Procedures & surgery prices at Susan B Allen Memorial Hospital
El Dorado, KS · every code in this section with a posted price and a Medicare benchmark.
535 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$531.70–$788.45 | $818–$1,213 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $763.10 | $1,174 | 0.9× |
| Amniocentesis diagnostic (59000) | $988.65 | $1,521 | 1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $4,130.75 | $6,355 | 1.4× |
| Amputation metatarsal with toe single (28810) | $4,189.25 | $6,445 | 1.4× |
| Amputation toe metatarsophalangeal joint (28820) | $5,025.80 | $7,732 | 1.7× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$161.85–$724.75 | $249–$1,115 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $673.40 | $1,036 | 0.8× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$376.35–$573.95 | $579–$883 | varies |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$76.70–$200.85 | $118–$309 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$196.30–$251.55 | $302–$387 | varies |
| Application long arm splint shoulder hand (29105) | $215.15 | $331 | 1.4× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $376.35 | $579 | 1.5× |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$194.35–$215.15 | $299–$331 | varies |
| Application of long leg cast (29345) | $376.35 | $579 | 1.5× |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$167.05–$200.85 | $257–$309 | varies |
| Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
$86.32–$215.80 | $132.80–$332 | varies |
| Application short leg splint calf foot (29515) | $231.40 | $356 | 1.5× |
| Apply hand/wrist cast (29085) | $373.75 | $575 | 2.5× |
| Apply long arm cast (29065) | $376.35 | $579 | 1.5× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$65–$376.35 | $100–$579 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$55.90–$296.40 | $86–$456 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$70.20–$87.10 | $108–$134 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$323.70–$399.75 | $498–$615 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$340.60–$417.30 | $524–$642 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $417.30 | $642 | 1.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$248.30–$388.05 | $382–$597 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $6,103.50 | $9,390 | 0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $3,321.18 | $5,109.50 | 1.1× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) | $4,668.30 | $7,182 | 0.7× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $7,181.20 | $11,048 | 0.6× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $3,948.10 | $6,074 | 1.3× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$924.30–$1,166.75 | $1,422–$1,795 | varies |
| Aspirate Pleura W/O Imaging (32554) | $981.50 | $1,510 | 1.7× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$251.55–$261.30 | $387–$402 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $908.05 | $1,397 | 1.4× |
| Aspiration Bladder Needle (51100) | $896.35 | $1,379 | 3.9× |
| Aspiration bladder trocar/intracatheter (51101) | $1,430.65 | $2,201 | 1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$130–$180.70 | $200–$278 | varies |
| Biopsy Abdominal Mass (49180) | $1,623.05 | $2,497 | 1.1× |
| Biopsy bone trocar/needle deep (20225) | $2,870.40 | $4,416 | 1.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,135.25 | $3,285 | 1.4× |
| Biopsy external ear (69100) | $728.65 | $1,121 | 3.3× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$1,623.05–$2,135.25 | $2,497–$3,285 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $1,623.05 | $2,497 | 1.1× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,623.05 | $2,497 | 1.1× |
| Biopsy Vaginal Mucosa Simple (57100) | $3,409.25 | $5,245 | 4.0× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$138.45–$248.95 | $213–$383 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$83.20–$85.80 | $128–$132 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $425.10 | $654 | 1.5× |
| Blood Transfusion Service (36430) | $546.65 | $841 | 1.3× |
| Bone Marrow Biopsy (38221) | $2,562.95 | $3,943 | 1.7× |
| Bone Marrow; Aspiration Only (38220) | $2,566.20 | $3,948 | 1.7× |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,769.30 | $2,722 | 1.1× |
| Bx breast 1st lesion strtctc (19081) | $2,771.60 | $4,264 | 1.8× |
| Bx breast 1st lesion us imag (19083) | $2,135.25 | $3,285 | 1.4× |
| Bx/exc lymph node open deep axillary node (38525) range across 2 matching MRF lines |
$1,854.88–$2,782.33 | $2,853.66–$4,280.50 | varies |
| Carpal Tunnel Surgery (64721) | $3,409.25 | $5,245 | 1.9× |
| Cataract surgery complex (66982) | $1,992.25 | $3,065 | 0.9× |
| Catheter aspiration nasotracheal spx (31720) | $596.05 | $917 | 3.0× |
| Change Cystostomy Tube Complicated (51710) | $1,256.45 | $1,933 | 2.0× |
| Change Cystostomy Tube Simple (51705) | $202.15 | $311 | 0.9× |
| Change of Windpipe Airway (31502) | $283.40 | $436 | 1.3× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$86.45–$313.30 | $133–$482 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$214.50–$380.25 | $330–$585 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) range across 2 matching MRF lines |
