Procedures & surgery prices at Star Valley Medical Center
Afton, WY · every code in this section with a posted price and a Medicare benchmark.
616 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$272.30–$1,555.40 | $389–$2,222 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$42–$291.20 | $60–$416 | varies |
| Acne surgery (10040) | $29.40 | $42 | 0.1× |
| Acromiopl/Acromionect Partial (23130) | $1,717.10 | $2,453 | 0.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $401.80 | $574 | 0.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 3 matching MRF lines |
$306.60–$2,063.60 | $438–$2,948 | varies |
| Amniocentesis diagnostic (59000) | $2,872.80 | $4,104 | 3.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$401.80–$1,279.60 | $574–$1,828 | varies |
| Amputate Metacarpal Bone (26910) | $1,370.60 | $1,958 | 0.4× |
| Amputation metatarsal with toe single (28810) | $3,845.80 | $5,494 | 1.2× |
| Amputation toe interphalangeal joint (28825) | $2,253.30 | $3,219 | 0.7× |
| Amputation toe metatarsophalangeal joint (28820) | $1,108.80 | $1,584 | 0.3× |
| Anal/Urinary Muscle Study (51784) range across 2 matching MRF lines |
$30.80–$123.90 | $44–$177 | varies |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$114.80–$319.20 | $164–$456 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $1,603.70 | $2,291 | 1.3× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $3,070.20 | $4,386 | 1.1× |
| Apheresis Platelets (36513) | $1,236.90 | $1,767 | 2.7× |
| Application cast elbow finger short arm (29075) range across 4 matching MRF lines |
$33.60–$248.50 | $48–$355 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$16.10–$105.70 | $23–$151 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$23.10–$231.70 | $33–$331 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$91–$172.20 | $130–$246 | varies |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$91–$259 | $130–$370 | varies |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$21–$218.40 | $30–$312 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$27.30–$321.30 | $39–$459 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$91–$431.90 | $130–$617 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$79.10–$225.40 | $113–$322 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$60.20–$239.40 | $86–$342 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$32.20–$233.80 | $46–$334 | varies |
| Arterial puncture (36600) | $82.60 | $118 | 0.6× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) unusually low: confirm this is the full procedure |
$5,234.60 | $7,478 | 0.4× |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) unusually low: confirm this is the full procedure |
$2,883.30 | $4,119 | 0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$95.90–$469 | $137–$670 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $2,099.30 | $2,999 | 2.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$123.90–$457.10 | $177–$653 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$319.20–$589.40 | $456–$842 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$97.30–$582.40 | $139–$832 | varies |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) unusually low: confirm this is the full procedure |
$2,975 | $4,250 | 0.4× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) likely a partial charge, not the full procedure |
$2,221.10 | $3,173 | 0.2× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$4,062.10 | $5,803 | 0.2× |
| Arthroplasty interphalangeal joint each (26535) | $5,335.40 | $7,622 | 1.6× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $3,633.70 | $5,191 | 1.1× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) likely a partial charge, not the full procedure |
$2,039.10 | $2,913 | 0.1× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $1,841 | $2,630 | 0.6× |
| Arthroscopy knee synovectomy limited spx (29875) | $1,398.60 | $1,998 | 0.4× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $1,743.70 | $2,491 | 0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) | $1,901.90 | $2,717 | 0.6× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $1,491 | $2,130 | 0.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) unusually low: confirm this is the full procedure |
$2,588.60 | $3,698 | 0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $1,768.20 | $2,526 | 0.5× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $1,625.40 | $2,322 | 0.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) unusually low: confirm this is the full procedure |
$2,916.20 | $4,166 | 0.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) unusually low: confirm this is the full procedure |
$3,016.30 | $4,309 | 0.4× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $1,170.40 | $1,672 | 0.4× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$3,822.70 | $5,461 | 0.3× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $1,864.80 | $2,664 | 0.6× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $1,750 | $2,500 | 0.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $1,582.70 | $2,261 | 0.5× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) | $1,137.50 | $1,625 | 0.3× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$319.20–$1,742.30 | $456–$2,489 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$253.40–$357 | $362–$510 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$23.10–$207.20 | $33–$296 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$30.10–$242.90 | $43–$347 | varies |
| Biopsy Abdominal Mass (49180) | $4,654.30 | $6,649 | 2.8× |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$372.40–$4,654.30 | $532–$6,649 | varies |
| Biopsy Muscle Superficial (20200) | $587.30 | $839 | 0.3× |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$1,743.70–$2,321.90 | $2,491–$3,317 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $6,382.60 | $9,118 | 3.8× |
| Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$6,382.60–$9,972.90 | $9,118–$14,247 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $77.70 | $111 | 0.1× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$17.50–$319.20 | $25–$456 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$961.10–$1,106 | $1,373–$1,580 | varies |
| Bx breast 1st lesion us imag (19083) | $1,894.20 | $2,706 | 1.1× |
| Bx/exc lymph node open deep axillary node (38525) | $1,235.50 | $1,765 | 0.3× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) | $2,276.40 | $3,252 | 1.4× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) | $1,861.30 | $2,659 | 0.6× |
