Procedures & surgery prices at St. Luke's Hospital
Chesterfield, MO · every code in this section with a posted price and a Medicare benchmark.
603 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$127.26–$922.09 | $212.10–$1,536.82 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$224.96–$323.94 | $374.94–$539.90 | varies |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) range across 2 matching MRF lines |
$4,125.11–$9,595.58 | $6,875.18–$15,992.63 | varies |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) | $6,177.35 | $10,295.58 | 0.8× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) range across 2 matching MRF lines |
$1,003.86–$1,265.42 | $1,673.10–$2,109.04 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,273.08 | $2,121.80 | 0.6× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,131.72 | $1,886.20 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$1,005.72–$1,330.38 | $1,676.20–$2,217.30 | varies |
| Amputation toe interphalangeal joint (28825) | $211.55 | $352.58 | 0.1× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$47.10–$54.66 | $78.50–$91.10 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) range across 2 matching MRF lines |
$122.22–$708.12 | $203.70–$1,180.20 | varies |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$83.40–$206.88 | $139–$344.80 | varies |
| Application Cast Shoulder Spica (29055) range across 2 matching MRF lines |
$187.80–$196.86 | $313–$328.10 | varies |
| Application finger splint static (29130) range across 6 matching MRF lines |
$33–$130.20 | $55–$217 | varies |
| Application Hip Spica Cast 1 Leg (29305) range across 2 matching MRF lines |
$196.86–$219.60 | $328.10–$366 | varies |
| Application long arm splint shoulder hand (29105) range across 6 matching MRF lines |
$67.62–$175.08 | $112.70–$291.80 | varies |
| Application Long Leg Splint (29505) range across 6 matching MRF lines |
$57.90–$314.40 | $96.50–$524 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$143.22–$254.64 | $238.70–$424.40 | varies |
| Application of rigid total contact leg cast (29445) | $263.40 | $439 | 0.9× |
| Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines |
$47.58–$143.28 | $79.30–$238.80 | varies |
| Application short leg splint calf foot (29515) range across 6 matching MRF lines |
$57.90–$143.28 | $96.50–$238.80 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$87.18–$175.08 | $145.30–$291.80 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$93.60–$254.64 | $156–$424.40 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$90.36–$206.88 | $150.60–$344.80 | varies |
| Arterial puncture (36600) range across 7 matching MRF lines |
$9–$150 | $15–$250 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$50.28–$254.40 | $83.80–$424 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$58.98–$254.64 | $98.30–$424.40 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$71.11–$123 | $118.52–$205 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$52.80–$313.33 | $88–$522.22 | varies |
| Arthroplasty interphalangeal joint each (26535) | $626.52 | $1,044.20 | 0.2× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$234.60–$590.39 | $391–$983.98 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$107.80–$666.67 | $179.66–$1,111.12 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 4 matching MRF lines |
$49.38–$243.42 | $82.30–$405.70 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $97.80 | $163 | 0.1× |
| Aspiration bladder insert suprapubic catheter (51102) | $1,469.64 | $2,449.40 | 0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 7 matching MRF lines |
$76.80–$180 | $128–$300 | varies |
| Biopsy bone open deep (20245) | $418.75 | $697.92 | 0.1× |
| Biopsy bone open superficial (20240) | $169.68 | $282.80 | 0.1× |
| Biopsy muscle percutaneous needle (20206) | $116.40 | $194 | 0.1× |
| Biopsy of liver, needle; percutaneous (47000) | $191.40 | $319 | 0.1× |
| Biopsy soft tissue neck/thorax (21550) | $306.60 | $511 | 0.2× |
| Bladder instillation anticarcinogenic agent (51720) | $704.72 | $1,174.54 | 1.0× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$82.14–$226.80 | $136.90–$378 | varies |
| Bladder Scan (51798) range across 3 matching MRF lines |
$10.62–$113.76 | $17.70–$189.60 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 4 matching MRF lines |
$158.52–$329.79 | $264.20–$549.65 | varies |
| Blood Transfusion Service (36430) range across 6 matching MRF lines |
$68.76–$600 | $114.60–$1,000 | varies |
| Bone Marrow Biopsy (38221) | $326.16 | $543.60 | 0.2× |
| Bronchoscopy Clear Airways (31645) range across 2 matching MRF lines |
$310.20–$1,150.86 | $517–$1,918.10 | varies |
| Bronchoscopy W/Removal Foreign Body (31635) | $231.60 | $386 | 0.1× |
| Bx breast 1st lesion mr imag (19085) | $429 | $715 | 0.3× |
| Bx breast 1st lesion strtctc (19081) | $392.40 | $654 | 0.2× |
| Bx breast 1st lesion us imag (19083) | $367.20 | $612 | 0.2× |
| Ca vi psp&sp1 igg igm&iga antb cl semiql blood (0522U) | $222 | $370 | 0.9× |
| Catheter aspiration nasotracheal spx (31720) | $93.60 | $156 | 0.4× |
| Cerclage cervix pregnancy vaginal (59320) | $187.63 | $312.72 | 0.1× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$90.36–$220.20 | $150.60–$367 | varies |
| Change of Windpipe Airway (31502) | $61.08 | $101.80 | 0.3× |
| Chemical Cautery Tissue (17250) range across 6 matching MRF lines |
$88.20–$200.37 | $147–$333.95 | varies |
| Chest tube placement (32551) range across 5 matching MRF lines |
$173.76–$556.98 | $289.60–$928.30 | varies |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$132.60–$175.08 | $221–$291.80 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $473.58 | $789.30 | 0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$645.60–$1,273.08 | $1,076–$2,121.80 | varies |
| Clear outer ear canal (69200) range across 8 matching MRF lines |
$62.22–$105 | $103.70–$175 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 4 matching MRF lines |
$152.88–$354.54 | $254.80–$590.90 | varies |
| Closed Treat Vert Body Fract (22310) | $159.24 | $265.40 | 0.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$159.24–$525.12 | $265.40–$875.20 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$152.88–$598.32 | $254.80–$997.20 | varies |
| Closed Treatment Sesamoid Fracture (28530) range across 3 matching MRF lines |
$139.38–$159.24 | $232.30–$265.40 | varies |
| Closed Treatment Sternum Fracture (21820) range across 3 matching MRF lines |
$159.24–$271.14 | $265.40–$451.90 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 4 matching MRF lines |
$152.88–$352.62 | $254.80–$587.70 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$159.24–$579.24 | $265.40–$965.40 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 5 matching MRF lines |
$222.78–$1,653.16 | $371.30–$2,755.26 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 4 matching MRF lines |
$190.98–$369.18 | $318.30–$615.30 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
$152.88–$523.86 | $254.80–$873.10 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 4 matching MRF lines |
