Procedures & surgery prices at St. Mary's Health

Cottonwood, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $192 $256 0.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $132 $176 0.1×
Ablate inf turbinate submuc (30802)
range across 3 matching MRF lines		 $205.43–$495 $273.90–$660 varies
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 3 matching MRF lines		 $162.44–$391.50 $216.59–$522 varies
Acne surgery (10040)
range across 3 matching MRF lines		 $84.35–$175.50 $112.46–$234 varies
Adding Walker Previously Applied Cast (29440)
range across 3 matching MRF lines		 $31.18–$76.50 $41.57–$102 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000)
range across 3 matching MRF lines		 $455.99–$959.25 $607.99–$1,279 varies
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001)
range across 3 matching MRF lines		 $580.97–$1,224 $774.63–$1,632 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 3 matching MRF lines		 $549.56–$1,168.50 $732.74–$1,558 varies
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 3 matching MRF lines		 $505.66–$1,068.75 $674.21–$1,425 varies
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 3 matching MRF lines		 $669.50–$1,431.75 $892.67–$1,909 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021)
range across 3 matching MRF lines		 $625.75–$1,332 $834.33–$1,776 varies
Amniocentesis diagnostic (59000) $118.50 $158 0.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,116 $1,488 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 3 matching MRF lines		 $504.33–$1,174.50 $672.44–$1,566 varies
Amputation metatarsal with toe single (28810) $757.50 $1,010 0.2×
Amputation thigh through femur any level (27590) $1,410 $1,880 0.4×
Amputation toe interphalangeal joint (28825)
range across 3 matching MRF lines		 $221.17–$951 $294.89–$1,268 varies
Amputation toe metatarsophalangeal joint (28820)
range across 3 matching MRF lines		 $225.83–$994.50 $301.10–$1,326 varies
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,616.25 $2,155 0.2×
Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) $1,240.50 $1,654 0.4×
Anoplasty, plastic operation for stricture; adult Facility (46700) $1,157.25 $1,543 0.4×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $169.50 $226 0.1×
Anoscopy Ablation Lesion (46615) $163.50 $218 0.1×
Anoscopy Control Bleeding (46614) $115.50 $154 0.1×
Anoscopy diagnostic (46600) $72 $96 0.5×
Anoscopy remove lesion (46610) $144.75 $193 0.1×
Anoscopy W/Rmvl Foreign Body (46608) $149.25 $199 0.2×
Anoscopy; with biopsy, single or multiple (46606) $135.75 $181 0.1×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $118.50 $158 0.1×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $1,078.50 $1,438 0.2×
Anterior colporraphy rpr cystocele w/cysto (57240) $953.25 $1,271 0.2×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,136.25 $1,515 0.2×
Application cast elbow finger short arm (29075)
range across 3 matching MRF lines		 $61.91–$152.25 $82.55–$203 varies
Application Cast Finger (29086)
range across 3 matching MRF lines		 $53.15–$133.50 $70.86–$178 varies
Application Finger Splint Dynamic (29131)
range across 3 matching MRF lines		 $37.35–$92.25 $49.80–$123 varies
Application finger splint static (29130)
range across 3 matching MRF lines		 $29.47–$72 $39.29–$96 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $58.64–$153.75 $78.19–$205 varies
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 3 matching MRF lines		 $101.87–$245.25 $135.82–$327 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $61.90–$149.25 $82.53–$199 varies
Application of cylinder cast (thigh to ankle) (29365)
range across 3 matching MRF lines		 $86.51–$215.25 $115.34–$287 varies
Application of long leg cast (29345)
range across 3 matching MRF lines		 $96.15–$238.50 $128.20–$318 varies
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $61.66–$150 $82.21–$200 varies
Application Short Arm Splint Dynamic (29126)
range across 3 matching MRF lines		 $54.29–$135 $72.38–$180 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines		 $46.10–$114 $61.46–$152 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $50.72–$125.25 $67.62–$167 varies
Application, cast; figure-of-eight Facility (29049)
range across 3 matching MRF lines		 $70.01–$174 $93.35–$232 varies
Apply hand/wrist cast (29085)
range across 3 matching MRF lines		 $67.80–$167.25 $90.40–$223 varies
Apply long arm cast (29065)
range across 3 matching MRF lines		 $67.91–$168.75 $90.54–$225 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines		 $65.64–$295.50 $87.52–$394 varies
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $57.20–$141.75 $76.27–$189 varies
Apply short leg cast (29425)
range across 3 matching MRF lines		 $54.46–$136.50 $72.61–$182 varies
Arterial puncture (36600)
range across 2 matching MRF lines		 $28.50–$72 $38–$96 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines		 $39.23–$174.75 $52.31–$233 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $64.39–$138.75 $85.85–$185 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 10 matching MRF lines		 $46.33–$1,275 $61.77–$1,700 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $71.70–$157.50 $95.60–$210 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $38.25–$131.25 $51–$175 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $685.50 $914 0.4×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $584.25 $779 0.2×
Aspirate pleura w/ imaging (32555) $197.25 $263 0.3×
Aspirate Pleura W/O Imaging (32554) $161.25 $215 0.3×
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $45.92–$105 $61.22–$140 varies
Aspiration & Injection Treatment Bone Cyst (20615)
range across 3 matching MRF lines		 $185.92–$420 $247.89–$560 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $85.07–$175.50 $113.42–$234 varies
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $1,356.75 $1,809 0.2×
Biopsy bone open superficial (20240) $269.25 $359 0.1×
Biopsy external ear (69100)
range across 3 matching MRF lines		 $71.72–$150.75 $95.63–$201 varies
Biopsy muscle percutaneous needle (20206) $99.75 $133 0.1×
Biopsy Muscle Superficial (20200) $168.75 $225 0.1×
Biopsy nail unit (11755)
range across 3 matching MRF lines		 $92.85–$189 $123.80–$252 varies
Biopsy of breast; open, incisional (19101) $343.50 $458 0.1×
Biopsy of floor of mouth (41108) $159.75 $213 0.1×
Biopsy of lip (40490) $129.75 $173 0.6×
Biopsy of liver, needle; percutaneous (47000) $165.75 $221 0.1×
Biopsy of palate, uvula (42100) $194.25 $259 0.1×
Biopsy of penis (54100)
range across 3 matching MRF lines		 $88.84–$192.75 $118.45–$257 varies
Biopsy of rectum (45100) $531 $708 0.2×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $720 $960 0.2×
Biopsy Oropharynx (42800) $195.75 $261 0.1×
Biopsy ovary uni/bi separate procedure (58900) $670.50 $894 0.2×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $423 $564 0.1×
Biopsy soft tissue leg/ankle area superficial (27613) $287.25 $383 0.2×
Biopsy soft tissue neck/thorax (21550) $263.25 $351 0.2×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $351.75 $469 0.2×
Biopsy Soft Tissue Shoulder Deep (23066) $630 $840 0.2×
Biopsy Soft Tissue Shoulder Superficial (23065) $294.75 $393 0.2×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $705 $940 0.2×
Biopsy soft tissue thigh/knee area superficial (27323) $314.25 $419 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $191.25 $255 0.4×
Biopsy Tongue Posterior One-Third (41105) $197.25 $263 0.1×
Biopsy Vaginal Mucosa Extensive (57105)
range across 3 matching MRF lines		 $120.72–$245.25 $160.96–$327 varies
Biopsy Vaginal Mucosa Simple (57100)
range across 3 matching MRF lines		 $73.70–$148.50 $98.27–$198 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 3 matching MRF lines		 $26.33–$95.25 $35.11–$127 varies
Biopsy, vestibule of mouth (40808) $192 $256 0.4×
Biopsy/removal lymph nodes (38510) $651.75 $869 0.2×
Bladder Irrigation (51700) $50.25 $67 0.2×
Blepharoplasty upper eyelid (15822)
range across 3 matching MRF lines		 $334–$699 $445.33–$932 varies
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 3 matching MRF lines		 $451.97–$951 $602.63–$1,268 varies
Blepharotomy drainage abscess eyelid (67700) $213 $284 0.7×
Blood Transfusion Service (36430) $1,314.75 $1,753 3.0×
Bone Marrow Biopsy (38221) $96.75 $129 0.1×
Bone Marrow; Aspiration Only (38220) $110.25 $147 0.1×
Brnchsc Brushing/Protected Brushings (31623) $231 $308 0.1×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $311.25 $415 0.1×
Bx breast needle core w/o imaging guidance spx (19100) $108.75 $145 0.1×
Bx Cervix (57500)
range across 3 matching MRF lines		 $108.58–$219.75 $144.77–$293 varies
Bx/exc lymph node open deep axillary node (38525) $673.50 $898 0.2×
Bx/exc lymph node open superficial (38500) $393 $524 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 3 matching MRF lines		 $360.98–$871.50 $481.30–$1,162 varies
Carpal Tunnel Surgery (64721) $750.75 $1,001 0.4×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 3 matching MRF lines		 $129.44–$268.50 $172.58–$358 varies
Cautery Cervix Electro/Thermal (57510)
range across 3 matching MRF lines		 $115.44–$233.25 $153.92–$311 varies
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $37.11–$83.25 $49.48–$111 varies
Change of Windpipe Airway (31502) $61.50 $82 0.3×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $64.31–$134.25 $85.75–$179 varies
Chest tube placement (32551) $278.25 $371 0.2×
Circumcision 28 days or older (54161) $312 $416 0.2×
Circumcision Neonate (54160) $317.25 $423 0.5×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $240–$314.25 $320–$419 varies
Cl Tx Tib Shft Fx W Manip (27752) $938.25 $1,251 0.6×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $58.81–$123.75 $78.41–$165 varies
Closed rx talotarsal disloc,anesth (28575) $645 $860 0.2×
Closed Treat Vert Body Fract (22310) $543 $724 2.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $759 $1,012 3.1×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $774 $1,032 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $850.50 $1,134 3.5×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767)
