Procedures & surgery prices at Summersville Regional Medical Center
Summersville, WV · every code in this section with a posted price and a Medicare benchmark.
577 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
$457.50–$2,013 | $915–$4,026 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$868.50–$1,393.50 | $1,737–$2,787 | varies |
| Abdomen Surgery Procedure (22999) | $1,956.50 | $3,913 | 8.3× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$6,643.50 | $13,287 | 0.4× |
| Amniocentesis therapeutic (59001) | $500.50 | $1,001 | 1.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,683.50 | $3,367 | 0.5× |
| Amputation toe metatarsophalangeal joint (28820) | $3,264 | $6,528 | 1.0× |
| Anoscopy; with biopsy, single or multiple (46606) | $402 | $804 | 0.4× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $234.50 | $469 | 0.1× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$249–$268 | $498–$536 | varies |
| Application finger splint static (29130) range across 4 matching MRF lines |
$120–$129 | $240–$258 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$144–$156 | $288–$312 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$148–$296 | $296–$592 | varies |
| Application of long leg cast (29345) | $363.50 | $727 | 1.4× |
| Application of rigid total contact leg cast (29445) | $340.50 | $681 | 1.3× |
| Application Short Arm Splint Dynamic (29126) | $133.50 | $267 | 1.0× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$160.50–$321 | $321–$642 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$196.50–$211.50 | $393–$423 | varies |
| Apply hand/wrist cast (29085) | $211.50 | $423 | 1.4× |
| Apply long arm cast (29065) range across 4 matching MRF lines |
$249–$8,000 | $498–$16,000 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $199.50 | $399 | 1.3× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$338–$363.50 | $676–$727 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$114–$127.50 | $228–$255 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$343.50–$687 | $687–$1,374 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $697.50 | $1,395 | 1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$82.17–$8,850 | $164.33–$17,700 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$384.50–$413.50 | $769–$827 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$264.50–$529 | $529–$1,058 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$9,225–$9,375 | $18,450–$18,750 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 2 matching MRF lines |
$9,860–$10,730 | $19,720–$21,460 | varies |
| Arthroplasty Radial Head W/Implant (24366) unusually low: confirm this is the full procedure |
$5,503.50 | $11,007 | 0.4× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $13,050 | $26,100 | 4.2× |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$555.58–$1,199.92 | $1,111.16–$2,399.83 | varies |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 3 matching MRF lines |
$1,199.92–$4,114 | $2,399.83–$8,228 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$5,096–$5,566 | $10,192–$11,132 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $5,324 | $10,648 | 0.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$3,418.26–$3,599.76 | $6,836.51–$7,199.51 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$3,600–$9,525 | $7,200–$19,050 | varies |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) range across 2 matching MRF lines |
$7,199.50–$9,600 | $14,399–$19,200 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $7,744 | $15,488 | 1.1× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $8,410 | $16,820 | 2.7× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$7,250–$8,410 | $14,500–$16,820 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$633.50–$1,266.50 | $1,267–$2,533 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$623–$764.50 | $1,246–$1,529 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $294 | $588 | 1.0× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,670 | $7,340 | 1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$179–$1,139 | $358–$2,278 | varies |
| Biopsy external ear (69100) | $227 | $454 | 1.0× |
| Biopsy muscle percutaneous needle (20206) | $2,436.50 | $4,873 | 1.5× |
| Biopsy nail unit (11755) | $709 | $1,418 | 1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 3 matching MRF lines |
$831.50–$894 | $1,663–$1,788 | varies |
| Biopsy/removal lymph nodes (38510) | $2,548 | $5,096 | 0.7× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$333.50–$477.50 | $667–$955 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$112.50–$121 | $225–$242 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $356 | $712 | 1.2× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$617.50–$664 | $1,235–$1,328 | varies |
| Bx breast 1st lesion mr imag (19085) | $2,422 | $4,844 | 1.5× |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$1,520.50–$1,635 | $3,041–$3,270 | varies |
| Bx breast 1st lesion us imag (19083) range across 5 matching MRF lines |
$781.67–$1,775.50 | $1,563.34–$3,551 | varies |
| Bx Cervix (57500) | $1,262.50 | $2,525 | 1.4× |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$1,008.33–$2,502.50 | $2,016.66–$5,005 | varies |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$1,694–$1,956.50 | $3,388–$3,913 | varies |
| Canthotomy Separate Procedure (67715) | $2,356 | $4,712 | 1.0× |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$1,274–$1,547 | $2,548–$3,094 | varies |
| Cataract surgery complex (66982) range across 3 matching MRF lines |
$2,900–$3,770 | $5,800–$7,540 | varies |
| Catheter aspiration nasotracheal spx (31720) | $210 | $420 | 1.0× |