$3,104.40–$4,609.80 | $4,776–$7,092 | varies |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$195–$2,581.80 | $300–$3,972 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,137.85 | $3,289 | 1.4× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$66.82–$180.70 | $102.80–$278 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $696.15 | $1,071 | 3.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,241.50 | $1,910 | 5.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $696.15 | $1,071 | 3.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,137.85 | $3,289 | 1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $573.95 | $883 | 2.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $341.25 | $525 | 1.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $573.95 | $883 | 2.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,137.85 | $3,289 | 1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) | $696.15 | $1,071 | 3.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $573.95 | $883 | 2.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,802.45 | $2,773 | 1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $3,483.35 | $5,359 | 1.1× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,793.35 | $2,759 | 7.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $696.15 | $1,071 | 3.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $573.95 | $883 | 2.5× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,103.70 | $1,698 | 0.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $696.15 | $1,071 | 3.1× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,387.10 | $2,134 | 0.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $573.95 | $883 | 2.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 4 matching MRF lines |
$2,137.85–$2,870.40 | $3,289–$4,416 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $573.95 | $883 | 2.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $696.15 | $1,071 | 3.1× |
| Closed tx septal&nose fx (21337) | $2,331.55 | $3,587 | 0.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $2,137.85 | $3,289 | 1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $359.45 | $553 | 1.6× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $258.70 | $398 | 1.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 3 matching MRF lines |
$357.50–$494.65 | $550–$761 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $2,137.85 | $3,289 | 1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $696.15 | $1,071 | 3.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,137.85 | $3,289 | 1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$197.60–$768.30 | $304–$1,182 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,137.85 | $3,289 | 1.4× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,137.85 | $3,289 | 1.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $466.70 | $718 | 2.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$225.55–$696.15 | $347–$1,071 | varies |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $2,137.85 | $3,289 | 1.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $573.95 | $883 | 2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $573.95 | $883 | 2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $466.70 | $718 | 2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $573.95 | $883 | 2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $1,241.50 | $1,910 | 5.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $2,137.85 | $3,289 | 1.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,377.70 | $3,658 | 1.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,241.50 | $1,910 | 5.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,137.85 | $3,289 | 1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $267.80 | $412 | 1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$225.55–$466.70 | $347–$718 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $573.95 | $883 | 2.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $573.95 | $883 | 2.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $573.95 | $883 | 2.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $2,137.85 | $3,289 | 1.4× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,137.85 | $3,289 | 1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $703.30 | $1,082 | 3.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $573.95 | $883 | 2.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $926.25 | $1,425 | 3.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $696.15 | $1,071 | 3.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$305.50–$696.15 | $470–$1,071 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$260.65–$696.15 | $401–$1,071 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $2,137.85 | $3,289 | 1.4× |
| Cltx Medial Ankle Fx (27760) | $573.95 | $883 | 2.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $696.15 | $1,071 | 3.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $573.95 | $883 | 2.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $2,137.85 | $3,289 | 1.4× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $2,137.85 | $3,289 | 1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$225.55–$718.25 | $347–$1,105 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $696.15 | $1,071 | 3.1× |
