Procedures & surgery prices at Texas County Memorial Hospital
Houston, MO · every code in this section with a posted price and a Medicare benchmark.
680 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 |
$245.70–$1,218 | $351–$1,740 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$167.30–$1,218 | $239–$1,740 | varies |
| Amniocentesis diagnostic (59000) range across 2 matching MRF lines |
$400–$511 | $400–$730 | varies |
| Amniocentesis therapeutic (59001) | $595 | $850 | 1.9× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,579.50 | $3,685 | 0.8× |
| Amputation foot transmetarsal (28805) | $1,125 | $1,125 | 0.3× |
| Amputation metatarsal with toe single (28810) | $630 | $630 | 0.2× |
| Amputation thigh through femur any level (27590) | $1,155 | $1,155 | 0.4× |
| Amputation toe interphalangeal joint (28825) | $795 | $795 | 0.2× |
| Amputation toe metatarsophalangeal joint (28820) | $905 | $905 | 0.3× |
| Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,350 | $1,350 | 0.2× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) | $980 | $980 | 0.4× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$90–$171.50 | $90–$245 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) range across 3 matching MRF lines |
$130–$1,186.50 | $130–$1,695 | varies |
| Anoscopy; with biopsy, single or multiple (46606) | $175 | $175 | 0.1× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $100 | $100 | 0.1× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $320 | $320 | 0.1× |
| Anterior colporraphy rpr cystocele w/cysto (57240) likely a partial charge, not the full procedure |
$930 | $930 | 0.2× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$1,785 | $1,785 | 0.3× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) range across 5 matching MRF lines |
$149.63–$299.43 | $213.75–$427.75 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$152.60–$357 | $165–$510 | varies |
| Application Finger Splint Dynamic (29131) | $111.30 | $159 | 1.9× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$73.50–$87.68 | $105–$125.25 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$125–$210 | $125–$300 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$121.10–$210 | $130–$300 | varies |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$195–$357 | $195–$510 | varies |
| Application of rigid total contact leg cast (29445) | $155.75 | $222.50 | 0.6× |
| Application Short Arm Splint Dynamic (29126) range across 4 matching MRF lines |
$110–$171.50 | $110–$245 | varies |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$95–$171.50 | $95–$245 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$105–$210 | $105–$300 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$169.40–$357 | $180–$510 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$162.93–$325.50 | $232.75–$465 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$120–$357 | $120–$510 | varies |
| Apply short leg cast (29425) | $115 | $115 | 0.4× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$44.10–$89.60 | $63–$128 | varies |
| Arteriovenous Anastomosis Open Direct (36821) | $1,000 | $1,000 | 0.3× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) likely a partial charge, not the full procedure |
$1,040 | $1,040 | 0.2× |
| Artery-vein autograft (36825) likely a partial charge, not the full procedure |
$1,195 | $1,195 | 0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$109.90–$406 | $130–$580 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$142.10–$969.50 | $203–$1,385 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$130.90–$406 | $187–$580 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$163.80–$406 | $190–$580 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$107.10–$406 | $120–$580 | varies |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$256.90–$976.50 | $367–$1,395 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$207.90–$976.50 | $297–$1,395 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $95 | $95 | 0.3× |
| Aspiration bladder insert suprapubic catheter (51102) | $654.50 | $935 | 0.3× |
| Av fistula revision (36833) likely a partial charge, not the full procedure |
$1,220 | $1,220 | 0.2× |
| Av Fistula Revision Open (36832) likely a partial charge, not the full procedure |
$1,140 | $1,140 | 0.2× |
| Av Fuse Uppr Arm Basilic (36819) likely a partial charge, not the full procedure |
$1,105 | $1,105 | 0.2× |
| Av fusion/forearm vein (36820) likely a partial charge, not the full procedure |
$1,085 | $1,085 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$150–$273 | $150–$390 | varies |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$795–$1,424.50 | $795–$2,035 | varies |
| Biopsy of rectum (45100) | $740 | $740 | 0.3× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) | $685 | $685 | 0.2× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $525 | $525 | 1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $240 | $240 | 0.3× |
| Biopsy/removal lymph nodes (38510) | $795 | $795 | 0.2× |
| Bladder Irrigation (51700) | $80 | $80 | 0.3× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$20.30–$87.50 | $29–$125 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $198.80 | $284 | 0.6× |
| Brnchsc Brushing/Protected Brushings (31623) | $405 | $405 | 0.2× |
| Bronchoscopy Clear Airways (31645) | $395 | $395 | 0.2× |
| Bx breast 1st lesion strtctc (19081) | $1,050 | $1,050 | 0.6× |
| Bx breast 1st lesion us imag (19083) | $765 | $765 | 0.5× |
| Bx breast needle core w/o imaging guidance spx (19100) | $290 | $290 | 0.2× |
| Bx Cervix (57500) | $325 | $325 | 0.4× |
| Bx/exc lymph node open deep axillary node (38525) | $680 | $680 | 0.2× |
| Bx/exc lymph node open superficial (38500) | $495 | $495 | 0.1× |
| Catheter aspiration nasotracheal spx (31720) | $147 | $210 | 0.7× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $325 | $325 | 1.1× |
| Change Cystostomy Tube Simple (51705) | $135 | $135 | 0.5× |
| Change of Windpipe Airway (31502) | $55 | $55 | 0.2× |
| Chemical Cautery Tissue (17250) | $105 | $105 | 0.5× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$498.40–$2,527 | $700–$3,610 | varies |
| Circumcision 28 days or older (54161) | $1,185 | $1,185 | 0.6× |
| Circumcision Neonate (54160) | $250 | $250 | 0.4× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$170.80–$250 | $244–$250 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,247.40–$2,103.50 | $1,782–$3,005 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$137.90–$335 | $197–$335 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$336–$662.20 | $480–$946 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $971.60 | $1,388 | 3.9× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