| Change Cystostomy Tube Complicated (51710) | $1,369.50 | $2,739 | 2.0× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$232–$249.50 | $464–$499 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$180.50–$194.50 | $361–$389 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $369 | $738 | 1.3× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$1,860–$3,720 | $3,720–$7,440 | varies |
| Chg onc prst8 ca alys all PSA structural isoforms (0359U) | $250 | $500 | 0.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $2,916 | $5,832 | 0.8× |
| Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
$1,410.50–$1,621 | $2,821–$3,242 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,793–$1,927.50 | $3,586–$3,855 | varies |
| Claviculectomy partial (23120) range across 2 matching MRF lines |
$786.50–$2,305.34 | $1,573–$4,610.67 | varies |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$127.50–$158.50 | $255–$317 | varies |
| Closed Rx Metacarpal Fx,Percut (26608) | $5,655 | $11,310 | 1.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $341 | $682 | 1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 3 matching MRF lines |
$270.50–$291 | $541–$582 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) | $422 | $844 | 1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $278.50 | $557 | 1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,507.50–$1,621 | $3,015–$3,242 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$633.50–$681.50 | $1,267–$1,363 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,621 | $3,242 | 1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) | $278.50 | $557 | 1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$221–$238 | $442–$476 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,330.50 | $4,661 | 1.5× |
| Closed tx patellar dislocation w/anesthesia (27562) | $320.50 | $641 | 1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$259–$278.50 | $518–$557 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $2,330.50 | $4,661 | 1.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$1,992.50–$3,625 | $3,985–$7,250 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $341 | $682 | 1.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $278.50 | $557 | 1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,927.50 | $3,855 | 1.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $341 | $682 | 1.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $341 | $682 | 1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$1,274–$1,927.50 | $2,548–$3,855 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $355 | $710 | 1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,965 | $3,930 | 1.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $278.50 | $557 | 1.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $1,621 | $3,242 | 1.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$281–$302.50 | $562–$605 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $341 | $682 | 1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,195.50–$1,540.50 | $2,391–$3,081 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $295.50 | $591 | 1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $341 | $682 | 1.4× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $315.50 | $631 | 1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $281 | $562 | 1.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$341–$419 | $682–$838 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$259–$278.50 | $518–$557 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$236.50–$341 | $473–$682 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 4 matching MRF lines |
$318.50–$1,927.50 | $637–$3,855 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$1,021–$1,098 | $2,042–$2,196 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$270.50–$291 | $541–$582 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,927.50 | $3,855 | 1.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,621 | $3,242 | 1.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $341 | $682 | 1.4× |
| Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,500.50–$1,613.50 | $3,001–$3,227 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$121–$130.50 | $242–$261 | varies |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$5.50–$9 | $11–$18 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$579.50–$932.50 | $1,159–$1,865 | varies |
| Colonoscopy thru stoma (44388) | $762.50 | $1,525 | 0.9× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $1,316.50 | $2,633 | 1.1× |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$172.83–$1,284.50 | $345.66–$2,569 | varies |
| Colonoscopy W/Band Ligation (45398) | $864.50 | $1,729 | 0.8× |
| Colonoscopy W/Resection (45390) range across 9 matching MRF lines |
$488.01–$1,494.50 | $976.01–$2,989 | varies |
| Colonoscopy w/submucosal inj (45381) range across 6 matching MRF lines |
$162.67–$409.50 | $325.33–$819 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$285–$306.50 | $570–$613 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) | $292 | $584 | 1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $203 | $406 | 1.0× |
| Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
$285–$306.50 | $570–$613 | varies |
| Colposcopy Vulva W/Biopsy (56821) | $292 | $584 | 1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
$816.50–$882.50 | $1,633–$1,765 | varies |
| Conjunctivorhinostomy Insj Tube/Stent (68750) | $3,311 | $6,622 | 0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $156 | $312 | 1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$145–$290 | $290–$580 | varies |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) unusually low: confirm this is the full procedure |
