Procedures & surgery prices at SSM Health St. Clare Hospital - Fenton

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

1019 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		 $2,009.70–$2,311.10 $3,654–$4,202 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,419.55–$1,632.40 $2,581–$2,968 varies
Abdomen Surgery Procedure (22999) $442.75 $805 1.8×
Ablate Pulm Tumor Perq Crybl (32994) $6,923.95 $12,589 0.7×
Ablation 1/> liver tumor perq cryoablation (47383) $6,253.50 $11,370 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $12,366.20 $22,484 0.7×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $8,384.20 $15,244 1.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,247.85 $4,087 1.1×
Amniocentesis diagnostic (59000) $1,285.35 $2,337 1.4×
Amniocentesis therapeutic (59001) $1,329.90 $2,418 4.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,031.05 $5,511 0.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,626.80 $4,776 0.8×
Amputation toe interphalangeal joint (28825) $3,624.50 $6,590 1.1×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $401.50 $730 1.3×
Anal/Urinary Muscle Study (51784) $396 $720 3.1×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $115.50–$133.65 $210–$243 varies
Anoscopy W/Rmvl Foreign Body (46608) $807.40 $1,468 0.9×
Apheresis Platelets (36513) $732.05 $1,331 1.7×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $454.85–$522.50 $827–$950 varies
Application Cast Finger (29086) $238.15 $433 1.5×
Application Finger Splint Dynamic (29131)
range across 3 matching MRF lines		 $354.20–$407 $644–$740 varies
Application finger splint static (29130)
range across 3 matching MRF lines		 $173.25–$198.55 $315–$361 varies
Application Halo Cranial Including Removal (20661) $1,045.55 $1,901 0.6×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $159.50–$581.35 $290–$1,057 varies
Application Long Leg Splint (29505)
range across 5 matching MRF lines		 $99–$407 $180–$740 varies
Application of long leg cast (29345)
range across 2 matching MRF lines		 $449.90–$517.55 $818–$941 varies
Application of rigid total contact leg cast (29445) $813.45 $1,479 2.9×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $364.10–$418 $662–$760 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $107.25–$679.80 $195–$1,236 varies
Application short leg splint calf foot (29515)
range across 5 matching MRF lines		 $225.50–$619.85 $410–$1,127 varies
Application uniplane external fixation system (20690) $5,754.10 $10,462 0.8×
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $465.30–$534.05 $846–$971 varies
Apply long arm cast (29065)
range across 2 matching MRF lines		 $424.60–$488.40 $772–$888 varies
Apply Multlay Comprs Lwr Leg (29581) $534.60 $972 3.3×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines		 $738.10–$849.20 $1,342–$1,544 varies
Apply short leg cast (29425)
range across 2 matching MRF lines		 $564.85–$649 $1,027–$1,180 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $127.05–$188.65 $231–$343 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $96.62–$1,038.95 $175.68–$1,889 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $1,587.30–$1,826 $2,886–$3,320 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $133.45–$1,824.35 $242.64–$3,317 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $1,758.90–$2,023.45 $3,198–$3,679 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $715–$821.70 $1,300–$1,494 varies
Arthroplasty interphalangeal joint each (26535) $2,687.85 $4,887 0.8×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,615.25 $4,755 1.6×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $1,906.30–$2,191.20 $3,466–$3,984 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $1,606.55–$1,847.45 $2,921–$3,359 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $559.90–$643.50 $1,018–$1,170 varies
Aspiration & Injection Treatment Bone Cyst (20615) $1,310.10 $2,382 1.8×
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines		 $1,070.85–$1,232.55 $1,947–$2,241 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $3,843.95–$4,420.90 $6,989–$8,038 varies
Aspiration Bladder Needle (51100) $1,036.20 $1,884 4.1×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $446.05–$513.15 $811–$933 varies
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
unusually low: confirm this is the full procedure		 $2,085.05 $3,791 0.3×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
unusually low: confirm this is the full procedure		 $3,352.25 $6,095 0.3×
Biliary ndsc prq t-tube dilat strix w/stent (47556) $5,461.50 $9,930 0.5×
Biliary ndsc prq t-tube w/bx single/multiple (47553)
unusually low: confirm this is the full procedure		 $2,109.25 $3,835 0.3×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure		 $2,773.10 $5,042 0.4×
Biopsy Abdominal Mass (49180) $2,890.80 $5,256 1.7×
Biopsy bone open deep (20245) $2,640.55 $4,801 0.9×
Biopsy bone trocar/needle deep (20225) $2,890.80 $5,256 1.7×
Biopsy Bone Trocar/Needle Superficial (20220) $2,783.55 $5,061 1.7×
Biopsy external ear (69100) $624.25 $1,135 2.6×
Biopsy muscle percutaneous needle (20206) $2,356.75 $4,285 1.4×
Biopsy of breast; open, incisional (19101) $3,765.85 $6,847 1.0×
Biopsy of lip (40490) $91.51 $166.39 0.4×
Biopsy of liver, needle; percutaneous (47000) $2,644.95 $4,809 1.6×
Biopsy of penis (54100) $240.80 $437.82 0.1×
Biopsy Oropharynx (42800) $2,525.60 $4,592 1.6×
Biopsy Pleura Percutaneous Needle (32400) $1,637.90 $2,978 1.0×
Biopsy Salivary Gland Needle (42400) $1,820.50 $3,310 2.6×
Biopsy soft tissue back/flank deep (21925) $2,814.35 $5,117 1.7×
Biopsy Soft Tissue Back/Flank Superficial (21920) $2,253.90 $4,098 1.4×
Biopsy soft tissue neck/thorax (21550) $2,462.35 $4,477 1.5×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,515.80 $2,756 0.9×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $3,854.40 $7,008 1.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $1,144.55–$1,316.15 $2,081–$2,393 varies
Bladder instillation anticarcinogenic agent (51720) $616 $1,120 0.9×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $575.30–$661.65 $1,046–$1,203 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $15.84–$465.30 $28.80–$846 varies
Blepharotomy drainage abscess eyelid (67700) $495.55 $901 1.6×
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $726–$904.20 $1,320–$1,644 varies
Blood/Lymph System Procedure (38999) $806.85 $1,467 1.8×
Bone Marrow Biopsy (38221) $2,142.25 $3,895 1.3×
Bone Marrow; Aspiration Only (38220) $1,800.15 $3,273 1.1×
Brnchsc Brushing/Protected Brushings (31623) $1,543.85 $2,807 0.9×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,427.70 $4,414 0.7×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $3,034.35 $5,517 0.8×
Bronchoscopy Clear Airways (31645) $1,222.65 $2,223 0.7×
Bronchoscopy W/Biopsy(S) (31625) $2,251.70 $4,094 1.3×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
unusually low: confirm this is the full procedure		 $3,245.55 $5,901 0.5×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $1,092.30–$1,256.75 $1,986–$2,285 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $1,815.55 $3,301 0.5×
Bronchoscopy/Needle Bx Each (31629) $2,009.70 $3,654 0.5×
Bx breast 1st lesion mr imag (19085) $2,978.25 $5,415 1.8×
Bx breast 1st lesion strtctc (19081) $4,228.95 $7,689 2.6×
Bx breast 1st lesion us imag (19083) $3,052.50 $5,550 1.8×
Bx breast needle core w/o imaging guidance spx (19100) $1,616.45 $2,939 1.0×
Bx Cervix (57500)
range across 2 matching MRF lines		 $3,190.55–$4,162.95 $5,801–$7,569 varies
Bx/exc lymph node open superficial (38500) $392.44 $713.52 0.1×
Canthotomy Separate Procedure (67715) $1,128.60 $2,052 0.5×
Catheter aspiration nasotracheal spx (31720) $206.80 $376 0.9×
Cautery Cervix Cryocautery Initial/Repeat (57511) $1,010.35 $1,837 3.3×
Cerclage cervix pregnancy vaginal (59320) $3,319.25 $6,035 1.0×
Cessj Therapy Cath Removal (37214) $2,680.15 $4,873 0.8×
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines		 $165.53–$2,251.70 $300.96–$4,094 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $1,175.35–$1,353 $2,137–$2,460 varies
Change of Windpipe Airway (31502)
range across 2 matching MRF lines		 $767.80–$883.30 $1,396–$1,606 varies
Change ureter stent percut (50382) $3,854.40 $7,008 1.8×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $463.10–$531.85 $842–$967 varies
Chemical Pleurodesis (32560) $1,713.80 $3,116 2.7×
Chemodenerv 1 extrem 5/> mus (64644) $1,177.55 $2,141 1.7×
Chemodenerv 1 extremity 1-4 (64642) $889.35 $1,617 1.3×
Chemodenerv Eccrine Glands (64650) $583.55 $1,061 1.9×
Chemodenerv Musc Migraine (64615) $600.60 $1,092 2.0×
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines		 $757.90–$1,515.80 $1,378–$2,756 varies
Chemodenerv trunk musc 1-5 (64646) $895.95 $1,629 1.3×
Chemodenerv trunk musc 6/> (64647) $949.30 $1,726 1.3×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $754.60 $1,372 1.1×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $454.85–$909.70 $827–$1,654 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,358.50–$1,561.45 $2,470–$2,839 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,196.70 $3,994 1.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,275.25 $5,955 0.9×
