Procedures & surgery prices at Sublette County Health

Pinedale, WY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $225.90–$1,474.20 $251–$1,638 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $155.70–$1,647 $173–$1,830 varies
Ablate inf turbinate submuc (30802) $433.80 $482 0.3×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $324.90 $361 0.2×
Acetabuloplasty (27120)
likely a partial charge, not the full procedure		 $2,794.50 $3,105 0.2×
Acromiopl/Acromionect Partial (23130) $1,357.20 $1,508 0.4×
Adding Walker Previously Applied Cast (29440)
range across 2 matching MRF lines		 $59.40–$354.60 $66–$394 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,096.20 $1,218 0.5×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $1,652.40–$6,271.20 $1,836–$6,968 varies
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines		 $168.30–$1,296 $187–$1,440 varies
Amputation foot transmetarsal (28805) $1,520.10 $1,689 0.5×
Amputation toe metatarsophalangeal joint (28820) $380.70 $423 0.1×
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $1,247.40 $1,386 0.4×
Amputation, leg, through tibia and fibula; re-amputation (27886) $1,379.70 $1,533 0.4×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $89.10–$338.40 $99–$376 varies
Anoscopy; with biopsy, single or multiple (46606) $162 $180 0.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $226.80 $252 0.1×
Anterior colporraphy rpr cystocele w/cysto (57240)
likely a partial charge, not the full procedure		 $1,316.70 $1,463 0.3×
Anterior Tibial Tubercleplasty (27418)
likely a partial charge, not the full procedure		 $1,777.50 $1,975 0.2×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,364.40 $1,516 0.2×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines		 $240.30–$354.60 $267–$394 varies
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325)
range across 2 matching MRF lines		 $387–$597.60 $430–$664 varies
Application cast elbow finger short arm (29075) $137.70 $153 0.5×
Application Cast Finger (29086) $108 $120 0.7×
Application Cast Shoulder Spica (29055)
range across 2 matching MRF lines		 $300.60–$597.60 $334–$664 varies
Application Finger Splint Dynamic (29131) $74.70 $83 1.2×
Application finger splint static (29130) $62.10 $69 0.5×
Application Hip Spica Cast 1 Leg (29305)
range across 2 matching MRF lines		 $345.60–$597.60 $384–$664 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $88.20–$284.40 $98–$316 varies
Application Long Leg Cast Brace (29358)
range across 2 matching MRF lines		 $223.20–$597.60 $248–$664 varies
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 2 matching MRF lines		 $228.60–$576.90 $254–$641 varies
Application Long Leg Splint (29505) $114.30 $127 0.7×
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $2,452.50 $2,725 0.2×
Application of cylinder cast (thigh to ankle) (29365) $189 $210 0.7×
Application of long leg cast (29345) $215.10 $239 0.8×
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines		 $211.50–$811.80 $235–$902 varies
Application Patellar Tendon Bearing Cast (29435)
range across 2 matching MRF lines		 $187.20–$396 $208–$440 varies
Application Short Arm Splint Dynamic (29126) $108 $120 0.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $88.20–$234 $98–$260 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $108–$284.40 $120–$316 varies
Application, cast; figure-of-eight Facility (29049)
range across 2 matching MRF lines		 $152.10–$597.60 $169–$664 varies
Apply hand/wrist cast (29085)
range across 2 matching MRF lines		 $147.60–$155.70 $164–$173 varies
Apply long arm cast (29065) $148.50 $165 0.5×
Apply Multlay Comprs Lwr Leg (29581) $297 $330 1.8×
Apply Short Leg Cast (29405) $127.80 $142 0.4×
Apply short leg cast (29425) $117.90 $131 0.4×
Arterial puncture (36600)
range across 2 matching MRF lines		 $31.50–$220.50 $35–$245 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $78.30–$495.90 $87–$551 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $144.90–$531 $161–$590 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $126–$3,177.90 $140–$3,531 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $76.50 $85 0.2×
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $2,178 $2,420 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $1,251.90 $1,391 0.2×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $1,692.90 $1,881 0.1×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $2,079 $2,310 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $3,101.40 $3,446 0.2×
Arthroscopy Ankle Surgical Debridement Limited (29897) $1,073.70 $1,193 0.3×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $909.90 $1,011 0.3×
Arthroscopy knee synovectomy limited spx (29875) $1,087.20 $1,208 0.3×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $1,352.70 $1,503 0.4×
Arthroscopy shoulder distal claviculectomy (29824) $1,477.80 $1,642 0.4×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $19,132.20 $21,258 2.6×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $1,820.70 $2,023 0.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,498.50 $1,665 0.4×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $1,293.30 $1,437 0.4×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $1,186.20 $1,318 0.4×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure		 $2,235.60 $2,484 0.3×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $1,297.80 $1,442 0.4×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $2,305.80 $2,562 0.3×
Arthrotomy ankle w/expl drainage/removal fb (27610) $1,405.80 $1,562 0.4×
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
likely a partial charge, not the full procedure		 $2,023.20 $2,248 0.3×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
likely a partial charge, not the full procedure		 $2,757.60 $3,064 0.2×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
likely a partial charge, not the full procedure		 $2,102.40 $2,336 0.3×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,443.60 $1,604 0.4×
Arthrs knee debridement/shaving artclr crtlg (29877) $1,356.30 $1,507 0.4×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $1,228.50 $1,365 0.4×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080)
range across 2 matching MRF lines		 $888.30–$1,483.20 $987–$1,648 varies
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $753.30 $837 0.2×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $901.80 $1,002 0.3×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $229.50–$1,537.20 $255–$1,708 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $186.30–$573.30 $207–$637 varies
Aspirate/Inj Ganglion Cyst (20612) $88.20 $98 0.3×
Aspiration & Injection Treatment Bone Cyst (20615) $346.50 $385 0.5×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $116.10–$452.70 $129–$503 varies
Axillary lymphadenectomy; complete (38745)
unusually low: confirm this is the full procedure		 $1,884.60 $2,094 0.3×
Biopsy Abdominal Mass (49180) $3,716.10 $4,129 2.2×
Biopsy bone open deep (20245) $729 $810 0.2×
Biopsy bone trocar/needle deep (20225) $3,086.10 $3,429 1.8×
Biopsy Bone Trocar/Needle Superficial (20220) $3,013.20 $3,348 1.8×
Biopsy muscle percutaneous needle (20206) $4,505.40 $5,006 2.7×
Biopsy Muscle Superficial (20200) $204.30 $227 0.1×
Biopsy nail unit (11755)
range across 2 matching MRF lines		 $129.60–$675 $144–$750 varies
Biopsy of breast; open, incisional (19101) $478.80 $532 0.1×
Biopsy of liver, needle; percutaneous (47000) $1,980 $2,200 1.2×
Biopsy of rectum (45100) $658.80 $732 0.2×
Biopsy Pleura Percutaneous Needle (32400) $1,502.10 $1,669 0.9×
Biopsy Salivary Gland Needle (42400) $2,153.70 $2,393 3.0×
Biopsy soft tissue thigh/knee area superficial (27323) $382.50 $425 0.2×
Biopsy/removal lymph nodes (38510) $896.40 $996 0.2×
Bladder Irrigation (51700) $454.50 $505 1.8×
Bladder Scan (51798) $243.90 $271 4.0×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $252–$856.80 $280–$952 varies
Blood Transfusion Service (36430) $1,001.70 $1,113 2.2×
Bone Marrow Biopsy (38221) $2,229.30 $2,477 1.3×
