Procedures & surgery prices at St. Patrick Hospital

Missoula, MT · every code in this section with a posted price and a Medicare benchmark.

1010 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $212.80–$2,761.60 $266–$3,452 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,154.40 $1,443 1.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure		 $5,055.20 $6,319 0.3×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,915.20 $2,394 1.2×
Acne surgery (10040) $249.60 $312 1.2×
Adding Walker Previously Applied Cast (29440) $201.60 $252 1.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $4,689.60 $5,862 1.3×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,488 $3,110 1.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,488 $3,110 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,381.60 $2,977 1.1×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,488 $3,110 1.2×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $9,533.60 $11,917 1.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $4,108 $5,135 1.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,816.80 $2,271 0.5×
Amputation metatarsal with toe single (28810) $4,289.60 $5,362 1.3×
Amputation toe interphalangeal joint (28825) $4,108 $5,135 1.2×
Anoscopy Control Bleeding (46614) $1,328.80 $1,661 1.1×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $142.40–$172 $178–$215 varies
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines		 $83.20–$584.80 $104–$731 varies
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $201.60 $252 1.2×
Appl cranial tong/strtctc frame w/removal spx (20660) $1,980 $2,475 1.2×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $331.20 $414 1.2×
Application Body Cast Shoulder Hips (29035) $331.20 $414 1.2×
Application cast elbow finger short arm (29075) $331.20 $414 1.2×
Application Cast Finger (29086) $201.60 $252 1.2×
Application Cast Shoulder Spica (29055) $331.20 $414 1.2×
Application Finger Splint Dynamic (29131) $79.20 $99 1.3×
Application finger splint static (29130)
range across 2 matching MRF lines		 $80–$137.60 $100–$172 varies
Application Halo Cranial Including Removal (20661) $1,512.80 $1,891 0.9×
Application Hip Spica Cast 1 Leg (29305) $331.20 $414 1.2×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $171.20–$172.80 $214–$216 varies
Application Long Leg Cast Brace (29358) $331.20 $414 1.2×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $157.60–$186.40 $197–$233 varies
Application of cylinder cast (thigh to ankle) (29365) $331.20 $414 1.2×
Application of long leg cast (29345) $331.20 $414 1.2×
Application of rigid total contact leg cast (29445) $453.60 $567 1.6×
Application Short Arm Splint Dynamic (29126) $160 $200 1.2×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $130.40–$136 $163–$170 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $131.20–$146.40 $164–$183 varies
Application, cast; figure-of-eight Facility (29049) $331.20 $414 1.2×
Apply hand/wrist cast (29085) $201.60 $252 1.2×
Apply long arm cast (29065) $331.20 $414 1.2×
Apply Multlay Comprs Lwr Leg (29581) $191.20 $239 1.2×
Apply Short Leg Cast (29405) $331.20 $414 1.2×
Apply short leg cast (29425) $331.20 $414 1.2×
Apply shoulder cast,plastr velpeau (29058) $331.20 $414 1.2×
Arterial puncture (36600) $268 $335 2.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $113.60–$460 $142–$575 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $889.60 $1,112 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $414.40–$460 $518–$575 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $920 $1,150 2.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $107.20–$460 $134–$575 varies
Arthroplasty interphalangeal joint each (26535) $4,108 $5,135 1.2×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,980 $2,475 1.2×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $223.20–$1,737.60 $279–$2,172 varies
Aspirate Pleura W/O Imaging (32554) $740.80 $926 1.2×
Aspirate/Inj Ganglion Cyst (20612) $375.20 $469 1.2×
Aspiration and/or injection thyroid cyst (60300) $895.20 $1,119 1.2×
Aspiration bladder insert suprapubic catheter (51102) $2,888.80 $3,611 1.4×
Aspiration Bladder Needle (51100) $296 $370 1.2×
Aspiration bladder trocar/intracatheter (51101) $1,289.60 $1,612 1.5×
Aspiration/Release Vitreous Subretinal/Choroidal (67015) $2,980 $3,725 1.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $189.60–$397.60 $237–$497 varies
Biopsy Abdominal Mass (49180) $1,244 $1,555 0.7×
Biopsy bone open deep (20245) $4,635.20 $5,794 1.6×
Biopsy bone open superficial (20240) $3,564.80 $4,456 1.2×
Biopsy bone trocar/needle deep (20225) $1,660 $2,075 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,105.60 $1,382 0.7×
Biopsy muscle percutaneous needle (20206) $932.80 $1,166 0.6×
Biopsy of floor of mouth (41108) $2,068.80 $2,586 1.2×
Biopsy of liver, needle; percutaneous (47000) $3,608 $4,510 2.1×
Biopsy of penis (54100) $3,089.60 $3,862 1.8×
Biopsy Pleura Percutaneous Needle (32400) $1,729.60 $2,162 1.0×
Biopsy soft tissue neck/thorax (21550) $2,068.80 $2,586 1.2×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $2,943.20 $3,679 1.7×
Biopsy Spinal Cord Percutaneous Needle (62269) $3,677.60 $4,597 2.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $919.20 $1,149 1.0×
Bladder Irrigation (51700) $208.80 $261 0.8×
Bladder Scan (51798) $100 $125 1.7×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $240–$357.60 $300–$447 varies
Blood Transfusion Service (36430) $359.20 $449 0.8×
Bone Marrow Biopsy (38221) $1,614.40 $2,018 1.0×
Bone Marrow; Aspiration Only (38220) $1,600.80 $2,001 0.9×
Bronchoscopy Clear Airways (31645) $1,961.60 $2,452 1.1×
Bronchoscopy W/Removal Foreign Body (31635) $1,961.60 $2,452 1.1×
Bx breast 1st lesion strtctc (19081) $2,821.60 $3,527 1.7×
Bx breast 1st lesion us imag (19083) $4,821.60 $6,027 2.9×
Bx Cervix (57500) $970.40 $1,213 1.0×
Canthoplasty (67950) $2,917.60 $3,647 1.2×
Canthotomy Separate Procedure (67715) $2,917.60 $3,647 1.2×
Carpal Tunnel Surgery (64721) $2,480 $3,100 1.2×
Catheter aspiration nasotracheal spx (31720) $264 $330 1.2×
Cautery Cervix Electro/Thermal (57510) $3,901.60 $4,877 1.2×
Cessj Therapy Cath Removal (37214) $3,214.40 $4,018 1.0×
Change Cystostomy Tube Complicated (51710) $863.20 $1,079 1.2×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $101.60–$237.60 $127–$297 varies
Change of Windpipe Airway (31502) $345.60 $432 1.4×
Change ureter stent percut (50382) $4,097.60 $5,122 1.9×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $156.80–$397.60 $196–$497 varies
Chest tube placement (32551)
range across 3 matching MRF lines		 $340–$1,685.60 $425–$2,107 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,117.60 $2,647 0.6×
Cl Tx Scapular Fx; W Manip (23575) $1,980 $2,475 1.2×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,120–$2,843.20 $1,400–$3,554 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $118.40–$252 $148–$315 varies
Closed Rx Metacarpal Fx,Percut (26608) $4,289.60 $5,362 1.3×
Closed Rx Spontaneous Hip Disloc (27256) $286.40 $358 1.1×
Closed rx talotarsal disloc,anesth (28575) $3,320 $4,150 1.0×
Closed Treat Vert Body Fract (22310) $299.20 $374 1.2×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $386.40 $483 1.5×
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines		 $329.60–$2,639.20 $412–$3,299 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $208.80–$938.40 $261–$1,173 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $286.40 $358 1.1×
Closed Treatment Sesamoid Fracture (28530) $286.40 $358 1.1×
Closed Treatment Sternum Fracture (21820) $299.20 $374 1.2×
Closed Treatment Ulnar Styloid Fracture (25650) $286.40 $358 1.1×
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $709.60–$719.20 $887–$899 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines		 $928.80–$1,859.20 $1,161–$2,324 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $204–$690.40 $255–$863 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $286.40 $358 1.1×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $286.40 $358 1.1×
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $696–$1,980 $870–$2,475 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $286.40 $358 1.1×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $4,274.40 $5,343 2.6×
Closed tx femoral fracture prox head w/o manj (27267) $4,289.60 $5,362 1.3×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $286.40 $358 1.1×
Closed tx fx orbit except blowout w/manipulation (21401) $1,915.20 $2,394 1.2×
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines		 $524–$3,528 $655–$4,410 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $197.60–$956 $247–$1,195 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $755.20–$2,691.20 $944–$3,364 varies