| Cltx post hip arthrp dislc w/o anes (27265) | $869.70 | $1,338 | 3.8× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,305.85 | $2,009 | 0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) | $1,241.50 | $1,910 | 5.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,374.45 | $3,653 | 1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$225.55–$696.15 | $347–$1,071 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $2,137.85 | $3,289 | 1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,137.85 | $3,289 | 1.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,137.85 | $3,289 | 1.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $573.95 | $883 | 2.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$225.55–$696.15 | $347–$1,071 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $718.25 | $1,105 | 3.2× |
| Cltx tibial shaft fx w/o manipulation (27750) | $573.95 | $883 | 2.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,137.85 | $3,289 | 1.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $1,241.50 | $1,910 | 5.5× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$13–$20.15 | $20–$31 | varies |
| Colporrhaphy (57200) | $3,599.70 | $5,538 | 1.2× |
| Combined anteroposterior colporrhaphy; (57260) | $4,398.88 | $6,767.50 | 1.0× |
| Complex drainage wound (10180) | $3,681.60 | $5,664 | 1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 4 matching MRF lines |
$162.50–$509.60 | $250–$784 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$182.65–$423.80 | $281–$652 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $1,944.80 | $2,992 | 3.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,623.05 | $2,497 | 1.1× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $5,564.65 | $8,561 | 0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$204.75–$308.75 | $315–$475 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $255.45 | $393 | 1.2× |
| Cystostomy Cystotomy W/Drainage (51040) | $2,949.70 | $4,538 | 1.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$611–$763.10 | $940–$1,174 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $3,681.60 | $5,664 | 1.4× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $908.05 | $1,397 | 1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$812.50–$3,409.25 | $1,250–$5,245 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$48.75–$89.05 | $75–$137 | varies |
| Debride nail 6 or more (11721) | $265.85 | $409 | 4.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,135.25 | $3,285 | 1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$299.65–$2,870.40 | $461–$4,416 | varies |
| Declot vascular device (36593) | $260 | $400 | 0.9× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$267.80–$798.85 | $412–$1,229 | varies |
| Destruction Benign Lesions 15/> (17111) | $1,448.20 | $2,228 | 7.8× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,024.40 | $1,576 | 1.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $337.35 | $519 | 1.8× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $337.35 | $519 | 1.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $337.35 | $519 | 0.9× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $510.90 | $786 | 0.8× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $510.90 | $786 | 0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $175.50 | $270 | 0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $175.50 | $270 | 0.9× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $175.50 | $270 | 0.9× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $337.35 | $519 | 0.9× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $650.65 | $1,001 | 1.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $175.50 | $270 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $175.50 | $270 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $175.50 | $270 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $175.50 | $270 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $337.35 | $519 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $337.35 | $519 | 0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $175.50 | $270 | 0.9× |
| Destruction of skin lesions (17106) | $337.35 | $519 | 0.9× |
| Destruction Premalignant Lesion 15/> (17004) | $650.81 | $1,001.25 | 1.7× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$243.75–$293.15 | $375–$451 | varies |
| Diagnostic sigmoidoscopy (45330) | $1,782.95 | $2,743 | 2.1× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$727.35–$909.35 | $1,119–$1,399 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $2,410.20 | $3,708 | 1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
$544.70–$908.05 | $838–$1,397 | varies |
| Drainage Finger Abscess Complicated (26011) | $1,256.45 | $1,933 | 0.8× |
| Drainage Mouth Roof Lesion (42000) | $307.45 | $473 | 1.4× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$247.65–$351 | $381–$540 | varies |
| Drainage of gum lesion (41800) | $139.10 | $214 | 1.1× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$703.95–$1,256.45 | $1,083–$1,933 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$1,570.40–$2,331.55 | $2,416–$3,587 | varies |