| Carpal Tunnel Surgery (64721) | $1,211 | $1,730 | 0.6× |
| Carpectomy All Bones Proximal Row (25215) | $5,252.80 | $7,504 | 1.6× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$243.60–$391.30 | $348–$559 | varies |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$19.60–$319.20 | $28–$456 | varies |
| Chemodenerv Musc Migraine (64615) | $69.30 | $99 | 0.2× |
| Chemodenerv musc neck dyston (64616) | $70 | $100 | 0.2× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$319.20–$621.60 | $456–$888 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $319.20 | $456 | 0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$319.20–$1,992.20 | $456–$2,846 | varies |
| Claviculectomy partial (23120) | $1,638 | $2,340 | 0.5× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$25.90–$210.70 | $37–$301 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $1,158.50 | $1,655 | 4.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $319.20 | $456 | 1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$319.20–$1,420.30 | $456–$2,029 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$319.20–$1,754.20 | $456–$2,506 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$319.20–$1,291.50 | $456–$1,845 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$158.20–$1,151.50 | $226–$1,645 | varies |
| Closed tx femoral fracture prox head w/o manj (27267) range across 2 matching MRF lines |
$319.20–$2,024.40 | $456–$2,892 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 3 matching MRF lines |
$270.20–$1,945.30 | $386–$2,779 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$319.20–$2,252.60 | $456–$3,218 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$114.80–$690.90 | $164–$987 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,562.40 | $2,232 | 1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$401.80–$705.60 | $574–$1,008 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) | $319.20 | $456 | 1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$319.20–$1,597.40 | $456–$2,282 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $167.30 | $239 | 0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$91–$832.30 | $130–$1,189 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$319.20–$2,339.40 | $456–$3,342 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$198.10–$1,192.80 | $283–$1,704 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$319.20–$2,368.10 | $456–$3,383 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$198.10–$1,198.40 | $283–$1,712 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$130.90–$984.20 | $187–$1,406 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$319.20–$1,361.50 | $456–$1,945 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$198.10–$975.80 | $283–$1,394 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $319.20 | $456 | 1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$310.10–$319.20 | $443–$456 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$198.10–$1,241.80 | $283–$1,774 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$105–$987.70 | $150–$1,411 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 3 matching MRF lines |
$319.20–$415.10 | $456–$593 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$121.80–$922.60 | $174–$1,318 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $72.10 | $103 | 0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$319.20–$1,820.70 | $456–$2,601 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$198.10–$991.20 | $283–$1,416 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $198.10 | $283 | 0.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$159.60–$1,156.40 | $228–$1,652 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$319.20–$1,562.40 | $456–$2,232 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$161.70–$1,172.50 | $231–$1,675 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$198.10–$1,999.20 | $283–$2,856 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$102.20–$840.70 | $146–$1,201 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$113.40–$982.80 | $162–$1,404 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$319.20–$1,555.40 | $456–$2,222 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$319.20–$1,768.90 | $456–$2,527 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$198.10–$679.70 | $283–$971 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$70–$415.10 | $100–$593 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$198.10–$585.20 | $283–$836 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
$67.90–$401.10 | $97–$573 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$319.20–$1,421 | $456–$2,030 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $140.70 | $201 | 0.6× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 3 matching MRF lines |
$198.10–$1,564.50 | $283–$2,235 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$319.20–$3,046.40 | $456–$4,352 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$198.10–$819.70 | $283–$1,171 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$198.10–$1,374.80 | $283–$1,964 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$198.10–$317.10 | $283–$453 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 3 matching MRF lines |
$198.10–$424.90 | $283–$607 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$86.10–$788.90 | $123–$1,127 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $319.20 | $456 | 0.2× |
| Cltx Medial Ankle Fx (27760) | $172.90 | $247 | 0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$198.10–$1,005.90 | $283–$1,437 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$74.20–$966.70 | $106–$1,381 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$198.10–$1,029 | $283–$1,470 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$104.30–$634.20 | $149–$906 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
$319.20–$2,125.20 | $456–$3,036 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$198.10–$1,368.50 | $283–$1,955 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$158.90–$1,157.10 | $227–$1,653 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