Closed tx mandibular fracture w/manipulation (21451) $1,586.40 $1,983 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $630.40 $788 1.1×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $7,369.60 $9,212 1.2×
Closed tx metatarsal fracture w/o manipulation (28470) $223.20 $279 0.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $491.20–$2,722.40 $614–$3,403 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines		 $560.80–$1,526.40 $701–$1,908 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,926.40 $4,908 1.2×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $4,101.60 $5,127 1.2×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $382.40–$1,936 $478–$2,420 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $251.20–$740 $314–$925 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $286.40 $358 1.1×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $652–$899.20 $815–$1,124 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $157.60–$404 $197–$505 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $623.20–$1,042.40 $779–$1,303 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $176.80–$404 $221–$505 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $484–$914.40 $605–$1,143 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $166.40–$341.60 $208–$427 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $286.40 $358 1.1×
Closed tx septal&nose fx (21337) $3,926.40 $4,908 1.2×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $286.40 $358 1.1×
Closed tx talotarsal joint dislc w/o anes (28570) $286.40 $358 1.1×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $227.20–$1,632.80 $284–$2,041 varies
Closed tx talus fracture w/o manipulation (28430) $286.40 $358 1.1×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $286.40 $358 1.1×
Closed tx tarsometatarsal dislocation w/o anes (28600) $286.40 $358 1.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $192–$245.60 $240–$307 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,980 $2,475 1.2×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $286.40 $358 1.1×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $144–$179.20 $180–$224 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines		 $354.40–$527.20 $443–$659 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $452.80–$858.40 $566–$1,073 varies
Clsd tx acromioclavicular dislc w/manipulation (23545) $286.40 $358 1.1×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $286.40 $358 1.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,980 $2,475 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $286.40 $358 1.1×
Clsd tx fx orbit except blowout w/o manipulation (21400) $630.40 $788 1.1×
Clsd Tx Pelvic Ring Fx (27198) $286.40 $358 1.1×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $286.40 $358 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $774.40–$1,992.80 $968–$2,491 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $246.40–$601.60 $308–$752 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $1,980 $2,475 1.2×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $299.20 $374 1.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $946.40–$1,760 $1,183–$2,200 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,980 $2,475 1.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $286.40 $358 1.1×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,980 $2,475 1.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $286.40 $358 1.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $244.80–$582.40 $306–$728 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,980 $2,475 1.2×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $286.40 $358 1.1×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines		 $505.60–$742.40 $632–$928 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $193.60–$416.80 $242–$521 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $286.40–$543.20 $358–$679 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $159.20 $199 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $179.20–$634.40 $224–$793 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $709.60–$1,091.20 $887–$1,364 varies
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,980 $2,475 1.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines		 $1,434.40–$3,107.20 $1,793–$3,884 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 2 matching MRF lines		 $404–$421.60 $505–$527 varies
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $4,617.60 $5,772 2.8×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $740.80 $926 2.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $727.20–$3,432.80 $909–$4,291 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $286.40 $358 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $75.20–$172.80 $94–$216 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $280–$354.40 $350–$443 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $193.60–$286.40 $242–$358 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines		 $751.20–$2,557.60 $939–$3,197 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $286.40 $358 1.1×
Cltx greater humeral tuberosity fx w/o manj (23620) $286.40 $358 1.1×
Cltx Greater Trochanteric Fx W/O Manj (27246) $286.40 $358 1.1×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $592–$2,052.80 $740–$2,566 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,496.80–$2,588 $1,871–$3,235 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $216.80–$382.40 $271–$478 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $286.40 $358 1.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,980 $2,475 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines		 $286.40–$369.60 $358–$462 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $172.80 $216 0.7×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,980 $2,475 1.2×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $331.20 $414 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $226.40–$241.60 $283–$302 varies
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,589.60 $4,487 2.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines		 $664.80–$1,776.80 $831–$2,221 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $428–$533.60 $535–$667 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $985.60–$2,324.80 $1,232–$2,906 varies
Cltx Medial Ankle Fx (27760) $286.40 $358 1.1×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $206.40–$417.60 $258–$522 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $250.40–$577.60 $313–$722 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $793.60–$1,668.80 $992–$2,086 varies
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,980 $2,475 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $349.60–$588.80 $437–$736 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $112.80–$332 $141–$415 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $882.40–$1,980 $1,103–$2,475 varies
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $571.20–$785.60 $714–$982 varies
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines		 $293.60–$2,533.60 $367–$3,167 varies
Cltx prox fibula/shft fx w/o manj (27780) $286.40 $358 1.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines		 $911.20–$2,398.40 $1,139–$2,998 varies
Cltx prox tibfib jt dislc req anes (27831) $4,108 $5,135 1.2×
Cltx prox tibfib jt dislc w/o anes (27830) $286.40 $358 1.1×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines		 $319.20–$464.80 $399–$581 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $240.80–$265.60 $301–$332 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,068 $2,585 1.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $827.20–$852 $1,034–$1,065 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,980 $2,475 1.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $455.20–$586.40 $569–$733 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $286.40 $358 1.1×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,068 $2,585 1.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $299.20 $374 1.2×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $4,108 $5,135 1.2×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $286.40 $358 1.1×
Cltx tibial fx proximal w/o manipulation (27530) $286.40 $358 1.1×
Cltx tibial shaft fx w/o manipulation (27750) $286.40 $358 1.1×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $286.40 $358 1.1×
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $598.40–$955.20 $748–$1,194 varies
Cltx trimalleolar ankle fx w/o manipulation (27816) $286.40 $358 1.1×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $4,289.60 $5,362 1.3×
