Procedures & surgery prices at Texoma Medical Center
Denison, TX · every code in this section with a posted price and a Medicare benchmark.
809 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 |
$2,517–$2,694 | $3,356–$3,592 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$2,246.25–$2,479.50 | $2,995–$3,306 | varies |
| Abdomen Surgery Procedure (22999) | $4,695 | $6,260 | 18.9× |
| Ablation 1/> liver tumor perq cryoablation (47383) | $12,062.25 | $16,083 | 1.1× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $17,977.50 | $23,970 | 1.0× |
| Adding Walker Previously Applied Cast (29440) | $529.50 | $706 | 3.2× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $4,695 | $6,260 | 2.3× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $4,695 | $6,260 | 2.3× |
| Amniocentesis diagnostic (59000) range across 3 matching MRF lines |
$2,448–$2,448.75 | $3,264–$3,265 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $4,695 | $6,260 | 1.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $4,695 | $6,260 | 1.4× |
| Amputate Metacarpal Bone (26910) | $4,695 | $6,260 | 1.4× |
| Anoscopy Control Bleeding (46614) | $1,897.50 | $2,530 | 1.6× |
| Anoscopy diagnostic (46600) | $529.50 | $706 | 4.0× |
| Anoscopy W/Rmvl Foreign Body (46608) | $3,671.25 | $4,895 | 3.9× |
| Application cast elbow finger short arm (29075) | $1,262.25 | $1,683 | 4.5× |
| Application Cast Shoulder Spica (29055) | $1,262.25 | $1,683 | 4.5× |
| Application Finger Splint Dynamic (29131) | $692.25 | $923 | 11.7× |
| Application finger splint static (29130) | $741 | $988 | 5.5× |
| Application long arm splint shoulder hand (29105) | $592.50 | $790 | 3.6× |
| Application Long Leg Cast Brace (29358) | $1,262.25 | $1,683 | 4.5× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $1,262.25 | $1,683 | 4.5× |
| Application Long Leg Splint (29505) | $592.50 | $790 | 3.6× |
| Application of cylinder cast (thigh to ankle) (29365) | $1,262.25 | $1,683 | 4.5× |
| Application of long leg cast (29345) | $1,262.25 | $1,683 | 4.5× |
| Application of rigid total contact leg cast (29445) range across 4 matching MRF lines |
$1,262.25–$1,980 | $1,683–$2,640 | varies |
| Application Patellar Tendon Bearing Cast (29435) | $1,262.25 | $1,683 | 4.5× |
| Application Short Arm Splint Dynamic (29126) | $741 | $988 | 5.5× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$529.50–$769.50 | $706–$1,026 | varies |
| Application short leg splint calf foot (29515) | $592.50 | $790 | 3.6× |
| Application, cast; figure-of-eight Facility (29049) | $529.50 | $706 | 1.9× |
| Apply hand/wrist cast (29085) | $529.50 | $706 | 3.2× |
| Apply long arm cast (29065) | $1,262.25 | $1,683 | 4.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$757.50–$1,162.50 | $1,010–$1,550 | varies |
| Apply Short Leg Cast (29405) | $1,262.25 | $1,683 | 4.5× |
| Apply short leg cast (29425) | $1,262.25 | $1,683 | 4.5× |
| Apply shoulder cast,plastr velpeau (29058) | $529.50 | $706 | 1.9× |
| Arterial puncture (36600) range across 4 matching MRF lines |
$264.75–$529.50 | $353–$706 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$492–$1,176 | $656–$1,568 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$1,684.50–$2,526 | $2,246–$3,368 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 18 matching MRF lines |
$588.75–$2,812.50 | $785–$3,750 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$630.75–$1,176 | $841–$1,568 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$561–$874.50 | $748–$1,166 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $4,695 | $6,260 | 2.9× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$1,897.50–$2,031.75 | $2,530–$2,709 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$1,897.50–$2,479.50 | $2,530–$3,306 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $1,262.25 | $1,683 | 4.1× |
| Aspiration and/or injection thyroid cyst (60300) range across 4 matching MRF lines |
$890.25–$1,897.50 | $1,187–$2,530 | varies |
| Aspiration bladder insert suprapubic catheter (51102) range across 3 matching MRF lines |
$4,695–$5,654.25 | $6,260–$7,539 | varies |
| Aspiration Bladder Needle (51100) | $873.75 | $1,165 | 3.5× |
| Aspiration bladder trocar/intracatheter (51101) | $3,294 | $4,392 | 3.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$436.50–$692.25 | $582–$923 | varies |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $12,588 | $16,784 | 1.2× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) | $8,091 | $10,788 | 1.2× |
| Biopsy Abdominal Mass (49180) range across 3 matching MRF lines |
$2,495.25–$4,282.50 | $3,327–$5,710 | varies |
| Biopsy bone open superficial (20240) | $11,001.75 | $14,669 | 3.8× |