$974.40–$2,103.50 | $1,392–$3,005 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$336–$1,109.50 | $480–$1,585 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$336–$617.40 | $480–$882 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$315–$667.10 | $450–$953 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$336–$870.80 | $480–$1,244 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,080.80–$2,103.50 | $1,544–$3,005 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$336–$689.50 | $480–$985 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 2 matching MRF lines |
$336–$544.60 | $480–$778 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,015 | $1,450 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $609 | $870 | 2.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$336–$1,066.10 | $480–$1,523 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$1,539.30–$2,103.50 | $2,199–$3,005 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$336–$1,127.70 | $480–$1,611 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $1,431.50 | $2,045 | 0.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,050 | $1,500 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$336–$462 | $480–$660 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $275.10 | $393 | 0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$336–$1,132.60 | $480–$1,618 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$336–$740.60 | $480–$1,058 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$336–$669.90 | $480–$957 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$876.40–$2,103.50 | $1,252–$3,005 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$336–$525 | $480–$750 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,129.10–$2,103.50 | $1,613–$3,005 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$336–$550.20 | $480–$786 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,176.70–$2,103.50 | $1,681–$3,005 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$336–$542.50 | $480–$775 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $541.10 | $773 | 2.2× |
| Closed tx talus fracture w/o manipulation (28430) | $490.70 | $701 | 2.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $84.70 | $121 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$758.80–$2,103.50 | $1,084–$3,005 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$336–$597.10 | $480–$853 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$336–$524.30 | $480–$749 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $688.80 | $984 | 2.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $490.70 | $701 | 2.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$797.30–$2,103.50 | $1,139–$3,005 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$336–$488.60 | $480–$698 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$701.40–$2,103.50 | $1,002–$3,005 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$336–$641.20 | $480–$916 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $514.50 | $735 | 0.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$1,221.50–$2,103.50 | $1,745–$3,005 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $814.80 | $1,164 | 0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $487.90 | $697 | 2.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $627.20 | $896 | 2.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $696.50 | $995 | 2.8× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $970.20 | $1,386 | 0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$336–$963.20 | $480–$1,376 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$336–$658.70 | $480–$941 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$336–$644 | $480–$920 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$336–$392 | $480–$560 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$336–$599.90 | $480–$857 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,396.50–$2,103.50 | $1,995–$3,005 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$1,523.20–$2,103.50 | $2,176–$3,005 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$336–$1,097.60 | $480–$1,568 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,149.40 | $1,642 | 4.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$1,704.50–$2,103.50 | $2,435–$3,005 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$336–$375.20 | $480–$536 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$282.10–$336 | $403–$480 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$336–$349.30 | $480–$499 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$271.60–$336 | $388–$480 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$1,099–$2,103.50 | $1,570–$3,005 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$336–$664.30 | $480–$949 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $574 | $820 | 2.3× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $868.70 | $1,241 | 0.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$1,962.80–$2,103.50 | $2,804–$3,005 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$336–$1,227.80 | $480–$1,754 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $691.60 | $988 | 2.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $1,221.50 | $1,745 | 0.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $640.50 | $915 | 2.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$355.60–$357 | $508–$510 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$214.90–$336 | $307–$480 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$357–$797.30 | $510–$1,139 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$336–$571.90 | $480–$817 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,109.50–$2,103.50 | $1,585–$3,005 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$336–$702.80 | $480–$1,004 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$336–$687.40 | $480–$982 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$336–$550.20 | $480–$786 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
$898.10–$2,103.50 | $1,283–$3,005 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$364–$2,103.50 | $520–$3,005 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$336–$723.10 | $480–$1,033 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$336–$394.10 | $480–$563 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,282.40–$2,103.50 | $1,832–$3,005 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$336–$889.70 | $480–$1,271 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$959–$2,103.50 | $1,370–$3,005 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$336–$623.70 | $480–$891 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,056.30–$2,103.50 | $1,509–$3,005 | varies |