Collect Blood From Catheter Venous Nos (36592) $178.40 $223 1.3×
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $14.40–$96.80 $18–$121 varies
Colpocentesis (57020) $6,396.80 $7,996 1.3×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $4,075.20 $5,094 1.2×
Colporrhaphy (57200) $3,170.40 $3,963 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $218.40 $273 1.1×
Colposcopy of vulva (56820) $245.60 $307 1.2×
Colpotomy; with drainage of pelvic abscess (57010) $4,075.20 $5,094 1.2×
Colpotomy; with exploration (57000) $4,075.20 $5,094 1.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $1,299.20 $1,624 1.1×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $1,668.80–$5,724.80 $2,086–$7,156 varies
Composite Skin Graft (15760) $2,488 $3,110 1.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $228.80–$407.20 $286–$509 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $114.40–$208 $143–$260 varies
Control oropharyngeal hemorrhage simple (42960) $141.60 $177 0.3×
Conversion ext bil drg cath (47535) $5,104.80 $6,381 1.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $833.60 $1,042 0.4×
Convert Nephrostomy Catheter (50434) $1,486.40 $1,858 0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,976 $3,720 1.8×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $4,620 $5,775 1.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $4,108 $5,135 1.2×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $4,108 $5,135 1.2×
Csf shunt reprogram (62252) $398.40 $498 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $460–$506.40 $575–$633 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $287.20 $359 1.2×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $4,101.60 $5,127 1.2×
Curettage postpartum (59160) $4,075.20 $5,094 1.2×
Curette/treat cornea (65435) $1,204 $1,505 1.2×
Cysto Bladder W/Ureteral Catheterization (52005) $2,276 $2,845 1.1×
Cysto calibration dilat urtl strix/stenosis (52281) $2,276 $2,845 1.1×
Cysto w/destruction of lesions (52214) $3,933.60 $4,917 1.1×
Cysto w/irrig & evac multple obstructing clots (52001) $3,933.60 $4,917 1.1×
Cysto W/Simple Removal Stone & Stent (52310) $2,276 $2,845 1.1×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $3,933.60 $4,917 1.1×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,933.60 $4,917 1.1×
Cystostomy Cystotomy W/Drainage (51040) $2,673.60 $3,342 1.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $2,673.60 $3,342 1.3×
Cystourethroscopy (52000) $767.20 $959 1.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $104–$623.20 $130–$779 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,564.80 $4,456 1.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $511.20–$531.20 $639–$664 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines		 $440.80–$895.20 $551–$1,119 varies
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $4,108 $5,135 1.2×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $540–$1,224.80 $675–$1,531 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $110.40–$119.20 $138–$149 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $119.20–$179.20 $149–$224 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $279.20–$3,240.80 $349–$4,051 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $294.40–$478.40 $368–$598 varies
Declot vascular device (36593) $352 $440 1.0×
Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) $4,108 $5,135 1.2×
Decompressive fasciotomy hand (26037) $4,289.60 $5,362 1.3×
Delivery of placenta (59414) $4,077.60 $5,097 1.2×
Derma-fat-fascia graft (15770) $4,689.60 $5,862 1.3×
Destruct B9 Lesion 1-14 (17110) $249.60 $312 1.2×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $265.60 $332 0.6×
Destruction of skin lesions (17106) $515.20 $644 1.2×
Destruction premalignant lesion 1st (17000) $139.20 $174 0.7×
Destruction Vaginal Lesions Simple (57061) $3,815.20 $4,769 1.2×
Diagnostic anoscopy (46601) $152 $190 0.3×
Diagnostic sigmoidoscopy (45330) $997.60 $1,247 1.0×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $200.80 $251 1.5×
Dilate Urethra Stricture (53620) $863.20 $1,079 1.2×
Dilate Urethra Stricture (53600) $296 $370 1.2×
Dilation & curettage dx&/ther nonobstetric (58120) $3,901.60 $4,877 1.2×
Drain Cerebro Spinal Fluid (62272) $889.60 $1,112 1.2×
Drain Hand Tendon Sheath (26020) $4,108 $5,135 1.2×
Drain penis lesion (54015) $2,068.80 $2,586 1.2×
Drain/inj small joint/bursa w/us (20604) $460 $575 1.5×
Drainage abscess parotid simple (42300) $1,915.20 $2,394 1.2×
Drainage Abscess/Hematoma Nasal Septum (30020) $630.40 $788 1.1×
Drainage external auditory canal abscess (69020) $895.20 $1,119 1.2×
Drainage external ear abscess/hematoma cmplx (69005)
range across 2 matching MRF lines		 $317.60–$2,365.60 $397–$2,957 varies
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $164–$374.40 $205–$468 varies
Drainage Finger Abscess Complicated (26011) $2,068.80 $2,586 1.2×
Drainage Mouth Roof Lesion (42000) $287.20 $359 1.2×
Drainage of eye (65800) $2,980 $3,725 1.3×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $250.40–$514.40 $313–$643 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $333.60–$524 $417–$655 varies
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $315.20–$3,240.80 $394–$4,051 varies
Drainage of mouth lesion (41017) $3,926.40 $4,908 1.2×
Drainage of nose lesion (30000) $287.20 $359 1.2×
Drainage of rectal abscess (45005) $1,494.40 $1,868 1.2×
Drainage of salivary gland (42320) $630.40 $788 1.1×
Drainage of salivary gland (42305) $3,926.40 $4,908 1.2×
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines		 $332.80–$1,509.60 $416–$1,887 varies
Drainage of scrotum (54700)
range across 2 matching MRF lines		 $363.20–$3,506.40 $454–$4,383 varies
Drainage of skene's gland abscess or cyst (53060) $2,559.20 $3,199 1.2×
Draw Blood Off Venous Device (36591) $109.60 $137 0.8×
Dressing Change Under Anesthesia (15852) $801.60 $1,002 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $630.40 $788 1.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines		 $272.80–$512.80 $341–$641 varies
Drg Absc Submaxillary/Sublingual Intraoral (42310) $630.40 $788 1.1×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $3,564.80 $4,456 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $415.20–$799.20 $519–$999 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $221.60–$397.60 $277–$497 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $160–$397.60 $200–$497 varies
Dstrj Lesion Anus Simple Chemical (46900) $515.20 $644 1.2×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,176 $1,470 1.3×
Dx Bone Marrow Bx & Aspir (38222) $2,292.80 $2,866 0.8×
Dx Bronchoscope/Lavage (31624) $1,961.60 $2,452 1.1×
Dx Bronchoscope/Wash (31622) $1,961.60 $2,452 1.1×
Dx gastr intub w/asp spec (43754) $386.40 $483 1.8×
Dx gastr intub w/asp specs (43755) $200.80 $251 1.5×
Dx Laryngoscopy Excl Nb (31525)
range across 3 matching MRF lines		 $509.60–$2,596.80 $637–$3,246 varies
Dx laryngoscopy w/oper scope (31526) $1,961.60 $2,452 1.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,482.40 $1,853 2.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,089.60 $2,612 1.1×
Egd Flexible Foreign Body Removal (43247) $990.40 $1,238 1.1×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $2,089.60 $2,612 1.1×
Egd place gastrostomy tube (43246) $2,089.60 $2,612 1.1×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $381.60 $477 1.2×
Endometrial Biopsy (58100) $245.60 $307 1.2×
Epidural Blood Patch (62273) $933.60 $1,167 1.3×
Episiotomy or vaginal repair (59300) $4,077.60 $5,097 1.2×
Escharotomy; initial incision (16035) $515.20 $644 1.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $990.40 $1,238 1.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $2,089.60 $2,612 1.1×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $60–$94.40 $75–$118 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $57.60–$895.20 $72–$1,119 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,068.80 $2,586 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $895.20 $1,119 1.2×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $895.20 $1,119 1.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $895.20 $1,119 1.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $2,068.80 $2,586 1.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,068.80 $2,586 1.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,657.60 $2,072 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,216 $1,520 1.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,068.80 $2,586 1.2×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $3,926.40 $4,908 1.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $895.20 $1,119 1.2×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,068.80 $2,586 1.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,564.80 $4,456 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,068.80 $2,586 1.2×
