Procedures & surgery prices at Teton Valley Hospital
Driggs, ID · every code in this section with a posted price and a Medicare benchmark.
681 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) | $2,000 | $2,500 | 2.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$130.40–$1,200 | $163–$1,500 | varies |
| Acne surgery (10040) | $96 | $120 | 0.5× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,044.80 | $1,306 | 0.5× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $1,308.80 | $1,636 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,260.80 | $1,576 | 0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,045.60 | $1,307 | 0.3× |
| Amputation metatarsal with toe single (28810) | $781.60 | $977 | 0.2× |
| Amputation toe interphalangeal joint (28825) | $321.60 | $402 | 0.1× |
| Amputation toe metatarsophalangeal joint (28820) | $329.60 | $412 | 0.1× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,155.20 | $1,444 | 0.2× |
| Application cast elbow finger short arm (29075) | $114.40 | $143 | 0.4× |
| Application Finger Splint Dynamic (29131) | $63.20 | $79 | 1.1× |
| Application finger splint static (29130) | $52.80 | $66 | 0.4× |
| Application long arm splint shoulder hand (29105) | $76 | $95 | 0.5× |
| Application Long Leg Splint (29505) | $96 | $120 | 0.6× |
| Application multiplane external fixation system (20692) likely a partial charge, not the full procedure |
$2,074.40 | $2,593 | 0.2× |
| Application short arm splint forearm-hand static (29125) | $74.40 | $93 | 0.6× |
| Application short leg splint calf foot (29515) | $92 | $115 | 0.6× |
| Application uniplane external fixation system (20690) likely a partial charge, not the full procedure |
$1,092.80 | $1,366 | 0.2× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$51.20–$208 | $64–$260 | varies |
| Apply Short Leg Cast (29405) | $451.44 | $564.30 | 1.6× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$86.40–$86.53 | $108–$108.16 | varies |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) likely a partial charge, not the full procedure |
$1,439.20 | $1,799 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$68–$278.40 | $85–$348 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$96–$532.80 | $120–$666 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$83.20–$2,946.40 | $104–$3,683 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$108.80–$719.20 | $136–$899 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$66.40–$432.80 | $83–$541 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,072 | $1,340 | 0.1× |
| Arthrodesis sacroiliac joint percutaneous (27279) range across 4 matching MRF lines |
$1,462.40–$41,056.80 | $1,828–$51,321 | varies |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) likely a partial charge, not the full procedure |
$1,598.40 | $1,998 | 0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 3 matching MRF lines |
$420.80–$2,630.40 | $526–$3,288 | varies |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) range across 2 matching MRF lines |
$349.60–$2,186.40 | $437–$2,733 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $1,536 | $1,920 | 0.5× |
| Arthroplasty Patella W/Prosthesis (27438) range across 2 matching MRF lines |
$247.20–$1,542.40 | $309–$1,928 | varies |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) | $1,700.80 | $2,126 | 1.1× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) likely a partial charge, not the full procedure |
$1,814.40 | $2,268 | 0.1× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $1,040 | $1,300 | 0.3× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $917.60 | $1,147 | 0.3× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $934.40 | $1,168 | 0.3× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) | $940.80 | $1,176 | 0.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $759.20 | $949 | 0.2× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $1,201.60 | $1,502 | 0.4× |
| Arthroscopy knee synovectomy limited spx (29875) | $916.80 | $1,146 | 0.3× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $1,141.60 | $1,427 | 0.4× |
| Arthroscopy shoulder distal claviculectomy (29824) | $1,247.20 | $1,559 | 0.4× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,938.40 | $2,423 | 0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) | $861.60 | $1,077 | 0.3× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) | $908 | $1,135 | 0.3× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) likely a partial charge, not the full procedure |
$1,497.60 | $1,872 | 0.2× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) | $1,496 | $1,870 | 0.5× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) likely a partial charge, not the full procedure |
$1,926.40 | $2,408 | 0.3× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $994.40 | $1,243 | 0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) | $1,545.60 | $1,932 | 0.5× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $1,267.20 | $1,584 | 0.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$1,678.40 | $2,098 | 0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $1,092.80 | $1,366 | 0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $999.20 | $1,249 | 0.3× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$1,892.80 | $2,366 | 0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $1,082.40 | $1,353 | 0.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) likely a partial charge, not the full procedure |
$1,954.40 | $2,443 | 0.3× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) | $967.20 | $1,209 | 0.3× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) | $638.40 | $798 | 0.2× |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) | $780.80 | $976 | 0.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$373.60–$2,335.20 | $467–$2,919 | varies |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) range across 2 matching MRF lines |
$334.40–$2,091.20 | $418–$2,614 | varies |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) | $1,557.60 | $1,947 | 0.5× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$285.60–$1,784 | $357–$2,230 | varies |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $1,248 | $1,560 | 0.4× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$1,217.60–$1,826.40 | $1,522–$2,283 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $923.20 | $1,154 | 0.3× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $1,036 | $1,295 | 0.3× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $834.40 | $1,043 | 0.3× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $744.80 | $931 | 0.5× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $632.80 | $791 | 0.2× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) | $613.60 | $767 | 0.2× |
| Aspirate pleura w/ imaging (32555) | $1,736.80 | $2,171 | 2.8× |
| Aspirate Pleura W/O Imaging (32554) | $1,268.80 | $1,586 | 2.0× |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$262.40–$2,727.62 | $328–$3,409.52 | varies |
