Procedures & surgery prices at Sullivan County Community Hospital
Sullivan, IN · every code in this section with a posted price and a Medicare benchmark.
527 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $803.76 | $1,071.68 | 0.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,158 | $1,544 | 0.5× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) likely a partial charge, not the full procedure |
$826.50 | $1,102 | 0.1× |
| Amputation Foot Midtarsal (28800) | $999 | $1,332 | 0.3× |
| Amputation foot transmetarsal (28805) | $1,385.25 | $1,847 | 0.4× |
| Amputation metatarsal with toe single (28810) | $813.75 | $1,085 | 0.2× |
| Amputation toe interphalangeal joint (28825) | $332.25 | $443 | 0.1× |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$774.75–$2,813.25 | $1,033–$3,751 | varies |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) | $1,206.75 | $1,609 | 0.3× |
| Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,541.25 | $2,055 | 0.2× |
| Ankle Arthroscopy/Surgery (29892) likely a partial charge, not the full procedure |
$1,132.50 | $1,510 | 0.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) likely a partial charge, not the full procedure |
$1,264.50 | $1,686 | 0.2× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$123.75–$528 | $165–$704 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$55.50–$228 | $74–$304 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$79.50–$302.25 | $106–$403 | varies |
| Application Long Leg Splint (29505) | $265.69 | $354.25 | 1.5× |
| Application multiplane external fixation system (20692) likely a partial charge, not the full procedure |
$2,180.25 | $2,907 | 0.2× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$195–$511.50 | $260–$682 | varies |
| Application of rigid total contact leg cast (29445) range across 4 matching MRF lines |
$203.25–$537.75 | $271–$717 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$81.75–$237 | $109–$316 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$81.75–$237 | $109–$316 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$97.50–$296.25 | $130–$395 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$132–$511.50 | $176–$682 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$63–$383.25 | $84–$511 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$116.25–$511.50 | $155–$682 | varies |
| Arterial puncture (36600) | $89.25 | $119 | 0.6× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$1,398.75 | $1,865 | 0.1× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) likely a partial charge, not the full procedure |
$1,069.50 | $1,426 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$90.75–$653.25 | $121–$871 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$99–$662.90 | $132–$883.87 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $115.50 | $154 | 0.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 6 matching MRF lines |
$80.25–$665.44 | $107–$887.25 | varies |
| Arthrodesis ankle open (27870) likely a partial charge, not the full procedure |
$1,893.75 | $2,525 | 0.1× |
| Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$639 | $852 | 0.1× |
| Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,147.50 | $1,530 | 0.1× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) | $1,448.25 | $1,931 | 0.4× |
| Arthrodesis Pantalar (28705) likely a partial charge, not the full procedure |
$2,354.25 | $3,139 | 0.1× |
| Arthrodesis subtalar (28725) likely a partial charge, not the full procedure |
$1,478.25 | $1,971 | 0.1× |
| Arthrodesis triple (28715) likely a partial charge, not the full procedure |
$1,781.25 | $2,375 | 0.1× |
| Arthroplasty Ankle (27700) likely a partial charge, not the full procedure |
$1,147.50 | $1,530 | 0.1× |
| Arthroplasty Ankle W/Implant (27702) likely a partial charge, not the full procedure |
$1,669.50 | $2,226 | 0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$2,522.25 | $3,363 | 0.1× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $1,073.25 | $1,431 | 0.3× |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) likely a partial charge, not the full procedure |
$1,716 | $2,288 | 0.2× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $977.25 | $1,303 | 0.3× |
| Arthroscopy knee synovectomy limited spx (29875) | $881.25 | $1,175 | 0.3× |
| Arthroscopy shoulder distal claviculectomy (29824) | $1,180.50 | $1,574 | 0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) | $889.50 | $1,186 | 0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $1,462.50 | $1,950 | 0.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $1,034.25 | $1,379 | 0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $930 | $1,240 | 0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $1,024.50 | $1,366 | 0.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) likely a partial charge, not the full procedure |
$1,848.75 | $2,465 | 0.2× |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) likely a partial charge, not the full procedure |
$1,621.50 | $2,162 | 0.1× |
| Arthrotomy W/Synovectomy Ankle (27625) | $1,069.50 | $1,426 | 0.3× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) | $1,032 | $1,376 | 0.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$2,238 | $2,984 | 0.2× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) likely a partial charge, not the full procedure |
$1,978.50 | $2,638 | 0.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$1,659.75 | $2,213 | 0.2× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $1,251.75 | $1,669 | 0.4× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $1,152 | $1,536 | 0.3× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $1,064.25 | $1,419 | 0.3× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $993 | $1,324 | 0.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $576 | $768 | 0.3× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $645 | $860 | 0.2× |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) | $688.50 | $918 | 0.2× |