$152.88–$287.10 | $254.80–$478.50 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $546.78 | $911.30 | 0.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$159.24–$323.34 | $265.40–$538.90 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 3 matching MRF lines |
$159.24–$631.44 | $265.40–$1,052.40 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 4 matching MRF lines |
$159.24–$606 | $265.40–$1,010 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $628.26 | $1,047.10 | 0.4× |
| Closed tx mandibular fracture w/manipulation (21451) | $731.40 | $1,219 | 0.5× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $165.72 | $276.20 | 0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$159.24–$250.14 | $265.40–$416.90 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 4 matching MRF lines |
$152.88–$756.84 | $254.80–$1,261.40 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 3 matching MRF lines |
$165.72–$186.48 | $276.20–$310.80 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$559.20–$1,102.86 | $932–$1,838.10 | varies |
| Closed Tx Nasomaxillary Complex Fracture (21345) range across 3 matching MRF lines |
$861.24–$1,554.06 | $1,435.40–$2,590.10 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,072.56 | $1,787.60 | 4.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 4 matching MRF lines |
$159.24–$487.56 | $265.40–$812.60 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$159.24–$357.72 | $265.40–$596.20 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$152.88–$521.94 | $254.80–$869.90 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$159.24–$277.56 | $265.40–$462.60 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 4 matching MRF lines |
$222.78–$1,653.16 | $371.30–$2,755.26 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$159.24–$291.54 | $265.40–$485.90 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$222.78–$634.02 | $371.30–$1,056.70 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$159.24–$353.28 | $265.40–$588.80 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$159.24–$289.62 | $265.40–$482.70 | varies |
| Closed tx septal&nose fx (21337) range across 3 matching MRF lines |
$346.26–$1,071.66 | $577.10–$1,786.10 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $422.64 | $704.40 | 1.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 3 matching MRF lines |
$159.24–$222.78 | $265.40–$371.30 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) | $406.14 | $676.90 | 0.3× |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$159.24–$262.26 | $265.40–$437.10 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 3 matching MRF lines |
$159.24–$255.24 | $265.40–$425.40 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 4 matching MRF lines |
$82.74–$184.80 | $137.90–$308 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$554.40–$1,647.82 | $924–$2,746.36 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
$159.24–$318.30 | $265.40–$530.50 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$159.24–$279.42 | $265.40–$465.70 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 4 matching MRF lines |
$165.72–$261.61 | $276.20–$436.02 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 4 matching MRF lines |
$383.82–$559.20 | $639.70–$932 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $368.58 | $614.30 | 1.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 4 matching MRF lines |
$152.88–$258.42 | $254.80–$430.70 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 4 matching MRF lines |
$159.24–$1,273.08 | $265.40–$2,121.80 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$152.88–$159.24 | $254.80–$265.40 | varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) range across 3 matching MRF lines |
$180.78–$559.20 | $301.30–$932 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 3 matching MRF lines |
$159.24–$613.62 | $265.40–$1,022.70 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
$254.64–$543.74 | $424.40–$906.24 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 3 matching MRF lines |
$159.24–$276.90 | $265.40–$461.50 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) range across 4 matching MRF lines |
$152.88–$681.72 | $254.80–$1,136.20 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 5 matching MRF lines |
$165.48–$544.86 | $275.80–$908.10 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 3 matching MRF lines |
$159.24–$261 | $265.40–$435 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
$152.88–$477.42 | $254.80–$795.70 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 4 matching MRF lines |
$152.88–$331.62 | $254.80–$552.70 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 4 matching MRF lines |
$152.88–$372.36 | $254.80–$620.60 | varies |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $159.24 | $265.40 | 0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$255.60–$519.42 | $426–$865.70 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$159.24–$350.10 | $265.40–$583.50 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 4 matching MRF lines |
$159.24–$345 | $265.40–$575 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$159.24–$208.14 | $265.40–$346.90 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$159.24–$394.02 | $265.40–$656.70 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 5 matching MRF lines |
$621.71–$1,715.13 | $1,036.18–$2,858.55 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$152.88–$952.92 | $254.80–$1,588.20 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 3 matching MRF lines |
$159.24–$649.92 | $265.40–$1,083.20 | varies |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,044.54 | $1,740.90 | 0.6× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 3 matching MRF lines |
$159.24–$610.44 | $265.40–$1,017.40 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,084.02 | $1,806.70 | 0.7× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 5 matching MRF lines |
$159.24–$203.04 | $265.40–$338.40 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$150.84–$159.24 | $251.40–$265.40 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 4 matching MRF lines |
$165.48–$186.48 | $275.80–$310.80 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$159.24–$180.12 | $265.40–$300.20 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$657–$1,270.86 | $1,095–$2,118.10 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
$159.24–$305.52 | $265.40–$509.20 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $159.24 | $265.40 | 0.6× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 3 matching MRF lines |
$159.24–$468.48 | $265.40–$780.80 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $925.50 | $1,542.50 | 0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$165.48–$647.34 | $275.80–$1,078.90 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