$5,475 | $10,950 | 0.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,635 | $3,270 | 1.0× |
| Correction Trichiasis Inccision Lid Margin (67830) | $976.50 | $1,953 | 1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$160.50–$224.50 | $321–$449 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $227 | $454 | 1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $2,881 | $5,762 | 0.9× |
| Cystourethroscopy (52000) | $571 | $1,142 | 0.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $4,881.67 | $9,763.33 | 7.2× |
| Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) | $4,834 | $9,668 | 0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$708–$1,137.50 | $1,416–$2,275 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$78.50–$252 | $157–$504 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$57.50–$62 | $115–$124 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,410.50 | $2,821 | 0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$374–$1,729 | $748–$3,458 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$311–$334.50 | $622–$669 | varies |
| Decomp forearm,1 compart,w/o debride (25020) | $2,275 | $4,550 | 1.5× |
| Delivery of placenta (59414) | $3,152 | $6,304 | 1.0× |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,870.50–$8,798.50 | $3,741–$17,597 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$179–$864.50 | $358–$1,729 | varies |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $1,190.50 | $2,381 | 1.0× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$179–$192.50 | $358–$385 | varies |
| Diagnostic anoscopy (46601) | $428 | $856 | 1.0× |
| Diagnostic sigmoidoscopy (45330) | $854 | $1,708 | 1.0× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $245.50 | $491 | 1.0× |
| Dilate Esophagus 1/Mult Pass (43450) | $156.33 | $312.66 | 0.2× |
| Dilate Urethra Stricture (53620) | $673 | $1,346 | 1.0× |
| Dilate Urethra Stricture (53600) | $245.50 | $491 | 1.0× |
| Drain Cerebro Spinal Fluid (62272) | $968.50 | $1,937 | 1.4× |
| Drain Spinal Cord Cyst (62268) | $919.50 | $1,839 | 1.1× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$297.50–$413.50 | $595–$827 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$709.50–$1,274 | $1,419–$2,548 | varies |
| Drainage Finger Abscess Complicated (26011) | $1,667.50 | $3,335 | 1.1× |
| Drainage of finger abscess simple (26010) range across 4 matching MRF lines |
$235.50–$1,547 | $471–$3,094 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$254–$273.50 | $508–$547 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,874.50–$2,015.50 | $3,749–$4,031 | varies |
| Drainage of hydrocele (55000) | $854.50 | $1,709 | 1.3× |
| Drainage of rectal abscess (45005) | $1,190.50 | $2,381 | 1.0× |
| Drainage of scrotal wall abscess (55100) | $2,015.50 | $4,031 | 1.3× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$171.50–$184.50 | $343–$369 | varies |
| Dressing Change Under Anesthesia (15852) | $780.50 | $1,561 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $501.50 | $1,003 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $247 | $494 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$225.50–$242.50 | $451–$485 | varies |
| Dstrj lesion anus simple surg excision (46922) | $2,320.50 | $4,641 | 0.9× |
| Dx gastr intub w/asp spec (43754) | $402.50 | $805 | 1.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $697.50 | $1,395 | 1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $945.50 | $1,891 | 0.5× |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$396.50–$1,325.67 | $793–$2,651.34 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $732 | $1,464 | 0.4× |
| Egd Flexible Foreign Body Removal (43247) | $3,873.50 | $7,747 | 4.5× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$1,067.50–$2,229.50 | $2,135–$4,459 | varies |
| Egd remove lesion snare (43251) | $427 | $854 | 0.2× |
| Egd Varices Ligation (43244) | $1,128.50 | $2,257 | 0.6× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$188.50–$203 | $377–$406 | varies |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$676–$866 | $1,352–$1,732 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$120–$129 | $240–$258 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $1,986 | $3,972 | 1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 4 matching MRF lines |
$432.25–$2,216.50 | $864.50–$4,433 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 4 matching MRF lines |
$1,501.50–$3,538.50 | $3,003–$7,077 | varies |
| Exc back tum deep < 5 cm (21932) | $2,782 | $5,564 | 1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 3 matching MRF lines |
$2,320.50–$3,412.50 | $4,641–$6,825 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 3 matching MRF lines |
$659.50–$864.50 | $1,319–$1,729 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 4 matching MRF lines |
$197.17–$1,114.76 | $394.33–$2,229.52 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 3 matching MRF lines |
$819–$2,174.50 | $1,638–$4,349 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 4 matching MRF lines |
$660–$1,092 | $1,320–$2,184 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
$660–$1,419 | $1,320–$2,838 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$660–$1,683.50 | $1,320–$3,367 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$1,582–$2,436 | $3,164–$4,872 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$1,520.50–$1,635 | $3,041–$3,270 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$1,633–$2,502.50 | $3,266–$5,005 | varies |
| Exc ganglion wrist recurrent (25112) | $1,927.50 | $3,855 | 1.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$1,046.34–$1,582 | $2,092.67–$3,164 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 4 matching MRF lines |