Bone Marrow; Aspiration Only (38220) $2,840.40 $3,156 1.7×
Bx breast 1st lesion us imag (19083) $3,411 $3,790 2.0×
Bx Cervix (57500) $161.10 $179 0.2×
Bx/exc lymph node open deep axillary node (38525) $946.80 $1,052 0.2×
Bx/exc lymph node open superficial (38500) $546.30 $607 0.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $736.20 $818 0.2×
Capsulotomy Posterior Capsular Release Knee (27435) $1,759.50 $1,955 0.5×
Carpal Tunnel Surgery (64721) $963 $1,070 0.5×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $113.40–$328.50 $126–$365 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $317.70 $353 1.0×
Change Cystostomy Tube Complicated (51710) $171.90 $191 0.2×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $111.60–$363.60 $124–$404 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $325.80–$2,796.30 $362–$3,107 varies
Circumcision w/clamp/oth dev w/block (54150) $204.30 $227 0.1×
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines		 $853.20–$1,483.20 $948–$1,648 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,081.80–$2,067.30 $1,202–$2,297 varies
Claviculectomy partial (23120) $1,290.60 $1,434 0.4×
Clear outer ear canal (69200) $102.60 $114 0.8×
Closed Rx Spontaneous Hip Disloc (27256) $513.90 $571 2.0×
Closed Treat Vert Body Fract (22310)
range across 2 matching MRF lines		 $653.40–$997.20 $726–$1,108 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $999.90 $1,111 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,020.60 $1,134 4.0×
Closed Treatment Sternum Fracture (21820)
range across 2 matching MRF lines		 $337.50–$540 $375–$600 varies
Closed Treatment Ulnar Styloid Fracture (25650) $693 $770 2.7×
Closed tx ankle dislocation w/o anesthesia (27840) $861.30 $957 3.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $952.20 $1,058 0.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $693–$783 $770–$870 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $517.50 $575 2.1×
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines		 $1,001.70–$1,483.20 $1,113–$1,648 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $549–$647.10 $610–$719 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines		 $331.20–$1,055.70 $368–$1,173 varies
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,394.10 $1,549 0.8×
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines		 $1,042.20–$1,654.20 $1,158–$1,838 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines		 $1,094.40–$2,160.90 $1,216–$2,401 varies
Closed tx metatarsal fracture w/o manipulation (28470) $462.60 $514 1.8×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines		 $1,301.40–$2,236.50 $1,446–$2,485 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $128.70 $143 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $203.40 $226 0.1×
Closed tx patellar dislocation w/anesthesia (27562) $1,088.10 $1,209 4.3×
Closed tx patellar dislocation w/o anesthesia (27560) $764.10 $849 3.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $682.20 $758 2.7×
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines		 $908.10–$1,483.20 $1,009–$1,648 varies
Closed tx radial head/neck fx w/o manipulation (24650) $563.40 $626 2.2×
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,028.70–$2,880 $1,143–$3,200 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $588.60 $654 2.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,031.40 $1,146 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $591.30 $657 2.3×
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines		 $222.30–$554.40 $247–$616 varies
Closed tx septal&nose fx (21337)
range across 2 matching MRF lines		 $661.50–$7,169.40 $735–$7,966 varies
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines		 $540–$820.80 $600–$912 varies
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $737.10–$1,483.20 $819–$1,648 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $475.20–$555.30 $528–$617 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $66.60 $74 0.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $931.50 $1,035 0.6×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $608.40 $676 2.4×
Closed tx ulnar shaft fracture w/o manipulation (25530) $558 $620 2.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $319.50 $355 1.3×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines		 $441.90–$2,338.20 $491–$2,598 varies
Clsd tx acromioclavicular dislc w/manipulation (23545) $731.70 $813 2.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $535.50–$926.10 $595–$1,029 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505) $753.30 $837 0.5×
Clsd tx clavicular fracture w/o manipulation (23500) $522 $580 2.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $905.40 $1,006 0.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $432–$678.60 $480–$754 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines		 $545.40–$2,160.90 $606–$2,401 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $753.30 $837 0.5×
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines		 $951.30–$2,712.60 $1,057–$3,014 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines		 $647.10–$700.20 $719–$778 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $711 $790 2.8×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $1,514.70 $1,683 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $859.50 $955 3.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $647.10 $719 2.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $622.80 $692 2.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $437.40 $486 1.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $741.60 $824 2.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,134.90 $1,261 0.7×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,478.70 $1,643 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,102.50 $1,225 4.4×
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines		 $1,056.60–$2,673.90 $1,174–$2,971 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines		 $1,483.20–$1,631.70 $1,648–$1,813 varies
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $338.40–$723.60 $376–$804 varies
Cltx fx grt toe phlx/phlg w/o manj (28490) $282.60 $314 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $323.10–$538.20 $359–$598 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $273.60–$432 $304–$480 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,089.90 $1,211 0.7×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines		 $783.90–$4,366.80 $871–$4,852 varies
Cltx hip dislocation traumatic req anesthesia (27252) $1,615.50 $1,795 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines		 $377.10–$1,114.20 $419–$1,238 varies
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $711.90 $791 2.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,104.30 $1,227 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $222.30–$668.70 $247–$743 varies
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines		 $1,034.10–$8,846.10 $1,149–$9,829 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $206.10 $229 0.8×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $2,067.30 $2,297 1.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $800.10 $889 2.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $596.70 $663 2.4×
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $972.90–$1,483.20 $1,081–$1,648 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $697.50–$1,107.90 $775–$1,231 varies
Cltx metacarpal fx w/manipulation each bone (26605) $673.20 $748 2.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $656.10 $729 2.6×
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines		 $891–$3,340.80 $990–$3,712 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $566.10–$688.50 $629–$765 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $433.80 $482 1.7×
Cltx post hip arthrp dislc req anes (27266) $1,270.80 $1,412 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $926.10 $1,029 3.7×
Cltx prox fibula/shft fx w/manj (27781) $902.70 $1,003 0.5×