$159.24–$371.10 | $265.40–$618.50 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $665.16 | $1,108.60 | 0.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $635.28 | $1,058.80 | 0.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$159.24–$339.90 | $265.40–$566.50 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 3 matching MRF lines |
$159.24–$610.44 | $265.40–$1,017.40 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 6 matching MRF lines |
$142.56–$159.24 | $237.60–$265.40 | varies |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) range across 3 matching MRF lines |
$104.58–$1,278.18 | $174.30–$2,130.30 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 6 matching MRF lines |
$184.62–$376.86 | $307.70–$628.10 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$152.88–$600.90 | $254.80–$1,001.50 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$159.24–$462.78 | $265.40–$771.30 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$181.44–$414.36 | $302.40–$690.60 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$159.24–$320.82 | $265.40–$534.70 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 5 matching MRF lines |
$159.24–$389.58 | $265.40–$649.30 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$159.24–$258.42 | $265.40–$430.70 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$873.96–$925.50 | $1,456.60–$1,542.50 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 4 matching MRF lines |
$165.48–$687.48 | $275.80–$1,145.80 | varies |
| Cltx prox fibula/shft fx w/manj (27781) | $516.24 | $860.40 | 0.3× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$159.24–$410.58 | $265.40–$684.30 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$571.62–$1,273.08 | $952.70–$2,121.80 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 3 matching MRF lines |
$159.24–$432.24 | $265.40–$720.40 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 8 matching MRF lines |
$115.80–$165.48 | $193–$275.80 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) range across 3 matching MRF lines |
$159.24–$708.48 | $265.40–$1,180.80 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 4 matching MRF lines |
$159.24–$522.60 | $265.40–$871 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 4 matching MRF lines |
$681.72–$1,620.26 | $1,136.20–$2,700.44 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 5 matching MRF lines |
$159.24–$1,491.60 | $265.40–$2,486 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$159.24–$427.74 | $265.40–$712.90 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,096.14 | $1,826.90 | 0.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 3 matching MRF lines |
$159.24–$652.44 | $265.40–$1,087.40 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 3 matching MRF lines |
$159.24–$248.88 | $265.40–$414.80 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$159.24–$466.56 | $265.40–$777.60 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $159.24 | $265.40 | 0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 4 matching MRF lines |
$159.24–$753.66 | $265.40–$1,256.10 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$159.24–$440.46 | $265.40–$734.10 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $62.88 | $104.80 | 0.5× |
| Collection of venous blood by venipuncture (36415) range across 7 matching MRF lines |
$4.80–$15.12 | $8–$25.20 | varies |
| Colonoscopy Flexible With Decompression (45393) | $280.62 | $467.70 | 0.2× |
| Colonoscopy w/fb removal (45379) range across 2 matching MRF lines |
$374.94–$760.86 | $624.90–$1,268.10 | varies |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $289.03 | $481.72 | 0.2× |
| Complex drainage wound (10180) range across 6 matching MRF lines |
$204–$3,248.82 | $340–$5,414.70 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 7 matching MRF lines |
$93.37–$144.48 | $155.62–$240.80 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 8 matching MRF lines |
$67.51–$186 | $112.52–$310 | varies |
| Control oropharyngeal hemorrhage simple (42960) range across 2 matching MRF lines |
$127.32–$238.08 | $212.20–$396.80 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,003.12 | $3,338.53 | 1.2× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) | $865.22 | $1,442.04 | 0.2× |
| Correction of trichiasis; epilation, by forceps only (67820) | $99.84 | $166.40 | 0.7× |
| Csf shunt reprogram (62252) | $76.50 | $127.50 | 0.2× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) | $530.22 | $883.70 | 2.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 6 matching MRF lines |
$174.78–$205.62 | $291.30–$342.70 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 6 matching MRF lines |
$127.32–$239.51 | $212.20–$399.18 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,469.60 | $4,116 | 1.2× |
| Cystourethroscopy (52000) | $732.72 | $1,221.20 | 1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$443.34–$540 | $738.90–$900 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 3 matching MRF lines |
$425.70–$490.14 | $709.50–$816.90 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) range across 3 matching MRF lines |
$357.72–$809.10 | $596.20–$1,348.50 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 9 matching MRF lines |
$235.32–$378.42 | $392.20–$630.70 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$58.02–$63.08 | $96.70–$105.14 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$58.02–$63 | $96.70–$105 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 6 matching MRF lines |
$270.29–$732.96 | $450.48–$1,221.60 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 9 matching MRF lines |
$82.80–$243.06 | $138–$405.10 | varies |
| Declot vascular device (36593) range across 3 matching MRF lines |
$225.60–$268.20 | $376–$447 | varies |
| Decompress Fingers/Hand (26035) | $1,042.56 | $1,737.60 | 0.3× |
| Decompressive fasciotomy hand (26037) | $1,642.80 | $2,738 | 0.5× |
| Delivery of placenta (59414) | $109.50 | $182.50 | 0.0× |
| Derma-fat-fascia graft (15770) | $505.26 | $842.10 | 0.1× |
| Destruction of skin lesions (17106) | $208.14 | $346.90 | 0.5× |
| Diagnostic sigmoidoscopy (45330) | $64.38 | $107.30 | 0.1× |
| Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$89.70–$115.86 | $149.50–$193.10 | varies |
| Dilation Esophagus Guide Wire (43453) | $125.40 | $209 | 0.1× |
| Drain Spinal Cord Cyst (62268) | $376.39 | $627.32 | 0.4× |
| Drainage abscess parotid simple (42300) | $172.20 | $287 | 0.1× |
| Drainage external ear abscess/hematoma cmplx (69005) range across 3 matching MRF lines |
$218.34–$1,068.30 | $363.90–$1,780.50 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 6 matching MRF lines |
$133.62–$300 | $222.70–$500 | varies |
| Drainage Finger Abscess Complicated (26011) range across 3 matching MRF lines |
$255.90–$778.14 | $426.50–$1,296.90 | varies |
| Drainage of finger abscess simple (26010) range across 6 matching MRF lines |
$144.84–$247.62 | $241.40–$412.70 | varies |
| Drainage of gum lesion (41800) range across 6 matching MRF lines |
$135.60–$184.80 | $226–$308 | varies |
| Drainage of hematoma/fluid (10140) range across 10 matching MRF lines |
$134.70–$1,602.49 | $224.50–$2,670.82 | varies |