| Aspirate pleura w/ imaging (32555) | $901.50 | $1,202 | 1.4× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$83.25–$621.75 | $111–$829 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$111.75–$405.75 | $149–$541 | varies |
| Biopsy bone open deep (20245) | $634.50 | $846 | 0.2× |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$281.25–$1,059 | $375–$1,412 | varies |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$247.50–$3,849 | $330–$5,132 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
$178.50–$3,801.75 | $238–$5,069 | varies |
| Biopsy nail unit (11755) range across 2 matching MRF lines |
$125.25–$1,345.50 | $167–$1,794 | varies |
| Biopsy of foot joint lining (28050) | $498 | $664 | 0.1× |
| Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
$146.25–$1,347 | $195–$1,796 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$132.75–$1,347 | $177–$1,796 | varies |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$564.47–$573.75 | $752.62–$765 | varies |
| Bone Graft Any Donor Area Major/Large (20902) likely a partial charge, not the full procedure |
$507.75 | $677 | 0.1× |
| Bone Graft Any Donor Area Minor/Small (20900) likely a partial charge, not the full procedure |
$351 | $468 | 0.0× |
| Bone Marrow Biopsy (38221) | $123 | $164 | 0.1× |
| Bone Marrow; Aspiration Only (38220) | $130.50 | $174 | 0.1× |
| Bx breast 1st lesion us imag (19083) | $3,392.25 | $4,523 | 1.9× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$165–$1,347 | $220–$1,796 | varies |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $664.50 | $886 | 0.2× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $472.50 | $630 | 0.3× |
| Carpal Tunnel Surgery (64721) | $765.75 | $1,021 | 0.4× |
| Cataract surgery complex (66982) | $6,237.75 | $8,317 | 2.6× |
| Change Cystostomy Tube Simple (51705) | $278.25 | $371 | 1.1× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$72.75–$478.50 | $97–$638 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) range across 2 matching MRF lines |
$198.53–$1,533.66 | $264.71–$2,044.88 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 2 matching MRF lines |
$196.17–$1,527.08 | $261.56–$2,036.11 | varies |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$261.20–$664.79 | $348.27–$886.39 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$218.70–$661.35 | $291.60–$881.80 | varies |
| Circumcision Neonate (54160) range across 2 matching MRF lines |
$286.50–$2,366.25 | $382–$3,155 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $225.75 | $301 | 0.1× |
| Claviculectomy partial (23120) | $1,014 | $1,352 | 0.3× |
| Clear outer ear canal (69200) | $256.05 | $341.40 | 1.8× |
| Closed rx talotarsal disloc,anesth (28575) range across 2 matching MRF lines |
$631.50–$6,186 | $842–$8,248 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$444–$594 | $592–$792 | varies |
| Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
$198.75–$476.25 | $265–$635 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $723.75 | $965 | 2.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$444–$476.25 | $592–$635 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$397.50–$476.25 | $530–$635 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $297.75 | $397 | 1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $825 | $1,100 | 0.5× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$408.75–$476.25 | $545–$635 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$852–$2,905.50 | $1,136–$3,874 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $406.88 | $542.50 | 1.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$926.25–$3,042.75 | $1,235–$4,057 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $685.50 | $914 | 2.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$441.75–$540 | $589–$720 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$348–$421.50 | $464–$562 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $906 | $1,208 | 0.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$242.25–$476.25 | $323–$635 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$267.75–$450.75 | $357–$601 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$234–$476.25 | $312–$635 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$476.25–$595.50 | $635–$794 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$445.50–$537 | $594–$716 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $512.25 | $683 | 2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $305.25 | $407 | 1.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,842.75 | $2,457 | 1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $843 | $1,124 | 0.5× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$21.64–$22.18 | $28.85–$29.57 | varies |
| Colporrhaphy (57200) | $645.75 | $861 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$294–$659.25 | $392–$879 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$200.25–$402 | $267–$536 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$193.50–$599.25 | $258–$799 | varies |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $351.75 | $469 | 0.1× |
| Colposcopy of vulva (56820) range across 2 matching MRF lines |
$189–$402 | $252–$536 | varies |
| Colposcopy Vulva W/Biopsy (56821) range across 2 matching MRF lines |
$250.50–$659.25 | $334–$879 | varies |
| Combined anteroposterior colporrhaphy; (57260) likely a partial charge, not the full procedure |
$1,356.75 | $1,809 | 0.3× |
