Procedures & surgery prices at SSM Health St. Mary's Hospital - Jefferson City
Jefferson City, MO · every code in this section with a posted price and a Medicare benchmark.
771 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,414.41–$1,626.54 | $2,571.65–$2,957.35 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$990.14–$1,138.53 | $1,800.25–$2,070.05 | varies |
| Abdomen Surgery Procedure (22999) | $395.01 | $718.20 | 1.6× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $6,301.87 | $11,457.95 | 0.6× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $15,200.46 | $27,637.20 | 0.9× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $656.15 | $1,193 | 0.3× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $856.90 | $1,558 | 0.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $1,158.30 | $2,106 | 0.3× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $1,080.20 | $1,964 | 0.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$821.70–$3,554.04 | $1,494–$6,461.90 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $736.45 | $1,339 | 0.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $1,009.80 | $1,836 | 0.5× |
| Amniocentesis diagnostic (59000) | $600.60 | $1,092 | 0.7× |
| Amniocentesis therapeutic (59001) | $660 | $1,200 | 2.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines |
$853.05–$9,922.44 | $1,551–$18,040.80 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$860.20–$2,737.02 | $1,564–$4,976.40 | varies |
| Amputation metatarsal with toe single (28810) | $575.85 | $1,047 | 0.2× |
| Amputation thigh through femur any level (27590) | $1,082.95 | $1,969 | 0.3× |
| Amputation toe metatarsophalangeal joint (28820) | $524.15 | $953 | 0.2× |
| Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,238.60 | $2,252 | 0.2× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) | $811.80 | $1,476 | 0.2× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $90.29 | $164.16 | 0.3× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$53.90–$71.06 | $98–$129.20 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) range across 2 matching MRF lines |
$827.12–$950.95 | $1,503.85–$1,729 | varies |
| Appendectomy (44950) | $6,402.19 | $11,640.35 | 1.0× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) | $421.08 | $765.60 | 2.6× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $467.28 | $849.60 | 2.9× |
| Application Cast Finger (29086) | $95.70 | $174 | 0.6× |
| Application Finger Splint Dynamic (29131) | $189.42 | $344.40 | 3.2× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$39.60–$289.08 | $72–$525.60 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$52.80–$465.96 | $96–$847.20 | varies |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$72.05–$937.20 | $131–$1,704 | varies |
| Application of rigid total contact leg cast (29445) | $524.04 | $952.80 | 1.9× |
| Application Short Arm Splint Dynamic (29126) | $426.36 | $775.20 | 3.2× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$46.75–$782.76 | $85–$1,423.20 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$50.60–$412.50 | $92–$750 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$376.20–$752.40 | $684–$1,368 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$233.64–$269.28 | $424.80–$489.60 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$112.20–$190.74 | $204–$346.80 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$316.80–$364.10 | $576–$662 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $344.30 | $626 | 0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$62.15–$646.80 | $113–$1,176 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $173.31 | $315.11 | 0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$306.90–$353.10 | $558–$642 | varies |
| Arthroplasty interphalangeal joint each (26535) | $571.45 | $1,039 | 0.2× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$2,052.60–$2,360.82 | $3,732–$4,292.40 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,368.84–$1,573.44 | $2,488.80–$2,860.80 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $1,905.42 | $3,464.40 | 2.7× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,789.72 | $6,890.40 | 1.8× |
| Aspiration Bladder Needle (51100) | $151.80 | $276 | 0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$74.25–$289.08 | $135–$525.60 | varies |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $5,456.99 | $9,921.80 | 0.5× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,767.68 | $5,032.15 | 0.4× |
| Biopsy Abdominal Mass (49180) | $1,710.72 | $3,110.40 | 1.0× |
| Biopsy bone open superficial (20240) | $3,928.32 | $7,142.40 | 1.4× |
| Biopsy bone trocar/needle deep (20225) | $3,991.68 | $7,257.60 | 2.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $3,193.08 | $5,805.60 | 1.9× |
| Biopsy muscle percutaneous needle (20206) | $428.34 | $778.80 | 0.3× |
| Biopsy of breast; open, incisional (19101) | $6,761.04 | $12,292.80 | 1.7× |
| Biopsy of liver, needle; percutaneous (47000) | $2,737.02 | $4,976.40 | 1.7× |
| Biopsy Pleura Percutaneous Needle (32400) | $473.91 | $861.65 | 0.3× |
| Biopsy Salivary Gland Needle (42400) | $2,622.84 | $4,768.80 | 3.7× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $764.28 | $1,389.60 | 0.5× |
| Biopsy soft tissue forearm&/wrist deep (25066) | $470.25 | $855 | 0.2× |
| Biopsy soft tissue neck/thorax (21550) | $2,693.46 | $4,897.20 | 1.6× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $5,214 | $9,480 | 3.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,894.20 | $3,444 | 2.1× |
| Bladder instillation anticarcinogenic agent (51720) | $589.38 | $1,071.60 | 0.8× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$170.94–$198 | $310.80–$360 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$147.84–$170.94 | $268.80–$310.80 | varies |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $710.60 | $1,292 | 0.3× |
| Blepharotomy drainage abscess eyelid (67700) | $627 | $1,140 | 2.0× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$704.22–$960.30 | $1,280.40–$1,746 | varies |
| Blood/Lymph System Procedure (38999) | $761.28 | $1,384.15 | 1.7× |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$729.96–$839.52 | $1,327.20–$1,526.40 | varies |
| Bone Marrow; Aspiration Only (38220) range across 3 matching MRF lines |
$384.12–$467.28 | $698.40–$849.60 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $1,254 | $2,280 | 0.7× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $2,018.94 | $3,670.80 | 0.5× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $2,018.94 | $3,670.80 | 0.5× |
| Bronchoscopy Clear Airways (31645) | $1,254 | $2,280 | 0.7× |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,254 | $2,280 | 0.7× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $1,254 | $2,280 | 0.3× |
| Bx breast 1st lesion mr imag (19085) | $1,626.54 | $2,957.35 | 1.0× |
| Bx breast 1st lesion strtctc (19081) | $2,687.22 | $4,885.85 | 1.6× |
| Bx breast 1st lesion us imag (19083) | $2,192.41 | $3,986.20 | 1.3× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) | $849.20 | $1,544 | 0.5× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$2,881.45–$5,762.90 | $5,239–$10,478 | varies |
| Cerclage cervix pregnancy vaginal (59320) | $3,562.68 | $6,477.60 | 1.1× |
| Cessj Therapy Cath Removal (37214) | $2,823.59 | $5,133.80 | 0.9× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$213.18–$250.80 | $387.60–$456 | varies |
| Change of Windpipe Airway (31502) | $324.72 | $590.40 | 1.4× |
| Change ureter stent percut (50382) | $3,215.52 | $5,846.40 | 1.5× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$58.30–$137.28 | $106–$249.60 | varies |
| Chemodenerv Musc Migraine (64615) | $114.27 | $207.77 | 0.4× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) range across 2 matching MRF lines |