$319.20–$1,192.10 | $456–$1,703 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$319.20–$403.20 | $456–$576 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $319.20 | $456 | 0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $319.20 | $456 | 0.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$198.10–$1,626.80 | $283–$2,324 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$160.30–$1,171.80 | $229–$1,674 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$179.90–$198.10 | $257–$283 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$319.20–$1,472.80 | $456–$2,104 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$104.30–$191.10 | $149–$273 | varies |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$21–$144.90 | $30–$207 | varies |
| Colonoscopy w/submucosal inj (45381) | $732.90 | $1,047 | 0.6× |
| Colpocleisis (le fort type) (57120) | $4,399.50 | $6,285 | 0.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $74.20 | $106 | 0.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,090.60 | $1,558 | 0.9× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$485.10–$531.30 | $693–$759 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
$44.10–$347.90 | $63–$497 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$31.50–$319.20 | $45–$456 | varies |
| Control oropharyngeal hemorrhage simple (42960) range across 2 matching MRF lines |
$319.20–$744.10 | $456–$1,063 | varies |
| Correction hammertoe (28285) | $2,457.70 | $3,511 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$319.20–$432.60 | $456–$618 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$319.20–$616 | $456–$880 | varies |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) range across 2 matching MRF lines |
$319.20–$2,365.30 | $456–$3,379 | varies |
| Curettage postpartum (59160) range across 2 matching MRF lines |
$319.20–$851.90 | $456–$1,217 | varies |
| Cystometrogram W/Vp&Up (51729) range across 2 matching MRF lines |
$188.30–$754.60 | $269–$1,078 | varies |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$110.60–$1,043 | $158–$1,490 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$111.30–$319.20 | $22–$456 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 3 matching MRF lines |
$401.80–$2,074.80 | $574–$2,964 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 3 matching MRF lines |
$319.20–$1,096.90 | $456–$1,567 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$198.10–$770.70 | $283–$1,101 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 6 matching MRF lines |
$401.80–$1,600.20 | $574–$2,286 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$35–$319.20 | $50–$456 | varies |
| Declot vascular device (36593) | $450.10 | $643 | 1.3× |
| Destroy cerv/thor facet jnt (64633) | $634.20 | $906 | 0.3× |
| Destroy lumb/sac facet jnt (64635) | $625.80 | $894 | 0.3× |
| Destruct B9 Lesion 1-14 (17110) | $37.10 | $53 | 0.2× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $424.20 | $606 | 0.3× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$58.10–$233.10 | $83–$333 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$32.20–$128.10 | $46–$183 | varies |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) | $199.50 | $285 | 0.1× |
| Drain Cerebro Spinal Fluid (62272) range across 3 matching MRF lines |
$247.10–$348.60 | $353–$498 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$198.10–$863.80 | $283–$1,234 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$198.10–$559.30 | $283–$799 | varies |
| Drainage Finger Abscess Complicated (26011) range across 3 matching MRF lines |
$319.20–$2,068.50 | $456–$2,955 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$198.10–$645.40 | $283–$922 | varies |
| Drainage of gum lesion (41800) | $378 | $540 | 2.8× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$64.40–$533.40 | $92–$762 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $72.80 | $104 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$60.20–$550.20 | $86–$786 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$29.40–$319.20 | $42–$456 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$363.30–$726.60 | $519–$1,038 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,099.30 | $2,999 | 2.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $2,333.80 | $3,334 | 1.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $432.60 | $618 | 0.2× |
| Egd dilation gastric/duodenal stricture (43245) | $497 | $710 | 0.3× |
| Egd Flexible Foreign Body Removal (43247) | $501.20 | $716 | 0.5× |
| Egd place gastrostomy tube (43246) | $567 | $810 | 0.3× |
| Egd remove lesion snare (43251) | $554.40 | $792 | 0.3× |
| Endometrial Biopsy (58100) | $35 | $50 | 0.2× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $786.80 | $1,124 | 0.2× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$319.20–$456.40 | $456–$652 | varies |
| Episiotomy or vaginal repair (59300) | $507.50 | $725 | 0.2× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $890.40 | $1,272 | 0.5× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) range across 2 matching MRF lines |
$998.90–$1,190 | $1,427–$1,700 | varies |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $399 | $570 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$86.10–$198.10 | $123–$283 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $1,173.20 | $1,676 | 0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $44.10 | $63 | 0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$85.40–$424.90 | $122–$607 | varies |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $1,286.60 | $1,838 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $85.40 | $122 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $99.40 | $142 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $774.20 | $1,106 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $56.70 | $81 | 0.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $71.40 | $102 | 0.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $79.10 | $113 | 0.1× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $1,194.20 | $1,706 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $44.80 | $64 | 0.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$59.50–$298.20 | $85–$426 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $74.20 | $106 | 0.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $930.30 | $1,329 | 0.6× |
| Exc hand tum deep < 1.5 cm (26116) | $229.60 | $328 | 0.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $353.50 | $505 | 0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $134.40 | $192 | 0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$174.30–$869.40 | $249–$1,242 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $1,631.70 | $2,331 | 0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 4 matching MRF lines |