| Biopsy bone trocar/needle deep (20225) range across 4 matching MRF lines |
$5,820–$6,795.75 | $7,760–$9,061 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 5 matching MRF lines |
$3,621.75–$4,527 | $4,829–$6,036 | varies |
| Biopsy external ear (69100) | $1,262.25 | $1,683 | 5.3× |
| Biopsy muscle percutaneous needle (20206) range across 8 matching MRF lines |
$1,485–$4,282.50 | $1,980–$5,710 | varies |
| Biopsy Muscle Superficial (20200) | $5,436.75 | $7,249 | 3.3× |
| Biopsy of breast; open, incisional (19101) range across 2 matching MRF lines |
$8,412.75–$8,729.25 | $11,217–$11,639 | varies |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$3,426–$4,282.50 | $4,568–$5,710 | varies |
| Biopsy Pleura Percutaneous Needle (32400) range across 4 matching MRF lines |
$2,031.75–$3,621.75 | $2,709–$4,829 | varies |
| Biopsy Salivary Gland Needle (42400) range across 2 matching MRF lines |
$3,621.75–$4,527 | $4,829–$6,036 | varies |
| Biopsy soft tissue neck/thorax (21550) | $2,896.50 | $3,862 | 1.7× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $2,896.50 | $3,862 | 1.7× |
| Bladder instillation anticarcinogenic agent (51720) | $1,220.44 | $1,627.25 | 1.7× |
| Bladder Irrigation (51700) | $913.50 | $1,218 | 3.6× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$529.50–$1,080.75 | $706–$1,441 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $1,765.50 | $2,354 | 5.5× |
| Blood Transfusion Service (36430) | $2,184.75 | $2,913 | 4.9× |
| Bone Marrow; Aspiration Only (38220) | $5,436.75 | $7,249 | 3.3× |
| Bronch Thermoplsty 1 Lobe (31660) | $8,902.50 | $11,870 | 1.3× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) | $8,902.50 | $11,870 | 1.3× |
| Bronchoscopy Clear Airways (31645) range across 2 matching MRF lines |
$3,671.25–$3,878.25 | $4,895–$5,171 | varies |
| Bronchoscopy Reclear Airway (31646) | $3,671.25 | $4,895 | 9.3× |
| Bronchoscopy W/Biopsy(S) (31625) | $4,617 | $6,156 | 2.6× |
| Bronchoscopy W/Removal Foreign Body (31635) range across 2 matching MRF lines |
$3,671.25–$4,863.75 | $4,895–$6,485 | varies |
| Bx breast 1st lesion mr imag (19085) | $12,747.75 | $16,997 | 7.7× |
| Bx breast 1st lesion strtctc (19081) range across 27 matching MRF lines |
$2,825.25–$5,610 | $3,767–$7,480 | varies |
| Bx breast 1st lesion us imag (19083) range across 18 matching MRF lines |
$3,885–$6,381.75 | $5,180–$8,509 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 5 matching MRF lines |
$1,485–$4,199.25 | $1,980–$5,599 | varies |
| Canthoplasty (67950) | $4,695 | $6,260 | 2.0× |
| Canthotomy Separate Procedure (67715) | $4,695 | $6,260 | 2.0× |
| Catheter aspiration nasotracheal spx (31720) | $558.75 | $745 | 2.5× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $873.75 | $1,165 | 2.9× |
| Cautery Cervix Electro/Thermal (57510) | $4,695 | $6,260 | 1.4× |
| Cessj Therapy Cath Removal (37214) | $8,414.25 | $11,219 | 2.7× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$873.75–$1,222.50 | $1,165–$1,630 | varies |
| Change of Windpipe Airway (31502) | $2,387.25 | $3,183 | 10.0× |
| Change ureter stent percut (50382) | $2,616.75 | $3,489 | 1.2× |
| Chemical Cautery Tissue (17250) | $978 | $1,304 | 4.9× |
| Chest tube placement (32551) | $4,256.25 | $5,675 | 2.7× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) | $4,644 | $6,192 | 2.2× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) range across 3 matching MRF lines |
$8,091–$10,825.50 | $10,788–$14,434 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $1,983.75 | $2,645 | 1.2× |
| Cl Tx Tib Shft Fx W Manip (27752) | $4,911.75 | $6,549 | 3.0× |
| Clear outer ear canal (69200) | $592.50 | $790 | 4.4× |
| Closed Rx Spontaneous Hip Disloc (27256) | $873.75 | $1,165 | 3.5× |
| Closed Treat Vert Body Fract (22310) | $1,897.50 | $2,530 | 7.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $1,169.25 | $1,559 | 4.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $873.75 | $1,165 | 3.5× |
| Closed Treatment Sesamoid Fracture (28530) | $873.75 | $1,165 | 3.5× |
| Closed Treatment Sternum Fracture (21820) | $873.75 | $1,165 | 3.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $1,092 | $1,456 | 4.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,222.50 | $1,630 | 4.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $5,897.25 | $7,863 | 3.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $873.75 | $1,165 | 3.5× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $3,671.25 | $4,895 | 14.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $873.75 | $1,165 | 3.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,897.50 | $2,530 | 1.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $873.75 | $1,165 | 3.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $1,897.50 | $2,530 | 7.7× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $4,695 | $6,260 | 2.9× |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,222.50 | $1,630 | 4.9× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $3,671.25 | $4,895 | 2.3× |