$250.28–$499.51 | $455.05–$908.20 | varies |
| Chemodenerv trunk musc 6/> (64647) | $1,952.28 | $3,549.60 | 2.8× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$2,166.78–$2,491.50 | $3,939.60–$4,530 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $3,112.01 | $5,658.20 | 0.9× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$3,649.80–$4,790.28 | $6,636–$8,709.60 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $1,818.30 | $3,306 | 1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,982.64 | $3,604.80 | 1.2× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$73.15–$143.88 | $133–$261.60 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $629.20 | $1,144 | 0.2× |
| Closed Rx Spontaneous Hip Disloc (27256) | $184.80 | $336 | 0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $644.82 | $1,172.40 | 2.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $684.42 | $1,244.40 | 0.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $495 | $900 | 2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $285.12 | $518.40 | 1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $832.26 | $1,513.20 | 3.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $4,790.28 | $8,709.60 | 3.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $171.60 | $312 | 0.7× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,405.07 | $4,372.85 | 1.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $159.72 | $290.40 | 0.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $4,225.32 | $7,682.40 | 2.6× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) | $14,235.54 | $25,882.80 | 2.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$179.78–$349.80 | $326.88–$636 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 2 matching MRF lines |
$345.95–$4,301.22 | $629–$7,820.40 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,923.90 | $3,498 | 1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$176.55–$8,652.60 | $321–$15,732 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $641.30 | $1,166 | 2.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$182.16–$190.30 | $331.20–$346 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $500.28 | $909.60 | 2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$86.90–$246.18 | $158–$447.60 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,026.30 | $1,866 | 0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$287.65–$3,692.04 | $523–$6,712.80 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $568.92 | $1,034.40 | 2.3× |
| Closed tx septal&nose fx (21337) | $382.80 | $696 | 0.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $238.92 | $434.40 | 0.1× |
| Closed tx talus fracture w/o manipulation (28430) | $203.94 | $370.80 | 0.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $645.48 | $1,173.60 | 2.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$174.90–$319.44 | $318–$580.80 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $186.78 | $339.60 | 0.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $502.26 | $913.20 | 2.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $725.34 | $1,318.80 | 1.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $166.98 | $303.60 | 0.7× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $252.12 | $458.40 | 1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $3,878.16 | $7,051.20 | 2.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $205.26 | $373.20 | 0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $502.26 | $913.20 | 0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $184.80 | $336 | 0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $406.45 | $739 | 1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $279.84 | $508.80 | 1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$205.26–$354.02 | $373.20–$643.68 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$149.60–$557.70 | $272–$1,014 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $250.80 | $456 | 1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$190.08–$318.38 | $345.60–$578.88 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,295.58–$1,488.96 | $2,355.60–$2,707.20 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,427.54 | $4,413.70 | 1.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $764.28 | $1,389.60 | 3.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $166.98 | $303.60 | 0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$322.85–$388.08 | $587–$705.60 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $99.79 | $181.44 | 0.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,737.02 | $4,976.40 | 1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$149.16–$273.24 | $271.20–$496.80 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $341.88 | $621.60 | 1.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 2 matching MRF lines |
$301.40–$700.26 | $548–$1,273.20 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $674.52 | $1,226.40 | 0.4× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $533.94 | $970.80 | 1.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$79.20–$331.32 | $144–$602.40 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$174.90–$1,213.08 | $318–$2,205.60 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$346.50–$867.90 | $630–$1,578 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $4,206.18 | $7,647.60 | 2.6× |
| Cltx Medial Ankle Fx (27760) | $495 | $900 | 2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$269.28–$495 | $489.60–$900 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$237.60–$268.49 | $432–$488.16 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$252.12–$253.44 | $458.40–$460.80 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$203.54–$232.98 | $370.08–$423.60 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $3,297.36 | $5,995.20 | 2.0× |
| Cltx post hip arthrp dislc w/o anes (27265) | $364.98 | $663.60 | 1.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $279.84 | $508.80 | 1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,445.96 | $4,447.20 | 1.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$105.05–$347.16 | $191–$631.20 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $529.82 | $963.30 | 0.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $495 | $900 | 0.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $720.72 | $1,310.40 | 0.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$287.10–$542.52 | $522–$986.40 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$279.84–$588.06 | $508.80–$1,069.20 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $143.88 | $261.60 | 0.6× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $479.16 | $871.20 | 1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $821.04 | $1,492.80 | 0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $181.50 | $330 | 0.7× |
| Collect Blood From Catheter Venous Nos (36592) | $137.28 | $249.60 | 1.0× |
| Collection of venous blood by venipuncture (36415) | $11 | $20 | 1.2× |
| Colpocentesis (57020) likely a partial charge, not the full procedure |
$551.10 | $1,002 | 0.1× |
| Colporrhaphy (57200) | $4,355.56 | $7,919.20 | 1.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,780.16 | $3,236.65 | 0.5× |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$234.85–$6,181.56 | $427–$11,239.20 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $513.48 | $933.60 | 3.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 5 matching MRF lines |
$84.15–$559.02 | $153–$1,016.40 | varies |
| Conversion ext bil drg cath (47535) | $3,118.80 | $5,670.55 | 0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $4,561.92 | $8,294.40 | 2.8× |