| Aspiration Bladder Needle (51100) | $646.64 | $808.30 | 2.6× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$100.80–$239.20 | $126–$299 | varies |
| Biopsy bone open superficial (20240) | $260 | $325 | 0.1× |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$404–$3,749.60 | $505–$4,687 | varies |
| Biopsy soft tissue forearm&/wrist deep (25066) | $684 | $855 | 0.2× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $770.40 | $963 | 0.3× |
| Biopsy/removal lymph nodes (38510) | $763.20 | $954 | 0.2× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$55.20–$407.20 | $69–$509 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$20–$231.20 | $25–$289 | varies |
| Blood Transfusion Service (36430) | $801.60 | $1,002 | 1.8× |
| Bone Graft Any Donor Area Minor/Small (20900) likely a partial charge, not the full procedure |
$329.60 | $412 | 0.0× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$698.40–$2,324 | $873–$2,905 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $864 | $1,080 | 0.2× |
| Bx/exc lymph node open superficial (38500) | $461.60 | $577 | 0.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $628 | $785 | 0.2× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) likely a partial charge, not the full procedure |
$1,805.60 | $2,257 | 0.3× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$808.80–$1,212.80 | $1,011–$1,516 | varies |
| Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$90.40–$180.80 | $113–$226 | varies |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$95.20–$431.20 | $119–$539 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$68.80–$220.80 | $86–$276 | varies |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$216–$349.60 | $270–$437 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$193.60–$461.60 | $242–$577 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 2 matching MRF lines |
$104.80–$217.60 | $131–$272 | varies |
| Chest tube placement (32551) | $280 | $350 | 0.2× |
| Cl Tx Scapular Fx; W Manip (23575) | $714.40 | $893 | 0.4× |
| Cl Tx Tib Shft Fx W Manip (27752) | $912.80 | $1,141 | 0.6× |
| Claviculectomy partial (23120) range across 2 matching MRF lines |
$174.40–$1,088.80 | $218–$1,361 | varies |
| Clear outer ear canal (69200) | $87.20 | $109 | 0.7× |
| Closed Rx Metacarpal Fx,Percut (26608) | $898.40 | $1,123 | 0.3× |
| Closed Rx Spontaneous Hip Disloc (27256) | $438.40 | $548 | 1.8× |
| Closed Treat Vert Body Fract (22310) | $548 | $685 | 2.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $838.40 | $1,048 | 0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $859.20 | $1,074 | 3.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$311.96–$580 | $389.95–$725 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $725.60 | $907 | 3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $802.40 | $1,003 | 0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $580 | $725 | 2.4× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $759.20 | $949 | 3.1× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $436 | $545 | 1.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $837.60 | $1,047 | 0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $540.80 | $676 | 2.2× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,173.60 | $1,467 | 0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) | $876.80 | $1,096 | 3.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $919.20 | $1,149 | 0.6× |
| Closed tx mandibular fracture w/manipulation (21451) | $1,180 | $1,475 | 0.8× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $884 | $1,105 | 1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $389.60 | $487 | 1.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $493.60 | $617 | 2.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $570.40 | $713 | 2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) | $765.60 | $957 | 0.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $468.80 | $586 | 1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) | $866.40 | $1,083 | 0.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $491.20 | $614 | 2.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $871.20 | $1,089 | 0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $493.60 | $617 | 2.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $460.80 | $576 | 1.9× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $616.80 | $771 | 0.4× |
| Closed tx talus fracture w/o manipulation (28430) | $399.20 | $499 | 1.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $307.20 | $384 | 1.3× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $1,434.72 | $1,793.40 | 0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $56 | $70 | 0.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $784.80 | $981 | 0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $508.80 | $636 | 2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $463.20 | $579 | 1.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $611.20 | $764 | 2.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $449.60 | $562 | 1.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $631.20 | $789 | 0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $434.40 | $543 | 1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $761.60 | $952 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $568 | $710 | 2.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $916 | $1,145 | 0.6× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $796.80 | $996 | 0.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $540 | $675 | 2.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $724 | $905 | 3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $544.80 | $681 | 2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $519.20 | $649 | 2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $363.20 | $454 | 1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $616 | $770 | 2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$956.80–$1,539.20 | $1,196–$1,924 | varies |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $1,004 | $1,255 | 0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,255.20 | $1,569 | 0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $558.44 | $698.05 | 0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $284 | $355 | 1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $236 | $295 | 1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $273.60 | $342 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $229.60 | $287 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $916 | $1,145 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $282.20 | $352.75 | 1.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,372.80 | $1,716 | 0.9× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $944.84 | $1,181.05 | 0.6× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $236.36 | $295.45 | 1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $869.60 | $1,087 | 0.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $672 | $840 | 2.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $499.20 | $624 | 2.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $825.60 | $1,032 | 0.5× |
