Procedures & surgery prices at St. Charles Madras

Madras, OR · every code in this section with a posted price and a Medicare benchmark.

805 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		 $942.91–$967.20 $1,178.64–$1,209 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $639.20–$880.13 $799–$1,100.16 varies
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $11,878.65 $14,848.31 0.6×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $131.20 $164 0.1×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,743.94 $3,429.92 1.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,538.77 $3,173.46 1.1×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $6,975.33 $8,719.16 3.0×
Amniocentesis diagnostic (59000) $1,978.11 $2,472.64 1.9×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines		 $2,026.40–$4,728.69 $2,533–$5,910.86 varies
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $4,580.23 $5,725.29 1.3×
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) $2,854.40 $3,568 0.8×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $116.94–$293.60 $146.17–$367 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $739.28–$766.40 $924.10–$958 varies
Appendectomy (44950) $15,044.24 $18,805.30 2.1×
Appl cranial tong/strtctc frame w/removal spx (20660) $4,199.36 $5,249.20 2.3×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $60.82–$524.80 $76.03–$656 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $132.80–$157.37 $166–$196.71 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $39.22–$417.98 $49.03–$522.47 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $276–$328.91 $345–$411.14 varies
Application of cylinder cast (thigh to ankle) (29365) $678.35 $847.94 2.2×
Application of long leg cast (29345) $436 $545 1.4×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $212.80–$417.98 $266–$522.47 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $238.40–$328.91 $298–$411.14 varies
Apply hand/wrist cast (29085) $541.61 $677.01 3.0×
Apply long arm cast (29065) $524.80 $656 1.7×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $446.10–$669.15 $557.63–$836.44 varies
Apply Short Leg Cast (29405) $356.95 $446.19 1.1×
Arterial puncture (36600)
range across 3 matching MRF lines		 $29.69–$179.25 $37.11–$224.06 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $9,892.23 $12,365.29 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $35.49–$736.66 $44.36–$920.82 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $264.80–$1,120.36 $331–$1,400.45 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $43.05–$847.15 $53.81–$1,058.94 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $304.80–$1,288.41 $381–$1,610.51 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $34–$640.57 $42.50–$800.71 varies
Arthroplasty glenohumeral joint total shoulder (23472) $13,379.33 $16,724.16 0.7×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075)
range across 2 matching MRF lines		 $2,444.80–$5,134.52 $3,056–$6,418.15 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $954.40–$1,929.05 $1,193–$2,411.31 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $664–$1,540.25 $830–$1,925.31 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $200–$518.57 $250–$648.21 varies
Aspiration bladder insert suprapubic catheter (51102) $4,716.28 $5,895.35 2.0×
Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound… (0312U) $1,072.54 $1,340.68 1.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 5 matching MRF lines		 $51.79–$398.10 $64.74–$497.63 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $3,223.96–$3,264.88 $4,029.95–$4,081.10 varies
Biopsy bone trocar/needle deep (20225) $5,701.20 $7,126.50 3.1×
Biopsy Bone Trocar/Needle Superficial (20220) $3,109.02 $3,886.28 1.7×
Biopsy external ear (69100) $486 $607.50 1.8×
Biopsy of liver, needle; percutaneous (47000) $2,749.82 $3,437.27 1.5×
Biopsy Tongue Anterior Two-Thirds (41100) $1,529.74 $1,912.18 2.6×
Biopsy Vaginal Mucosa Simple (57100)
range across 3 matching MRF lines		 $53.97–$1,598.60 $67.46–$1,998.25 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 3 matching MRF lines		 $55.86–$1,598.60 $69.83–$1,998.25 varies
Bladder instillation anticarcinogenic agent (51720) $1,303.43 $1,629.29 1.7×
Bladder Irrigation (51700) $455.02 $568.78 1.6×
Bladder Scan (51798) $233.45 $291.81 3.6×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $602.21–$875.20 $752.76–$1,094 varies
Blood Transfusion Service (36430)
range across 2 matching MRF lines		 $1,287.34–$1,725.46 $1,609.18–$2,156.82 varies
Bone Marrow Biopsy (38221) $4,484.17 $5,605.21 2.4×
Bone Marrow; Aspiration Only (38220) $2,861.25 $3,576.56 1.6×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $7,446.66 $9,308.33 1.8×
Bronchoscopy Clear Airways (31645) $3,120.37 $3,900.46 1.6×
Bronchoscopy W/Removal Foreign Body (31635)
range across 2 matching MRF lines		 $1,156.80–$3,120.37 $1,446–$3,900.46 varies
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $7,446.66 $9,308.33 1.8×
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $1,404.30–$1,456.93 $1,755.38–$1,821.16 varies
Bx breast needle core w/o imaging guidance spx (19100) $2,942.91 $3,678.64 1.6×
Bx Cervix (57500) $1,777.26 $2,221.58 1.7×
Canthotomy Separate Procedure (67715)
range across 2 matching MRF lines		 $820.80–$3,422.80 $1,026–$4,278.50 varies
Catheter aspiration nasotracheal spx (31720) $361.34 $451.68 1.5×
Cerclage cervix pregnancy vaginal (59320) $6,365.70 $7,957.12 1.8×
Cerv artific diskectomy (22856) $16,799.36 $20,999.20 0.9×
Cessj Therapy Cath Removal (37214) $4,349.25 $5,436.56 1.2×
Change Cystostomy Tube Complicated (51710) $1,726.25 $2,157.81 2.2×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $300–$476.94 $375–$596.18 varies
Change of Windpipe Airway (31502) $628.96 $786.20 2.4×
Change ureter stent percut (50382)
range across 2 matching MRF lines		 $5,267.83–$7,901.78 $6,584.79–$9,877.22 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $259.20–$512.20 $324–$640.25 varies
Chemodenerv trunk musc 1-5 (64646) $1,362.06 $1,702.58 1.7×
Chest tube placement (32551)
range across 2 matching MRF lines		 $573.60–$2,328.88 $717–$2,911.10 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $4,726.27 $5,907.84 2.0×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines		 $3,891.09–$7,052.26 $4,863.86–$8,815.32 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $419.18–$5,488.71 $114.02–$6,860.89 varies
Cl Tx Scapular Fx; W Manip (23575) $2,495.74 $3,119.68 1.4×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,716–$4,626.22 $2,145–$5,782.78 varies
Clear outer ear canal (69200)
range across 4 matching MRF lines		 $45.90–$407.20 $57.37–$509 varies
Closed Rx Spontaneous Hip Disloc (27256) $985.36 $1,231.70 3.6×
Closed Treat Vert Body Fract (22310) $760.07 $950.09 2.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $500.70–$1,376.80 $625.87–$1,721 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $1,470.40–$2,893.91 $1,838–$3,617.39 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $538.14–$1,730.40 $672.67–$2,163 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $461.60–$546.57 $577–$683.21 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $1,175.20–$1,205.75 $1,469–$1,507.19 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $1,487.20–$1,935.19 $1,859–$2,418.99 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,256 $1,570 4.6×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $468.95 $586.19 1.7×
Closed tx carpal scaphoid fracture w/manj (25624) $4,199.36 $5,249.20 2.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $964 $1,205 3.5×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $2,004–$2,633.17 $2,505–$3,291.46 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $546.57–$1,765.60 $683.21–$2,207 varies
Closed Tx Lunate Dislocation W/Manipulation (25690) $4,626.22 $5,782.78 2.6×
Closed tx mandibular fracture w/manipulation (21451) $3,943.70 $4,929.63 2.3×