$628.50–$1,501.50 | $1,257–$3,003 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$341.25–$2,180 | $682.50–$4,360 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,986 | $3,972 | 1.3× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $1,021 | $2,042 | 1.1× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) | $3,824 | $7,648 | 1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$569.50–$709.50 | $1,139–$1,419 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$1,520.50–$1,635 | $3,041–$3,270 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$2,865–$3,276 | $5,730–$6,552 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$1,520.50–$4,914 | $3,041–$9,828 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$2,665–$2,865 | $5,330–$5,730 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$1,519–$1,633 | $3,038–$3,266 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$1,532.67–$3,255 | $3,065.34–$6,510 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 4 matching MRF lines |
$1,078.75–$2,169.50 | $2,157.50–$4,339 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$1,668.34–$2,884.50 | $3,336.67–$5,769 | varies |
| Exc thigh/knee tum dep 5cm/> (27339) | $3,731 | $7,462 | 1.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,105.50 | $2,211 | 1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$374–$682.50 | $748–$1,365 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$255.94–$709.50 | $511.87–$1,419 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 4 matching MRF lines |
$390.83–$1,635 | $781.66–$3,270 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $2,138.50 | $4,277 | 0.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $1,152.67 | $2,305.33 | 0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $833.50 | $1,667 | 0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,501.50 | $3,003 | 0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $2,047.50 | $4,095 | 0.7× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,774.50 | $3,549 | 1.1× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $2,884.50 | $5,769 | 1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,547 | $3,094 | 0.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 4 matching MRF lines |
$539.38–$2,275 | $1,078.75–$4,550 | varies |
| Excision Chalazion Single (67800) | $369 | $738 | 1.2× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $2,684.50 | $5,369 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 3 matching MRF lines |
$896.50–$1,793 | $1,793–$3,586 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$660–$1,543.50 | $1,320–$3,087 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 4 matching MRF lines |
$470–$1,137.50 | $940–$2,275 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 3 matching MRF lines |
$896.50–$1,547 | $1,793–$3,094 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
$568.75–$709 | $1,137.50–$1,418 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$1,046.50–$1,735.50 | $2,093–$3,471 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$1,592.50–$2,865 | $3,185–$5,730 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$1,519–$1,633 | $3,038–$3,266 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$896.50–$964 | $1,793–$1,928 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$840.50–$904 | $1,681–$1,808 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$1,501.50–$1,635 | $3,003–$3,270 | varies |
| Excision of single external papilla or tag, anus (46220) | $1,146 | $2,292 | 1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 3 matching MRF lines |
$1,519–$3,139.50 | $3,038–$6,279 | varies |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$1,519–$1,633 | $3,038–$3,266 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $2,015.50 | $4,031 | 1.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $2,138.50 | $4,277 | 0.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $2,138.50 | $4,277 | 0.8× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $1,471.50 | $2,943 | 1.0× |
| Explo/Drain Breast Abscess (19020) | $1,931 | $3,862 | 1.2× |
| Fasciectomy Palm Only (26121) | $1,865.50 | $3,731 | 0.6× |
| Fetal non-stress test (59025) | $201.50 | $403 | 1.0× |
| Fine needle aspiration without imaging guidance (10021) | $403 | $806 | 1.0× |
| Fna bx w/us gdn 1st les (10005) range across 4 matching MRF lines |
$893.50–$1,631.50 | $1,787–$3,263 | varies |
| Foreskin manipulation (54450) | $249.50 | $499 | 1.0× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $4,823 | $9,646 | 1.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,274 | $2,548 | 1.4× |
| I&d abscess peritonsillar (42700) | $279.50 | $559 | 1.2× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$144–$1,911 | $288–$3,822 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $2,457 | $4,914 | 0.9× |
| I&d perianal abscess superficial (46050) range across 4 matching MRF lines |
$854.50–$1,089 | $1,709–$2,178 | varies |
| I&d pilonidal cyst complicated (10081) | $872 | $1,744 | 1.3× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$811–$1,212.50 | $1,622–$2,425 | varies |
| Image Cath Fluid Peri/Retro (49406) | $1,635 | $3,270 | 1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$3,785.50 | $7,571 | 0.2× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) | $4,963 | $9,926 | 0.6× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$345–$371 | $690–$742 | varies |
| Incise finger tendon sheath (26055) range across 10 matching MRF lines |