| Complex drainage wound (10180) range across 4 matching MRF lines |
$307.50–$6,024.75 | $410–$8,033 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $579.75 | $773 | 0.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $254.12 | $338.83 | 1.8× |
| Correction hammertoe (28285) | $754.50 | $1,006 | 0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $966 | $1,288 | 0.3× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) | $1,110.75 | $1,481 | 0.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$1,158.75 | $1,545 | 0.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) likely a partial charge, not the full procedure |
$969 | $1,292 | 0.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $906 | $1,208 | 0.3× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) likely a partial charge, not the full procedure |
$1,105.50 | $1,474 | 0.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $215.25 | $287 | 1.5× |
| Curettage postpartum (59160) | $493.50 | $658 | 0.1× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $547.50 | $730 | 0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$304.50–$1,151.25 | $406–$1,535 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$31.50–$159.75 | $42–$213 | varies |
| Debride nail 6 or more (11721) range across 3 matching MRF lines |
$50.25–$159.75 | $67–$213 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$447–$3,546.75 | $596–$4,729 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$105.75–$777 | $141–$1,036 | varies |
| Decompression of leg (27892) | $988.50 | $1,318 | 0.3× |
| Decompression of tibia nerve (28035) | $680.25 | $907 | 0.3× |
| Delivery of placenta (59414) | $148.50 | $198 | 0.0× |
| Destroy cerv/thor facet jnt (64633) | $396.50 | $528.66 | 0.2× |
| Destroy lumb/sac facet jnt (64635) | $509 | $678.67 | 0.2× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$131.25–$386.25 | $175–$515 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$162–$386.25 | $216–$515 | varies |
| Destruction by neurolytic agent; plantar common digital nerve (64632) range across 2 matching MRF lines |
$136.50–$621.75 | $182–$829 | varies |
| Destruction Lesions Vulva Extensive (56515) range across 2 matching MRF lines |
$442.50–$3,840.75 | $590–$5,121 | varies |
| Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
$261.75–$3,840.75 | $349–$5,121 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) | $477.94 | $637.25 | 0.2× |
| Destruction Vaginal Lesions Extensive (57065) range across 2 matching MRF lines |
$336–$4,968 | $448–$6,624 | varies |
| Diaphragm or cervical cap fitting with instructions (57170) | $402 | $536 | 1.9× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$484.50–$5,701.50 | $646–$7,602 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $354.75 | $473 | 0.5× |
| Drainage of gum lesion (41800) | $252.75 | $337 | 1.8× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$233.25–$3,546.75 | $311–$4,729 | varies |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $864 | $1,152 | 0.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) | $625.50 | $834 | 0.2× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$45–$46.50 | $60–$62 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$297–$878.25 | $396–$1,171 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$246.75–$525 | $329–$700 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$122.25–$478.50 | $163–$638 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$215.25–$258.75 | $287–$345 | varies |
| Electrical stimulation bone healing noninvasive (20974) | $93.75 | $125 | 1.0× |
| Endocervical curettage (57505) range across 2 matching MRF lines |
$211.50–$1,347 | $282–$1,796 | varies |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) likely a partial charge, not the full procedure |
$454.50 | $606 | 0.1× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$156–$402 | $208–$536 | varies |
| Endoscopic plantar fasciotomy (29893) | $817.50 | $1,090 | 0.2× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $4,422 | $5,896 | 2.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $4,422 | $5,896 | 2.0× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$134.25–$233.25 | $179–$311 | varies |
| Episiotomy or vaginal repair (59300) | $304.50 | $406 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 4 matching MRF lines |
$63.75–$253.50 | $85–$338 | varies |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $729 | $972 | 0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$159.75–$1,344.75 | $213–$1,793 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $330 | $440 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$162–$3,024 | $216–$4,032 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$215.25–$1,344.75 | $287–$1,793 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$264.75–$3,175.50 | $353–$4,234 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $577.50 | $770 | 0.3× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) | $505.50 | $674 | 0.3× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) | $1,350.75 | $1,801 | 0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $303 | $404 | 0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $378 | $504 | 0.2× |
| Exc tendon shth lesion leg/ankle (27630) | $672.75 | $897 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$203.25–$705.75 | $271–$941 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$202.50–$1,344.75 | $270–$1,793 | varies |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $616.50 | $822 | 0.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) | $871.50 | $1,162 | 0.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $616.50 | $822 | 0.2× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) likely a partial charge, not the full procedure |