| Drainage of scrotal wall abscess (55100) range across 4 matching MRF lines |
$204.96–$1,448.52 | $341.60–$2,414.20 | varies |
| Drainage of scrotum (54700) | $299.82 | $499.70 | 0.1× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$20.88–$120 | $34.80–$200 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) range across 2 matching MRF lines |
$451.92–$768.30 | $753.20–$1,280.50 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 4 matching MRF lines |
$162.30–$184.80 | $270.50–$308 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 7 matching MRF lines |
$155.28–$190.98 | $258.80–$318.30 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 8 matching MRF lines |
$135.84–$159.78 | $226.40–$266.30 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 8 matching MRF lines |
$65.46–$195.60 | $109.10–$326 | varies |
| Dx Bronchoscope/Lavage (31624) range across 3 matching MRF lines |
$181.80–$1,045.86 | $303–$1,743.10 | varies |
| Dx Bronchoscope/Wash (31622) range across 3 matching MRF lines |
$178.80–$1,132.50 | $298–$1,887.50 | varies |
| Dx Laryngoscopy Excl Nb (31525) range across 2 matching MRF lines |
$247.62–$2,763.29 | $412.70–$4,605.48 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $171.79 | $286.32 | 0.1× |
| Egd control bleeding any (43255) | $223.96 | $373.26 | 0.1× |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$197.53–$270.54 | $329.22–$450.90 | varies |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$224.54–$344.34 | $374.24–$573.90 | varies |
| Egd Varices Ligation (43244) | $273.12 | $455.20 | 0.1× |
| Endoscopy Upper Small Intestine (44360) | $160.42 | $267.36 | 0.1× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $399.72 | $666.20 | 0.2× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) | $270.54 | $450.90 | 0.1× |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$206.60–$466.08 | $344.34–$776.80 | varies |
| Episiotomy or vaginal repair (59300) | $176.15 | $293.58 | 0.1× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $4,947 | $8,245 | 0.8× |
| Ercp duct stent placement (43274) likely a partial charge, not the full procedure |
$514.80 | $858 | 0.1× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $359.35 | $598.92 | 0.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $405.88 | $676.46 | 0.1× |
| Ercp,Sphincterotomy (43262) | $397.55 | $662.58 | 0.1× |
| Escharotomy; initial incision (16035) | $308.10 | $513.50 | 0.8× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $169.98 | $283.30 | 0.1× |
| Esophagoscopy Flexible W/Bleeding Control (43227) | $284.52 | $474.20 | 0.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $213.90 | $356.50 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 6 matching MRF lines |
$34.62–$90 | $57.70–$150 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 5 matching MRF lines |
$148.42–$747.88 | $247.36–$1,246.46 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $142.56 | $237.60 | 0.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $158.51 | $264.18 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
$89.82–$462.78 | $149.70–$771.30 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 6 matching MRF lines |
$67.50–$140.64 | $112.50–$234.40 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$139.62–$462.78 | $232.70–$771.30 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $368.69 | $614.48 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$171.47–$799.73 | $285.78–$1,332.88 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $379.72 | $632.86 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $140.70 | $234.50 | 0.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 5 matching MRF lines |
$106.02–$357.72 | $176.70–$596.20 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$138.07–$645.60 | $230.12–$1,076 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $195.41 | $325.68 | 0.1× |
| Excision Lingual Frenum Frenectomy (41115) | $199.80 | $333 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $253.42 | $422.36 | 0.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $336.72 | $561.20 | 0.2× |
| Exploration penetrating wound spx chest (20101) | $280.74 | $467.90 | 0.1× |
| Exploration penetrating wound spx extremity (20103) range across 5 matching MRF lines |
$330–$500.94 | $550–$834.90 | varies |
| Exploration Penetrating Wound Spx Neck (20100) | $838.32 | $1,397.20 | 1.6× |
| External cephalic version (59412) | $129.60 | $216 | 0.0× |
| Fetal non-stress test (59025) range across 5 matching MRF lines |
$36.60–$394.56 | $61–$657.60 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $246 | $410 | 0.3× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) | $157.80 | $263 | 0.2× |
| Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines |
$101.82–$176.40 | $169.70–$294 | varies |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $202.80 | $338 | 0.3× |
| Fna bx w/us gdn 1st les (10005) range across 4 matching MRF lines |
$87.14–$157.80 | $145.24–$263 | varies |
| Foreskin manipulation (54450) | $104.49 | $174.15 | 0.4× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$226.62–$234 | $377.70–$390 | varies |
| I&d abscess simple (10060) range across 10 matching MRF lines |
$99.54–$300.38 | $165.90–$500.64 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $2,659.12 | $4,431.86 | 0.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $4,106.18 | $6,843.63 | 1.3× |
| I&d perianal abscess superficial (46050) range across 6 matching MRF lines |
$97.38–$390 | $162.30–$650 | varies |
| I&d pilonidal cyst complicated (10081) range across 6 matching MRF lines |
$188.82–$1,068.30 | $314.70–$1,780.50 | varies |
| I&d pilonidal cyst simple (10080) range across 6 matching MRF lines |
$107.10–$144.84 | $178.50–$241.40 | varies |
| Icd Pocket Revision (33223) | $1,550.22 | $2,583.70 | 0.8× |
| Image Cath Fluid Colxn Visc (49405) range across 2 matching MRF lines |
$1,854.93–$2,058.90 | $3,091.55–$3,431.50 | varies |
| Incise external hemorrhoid (46083) range across 6 matching MRF lines |
$111.48–$369.66 | $185.80–$616.10 | varies |
| Incise/Drain Conjunctiva (68020) | $1,201.38 | $2,002.30 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 8 matching MRF lines |
$187.20–$321 | $312–$535 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 6 matching MRF lines |
$215.34–$1,333.08 | $358.90–$2,221.80 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 8 matching MRF lines |
$103.86–$644.89 | $173.10–$1,074.81 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 4 matching MRF lines |
$137.52–$211.56 | $229.20–$352.60 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 6 matching MRF lines |
$123.36–$211.56 | $205.60–$352.60 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $246 | $410 | 0.2× |
| Incision of rectal abscess (46040) range across 4 matching MRF lines |
$602.82–$1,607.88 | $1,004.70–$2,679.80 | varies |
| Incision of urethra (53020) | $322.08 | $536.80 | 0.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$189.98–$1,189.08 | $316.64–$1,981.80 | varies |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$357–$366.60 | $595–$611 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 6 matching MRF lines |