| Closed tx mandibular fracture w/manipulation (21451) | $4,695 | $6,260 | 3.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $1,262.25 | $1,683 | 2.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) | $15,210.75 | $20,281 | 2.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $873.75 | $1,165 | 3.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $4,589.25 | $6,119 | 2.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $6,567 | $8,756 | 4.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $4,695 | $6,260 | 1.4× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) | $15,210.75 | $20,281 | 4.6× |
| Closed tx patellar dislocation w/anesthesia (27562) | $5,868.75 | $7,825 | 23.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,222.50 | $1,630 | 4.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $873.75 | $1,165 | 3.5× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,897.50 | $2,530 | 1.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $913.50 | $1,218 | 3.7× |
| Closed tx radial shaft fracture w/manipulation (25505) | $4,420.50 | $5,894 | 2.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $873.75 | $1,165 | 3.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $4,420.50 | $5,894 | 2.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $873.75 | $1,165 | 3.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $873.75 | $1,165 | 3.5× |
| Closed tx septal&nose fx (21337) | $4,695 | $6,260 | 1.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $1,897.50 | $2,530 | 7.7× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $873.75 | $1,165 | 3.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $4,512.75 | $6,017 | 2.8× |
| Closed tx talus fracture w/o manipulation (28430) | $873.75 | $1,165 | 3.5× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $873.75 | $1,165 | 3.5× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $873.75 | $1,165 | 3.5× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $4,695 | $6,260 | 3.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $1,118.25 | $1,491 | 4.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 4 matching MRF lines |
$1,745.25–$4,215.75 | $2,327–$5,621 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $873.75 | $1,165 | 3.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $873.75 | $1,165 | 3.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $1,765.50 | $2,354 | 7.4× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,897.50 | $2,530 | 3.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,897.50 | $2,530 | 7.7× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $873.75 | $1,165 | 3.5× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $4,107.75 | $5,477 | 2.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $1,142.25 | $1,523 | 4.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $6,567 | $8,756 | 4.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,222.50 | $1,630 | 4.9× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $1,897.50 | $2,530 | 1.2× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $873.75 | $1,165 | 3.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $5,253.75 | $7,005 | 3.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $5,897.25 | $7,863 | 3.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $873.75 | $1,165 | 3.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $4,215.75 | $5,621 | 2.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $873.75 | $1,165 | 3.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $873.75 | $1,165 | 3.5× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $873.75 | $1,165 | 3.5× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $4,215.75 | $5,621 | 2.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,222.50 | $1,630 | 4.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $978 | $1,304 | 3.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,142.25 | $1,523 | 4.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $873.75 | $1,165 | 3.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $913.50 | $1,218 | 3.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $4,602 | $6,136 | 2.8× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $4,695 | $6,260 | 2.9× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $1,897.50 | $2,530 | 1.