| Cltx Medial Ankle Fx (27760) | $584 | $730 | 2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $564 | $705 | 2.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $546.40 | $683 | 2.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $746.40 | $933 | 0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$499.68–$576.80 | $624.60–$721 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $361.60 | $452 | 1.5× |
| Cltx post hip arthrp dislc req anes (27266) | $1,076 | $1,345 | 0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) | $779.20 | $974 | 3.2× |
| Cltx prox fibula/shft fx w/manj (27781) | $758.40 | $948 | 0.5× |
| Cltx prox fibula/shft fx w/o manj (27780) | $540.80 | $676 | 2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $801.60 | $1,002 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $151.20 | $189 | 0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $918.40 | $1,148 | 0.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $938.40 | $1,173 | 0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,068.80 | $1,336 | 0.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $664.80 | $831 | 2.7× |
| Cltx tibial fx proximal w/o manipulation (27530) | $548.80 | $686 | 2.3× |
| Cltx tibial shaft fx w/o manipulation (27750) | $611.20 | $764 | 2.5× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $989.60 | $1,237 | 4.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $824 | $1,030 | 0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $558.40 | $698 | 2.3× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $1,421.60 | $1,777 | 0.4× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$31.20–$43.20 | $39–$54 | varies |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $360.80 | $451 | 0.3× |
| Colonoscopy thru stoma (44388) | $284 | $355 | 0.3× |
| Colonoscopy W/Band Ligation (45398) | $427.20 | $534 | 0.4× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $413.60 | $517 | 0.3× |
| Complex drainage wound (10180) | $324.80 | $406 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $140.80 | $176 | 1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $103.20 | $129 | 0.8× |
| Correction hammertoe (28285) | $725.60 | $907 | 0.2× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $966.40 | $1,208 | 0.3× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$1,123.20 | $1,404 | 0.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) likely a partial charge, not the full procedure |
$1,330.40 | $1,663 | 0.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $913.60 | $1,142 | 0.3× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) likely a partial charge, not the full procedure |
$1,113.60 | $1,392 | 0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $192.80 | $241 | 1.5× |
| Curette/treat cornea (65435) | $128.80 | $161 | 0.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $752 | $940 | 0.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $503.20 | $629 | 0.7× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $538.40 | $673 | 0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$281.60–$648.80 | $352–$811 | varies |
| Debride nail 1-5 (11720) | $26.40 | $33 | 0.5× |
| Debride nail 6 or more (11721) | $44.80 | $56 | 0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$412–$2,275.20 | $515–$2,844 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$112–$476 | $140–$595 | varies |
| Declot vascular device (36593) | $281.60 | $352 | 0.9× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) | $1,071.20 | $1,339 | 0.3× |
| Decompression of leg (27892) | $980.80 | $1,226 | 0.3× |
| Decompression of tibia nerve (28035) | $670.40 | $838 | 0.3× |
| Decompressive fasciotomy hand (26037) | $1,038.40 | $1,298 | 0.3× |
| Destroy cerv/thor facet jnt (64633) range across 4 matching MRF lines |
$357.60–$6,152.80 | $447–$7,691 | varies |
| Destroy lumb/sac facet jnt (64635) range across 4 matching MRF lines |
$358.40–$8,910.40 | $448–$11,138 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) range across 2 matching MRF lines |
$328.80–$1,720 | $411–$2,150 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 3 matching MRF lines |
$272–$2,513.60 | $340–$3,142 | varies |
| Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$104–$1,050.40 | $130–$1,313 | varies |
| Disarticulation through wrist; Facility (25920) | $1,343.20 | $1,679 | 0.4× |
| Drain Cerebro Spinal Fluid (62272) | $162.40 | $203 | 0.2× |
| Drain Hand Tendon Sheath (26020) | $1,031.20 | $1,289 | 0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $232 | $290 | 0.3× |
| Drainage of finger abscess simple (26010) | $261.60 | $327 | 1.3× |
| Drainage of gum lesion (41800) | $283.20 | $354 | 2.2× |
| Drainage of hematoma/fluid (10140) | $219.20 | $274 | 0.1× |
| Draw Blood Off Venous Device (36591) | $101.03 | $126.29 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$86.04–$239.20 | $107.55–$299 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $204 | $255 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$102.40–$240 | $128–$300 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 5 matching MRF lines |
$220.80–$1,237.60 | $276–$1,547 | varies |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $415.20 | $519 | 0.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$280.80–$2,332 | $351–$2,915 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $319.20 | $399 | 0.2× |
| Egd Tube/Cath Insertion (43241) | $260 | $325 | 0.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) range across 2 matching MRF lines |
$84.80–$691.20 | $106–$864 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$63.20–$585.64 | $79–$732.05 | varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) range across 2 matching MRF lines |
$45.60–$342.40 | $57–$428 | varies |
| Epidural Blood Patch (62273) range across 4 matching MRF lines |
$210.40–$1,481.60 | $263–$1,852 | varies |
| Evacuation of subungual hematoma (11740) | $60 | $75 | 0.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $770.40 | $963 | 0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$152.80–$532 | $191–$665 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $291.20 | $364 | 0.2× |
| Exc Back Les Sc < 3 Cm (21930) | $668.80 | $836 | 0.4× |
| Exc Back Tum Deep 5 Cm/> (21933) | $1,337.60 | $1,672 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $247.20 | $309 | 0.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $779.20 | $974 | 0.5× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $987.20 | $1,234 | 0.3× |
| Exc ganglion wrist recurrent (25112) | $729.60 | $912 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $203.20 | $254 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $252 | $315 | 0.2× |