$318.50–$2,775.50 | $637–$5,551 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$258.50–$1,410.50 | $517–$2,821 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,015.50 | $4,031 | 1.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$374–$1,092 | $748–$2,184 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$188.50–$244.50 | $377–$489 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $306.50 | $613 | 1.0× |
| Incision extensor tendon sheath wrist (25000) | $1,275.50 | $2,551 | 0.8× |
| Incision of Foot Tendon (28234) | $1,540 | $3,080 | 1.0× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$1,476.50–$1,587.50 | $2,953–$3,175 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,744 | $3,488 | 1.1× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$390.83–$708 | $781.66–$1,416 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,684–$3,368 | $3,368–$6,736 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$355.50–$491.50 | $711–$983 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 6 matching MRF lines |
$161.50–$504.50 | $323–$1,009 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 8 matching MRF lines |
$918–$2,875.88 | $1,836–$5,751.75 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $2,334 | $4,668 | 2.8× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 5 matching MRF lines |
$832.50–$4,060 | $1,665–$8,120 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $299 | $598 | 1.0× |
| Injection anesthetic agent suprascapular nerve (64418) | $871.50 | $1,743 | 1.3× |
| Injection enzyme palmar fascial cord (20527) | $294 | $588 | 1.0× |
| Injection for identification of sentinel node (38792) | $1,008.33 | $2,016.66 | 2.6× |
| Injection medication/other subst tenon capsule (67515) | $304.50 | $609 | 1.0× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$276.50–$297.50 | $553–$595 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$197.50–$297.50 | $395–$595 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$277.50–$520 | $555–$1,040 | varies |
| Injection therapeutic carpal tunnel (20526) range across 6 matching MRF lines |
$269–$625.50 | $538–$1,251 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 8 matching MRF lines |
$1,079.50–$6,715.50 | $2,159–$13,431 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 4 matching MRF lines |
$617.50–$2,014.50 | $1,235–$4,029 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 7 matching MRF lines |
$676.50–$6,712.50 | $1,353–$13,425 | varies |
| Ins/Rep Subq Defibrillator (33270) unusually low: confirm this is the full procedure |
$9,390.50 | $18,781 | 0.3× |
| Insert 1 Electrode Pm-Defib (33216) unusually low: confirm this is the full procedure |
$2,690.50 | $5,381 | 0.3× |
| Insert Bladder Cath Complex (51703) | $157.50 | $315 | 1.3× |
| Insert cath pleura w/ image (32557) | $1,615 | $3,230 | 1.1× |
| Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$2,177–$2,340.50 | $4,354–$4,681 | varies |
| Insert Drug Implant Device (11981) range across 2 matching MRF lines |
$160.50–$173 | $321–$346 | varies |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$2,335.50–$2,511 | $4,671–$5,022 | varies |
| Insert Pacing Lead & Connect (33224) unusually low: confirm this is the full procedure |
$4,469 | $8,938 | 0.4× |
| Insert pessary/other device (57160) | $203 | $406 | 1.0× |
| Insert pulse gen dual leads (33213) unusually low: confirm this is the full procedure |
$4,469 | $8,938 | 0.4× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$90–$229 | $180–$458 | varies |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$4,930–$6,867.50 | $9,860–$13,735 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$120–$129 | $240–$258 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$978.50–$1,508 | $1,957–$3,016 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) unusually low: confirm this is the full procedure |
$2,619.50 | $5,239 | 0.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) unusually low: confirm this is the full procedure |
$2,690.50 | $5,381 | 0.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$978.50–$1,508 | $1,957–$3,016 | varies |
| Insj Subq Impltbl Dfb Elctrd (33271) unusually low: confirm this is the full procedure |
$2,690.50 | $5,381 | 0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,387.50 | $4,775 | 0.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) unusually low: confirm this is the full procedure |
$2,710 | $5,420 | 0.3× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) unusually low: confirm this is the full procedure |
$2,690.50 | $5,381 | 0.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $606.50 | $1,213 | 1.6× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $227 | $454 | 1.0× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$326–$350.50 | $652–$701 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $349 | $698 | 1.5× |
| Knee arthroscopy/drainage (29871) range across 2 matching MRF lines |
$2,320.50–$2,366 | $4,641–$4,732 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $19,575 | $39,150 | 3.4× |
| Laparoscopy, surgical, appendectomy (44970) | $8,265 | $16,530 | 1.4× |
| Laryngoscopy flexible diagnostic (31575) | $240.50 | $481 | 1.3× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) | $391.50 | $783 | 1.0× |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$1,830–$3,507.50 | $3,660–$7,015 | varies |
| Low Back Disk Surgery (63030) | $5,055 | $10,110 | 0.7× |
| Manipulation knee joint under general anesthesia (27570) range across 6 matching MRF lines |
$268–$2,062.50 | $536–$4,125 | varies |
| Mast mod rad (19307) | $4,033.34 | $8,066.67 | 0.6× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$3,025.01–$5,700 | $6,050.02–$11,400 | varies |
| Maternity Care Procedure (59899) | $201.50 | $403 | 1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$1,038–$1,224.50 | $2,076–$2,449 | varies |
