body deep subfascial/im (23333) $2,200.55 $4,001 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $73.66–$329.45 $133.92–$599 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines		 $1,815–$2,087.25 $3,300–$3,795 varies
Removal tong/halo applied by another individual (20665) $1,564.20 $2,844 3.5×
Remove & Replace Indwell Ureteral Stent Trurthrl (50385) $3,146 $5,720 1.5×
Remove Brain Cavity Fluid (61020) $1,937.10 $3,522 2.2×
Remove drug implant device (11982) $542.85 $987 1.2×
Remove Elctrd Transvenously (33244) $3,190 $5,800 0.9×
Remove Forearm Foreign Body (25248) $2,559.70 $4,654 1.6×
Remove foreign body from eye (65235) $5,038.55 $9,161 2.2×
Remove foreign body from eye (65205) $908.60 $1,652 6.8×
Remove intrvas foreign body (37197) $4,735.50 $8,610 1.5×
Remove lung catheter (32552) $1,065.90 $1,938 1.7×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $119.12–$813.45 $216.59–$1,479 varies
Remove Pulse Generator (33241) $3,135 $5,700 0.8×
Remove renal tube w/fluoro (50389) $970.20 $1,764 1.4×
Remove ureter stent percut (50384) $4,456.10 $8,102 2.1×
Remove&replace pm gen singl (33227) $12,650 $23,000 1.5×
Remove/Insert Drug Implant (11983) $188.10 $342 0.4×
Remv&replc cvd gen dual lead (33263) $28,600 $52,000 1.3×
Remv&replc cvd gen mult lead (33264) $28,050 $51,000 0.9×
Remv&replc cvd gen sing lead (33262) $42,900 $78,000 1.9×
Remv&replc pm gen dual lead (33228) $6,600 $12,000 0.6×
Remv&replc pm gen mult leads (33229) $15,400 $28,000 0.8×
Renal Biopsy Perq (50200) $2,435.40 $4,428 1.5×
Repair arm/leg nerve (64857) $10,342.75 $18,805 3.0×
Repair Blood Vessel Direct Hand Finger (35207) $7,700 $14,000 2.4×
Repair blood vessel direct neck (35201) $13,247.30 $24,086 2.4×
Repair Blood Vessel Direct Upper Extremity (35206) $4,345.55 $7,901 1.4×
Repair blood vessel with vein graft; lower extremity Facility (35256) $11,490.60 $20,892 2.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,937.10 $3,522 2.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $359.06–$2,421.65 $652.83–$4,403 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $173.96–$1,742.95 $316.29–$3,169 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $258.82–$2,615.25 $470.58–$4,755 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $201.56–$1,001 $366.48–$1,820 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $284.44–$1,742.95 $517.16–$3,169 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $144.02–$1,258.95 $261.86–$2,289 varies
Repair detached retina (67105)
range across 2 matching MRF lines		 $5,555–$6,388.80 $10,100–$11,616 varies
Repair Extensor Tendon Finger W/Graft Each (26420) $5,908.65 $10,743 1.8×
Repair extensor tendon finger w/o graft each (26418) $4,819.65 $8,763 3.0×
Repair Eyelid Wound (67935) $4,473.15 $8,133 1.9×
Repair Finger/Hand Tendon (26350) $10,286.10 $18,702 3.1×
Repair Foot Dislocation (28615) $26,602.40 $48,368 3.7×
Repair Hand Joint (26540) $9,686.60 $17,612 3.0×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $5,643–$6,489.45 $10,260–$11,799 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $1,162.70–$1,336.50 $2,114–$2,430 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $1,355.75–$1,560.35 $2,465–$2,837 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $141.94–$2,324.30 $258.07–$4,226 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $140.61–$2,615.25 $255.66–$4,755 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $3,003 $5,460 7.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $2,228.05 $4,051 3.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $85.39–$1,453.10 $155.25–$2,642 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $112.88–$1,840.30 $205.23–$3,346 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $148.58–$2,033.90 $270.15–$3,698 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $199–$2,228.05 $361.82–$4,051 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $1,031.25–$1,185.25 $1,875–$2,155 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $258.46–$1,742.95 $469.93–$3,169 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $2,809.40 $5,108 3.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $275.94–$1,840.30 $501.70–$3,346 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $2,905.65 $5,283 1.4×