| Exc hand tum deep < 1.5 cm (26116) | $974.40 | $1,218 | 0.6× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $580 | $725 | 0.4× |
| Exc Rct Tum Incl Muscularis Propria (45172) | $1,506.40 | $1,883 | 0.5× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $1,127.20 | $1,409 | 0.4× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,269.60 | $1,587 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$271.20–$740 | $339–$925 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $485.60 | $607 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $454.40 | $568 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $530.40 | $663 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $576.80 | $721 | 0.4× |
| Exc thigh/knee les sc 3 cm/> (27337) | $765.60 | $957 | 0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $208.80 | $261 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$196–$344 | $245–$430 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $214.40 | $268 | 0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $814.40 | $1,018 | 0.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $994.40 | $1,243 | 0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $1,004.80 | $1,256 | 0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $564.80 | $706 | 0.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $1,332.80 | $1,666 | 0.5× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) | $664 | $830 | 0.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) | $543.20 | $679 | 0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $356 | $445 | 0.5× |
| Excision Distal Ulna Partial/Complete (25240) | $801.60 | $1,002 | 0.2× |
| Excision lesion meniscus/capsule knee (27347) | $976.80 | $1,221 | 0.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $234.40 | $293 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $417.60 | $522 | 0.3× |
| Excision Multiple External Papillae/Tags Anus (46230) range across 2 matching MRF lines |
$319.20–$2,159.20 | $399–$2,699 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $608 | $760 | 0.4× |
| Excision of pilonidal cyst or sinus; simple (11770) | $336.80 | $421 | 0.1× |
| Excision of single external papilla or tag, anus (46220) range across 3 matching MRF lines |
$223.20–$916 | $279–$1,145 | varies |
| Excision olecranon bursa (24105) | $673.76 | $842.20 | 0.2× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $777.60 | $972 | 0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,054.40 | $1,318 | 0.4× |
| Excision prepatellar bursa (27340) | $698.40 | $873 | 0.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $854.40 | $1,068 | 0.5× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $633.60 | $792 | 0.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $766.40 | $958 | 0.5× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $708.80 | $886 | 0.4× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $853.60 | $1,067 | 0.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $605.60 | $757 | 0.4× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $835.20 | $1,044 | 0.5× |
| Excision; trochanteric bursa or calcification (27062) | $840.80 | $1,051 | 0.3× |
| Exploration of knee joint (27310) | $1,341.48 | $1,676.85 | 0.4× |
| Exploration penetrating wound spx extremity (20103) | $629.60 | $787 | 0.4× |
| Fasciectomy Plantar Fascia Partial Spx (28060) | $676 | $845 | 0.2× |
| Fasciotomy Iliotibial Open (27305) | $894.40 | $1,118 | 0.3× |
| Fasciotomy palmar open partial (26045) | $878.40 | $1,098 | 0.3× |
| Fasciotomy Plantar Fascia Radical Spx (28062) | $761.60 | $952 | 0.2× |
| Fasciotomy, foot and/or toe (28008) | $554.40 | $693 | 0.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $1,549.60 | $1,937 | 0.5× |
| Foreskin manipulation (54450) | $104.80 | $131 | 0.4× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) | $4,977.60 | $6,222 | 0.7× |
| Fuse hand bones with graft (25825) likely a partial charge, not the full procedure |
$1,464.80 | $1,831 | 0.2× |
| Fusion Finger Joint (26860) | $1,131.20 | $1,414 | 0.3× |
| Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$1,146.40 | $1,433 | 0.2× |
| Gastrocnemius recession (27687) | $1,415.20 | $1,769 | 0.4× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$879.20 | $1,099 | 0.1× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $650.40 | $813 | 0.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $584 | $730 | 0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $881.60 | $1,102 | 0.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$354.40–$701.60 | $443–$877 | varies |
| Hip arthro w/labral repair (29916) likely a partial charge, not the full procedure |
$1,855.20 | $2,319 | 0.3× |
| I&d abscess peritonsillar (42700) | $252 | $315 | 1.1× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$198.40–$224.80 | $248–$281 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $263.20 | $329 | 0.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $934.40 | $1,168 | 0.3× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $893.60 | $1,117 | 0.3× |
| I&d perianal abscess superficial (46050) | $186.40 | $233 | 0.2× |
| I&d pilonidal cyst complicated (10081) | $312.80 | $391 | 0.4× |
| I&d pilonidal cyst simple (10080) | $193.60 | $242 | 0.3× |
| I&d shoulder deep abscess/hematoma (23030) | $468 | $585 | 0.2× |
| Implant neuroelectrodes (63650) range across 6 matching MRF lines |
$770.40–$15,939.20 | $963–$19,924 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $25,168.80 | $31,461 | 1.3× |
| Implant Spine Infusion Pump (62362) | $21,392 | $26,740 | 1.2× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) likely a partial charge, not the full procedure |
$776 | $970 | 0.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) range across 2 matching MRF lines |
$628.57–$1,560 | $785.71–$1,950 | varies |
| Incise external hemorrhoid (46083) | $202.40 | $253 | 0.8× |
| Incise finger tendon sheath (26055) | $544 | $680 | 0.3× |
| Incise Wrist/Forearm Tendon (25290) | $812.80 | $1,016 | 0.3× |
| Incision & drainage abscess complicated/multiple (10061) | $341.60 | $427 | 0.9× |
| Incision & removal foreign body subq tiss compl (10121) | $338.40 | $423 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$196–$917.60 | $245–$1,147 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $204 | $255 | 1.0× |
| Incision and drainage of vulva or perineal abscess (56405) | $234.40 | $293 | 0.8× |
| Incision extensor tendon sheath wrist (25000) | $647.20 | $809 | 0.4× |
| Incision of Foot Tendon (28234) | $506.40 | $633 | 0.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 3 matching MRF lines |
$291.20–$2,448.16 | $364–$3,060.20 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$104–$419.20 | $130–$524 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $83.20 | $104 | 0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 5 matching MRF lines |