Exc Skin Benig >4cm Face,Facial (11446) $3,564.80 $4,456 1.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $357.60–$2,052.80 $447–$2,566 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $746.40 $933 1.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $895.20 $1,119 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,068.80 $2,586 1.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,068.80 $2,586 1.2×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536)
range across 2 matching MRF lines		 $5,104.80–$6,168.80 $6,381–$7,711 varies
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,025.60 $1,282 0.5×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,820 $2,275 0.9×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,915.20 $2,394 1.2×
Excision Chalazion Single (67800) $365.60 $457 1.1×
Excision Excessive Skin & Subq Tissue Other Area (15839) $3,723.20 $4,654 1.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $895.20 $1,119 1.2×
Excision Multiple External Papillae/Tags Anus (46230) $3,545.60 $4,432 1.3×
Excision of bartholin's gland or cyst (56740) $3,901.60 $4,877 1.2×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,980 $2,475 1.2×
Excision of pilonidal cyst or sinus; simple (11770) $3,564.80 $4,456 1.2×
Excision of vaginal cyst or tumor (57135) $4,075.20 $5,094 1.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $3,564.80 $4,456 1.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,564.80 $4,456 1.2×
Excision soft tissue lesion, external auditory canal (69145) $3,564.80 $4,456 1.2×
Expl penetrating wound spx abdomen/flank/back (20102) $2,381.60 $2,977 1.1×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $973.60–$2,764.80 $1,217–$3,456 varies
Exploration of knee joint (27310) $4,108 $5,135 1.2×
Exploration penetrating wound spx chest (20101) $2,381.60 $2,977 1.1×
Exploration penetrating wound spx extremity (20103) $2,068.80 $2,586 1.2×
Exploration Penetrating Wound Spx Neck (20100) $630.40 $788 1.1×
External cephalic version (59412)
range across 2 matching MRF lines		 $2,366.40–$2,721.60 $2,958–$3,402 varies
Fetal Contraction Stress Test (59020) $245.60 $307 1.2×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $245.60–$256 $307–$320 varies
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $2,381.60 $2,977 1.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,604.80 $2,006 2.2×
Fine needle aspiration without imaging guidance (10021)
range across 4 matching MRF lines		 $81.60–$415.20 $102–$519 varies
Fluid Pressure Muscle (20950) $895.20 $1,119 1.2×
Fluoro exam of g/colon tube (49465) $118.40 $148 0.5×
Fna bx w/us gdn 1st les (10005) $1,604.80 $2,006 2.2×
Forehead flap w/vasc pedicle (15731) $4,689.60 $5,862 1.3×
Foreskin manipulation (54450) $422.40 $528 1.7×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,488 $3,110 1.2×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,488 $3,110 1.2×
Fusion Finger Joint (26860) $4,108 $5,135 1.2×
Fusion of hand bones (25820) $9,128 $11,410 1.2×
Guide Cathet Fluid Drainage (10030) $1,693.60 $2,117 2.3×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,545.60 $4,432 1.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,545.60 $4,432 1.3×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,147.20 $1,434 1.2×
Hemorrhoidopexy by stapling (46947) $3,545.60 $4,432 1.3×
Hymenotomy Simple Incision (56442) $6,856 $8,570 2.1×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $3,926.40 $4,908 1.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $387.20–$464.80 $484–$581 varies
I&d abscess simple (10060)
range across 3 matching MRF lines		 $223.20–$397.60 $279–$497 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,564.80 $4,456 1.2×
I&D Deep Absc/Hematoma Neck/Chest (21501) $3,564.80 $4,456 1.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $4,108 $5,135 1.2×
I&D Intramural Im/Absc Transanal Anes (46045) $3,545.60 $4,432 1.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $4,108 $5,135 1.2×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $391.20–$1,081.60 $489–$1,352 varies
I&d pilonidal cyst complicated (10081)
range across 3 matching MRF lines		 $529.60–$1,620.80 $662–$2,026 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $176.80–$1,407.20 $221–$1,759 varies
I&d shoulder deep abscess/hematoma (23030) $3,564.80 $4,456 1.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,564.80 $4,456 1.2×
I&d vaginal hematoma obstetrical/postpartum (57022) $3,564.80 $4,456 1.2×
Icd Pocket Revision (33223) $3,967.20 $4,959 1.9×
Image Cath Fluid Colxn Visc (49405) $3,465.60 $4,332 2.1×
Image Cath Fluid Peri/Retro (49406) $1,944 $2,430 1.2×
Implant neuroelectrodes (63650) $12,980.80 $16,226 2.0×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $283.20–$349.60 $354–$437 varies
Incise flexor carpi radialis (25001) $4,108 $5,135 1.2×
Incise/Drain Conjunctiva (68020) $1,331.20 $1,664 1.3×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $390.40–$799.20 $488–$999 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $3,564.80 $4,456 1.2×
Incision & drainage leg/ankle infected bursa (27604) $4,289.60 $5,362 1.3×
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $390.40–$3,240.80 $488–$4,051 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $237.60–$799.20 $297–$999 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $220–$245.60 $275–$307 varies
Incision and drainage of the tear gland (68400) $1,204 $1,505 1.2×
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $3,564.80 $4,456 1.2×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $220–$332.80 $275–$416 varies
Incision extensor tendon sheath wrist (25000) $1,980 $2,475 1.2×
Incision of eardrum (69420) $287.20 $359 1.2×
Incision of lingual frenum (frenotomy) (41010) $1,016.80 $1,271 0.6×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $1,035.20–$1,792.80 $1,294–$2,241 varies
Incision of urethra (53020) $2,559.20 $3,199 1.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,160.80 $2,701 1.3×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $801.60–$1,224.80 $1,002–$1,531 varies
Induced abortion dilation and curettage (59840) $3,901.60 $4,877 1.2×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $131.20–$139.20 $164–$174 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $476 $595 0.5×
Inj W/Fluor Eval Cv Device (36598) $777.60 $972 3.6×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,176 $1,470 1.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $782.40 $978 0.9×
Inject Intravitreal Pharmcologic (67028) $459.20 $574 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $375.20 $469 1.2×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,176 $1,470 1.3×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $1,176 $1,470 1.3×
Injection aa&/strd genicular nrv branches w/img (64454) $889.60 $1,112 1.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $108–$1,176 $135–$1,470 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $889.60 $1,112 1.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $889.60 $1,112 1.2×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $1,176 $1,470 1.3×
Injection Anes Agent Sphenopalatine Ganglion (64505) $375.20 $469 1.2×
Injection for identification of sentinel node (38792) $596.80 $746 1.5×
Injection of sclerosing solution, hemorrhoids (46500) $1,147.20 $1,434 1.2×
Injection single tendon origin/insertion (20551) $375.20 $469 1.2×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $106.40–$344.80 $133–$431 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $48–$344.80 $60–$431 varies
Injection therapeutic carpal tunnel (20526) $375.20 $469 1.2×
Injection, anesthetic agent; femoral nerve, single (64447) $889.60 $1,112 1.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $208–$377.60 $260–$472 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $32.80–$249.60 $41–$312 varies
Injx Anterior Chamber Eye Medication Spx (66030) $2,980 $3,725 1.3×
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines		 $3,984.80–$4,347.20 $4,981–$5,434 varies
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines		 $3,100–$6,074.40 $3,875–$7,593 varies
Ins cath ren art 2nd+ unilat (36253) $3,207.20 $4,009 0.6×
Ins endovas vena cava filtr (37191) $10,047.20 $12,559 1.8×
Ins Vag Brachytx Device (57156) $584 $730 1.9×
Ins/Rep Subq Defibrillator (33270) $63,571.20 $79,464 2.0×
Insert 1 Electrode Pm-Defib (33216) $7,763.20 $9,704 0.9×