$55.74–$82.14 | $92.90–$136.90 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $229.80 | $383 | 0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $237 | $395 | 0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $61.80 | $103 | 0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$238.68–$726.30 | $397.80–$1,210.50 | varies |
| Injection single tendon origin/insertion (20551) | $88.20 | $147 | 0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
$61.08–$276.06 | $101.80–$460.10 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$87–$276.06 | $145–$460.10 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $182.78 | $304.63 | 0.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 7 matching MRF lines |
$85.44–$350.10 | $142.40–$583.50 | varies |
| Ins cath ren art 1st bilat (36252) | $5,112 | $8,520 | 1.6× |
| Ins cath ren art 1st unilat (36251) | $1,545 | $2,575 | 0.5× |
| Ins cath ren art 2nd+ bilat (36254) | $1,545 | $2,575 | 0.5× |
| Ins cath ren art 2nd+ unilat (36253) likely a partial charge, not the full procedure |
$1,545 | $2,575 | 0.3× |
| Ins endovas vena cava filtr (37191) | $7,680.42 | $12,800.70 | 1.4× |
| Ins Vag Brachytx Device (57156) | $625.68 | $1,042.80 | 2.0× |
| Ins/Rep Subq Defibrillator (33270) | $36,617.40 | $61,029 | 1.2× |
| Insert 1 Electrode Pm-Defib (33216) | $4,988.40 | $8,314 | 0.6× |
| Insert Bladder Cath Complex (51703) range across 4 matching MRF lines |
$113.94–$127.32 | $189.90–$212.20 | varies |
| Insert cath pleura w/o image (32556) | $1,785.90 | $2,976.50 | 0.9× |
| Insert cervical dilator (59200) | $43.71 | $72.85 | 0.1× |
| Insert Heart Pm Atrial (33206) unusually low: confirm this is the full procedure |
$4,986.42 | $8,310.70 | 0.5× |
| Insert Heart Pm Ventricular (33207) range across 2 matching MRF lines |
$5,913.36–$5,913.60 | $9,855.60–$9,856 | varies |
| Insert non-tunnel cv cath (36556) range across 5 matching MRF lines |
$229.14–$900.72 | $381.90–$1,501.20 | varies |
| Insert Pacing Lead & Connect (33224) unusually low: confirm this is the full procedure |
$4,417.98 | $7,363.30 | 0.4× |
| Insert pulse gen dual leads (33213) | $5,268.60 | $8,781 | 0.5× |
| Insert pulse gen mult leads (33221) likely a partial charge, not the full procedure |
$4,820.40 | $8,034 | 0.2× |
| Insert Pulse Gen Sngl Lead (33212) range across 2 matching MRF lines |
$4,945.50–$4,945.80 | $8,242.50–$8,243 | varies |
| Insert Temp Bladder Cath (51702) range across 9 matching MRF lines |
$51.54–$199.62 | $85.90–$332.70 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 6 matching MRF lines |
$32.09–$187.20 | $53.49–$312 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$468–$1,309.80 | $780–$2,183 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$6,000–$6,600 | $10,000–$11,000 | varies |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $4,816.38 | $8,027.30 | 0.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$192.24–$731.64 | $320.40–$1,219.40 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$112.31–$138.12 | $187.18–$230.20 | varies |
| Insj Subq Impltbl Dfb Elctrd (33271) | $9,406.84 | $15,678.06 | 1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $311.75 | $519.58 | 0.1× |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 4 matching MRF lines |
$8,519.22–$13,735.44 | $14,198.70–$22,892.40 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 6 matching MRF lines |
$4,735.38–$9,406.81 | $517.70–$15,678.02 | varies |
| Insrt heart pm atrial & vent (33208) range across 2 matching MRF lines |
$7,180.80–$7,898.88 | $11,968–$13,164.80 | varies |
| Insrt Pulse Gen W/Dual Leads (33230) unusually low: confirm this is the full procedure |
$7,325.16 | $12,208.60 | 0.3× |
| Insrt Pulse Gen W/Mult Leads (33231) likely a partial charge, not the full procedure |
$7,325.16 | $12,208.60 | 0.2× |
| Insrt Pulse Gen W/Singl Lead (33240) range across 3 matching MRF lines |
$4,945.50–$7,874.40 | $8,242.50–$13,124 | varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $2,961.07 | $4,935.12 | 1.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 5 matching MRF lines |
$152.16–$371.76 | $253.60–$619.60 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 5 matching MRF lines |
$152.16–$486.30 | $253.60–$810.50 | varies |
| Intraoral i&d tongue/floor lingual (41000) range across 3 matching MRF lines |
$149.58–$1,071.66 | $249.30–$1,786.10 | varies |
| Intraoral i&d tongue/floor sublngl supfc (41005) range across 3 matching MRF lines |
$163.62–$165.72 | $272.70–$276.20 | varies |
| Intraoral i&d tongue/floor submental space (41007) | $1,071.66 | $1,786.10 | 0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) | $1,071.66 | $1,786.10 | 0.3× |
| Intubation endotracheal emergency procedure (31500) range across 9 matching MRF lines |
$136.20–$300 | $227–$500 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $204.30 | $340.50 | 0.8× |
| Laryngoscopy diagnostic (31505) | $67.50 | $112.50 | 0.3× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$138.12–$160.86 | $230.20–$268.10 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $181.44 | $302.40 | 0.9× |
| Laryngoscopy W/Foreign Body Removal (31530) range across 2 matching MRF lines |
$372.36–$1,842.19 | $620.60–$3,070.32 | varies |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $132.08 | $220.14 | 0.3× |
| Late closure of wound (13160) | $1,017.18 | $1,695.30 | 0.3× |
| Maternity Care Procedure (59899) range across 4 matching MRF lines |
$63.60–$188.40 | $106–$314 | varies |
| Myelography Lumbar Injection (62305) | $276 | $460 | 0.4× |
| Myelography Lumbar Injection (62304) | $263.40 | $439 | 0.3× |
| Myelography via lumbar injection rs&i cervical (62302) | $268.20 | $447 | 0.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $271.80 | $453 | 0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $195 | $325 | 0.3× |
| N block inj intercost sng (64420) | $131.40 | $219 | 0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$59.22–$118.20 | $98.70–$197 | varies |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $282.86 | $471.44 | 1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,020 | $1,700 | 2.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 6 matching MRF lines |
$33–$201.48 | $55–$335.80 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $196.20 | $327 | 0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,302.68 | $2,171.13 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $202.80 | $338 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $1,302.68 | $2,171.13 | 1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $184.80 | $308 | 0.3× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$89.20–$136.20 | $148.66–$227 | varies |
| Open treatment metacarpophalangeal dislocation (26715) | $688.80 | $1,148 | 0.2× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $570.30 | $950.50 | 0.2× |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) | $1,659.48 | $2,765.80 | 0.5× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) range across 2 matching MRF lines |