range across 3 matching MRF lines		 $211.54–$491.25 $282.05–$655 varies
Closed Treatment Sesamoid Fracture (28530)
range across 3 matching MRF lines		 $83.09–$204.75 $110.78–$273 varies
Closed Treatment Sternum Fracture (21820) $253.50 $338 1.0×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 3 matching MRF lines		 $239.23–$559.50 $318.97–$746 varies
Closed tx ankle dislocation w/o anesthesia (27840) $649.50 $866 2.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $816 $1,088 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $243.65–$585.75 $324.87–$781 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines		 $179.18–$436.50 $238.91–$582 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 3 matching MRF lines		 $222.74–$535.50 $296.99–$714 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 3 matching MRF lines		 $379.23–$909.75 $505.64–$1,213 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines		 $381.80–$897.75 $509.06–$1,197 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $158.75–$384.75 $211.67–$513 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 3 matching MRF lines		 $409.92–$966 $546.56–$1,288 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $263.25 $351 0.2×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $263.25 $351 0.1×
Closed tx patellar dislocation w/anesthesia (27562) $212.25 $283 0.9×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines		 $243–$849.75 $324–$1,133 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $235.83–$566.25 $314.44–$755 varies
Closed tx radial head/neck fx w/manipulation (24655) $767.25 $1,023 0.5×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines		 $191.64–$459 $255.52–$612 varies
Closed tx radial shaft fracture w/manipulation (25505) $870.75 $1,161 0.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 3 matching MRF lines		 $36.64–$242.25 $48.85–$323 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $904.50 $1,206 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 3 matching MRF lines		 $209.44–$487.50 $279.25–$650 varies
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 3 matching MRF lines		 $172.91–$417 $230.55–$556 varies
Closed tx septal&nose fx (21337) $513 $684 0.2×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 3 matching MRF lines		 $258.47–$635.25 $344.62–$847 varies
Closed tx talus fracture w/o manipulation (28430)
range across 3 matching MRF lines		 $174.30–$413.25 $232.40–$551 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $57 $76 0.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $796.50 $1,062 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 3 matching MRF lines		 $212.05–$509.25 $282.73–$679 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 3 matching MRF lines		 $191.78–$460.50 $255.70–$614 varies
Closure Gastrostomy Surg (43870) $1,255.50 $1,674 0.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $474.75 $633 2.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $397.50 $530 0.7×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $920.25 $1,227 0.3×
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 3 matching MRF lines		 $252.49–$598.50 $336.65–$798 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 3 matching MRF lines		 $171.08–$398.25 $228.10–$531 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505) $618 $824 0.4×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines		 $162.93–$383.25 $217.24–$511 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $703.50 $938 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $234.41–$551.25 $312.54–$735 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 3 matching MRF lines		 $302.99–$933.75 $403.99–$1,245 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $866.25 $1,155 0.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $648.75 $865 0.4×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 3 matching MRF lines		 $168.35–$404.25 $224.47–$539 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 3 matching MRF lines		 $222.44–$535.50 $296.59–$714 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 3 matching MRF lines		 $252.99–$597.75 $337.32–$797 varies
Cltx dstl fibular fx lat malls w/manj (27788) $737.25 $983 3.0×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $228.82–$552 $305.09–$736 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $550.50 $734 2.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $136.24–$322.50 $181.65–$430 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $244.04–$575.25 $325.39–$767 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $392.93–$949.50 $523.90–$1,266 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 3 matching MRF lines		 $381.57–$920.25 $508.76–$1,227 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,310.25 $1,747 0.8×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 3 matching MRF lines		 $351.85–$834.75 $469.13–$1,113 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,334.25 $1,779 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines		 $129.32–$395.25 $172.42–$527 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 3 matching MRF lines		 $102.06–$257.25 $136.08–$343 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 3 matching MRF lines		 $118.19–$284.25 $157.59–$379 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 3 matching MRF lines		 $87.97–$217.50 $117.29–$290 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $959.25 $1,279 0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 3 matching MRF lines		 $231.79–$550.50 $309.05–$734 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 3 matching MRF lines		 $195.81–$458.25 $261.08–$611 varies
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $661.50 $882 0.4×
Cltx hip dislocation traumatic req anesthesia (27252) $1,331.25 $1,775 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 3 matching MRF lines		 $131.14–$316.50 $174.85–$422 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576)
range across 3 matching MRF lines		 $253.98–$596.25 $338.64–$795 varies
Cltx humeral condylar fx medial/lateral w/manj (24577) $965.25 $1,287 0.6×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $562.50 $750 2.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $231.75 $309 0.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 3 matching MRF lines		 $87.57–$204 $116.76–$272 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $668.25 $891 2.4×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $206.31–$482.25 $275.08–$643 varies
Cltx Med Ankle Fx W/Mnpj (27762) $823.50 $1,098 0.5×
Cltx Medial Ankle Fx (27760) $557.25 $743 2.3×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines		 $238.82–$561.75 $318.43–$749 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $217.42–$515.25 $289.89–$687 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $664.50 $886 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $664.50 $886 2.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $144.43–$348 $192.57–$464 varies
Cltx post hip arthrp dislc req anes (27266) $1,020.75 $1,361 0.6×
Cltx post hip arthrp dislc w/o anes (27265) $700.50 $934 2.9×
Cltx prox fibula/shft fx w/manj (27781)
range across 3 matching MRF lines		 $315.37–$750 $420.49–$1,000 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 3 matching MRF lines		 $224.08–$537 $298.77–$716 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines		 $341.80–$810.75 $455.73–$1,081 varies
Cltx prox tibfib jt dislc req anes (27831) $703.50 $938 0.2×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $724.50 $966 3.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines		 $76.34–$173.25 $101.79–$231 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 3 matching MRF lines		 $313.04–$744 $417.39–$992 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $959.25 $1,279 0.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,082.25 $1,443 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines		 $277.24–$666 $369.65–$888 varies
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,000.50 $1,334 0.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501)
range across 3 matching MRF lines		 $368.04–$885.75 $490.72–$1,181 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 3 matching MRF lines		 $222.27–$530.25 $296.36–$707 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines		 $252.22–$606.75 $336.29–$809 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $915 $1,220 3.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $828.75 $1,105 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 3 matching MRF lines		 $239.19–$563.25 $318.92–$751 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $1,368.75 $1,825 0.3×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $15.75–$22.50 $21–$30 varies
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $357.75 $477 0.3×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $309 $412 0.3×
Colonoscopy thru stoma (44388) $282.75 $377 0.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $406.50 $542 0.3×
Colonoscopy w/ablation (45388) $486.75 $649 0.4×
Colonoscopy w/fb removal (45379) $429.75 $573 0.4×
Colonoscopy W/Resection (45390) $534 $712 0.2×
Colonoscopy w/submucosal inj (45381) $360.75 $481 0.3×
Colpocentesis (57020) $171 $228 0.0×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $600 $800 0.2×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $824.25 $1,099 0.1×
Colporrhaphy (57200) $496.50 $662 0.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 3 matching MRF lines		 $100.28–$222.75 $133.70–$297 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 3 matching MRF lines		 $109.22–$225 $145.63–$300 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 3 matching MRF lines		 $90.60–$186 $120.80–$248 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 3 matching MRF lines		 $116.30–$240.75 $155.07–$321 varies
