Procedures & surgery prices at St. Peter's Hospital

Albany, NY · every code in this section with a posted price and a Medicare benchmark.

970 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 2 matching MRF lines		 $3,041.35–$3,354.25 — varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,420.90 $2,186 1.3×
Ablation 1/> liver tumor perq cryoablation (47383) $9,144.85 $14,069 0.7×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $9,819.55 $15,107 0.4×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $9,092.85 $13,989 1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $9,819.42 — 3.8×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $11,944.06 — 4.6×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $18,517.30 — 4.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $8,630.20 — 3.4×
Amniocentesis diagnostic (59000) $287.95 $443 0.3×
Amniocentesis therapeutic (59001) $633.10 $974 1.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $12,051.39 — 3.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $5,839.66 — 1.4×
Amputation foot transmetarsal (28805) $5,614.83 — 1.4×
Amputation toe interphalangeal joint (28825) $4,588.48 — 1.1×
Amputation toe metatarsophalangeal joint (28820) $5,182.12 — 1.3×
Anal/Urinary Muscle Study (51784) $159.90 $246 1.0×
Anoscopy diagnostic (46600) $7,971.05 — 48.0×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $5,670.99 — 3.8×
Anoscopy; with biopsy, single or multiple (46606) $8,724.42 — 5.8×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $3,769.77 — 1.1×
Anterior colporraphy rpr cystocele w/cysto (57240) $14,294.32 — 2.3×
Application cast elbow finger short arm (29075) $485.55 $747 1.4×
Application Finger Splint Dynamic (29131)
range across 3 matching MRF lines		 $173.55–$259.35 $267–$399 varies
Application finger splint static (29130)
range across 3 matching MRF lines		 $38.35–$57.85 $59–$89 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines		 $284.05–$425.75 $437–$655 varies
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines		 $66.95–$324.35 $103–$499 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $68.25–$101.40 $105–$156 varies
Application uniplane external fixation system (20690) $15,809.20 — 1.7×
Arterial puncture (36600) $1,351.35 — 8.1×
Arteriovenous Anastomosis Open Direct (36821)
range across 2 matching MRF lines		 $13,726.37–$14,158.33 — varies
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $9,325.13 — 1.3×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $27,836.14 — 1.7×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $25,020.66 — 1.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $635.93–$880.10 — varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $674.70 $1,038 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $1,131.81–$1,425.92 — varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $660.04–$1,006.20 — varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $42.25–$63.70 $65–$98 varies
Arthrodesis ankle open (27870) $26,146.54 — 1.6×
Arthrodesis great toe metatarsophalangeal joint (28750) $20,041.20 — 2.2×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $25,233.95 — 1.2×
Arthrodesis sacroiliac joint percutaneous (27279) $29,174.18 — 1.3×
Arthrodesis triple (28715) $29,056.35 — 1.8×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) $38,654.66 — 1.1×
Arthroplasty Ankle W/Implant (27702) $42,670.46 — 1.3×
Arthroplasty glenohumeral joint total shoulder (23472) $31,224.59 — 1.4×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $33,745.98 — 2.1×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $15,797.92 — 3.9×
Arthroplasty Patella W/Prosthesis (27438) $25,947.61 — 1.6×
Arthroplasty Radial Head W/Implant (24366) $22,178.81 — 1.4×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $14,306.60 — 3.5×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $11,343.83 — 2.8×
Arthroscopy shoulder distal claviculectomy (29824) $12,629.24 — 3.1×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $19,110.70 — 4.7×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $19,050.74 — 2.1×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $16,394.09 — 4.0×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $12,654.87 — 3.1×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $19,050.74 — 2.1×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $43,179.19 — 10.6×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $26,307.61 — 1.6×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) $14,274.31 — 3.5×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $26,721.76 — 1.7×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $18,622.67 — 2.1×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $7,463.43 — 3.7×
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $1,681.55–$5,116.60 — varies
Aspirate Pleura W/O Imaging (32554)
range across 9 matching MRF lines		 $1,420.90–$2,131.35 $2,186–$3,279 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 3 matching MRF lines		 $1,501.95–$3,375.58 — varies
Av fistula revision (36833)
range across 2 matching MRF lines		 $6,115.23–$21,706.90 — varies
Av Fistula Revision Open (36832)
range across 2 matching MRF lines		 $7,300.75–$17,349.21 — varies
Av Fuse Uppr Arm Basilic (36819) $10,138.08 — 1.5×
Avulsion nail plate partial/complete simple 1 (11730) $4,580.32 — 18.3×
Axillary lymphadenectomy; complete (38745) $15,288.46 — 2.0×
Biopsy Abdominal Mass (49180) $6,713.45 — 3.3×
Biopsy bone trocar/needle deep (20225) $1,972.75 $3,035 1.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,361.10 $2,094 0.7×
Biopsy muscle percutaneous needle (20206) $863.20 $1,328 0.4×
Biopsy Muscle Superficial (20200) $1,539.85 $2,369 0.7×
Biopsy of breast; open, incisional (19101) $8,275.85 — 1.7×
Biopsy of liver, needle; percutaneous (47000) $1,557.40 $2,396 0.8×
Biopsy of rectum (45100) $5,429.83 — 1.6×
Biopsy Pleura Percutaneous Needle (32400) $1,469 $2,260 0.7×
Biopsy Salivary Gland Needle (42400) $642.20 $988 0.7×
Biopsy soft tissue neck/thorax (21550) $675.35 $1,039 0.3×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $3,738.80 $5,752 1.8×
Biopsy soft tissue thigh/knee area superficial (27323) $18,304.81 — 8.9×
Biopsy Vaginal Mucosa Simple (57100) $9,169.16 — 8.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $10,174.01 — 8.8×
Biopsy/removal lymph nodes (38510) $15,649.06 — 3.2×
Bladder instillation anticarcinogenic agent (51720) $12,740.65 — 14.6×
Bladder Irrigation (51700) $486.85 $749 1.6×
Bladder Scan (51798) $57.20 — 0.8×
Blepharoplasty Lower Eyelid (15820) $11,141.36 — 4.3×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $11,141.36 — 4.3×
Blood Transfusion Service (36430) $11,739.79 — 21.3×
Blood/Lymph System Procedure (38999) $59,026.29 — 107.2×
Bone Graft Any Donor Area Minor/Small (20900) $25,861.41 — 2.9×
Bone Marrow Biopsy (38221)
range across 12 matching MRF lines		 $348.40–$2,057.25 $536–$3,165 varies
Bone Marrow; Aspiration Only (38220) $211.25 $325 0.1×
Breast augmentation with implant (19325) $18,675.98 — 1.8×
Breast Reduction (19318)
range across 3 matching MRF lines		 $17,386.09–$22,732.81 — varies
Brnchsc Brushing/Protected Brushings (31623) $12,238.82 — 5.5×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 2 matching MRF lines		 $11,189.03–$12,244.05 — varies
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $12,798.01 — 2.7×
Bronchoscopy W/Biopsy(S) (31625) $12,242.33 — 5.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $13,877.08 — 3.0×
Bronchoscopy/Needle Bx Each (31629) $12,329.62 — 2.6×
Bx breast 1st lesion mr imag (19085) $2,297.75 $3,535 1.1×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $2,297.75–$3,319.73 — varies
Bx breast 1st lesion us imag (19083) $3,890.93 — 1.9×
Bx breast needle core w/o imaging guidance spx (19100)
range across 3 matching MRF lines		 $173.55–$260.65 $267–$401 varies
Bx Cervix (57500) $9,079.49 — 7.9×
Bx/exc lymph node open deep axillary node (38525)
range across 4 matching MRF lines		 $11,316.06–$20,607.85 — varies
Bx/exc lymph node open superficial (38500) $17,463.62 — 3.6×
Ca vi psp&sp1 antb elisa semiql bld sjogren synd (0472U) $51.35 $79 1.8×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $14,004.87 — 3.4×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $5,236.24–$6,220.17 — varies
Carpectomy All Bones Proximal Row (25215) $13,552.70 — 3.3×
Catheter aspiration nasotracheal spx (31720) $523.90 $806 1.9×
Cerclage cervix pregnancy vaginal (59320) $8,742.63 — 2.2×
Cessj Therapy Cath Removal (37214) $6,423.30 $9,882 1.6×