$196–$6,280.80 | $245–$7,851 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $135.20 | $169 | 0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 4 matching MRF lines |
$243.20–$1,436 | $304–$1,795 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$72–$82.40 | $90–$103 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $144 | $180 | 0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$153.60–$1,567.20 | $192–$1,959 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 4 matching MRF lines |
$46.40–$1,032.80 | $58–$1,291 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$152–$796.80 | $190–$996 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$133.60–$294.28 | $167–$367.85 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $140.80 | $176 | 0.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
$188.80–$337.60 | $236–$422 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) range across 2 matching MRF lines |
$235.20–$1,032.80 | $294–$1,291 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$103.20–$796.80 | $129–$996 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$68–$362.40 | $85–$453 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$77.60–$918.40 | $97–$1,148 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$129.60–$1,032.80 | $162–$1,291 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $117.60 | $147 | 0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$77.60–$5,208 | $97–$6,510 | varies |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$140–$336.80 | $175–$421 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$154.40–$2,404 | $193–$3,005 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $206.10 | $257.63 | 0.1× |
| Insert spine infusion device (62360) | $15,080 | $18,850 | 0.8× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$46.40–$169.60 | $58–$212 | varies |
| Insert tunneled cv cath (36561) | $600 | $750 | 0.2× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $4,000 | $5,000 | 0.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$47.20–$181.60 | $59–$227 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,404–$1,959.20 | $1,755–$2,449 | varies |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$154.40–$225.60 | $193–$282 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $3,594.40 | $4,493 | 1.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $561.60 | $702 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,721.99 | $2,152.49 | 1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $4,000 | $5,000 | 1.3× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $38,909.60 | $48,637 | 1.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $550.40 | $688 | 1.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $700 | $875 | 1.7× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$257.60–$860.80 | $322–$1,076 | varies |
| Knee Arthroscopy/Surgery (29874) | $992 | $1,240 | 0.3× |
| Lam facetec & foramot lumbar (63047) likely a partial charge, not the full procedure |
$838.40 | $1,048 | 0.1× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) likely a partial charge, not the full procedure |
$1,448 | $1,810 | 0.2× |
| Lap paraesophag hern repair (43281) likely a partial charge, not the full procedure |
$2,776 | $3,470 | 0.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$784–$2,224 | $980–$2,780 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) likely a partial charge, not the full procedure |
$1,200 | $1,500 | 0.2× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,089.24 | $1,361.55 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,292.80 | $1,616 | 0.2× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,023.20 | $1,279 | 0.2× |
| Late closure of wound (13160) | $1,456 | $1,820 | 0.4× |
| Lateral retinacular release open (27425) | $844 | $1,055 | 0.3× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) likely a partial charge, not the full procedure |
$1,305.60 | $1,632 | 0.2× |
| Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$2,045.60 | $2,557 | 0.2× |
| Ligation or biopsy temporal artery (37609) | $368.80 | $461 | 0.2× |
| Lysis/excision penile postcircumcision adhesions (54162) | $1,582.40 | $1,978 | 0.8× |
| Manipulation Elbow Under Anesthesia (24300) | $824 | $1,030 | 0.5× |
| Manipulation knee joint under general anesthesia (27570) | $284 | $355 | 0.2× |
| Mastectomy partial (19301) | $1,190.40 | $1,488 | 0.3× |
| Myelography Lumbar Injection (62304) | $754.31 | $942.89 | 1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$100.80–$1,160 | $126–$1,450 | varies |
| N block inj intercost sng (64420) | $876.80 | $1,096 | 1.3× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$62.40–$328 | $78–$410 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$157.60–$1,032.80 | $197–$1,291 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $73.60 | $92 | 0.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $49.60 | $62 | 1.7× |
| Neurectomy Popliteal (27326) | $968 | $1,210 | 0.5× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $1,113.60 | $1,392 | 0.6× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $943.20 | $1,179 | 0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) | $143.20 | $179 | 0.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$138.40–$827.20 | $173–$1,034 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $426.04 | $532.55 | 0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $6,065.12 | $7,581.40 | 1.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 5 matching MRF lines |
$168–$5,620 | $210–$7,025 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$200–$820.80 | $250–$1,026 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $184 | $230 | 0.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$184.80–$1,436 | $231–$1,795 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $340 | $425 | 0.8× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $382.40 | $478 | 1.0× |
| Occipital Nerve Block (64405) range across 5 matching MRF lines |
$94.40–$382.40 | $118–$478 | varies |
| Open Implantation Nea Peripheral Nerve (64575) range across 2 matching MRF lines |
$577.60–$14,112.80 | $722–$17,641 | varies |
| Open Repair of Rotator Cuff Acute (23410) likely a partial charge, not the full procedure |
$1,504.80 | $1,881 | 0.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) likely a partial charge, not the full procedure |
$1,406.40 | $1,758 | 0.2× |
| Open treatment fracture distal tibia only (27827) likely a partial charge, not the full procedure |
$2,052.80 | $2,566 | 0.2× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) likely a partial charge, not the full procedure |
$1,437.60 | $1,797 | 0.2× |
| Open Treatment Humeral Condylar Fracture (24579) likely a partial charge, not the full procedure |
$1,536 | $1,920 | 0.1× |