Chorionic Villus Sampling (59015) $1,392.05 $2,531 1.5×
Circumcision Neonate (54160) $3,434.20 $6,244 4.9×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $1,927.75–$3,748.25 $3,505–$6,815 varies
Cl Tx Scapular Fx; W Manip (23575) $1,414.05 $2,571 0.9×
Cl Tx Tib Shft Fx W Manip (27752) $1,717.65 $3,123 1.1×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $104.50–$302.50 $190–$550 varies
Closed Rx Metacarpal Fx,Percut (26608) $2,708.20 $4,924 0.8×
Closed Rx Spontaneous Hip Disloc (27256) $545.05 $991 2.2×
Closed Treat Vert Body Fract (22310) $505.45 $919 2.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $534.60 $972 2.2×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,414.05 $2,571 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $616.55–$709.50 $1,121–$1,290 varies
Closed Treatment Sternum Fracture (21820) $265.10 $482 1.1×
Closed Treatment Ulnar Styloid Fracture (25650) $617.65 $1,123 2.5×
Closed tx ankle dislocation w/o anesthesia (27840) $595.65 $1,083 2.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,515.80 $2,756 0.9×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $526.35 $957 2.1×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $2,121.35 $3,857 8.6×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $748–$860.20 $1,360–$1,564 varies
Closed tx carpal scaphoid fracture w/manj (25624) $1,414.05 $2,571 0.9×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $583 $1,060 2.4×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $2,169.75 $3,945 1.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $432.30 $786 1.7×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,565.85 $2,847 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $576.40 $1,048 2.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,594.45 $2,899 1.0×
Closed tx mandibular fracture w/manipulation (21451) $2,828.65 $5,143 1.8×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $915.20 $1,664 1.7×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $6,899.75 $12,545 1.2×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $305.32–$682 $555.12–$1,240 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,031.05 $5,511 1.9×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,818.30 $3,306 1.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,642.20 $4,804 0.8×
Closed tx patellar dislocation w/anesthesia (27562) $889.35 $1,617 3.6×
Closed tx patellar dislocation w/o anesthesia (27560) $707.30 $1,286 2.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $677.05 $1,231 2.7×
Closed tx radial head/neck fx w/manipulation (24655) $1,414.05 $2,571 0.9×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $338.98–$633.60 $616.32–$1,152 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,515.80–$1,742.95 $2,756–$3,169 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $432.30 $786 1.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,414.05 $2,571 0.9×
Closed tx radial&ulnar shaft fractures w/o man (25560) $539 $980 2.2×
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $266.11–$447.70 $483.84–$814 varies
Closed tx septal&nose fx (21337) $2,640.55 $4,801 0.8×
Closed tx talotarsal joint dislc w/o anes (28570) $585.75 $1,065 2.4×
Closed Tx Talus Fracture W/Manipulation (28435) $2,525.60 $4,592 1.6×
Closed tx talus fracture w/o manipulation (28430) $479.60 $872 1.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $510.40 $928 2.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $606.10 $1,102 2.5×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,414.05 $2,571 0.9×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $327.89–$652.30 $596.16–$1,186 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $510.40 $928 2.1×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $410.30 $746 1.7×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,465.20 $2,664 2.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $561 $1,020 2.3×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,754.40 $5,008 1.7×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $296.21–$617.65 $538.56–$1,123 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $416.35 $757 1.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,423.85 $4,407 1.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $424.60 $772 1.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,414.05 $2,571 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,414.05 $2,571 0.9×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $633.60 $1,152 2.6×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $3,682.25 $6,695 2.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $447.70 $814 1.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $697.40 $1,268 2.8×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,341.45 $2,439 0.8×
Cltx dstl fibular fx lat malls w/manj (27788) $697.40 $1,268 2.8×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $442.73–$682 $804.96–$1,240 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $667.15 $1,213 2.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $487.85 $887 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $686.40–$790.90 $1,248–$1,438 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,348.60–$1,549.90 $2,452–$2,818 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $983.40 $1,788 0.6×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $479.60 $872 1.9×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,615.35 $2,937 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,123.65 $2,043 0.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $479.60 $872 1.9×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $161.57–$479.60 $293.76–$872 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $526.35 $957 2.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $137.81–$495.55 $250.56–$901 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,717.65 $3,123 1.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $454.30 $826 1.8×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,754.40 $5,008 1.7×
Cltx hip dislocation traumatic req anesthesia (27252) $1,685.75 $3,065 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $636.35 $1,157 2.6×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $479.60 $872 1.9×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,341.45 $2,439 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,414.05 $2,571 0.9×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $454.85 $827 1.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $2,451.90 $4,458 8.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $545.05 $991 2.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $2,019.60 $3,672 7.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $585.75 $1,065 2.4×
Cltx Med Ankle Fx W/Mnpj (27762) $1,717.65 $3,123 1.1×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $389.40–$617.65 $708–$1,123 varies
Cltx metacarpal fx w/manipulation each bone (26605) $717.75 $1,305 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $504.35–$682 $917–$1,240 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,396.45 $2,539 0.9×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,423.85 $4,407 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $697.40 $1,268 2.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $534.05 $971 2.2×
Cltx post hip arthrp dislc req anes (27266) $2,323.75 $4,225 1.4×
Cltx post hip arthrp dislc w/o anes (27265) $709.50 $1,290 2.9×
Cltx prox fibula/shft fx w/manj (27781) $2,222 $4,040 1.4×
Cltx prox fibula/shft fx w/o manj (27780) $465.30 $846 1.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,929.30 $5,326 1.8×
Cltx prox tibfib jt dislc req anes (27831) $2,754.40 $5,008 0.8×
Cltx prox tibfib jt dislc w/o anes (27830) $530.75 $965 2.1×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $504.90 $918 2.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $111.65–$697.40 $203–$1,268 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,070.85 $1,947 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,515.80 $2,756 0.9×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,349.15 $2,453 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,414.05 $2,571 0.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $538.45 $979 2.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $983.40 $1,788 0.6×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $479.60 $872 1.9×
Cltx tibial fx proximal w/o manipulation (27530) $633.60 $1,152 2.6×
Cltx tibial shaft fx w/o manipulation (27750) $454.30 $826 1.8×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $682 $1,240 2.8×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,497.10–$1,722.60 $2,722–$3,132 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $666.60 $1,212 2.7×
Collect Blood From Catheter Venous Nos (36592) $131.45 $239 1.0×
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines		 $13.20–$15.95 $24–$29 varies
Colpocentesis (57020) $4,883.45 $8,879 1.0×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $3,441.35–$5,509.35 $6,257–$10,017 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $502.15 $913 1.6×