Colposcopy cervix vag eltrd conization cervix (57461) $528.75 $705 0.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 3 matching MRF lines		 $232.32–$470.25 $309.76–$627 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421)
range across 3 matching MRF lines		 $127.24–$261.75 $169.65–$349 varies
Colsc Flexible W/Control Bleeding Any Method (45382) $555 $740 0.5×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $381 $508 0.3×
Colsc flx w/removal lesion by hot bx forceps (45384) $411 $548 0.3×
Combined anteroposterior colporrhaphy; (57260) $1,220.25 $1,627 0.2×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $188.94–$393.75 $251.92–$525 varies
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 3 matching MRF lines		 $218.20–$444.75 $290.93–$593 varies
Conization of cervix (57520)
range across 3 matching MRF lines		 $253.76–$516.75 $338.34–$689 varies
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $177.59–$363 $236.79–$484 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $113.15–$236.25 $150.86–$315 varies
Control oropharyngeal hemorrhage simple (42960) $297.75 $397 0.6×
Correction hammertoe (28285)
range across 3 matching MRF lines		 $395.31–$945.75 $527.08–$1,261 varies
Crd ceramides liq chrom plsm (0119U) $144.75 $193 1.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $561.75 $749 4.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $584.25 $779 2.5×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $904.50 $1,206 0.3×
Curettage postpartum (59160) $366 $488 0.1×
Cystostomy Cystotomy W/Drainage (51040) $397.50 $530 0.2×
Cystourethroscopy (52000) $213.75 $285 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $42.12–$88.50 $56.16–$118 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 3 matching MRF lines		 $482.71–$1,034.25 $643.61–$1,379 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 3 matching MRF lines		 $340.14–$725.25 $453.52–$967 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 3 matching MRF lines		 $375.65–$805.50 $500.87–$1,074 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $170.09–$357.75 $226.78–$477 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $23.95–$50.25 $31.93–$67 varies
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $32.66–$69.75 $43.54–$93 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $226.49–$483.75 $301.99–$645 varies
Debridement Mastoidectomy Cavity Simple (69220) $81 $108 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $93.83–$195.75 $125.10–$261 varies
Delivery of placenta (59414) $139.50 $186 0.0×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $81.86–$170.25 $109.14–$227 varies
Destruction Benign Lesions 15/> (17111)
range across 3 matching MRF lines		 $96.13–$200.25 $128.17–$267 varies
Destruction Internal Hemorrhoid Thermal Energy (46930) $259.50 $346 0.2×
Destruction Lesions Vulva Extensive (56515) $372 $496 0.2×
Destruction Lesions Vulva Simple (56501)
range across 3 matching MRF lines		 $105.29–$239.25 $140.39–$319 varies
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281)
range across 3 matching MRF lines		 $130.72–$275.25 $174.29–$367 varies
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282)
range across 3 matching MRF lines		 $149.96–$315.75 $199.95–$421 varies
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283)
range across 3 matching MRF lines		 $178.10–$368.25 $237.46–$491 varies
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284)
range across 3 matching MRF lines		 $203.05–$429.75 $270.73–$573 varies
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286)
range across 3 matching MRF lines		 $261.17–$555 $348.22–$740 varies
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261)
range across 3 matching MRF lines		 $107.30–$223.50 $143.07–$298 varies
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262)
range across 3 matching MRF lines		 $129.65–$270.75 $172.86–$361 varies
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263)
range across 3 matching MRF lines		 $140.47–$295.50 $187.29–$394 varies
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264)
range across 3 matching MRF lines		 $150.59–$316.50 $200.79–$422 varies
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266)
range across 3 matching MRF lines		 $171.68–$360.75 $228.91–$481 varies
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280)
range across 3 matching MRF lines		 $102.01–$213 $136.01–$284 varies
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270)
range across 3 matching MRF lines		 $108.65–$252 $144.87–$336 varies
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271)
range across 3 matching MRF lines		 $120.66–$288 $160.88–$384 varies
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272)
range across 3 matching MRF lines		 $137.27–$321 $183.02–$428 varies
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273)
range across 3 matching MRF lines		 $152.64–$323.25 $203.52–$431 varies
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274)
range across 3 matching MRF lines		 $179.03–$378 $238.70–$504 varies
Destruction malignant lesion t/a/l 0.5 cm/< (17260)
range across 3 matching MRF lines		 $71.99–$151.50 $95.99–$202 varies
Destruction of skin lesions (17106)
range across 3 matching MRF lines		 $248.52–$526.50 $331.36–$702 varies
Destruction Premalignant Lesion 15/> (17004)
range across 3 matching MRF lines		 $119.86–$254.25 $159.81–$339 varies
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $47.94–$99.75 $63.92–$133 varies
Destruction Vaginal Lesions Simple (57061)
range across 3 matching MRF lines		 $100.69–$216.75 $134.25–$289 varies
Diagnostic sigmoidoscopy (45330) $163.50 $218 0.2×
Diaphragm or cervical cap fitting with instructions (57170)
range across 3 matching MRF lines		 $54.34–$109.50 $72.45–$146 varies
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $300.75 $401 0.3×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660)
range across 3 matching MRF lines		 $30.17–$66.75 $40.23–$89 varies
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661)
range across 3 matching MRF lines		 $29.25–$65.25 $39–$87 varies
Dilat rct strix spx under anes oth/thn local (45910) $342 $456 0.3×
Dilat Urethral Strix Dilator Male Sbsq (53601) $86.25 $115 0.7×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $215.25 $287 0.9×
Dilate Esophagus 1/Mult Pass (43450) $249.75 $333 0.3×
Dilate Urethra Stricture (53620) $139.50 $186 0.2×
Dilate Urethra Stricture (53600) $102.75 $137 0.4×
Dilation & curettage dx&/ther nonobstetric (58120) $415.50 $554 0.1×
Dilation Cervical Canal (57800) $76.50 $102 0.0×
Drain Cerebro Spinal Fluid (62272) $228.75 $305 0.3×
Drain ovary abscess open (58820) $512.25 $683 0.2×
Drain shoulder bursa (23031) $381 $508 0.1×
Drain/inj small joint/bursa w/us (20604)
range across 5 matching MRF lines		 $58.85–$124.50 $78.47–$166 varies
Drainage external auditory canal abscess (69020) $351.75 $469 0.5×
Drainage external ear abscess/hematoma cmplx (69005) $334.50 $446 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $136.75–$285.75 $182.33–$381 varies
Drainage Finger Abscess Complicated (26011)
range across 3 matching MRF lines		 $337.21–$682.50 $449.61–$910 varies
Drainage Mouth Roof Lesion (42000) $180.75 $241 0.8×
Drainage of finger abscess simple (26010)
range across 3 matching MRF lines		 $242.59–$495.75 $323.45–$661 varies
Drainage of gum lesion (41800) $266.25 $355 2.0×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $124.38–$261 $165.84–$348 varies
Drainage of hydrocele (55000)
range across 3 matching MRF lines		 $61.73–$143.25 $82.30–$191 varies
Drainage of rectal abscess (45020) $1,017 $1,356 0.4×
Drainage of rectal abscess (45005) $485.25 $647 0.4×
Drainage of scrotal wall abscess (55100)
range across 3 matching MRF lines		 $167.12–$346.50 $222.83–$462 varies
Drainage of scrotum (54700) $354 $472 0.2×
Drainage of skene's gland abscess or cyst (53060)
range across 3 matching MRF lines		 $129.88–$261 $173.17–$348 varies
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $656.25 $875 0.2×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $483.75 $645 0.2×
Dressing Change Under Anesthesia (15852) $73.50 $98 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $393 $524 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $238.50 $318 0.3×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $463.50 $618 0.2×
Drg privesical/prevesical space absc (51080) $561.75 $749 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines		 $140.43–$297 $187.24–$396 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $112.96–$234.75 $150.61–$313 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $61–$125.25 $81.33–$167 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107)
range across 3 matching MRF lines		 $324.54–$687.75 $432.72–$917 varies
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108)
range across 3 matching MRF lines		 $459.73–$984 $612.97–$1,312 varies
Dstrj les/scar vestibule mouth physical meths (40820) $465 $620 0.1×
Dstrj Lesion Anus Extensive (46924) $322.50 $430 0.1×
Dstrj Lesion Anus Simple Chemical (46900) $425.25 $567 1.1×
Dstrj lesion anus simple cryosurgery (46916) $255 $340 1.3×
Dstrj lesion anus simple surg excision (46922) $240 $320 0.1×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $237.75 $317 0.1×
Dstrj Lesion Penis Simple Chemical (54050) $164.25 $219 0.4×
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 3 matching MRF lines		 $70.54–$170.25 $94.05–$227 varies
Dstrj Lesion Penis Simple Electrodesiccation (54055) $147 $196 0.1×
Dstrj lesion penis simple surg excision (54060) $228 $304 0.1×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276)
range across 3 matching MRF lines		 $208.04–$439.50 $277.39–$586 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 4 matching MRF lines		 $170.25–$2,775 $227–$3,700 varies
Dx Bronchoscope/Wash (31622) $231.75 $309 0.1×
Dx Laryngoscopy Excl Nb (31525) $279.75 $373 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $276 $368 0.1×