$701.25 | $935 | 0.1× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $661.50 | $882 | 0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $521.25 | $695 | 0.3× |
| Exchange Intraocular Lens (66986) | $4,631.25 | $6,175 | 1.9× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $341.25 | $455 | 0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $315.75 | $421 | 0.4× |
| Excision of bartholin's gland or cyst (56740) range across 2 matching MRF lines |
$658.50–$5,701.50 | $878–$7,602 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$576.75–$584.25 | $769–$779 | varies |
| Excision of vaginal cyst or tumor (57135) | $371.25 | $495 | 0.1× |
| Excision olecranon bursa (24105) | $637.50 | $850 | 0.2× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $816.75 | $1,089 | 0.2× |
| Excision prepatellar bursa (27340) | $672.75 | $897 | 0.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $649.50 | $866 | 0.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $536.25 | $715 | 0.3× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $707.25 | $943 | 0.4× |
| Exploration penetrating wound spx extremity (20103) | $595.50 | $794 | 0.3× |
| External cephalic version (59412) | $215.25 | $287 | 0.1× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) range across 2 matching MRF lines |
$443.25–$2,986.50 | $591–$3,982 | varies |
| Fasciectomy Plantar Fascia Partial Spx (28060) range across 2 matching MRF lines |
$678.75–$6,186 | $905–$8,248 | varies |
| Fasciotomy, foot and/or toe (28008) range across 2 matching MRF lines |
$679.50–$5,044.50 | $906–$6,726 | varies |
| Fetal non-stress test (59025) | $540 | $720 | 2.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $849 | $1,132 | 1.1× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$111.75–$705 | $149–$940 | varies |
| Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
$125.25–$1,325.25 | $167–$1,767 | varies |
| Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$1,186.50 | $1,582 | 0.2× |
| Fusion of tibiofibular joint (27871) likely a partial charge, not the full procedure |
$1,299 | $1,732 | 0.1× |
| Gastrocnemius recession (27687) | $891 | $1,188 | 0.3× |
| Goniotomy (65820) | $9,954 | $13,272 | 2.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$924.75 | $1,233 | 0.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,037.25 | $1,383 | 1.1× |
| Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$505.50–$5,703.75 | $674–$7,605 | varies |
| Hysteroscopy Endometrial Ablation (58563) range across 2 matching MRF lines |
$542.25–$7,909.50 | $723–$10,546 | varies |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) likely a partial charge, not the full procedure |
$609 | $812 | 0.1× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $434.25 | $579 | 0.1× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) range across 2 matching MRF lines |
$787.50–$9,966.75 | $1,050–$13,289 | varies |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$225–$418.50 | $300–$558 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $617.25 | $823 | 0.4× |
| I&d perianal abscess superficial (46050) | $968.25 | $1,291 | 1.0× |
| I&d pilonidal cyst simple (10080) | $1,398.75 | $1,865 | 1.9× |
| Implant neuroelectrodes (63650) likely a partial charge, not the full procedure |
$942.50 | $1,256.67 | 0.1× |
| Incise external hemorrhoid (46083) | $537.75 | $717 | 2.0× |
| Incise finger tendon sheath (26055) | $516 | $688 | 0.3× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$357–$740.25 | $476–$987 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
$729.75–$845.25 | $973–$1,127 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$363.75–$3,378 | $485–$4,504 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$182.25–$777 | $243–$1,036 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$212.25–$402 | $283–$536 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$247.50–$659.25 | $330–$879 | varies |
| Incision bone cortex foot (28005) range across 2 matching MRF lines |
$1,089–$6,054 | $1,452–$8,072 | varies |
| Incision extensor tendon sheath wrist (25000) | $621.75 | $829 | 0.4× |
| Incision of fibula (27707) | $712.50 | $950 | 0.2× |
| Incision of Foot Tendon (28234) | $488.25 | $651 | 0.3× |
| Incision of tibia & fibula (27709) likely a partial charge, not the full procedure |
$1,980.75 | $2,641 | 0.1× |
| Incision&drainage bursa foot (28001) range across 2 matching MRF lines |
$380.25–$3,801.75 | $507–$5,069 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $282.75 | $377 | 0.2× |
| Incisional biopsy skin single lesion (11106) | $837.75 | $1,117 | 1.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $244.22 | $325.62 | 0.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) range across 2 matching MRF lines |
$130.65–$1,437 | $174.20–$1,916 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $246.50 | $328.67 | 0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$98.25–$663.99 | $131–$885.32 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$134.25–$1,437 | $179–$1,916 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$96.50–$129.75 | $128.67–$173 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$174.50–$176.25 | $232.67–$235 | varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $1,437 | $1,916 | 1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,140.75 | $1,521 | 1.5× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,437 | $1,916 | 1.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