Colposcopy Cervix Endocervical Curettage (57456) $470.25 $855 1.5×
Colposcopy cervix upper/adjacent vagina (57452) $309.10 $562 1.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $470.25 $855 1.5×
Colposcopy cervix vag eltrd conization cervix (57461) $1,961.85 $3,567 0.6×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,801.25 $3,275 0.6×
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines		 $621.50–$715 $1,130–$1,300 varies
Colposcopy of vulva (56820) $231.55 $421 1.1×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,713.80 $3,116 1.9×
Colsc Flexible W/Control Bleeding Any Method (45382) $778.80 $1,416 0.6×
Complex Cystometrogram (51726) $893.75 $1,625 3.6×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $3,737.80–$4,297.70 $6,796–$7,814 varies
Composite Skin Graft (15760) $2,364.45 $4,299 1.1×
Control Nasal Hemorrhage Anterior Complex (30903) $602.25 $1,095 4.5×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $150.70–$441.10 $274–$802 varies
Control oropharyngeal hemorrhage simple (42960) $788.15 $1,433 1.5×
Conversion ext bil drg cath (47535) $3,371.50 $6,130 0.9×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,820.50 $3,310 0.9×
Convert Nephrostomy Catheter (50434) $2,084.50 $3,790 1.0×
Cordocentesis (59012) $568.70 $1,034 1.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,924.70 $8,954 3.0×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $2,232.45 $4,059 0.6×
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) $21,299.30 $38,726 2.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $606.10–$697.40 $1,102–$1,268 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $616.55 $1,121 2.6×
Curettage postpartum (59160) $2,605.90 $4,738 0.8×
Cysto Bladder W/Ureteral Catheterization (52005) $2,392.50 $4,350 1.1×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $1,804–$2,075.15 $3,280–$3,773 varies
Cysto w/complex removal stone & stent (52315)
range across 2 matching MRF lines		 $401.40–$2,731.30 $729.82–$4,966 varies
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $2,334.20–$2,684.55 $4,244–$4,881 varies
Cysto w/irrig & evac multple obstructing clots (52001) $1,900.80 $3,456 0.5×
Cysto w/removal of lesions small (52224) $669.64 $1,217.52 0.2×
Cysto w/removal of tumors small (52234) $211.07 $383.77 0.1×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $2,313.30–$2,660.35 $4,206–$4,837 varies
Cystometrogram W/Up (51727) $1,102.75 $2,005 1.6×
Cystometrogram W/Vp (51728) $1,060.95 $1,929 1.5×
Cystometrogram W/Vp&Up (51729) $1,820.50 $3,310 2.6×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure		 $3,020.05 $5,491 0.3×
Cystostomy Cystotomy W/Drainage (51040) $1,803.45 $3,279 0.9×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $1,298.55–$1,493.80 $2,361–$2,716 varies
Cystourethroscopy inj chemodenervation bladder (52287) $145.07 $263.76 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $718.30–$826.10 $1,306–$1,502 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,423.85 $4,407 0.8×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,612.60 $2,932 2.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,756.15 $3,193 2.5×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024)
range across 2 matching MRF lines		 $3,131.15–$3,600.85 $5,693–$6,547 varies
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $5,746.40 $10,448 2.9×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $2,035.55–$2,340.25 $3,701–$4,255 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $149.60–$173.25 $272–$315 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $226.05–$259.05 $411–$471 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $3,434.20–$3,949.55 $6,244–$7,181 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $1,317.80–$1,514.15 $2,396–$2,753 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $972.40–$1,117.05 $1,768–$2,031 varies
Delivery of placenta (59414)
range across 2 matching MRF lines		 $2,864.40–$3,293.40 $5,208–$5,988 varies
Destr W Neurolytic; Celiac Plexus (64680) $2,997.50 $5,450 3.4×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $2,758.80–$4,400 $5,016–$8,000 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $4,138.20–$6,600 $7,524–$12,000 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $203.50–$233.20 $370–$424 varies
Destruction Benign Lesions 15/> (17111) $55.20 $100.37 0.3×
Destruction by neurolytic agent, intercostal nerve (64620) $3,748.25 $6,815 4.2×
Destruction by neurolytic agent; pudendal nerve (64630) $1,384.35 $2,517 1.6×
Destruction Internal Hemorrhoid Thermal Energy (46930) $131.07 $238.31 0.1×
Destruction Lesions Vulva Simple (56501) $153.91 $279.84 0.1×
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) $70.63 $128.41 0.4×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $466.95 $849 2.3×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $569.80 $1,036 1.4×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $185.72 $337.68 0.5×
Destruction neurolytic agt genicular nerve w/img (64624) $8,136.70 $14,794 4.2×
Destruction of skin lesions (17106) $617.10 $1,122 1.5×
Destruction Premalignant Lesion 15/> (17004) $185.72 $337.68 0.5×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $321.20–$370.15 $584–$673 varies
Diagnostic sigmoidoscopy (45330) $45.26 $82.29 0.0×
Dilat Xst Trc New Access Rcs (50437) $4,143.70 $7,534 1.2×
Dilate Urethra Stricture (53620)
range across 2 matching MRF lines		 $2,812.70–$3,234 $5,114–$5,880 varies
Dilate Urethra Stricture (53600) $454.30 $826 1.8×
Dilation & curettage dx&/ther nonobstetric (58120) $2,528.35 $4,597 0.8×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $1,292.50–$1,486.65 $2,350–$2,703 varies
Drain Hand Tendon Sheath (26020) $2,687.85 $4,887 0.8×
Drain penis lesion (54015) $2,651 $4,820 1.6×
Drain Spinal Cord Cyst (62268) $1,133 $2,060 1.3×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $1,375.55–$1,581.80 $2,501–$2,876 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $1,472.90 $2,678 2.7×
Drainage external auditory canal abscess (69020) $818.40 $1,488 1.2×
Drainage external ear abscess/hematoma cmplx (69005) $2,726.90 $4,958 1.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $818.40 $1,488 1.2×
Drainage Finger Abscess Complicated (26011) $1,414.05 $2,571 0.9×
Drainage Mouth Roof Lesion (42000) $595.65 $1,083 2.5×
Drainage of eye (65800) $1,123.10 $2,042 0.5×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $545.05–$627.55 $991–$1,141 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $496.10–$570.35 $902–$1,037 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $2,795.10–$3,214.75 $5,082–$5,845 varies
Drainage of hydrocele (55000) $190.65 $346.63 0.3×
Drainage of mouth lesion (41006) $3,639.35 $6,617 2.3×
Drainage of nose lesion (30000) $343.20 $624 1.4×
Drainage of perirenal or renal abscess, open Facility (50020) $3,830.20 $6,964 1.8×
Drainage of rectal abscess (45005) $2,135.10 $3,882 1.8×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $1,919.50–$2,207.15 $3,490–$4,013 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $3,636.60–$4,181.10 $6,612–$7,602 varies
Drainage of skene's gland abscess or cyst (53060) $2,959.55 $5,381 1.4×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $2,715.90 $4,938 0.8×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $2,715.90 $4,938 0.8×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $174.90–$200.75 $318–$365 varies
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,029.60 $1,872 1.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $889.35–$1,022.45 $1,617–$1,859 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $646.25–$744.15 $1,175–$1,353 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $545.05–$627.55 $991–$1,141 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $115.50–$546.70 $210–$994 varies
Dstrj Lesion Anus Extensive (46924) $3,219.15 $5,853 1.2×
Dstrj Lesion Penis Simple Cryosurgery (54056) $176.22 $320.40 0.9×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $2,649.90 $4,818 1.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,675.75 $4,865 3.0×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $3,296.15 $5,993 3.7×
Dx Bone Marrow Bx & Aspir (38222) $2,668.60 $4,852 0.9×
Dx Bronchoscope/Lavage (31624) $1,415.70 $2,574 0.8×
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $2,306.15–$2,652.65 $4,193–$4,823 varies
Dx gastr intub w/asp spec (43754) $338.80 $616 1.6×
Dx Laryngoscopy Excl Nb (31525) $1,820.50 $3,310 1.0×
Dx laryngoscopy w/oper scope (31526) $1,778.70 $3,234 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $2,035 $3,700 2.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 2 matching MRF lines		 $1,201.75–$1,254 $2,185–$2,280 varies
Egd Flexible Foreign Body Removal (43247) $1,473.45 $2,679 1.6×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $1,290.30–$1,484.45 $2,346–$2,699 varies
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $744.15 $1,353 2.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $932.25 $1,695 3.0×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $654.50 $1,190 2.1×
Electro-Uroflowmetry First (51741) $289.30 $526 1.3×