Cltx prox fibula/shft fx w/o manj (27780) $647.10 $719 2.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $952.20 $1,058 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $172.80–$432 $192–$480 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $896.40–$1,462.50 $996–$1,625 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,110.60 $1,234 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $1,269.90–$4,716.90 $1,411–$5,241 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $488.70–$792.90 $543–$881 varies
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines		 $396–$540 $440–$600 varies
Cltx tibial fx proximal w/o manipulation (27530) $657 $730 2.6×
Cltx tibial shaft fx w/o manipulation (27750) $729 $810 2.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,179.90 $1,311 4.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $978.30 $1,087 0.6×
Cltx trimalleolar ankle fx w/o manipulation (27816) $665.10 $739 2.6×
Collect Blood From Catheter Venous Nos (36592) $145.80 $162 1.1×
Collection of venous blood by venipuncture (36415) $16.20 $18 1.7×
Colonoscopy Flexible With Decompression (45393)
range across 2 matching MRF lines		 $528.30–$3,717.90 $587–$4,131 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $363.60 $404 0.3×
Colonoscopy thru stoma (44388) $330.30 $367 0.3×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $569.70–$1,563.30 $633–$1,737 varies
Colonoscopy W/Band Ligation (45398)
range across 2 matching MRF lines		 $495–$3,070.80 $550–$3,412 varies
Colonoscopy w/fb removal (45379)
range across 2 matching MRF lines		 $503.10–$4,097.70 $559–$4,553 varies
Colonoscopy W/Resection (45390)
range across 2 matching MRF lines		 $700.20–$5,387.40 $778–$5,986 varies
Colonoscopy w/stent plcmt (45389)
range across 2 matching MRF lines		 $609.30–$6,006.60 $677–$6,674 varies
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $424.80–$1,485.90 $472–$1,651 varies
Colpocentesis (57020) $6,664.50 $7,405 1.3×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $846 $940 0.3×
Colpopexy extraperitoneal (57282)
likely a partial charge, not the full procedure		 $1,485.90 $1,651 0.2×
Colpopexy vaginal intraperitoneal approach (57283)
likely a partial charge, not the full procedure		 $1,496.70 $1,663 0.2×
Colporrhaphy (57200) $114.30 $127 0.0×
Colposcopy Cervix Endocervical Curettage (57456) $213.30 $237 0.7×
Colposcopy cervix upper/adjacent vagina (57452) $195.30 $217 0.9×
Colposcopy cervix vag eltrd conization cervix (57461) $389.70 $433 0.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $341.10 $379 0.1×
Colposcopy entire vagina w/cervix if present (57420) $191.70 $213 0.6×
Colposcopy of vulva (56820) $180 $200 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $260.10 $289 0.3×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $546.30–$2,492.10 $607–$2,769 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386)
range across 2 matching MRF lines		 $448.20–$4,251.60 $498–$4,724 varies
Colsc flx w/removal lesion by hot bx forceps (45384)
range across 2 matching MRF lines		 $480.60–$2,608.20 $534–$2,898 varies
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392)
range across 2 matching MRF lines		 $640.80–$5,257.80 $712–$5,842 varies
Combined anteroposterior colporrhaphy; (57260)
unusually low: confirm this is the full procedure		 $1,665.90 $1,851 0.3×
Complex drainage wound (10180)
range across 2 matching MRF lines		 $386.10–$3,359.70 $429–$3,733 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $550.80 $612 0.2×
Conization of cervix (57520) $640.80 $712 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $245.70–$854.10 $273–$949 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $119.70–$425.70 $133–$473 varies
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines		 $350.10–$6,282.90 $389–$6,981 varies
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
likely a partial charge, not the full procedure		 $3,579.30 $3,977 0.3×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $4,179.60 $4,644 2.5×
Correction hammertoe (28285) $853.20 $948 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $225–$675 $250–$750 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $272.70–$279.90 $303–$311 varies
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,122.30 $1,247 0.3×
Curettage postpartum (59160) $396.90 $441 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $284.40 $316 0.1×
Cystourethroscopy (52000) $170.10 $189 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $57.60–$630 $64–$700 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $882.90–$3,877.20 $981–$4,308 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines		 $592.20–$4,543.20 $658–$5,048 varies
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 2 matching MRF lines		 $634.50–$1,583.10 $705–$1,759 varies
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $1,007.10 $1,119 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $328.50–$1,282.50 $365–$1,425 varies
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $30.60–$214.20 $34–$238 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $51.30–$198 $57–$220 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $477.90–$4,698.90 $531–$5,221 varies
Debridement Mastoidectomy Cavity Simple (69220) $110.70 $123 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $129.60–$2,899.80 $144–$3,222 varies
Declot vascular device (36593) $434.70 $483 1.3×
Deep Muscle Biopsy (20205) $328.50 $365 0.1×
Delivery of placenta (59414) $189 $210 0.1×
Destroy cerv/thor facet jnt (64633) $621 $690 0.3×
Destroy lumb/sac facet jnt (64635) $621.90 $691 0.3×
Destruction Benign Lesions 15/> (17111) $183.60 $204 0.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $257.40 $286 1.3×
Destruction neurolytic agt genicular nerve w/img (64624) $316.80 $352 0.2×
Destruction Premalignant Lesion 15/> (17004) $214.20 $238 0.5×
Destruction Vaginal Lesions Simple (57061) $250.20 $278 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $122.40–$2,525.40 $136–$2,806 varies
Dilation & curettage dx&/ther nonobstetric (58120) $501.30 $557 0.2×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $195.30–$4,100.40 $217–$4,556 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $272.70 $303 0.4×
Drainage Finger Abscess Complicated (26011) $405 $450 0.2×
Drainage Mouth Roof Lesion (42000) $238.50 $265 1.0×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $308.70–$703.80 $343–$782 varies
Drainage of gum lesion (41800) $345.60 $384 2.5×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $258.30–$5,162.40 $287–$5,736 varies
Drainage of scrotal wall abscess (55100) $365.40 $406 0.2×
Drainage of scrotum (54700) $462.60 $514 0.2×
Draw Blood Off Venous Device (36591) $132.30 $147 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $262.80 $292 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $282.60–$564.30 $314–$627 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $237.60 $264 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $120.60 $134 0.6×
Dstrj lesion anus simple surg excision (46922) $298.80 $332 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $259.20 $288 0.3×
Dx gastr intub w/asp spec (43754)
range across 2 matching MRF lines		 $82.80–$557.10 $92–$619 varies
Dx laryngoscopy w/oper scope (31526) $336.60 $374 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $324.90 $361 0.2×
Egd control bleeding any (43255) $423.90 $471 0.2×
Egd Flexible Foreign Body Removal (43247) $373.50 $415 0.4×
Egd place gastrostomy tube (43246) $422.10 $469 0.2×
Egd remove lesion snare (43251) $414 $460 0.2×
Endoscopic us exam esoph (43237) $413.10 $459 0.2×
Epidural Blood Patch (62273) $243 $270 0.3×
Episiotomy or vaginal repair (59300) $309.60 $344 0.1×
Esc i p ulcer w ostect & flap (15946) $3,432.60 $3,814 1.6×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $299.70 $333 0.2×
Ethmoidectomy Intranasal Anterior (31200)
likely a partial charge, not the full procedure		 $1,353.60 $1,504 0.2×
Evacuate mole of uterus (59870) $1,140.30 $1,267 0.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $71.10–$219.60 $79–$244 varies