Egd cautery tumor polyp (43250) $306.75 $409 0.2×
Egd control bleeding any (43255) $360.75 $481 0.2×
Egd dilation gastric/duodenal stricture (43245) $318 $424 0.2×
Egd Flexible Foreign Body Removal (43247) $320.25 $427 0.4×
Egd guide wire insertion (43248) $299.25 $399 0.3×
Egd place gastrostomy tube (43246) $361.50 $482 0.2×
Egd remove lesion snare (43251) $354.75 $473 0.2×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203)
range across 3 matching MRF lines		 $671.51–$1,694.25 $895.34–$2,259 varies
Endocervical curettage (57505)
range across 3 matching MRF lines		 $91.29–$197.25 $121.72–$263 varies
Endometrial Biopsy (58100)
range across 3 matching MRF lines		 $43.66–$117.75 $58.21–$157 varies
Enterorrhaphy single perforation (44602) $2,499.75 $3,333 0.7×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $445.50 $594 0.2×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $141–$339 $188–$452 varies
Episiotomy or vaginal repair (59300) $226.50 $302 0.1×
Esc i p ulcer w ostect & flap (15946) $2,526.75 $3,369 1.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $261.75 $349 0.3×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $212.25 $283 0.1×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $290.25 $387 0.2×
Esophagoscopy Flexible Guide Wire Dilation (43226) $234 $312 0.1×
Esophagoscopy Flexible Transoral Diagnostic (43200) $156 $208 0.2×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $186.75 $249 0.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $255 $340 0.1×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $240.75 $321 0.1×
Evacuate mole of uterus (59870) $774 $1,032 0.2×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $40.51–$86.25 $54.01–$115 varies
Exc abdl tum deep 5 cm/> (22901) $997.50 $1,330 0.3×
Exc arm/elbow les sc < 3 cm (24075)
range across 3 matching MRF lines		 $388.05–$860.25 $517.40–$1,147 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $92.99–$191.25 $123.98–$255 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $149.58–$316.50 $199.44–$422 varies
Exc Back Les Sc < 3 Cm (21930) $642.75 $857 0.4×
Exc Back Tum Deep 5 Cm/> (21933) $1,300.50 $1,734 0.5×
Exc back tum deep < 5 cm (21932) $609.75 $813 0.2×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $707.25 $943 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines		 $173.94–$365.25 $231.92–$487 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines		 $196.52–$414.75 $262.02–$553 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 3 matching MRF lines		 $284.32–$603.75 $379.09–$805 varies
Exc Face Les Sbq 2 Cm/> (21012) $597 $796 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $104.34–$216.75 $139.12–$289 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 3 matching MRF lines		 $126.63–$263.25 $168.84–$351 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $137.82–$278.25 $183.76–$371 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 3 matching MRF lines		 $166.52–$348 $222.02–$464 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 3 matching MRF lines		 $207.75–$435.75 $277–$581 varies
Exc Forearm Les Sc 3 Cm/> (25071)
range across 3 matching MRF lines		 $305.61–$748.50 $407.48–$998 varies
Exc Frenum Labial/Buccal (40819) $559.50 $746 0.4×
Exc ganglion wrist recurrent (25112) $680.25 $907 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $93.67–$198 $124.89–$264 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines		 $116.93–$244.50 $155.90–$326 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $131.47–$275.25 $175.29–$367 varies
Exc Hand Les Sc < 1.5 Cm (26115) $585.75 $781 0.4×
Exc hydrocele sprmatic cord uni spx (55500) $618 $824 0.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $276 $368 0.3×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $645 $860 0.4×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $474 $632 0.3×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $447 $596 0.1×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $218.25 $291 0.1×
Exc Rct Tum Incl Muscularis Propria (45172) $1,437.75 $1,917 0.5×
Exc Rct Tum Not Incl Muscularis Propria (45171) $1,065 $1,420 0.4×
Exc Shoulder Tum Deep 5 Cm/> (23073) $1,222.50 $1,630 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines		 $143.90–$299.25 $191.87–$399 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 3 matching MRF lines		 $171.31–$360 $228.41–$480 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 3 matching MRF lines		 $245–$493.50 $326.67–$658 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines		 $231.15–$485.25 $308.20–$647 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 3 matching MRF lines		 $284.03–$602.25 $378.70–$803 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 3 matching MRF lines		 $217.04–$459.75 $289.39–$613 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 3 matching MRF lines		 $296.36–$627 $395.14–$836 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines		 $324.95–$688.50 $433.26–$918 varies
Exc tendon shth lesion leg/ankle (27630) $641.25 $855 0.2×
Exc thigh/knee les sc 3 cm/> (27337) $738 $984 0.3×
Exc thigh/knee tum dep 5cm/> (27339) $1,452 $1,936 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $196.50 $262 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $113.52–$234.75 $151.36–$313 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $125.16–$259.50 $166.88–$346 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 3 matching MRF lines		 $163.32–$339 $217.76–$452 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $786.75 $1,049 0.3×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $919.50 $1,226 0.3×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $863.25 $1,151 0.5×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $924 $1,232 0.3×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $951 $1,268 0.3×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $957 $1,276 0.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $995.25 $1,327 0.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $837.75 $1,117 0.5×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $542.25 $723 0.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,286.25 $1,715 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $537.75 $717 0.3×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $1,074 $1,432 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $627 $836 0.2×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $1,096.50 $1,462 0.4×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 3 matching MRF lines		 $292.37–$750 $389.83–$1,000 varies
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $555.75 $741 0.2×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $508.50 $678 0.3×
Exc/fulguration urethral caruncle (53265)
range across 3 matching MRF lines		 $137.52–$297 $183.36–$396 varies
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $507.75 $677 0.3×
Excise breast duct fistula (19112) $483.75 $645 0.1×
Excise excessive skin arm (15836)
range across 3 matching MRF lines		 $548.45–$1,189.50 $731.27–$1,586 varies
Excise Neurofibroma Extensive (64792) $2,126.25 $2,835 0.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines		 $204.53–$432 $272.71–$576 varies
Excision Chalazion Single (67800) $202.50 $270 0.6×
Excision Excessive Skin & Subq Tissue Other Area (15839)
range across 3 matching MRF lines		 $645.23–$1,362.75 $860.30–$1,817 varies
Excision External Ear Partial Simple Repair (69110)
range across 3 matching MRF lines		 $343.95–$704.25 $458.60–$939 varies
Excision H/P/P/U Complex Repair (11471)
range across 3 matching MRF lines		 $395.25–$822.75 $527–$1,097 varies
Excision H/P/P/U Simple/Intermediate Repair (11470)
range across 3 matching MRF lines		 $327.15–$687 $436.20–$916 varies
Excision Hidradenitis Axillary Complex Repair (11451)
range across 3 matching MRF lines		 $381.30–$794.25 $508.40–$1,059 varies
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 3 matching MRF lines		 $299.89–$634.50 $399.85–$846 varies
Excision lesion mouth roof (42104) $245.25 $327 0.1×
Excision lesion tendon sheath forearm&/wrist (25110) $607.50 $810 0.4×
Excision Lesion Tongue W/O Closure (41110) $231.75 $309 0.1×
Excision Lingual Frenum Frenectomy (41115) $255.75 $341 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 3 matching MRF lines		 $145.52–$301.50 $194.02–$402 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 3 matching MRF lines		 $167.95–$351.75 $223.93–$469 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 3 matching MRF lines		 $179.70–$378.75 $239.60–$505 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 3 matching MRF lines		 $227.58–$481.50 $303.44–$642 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 3 matching MRF lines		 $149.27–$307.50 $199.02–$410 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 3 matching MRF lines		 $231.07–$489 $308.09–$652 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 3 matching MRF lines		 $369.65–$786.75 $492.87–$1,049 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 3 matching MRF lines		 $99.23–$245.25 $132.30–$327 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 3 matching MRF lines		 $168.45–$352.50 $224.60–$470 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 3 matching MRF lines		 $185.60–$391.50 $247.46–$522 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 3 matching MRF lines		 $246.17–$520.50 $328.23–$694 varies
Excision Multiple External Papillae/Tags Anus (46230) $306 $408 0.1×
Excision nasal polyp(s) simple (30110) $393.75 $525 0.3×
Excision of chalazion; multiple, different lids (67805) $411 $548 1.3×
Excision of extraparenchymal lesion of testis (54512) $855 $1,140 0.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 3 matching MRF lines		 $234.56–$561.75 $312.75–$749 varies
Excision of hydrocele; bilateral (55041) $809.25 $1,079 0.2×
Excision of hydrocele; unilateral (55040) $533.25 $711 0.2×
Excision of local lesion of epididymis (54830) $588.75 $785 0.2×
Excision of pilonidal cyst or sinus; simple (11770)