| N block inj intercost sng (64420) | $1,396 | $2,792 | 2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$472–$507.50 | $944–$1,015 | varies |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$1,533.50–$1,649 | $3,067–$3,298 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines |
$44–$46.50 | $88–$93 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) range across 2 matching MRF lines |
$53–$56 | $106–$112 | varies |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$1,774.50–$2,411.50 | $3,549–$4,823 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $550.50 | $1,101 | 1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$340–$365.50 | $680–$731 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$855–$3,420 | $1,710–$6,840 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$697.50–$2,820 | $1,395–$5,640 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $895 | $1,790 | 1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $847 | $1,694 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,108.50–$1,192 | $2,217–$2,384 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$365.50–$520 | $731–$1,040 | varies |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) | $2,317.50 | $4,635 | 0.8× |
| Open biopsy/excision inguinofemoral nodes (38531) | $2,639 | $5,278 | 0.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
$11,745–$16,965 | $23,490–$33,930 | varies |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $14,355 | $28,710 | 1.2× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) | $17,163.50 | $34,327 | 2.5× |
| Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$10,440–$14,511.50 | $20,880–$29,023 | varies |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) | $5,850 | $11,700 | 0.8× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $16,095 | $32,190 | 2.3× |
| Open Treatment of Ulnar Shaft Fracture (25545) | $21,605 | $43,210 | 3.1× |
| Open Treatment Proximal Humeral Fracture (23615) | $21,605 | $43,210 | 1.8× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$7,032.50–$11,890 | $14,065–$23,780 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $3,264 | $6,528 | 1.0× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) likely a partial charge, not the full procedure |
$2,132.63 | $4,265.25 | 0.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 3 matching MRF lines |
$4,688.33–$13,485 | $9,376.66–$26,970 | varies |
| Open tx ulnar fx proximal end (24685) range across 3 matching MRF lines |
$12,615–$47,271.50 | $25,230–$94,543 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$12,180–$15,915.50 | $24,360–$31,831 | varies |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 3 matching MRF lines |
$9,715–$10,150 | $19,430–$20,300 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$3,350 | $6,700 | 0.5× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $3,134 | $6,268 | 1.0× |
| Partial Excision Distal Phalanx Finger (26236) | $1,961.50 | $3,923 | 1.3× |
| Penile Injection (54235) | $529.50 | $1,059 | 2.2× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) | $5,800 | $11,600 | 1.8× |
| Pericardiocentesis W/Imaging (33016) | $2,526.50 | $5,053 | 1.7× |
| Perq Cervicothoracic Inject (22510) | $3,481.50 | $6,963 | 1.1× |
| Perq device breast 1st imag (19281) range across 4 matching MRF lines |
$2,240.50–$4,959.50 | $4,481–$9,919 | varies |
| Perq Lumbosacral Injection (22511) | $3,481.50 | $6,963 | 1.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) range across 2 matching MRF lines |
$660–$709.50 | $1,320–$1,419 | varies |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $5,055 | $10,110 | 0.7× |
| Perq Vertebral Augmentation (22513) | $5,055 | $10,110 | 0.7× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$373.50–$428 | $747–$856 | varies |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) | $2,187 | $4,374 | 1.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $3,170.50 | $6,341 | 0.5× |
| Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
$374–$590 | $748–$1,180 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$466.50–$501.50 | $933–$1,003 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$878–$1,368.50 | $1,756–$2,737 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $697.50 | $1,395 | 1.0× |
| Rbc DNA gntyp 12 bld grp gen (0282U) | $285 | $570 | 0.4× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $3,476.50 | $6,953 | 1.0× |
| Reduction of rectal prolapse (45900) | $1,241 | $2,482 | 1.4× |
| Relocation Pocket Pacemaker (33222) | $1,976.50 | $3,953 | 1.0× |
| Removal Anal Seton Other Marker (46030) | $1,146.50 | $2,293 | 1.0× |
| Removal Embedded Foreign Body Eyelid (67938) | $356 | $712 | 1.2× |
| Removal foreign body foot deep (28192) | $1,456 | $2,912 | 0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$660–$2,059.50 | $1,320–$4,119 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$864.50–$2,059.50 | $1,729–$4,119 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$81.50–$163 | $163–$326 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$73–$146 | $146–$292 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $3,205 | $6,410 | 1.0× |
| Removal Implant Deep (20680) range across 4 matching MRF lines |
$1,825–$14,935 | $3,650–$29,870 | varies |
| Removal of anal fissure (46200) | $2,697 | $5,394 | 1.0× |
| Removal of nail bed (11750) range across 5 matching MRF lines |
$374.50–$1,139 | $749–$2,278 | varies |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) | $15,805 | $31,610 | 2.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$186.50–$200.50 | $373–$401 | varies |
| Removal sweat gland lesion (11450) | $2,548 | $5,096 | 0.9× |