| Cltx prox tibfib jt dislc req anes (27831) | $952.70 | $1,361 | 0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $807.10 | $1,153 | 3.3× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $990.50 | $1,415 | 4.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$213.50–$336 | $305–$480 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,260.70 | $1,801 | 0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$1,257.20–$2,103.50 | $1,796–$3,005 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$336–$799.40 | $480–$1,142 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 2 matching MRF lines |
$1,787.80–$2,103.50 | $2,554–$3,005 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 2 matching MRF lines |
$336–$1,102.50 | $480–$1,575 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) | $878.50 | $1,255 | 3.6× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$336–$744.10 | $480–$1,063 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,120–$2,103.50 | $1,600–$3,005 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$336–$662.90 | $480–$947 | varies |
| Collection of venous blood by venipuncture (36415) | $20 | $20 | 2.1× |
| Colonoscopy Flexible With Decompression (45393) | $625 | $625 | 0.5× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $585 | $585 | 0.5× |
| Colonoscopy thru stoma (44388) | $450 | $450 | 0.5× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $655 | $655 | 0.5× |
| Colonoscopy W/Band Ligation (45398) | $1,230 | $1,230 | 1.0× |
| Colonoscopy w/fb removal (45379) | $1,350 | $1,350 | 1.1× |
| Colonoscopy w/submucosal inj (45381) | $1,050 | $1,050 | 0.9× |
| Colpocentesis (57020) likely a partial charge, not the full procedure |
$385 | $385 | 0.1× |
| Colpocleisis (le fort type) (57120) likely a partial charge, not the full procedure |
$675 | $675 | 0.1× |
| Colporrhaphy (57200) | $500 | $500 | 0.2× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $435 | $435 | 1.4× |
| Colposcopy cervix upper/adjacent vagina (57452) | $300 | $300 | 1.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $485 | $485 | 0.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $1,085 | $1,085 | 0.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $978 | $978 | 0.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,165 | $1,165 | 1.0× |
| Combined anteroposterior colporrhaphy; (57260) likely a partial charge, not the full procedure |
$1,210 | $1,210 | 0.2× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$449.40–$525 | $525–$642 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $1,030 | $1,030 | 0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$171.50–$217.70 | $245–$311 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$164.50–$265 | $235–$265 | varies |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) likely a partial charge, not the full procedure |
$1,005 | $1,005 | 0.2× |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $125 | $125 | 2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$171.50–$282.80 | $245–$404 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $371 | $530 | 1.6× |
| Curettage postpartum (59160) | $725 | $725 | 0.2× |
| Curette/treat cornea (65435) range across 2 matching MRF lines |
$152.60–$1,253 | $218–$1,790 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $85 | $85 | 0.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $1,945 | $1,945 | 0.7× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,170 | $1,170 | 1.6× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,440 | $1,440 | 2.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 3 matching MRF lines |
$354.20–$773.50 | $506–$1,105 | varies |
| Debride nail 1-5 (11720) range across 3 matching MRF lines |
$34.30–$87.50 | $49–$125 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$518–$2,128 | $740–$3,040 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$137.90–$497 | $197–$710 | varies |
| Declot vascular device (36593) | $335 | $335 | 1.0× |
| Delivery of placenta (59414) range across 4 matching MRF lines |
$209.30–$3,874.50 | $299–$5,535 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$115–$163.10 | $115–$233 | varies |
| Destruction Benign Lesions 15/> (17111) | $115 | $115 | 0.6× |
| Destruction Lesions Vulva Simple (56501) | $290 | $290 | 0.1× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $250 | $250 | 1.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $270 | $270 | 1.3× |
| Destruction Premalignant Lesion 15/> (17004) | $285 | $285 | 0.7× |
| Destruction premalignant lesion 1st (17000) | $115 | $115 | 0.6× |
| Diagnostic sigmoidoscopy (45330) | $250 | $250 | 0.3× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $255 | $255 | 0.2× |
| Dilate Esophagus 1/Mult Pass (43450) | $325 | $325 | 0.4× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $715 | $715 | 0.2× |
| Dilation Cervical Canal (57800) | $220 | $220 | 0.1× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) unusually low: confirm this is the full procedure |
$1,730 | $1,730 | 0.3× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$133–$406 | $190–$580 | varies |
| Drainage external auditory canal abscess (69020) | $351.40 | $502 | 0.5× |
| Drainage external ear abscess/hematoma cmplx (69005) | $399.70 | $571 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$270–$289.10 | $270–$413 | varies |
| Drainage Finger Abscess Complicated (26011) range across 3 matching MRF lines |
$467.60–$1,774.50 | $630–$2,535 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$273–$435 | $390–$464 | varies |
| Drainage of gum lesion (41800) | $289.10 | $413 | 2.2× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$210–$298.90 | $210–$427 | varies |
| Drainage of hydrocele (55000) | $224 | $320 | 0.3× |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$371.70–$2,128 | $531–$3,040 | varies |
| Drainage of scrotum (54700) | $315 | $315 | 0.2× |
| Draw Blood Off Venous Device (36591) | $94.05 | $134.35 | 0.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $286.30 | $409 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$338.80–$497 | $484–$710 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$165–$298.20 | $165–$426 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$110–$273 | $110–$390 | varies |
| Dstrj Lesion Anus Extensive (46924) | $775 | $775 | 0.3× |
| Dstrj lesion anus simple surg excision (46922) | $430 | $430 | 0.2× |
| Dx Bronchoscope/Lavage (31624) | $375 | $375 | 0.2× |
| Dx Bronchoscope/Wash (31622) | $360 | $360 | 0.2× |
| Dx Laryngoscopy Excl Nb (31525) | $392 | $560 | 0.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $955 | $955 | 0.5× |
| Egd cautery tumor polyp (43250) | $935 | $935 | 0.5× |
| Egd control bleeding any (43255) | $995 | $995 | 0.5× |
| Egd dilation gastric/duodenal stricture (43245) | $955 | $955 | 0.5× |
| Egd Flexible Foreign Body Removal (43247) | $580 | $580 | 0.6× |