range across 3 matching MRF lines		 $250.94–$543 $334.58–$724 varies
Excision of single external papilla or tag, anus (46220) $210 $280 0.2×
Excision of sublingual gland (42450)
likely a partial charge, not the full procedure		 $627 $836 0.1×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $717.75 $957 0.1×
Excision of tonsil tags (42860) $326.25 $435 0.1×
Excision of vaginal cyst or tumor (57135)
range across 3 matching MRF lines		 $168.97–$343.50 $225.29–$458 varies
Excision olecranon bursa (24105) $615 $820 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 3 matching MRF lines		 $556.89–$1,167.75 $742.52–$1,557 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 3 matching MRF lines		 $451.22–$948 $601.63–$1,264 varies
Excision Skin Abd Infraumbilical Panniculectomy (15830)
likely a partial charge, not the full procedure		 $1,822.50 $2,430 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $829.50 $1,106 0.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $739.50 $986 0.5×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $553.50 $738 0.3×
Excision, interdigital (morton) neuroma, single, each (28080) $927.75 $1,237 0.6×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $1,575 $2,100 0.8×
Excision, sacral pressure ulcer, with primary suture; Facility (15931)
range across 3 matching MRF lines		 $505.55–$1,073.25 $674.06–$1,431 varies
Excision, trochanteric pressure ulcer, with primary suture; Facility (15950)
range across 3 matching MRF lines		 $440.71–$939 $587.61–$1,252 varies
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $597 $796 0.4×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $824.25 $1,099 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 3 matching MRF lines		 $319.97–$787.50 $426.62–$1,050 varies
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $576.75 $769 0.4×
Excision/destruction intranasal lesion int appr (30117)
range across 3 matching MRF lines		 $709.72–$1,497 $946.29–$1,996 varies
Excision/destruction lesion pharynx any method (42808) $283.50 $378 0.1×
Expl penetrating wound spx abdomen/flank/back (20102) $885.75 $1,181 0.4×
Explo/Drain Breast Abscess (19020) $475.50 $634 0.3×
Exploration penetrating wound spx chest (20101) $396.75 $529 0.2×
Exploration penetrating wound spx extremity (20103) $614.25 $819 0.4×
Explore for undescended testis (54550) $780.75 $1,041 0.2×
External cephalic version (59412) $159 $212 0.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,428.75 $1,905 0.4×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $73.50–$141 $98–$188 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350)
range across 3 matching MRF lines		 $501.38–$1,083.75 $668.51–$1,445 varies
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines		 $74.48–$164.25 $99.31–$219 varies
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $99.19–$210 $132.25–$280 varies
Foreskin manipulation (54450) $92.25 $123 0.4×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220)
range across 3 matching MRF lines		 $558.27–$1,184.25 $744.36–$1,579 varies
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $2,405.25 $3,207 0.6×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $1,237.50 $1,650 0.7×
Hand tendon reconstruction (26500)
likely a partial charge, not the full procedure		 $1,080 $1,440 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $848.25 $1,131 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $557.25 $743 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $841.50 $1,122 0.3×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $751.50 $1,002 0.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $336.75 $449 0.4×
Hysteroscopy Biopsy (58558) $368.25 $491 0.1×
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $499.50 $666 0.1×
Hysteroscopy Dx Sep Proc (58555) $241.50 $322 0.1×
Hysteroscopy Endometrial Ablation (58563) $391.50 $522 0.1×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $453.75 $605 0.1×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $687 $916 0.2×
I&d abscess peritonsillar (42700) $238.50 $318 1.0×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $89.72–$188.25 $119.62–$251 varies
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 3 matching MRF lines		 $492.92–$1,181.25 $657.23–$1,575 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $482.25 $643 0.2×
I&d forearm/wrist bursa (25031)
range across 3 matching MRF lines		 $266.06–$618 $354.75–$824 varies
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $841.50 $1,122 0.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,102.50 $1,470 0.3×
I&d perianal abscess superficial (46050) $172.50 $230 0.2×
I&d pilonidal cyst complicated (10081)
range across 3 matching MRF lines		 $253.46–$525.75 $337.95–$701 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $176.19–$385.50 $234.92–$514 varies
I&d shoulder deep abscess/hematoma (23030) $453.75 $605 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $627 $836 0.2×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $102.75 $137 0.1×
Incise external hemorrhoid (46083) $189 $252 0.8×
Incise finger tendon sheath (26055) $544.50 $726 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $154.01–$322.50 $205.34–$430 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $682.50 $910 0.2×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $196.63–$417.75 $262.17–$557 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $110.79–$231.75 $147.72–$309 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $31.69–$160.50 $42.25–$214 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines		 $81.90–$184.50 $109.20–$246 varies
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,242 $1,656 0.8×
Incision extensor tendon sheath wrist (25000) $591 $788 0.4×
Incision of labial frenum (frenotomy) (40806) $61.50 $82 0.1×
Incision of lingual frenum (frenotomy) (41010) $191.25 $255 0.1×
Incision of rectal abscess (46040) $733.50 $978 0.6×
Incision of urethra (53020) $147.75 $197 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 3 matching MRF lines		 $222.66–$505.50 $296.88–$674 varies
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $75–$190.50 $100–$254 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $54.14–$113.25 $72.19–$151 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $186.75–$1,195.50 $249–$1,594 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 4 matching MRF lines		 $386.25–$1,567.50 $515–$2,090 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $40.91–$131.25 $54.55–$175 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $104.25–$228.75 $139–$305 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $259.50–$933 $346–$1,244 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 7 matching MRF lines		 $111.21–$1,536 $148.28–$2,048 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 3 matching MRF lines		 $70.85–$208.50 $94.47–$278 varies
Injection enzyme palmar fascial cord (20527)
range across 3 matching MRF lines		 $59.25–$137.25 $79–$183 varies
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $41.88–$105 $55.84–$140 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines		 $39.41–$578.25 $52.54–$771 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 5 matching MRF lines		 $45.26–$578.25 $60.35–$771 varies
Injection therapeutic carpal tunnel (20526)
range across 5 matching MRF lines		 $58.26–$135 $77.68–$180 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 5 matching MRF lines		 $187.50–$1,500 $250–$2,000 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $78.75–$457.50 $105–$610 varies
Injection, Intralesional; More Than 7 Lesions (11901)
range across 3 matching MRF lines		 $51.21–$107.25 $68.28–$143 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $40.88–$86.25 $54.51–$115 varies
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282)
range across 2 matching MRF lines		 $342–$998.25 $456–$1,331 varies
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281)
range across 2 matching MRF lines		 $500.25–$984.75 $667–$1,313 varies
Insert and remove bone pin (20650)
range across 3 matching MRF lines		 $158.85–$369.75 $211.80–$493 varies
Insert Bladder Cath Complex (51703)
range across 3 matching MRF lines		 $56.08–$124.50 $74.77–$166 varies
Insert cath pleura w/ image (32557) $277.50 $370 0.2×
Insert cath pleura w/o image (32556) $217.50 $290 0.1×
Insert cervical dilator (59200) $69.75 $93 0.2×
Insert Drug Implant Device (11981)
range across 3 matching MRF lines		 $74.70–$158.25 $99.60–$211 varies
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $172.50–$720.75 $230–$961 varies
Insert pessary/other device (57160)
range across 3 matching MRF lines		 $52.80–$105.75 $70.40–$141 varies
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $18.72–$272.25 $24.96–$363 varies
Insert tun ip cath perc (49418) $360.75 $481 0.1×
Insert tunneled cv cath (36561) $598.50 $798 0.2×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
likely a partial charge, not the full procedure		 $561.75 $749 0.1×
Insert,Non-Indwelling Bladder Catheter (51701) $42.75 $57 0.3×
Insertion indwelling tunneled pleural catheter (32550) $369 $492 0.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $153 $204 0.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $549.75 $733 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $151.50–$1,164 $202–$1,552 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $463.50 $618 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $517.50 $690 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 3 matching MRF lines		 $366.92–$759.75 $489.22–$1,013 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 3 matching MRF lines		 $422.67–$873 $563.56–$1,164 varies
Intranasal Biopsy (30100)
range across 3 matching MRF lines		 $104.43–$240 $139.24–$320 varies
Intraoral i&d tongue/floor lingual (41000) $286.50 $382 0.5×
Intro Gastrointestinal Tube (44500) $35.25 $47 0.0×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $248.25–$366 $331–$488 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 3 matching MRF lines		 $87.83–$184.50 $117.10–$246 varies