Change Cystostomy Tube Simple (51705) $4,496.12 — 14.4×
Change of Windpipe Airway (31502) $497.25 $765 1.7×
Change ureter stent percut (50382)
range across 3 matching MRF lines		 $3,580.85–$5,371.60 $5,509–$8,264 varies
Chemical Cautery Tissue (17250) $91 $140 0.4×
Chemodenerv 1 extremity 1-4 (64642) $1,491.75 $2,295 1.7×
Chemodenerv Musc Migraine (64615) $37,469.21 — 97.8×
Chemodenerv trunk musc 1-5 (64646) $1,381.25 $2,125 1.6×
Chemodenervation of internal anal sphincter (46505) $6,510.43 — 4.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 3 matching MRF lines		 $550.55–$826.15 $847–$1,271 varies
Chest tube placement (32551)
range across 15 matching MRF lines		 $1,444.30–$2,167.10 $2,222–$3,334 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,041.35 $4,679 0.7×
Circumcision 28 days or older (54161) $10,716.32 — 4.1×
Circumcision w/clamp/oth dev w/block (54150) $9,491.82 — 3.6×
Clear outer ear canal (69200)
range across 6 matching MRF lines		 $149.50–$224.25 $230–$345 varies
Closed Rx Metacarpal Fx,Percut (26608) $4,487.78 — 1.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $7,238.89 — 1.7×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $8,954.43 — 2.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $156.65 $241 0.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,172.60 $1,804 0.6×
Cltx post hip arthrp dislc req anes (27266) $15,401.42 — 7.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $462.80 $712 1.5×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $27,282.31 — 4.4×
Collect Blood From Catheter Venous Nos (36592) $39.65 $61 0.2×
Collection of venous blood by venipuncture (36415) $529.75 — 56.7×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $7,215.26 — 4.8×
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines		 $6,180.43–$9,103.18 — varies
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $9,141.34 — 6.1×
Colonoscopy w/ablation (45388) $8,093.67 — 5.4×
Colonoscopy W/Band Ligation (45398) $6,517.78 — 4.4×
Colonoscopy W/Resection (45390) $9,270.74 — 2.7×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $6,226.74–$8,345.77 — varies
Colpocleisis (le fort type) (57120) $11,356.75 — 1.8×
Colpopexy extraperitoneal (57282) $14,152.05 — 1.5×
Colporrhaphy (57200) $23,466.96 — 5.8×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $845 — 2.2×
Colposcopy Cervix Endocervical Curettage (57456) $114.40 $176 0.3×
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $84.50–$330.20 $130–$508 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $120.90 $186 0.3×
Colposcopy entire vagina w/cervix if present (57420) $7,021.38 — 18.5×
Colposcopy of vulva (56820) $330.20 $508 1.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $8,107.99 — 5.4×
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $6,029.14–$6,897.21 — varies
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $7,043.17 — 4.7×
Combined anteroposterior colporrhaphy; (57260) $13,601.70 — 2.2×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $8,779.81–$10,366.82 — varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $7,813.52 — 1.9×
Conization of cervix (57520) $11,127.01 — 2.8×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 6 matching MRF lines		 $341.90–$512.85 $526–$789 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 9 matching MRF lines		 $512.85–$769.60 $789–$1,184 varies
Conversion ext bil drg cath (47535) $7,478.90 $11,506 1.7×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,025.40 $3,116 0.8×
Convert Nephrostomy Catheter (50434)
range across 6 matching MRF lines		 $6,845.80–$10,269.35 $10,532–$15,799 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines		 $3,589.53–$5,867.95 — varies
Correction hammertoe (28285) $19,453.49 — 4.8×
Correction of trichiasis; epilation, by forceps only (67820)
range across 4 matching MRF lines		 $27.30–$40.95 $42–$63 varies
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $27,813.73 — 1.7×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $13,676.91 — 1.5×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830)
range across 2 matching MRF lines		 $12,704.25–$19,180.62 — varies
Cryosurgical Ablation Fibroadenoma, Each (19105) $6,958.90 $10,706 1.4×
Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) $3,909.10 — 3.4×
Curettage postpartum (59160) $7,890.64 — 2.0×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $11,587.15–$13,241.27 — varies
Cysto calibration dilat urtl strix/stenosis (52281) $6,893.03 — 2.6×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $7,534.79–$11,594.15 — varies
Cysto w/irrig & evac multple obstructing clots (52001) $16,404.91 — 3.7×
Cysto w/removal of lesions small (52224) $12,129.12 — 2.8×
Cysto w/removal of tumors small (52234) $12,568.73 — 2.9×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $6,370.75–$6,772.06 — varies
Cysto w/ureteroscopy w/lithotripsy (52353) $11,706.36 — 1.7×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $11,626.04 — 2.6×
Cysto w/urtroscopy w/tx ureteral stricture (52344)
range across 2 matching MRF lines		 $12,125.56–$12,400.49 — varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $9,877.49–$10,586.85 — varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $12,842.30 — 1.9×
Cysto/uretero w/lithotripsy (52356)
range across 4 matching MRF lines		 $13,511.36–$20,434.48 — varies
Cysto/uretero w/up stricture (52345)
range across 2 matching MRF lines		 $10,154.83–$11,198.43 — varies
Cystolithotomy (51050) $24,130.44 — 3.6×
Cystoscopy inject material (52327) $9,732.24 — 1.5×
Cystostomy Cystotomy W/Drainage (51040) $7,469.08 — 2.9×
Cystouretero w/excise tumor (52355) $14,303.56 — 2.1×
Cystourethroscopy (52000) $8,221.07 — 9.4×
Cystourethroscopy inj chemodenervation bladder (52287) $9,985.82 — 3.8×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $13,645.18 — 3.1×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $14,837.47 — 2.2×
Cystourethroscopy with biopsy (52204) $12,400.04 — 4.8×
Cystourethroscopy with direct vision internal urethrotomy (52276) $7,214.03 — 2.8×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $14,349.68 — 3.3×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $8,607.51 — 3.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $59.15 $91 0.1×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $4,250.35 $6,539 1.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $10,149.78 — 11.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $14,364.47 — 7.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $10,940.15 — 21.6×
Declot vascular device (36593) $9,691.04 — 23.5×
Deep Muscle Biopsy (20205) $5,698.99 — 1.6×
Delivery of placenta (59414) $2,276.30 $3,502 0.6×
Destruct B9 Lesion 1-14 (17110) $239.85 — 1.0×
Destruction Benign Lesions 15/> (17111) $16,432.08 — 65.6×
Destruction Lesions Vulva Extensive (56515) $9,872.17 — 3.8×
Destruction Lesions Vulva Simple (56501) $8,771.07 — 3.4×
Destruction of rectal tumor transanal approach (45190) $5,544.71 — 1.6×
Destruction of skin lesions (17106) $5,617.79 — 11.1×
Destruction premalignant lesion 1st (17000) $53.95 $83 0.2×
Destruction Vaginal Lesions Extensive (57065) $9,489.77 — 2.3×
Destruction Vaginal Lesions Simple (57061) $9,748.47 — 2.4×
Diagnostic sigmoidoscopy (45330) $5,759.58 — 5.0×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $3,619.39 — 2.4×
Dilate Esophagus 1/Mult Pass (43450) $9,206.86 — 8.1×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines		 $5,146.62–$5,517.78 — varies
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $3,820.76 — 1.7×
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $653.25–$980.20 $1,005–$1,508 varies
Drainage external ear abscess/hematoma cmplx (69005) $7,326.87 — 3.6×
Drainage of finger abscess simple (26010) $399.75 $615 1.6×
Drainage of hematoma/fluid (10140) $11,354.10 — 5.5×
Drainage of scrotum (54700) $11,794.02 — 4.5×
Draw Blood Off Venous Device (36591) $103.35 $159 0.6×
Dstrj Lesion Anus Extensive (46924) $6,193.17 — 1.8×
Dstrj lesion anus simple surg excision (46922) $6,301.42 — 1.8×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $5,491.10 — 2.1×
Dstrj lesion penis simple surg excision (54060) $5,461.56 — 2.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $1,299.35–$1,948.70 $1,999–$2,998 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,932.45 $2,973 1.8×
Dx Bone Marrow Bx & Aspir (38222) $15,079.74 — 4.2×
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines		 $7,407.89–$10,237.27 — varies
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines		 $6,116.47–$9,901.38 — varies