$185.35–$661.88 | $247.13–$882.51 | varies |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$67.50–$576.75 | $90–$769 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$100.40–$661.05 | $133.87–$881.40 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$117.06–$661.55 | $156.08–$882.06 | varies |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$99–$663 | $132–$884 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$130.40–$1,437 | $173.86–$1,916 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$130.40–$1,140.75 | $173.87–$1,521 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 7 matching MRF lines |
$80.25–$1,475.25 | $107–$1,967 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $471 | $628 | 2.2× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) | $1,437 | $1,916 | 1.5× |
| Insert Drug Implant Device (11981) range across 3 matching MRF lines |
$120–$258.75 | $160–$345 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,766.25 | $176–$2,355 | 0.5× |
| Insert pessary/other device (57160) range across 2 matching MRF lines |
$105–$402 | $140–$536 | varies |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$261–$261.75 | $348–$349 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $153.25 | $204.33 | 1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 4 matching MRF lines |
$1,104.75–$2,926.50 | $1,473–$3,902 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $6,192 | $8,256 | 1.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $159 | $212 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$134.25–$679.50 | $179–$906 | varies |
| Knee Arthroscopy/Surgery (29874) | $1,026 | $1,368 | 0.3× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$2,094 | $2,792 | 0.2× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$784.50 | $1,046 | 0.1× |
| Laparoscopy Enterolysis Separate Procedure (44180) likely a partial charge, not the full procedure |
$771 | $1,028 | 0.1× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$786 | $1,048 | 0.1× |
| Laparoscopy W/Lysis Of Adhesions (58660) likely a partial charge, not the full procedure |
$1,415.25 | $1,887 | 0.2× |
| Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,369.50 | $1,826 | 0.2× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) unusually low: confirm this is the full procedure |
$2,053.50 | $2,738 | 0.3× |
| Laparoscopy, Tubal Block (58671) likely a partial charge, not the full procedure |
$784.50 | $1,046 | 0.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
$702–$11,097 | $936–$14,796 | varies |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) likely a partial charge, not the full procedure |
$1,491.75 | $1,989 | 0.2× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) likely a partial charge, not the full procedure |
$1,691.25 | $2,255 | 0.2× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) likely a partial charge, not the full procedure |
$1,616.25 | $2,155 | 0.3× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$1,483.50–$1,780.50 | $1,978–$2,374 | varies |
| Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$1,935.75 | $2,581 | 0.1× |
| Lsh uterus 250 g or less (58541) likely a partial charge, not the full procedure |
$1,487.25 | $1,983 | 0.1× |
| Lsh w/t/o uterus above 250 g (58544) likely a partial charge, not the full procedure |
$1,928.25 | $2,571 | 0.2× |
| Lysis of labial adhesions (56441) range across 2 matching MRF lines |
$313.50–$5,701.50 | $418–$7,602 | varies |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $348 | $464 | 0.2× |
| Maternity Care Procedure (59899) | $392.25 | $523 | 1.8× |
| Metatarsectomy (28140) | $807 | $1,076 | 0.2× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) | $2,445.75 | $3,261 | 0.7× |
| N Block Inj Celiac Pelus (64530) | $172.50 | $230 | 0.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$243.10–$248.25 | $324.13–$331 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$206.81–$208.50 | $275.75–$278 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$71.25–$621.75 | $95–$829 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$146.43–$1,437 | $195.24–$1,916 | varies |
| Neurectomy, Intrinsic Musculature Of Foot (28055) | $731.25 | $975 | 0.4× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $1,054.50 | $1,406 | 0.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $945.75 | $1,261 | 0.5× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) | $1,032 | $1,376 | 0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,061.25 | $1,415 | 2.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $210.56 | $280.75 | 0.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $228.92 | $305.23 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,437 | $1,916 | 1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $212.54 | $283.39 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,437 | $1,916 | 1.5× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$145–$664.08 | $193.33–$885.44 | varies |
| Occlusion flp tube dev vag/suprapubic appr (58615) | $503.25 | $671 | 0.1× |
| Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,489.50 | $1,986 | 0.2× |
| Open treatment calcaneal fracture (28415) likely a partial charge, not the full procedure |
$2,091.75 | $2,789 | 0.3× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) likely a partial charge, not the full procedure |
$2,561.25 | $3,415 | 0.2× |
| Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,154 | $2,872 | 0.2× |
| Open Treatment Medial Malleolus Fracture (27766) range across 3 matching MRF lines |
$1,057.50–$14,712 | $1,410–$19,616 | varies |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,054.50 | $1,406 | 0.1× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) likely a partial charge, not the full procedure |
$1,271.25 | $1,695 | 0.2× |
| Open treatment posterior malleolus fracture (27769) likely a partial charge, not the full procedure |