| Drainage of urethra abscess (53040) | $5,868.85 | $9,029 | 1.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $247.65 | $381 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $493.35 | $759 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$180.70–$404.95 | $278–$623 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$180.70–$334.75 | $278–$515 | varies |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $1,672.45 | $2,573 | 0.9× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $650.65 | $1,001 | 1.7× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) | $2,410.20 | $3,708 | 1.3× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $1,024.40 | $1,576 | 1.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$629.20–$648.70 | $968–$998 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $1,782.95 | $2,743 | 1.0× |
| Egd remove lesion snare (43251) | $1,069.90 | $1,646 | 0.6× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) range across 2 matching MRF lines |
$348.40–$362.70 | $536–$558 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $979.55 | $1,507 | 3.5× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $1,165.45 | $1,793 | 4.1× |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$874.25–$1,292.85 | $1,345–$1,989 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$66.95–$98.15 | $103–$151 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,098.50 | $1,690 | 1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$1,524.90–$2,870.40 | $2,346–$4,416 | varies |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$2,782.33–$3,948.10 | $4,280.50–$6,074 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $2,870.40 | $4,416 | 4.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,974.05 | $3,037 | 1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,076.40 | $1,656 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,121.90 | $1,726 | 1.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,345.50 | $2,070 | 0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$1,704.63–$4,550.65 | $2,622.50–$7,001 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$1,793.35–$3,409.25 | $2,759–$5,245 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,018.25 | $3,105 | 0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$2,865.20–$3,409.25 | $4,408–$5,245 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $3,409.25 | $5,245 | 2.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$211.90–$1,483.30 | $326–$2,282 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $2,886.65 | $4,441 | 7.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$908.05–$3,409.25 | $1,397–$5,245 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$3,409.25–$4,348.50 | $5,245–$6,690 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,409.25 | $5,245 | 1.3× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $1,704.63 | $2,622.50 | 0.6× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $2,414.10 | $3,714 | 1.6× |
| Excise mandible lesion (21040) | $2,312.05 | $3,557 | 0.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $2,870.40 | $4,416 | 4.4× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $4,486.95 | $6,903 | 1.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $2,331.55 | $3,587 | 6.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $3,409.25 | $5,245 | 5.2× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $544.70 | $838 | 0.8× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $3,409.25 | $5,245 | 2.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $4,486.95 | $6,903 | 1.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $4,486.95 | $6,903 | 2.9× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $2,870.40 | $4,416 | 1.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $3,409.25 | $5,245 | 1.3× |
| Explo/Drain Breast Abscess (19020) | $2,135.25 | $3,285 | 1.4× |
| Exploration of knee joint (27310) | $2,904.85 | $4,469 | 1.0× |
| Exploration penetrating wound spx extremity (20103) | $967.20 | $1,488 | 0.6× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $763.10 | $1,174 | 0.4× |
| Fetal Contraction Stress Test (59020) | $244.40 | $376 | 1.3× |
| Fetal non-stress test (59025) | $534.95 | $823 | 2.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $214.50 | $330 | 0.3× |
| Fine needle aspiration without imaging guidance (10021) range across 4 matching MRF lines |
$97.50–$420.55 | $150–$647 | varies |
| Fluid Pressure Muscle (20950) | $908.05 | $1,397 | 1.4× |
| Fluoro exam of g/colon tube (49465) | $263.25 | $405 | 1.2× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $228.80 | $352 | 0.4× |
| Fna bx w/us gdn 1st les (10005) | $285.35 | $439 | 0.4× |
| Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
$999.70–$1,372.80 | $1,538–$2,112 | varies |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $2,331.55 | $3,587 | 0.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $3,409.25 | $5,245 | 1.3× |
| Hysteroscopy Biopsy (58558) | $3,409.25 | $5,245 | 1.1× |
| Hysteroscopy Endometrial Ablation (58563) | $2,512.90 | $3,866 | 0.5× |