$205.10–$319.20 | $293–$456 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$56.70–$282.10 | $81–$403 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$62.30–$311.50 | $89–$445 | varies |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $1,169 | $1,670 | 0.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $887.60 | $1,268 | 0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $3,248 | $4,640 | 1.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$172.20–$860.30 | $246–$1,229 | varies |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $1,696.80 | $2,424 | 0.6× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $460.60 | $658 | 0.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $3,698.10 | $5,283 | 1.1× |
| Excise Wrist Tendon Sheath (25118) | $1,795.50 | $2,565 | 1.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$105.70–$528.50 | $151–$755 | varies |
| Excision Distal Ulna Partial/Complete (25240) | $1,938.30 | $2,769 | 0.6× |
| Excision inferior turbinate partial/complete (30130) range across 2 matching MRF lines |
$3,402.70–$6,805.40 | $4,861–$9,722 | varies |
| Excision lesion tendon sheath forearm&/wrist (25110) | $3,500.70 | $5,001 | 2.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $65.10 | $93 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $81.20 | $116 | 0.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $88.20 | $126 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $116.20 | $166 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$125.30–$623 | $179–$890 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $81.90 | $117 | 0.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $92.40 | $132 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $130.20 | $186 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $906.50 | $1,295 | 0.6× |
| Excision of hydrocele; unilateral (55040) | $892.50 | $1,275 | 0.2× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) unusually low: confirm this is the full procedure |
$2,440.90 | $3,487 | 0.4× |
| Excision olecranon bursa (24105) | $997.50 | $1,425 | 0.3× |
| Excision prepatellar bursa (27340) | $1,046.50 | $1,495 | 0.3× |
| Excision spermatocele w/wo epididymectomy (54840) | $3,447.50 | $4,925 | 1.6× |
| Excision synovial cyst popliteal space (27345) | $2,587.20 | $3,696 | 0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,325.80 | $1,894 | 0.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,176 | $1,680 | 0.7× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$175.70–$879.90 | $251–$1,257 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $5,436.20 | $7,766 | 1.8× |
| Excision; trochanteric bursa or calcification (27062) | $1,909.60 | $2,728 | 0.6× |
| Exploration of knee joint (27310) | $3,450.30 | $4,929 | 1.0× |
| Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
$319.20–$1,371.30 | $456–$1,959 | varies |
| Exploratory elbow surgery (24000) | $1,307.60 | $1,868 | 0.4× |
| Explore treat shoulder joint (23107) likely a partial charge, not the full procedure |
$1,846.60 | $2,638 | 0.2× |
| Fasciotomy palmar open partial (26045) | $1,325.80 | $1,894 | 0.4× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $4,153.80 | $5,934 | 1.2× |
| Fetal non-stress test (59025) | $246.40 | $352 | 1.2× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$198.10–$508.90 | $283–$727 | varies |
| Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
$608.30–$1,836.80 | $869–$2,624 | varies |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $1,666 | $2,380 | 0.8× |
| Fuse hand bones with graft (25825) likely a partial charge, not the full procedure |
$2,185.40 | $3,122 | 0.3× |
| Fusion Finger Joint (26860) | $2,161.60 | $3,088 | 0.6× |
| Fusion of knuckle joint (26516) | $2,499.70 | $3,571 | 0.7× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,401.70 | $3,431 | 0.8× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $2,061.50 | $2,945 | 0.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,269.80 | $1,814 | 1.3× |
| Hip arthro w/labral repair (29916) | $5,022.50 | $7,175 | 0.7× |
| Hysteroscopy Biopsy (58558) | $2,362.50 | $3,375 | 0.7× |
| I&d abscess peritonsillar (42700) range across 3 matching MRF lines |
$272.30–$593.60 | $389–$848 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$55.30–$388.50 | $79–$555 | varies |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$198.10–$402.50 | $283–$575 | varies |
| I&d pilonidal cyst simple (10080) | $198.10 | $283 | 0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 3 matching MRF lines |
$319.20–$869.40 | $456–$1,242 | varies |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $860.30 | $1,229 | 0.9× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $1,223.60 | $1,748 | 1.3× |
| Image Cath Fluid Colxn Visc (49405) | $9,972.90 | $14,247 | 5.9× |
| Image Cath Fluid Peri/Retro (49406) | $4,654.30 | $6,649 | 2.8× |
| Image Cath Fluid Trns/Vgnl (49407) | $1,467.20 | $2,096 | 0.9× |
| Implant neuroelectrodes (63650) likely a partial charge, not the full procedure |
$1,170.40 | $1,672 | 0.2× |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$306.60–$329.70 | $438–$471 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$163.10–$814.80 | $233–$1,164 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$99.40–$319.20 | $142–$456 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $1,098.30 | $1,569 | 0.4× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$319.20–$924 | $456–$1,320 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$56–$198.10 | $80–$283 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$319.20–$396.90 | $456–$567 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $351.40 | $502 | 1.1× |
| Incision extensor tendon sheath wrist (25000) | $3,294.20 | $4,706 | 2.0× |
| Incision of eardrum (69420) | $99.40 | $142 | 0.4× |
| Incision of rectal abscess (46040) | $1,187.90 | $1,697 | 1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$87.50–$438.20 | $125–$626 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$32.20–$162.40 | $46–$232 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$205.80–$319.20 | $294–$456 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$326.20–$2,720.20 | $466–$3,886 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $370.30 | $529 | 0.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$47.60–$237.30 | $68–$339 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $355.60 | $508 | 0.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $579.60 | $828 | 0.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $30.10 | $43 | 0.0× |