$1,264.50 | $1,686 | 0.2× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) likely a partial charge, not the full procedure |
$1,248 | $1,664 | 0.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$1,109.25–$1,205.25 | $1,479–$1,607 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $900.75 | $1,201 | 0.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$1,360.50 | $1,814 | 0.2× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $721.50 | $962 | 0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $1,027.50 | $1,370 | 0.3× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $1,045.50 | $1,394 | 0.3× |
| Open Tx Radial Head/Neck Fracture (24665) likely a partial charge, not the full procedure |
$1,151.25 | $1,535 | 0.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,632 | $2,176 | 0.2× |
| Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,144.50 | $1,526 | 0.1× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) likely a partial charge, not the full procedure |
$1,832.25 | $2,443 | 0.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) likely a partial charge, not the full procedure |
$2,025 | $2,700 | 0.3× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$1,530 | $2,040 | 0.1× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) likely a partial charge, not the full procedure |
$1,554.75 | $2,073 | 0.1× |
| Ostc prtl exostc/condylc metar head (28288) | $857.25 | $1,143 | 0.2× |
| Ostectomy calcaneus (28118) | $823.50 | $1,098 | 0.2× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $586.50 | $782 | 0.2× |
| Ostectomy, complete excision; first metatarsal head (28111) | $722.25 | $963 | 0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $547.50 | $730 | 0.2× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) likely a partial charge, not the full procedure |
$1,665.75 | $2,221 | 0.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$750.75 | $1,001 | 0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $753.75 | $1,005 | 0.2× |
| Osteotomy calcaneus w/wo internal fixation (28300) likely a partial charge, not the full procedure |
$1,254 | $1,672 | 0.2× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) likely a partial charge, not the full procedure |
$1,147.50 | $1,530 | 0.1× |
| Osteotomy Tibia (27705) likely a partial charge, not the full procedure |
$1,358.25 | $1,811 | 0.2× |
| Ovarian cystectomy, unilateral or bilateral (58925) likely a partial charge, not the full procedure |
$1,510.50 | $2,014 | 0.3× |
| Part remv talus or calcaneus (28120) | $979.50 | $1,306 | 0.3× |
| Partial Excision Distal Phalanx Finger (26236) range across 2 matching MRF lines |
$788.25–$2,935.50 | $1,051–$3,914 | varies |
| Partial removal of fibula (27641) | $1,255.50 | $1,674 | 0.4× |
| Partial removal of tibia (27640) | $1,572 | $2,096 | 0.5× |
| Partical Excision Bone Phalanx Toe (28124) range across 2 matching MRF lines |
$660.75–$6,186 | $881–$8,248 | varies |
| Pelvic examination under anesthesia (other than local) (57410) | $181.50 | $242 | 0.1× |
| Perq device breast 1st imag (19281) | $950.25 | $1,267 | 0.5× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $1,173 | $1,564 | 0.3× |
| Placement of needle for intraosseous infusion (36680) | $355.50 | $474 | 0.8× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$1,249.50 | $1,666 | 0.2× |
| Prq skel fixj metar fx w/manj (28476) | $728.25 | $971 | 0.2× |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) likely a partial charge, not the full procedure |
$1,037.25 | $1,383 | 0.1× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $843.75 | $1,125 | 0.2× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$98.25–$471 | $131–$628 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $777 | $1,036 | 1.8× |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $674.25 | $899 | 0.2× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) likely a partial charge, not the full procedure |
$891 | $1,188 | 0.1× |
| Realignment of knee (27457) likely a partial charge, not the full procedure |
$1,634.25 | $2,179 | 0.2× |
| Reinforce tibia (27745) likely a partial charge, not the full procedure |
$1,314.75 | $1,753 | 0.2× |
| Release foot/toe nerve (64726) | $477.75 | $637 | 0.2× |
| Release of big toe (28240) | $552 | $736 | 0.2× |
| Relieve Pressure on Nerve(S) (64722) | $655.50 | $874 | 0.3× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$622.50–$3,378 | $830–$4,504 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$265.50–$1,411.50 | $354–$1,882 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $136.50 | $182 | 2.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $126.38 | $168.50 | 2.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $4,923.75 | $6,565 | 1.4× |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$731.25–$5,737.50 | $975–$7,650 | varies |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$253.50–$3,063.75 | $338–$4,085 | varies |
| Removal of ankle implant (27704) | $1,063.50 | $1,418 | 0.3× |
| Removal of cervix (57530) likely a partial charge, not the full procedure |
$765 | $1,020 | 0.1× |
| Removal of foot joint lining (28072) | $634.50 | $846 | 0.2× |
| Removal of heel spur (28119) | $683.25 | $911 | 0.2× |
| Removal of knee prosthesis (27488) likely a partial charge, not the full procedure |
$2,070.75 | $2,761 | 0.2× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$203.25–$777 | $271–$1,036 | varies |
| Removal of sesamoid bone (28315) | $615 | $820 | 0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$157.50–$417 | $210–$556 | varies |
| Removal, under anesthesia, of external fixation system (20694) | $655.50 | $874 | 0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) | $672 | $896 | 2.3× |