| I&d abscess peritonsillar (42700) | $307.45 | $473 | 1.4× |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$247.65–$2,331.55 | $381–$3,587 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $185.25 | $285 | 0.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$1,883.70–$3,681.60 | $2,898–$5,664 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$2,331.55–$3,476.85 | $3,587–$5,349 | varies |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$1,125.15–$2,870.40 | $1,731–$4,416 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$540.15–$1,357.20 | $831–$2,088 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$695.50–$2,331.55 | $1,070–$3,587 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines |
$267.15–$2,135.25 | $411–$3,285 | varies |
| Image Cath Fluid Colxn Visc (49405) | $1,391.65 | $2,141 | 0.9× |
| Image Cath Fluid Peri/Retro (49406) | $1,391.65 | $2,141 | 0.9× |
| Incise external hemorrhoid (46083) | $364 | $560 | 1.6× |
| Incise finger tendon sheath (26055) range across 3 matching MRF lines |
$1,704.63–$3,409.25 | $2,622.50–$5,245 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$315.25–$1,269.45 | $485–$1,953 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $2,099.50 | $3,230 | 0.8× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,413.10–$1,504.75 | $2,174–$2,315 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$269.75–$918.45 | $415–$1,413 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$139.10–$254.80 | $214–$392 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$449.15–$2,870.40 | $691–$4,416 | varies |
| Incision of eardrum (69421) | $2,331.55 | $3,587 | 0.8× |
| Incision of rectal abscess (46040) | $2,138.50 | $3,290 | 1.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $359.45 | $553 | 0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$146.25–$267.80 | $225–$412 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $917.15 | $1,411 | 1.1× |
| Inj W/Fluor Eval Cv Device (36598) | $323.70 | $498 | 1.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $599.95 | $923 | 0.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$228.80–$293.80 | $352–$452 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $831.35 | $1,279 | 1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $727.35 | $1,119 | 0.9× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $727.35 | $1,119 | 0.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $327.60 | $504 | 0.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
$584.35–$829.40 | $899–$1,276 | varies |
| Injection of sclerosing solution, hemorrhoids (46500) | $675.35 | $1,039 | 0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$252.20–$359.45 | $388–$553 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$305.50–$382.20 | $470–$588 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$332.15–$388.05 | $511–$597 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $438.10 | $674 | 0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$717.60–$861.25 | $1,104–$1,325 | varies |
| Insert Bladder Cath Complex (51703) | $95.55 | $147 | 0.8× |
| Insert cath pleura w/o image (32556) | $1,283.75 | $1,975 | 0.7× |
| Insert cervical dilator (59200) | $381.55 | $587 | 1.4× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,260.70 | $3,478 | 1.3× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,578.20–$2,121.60 | $2,428–$3,264 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $970.45 | $1,493 | 0.7× |
| Insert Temp Bladder Cath (51702) | $102.05 | $157 | 0.8× |
| Insert tunneled cv cath (36561) | $3,409.25 | $5,245 | 1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$107.25–$118.30 | $165–$182 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,407.90 | $2,166 | 0.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $970.45 | $1,493 | 0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 3 matching MRF lines |
$292.50–$696.15 | $450–$1,071 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 3 matching MRF lines |
$292.50–$1,313 | $450–$2,020 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$404.95–$742.95 | $623–$1,143 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$3,948.10–$4,486.95 | $6,074–$6,903 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$2,512.90–$4,486.95 | $3,866–$6,903 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) unusually low: confirm this is the full procedure |
$2,243.48 | $3,451.50 | 0.4× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) unusually low: confirm this is the full procedure |
$2,752.97 | $4,235.34 | 0.5× |
| Laryngoscopy diagnostic (31505) | $249.60 | $384 | 1.4× |
| Laryngoscopy flexible diagnostic (31575) | $942.50 | $1,450 | 5.1× |
| Late closure of wound (13160) | $2,179.45 | $3,353 | 0.7× |
| Ligation or biopsy temporal artery (37609) | $3,409.25 | $5,245 | 2.2× |
| Lithotripsy, extracorporeal shock wave (50590) | $8,753.55 | $13,467 | 2.7× |
| Mastectomy for gynecomastia (19300) | $3,409.25 | $5,245 | 0.9× |
| Mastectomy partial (19301) | $1,854.89 | $2,853.68 | 0.5× |
| Mastectomy simple complete (19303) | $3,948.10 | $6,074 | 0.6× |
| Myelography Lumbar Injection (62305) | $2,647.45 | $4,073 | 3.7× |
| Myelography Lumbar Injection (62304) | $2,510.95 | $3,863 | 3.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,647.45 | $4,073 | 3.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $727.35 | $1,119 | 1.1× |
| N block inj intercost sng (64420) | $727.35 | $1,119 | 1.1× |
| N Block Lumbar/Thoracic (64520) | $917.15 | $1,411 | 1.1× |