Dx Laryngoscopy Excl Nb (31525) $8,808.54 — 4.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,589.90 $2,446 1.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $7,882.81 — 3.3×
Egd cautery tumor polyp (43250) $7,562.31 — 3.2×
Egd control bleeding any (43255) $6,693.56 — 2.8×
Egd dilation gastric/duodenal stricture (43245) $8,448.70 — 3.5×
Egd endo mucosal resection (43254) $9,666.70 — 4.0×
Egd Endoscopic Stent Place (43266) $16,917.67 — 2.2×
Egd Flexible Foreign Body Removal (43247) $6,807.90 — 6.0×
Egd guide wire insertion (43248) $8,904.87 — 7.9×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $9,357.91 — 3.9×
Egd intrmural us needle aspirate/biopsy esophags (43238) $8,978.06 — 3.7×
Egd lesion ablation (43270) $9,593.56 — 4.0×
Egd place gastrostomy tube (43246) $6,370.28 — 2.7×
Egd remove lesion snare (43251) $10,267.16 — 4.3×
Egd us exam duodenum/jejunum (43259) $7,250.78 — 3.0×
Egd us transmural injxn/mark (43253) $8,665.08 — 3.6×
Egd Varices Ligation (43244) $5,768.33 — 2.4×
Egd W/Transmural Drain Cyst (43240) $16,788.52 — 2.2×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $10,822.50 $16,650 1.6×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203)
range across 3 matching MRF lines		 $11,865.75–$17,797.65 $18,255–$27,381 varies
Endocervical curettage (57505) $593.45 $913 0.5×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $7,852.38 — 1.3×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $763.10–$11,276.85 — varies
Endoscopic injection/implant (51715) $9,015.66 — 2.0×
Endoscopic plantar fasciotomy (29893) $12,167.77 — 3.0×
Endoscopic us exam esoph (43237) $6,931.50 — 2.9×
Endoscopy Upper Small Intestine (44360) $10,379.46 — 4.3×
Endoscopy upper small intestine w/biopsy (44361) $10,410.20 — 4.3×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $6,673.39 — 2.8×
Epidural Blood Patch (62273) $3,450.39 — 3.9×
Episiotomy or vaginal repair (59300) $5,237.05 — 1.3×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $13,458.25 — 1.8×
Ercp duct stent placement (43274) $12,396.27 — 1.6×
Ercp Dx Collection Specimen Brushing/Washing (43260)
range across 2 matching MRF lines		 $7,781.18–$11,835.91 — varies
Ercp ea duct/ampulla dilate (43277)
range across 2 matching MRF lines		 $6,635.65–$13,458.25 — varies
Ercp remove calculi/debris biliary/pancreas duct (43264) $11,797.24 — 2.5×
Ercp remove forgn body duct (43275) $8,997.85 — 3.8×
Ercp Stent Exchange W/Dilate (43276) $13,048.55 — 1.7×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $16,164.16 — 3.4×
Ercp W/Biopsy Single/Multiple (43261)
range across 2 matching MRF lines		 $11,142.62–$15,090.33 — varies
Ercp w/pressure measurement sphincter of oddi (43263) $17,332.74 — 7.2×
Ercp,Sphincterotomy (43262) $11,716.98 — 2.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $8,150.54 — 7.2×
Esophagoscop Stent Placement (43212) $14,698.29 — 1.9×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $11,945.47 — 5.0×
Esophagoscopy Flexible Transoral Diagnostic (43200) $7,925.77 — 7.0×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $6,349.23 — 2.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $5,998.20 — 2.5×
Evacuate mole of uterus (59870) $7,605.29 — 1.9×
Exc arm/elbow les sc < 3 cm (24075) $6,049.78 — 2.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $5,543.43 — 6.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $5,992.15 — 2.9×
Exc Back Les Sc < 3 Cm (21930)
range across 2 matching MRF lines		 $6,639.75–$6,958.77 — varies
Exc Back Tum Deep 5 Cm/> (21933) $6,114.48 — 1.7×
Exc back tum deep < 5 cm (21932) $6,881.70 — 1.9×
Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) $13,774.10 — 1.9×
Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) $13,497.65 — 3.3×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125)
range across 2 matching MRF lines		 $7,712.32–$8,804.78 — varies
Exc Face Les Sbq 2 Cm/> (21012) $5,588 — 2.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $14,189.12 — 16.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $6,500.19 — 7.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $4,799.96 — 2.3×
Exc Forearm Les Sc 3 Cm/> (25071) $4,928.55 — 2.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $9,550.05 — 4.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $6,038.68 — 6.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $5,468.97 — 2.7×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $13,325.49 — 3.2×
Exc Rct Tum Incl Muscularis Propria (45172) $9,034.04 — 2.6×
Exc Rct Tum Not Incl Muscularis Propria (45171)
range across 2 matching MRF lines		 $6,846.21–$7,886.61 — varies
Exc Shoulder Tum Deep 5 Cm/> (23073) $5,548.11 — 1.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $6,097.62 — 6.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $7,776.08 — 3.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $12,016.50 — 3.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $6,582.11 — 3.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $6,506.43 — 3.2×
Exc thigh/knee les sc 3 cm/> (27337) $11,063.88 — 3.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $6,727.34 — 13.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $6,036.84 — 6.8×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $6,903.93 — 3.3×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $6,442.02 — 1.8×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $6,945.59 — 1.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $5,825.19 — 1.6×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $5,577.88 — 1.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $15,825.28 — 4.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $5,388.53 — 2.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $5,336.60 — 2.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $8,016.61 — 2.2×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $5,778.39 — 2.8×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $6,018.90 — 1.7×
Exc Varicocele/Ligation Spermatic Veins Spx (55530) $11,752.20 — 2.7×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $6,081.40 $9,356 1.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 12 matching MRF lines		 $3,996.20–$5,993 $6,148–$9,220 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423)
range across 3 matching MRF lines		 $3,554.43–$3,590.37 — varies
Excise intraspinal lesion (63267) $17,057.87 — 1.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $5,407.77 — 6.1×
Excision Bone Mandible (21025) $22,193.36 — 3.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $10,498.44 — 11.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $14,189.12 — 28.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $7,242.64 — 8.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $14,189.12 — 6.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $193.70 $298 0.1×
Excision Multiple External Papillae/Tags Anus (46230) $6,541.92 — 1.9×
Excision of bartholin's gland or cyst (56740) $9,348.72 — 2.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $7,672.78 — 3.8×
Excision of hydrocele; unilateral (55040) $10,082.10 — 2.3×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $17,755.31 — 2.4×
Excision of pilonidal cyst or sinus; simple (11770) $5,733.10 — 1.6×
Excision of single external papilla or tag, anus (46220) $5,310.30 — 3.6×
Excision of vaginal cyst or tumor (57135) $9,212.37 — 2.3×
Excision olecranon bursa (24105) $17,082.23 — 4.2×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $15,058.84 — 3.7×
Excision Pilonidal Cyst/Sinus Complicated (11772) $9,819.42 — 2.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $6,320.91 — 1.7×
Excision prepatellar bursa (27340) $6,706.28 — 1.6×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $24,851.11 — 3.0×
Excision spermatocele w/wo epididymectomy (54840) $10,057.78 — 3.9×
Excision Thyroglossal Duct Cyst/Sinus (60280) $14,323.11 — 1.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $6,498.99 — 3.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $13,676.91 — 6.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $7,376.85 — 3.6×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $5,010.78 — 2.4×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $6,370.80 — 1.8×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $6,082.76 — 3.0×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $6,043.08 — 1.7×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $8,332.45 — 2.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $7,215.97 — 3.5×
Excision/destruction intranasal lesion int appr (30117) $11,150.22 — 2.7×