Endocervical curettage (57505) $1,312.85 $2,387 1.4×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $673.75–$774.95 $1,225–$1,409 varies
Endovasc Temp Balloon Occlus,Head/Nck (61623) $11,261.25 $20,475 1.0×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $3,458.40 $6,288 1.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,949.65 $5,363 0.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines		 $4,138.20–$5,522 $7,524–$10,040 varies
Endoven ther chem adhes 1st (36482) $6,259.55 $11,381 1.1×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $2,478.85 $4,507 1.2×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $2,528.35–$2,907.85 $4,597–$5,287 varies
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $1,594.45–$1,833.70 $2,899–$3,334 varies
Episiotomy or vaginal repair (59300) $3,636.60 $6,612 1.1×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $2,571.80 $4,676 1.3×
Esophagoscopy Flexible Transoral Diagnostic (43200) $845.90 $1,538 0.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,129.15 $2,053 0.6×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,086.80 $1,976 0.6×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $50.60–$209.55 $92–$381 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,233.10 $2,242 1.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,019.05 $3,671 1.2×
Exc Back Les Sc < 3 Cm (21930) $3,813.15 $6,933 2.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,756.15 $3,193 2.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,816.10 $3,302 2.6×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $2,411.20 $4,384 1.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $836 $1,520 1.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,515.80 $2,756 2.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $154.84 $281.52 0.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,337.50 $4,250 1.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $1,375.55–$1,581.80 $2,501–$2,876 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $1,414.05–$1,625.80 $2,571–$2,956 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $1,616.45–$1,859.55 $2,939–$3,381 varies
Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) $3,773 $6,860 1.1×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $158.40–$2,094.95 $288–$3,809 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $2,309.45–$2,655.40 $4,199–$4,828 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,905.65 $5,283 1.0×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,641.65 $4,803 1.6×
Exc Skin Benig >4cm Face,Facial (11446) $3,340.70 $6,074 1.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,542.65 $4,623 1.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,631.65 $6,603 1.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,212.10 $4,022 1.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $205.52–$2,972.20 $373.68–$5,404 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $1,616.45–$1,859.55 $2,939–$3,381 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $1,820.50–$2,092.75 $3,310–$3,805 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,323.75 $4,225 1.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $382.54 $695.52 0.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,275.25 $5,955 0.9×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $4,390.10 $7,982 2.1×
Exchange Transfusion Blood Newborn (36450) $537.90 $978 1.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,307.80 $4,196 1.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $2,019.60 $3,672 2.8×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,568.05 $2,851 0.7×
Excision Lingual Frenum Frenectomy (41115) $1,392.05 $2,531 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,762.20 $3,204 2.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,868.90 $3,398 4.6×
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 0.5 cm/< (11640) $1,431.65 $2,603 2.0×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,020.05 $5,491 1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,816.10 $3,302 2.6×
Excision of pilonidal cyst or sinus; simple (11770) $2,614.70 $4,754 0.9×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,361.05 $6,111 1.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,440.90 $4,438 1.5×
Expl penetrating wound spx abdomen/flank/back (20102) $3,737.80 $6,796 1.8×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $2,938.65–$3,379.20 $5,343–$6,144 varies
Exploration of knee joint (27310) $3,038.75 $5,525 0.9×
Exploration penetrating wound spx chest (20101) $3,636.60 $6,612 1.8×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,818.30–$2,091.10 $3,306–$3,802 varies
Explore eye socket,drainage (67405) $1,233.65 $2,243 0.5×
Explore/Treat Hand Joint (26070) $2,615.25 $4,755 1.6×
External cephalic version (59412) $2,829.20 $5,144 0.9×
Fetal Contraction Stress Test (59020) $813.45 $1,479 4.0×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $394.35 $717 1.3×
Fetal non-stress test (59025) $677.05 $1,231 3.3×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $456.50 $830 1.5×
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $161.15–$1,927.75 $293–$3,505 varies
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,927.75 $3,505 2.7×
Fine needle aspiration without imaging guidance (10021) $746.35 $1,357 1.8×
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $1,212.75–$1,393.70 $2,205–$2,534 varies
Fluoro exam of g/colon tube (49465) $813.45 $1,479 3.4×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,927.75 $3,505 2.7×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $103.40–$1,779.25 $188–$3,235 varies
Foreskin manipulation (54450) $636.35 $1,157 2.5×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,465.10 $4,482 1.2×
Guide Cathet Fluid Drainage (10030) $1,927.75 $3,505 2.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $253.15 $460.28 0.3×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $3,803.25–$4,617.80 $6,915–$8,396 varies
Hysterotomy Abdominal (59100) $4,375.25 $7,955 0.9×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $795.30–$913.55 $1,446–$1,661 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $454.85–$919.60 $827–$1,672 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,389.75 $4,345 0.8×
I&D Mouth/Tong Intra,Masticator (41009) $683.65 $1,243 1.3×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $2,121.35–$2,439.80 $3,857–$4,436 varies
I&d pilonidal cyst complicated (10081) $1,818.30 $3,306 2.6×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $1,212.75–$1,393.70 $2,205–$2,534 varies
I&d shoulder deep abscess/hematoma (23030) $2,368.30 $4,306 0.8×
I&d thyroglossal duct cyst infected (60000) $1,310.10 $2,382 0.8×
I&d upper arm/elbow deep abscess/hematoma (23930) $2,281.40 $4,148 0.8×
I&d vaginal hematoma obstetrical/postpartum (57022) $2,295.15 $4,173 0.8×
Icd Pocket Revision (33223) $2,761.55 $5,021 1.3×
Image Cath Fluid Colxn Visc (49405) $3,722.40 $6,768 2.3×
Image Cath Fluid Peri/Retro (49406) $2,903.45 $5,279 1.8×
Image Cath Fluid Trns/Vgnl (49407) $1,191.30 $2,166 0.7×
Implant neuroelectrodes (63650) $4,898.30 $8,906 0.8×
Implant Spine Infusion Pump (62362) $18,935.40 $34,428 1.0×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $5,095.20 $9,264 0.6×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $737–$848.65 $1,340–$1,543 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $605–$1,186.90 $1,100–$2,158 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $2,368.30 $4,306 0.8×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $2,019.60–$2,323.75 $3,672–$4,225 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $225.50–$572 $410–$1,040 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $607.75–$698.50 $1,105–$1,270 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $710.60–$818.40 $1,292–$1,488 varies
Incision Drainage Lacrimal Sac (68420) $1,117.05 $2,031 0.5×
Incision of lingual frenum (frenotomy) (41010) $2,860.55 $5,201 1.8×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $3,131.15–$3,143.25 $5,693–$5,715 varies
Incision of urethra (53020) $2,899.60 $5,272 1.4×
Incision&drainage bursa foot (28001) $1,283.70 $2,334 0.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,685.75 $3,065 1.0×
Incisional biopsy eyelid skin & lid margin (67810) $607.20 $1,104 1.9×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $1,049.40–$1,192.40 $1,908–$2,168 varies
Induced abortion, by dilation and evacuation (59841) $7,670.30 $13,946 2.4×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $71.50–$420.20 $130–$764 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $838.75–$1,678.60 $1,525–$3,052 varies
Inj W/Fluor Eval Cv Device (36598) $403.70 $734 1.9×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $4,199.80 $7,636 4.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,710.50–$2,973.30 $3,110–$5,406 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $845.35 $1,537 2.7×
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $1,832.05–$2,107.60 $3,331–$3,832 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $2,114.20 $3,844 2.4×