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $873.75 | $1,165 | 3.5× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) | $1,142.25 | $1,523 | 4.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $5,134.50 | $6,846 | 3.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $873.75 | $1,165 | 3.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $1,092 | $1,456 | 4.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $1,222.50 | $1,630 | 4.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $873.75 | $1,165 | 3.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $5,134.50 | $6,846 | 3.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $873.75 | $1,165 | 3.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $873.75 | $1,165 | 3.5× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $1,897.50 | $2,530 | 7.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $3,671.25 | $4,895 | 2.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $6,135.75 | $8,181 | 3.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,222.50 | $1,630 | 4.9× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $873.75 | $1,165 | 3.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $4,512.75 | $6,017 | 2.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $5,640.75 | $7,521 | 3.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $873.75 | $1,165 | 3.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) | $1,897.50 | $2,530 | 1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $1,222.50 | $1,630 | 4.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $5,868.75 | $7,825 | 20.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $1,222.50 | $1,630 | 4.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $4,589.25 | $6,119 | 2.8× |
| Cltx Medial Ankle Fx (27760) | $913.50 | $1,218 | 3.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $978 | $1,304 | 3.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $1,092 | $1,456 | 4.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $4,215.75 | $5,621 | 2.6× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $5,025.75 | $6,701 | 3.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,222.50 | $1,630 | 4.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $873.75 | $1,165 | 3.5× |
| Cltx post hip arthrp dislc req anes (27266) | $6,135.75 | $8,181 | 3.8× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,222.50 | $1,630 | 4.9× |
| Cltx prox fibula/shft fx w/manj (27781) | $3,929.25 | $5,239 | 2.4× |
| Cltx prox fibula/shft fx w/o manj (27780) | $873.75 | $1,165 | 3.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $4,797 | $6,396 | 3.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $1,142.25 | $1,523 | 4.6× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $1,142.25 | $1,523 | 4.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $1,222.50 | $1,630 | 4.9× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,897.50 | $2,530 | 1.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $3,536.25 | $4,715 | 2.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $5,897.25 | $7,863 | 3.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $3,536.25 | $4,715 | 2.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $913.50 | $1,218 | 3.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $873.75 | $1,165 | 3.5× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $4,695 | $6,260 | 1.4× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $873.75 | $1,165 | 3.5× |
| Cltx tibial fx proximal w/o manipulation (27530) | $873.75 | $1,165 | 3.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,092 | $1,456 | 4.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $4,420.50 | $5,894 | 2.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $913.50 | $1,218 | 3.7× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) | $3,671.25 | $4,895 | 1.1× |
| Collect Blood From Catheter Venous Nos (36592) | $529.50 | $706 | 4.0× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$47.25–$50.25 | $63–$67 | varies |
| Colpocentesis (57020) | $7,155.75 | $9,541 | 1.4× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) | $4,695 | $6,260 | 1.4× |
| Colporrhaphy (57200) | $4,695 | $6,260 | 1.4× |
| Complex drainage wound (10180) | $4,695 | $6,260 | 1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$592.50–$1,142.25 | $790–$1,523 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) | $592.50 | $790 | 4.4× |
| Control oropharyngeal hemorrhage simple (42960) | $529.50 | $706 | 1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) range across 2 matching MRF lines |
$1,157.25–$5,597.25 | $1,543–$7,463 | varies |
| Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$4,421.25–$6,631.50 | $5,895–$8,842 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $3,511.50 | $4,682 | 2.1× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) | $529.50 | $706 | 2.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $624 | $832 | 4.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $529.50 | $706 | 2.2× |
| Curette/treat cornea (65435) | $3,671.25 | $4,895 | 3.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $4,695 | $6,260 | 2.2× |
| Cystourethroscopy (52000) | $3,671.25 | $4,895 | 5.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $1,262.25 | $1,683 | 3.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $5,436.75 | $7,249 | 1.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $2,031.75 | $2,709 | 2.9× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,897.50 | $2,530 | 2.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $3,087 | $4,116 | 4.2× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$415.50–$529.50 | $554–$706 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$415.50–$529.50 | $554–$706 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$4,197.75–$4,690.50 | $5,597–$6,254 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$1,624.50–$2,572.50 | $2,166–$3,430 | varies |
| Declot vascular device (36593) range across 5 matching MRF lines |
$1,262.25–$16,326 | $1,683–$21,768 | varies |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$4,695–$8,514.75 | $6,260–$11,353 | varies |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$5,193–$5,901 | $6,924–$7,868 | varies |
| Destroy lumb/sac facet jnt (64635) | $5,193 | $6,924 | 2.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,628.44 | $2,171.25 | 1.8× |
| Destruction Lesions Vulva Simple (56501) | $4,695 | $6,260 | 2.3× |
| Destruction of skin lesions (17106) | $1,262.25 | $1,683 | 3.1× |
| Destruction premalignant lesion 1st (17000) | $529.50 | $706 | 2.6× |
| Destruction Vaginal Lesions Simple (57061) | $4,695 | $6,260 | 1.4× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $529.50 | $706 | 4.1× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) | $529.50 | $706 | 4.0× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) | $529.50 | $706 | 4.0× |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) | $873.75 | $1,165 | 3.5× |
| Dilate Esophagus 1/Mult Pass (43450) | $1,897.50 | $2,530 | 2.1× |
| Dilate Urethra Stricture (53620) | $4,695 | $6,260 | 6.7× |
| Dilate Urethra Stricture (53600) | $1,262.25 | $1,683 | 5.0× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$1,262.25–$1,892.25 | $1,683–$2,523 | varies |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $1,350.75 | $1,801 | 2.5× |
| Drainage external auditory canal abscess (69020) | $1,142.25 | $1,523 | 1.6× |
| Drainage external ear abscess/hematoma cmplx (69005) | $4,797 | $6,396 | 2.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,990.50 | $2,654 | 2.8× |
| Drainage Finger Abscess Complicated (26011) | $5,134.50 | $6,846 | 3.1× |
| Drainage Mouth Roof Lesion (42000) | $1,262.25 | $1,683 | 5.3× |
| Drainage of eye (65800) | $3,671.25 | $4,895 | 1.6× |
| Drainage of finger abscess simple (26010) | $1,222.50 | $1,630 | 6.1× |
| Drainage of gum lesion (41800) | $1,222.50 | $1,630 | 9.1× |
| Drainage of hematoma/fluid (10140) | $5,134.50 | $6,846 | 3.1× |
| Drainage of hydrocele (55000) | $1,897.50 | $2,530 | 2.7× |
| Drainage of nose lesion (30000) | $1,262.25 | $1,683 | 5.3× |
| Drainage of rectal abscess (45005) | $4,695 | $6,260 | 3.9× |
| Drainage of salivary gland (42320) | $1,262.25 | $1,683 | 2.3× |
| Drainage of scrotal wall abscess (55100) | $4,797 | $6,396 | 2.9× |
| Drainage of scrotum (54700) | $4,695 | $6,260 | 2.2× |
| Drainage of skene's gland abscess or cyst (53060) | $4,695 | $6,260 | 2.2× |
| Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
$529.50–$640.50 | $706–$854 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $873.75 | $1,165 | 1.2× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $3,671.25 | $4,895 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$822.75–$978 | $1,097–$1,304 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $1,467 | $1,956 | 7.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $1,222.50 | $1,630 | 6.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,121.75 | $2,829 | 2.4× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $2,197.50 | $2,930 | 2.5× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$5,787–$7,233.75 | $7,716–$9,645 | varies |
| Dx Bronchoscope/Lavage (31624) | $3,507.75 | $4,677 | 2.0× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$3,671.25–$4,747.50 | $4,895–$6,330 | varies |
| Dx gastr intub w/asp spec (43754) | $529.50 | $706 | 2.4× |