Lap paraesoph her rpr w/mesh (43282)
likely a partial charge, not the full procedure		 $3,072.75 $4,097 0.3×
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure		 $2,094 $2,792 0.2×
Laparo ligate spermatic vein (55550)
likely a partial charge, not the full procedure		 $681 $908 0.1×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $654 $872 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $1,626.75 $2,169 0.3×
Laparoscopy fimbrioplasty (58672)
likely a partial charge, not the full procedure		 $1,158 $1,544 0.2×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $579 $772 0.1×
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure		 $845.25 $1,127 0.1×
Laparoscopy salpingostomy (58673)
likely a partial charge, not the full procedure		 $1,259.25 $1,679 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $757.50 $1,010 0.1×
Laparoscopy surgical orchiectomy (54690)
likely a partial charge, not the full procedure		 $1,044.75 $1,393 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,064.25 $1,419 0.2×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $1,023.75 $1,365 0.2×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge, not the full procedure		 $1,125 $1,500 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $978 $1,304 0.2×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $1,913.25 $2,551 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
likely a partial charge, not the full procedure		 $1,389.75 $1,853 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,263.75 $1,685 0.2×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $1,968 $2,624 0.2×
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)
likely a partial charge, not the full procedure		 $1,206 $1,608 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $981 $1,308 0.2×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990)
likely a partial charge, not the full procedure		 $1,187.25 $1,583 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $611.25 $815 0.1×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $579 $772 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $576.75 $769 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,119.75 $1,493 0.2×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
likely a partial charge, not the full procedure		 $800.25 $1,067 0.1×
Laps Surg Trnsxj Vagus Nrv Truncal (43651)
likely a partial charge, not the full procedure		 $1,158 $1,544 0.2×
Laryngoscopy diagnostic (31505) $86.25 $115 0.4×
Laryngoscopy flexible diagnostic (31575) $117.75 $157 0.6×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $228.75 $305 1.2×
Laryngoscopy W/Foreign Body Removal (31530) $349.50 $466 0.2×
Late closure of wound (13160)
range across 3 matching MRF lines		 $578.39–$1,240.50 $771.18–$1,654 varies
Lig&div long saph vein saphfem junct/interrupj (37700) $437.25 $583 0.1×
Ligation of hemorrhoids (46946) $586.50 $782 0.2×
Ligation or biopsy temporal artery (37609) $678.75 $905 0.4×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $461.25 $615 0.1×
Lysis/excision penile postcircumcision adhesions (54162) $384 $512 0.2×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $345 $460 0.2×
Marsupialization of bartholin's gland cyst (56440) $285.75 $381 0.1×
Mast mod rad (19307)
likely a partial charge, not the full procedure		 $1,855.50 $2,474 0.3×
Mastectomy for gynecomastia (19300) $753.75 $1,005 0.2×
Mastectomy partial (19301) $1,011.75 $1,349 0.3×
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,389 $1,852 0.2×
Mastectomy simple complete (19303)
likely a partial charge, not the full procedure		 $1,476.75 $1,969 0.2×
Mastopexy (19316)
likely a partial charge, not the full procedure		 $1,201.50 $1,602 0.2×
Maternity Care Procedure (59899) $366 $488 1.8×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $2,011.50 $2,682 0.6×
Muscle-skin graft trunk (15734) $2,333.25 $3,111 0.7×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $880.50 $1,174 0.3×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 7 matching MRF lines		 $83.44–$1,536 $111.25–$2,048 varies
N block inj intercost sng (64420)
range across 5 matching MRF lines		 $195.75–$1,581 $261–$2,108 varies
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $36.13–$82.50 $48.17–$110 varies
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines		 $157.37–$324.75 $209.82–$433 varies
Nasal Endoscopy Dx (31231) $114 $152 0.6×
Nasal/Orogastric W/Tube Plmt (43752) $74.25 $99 0.2×
Needle Biopsy Lymph Nodes (38505) $112.50 $150 0.1×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 3 matching MRF lines		 $19.13–$45 $25.50–$60 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 3 matching MRF lines		 $27.86–$66.75 $37.15–$89 varies
Nipple Exploration (19110) $531 $708 0.1×
Njx anes stellate ganglion crv sympathetic (64510)
range across 3 matching MRF lines		 $107.31–$222 $143.08–$296 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 5 matching MRF lines		 $157.50–$1,102.50 $210–$1,470 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $167.25–$1,563 $223–$2,084 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $375.75–$1,263.75 $501–$1,685 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $375.75–$1,263.75 $501–$1,685 varies
Njx Sclrsnt 1 Incmptnt Vein (36470) $143.25 $191 0.4×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $120.75 $161 0.3×
Njx Sclrsnt Spider Veins (36468) $76.50 $102 0.2×
Occipital Nerve Block (64405)
range across 7 matching MRF lines		 $53.29–$3,124.50 $71.05–$4,166 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $392.25 $523 0.1×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,399.50 $1,866 0.2×
Open biopsy/excision inguinofemoral nodes (38531) $381 $508 0.1×
Open bowel to skin (44300) $1,491 $1,988 0.8×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,352.25 $1,803 0.2×
Open treatment metacarpophalangeal dislocation (26715) $1,005.75 $1,341 0.3×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge, not the full procedure		 $2,187 $2,916 0.2×
Open treatment of nasal fracture; uncomplicated Facility (21325) $779.25 $1,039 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $877.50 $1,170 0.3×
Open tx interphalangeal joint dislocation (26785) $960.75 $1,281 0.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 3 matching MRF lines		 $431.86–$1,046.25 $575.81–$1,395 varies
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
likely a partial charge, not the full procedure		 $2,107.50 $2,810 0.3×
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226)
likely a partial charge, not the full procedure		 $1,854.75 $2,473 0.3×
Orchiectomy radical tumor inguinal approach (54530) $803.25 $1,071 0.2×
Orchiopexy Ingun/Scrot Appr (54640) $688.50 $918 0.2×
Ostc prtl exostc/condylc metar head (28288) $1,069.50 $1,426 0.3×
Ovarian cystectomy, unilateral or bilateral (58925) $1,187.25 $1,583 0.2×
Partial excision bone clavicle (23180)
likely a partial charge, not the full procedure		 $1,151.25 $1,535 0.2×
Partial Excision Distal Phalanx Finger (26236) $774.75 $1,033 0.5×
Partial excision of lip (40520) $630 $840 0.2×
Partial Excision Proximal/Middle Phalanx Finger (26235) $865.50 $1,154 0.5×
Partial hymenectomy or revision of hymenal ring (56700) $306.75 $409 0.1×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,097.25 $1,463 0.2×
Partial thyroid excision (60212)
likely a partial charge, not the full procedure		 $1,582.50 $2,110 0.3×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,096.50 $1,462 0.2×
Partical Excision Bone Phalanx Toe (28124) $581.25 $775 0.2×
Pelvic examination under anesthesia (other than local) (57410) $168 $224 0.1×
Penile Injection (54235) $109.50 $146 0.4×
Peri-Implant Capsulectomy Breast Complete (19371) $1,223.25 $1,631 0.3×
Perineoplasty rpr perineum nonobstetrical spx (56810) $420.75 $561 0.1×
Peritoneal Lavage (49084) $193.50 $258 0.2×
Phalangectomy toe each toe (28150) $492 $656 0.2×
Placement of needle for intraosseous infusion (36680) $104.25 $139 0.2×
Placement of seton (46020) $414 $552 0.2×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $957 $1,276 0.2×
Proctoplasty Stenosis (45500) $978.75 $1,305 0.4×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $97.50 $130 0.1×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $153 $204 0.1×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $188.25 $251 0.2×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $171.75 $229 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $131.25 $175 0.1×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $1,600.50 $2,134 0.2×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
likely a partial charge, not the full procedure		 $1,308.75 $1,745 0.2×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $776.25 $1,035 0.2×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $73.61–$160.50 $98.14–$214 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $94.62–$199.50 $126.16–$266 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $77.84–$167.25 $103.78–$223 varies
Rad resection tumor soft tiss face/scalp 2 cm/> (21016) $1,782 $2,376 0.6×
Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) $1,243.50 $1,658 0.4×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $1,674.75 $2,233 0.6×
Rdctj torsion tstis w/wo fixj clat testis (54600) $718.50 $958 0.2×
Reconstruction Nail Bed W/Graft (11762)
range across 3 matching MRF lines		 $216.14–$456.75 $288.18–$609 varies
Reduction of rectal prolapse (45900) $373.50 $498 0.4×
Relieve Pressure on Nerve(S) (64722) $630 $840 0.3×
Removal Embedded Foreign Body Eyelid (67938) $204 $272 0.7×
Removal Foreign Body Deep Thigh/Knee (27372) $707.25 $943 0.2×
Removal Foreign Body Foot Complicated (28193) $648.75 $865 0.4×
Removal foreign body foot deep (28192) $550.50 $734 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $237.75 $317 0.3×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $258.75 $345 0.2×
Removal Foreign Body Scrotum (55120) $559.50 $746 0.3×