Injection aa&/strd genicular nrv branches w/img (64454) $1,713.80 $3,116 2.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $2,569.60–$2,955.15 $4,672–$5,373 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,713.80 $3,116 2.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $2,625.70 $4,774 3.7×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $2,296.80 $4,176 2.6×
Injection Anes Agent Sphenopalatine Ganglion (64505) $845.35 $1,537 2.7×
Injection Anes Superior Hypogastric Plexus (64517) $1,927.75 $3,505 2.2×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $1,285.35–$1,477.85 $2,337–$2,687 varies
Injection for identification of sentinel node (38792) $569.25 $1,035 1.4×
Injection Into Brain Canal (61055) $1,089.55 $1,981 3.5×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $524.70–$603.35 $954–$1,097 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $932.80–$1,072.50 $1,696–$1,950 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $854.70–$982.85 $1,554–$1,787 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,310.65 $2,383 0.8×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $578.60–$664.95 $1,052–$1,209 varies
Injection, anesthetic agent; brachial plexus, single (64415) $1,856.80 $3,376 2.1×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $1,332.65–$1,531.75 $2,423–$2,785 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $2,113.65–$2,431.55 $3,843–$4,421 varies
Injection, Intralesional; More Than 7 Lesions (11901) $30.80 $56 0.2×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $186.45–$214.50 $339–$390 varies
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $2,378.75 $4,325 2.7×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $3,288.45 $5,979 3.7×
Ins cath ren art 1st bilat (36252) $5,434 $9,880 1.7×
Ins cath ren art 1st unilat (36251) $2,717 $4,940 0.9×
Ins cath ren art 2nd+ bilat (36254) $6,113.25 $11,115 1.9×
Ins cath ren art 2nd+ unilat (36253) $3,056.90 $5,558 0.5×
Ins endovas vena cava filtr (37191) $4,651.90 $8,458 0.8×
Ins Vag Brachytx Device (57156) $721.60 $1,312 2.4×
Ins/Rep Subq Defibrillator (33270) $34,519.10 $62,762 1.1×
Insert 1 Electrode Pm-Defib (33216) $6,421.25 $11,675 0.8×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $159.59–$808.50 $290.16–$1,470 varies
Insert cath pleura w/ image (32557) $2,019.60 $3,672 1.3×
Insert cath pleura w/o image (32556) $1,616.45 $2,939 0.8×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $2,576.20 $4,684 2.1×
Insert cervical dilator (59200) $823.90 $1,498 2.7×
Insert Drug Implant Device (11981) $1,366.20 $2,484 10.3×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $2,247.85–$2,554.75 $4,087–$4,645 varies
Insert Heart Pm Atrial (33206) $10,355.95 $18,829 1.0×
Insert Heart Pm Ventricular (33207)
range across 2 matching MRF lines		 $10,420.85–$11,983.95 $18,947–$21,789 varies
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $5,050.65 $9,183 0.3×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $2,545.95–$2,928.20 $4,629–$5,324 varies
Insert Pacing Lead & Connect (33224) $17,949.80 $32,636 1.7×
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $309.10–$355.30 $562–$646 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,035 $3,700 1.3×
Insert pulse gen dual leads (33213) $12,426.70 $22,594 1.2×
Insert pulse gen mult leads (33221) $13,026.20 $23,684 0.7×
Insert Pulse Gen Sngl Lead (33212) $10,863.05 $19,751 1.3×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $551.10–$633.60 $1,002–$1,152 varies
Insert tun ip cath perc (49418)
range across 2 matching MRF lines		 $5,039.65–$5,795.90 $9,163–$10,538 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $4,532–$6,254.60 $8,240–$11,372 varies
Insert tunneled cv cath (36563) $5,196.40 $9,448 0.9×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $5,888.85 $10,707 1.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $393.25–$452.10 $715–$822 varies
Insertion indwelling tunneled pleural catheter (32550) $4,710.20 $8,564 1.3×
Insertion of cannula (36800)
range across 2 matching MRF lines		 $5,776.10–$6,642.90 $10,502–$12,078 varies
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) $2,279.75 $4,145 0.7×
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) $5,044.05 $9,171 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $2,230.25–$2,715.35 $4,055–$4,937 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,397.50 $13,450 0.9×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,943.50 $7,170 1.1×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $8,185.10 $14,882 1.5×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,421.25 $11,675 0.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $2,929.30–$3,369.30 $5,326–$6,126 varies
Insj Picc Rs&I <5 Yr (36572) $1,919.50 $3,490 3.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,319.25 $6,035 1.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $3,319.25–$4,058.45 $6,035–$7,379 varies
Insj Subq Impltbl Dfb Elctrd (33271) $8,177.40 $14,868 1.0×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $6,378.35 $11,597 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $3,379.20–$3,885.75 $6,144–$7,065 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $17,333.80 $31,516 0.6×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $6,274.40–$7,216 $11,408–$13,120 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $6,903.60 $12,552 0.8×
Insrt heart pm atrial & vent (33208) $9,526 $17,320 0.9×
Insrt Pulse Gen W/Dual Leads (33230) $33,216.70 $60,394 1.5×
Insrt Pulse Gen W/Mult Leads (33231) $32,607.85 $59,287 1.0×
Insrt Pulse Gen W/Singl Lead (33240) $34,718.20 $63,124 1.6×
Interdental fixation (21110) $2,162.05 $3,931 1.4×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,056.90 $5,558 2.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,515.80 $2,756 3.7×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,616.45 $2,939 4.0×
Intraoral i&d tongue/floor lingual (41000) $1,515.80 $2,756 2.8×
Intraoral i&d tongue/floor submental space (41007) $2,423.85 $4,407 1.6×
Intraoral i&d tongue/floor submndblr space (41008)
range across 2 matching MRF lines		 $3,837.90–$4,414.30 $6,978–$8,026 varies
Intro cath dialysis circuit (36901) $2,554.75 $4,645 1.6×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $10,195.35 $18,537 0.9×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,021.30 $12,766 1.2×
Intro Gastrointestinal Tube (44500)
range across 2 matching MRF lines		 $1,375.55–$1,581.80 $2,501–$2,876 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $963.60–$1,108.25 $1,752–$2,015 varies
Irrigation of corpora cavernosa for priapism (54220) $444.95 $809 1.8×
Lap insert tunnel ip cath (49324) $3,538.70 $6,434 0.6×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $283.25–$325.60 $515–$592 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $540.65–$621.50 $983–$1,130 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $637.45 $1,159 1.6×
Laryngoscopy W/Foreign Body Removal (31530) $1,778.70 $3,234 1.0×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,242.45 $2,259 3.2×
Late closure of wound (13160)
range across 2 matching MRF lines		 $4,343.90–$4,995.65 $7,898–$9,083 varies
Ligation of a-v fistula (37607) $2,635.60 $4,792 0.8×
Ligation Of Inf Vena Cava (37619) $4,433.55 $8,061 0.8×
Lip Surgery Procedure (40799) $293.15 $533 1.2×
Lithotripsy, extracorporeal shock wave (50590) $8,245.60 $14,992 2.3×
Lyse chest fibrin init day (32561) $900.90 $1,638 1.4×
Lyse Chest Fibrin Subq Day (32562) $731.50 $1,330 1.2×
Manometric stds thru tube/ndwellg urtrl cath (50396) $934.45 $1,699 1.3×
Maternity Care Procedure (59899)
range across 2 matching MRF lines		 $350.90–$4,870.80 $638–$8,856 varies
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,142.25 $3,895 1.4×
Mech remov tunneled cv cath (36595) $4,282.85 $7,787 1.4×
Myelography Lumbar Injection (62305) $2,997.50 $5,450 3.8×
Myelography Lumbar Injection (62304) $2,142.25 $3,895 2.7×
Myelography via lumbar injection rs&i cervical (62302) $2,035 $3,700 2.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,285.35 $2,337 1.6×
N Block Inj Celiac Pelus (64530) $1,820.50 $3,310 2.1×
N Block Inj Ilio-Ing/Hypogi (64425) $1,059.85 $1,927 1.5×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $1,927.75–$2,216.50 $3,505–$4,030 varies
N Block Inj Paracervical (64435) $1,217.15 $2,213 1.7×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $770.55–$886.05 $1,401–$1,611 varies
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $1,515.80–$3,031.05 $2,756–$5,511 varies
N Block Lumbar/Thoracic (64520) $1,927.75 $3,505 2.2×
Nasal Endoscopy Dx (31231) $340.45 $619 1.7×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $415.25–$478.50 $755–$870 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,528.90 $4,598 1.4×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $1,896.95 $3,449 1.1×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $503.25 $915 2.0×
Needle Biopsy Lymph Nodes (38505) $2,077.90 $3,778 1.3×