Exc arm/elbow les sc < 3 cm (24075) $721.80 $802 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $184.50–$1,395 $205–$1,550 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $344.70–$1,710 $383–$1,900 varies
Exc Back Les Sc < 3 Cm (21930) $792.90 $881 0.5×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $994.50 $1,105 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $336.60–$810 $374–$900 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $392.40–$945 $436–$1,050 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines		 $604.80–$1,890 $672–$2,100 varies
Exc Face Les Sbq 2 Cm/> (21012) $738 $820 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $234.90–$810 $261–$900 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $290.70–$810 $323–$900 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $321.30–$945 $357–$1,050 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $390.60–$1,485 $434–$1,650 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 2 matching MRF lines		 $492.30–$1,890 $547–$2,100 varies
Exc Forearm Les Sc 3 Cm/> (25071) $923.40 $1,026 0.5×
Exc Forearm Tum Deep 3 Cm/> (25073) $1,173.60 $1,304 0.4×
Exc Frenum Labial/Buccal (40819) $441.90 $491 0.3×
Exc ganglion wrist recurrent (25112) $869.40 $966 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $180–$1,530 $200–$1,700 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $237.60–$990 $264–$1,100 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $297.90–$1,530 $331–$1,700 varies
Exc Hand Les Sc < 1.5 Cm (26115) $738 $820 0.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $678.60 $754 0.4×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $600.30 $667 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $327.60–$1,125 $364–$1,250 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $395.10–$1,935 $439–$2,150 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $582.30–$2,700 $647–$3,000 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $537.30–$1,800 $597–$2,000 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $689.40–$2,700 $766–$3,000 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines		 $621.90–$8,852.40 $691–$9,836 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $675–$1,800 $750–$2,000 varies
Exc tendon shth lesion leg/ankle (27630) $789.30 $877 0.2×
Exc thigh/knee les sc 3 cm/> (27337) $910.80 $1,012 0.3×
Exc thigh/knee tum dep 5cm/> (27339) $1,628.10 $1,809 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $244.80 $272 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $230.40–$810 $256–$900 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $252–$945 $280–$1,050 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $359.10–$1,485 $399–$1,650 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $965.70 $1,073 0.3×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $1,131.30 $1,257 0.4×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $1,140.30 $1,267 0.7×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,145.70 $1,273 0.4×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $1,186.20 $1,318 0.4×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,223.10 $1,359 0.4×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $765 $850 0.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,041.30 $1,157 0.6×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $1,573.20 $1,748 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $670.50 $745 0.4×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $783.90 $871 0.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $880.20 $978 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $781.20 $868 0.2×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,758.60 $1,954 0.9×
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		 $416.70–$1,125 $463–$1,250 varies
Excision Aural Polyp (69540) $280.80 $312 0.2×
Excision Excessive Skin & Subq Tissue Other Area (15839) $1,596.60 $1,774 0.5×
Excision External Ear Partial Simple Repair (69110) $710.10 $789 0.2×
Excision inferior turbinate partial/complete (30130) $901.80 $1,002 0.3×
Excision lesion mouth roof (42104) $294.30 $327 0.1×
Excision Lingual Frenum Frenectomy (41115) $316.80 $352 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines		 $264.60–$810 $294–$900 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines		 $321.30–$810 $357–$900 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $350.10–$945 $389–$1,050 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $458.10–$1,485 $509–$1,650 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $274.50–$810 $305–$900 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $490.50–$1,485 $545–$1,650 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 2 matching MRF lines		 $830.70–$2,700 $923–$3,000 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 2 matching MRF lines		 $510.30–$4,938.30 $567–$5,487 varies
Excision Multiple External Papillae/Tags Anus (46230) $375.30 $417 0.1×
Excision Nasal Polyp Extensive (30115) $1,008 $1,120 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $727.20 $808 0.4×
Excision of hydrocele; unilateral (55040) $734.40 $816 0.2×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
unusually low: confirm this is the full procedure		 $2,280.60 $2,534 0.4×
Excision of pilonidal cyst or sinus; simple (11770)
range across 2 matching MRF lines		 $396–$10,052.10 $440–$11,169 varies
Excision of single external papilla or tag, anus (46220) $263.70 $293 0.2×
Excision of tonsil tags (42860) $427.50 $475 0.1×
Excision of vaginal cyst or tumor (57135) $405 $450 0.1×
Excision olecranon bursa (24105) $803.70 $893 0.2×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $1,335.60 $1,484 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 2 matching MRF lines		 $1,248.30–$8,888.40 $1,387–$9,876 varies
Excision prepatellar bursa (27340) $831.60 $924 0.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830)
unusually low: confirm this is the full procedure		 $2,526.30 $2,807 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,014.30 $1,127 0.6×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $733.50 $815 0.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $571.50 $635 0.3×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $911.70 $1,013 0.5×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $687.60 $764 0.4×
Excision, interdigital (morton) neuroma, single, each (28080) $841.50 $935 0.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $950.40 $1,056 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $573.30 $637 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,012.50 $1,125 0.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $719.10 $799 0.4×
Excision; trochanteric bursa or calcification (27062) $996.30 $1,107 0.3×
Expl penetrating wound spx abdomen/flank/back (20102)
range across 2 matching MRF lines		 $545.40–$8,705.70 $606–$9,673 varies
Explo/Drain Breast Abscess (19020) $678.60 $754 0.4×
Exploration maxillary sinus (31020) $748.80 $832 0.2×
Exploration of knee joint (27310) $1,597.50 $1,775 0.5×
Exploration penetrating wound spx extremity (20103) $739.80 $822 0.4×
Explore/Treat Elbow Joint (24101) $1,110.60 $1,234 0.3×
Explore/Treat Knee Joint (27331) $1,052.10 $1,169 0.3×
External cephalic version (59412)
range across 2 matching MRF lines		 $215.10–$4,292.10 $239–$4,769 varies
Eye Surg Ant Sgmt Proc Unlisted (66999) $7,559.10 $8,399 3.2×
Fasciotomy, foot and/or toe (28008) $647.10 $719 0.2×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,840.50 $2,045 0.6×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $61.20–$260.10 $68–$289 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $229.50–$2,817 $255–$3,130 varies
Fine needle aspiration bx w/mr gdn 1st lesion (10011)
range across 2 matching MRF lines		 $152.10–$2,572.20 $169–$2,858 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $117–$940.50 $130–$1,045 varies
Fluid Pressure Muscle (20950)
range across 2 matching MRF lines		 $191.70–$1,583.10 $213–$1,759 varies