Closed tx metatarsal fracture w/o manipulation (28470) $730.40 $913 2.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,823.20–$4,626.22 $2,279–$5,782.78 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $887.20–$4,322.42 $1,109–$5,403.02 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines		 $1,163.20–$4,970.77 $1,454–$6,213.46 varies
Closed tx patellar dislocation w/anesthesia (27562) $1,498.40 $1,873 5.5×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $546.57–$1,149.60 $683.21–$1,437 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $1,456.80–$1,935.19 $1,821–$2,418.99 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,652.80–$1,935.19 $2,066–$2,418.99 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $910.40 $1,138 3.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,652–$2,174.30 $2,065–$2,717.87 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $881.60 $1,102 3.2×
Closed tx septal&nose fx (21337) $1,628 $2,035 0.4×
Closed tx talotarsal joint dislc w/o anes (28570) $1,205.75 $1,507.19 4.4×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $2,711.20–$4,199.36 $3,389–$5,249.20 varies
Closed tx tarsometatarsal dislocation w/o anes (28600)
range across 2 matching MRF lines		 $468.95–$4,110.40 $586.19–$5,138 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $315.20–$499.56 $394–$624.45 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines		 $1,622.40–$1,935.19 $2,028–$2,418.99 varies
Closed tx ulnar shaft fracture w/o manipulation (25530) $866.40 $1,083 3.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $861.34 $1,076.68 3.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $2,236.18 $2,795.22 3.7×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines		 $1,019.20–$1,205.75 $1,274–$1,507.19 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $546.57–$712.80 $683.21–$891 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines		 $1,511.20–$4,626.22 $1,889–$5,782.78 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $546.57–$725.60 $683.21–$907 varies
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $691.86 $864.82 2.5×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,280–$4,177.16 $1,600–$5,221.45 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $475.98–$994.40 $594.97–$1,243 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $4,199.36 $5,249.20 2.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,836.24 $4,795.30 2.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines		 $1,219.20–$1,935.19 $1,524–$2,418.99 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $544.09 $680.11 2.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $4,199.36 $5,249.20 2.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $475.98 $594.97 1.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $546.57–$1,112 $683.21–$1,390 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $2,273.60 $2,842 1.3×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $546.57–$1,401.60 $683.21–$1,752 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $546.57–$1,045.60 $683.21–$1,307 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $546.57 $683.21 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $520.56–$1,082.40 $650.70–$1,353 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $1,737.60–$2,131.25 $2,172–$2,664.06 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,433.74–$2,311.20 $1,792.18–$2,889 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232)
range across 2 matching MRF lines		 $2,515.20–$2,608.86 $3,144–$3,261.07 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $2,535.20–$2,916.26 $3,169–$3,645.33 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $461.60–$556.98 $577–$696.23 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $546.57 $683.21 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $537.60–$546.57 $672–$683.21 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $411.20–$546.57 $514–$683.21 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,626.22 $5,782.78 2.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $535.82 $669.78 2.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,875.08 $3,593.85 1.6×
Cltx hip dislocation traumatic req anesthesia (27252) $2,435.20 $3,044 1.4×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $546.57–$582.40 $683.21–$728 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $4,199.36 $5,249.20 2.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $928.80–$4,199.36 $1,161–$5,249.20 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $144.80 $181 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $387.20–$546.57 $484–$683.21 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240)
range across 2 matching MRF lines		 $1,643.20–$2,164.77 $2,054–$2,705.96 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,215.20 $1,519 3.9×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $546.57–$904.80 $683.21–$1,131 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,563.20–$4,626.22 $1,954–$5,782.78 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $546.57–$1,020 $683.21–$1,275 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $479.36 $599.20 1.7×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,380.80 $1,726 0.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $546.57–$1,068.80 $683.21–$1,336 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $546.57–$628 $683.21–$785 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,865.60–$5,012.21 $2,332–$6,265.26 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $474.84–$1,271.20 $593.55–$1,589 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $1,432–$4,448.31 $1,790–$5,560.39 varies
Cltx prox fibula/shft fx w/o manj (27780) $1,133.58 $1,416.97 4.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $1,477.60–$4,626.22 $1,847–$5,782.78 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $600.89–$1,114.40 $751.11–$1,393 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $461.60–$546.57 $577–$683.21 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines		 $1,305.76–$1,596 $1,632.20–$1,995 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,351.20–$2,184.14 $1,689–$2,730.18 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines		 $1,920.80–$2,244.98 $2,401–$2,806.22 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $1,764–$2,114.26 $2,205–$2,642.82 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $626.18–$1,211.20 $782.73–$1,514 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,647.16 $3,308.95 1.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $544.09 $680.11 2.0×
Cltx tibial shaft fx w/o manipulation (27750) $1,102.40 $1,378 4.0×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 2 matching MRF lines		 $714.81–$1,508.80 $893.51–$1,886 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,540.80–$1,942.92 $1,926–$2,428.65 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 2 matching MRF lines		 $424.18–$1,064 $530.23–$1,330 varies
Collect Blood From Catheter Venous Nos (36592)
range across 4 matching MRF lines		 $167.16–$168.60 $208.95–$210.75 varies
Collection of venous blood by venipuncture (36415) $14.82 $18.53 1.6×
Colpocentesis (57020)
likely a partial charge, not the full procedure		 $368.80 $461 0.1×
Colpocleisis (le fort type) (57120) $9,626.50 $12,033.13 1.7×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $6,353.78 $7,942.22 1.8×
Colporrhaphy (57200)
range across 2 matching MRF lines		 $1,000–$3,399.91 $1,250–$4,249.89 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $127.34–$378.26 $159.17–$472.83 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $87.31–$273.49 $109.14–$341.86 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $102.82–$369.98 $128.52–$462.48 varies
Colsc flx w/removal lesion by hot bx forceps (45384) $2,188.69 $2,735.86 1.6×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $392.80–$4,880.25 $491–$6,100.31 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $427.86–$680 $534.83–$850 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $314.40–$534.20 $393–$667.75 varies