Removal foreign body upper arm/elbow deep (24201)
range across 3 matching MRF lines		 $401.09–$964.50 $534.78–$1,286 varies
Removal foreign body, intranasal; requiring general anesthesia (30310) $348 $464 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $7.50–$18.75 $10–$25 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 6 matching MRF lines		 $18.08–$105 $24.11–$140 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $266.25 $355 0.1×
Removal Implant Deep (20680)
range across 3 matching MRF lines		 $445.82–$1,072.50 $594.42–$1,430 varies
Removal Implant Superficial Separate Procedure (20670)
range across 3 matching MRF lines		 $272.78–$660.75 $363.70–$881 varies
Removal implantable contraceptive capsules (11976)
range across 3 matching MRF lines		 $105.50–$223.50 $140.66–$298 varies
Removal of adenoids (42831) $389.25 $519 0.1×
Removal of adenoids (42830) $360 $480 0.1×
Removal of anal fissure (46200) $576 $768 0.2×
Removal of bladder cyst (51500)
likely a partial charge, not the full procedure		 $876 $1,168 0.1×
Removal of foreign body from pharynx (42809) $213.75 $285 0.5×
Removal of infusion pump (36262) $538.50 $718 0.1×
Removal of intranasal lesion (30118)
range across 3 matching MRF lines		 $577.43–$1,324.50 $769.91–$1,766 varies
Removal of nail bed (11750)
range across 3 matching MRF lines		 $118.64–$243.75 $158.19–$325 varies
Removal of nose lesion (30124)
range across 3 matching MRF lines		 $218.63–$489 $291.50–$652 varies
Removal of sperm cord lesion (55520) $702.75 $937 0.2×
Removal of testis (54520) $515.25 $687 0.1×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $455.25 $607 0.1×
Removal of tonsils (42826) $437.25 $583 0.1×
Removal of tunneled intraperitoneal catheter (49422) $672 $896 0.2×
Removal or bivalving full arm or full leg cast (29705)
range across 3 matching MRF lines		 $45.98–$116.25 $61.31–$155 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $65.01–$138 $86.68–$184 varies
Removal subcutaneous cardiac rhythm monitor (33286)
range across 3 matching MRF lines		 $98.12–$232.50 $130.83–$310 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $162.75 $217 0.1×
Removal sweat gland lesion (11450)
range across 3 matching MRF lines		 $309.87–$653.25 $413.16–$871 varies
Removal, under anesthesia, of external fixation system (20694) $595.50 $794 0.4×
Removal/bivalving gauntlet boot/body cast (29700)
range across 3 matching MRF lines		 $44.04–$114 $58.72–$152 varies
Remove drug implant device (11982)
range across 3 matching MRF lines		 $84.26–$179.25 $112.35–$239 varies
Remove Forearm Foreign Body (25248)
range across 3 matching MRF lines		 $303.20–$723 $404.27–$964 varies
Remove foreign body from eye (65235) $1,236.75 $1,649 0.5×
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $21.88–$99 $29.17–$132 varies
Remove groin lymph nodes (38760)
likely a partial charge, not the full procedure		 $1,300.50 $1,734 0.2×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $78.12–$156.75 $104.16–$209 varies
Remove lung catheter (32552) $321.75 $429 0.5×
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines		 $147.82–$306 $197.09–$408 varies
Remove Peritoneal Foreign Body (49402) $1,515.75 $2,021 0.4×
Remove Pulse Generator (33241)
range across 3 matching MRF lines		 $154.32–$381 $205.76–$508 varies
Remove Skin Nerve Lesion (64774) $879 $1,172 0.5×
Remove Tendon Sheath Lesion (26160) $1,006.50 $1,342 0.6×
Remove thyroid lesion (60200)
likely a partial charge, not the full procedure		 $1,029 $1,372 0.2×
Remove vc lesion w/scope (31545) $632.25 $843 0.2×
Remove/Insert Drug Implant (11983)
range across 3 matching MRF lines		 $105.06–$223.50 $140.08–$298 varies
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,156.50 $1,542 0.2×
Repair Blood Vessel Direct Hand Finger (35207) $1,333.50 $1,778 0.4×
Repair Blood Vessel Direct Upper Extremity (35206) $1,388.25 $1,851 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines		 $312.81–$655.50 $417.08–$874 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $368.90–$777.75 $491.87–$1,037 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines		 $287.18–$599.25 $382.91–$799 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $349.25–$735.75 $465.67–$981 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 3 matching MRF lines		 $262.64–$546 $350.18–$728 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines		 $315.82–$661.50 $421.09–$882 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 3 matching MRF lines		 $252.35–$523.50 $336.47–$698 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 3 matching MRF lines		 $294.63–$615 $392.84–$820 varies
Repair Elbow Perc (24357)
range across 3 matching MRF lines		 $307.02–$735 $409.36–$980 varies
Repair extensor tendon finger w/o graft each (26418) $1,045.50 $1,394 0.7×
Repair Finger/Hand Tendon (26350) $1,233 $1,644 0.4×
Repair Hand Joint (26540) $1,138.50 $1,518 0.4×
Repair Hand Tendon (26410) $1,016.25 $1,355 0.6×
Repair inguinal hernia, sliding, any age (49525) $1,266 $1,688 0.4×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,116.75 $1,489 0.3×
Repair initial femoral hernia, any age; reducible (49550) $1,017 $1,356 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,035 $1,380 0.3×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $1,069.50 $1,426 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 3 matching MRF lines		 $206.03–$429.75 $274.71–$573 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $229.75–$478.50 $306.33–$638 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 3 matching MRF lines		 $267.46–$552 $356.61–$736 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 3 matching MRF lines		 $281.87–$582.75 $375.83–$777 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 3 matching MRF lines		 $448.21–$929.25 $597.61–$1,239 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 3 matching MRF lines		 $295.67–$622.50 $394.23–$830 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $192.26–$401.25 $256.34–$535 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $226.01–$470.25 $301.34–$627 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 3 matching MRF lines		 $277.88–$575.25 $370.51–$767 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 3 matching MRF lines		 $397.10–$820.50 $529.46–$1,094 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines		 $286.16–$589.50 $381.54–$786 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $191.33–$399 $255.10–$532 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $223.56–$462.75 $298.08–$617 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 3 matching MRF lines		 $315.25–$657.75 $420.33–$877 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines		 $243.66–$506.25 $324.88–$675 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 3 matching MRF lines		 $352.68–$745.50 $470.24–$994 varies
Repair lumbar hernia (49540)
likely a partial charge, not the full procedure		 $1,187.25 $1,583 0.2×
Repair of enterocele, vaginal approach (separate procedure) (57268) $1,113.75 $1,485 0.2×
Repair of hydrocele (55060) $601.50 $802 0.2×
Repair of nail bed (11760)
range across 3 matching MRF lines		 $141.18–$323.25 $188.24–$431 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,227.75 $1,637 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $548.25 $731 0.2×
Repair tongue laceration (41252) $373.50 $498 1.6×
Repair tongue laceration (41250) $273.75 $365 0.6×
Replace duodenostomy/jejunostomy tube perq (49451) $1,264.50 $1,686 1.4×
Reposition Gastrostomy Tube (43761) $196.50 $262 0.8×
Rerepair ing hernia reduce (49520) $1,116.75 $1,489 0.3×
Revise hernia & sperm veins (55540) $852 $1,136 0.2×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $1,863.75 $2,485 0.5×
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) $2,096.25 $2,795 0.6×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $1,779 $2,372 0.5×
Revision of leg vein (37780) $415.50 $554 0.1×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
likely a partial charge, not the full procedure		 $2,598.75 $3,465 0.2×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $1,104 $1,472 0.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $202.50 $270 0.2×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $151.50 $202 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines		 $43.91–$102.75 $58.55–$137 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $118.50 $158 0.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 3 matching MRF lines		 $29.03–$120 $38.71–$160 varies
Rmvl fecal impaction/fb spx under anes (45915) $403.50 $538 0.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $435.75 $581 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 3 matching MRF lines		 $160.28–$362.25 $213.71–$483 varies
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $523.50 $698 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $337.50 $450 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $242.25 $323 0.4×
Rplc Gtube No Revj Trc (43762) $68.25 $91 0.3×
Rplcmt compl tun ctr vad w/subq port (36582) $514.50 $686 0.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,295.25 $1,727 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $595.50 $794 0.2×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $1,009.50 $1,346 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $826.50 $1,102 0.1×
Rpr blood vessel direct lower extremity (35226) $1,482.75 $1,977 2.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $325.50 $434 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines		 $124.78–$258.75 $166.37–$345 varies
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $727.50 $970 0.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 3 matching MRF lines		 $363.08–$750 $484.11–$1,000 varies
Rpr Lip Full Thickness Vermilion Only (40650) $527.25 $703 1.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $564 $752 0.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,105.50 $1,474 0.3×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $61.50 $82 0.1×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $1,393.50 $1,858 0.4×