Fna Bx W/Fluor Gdn 1St Les (10007)
range across 2 matching MRF lines		 $189–$2,232 $210–$2,480 varies
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $154.80–$1,907.10 $172–$2,119 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $121.50–$285.30 $135–$317 varies
Fracture Nasal Inferior Turbinate Therapeutic (30930) $387 $430 0.1×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $1,340.10 $1,489 0.2×
Gastrocnemius recession (27687) $996.30 $1,107 0.3×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $2,880 $3,200 0.7×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $768.60 $854 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $694.80 $772 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,044 $1,160 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $422.10 $469 0.4×
Hysteroscopy Biopsy (58558) $491.40 $546 0.1×
Hysteroscopy Dx Sep Proc (58555) $324 $360 0.1×
Hysteroscopy Endometrial Ablation (58563)
likely a partial charge, not the full procedure		 $522 $580 0.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure		 $757.80 $842 0.1×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720)
range across 2 matching MRF lines		 $830.70–$4,378.50 $923–$4,865 varies
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $297–$1,296 $330–$1,440 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $233.10–$1,009.80 $259–$1,122 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,109.70 $1,233 0.4×
I&D Intramural Im/Absc Transanal Anes (46045) $953.10 $1,059 0.3×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,476 $1,640 0.4×
I&d perianal abscess superficial (46050) $221.40 $246 0.2×
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $367.20–$1,538.10 $408–$1,709 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $228.60–$1,527.30 $254–$1,697 varies
Image Cath Fluid Colxn Visc (49405) $5,103.90 $5,671 3.0×
Image Cath Fluid Peri/Retro (49406) $5,567.40 $6,186 3.3×
Incise external hemorrhoid (46083) $239.40 $266 0.9×
Incise finger tendon sheath (26055) $650.70 $723 0.4×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $398.70–$603.90 $443–$671 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $845.10 $939 0.3×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $396.90–$4,520.70 $441–$5,023 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $230.40–$1,233.90 $256–$1,371 varies
Incision and drainage of bartholin's gland abscess (56420) $236.70 $263 1.1×
Incision and drainage of vulva or perineal abscess (56405) $275.40 $306 0.9×
Incision extensor tendon sheath wrist (25000) $773.10 $859 0.5×
Incision of eardrum (69421) $329.40 $366 0.1×
Incision of labial frenum (frenotomy) (40806) $65.70 $73 0.1×
Incision of lingual frenum (frenotomy) (41010) $238.50 $265 0.2×
Incision of rectal abscess (46040) $928.80 $1,032 0.8×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $120.60–$1,360.80 $134–$1,512 varies
Initial Tx 1st Degree Burn Local Tx (16000) $97.20 $108 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $340.20 $378 0.4×
Inj W/Fluor Eval Cv Device (36598) $457.20 $508 2.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $422.10 $469 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $83.70 $93 0.3×
Injection aa&/strd axillary nerve w/img gdn (64417) $137.70 $153 0.2×
Injection aa&/strd genicular nrv branches w/img (64454) $177.30 $197 0.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $52.20 $58 0.1×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $176.40 $196 0.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $153.90 $171 0.2×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $67.50–$1,103.40 $75–$1,226 varies
Injection single tendon origin/insertion (20551) $81.90 $91 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $580.50 $645 1.9×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $89.10–$435.60 $99–$484 varies
Injection therapeutic carpal tunnel (20526) $121.50 $135 0.4×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $148.50–$1,482.30 $165–$1,647 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $135.90–$3,752.10 $151–$4,169 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $89.10–$1,246.50 $99–$1,385 varies
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $162–$536.40 $180–$596 varies
Insert cath pleura w/o image (32556) $261 $290 0.1×
Insert cervical dilator (59200)
range across 2 matching MRF lines		 $140.40–$2,134.80 $156–$2,372 varies
Insert non-tunnel cv cath (36556) $177.30 $197 0.1×
Insert Temp Bladder Cath (51702) $53.10 $59 0.4×
Insert tunneled cv cath (36561) $698.40 $776 0.2×
Insert,Non-Indwelling Bladder Catheter (51701) $221.40 $246 1.6×
Insertion indwelling tunneled pleural catheter (32550) $428.40 $476 0.1×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $175.50–$4,298.40 $195–$4,776 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $178.20–$4,248.90 $198–$4,721 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $658.80 $732 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $198.90–$4,264.20 $221–$4,738 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $547.20 $608 0.2×
Int hrhc by ligation single hroid w/o img gdn (46945) $745.20 $828 0.3×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $4,419.90 $4,911 3.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $646.20–$1,440 $718–$1,600 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $828.90–$1,665 $921–$1,850 varies
Intranasal Biopsy (30100) $148.50 $165 0.1×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $298.80–$945.90 $332–$1,051 varies
Knee Arthroscopy/Surgery (29874) $1,170.90 $1,301 0.4×
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure		 $3,229.20 $3,588 0.3×
Laparo-vag hyst incl t/o (58552)
likely a partial charge, not the full procedure		 $2,098.80 $2,332 0.2×
Laparoscopic myomectomy (58545)
unusually low: confirm this is the full procedure		 $1,926 $2,140 0.3×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $800.10 $889 0.1×
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure		 $1,953 $2,170 0.3×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $797.40 $886 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,397.70 $1,553 0.2×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $1,945.80 $2,162 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,463.40 $1,626 0.2×
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure		 $2,090.70 $2,323 0.3×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,287 $1,430 0.2×
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
likely a partial charge, not the full procedure		 $1,393.20 $1,548 0.1×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $2,278.80 $2,532 0.2×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure		 $1,731.60 $1,924 0.2×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550)
unusually low: confirm this is the full procedure		 $1,888.20 $2,098 0.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,532.70 $1,703 0.2×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,214.10 $1,349 0.2×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $738 $820 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $706.50 $785 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,525.50 $1,695 0.2×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
likely a partial charge, not the full procedure		 $1,774.80 $1,972 0.2×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554)
likely a partial charge, not the full procedure		 $2,780.10 $3,089 0.3×
Laryngoscopy diagnostic (31505) $108 $120 0.5×
Laryngoscopy flexible diagnostic (31575) $149.40 $166 0.7×
Late closure of wound (13160) $1,716.30 $1,907 0.5×
Ligamentous Reconstruction Knee Extra-Articular (27427)
likely a partial charge, not the full procedure		 $1,544.40 $1,716 0.2×
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge, not the full procedure		 $2,424.60 $2,694 0.2×
Ligate/strip long leg vein (37722) $950.40 $1,056 0.3×
Ligation of hemorrhoids (46946) $828.90 $921 0.3×
Lsh uterus 250 g or less (58541)