| Correction of trichiasis; epilation, by forceps only (67820) | $256.74 | $466.80 | 1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$115.50–$133.32 | $210–$242.40 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $125.40 | $228 | 0.5× |
| Curettage postpartum (59160) | $2,297.43 | $4,177.15 | 0.7× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $2,194.50 | $3,990 | 1.0× |
| Cystostomy Cystotomy W/Drainage (51040) range across 2 matching MRF lines |
$4,263.08–$4,902.62 | $7,751.05–$8,913.85 | varies |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$787.41–$884.59 | $1,431.65–$1,608.35 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$39.05–$594.66 | $71–$1,081.20 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,166.78 | $3,939.60 | 0.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,939.08 | $3,525.60 | 2.7× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $2,052.60 | $3,732 | 2.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$210.10–$1,836.12 | $382–$3,338.40 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$75.24–$86.46 | $136.80–$157.20 | varies |
| Debride nail 6 or more (11721) | $199.32 | $362.40 | 3.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$376.75–$2,212.98 | $685–$4,023.60 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$99–$1,311.42 | $180–$2,384.40 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$581.46–$669.24 | $1,057.20–$1,216.80 | varies |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) | $446.05 | $811 | 0.2× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) | $421.85 | $767 | 0.2× |
| Delivery of placenta (59414) | $3,175.92 | $5,774.40 | 1.0× |
| Derma-fat-fascia graft (15770) | $877.25 | $1,595 | 0.2× |
| Destr W Neurolytic; Celiac Plexus (64680) | $2,614.92 | $4,754.40 | 3.0× |
| Destroy cerv/thor facet jnt (64633) | $323.14 | $587.52 | 0.2× |
| Destroy lumb/sac facet jnt (64635) | $325.10 | $591.10 | 0.2× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$157.74–$181.50 | $286.80–$330 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $5,291.88 | $9,621.60 | 6.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $297 | $540 | 0.2× |
| Destruction premalignant lesion 1st (17000) | $77.62 | $141.12 | 0.4× |
| Dilat Xst Trc New Access Rcs (50437) | $5,670.17 | $10,309.40 | 1.6× |
| Dilate Urethra Stricture (53620) | $3,533.64 | $6,424.80 | 5.1× |
| Dilate Urethra Stricture (53600) | $604.56 | $1,099.20 | 2.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $2,641.32 | $4,802.40 | 0.8× |
| Dilation Esophagus Guide Wire (43453) | $5,083.32 | $9,242.40 | 2.6× |
| Drain Cerebro Spinal Fluid (62272) | $1,021.02 | $1,856.40 | 1.4× |
| Drain/inj small joint/bursa w/us (20604) | $62.57 | $113.76 | 0.2× |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$200.64–$229.68 | $364.80–$417.60 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$74.25–$392.70 | $135–$714 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$986.70–$1,135.20 | $1,794–$2,064 | varies |
| Drainage Mouth Roof Lesion (42000) | $502.26 | $913.20 | 2.1× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$161.04–$184.80 | $292.80–$336 | varies |
| Drainage of gum lesion (41800) | $194.04 | $352.80 | 1.5× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$156.75–$2,482.26 | $285–$4,513.20 | varies |
| Drainage of nose lesion (30000) | $1,073.82 | $1,952.40 | 4.5× |
| Drainage of perirenal or renal abscess, open Facility (50020) | $7,298.94 | $13,270.80 | 3.5× |
| Drainage of scrotal wall abscess (55100) | $1,596.54 | $2,902.80 | 1.0× |
| Drainage of scrotum (54700) | $5,829.78 | $10,599.60 | 2.8× |
| Draw Blood Off Venous Device (36591) | $114.18 | $207.60 | 0.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $535.92 | $974.40 | 0.8× |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) range across 2 matching MRF lines |
$1,368.84–$1,567.50 | $2,488.80–$2,850 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$855.36–$983.40 | $1,555.20–$1,788 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$85.25–$656.04 | $155–$1,192.80 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$46.75–$430.98 | $85–$783.60 | varies |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $693.55 | $1,261 | 0.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,020.26 | $3,673.20 | 2.3× |
| Dx Bone Marrow Bx & Aspir (38222) | $4,297.26 | $7,813.20 | 1.5× |
| Dx Bronchoscope/Lavage (31624) | $1,254 | $2,280 | 0.7× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$1,254–$1,442.10 | $2,280–$2,622 | varies |
| Dx Laryngoscopy Excl Nb (31525) range across 2 matching MRF lines |
$111.65–$854.81 | $203–$1,554.20 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,166.78 | $3,939.60 | 3.1× |
| Egd Flexible Foreign Body Removal (43247) | $418 | $760 | 0.5× |
| Endometrial Biopsy (58100) | $332.64 | $604.80 | 1.6× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,000.72 | $5,455.85 | 1.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,182.55 | $5,786.45 | 1.5× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$2,280.96–$2,622.84 | $4,147.20–$4,768.80 | varies |
| Episiotomy or vaginal repair (59300) | $7,207.20 | $13,104 | 2.2× |
| Esc i p ulcer w ostect & flap (15946) | $1,804.44 | $3,280.80 | 0.9× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $362.09 | $658.35 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$72.05–$399.30 | $131–$726 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $47.30 | $86 | 0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,166.78 | $3,939.60 | 1.3× |
| Exc Back Les Sc < 3 Cm (21930) | $483.45 | $879 | 0.3× |
| Exc Back Tum Deep 5 Cm/> (21933) | $994.95 | $1,809 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $205.15 | $373 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $241.45 | $439 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$132.55–$1,231.56 | $241–$2,239.20 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $169.95 | $309 | 0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $189.20 | $344 | 0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $233.75 | $425 | 0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $299.75 | $545 | 0.2× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) likely a partial charge, not the full procedure |
$1,113.20 | $2,024 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$1,205.16 | $87–$2,191.20 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $144.10 | $262 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$177.65–$1,754.94 | $323–$3,190.80 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $253 | $460 | 0.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $235.95 | $429 | 0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $366.30 | $666 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$328.35–$2,561.35 | $597–$4,657 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$426.80–$2,826.78 | $776–$5,139.60 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $560.45 | $1,019 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$135.30–$567.60 | $246–$1,032 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$149.60–$721.60 | $272–$1,312 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $213.95 | $389 | 0.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $685.30 | $1,246 | 0.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $404.25 | $735 | 0.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $542.85 | $987 | 0.2× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $3,118.80 | $5,670.55 | 0.9× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $2,622.84 | $4,768.80 | 1.3× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $3,335.64 | $6,064.80 | 1.7× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $256.30 | $466 | 0.4× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $982.85 | $1,787 | 0.3× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $437.25 | $795 | 0.2× |