Explo/Drain Breast Abscess (19020) $8,799.31 — 4.3×
Exploration penetrating wound spx extremity (20103) $20,159.18 — 9.8×
Explore treat shoulder joint (23107) $30,939.69 — 3.4×
External cephalic version (59412) $7,213.99 — 1.8×
Fasciotomy palmar open partial (26045) $10,390.74 — 2.5×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $10,152.38 — 2.5×
Fetal Contraction Stress Test (59020) $343.20 $528 1.4×
Fetal non-stress test (59025) $511.55 — 2.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,331.20 $2,048 1.5×
Fine needle aspiration without imaging guidance (10021) $228.15 $351 0.4×
Fluoro exam of g/colon tube (49465) $237.25 $365 0.8×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,331.20 $2,048 1.5×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $637.65–$1,134.96 — varies
Fracture Nasal Inferior Turbinate Therapeutic (30930) $14,395.45 — 3.5×
Fuse hand bones with graft (25825) $24,259.71 — 2.7×
Fusion Finger Joint (26860) $15,797.92 — 3.9×
Fusion of foot bones (28740) $20,072.91 — 2.2×
Fusion of knuckle (26850) $17,753.48 — 2.0×
Gastrocnemius recession (27687) $18,374.43 — 4.5×
Genioplasty Sliding Osteotomy Single Piece (21121) $38,092.72 — 9.2×
Grafting of autologous fat by lipo 25 cc or less (15773) $2,751.45 — 1.1×
Grafting of autologous fat by lipo 50 cc or less (15771) $18,675.98 — 4.2×
Guide Cathet Fluid Drainage (10030) $1,420.90 $2,186 1.6×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $6,426.50 — 1.9×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $6,829.71 — 2.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $7,933.11 — 2.3×
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $5,623.18 — 1.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $6,196.11 — 5.3×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $7,762.66–$10,990.07 — varies
Hysteroscopy Dx Sep Proc (58555) $9,188.87 — 2.3×
Hysteroscopy Endometrial Ablation (58563) $10,676.65 — 1.7×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $10,894.25 — 1.7×
I&d abscess peritonsillar (42700) $1,132.95 $1,743 3.8×
I&d abscess simple (10060) $4,688.24 — 18.7×
I&d deep absc bursa/hematoma thigh/knee region (27301) $8,178.85 — 2.3×
I&D Deep Absc/Hematoma Neck/Chest (21501) $13,719.33 — 3.8×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $4,394.39 — 1.3×
I&d perianal abscess superficial (46050) $5,133.24 — 4.4×
I&d pilonidal cyst simple (10080) $513.50 — 0.6×
Icd Pocket Revision (33223) $4,092.40 $6,296 1.6×
Image Cath Fluid Colxn Visc (49405)
range across 3 matching MRF lines		 $1,459.90–$2,823.60 $2,246–$4,344 varies
Image Cath Fluid Peri/Retro (49406) $1,332.50 $2,050 0.6×
Immediate breast prosthesis (19340)
range across 2 matching MRF lines		 $41,845.83–$68,627.83 — varies
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $5,744.96–$13,930.51 — varies
Implant Periph/Gastric Neurostim/Receiver (64590)
range across 2 matching MRF lines		 $23,757.89–$25,134.33 — varies
Incise finger tendon sheath (26055) $6,220.17 — 3.1×
Incision & drainage abscess complicated/multiple (10061) $8,178.85 — 16.1×
Incision & removal foreign body subq tiss compl (10121) $7,170.27 — 3.5×
Incision & removal foreign body subq tiss simple (10120) $5,454.86 — 10.7×
Incision and drainage of bartholin's gland abscess (56420) $104.65 $161 0.4×
Incision and drainage of vulva or perineal abscess (56405) $4,659.97 — 12.3×
Incision extensor tendon sheath wrist (25000) $4,327.99 — 2.2×
Incision of Foot Tendon (28234) $20,041.20 — 10.0×
Incision of lingual frenum (frenotomy) (41010) $1,925.95 $2,963 1.0×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $4,475.54–$4,848.58 — varies
Incisional biopsy skin single lesion (11106) $6,181.86 — 6.7×
Inj W/Fluor Eval Cv Device (36598)
range across 6 matching MRF lines		 $1,584.05–$2,377.05 $2,437–$3,657 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $446.55–$668.85 $687–$1,029 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,725.10 $2,654 2.0×
Injection Anes Superior Hypogastric Plexus (64517) $1,725.10 $2,654 1.6×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $1,562.92–$2,677.35 — varies
Injection single/mlt trigger point 1/2 muscles (20552) $6,234.36 — 16.3×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $7,861–$8,632.93 — varies
Injection, anesthetic agent; femoral nerve, single (64447) $900.25 $1,385 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $24,370.87 — 27.7×
Ins cath ren art 1st bilat (36252) $6,752.85 $10,389 1.7×
Ins cath ren art 1st unilat (36251) $6,752.85 $10,389 1.7×
Ins cath ren art 2nd+ bilat (36254) $6,752.85 $10,389 1.7×
Ins cath ren art 2nd+ unilat (36253) $11,865.75 $18,255 1.7×
Ins endovas vena cava filtr (37191) $8,509.15 $13,091 1.2×
Ins Vag Brachytx Device (57156) $633.10 $974 1.7×
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure		 $6,890 $10,600 0.2×
Insert 1 Electrode Pm-Defib (33216)
unusually low: confirm this is the full procedure		 $4,402.45 $6,773 0.4×
Insert Bladder Cath Complex (51703) $328.25 $505 2.0×
Insert cath pleura w/ image (32557)
range across 12 matching MRF lines		 $1,444.30–$2,167.10 $2,222–$3,334 varies
Insert cath pleura w/o image (32556) $2,167.10 $3,334 0.9×
Insert cervical dilator (59200) $70.85 $109 0.2×
Insert Drug Implant Device (11981) $144.95 $223 0.9×
Insert Gastrostomy Tube Percutaneous (49440) $978.90 $1,506 0.4×
Insert Heart Pm Atrial (33206)
unusually low: confirm this is the full procedure		 $4,132.05 $6,357 0.3×
Insert Heart Pm Ventricular (33207) $15,095.85 — 1.2×
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure		 $10,910.90 $16,786 0.5×
Insert multi-comp penis pros (54405) $37,556.69 — 1.5×
Insert non-tunnel cv cath (36556) $2,109.25 $3,245 0.5×
Insert Pacing Lead & Connect (33224)
likely a partial charge, not the full procedure		 $2,045.55 $3,147 0.2×
Insert pessary/other device (57160) $287.30 $442 1.1×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $3,303.95 $5,083 1.7×
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure		 $4,730.70 $7,278 0.4×
Insert pulse gen mult leads (33221) $26,182 $40,280 1.1×
Insert Pulse Gen Sngl Lead (33212)
unusually low: confirm this is the full procedure		 $3,935.10 $6,054 0.4×
Insert semi-rigid prosthesis (54400) $27,669.93 — 1.7×
Insert Temp Bladder Cath (51702) $349.70 $538 2.1×
Insert tun ip cath perc (49418) $3,041.35 $4,679 0.7×
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $7,836.03–$8,871.36 — varies
Insert,Non-Indwelling Bladder Catheter (51701) $157.30 $242 0.9×
Insertion indwelling tunneled pleural catheter (32550) $9,667.16 — 2.2×
Insertion of cannula (36800) $6,989.45 $10,753 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $4,067.05–$4,219.33 — varies
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $11,449.65 — 1.1×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $11,626.73 — 2.6×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $5,612.46 — 0.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
unusually low: confirm this is the full procedure		 $4,730.70 $7,278 0.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,109.25 $3,245 0.5×
Insj Picc Rs&I <5 Yr (36572) $1,123.85 $1,729 1.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 3 matching MRF lines		 $4,269.85–$6,405.75 $6,569–$9,855 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $4,067.05 $6,257 2.1×
Insj Subq Impltbl Dfb Elctrd (33271)
unusually low: confirm this is the full procedure		 $4,132.05 $6,357 0.4×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $3,969.55 $6,107 0.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $7,605.15 — 1.9×
Insj/rplcmt breast implant sep day mastectomy (19342)
range across 2 matching MRF lines		 $16,113.21–$21,687.95 — varies
Insj/Rplcmt Defib W/Lead(S) (33249)
likely a partial charge, not the full procedure		 $8,295.30 $12,762 0.2×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $6,890 $10,600 0.7×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
unusually low: confirm this is the full procedure		 $4,730.70 $7,278 0.5×
Insrt heart pm atrial & vent (33208) $18,142.23 — 1.4×
Insrt Pulse Gen W/Dual Leads (33230) $18,042.70 $27,758 0.6×
Insrt Pulse Gen W/Mult Leads (33231) $44,096 $67,840 1.1×
Insrt Pulse Gen W/Singl Lead (33240) $18,042.70 $27,758 0.6×
Int hrhc by ligation single hroid w/o img gdn (46945) $6,048.61 — 1.7×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,906.45 $2,933 1.1×
Intro cath dialysis circuit (36901) $7,189.83 — 3.7×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $13,203.96 — 0.9×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,414.54 — 1.0×