| Nasal Endoscopy Dx (31231) | $1,107.60 | $1,704 | 6.0× |
| Nasal/Orogastric W/Tube Plmt (43752) | $429 | $660 | 1.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $2,277.60 | $3,504 | 1.4× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$1,623.05–$2,135.25 | $2,497–$3,285 | varies |
| Needle Biopsy Pancreas (48102) | $1,623.05 | $2,497 | 1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $26 | $40 | 1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $26 | $40 | 1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$755.95–$917.15 | $1,163–$1,411 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$332.15–$388.05 | $511–$597 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,715.70 | $4,178 | 0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $917.15 | $1,411 | 1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$801.45–$825.50 | $1,233–$1,270 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$544.05–$727.35 | $837–$1,119 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$801.45–$825.50 | $1,233–$1,270 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $917.15 | $1,411 | 1.1× |
| Occipital Nerve Block (64405) | $332.15 | $511 | 1.2× |
| Open Repair of Rotator Cuff Acute (23410) | $4,668.30 | $7,182 | 0.7× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $4,486.95 | $6,903 | 0.7× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) | $12,569.70 | $19,338 | 1.1× |
| Open Treatment Medial Malleolus Fracture (27766) | $6,642.35 | $10,219 | 1.0× |
| Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$3,948.10–$6,103.50 | $6,074–$9,390 | varies |
| Open Tx Distal Phalangeal Fracture Each (26765) | $2,419.30 | $3,722 | 0.8× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $4,189.25 | $6,445 | 1.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $4,372.55 | $6,727 | 1.5× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $6,642.35 | $10,219 | 1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $6,103.50 | $9,390 | 0.9× |
| Partial excision bone olecranon process (24147) | $4,486.95 | $6,903 | 1.5× |
| Partial removal of thyroid (60220) range across 2 matching MRF lines |
$6,642.35–$7,181.20 | $10,219–$11,048 | varies |
| Percut Drain/Inject Renal Cyst (50390) | $999.70 | $1,538 | 1.5× |
| Pericardiocentesis W/Imaging (33016) | $1,226.55 | $1,887 | 0.8× |
| Perq dev breast 1st us imag (19285) | $1,121.90 | $1,726 | 1.7× |
| Perq device breast 1st imag (19281) | $1,288.30 | $1,982 | 0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$1,673.75–$1,974.05 | $2,575–$3,037 | varies |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $3,049.80 | $4,692 | 1.6× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $2,752.96 | $4,235.33 | 0.6× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $908.05 | $1,397 | 1.4× |
| Prq skel fixj metar fx w/manj (28476) | $2,243.48 | $3,451.50 | 0.7× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$514.80–$520 | $792–$800 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$324.48–$838.50 | $499.20–$1,290 | varies |
| Puncture Aspiration Cyst Breast (19000) | $908.05 | $1,397 | 1.4× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $673.40 | $1,036 | 1.0× |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) | $52 | $80 | 0.0× |
| Removal Embedded Foreign Body Eyelid (67938) | $425.10 | $654 | 1.5× |
| Removal Foreign Body Foot Complicated (28193) | $1,641.25 | $2,525 | 1.1× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$601.90–$1,336.40 | $926–$2,056 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$673.40–$1,700.40 | $1,036–$2,616 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$2,135.25–$2,331.55 | $3,285–$3,587 | varies |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $4,189.25 | $6,445 | 1.4× |
| Removal foreign body upper arm/elbow deep (24201) | $3,138.20 | $4,828 | 1.2× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $1,246.70 | $1,918 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$26.78–$423.80 | $41.20–$652 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$26.78–$395.20 | $41.20–$608 | varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $3,599.70 | $5,538 | 1.2× |
| Removal Implant Superficial Separate Procedure (20670) | $2,135.25 | $3,285 | 1.4× |
| Removal of adenoids (42835) | $1,435.20 | $2,208 | 0.5× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$449.15–$494.65 | $691–$761 | varies |
| Removal of heel spur (28119) | $1,704.63 | $2,622.50 | 0.6× |
| Removal of nail bed (11750) range across 4 matching MRF lines |
$443.95–$538.85 | $683–$829 | varies |
| Removal of tonsils (42826) | $2,870.40 | $4,416 | 0.9× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$235.30–$376.35 | $362–$579 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $345.80 | $532 | 1.9× |
| Removal/bivalving gauntlet boot/body cast (29700) | $376.35 | $579 | 1.5× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$71.50–$76.70 | $110–$118 | varies |
| Remove foreign body from eye (65235) | $1,727.05 | $2,657 | 0.8× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$108.55–$265.85 | $167–$409 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$396.50–$1,704.63 | $610–$2,622.50 | varies |