Control oropharyngeal hemorrhage simple (42960) $891.18 $1,113.97 1.5×
Conversion ext bil drg cath (47535) $4,935.82 $6,169.77 1.2×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,912.41 $3,640.51 1.4×
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines		 $2,409.46–$3,614.18 $3,011.83–$4,517.73 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,101.98 $5,127.47 2.2×
Csf shunt reprogram (62252) $560.20 $700.25 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $462.50–$852.80 $578.12–$1,066 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $531.75–$1,143.20 $664.69–$1,429 varies
Curettage postpartum (59160) $4,592.39 $5,740.49 1.3×
Curette/treat cornea (65435) $510.40 $638 0.5×
Cysto calibration dilat urtl strix/stenosis (52281) $3,359.54 $4,199.43 1.4×
Cysto w/removal of tumors small (52234) $6,932.28 $8,665.35 1.8×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $4,093.62–$5,063.37 $5,117.03–$6,329.21 varies
Cystostomy Cystotomy W/Drainage (51040)
range across 2 matching MRF lines		 $4,050.24–$4,060.85 $5,062.80–$5,076.06 varies
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $1,012.87–$1,345.50 $1,266.09–$1,681.88 varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $180–$1,539.92 $225–$1,924.90 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $2,195.20–$4,946.27 $2,744–$6,182.84 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $1,620–$2,987.58 $2,025–$3,734.47 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $752–$1,541.70 $940–$1,927.12 varies
Debride nail 1-5 (11720)
range across 5 matching MRF lines		 $13.42–$191.17 $16.77–$238.96 varies
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $22.54–$191.18 $28.18–$238.97 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,977.66 $3,722.07 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $384–$1,057.38 $480–$1,321.72 varies
Declot vascular device (36593) $751.52 $939.40 2.0×
Delivery of placenta (59414) $5,168.15 $6,460.19 1.4×
Destroy cerv/thor facet jnt (64633) $2,595.82 $3,244.78 1.2×
Destruct B9 Lesion 1-14 (17110)
range across 4 matching MRF lines		 $67.68–$363.20 $84.60–$454 varies
Destruction Benign Lesions 15/> (17111)
range across 2 matching MRF lines		 $81.74–$347.86 $102.18–$434.82 varies
Destruction by neurolytic agent, intercostal nerve (64620) $2,399.93 $2,999.91 2.4×
Destruction Premalignant Lesion 15/> (17004)
range across 2 matching MRF lines		 $95.75–$395.45 $119.69–$494.31 varies
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $53.25–$217.60 $66.56–$272 varies
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $4,030.98 $5,038.72 3.0×
Dilat Xst Trc New Access Rcs (50437) $4,732.95 $5,916.19 1.2×
Dilate Urethra Stricture (53620) $1,598.87 $1,998.59 2.1×
Dilate Urethra Stricture (53600) $732.05 $915.06 2.6×
Dilation Cervical Canal (57800) $5,727.06 $7,158.82 1.6×
Drain Cerebro Spinal Fluid (62272)
range across 3 matching MRF lines		 $1,383.90–$1,400.80 $1,729.87–$1,751 varies
Drain Hand Tendon Sheath (26020) $6,436.51 $8,045.64 1.8×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $238.40–$974.22 $298–$1,217.78 varies
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines		 $762.40–$955.22 $953–$1,194.02 varies
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $752.80–$4,809.88 $941–$6,012.35 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $618.40–$927.53 $773–$1,159.41 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,638.40–$3,680.02 $2,048–$4,600.03 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines		 $517.60–$798.63 $647–$998.29 varies
Drainage of eye (65800) $2,925.43 $3,656.79 1.1×
Drainage of finger abscess simple (26010)
range across 4 matching MRF lines		 $137.82–$870.40 $172.27–$1,088 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $499.56–$904.80 $624.45–$1,131 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $536.80–$3,680.02 $671–$4,600.03 varies
Drainage of mouth lesion (41017) $344 $430 0.1×
Drainage of nose lesion (30000)
range across 2 matching MRF lines		 $792.80–$798.46 $991–$998.07 varies
Drainage of perirenal or renal abscess, open Facility (50020) $3,265.60 $4,082 1.4×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $715.20–$2,765.24 $894–$3,456.55 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $716–$5,329.44 $895–$6,661.80 varies
Drainage of skene's gland abscess or cyst (53060) $608 $760 0.3×
Draw Blood Off Venous Device (36591)
range across 4 matching MRF lines		 $75.20–$233.93 $94–$292.41 varies
Dressing Change Under Anesthesia (15852) $1,558.03 $1,947.54 1.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $710.40–$1,055.68 $888–$1,319.60 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $655.87–$850.97 $819.84–$1,063.71 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $353.70–$489.60 $442.13–$612 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $268.80–$422.90 $336–$528.63 varies
Dx Bone Marrow Bx & Aspir (38222) $4,484.17 $5,605.21 1.4×
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $3,120.37–$3,375.04 $3,900.46–$4,218.80 varies
Dx Bronchoscope/Wash (31622) $2,713.36 $3,391.70 1.4×
Dx gastr intub w/asp spec (43754) $784.17 $980.21 3.3×
Dx Laryngoscopy Excl Nb (31525) $2,877.93 $3,597.41 1.5×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,886.24 $2,357.80 2.4×
Egd control bleeding any (43255) $3,783.79 $4,729.74 1.8×
Egd Flexible Foreign Body Removal (43247) $1,502.42 $1,878.02 1.5×
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $1,502.42–$1,787.88 $1,878.02–$2,234.85 varies
Egd lesion ablation (43270) $3,783.79 $4,729.74 1.8×
Embedded ip cath exit-site (49436) $3,783.79 $4,729.74 1.8×
Endometrial Biopsy (58100)
range across 4 matching MRF lines		 $72.90–$414.77 $91.13–$518.46 varies
Endovasc Temp Balloon Occlus,Head/Nck (61623) $19,168.30 $23,960.38 1.5×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $1,400.80–$1,807.50 $1,751–$2,259.38 varies
Episiotomy or vaginal repair (59300) $7,797.20 $9,746.50 2.2×
Ercp duct stent placement (43274) $11,333.03 $14,166.29 1.7×
Ercp Dx Collection Specimen Brushing/Washing (43260) $7,615.53 $9,519.41 1.8×
Ercp remove calculi/debris biliary/pancreas duct (43264) $7,615.53 $9,519.41 1.8×
Ercp remove forgn body duct (43275) $3,783.79 $4,729.74 1.8×
Ercp,Sphincterotomy (43262) $7,615.53 $9,519.41 1.8×
Escharotomy; initial incision (16035) $989.91 $1,237.39 2.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,495.11 $1,868.89 1.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 2 matching MRF lines		 $1,363.20–$3,041.70 $1,704–$3,802.13 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $160.80–$200.35 $201–$250.44 varies
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $321.52–$1,302.48 $401.90–$1,628.10 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $82.47–$1,434.38 $103.09–$1,792.98 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $104.82–$1,060.28 $131.02–$1,325.35 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $113.38–$439.42 $141.72–$549.28 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $143.54–$617.60 $179.43–$772 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,342.06 $2,927.58 1.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,240.67 $2,800.84 1.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $2,015.37 $2,519.21 2.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $146.39–$483.21 $182.99–$604.01 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $176.02–$590.38 $220.03–$737.97 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $6,923.26 $8,654.07 2.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $239.51–$2,885.07 $299.39–$3,606.34 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $608.80–$2,346.59 $761–$2,933.24 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $386.33–$1,649.55 $482.91–$2,061.94 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $112.18–$1,896.97 $140.23–$2,371.21 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $159.79–$553.01 $199.74–$691.26 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines		 $429.75–$1,062.25 $537.19–$1,327.81 varies