| Injection anesthetic agent suprascapular nerve (64418) | $161.70 | $231 | 0.2× |
| Injection enzyme palmar fascial cord (20527) | $35.70 | $51 | 0.1× |
| Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
$610.40–$1,002.40 | $872–$1,432 | varies |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$28.70–$198.10 | $41–$283 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$21–$198.10 | $30–$283 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$23.80–$214.20 | $34–$306 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$31.50–$156.80 | $45–$224 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$256.20–$340.20 | $366–$486 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$30.10–$149.80 | $43–$214 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$120.40–$588.70 | $172–$841 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $16.80 | $24 | 0.1× |
| Insert Nasal Septal Button (30220) | $350 | $500 | 0.2× |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$319.20–$2,324.70 | $456–$3,321 | varies |
| Insert pessary/other device (57160) | $25.90 | $37 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$14.70–$319.20 | $21–$456 | varies |
| Insert tunneled cv cath (36561) | $951.30 | $1,359 | 0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $15.40 | $22 | 0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 4 matching MRF lines |
$319.20–$4,982.60 | $456–$7,118 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $2,826.60 | $4,038 | 0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$319.20–$2,475.20 | $456–$3,536 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$1,012.20 | $1,446 | 0.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$237.30–$1,360.10 | $339–$1,943 | varies |
| Intraoral i&d tongue/floor submndblr space (41008) range across 2 matching MRF lines |
$198.10–$882.70 | $283–$1,261 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$389.90–$1,055.60 | $557–$1,508 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$198.10–$486.50 | $283–$695 | varies |
| Knee Arthroscopy/Surgery (29874) | $1,514.80 | $2,164 | 0.5× |
| Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$4,366.60 | $6,238 | 0.4× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$2,359.70 | $3,371 | 0.2× |
| Laparoscopy Enterolysis Separate Procedure (44180) unusually low: confirm this is the full procedure |
$2,849.70 | $4,071 | 0.5× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$1,215.90 | $1,737 | 0.2× |
| Laparoscopy w/rmvl adnexal structures (58661) unusually low: confirm this is the full procedure |
$2,016.70 | $2,881 | 0.3× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,700.30 | $2,429 | 0.3× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) likely a partial charge, not the full procedure |
$2,336.60 | $3,338 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $3,379.60 | $4,828 | 0.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,584.10 | $2,263 | 0.3× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$938.70 | $1,341 | 0.2× |
| Laparoscopy, Tubal Block (58671) | $3,213 | $4,590 | 0.5× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) likely a partial charge, not the full procedure |
$1,395.80 | $1,994 | 0.2× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) | $630.70 | $901 | 0.2× |
| Laryngoscopy flexible diagnostic (31575) | $37.80 | $54 | 0.2× |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) | $331.80 | $474 | 0.8× |
| Late closure of wound (13160) | $2,181.90 | $3,117 | 0.6× |
| Ligation or biopsy temporal artery (37609) | $579.60 | $828 | 0.3× |
| Low Back Disk Surgery (63030) unusually low: confirm this is the full procedure |
$2,488.50 | $3,555 | 0.3× |
| Maniplatn palar fascial crd post inj single cord (26341) range across 2 matching MRF lines |
$42.70–$214.90 | $61–$307 | varies |
| Manipulation knee joint under general anesthesia (27570) | $851.90 | $1,217 | 0.5× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $550.20 | $786 | 0.3× |
| Mast mod rad (19307) unusually low: confirm this is the full procedure |
$3,374 | $4,820 | 0.5× |
| Mastectomy partial (19301) | $1,836.80 | $2,624 | 0.5× |
| Mastectomy simple complete (19303) unusually low: confirm this is the full procedure |
$2,683.80 | $3,834 | 0.4× |
| N Block Inj Celiac Pelus (64530) | $592.20 | $846 | 0.7× |
| N block inj intercost sng (64420) | $33.60 | $48 | 0.0× |
| N Block Inj Plantar Digit (64455) | $19.60 | $28 | 0.1× |
| N Block Lumbar/Thoracic (64520) | $234.50 | $335 | 0.3× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 3 matching MRF lines |
$88.90–$1,225.70 | $127–$1,751 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $4,048.10 | $5,783 | 2.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) | $1,437.10 | $2,053 | 0.9× |
| Needle Biopsy Lymph Nodes (38505) | $1,422.40 | $2,032 | 0.8× |
| Needle Biopsy Pancreas (48102) range across 2 matching MRF lines |
$5,584.60–$6,382.60 | $7,978–$9,118 | varies |
| Nerve repair w/conduit each nerve (64910) likely a partial charge, not the full procedure |
$2,224.60 | $3,178 | 0.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $1,675.80 | $2,394 | 0.8× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $1,419.60 | $2,028 | 0.7× |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) | $2,013.90 | $2,877 | 1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$140–$319.20 | $200–$456 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $10,528.70 | $15,041 | 2.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$277.90–$2,720.20 | $397–$3,886 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $308 | $440 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$303.80–$2,099.30 | $434–$2,999 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $2,878.40 | $4,112 | 4.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $319.20 | $456 | 0.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $282.80 | $404 | 0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