| Egd guide wire insertion (43248) | $610 | $610 | 0.7× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $1,020 | $1,020 | 0.5× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $475 | $475 | 0.2× |
| Egd place gastrostomy tube (43246) | $305 | $305 | 0.2× |
| Egd remove lesion snare (43251) | $925 | $925 | 0.5× |
| Endocervical curettage (57505) | $195 | $195 | 0.2× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) likely a partial charge, not the full procedure |
$290 | $290 | 0.1× |
| Endometrial Biopsy (58100) | $240 | $240 | 1.2× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $1,060 | $1,060 | 0.5× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$240.10–$343 | $343–$490 | varies |
| Episiotomy or vaginal repair (59300) | $525 | $525 | 0.2× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,420 | $1,420 | 0.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $485 | $485 | 0.3× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $555 | $555 | 0.3× |
| Evacuate mole of uterus (59870) | $780 | $780 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$76.30–$171.50 | $80–$245 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $1,735 | $1,735 | 1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$150–$173.60 | $150–$248 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $385 | $385 | 0.2× |
| Exc Back Les Sc < 3 Cm (21930) | $545 | $545 | 0.3× |
| Exc Back Tum Deep 5 Cm/> (21933) | $995 | $995 | 0.3× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $925 | $925 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $430 | $430 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $540 | $540 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $800 | $800 | 0.5× |
| Exc Face Les Sbq 2 Cm/> (21012) | $505 | $505 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $190 | $190 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $255 | $255 | 0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $340 | $340 | 0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $430 | $430 | 0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $730 | $730 | 0.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $815 | $815 | 0.5× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $1,025 | $1,025 | 0.4× |
| Exc Frenum Labial/Buccal (40819) | $735 | $735 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $165 | $165 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $290 | $290 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $265 | $265 | 0.2× |
| Exc hydrocele sprmatic cord uni spx (55500) | $1,230 | $1,230 | 0.3× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $610 | $610 | 0.4× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $1,275 | $1,275 | 0.7× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $1,490 | $1,490 | 0.5× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,040 | $1,040 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $315 | $315 | 0.4× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $490 | $490 | 0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $675 | $675 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $705 | $705 | 0.4× |
| Exc Skin Benig >4cm Face,Facial (11446) | $790 | $790 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $520 | $520 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $825 | $825 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $745 | $745 | 0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) | $630 | $630 | 0.2× |
| Exc thigh/knee tum dep 5cm/> (27339) | $1,165 | $1,165 | 0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$263.20–$1,557.50 | $376–$2,225 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $185 | $185 | 0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$245–$249.90 | $245–$357 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $445 | $445 | 0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $670 | $670 | 0.2× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $790 | $790 | 0.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $810 | $810 | 0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $1,835 | $1,835 | 0.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $850 | $850 | 0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $700 | $700 | 0.4× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $705 | $705 | 0.4× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $1,095 | $1,095 | 0.4× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $2,145 | $2,145 | 0.7× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,805 | $1,805 | 0.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $385 | $385 | 0.5× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) | $1,275 | $1,275 | 0.4× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $1,245 | $1,245 | 0.4× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $805 | $805 | 0.3× |
| Excision Lingual Frenum Frenectomy (41115) | $450 | $450 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $210 | $210 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $235 | $235 | 0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $310 | $310 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $510 | $510 | 0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $335 | $335 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $685 | $685 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,195 | $1,195 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $300 | $300 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $360 | $360 | 0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $430 | $430 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $665 | $665 | 0.4× |
| Excision of hydrocele; unilateral (55040) | $505 | $505 | 0.1× |
| Excision of pilonidal cyst or sinus; simple (11770) | $715 | $715 | 0.2× |
| Excision of single external papilla or tag, anus (46220) | $390 | $390 | 0.3× |
| Excision of vaginal cyst or tumor (57135) | $365 | $365 | 0.1× |
| Excision olecranon bursa (24105) | $695 | $695 | 0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,130 | $1,130 | 0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $920 | $920 | 0.3× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) likely a partial charge, not the full procedure |
$1,810 | $1,810 | 0.3× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $705 | $705 | 0.4× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $655 | $655 | 0.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $630 | $630 | 0.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) range across 2 matching MRF lines |
$631.40–$1,780 | $902–$1,780 | varies |
| Explo/Drain Breast Abscess (19020) | $700 | $700 | 0.4× |
| Exploration penetrating wound spx chest (20101) range across 2 matching MRF lines |