Intubation endotracheal emergency procedure (31500) $66,080.01 — 223.5×
Lam facetec & foramot lumbar (63047) $19,971.76 — 2.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $21,942.80 — 2.4×
Laminotomy Single Lumbar (63042) $20,886.18 — 2.3×
Lap insert tunnel ip cath (49324)
range across 2 matching MRF lines		 $13,085.69–$14,759.19 — varies
Lap paraesophag hern repair (43281) $15,569.08 — 1.2×
Lap revision perm ip cath (49325) $15,077.85 — 2.0×
Laparo ablate liver tumor rf (47370) $9,993.10 $15,374 0.8×
Laparo ablate renal cyst (50541) $20,610.26 — 1.6×
Laparo ligate spermatic vein (55550) $20,167.78 — 2.7×
Laparo new ureter/bladder (50947) $24,143.15 — 1.8×
Laparo-vag hyst incl t/o (58552) $16,447.92 — 1.2×
Laparoscope proc ureter (50949) $16,506.75 — 2.2×
Laparoscopy Enterolysis Separate Procedure (44180) $12,429.77 — 1.6×
Laparoscopy gastrostomy (43653) $24,294.42 — 3.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 3 matching MRF lines		 $7,948.88–$18,088.04 — varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $23,040.05 — 1.7×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $21,935.54 — 1.7×
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $16,057.33–$19,447.48 — varies
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $20,465.14 — 2.7×
Laparoscopy, surgical, appendectomy (44970) $15,319.41 — 2.0×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $26,964.10 — 2.0×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) $27,104.95 — 2.0×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $13,103.04 — 1.0×
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) $27,263.85 — 2.1×
Laparoscopy, surgical, splenectomy (38120) $28,198.03 — 2.1×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $17,276.82 — 1.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $16,864.93 — 2.2×
Laparoscopy, surgical; partial nephrectomy (50543) $22,655.88 — 1.7×
Laparoscopy, surgical; pyeloplasty (50544) $23,637.32 — 1.8×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $17,842.90–$19,297.04 — varies
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) $25,577.44 — 1.9×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $27,257.10 — 3.6×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) $35,028.10 — 2.6×
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $28,073.27 — 2.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $20,619.04 — 2.7×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $14,352.17 — 1.9×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 3 matching MRF lines		 $13,439.05–$19,925.35 — varies
Laps Gastric Restrictive Px Remove Device & Port (43774) $17,556.03 — 3.6×
Laps surg prst8ect smpl stot robotic assistance (55867) $24,185.41 — 1.8×
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
range across 3 matching MRF lines		 $21,155.75–$24,697.54 — varies
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $10,103.14 — 2.2×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $7,382.47 — 1.6×
Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) $12,508.47 — 2.7×
Laryngoscopy flexible diagnostic (31575) $287.30 $442 1.2×
Laryngoscopy W/Biopsy (31535)
range across 2 matching MRF lines		 $10,022.19–$12,734.47 — varies
Larynscop w/tumr exc + scope (31541) $9,748.99 — 2.1×
Laser Surgery of Cervix (57513) $6,829.03 — 1.7×
Laser vaporization of prostate (52648) $13,202.34 — 2.0×
Late closure of wound (13160) $9,769.11 — 2.2×
Ligation of a-v fistula (37607) $7,108.66 — 1.8×
Ligation of hemorrhoids (46946) $9,117.61 — 2.6×
Litholapaxy comp/lg > 2.5 cm (52318) $13,257.08 — 3.0×
Litholapaxy smpl/sm <2.5 cm (52317) $12,624.10 — 2.9×
Low Back Disk Surgery (63030)
range across 2 matching MRF lines		 $16,837.81–$18,149.09 — varies
Lumbar spine fusion combined (22633) $44,401.47 — 1.3×
Lyse chest fibrin init day (32561) $1,171.30 $1,802 1.5×
Male sling procedure (53440) $25,099.93 — 1.5×
Manipulation knee joint under general anesthesia (27570) $5,077.47 — 2.5×
Marsupialization of bartholin's gland cyst (56440) $7,462.55 — 1.8×
Mast mod rad (19307) $20,996.43 — 2.5×
Mastectomy for gynecomastia (19300) $12,369.01 — 2.5×
Mastectomy partial (19301)
range across 3 matching MRF lines		 $7,644.51–$17,718.33 — varies
Mastectomy partial w/axillary lymphadenectomy (19302)
range across 3 matching MRF lines		 $14,847.48–$18,471.84 — varies
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $20,046.26–$23,877.42 — varies
Mastopexy (19316) $17,177 — 2.1×
Mech remov tunneled cv cath (36595) $3,367.65 $5,181 0.9×
Mediastinoscpy w/lmph nod bx (39402) $16,172.02 — 2.1×
Myelography Lumbar Injection (62305) $1,951.30 $3,002 2.0×
Myelography Lumbar Injection (62304) $4,236.89 — 4.3×
Myelography via lumbar injection rs&i cervical (62302) $1,937 $2,980 2.0×
N Block Inj Celiac Pelus (64530) $1,725.10 $2,654 1.6×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $900.25–$1,350.70 $1,385–$2,078 varies
N Block Inj Pudendal (64430) $2,643.55 $4,067 2.4×
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines		 $1,725.10–$2,587.65 $2,654–$3,981 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $11,596.68 — 5.2×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 2 matching MRF lines		 $13,267.05–$14,301.36 — varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $9,661.46 — 4.3×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 2 matching MRF lines		 $16,593.10–$17,014.92 — varies
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $16,593.10 — 1.9×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines		 $15,623.18–$17,014.92 — varies
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $550.55 $847 1.8×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $8,985.47 — 7.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $6,586.64 — 3.3×
Neck spine disk surgery (63020) $18,708.23 — 2.1×
Needle Biopsy Lymph Nodes (38505) $5,071.14 — 2.5×
Nerve repair w/conduit each nerve (64910) $18,597.63 — 1.7×
Nerve Repair W/Nerve Allograft First Strand (64912) $18,128.12 — 1.7×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $12,674.73 — 5.2×
Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) $767 $1,180 1.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $542.10 $834 1.3×
Nipple Exploration (19110) $11,321.10 — 2.3×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,493.05 $2,297 0.3×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $6,081.40 $9,356 1.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,491.75 $2,295 1.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,932.45 $2,973 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,491.75 $2,295 1.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,932.45 $2,973 1.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines		 $1,567.80–$1,920.33 — varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 3 matching MRF lines		 $562.25–$843.05 $865–$1,297 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines		 $17,014.92–$22,731.33 — varies
Obstructive material removal from gi tube (49460) $1,327.30 $2,042 1.2×
Open biopsy/excision inguinofemoral nodes (38531) $11,738.45 — 2.4×
Open Implantation Nea Sacral Nerve (64581) $15,082.66 — 1.9×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $56,352.31 — 1.5×
Open Repair of Rotator Cuff Acute (23410) $24,318.35 — 2.7×
Open Treatment Bimalleolar Ankle Fracture (27814) $20,450.82 — 2.3×
Open treatment calcaneal fracture (28415) $20,952.03 — 2.3×
Open Treatment Fracture Distal Tibia & Fibula (27828) $30,711.59 — 1.9×
Open treatment metatarsal fracture each (28485) $9,077.18 — 1.0×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $17,589.17 — 1.9×
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) $23,499.56 — 3.2×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $19,302.20 — 2.1×
Open Treatment Proximal Humeral Fracture (23615) $32,952.48 — 2.1×
Open tx carpal scaphoid navicular fracture (25628) $10,323.37 — 1.1×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $19,281.83 — 2.1×
Open Tx Distal Phalangeal Fracture Each (26765) $14,310.98 — 3.5×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines		 $20,339.05–$21,398.19 — varies
Open Tx Metacarpal Fracture Single Ea Bone (26615) $9,190.12 — 2.3×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $10,869.95 — 2.7×
Open Tx Radial Head/Neck Fracture (24665) $28,728.80 — 3.2×
Open Tx Radial Head/Neck Fracture Prosth (24666) $21,246.91 — 1.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $21,356.46 — 2.4×
Open tx ulnar fx proximal end (24685) $21,644.50 — 2.4×