| Dx Laryngoscopy Excl Nb (31525) | $4,695 | $6,260 | 2.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 6 matching MRF lines |
$1,570.50–$1,950.75 | $2,094–$2,601 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,671.25 | $4,895 | 1.9× |
| Egd Flexible Foreign Body Removal (43247) | $3,671.25 | $4,895 | 4.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $3,671.25 | $4,895 | 1.9× |
| Egd place gastrostomy tube (43246) | $3,671.25 | $4,895 | 1.9× |
| Endometrial Biopsy (58100) | $873.75 | $1,165 | 4.3× |
| Endoscopic us exam esoph (43237) | $3,671.25 | $4,895 | 1.9× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) range across 2 matching MRF lines |
$16,190.25–$32,381.25 | $21,587–$43,175 | varies |
| Epidural Blood Patch (62273) range across 6 matching MRF lines |
$1,278–$1,749 | $1,704–$2,332 | varies |
| Episiotomy or vaginal repair (59300) | $4,695 | $6,260 | 1.4× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $11,456.25 | $15,275 | 3.0× |
| Escharotomy; initial incision (16035) | $873.75 | $1,165 | 2.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $3,671.25 | $4,895 | 1.9× |
| Evacuation of subungual hematoma (11740) | $741 | $988 | 5.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,897.50 | $2,530 | 2.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $4,695 | $6,260 | 2.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,897.50 | $2,530 | 2.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,897.50 | $2,530 | 2.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $3,671.25 | $4,895 | 5.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $3,671.25 | $4,895 | 2.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $3,929.25 | $5,239 | 2.4× |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) | $19,106.25 | $25,475 | 2.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $4,797 | $6,396 | 2.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $3,671.25 | $4,895 | 5.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $3,671.25 | $4,895 | 2.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $3,671.25 | $4,895 | 5.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $4,695 | $6,260 | 2.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $4,695 | $6,260 | 1.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $4,695 | $6,260 | 2.8× |
| Exc Skin Benig >4cm Face,Facial (11446) | $4,695 | $6,260 | 1.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $4,695 | $6,260 | 3.9× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $1,897.50 | $2,530 | 4.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $3,814.50 | $5,086 | 5.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $4,695 | $6,260 | 2.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) range across 2 matching MRF lines |
$8,091–$10,022.25 | $10,788–$13,363 | varies |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 7 matching MRF lines |
$1,670.25–$4,908.75 | $2,227–$6,545 | varies |
| Exchange Transfusion Blood Newborn (36450) | $1,133.25 | $1,511 | 2.6× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) range across 2 matching MRF lines |
$3,176.25–$4,814.25 | $4,235–$6,419 | varies |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) | $4,695 | $6,260 | 2.0× |
| Excision Lingual Frenum Frenectomy (41115) | $1,090.50 | $1,454 | 0.7× |
| Excision Multiple External Papillae/Tags Anus (46230) | $4,695 | $6,260 | 1.7× |
| Excision tendon finger flexor/extensor each (26180) | $4,695 | $6,260 | 2.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $4,695 | $6,260 | 2.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $4,695 | $6,260 | 2.3× |
| Expl po hemrrg thrombosis/infctj xtr (35860) | $4,695 | $6,260 | 1.5× |
| Explo/Drain Breast Abscess (19020) range across 3 matching MRF lines |
$544.50–$5,868.75 | $726–$7,825 | varies |
| Exploration of knee joint (27310) | $4,695 | $6,260 | 1.4× |
| Exploration penetrating wound spx chest (20101) | $4,695 | $6,260 | 2.3× |
| Exploration penetrating wound spx extremity (20103) | $3,671.25 | $4,895 | 2.2× |
| Exploration Penetrating Wound Spx Neck (20100) | $1,897.50 | $2,530 | 3.5× |
| External cephalic version (59412) | $9,313.50 | $12,418 | 2.9× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $6,711.75 | $8,949 | 2.9× |
| Fetal Contraction Stress Test (59020) | $1,250.25 | $1,667 | 6.2× |
| Fetal non-stress test (59025) range across 3 matching MRF lines |
$873.75–$1,080.75 | $1,165–$1,441 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) range across 3 matching MRF lines |
$2,019–$2,724 | $2,692–$3,632 | varies |
| Fine needle aspiration without imaging guidance (10021) | $1,224.75 | $1,633 | 3.0× |