| Remove Ankle Joint Lining (27626) | $1,129.50 | $1,506 | 0.3× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$145.50–$843 | $194–$1,124 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$147.75–$402 | $197–$536 | varies |
| Remove Lower Leg Bone Lesion (27635) | $1,080 | $1,440 | 0.3× |
| Remove Nasal Foreign Body (30300) | $261 | $348 | 1.9× |
| Remove/graft foot lesion (28102) likely a partial charge, not the full procedure |
$1,134.75 | $1,513 | 0.1× |
| Remove/graft foot lesion (28107) likely a partial charge, not the full procedure |
$655.50 | $874 | 0.1× |
| Remove/Insert Drug Implant (11983) range across 3 matching MRF lines |
$186–$843 | $248–$1,124 | varies |
| Reopen fallopian tube (58350) likely a partial charge, not the full procedure |
$187.50 | $250 | 0.0× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$1,286.25 | $1,715 | 0.2× |
| Repair Collat Ankle Ligmnt,Secondary (27698) likely a partial charge, not the full procedure |
$1,192.50 | $1,590 | 0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $455.25 | $607 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$448.50–$480.75 | $598–$641 | varies |
| Repair finger deformity (26590) | $2,475 | $3,300 | 1.5× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $691.50 | $922 | 0.2× |
| Repair Foot Dislocation (28615) likely a partial charge, not the full procedure |
$1,542 | $2,056 | 0.2× |
| Repair Hallux Rigidus (28289) | $863.25 | $1,151 | 0.2× |
| Repair Hand Joint (26540) | $1,240.50 | $1,654 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $801 | $1,068 | 1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $777 | $1,036 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $777 | $1,036 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$289.50–$705 | $386–$940 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$364.50–$744 | $486–$992 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $469.50 | $626 | 1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $777 | $1,036 | 1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $375.75 | $501 | 0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $777 | $1,036 | 1.8× |
| Repair lower leg tendons (27676) likely a partial charge, not the full procedure |
$1,067.25 | $1,423 | 0.1× |
| Repair Nonunion/Malunion Tarsal Bones (28320) likely a partial charge, not the full procedure |
$1,169.25 | $1,559 | 0.1× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) likely a partial charge, not the full procedure |
$1,056.75 | $1,409 | 0.2× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) likely a partial charge, not the full procedure |
$1,785.75 | $2,381 | 0.2× |
| Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$1,128 | $1,504 | 0.1× |
| Repair of nail bed (11760) | $195 | $260 | 0.2× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) likely a partial charge, not the full procedure |
$2,101.50 | $2,802 | 0.3× |
| Repair of Ruptured Tendon (24342) likely a partial charge, not the full procedure |
$1,347.75 | $1,797 | 0.2× |
| Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$1,335 | $1,780 | 0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $625.50 | $834 | 0.2× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,312.50 | $1,750 | 0.2× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$931.50 | $1,242 | 0.1× |
| Repair/graft achilles tendon (27652) likely a partial charge, not the full procedure |
$1,245 | $1,660 | 0.2× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) likely a partial charge, not the full procedure |
$2,985 | $3,980 | 0.2× |
| Revise Hand/Foot Nerve (64704) | $609 | $812 | 0.3× |
| Revise knuckle joint (26530) likely a partial charge, not the full procedure |
$954 | $1,272 | 0.1× |
| Revise lower leg tendon (27690) likely a partial charge, not the full procedure |
$1,192.50 | $1,590 | 0.2× |
| Revision of big toe (28310) likely a partial charge, not the full procedure |
$678.75 | $905 | 0.1× |
| Revision of foot (28116) | $1,095.75 | $1,461 | 0.3× |
| Revision of foot and ankle (28262) likely a partial charge, not the full procedure |
$2,091 | $2,788 | 0.3× |
| Revision of foot bones (28737) likely a partial charge, not the full procedure |
$1,364.25 | $1,819 | 0.1× |
| Revision of foot fascia (28250) | $759.75 | $1,013 | 0.2× |
| Revision of lower leg tendon (27685) | $870.75 | $1,161 | 0.3× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) likely a partial charge, not the full procedure |
$2,415.75 | $3,221 | 0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $616.88 | $822.50 | 1.3× |
| Rplc Gtube No Revj Trc (43762) | $551.10 | $734.80 | 2.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 2 matching MRF lines |
$1,020–$1,104.75 | $1,360–$1,473 | varies |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $938.25 | $1,251 | 0.3× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) likely a partial charge, not the full procedure |
$679.50 | $906 | 0.1× |
| Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$857.25 | $1,143 | 0.1× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) likely a partial charge, not the full procedure |
$1,068 | $1,424 | 0.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $611.25 | $815 | 0.2× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$69.75–$386.25 | $93–$515 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$79.50–$386.25 | $106–$515 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$101.25–$386.25 | $135–$515 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$130.50–$386.25 | $174–$515 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$148.50–$386.25 | $198–$515 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$105–$386.25 | $140–$515 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$122.25–$386.25 | $163–$515 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $408.60 | $544.80 | 1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $408.50 | $544.67 | 1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$84–$404.25 | $112–$539 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $407.90 | $543.86 | 1.9× |