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $4,935.82 $6,169.77 1.2×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $4,784.38–$7,176.58 $5,980.48–$8,970.73 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,008.13 $3,760.16 1.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines		 $153.42–$772.98 $191.77–$966.23 varies
Excision Lingual Frenum Frenectomy (41115)
range across 2 matching MRF lines		 $141.14–$698.06 $176.42–$872.58 varies
Excision of pilonidal cyst or sinus; simple (11770) $5,512.62 $6,890.78 1.7×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $117.26–$565.94 $146.58–$707.42 varies
Excision or fulguration; Skene's glands Facility (53270) $6,987.43 $8,734.29 1.8×
Excision Pilonidal Cyst/Sinus Complicated (11772) $7,290.44 $9,113.05 2.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $6,339.53 $7,924.41 2.0×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 2 matching MRF lines		 $306.21–$1,217.79 $382.76–$1,522.24 varies
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines		 $450–$1,119.60 $562.50–$1,399.50 varies
Expl penetrating wound spx abdomen/flank/back (20102) $4,352.86 $5,441.08 1.9×
Explo/Drain Breast Abscess (19020) $3,949.60 $4,937 2.2×
Exploration of knee joint (27310) $568 $710 0.2×
Exploration penetrating wound spx chest (20101) $4,872.46 $6,090.57 2.1×
Exploration penetrating wound spx extremity (20103) $3,174.11 $3,967.64 1.7×
Explore/Treat Hand Joint (26070) $3,299.20 $4,124 1.8×
External cephalic version (59412) $4,878.95 $6,098.69 1.4×
Fetal Contraction Stress Test (59020) $396.24 $495.30 1.8×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $662.94–$1,325.85 $828.67–$1,657.31 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,399.06 $1,748.83 1.8×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $491.20–$525.21 $614–$656.51 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $932.80–$1,889.98 $1,166–$2,362.48 varies
Fluoro exam of g/colon tube (49465) $836.44 $1,045.55 3.2×
Fna bx w/us gdn 1st les (10005) $416 $520 0.5×
Foreskin manipulation (54450)
range across 4 matching MRF lines		 $54.06–$757.98 $67.58–$947.47 varies
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $4,094.70 $5,118.37 1.8×
Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) $4,523.48 $5,654.35 2.0×
Guide Cathet Fluid Drainage (10030) $1,889.97 $2,362.46 2.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $588.16–$1,542.85 $735.20–$1,928.56 varies
Hysteroscopy Biopsy (58558) $6,216.82 $7,771.03 1.7×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $8,115.26 $10,144.07 2.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $616–$658.24 $770–$822.80 varies
I&d abscess simple (10060)
range across 6 matching MRF lines		 $104.11–$456.06 $130.14–$570.07 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines		 $2,228–$5,650.06 $2,785–$7,062.57 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $7,044.58 $8,805.72 2.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines		 $1,735.20–$5,491.06 $2,169–$6,863.83 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $1,454.40–$3,549.36 $1,818–$4,436.70 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $1,376–$3,660.20 $1,720–$4,575.25 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $588.80–$1,399.06 $736–$1,748.83 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $4,392.18 $5,490.22 1.4×
I&d vaginal hematoma obstetrical/postpartum (57022) $6,912.52 $8,640.65 2.1×
Icd Pocket Revision (33223) $6,140.65 $7,675.81 2.7×
Image Cath Fluid Colxn Visc (49405) $2,324.77 $2,905.96 1.3×
Image Cath Fluid Peri/Retro (49406) $3,221.10 $4,026.38 1.8×
Immediate breast prosthesis (19340) $13,032.10 $16,290.12 1.4×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $583.20–$1,105.50 $729–$1,381.88 varies
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $289.66–$1,793.54 $362.08–$2,241.92 varies
Incise/Drain Conjunctiva (68020) $404 $505 0.4×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $678.40–$989.91 $848–$1,237.39 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,760 $2,200 0.5×
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines		 $177.30–$4,402.18 $221.62–$5,502.73 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $102.36–$500.80 $127.95–$626 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $404–$635.61 $505–$794.51 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines		 $122.84–$984.33 $153.55–$1,230.41 varies
Incision of lingual frenum (frenotomy) (41010) $4,180.63 $5,225.79 2.4×
Incision of rectal abscess (46040)
range across 4 matching MRF lines		 $1,782.40–$5,245.53 $2,228–$6,556.91 varies
Incision&drainage bursa foot (28001) $1,040.80 $1,301 0.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $961.60–$2,490.23 $1,202–$3,112.79 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $53.86–$769.54 $67.33–$961.93 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $225.60–$420.42 $282–$525.53 varies
Inj W/Fluor Eval Cv Device (36598) $662.95 $828.69 2.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $211.20 $264 0.2×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $37.35–$789.33 $46.69–$986.66 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,783.65 $2,229.56 1.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $1,375.14–$2,184.62 $1,718.93–$2,730.78 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $588.95–$1,666.70 $736.19–$2,083.37 varies
Injection Anes Superior Hypogastric Plexus (64517) $2,107.61 $2,634.51 2.1×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $309.60–$1,936.57 $387–$2,420.71 varies
Injection for identification of sentinel node (38792) $709.18 $886.47 1.6×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $36.78–$643 $45.98–$803.75 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines		 $35.02–$670.24 $43.78–$837.80 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $38.48–$770.78 $48.10–$963.48 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $2,058.93 $2,573.66 1.2×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $54.13–$200.27 $67.66–$250.34 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $1,783.65–$2,570.51 $2,229.56–$3,213.14 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines		 $393.60–$2,664.18 $492–$3,330.22 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $99.20–$1,932.54 $124–$2,415.67 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $22.59–$159.01 $28.24–$198.76 varies
Ins cath ren art 1st bilat (36252) $7,329.24 $9,161.55 2.1×
Ins cath ren art 1st unilat (36251) $7,329.24 $9,161.55 2.1×
Ins cath ren art 2nd+ bilat (36254) $7,329.24 $9,161.55 2.1×
Ins cath ren art 2nd+ unilat (36253) $7,329.24 $9,161.55 1.2×
Ins endovas vena cava filtr (37191)
range across 2 matching MRF lines		 $8,813.07–$10,802.42 $11,016.34–$13,503.03 varies
Ins Vag Brachytx Device (57156) $858.58 $1,073.23 2.5×
Ins/Rep Subq Defibrillator (33270) $45,841.90 $57,302.38 1.3×
Insert 1 Electrode Pm-Defib (33216) $10,472.19 $13,090.24 1.1×
Insert and remove bone pin (20650)
range across 2 matching MRF lines		 $472.80–$5,493.62 $591–$6,867.03 varies
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $414.40–$516.86 $518–$646.08 varies
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines		 $1,686.40–$4,035.71 $2,108–$5,044.64 varies
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $3,509.32–$3,760 $4,386.65–$4,700 varies
Insert cervical dilator (59200) $625.49 $781.86 1.8×
Insert Drug Implant Device (11981)
range across 3 matching MRF lines		 $59.50–$406.90 $74.37–$508.63 varies
Insert Gastrostomy Tube Percutaneous (49440) $2,799.87 $3,499.84 1.3×
Insert Heart Pm Atrial (33206) $34,369.38 $42,961.72 3.0×
Insert Heart Pm Ventricular (33207) $14,796.98 $18,496.22 1.3×
Insert hepatic shunt (tips) (37182) $27,813.98 $34,767.48 1.4×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $773.60–$3,997.40 $967–$4,996.75 varies