| Fluid Pressure Muscle (20950) | $873.75 | $1,165 | 1.2× |
| Fluoro exam of g/colon tube (49465) range across 2 matching MRF lines |
$711–$1,168.50 | $948–$1,558 | varies |
| Fna Bx W/Fluor Gdn 1St Les (10007) range across 3 matching MRF lines |
$1,452–$2,194.50 | $1,936–$2,926 | varies |
| Fna bx w/us gdn 1st les (10005) | $2,019 | $2,692 | 2.8× |
| Foreskin manipulation (54450) | $1,350.75 | $1,801 | 5.4× |
| Guide Cathet Fluid Drainage (10030) range across 3 matching MRF lines |
$2,358.75–$4,695 | $3,145–$6,260 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,897.50 | $2,530 | 2.0× |
| Hymenotomy Simple Incision (56442) | $4,695 | $6,260 | 1.4× |
| I&d abscess peritonsillar (42700) | $1,649.25 | $2,199 | 6.9× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$873.75–$978 | $1,165–$1,304 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $4,695 | $6,260 | 1.6× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $5,868.75 | $7,825 | 2.0× |
| I&d perianal abscess superficial (46050) | $10,358.25 | $13,811 | 11.1× |
| I&d pilonidal cyst complicated (10081) | $2,189.25 | $2,919 | 3.1× |
| I&d pilonidal cyst simple (10080) | $1,990.50 | $2,654 | 2.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $4,695 | $6,260 | 1.6× |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $3,671.25 | $4,895 | 1.3× |
| Icd Pocket Revision (33223) | $18,452.25 | $24,603 | 8.9× |
| Image Cath Fluid Colxn Visc (49405) range across 9 matching MRF lines |
$2,310–$7,234.50 | $3,080–$9,646 | varies |
| Image Cath Fluid Peri/Retro (49406) range across 12 matching MRF lines |
$5,757–$8,006.25 | $7,676–$10,675 | varies |
| Incise external hemorrhoid (46083) | $1,222.50 | $1,630 | 4.9× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$702.75–$1,453.50 | $937–$1,938 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $5,787.75 | $7,717 | 2.0× |
| Incision & removal foreign body subq tiss compl (10121) | $6,084 | $8,112 | 3.7× |
| Incision & removal foreign body subq tiss simple (10120) | $1,567.50 | $2,090 | 3.8× |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$978–$1,222.50 | $1,304–$1,630 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$1,626.75–$2,033.25 | $2,169–$2,711 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$4,695–$6,567 | $6,260–$8,756 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $4,589.25 | $6,119 | 2.8× |
| Incisional biopsy skin single lesion (11106) | $863.25 | $1,151 | 1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $708.75 | $945 | 3.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,463.25 | $1,951 | 1.6× |
| Inj W/Fluor Eval Cv Device (36598) range across 3 matching MRF lines |
$1,525.50–$6,003 | $2,034–$8,004 | varies |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $3,671.25 | $4,895 | 4.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,749 | $2,332 | 2.0× |
| Inject Intravitreal Pharmcologic (67028) | $1,262.25 | $1,683 | 3.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $1,578 | $2,104 | 5.1× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) range across 2 matching MRF lines |
$1,365.75–$3,671.25 | $1,821–$4,895 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $3,671.25 | $4,895 | 4.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $1,262.25 | $1,683 | 4.1× |
| Injection Anes Superior Hypogastric Plexus (64517) | $2,121.75 | $2,829 | 2.4× |
| Injection for identification of sentinel node (38792) | $1,870.50 | $2,494 | 4.7× |
| Injection Into Brain Canal (61055) | $2,056.50 | $2,742 | 6.7× |
| Injection of sclerosing solution, hemorrhoids (46500) | $1,897.50 | $2,530 | 2.0× |
| Injection single tendon origin/insertion (20551) | $1,262.25 | $1,683 | 4.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$1,262.25–$1,412.25 | $1,683–$1,883 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$1,262.25–$1,649.25 | $1,683–$2,199 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$1,684.50–$2,526 | $2,246–$3,368 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $529.50 | $706 | 2.6× |
| Injx Anterior Chamber Eye Medication Spx (66030) | $4,695 | $6,260 | 2.0× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $1,645.50 | $2,194 | 1.9× |
| Ins cath ren art 1st bilat (36252) | $10,399.50 | $13,866 | 3.3× |
| Ins cath ren art 1st unilat (36251) range across 2 matching MRF lines |
$6,057.75–$7,503.75 | $8,077–$10,005 | varies |
| Ins cath ren art 2nd+ bilat (36254) | $6,484.50 | $8,646 | 2.0× |
| Ins cath ren art 2nd+ unilat (36253) | $12,046.50 | $16,062 | 2.2× |
| Ins endovas vena cava filtr (37191) range across 2 matching MRF lines |
$14,592.75–$19,347 | $19,457–$25,796 | varies |