| Excision Lingual Frenum Frenectomy (41115) | $1,710.72 | $3,110.40 | 1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $213.40 | $388 | 0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $165 | $300 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $526.35 | $957 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $196.90 | $358 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $223.85 | $407 | 0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,759.46 | $5,017.20 | 0.9× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $588.50 | $1,070 | 0.2× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) likely a partial charge, not the full procedure |
$1,575.20 | $2,864 | 0.2× |
| Excision tendon finger flexor/extensor each (26180) | $586.85 | $1,067 | 0.4× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $413.60 | $752 | 0.3× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) | $1,243.55 | $2,261 | 0.6× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $663.30 | $1,206 | 0.2× |
| Expl po hemrrg thrombosis/infctj xtr (35860) | $4,385.86 | $7,974.30 | 1.4× |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$2,480.28–$2,851.86 | $4,509.60–$5,185.20 | varies |
| External cephalic version (59412) | $1,980.28 | $3,600.50 | 0.6× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $693 | $1,260 | 0.3× |
| Fetal Contraction Stress Test (59020) | $337.92 | $614.40 | 1.7× |
| Fetal non-stress test (59025) | $364.32 | $662.40 | 1.8× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $920.70 | $1,674 | 0.4× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $1,122 | $2,040 | 1.6× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $1,188 | $2,160 | 1.7× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$75.90–$379.50 | $138–$690 | varies |
| Fluoro exam of g/colon tube (49465) | $126.72 | $230.40 | 0.5× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,122 | $2,040 | 1.6× |
| Fna bx w/us gdn 1st les (10005) | $1,122 | $2,040 | 1.6× |
| Forehead flap w/vasc pedicle (15731) | $1,326.60 | $2,412 | 0.4× |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$723.36–$831.60 | $1,315.20–$1,512 | varies |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) | $999.35 | $1,817 | 0.5× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) | $874.50 | $1,590 | 0.4× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $1,114.30 | $2,026 | 0.5× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) range across 2 matching MRF lines |
$803.55–$3,000.72 | $1,461–$5,455.85 | varies |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $889.35 | $1,617 | 0.4× |
| Fusion Finger Joint (26860) | $744.70 | $1,354 | 0.2× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) | $2,389.75 | $4,345 | 0.7× |
| Grafting of autologous fat by lipo 25 cc or less (15773) | $642.95 | $1,169 | 0.3× |
| Grafting of autologous fat by lipo 50 cc or less (15771) | $635.80 | $1,156 | 0.2× |
| Guide Cathet Fluid Drainage (10030) | $3,079.56 | $5,599.20 | 4.3× |
| Hand tendon reconstruction (26500) likely a partial charge, not the full procedure |
$822.80 | $1,496 | 0.1× |
| I&d abscess peritonsillar (42700) | $523.38 | $951.60 | 2.2× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$718.08–$826.98 | $1,305.60–$1,503.60 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$429–$9,694.08 | $780–$17,625.60 | varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $6,378.24 | $11,596.80 | 1.9× |
| I&d forearm/wrist bursa (25031) | $2,818.89 | $5,125.25 | 1.8× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$53.90–$1,826.22 | $98–$3,320.40 | varies |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$157.30–$1,947.66 | $286–$3,541.20 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$76.45–$735.90 | $139–$1,338 | varies |
| Icd Pocket Revision (33223) | $1,556.53 | $2,830.05 | 0.8× |
| Image Cath Fluid Colxn Visc (49405) | $2,828.82 | $5,143.30 | 1.7× |
| Image Cath Fluid Peri/Retro (49406) | $2,687.22 | $4,885.85 | 1.6× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,894.20 | $3,444 | 1.1× |
| Implant neuroelectrodes (63650) | $4,950.69 | $9,001.25 | 0.8× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$798.60–$918.06 | $1,452–$1,669.20 | varies |
| Incise finger tendon sheath (26055) | $376.75 | $685 | 0.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$239.80–$1,226.28 | $436–$2,229.60 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $517 | $940 | 0.2× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$207.90–$1,705.44 | $378–$3,100.80 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$89.10–$906.18 | $162–$1,647.60 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$99.55–$389.40 | $181–$708 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$87.45–$224.40 | $159–$408 | varies |
| Incision extensor tendon sheath wrist (25000) | $776.05 | $1,411 | 0.5× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$558.25–$3,845.16 | $1,015–$6,991.20 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,758.74 | $3,197.70 | 1.1× |
| Incisional biopsy skin single lesion (11106) | $1,010.46 | $1,837.20 | 1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$46.75–$106.26 | $85–$193.20 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,280.96–$4,561.92 | $4,147.20–$8,294.40 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $328.02 | $596.40 | 1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$500.28–$1,001.88 | $909.60–$1,821.60 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $53.06 | $96.48 | 0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $163.55 | $297.36 | 0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $2,737.02 | $4,976.40 | 3.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,503.48 | $2,733.60 | 2.1× |
| Injection anesthetic agent suprascapular nerve (64418) | $269.68 | $490.32 | 0.4× |
| Injection for identification of sentinel node (38792) | $207.90 | $378 | 0.5× |
| Injection Into Brain Canal (61055) | $543.18 | $987.60 | 1.8× |
| Injection single tendon origin/insertion (20551) | $56.63 | $102.96 | 0.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$562.32–$646.14 | $1,022.40–$1,174.80 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$817.08–$939.84 | $1,485.60–$1,708.80 | varies |
| Injection therapeutic carpal tunnel (20526) | $64.94 | $118.08 | 0.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $1,820.28 | $3,309.60 | 2.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$86.90–$1,116.06 | $158–$2,029.20 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $40.70 | $74 | 0.2× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $3,281.82 | $5,966.95 | 3.7× |
| Ins cath ren art 1st bilat (36252) | $6,334.02 | $11,516.40 | 2.0× |
| Ins cath ren art 1st unilat (36251) | $3,168 | $5,760 | 1.0× |
| Ins cath ren art 2nd+ unilat (36253) | $4,752 | $8,640 | 0.9× |
| Ins endovas vena cava filtr (37191) | $6,082.42 | $11,058.95 | 1.1× |
| Ins Vag Brachytx Device (57156) | $441.90 | $803.45 | 1.4× |
| Insert 1 Electrode Pm-Defib (33216) | $6,069.36 | $11,035.20 | 0.7× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$238.92–$275.88 | $434.40–$501.60 | varies |
| Insert cath pleura w/ image (32557) | $1,254.66 | $2,281.20 | 0.8× |
| Insert cath pleura w/o image (32556) | $771.54 | $1,402.80 | 0.4× |
| Insert cervical dilator (59200) | $404.58 | $735.60 | 1.3× |
| Insert Gastrostomy Tube Percutaneous (49440) | $3,688.74 | $6,706.80 | 1.9× |
| Insert Heart Pm Atrial (33206) | $10,836.13 | $19,702.05 | 1.0× |