Insert and remove bone pin (20650) $4,108 $5,135 1.2×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $112.80–$168 $141–$210 varies
Insert cath pleura w/ image (32557) $4,493.60 $5,617 2.8×
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $160–$1,946.40 $200–$2,433 varies
Insert cervical dilator (59200) $403.20 $504 1.3×
Insert Gastrostomy Tube Percutaneous (49440) $1,700.80 $2,126 0.9×
Insert Heart Pm Atrial (33206) $17,186.40 $21,483 1.6×
Insert Heart Pm Ventricular (33207) $23,271.20 $29,089 2.2×
Insert hepatic shunt (tips) (37182) $13,287.20 $16,609 0.7×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $470.40–$3,596 $588–$4,495 varies
Insert Pacing Lead & Connect (33224) $14,006.40 $17,508 1.3×
Insert pessary/other device (57160) $245.60 $307 1.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,053.60 $2,567 1.3×
Insert prost urethral stent (53855) $2,559.20 $3,199 1.2×
Insert pulse gen dual leads (33213) $15,024.80 $18,781 1.4×
Insert pulse gen mult leads (33221) $28,080 $35,100 1.4×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $146.40–$167.20 $183–$209 varies
Insert tun ip cath perc (49418) $4,724.80 $5,906 1.3×
Insert tunneled cv cath (36561) $2,755.20 $3,444 0.9×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $7,092.80 $8,866 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $120 $150 0.9×
Insertion indwelling tunneled pleural catheter (32550) $2,994.40 $3,743 0.8×
Insertion of cannula (36800) $10,472 $13,090 1.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,243.20 $2,804 1.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $18,217.60 $22,772 2.2×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $5,104.80 $6,381 1.4×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $9,271.20 $11,589 1.8×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $20,056.80 $25,071 2.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $4,110.40 $5,138 1.3×
Insj Picc Rs&I <5 Yr (36572) $1,213.60 $1,517 1.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $825.60 $1,032 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,515.20 $3,144 0.8×
Insj/Rplcmt Defib W/Lead(S) (33249) $66,288.80 $82,861 2.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $7,678.40 $9,598 0.9×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $12,706.40 $15,883 1.5×
Insrt heart pm atrial & vent (33208) $17,318.40 $21,648 1.6×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,866.40 $3,583 1.0×
Interdental fixation (21110) $2,501.60 $3,127 1.6×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,448.80 $4,311 2.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $368–$914.40 $460–$1,143 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $339.20–$412.80 $424–$516 varies
Intranasal Biopsy (30100) $1,915.20 $2,394 1.2×
Intraoral i&d tongue/floor lingual (41000) $630.40 $788 1.1×
Intraoral i&d tongue/floor sublngl supfc (41005) $287.20 $359 1.2×
Intraoral i&d tongue/floor submental space (41007) $1,915.20 $2,394 1.2×
Intraoral i&d tongue/floor submndblr space (41008)
range across 2 matching MRF lines		 $385.60–$3,926.40 $482–$4,908 varies
Intro cath dialysis circuit (36901) $1,681.60 $2,102 1.0×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $23,983.20 $29,979 2.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $11,866.40 $14,833 2.0×
Intro Gastrointestinal Tube (44500) $687.20 $859 0.7×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $440.80–$576.80 $551–$721 varies
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $155.20–$264 $194–$330 varies
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $7,512.80 $9,391 1.2×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $168–$212.80 $210–$266 varies
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines		 $224–$232 $280–$290 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $4,091.20 $5,114 1.1×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,961.60 $2,452 1.1×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $463.20 $579 1.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $219.20 $274 1.1×
Laryngoscopy W/Foreign Body Removal (31530) $1,961.60 $2,452 1.1×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $463.20 $579 1.2×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $463.20 $579 1.2×
Late closure of wound (13160) $3,354.40 $4,193 0.9×
Lateral Canthopexy (21282) $4,101.60 $5,127 1.2×
Ligation of a-v fistula (37607) $6,500 $8,125 2.0×
Ligation Of Neck Artery (37615) $4,110.40 $5,138 1.3×
Ligation or biopsy temporal artery (37609) $2,068.80 $2,586 1.2×
Lrt iad 18bct/8vir&7arg RNA (0528U) $946.40 $1,183 1.5×
Lyse chest fibrin init day (32561) $1,108.80 $1,386 1.7×
Lyse Chest Fibrin Subq Day (32562) $1,108.80 $1,386 1.7×
Manipulation Elbow Under Anesthesia (24300) $1,980 $2,475 1.2×
Manipulation knee joint under general anesthesia (27570) $1,980 $2,475 1.2×
Manipulation tmj therapeutic require anesthesia (21073) $2,000.80 $2,501 1.3×
Manipulation wrist under anesthesia (25259) $1,980 $2,475 1.2×
Marsupialization of bartholin's gland cyst (56440) $3,901.60 $4,877 1.2×
Mech remov tunneled cv cath (36595) $1,872 $2,340 0.6×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $2,917.60 $3,647 1.2×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $4,689.60 $5,862 1.3×
N Block Inj Celiac Pelus (64530) $527.20 $659 0.6×
N Block Inj Ilio-Ing/Hypogi (64425) $889.60 $1,112 1.2×
N block inj intercost sng (64420) $889.60 $1,112 1.2×
N Block Inj Plantar Digit (64455) $375.20 $469 1.2×
N Block Inj Pudendal (64430) $1,176 $1,470 1.3×
N Block Lumbar/Thoracic (64520) $1,141.60 $1,427 1.3×
Nasal Endoscopy Dx (31231) $219.20 $274 1.1×
Nasal/Orogastric W/Tube Plmt (43752) $1,184 $1,480 2.6×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,961.60 $2,452 1.1×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $7,593.60 $9,492 1.1×
Needle Biopsy Lymph Nodes (38505) $920.80 $1,151 0.5×
Needle Biopsy Pancreas (48102) $1,398.40 $1,748 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $34.40–$49.60 $43–$62 varies
Needle insertion w/o injection 3 or more muscles (20561) $34.40 $43 1.2×
Njx anes stellate ganglion crv sympathetic (64510) $1,933.60 $2,417 2.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $233.60–$276.80 $292–$346 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $630.40 $788 0.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,900.80 $4,876 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,310.40 $1,638 1.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,030.40 $1,288 1.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $889.60 $1,112 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,248.80 $1,561 1.4×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,030.40 $1,288 1.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $940 $1,175 1.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $940 $1,175 1.3×
Obstructive material removal from gi tube (49460) $1,189.60 $1,487 1.3×
Occipital Nerve Block (64405)
range across 3 matching MRF lines		 $191.20–$404.80 $239–$506 varies
Open Treatment Bimalleolar Ankle Fracture (27814) $9,533.60 $11,917 1.3×
Open Treatment Fracture Distal Tibia & Fibula (27828) $18,806.40 $23,508 1.4×
Open treatment fracture distal tibia only (27827) $18,806.40 $23,508 1.4×
Open treatment interphalangeal joint dislocation (28675) $4,289.60 $5,362 1.3×
Open Treatment Lunate Dislocation (25695) $9,128 $11,410 1.2×
Open Treatment Medial Malleolus Fracture (27766) $9,128 $11,410 1.2×
Open treatment metatarsal fracture each (28485) $9,128 $11,410 1.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $9,128 $11,410 1.2×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $7,696.80 $9,621 1.3×
Open treatment of nasal fracture; uncomplicated Facility (21325) $3,926.40 $4,908 1.2×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $4,289.60 $5,362 1.3×
Open Treatment of Ulnar Shaft Fracture (25545) $9,128 $11,410 1.2×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $9,128 $11,410 1.2×
Open Treatment Proximal Humeral Fracture (23615) $18,806.40 $23,508 1.4×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $4,108 $5,135 1.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $9,128 $11,410 1.2×
Open Tx Distal Phalangeal Fracture Each (26765) $4,108 $5,135 1.2×
Open Tx Distal Tibiofibular Joint Disruption (27829) $9,533.60 $11,917 1.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $4,108 $5,135 1.2×
Open tx humeral supracondylar fracture w/o xtn (24545) $18,806.40 $23,508 1.4×
Open tx interphalangeal joint dislocation (26785) $4,108 $5,135 1.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $4,289.60 $5,362 1.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $4,108 $5,135 1.2×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $9,533.60 $11,917 1.3×