| Removal, under anesthesia, of external fixation system (20694) | $9,376.67 | $18,753.34 | 6.1× |
| Remove drug implant device (11982) range across 3 matching MRF lines |
$210–$1,365 | $420–$2,730 | varies |
| Remove foreign body from eye (65235) | $2,349.50 | $4,699 | 1.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$145–$156 | $290–$312 | varies |
| Remove Intrauterine Device (58301) range across 3 matching MRF lines |
$167–$392.50 | $334–$785 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$145–$156 | $290–$312 | varies |
| Remove/Insert Drug Implant (11983) | $428 | $856 | 1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,484 | $4,968 | 0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$731–$786 | $1,462–$1,572 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $488.50 | $977 | 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 |
$668.50–$719 | $1,337–$1,438 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$688–$740 | $1,376–$1,480 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) | $719 | $1,438 | 1.0× |
| Repair Ectropion Excision Tarsal Wedge (67916) | $2,351.50 | $4,703 | 1.0× |
| Repair extensor tendon finger w/o graft each (26418) | $1,927.50 | $3,855 | 1.2× |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$1,507.50–$1,621 | $3,015–$3,242 | varies |
| Repair humerus with graft (24435) | $22,910 | $45,820 | 1.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$2,775.50–$3,594.50 | $5,551–$7,189 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$466.50–$501.50 | $933–$1,003 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$466.50–$501.50 | $933–$1,003 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$501.50–$561.17 | $1,003–$1,122.33 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$501.50–$606.50 | $1,003–$1,213 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $853 | $1,706 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$466.50–$501.50 | $933–$1,003 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$466.50–$561.17 | $933–$1,122.33 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $530.83 | $1,061.66 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$466.50–$834.17 | $933–$1,668.33 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$374–$743.17 | $748–$1,486.33 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$466.50–$515.67 | $933–$1,031.33 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$466.50–$1,114.75 | $933–$2,229.50 | varies |
| Repair Laceration Palate >2 Cm/Complex (42182) | $7,176 | $14,352 | 1.3× |
| Repair lead pace-defib dual (33220) | $2,728 | $5,456 | 0.8× |
| Repair Lead Pace-Defib One (33218) | $2,728 | $5,456 | 0.8× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$668.50–$719 | $1,337–$1,438 | varies |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$3,594.50–$3,640 | $7,189–$7,280 | varies |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $3,867.50 | $7,735 | 0.6× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 2 matching MRF lines |
$6,697–$7,199.50 | $13,394–$14,399 | varies |
| Repair tongue laceration (41250) | $507.50 | $1,015 | 1.2× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $2,728 | $5,456 | 0.8× |
| Repr elbow lat ligmnt w/tiss (24343) | $2,132.63 | $4,265.25 | 0.7× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$2,457–$2,593.50 | $4,914–$5,187 | varies |
| Revis reconst shoulder joint (23473) unusually low: confirm this is the full procedure |
$5,587.50 | $11,175 | 0.5× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) range across 3 matching MRF lines |
$4,000–$11,850 | $8,000–$23,700 | varies |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) | $6,552 | $13,104 | 0.5× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) | $3,170.50 | $6,341 | 0.5× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) | $6,700 | $13,400 | 0.5× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 2 matching MRF lines |
$4,368–$4,732 | $8,736–$9,464 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,109.50 | $2,219 | 1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$472–$944 | $944–$1,888 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$144–$155 | $288–$310 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,190.50 | $2,381 | 1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $1,001 | $2,002 | 0.4× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) | $2,031.50 | $4,063 | 0.9× |
| Rmvl of subq implantable defibrillator electrode (33272) | $2,728 | $5,456 | 0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 5 matching MRF lines |
$926.50–$2,730 | $1,853–$5,460 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$633.50–$996 | $1,267–$1,992 | varies |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$232–$249.50 | $464–$499 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $2,957.50 | $5,915 | 0.5× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$2,047.50–$2,561.67 | $4,095–$5,123.33 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $11,890 | $23,780 | 1.9× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $3,725 | $7,450 | 0.6× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) unusually low: confirm this is the full procedure |
$2,457 | $4,914 | 0.4× |
| Rpr aa hrn 1st 3-10 rdc (49593) unusually low: confirm this is the full procedure |
$2,502.50 | $5,005 | 0.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) unusually low: confirm this is the full procedure |