$56–$1,889.30 | $80–$2,699 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $372.40 | $532 | 0.4× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$266–$319.20 | $380–$456 | varies |
| Open Repair of Rotator Cuff Acute (23410) unusually low: confirm this is the full procedure |
$2,295.30 | $3,279 | 0.3× |
| Open Treatment Bimalleolar Ankle Fracture (27814) unusually low: confirm this is the full procedure |
$3,277.40 | $4,682 | 0.4× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) likely a partial charge, not the full procedure |
$2,181.20 | $3,116 | 0.3× |
| Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,702.40 | $2,432 | 0.2× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,559.60 | $2,228 | 0.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$1,888.60 | $2,698 | 0.3× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$2,013.90 | $2,877 | 0.3× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) likely a partial charge, not the full procedure |
$1,673.70 | $2,391 | 0.2× |
| Open Treatment of Ulnar Shaft Fracture (25545) unusually low: confirm this is the full procedure |
$2,664.20 | $3,806 | 0.4× |
| Open treatment of ulnar styloid fracture (25652) | $4,372.20 | $6,246 | 0.6× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$2,472.40 | $3,532 | 0.2× |
| Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$2,027.20 | $2,896 | 0.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$1,663.20 | $2,376 | 0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,371.30 | $1,959 | 0.4× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$1,976.10 | $2,823 | 0.3× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $1,887.90 | $2,697 | 0.6× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 3 matching MRF lines |
$198.10–$1,674.40 | $283–$2,392 | varies |
| Open Tx Radial Head/Neck Fracture Prosth (24666) likely a partial charge, not the full procedure |
$2,066.40 | $2,952 | 0.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) unusually low: confirm this is the full procedure |
$2,443 | $3,490 | 0.3× |
| Open tx ulnar fx proximal end (24685) | $5,111.40 | $7,302 | 0.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) unusually low: confirm this is the full procedure |
$3,303.30 | $4,719 | 0.4× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$2,478 | $3,540 | 0.2× |
| Osteotomy Clavicle W Bone Graft (23485) likely a partial charge, not the full procedure |
$2,644.60 | $3,778 | 0.2× |
| Ovarian cystectomy, unilateral or bilateral (58925) unusually low: confirm this is the full procedure |
$2,145.50 | $3,065 | 0.4× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) unusually low: confirm this is the full procedure |
$2,723 | $3,890 | 0.5× |
| Partial removal of thyroid (60220) unusually low: confirm this is the full procedure |
$1,984.50 | $2,835 | 0.3× |
| Partial removal of toe (28160) | $3,435.60 | $4,908 | 1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) unusually low: confirm this is the full procedure |
$1,988.70 | $2,841 | 0.3× |
| Partical Excision Bone Phalanx Toe (28124) | $939.40 | $1,342 | 0.3× |
| Patellectomy or hemipatellectomy (27350) | $3,852.10 | $5,503 | 0.5× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $680.40 | $972 | 0.2× |
| Perq dev breast 1st us imag (19285) | $2,057.30 | $2,939 | 2.8× |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$847.70–$2,263.10 | $1,211–$3,233 | varies |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,208.90 | $1,727 | 1.7× |
| Phalangectomy toe each toe (28150) range across 2 matching MRF lines |
$401.80–$1,276.10 | $574–$1,823 | varies |
| Placement of needle for intraosseous infusion (36680) range across 3 matching MRF lines |
$272.30–$850.50 | $389–$1,215 | varies |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $483 | $690 | 0.4× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $1,870.40 | $2,672 | 2.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $3,864 | $5,520 | 1.2× |
| Prq skel fixj metar fx w/manj (28476) | $3,916.50 | $5,595 | 1.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $3,816.40 | $5,452 | 1.1× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$27.30–$133.70 | $39–$191 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$51.80–$451.50 | $74–$645 | varies |
| Puncture Aspiration Cyst Breast (19000) | $396.90 | $567 | 0.5× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) | $3,580.50 | $5,115 | 2.2× |
| Radical styloidectomy separate procedure (25230) | $1,841 | $2,630 | 0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $1,386 | $1,980 | 0.7× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) | $3,587.50 | $5,125 | 1.1× |
| Realignment extensor tendon hand each tendon (26437) | $2,210.60 | $3,158 | 0.7× |
| Reconstruct Finger Joint (26548) | $2,179.10 | $3,113 | 0.7× |
| Removal Embedded Foreign Body Eyelid (67938) range across 3 matching MRF lines |
$64.40–$466.20 | $92–$666 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) | $610.40 | $872 | 0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$91–$109.20 | $130–$156 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$20.30–$198.10 | $29–$283 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$235.20–$1,177.40 | $336–$1,682 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $81.90 | $117 | 0.0× |
| Removal of ankle implant (27704) | $1,616.30 | $2,309 | 0.5× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$319.20–$572.60 | $456–$818 | varies |
| Removal of humerus lesion (23156) likely a partial charge, not the full procedure |
$1,898.40 | $2,712 | 0.3× |
| Removal of implant from finger or hand (26320) | $3,222.80 | $4,604 | 1.9× |
| Removal of nail bed (11750) range across 5 matching MRF lines |
$56–$509.60 | $80–$728 | varies |
| Removal of sperm cord lesion (55520) | $3,413.20 | $4,876 | 0.9× |
| Removal of thyroid (60271) unusually low: confirm this is the full procedure |
$2,117.50 | $3,025 | 0.4× |
| Removal of wrist bone (25210) | $3,922.80 | $5,604 | 1.2× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$91–$326.90 | $130–$467 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $40.60 | $58 | 0.2× |
| Remove Forearm Foreign Body (25248) range across 3 matching MRF lines |
$272.30–$1,694 | $389–$2,420 | varies |
| Remove foreign body from eye (65235) range across 2 matching MRF lines |
$319.20–$3,315.20 | $456–$4,736 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$188.30–$319.20 | $269–$456 | varies |