Repair Lead Pace-Defib One (33218) $6,117.10 $11,122 1.6×
Repair of nail bed (11760) $1,453.10 $2,642 2.0×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $6,352.50 $11,550 0.9×
Repair radius & ulna (25415)
unusually low: confirm this is the full procedure		 $3,176.80 $5,776 0.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $11,963.60 $21,752 1.6×
Repair tongue laceration (41252) $188.65 $343 0.8×
Repair tongue laceration (41250) $1,162.70 $2,114 2.6×
Repair/graft finger tendon (26428) $4,819.65 $8,763 1.5×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $3,196.60–$3,676.75 $5,812–$6,685 varies
Replace G-J Tube Perc (49452) $1,742.95 $3,169 1.9×
Replace g/c tube perc (49450) $2,228.05 $4,051 2.5×
Replace/Revise Brain Shunt (62230) $6,363.50 $11,570 0.7×
Replantation digit complete (20822) $1,230.35 $2,237 0.8×
Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) $11,047.85 $20,087 6.9×
Repos Previously Implanted Subq Implantable Dfb (33273) $3,501.85 $6,367 0.9×
Reposition Gastrostomy Tube (43761) $1,355.75 $2,465 5.4×
Reposition L Ventric Lead (33226) $2,906.75 $5,285 0.9×
Reposition Pacing-Defib Lead (33215) $3,300 $6,000 1.0×
Reposition Venous Catheter (36597)
range across 2 matching MRF lines		 $374.55–$1,937.10 $681–$3,522 varies
Revise Abdomen-Venous Shunt (49426) $4,145.35 $7,537 1.2×
Revise knuckle joint (26530) $12,552.10 $22,822 1.7×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $5,715.05 $10,391 1.0×
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $10,162.35 $18,477 1.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $5,424.65 $9,863 2.6×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,555.40 $2,828 1.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $358.05 $651 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $80.45–$1,048.30 $146.27–$1,906 varies
Rmvl fecal impaction/fb spx under anes (45915) $5,509.90 $10,018 4.6×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,687.85 $4,887 1.6×
Rmvl of subq implantable defibrillator electrode (33272) $2,915 $5,300 0.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,824.90 $3,318 0.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $3,080 $5,600 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,777.40 $6,868 2.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $1,646.70–$1,893.10 $2,994–$3,442 varies
Rmvl Vitreous Ant Appr Partial Removal (67005) $4,470.40 $8,128 1.9×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $552.75–$634.70 $1,005–$1,154 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $331.10–$380.60 $602–$692 varies
Rplcmt cath ctr vad subq port/pmp (36578) $11,828.85 $21,507 3.7×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $3,680.60 $6,692 2.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $4,261.95 $7,749 2.7×
Rplcmt compl tun ctr vad w/subq pmp (36583) $7,702.75 $14,005 1.4×
Rplcmt compl tun ctr vad w/subq port (36582) $7,361.75 $13,385 2.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines		 $3,267–$3,673.45 $5,940–$6,679 varies
Rplcmt/irrigation ventricular catheter (62225) $6,275.50 $11,410 1.8×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $752.40 $1,368 0.3×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $2,712.05 $4,931 1.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,453.10 $2,642 7.2×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $6,577.45 $11,959 2.8×
Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) $12,362.35 $22,477 2.3×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $4,097.50 $7,450 1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $7,943.10 $14,442 14.7×
Rpr Lip Full Thickness Vermilion Only (40650) $5,715.05 $10,391 10.6×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $11,623.70 $21,134 7.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $4,940.10 $8,982 1.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $6,392.65 $11,623 2.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $2,033.90 $3,698 3.2×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $4,332.90 $7,878 1.1×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $5,327.30 $9,686 1.6×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $7,392.55 $13,441 2.3×
Sclerotx Fluid Collection (49185) $4,164.60 $7,572 2.5×