Insert Pacing Lead & Connect (33224) $49,727.70 $62,159.63 4.3×
Insert pessary/other device (57160) $324.92 $406.15 1.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $3,298.61 $4,123.26 1.9×
Insert pulse gen mult leads (33221) $19,784.40 $24,730.50 0.9×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $21.12–$228 $26.40–$285 varies
Insert tun ip cath perc (49418) $6,901.07 $8,626.34 1.7×
Insert tunneled cv cath (36561) $6,193.60 $7,742 1.8×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $180–$269.56 $225–$336.95 varies
Insertion indwelling tunneled pleural catheter (32550) $7,122.42 $8,903.03 1.8×
Insertion phrenic nerve stimulator system (33276)
likely a partial charge, not the full procedure		 $2,122.94 $2,653.67 0.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $1,300.80–$3,741.14 $1,626–$4,676.43 varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $9,407.17 $11,758.96 1.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
range across 2 matching MRF lines		 $9,864.70–$9,930.18 $12,330.87–$12,412.73 varies
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $11,850.78 $14,813.48 1.3×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $432–$5,285.09 $540–$6,606.36 varies
Insj Picc Rs&I <5 Yr (36572) $4,108.16 $5,135.20 5.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $4,325.60 $5,407 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines		 $828–$3,184.69 $1,035–$3,980.86 varies
Insj Subq Impltbl Dfb Elctrd (33271) $10,366.53 $12,958.16 1.1×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $8,658.40 $10,823 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $2,590.40–$4,904.82 $3,238–$6,131.02 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $40,424.50 $50,530.63 1.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $603.20–$9,403.31 $754–$11,754.14 varies
Insrt heart pm atrial & vent (33208) $19,425.35 $24,281.69 1.7×
Insrt Pulse Gen W/Dual Leads (33230) $30,085.58 $37,606.97 1.2×
Insrt Pulse Gen W/Mult Leads (33231) $34,133.36 $42,666.70 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $1,563.20–$1,731.37 $1,954–$2,164.21 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $1,636.80–$1,991.08 $2,046–$2,488.85 varies
Intraoral i&d tongue/floor lingual (41000) $1,571.53 $1,964.41 2.6×
Intraoral i&d tongue/floor sublngl supfc (41005) $740 $925 2.8×
Intro cath dialysis circuit (36901) $3,173.42 $3,966.78 1.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $26,958.53 $33,698.16 2.1×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $9,325.77 $11,657.21 1.5×
Intro Gastrointestinal Tube (44500) $1,272.94 $1,591.18 1.3×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $315.20–$646.30 $394–$807.88 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $158.40–$929.87 $198–$1,162.34 varies
Klhl11 antb serum/csf cell binding assay qual (0432U) $27.07 $33.84 0.7×
Laparoscopy, surgical, appendectomy (44970) $14,967.92 $18,709.90 2.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $11,473.70 $14,342.12 1.7×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $11,659.03 $14,573.79 1.7×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $188.64–$717.60 $235.80–$897 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $281.14–$379.20 $351.42–$474 varies
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $670.09 $837.61 1.5×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $1,189.58 $1,486.98 2.7×
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $663.20–$3,063.62 $829–$3,829.53 varies
Laryngoscopy w/wo tracheoscopy aspiration (31515) $777.73 $972.16 1.8×
Late closure of wound (13160) $4,948.72 $6,185.90 1.3×
Ligation of a-v fistula (37607) $5,976.75 $7,470.94 1.7×
Ligation, internal jugular vein Facility (37565) $1,934.24 $2,417.80 0.6×
Lip Surgery Procedure (40799) $245.77 $307.21 0.9×
Lrt iad 18bct/8vir&7arg RNA (0528U) $1,200 $1,500 1.9×
Lyse chest fibrin init day (32561) $1,014.86 $1,268.57 1.5×
Manipulation hip joint general anesthesia (27275) $895.20 $1,119 0.5×
Marsupialization of bartholin's gland cyst (56440) $603.20 $754 0.2×
Mastectomy partial (19301) $7,652.21 $9,565.26 1.8×
Maternity Care Procedure (59899)
range across 2 matching MRF lines		 $556.78–$2,348.94 $695.97–$2,936.18 varies
Mech remov tunneled cv cath (36595) $7,945.91 $9,932.39 2.3×
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines		 $4,085.86–$5,185.31 $5,107.32–$6,481.64 varies
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $5,185.31 $6,481.64 6.0×
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $372–$1,351.20 $465–$1,689 varies
N Block Inj Paracervical (64435)
range across 2 matching MRF lines		 $448–$1,383.90 $560–$1,729.87 varies
N Block Inj Plantar Digit (64455) $157.60 $197 0.5×
N Block Lumbar/Thoracic (64520) $2,515.95 $3,144.94 2.6×
Nasal Endoscopy Dx (31231) $258.78 $323.47 1.2×
Nasal surgery procedure (30999) $397.73 $497.16 1.5×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $137.60–$630.27 $172–$787.84 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $2,658.09 $3,322.61 1.3×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $844.39 $1,055.49 3.0×
Needle Biopsy Lymph Nodes (38505) $3,186.93 $3,983.66 1.7×
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $18.62–$107.78 $23.28–$134.72 varies
Nephrology (chronic kidney disease), apolipoprotein A4 (ApoA4), CD5 antigen-like (CD5L), and insulin-like growth factor… (0385U) $644 $805 1.6×
Neuro alys b-amyl 1-42&1-40 (0358U) $690 $862.50 2.6×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $629.89 $787.36 0.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $411.39 $514.24 1.0×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,014.78 $2,518.48 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $2,442.27 $3,052.84 2.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $406.40–$634.82 $508–$793.52 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,463.25 $4,329.06 0.9×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $6,108.26 $7,635.32 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,779.10 $2,223.88 1.8×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,912.11 $2,390.14 2.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,812.49 $2,265.61 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,383.90 $1,729.87 1.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,820 $2,275 1.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $1,471.46–$2,207.19 $1,839.32–$2,758.99 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines		 $1,471.46–$2,207.19 $1,839.32–$2,758.99 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $961.30 $1,201.63 2.1×
Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) $322 $402.50 2.5×
Obstructive material removal from gi tube (49460) $1,032.04 $1,290.05 1.0×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $335.20–$1,311.76 $419–$1,639.70 varies
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $432.80 $541 0.1×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,160.80 $2,701 0.6×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $14,275.60 $17,844.50 1.8×
Open Tx Distal Phalangeal Fracture Each (26765) $6,016.16 $7,520.20 1.7×
Open Tx Distal Tibiofibular Joint Disruption (27829) $14,275.60 $17,844.50 1.8×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $311.20 $389 0.1×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $6,483.84 $8,104.80 1.8×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $14,275.60 $17,844.50 1.8×
Open/Perq Place Stent 1St (37236) $25,481.06 $31,851.32 2.0×
Open/Perq Place Stent Same (37238) $25,481.06 $31,851.32 2.0×
Partial removal of thyroid (60220) $11,473.70 $14,342.12 1.7×
Penile Injection (54235) $670.15 $837.69 2.4×
Perc Cryo Ablate Renal Tum (50593) $12,746.31 $15,932.89 1.1×
Perc Rf Ablate Renal Tumor (50592) $10,764 $13,455 1.6×
Percut Cath Occlusn Non Cns Lesn (61626) $19,168.30 $23,960.38 1.5×
Percut Drain/Inject Renal Cyst (50390) $1,889.97 $2,362.46 2.4×