| Open Treatment Lunate Dislocation (25695) likely a partial charge, not the full procedure |
$1,171.20 | $1,464 | 0.2× |
| Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,117.60 | $1,397 | 0.2× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,052.80 | $1,316 | 0.1× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) likely a partial charge, not the full procedure |
$1,057.60 | $1,322 | 0.1× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) likely a partial charge, not the full procedure |
$1,199.20 | $1,499 | 0.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
$1,327.20–$1,621.60 | $1,659–$2,027 | varies |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) likely a partial charge, not the full procedure |
$1,248 | $1,560 | 0.2× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) likely a partial charge, not the full procedure |
$1,756 | $2,195 | 0.2× |
| Open Treatment of Ulnar Shaft Fracture (25545) likely a partial charge, not the full procedure |
$1,158.40 | $1,448 | 0.2× |
| Open treatment of ulnar styloid fracture (25652) likely a partial charge, not the full procedure |
$1,154.40 | $1,443 | 0.2× |
| Open Treatment Proximal Humeral Fracture (23615) likely a partial charge, not the full procedure |
$1,621.60 | $2,027 | 0.1× |
| Open Treatment Radial Shaft Fracture (25515) likely a partial charge, not the full procedure |
$1,240.80 | $1,551 | 0.2× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $1,371.20 | $1,714 | 0.4× |
| Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$1,329.60 | $1,662 | 0.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$1,191.20 | $1,489 | 0.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $938.40 | $1,173 | 0.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) likely a partial charge, not the full procedure |
$1,303.20 | $1,629 | 0.2× |
| Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,352.80 | $1,691 | 0.1× |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) likely a partial charge, not the full procedure |
$1,493.60 | $1,867 | 0.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $1,068.80 | $1,336 | 0.3× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $1,104 | $1,380 | 0.3× |
| Open Tx Radial Head/Neck Fracture (24665) likely a partial charge, not the full procedure |
$1,216 | $1,520 | 0.2× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,192.80 | $1,491 | 0.2× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) likely a partial charge, not the full procedure |
$1,635.20 | $2,044 | 0.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,605.60 | $2,007 | 0.2× |
| Open tx ulnar fx proximal end (24685) likely a partial charge, not the full procedure |
$1,208.80 | $1,511 | 0.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$1,528 | $1,910 | 0.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$1,936–$3,966.40 | $2,420–$4,958 | varies |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) unusually low: confirm this is the full procedure |
$2,176 | $2,720 | 0.3× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) likely a partial charge, not the full procedure |
$1,616.80 | $2,021 | 0.1× |
| Ostc prtl exostc/condylc metar head (28288) | $816 | $1,020 | 0.3× |
| Ostectomy calcaneus (28118) | $788 | $985 | 0.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $801.60 | $1,002 | 0.2× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $551.20 | $689 | 0.2× |
| Osteoplasty Radius/Ulna Shortening (25390) likely a partial charge, not the full procedure |
$1,417.60 | $1,772 | 0.2× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) likely a partial charge, not the full procedure |
$1,673.60 | $2,092 | 0.2× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$760 | $950 | 0.1× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $725.60 | $907 | 0.2× |
| Osteotomy Ulna (25360) likely a partial charge, not the full procedure |
$1,212.80 | $1,516 | 0.2× |
| Part remv talus or calcaneus (28120) | $923.20 | $1,154 | 0.3× |
| Partial Excision Distal Phalanx Finger (26236) | $822.40 | $1,028 | 0.5× |
| Partical Excision Bone Phalanx Toe (28124) | $630.40 | $788 | 0.2× |
| Pericardiocentesis W/Imaging (33016) | $413.60 | $517 | 0.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) | $1,239.20 | $1,549 | 0.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$861.60–$23,175.20 | $1,077–$28,969 | varies |
| Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
$924–$22,500 | $1,155–$28,125 | varies |
| Placement of needle for intraosseous infusion (36680) | $396.20 | $495.25 | 0.9× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) range across 3 matching MRF lines |
$601.60–$7,571.20 | $752–$9,464 | varies |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $793.60 | $992 | 0.2× |
| Prq skel fixj femoral fx prox end neck (27235) unusually low: confirm this is the full procedure |
$2,423.20 | $3,029 | 0.3× |
| Prq skel fixj metar fx w/manj (28476) | $722.40 | $903 | 0.2× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) likely a partial charge, not the full procedure |
$1,453.60 | $1,817 | 0.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $824 | $1,030 | 0.3× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$101.60–$424.80 | $127–$531 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $382.40 | $478 | 1.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 2 matching MRF lines |
$102.40–$796.80 | $128–$996 | varies |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) | $1,122.40 | $1,403 | 0.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 5 matching MRF lines |
$364–$11,531.20 | $455–$14,414 | varies |
| Rcnstj angular dfrm toe soft tiss px only (28313) | $674.40 | $843 | 0.2× |
| Rcnstj Dislocating Patella (27420) likely a partial charge, not the full procedure |
$1,379.20 | $1,724 | 0.2× |
| Realignment of knee (27455) likely a partial charge, not the full procedure |
$1,757.60 | $2,197 | 0.2× |
| Reconstruct wrist joint (25445) likely a partial charge, not the full procedure |
$1,329.60 | $1,662 | 0.2× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$1,364.80 | $1,706 | 0.2× |
| Release of shoulder ligament (23415) likely a partial charge, not the full procedure |
$1,286.40 | $1,608 | 0.2× |
| Removal Embedded Foreign Body Eyelid (67938) | $298.68 | $373.35 | 1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) | $248 | $310 | 0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $273.60 | $342 | 0.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $60 | $75 | 1.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) | $324.80 | $406 | 0.1× |
| Removal Implant Deep (20680) | $773.60 | $967 | 0.3× |
| Removal Implant Superficial Separate Procedure (20670) | $268 | $335 | 0.2× |
| Removal of anal fissure (46200) | $624 | $780 | 0.2× |
| Removal of foreign body from pharynx (42809) | $234.40 | $293 | 0.5× |
| Removal of implant from finger or hand (26320) | $652 | $815 | 0.4× |