Severing tarsorrhaphy (67710) $178.20 $324 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $99.79 $181.44 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $129.89 $236.16 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $100.58 $182.88 0.5×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $4,323 $7,860 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,549.35 $2,817 3.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $755.15 $1,373 3.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $697.95–$801.35 $1,269–$1,457 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,646.70 $2,994 4.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,355.75 $2,465 6.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $653.40–$752.40 $1,188–$1,368 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,742.95 $3,169 8.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $1,258.95 $2,289 6.3×
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $364.68–$2,509.10 $663.05–$4,562 varies
Skin sub graft face/nk/hf/g (15275) $2,979.35 $5,417 4.0×
Skin Tissue Procedure (17999) $359.15 $653 1.8×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $22,624.25 $41,135 4.1×
Slctv cath carotid/innom art angio xtrcranl art (36222) $8,379.80 $15,236 2.6×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $22,624.25–$26,018.30 $41,135–$47,306 varies
Slitting of prepuce (54001) $3,296.70 $5,994 1.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $707.30–$813.45 $1,286–$1,479 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,549.35 $2,817 3.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,646.70 $2,994 4.0×
Snip Incision Lacrimal Punctum (68440) $179.16 $325.74 0.6×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $1,742.95–$2,004.75 $3,169–$3,645 varies
Strabismus Any Superior Oblique Muscle (67318) $2,398 $4,360 1.0×
Strapping knee (29530) $201.85 $367 1.5×
Strapping Unna Boot (29580) $70.49 $128.16 0.4×
Subconjunctival injection (68200) $133.58 $242.88 0.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $6,709.45 $12,199 2.8×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $328.90–$378.95 $598–$689 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $30,084.45 $54,699 1.0×
Tcat Insj/Rpl Perm Ldls Pm (33274) $19,250 $35,000 1.0×
Tcat Rmvl Perm Ldls Pm (33275) $16,201.90 $29,458 5.1×
Temporary Closure Eyelids Suture (67875)
range across 2 matching MRF lines		 $81.24–$2,905.65 $147.70–$5,283 varies
Tenodesis distal joint each (26474) $2,615.25 $4,755 1.6×
Tenotomy Adductor Hip Percutaneous Spx (27000) $316.80 $576 0.2×
Thaw preserved stem cells (38208) $271.15 $493 0.6×
Ther Apheresis,Red Blood Cells (36512) $4,843.30 $8,806 3.1×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,742.95 $3,169 2.5×
Therapeutic Apheresis White Blood Cells (36511) $6,780.40 $12,328 4.3×
Therapeutic plasma exchange (36514) $3,010.15 $5,473 1.9×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $5,987.30 $10,886 1.1×
Thrmbc/Nfs Dialysis Circuit (36906) $35,750 $65,000 1.9×
Thromblytic art/ven therapy (37213) $3,080.55 $5,601 1.0×
Thrombolytic Art Therapy (37211) $4,906.55 $8,921 0.9×
Thrombolytic Venous Therapy (37212) $9,699.25 $17,635 3.1×
Thyroid biopsy (60100) $1,549.35 $2,817 2.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines		 $413.73–$2,509.10 $752.24–$4,562 varies
Tooth extraction (41899)
range across 2 matching MRF lines		 $302.50–$347.60 $550–$632 varies
Tprnl Plmt Biodegrdabl Matrl (55874) $4,790.50 $8,710 0.9×
Trabeculoplasty by laser surgery (65855) $507.90 $923.45 0.9×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $523.60–$602.25 $952–$1,095 varies
Tracheostoma revj smpl w/o flap rotation (31613) $342.54 $622.80 0.1×
Tracheostomy Emergency Cricothyroid Membrane (31605) $239.80 $436 1.0×
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines		 $2,582.25–$2,969.45 $4,695–$5,399 varies
Tracheostomy planned (31600) $2,852.85 $5,187 0.9×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure		 $2,567.40 $4,668 0.5×
Treat Dental Ridge Fracture (21440) $4,678.85 $8,507 1.4×
Treat Finger Fracture Each (26727) $5,521.45 $10,039 1.7×
Treat Fx Rad Extra-Articul (25607) $26,602.40 $48,368 3.7×
Treat Hip Socket Fracture (27222) $741.95 $1,349 3.0×
Treat humerus fracture (24500) $521.40 $948 2.1×