Open/Perq Place Stent 1St (37236) $22,438.40 $28,048 1.9×
Open/Perq Place Stent Same (37238) $24,267.20 $30,334 2.1×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $9,533.60 $11,917 1.3×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $9,533.60 $11,917 1.3×
Orbital implant removal/revision (67560) $4,823.20 $6,029 1.2×
Orchiopexy Ingun/Scrot Appr (54640) $5,104.80 $6,381 1.4×
Osteotomy Phalanx Finger Each (26567) $4,108 $5,135 1.2×
Partial Excision Distal Phalanx Finger (26236) $1,980 $2,475 1.2×
Partial Excision Proximal/Middle Phalanx Finger (26235) $1,980 $2,475 1.2×
Partial hymenectomy or revision of hymenal ring (56700) $4,075.20 $5,094 1.2×
Partial removal of toe (28160) $4,108 $5,135 1.2×
Partical Excision Bone Phalanx Toe (28124) $4,289.60 $5,362 1.3×
Pelvic examination under anesthesia (other than local) (57410) $3,901.60 $4,877 1.2×
Penile Injection (54235)
range across 2 matching MRF lines		 $156–$363.20 $195–$454 varies
Perc Cryo Ablate Renal Tum (50593) $7,269.60 $9,087 0.7×
Perc Rf Ablate Renal Tumor (50592) $8,682.40 $10,853 1.4×
Percut Ablate Liver Rf (47382) $11,633.60 $14,542 1.9×
Percut Cath Occlusn Non Cns Lesn (61626) $16,768 $20,960 1.4×
Percut Drain/Inject Renal Cyst (50390) $1,129.60 $1,412 1.6×
Percut Mech Thrombectomy, Venous, Repeat (37188) $3,152.80 $3,941 1.0×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $4,108 $5,135 1.2×
Pericardiocentesis W/Imaging (33016) $4,207.20 $5,259 2.6×
Peritoneal Lavage (49084) $1,189.60 $1,487 1.3×
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure		 $8,229.60 $10,287 0.4×
Perq Cervicothoracic Inject (22510) $4,289.60 $5,362 1.3×
Perq dev breast 1st us imag (19285) $1,362.40 $1,703 1.9×
Perq device breast 1st imag (19281) $1,362.40 $1,703 0.8×
Perq Lumbosacral Injection (22511) $4,289.60 $5,362 1.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $860.80 $1,076 1.2×
Perq skel fixj distal radial fx/epiphysl sep (25606) $4,108 $5,135 1.2×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $23,983.20 $29,979 2.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $11,866.40 $14,833 2.0×
Place Cath Subclavian Art (36225) $5,272 $6,590 1.6×
Place Cath Thoracic Aorta (36221) $3,071.20 $3,839 1.0×
Place Cath Vertebral Art (36226) $5,272 $6,590 0.9×
Place Duod/Jej Tube Perc (49441) $1,513.60 $1,892 0.8×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $100.80–$248 $126–$310 varies
Placement of seton (46020) $3,545.60 $4,432 1.3×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $6,168.80 $7,711 0.9×
Plmt Bile Duct Stent Prq Existing Access (47538) $8,052 $10,065 1.3×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $10,761.60 $13,452 1.7×
Plmt expandable cath brst following prtl mast (19296) $23,308 $29,135 2.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $4,269.60 $5,337 2.0×
Plmt Nephroureteral Catheter (50433) $3,936.80 $4,921 1.1×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $5,289.60 $6,612 1.5×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $4,756.80 $5,946 1.3×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $5,060 $6,325 1.4×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $7,590.40 $9,488 0.4×
Probe lacrimal canaliculi w/wo irrigation (68840) $365.60 $457 1.1×
Proctopexy Perineal Approach (45541) $3,703.20 $4,629 1.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $997.60 $1,247 1.0×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $3,083.20 $3,854 1.1×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $528 $660 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $4,256.80 $5,321 1.2×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $4,616 $5,770 1.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $4,108 $5,135 1.2×
Prq skel fixj femoral fx prox end neck (27235) $9,533.60 $11,917 1.3×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) $9,128 $11,410 1.2×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $9,533.60 $11,917 1.3×
Pseudoaneurysm Injection Trt (36002) $798.40 $998 1.2×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $56.80–$345.60 $71–$432 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $252.80–$799.20 $316–$999 varies
Puncture Aspiration Cyst Breast (19000) $527.20 $659 0.7×
Puncture shunt tube/reservoir aspiration/inj px (61070) $889.60 $1,112 1.2×
Push Transfusion Blood 2 Yr/Under (36440) $563.20 $704 1.2×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $993.60 $1,242 1.4×
Rdctj torsion tstis w/wo fixj clat testis (54600) $4,620 $5,775 1.3×
Reconstruct Finger Joint (26548) $4,289.60 $5,362 1.3×
Reconstruction Nail Bed W/Graft (11762) $2,381.60 $2,977 1.1×
Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) $4,108 $5,135 1.2×
Redo Endovas Vena Cava Filtr (37192) $4,206.40 $5,258 1.3×
Reduction of rectal prolapse (45900) $1,147.20 $1,434 1.2×
Release of big toe (28240) $4,108 $5,135 1.2×
Relocation Pocket Pacemaker (33222) $4,003.20 $5,004 1.9×
Rem Endovas Vena Cava Filter (37193) $4,206.40 $5,258 1.3×
Removal Anal Seton Other Marker (46030) $1,494.40 $1,868 1.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,261.60 $1,577 1.4×
Removal Embedded Foreign Body Eyelid (67938) $365.60 $457 1.1×
Removal Foreign Body Deep Thigh/Knee (27372) $3,564.80 $4,456 1.2×
Removal Foreign Body Foot Complicated (28193) $2,068.80 $2,586 1.2×
Removal foreign body foot deep (28192) $2,068.80 $2,586 1.2×
Removal Foreign Body Foot Subcutaneous (28190) $895.20 $1,119 1.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,068.80 $2,586 1.2×
Removal Foreign Body Pelvis/Hip Deep (27087) $4,289.60 $5,362 1.3×
Removal Foreign Body Scrotum (55120) $2,559.20 $3,199 1.2×
Removal foreign body upper arm/elbow deep (24201) $3,564.80 $4,456 1.2×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,915.20 $2,394 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $25.60–$109.60 $32–$137 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $100–$111.20 $125–$139 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $4,075.20 $5,094 1.2×
Removal Implant Deep (20680) $3,564.80 $4,456 1.2×
Removal Implant Superficial Separate Procedure (20670) $2,068.80 $2,586 1.2×
Removal implantable contraceptive capsules (11976) $895.20 $1,119 1.2×
Removal intact breast implant (19328) $4,955.20 $6,194 1.2×
Removal of foreign body from pharynx (42809) $520.80 $651 1.1×
Removal of implant from finger or hand (26320) $2,068.80 $2,586 1.2×
Removal of nail bed (11750)
range across 3 matching MRF lines		 $430.40–$799.20 $538–$999 varies
Removal or bivalving full arm or full leg cast (29705) $128 $160 0.4×
Removal Pacemaker Electrode (33235) $2,484.80 $3,106 0.7×
Removal ppm generator only (33233) $4,602.40 $5,753 0.5×
Removal shoulder foreign body deep subfascial/im (23333) $3,564.80 $4,456 1.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $342.40 $428 1.7×
Removal subcutaneous cardiac rhythm monitor (33286) $1,425.60 $1,782 2.0×
Removal Sutures/Staples Requiring Anesthesia (15851) $2,381.60 $2,977 1.1×
Removal tong/halo applied by another individual (20665) $520.80 $651 1.1×
Removal, under anesthesia, of external fixation system (20694) $1,980 $2,475 1.2×
Removal/bivalving gauntlet boot/body cast (29700) $331.20 $414 1.2×
Remove Brain Cavity Fluid (61020)
range across 2 matching MRF lines		 $1,042.40–$3,468 $1,303–$4,335 varies
Remove cerclage suture (59871) $3,901.60 $4,877 1.2×
Remove drug implant device (11982) $520.80 $651 1.1×
Remove Elctrd Transvenously (33244) $3,992.80 $4,991 1.0×
Remove Forearm Foreign Body (25248) $1,980 $2,475 1.2×
Remove foreign body from eye (65235) $2,980 $3,725 1.3×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $85.60–$228.80 $107–$286 varies
Remove Hand Bone Lesion (26200) $1,980 $2,475 1.2×
Remove Int Dwell Ureteral Stent Transurethral (50386) $2,673.60 $3,342 1.3×
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $180–$191.20 $225–$239 varies
Remove intrvas foreign body (37197) $6,367.20 $7,959 2.0×
Remove Lower Leg Bone Lesion (27635) $4,289.60 $5,362 1.3×
Remove lung catheter (32552)
range across 2 matching MRF lines		 $798.40–$1,197.60 $998–$1,497 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $84–$467.20 $105–$584 varies
Remove Peritoneal Foreign Body (49402) $5,104.80 $6,381 1.4×
Remove Pulse Generator (33241) $3,387.20 $4,234 0.9×
Remove renal tube w/fluoro (50389) $1,128 $1,410 1.6×
Remove Shoulder Foreign Body (23330) $1,198.40 $1,498 0.7×
Remove Tendon Sheath Lesion (26160) $1,980 $2,475 1.2×
Remove tissue expander (11971) $3,723.20 $4,654 1.3×