Open/Perq Place Stent 1St (37236) $31,898.24 — 2.2×
Open/Perq Place Stent Same (37238)
range across 8 matching MRF lines		 $8,834.15–$13,251.55 $13,591–$20,387 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $17,352.45 — 1.9×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $23,919.90 — 2.6×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $28,693.91 — 1.8×
Orchiectomy radical tumor inguinal approach (54530) $12,921.19 — 2.9×
Orchiopexy Ingun/Scrot Appr (54640) $10,199.18 — 2.3×
Ostectomy calcaneus (28118) $17,370.99 — 4.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $7,785.72 — 1.9×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $19,189.51 — 2.1×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $11,948.01 — 2.9×
Osteotomy calcaneus w/wo internal fixation (28300) $19,189.51 — 2.1×
Osteotomy, mandible, segmental; with genioglossus advancement (21199) $61,286.33 — 8.3×
Palatopharyngoplasty (42145) $12,023.36 — 1.6×
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 3 matching MRF lines		 $11,435.51–$18,703.03 — varies
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $16,227.38 — 2.6×
Part remv talus or calcaneus (28120) $17,201.23 — 4.2×
Partial removal of fibula (27641) $17,224.80 — 4.2×
Partial removal of thyroid (60220) $18,063.32 — 2.4×
Pelvic examination under anesthesia (other than local) (57410) $4,590.92 — 1.1×
Penis plastic surgery (54360) $10,472.77 — 2.4×
Perc Cryo Ablate Renal Tum (50593)
range across 9 matching MRF lines		 $10,929.75–$16,394.95 $16,815–$25,223 varies
Perc Rf Ablate Renal Tumor (50592)
range across 3 matching MRF lines		 $9,733.10–$14,598.35 $14,974–$22,459 varies
Percut Ablate Liver Rf (47382) $9,876.75 $15,195 1.3×
Percut Drain/Inject Renal Cyst (50390)
range across 6 matching MRF lines		 $1,372.15–$2,058.55 $2,111–$3,167 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $6,423.30 $9,882 1.6×
Peri-Implant Capsulectomy Breast Complete (19371)
range across 2 matching MRF lines		 $15,064.82–$15,513.32 — varies
Pericardiocentesis W/Imaging (33016) $1,528.15 $2,351 0.8×
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines		 $325–$487.50 $500–$750 varies
Perq dev breast 1st us imag (19285) $8,801.20 — 10.0×
Perq device breast 1st imag (19281)
range across 3 matching MRF lines		 $7,585.86–$19,698.94 — varies
Perq Lumbosacral Injection (22511) $16,858.43 — 4.1×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $21,723.39 — 1.8×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 4 matching MRF lines		 $3,562–$5,343 $5,480–$8,220 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $26,324.79 — 1.8×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $11,315.85 $17,409 1.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $20,549.61 — 2.3×
Perq Vertebral Augmentation (22513) $20,396.56 — 2.3×
Phleb Veins - Extrem 20+ (37766)
range across 3 matching MRF lines		 $2,851.55–$4,278.30 $4,387–$6,582 varies
Place Cath Subclavian Art (36225)
range across 9 matching MRF lines		 $6,752.85–$10,129.60 $10,389–$15,584 varies
Place Cath Thoracic Aorta (36221) $7,363.85 $11,329 1.9×
Place Cath Vertebral Art (36226)
range across 6 matching MRF lines		 $6,370.65–$9,556.30 $9,801–$14,702 varies
Placement of seton (46020) $5,489.18 — 1.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $5,727.80 $8,812 0.8×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $5,727.80 $8,812 0.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 9 matching MRF lines		 $6,619.60–$9,932 $10,184–$15,280 varies
Plmt Nephroureteral Catheter (50433)
range across 3 matching MRF lines		 $9,683.70–$14,526.85 $14,898–$22,349 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $7,764.25 $11,945 1.8×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 3 matching MRF lines		 $5,273.45–$7,910.50 $8,113–$12,170 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $26,822.86 — 4.3×
Prim art mech thrombectomy (37184)
range across 9 matching MRF lines		 $6,613.10–$9,919.65 $10,174–$15,261 varies
Proctosgmdsc Rigid Control Bleeding (45317) $7,957.46 — 5.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $6,294.60 $9,684 1.4×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $8,371.35 $12,879 1.9×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $6,158.39 — 1.5×
Pseudoaneurysm Injection Trt (36002)
range across 8 matching MRF lines		 $566.80–$850.85 $872–$1,309 varies
Punch biopsy skin single lesion (11104) $7,567.14 — 14.9×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $888.55–$1,230.71 — varies
Puncture Aspiration Cyst Breast (19000) $203.45 $313 0.2×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $7,283.13 — 3.6×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $13,900.32 — 3.4×
Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) $24,418.80 — 6.7×
Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142)
range across 2 matching MRF lines		 $49,266.33–$52,137.77 — varies
Reconst lwr jaw w/fixation (21196) $49,266.33 — 6.7×
Relocation Pocket Pacemaker (33222) $4,092.40 $6,296 1.6×
Rem Endovas Vena Cava Filter (37193) $10,229.99 — 2.6×
Removal Anal Seton Other Marker (46030) $5,198.24 — 3.5×
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) $17,800.19 — 0.7×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $12,364.63 — 10.9×
Removal foreign body foot deep (28192) $10,185.65 — 4.9×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $287.95–$390 — varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $7,254.68–$7,809.75 — varies
Removal Implant Deep (20680) $14,315.60 — 3.9×
Removal implantable contraceptive capsules (11976) $5,864.81 — 6.6×
Removal of adenoids (42831) $9,379.63 — 2.3×
Removal of adenoids (42830) $7,931.09 — 1.9×
Removal of anal fissure (46200)
range across 2 matching MRF lines		 $5,903.10–$6,166.89 — varies
Removal of anterior instrumentation (22855) $23,094.07 — 2.5×
Removal of foot joint lining (28072) $18,314.60 — 4.5×
Removal of kidney stone (50081) $22,618.28 — 1.9×
Removal of mammary implant material (19330)
range across 2 matching MRF lines		 $15,513.32–$27,733.78 — varies
Removal of nail bed (11750) $6,015.59 — 11.9×
Removal of sesamoid bone (28315) $12,953.69 — 3.2×
Removal of sperm cord lesion (55520) $15,962.58 — 3.6×
Removal of thyroid (60271) $20,856.36 — 2.8×
Removal of tonsils (42826) $10,150.11 — 2.5×
Removal of tunneled intraperitoneal catheter (49422) $5,683.79 — 1.4×
Removal Pacemaker Electrode (33235) $3,949.40 $6,076 0.8×
Removal ppm generator only (33233)
unusually low: confirm this is the full procedure		 $3,788.85 $5,829 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $6,048.61 — 24.2×
Removal subcutaneous cardiac rhythm monitor (33286) $3,667.30 $5,642 4.1×
Removal Submand Stone,Complicated (42335) $11,610.40 — 2.8×
Removal sweat gland lesion (11450) $6,583.41 — 1.8×
Removal, under anesthesia, of external fixation system (20694) $10,547.13 — 5.3×
Remove Ankle Joint Lining (27626) $14,978.79 — 3.7×
Remove cerclage suture (59871) $6,163.30 $9,482 1.5×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $707.85–$1,298.05 — varies
Remove Elctrd Transvenously (33244) $4,265.30 $6,562 0.9×
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $787.15–$845 — varies
Remove intrvas foreign body (37197) $12,257.05 $18,857 3.1×
Remove knee joint lining (27334) $15,479.78 — 3.8×
Remove lamina/facets lumbar (63012) $39,160.34 — 4.3×
Remove Lower Leg Bone Lesion (27635) $15,058.84 — 3.7×
Remove lung catheter (32552) $3,984.29 — 5.1×
Remove prostate regrowth (52630) $13,087.38 — 2.0×
Remove Pulse Generator (33241) $5,196.75 $7,995 1.1×
Remove renal tube w/fluoro (50389)
range across 6 matching MRF lines		 $2,241.20–$3,361.80 $3,448–$5,172 varies
Remove Tendon Sheath Lesion (26160) $4,702.25 — 2.3×
Remove ureter stent percut (50384)
range across 3 matching MRF lines		 $4,212.65–$6,318.65 $6,481–$9,721 varies
Remove wrist joint cartilage (25107) $20,606.34 — 5.0×
Remove&replace pm gen singl (33227)
unusually low: confirm this is the full procedure		 $3,935.10 $6,054 0.4×
Remove/Insert Drug Implant (11983) $188.50 $290 0.3×
Remove/replace penis prosth (54410) $36,445.80 — 1.4×
Remv cartilage for graft nasal (20912) $14,301.36 — 3.2×
Remv&replc cvd gen dual lead (33263)
likely a partial charge, not the full procedure		 $7,595.25 $11,685 0.3×
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure		 $8,355.75 $12,855 0.2×
Remv&replc cvd gen sing lead (33262)
likely a partial charge, not the full procedure		 $6,904.95 $10,623 0.2×
Remv&replc pm gen dual lead (33228) $13,162.69 — 1.0×