$525–$1,405 | $750–$1,405 | varies |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$921.90–$1,535 | $1,317–$1,535 | varies |
| Exploration Penetrating Wound Spx Neck (20100) range across 2 matching MRF lines |
$1,583.40–$1,615 | $1,615–$2,262 | varies |
| External cephalic version (59412) range across 2 matching MRF lines |
$556.50–$775 | $775–$795 | varies |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$110–$255.50 | $110–$365 | varies |
| Fna bx w/us gdn 1st les (10005) | $160 | $160 | 0.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $2,655 | $2,655 | 1.3× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $2,170 | $2,170 | 1.1× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $2,140 | $2,140 | 0.6× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) | $1,755 | $1,755 | 0.9× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $765 | $765 | 0.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $695 | $695 | 0.2× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $720 | $720 | 0.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $410 | $410 | 0.4× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) | $660 | $660 | 0.2× |
| Hymenotomy Simple Incision (56442) | $164.50 | $235 | 0.1× |
| Hysteroscopy Biopsy (58558) | $1,795 | $1,795 | 0.6× |
| Hysteroscopy Endometrial Ablation (58563) likely a partial charge, not the full procedure |
$950 | $950 | 0.2× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $860 | $860 | 0.3× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$301–$338.10 | $430–$483 | varies |
| I&d abscess simple (10060) | $5,380.90 | $7,687 | 26.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$972.30–$985 | $985–$1,389 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $700 | $700 | 0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,140 | $1,140 | 0.3× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $655 | $655 | 0.2× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $720 | $720 | 0.3× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$221.90–$1,186.50 | $317–$1,695 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$417.90–$987 | $420–$1,410 | varies |
| I&d pilonidal cyst simple (10080) | $5,110.70 | $7,301 | 7.2× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$247.80–$295 | $295–$354 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$310–$497 | $310–$710 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $1,095 | $1,095 | 0.4× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$355–$2,128 | $355–$3,040 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$200–$497 | $200–$710 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$252.70–$300 | $300–$370 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$195–$357 | $195–$510 | varies |
| Incision of labial frenum (frenotomy) (40806) | $230 | $230 | 0.4× |
| Incision of lingual frenum (frenotomy) (41010) | $525 | $525 | 0.3× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$805–$1,557.50 | $805–$2,225 | varies |
| Incisional biopsy skin single lesion (11106) | $160 | $160 | 0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$125.30–$273 | $179–$390 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$239.40–$1,260 | $342–$1,800 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$108.50–$130 | $130–$155 | varies |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$114.10–$406 | $163–$580 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$93.80–$406 | $120–$580 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$102.90–$406 | $135–$580 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$130–$157.50 | $130–$225 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$191.80–$969.50 | $274–$1,385 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $105 | $105 | 0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) | $75 | $75 | 0.4× |
| Ins endovas vena cava filtr (37191) likely a partial charge, not the full procedure |
$335 | $335 | 0.1× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$178.50–$220.50 | $255–$315 | varies |
| Insert cath pleura w/o image (32556) | $195 | $195 | 0.1× |
| Insert cervical dilator (59200) | $310 | $310 | 1.0× |
| Insert Drug Implant Device (11981) | $395 | $395 | 3.0× |
| Insert Gastrostomy Tube Percutaneous (49440) | $544.60 | $778 | 0.3× |
| Insert non-tunnel cv cath (36556) range across 6 matching MRF lines |
$210.70–$2,527 | $301–$3,610 | varies |
| Insert pessary/other device (57160) | $115 | $115 | 0.6× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$79.80–$171.50 | $114–$245 | varies |
| Insert tunneled cv cath (36561) | $1,470 | $1,470 | 0.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$1,730 | $1,730 | 0.3× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $140 | $140 | 1.1× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) likely a partial charge, not the full procedure |
$1,085 | $1,085 | 0.2× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$356.30–$2,527 | $509–$3,610 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $475 | $475 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 5 matching MRF lines |
$208.60–$1,991.50 | $298–$2,845 | varies |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $1,235 | $1,235 | 0.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $1,235 | $1,235 | 0.4× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $500 | $500 | 0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$497–$701.40 | $710–$1,002 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$497–$869.40 | $710–$1,242 | varies |
| Intro cath dialysis circuit (36901) | $255 | $255 | 0.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) likely a partial charge, not the full procedure |
$480 | $480 | 0.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) likely a partial charge, not the full procedure |
$365 | $365 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 7 matching MRF lines |
$196–$364 | $280–$520 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$266.70–$315 | $381–$450 | varies |
| Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$4,400 | $4,400 | 0.4× |
| Laparo-vag hyst incl t/o (58552) unusually low: confirm this is the full procedure |
$3,805 | $3,805 | 0.4× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$1,315 | $1,315 | 0.2× |
| Laparoscopy Enterolysis Separate Procedure (44180) unusually low: confirm this is the full procedure |
$2,595 | $2,595 | 0.4× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$1,280 | $1,280 | 0.2× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $13,847.40 | $19,782 | 2.3× |
| Laparoscopy W/Lysis Of Adhesions (58660) likely a partial charge, not the full procedure |
$1,030 | $1,030 | 0.2× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$1,550–$2,745 | $1,550–$2,745 | varies |