Percut Mech Thrombectomy, Venous, Repeat (37188) $7,113.32 $8,891.65 2.0×
Peri-Implant Capsulectomy Breast Complete (19371) $7,652.21 $9,565.26 1.8×
Pericardiocentesis W/Imaging (33016)
range across 2 matching MRF lines		 $3,187.55–$3,815.74 $3,984.44–$4,769.67 varies
Peritoneal Lavage (49084) $2,530.88 $3,163.60 2.5×
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure		 $8,729.59 $10,911.99 0.4×
Perq Cervicothoracic Inject (22510) $5,280.50 $6,600.62 1.5×
Perq dilation xst trc endourologic px w/img (50436) $4,732.95 $5,916.19 1.2×
Perq Lumbosacral Injection (22511) $4,474.89 $5,593.61 1.2×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,442.21 $1,802.76 1.8×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $13,576.28 $16,970.35 1.1×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $5,727.98 $7,159.97 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $12,211.36 $15,264.20 1.5×
Perq Vertebral Augmentation (22513) $12,211.36 $15,264.20 1.5×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $6,811.40–$10,217.09 $8,514.25–$12,771.36 varies
Place Cath Thoracic Aorta (36221) $6,811.40 $8,514.25 1.9×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $11,139.66–$16,709.51 $13,924.57–$20,886.89 varies
Place Duod/Jej Tube Perc (49441) $3,191.24 $3,989.05 1.5×
Placement Needle Pelvic Organ Radioelement Appl (55920) $9,930.18 $12,412.73 1.8×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $196–$726.61 $245–$908.26 varies
Plastic Repair Canaliculi (68700) $4,205.35 $5,256.69 1.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $9,390.07 $11,737.59 1.4×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $11,983.84 $14,979.80 1.8×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $14,811.20 $18,514 2.2×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines		 $3,415.26–$5,122.90 $4,269.08–$6,403.62 varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines		 $3,415.26–$5,122.90 $4,269.08–$6,403.62 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines		 $10,670.84–$16,005.44 $13,338.55–$20,006.80 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines		 $8,068.69–$12,103.02 $10,085.86–$15,128.78 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines		 $9,278.98–$13,918.49 $11,598.73–$17,398.11 varies
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $8,917.94 $11,147.42 0.4×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $4,471.35 $5,589.19 1.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $7,829.97 $9,787.46 2.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $7,829.97 $9,787.46 2.0×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,680.80 $2,101 0.5×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $5,383.93 $6,729.91 0.7×
Pseudoaneurysm Injection Trt (36002) $1,014.03 $1,267.54 1.5×
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines		 $44.75–$798.39 $55.94–$997.99 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $93.58–$428.80 $116.97–$536 varies
Puncture Aspiration Cyst Breast (19000) $1,074.58 $1,343.23 1.4×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,602.97 $2,003.71 2.0×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,886.24 $2,357.80 2.4×
Reconstruction Nail Bed W/Graft (11762) $929.60 $1,162 0.4×
Relocation Pocket Pacemaker (33222) $2,847.10 $3,558.88 1.2×
Rem Endovas Vena Cava Filter (37193) $7,244.02 $9,055.03 2.1×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,094.66 $1,368.32 1.1×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines		 $789.60–$873.62 $987–$1,092.02 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines		 $1,997.60–$5,582.21 $2,497–$6,977.76 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $858.40–$4,166.67 $1,073–$5,208.34 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 4 matching MRF lines		 $120.28–$2,181.60 $150.35–$2,727 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $646.40–$2,484.25 $808–$3,105.31 varies
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines		 $1,836–$5,604.95 $2,295–$7,006.19 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $15.19–$201.20 $18.99–$251.50 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines		 $30.33–$247.29 $37.91–$309.11 varies
Removal Implant Superficial Separate Procedure (20670) $6,240.33 $7,800.41 3.4×
Removal implantable contraceptive capsules (11976) $1,023.51 $1,279.39 1.3×
Removal intact breast implant (19328) $4,294.83 $5,368.54 1.0×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines		 $668.80–$908.62 $836–$1,135.77 varies
Removal of nail bed (11750)
range across 4 matching MRF lines		 $98.98–$1,068.42 $123.73–$1,335.53 varies
Removal Pacemaker Electrode (33235) $7,446.82 $9,308.52 1.8×
Removal phrenic nerve stimulator system (33278) $2,112.97 $2,641.21 0.5×
Removal ppm generator only (33233) $8,280.28 $10,350.35 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $74.73–$295.98 $93.41–$369.98 varies
Removal subcutaneous cardiac rhythm monitor (33286) $2,837.44 $3,546.80 3.6×
Removal Sutures/Staples Requiring Anesthesia (15851) $3,856.34 $4,820.43 1.7×
Removal sweat gland lesion (11450) $1,263.20 $1,579 0.4×
Removal tong/halo applied by another individual (20665) $723.67 $904.59 1.5×
Remove Brain Cavity Fluid (61020) $2,436.08 $3,045.10 2.5×
Remove cerclage suture (59871) $7,739.78 $9,674.73 2.2×
Remove drug implant device (11982)
range across 4 matching MRF lines		 $68.57–$572.82 $85.71–$716.02 varies
Remove Elctrd Transvenously (33244) $7,446.82 $9,308.52 1.8×
Remove Forearm Foreign Body (25248) $5,663.74 $7,079.67 3.2×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $184.80–$601.01 $231–$751.26 varies
Remove Int Dwell Ureteral Stent Transurethral (50386) $3,899.31 $4,874.14 1.7×
Remove Intrauterine Device (58301)
range across 5 matching MRF lines		 $62.41–$635.61 $78.01–$794.51 varies
Remove intrvas foreign body (37197) $5,524.26 $6,905.33 1.6×
Remove lung catheter (32552) $2,305.33 $2,881.66 3.3×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $400.64–$762.40 $500.80–$953 varies
Remove Pulse Generator (33241) $6,713.06 $8,391.33 1.6×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $1,320.75–$1,886.77 $1,650.94–$2,358.46 varies
Remove tissue expander (11971) $4,440.71 $5,550.89 1.4×
Remove ureter stent percut (50384)
range across 2 matching MRF lines		 $4,533.69–$6,800.51 $5,667.11–$8,500.64 varies
Remove&replace pm gen singl (33227) $23,693.38 $29,616.72 2.6×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines		 $97.73–$635.87 $122.16–$794.84 varies
Remv&replc cvd gen dual lead (33263) $59,375.41 $74,219.26 2.4×
Remv&replc cvd gen mult lead (33264) $59,375.41 $74,219.26 1.7×
Remv&replc cvd gen sing lead (33262) $59,375.41 $74,219.26 2.4×
Remv&replc pm gen dual lead (33228) $25,986.69 $32,483.36 2.2×
Remv&replc pm gen mult leads (33229) $25,986.69 $32,483.36 1.2×
Repair Blood Vessel Direct Hand Finger (35207) $4,594.93 $5,743.66 1.3×
Repair blood vessel direct neck (35201) $5,589.64 $6,987.05 0.9×
Repair Blood Vessel Direct Upper Extremity (35206) $6,102.66 $7,628.32 1.7×
Repair blood vessel lesion (35190) $6,742.48 $8,428.10 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $1,116.24–$1,384 $1,395.30–$1,730 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,116.24–$1,662.40 $1,395.30–$2,078 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $792.37–$1,263.20 $990.46–$1,579 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,562.40–$1,651.44 $1,953–$2,064.30 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $792.37 $990.46 1.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $792.37–$1,446.87 $990.46–$1,808.59 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,389.90 $1,737.37 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $1,598.39 $1,997.99 1.9×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,888–$4,580.23 $2,360–$5,725.29 varies
Repair Eyelid Wound (67935)
range across 2 matching MRF lines		 $4,887.45–$5,851.90 $6,109.31–$7,314.87 varies