| Remove Hand Bone Lesion (26200) | $3,073 | $4,390 | 1.9× |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$28–$245 | $40–$350 | varies |
| Remove Lower Leg Bone Lesion (27635) | $4,146.80 | $5,924 | 1.2× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$279.30–$611.80 | $399–$874 | varies |
| Remove Skin Nerve Lesion (64774) | $1,155 | $1,650 | 0.6× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$261.80–$1,309 | $374–$1,870 | varies |
| Renal Biopsy Perq (50200) | $4,654.30 | $6,649 | 2.8× |
| Repair Achilles Tendon (27650) unusually low: confirm this is the full procedure |
$3,206 | $4,580 | 0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$301–$926.80 | $430–$1,324 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$369.60–$1,117.20 | $528–$1,596 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$301–$807.10 | $430–$1,153 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$369.60–$1,005.20 | $528–$1,436 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$127.40–$780.50 | $182–$1,115 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$369.60–$858.20 | $528–$1,226 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$301–$669.20 | $430–$956 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$369.60–$1,782.90 | $528–$2,547 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$401.80–$2,524.20 | $574–$3,606 | varies |
| Repair Hallux Rigidus (28289) | $1,297.10 | $1,853 | 0.4× |
| Repair Hand Joint (26540) | $1,894.90 | $2,707 | 0.6× |
| Repair Hand Tendon (26410) | $319.20 | $456 | 0.2× |
| Repair initial femoral hernia, any age; reducible (49550) | $5,132.40 | $7,332 | 1.4× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,658.30 | $2,369 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$177.10–$1,200.50 | $253–$1,715 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$257.60–$728.70 | $368–$1,041 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$257.60–$714.70 | $368–$1,021 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$199.50–$992.60 | $285–$1,418 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$177.10–$482.30 | $253–$689 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$107.80–$585.20 | $154–$836 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$199.50–$971.60 | $285–$1,388 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$237.30–$964.60 | $339–$1,378 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 4 matching MRF lines |
$83.30–$452.90 | $119–$647 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$257.60–$851.20 | $368–$1,216 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$369.60–$957.60 | $528–$1,368 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$199.50–$751.10 | $285–$1,073 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $422.80 | $604 | 0.2× |
| Repair Non/Malunion Humerus W/O Graft (24430) | $12,160.40 | $17,372 | 0.9× |
| Repair of nail bed (11760) range across 3 matching MRF lines |
$198.10–$417.20 | $283–$596 | varies |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) | $9,989.70 | $14,271 | 1.3× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) | $8,711.50 | $12,445 | 1.2× |
| Repair of Ruptured Tendon (24342) unusually low: confirm this is the full procedure |
$3,587.50 | $5,125 | 0.5× |
| Repair of shoulder (23420) unusually low: confirm this is the full procedure |
$2,720.90 | $3,887 | 0.4× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $4,936.40 | $7,052 | 0.7× |
| Repair Rotator Cuff Chronic (23412) unusually low: confirm this is the full procedure |
$2,385.60 | $3,408 | 0.3× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $894.60 | $1,278 | 0.3× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) unusually low: confirm this is the full procedure |
$3,435.60 | $4,908 | 0.5× |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$369.60–$956.90 | $528–$1,367 | varies |
| Repair/graft finger tendon (26428) | $2,102.10 | $3,003 | 0.6× |
| Repair/Revise Wrist Joint (25320) | $4,118.80 | $5,884 | 0.6× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$319.20–$473.90 | $456–$677 | varies |
| Repr elbow lat ligmnt w/tiss (24343) | $1,997.10 | $2,853 | 0.6× |
| Repr Elbw Med Ligmnt W/Tiss (24345) likely a partial charge, not the full procedure |
$1,979.60 | $2,828 | 0.3× |
| Rerepair ing hernia reduce (49520) | $1,787.80 | $2,554 | 0.5× |
| Revis reconst shoulder joint (23473) unusually low: confirm this is the full procedure |
$4,529.70 | $6,471 | 0.3× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) unusually low: confirm this is the full procedure |
$4,894.40 | $6,992 | 0.4× |
| Revise Wrist/Forearm Tendon (25280) | $2,942.80 | $4,204 | 0.9× |
| Revise/Implant Finger Joint (26536) | $6,153 | $8,790 | 0.8× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) likely a partial charge, not the full procedure |
$1,272.60 | $1,818 | 0.2× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) likely a partial charge, not the full procedure |
$4,960.20 | $7,086 | 0.3× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $1,043.70 | $1,491 | 0.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 2 matching MRF lines |
$319.20–$437.50 | $456–$625 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$189.70–$319.20 | $271–$456 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$319.20–$362.60 | $456–$518 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$319.20–$396.90 | $456–$567 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$319.20–$1,133.30 | $456–$1,619 | varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $998.20 | $1,426 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$107.10–$537.60 | $153–$768 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $387.80 | $554 | 0.6× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $809.90 | $1,157 | 0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$273–$387.10 | $390–$553 | varies |
| Rpr flexor tendon leg secondary w/o graft each (27659) unusually low: confirm this is the full procedure |
$3,668.70 | $5,241 | 0.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $317.80 | $454 | 1.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 3 matching MRF lines |
$272.30–$1,003.10 | $389–$1,433 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$401.80–$1,318.10 | $574–$1,883 | varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $2,513.70 | $3,591 | 0.8× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $3,805.20 | $5,436 | 1.1× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $2,714.60 | $3,878 | 0.8× |