| Laparoscopy, surgical, appendectomy (44970) | $16,959.60 | $24,228 | 2.8× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) likely a partial charge, not the full procedure |
$2,975 | $2,975 | 0.3× |
| Laparoscopy, surgical, splenectomy (38120) unusually low: confirm this is the full procedure |
$4,500 | $4,500 | 0.4× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) unusually low: confirm this is the full procedure |
$4,440 | $4,440 | 0.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $14,909.30 | $21,299 | 2.5× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$850 | $850 | 0.1× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) likely a partial charge, not the full procedure |
$1,285 | $1,285 | 0.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$1,255 | $1,255 | 0.2× |
| Laryngoscopy flexible diagnostic (31575) | $335 | $335 | 1.7× |
| Late closure of wound (13160) | $1,095 | $1,095 | 0.3× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) | $525 | $525 | 0.2× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$6,286–$12,519.50 | $8,980–$17,885 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) | $530 | $530 | 0.3× |
| Mast mod rad (19307) likely a partial charge, not the full procedure |
$1,865 | $1,865 | 0.3× |
| Mastectomy for gynecomastia (19300) | $835 | $835 | 0.2× |
| Mastectomy partial (19301) | $1,020 | $1,020 | 0.3× |
| Mastectomy partial w/axillary lymphadenectomy (19302) likely a partial charge, not the full procedure |
$1,405 | $1,405 | 0.2× |
| Maternity Care Procedure (59899) | $525 | $525 | 2.6× |
| Muscle-skin graft trunk (15734) | $3,505 | $3,505 | 1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $160 | $160 | 0.2× |
| N Block Lumbar/Thoracic (64520) | $845 | $845 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 3 matching MRF lines |
$65–$563.50 | $65–$805 | varies |
| Needle Biopsy Lymph Nodes (38505) | $260 | $260 | 0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $36.05 | $51.50 | 1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) | $36.05 | $51.50 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$101.50–$406 | $145–$580 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $1,215 | $1,215 | 0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$201.60–$1,260 | $288–$1,800 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $475 | $475 | 0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $420 | $420 | 0.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $475 | $475 | 0.7× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$115–$406 | $115–$580 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) likely a partial charge, not the full procedure |
$1,455 | $1,455 | 0.2× |
| Open biopsy/excision inguinofemoral nodes (38531) | $680 | $680 | 0.2× |
| Open bowel to skin (44300) | $1,320 | $1,320 | 0.7× |
| Open/Perq Place Stent 1St (37236) likely a partial charge, not the full procedure |
$670 | $670 | 0.1× |
| Open/Perq Place Stent Same (37238) likely a partial charge, not the full procedure |
$465 | $465 | 0.0× |
| Ostectomy, complete excision; first metatarsal head (28111) | $660 | $660 | 0.2× |
| Ovarian cystectomy, unilateral or bilateral (58925) unusually low: confirm this is the full procedure |
$1,745 | $1,745 | 0.3× |
| Pelvic examination under anesthesia (other than local) (57410) | $165 | $165 | 0.1× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $420 | $420 | 0.1× |
| Pericardiocentesis W/Imaging (33016) | $2,527 | $3,610 | 1.6× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) | $415 | $415 | 0.1× |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$250.60–$1,218 | $358–$1,740 | varies |
| Perq dev breast 1st us imag (19285) | $615 | $615 | 0.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $135 | $135 | 0.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) likely a partial charge, not the full procedure |
$675 | $675 | 0.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) likely a partial charge, not the full procedure |
$560 | $560 | 0.1× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$112–$563.50 | $160–$805 | varies |
| Placement of seton (46020) | $420 | $420 | 0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $165 | $165 | 0.2× |
| Punch biopsy skin single lesion (11104) | $155 | $155 | 0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$135–$245 | $135–$350 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$185–$319.90 | $185–$457 | varies |
| Rem Endovas Vena Cava Filter (37193) | $525 | $525 | 0.2× |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$263.20–$420 | $376–$600 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,031.10 | $1,473 | 0.4× |
| Removal Foreign Body Foot Complicated (28193) range across 3 matching MRF lines |
$1,025–$2,128 | $1,025–$3,040 | varies |
| Removal foreign body foot deep (28192) range across 3 matching MRF lines |
$730–$2,128 | $730–$3,040 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$360.50–$945 | $470–$1,350 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$315–$368.90 | $315–$527 | varies |
| Removal Foreign Body Pelvis/Hip Deep (27087) range across 2 matching MRF lines |
$1,628.20–$4,245.50 | $2,326–$6,065 | varies |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$927.50–$3,594.50 | $1,325–$5,135 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $55 | $55 | 0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $135 | $135 | 2.3× |
| Removal Implant Superficial Separate Procedure (20670) | $317.10 | $453 | 0.2× |
| Removal of anal fissure (46200) | $695 | $695 | 0.2× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$273–$563.50 | $390–$805 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$370–$387.80 | $370–$554 | varies |
| Removal of testis (54520) | $490 | $490 | 0.1× |
| Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
$105–$346.50 | $105–$495 | varies |
| Removal shoulder foreign body deep subfascial/im (23333) range across 2 matching MRF lines |
$1,031.10–$3,594.50 | $1,473–$5,135 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $7,490.70 | $10,701 | 37.3× |
| Removal sweat gland lesion (11450) | $890 | $890 | 0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) | $90 | $90 | 0.3× |
| Remove drug implant device (11982) | $140 | $140 | 0.3× |
| Remove Forearm Foreign Body (25248) | $1,351 | $1,930 | 0.8× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$105–$171.50 | $150–$245 | varies |
| Remove Intrauterine Device (58301) | $95 | $95 | 0.3× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$171.50–$291.90 | $245–$417 | varies |
| Remove Peritoneal Foreign Body (49402) | $1,340 | $1,340 | 0.4× |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$384.30–$945 | $549–$1,350 | varies |