Repair Hand Tendon (26410) $597.60 $747 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $842.40–$989.91 $1,053–$1,237.39 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $962.40–$1,138.41 $1,203–$1,423.01 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $1,132.80–$1,309.17 $1,416–$1,636.46 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $1,204–$1,505.54 $1,505–$1,881.93 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,505.54 $1,881.93 1.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $792.80–$989.91 $991–$1,237.39 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $945.60–$1,138.41 $1,182–$1,423.01 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $1,179.20–$1,309.17 $1,474–$1,636.46 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $1,256–$1,505.54 $1,570–$1,881.93 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $125.52–$989.91 $156.90–$1,237.39 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $991.20–$1,138.41 $1,239–$1,423.01 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $1,379.20–$1,731.37 $1,724–$2,164.21 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $1,309.17–$1,973.60 $1,636.46–$2,467 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,583.20–$1,991.08 $1,979–$2,488.85 varies
Repair Laceration Palate </2 Cm (42180) $861.34 $1,076.68 1.4×
Repair Lead Pace-Defib One (33218) $7,272.57 $9,090.71 1.8×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $751.20–$1,383.31 $939–$1,729.14 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $1,060–$1,213.79 $1,325–$1,517.24 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $566.34–$868 $707.93–$1,085 varies
Repair Tooth Socket (41874) $3,576.09 $4,470.11 1.0×
Repair, primary, disrupted ligament, ankle; collateral (27695) $14,275.60 $17,844.50 1.8×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $140.80–$1,495.79 $176–$1,869.74 varies
Replace G-J Tube Perc (49452) $1,161.41 $1,451.76 1.2×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $1,495.79–$2,202.40 $1,869.74–$2,753 varies
Repos Previously Implanted Subq Implantable Dfb (33273) $7,547.65 $9,434.56 1.8×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $944–$2,038.96 $1,180–$2,548.70 varies
Reposition Pacing-Defib Lead (33215) $3,738.70 $4,673.38 1.1×
Reposition Venous Catheter (36597) $3,102.02 $3,877.53 1.8×
Repositioning phrenic nrv stimulator transvns ld (33281) $1,380.85 $1,726.06 0.4×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $8,643.30 $10,804.13 0.6×
Revise finger joint each (26140) $4,081.30 $5,101.62 2.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183)
range across 2 matching MRF lines		 $10,950.02–$31,700.22 $13,687.53–$39,625.28 varies
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $10,700.23 $13,375.29 1.7×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $10,700.23 $13,375.29 1.7×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $34,463.78 $43,079.73 1.7×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $34,463.78 $43,079.73 1.7×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $34,463.78 $43,079.73 1.7×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $34,463.78 $43,079.73 1.7×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $21,703.27 $27,129.09 1.7×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $21,703.27 $27,129.09 1.7×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $21,703.27 $27,129.09 1.7×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $21,703.27 $27,129.09 1.7×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $10,700.23 $13,375.29 1.7×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $10,700.23 $13,375.29 1.7×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $21,703.27 $27,129.09 1.7×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $21,703.27 $27,129.09 1.7×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $21,703.27 $27,129.09 1.7×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $21,703.27 $27,129.09 1.7×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $34,463.78 $43,079.73 1.7×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $34,463.78 $43,079.73 1.7×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $34,463.78 $43,079.73 1.7×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $34,463.78 $43,079.73 1.7×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $34,463.78 $43,079.73 1.7×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $34,463.78 $43,079.73 1.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $2,686.32–$4,029.47 $3,357.90–$5,036.84 varies
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $5,902.33 $7,377.91 3.4×
Rmvl embedded fb vestibule mouth comp (40805) $1,195.68 $1,494.60 2.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,750.13 $2,187.66 1.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $188.80–$601.01 $236–$751.26 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $220.80–$601.01 $276–$751.26 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines		 $225.60–$601.01 $282–$751.26 varies
Rmvl fecal impaction/fb spx under anes (45915) $2,356.22 $2,945.28 1.8×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $980 $1,225 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $684–$3,223.96 $855–$4,029.95 varies
Rmvl of subq implantable defibrillator electrode (33272) $6,980.57 $8,725.71 1.7×
Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) $768.24 $960.30 0.2×
Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) $1,277.50 $1,596.87 0.3×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $7,379.88 $9,224.85 1.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $3,184.69–$3,240.93 $3,980.86–$4,051.16 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,429.28 $1,786.60 2.0×
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287)
likely a partial charge, not the full procedure		 $1,424.41 $1,780.51 0.0×
Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288)
likely a partial charge, not the full procedure		 $1,877.65 $2,347.06 0.2×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $732.80–$738.96 $916–$923.70 varies
Rplcmt cath ctr vad subq port/pmp (36578) $4,957.04 $6,196.30 1.4×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $4,516.89 $5,646.11 2.6×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $3,012.82 $3,766.02 1.7×
Rplcmt compl tun ctr vad w/subq port (36582) $11,413.79 $14,267.24 3.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $5,767.78 $7,209.72 1.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $10,982.40 $13,728 1.6×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $7,464 $9,330 1.9×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure		 $2,578.40 $3,223 0.4×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $1,592.80 $1,991 0.2×
Rpr blood vessel direct lower extremity (35226)
range across 2 matching MRF lines		 $1,790.76–$2,855.20 $2,238.45–$3,569 varies
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $3,505.22 $4,381.52 2.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $517.88–$564.80 $647.35–$706 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,583.20 $1,979 1.9×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $1,933.75 $2,417.19 7.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $1,636.80–$1,943.54 $2,046–$2,429.43 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $1,459.20–$2,873.80 $1,824–$3,592.25 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,965.33 $3,706.66 1.7×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $6,436.51 $8,045.64 1.8×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,736.53 $2,170.66 2.5×
Sclerotx Fluid Collection (49185) $1,889.97 $2,362.46 1.0×