| Removal of nail bed (11750) | $190.40 | $238 | 0.5× |
| Removal of sperm cord lesion (55520) | $832 | $1,040 | 0.2× |
| Removal of wrist bone (25210) | $917.60 | $1,147 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $141.60 | $177 | 0.7× |
| Remove drug implant device (11982) | $132.80 | $166 | 0.3× |
| Remove elbow lesion (24120) | $987.20 | $1,234 | 0.3× |
| Remove Forearm Foreign Body (25248) | $785.60 | $982 | 0.5× |
| Remove foreign body from eye (65205) | $54.40 | $68 | 0.4× |
| Remove Intrauterine Device (58301) | $241.60 | $302 | 0.8× |
| Remove Lower Leg Bone Lesion (27635) | $1,071.20 | $1,339 | 0.3× |
| Remove Nasal Foreign Body (30300) | $226.40 | $283 | 1.7× |
| Remove Tendon Sheath Lesion (26160) | $590.40 | $738 | 0.4× |
| Remv&replc pm gen dual lead (33228) likely a partial charge, not the full procedure |
$629.60 | $787 | 0.1× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$1,219.20 | $1,524 | 0.2× |
| Repair Collat Ankle Ligmnt,Secondary (27698) likely a partial charge, not the full procedure |
$1,181.60 | $1,477 | 0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $511.20 | $639 | 0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $616 | $770 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $444.80 | $556 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $556.80 | $696 | 1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $425.60 | $532 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $474.40 | $593 | 1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) | $368.80 | $461 | 0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) | $453.60 | $567 | 0.6× |
| Repair Elbow Perc (24357) | $781.60 | $977 | 0.2× |
| Repair extensor tendon finger w/o graft each (26418) | $1,152.80 | $1,441 | 0.7× |
| Repair Finger Tendon (26433) | $1,054.40 | $1,318 | 0.3× |
| Repair Finger/Hand Tendon (26350) | $1,376 | $1,720 | 0.4× |
| Repair Hallux Rigidus (28289) | $863.20 | $1,079 | 0.3× |
| Repair Hand Joint (26540) | $1,289.60 | $1,612 | 0.4× |
| Repair Hand Tendon (26410) | $1,690.80 | $2,113.50 | 1.1× |
| Repair initial femoral hernia, any age; reducible (49550) | $1,044 | $1,305 | 0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,062.40 | $1,328 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $312 | $390 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $368 | $460 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $396.80 | $496 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $404 | $505 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $763.20 | $954 | 1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $499.20 | $624 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $268 | $335 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $361.60 | $452 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $394.40 | $493 | 0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $634.40 | $793 | 0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $440 | $550 | 1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $279.20 | $349 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $351.20 | $439 | 0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $512 | $640 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $378.40 | $473 | 0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $296.04 | $370.05 | 0.1× |
| Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$1,108 | $1,385 | 0.2× |
| Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$1,072.80 | $1,341 | 0.1× |
| Repair of nail bed (11760) | $203.20 | $254 | 0.3× |
| Repair of Ruptured Tendon (24342) likely a partial charge, not the full procedure |
$1,424.80 | $1,781 | 0.2× |
| Repair Rotator Cuff Chronic (23412) likely a partial charge, not the full procedure |
$1,564 | $1,955 | 0.2× |
| Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$1,328.80 | $1,661 | 0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $600.80 | $751 | 0.2× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,386.40 | $1,733 | 0.2× |
| Repair Toe Dislocation (28645) | $912.80 | $1,141 | 0.3× |
| Repair tongue laceration (41250) | $280.80 | $351 | 0.6× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$903.20 | $1,129 | 0.1× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$1,247.20 | $1,559 | 0.2× |
| Repair/Graft Wrist Bone (25440) likely a partial charge, not the full procedure |
$1,417.60 | $1,772 | 0.2× |
| Repair/Revise Wrist Joint (25320) likely a partial charge, not the full procedure |
$1,827.20 | $2,284 | 0.3× |
| Reposition Gastrostomy Tube (43761) | $482.80 | $603.50 | 2.0× |
| Rerepair ing hernia reduce (49520) | $1,143.20 | $1,429 | 0.3× |
| Rev/rmv prph sac/gstr npg/r (64595) range across 4 matching MRF lines |
$634.40–$5,500.80 | $793–$6,876 | varies |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) range across 2 matching MRF lines |
$504.80–$3,157.60 | $631–$3,947 | varies |
| Revise lower leg tendon (27690) likely a partial charge, not the full procedure |
$1,185.60 | $1,482 | 0.2× |
| Revision of knee joint (27442) range across 2 matching MRF lines |
$254.40–$1,592.80 | $318–$1,991 | varies |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) range across 4 matching MRF lines |
$744.80–$44,713.60 | $931–$55,892 | varies |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 2 matching MRF lines |
$508.80–$3,180 | $636–$3,975 | varies |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 2 matching MRF lines |
$2,062.40–$2,553.60 | $2,578–$3,192 | varies |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) range across 4 matching MRF lines |
$440.80–$4,328.80 | $551–$5,411 | varies |
| Revj/rmvl peripheral neurostimulator electrode (64585) range across 4 matching MRF lines |
$265.60–$13,320.80 | $332–$16,651 | varies |
| Revj/rpr oprative wound anterior segment (66250) | $885.93 | $1,107.41 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $76 | $95 | 0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $93.60 | $117 | 0.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $67.20 | $84 | 0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) | $418.40 | $523 | 0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $452.80 | $566 | 0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $261.60 | $327 | 0.2× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) range across 2 matching MRF lines |
$503.20–$2,203.20 | $629–$2,754 | varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 4 matching MRF lines |
$602.40–$7,737.60 | $753–$9,672 | varies |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) range across 2 matching MRF lines |
$541.60–$7,159.60 | $677–$8,949.50 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $342.40 | $428 | 0.2× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $612 | $765 | 0.2× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) likely a partial charge, not the full procedure |