| Remove/Insert Drug Implant (11983) | $430 | $430 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$680–$786.10 | $680–$1,123 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$773.50–$1,250 | $1,105–$1,526 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$497–$671.30 | $575–$959 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$773.50–$1,110 | $1,105–$1,580 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$570–$773.50 | $570–$1,105 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$710–$773.50 | $710–$1,105 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 3 matching MRF lines |
$365–$773.50 | $365–$1,105 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$555–$773.50 | $555–$1,105 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,054.90–$2,103.50 | $1,507–$3,005 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$1,298.50–$2,103.50 | $1,855–$3,005 | varies |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $2,180 | $2,180 | 0.6× |
| Repair initial femoral hernia, any age; reducible (49550) | $1,990 | $1,990 | 0.6× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $9,315.60 | $13,308 | 2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$330–$497 | $330–$710 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$365–$497 | $365–$710 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$450–$501.20 | $450–$716 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$497–$549.50 | $710–$785 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$497–$998.90 | $710–$1,427 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 3 matching MRF lines |
$625.80–$773.50 | $725–$1,105 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$385–$497 | $395–$710 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$454.30–$497 | $470–$710 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$511.70–$773.50 | $555–$1,105 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$814.10–$2,516.50 | $1,163–$3,595 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$497–$945 | $710–$945 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$350.70–$497 | $480–$710 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$450.10–$620 | $620–$710 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$703.50–$1,145 | $1,005–$1,145 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$476–$695 | $680–$710 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$815.50–$2,516.50 | $1,165–$3,595 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$233.10–$773.50 | $333–$1,105 | varies |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) unusually low: confirm this is the full procedure |
$2,530 | $2,530 | 0.4× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,750 | $1,750 | 0.2× |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$318.50–$542.50 | $455–$775 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$171.50–$338.10 | $245–$483 | varies |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,085 | $2,085 | 2.3× |
| Rerepair ing hernia reduce (49520) | $8,125.60 | $11,608 | 2.3× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) | $975 | $975 | 0.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) range across 2 matching MRF lines |
$340.90–$475 | $475–$487 | varies |
| Rmvl embedded fb vestibule mouth comp (40805) range across 2 matching MRF lines |
$461.30–$686 | $659–$980 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$256.90–$1,218 | $367–$1,740 | varies |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $1,335 | $1,335 | 0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$105–$563.50 | $150–$805 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$139.30–$171.50 | $199–$245 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 3 matching MRF lines |
$127.40–$563.50 | $180–$805 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $640 | $640 | 0.5× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $646.80 | $924 | 0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) range across 2 matching MRF lines |
$364–$3,594.50 | $520–$5,135 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 3 matching MRF lines |
$315–$2,128 | $315–$3,040 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $345 | $345 | 0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $250 | $250 | 0.4× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $180 | $180 | 0.6× |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$71.40–$367.50 | $102–$525 | varies |
| Rplcmt cath ctr vad subq port/pmp (36578) | $650 | $650 | 0.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $285 | $285 | 0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $1,155 | $1,155 | 0.4× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $15,493.10 | $22,133 | 2.6× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $7,694.40 | $10,992 | 2.1× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) likely a partial charge, not the full procedure |
$1,165 | $1,165 | 0.2× |
| Rpr aa hernia recr 3-10 cm reducible (49615) likely a partial charge, not the full procedure |
$965 | $965 | 0.1× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $14,403.90 | $20,577 | 2.4× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $9,356.20 | $13,366 | 1.4× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $11,014.50 | $15,735 | 1.8× |
| Rpr blood vessel direct lower extremity (35226) | $1,255 | $1,255 | 1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$273–$474.60 | $390–$678 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$497–$739.90 | $710–$1,057 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) range across 2 matching MRF lines |
$318.50–$403.90 | $455–$577 | varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $380 | $380 | 0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $410 | $410 | 0.3× |
| Shave skin lesion 0.5 cm/< (11300) | $95 | $95 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $120 | $120 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $180 | $180 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $155 | $155 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $120 | $120 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $140 | $140 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $140 | $140 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $160 | $160 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $120 | $120 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $170 | $170 | 0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $140 | $140 | 0.7× |