| Remove Lower Leg Bone Lesion (27635) | $5,025.80 | $7,732 | 1.7× |
| Remove lung catheter (32552) | $1,226.55 | $1,887 | 2.1× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$167.05–$804.70 | $257–$1,238 | varies |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$673.40–$908.05 | $1,036–$1,397 | varies |
| Renal Biopsy Perq (50200) | $1,623.05 | $2,497 | 1.1× |
| Repair Blood Vessel Direct Hand Finger (35207) | $2,869.10 | $4,414 | 1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,869.10 | $4,414 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$357.50–$812.50 | $550–$1,250 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$812.50–$1,201.20 | $1,250–$1,848 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$452.40–$843.05 | $696–$1,297 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 4 matching MRF lines |
$473.20–$590.85 | $728–$909 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 4 matching MRF lines |
$404.95–$584.35 | $623–$899 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$477.75–$584.35 | $735–$899 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $773.50 | $1,190 | 1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) | $739.05 | $1,137 | 1.1× |
| Repair extensor tendon finger w/o graft each (26418) | $3,497.65 | $5,381 | 2.4× |
| Repair inguinal hernia, sliding, any age (49525) range across 2 matching MRF lines |
$4,486.95–$6,642.35 | $6,903–$10,219 | varies |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $5,564.65 | $8,561 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $466.70 | $718 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$476.45–$754 | $733–$1,160 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$344.50–$476.45 | $530–$733 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$344.50–$696.15 | $530–$1,071 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 3 matching MRF lines |
$162.50–$718.25 | $250–$1,105 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 3 matching MRF lines |
$422.50–$932.75 | $650–$1,435 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$404.95–$713.05 | $623–$1,097 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$404.95–$1,441.70 | $623–$2,218 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$460.85–$812.50 | $709–$1,250 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 3 matching MRF lines |
$975–$2,690.35 | $1,500–$4,139 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$476.45–$897.65 | $733–$1,381 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$272.35–$538.85 | $419–$829 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$423.80–$772.20 | $652–$1,188 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$390–$1,363.70 | $600–$2,098 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$304.20–$673.40 | $468–$1,036 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 3 matching MRF lines |
$390–$3,522.35 | $600–$5,419 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$735.80–$773.50 | $1,132–$1,190 | varies |
| Repair tongue laceration (41250) | $378.30 | $582 | 0.9× |
| Replace G-J Tube Perc (49452) | $1,177.80 | $1,812 | 1.4× |
| Replantation digit complete (20822) | $1,244.75 | $1,915 | 0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$144.95–$473.85 | $223–$729 | varies |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $2,135.25 | $3,285 | 1.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
$449.15–$522.60 | $691–$804 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$139.10–$380.90 | $214–$586 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$65–$473.85 | $100–$729 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,483.30 | $2,282 | 1.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 2 matching MRF lines |
$195–$2,690.35 | $300–$4,139 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $1,570.40 | $2,416 | 0.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$2,010.45–$3,409.25 | $3,093–$5,245 | varies |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) | $4,034.55 | $6,207 | 1.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,138.15–$2,870.40 | $1,751–$4,416 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$773.50–$981.50 | $1,190–$1,510 | varies |
| Rplc Gtube No Revj Trc (43762) | $494.65 | $761 | 2.1× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,450.80 | $2,232 | 1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $4,486.95 | $6,903 | 1.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $4,486.95 | $6,903 | 0.8× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $4,486.95 | $6,903 | 0.8× |
| Rpr blood vessel direct lower extremity (35226) | $1,160.25 | $1,785 | 1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$387.40–$869.70 | $596–$1,338 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 3 matching MRF lines |
$292.50–$696.15 | $450–$1,071 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$800.80–$851.50 | $1,232–$1,310 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) | $728.65 | $1,121 | 1.5× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,514.50 | $2,330 | 1.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $4,189.25 | $6,445 | 1.4× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) | $4,189.25 | $6,445 | 1.4× |