likely a partial charge, not the full procedure		 $1,566.90 $1,741 0.1×
Lsh w/t/o uterus above 250 g (58544)
likely a partial charge, not the full procedure		 $1,935 $2,150 0.2×
Manipulation Ankle Under General Anesthesia (27860) $358.20 $398 0.1×
Manipulation knee joint under general anesthesia (27570) $510.30 $567 0.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $428.40 $476 0.3×
Marsupialization of bartholin's gland cyst (56440) $390.60 $434 0.1×
Mast mod rad (19307)
unusually low: confirm this is the full procedure		 $2,513.70 $2,793 0.4×
Mastectomy partial (19301) $1,408.50 $1,565 0.4×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $2,044.80 $2,272 0.3×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $2,705.40 $3,006 0.7×
Muscle-skin graft trunk (15734) $3,204.90 $3,561 0.9×
N Block Inj Ilio-Ing/Hypogi (64425) $117 $130 0.2×
N block inj intercost sng (64420) $126 $140 0.2×
N Block Inj Plantar Digit (64455) $71.10 $79 0.2×
N Block Lumbar/Thoracic (64520) $274.50 $305 0.3×
Nasal Endoscopy Dx (31231) $137.70 $153 0.7×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $84.60–$548.10 $94–$609 varies
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $386.10 $429 0.1×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge, not the full procedure		 $429.30 $477 0.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $343.80 $382 0.2×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
likely a partial charge, not the full procedure		 $1,061.10 $1,179 0.1×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
likely a partial charge, not the full procedure		 $1,001.70 $1,113 0.1×
Nasal/sinus ndsc total with sphenoidotomy (31257)
likely a partial charge, not the full procedure		 $946.80 $1,052 0.1×
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge, not the full procedure		 $518.40 $576 0.1×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
likely a partial charge, not the full procedure		 $803.70 $893 0.1×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
likely a partial charge, not the full procedure		 $687.60 $764 0.1×
Needle Biopsy Lymph Nodes (38505) $1,732.50 $1,925 1.0×
Needle Biopsy Pancreas (48102) $3,344.40 $3,716 2.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $32.40 $36 1.1×
Needle insertion w/o injection 3 or more muscles (20561) $48.60 $54 1.6×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $1,325.70 $1,473 0.7×
Njx anes stellate ganglion crv sympathetic (64510) $164.70 $183 0.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $110.70–$576 $123–$640 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $293.40 $326 0.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $230.40 $256 0.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $213.30 $237 0.3×
Njx Sclrsnt 1 Incmptnt Vein (36470) $80.10 $89 0.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $156.60 $174 0.4×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
likely a partial charge, not the full procedure		 $498.60 $554 0.1×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $111.60–$386.10 $124–$429 varies
Open Repair of Rotator Cuff Acute (23410)
likely a partial charge, not the full procedure		 $1,782 $1,980 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
likely a partial charge, not the full procedure		 $1,659.60 $1,844 0.2×
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $2,428.20 $2,698 0.3×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $2,424.60 $2,694 0.2×
Open treatment greater trochanteric fracture (27248)
likely a partial charge, not the full procedure		 $1,611.90 $1,791 0.2×
Open Treatment Grter Humeral Tuberosity Fracture (23630)
likely a partial charge, not the full procedure		 $1,705.50 $1,895 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $1,325.70 $1,473 0.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $1,251.90 $1,391 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		 $1,413 $1,570 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $1,573.20 $1,748 0.2×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure		 $2,085.30 $2,317 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $1,920.60 $2,134 0.1×
Open Treatment Radial Shaft Fracture (25515)
likely a partial charge, not the full procedure		 $1,471.50 $1,635 0.2×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $1,404.90 $1,561 0.2×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $1,534.50 $1,705 0.2×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
likely a partial charge, not the full procedure		 $2,077.20 $2,308 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,271.70 $1,413 0.4×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure		 $1,407.60 $1,564 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
likely a partial charge, not the full procedure		 $1,930.50 $2,145 0.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
likely a partial charge, not the full procedure		 $1,890.90 $2,101 0.3×
Open tx ulnar fx proximal end (24685)
likely a partial charge, not the full procedure		 $1,434.60 $1,594 0.2×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
likely a partial charge, not the full procedure		 $1,813.50 $2,015 0.2×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $2,296.80 $2,552 0.3×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
unusually low: confirm this is the full procedure		 $2,571.30 $2,857 0.3×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $1,915.20 $2,128 0.1×
Orchiectomy radical tumor inguinal approach (54530) $176.40 $196 0.0×
Ostc prtl exostc/condylc metar head (28288) $954.90 $1,061 0.3×
Osteochondral allograft knee open (27415)
likely a partial charge, not the full procedure		 $2,961 $3,290 0.2×
Osteotomy Clavicle W Bone Graft (23485)
likely a partial charge, not the full procedure		 $2,061.90 $2,291 0.2×
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low: confirm this is the full procedure		 $1,646.10 $1,829 0.3×
Partial Excision Bone Humerus (24140) $1,536.30 $1,707 0.5×
Partial Excision Distal Phalanx Finger (26236) $978.30 $1,087 0.6×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,517.40 $1,686 0.2×
Partial removal of toe (28160) $587.70 $653 0.2×
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge, not the full procedure		 $1,519.20 $1,688 0.2×
Partical Excision Bone Phalanx Toe (28124) $738 $820 0.2×
Pelvic examination under anesthesia (other than local) (57410) $226.80 $252 0.1×
Penile Injection (54235)
range across 2 matching MRF lines		 $160.20–$225.90 $178–$251 varies
Percut Drain/Inject Renal Cyst (50390) $2,403.90 $2,671 3.3×
Perineoplasty rpr perineum nonobstetrical spx (56810) $583.20 $648 0.2×
Peritoneal Lavage (49084) $6,059.70 $6,733 6.5×
Perq device breast 1st imag (19281) $325.80 $362 0.2×
Perq Lumbosacral Injection (22511) $865.80 $962 0.3×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,474.20 $1,638 0.4×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure		 $1,008.90 $1,121 0.1×
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure		 $1,080 $1,200 0.1×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $126–$1,584 $140–$1,760 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250)
likely a partial charge, not the full procedure		 $1,320.30 $1,467 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $103.50 $115 0.1×
Prq skel fixj femoral fx prox end neck (27235)
likely a partial charge, not the full procedure		 $1,962.90 $2,181 0.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $962.10 $1,069 0.3×
Pseudoaneurysm Injection Trt (36002) $1,431.90 $1,591 2.2×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $99.90–$1,648.80 $111–$1,832 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $210.60–$943.20 $234–$1,048 varies
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge, not the full procedure		 $1,620.90 $1,801 0.2×
Removal foreign body foot deep (28192) $682.20 $758 0.4×
Removal Foreign Body Foot Subcutaneous (28190) $288.90 $321 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $323.10–$5,951.70 $359–$6,613 varies