$1,377.60 | $1,722 | 0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $754.40 | $943 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$1,023.20 | $1,279 | 0.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$849.60 | $1,062 | 0.1× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) | $924 | $1,155 | 0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $170.40 | $213 | 0.9× |
| Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$882.40 | $1,103 | 0.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $572 | $715 | 0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $582.40 | $728 | 1.1× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) likely a partial charge, not the full procedure |
$1,024 | $1,280 | 0.1× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $612 | $765 | 0.2× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $936.80 | $1,171 | 0.3× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $1,471.20 | $1,839 | 0.5× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $122.40 | $153 | 0.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $220 | $275 | 0.2× |
| Shoulder Arthroscopy/Surgery (29825) | $1,080 | $1,350 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $94.40 | $118 | 0.5× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $307.20 | $384 | 0.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $230.40 | $288 | 0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $100.80 | $126 | 0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $104.80 | $131 | 0.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $276.80 | $346 | 0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $135.20 | $169 | 0.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $312 | $390 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $81.60 | $102 | 0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $260.80 | $326 | 1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $132.80 | $166 | 0.7× |
| Skin Full Grft Face/Genit/Hf (15240) | $1,545.60 | $1,932 | 0.8× |
| Skin sub graft face/nk/hf/g (15275) | $172.80 | $216 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $107.20 | $134 | 0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $171.20 | $214 | 0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $209.60 | $262 | 0.5× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$114.40–$837.60 | $143–$1,047 | varies |
| Strapping ankle (29540) | $32 | $40 | 0.2× |
| Strapping toes (29550) | $20.80 | $26 | 0.4× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$48.80–$206.40 | $61–$258 | varies |
| Subtalar arthro w/deb (29906) | $1,210.40 | $1,513 | 0.4× |
| Subtalar arthro w/exc (29905) likely a partial charge, not the full procedure |
$972.80 | $1,216 | 0.1× |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$735.20–$4,006.40 | $919–$5,008 | varies |
| Suture digital nerve hand/foot 1 nerve (64831) | $1,277.60 | $1,597 | 0.7× |
| Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,148.80 | $1,436 | 0.2× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) likely a partial charge, not the full procedure |
$1,121.60 | $1,402 | 0.2× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$80.80–$220.80 | $101–$276 | varies |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) | $1,324.80 | $1,656 | 0.4× |
| Tenodesis long tendon biceps (23430) likely a partial charge, not the full procedure |
$1,370.40 | $1,713 | 0.2× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $1,226.40 | $1,533 | 0.4× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$2,332 | $2,915 | 0.2× |
| Transplant hand tendon (26480) | $1,447.20 | $1,809 | 0.4× |
| Treat Big Toe Fracture (28505) | $928 | $1,160 | 0.3× |
| Treat dislocation/fracture (23670) likely a partial charge, not the full procedure |
$1,601.60 | $2,002 | 0.2× |
| Treat Finger Fracture Each (26727) | $886.40 | $1,108 | 0.3× |
| Treat fracture radius/ulna (25575) likely a partial charge, not the full procedure |
$1,663.20 | $2,079 | 0.2× |
| Treat Fx Rad Extra-Articul (25607) likely a partial charge, not the full procedure |
$1,368.80 | $1,711 | 0.2× |
| Treat humerus fracture (24500) | $633.60 | $792 | 2.6× |
| Treat Humerus Fracture (24505) | $847.20 | $1,059 | 0.5× |
| Treat humerus fracture (23616) likely a partial charge, not the full procedure |
$2,205.60 | $2,757 | 0.1× |
| Treat humerus fracture (23600) | $600 | $750 | 2.5× |
| Treat knee fracture (27532) | $799.64 | $999.55 | 0.2× |
| Treat kneecap dislocation (27566) likely a partial charge, not the full procedure |
$1,635.20 | $2,044 | 0.2× |
| Treat Kneecap Fracture (27524) | $5,704.80 | $7,131 | 0.8× |
| Treat Knuckle Dislocation (26700) | $593.60 | $742 | 2.4× |
| Treat Metatarsal Fracture (28475) | $435.20 | $544 | 1.8× |
| Treat skull fracture (62000) | $1,828.80 | $2,286 | 0.6× |
| Treat Tail Bone Fracture (27200) | $361.60 | $452 | 1.5× |
| Treat toe dislocation (28630) | $206.40 | $258 | 0.8× |
| Treat/graft heel fracture (28420) likely a partial charge, not the full procedure |
$2,369.60 | $2,962 | 0.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $891.20 | $1,114 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $644 | $805 | 2.6× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) | $1,688.80 | $2,111 | 0.5× |
| Trim skin lesion (11055) | $28.80 | $36 | 0.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $884 | $1,105 | 0.3× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) unusually low: confirm this is the full procedure |
$2,235.20 | $2,794 | 0.3× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $454.40 | $568 | 0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $659.20 | $824 | 0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $346.40 | $433 | 0.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $363.20 | $454 | 1.5× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) likely a partial charge, not the full procedure |
$1,822.40 | $2,278 | 0.1× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$1,112 | $1,390 | 0.2× |
| Unlisted procedure arthroscopy (29999) | $1,567.40 | $1,959.25 | 6.4× |
| Unlisted procedure foot or toes (28899) | $922.20 | $1,152.75 | 3.8× |
| Unlisted Procedure Leg/Ankle (27899) | $922.20 | $1,152.75 | 3.8× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$333.60–$344.80 | $417–$431 | varies |
| Unlisted procedure pelvis/hip joint (27299) range across 2 matching MRF lines |
$259.20–$2,346.40 | $324–$2,933 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $1,519.56 | $1,899.45 | 6.5× |
| Unlisted Procedure, Urinary System (53899) | $191.20 | $239 | 0.8× |
| Vaginal delivery only (59409) | $1,423.20 | $1,779 | 0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$428–$1,030.40 | $535–$1,288 | varies |
| Wedge excision skin nail fold (11765) | $173.60 | $217 | 0.4× |
| Wound Prep F/N/Hf/G (15004) | $810.40 | $1,013 | 2.0× |
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.