| Shave skin lesion 0.5 cm/< (11300) | $18.90 | $27 | 0.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $25.90 | $37 | 0.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $28 | $40 | 0.1× |
| Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$1,512 | $2,160 | 0.2× |
| Shoulder arthroscopy diagnostic (29805) | $1,324.40 | $1,892 | 0.4× |
| Shoulder Arthroscopy/Surgery (29825) | $1,652 | $2,360 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $34.30 | $49 | 0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $28.70 | $41 | 0.1× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $643.30 | $919 | 0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$357.70–$585.20 | $511–$836 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$33.60–$304.50 | $48–$435 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$32.20–$319.20 | $46–$456 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$235.20–$478.80 | $336–$684 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$24.50–$242.90 | $35–$347 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$306.60–$664.30 | $438–$949 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$203.70–$327.60 | $291–$468 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $2,169.30 | $3,099 | 1.0× |
| Skin sub graft trnk/arm/leg (15271) | $46.20 | $66 | 0.1× |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$319.20–$1,272.60 | $456–$1,818 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 5 matching MRF lines |
$32.90–$292.60 | $47–$418 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$357.70–$478.80 | $511–$684 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$280–$530.60 | $400–$758 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$319.20–$1,702.40 | $456–$2,432 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $1,954.40 | $2,792 | 0.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $3,588.90 | $5,127 | 1.1× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$81.20–$284.20 | $116–$406 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$80.50–$91 | $115–$130 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$89.60–$91 | $128–$130 | varies |
| Strapping knee (29530) | $91 | $130 | 0.7× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$84.70–$91 | $121–$130 | varies |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$14.70–$188.30 | $21–$269 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $793.10 | $1,133 | 0.2× |
| Surg Implnt Neuroelect,Epidural (63655) likely a partial charge, not the full procedure |
$2,327.50 | $3,325 | 0.1× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $687.40 | $982 | 0.3× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $5,305.30 | $7,579 | 0.7× |
| Synovectomy Tendon Sheath Foot Extensor (28088) | $2,536.10 | $3,623 | 0.8× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $2,067.80 | $2,954 | 1.3× |
| Tangential biopsy skin single lesion (11102) | $21 | $30 | 0.1× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) | $3,149.30 | $4,499 | 0.9× |
| Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$2,085.30 | $2,979 | 0.3× |
| Tenodesis Wrist Extensors Fingers (25301) | $1,662.50 | $2,375 | 0.5× |
| Tenolysis flexor foot single tendon (28220) | $2,559.20 | $3,656 | 1.6× |
| Tenolysis flexor tendon palm/finger each tendon (26440) | $2,156 | $3,080 | 1.3× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) | $1,652 | $2,360 | 0.5× |
| Thyroidectomy, total or complete (60240) unusually low: confirm this is the full procedure |
$2,585.10 | $3,693 | 0.4× |
| Tnot elbow lateral/medial debride open (24358) | $1,482.60 | $2,118 | 0.4× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $1,865.50 | $2,665 | 0.6× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$401.80–$1,499.40 | $574–$2,142 | varies |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$3,819.20 | $5,456 | 0.3× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $1,589 | $2,270 | 0.8× |
| Transplant hand tendon (26480) | $1,802.50 | $2,575 | 0.5× |
| Transplant/graft hand tendon (26483) | $2,899.40 | $4,142 | 0.9× |
| Treat Finger Fracture Each (26727) | $1,327.90 | $1,897 | 0.4× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$2,072.70 | $2,961 | 0.3× |
| Treat Hip Socket Fracture (27222) | $504.70 | $721 | 2.0× |
| Treat humerus fracture (24500) | $185.50 | $265 | 0.7× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$319.20–$1,142.40 | $456–$1,632 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$169.40–$1,281.70 | $242–$1,831 | varies |
| Treat Kneecap Fracture (27524) unusually low: confirm this is the full procedure |
$3,497.90 | $4,997 | 0.5× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$198.10–$1,435 | $283–$2,050 | varies |
| Treat scapula fracture (23585) unusually low: confirm this is the full procedure |
$2,760.80 | $3,944 | 0.4× |
| Treat Thumb Dislocation (26641) | $279.30 | $399 | 1.1× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$198.10–$504.70 | $283–$721 | varies |
| Treat Vaginal Bleeding (57180) | $319.20 | $456 | 1.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$319.20–$1,994.30 | $456–$2,849 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$198.10–$1,503.60 | $283–$2,148 | varies |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$9.10–$91 | $13–$130 | varies |
| Trim skin lesions 2 to 4 (11056) | $12.60 | $18 | 0.1× |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$4.20–$91 | $6–$130 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$198.10–$865.20 | $283–$1,236 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines |
$76.30–$560.70 | $109–$801 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$198.10–$881.30 | $283–$1,259 | varies |
| Unlisted Procedure Casting/Strapping (29799) range across 3 matching MRF lines |
$91–$284.20 | $130–$406 | varies |
| Unlisted procedure pelvis/hip joint (27299) | $4,015.90 | $5,737 | 15.9× |
| Unlisted procedure stomach (43999) range across 3 matching MRF lines |
$319.20–$1,632.40 | $456–$2,332 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $125.30 | $179 | 0.1× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$198.10–$423.50 | $283–$605 | varies |
| Wound Prep F/N/Hf/G (15004) | $726.60 | $1,038 | 1.7× |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$122.50–$612.50 | $175–$875 | 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.