Removal foreign body, intranasal; requiring general anesthesia (30310) $447.30 $497 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $51.30–$198 $57–$220 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $68.40 $76 1.1×
Removal Implant Deep (20680) $911.70 $1,013 0.3×
Removal of adenoids (42831) $508.50 $565 0.2×
Removal of adenoids (42830) $468 $520 0.1×
Removal of adenoids (42836) $539.10 $599 0.2×
Removal of anal fissure (46200) $742.50 $825 0.3×
Removal of esophageal sphincter augmentation device (43285)
likely a partial charge, not the full procedure		 $1,430.10 $1,589 0.2×
Removal of foreign body from pharynx (42809) $272.70 $303 0.6×
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
likely a partial charge, not the full procedure		 $3,415.50 $3,795 0.3×
Removal of implant from finger or hand (26320) $776.70 $863 0.5×
Removal of knee prosthesis (27488)
likely a partial charge, not the full procedure		 $2,588.40 $2,876 0.2×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $221.40–$432 $246–$480 varies
Removal of sperm cord lesion (55520) $988.20 $1,098 0.3×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $589.50 $655 0.1×
Removal of tonsils (42826) $559.80 $622 0.2×
Removal or bivalving full arm or full leg cast (29705) $96.30 $107 0.3×
Removal shoulder foreign body deep subfascial/im (23333) $1,044 $1,160 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $168.30–$180 $187–$200 varies
Removal Sutures/Staples Requiring Anesthesia (15851)
range across 2 matching MRF lines		 $141.30–$3,600 $157–$4,000 varies
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $855–$4,050 $950–$4,500 varies
Removal, under anesthesia, of external fixation system (20694) $752.40 $836 0.5×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $153.90–$860.40 $171–$956 varies
Remove elbow lesion (24120) $1,176.30 $1,307 0.4×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $62.10–$313.20 $69–$348 varies
Remove Intrauterine Device (58301) $140.40 $156 0.5×
Remove Lower Leg Bone Lesion (27635) $1,260 $1,400 0.4×
Remove Nasal Foreign Body (30300) $263.70 $293 1.9×
Remove Tendon Sheath Lesion (26160) $703.80 $782 0.4×
Renal Biopsy Perq (50200) $3,947.40 $4,386 2.3×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $204.30 $227 0.0×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,440 $1,600 0.2×
Repair Blood Vessel Direct Hand Finger (35207)
range across 2 matching MRF lines		 $1,634.40–$4,248.90 $1,816–$4,721 varies
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $1,389.60 $1,544 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $597.60–$900 $664–$1,000 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines		 $718.20–$1,125 $798–$1,250 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $521.10 $579 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $648.90–$1,170 $721–$1,300 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $496.80–$990 $552–$1,100 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $554.40 $616 1.3×
Repair complex trunk 1.1-2.5 cm (13100) $432 $480 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $530.10 $589 0.7×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,359–$5,171.40 $1,510–$5,746 varies
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines		 $1,621.80–$13,548.60 $1,802–$15,054 varies
Repair Foot Dislocation (28615)
likely a partial charge, not the full procedure		 $1,804.50 $2,005 0.2×
Repair Hallux Rigidus (28289) $1,012.50 $1,125 0.3×
Repair Hand Tendon (26410)
range across 2 matching MRF lines		 $1,305.90–$13,680 $1,451–$15,200 varies
Repair humerus with graft (24435)
likely a partial charge, not the full procedure		 $2,344.50 $2,605 0.2×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,353.60 $1,504 0.4×
Repair initial femoral hernia, any age; reducible (49550) $1,239.30 $1,377 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,259.10 $1,399 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $365.40–$601.20 $406–$668 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $431.10–$720 $479–$800 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $465.30–$900 $517–$1,000 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $472.50–$1,293.30 $525–$1,437 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057)
range across 2 matching MRF lines		 $903.60–$1,890 $1,004–$2,100 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $586.80–$1,260 $652–$1,400 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $315–$846 $350–$940 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $423.90–$900 $471–$1,000 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $463.50–$1,035 $515–$1,150 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $753.30–$2,469.60 $837–$2,744 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $519.30–$945 $577–$1,050 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $328.50–$599.40 $365–$666 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $413.10–$675 $459–$750 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $604.80–$1,260 $672–$1,400 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $442.80–$810 $492–$900 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $700.20–$1,935 $778–$2,150 varies
Repair of fibula nonunion and/or malunion with internal fixation (27726)
likely a partial charge, not the full procedure		 $2,070.90 $2,301 0.3×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure		 $1,258.20 $1,398 0.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $236.70–$765 $263–$850 varies
Repair of Ruptured Tendon (24342)
likely a partial charge, not the full procedure		 $1,685.70 $1,873 0.2×
Repair Rotator Cuff Chronic (23412)
likely a partial charge, not the full procedure		 $1,850.40 $2,056 0.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure		 $1,642.50 $1,825 0.2×
Repair tongue laceration (41252)
range across 2 matching MRF lines		 $450.90–$1,843.20 $501–$2,048 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines		 $333–$819 $370–$910 varies
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470)
unusually low: confirm this is the full procedure		 $2,546.10 $2,829 0.3×
Reposition Gastrostomy Tube (43761) $217.80 $242 0.9×
Rerepair ing hernia reduce (49520) $1,353.60 $1,504 0.4×
Resect back tum < 5 cm (21935) $2,174.40 $2,416 0.7×
Revis reconst shoulder joint (23473)
likely a partial charge, not the full procedure		 $3,446.10 $3,829 0.3×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge, not the full procedure		 $3,717.90 $4,131 0.3×
Revision of lower leg tendon (27685) $1,020.60 $1,134 0.3×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge, not the full procedure		 $3,259.80 $3,622 0.2×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure		 $4,064.40 $4,516 0.3×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $3,752.10 $4,169 0.2×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805)
range across 2 matching MRF lines		 $421.20–$1,999.80 $468–$2,222 varies
Rmvl embedded fb vestibule mouth comp (40805)
range across 2 matching MRF lines		 $436.50–$1,145.70 $485–$1,273 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $258.30 $287 0.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $206.10 $229 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $87.30–$811.80 $97–$902 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $107.10–$232.20 $119–$258 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $77.40 $86 0.2×
Rmvl fecal impaction/fb spx under anes (45915) $495.90 $551 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $313.20 $348 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $401.40 $446 0.2×
Rplc Gtube No Revj Trc (43762) $78.30 $87 0.3×
Rplcmt compl tun ctr vad w/subq port (36582) $604.80 $672 0.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,569.60 $1,744 0.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $722.70 $803 0.2×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $1,346.40 $1,496 0.2×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $1,206.90 $1,341 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $1,003.50 $1,115 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $197.10–$607.50 $219–$675 varies