| Sigmoidoscopy & Polypectomy (45333) | $450 | $450 | 0.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $395 | $395 | 0.4× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $755 | $755 | 0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$497–$578.90 | $710–$827 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$170–$273 | $170–$390 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$175–$310.80 | $175–$444 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$497–$701.40 | $710–$1,002 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$210–$375.90 | $210–$537 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$273–$840 | $390–$1,200 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 5 matching MRF lines |
$147–$273 | $210–$390 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$273–$630 | $390–$900 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$273–$347.20 | $335–$496 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $1,515 | $1,515 | 0.7× |
| Skin Pinch Graft (15050) | $890 | $890 | 1.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) likely a partial charge, not the full procedure |
$1,135 | $1,135 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$265–$295.40 | $265–$422 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$350–$497 | $350–$710 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$420–$550.20 | $420–$786 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 4 matching MRF lines |
$173.60–$969.50 | $248–$1,385 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $2,345 | $2,345 | 0.7× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $1,245 | $1,245 | 0.6× |
| Strapping ankle (29540) range across 2 matching MRF lines |
$88.90–$210 | $127–$300 | varies |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
$52.50–$112 | $75–$160 | varies |
| Strapping hand/finger (29280) range across 3 matching MRF lines |
$52.50–$111.30 | $75–$159 | varies |
| Strapping Hip (29520) range across 2 matching MRF lines |
$102.90–$171.50 | $147–$245 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$95.20–$171.50 | $136–$245 | varies |
| Strapping shoulder (29240) range across 3 matching MRF lines |
$112.70–$171.50 | $161–$245 | varies |
| Strapping thorax (29200) range across 3 matching MRF lines |
$102.90–$210 | $147–$300 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$79.80–$87.50 | $114–$125 | varies |
| Strapping Unna Boot (29580) range across 8 matching MRF lines |
$95–$312.38 | $95–$446.25 | varies |
| Surg Tx Anal Fistula 2nd Stage (46285) | $815 | $815 | 0.3× |
| Surg tx anal fistula subq (46270) | $790 | $790 | 0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $815 | $815 | 0.3× |
| Tangential biopsy skin single lesion (11102) | $125 | $125 | 0.3× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) likely a partial charge, not the full procedure |
$930 | $930 | 0.2× |
| Thrmbc/Nfs Dialysis Circuit (36906) likely a partial charge, not the full procedure |
$775 | $775 | 0.0× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$479.50–$620.20 | $685–$886 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 3 matching MRF lines |
$318.50–$1,170 | $455–$1,170 | varies |
| Treat ectopic pregnancy (59151) likely a partial charge, not the full procedure |
$1,110 | $1,110 | 0.2× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$336–$732.20 | $480–$1,046 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,119.30–$2,103.50 | $1,599–$3,005 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$336–$689.50 | $480–$985 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$336–$689.50 | $480–$985 | varies |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$336–$539 | $480–$770 | varies |
| Treat Tail Bone Fracture (27200) | $421.40 | $602 | 1.7× |
| Treat Thumb Dislocation (26641) | $780.50 | $1,115 | 3.2× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$289.80–$336 | $414–$480 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,145.90–$2,103.50 | $1,637–$3,005 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$336–$813.40 | $480–$1,162 | varies |
| Trim skin lesion (11055) | $80 | $80 | 0.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $70 | $70 | 1.2× |
| Trluml Balo Angiop 1St Art (37246) likely a partial charge, not the full procedure |
$525 | $525 | 0.1× |
| Trluml Balo Angiop 1St Vein (37248) likely a partial charge, not the full procedure |
$450 | $450 | 0.1× |
| Tubal ligation (58600) | $1,600 | $1,600 | 0.5× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $715 | $715 | 0.3× |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$51.10–$392 | $73–$560 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
$727.30–$1,095 | $1,039–$1,095 | varies |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,135 | $1,135 | 0.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$875–$2,103.50 | $1,250–$3,005 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$435–$476.70 | $435–$681 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$260–$343 | $260–$490 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $456.40 | $652 | 1.8× |
| Unlisted laparoscopic procedure liver (47379) | $3,675 | $3,675 | 0.6× |
| Unlisted laparoscopy procedure stomach (43659) unusually low: confirm this is the full procedure |
$2,975 | $2,975 | 0.5× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) unusually low: confirm this is the full procedure |
$1,840 | $1,840 | 0.3× |
| Unlisted laparoscopy procedure, biliary tract (47579) likely a partial charge, not the full procedure |
$1,330 | $1,330 | 0.2× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) likely a partial charge, not the full procedure |
$1,690 | $1,690 | 0.3× |
| Unlisted Procedure Intestine (44799) | $2,350 | $2,350 | 2.6× |
| Unlisted procedure pancreas (48999) | $3,755 | $3,755 | 5.3× |
| Vag hyst complex (58290) unusually low: confirm this is the full procedure |
$3,150 | $3,150 | 0.4× |
| Vaginal delivery only (59409) range across 4 matching MRF lines |
$1,388.10–$3,874.50 | $1,983–$5,535 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $2,730 | $2,730 | 0.5× |
| Vasc embolize/occlude artery (37242) likely a partial charge, not the full procedure |
$720 | $720 | 0.0× |
| Vasc Embolize/Occlude Bleed (37244) range across 2 matching MRF lines |
$1,541.40–$15,354.50 | $2,202–$21,935 | varies |
| Vasc embolize/occlude venous (37241) likely a partial charge, not the full procedure |
$650 | $650 | 0.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $820 | $820 | 0.4× |
| Vein Access Cutdown < 1 Yr (36420) range across 2 matching MRF lines |
$87.50–$113.40 | $125–$162 | varies |
| Venous Cutdown >1 Y/O (36425) range across 2 matching MRF lines |
$93.80–$563.50 | $134–$805 | varies |
| Venous Mech Thrombectomy (37187) likely a partial charge, not the full procedure |
$595 | $595 | 0.1× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$206.50–$265 | $265–$295 | varies |
| Wound Prep F/N/Hf/G (15004) | $585 | $585 | 1.4× |
| Wound Prep Trk/Arm/Leg (15002) | $515 | $515 | 0.7× |
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.