| Skin Pinch Graft (15050) | $854.25 | $1,139 | 1.1× |
| Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$201–$4,192.50 | $268–$5,590 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 4 matching MRF lines |
$176.25–$4,192.50 | $235–$5,590 | varies |
| Skin sub grft t/arm/lg child (15273) range across 4 matching MRF lines |
$398.25–$7,641 | $531–$10,188 | varies |
| Skn sub grft f/n/hf/g child (15277) range across 4 matching MRF lines |
$398.25–$4,422 | $531–$5,896 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$110.25–$404.25 | $147–$539 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $789 | $1,052 | 1.8× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 3 matching MRF lines |
$1,522.50–$7,641 | $2,030–$10,188 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 3 matching MRF lines |
$1,321.50–$4,422 | $1,762–$5,896 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$37.50–$296.25 | $50–$395 | varies |
| Strapping knee (29530) | $261 | $348 | 1.9× |
| Strapping shoulder (29240) | $31.50 | $42 | 0.2× |
| Strapping toes (29550) range across 2 matching MRF lines |
$23.25–$122.25 | $31–$163 | varies |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
$55.50–$312 | $74–$416 | varies |
| Subtalar arthro w/exc (29905) likely a partial charge, not the full procedure |
$943.50 | $1,258 | 0.1× |
| Suture 1 nerve hand/foot common sensory nerve (64834) | $1,362.75 | $1,817 | 0.4× |
| Synovectomy Tendon Sheath Foot Flexor (28086) | $607.50 | $810 | 0.2× |
| Talectomy (astragalectomy) Facility (28130) likely a partial charge, not the full procedure |
$1,207.50 | $1,610 | 0.2× |
| Tangential biopsy skin single lesion (11102) | $471 | $628 | 1.1× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $786.75 | $1,049 | 0.2× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 4 matching MRF lines |
$390.75–$3,806.25 | $521–$5,075 | varies |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) | $527.25 | $703 | 0.2× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) | $345 | $460 | 0.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) range across 2 matching MRF lines |
$525–$3,019.50 | $700–$4,026 | varies |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) | $1,087.50 | $1,450 | 0.5× |
| Tooth extraction (41899) | $477 | $636 | 1.9× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,205.75 | $2,941 | 0.2× |
| Treat ankle fracture (28445) likely a partial charge, not the full procedure |
$1,910.25 | $2,547 | 0.2× |
| Treat Big Toe Fracture (28505) | $928.50 | $1,238 | 0.3× |
| Treat dislocation/fracture (23670) likely a partial charge, not the full procedure |
$1,515 | $2,020 | 0.2× |
| Treat ectopic pregnancy (59151) likely a partial charge, not the full procedure |
$1,578 | $2,104 | 0.2× |
| Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$1,574.25 | $2,099 | 0.2× |
| Treat lower leg bone lesion (27607) | $1,114.50 | $1,486 | 0.3× |
| Treat Vaginal Bleeding (57180) range across 2 matching MRF lines |
$240.75–$287.25 | $321–$383 | varies |
| Treat/graft heel fracture (28420) likely a partial charge, not the full procedure |
$2,396.25 | $3,195 | 0.2× |
| Treatment closed elbow dislocation w/o anes (24600) | $273.75 | $365 | 1.0× |
| Treatment of foot infection (28003) range across 2 matching MRF lines |
$487.50–$569.25 | $650–$759 | varies |
| Trim skin lesion (11055) range across 4 matching MRF lines |
$34.50–$478.50 | $46–$638 | varies |
| Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
$47.25–$478.50 | $63–$638 | varies |
| Trim skin lesions over 4 (11057) range across 4 matching MRF lines |
$61.50–$478.50 | $82–$638 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$16.50–$159.75 | $22–$213 | varies |
| Tubal ligation (58600) | $693 | $924 | 0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $612.75 | $817 | 0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) | $767.25 | $1,023 | 0.2× |
| Tx open tendon flexor toe 1 tendon spx (28232) range across 2 matching MRF lines |
$454.50–$2,978.25 | $606–$3,971 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$351.75–$1,377 | $469–$1,836 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$261–$740.25 | $348–$987 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$372.75–$476.25 | $497–$635 | varies |
| Unlisted procedure arthroscopy (29999) | $300 | $400 | 1.1× |
| Unlisted procedure foot or toes (28899) | $443.25 | $591 | 1.7× |
| Unlisted Procedure Muscskeletal System General (20999) | $80.25 | $107 | 0.3× |
| Vaginal Delivery After Cesarean Delivery (59612) | $1,855.50 | $2,474 | 0.5× |
| Vaginal delivery only (59409) | $1,678.50 | $2,238 | 0.5× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) unusually low: confirm this is the full procedure |
$1,743 | $2,324 | 0.3× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) unusually low: confirm this is the full procedure |
$1,832.25 | $2,443 | 0.3× |
| Vulvectomy simple partial (56620) | $1,100.25 | $1,467 | 0.3× |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$594–$1,377 | $792–$1,836 | varies |
| Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$495.75–$4,422 | $661–$5,896 | varies |
| Xfer Single Deep Low Leg Tendon (27691) range across 2 matching MRF lines |
$1,410.75–$13,461 | $1,881–$17,948 | 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.