| Insert Heart Pm Ventricular (33207) | $7,052.70 | $12,823.10 | 0.7× |
| Insert heyman uteri capsule (58346) | $2,839.96 | $5,163.56 | 0.6× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$3,974.52–$4,571.16 | $7,226.40–$8,311.20 | varies |
| Insert Pacing Lead & Connect (33224) | $12,395.79 | $22,537.80 | 1.2× |
| Insert pessary/other device (57160) | $290.40 | $528 | 1.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $129.25 | $235 | 0.1× |
| Insert pulse gen dual leads (33213) | $9,296.84 | $16,903.35 | 0.9× |
| Insert pulse gen mult leads (33221) unusually low: confirm this is the full procedure |
$9,503.23 | $17,278.60 | 0.5× |
| Insert Pulse Gen Sngl Lead (33212) | $8,677.16 | $15,776.65 | 1.0× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$163.02–$186.78 | $296.40–$339.60 | varies |
| Insert tun ip cath perc (49418) | $10,035.96 | $18,247.20 | 2.8× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$457.60–$5,527.50 | $832–$10,050 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$147.84–$170.94 | $268.80–$310.80 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $8,097.54 | $14,722.80 | 2.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,332.24 | $7,876.80 | 2.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $10,836.13 | $19,702.05 | 1.3× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $3,758.86 | $6,834.30 | 1.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) unusually low: confirm this is the full procedure |
$1,678.08 | $3,051.06 | 0.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $7,843.77 | $14,261.40 | 0.9× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $117.70 | $214 | 0.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$129.80–$1,973.40 | $236–$3,588 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$355.30–$4,762.56 | $646–$8,659.20 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $24,665.66 | $44,846.65 | 0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $5,675.92 | $10,319.85 | 0.7× |
| Insrt heart pm atrial & vent (33208) | $5,675.92 | $10,319.85 | 0.5× |
| Insrt Pulse Gen W/Dual Leads (33230) | $27,770.35 | $50,491.55 | 1.2× |
| Insrt Pulse Gen W/Mult Leads (33231) | $27,770.35 | $50,491.55 | 0.9× |
| Insrt Pulse Gen W/Singl Lead (33240) | $27,891.57 | $50,711.95 | 1.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,077.78 | $1,959.60 | 2.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,117.38 | $2,031.60 | 2.7× |
| Intraoral i&d tongue/floor submndblr space (41008) | $1,162.92 | $2,114.40 | 0.4× |
| Intro cath dialysis circuit (36901) | $2,528.38 | $4,597.05 | 1.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $12,826 | $23,320 | 1.1× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $4,285.02 | $7,790.95 | 0.8× |
| Intro Gastrointestinal Tube (44500) | $535.92 | $974.40 | 0.6× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$573.18–$658.87 | $1,042.15–$1,197.95 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$723.36–$831.60 | $1,315.20–$1,512 | varies |
| IV injection test vascular flow flap/graft (15860) | $147.95 | $269 | 0.3× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$169.81–$239.30 | $308.75–$435.10 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$149.44–$171.90 | $271.70–$312.55 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $182.88 | $332.50 | 0.9× |
| Laryngoscopy W/Foreign Body Removal (31530) | $2,821.50 | $5,130 | 1.6× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$1,068.65–$4,839.12 | $1,943–$8,798.40 | varies |
| Ligation or biopsy temporal artery (37609) | $1,410.42 | $2,564.40 | 0.9× |
| Lip Surgery Procedure (40799) | $146.30 | $266 | 0.6× |
| Lithotripsy, extracorporeal shock wave (50590) | $9,240 | $16,800 | 2.6× |
| Manipulation knee joint under general anesthesia (27570) | $198 | $360 | 0.1× |
| Manipulation, finger joint, under anesthesia, each joint (26340) | $437.25 | $795 | 0.3× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $259.05 | $471 | 0.2× |
| Mech remov tunneled cv cath (36595) | $2,742.96 | $4,987.20 | 0.9× |
| Metatarsectomy (28140) | $587.40 | $1,068 | 0.2× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) | $1,630.75 | $2,965 | 0.8× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) | $1,390.40 | $2,528 | 0.4× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) | $1,736.35 | $3,157 | 0.5× |
| Muscle-skin graft trunk (15734) | $2,030.05 | $3,691 | 0.6× |
| Myelography Lumbar Injection (62305) | $2,395.14 | $4,354.80 | 3.1× |
| Myelography Lumbar Injection (62304) | $2,395.14 | $4,354.80 | 3.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,482.36 | $2,695.20 | 1.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,453.98 | $2,643.60 | 1.9× |
| N Block Inj Celiac Pelus (64530) | $1,363.56 | $2,479.20 | 1.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $500.28 | $909.60 | 0.7× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$616.44–$708.18 | $1,120.80–$1,287.60 | varies |
| N Block Inj Plantar Digit (64455) | $47.85 | $87 | 0.2× |
| N Block Lumbar/Thoracic (64520) | $723.36 | $1,315.20 | 0.8× |
| Nasal Endoscopy Dx (31231) | $225.20 | $409.45 | 1.1× |
| Nasal surgery procedure (30999) | $111.82 | $203.30 | 0.5× |
| Nasal/Orogastric W/Tube Plmt (43752) | $673.20 | $1,224 | 1.5× |
| Needle Biopsy Lymph Nodes (38505) | $1,821.60 | $3,312 | 1.1× |
| Needle Biopsy Pancreas (48102) | $530.34 | $964.25 | 0.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,475.65 | $2,683 | 3.5× |
| Njx anes stellate ganglion crv sympathetic (64510) | $500.28 | $909.60 | 0.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$436.92–$502.26 | $794.40–$913.20 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $1,118.04 | $2,032.80 | 0.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,333 | $6,060 | 0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $3,051.84 | $5,548.80 | 3.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,626.90 | $2,958 | 2.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,115.40 | $2,028 | 1.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,991.22 | $3,620.40 | 2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,425.60 | $2,592 | 2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,991.22 | $3,620.40 | 2.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,341.12 | $2,438.40 | 1.9× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,268.52 | $2,306.40 | 1.8× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$794.64–$914.10 | $1,444.80–$1,662 | varies |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) likely a partial charge, not the full procedure |
$1,470.70 | $2,674 | 0.2× |
| Open treatment of depressed frontal sinus fracture Facility (21343) likely a partial charge, not the full procedure |
$1,412.40 | $2,568 | 0.2× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) likely a partial charge, not the full procedure |
$493.35 | $897 | 0.1× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) likely a partial charge, not the full procedure |
$1,061.50 | $1,930 | 0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 3 matching MRF lines |
$657.80–$7,773.48 | $1,196–$14,133.60 | varies |
| Open tx interphalangeal joint dislocation (26785) | $718.30 | $1,306 | 0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $757.35 | $1,377 | 0.2× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 3 matching MRF lines |
$433.72–$6,177.60 | $788.58–$11,232 | varies |
| Open/Perq Place Stent 1St (37236) | $12,383.77 | $22,515.95 | 1.1× |
| Open/Perq Place Stent Same (37238) | $10,853.37 | $19,733.40 | 0.9× |
| Penile Injection (54235) range across 2 matching MRF lines |
$241.56–$278.52 | $439.20–$506.40 | varies |