Treat Humerus Fracture (24505) $3,100.35 $5,637 1.9×
Treat knee fracture (27532) $5,231.05 $9,511 1.6×
Treat Knee Fracture(S) (27538) $367.40 $668 1.5×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $813.45–$935 $1,479–$1,700 varies
Treat Metatarsal Fracture (28475) $1,065.90 $1,938 4.3×
Treat Thumb Dislocation (26641) $794.20 $1,444 3.2×
Treat Thumb Fracture (26645) $3,003 $5,460 1.9×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $323.40–$372.35 $588–$677 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $4,940.10 $8,982 3.1×
Treatment closed elbow dislocation w/o anes (24600) $1,162.70 $2,114 4.7×
Treatment extensive retinopathy photocoagulation (67228) $836.82 $1,521.49 1.5×
Treatment of retinal lesion (67208) $350.46 $637.20 1.1×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $58.21–$328.90 $105.84–$598 varies
Trimming Nondystrophic Nails Any Number (11719) $106.70 $194 1.8×
Trluml Balo Angiop 1St Art (37246) $6,050 $11,000 1.1×
Trluml Balo Angiop 1St Vein (37248) $6,600 $12,000 1.2×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $3,880.80 $7,056 8.8×
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $480.70 $874 1.1×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $881.10 $1,602 2.0×
Trnsplj allogeneic hematopoietic cells per donor (38240)
unusually low: confirm this is the full procedure		 $29,097.20 $52,904 0.5×
Trnsplj autologous hematopoietic cells per donor (38241) $4,963.75 $9,025 3.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $9,916.50 $18,030 3.1×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $2,615.25–$3,007.40 $4,755–$5,468 varies
Tx superficial wound dehiscence w/packing (12021) $755.15 $1,373 1.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455)
range across 2 matching MRF lines		 $2,518.45–$2,895.75 $4,579–$5,265 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $28,292 $51,440 2.2×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $257.40 $468 0.2×
Unlisted Cardiac Surgery (33999)
range across 2 matching MRF lines		 $968–$3,245 $1,760–$5,900 varies
Unlisted procedure breast (19499) $2,913.35 $5,297 0.7×
Unlisted Procedure Endocrine System (60699) $5,480.75 $9,965 0.9×
Unlisted Procedure External Ear (69399) $245.30 $446 1.0×
Unlisted Procedure Hands/Fingers (26989) $346.50 $630 1.4×
Unlisted procedure humerus/elbow (24999) $684.75 $1,245 2.8×
Unlisted procedure lacrimal system (68899) $3,506.25 $6,375 11.0×
Unlisted Procedure Leg/Ankle (27899) $256.85 $467 1.0×
Unlisted Procedure Muscskeletal System General (20999)
range across 2 matching MRF lines		 $245.30–$282.70 $446–$514 varies
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $347.60–$400.40 $632–$728 varies
Unlisted procedure pelvis/hip joint (27299) $347.60 $632 1.4×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $498.30 $906 2.1×
Unlisted Procedure Tongue Floor Mouth (41599) $302.50 $550 1.3×
Unlisted Procedure Trachea Bronchi (31899) $185.35 $337 0.9×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $8,250–$9,487.50 $15,000–$17,250 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 2 matching MRF lines		 $1,255.10–$3,594.25 $2,282–$6,535 varies
Unlisted px female genital system nonobstetrical (58999) $234.30 $426 1.2×
Upgrade of pacemaker system (33214) $11,911.35 $21,657 1.1×
Urine Flow Measurement (51736) $26.40 $48 0.2×
Vaginal Delivery After Cesarean Delivery (59612)
range across 2 matching MRF lines		 $2,841.30–$3,267.55 $5,166–$5,941 varies
Vaginal delivery only (59409) $2,795.65 $5,083 0.9×
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure		 $6,600 $12,000 0.4×
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines		 $3,979.80–$4,198.70 $7,236–$7,634 varies
Vasc Embolize/Occlude Organ (37243) $6,451.50 $11,730 0.6×
Vasc embolize/occlude venous (37241)
unusually low: confirm this is the full procedure		 $4,148.65 $7,543 0.4×
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure		 $3,537.05 $6,431 0.3×
Wedge excision skin nail fold (11765) $581.35 $1,057 1.4×
Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) $5,100.15 $9,273 1.2×
Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) $5,100.15 $9,273 1.2×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $15,975.30 $29,046 2.7×

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.