| Shave skin lesion 0.5 cm/< (11300) | $155.35 | $239 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $272.35 | $419 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $155.35 | $239 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $155.35 | $239 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $272.35 | $419 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $155.35 | $239 | 0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,782.95 | $2,743 | 2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$313.95–$696.15 | $483–$1,071 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$96.46–$377 | $148.40–$580 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$285.35–$351 | $439–$540 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 3 matching MRF lines |
$344.50–$1,313 | $530–$2,020 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$317.20–$834.60 | $488–$1,284 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 3 matching MRF lines |
$390–$573.95 | $600–$883 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
$100.88–$350.35 | $155.20–$539 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$278.85–$1,313 | $429–$2,020 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$232.70–$332.15 | $358–$511 | varies |
| Skin Tissue Procedure (17999) | $276.25 | $425 | 1.5× |
| Slitting of prepuce (54001) | $2,685.80 | $4,132 | 1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$105.82–$405.60 | $162.80–$624 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$493.35–$611 | $759–$940 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$292.50–$1,313 | $450–$2,020 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$530.40–$786.50 | $816–$1,210 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$157.30–$237.25 | $242–$365 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$52–$237.25 | $80–$365 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$50.70–$237.25 | $78–$365 | varies |
| Strapping Hip (29520) | $237.25 | $365 | 1.9× |
| Strapping knee (29530) range across 2 matching MRF lines |
$168.35–$237.25 | $259–$365 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$181.35–$237.25 | $279–$365 | varies |
| Strapping thorax (29200) | $215.15 | $331 | 1.4× |
| Strapping toes (29550) range across 2 matching MRF lines |
$66.95–$237.25 | $103–$365 | varies |
| Strapping Unna Boot (29580) | $235.95 | $363 | 1.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $648.70 | $998 | 1.0× |
| Thyroid biopsy (60100) | $709.15 | $1,091 | 1.1× |
| Tibial Arthroscopy/Surgery (29855) unusually low: confirm this is the full procedure |
$3,321.18 | $5,109.50 | 0.5× |
| Tooth extraction (41899) | $325 | $500 | 1.5× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$7,181.20–$8,258.90 | $11,048–$12,706 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $728.65 | $1,121 | 3.3× |
| Treat Finger Fracture Each (26727) | $3,409.25 | $5,245 | 1.1× |
| Treat humerus fracture (24500) | $1,241.50 | $1,910 | 5.5× |
| Treat Humerus Fracture (24505) | $2,137.85 | $3,289 | 1.4× |
| Treat Knuckle Dislocation (26700) | $696.15 | $1,071 | 3.1× |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$341.25–$696.15 | $525–$1,071 | varies |
| Treat toe dislocation (28630) | $696.15 | $1,071 | 3.1× |
| Treat Vaginal Bleeding (57180) | $254.80 | $392 | 1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $2,137.85 | $3,289 | 1.4× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$225.55–$696.15 | $347–$1,071 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$235.30–$294.45 | $362–$453 | varies |
| Trim skin lesions 2 to 4 (11056) | $157.30 | $242 | 0.9× |
| Trim skin lesions over 4 (11057) | $1,069.25 | $1,645 | 5.8× |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$84.50–$98.80 | $130–$152 | varies |
| Tubal ligation (58600) | $3,948.10 | $6,074 | 1.3× |
| Tx Gastro Intub W/Asp (43753) | $377 | $580 | 1.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,870.40 | $4,416 | 1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,198.60 | $1,844 | 0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$407.55–$1,009.45 | $627–$1,553 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $713.05 | $1,097 | 1.9× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$1,435.20–$2,331.55 | $2,208–$3,587 | varies |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$157.30–$215.15 | $242–$331 | varies |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$414.70–$1,322.75 | $638–$2,035 | varies |
| Unlisted Procedure Rectum (45999) | $1,125.15 | $1,731 | 1.3× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $1,256.45 | $1,933 | 1.5× |
| Unlisted px female genital system nonobstetrical (58999) | $2,243.48 | $3,451.50 | 12.0× |
| Vag hyst incl t/o complex (58291) | $6,103.50 | $9,390 | 1.3× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $5,025.80 | $7,732 | 1.1× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $4,486.95 | $6,903 | 1.0× |
| Vasc Embolize/Occlude Bleed (37244) likely a partial charge, not the full procedure |
$2,797.60 | $4,304 | 0.3× |
| Vulvectomy simple partial (56620) | $3,409.25 | $5,245 | 1.1× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$476.45–$596.05 | $733–$917 | 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.