| Perc Cryo Ablate Renal Tum (50593) | $10,216.14 | $18,574.80 | 1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $9,267.58 | $16,850.15 | 0.8× |
| Percut Drain/Inject Renal Cyst (50390) | $1,324.62 | $2,408.40 | 1.9× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $6,947.68 | $12,632.15 | 2.2× |
| Pericardiocentesis W/Imaging (33016) | $1,991.25 | $3,620.45 | 1.3× |
| Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$2,491.28 | $4,529.60 | 0.1× |
| Perq Cervicothoracic Inject (22510) | $4,809.09 | $8,743.80 | 1.5× |
| Perq dev breast 1st mr guide (19287) | $468.16 | $851.20 | 0.7× |
| Perq dev breast 1st strtctc (19283) | $273.79 | $497.80 | 0.4× |
| Perq dev breast 1st us imag (19285) | $516.23 | $938.60 | 0.7× |
| Perq device breast 1st imag (19281) | $825.03 | $1,500.05 | 0.5× |
| Perq dilation xst trc endourologic px w/img (50436) | $3,370.65 | $6,128.45 | 1.0× |
| Perq Lumbosacral Injection (22511) | $4,031.61 | $7,330.20 | 1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,147.74 | $2,086.80 | 1.6× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $14,465.94 | $26,301.70 | 1.3× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $6,092.35 | $11,077 | 1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $12,730.71 | $23,146.75 | 1.8× |
| Perq Vertebral Augmentation (22513) | $12,023.25 | $21,860.45 | 1.7× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$3,446.52–$6,894.36 | $6,266.40–$12,535.20 | varies |
| Place Cath Thoracic Aorta (36221) | $5,777.64 | $10,504.80 | 1.8× |
| Place Cath Vertebral Art (36226) | $6,484.50 | $11,790 | 1.2× |
| Placement of needle for intraosseous infusion (36680) | $1,254.66 | $2,281.20 | 2.8× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $6,836.28 | $12,429.60 | 1.1× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $2,687.22 | $4,885.85 | 1.3× |
| Plmt Nephroureteral Catheter (50433) | $2,121.87 | $3,857.95 | 0.6× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $6,316.86 | $11,485.20 | 1.8× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $5,373.06 | $9,769.20 | 1.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $5,373.06 | $9,769.20 | 1.5× |
| Prim art mech thrombectomy (37184) unusually low: confirm this is the full procedure |
$7,072.56 | $12,859.20 | 0.4× |
| Prostatic microwave thermotx (53850) | $8,420.09 | $15,309.25 | 2.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,824.90 | $3,318 | 2.6× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $3,662.34 | $6,658.80 | 4.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,889.18 | $10,707.60 | 1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $13,520.76 | $24,583.20 | 3.8× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $550 | $1,000 | 0.2× |
| Pseudoaneurysm Injection Trt (36002) | $211.09 | $383.80 | 0.3× |
| Punch biopsy skin single lesion (11104) | $604.56 | $1,099.20 | 1.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$102.85–$799.92 | $187–$1,454.40 | varies |
| Puncture Aspiration Cyst Breast (19000) | $422.40 | $768 | 0.6× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $1,003.75 | $1,825 | 0.6× |
| Radical resection of sternum; Facility (21630) likely a partial charge, not the full procedure |
$1,640.65 | $2,983 | 0.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $364.72 | $663.12 | 0.2× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) | $942.70 | $1,714 | 0.3× |
| Reduction of rectal prolapse (45900) | $628.32 | $1,142.40 | 0.7× |
| Relocation Pocket Pacemaker (33222) | $1,556.53 | $2,830.05 | 0.8× |
| Rem Endovas Vena Cava Filter (37193) | $3,973.09 | $7,223.80 | 1.3× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,077.92 | $1,959.85 | 1.2× |
| Removal Embedded Foreign Body Eyelid (67938) | $125.95 | $229 | 0.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $7,869.18 | $14,307.60 | 2.7× |
| Removal Foreign Body Foot Complicated (28193) | $716.76 | $1,303.20 | 0.4× |
| Removal foreign body foot deep (28192) | $3,849.78 | $6,999.60 | 2.3× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$213.40–$2,195.16 | $388–$3,991.20 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $4,347.42 | $7,904.40 | 2.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 5 matching MRF lines |
$17.05–$435.60 | $31–$792 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 6 matching MRF lines |
$45.65–$341.22 | $83–$620.40 | varies |
| Removal Implant Deep (20680) | $3,813.70 | $6,934 | 1.3× |
| Removal of foreign body from pharynx (42809) | $81.84 | $148.80 | 0.2× |
| Removal of implant from finger or hand (26320) | $456.50 | $830 | 0.3× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$135.30–$559.02 | $246–$1,016.40 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $714.12 | $1,298.40 | 2.5× |
| Removal Pacemaker Electrode (33235) | $1,690.29 | $3,073.25 | 0.5× |
| Removal ppm generator only (33233) unusually low: confirm this is the full procedure |
$2,786.49 | $5,066.35 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$63.25–$153.78 | $115–$279.60 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $843.84 | $1,534.25 | 1.2× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$194.70–$224.40 | $354–$408 | varies |
| Remove cerclage suture (59871) | $7,599.24 | $13,816.80 | 2.3× |
| Remove foreign body from eye (65235) | $3,095.40 | $5,628 | 1.3× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$62.15–$448.80 | $113–$816 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$180.84–$207.24 | $328.80–$376.80 | varies |
| Remove intrvas foreign body (37197) | $3,778.20 | $6,869.45 | 1.2× |
| Remove lung catheter (32552) | $1,824.90 | $3,318 | 2.9× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$87.45–$112.20 | $159–$204 | varies |
| Remove Pulse Generator (33241) | $1,902.94 | $3,459.90 | 0.5× |
| Remove renal tube w/fluoro (50389) | $175.56 | $319.20 | 0.3× |
| Remove sacrum pressure sore (15937) | $1,396.45 | $2,539 | 0.7× |
| Remove Tendon Sheath Lesion (26160) | $411.40 | $748 | 0.3× |
| Remove thigh pressure sore (15956) | $1,118.67 | $2,033.95 | 0.5× |
| Remove tissue expander (11971) | $421.85 | $767 | 0.1× |
| Remove&replace pm gen singl (33227) | $10,319.90 | $18,763.45 | 1.2× |
| Remv&replc cvd gen dual lead (33263) | $13,054.66 | $23,735.75 | 0.6× |
| Remv&replc cvd gen mult lead (33264) | $24,312.97 | $44,205.40 | 0.8× |
| Remv&replc cvd gen sing lead (33262) | $27,770.35 | $50,491.55 | 1.2× |
| Remv&replc pm gen dual lead (33228) | $7,223.56 | $13,133.75 | 0.7× |
| Remv&replc pm gen mult leads (33229) unusually low: confirm this is the full procedure |
$8,132.19 | $14,785.80 | 0.4× |
| Renal Biopsy Perq (50200) | $2,166.78 | $3,939.60 | 1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$192.50–$718.08 | $350–$1,305.60 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$333.85–$787.38 | $607–$1,431.60 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$267.85–$524.04 | $487–$952.80 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$367.40–$1,824.90 | $668–$3,318 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $250.80 | $456 | 0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$290.40–$333.96 | $528–$607.20 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$210.10–$549.78 | $382–$999.60 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$262.35–$616.44 | $477–$1,120.80 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,967.35–$4,078.80 | $3,577–$7,416 | varies |
| Repair Finger Tendon (26433) | $699.60 | $1,272 | 0.2× |
| Repair Finger/Hand Tendon (26350) | $932.25 | $1,695 | 0.3× |
| Repair forearm tendon/muscle (25265) | $994.40 | $1,808 | 0.3× |