$901.20–$2,985.60 | $1,502–$4,976 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$486.96–$3,367.62 | $811.60–$5,612.70 | varies |
| Open tx interphalangeal joint dislocation (26785) | $478.84 | $798.06 | 0.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $739.02 | $1,231.70 | 0.2× |
| Open/Perq Place Stent 1St (37236) range across 2 matching MRF lines |
$10,180.98–$11,497.20 | $16,968.30–$19,162 | varies |
| Open/Perq Place Stent Same (37238) | $10,171.20 | $16,952 | 0.9× |
| Partial removal of fibula (27641) | $794.46 | $1,324.10 | 0.2× |
| Penile Injection (54235) range across 3 matching MRF lines |
$86.27–$259.20 | $143.78–$432 | varies |
| Percut Drain/Inject Renal Cyst (50390) | $180.60 | $301 | 0.3× |
| Pericardiocentesis W/Imaging (33016) range across 6 matching MRF lines |
$176.94–$2,336.40 | $294.90–$3,894 | varies |
| Perq dev breast 1st us imag (19285) | $187.20 | $312 | 0.3× |
| Perq device breast 1st imag (19281) | $219 | $365 | 0.1× |
| Place Cath Thoracic Aorta (36221) | $4,721.25 | $7,868.75 | 1.5× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$57.90–$160.44 | $96.50–$267.40 | varies |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $4,874.03 | $8,123.38 | 0.8× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $58.56 | $97.60 | 0.1× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $117.12 | $195.20 | 0.0× |
| Punch biopsy skin single lesion (11104) | $200.40 | $334 | 0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 11 matching MRF lines |
$107.22–$429.92 | $178.70–$716.54 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
$72–$699.60 | $120–$1,166 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $988.35 | $1,647.25 | 1.4× |
| Reconstruct Finger Joint (26548) | $1,669.26 | $2,782.10 | 0.5× |
| Relocation Pocket Pacemaker (33222) | $1,550.22 | $2,583.70 | 0.8× |
| Rem Endovas Vena Cava Filter (37193) | $4,200 | $7,000 | 1.3× |
| Removal Embedded Foreign Body Eyelid (67938) | $125.88 | $209.80 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 5 matching MRF lines |
$163.98–$368.82 | $273.30–$614.70 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
$177.23–$1,664.59 | $295.38–$2,774.32 | varies |
| Removal Foreign Body Scrotum (55120) | $448.14 | $746.90 | 0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 6 matching MRF lines |
$15–$94.68 | $25–$157.80 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 7 matching MRF lines |
$40.02–$76.05 | $66.70–$126.75 | varies |
| Removal of foreign body from pharynx (42809) range across 4 matching MRF lines |
$70.02–$237.60 | $116.70–$396 | varies |
| Removal of ischial bursa (27060) likely a partial charge, not the full procedure |
$565.80 | $943 | 0.1× |
| Removal of nail bed (11750) range across 8 matching MRF lines |
$183.96–$366.60 | $306.60–$611 | varies |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$67.50–$175.08 | $112.50–$291.80 | varies |
| Removal Pacemaker Electrode (33235) range across 2 matching MRF lines |
$1,948.20–$2,143.20 | $3,247–$3,572 | varies |
| Removal ppm generator only (33233) range across 2 matching MRF lines |
$2,308.08–$2,539.20 | $3,846.80–$4,232 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 6 matching MRF lines |
$70.32–$180 | $117.20–$300 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
$1,401.60–$1,402.50 | $2,336–$2,337.50 | varies |
| Removal tong/halo applied by another individual (20665) | $128.66 | $214.43 | 0.3× |
| Remove Elctrd Transvenously (33244) | $1,948.44 | $3,247.40 | 0.5× |
| Remove foreign body from eye (65205) range across 6 matching MRF lines |
$47.10–$159.12 | $78.50–$265.20 | varies |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$148.02–$264.48 | $246.70–$440.80 | varies |
| Remove intrvas foreign body (37197) | $2,833.02 | $4,721.70 | 0.9× |
| Remove Nasal Foreign Body (30300) range across 7 matching MRF lines |
$70.02–$197.94 | $116.70–$329.90 | varies |
| Remove Pulse Generator (33241) range across 3 matching MRF lines |
$2,308.08–$4,073.83 | $3,846.80–$6,789.72 | varies |
| Remove&replace pm gen singl (33227) | $5,290.08 | $8,816.80 | 0.6× |
| Remv&replc cvd gen dual lead (33263) range across 2 matching MRF lines |
$9,216.84–$11,700.72 | $15,361.40–$19,501.20 | varies |
| Remv&replc cvd gen mult lead (33264) unusually low: confirm this is the full procedure |
$10,452.84 | $17,421.40 | 0.3× |
| Remv&replc cvd gen sing lead (33262) unusually low: confirm this is the full procedure |
$9,216.84 | $15,361.40 | 0.4× |
| Remv&replc pm gen dual lead (33228) range across 2 matching MRF lines |
$5,932.80–$6,526.20 | $9,888–$10,877 | varies |
| Remv&replc pm gen mult leads (33229) unusually low: confirm this is the full procedure |
$6,651.54 | $11,085.90 | 0.3× |
| Renal Biopsy Perq (50200) | $279.60 | $466 | 0.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $1,144.50 | $1,907.50 | 0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 6 matching MRF lines |
$222.78–$522.60 | $371.30–$871 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 6 matching MRF lines |
$364.14–$564 | $606.90–$940 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 6 matching MRF lines |
$222.78–$445.56 | $371.30–$742.60 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 6 matching MRF lines |
$254.64–$691.26 | $424.40–$1,152.10 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 7 matching MRF lines |
$152.16–$1,004.24 | $253.60–$1,673.73 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 7 matching MRF lines |
$254.64–$1,004.24 | $424.40–$1,673.73 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 5 matching MRF lines |
$127.98–$301.74 | $213.30–$502.90 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 5 matching MRF lines |
$309.48–$406.26 | $515.80–$677.10 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 3 matching MRF lines |
$903.90–$1,591.38 | $1,506.50–$2,652.30 | varies |
| Repair Eyelid Wound (67935) | $1,201.38 | $2,002.30 | 0.5× |
| Repair Finger/Hand Tendon (26350) | $1,791.30 | $2,985.50 | 0.5× |
| Repair Hand Joint (26540) range across 2 matching MRF lines |
$1,014.66–$2,704.13 | $1,691.10–$4,506.88 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$907.08–$1,390.26 | $1,511.80–$2,317.10 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 6 matching MRF lines |
$185.58–$312.60 | $309.30–$521 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 6 matching MRF lines |
$198–$291.54 | $330–$485.90 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 6 matching MRF lines |
$152.16–$324.66 | $253.60–$541.10 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 6 matching MRF lines |
$190.98–$357.72 | $318.30–$596.20 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 5 matching MRF lines |
$345.72–$554.40 | $576.20–$924 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 5 matching MRF lines |
$152.16–$336.12 | $253.60–$560.20 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 6 matching MRF lines |
$159.12–$246.36 | $265.20–$410.60 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 6 matching MRF lines |