Remove&replace pm gen singl (33227) $13,634.40 $17,043 1.6×
Remv&replc cvd gen dual lead (33263) $51,821.60 $64,777 2.3×
Remv&replc cvd gen mult lead (33264) $52,249.60 $65,312 1.6×
Remv&replc cvd gen sing lead (33262) $51,821.60 $64,777 2.3×
Remv&replc pm gen dual lead (33228) $15,807.20 $19,759 1.5×
Remv&replc pm gen mult leads (33229) $15,677.60 $19,597 0.8×
Renal Biopsy Perq (50200) $3,783.20 $4,729 2.2×
Repair Achilles Tendon (27650) $9,533.60 $11,917 1.3×
Repair arm/leg nerve (64857) $8,905.60 $11,132 2.6×
Repair Blood Vessel Direct Hand Finger (35207) $4,110.40 $5,138 1.3×
Repair blood vessel direct neck (35201) $7,092.80 $8,866 1.2×
Repair Blood Vessel Direct Upper Extremity (35206) $4,110.40 $5,138 1.3×
Repair blood vessel lesion (35190) $7,092.80 $8,866 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $838.40–$867.20 $1,048–$1,084 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $1,104–$1,108 $1,380–$1,385 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $254.40–$375.20 $318–$469 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $458.40–$1,145.60 $573–$1,432 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $207.20–$292.80 $259–$366 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $349.60–$876.80 $437–$1,096 varies
Repair complex trunk 1.1-2.5 cm (13100) $396.80 $496 0.5×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $224–$801.60 $280–$1,002 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,176–$1,731.20 $1,470–$2,164 varies
Repair Extensor Tendon Hand W/Graft Each (26412) $4,108 $5,135 1.2×
Repair Eyelid Wound (67935) $2,917.60 $3,647 1.2×
Repair Finger Tendon (26433) $4,108 $5,135 1.2×
Repair Finger/Hand Tendon (26350) $4,108 $5,135 1.2×
Repair Hand Joint (26540) $4,108 $5,135 1.2×
Repair Hand Tendon (26410) $1,980 $2,475 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $315.20–$512.80 $394–$641 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $324–$586.40 $405–$733 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $337.60–$677.60 $422–$847 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $342.40–$720.80 $428–$901 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $515.20 $644 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $801.60 $1,002 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $312–$473.60 $390–$592 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $415.20–$571.20 $519–$714 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $628–$727.20 $785–$909 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,381.60 $2,977 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $415.20–$746.40 $519–$933 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $324–$464.80 $405–$581 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $388–$601.60 $485–$752 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $453.60–$600 $567–$750 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $415.20–$610.40 $519–$763 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $340–$3,172.80 $425–$3,966 varies
Repair intrinsic muscles hand each muscle (26591) $4,289.60 $5,362 1.3×
Repair Laceration Palate </2 Cm (42180) $630.40 $788 1.1×
Repair Laceration Palate >2 Cm/Complex (42182) $7,369.60 $9,212 1.2×
Repair lead pace-defib dual (33220) $12,706.40 $15,883 3.3×
Repair Lead Pace-Defib One (33218) $10,948.80 $13,686 2.9×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $307.20–$448.80 $384–$561 varies
Repair of rectum (45505) $3,545.60 $4,432 1.3×
Repair Spica/Body/Jacket Cast (29720) $201.60 $252 1.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,108 $5,135 1.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $9,128 $11,410 1.2×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $632.80–$1,115.20 $791–$1,394 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $261.60–$560.80 $327–$701 varies
Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) $7,092.80 $8,866 1.2×
Repair, primary, disrupted ligament, ankle; collateral (27695) $9,128 $11,410 1.2×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) $9,128 $11,410 1.2×
Repair/graft achilles tendon (27652) $9,533.60 $11,917 1.3×
Replace duodenostomy/jejunostomy tube perq (49451) $1,104.80 $1,381 1.2×
Replace G-J Tube Perc (49452) $1,104.80 $1,381 1.2×
Replace g/c tube perc (49450) $716.80 $896 0.8×
Replantation digit complete (20822) $2,068 $2,585 1.3×
Reposition Gastrostomy Tube (43761) $558.40 $698 2.2×
Reposition L Ventric Lead (33226) $4,315.20 $5,394 1.3×
Reposition Pacing-Defib Lead (33215) $3,574.40 $4,468 1.1×
Reposition Venous Catheter (36597) $825.60 $1,032 0.5×
Revise finger joint each (26140) $1,980 $2,475 1.2×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $10,586.40 $13,233 1.8×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $9,512.80 $11,891 1.6×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $21,672.80 $27,091 1.2×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $32,634.40 $40,793 1.7×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $19,000 $23,750 1.6×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $9,435.20 $11,794 1.6×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $9,973.60 $12,467 0.8×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $10,207.20 $12,759 0.9×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $21,672.80 $27,091 1.2×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $32,284.80 $40,356 1.7×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,361.60 $2,952 1.1×
Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) $2,917.60 $3,647 1.2×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,915.20 $2,394 1.2×
Rmvl embedded fb vestibule mouth comp (40805) $1,139.20 $1,424 2.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $630.40 $788 0.7×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $2,068.80 $2,586 1.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $113.60–$421.60 $142–$527 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $148.80–$460 $186–$575 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $520.80 $651 1.1×
Rmvl fecal impaction/fb spx under anes (45915) $1,494.40 $1,868 1.2×
Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) $3,926.40 $4,908 2.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,564.80 $4,456 1.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $3,564.80 $4,456 1.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $2,068.80 $2,586 1.2×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,590.40 $3,238 1.3×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,785.60 $3,482 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,388 $1,735 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $873.60 $1,092 1.4×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $331.20 $414 1.2×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $48–$453.60 $60–$567 varies
Rplc gtube revj gstrst trc (43763) $296 $370 1.2×
Rplcmt cath ctr vad subq port/pmp (36578) $4,110.40 $5,138 1.3×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,053.60 $2,567 1.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,743.20 $2,179 1.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,526.40 $3,158 0.8×
Rpr blood vessel direct lower extremity (35226) $895.20 $1,119 1.2×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $9,128 $11,410 1.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $277.60–$351.20 $347–$439 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $801.60 $1,002 1.1×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $287.20 $359 1.2×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $2,917.60 $3,647 1.2×
Rpr Lip Full Thickness Half/< Vertical Height (40652)
range across 2 matching MRF lines		 $716–$857.60 $895–$1,072 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $863.20–$879.20 $1,079–$1,099 varies
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654)
range across 2 matching MRF lines		 $860–$986.40 $1,075–$1,233 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $4,108 $5,135 1.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $4,108 $5,135 1.2×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $4,108 $5,135 1.2×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $798.40 $998 1.2×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $4,823.20 $6,029 1.2×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,289.60 $5,362 1.3×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $4,108 $5,135 1.2×
Sclerotx Fluid Collection (49185) $1,841.60 $2,302 1.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,926.40 $4,908 1.2×