| Repair Hand Joint (26540) | $871.75 | $1,585 | 0.3× |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$232.65–$4,790.28 | $423–$8,709.60 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$169.40–$891.66 | $308–$1,621.20 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$218.35–$958.98 | $397–$1,743.60 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$267.85–$998.58 | $487–$1,815.60 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,038.18 | $1,887.60 | 2.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,145.76 | $2,083.20 | 1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$140.25–$636.90 | $255–$1,158 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$600.60–$690.36 | $1,092–$1,255.20 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$232.65–$775.50 | $423–$1,410 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$289.85–$1,596.54 | $527–$2,902.80 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$136.95–$1,049.40 | $249–$1,908 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$139.70–$1,116.06 | $254–$2,029.20 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$330–$1,710.72 | $600–$3,110.40 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$232.65–$1,226.28 | $423–$2,229.60 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,939.08 | $3,525.60 | 0.9× |
| Repair intrinsic muscles hand each muscle (26591) | $580.25 | $1,055 | 0.2× |
| Repair Nasal Vestibular Stenosis (30465) likely a partial charge, not the full procedure |
$1,305.70 | $2,374 | 0.2× |
| Repair Nonunion Hand (26546) likely a partial charge, not the full procedure |
$1,312.85 | $2,387 | 0.2× |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$168.30–$368.94 | $306–$670.80 | varies |
| Repair of sternum separation (21750) likely a partial charge, not the full procedure |
$923.45 | $1,679 | 0.1× |
| Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$952.05 | $1,731 | 0.1× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $2,531.10 | $4,602 | 0.8× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$985.05 | $1,791 | 0.1× |
| Repair tongue laceration (41252) | $412.78 | $750.50 | 1.7× |
| Repair tongue laceration (41250) | $341.88 | $621.60 | 0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,419 | $2,580 | 1.6× |
| Replace G-J Tube Perc (49452) | $1,239.48 | $2,253.60 | 1.4× |
| Replace g/c tube perc (49450) | $2,455.86 | $4,465.20 | 2.7× |
| Replacement Tissue Expander W/Permanent Implant (11970) likely a partial charge, not the full procedure |
$810.15 | $1,473 | 0.1× |
| Replantation digit complete (20822) | $1,966.80 | $3,576 | 1.2× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) | $3,336.16 | $6,065.75 | 2.1× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$391.38–$450.12 | $711.60–$818.40 | varies |
| Reposition L Ventric Lead (33226) | $1,511.59 | $2,748.35 | 0.5× |
| Reposition Pacing-Defib Lead (33215) | $2,012.67 | $3,659.40 | 0.6× |
| Reposition Venous Catheter (36597) | $5,076.06 | $9,229.20 | 3.2× |
| Resect thigh/knee tum < 5 cm (27329) | $1,401.40 | $2,548 | 0.5× |
| Revise Wrist/Forearm Tendon (25280) | $749.10 | $1,362 | 0.2× |
| Rhinoplasty primary w/major septal repair (30420) | $10,608.84 | $19,288.80 | 1.8× |
| Rhinp Prim Complete Xtrnl Parts (30410) unusually low: confirm this is the full procedure |
$1,800.70 | $3,274 | 0.3× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) | $3,805.37 | $6,918.85 | 0.6× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $169.62 | $308.40 | 0.2× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $7,715.40 | $14,028 | 4.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$150.70–$173.80 | $274–$316 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$242–$278.30 | $440–$506 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $448.80 | $816 | 1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $594.66 | $1,081.20 | 0.4× |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) likely a partial charge, not the full procedure |
$1,281.50 | $2,330 | 0.2× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $3,932.86 | $7,150.65 | 1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$3,165.36–$3,551.46 | $5,755.20–$6,457.20 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$1,482.36–$1,705.44 | $2,695.20–$3,100.80 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$832.26–$958.32 | $1,513.20–$1,742.40 | varies |
| Rplc gtube revj gstrst trc (43763) range across 2 matching MRF lines |
$723.36–$831.60 | $1,315.20–$1,512 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,585.32 | $2,882.40 | 1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $4,398.90 | $7,998 | 1.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$267.85–$657.36 | $487–$1,195.20 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,368.84 | $2,488.80 | 1.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $778.14 | $1,414.80 | 3.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $2,166.78 | $3,939.60 | 4.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $2,166.78 | $3,939.60 | 4.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,166.78 | $3,939.60 | 1.4× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines |
$480.70–$8,400.48 | $874–$15,273.60 | varies |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) range across 2 matching MRF lines |
$650.10–$9,694.08 | $1,182–$17,625.60 | varies |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,837.44 | $3,340.80 | 2.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $1,044.45 | $1,899 | 0.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) | $1,173.15 | $2,133 | 0.4× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) | $990 | $1,800 | 0.3× |
| Sclerotx Fluid Collection (49185) | $1,617.66 | $2,941.20 | 1.0× |
| Shave skin lesion 0.5 cm/< (11300) | $103.75 | $188.64 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $146.52 | $266.40 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $228.36 | $415.20 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $399.30 | $726 | 1.0× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $8,339.76 | $15,163.20 | 2.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $684.42 | $1,244.40 | 1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$66.55–$564.96 | $121–$1,027.20 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$152.35–$613.80 | $277–$1,116 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $741.18 | $1,347.60 | 1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$209–$650.10 | $380–$1,182 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $798.60 | $1,452 | 4.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$71.50–$557.70 | $130–$1,014 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$185.90–$969.54 | $338–$1,762.80 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$102.30–$826.98 | $186–$1,503.60 | varies |
| Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$1,044.45–$2,824.64 | $1,899–$5,135.70 | varies |
| Skin Pinch Graft (15050) | $1,509.42 | $2,744.40 | 2.0× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$156.75–$3,000.72 | $285–$5,455.85 | varies |
| Skin sub graft trnk/arm/leg (15271) | $2,758.28 | $5,015.05 | 3.7× |
| Skin sub grft t/arm/lg child (15273) | $5,358.76 | $9,743.20 | 2.6× |
| Skin Tissue Procedure (17999) | $54.45 | $99 | 0.3× |
| Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$476–$547.58 | $865.45–$995.60 | varies |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $3,963.96 | $7,207.20 | 0.7× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $3,800.28 | $6,909.60 | 1.2× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $6,484.50 | $11,790 | 1.2× |