$175.08–$290.88 | $291.80–$484.80 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 6 matching MRF lines |
$137.88–$266.70 | $229.80–$444.50 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 5 matching MRF lines |
$372.24–$441.12 | $620.40–$735.20 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 7 matching MRF lines |
$267.30–$366 | $445.50–$610 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 8 matching MRF lines |
$148.80–$218.94 | $248–$364.90 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 9 matching MRF lines |
$175.08–$455.90 | $291.80–$759.84 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 6 matching MRF lines |
$152.16–$378.72 | $253.60–$631.20 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 7 matching MRF lines |
$209.40–$366.60 | $349–$611 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 5 matching MRF lines |
$370.62–$439.86 | $617.70–$733.10 | varies |
| Repair Laceration Palate </2 Cm (42180) | $285.78 | $476.30 | 0.5× |
| Repair Lead Pace-Defib One (33218) | $3,918.38 | $6,530.64 | 1.0× |
| Repair of nail bed (11760) range across 6 matching MRF lines |
$152.16–$233.64 | $253.60–$389.40 | varies |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $500.34 | $833.90 | 0.2× |
| Repair tongue laceration (41252) range across 3 matching MRF lines |
$325.92–$559.20 | $543.20–$932 | varies |
| Repair tongue laceration (41250) range across 6 matching MRF lines |
$154.20–$210 | $257–$350 | varies |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $3,421.82 | $5,703.04 | 0.9× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$187.14–$763.86 | $311.90–$1,273.10 | varies |
| Reposition L Ventric Lead (33226) | $1,948.44 | $3,247.40 | 0.6× |
| Reposition Pacing-Defib Lead (33215) range across 2 matching MRF lines |
$2,308.08–$2,308.20 | $3,846.80–$3,847 | varies |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) | $6,840.90 | $11,401.50 | 1.2× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) | $6,840.90 | $11,401.50 | 1.2× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) | $22,033.48 | $36,722.46 | 1.2× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) | $22,033.48 | $36,722.46 | 1.2× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) | $13,875.40 | $23,125.66 | 1.2× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) | $13,875.40 | $23,125.66 | 1.2× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) | $6,840.90 | $11,401.50 | 1.2× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) | $6,840.90 | $11,401.50 | 1.2× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) | $13,875.40 | $23,125.66 | 1.2× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) | $13,875.40 | $23,125.66 | 1.2× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) | $13,875.40 | $23,125.66 | 1.2× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) | $13,875.40 | $23,125.66 | 1.2× |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) | $22,033.48 | $36,722.46 | 1.2× |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) | $22,033.48 | $36,722.46 | 1.2× |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) | $22,033.48 | $36,722.46 | 1.2× |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) | $22,033.48 | $36,722.46 | 1.2× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) | $22,033.48 | $36,722.46 | 1.2× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) | $22,033.48 | $36,722.46 | 1.2× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $2,466.99 | $4,111.65 | 1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 5 matching MRF lines |
$54.30–$211.98 | $90.50–$353.30 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 6 matching MRF lines |
$55.74–$150 | $92.90–$250 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 6 matching MRF lines |
$61.68–$159.12 | $102.80–$265.20 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 4 matching MRF lines |
$57.36–$125.88 | $95.60–$209.80 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $565.85 | $943.08 | 0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $192.24 | $320.40 | 0.1× |
| Rmvl of subq implantable defibrillator electrode (33272) | $4,073.83 | $6,789.72 | 1.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $1,801.62 | $3,002.70 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,663.62 | $2,772.70 | 1.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$250.14–$1,180.14 | $416.90–$1,966.90 | varies |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$109.80–$314.40 | $183–$524 | varies |
| Rplc gtube revj gstrst trc (43763) | $262.80 | $438 | 1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 6 matching MRF lines |
$190.98–$315.72 | $318.30–$526.20 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 5 matching MRF lines |
$152.16–$400.38 | $253.60–$667.30 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) range across 2 matching MRF lines |
$165.72–$365.54 | $276.20–$609.24 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $643.56 | $1,072.60 | 1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 4 matching MRF lines |
$481.20–$720.30 | $802–$1,200.50 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$948.42–$1,573.60 | $1,580.70–$2,622.66 | varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $1,144.50 | $1,907.50 | 0.3× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $983.46 | $1,639.10 | 0.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $1,089.12 | $1,815.20 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 4 matching MRF lines |
$45.42–$97.98 | $75.70–$163.30 | varies |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) range across 2 matching MRF lines |
$335.04–$4,601.43 | $558.40–$7,669.05 | varies |
| Sigmoidoscopy w/fb removal (45332) | $141.96 | $236.60 | 0.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $81.78 | $136.30 | 0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 6 matching MRF lines |
$137.88–$310.02 | $229.80–$516.70 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 7 matching MRF lines |
$122.28–$253.62 | $203.80–$422.70 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 6 matching MRF lines |
$140.64–$208.80 | $234.40–$348 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 5 matching MRF lines |
$168–$376.86 | $280–$628.10 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 6 matching MRF lines |
$169.32–$249.54 | $282.20–$415.90 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 5 matching MRF lines |
$152.16–$516.24 | $253.60–$860.40 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 9 matching MRF lines |
$118.50–$253.62 | $197.50–$422.70 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 8 matching MRF lines |
$137.88–$339.90 | $229.80–$566.50 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 8 matching MRF lines |
$156.90–$237 | $261.50–$395 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $949.08 | $1,581.80 | 0.5× |
| Skin sub graft face/nk/hf/g (15275) | $113.12 | $188.54 | 0.2× |
| Skin sub graft trnk/arm/leg (15271) | $100.82 | $168.04 | 0.1× |