Remv&replc pm gen mult leads (33229)
likely a partial charge, not the full procedure		 $3,885.70 $5,978 0.2×
Renal Biopsy Perq (50200)
range across 15 matching MRF lines		 $1,541.80–$2,313.35 $2,372–$3,559 varies
Reopen fallopian tube (58350) $13,218.68 — 2.1×
Repair Achilles Tendon (27650) $19,418.87 — 2.1×
Repair Collat Ankle Ligmnt,Secondary (27698) $17,224.80 — 1.9×
Repair complex trunk 2.6-7.5 cm (13101) $12,666.81 — 13.7×
Repair extensor tendon finger w/o graft each (26418) $4,834.31 — 2.4×
Repair Finger/Hand Tendon (26350) $16,221.65 — 4.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $17,224.80 — 4.2×
Repair Hallux Rigidus (28289) $10,195.93 — 2.5×
Repair Hand Joint (26540) $15,572.39 — 3.8×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $14,434.04 — 3.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $7,242.64 — 14.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $5,977.72 — 11.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $5,591.53 — 11.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $7,111.97 — 14.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $5,428.02 — 10.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $6,429.38 — 12.7×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $11,999.47 — 13.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $6,919.83 — 13.6×
Repair Lead Pace-Defib One (33218) $4,265.30 $6,562 0.9×
Repair Nasal Vestibular Stenosis (30465) $14,301.36 — 1.9×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $32,102.49 — 3.5×
Repair of metatarsals (28322) $35,461.71 — 3.9×
Repair of nail bed (11760) $3,902.39 — 4.2×
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) $24,401.38 — 2.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $17,219.57 — 1.9×
Repair of Ruptured Tendon (24342) $13,214.44 — 1.5×
Repair paravag defect lap (57423) $27,617.66 — 2.1×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $14,985.67 — 1.9×
Repair secondary achilles tendon w/wo graft (27654) $17,370.99 — 1.9×
Repair shoulder capsule (23462) $21,060.70 — 2.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $14,610.72 — 3.6×
Repair Tooth Socket (41874) $12,903.44 — 3.1×
Repair, primary, disrupted ligament, ankle; collateral (27695) $20,281.75 — 2.2×
Repair/Revise Wrist Joint (25320) $22,544.33 — 2.5×
Replace duodenostomy/jejunostomy tube perq (49451) $2,923.05 $4,497 2.6×
Replace elbow joint (24363) $45,374.58 — 2.1×
Replace G-J Tube Perc (49452) $2,025.40 $3,116 1.8×
Replace g/c tube perc (49450) $3,305.90 — 2.9×
Replacement Tissue Expander W/Permanent Implant (11970) $17,476.19 — 1.9×
Reposition Gastrostomy Tube (43761) $2,627.95 $4,043 8.4×
Reposition L Ventric Lead (33226) $4,299.75 $6,615 1.1×
Reposition Pacing-Defib Lead (33215) $4,299.75 $6,615 1.1×
Reposition Venous Catheter (36597) $1,963.65 $3,021 1.0×
Repr elbow lat ligmnt w/tiss (24343) $21,246.91 — 5.2×
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $10,477.04–$15,789.08 — varies
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $4,091.75 — 1.0×
Rev/rmv prph sac/gstr npg/r (64595) $7,235.38 — 1.7×
Revis reconst shoulder joint (23473) $26,225.57 — 1.6×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $26,132.46 — 1.6×
Revise lower leg tendon (27690) $16,089.48 — 1.8×
Revision of foot and ankle (28262) $14,666.54 — 1.6×
Revision of lower leg tendon (27685) $19,189.51 — 4.7×
Revision of reconstructed breast (19380)
range across 2 matching MRF lines		 $15,982.82–$20,064.52 — varies
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $31,815.93 — 2.0×
Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583)
range across 2 matching MRF lines		 $13,901.62–$13,924.07 — varies
Revision Peri-Implant Capsule Breast (19370)
range across 2 matching MRF lines		 $18,671.24–$20,570.22 — varies
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $32,693.54 — 2.0×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $29,290.72 — 1.3×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $20,529.92 — 1.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $8,934.90 $13,746 1.3×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $12,886.30 — 3.0×
Revj/rmvl peripheral neurostimulator electrode (64585) $4,964.83 — 1.1×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
range across 3 matching MRF lines		 $7,623.85–$11,436.10 $11,729–$17,594 varies
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 3 matching MRF lines		 $6,238.05–$9,356.75 $9,597–$14,395 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
range across 3 matching MRF lines		 $9,693.45–$14,539.85 $14,913–$22,369 varies
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 3 matching MRF lines		 $7,930.65–$11,896.30 $12,201–$18,302 varies
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $17,471.35 $26,879 0.8×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
range across 3 matching MRF lines		 $17,471.35–$26,207.35 $26,879–$40,319 varies
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
range across 3 matching MRF lines		 $9,693.45–$14,539.85 $14,913–$22,369 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 3 matching MRF lines		 $7,930.65–$11,896.30 $12,201–$18,302 varies
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $8,812.05 $13,557 0.6×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)
range across 3 matching MRF lines		 $6,488.95–$9,733.10 $9,983–$14,974 varies
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 3 matching MRF lines		 $5,309.20–$7,963.15 $8,168–$12,251 varies
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
range across 3 matching MRF lines		 $8,936.20–$13,404.30 $13,748–$20,622 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 3 matching MRF lines		 $7,311.20–$10,966.80 $11,248–$16,872 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $8,812.05 $13,557 0.6×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $8,812.05 $13,557 0.6×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
range across 3 matching MRF lines		 $17,471.35–$26,207.35 $26,879–$40,319 varies
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $17,330.30 $26,662 0.8×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294)
range across 3 matching MRF lines		 $17,471.35–$26,207.35 $26,879–$40,319 varies
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292)
range across 3 matching MRF lines		 $17,471.35–$26,207.35 $26,879–$40,319 varies
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
range across 3 matching MRF lines		 $17,471.35–$26,207.35 $26,879–$40,319 varies
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
range across 3 matching MRF lines		 $17,471.35–$26,207.35 $26,879–$40,319 varies
Rhinoplasty primary w/major septal repair (30420) $19,235.77 — 2.6×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 6 matching MRF lines		 $8,459.75–$12,688.65 $13,015–$19,521 varies
Rmvl fecal impaction/fb spx under anes (45915) $6,212.54 — 4.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,543.30 — 1.0×
Rmvl of subq implantable defibrillator electrode (33272) $4,265.30 $6,562 0.9×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $5,196.75 $7,995 1.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,411.76 — 1.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,580.34 — 3.3×
Rmvl/revj sling stress incontinence (57287) $12,491.21 — 3.1×
Rplc Gtube No Revj Trc (43762) $2,981.35 — 9.6×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $4,269.85 $6,569 2.2×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $1,523.60 $2,344 0.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $4,067.05 $6,257 2.1×
Rplcmt compl tun ctr vad w/subq port (36582) $4,935 — 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $6,357.38 — 1.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $18,476.11–$29,847.43 — varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $16,627.38 — 3.7×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $19,905.85 — 2.5×
Rpr aa hernia recr 3-10 cm reducible (49615) $18,611.76 — 2.3×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $18,506.84 — 2.5×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $7,178.01 — 1.6×
Rpr aa hrn 1st 3-10 rdc (49593) $17,893 — 2.2×
Rpr aa hrn 1st < 3 ncr/strn (49592) $16,530.36 — 2.2×
Rpr blood vessel direct lower extremity (35226) $3,667.30 $5,642 4.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,922.70 $2,958 1.0×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $16,089.48 — 3.9×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,831.05 $2,817 2.3×
Sclerotx Fluid Collection (49185) $1,951.30 $3,002 0.9×