| Slitting of prepuce (54001) | $2,599.08 | $4,725.60 | 1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$85.80–$656.04 | $156–$1,192.80 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$134.20–$891.66 | $244–$1,621.20 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$163.90–$912.12 | $298–$1,658.40 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$110.55–$1,967.46 | $201–$3,577.20 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $924.55 | $1,681 | 0.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $950.95 | $1,729 | 0.5× |
| Sternal debridement (21627) | $717.75 | $1,305 | 0.2× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$24.75–$180.84 | $45–$328.80 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$26.40–$300.30 | $48–$546 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$19.25–$99 | $35–$180 | varies |
| Strapping Hip (29520) | $296.34 | $538.80 | 2.2× |
| Strapping knee (29530) | $300.30 | $546 | 2.3× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$131.34–$150.48 | $238.80–$273.60 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$110.22–$127.38 | $200.40–$231.60 | varies |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$269.28–$448.80 | $489.60–$816 | varies |
| Suture 1 nerve hand/foot common sensory nerve (64834) | $19,388.16 | $35,251.20 | 5.7× |
| Suture digital nerve hand/foot 1 nerve (64831) | $5,945.28 | $10,809.60 | 3.0× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$52.80–$551.10 | $96–$1,002 | varies |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) likely a partial charge, not the full procedure |
$6,682.25 | $12,149.55 | 0.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $22,187.96 | $40,341.75 | 1.2× |
| Tcat Rmvl Perm Ldls Pm (33275) | $3,733.78 | $6,788.70 | 1.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $820.05 | $1,491 | 0.3× |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) | $914.10 | $1,662 | 0.3× |
| Tenolysis flexor tendon palm&finger each tendo (26442) | $1,254.55 | $2,281 | 0.4× |
| Tenolysis flexor tendon palm/finger each tendon (26440) | $806.30 | $1,466 | 0.5× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $748.55 | $1,361 | 0.2× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) | $695.20 | $1,264 | 0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $4,352.04 | $7,912.80 | 2.7× |
| Ther Apheresis,Red Blood Cells (36512) | $5,629.80 | $10,236 | 3.6× |
| Therapeutic plasma exchange (36514) | $5,800.74 | $10,546.80 | 3.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $11,607.20 | $21,104 | 0.6× |
| Thromblytic art/ven therapy (37213) | $2,714.91 | $4,936.20 | 0.9× |
| Thrombolytic Art Therapy (37211) likely a partial charge, not the full procedure |
$1,219.52 | $2,217.30 | 0.2× |
| Thrombolytic Venous Therapy (37212) | $1,265.50 | $2,300.90 | 0.4× |
| Thyroid biopsy (60100) | $1,768.80 | $3,216 | 2.5× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $876.15 | $1,593 | 0.4× |
| Tooth extraction (41899) | $112.86 | $205.20 | 0.5× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) | $4,107.84 | $7,468.80 | 1.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $391.35 | $711.55 | 1.6× |
| Transcatheter biopsy (37200) | $3,162.69 | $5,750.35 | 0.6× |
| Treat Big Toe Fracture (28505) | $7,200.60 | $13,092 | 2.2× |
| Treat Dental Ridge Fracture (21440) | $3,990.33 | $7,255.15 | 1.2× |
| Treat Finger Fracture Each (26727) | $617.65 | $1,123 | 0.2× |
| Treat humerus fracture (24500) | $568.92 | $1,034.40 | 2.3× |
| Treat Humerus Fracture (24505) | $775.50 | $1,410 | 0.5× |
| Treat humerus fracture (23600) | $542.52 | $986.40 | 2.2× |
| Treat knee fracture (27532) | $9,694.08 | $17,625.60 | 3.0× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$111.65–$217.14 | $203–$394.80 | varies |
| Treat Metatarsal Fracture (28475) | $703.56 | $1,279.20 | 2.8× |
| Treat Tail Bone Fracture (27200) | $166.98 | $303.60 | 0.7× |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$209.55–$1,482.36 | $381–$2,695.20 | varies |
| Treat toe dislocation (28630) | $1,005.84 | $1,828.80 | 4.1× |
| Treat Vaginal Bleeding (57180) | $512.16 | $931.20 | 2.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$306.35–$1,954.92 | $557–$3,554.40 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$210.65–$882.42 | $383–$1,604.40 | varies |
| Treatment of nose fracture (21330) likely a partial charge, not the full procedure |
$724.35 | $1,317 | 0.1× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$130.02–$149.16 | $236.40–$271.20 | varies |
| Trim skin lesions 2 to 4 (11056) | $295.68 | $537.60 | 1.5× |
| Trim skin lesions over 4 (11057) | $347.16 | $631.20 | 1.7× |
| Trimming Nondystrophic Nails Any Number (11719) | $244.20 | $444 | 4.1× |
| Trluml Balo Angiop 1St Art (37246) | $7,739.79 | $14,072.35 | 1.4× |
| Trluml Balo Angiop 1St Vein (37248) | $7,739.79 | $14,072.35 | 1.4× |
| Tubal ligation (58600) | $2,358.04 | $4,287.35 | 0.7× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $3,175.92 | $5,774.40 | 1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $5,765.76 | $10,483.20 | 3.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$1,509.42–$1,734.48 | $2,744.40–$3,153.60 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $768.90 | $1,398 | 1.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $184.80 | $336 | 0.7× |
| Unlisted Cardiac Surgery (33999) | $438.90 | $798 | 0.7× |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) | $392.92 | $714.40 | 1.7× |
| Unlisted procedure anus (46999) | $285.28 | $518.70 | 0.3× |
| Unlisted Procedure Casting/Strapping (29799) | $95.04 | $172.80 | 0.6× |
| Unlisted Procedure Endocrine System (60699) | $3,983.54 | $7,242.80 | 0.7× |
| Unlisted procedure eyelids (67999) | $700.15 | $1,273 | 2.2× |
| Unlisted procedure femur or knee (27599) | $126.44 | $229.90 | 0.5× |
| Unlisted Procedure Intestine (44799) range across 2 matching MRF lines |
$2,548.76–$2,931.22 | $4,634.10–$5,329.50 | varies |
| Unlisted Procedure Male Genital System (55899) | $216.32 | $393.30 | 0.9× |
| Unlisted Procedure Muscskeletal System General (20999) | $3,414.54 | $6,208.25 | 13.8× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$504.74–$507.35 | $917.70–$922.45 | varies |
| Unlisted procedure pancreas (48999) | $729.41 | $1,326.20 | 1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $65.84 | $119.70 | 0.3× |
| Unlisted Procedure Rectum (45999) | $552.80 | $1,005.10 | 0.6× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $241.92 | $439.85 | 1.0× |
| Unlisted Procedure Trachea Bronchi (31899) | $582.59 | $1,059.25 | 2.9× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$165.11–$858 | $300.20–$1,560 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $3,825.74 | $6,955.90 | 4.2× |
| Unlisted Procedure, Urinary System (53899) | $84.64 | $153.90 | 0.3× |
| Unlisted px female genital system nonobstetrical (58999) | $37.62 | $68.40 | 0.2× |
| Unlisted Px Salivary Glands/Ducts (42699) | $514.14 | $934.80 | 2.2× |
| Upgrade of pacemaker system (33214) | $12,395.79 | $22,537.80 | 1.2× |
| Vaginal delivery only (59409) | $1,749.85 | $3,181.55 | 0.5× |
| Vasc embolize/occlude artery (37242) | $16,266.99 | $29,576.35 | 0.9× |
| Vasc Embolize/Occlude Bleed (37244) | $14,186.92 | $25,794.40 | 1.2× |
| Vasc Embolize/Occlude Organ (37243) | $12,830.51 | $23,328.20 | 1.1× |
| Vasc embolize/occlude venous (37241) | $14,186.92 | $25,794.40 | 1.2× |
| Vein Access Cutdown < 1 Yr (36420) | $103.62 | $188.40 | 0.8× |
| Venous Mech Thrombectomy (37187) | $7,072.56 | $12,859.20 | 0.6× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$36.85–$186.78 | $67–$339.60 | varies |
| Wound Prep F/N/Hf/G (15004) range across 3 matching MRF lines |
$437.80–$1,138.53 | $796–$2,070.05 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$367.40–$1,388.28 | $668–$2,524.15 | varies |
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.