Needle Biopsy Pancreas (48102) $1,563.65 $2,843 0.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $973.50 $1,770 2.3×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $2,356.75–$2,709.85 $4,285–$4,927 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $1,024.65–$1,177.55 $1,863–$2,141 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,664.20 $4,844 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,384.15 $6,153 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,864.50–$3,107.50 $3,390–$5,650 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,141.15 $3,893 3.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,927.75 $3,505 2.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $2,323.75 $4,225 2.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,976.70 $3,594 2.8×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $3,935.25 $7,155 1.9×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,935.25 $7,155 1.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,080.20 $1,964 1.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,152.80 $2,096 1.7×
Njx Sclrsnt 1 Incmptnt Vein (36470) $447.70 $814 1.1×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $929.50 $1,690 2.3×
Njx Sclrsnt Spider Veins (36468) $315.15 $573 0.8×
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) $330 $600 2.6×
Obstructive material removal from gi tube (49460) $814.55 $1,481 0.9×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $1,312.85–$2,626.80 $2,387–$4,776 varies
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $4,369.20 $7,944 1.3×
Open Tx Distal Phalangeal Fracture Each (26765) $7,676.90 $13,958 2.3×
Open tx interphalangeal joint dislocation (26785) $4,673.90 $8,498 1.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $4,379.10 $7,962 1.3×
Open/Perq Place Stent 1St (37236) $7,673.60 $13,952 0.7×
Open/Perq Place Stent Same (37238) $9,503.45 $17,279 0.8×
Partial Excision Distal Phalanx Finger (26236) $1,515.80 $2,756 0.9×
Pelvic examination under anesthesia (other than local) (57410) $3,116.85 $5,667 1.0×
Penile Injection (54235)
range across 2 matching MRF lines		 $139.96–$424.60 $254.48–$772 varies
Penile Plethysmography (54240) $746.35 $1,357 3.5×
Perc Cryo Ablate Renal Tum (50593) $9,635.45 $17,519 0.9×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $2,396.35 $4,357 1.7×
Perc Rf Ablate Renal Tumor (50592) $6,048.90 $10,998 1.0×
Percut Ablate Liver Rf (47382) $4,689.85 $8,527 0.8×
Percut Cath Occlusn Non Cns Lesn (61626) $9,678.35 $17,597 0.8×
Percut Drain/Inject Renal Cyst (50390) $2,142.25 $3,895 3.0×
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,945.70 $7,174 1.2×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $3,959.45 $7,199 1.2×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $1,449.80–$1,667.60 $2,636–$3,032 varies
Perineoplasty rpr perineum nonobstetrical spx (56810) $1,932.70 $3,514 0.6×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $884.95–$1,018.05 $1,609–$1,851 varies
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $3,201.55 $5,821 0.2×
Perq av fistula creation uxtr sep access sites (36837) $12,375 $22,500 0.7×
Perq av fistula creation uxtr single access (36836) $12,375 $22,500 0.7×
Perq Cervicothoracic Inject (22510) $3,581.60 $6,512 1.1×
Perq dev breast 1st mr guide (19287) $1,591.15 $2,893 2.2×
Perq dev breast 1st strtctc (19283) $1,936 $3,520 2.7×
Perq dev breast 1st us imag (19285) $1,936 $3,520 2.7×
Perq device breast 1st imag (19281) $2,456.85 $4,467 1.5×
Perq dilation xst trc endourologic px w/img (50436) $2,739 $4,980 0.8×
Perq Lumbosacral Injection (22511) $3,796.65 $6,903 1.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $4,746.50 $8,630 0.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $805.20 $1,464 1.1×
Perq skel fixj distal radial fx/epiphysl sep (25606) $4,242.15 $7,713 1.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $10,494 $19,080 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $7,594.40 $13,808 1.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $8,182.90 $14,878 1.1×
Perq Vertebral Augmentation (22513) $10,423.05 $18,951 1.4×
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines		 $3,535.40–$5,640.80 $6,428–$10,256 varies
Place breast rad tube/caths (19298) $11,066.55 $20,121 0.8×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $3,456.20–$6,912.40 $6,284–$12,568 varies
Place Cath Thoracic Aorta (36221) $3,312.65 $6,023 1.0×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $6,408.60–$9,859.30 $11,652–$17,926 varies
Place Duod/Jej Tube Perc (49441) $1,820.50 $3,310 0.9×
Place Rt Device/Marker Pros (55876) $2,754.95 $5,009 2.0×
Placement of needle for intraosseous infusion (36680) $303.05 $551 0.7×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $3,949 $7,180 0.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $11,780.45 $21,419 1.9×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $7,728.05 $14,051 1.3×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $8,338.55 $15,161 1.4×
Plmt expandable cath brst following prtl mast (19296) $11,066.55 $20,121 1.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $4,392.85 $7,987 2.1×
Plmt Nephroureteral Catheter (50433) $4,838.90 $8,798 1.4×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $6,959.70 $12,654 2.0×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $7,709.35 $14,017 2.2×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $6,060.45 $11,019 1.7×
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure		 $4,230.05 $7,691 0.2×
Proctopexy Perineal Approach (45541) $3,581.60 $6,512 1.3×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,177.55 $2,141 1.7×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $10,649.10 $19,362 1.7×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $2,569.60 $4,672 2.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $6,424 $11,680 1.8×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $10,706.30 $19,466 3.0×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $3,074.50 $5,590 0.9×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $5,781.60 $10,512 0.8×
Prtl Exchange Transfuse Nb (36456) $537.90 $978 1.2×
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $898.15–$1,032.35 $1,633–$1,877 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $921.80–$1,059.85 $1,676–$1,927 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $308–$954.80 $560–$1,736 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $1,606.55–$1,847.45 $2,921–$3,359 varies
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $1,410.20–$1,606.55 $2,564–$2,921 varies
Push Transfusion Blood 2 Yr/Under (36440) $672.10 $1,222 1.5×
Pvb thoracic cont infusion (64463) $1,467.40 $2,668 2.1×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,467.40 $2,668 2.1×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,118.05 $3,851 1.1×
Reconstruction Nail Bed W/Graft (11762) $2,319.35 $4,217 1.1×
Redo Endovas Vena Cava Filtr (37192) $3,037.65 $5,523 1.0×
Reduction of rectal prolapse (45900) $1,075.80 $1,956 1.2×
Relocation Pocket Pacemaker (33222) $3,106.95 $5,649 1.5×
Rem Endovas Vena Cava Filter (37193) $4,736.05 $8,611 1.5×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $3,573.35 $6,497 3.9×
Removal Embedded Foreign Body Eyelid (67938) $491.15 $893 1.5×
Removal Foreign Body Foot Complicated (28193) $1,919.50 $3,490 1.2×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $2,774.75–$3,191.10 $5,045–$5,802 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $1,549.90–$1,783.10 $2,818–$3,242 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,616.45 $2,939 1.0×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 5 matching MRF lines		 $99–$581.90 $180–$1,058 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 6 matching MRF lines		 $104.50–$448.80 $190–$816 varies
Removal impacted vag fb spx w/anes oth/thn local (57415)
range across 2 matching MRF lines		 $1,971.75–$2,267.65 $3,585–$4,123 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $3,636.60–$4,181.10 $6,612–$7,602 varies
Removal implantable contraceptive capsules (11976) $803.55 $1,461 1.1×
Removal intact breast implant (19328) $3,792.80 $6,896 1.0×
Removal of foreign body from pharynx (42809) $1,010.35 $1,837 2.3×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $1,056.55–$1,213.85 $1,921–$2,207 varies
Removal of tunneled intraperitoneal catheter (49422) $5,996.10 $10,902 1.9×
Removal or bivalving full arm or full leg cast (29705) $414.70 $754 1.5×
Removal Pacemaker Electrode (33235) $3,386.90 $6,158 0.9×
Removal ppm generator only (33233) $6,282.65 $11,423 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $546.70–$628.65 $994–$1,143 varies
Removal subcutaneous cardiac rhythm monitor (33286) $1,693.45 $3,079 2.4×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $333.30–$383.90 $606–$698 varies
Remove Brain Cavity Fluid (61020) $2,049.30 $3,726 2.3×
Remove cerclage suture (59871) $4,068.90 $7,398 1.3×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $541.75–$623.70 $985–$1,134 varies
Remove Elctrd Transvenously (33244) $2,279.75 $4,145 0.6×
Remove Forearm Foreign Body (25248) $3,414.95 $6,209 2.1×
Remove foreign body from eye (65235) $1,871.65 $3,403 0.8×
Remove foreign body from eye (65205) $316.25 $575 2.4×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $463.10–$531.85 $842–$967 varies