Scrotal exploration (55110) $1,304.80 $1,631 0.3×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $5,688.90 $7,111.13 1.5×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $32.78–$285.62 $40.97–$357.03 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $43.01–$328.99 $53.76–$411.24 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $30.74–$316.46 $38.42–$395.58 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $280.15 $350.19 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $58.68–$411.72 $73.35–$514.65 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $60.22–$304.58 $75.27–$380.73 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $71.22–$452.78 $89.02–$565.98 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $49.49–$342.51 $61.86–$428.14 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $45.59–$416.01 $56.99–$520.01 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $6,942.50 $8,678.13 1.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $595.58–$702.40 $744.48–$878 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $52.72–$360.80 $65.90–$451 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $391.60–$394.40 $489.50–$493 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $684.91 $856.14 1.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $450.34–$467.20 $562.93–$584 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $42.17–$340.54 $52.71–$425.67 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $684.91–$761.60 $856.14–$952 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $422.40–$450.34 $528–$562.93 varies
Skin Full Grft Face/Genit/Hf (15240) $2,208.74 $2,760.92 1.0×
Skin sub graft face/nk/hf/g (15275) $2,479.30 $3,099.13 3.0×
Skin sub graft trnk/arm/leg (15271) $1,766.05 $2,207.56 2.1×
Skin Tissue Procedure (17999) $541.35 $676.69 2.4×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $6,811.40–$10,217.09 $8,514.25–$12,771.36 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $6,811.40–$10,217.09 $8,514.25–$12,771.36 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $11,139.66–$16,709.51 $13,924.57–$20,886.89 varies
Slitting of prepuce (54001) $5,126.05 $6,407.56 2.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $358.40–$391.60 $448–$489.50 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $517.88–$548.80 $647.35–$686 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $595.58–$630.40 $744.48–$788 varies
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $528.80–$1,428.38 $661–$1,785.48 varies
Strapping hand/finger (29280) $952 $1,190 14.5×
Strapping knee (29530) $540.80 $676 3.7×
Strapping shoulder (29240) $100.80 $126 0.7×
Strapping toes (29550) $60.80 $76 0.9×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $24.65–$656.03 $30.81–$820.04 varies
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $35.99–$769.54 $44.99–$961.93 varies
Tcat Insj/Rpl Perm Ldls Pm (33274) $29,007.64 $36,259.55 1.4×
Tcat Rmvl Perm Ldls Pm (33275) $3,681.98 $4,602.48 1.0×
Therapeutic plasma exchange (36514)
range across 2 matching MRF lines		 $6,965.07–$8,229.88 $8,706.34–$10,287.35 varies
Thrmbc/Nfs Dialysis Circuit (36906) $31,209.03 $39,011.29 1.5×
Thromblytic art/ven therapy (37213) $4,349.25 $5,436.56 1.2×
Thrombolytic Art Therapy (37211) $5,773.52 $7,216.90 0.9×
Thrombolytic Therapy Stroke (37195)
range across 3 matching MRF lines		 $423.20–$454.82 $529–$568.52 varies
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines		 $3,169.48–$4,754.22 $3,961.85–$5,942.77 varies
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,655.42 $4,569.27 1.6×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $5,750.13 $7,187.66 1.6×
Tooth extraction (41899) $397.73 $497.16 1.5×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $6,353.78 $7,942.22 1.8×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $618.40–$1,553.05 $773–$1,941.31 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $1,630.72 $2,038.40 0.9×
Transcatheter biopsy (37200) $6,252.10 $7,815.12 1.0×
Treat Ankle Dislocation (27846) $11,683.14 $14,603.93 1.4×
Treat Dental Ridge Fracture (21440) $6,284.54 $7,855.68 1.7×
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines		 $11,473.70–$11,623.76 $14,342.12–$14,529.70 varies
Treat Hip Socket Fracture (27222) $3,136.80 $3,921 11.4×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $468.95–$1,596 $586.19–$1,995 varies
Treat Humerus Fracture (24505)
range across 3 matching MRF lines		 $1,588.80–$4,138.58 $1,986–$5,173.23 varies
Treat humerus fracture (23600) $1,036.80 $1,296 3.8×
Treat knee fracture (27532)
range across 2 matching MRF lines		 $2,115.20–$4,626.22 $2,644–$5,782.78 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $546.57–$1,065.60 $683.21–$1,332 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $544.09–$850.40 $680.11–$1,063 varies
Treat Thumb Dislocation (26641) $668.11 $835.14 2.4×
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $1,980–$4,199.36 $2,475–$5,249.20 varies
Treat toe dislocation (28630) $546.57 $683.21 2.0×
Treat Vaginal Bleeding (57180) $630.65 $788.31 2.8×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,500.80 $1,876 0.8×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $546.57–$1,155.20 $683.21–$1,444 varies
Treatment of ankle fracture (27823)
likely a partial charge, not the full procedure		 $510.40 $638 0.1×
Trim skin lesion (11055)
range across 4 matching MRF lines		 $14.62–$391.05 $18.28–$488.81 varies
Trim skin lesions 2 to 4 (11056)
range across 4 matching MRF lines		 $21.55–$444.90 $26.94–$556.12 varies
Trim skin lesions over 4 (11057) $391.05 $488.81 1.8×
Trimming Nondystrophic Nails Any Number (11719)
range across 5 matching MRF lines		 $6.32–$166.24 $7.90–$207.80 varies
Trluml Balo Angiop 1St Art (37246) $13,481.03 $16,851.29 2.1×
Trluml Balo Angiop 1St Vein (37248) $13,481.03 $16,851.29 2.1×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $72.80–$680.62 $91–$850.77 varies
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 3 matching MRF lines		 $1,064.80–$7,835.31 $1,331–$9,794.14 varies
Tx Missed Abortion First Trimester Surgical (59820) $4,583.30 $5,729.12 1.3×
Tx Missed Abortion Second Trimester Surgical (59821) $6,216.82 $7,771.03 1.7×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $1,336–$2,106.53 $1,670–$2,633.16 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $1,116.24–$1,880 $1,395.30–$2,350 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $541.60–$800.74 $677–$1,000.93 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $4,199.36 $5,249.20 2.3×
Unlisted procedure anus (46999) $1,499.39 $1,874.24 1.5×
Unlisted procedure humerus/elbow (24999) $240.99 $301.24 0.9×
Unlisted Procedure Intestine (44799) $2,559.13 $3,198.91 2.5×
Unlisted procedure lacrimal system (68899) $84.80 $106 0.2×
Unlisted Procedure Leg/Ankle (27899) $243.58 $304.47 0.9×
Unlisted procedure lungs and pleura (32999) $873.04 $1,091.30 1.3×
Unlisted Procedure Male Genital System (55899) $304 $380 1.1×
Unlisted Procedure Muscskeletal System General (20999) $3,749.40 $4,686.75 13.7×
Unlisted procedure nervous system (64999) $375.59 $469.49 1.1×
Unlisted procedure pelvis/hip joint (27299) $436.32 $545.40 1.6×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $94.40–$397.73 $118–$497.16 varies
Unlisted Procedure Rectum (45999) $847.54 $1,059.42 0.8×
Unlisted procedure stomach (43999) $2,113.01 $2,641.26 2.1×
Unlisted Procedure Tongue Floor Mouth (41599) $397.73 $497.16 1.5×
Unlisted Procedure Trachea Bronchi (31899) $1,904.31 $2,380.39 8.6×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $1,757.44–$2,181.03 $2,196.80–$2,726.29 varies
Unlisted px female genital system nonobstetrical (58999) $600.22 $750.27 2.7×
Unlisted Px Salivary Glands/Ducts (42699) $630.94 $788.68 2.4×
Upgrade of pacemaker system (33214) $40,181.08 $50,226.35 3.5×
Vaginal delivery only (59409)
range across 3 matching MRF lines		 $2,758.40–$6,123.66 $3,448–$7,654.57 varies
Vasc embolize/occlude artery (37242) $20,627.50 $25,784.37 1.0×
Vasc Embolize/Occlude Bleed (37244) $20,627.50 $25,784.37 1.6×
Vasc Embolize/Occlude Organ (37243) $20,627.50 $25,784.37 1.6×
Vasc embolize/occlude venous (37241) $20,627.50 $25,784.37 1.6×
Venous Mech Thrombectomy (37187) $8,553.55 $10,691.94 0.7×
Wedge excision skin nail fold (11765)
range across 4 matching MRF lines		 $91.06–$594.08 $113.82–$742.60 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.