| Skin sub grft t/arm/lg child (15273) | $238.62 | $397.70 | 0.1× |
| Skin Tissue Procedure (17999) range across 6 matching MRF lines |
$88.80–$298.17 | $148–$496.95 | varies |
| Skn sub grft f/n/hf/g child (15277) | $270.78 | $451.30 | 0.1× |
| Small bowel endoscopy (44366) | $267.44 | $445.74 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 8 matching MRF lines |
$132.54–$206.40 | $220.90–$344 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 8 matching MRF lines |
$196.38–$288.36 | $327.30–$480.60 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 8 matching MRF lines |
$222.78–$295.32 | $371.30–$492.20 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$117.12–$374.40 | $195.20–$624 | varies |
| Strapping ankle (29540) range across 10 matching MRF lines |
$39.48–$121.20 | $65.80–$202 | varies |
| Strapping elbow or wrist (29260) range across 6 matching MRF lines |
$41.64–$94.80 | $69.40–$158 | varies |
| Strapping hand/finger (29280) range across 10 matching MRF lines |
$38.94–$95.64 | $64.90–$159.40 | varies |
| Strapping Hip (29520) range across 5 matching MRF lines |
$55.38–$100.20 | $92.30–$167 | varies |
| Strapping knee (29530) range across 10 matching MRF lines |
$41.10–$167.40 | $68.50–$279 | varies |
| Strapping shoulder (29240) range across 10 matching MRF lines |
$60.48–$100.20 | $100.80–$167 | varies |
| Strapping thorax (29200) range across 3 matching MRF lines |
$22.39–$134.59 | $37.32–$224.32 | varies |
| Strapping toes (29550) range across 8 matching MRF lines |
$36.30–$95.64 | $60.50–$159.40 | varies |
| Strapping Unna Boot (29580) | $52.86 | $88.10 | 0.3× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $1,201.38 | $2,002.30 | 0.5× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$200.40–$312.16 | $334–$520.26 | varies |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) likely a partial charge, not the full procedure |
$7,180.80 | $11,968 | 0.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) range across 3 matching MRF lines |
$6,403.20–$19,404 | $10,672–$32,340 | varies |
| Tcat Rmvl Perm Ldls Pm (33275) | $1,948.20 | $3,247 | 0.6× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $685.90 | $1,143.16 | 0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $248.50 | $414.16 | 0.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $336.68 | $561.14 | 0.2× |
| Thrombolytic Therapy Stroke (37195) | $393 | $655 | 1.2× |
| Thyroid biopsy (60100) | $115.20 | $192 | 0.2× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,133.82 | $1,889.70 | 0.5× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$109.02–$150 | $181.70–$250 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 6 matching MRF lines |
$174.78–$559.20 | $291.30–$932 | varies |
| Tracheostomy planned (31600) | $487.80 | $813 | 0.1× |
| Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$268.74 | $447.90 | 0.0× |
| Treat Dental Ridge Fracture (21440) | $1,554.06 | $2,590.10 | 0.5× |
| Treat Hip Socket Fracture (27222) range across 2 matching MRF lines |
$104.58–$1,317 | $174.30–$2,195 | varies |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$159.24–$390.84 | $265.40–$651.40 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$605.34–$2,805.08 | $1,008.90–$4,675.14 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$159.24–$383.82 | $265.40–$639.70 | varies |
| Treat Knuckle Dislocation (26700) range across 6 matching MRF lines |
$165.48–$366 | $275.80–$610 | varies |
| Treat Metatarsal Fracture (28475) | $350.10 | $583.50 | 1.4× |
| Treat Tail Bone Fracture (27200) range across 4 matching MRF lines |
$152.88–$225.96 | $254.80–$376.60 | varies |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$159.24–$416.28 | $265.40–$693.80 | varies |
| Treat Thumb Fracture (26645) range across 3 matching MRF lines |
$159.24–$490.14 | $265.40–$816.90 | varies |
| Treat toe dislocation (28630) range across 3 matching MRF lines |
$154.02–$165.48 | $256.70–$275.80 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$159.24–$436.02 | $265.40–$726.70 | varies |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$34.38–$64.50 | $57.30–$107.50 | varies |
| Trim skin lesions 2 to 4 (11056) | $200.40 | $334 | 1.0× |
| Trim skin lesions over 4 (11057) | $200.40 | $334 | 1.0× |
| Trimming Nondystrophic Nails Any Number (11719) range across 5 matching MRF lines |
$16.75–$64.75 | $27.92–$107.92 | varies |
| Trluml Balo Angiop 1St Art (37246) | $6,074.40 | $10,124 | 1.1× |
| Trluml Balo Angiop 1St Vein (37248) | $6,010.27 | $10,017.12 | 1.1× |
| Tx Gastro Intub W/Asp (43753) | $152.76 | $254.60 | 0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 6 matching MRF lines |
$152.16–$319.56 | $253.60–$532.60 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 6 matching MRF lines |
$156.36–$254.64 | $260.60–$424.40 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $367.26 | $612.10 | 0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 3 matching MRF lines |
$159.24–$245.70 | $265.40–$409.50 | varies |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $712.51 | $1,187.52 | 0.2× |
| Unlisted Cardiac Surgery (33999) | $3,015.60 | $5,026 | 4.8× |
| Unlisted Procedure Accessory Sinuses (31299) | $105.95 | $176.58 | 0.4× |
| Unlisted procedure anus (46999) | $1,046.05 | $1,743.42 | 1.1× |
| Unlisted Procedure Casting/Strapping (29799) range across 4 matching MRF lines |
$95.64–$114.60 | $159.40–$191 | varies |
| Unlisted procedure colon (45399) | $1,308 | $2,180 | 1.4× |
| Unlisted Procedure Hands/Fingers (26989) range across 3 matching MRF lines |
$153.07–$240.95 | $255.12–$401.58 | varies |
| Unlisted procedure humerus/elbow (24999) | $255.60 | $426 | 1.0× |
| Unlisted Procedure Intestine (44799) range across 2 matching MRF lines |
$957.28–$1,131.72 | $1,595.46–$1,886.20 | varies |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$150.24–$220.92 | $250.40–$368.20 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $146.40 | $244 | 0.6× |
| Unlisted Procedure Vascular Surgery (37799) range across 3 matching MRF lines |
$628.79–$723.02 | $1,047.98–$1,205.04 | varies |
| Unlisted Procedure, Urinary System (53899) | $25.37 | $42.28 | 0.1× |
| Upgrade of pacemaker system (33214) range across 2 matching MRF lines |
$6,402.90–$6,403.20 | $10,671.50–$10,672 | varies |
| Vaginal Delivery After Cesarean Delivery (59612) | $1,153.80 | $1,923 | 0.4× |
| Vaginal delivery only (59409) range across 3 matching MRF lines |
$1,027.20–$3,052.06 | $1,712–$5,086.76 | varies |
| Vasc embolize/occlude artery (37242) | $10,740 | $17,900 | 0.6× |
| Wedge excision skin nail fold (11765) range across 5 matching MRF lines |
$68.70–$180 | $114.50–$300 | varies |
| Wedging of cast (29740) range across 2 matching MRF lines |
$95.46–$96 | $159.10–$160 | varies |
| Windowing of cast (29730) range across 2 matching MRF lines |
$64.92–$96 | $108.20–$160 | varies |
| Wound Prep F/N/Hf/G (15004) | $570 | $950 | 1.4× |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$265.33–$2,606.30 | $442.22–$4,343.83 | 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.