Remove intrvas foreign body (37197) $3,371.50 $6,130 1.1×
Remove lung catheter (32552) $2,247.85 $4,087 3.6×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $187–$393.80 $340–$716 varies
Remove Pulse Generator (33241) $2,209.90 $4,018 0.6×
Remove renal tube w/fluoro (50389) $1,116.50 $2,030 1.6×
Remove Shoulder Foreign Body (23330) $1,756.15 $3,193 1.1×
Remove ureter stent percut (50384) $3,508.45 $6,379 1.7×
Remove&replace pm gen singl (33227) $9,118.45 $16,579 1.1×
Remove/Insert Drug Implant (11983) $550.55 $1,001 1.2×
Remv&replc cvd gen dual lead (33263) $19,197.20 $34,904 0.9×
Remv&replc cvd gen mult lead (33264) $18,627.40 $33,868 0.6×
Remv&replc cvd gen sing lead (33262) $31,913.75 $58,025 1.4×
Remv&replc pm gen dual lead (33228) $8,584.95 $15,609 0.8×
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure		 $9,118.45 $16,579 0.5×
Renal Biopsy Perq (50200) $3,281.85 $5,967 2.0×
Repair Achilles Tendon (27650) $4,614.50 $8,390 0.6×
Repair Blood Vessel Direct Hand Finger (35207) $4,083.20 $7,424 1.3×
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines		 $2,539.90–$2,921.05 $4,618–$5,311 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $1,464.10–$1,683 $2,662–$3,060 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,515.80–$1,742.95 $2,756–$3,169 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $1,212.75–$1,393.70 $2,205–$2,534 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,515.80–$1,742.95 $2,756–$3,169 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,414.05 $2,571 3.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,515.80 $2,756 3.7×
Repair complex trunk 1.1-2.5 cm (13100) $1,312.85 $2,387 1.8×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $144.02–$1,464.10 $261.86–$2,662 varies
Repair Elbow Perc (24357) $3,814.25 $6,935 1.2×
Repair Extensor Tendon Finger W/Graft Each (26420) $4,597.45 $8,359 1.4×
Repair extensor tendon finger w/o graft each (26418) $2,702.15 $4,913 1.7×
Repair Eyelid Wound (67935) $1,568.05 $2,851 0.7×
Repair Finger Tendon (26433) $3,224.10 $5,862 1.0×
Repair Finger/Hand Tendon (26350) $5,130.40 $9,328 1.6×
Repair Hand Joint (26540) $4,597.45 $8,359 1.4×
Repair Hand Tendon (26410) $2,940.85 $5,347 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $1,111–$1,277.65 $2,020–$2,323 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,287 $2,340 3.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,312.85 $2,387 3.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,414.05 $2,571 3.5×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,717.65 $3,123 4.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,111 $2,020 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $808.50–$929.50 $1,470–$1,690 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $908.60–$1,045.55 $1,652–$1,901 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,068.10 $1,942 1.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,414.05 $2,571 3.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $224.95–$1,046.10 $409–$1,902 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $1,010.35–$1,161.60 $1,837–$2,112 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,515.80 $2,756 2.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $268.47–$1,212.75 $488.12–$2,205 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $2,525.60 $4,592 1.2×
Repair lead pace-defib dual (33220) $6,117.65 $11,123 1.6×
Repair Lead Pace-Defib One (33218) $6,187.50 $11,250 1.7×
Repair of nail bed (11760) $788.15 $1,433 1.1×
Repair tongue laceration (41252) $772.20 $1,404 3.3×
Repair tongue laceration (41250) $505.45 $919 1.1×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $5,151.30 $9,366 1.6×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $1,964.05–$2,258.85 $3,571–$4,107 varies
Replace G-J Tube Perc (49452) $2,356.75 $4,285 2.6×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $2,590.50–$2,979.90 $4,710–$5,418 varies
Replantation digit complete (20822) $2,609.20 $4,744 1.6×
Repos Previously Implanted Subq Implantable Dfb (33273) $4,950 $9,000 1.3×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $1,392.05–$1,601.60 $2,531–$2,912 varies
Reposition L Ventric Lead (33226) $2,149.40 $3,908 0.7×
Reposition Pacing-Defib Lead (33215) $2,605.35 $4,737 0.8×
Reposition Venous Catheter (36597) $2,247.85 $4,087 1.4×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $16,160.65 $29,383 2.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $3,236.75 $5,885 0.9×
Revj/rmvl peripheral neurostimulator electrode (64585) $3,891.80 $7,076 1.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $4,282.85 $7,787 2.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $783.75 $1,425 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $316.25 $575 0.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $324.50–$372.90 $590–$678 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $597.85 $1,087 1.3×
Rmvl fecal impaction/fb spx under anes (45915) $3,031.05 $5,511 2.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,159.75 $5,745 1.1×
Rmvl of subq implantable defibrillator electrode (33272) $2,083.95 $3,789 0.6×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,286.90 $4,158 1.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,477.20 $4,504 1.3×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $4,176.15 $7,593 1.2×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,410.10 $4,382 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $3,961.65–$4,555.10 $7,203–$8,282 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $2,890.80–$3,324.20 $5,256–$6,044 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $889.35–$1,022.45 $1,617–$1,859 varies
Rplc gtube revj gstrst trc (43763)
range across 2 matching MRF lines		 $717.75–$825 $1,305–$1,500 varies
Rplcmt cath ctr vad subq port/pmp (36578) $4,289.45 $7,799 1.4×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $3,212 $5,840 2.0×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $3,412.75 $6,205 1.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,569.60 $4,672 1.6×
Rplcmt compl tun ctr vad w/subq port (36582) $3,426.50 $6,230 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,553.10 $4,642 0.8×
Rpr blood vessel direct lower extremity (35226) $1,107.15 $2,013 1.6×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $3,639.90 $6,618 2.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $808.50 $1,470 4.0×
Rpr ing hern premie blocked (49492) $2,930.40 $5,328 0.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,212.75 $2,205 1.6×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $705.10 $1,282 3.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $3,636.60 $6,612 6.7×
Rpr Lip Full Thickness Vermilion Only (40650) $2,626.80 $4,776 4.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $5,353.15 $9,733 3.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,080.90 $9,238 1.6×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $3,131.15 $5,693 1.0×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $2,997.50 $5,450 4.8×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $4,142.60 $7,532 1.3×
Sclerotx Fluid Collection (49185) $2,997.50 $5,450 1.8×
Shave skin lesion 0.5 cm/< (11300) $187.55 $341 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $95.83–$245.85 $174.24–$447 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $422.40 $768 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $229.35–$264 $417–$480 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $242.55 $441 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $484.55–$557.70 $881–$1,014 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $606.10 $1,102 1.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $364.10 $662 1.8×
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)
range across 2 matching MRF lines		 $214.50–$247.50 $390–$450 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $124.74 $226.80 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $289.30 $526 1.4×
Sigmoidoscopy w/fb removal (45332) $1,260.60 $2,292 1.1×
Simple Cystometrogram (51725) $893.75 $1,625 3.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $859.65 $1,563 2.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $225.50–$697.40 $410–$1,268 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $137.50–$756.25 $250–$1,375 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $908.60 $1,652 2.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $757.90 $1,378 3.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $213.95–$581.35 $389–$1,057 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $808.50 $1,470 4.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $209–$683.65 $380–$1,243 varies
Skin Full Grft Face/Genit/Hf (15240) $2,226.95 $4,049 1.1×
Skin Pinch Graft (15050) $812.90 $1,478 1.1×
Skin sub graft face/nk/hf/g (15275) $3,275.25 $5,955 4.4×
Skin sub graft trnk/arm/leg (15271) $2,754.95 $5,009 3.7×
Skin sub grft t/arm/lg child (15273) $3,977.05 $7,231 1.9×
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $181.50–$1,637.35 $330–$2,977 varies