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $898.20 $998 0.1×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $680.40–$1,377 $756–$1,530 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines		 $693.90–$2,164.50 $771–$2,405 varies
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724)
unusually low: confirm this is the full procedure		 $2,691.90 $2,991 0.4×
Rpr Nsl Vlv Collapse W/Implt (30468)
likely a partial charge, not the full procedure		 $362.70 $403 0.1×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $717.30 $797 0.2×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $1,451.70 $1,613 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $80.10–$180 $89–$200 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $104.40–$182.70 $116–$203 varies
Shoulder arthroscopy diagnostic (29805) $1,032.30 $1,147 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $154.80 $172 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $267.30–$675 $297–$750 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $117.90–$476.10 $131–$529 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $121.50–$504 $135–$560 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $322.20–$854.10 $358–$949 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $155.70–$561.60 $173–$624 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines		 $364.50–$945 $405–$1,050 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $94.50–$450.90 $105–$501 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $304.20–$1,145.70 $338–$1,273 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $153.90–$540 $171–$600 varies
Skin Full Grft Face/Genit/Hf (15240) $1,726.20 $1,918 0.8×
Skin sub graft trnk/arm/leg (15271) $179.10 $199 0.2×
Skin sub grft t/arm/lg child (15273) $409.50 $455 0.2×
Skn sub grft f/n/hf/g child (15277) $471.60 $524 0.2×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
unusually low: confirm this is the full procedure		 $1,597.50 $1,775 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $124.20–$510.30 $138–$567 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $198–$698.40 $220–$776 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $244.80–$810 $272–$900 varies
Sphincterotomy anal division sphincter spx (46080) $340.20 $378 0.1×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $135–$1,404 $150–$1,560 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $1,488.60 $1,654 0.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $1,541.70 $1,713 0.7×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $558.90 $621 0.2×
Strapping ankle (29540)
range across 2 matching MRF lines		 $36.90–$166.50 $41–$185 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $40.50–$130.50 $45–$145 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $42.30–$190.80 $47–$212 varies
Strapping Hip (29520)
range across 2 matching MRF lines		 $39.60–$237.60 $44–$264 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $38.70–$252.90 $43–$281 varies
Strapping shoulder (29240) $38.70 $43 0.3×
Strapping thorax (29200)
range across 2 matching MRF lines		 $38.70–$477.90 $43–$531 varies
Strapping toes (29550) $23.40 $26 0.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $83.70–$166.50 $93–$185 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $573.30 $637 0.2×
Surg tx anal fistula subq (46270) $876.60 $974 0.3×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,358.10 $1,509 0.2×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,326.60 $1,474 0.2×
Syndactylization toes (28280) $746.10 $829 0.2×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $80.10–$250.20 $89–$278 varies
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $1,620.90 $1,801 0.2×
Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) $906.30 $1,007 0.3×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $1,340.10 $1,489 0.2×
Thrombolytic Therapy Stroke (37195) $1,117.80 $1,242 3.3×
Thyroid biopsy (60100) $1,413 $1,570 2.0×
Thyroidectomy, total or complete (60240)
unusually low: confirm this is the full procedure		 $1,958.40 $2,176 0.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,442.70 $1,603 0.7×
Tnot elbow lateral/medial debride open (24358) $1,170.90 $1,301 0.4×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $662.40 $736 0.2×
Total Knee Arthroplasty (27447)
likely a partial charge, not the full procedure		 $2,754 $3,060 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $693.90–$3,051 $771–$3,390 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $672.30 $747 0.4×
Treat Big Toe Fracture (28505) $1,085.40 $1,206 0.3×
Treat ectopic pregnancy (59151)
likely a partial charge, not the full procedure		 $1,634.40 $1,816 0.3×
Treat Finger Fracture Each (26727) $1,053.90 $1,171 0.3×
Treat Fx Rad Extra-Articul (25607)
likely a partial charge, not the full procedure		 $1,629 $1,810 0.2×
Treat Hip Socket Fracture (27222) $2,123.10 $2,359 8.4×
Treat humerus fracture (24500) $756.90 $841 3.0×
Treat Humerus Fracture (24505) $1,007.10 $1,119 0.6×
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $389.70–$719.10 $433–$799 varies
Treat knee fracture (27532)
range across 2 matching MRF lines		 $1,277.10–$4,380.30 $1,419–$4,867 varies
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $1,640.70 $1,823 0.2×
Treat Knuckle Dislocation (26700) $707.40 $786 2.8×
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $512.10–$973.80 $569–$1,082 varies
Treat Tail Bone Fracture (27200)
range across 2 matching MRF lines		 $375.30–$434.70 $417–$483 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $242.10–$432 $269–$480 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $1,055.70 $1,173 0.6×
Treatment closed elbow dislocation w/o anes (24600) $767.70 $853 3.0×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low: confirm this is the full procedure		 $2,645.10 $2,939 0.4×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $33.30–$367.20 $37–$408 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $47.70–$504.90 $53–$561 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $16.20–$84.60 $18–$94 varies
Tubal ligation (58600) $796.50 $885 0.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,045.80 $1,162 0.4×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $45–$413.10 $50–$459 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $653.40 $726 0.2×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
unusually low: confirm this is the full procedure		 $2,641.50 $2,935 0.4×
Tx Missed Abortion First Trimester Surgical (59820) $826.20 $918 0.2×
Tx open tendon flexor toe 1 tendon spx (28232) $530.10 $589 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $407.70–$3,110.40 $453–$3,456 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $511.20 $568 0.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $431.10–$459 $479–$510 varies
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $2,156.40 $2,396 0.2×
Tympanostomy general anesthesia (69436)
range across 2 matching MRF lines		 $347.40–$521.10 $386–$579 varies
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines		 $59.40–$180.90 $66–$201 varies
Unlisted px female genital system nonobstetrical (58999) $8,940.60 $9,934 43.3×
Vaginal delivery only (59409) $1,673.10 $1,859 0.5×
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure		 $1,793.70 $1,993 0.4×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
unusually low: confirm this is the full procedure		 $1,982.70 $2,203 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $501.30 $557 0.2×
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $82.80–$369.90 $92–$411 varies
Ventilating tube removal requiring general anesthesia (69424) $133.20 $148 0.0×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $203.40–$553.50 $226–$615 varies
Wound Prep F/N/Hf/G (15004) $556.20 $618 1.3×
Wound Prep Trk/Arm/Leg (15002) $468 $520 0.6×

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.