Shave skin lesion 0.5 cm/< (11300) $540 $675 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $249.60 $312 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $249.60 $312 1.2×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $3,926.40 $4,908 1.2×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,299.20 $1,624 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $171.20–$552 $214–$690 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $216–$307.20 $270–$384 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $237.60–$320.80 $297–$401 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $307.20–$676.80 $384–$846 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $267.20–$285.60 $334–$357 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $736 $920 3.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $208.80–$290.40 $261–$363 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $460 $575 2.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $260.80–$262.40 $326–$328 varies
Skin Full Grft Face/Genit/Hf (15240) $2,488 $3,110 1.2×
Skin Pinch Graft (15050) $801.60 $1,002 1.1×
Skin sub graft face/nk/hf/g (15275) $2,400 $3,000 3.2×
Skin sub graft trnk/arm/leg (15271) $2,488 $3,110 3.3×
Skin sub grft t/arm/lg child (15273) $7,322.40 $9,153 3.5×
Skn sub grft f/n/hf/g child (15277) $864 $1,080 0.4×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $7,390.40 $9,238 1.3×
Slctv cath carotid/innom art angio xtrcranl art (36222) $5,709.60 $7,137 1.8×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $7,390.40 $9,238 1.3×
Slitting of prepuce (54001) $2,559.20 $3,199 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $232.80–$307.20 $291–$384 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $415.20–$425.60 $519–$532 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $405.60–$446.40 $507–$558 varies
Spinal puncture lumbar diagnostic (62270) $1,546.40 $1,933 2.1×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $4,689.60 $5,862 1.3×
Strapping ankle (29540) $201.60 $252 1.2×
Strapping elbow or wrist (29260) $79.20 $99 1.3×
Strapping hand/finger (29280) $79.20 $99 1.3×
Strapping Hip (29520) $160 $200 1.2×
Strapping knee (29530) $160 $200 1.2×
Strapping shoulder (29240) $160 $200 1.2×
Strapping thorax (29200) $201.60 $252 1.2×
Strapping toes (29550) $79.20 $99 1.3×
Strapping Unna Boot (29580) $248 $310 1.5×
Subconjunctival injection (68200) $520.80 $651 1.1×
Surg tx anal fistula subq (46270) $3,545.60 $4,432 1.3×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $3,545.60 $4,432 1.3×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,917.60 $3,647 1.2×
Suture digital nerve hand/foot 1 nerve (64831) $2,480 $3,100 1.2×
Suture infrapatellar tendon primary (27380) $9,128 $11,410 1.2×
Suture pharynx for wound or injury (42900) $1,915.20 $2,394 1.2×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $249.60–$397.60 $312–$497 varies
Tcat Insj/Rpl Perm Ldls Pm (33274) $39,607.20 $49,509 2.0×
Temporary Closure Eyelids Suture (67875) $1,204 $1,505 1.2×
Tenotomy extensor hand/finger open each tendon (26460) $1,980 $2,475 1.2×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,222.40 $1,528 1.7×
Therapeutic plasma exchange (36514) $2,804 $3,505 1.8×
Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) $7,092.80 $8,866 1.2×
Thrmbc/Nfs Dialysis Circuit (36906) $36,353.60 $45,442 1.9×
Thromblytic art/ven therapy (37213) $3,214.40 $4,018 1.0×
Thrombolytic Art Therapy (37211) $6,307.20 $7,884 1.1×
Thrombolytic Therapy Stroke (37195)
range across 3 matching MRF lines		 $80–$480 $100–$600 varies
Thrombolytic Venous Therapy (37212) $6,307.20 $7,884 2.0×
Thyroid biopsy (60100) $957.60 $1,197 1.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,488 $3,110 1.2×
Tooth extraction (41899) $300 $375 1.2×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $3,901.60 $4,877 1.2×
Tracheobrnchsc Thru Est Trachs Inc (31615) $560.80 $701 1.0×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $260.80–$300 $326–$375 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $2,000.80 $2,501 1.3×
Tracheostomy planned (31600) $5,720 $7,150 1.7×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure		 $1,931.20 $2,414 0.3×
Transrectal Drainage of Pelvic Abscess (45000) $1,494.40 $1,868 1.2×
Treat Ankle Dislocation (27846) $9,533.60 $11,917 1.3×
Treat Big Toe Fracture (28505) $4,108 $5,135 1.2×
Treat Dental Ridge Fracture (21440) $3,825.60 $4,782 1.1×
Treat dental ridge fracture (21445) $7,696.80 $9,621 1.3×
Treat Elbow Fracture (24635) $9,533.60 $11,917 1.3×
Treat Finger Fracture Each (26727) $4,108 $5,135 1.2×
Treat Fx Rad Extra-Articul (25607) $9,128 $11,410 1.2×
Treat Hip Socket Fracture (27222) $2,866.40 $3,583 11.4×
Treat humerus fracture (24500) $264.80 $331 1.1×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $286.40–$980 $358–$1,225 varies
Treat humerus fracture (23600) $286.40 $358 1.1×
Treat knee fracture (27532) $4,868.80 $6,086 1.5×
Treat Knee Fracture(S) (27538) $286.40 $358 1.1×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $424–$624 $530–$780 varies
Treat metacarpal fracture (26607) $4,108 $5,135 1.2×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $240–$533.60 $300–$667 varies
Treat Tail Bone Fracture (27200) $286.40 $358 1.1×
Treat Thumb Dislocation (26641) $286.40 $358 1.1×
Treat Thumb Fracture (26645) $1,980 $2,475 1.2×
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $232.80–$272 $291–$340 varies
Treat Vaginal Bleeding (57180) $245.60 $307 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $918.40–$2,200 $1,148–$2,750 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $215.20–$711.20 $269–$889 varies
Treatment mouth roof lesion (42160) $3,926.40 $4,908 1.2×
Treatment of tibia fracture (27756) $9,533.60 $11,917 1.3×
Trim skin lesion (11055) $249.60 $312 1.2×
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $249.60–$397.60 $312–$497 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $249.60–$397.60 $312–$497 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $79.20–$119.20 $99–$149 varies
Trluml Balo Angiop 1St Art (37246) $11,866.40 $14,833 2.0×
Trluml Balo Angiop 1St Vein (37248) $11,866.40 $14,833 2.0×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $2,304.80 $2,881 1.3×
Tx Gastro Intub W/Asp (43753) $386.40 $483 1.8×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $18,806.40 $23,508 1.4×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines		 $284.80–$2,587.20 $356–$3,234 varies
Tx Missed Abortion First Trimester Surgical (59820) $3,901.60 $4,877 1.2×
Tx Missed Abortion Second Trimester Surgical (59821) $3,901.60 $4,877 1.2×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,980 $2,475 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $308.80–$540.80 $386–$676 varies
Tx superficial wound dehiscence w/packing (12021) $515.20 $644 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,980 $2,475 1.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $286.40 $358 1.1×
Unlisted procedure anus (46999) $1,197.60 $1,497 1.3×
Unlisted Procedure Endocrine System (60699) $13,224 $16,530 2.1×
Unlisted Procedure Hands/Fingers (26989) $248.80 $311 1.0×
Unlisted Procedure Intestine (44799) $1,189.60 $1,487 1.3×
Unlisted procedure nervous system (64999) $392 $490 1.3×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $53.60 $67 0.2×
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines		 $68–$1,197.60 $85–$1,497 varies
Unlisted procedure shoulder (23929) $248.80 $311 1.0×
Unlisted Procedure Vascular Surgery (37799) $1,552 $1,940 2.4×
Unlisted Procedure, Urinary System (53899) $308.80 $386 1.2×
Unlisted px female genital system nonobstetrical (58999) $256.80 $321 1.2×
Unlisted Px Salivary Glands/Ducts (42699) $287.20 $359 1.2×
Vaginal Delivery After Cesarean Delivery (59612) $4,075.20 $5,094 1.2×
Vaginal delivery only (59409) $4,075.20 $5,094 1.2×
Vasc embolize/occlude artery (37242) $29,236.80 $36,546 1.6×
Vasc Embolize/Occlude Bleed (37244) $29,236.80 $36,546 2.5×
Vasc Embolize/Occlude Organ (37243) $25,053.60 $31,317 2.1×
Vasc embolize/occlude venous (37241) $27,034.40 $33,793 2.3×
Vein Access Cutdown < 1 Yr (36420) $160 $200 1.2×
Venous Cutdown >1 Y/O (36425) $520.80 $651 1.1×
Venous Mech Thrombectomy (37187) $7,040 $8,800 0.6×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $115.20–$320 $144–$400 varies
Wedging of cast (29740) $331.20 $414 1.2×
Windowing of cast (29730) $201.60 $252 1.2×
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines		 $836.80–$1,224.80 $1,046–$1,531 varies
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $3,898.40–$4,483.20 $4,873–$5,604 varies
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $2,053.60 $2,567 1.3×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $630.40 $788 1.1×

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.