$2,411.50 | $4,823 | 0.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $242.50 | $485 | 1.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $708 | $1,416 | 1.0× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $2,277.50 | $4,555 | 1.0× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) | $3,516.25 | $7,032.50 | 0.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,281 | $2,562 | 1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $579.50 | $1,159 | 0.5× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$374–$402.50 | $748–$805 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$192.50–$662 | $385–$1,324 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $192 | $384 | 1.0× |
| Shoulder Arthroscopy/Surgery (29825) | $3,134 | $6,268 | 1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $276 | $552 | 1.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $202.50 | $405 | 1.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $202.50 | $405 | 1.1× |
| Sigmoidoscopy w/fb removal (45332) | $762.50 | $1,525 | 0.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $396.50 | $793 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$220–$236.50 | $440–$473 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$225.50–$242.50 | $451–$485 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$256.50–$276 | $513–$552 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$225.50–$242.50 | $451–$485 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$256.50–$276 | $513–$552 | varies |
| Skin sub graft face/nk/hf/g (15275) | $708 | $1,416 | 1.0× |
| Skin sub graft trnk/arm/leg (15271) | $708 | $1,416 | 1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$235.50–$253.50 | $471–$507 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$466.50–$501.50 | $933–$1,003 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$466.50–$501.50 | $933–$1,003 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$844–$907.50 | $1,688–$1,815 | varies |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
$185.50–$371 | $371–$742 | varies |
| Suprachoroidal space njx pharmacologic agent (67516) | $341.50 | $683 | 1.1× |
| Suture infrapatellar tendon primary (27380) range across 2 matching MRF lines |
$3,276–$11,235.50 | $6,552–$22,471 | varies |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) | $20,010 | $40,020 | 2.9× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $10,875 | $21,750 | 1.6× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$235.50–$389.50 | $471–$779 | varies |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$3,503.50–$3,975 | $7,007–$7,950 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $2,058 | $4,116 | 1.3× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $6,582.50 | $13,165 | 0.5× |
| Thrombolytic Therapy Stroke (37195) | $484.50 | $969 | 1.5× |
| Thyroidectomy, total or complete (60240) | $7,917 | $15,834 | 1.4× |
| Tnot elbow lateral/medial debride open (24358) | $2,411.50 | $4,823 | 0.8× |
| Tooth extraction (41899) | $6,233.50 | $12,467 | 27.4× |
| Total Knee Arthroplasty (27447) range across 5 matching MRF lines |
$6,643.50–$9,750 | $13,287–$19,500 | varies |
| Tracheostoma revj smpl w/o flap rotation (31613) | $3,175.50 | $6,351 | 1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $246.50 | $493 | 1.1× |
| Tracheostomy planned (31600) | $3,175.50 | $6,351 | 1.0× |
| Treat Finger Fracture Each (26727) | $6,380 | $12,760 | 2.0× |
| Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
$9,280–$9,715 | $18,560–$19,430 | varies |
| Treat Hip Socket Fracture (27222) | $286 | $572 | 1.2× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,621–$1,879.50 | $3,242–$3,759 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$263–$283 | $526–$566 | varies |
| Treat Thumb Dislocation (26641) | $238 | $476 | 1.0× |
| Treat toe dislocation (28630) | $238 | $476 | 1.0× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$259–$278.50 | $518–$557 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$188–$202.50 | $376–$405 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$186.50–$200.50 | $373–$401 | varies |
| Trim skin lesions over 4 (11057) | $247 | $494 | 1.3× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$57.50–$62 | $115–$124 | varies |
| Tx Gastro Intub W/Asp (43753) | $344 | $688 | 1.7× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) range across 2 matching MRF lines |
$21,025–$25,665 | $42,050–$51,330 | varies |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 2 matching MRF lines |
$21,531.50–$25,665 | $43,063–$51,330 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $2,182 | $4,364 | 1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $740 | $1,480 | 1.0× |
| Tx superficial wound dehiscence w/packing (12021) | $501.50 | $1,003 | 1.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$317–$341 | $634–$682 | varies |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $6,643.50 | $13,287 | 0.5× |
| Unlisted procedure anus (46999) | $1,912.50 | $3,825 | 2.1× |
| Unlisted procedure colon (45399) | $1,401 | $2,802 | 1.6× |
| Unlisted Procedure Conjunctiva (68399) | $304 | $608 | 1.0× |
| Unlisted Procedure Intestine (44799) | $1,782.50 | $3,565 | 2.0× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$472.50–$508 | $945–$1,016 | varies |
| Unlisted px female genital system nonobstetrical (58999) | $201.50 | $403 | 1.0× |
| Upgrade of pacemaker system (33214) unusually low: confirm this is the full procedure |
$4,469 | $8,938 | 0.4× |
| Vaginal Delivery After Cesarean Delivery (59612) | $3,205 | $6,410 | 1.0× |
| Vaginal delivery only (59409) | $3,152 | $6,304 | 1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$1,365–$1,742 | $2,730–$3,484 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$374.50–$403 | $749–$806 | varies |
| Wound Prep F/N/Hf/G (15004) | $617.50 | $1,235 | 1.6× |
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.