Sclerotx Fluid Collection (49185) $203.25 $271 0.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $153 $204 0.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $243.75 $325 0.2×
Shave skin lesion 0.5 cm/< (11300)
range across 3 matching MRF lines		 $74.42–$154.50 $99.22–$206 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 3 matching MRF lines		 $85.67–$176.25 $114.22–$235 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313)
range across 3 matching MRF lines		 $134.86–$284.25 $179.81–$379 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 3 matching MRF lines		 $78.58–$186.75 $104.77–$249 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 3 matching MRF lines		 $90.79–$214.50 $121.05–$286 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 3 matching MRF lines		 $105.32–$221.25 $140.43–$295 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 3 matching MRF lines		 $112.21–$237.75 $149.61–$317 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 3 matching MRF lines		 $101.36–$210 $135.15–$280 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 3 matching MRF lines		 $115.88–$243 $154.51–$324 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 3 matching MRF lines		 $90.11–$186 $120.14–$248 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 3 matching MRF lines		 $113.43–$236.25 $151.24–$315 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 3 matching MRF lines		 $102.89–$214.50 $137.18–$286 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $288.75 $385 0.1×
Sigmoidoscopy & decompress (45337) $231.75 $309 0.3×
Sigmoidoscopy & Polypectomy (45333) $169.50 $226 0.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $139.50 $186 0.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $163.50 $218 0.2×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $212.25 $283 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 3 matching MRF lines		 $159–$330.75 $212–$441 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $81.44–$168 $108.59–$224 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $84.83–$175.50 $113.11–$234 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 3 matching MRF lines		 $110.84–$241.50 $147.79–$322 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $103.68–$215.25 $138.24–$287 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 3 matching MRF lines		 $125.49–$273 $167.32–$364 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $67.45–$140.25 $89.93–$187 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 3 matching MRF lines		 $168.74–$352.50 $224.99–$470 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $95.08–$197.25 $126.77–$263 varies
Skin Pinch Graft (15050)
range across 3 matching MRF lines		 $430.77–$897.75 $574.36–$1,197 varies
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $117.04–$243.75 $156.05–$325 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $57.66–$222.75 $76.88–$297 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $1,155.75 $1,541 0.2×
Slitting of prepuce (54001) $222 $296 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $81.68–$169.50 $108.91–$226 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 3 matching MRF lines		 $126.92–$265.50 $169.22–$354 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 3 matching MRF lines		 $148.41–$310.50 $197.88–$414 varies
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $1,326.75 $1,769 0.5×
Sphincterotomy anal division sphincter spx (46080) $282.75 $377 0.1×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $138.75–$738.75 $185–$985 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 3 matching MRF lines		 $628.73–$1,327.50 $838.31–$1,770 varies
Strapping ankle (29540)
range across 3 matching MRF lines		 $20.57–$45.75 $27.43–$61 varies
Strapping elbow or wrist (29260)
range across 3 matching MRF lines		 $22.02–$51.75 $29.36–$69 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $21.54–$52.50 $28.72–$70 varies
Strapping knee (29530)
range across 3 matching MRF lines		 $22.52–$51.75 $30.02–$69 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $22.75–$51.75 $30.33–$69 varies
Strapping thorax (29200)
range across 3 matching MRF lines		 $24.44–$54 $32.59–$72 varies
Strapping toes (29550)
range across 3 matching MRF lines		 $13.85–$33 $18.46–$44 varies
Strapping Unna Boot (29580)
range across 6 matching MRF lines		 $46.16–$213 $61.55–$284 varies
Subcutaneous Hormone Pellet Implantation (11980)
range across 3 matching MRF lines		 $68.94–$146.25 $91.92–$195 varies
Surg tx anal fistula subq (46270) $708.75 $945 0.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $751.50 $1,002 0.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $420 $560 0.2×
Suture pharynx for wound or injury (42900) $589.50 $786 0.4×
Suture/repair testicular injury (54670) $645 $860 0.2×
Tangential biopsy skin single lesion (11102)
range across 3 matching MRF lines		 $50.25–$126 $67–$168 varies
Temporary Closure Eyelids Suture (67875) $171 $228 0.2×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $921.75 $1,229 0.3×
Thyroid biopsy (60100) $126 $168 0.2×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $523.50 $698 0.2×
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225)
likely a partial charge, not the full procedure		 $1,447.50 $1,930 0.2×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $504 $672 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $589.50 $786 2.5×
Tracheostomy planned (31600) $568.50 $758 0.2×
Transmetacarpal amputation; Facility (25927) $1,425 $1,900 0.4×
Transmetacarpal amputation; re-amputation Facility (25931) $1,308.75 $1,745 0.4×
Transmetacarpal amputation; secondary closure or scar revision Facility (25929) $1,049.25 $1,399 0.5×
Transrectal Drainage of Pelvic Abscess (45000) $754.50 $1,006 0.6×
Treat Big Toe Fracture (28505) $879.75 $1,173 0.3×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $1,170 $1,560 0.2×
Treat humerus fracture (24500)
range across 3 matching MRF lines		 $261.86–$627.75 $349.15–$837 varies
Treat Humerus Fracture (24505) $869.25 $1,159 0.5×
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $241.48–$612.75 $321.97–$817 varies
Treat knee fracture (27532)
range across 3 matching MRF lines		 $448.13–$1,080 $597.50–$1,440 varies
Treat Knee Fracture(S) (27538) $683.25 $911 2.8×
Treat Knuckle Dislocation (26700) $539.25 $719 2.2×
Treat Metatarsal Fracture (28475)
range across 3 matching MRF lines		 $188.05–$447 $250.73–$596 varies
Treat Tail Bone Fracture (27200)
range across 3 matching MRF lines		 $135.73–$318.75 $180.97–$425 varies
Treat Thumb Dislocation (26641) $670.50 $894 2.8×
Treat Thumb Fracture (26645) $751.50 $1,002 0.5×
Treat toe dislocation (28630)
range across 3 matching MRF lines		 $112.64–$276 $150.18–$368 varies
Treat Vaginal Bleeding (57180)
range across 3 matching MRF lines		 $126.55–$266.25 $168.73–$355 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $825 $1,100 0.5×
Treatment closed elbow dislocation w/o anes (24600) $639.75 $853 2.6×
Treatment mouth roof lesion (42160) $258.75 $345 0.1×
Treatment of gum lesion (41850) $213.75 $285 0.1×
Trim skin lesion (11055)
range across 3 matching MRF lines		 $50.08–$108.75 $66.77–$145 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $57.83–$125.25 $77.10–$167 varies
Trim skin lesions over 4 (11057)
range across 3 matching MRF lines		 $63.74–$138 $84.99–$184 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $10.33–$22.50 $13.77–$30 varies
Tubal ligation (58600) $578.25 $771 0.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $830.25 $1,107 0.3×
Tx Gastro Intub W/Asp (43753) $123.75 $165 0.6×
Tx Incomplete Abortion Any Trimester Surgical (59812) $462.75 $617 0.1×
Tx Missed Abortion First Trimester Surgical (59820) $567 $756 0.2×
Tx Missed Abortion Second Trimester Surgical (59821) $561 $748 0.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $642 $856 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $218.54–$453 $291.38–$604 varies
Tx superficial wound dehiscence w/packing (12021)
range across 3 matching MRF lines		 $126.94–$267 $169.25–$356 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 3 matching MRF lines		 $153.71–$377.25 $204.94–$503 varies
Tympanostomy general anesthesia (69436) $243 $324 0.2×
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,037.25 $1,383 0.3×
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure		 $366 $488 0.1×
Unlisted laparoscopy procedure stomach (43659)
likely a partial charge, not the full procedure		 $366 $488 0.1×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure		 $1,626.75 $2,169 0.3×
Unlisted laparoscopy procedure, uterus (58578)
likely a partial charge, not the full procedure		 $1,064.25 $1,419 0.2×
Unlisted procedure breast (19499) $452.25 $603 0.1×
Unlisted Procedure Male Genital System (55899)
range across 3 matching MRF lines		 $110.79–$231.75 $147.72–$309 varies
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $195.75–$781.50 $261–$1,042 varies
Unlisted procedure stomach (43999) $1,255.50 $1,674 1.4×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $399 $532 0.4×
Ureteral endoscopy via ureterostomy (50951) $516.75 $689 0.1×
Uvulectomy excision of uvula (42140) $271.50 $362 0.1×
Vaginal Delivery After Cesarean Delivery (59612) $1,397.25 $1,863 0.4×
Vaginal delivery only (59409) $1,246.50 $1,662 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $257.56–$557.25 $343.41–$743 varies
Venous Cutdown >1 Y/O (36425) $72 $96 0.2×
Ventilating tube removal requiring general anesthesia (69424) $94.50 $126 0.0×
Vermilionectomy lip shv w/mucosal advmnt (40500) $639 $852 0.2×
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $123.11–$251.25 $164.15–$335 varies
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure		 $1,118.25 $1,491 0.2×
Wedging of cast (29740)
range across 3 matching MRF lines		 $70.40–$174.75 $93.87–$233 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.