Scrotoplasty Simple (55175) $13,633.41 — 3.1×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines		 $14,110.07–$17,273.03 — varies
Sgmdsc flx dired sbmcsl njx any sbst (45335) $7,197.51 — 6.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $6,858.77 — 4.6×
Shave skin lesion 0.5 cm/< (11300) $124.15 $191 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $122.20 $188 0.5×
Shoulder arthroscopy diagnostic (29805) $13,731.37 — 3.4×
Shoulder Arthroscopy/Surgery (29825) $15,893.12 — 3.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $141.05 $217 0.6×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $8,448.02 — 5.7×
Sigmoidoscopy W/Resection (45349) $23,297.51 — 6.7×
Sigmoidoscopy W/Ultrasound (45341) $5,947.14 — 5.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $6,077.08 — 5.2×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $6,501.49 — 4.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $122.20 $188 0.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $100.75 $155 0.4×
Skin sub graft face/nk/hf/g (15275) $11,877.09 — 12.9×
Skin sub graft trnk/arm/leg (15271) $12,672.39 — 13.7×
Skin Tissue Procedure (17999) $13,995.28 — 55.9×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 6 matching MRF lines		 $4,501.90–$6,752.85 $6,926–$10,389 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 6 matching MRF lines		 $7,363.85–$11,047.40 $11,329–$16,996 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $4,168.45 $6,413 0.6×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $15,196.52 — 2.4×
Slitting of prepuce (54001) $17,938.23 — 6.9×
Small bowel endoscopy (44366) $7,140.38 — 3.0×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $7,505.02 — 3.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $117.65 $181 0.5×
Sphincterotomy anal division sphincter spx (46080) $4,899.39 — 1.4×
Spinal puncture lumbar diagnostic (62270) $19,111.01 — 21.7×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 3 matching MRF lines		 $2,851.55–$4,278.30 $4,387–$6,582 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $42.25–$61.75 $65–$95 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $13,322.74–$15,184.73 — varies
Suction assisted lipectomy; trunk (15877) $3,510 — 0.8×
Surg tx anal fistula subq (46270) $5,489.18 — 1.6×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $6,620.09 — 1.9×
Suture digital nerve hand/foot 1 nerve (64831) $14,310.98 — 5.9×
Suture infrapatellar tendon primary (27380) $15,689.24 — 1.7×
Suture of quadriceps or hamstring muscle rupture primary (27385) $15,711.21 — 1.7×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $21,072.02 — 2.3×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $5,868.41 — 2.9×
Tangential biopsy skin single lesion (11102) $5,614.83 — 11.1×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure		 $8,168.55 $12,567 0.2×
Tcat Insj/Rpl Perm Ldls Pm (33274) $29,299.79 — 1.2×
Tenodesis long tendon biceps (23430) $31,053.31 — 3.4×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $15,058.84 — 3.7×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,589.90 $2,446 1.8×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831)
range across 2 matching MRF lines		 $10,979.73–$13,888.61 — varies
Thrmbc/Nfs Dialysis Circuit (36906) $32,812.05 — 1.4×
Thromblytic art/ven therapy (37213) $6,423.30 $9,882 1.6×
Thrombolytic Art Therapy (37211)
range across 9 matching MRF lines		 $7,472.40–$11,207.95 $11,496–$17,243 varies
Thrombolytic Venous Therapy (37212)
range across 3 matching MRF lines		 $6,423.30–$9,636.90 $9,882–$14,826 varies
Thyroid biopsy (60100) $661.70 $1,018 0.7×
Thyroidectomy Post Prev Thyr Surg (60260) $20,031.25 — 2.7×
Thyroidectomy, total or complete (60240) $20,379.50 — 2.7×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $27,321.59 — 3.7×
Tissue Expander Placement Breast Reconstruction (19357)
range across 2 matching MRF lines		 $13,554.31–$29,809.19 — varies
Tlh uterus over 250 g (58572) $30,919.19 — 2.3×
Tnot elbow lateral/medial debride open tdn rpr (24359) $11,024.55 — 2.7×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $10,100.90 — 2.4×
Total Knee Arthroplasty (27447)
range across 3 matching MRF lines		 $14,801.70–$30,111.87 — varies
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) $20,031.25 — 2.7×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure		 $2,161.90 $3,326 0.3×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $13,552.70 — 5.6×
Transoral lower esophageal myotomy (43497)
range across 2 matching MRF lines		 $16,430.60–$16,710.61 — varies
Transplant hand tendon (26480) $13,710.97 — 3.4×
Transrectal abltj mal prst8 tissue hifu w/us (55880) $13,563 — 1.1×
Transur electr resection of prostate (52601)
range across 2 matching MRF lines		 $14,226.06–$31,165.16 — varies
Transurethral resection bladder neck (52500) $12,594.39 — 2.9×
Treat ectopic pregnancy (59151) $13,570.50 — 1.8×
Treat Elbow Fracture (24635) $28,868.64 — 3.2×
Treat Finger Fracture Each (26727) $7,486.34 — 1.8×
Treat Fx Rad Extra-Articul (25607) $16,682.22 — 1.8×
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $220.35–$330.20 $339–$508 varies
Treat Kneecap Fracture (27524) $17,485.64 — 1.9×
Treatment of ankle fracture (27823) $20,704.55 — 2.3×
Trim skin lesion (11055) $61.10 $94 0.2×
Trluml Balo Angiop 1St Art (37246)
range across 4 matching MRF lines		 $8,425.95–$12,662.65 $12,963–$19,481 varies
Trluml Balo Angiop 1St Vein (37248) $17,955.24 — 2.5×
Trurl rescj postop bladder neck contracture (52640) $12,243.91 — 2.8×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $5,792.53 — 1.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $7,177.43 — 1.8×
Tx Missed Abortion First Trimester Surgical (59820) $6,843.10 — 1.7×
Tx Missed Abortion Second Trimester Surgical (59821) $5,925.50 — 1.5×
Tx open tendon flexor toe 1 tendon spx (28232) $9,130.63 — 4.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $5,440.40 — 5.9×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 2 matching MRF lines		 $6,591–$6,710.60 — varies
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $7,229.87–$7,974.17 — varies
Unlisted Cardiac Surgery (33999)
range across 2 matching MRF lines		 $4,544.15–$16,655.60 $6,991–$25,624 varies
Unlisted laparoscopic procedure liver (47379) $18,370.30 — 2.4×
Unlisted laparoscopy procedure oviduct ovary (58679) $14,394.41 — 1.9×
Unlisted laparoscopy procedure stomach (43659) $22,864.95 — 3.0×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
range across 2 matching MRF lines		 $21,371.35–$23,587.80 — varies
Unlisted laparoscopy procedure, bladder (51999) $24,233.17 — 3.2×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $14,405.40 — 1.9×
Unlisted laparoscopy procedure, lymphatic system (38589) $17,284.77 — 2.3×
Unlisted laparoscopy procedure, spermatic cord (55559) $16,827.77 — 2.2×
Unlisted procedure anus (46999) $5,523.63 — 4.8×
Unlisted Procedure Biliary Tract (47999) $24,294.42 — 21.5×
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines		 $4,542.56–$5,317.78 — varies
Unlisted Procedure Intestine (44799) $8,608.70 — 7.6×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $22,854.62–$31,325.19 — varies
Unlisted procedure pancreas (48999) $16,917.67 — 19.1×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $220.35 $339 0.7×
Unlisted procedure spine (22899) $428.35 $659 1.4×
Unlisted Procedure Vascular Surgery (37799) $12,089.12 — 15.4×
Unlisted Procedure, Urinary System (53899) $10,709.96 — 34.3×
Unlisted px female genital system nonobstetrical (58999) $9,413.72 — 37.3×
Urethroplasty, reconstruction of female urethra Facility (53430) $11,864.61 — 1.8×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $16,566.03 — 2.7×
Vasc embolize/occlude artery (37242) $26,648.61 — 1.2×
Vasc Embolize/Occlude Bleed (37244) $9,061.65 $13,941 0.6×
Vasc Embolize/Occlude Organ (37243)
range across 2 matching MRF lines		 $9,503.65–$26,845.06 — varies
Vasc embolize/occlude venous (37241) $37,752.87 — 2.6×
Venous Mech Thrombectomy (37187)
range across 4 matching MRF lines		 $5,776.55–$9,358.70 $8,887–$14,398 varies
Ventilating tube removal requiring general anesthesia (69424) $6,710.60 — 1.6×
Ventricular puncture previous burr hole w/inj (61026) $1,613.95 $2,483 1.8×
Vulvectomy simple partial (56620) $9,486.81 — 2.3×
Wound Prep F/N/Hf/G (15004) $11,877.09 — 23.4×
Wound Prep Trk/Arm/Leg (15002) $29,870.42 — 32.4×
Xfer Single Deep Low Leg Tendon (27691)
range across 2 matching MRF lines		 $19,174.86–$19,379.46 — 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.