Skn sub grft f/n/hf/g child (15277) $2,411.75 $4,385 1.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $4,896.10–$9,792.75 $8,902–$17,805 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $3,384.15–$6,768.30 $6,153–$12,306 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $5,472.50–$10,944.45 $9,950–$19,899 varies
Slitting of prepuce (54001) $2,602.60 $4,732 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $256.30–$667.70 $466–$1,214 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $253–$697.40 $460–$1,268 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $757.90 $1,378 1.9×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $2,019.60–$2,323.75 $3,672–$4,225 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $3,461.15 $6,293 1.0×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $4,580.95 $8,329 2.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines		 $3,861–$4,599.65 $7,020–$8,363 varies
Strapping ankle (29540) $341.55 $621 2.1×
Strapping elbow or wrist (29260) $344.85 $627 5.8×
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $52.80–$361.90 $96–$658 varies
Strapping Hip (29520) $242.55 $441 1.8×
Strapping knee (29530) $293.15 $533 2.2×
Strapping shoulder (29240) $309.10 $562 2.3×
Strapping toes (29550)
range across 3 matching MRF lines		 $50.05–$302.50 $91–$550 varies
Strapping Unna Boot (29580) $749.10 $1,362 4.6×
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $3,133.90 $5,698 0.9×
Suture digital nerve hand/foot 1 nerve (64831) $5,931.20 $10,784 3.0×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $834.90–$960.30 $1,518–$1,746 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $21,492.90 $39,078 0.7×
Tcat Insj/Rpl Perm Ldls Pm (33274)
range across 2 matching MRF lines		 $9,538.65–$10,969.20 $17,343–$19,944 varies
Tcat Rmvl Perm Ldls Pm (33275) $4,233.35 $7,697 1.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $3,675.10 $6,682 2.3×
Ther Apheresis,Red Blood Cells (36512)
range across 2 matching MRF lines		 $3,326.40–$4,040.30 $6,048–$7,346 varies
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,381.60 $2,512 2.0×
Therapeutic Apheresis White Blood Cells (36511) $4,040.30 $7,346 2.6×
Therapeutic plasma exchange (36514) $3,076.70 $5,594 2.0×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $10,293.25 $18,715 0.8×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $3,459.50 $6,290 0.6×
Thrmbc/Nfs Dialysis Circuit (36906) $11,126.50 $20,230 0.6×
Thromblytic art/ven therapy (37213) $2,680.15 $4,873 0.8×
Thrombolytic Art Therapy (37211) $3,786.75 $6,885 0.7×
Thrombolytic Therapy Stroke (37195) $397.65 $723 1.2×
Thrombolytic Venous Therapy (37212) $2,307.80 $4,196 0.7×
Thyroid biopsy (60100) $1,927.75 $3,505 2.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,198.35 $3,997 1.1×
Tooth extraction (41899) $365.75 $665 1.5×
Tprnl Plmt Biodegrdabl Matrl (55874) $6,020.30 $10,946 1.1×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720)
range across 2 matching MRF lines		 $4,068.90–$4,678.85 $7,398–$8,507 varies
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $1,524.05–$1,752.85 $2,771–$3,187 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,404.70 $2,554 5.9×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,123.65 $2,043 0.7×
Tracheostomy planned (31600) $2,754.95 $5,009 0.8×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $678.70 $1,234 2.2×
Transcatheter biopsy (37200) $3,871.45 $7,039 0.7×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $2,783.55 $5,061 0.9×
Transfusion Intrauterine Fetal (36460) $759.55 $1,381 1.7×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $5,110.05 $9,291 1.0×
Treat Dental Ridge Fracture (21440) $2,130.70 $3,874 0.6×
Treat Hip Socket Fracture (27222) $512.60 $932 2.1×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $403.92–$443.30 $734.40–$806 varies
Treat Humerus Fracture (24505) $1,414.05 $2,571 0.9×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $497.77–$697.40 $905.04–$1,268 varies
Treat knee fracture (27532) $2,726.90 $4,958 0.8×
Treat Knee Fracture(S) (27538) $682 $1,240 2.8×
Treat Knuckle Dislocation (26700) $495.55 $901 2.0×
Treat Metatarsal Fracture (28475) $707.30 $1,286 2.9×
Treat Tail Bone Fracture (27200) $541.75 $985 2.2×
Treat Thumb Dislocation (26641) $475.20 $864 1.9×
Treat Thumb Fracture (26645) $1,414.05 $2,571 0.9×
Treat toe dislocation (28630) $595.65 $1,083 2.4×
Treat Vaginal Bleeding (57180) $534.60 $972 2.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,323.75 $4,225 1.4×
Treatment closed elbow dislocation w/o anes (24600) $656.15 $1,193 2.7×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure		 $2,552 $4,640 0.4×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $396–$455.95 $720–$829 varies
Trim skin lesions 2 to 4 (11056) $454.85 $827 2.3×
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $67.05–$540.10 $121.91–$982 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $173.25–$198.55 $315–$361 varies
Trluml Balo Angiop 1St Art (37246) $4,963.20 $9,024 0.9×
Trluml Balo Angiop 1St Vein (37248) $5,799.20 $10,544 1.0×
Trnsplj allogeneic hematopoietic cells per donor (38240)
unusually low: confirm this is the full procedure		 $29,206.10 $53,102 0.5×
Trnsplj autologous hematopoietic cells per donor (38241) $3,003 $5,460 1.9×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $1,068.53 $1,942.78 0.3×
Tubal ligation (58600) $5,760.15 $10,473 1.8×
Tx Gastro Intub W/Asp (43753) $262.90 $478 1.2×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $2,920.50–$3,358.85 $5,310–$6,107 varies
Tx Missed Abortion First Trimester Surgical (59820) $2,920.50 $5,310 0.9×
Tx open tendon flexor toe 1 tendon spx (28232) $3,760.35 $6,837 2.3×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $4,039.20 $7,344 2.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,396.45 $2,539 0.9×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $1,538.90–$1,768.80 $2,798–$3,216 varies
Tx superficial wound dehiscence w/packing (12021) $1,717.65 $3,123 4.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $2,726.90 $4,958 1.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $479.60 $872 1.9×
Tympanostomy general anesthesia (69436) $1,994.30 $3,626 1.3×
Unlisted Cardiac Surgery (33999)
range across 3 matching MRF lines		 $631.95–$23,447.05 $1,149–$42,631 varies
Unlisted fetal invasive px w/ultrasound (59897) $1,418.45 $2,579 7.0×
Unlisted procedure anus (46999) $664.40 $1,208 0.7×
Unlisted Procedure Biliary Tract (47999) $2,718.10 $4,942 3.0×
Unlisted Procedure Casting/Strapping (29799) $407.55 $741 2.5×
Unlisted Procedure Endocrine System (60699)
range across 2 matching MRF lines		 $3,538.70–$4,741.55 $6,434–$8,621 varies
Unlisted procedure femur or knee (27599) $386.10 $702 1.6×
Unlisted Procedure Hands/Fingers (26989) $209.55 $381 0.8×
Unlisted Procedure Intestine (44799) $2,471.15 $4,493 2.7×
Unlisted procedure lacrimal system (68899) $359.15 $653 1.1×
Unlisted procedure liver (47399) $855.25 $1,555 1.2×
Unlisted procedure lungs and pleura (32999) $1,173.70 $2,134 1.9×
Unlisted Procedure Male Genital System (55899)
range across 2 matching MRF lines		 $216.15–$247.50 $393–$450 varies
Unlisted Procedure Muscskeletal System General (20999) $2,136.75 $3,885 8.6×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $520.85–$598.40 $947–$1,088 varies
Unlisted procedure pancreas (48999) $723.25 $1,315 1.0×
Unlisted procedure pelvis/hip joint (27299) $304.70 $554 1.2×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $282.15 $513 1.2×
Unlisted Procedure Rectum (45999) $1,058.75 $1,925 1.1×
Unlisted procedure stomach (43999) $1,162.70 $2,114 1.3×
Unlisted Procedure Tongue Floor Mouth (41599) $183.70 $334 0.8×
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines		 $124.85–$8,580.55 $227–$15,601 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 3 matching MRF lines		 $1,563.65–$2,145.55 $2,843–$3,901 varies
Unlisted Procedure, Urinary System (53899) $290.40 $528 1.2×
Unlisted px extraocular musc (67399) $291.50 $530 0.9×
Unlisted px female genital system nonobstetrical (58999) $227.15 $413 1.1×
Upgrade of pacemaker system (33214) $16,727.15 $30,413 1.6×
Urine Flow Measurement (51736) $26.40 $48 0.2×
Vaginal delivery only (59409) $1,966.25 $3,575 0.6×
Vasc embolize/occlude artery (37242) $10,423.05 $18,951 0.6×
Vasc Embolize/Occlude Bleed (37244) $13,400.75 $24,365 1.2×
Vasc Embolize/Occlude Organ (37243) $10,423.05 $18,951 0.9×
Vasc embolize/occlude venous (37241) $13,400.75 $24,365 1.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $485.10 $882 0.2×
Vein Access Cutdown < 1 Yr (36420) $190.30 $346 1.4×
Venous Cutdown >1 Y/O (36425) $293.15 $533 0.7×
Venous Mech Thrombectomy (37187)
unusually low: confirm this is the full procedure		 $5,286.05 $9,611 0.5×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $465.30–$534.05 $846–$971 varies
Wedging of cast (29740) $315.15 $573 1.1×
Windowing of cast (29730) $245.85 $447 1.5×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $1,116.50–$1,284.80 $2,030–$2,336 varies
Wound Prep Trk/Arm/Leg (15002) $1,428.90 $2,598 1.9×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $2,402.95 $4,369 1.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.