| Insert 1 Electrode Pm-Defib (33216) | $15,799.50 | $21,066 | 1.9× |
| Insert and remove bone pin (20650) | $4,695 | $6,260 | 1.4× |
| Insert Bladder Cath Complex (51703) | $529.50 | $706 | 4.1× |
| Insert cath pleura w/ image (32557) range across 5 matching MRF lines |
$1,381.50–$4,071 | $1,842–$5,428 | varies |
| Insert cath pleura w/o image (32556) | $5,079.75 | $6,773 | 2.6× |
| Insert Gastrostomy Tube Percutaneous (49440) range across 3 matching MRF lines |
$4,182.75–$5,228.25 | $5,577–$6,971 | varies |
| Insert Heart Pm Atrial (33206) | $30,312 | $40,416 | 2.9× |
| Insert Heart Pm Ventricular (33207) | $17,425.50 | $23,234 | 1.7× |
| Insert hepatic shunt (tips) (37182) | $33,686.25 | $44,915 | 1.8× |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$3,671.25–$4,161 | $4,895–$5,548 | varies |
| Insert Pacing Lead & Connect (33224) | $25,925.25 | $34,567 | 2.5× |
| Insert pessary/other device (57160) | $873.75 | $1,165 | 4.3× |
| Insert pulse gen dual leads (33213) | $25,925.25 | $34,567 | 2.5× |
| Insert pulse gen mult leads (33221) | $19,288.50 | $25,718 | 1.0× |
| Insert Pulse Gen Sngl Lead (33212) | $15,800.25 | $21,067 | 1.9× |
| Insert Temp Bladder Cath (51702) | $592.50 | $790 | 4.4× |
| Insert tun ip cath perc (49418) range across 2 matching MRF lines |
$8,370.75–$10,463.25 | $11,161–$13,951 | varies |
| Insert tunneled cv cath (36561) range across 4 matching MRF lines |
$4,695–$9,438.75 | $6,260–$12,585 | varies |
| Insert tunneled cv cath (36563) | $4,695 | $6,260 | 0.8× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) range across 2 matching MRF lines |
$8,211.75–$11,470.50 | $10,949–$15,294 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $592.50 | $790 | 4.4× |
| Insertion indwelling tunneled pleural catheter (32550) range across 3 matching MRF lines |
$8,091–$10,825.50 | $10,788–$14,434 | varies |
| Insertion of cannula (36800) | $11,905.50 | $15,874 | 2.1× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) | $4,695 | $6,260 | 0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,071 | $5,428 | 2.6× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $21,128.25 | $28,171 | 2.5× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $5,604.75 | $7,473 | 1.6× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $14,761.50 | $19,682 | 1.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 3 matching MRF lines |
$1,247.25–$4,589.25 | $1,663–$6,119 | varies |
| Insj Picc Rs&I <5 Yr (36572) range across 3 matching MRF lines |
$3,398.25–$3,976.50 | $4,531–$5,302 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $4,695 | $6,260 | 1.5× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $5,868.75 | $7,825 | 1.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,671.25 | $4,895 | 2.3× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $4,695 | $6,260 | 1.5× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $4,908.75 | $6,545 | 0.9× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) | $4,695 | $6,260 | 1.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$8,211.75–$17,992.50 | $10,949–$23,990 | varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) range across 2 matching MRF lines |
$14,761.50–$31,814.25 | $19,682–$42,419 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$6,135.75–$14,761.50 | $8,181–$19,682 | varies |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) range across 2 matching MRF lines |
$4,695–$14,761.50 | $6,260–$19,682 | varies |
| Insrt heart pm atrial & vent (33208) | $27,496.50 | $36,662 | 2.6× |
| Insrt Pulse Gen W/Dual Leads (33230) | $19,571.25 | $26,095 | 0.9× |
| Insrt Pulse Gen W/Mult Leads (33231) | $23,509.50 | $31,346 | 0.7× |
| Insrt Pulse Gen W/Singl Lead (33240) | $14,761.50 | $19,682 | 0.7× |
| Interdental Wiring Other Than Fracture (21497) | $1,897.50 | $2,530 | 1.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,350.75 | $1,801 | 3.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,262.25 | $1,683 | 3.1× |
| Intraoral i&d tongue/floor sublngl supfc (41005) | $1,262.25 | $1,683 | 5.3× |
| Intraoral i&d tongue/floor submndblr space (41008) | $4,695 | $6,260 | 1.4× |
| Intro cath dialysis circuit (36901) range across 3 matching MRF lines |
$9,088.50–$9,639.75 | $12,118–$12,853 | varies |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) range across 3 matching MRF lines |
$32,381.25–$40,109.25 | $43,175–$53,479 | varies |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) range across 3 matching MRF lines |
$16,177.50–$21,645 | $21,570–$28,860 | varies |
| Intro Gastrointestinal Tube (44500) range across 3 matching MRF lines |
$1,163.25–$1,897.50 | $1,551–$2,530 | varies |
| Intubation endotracheal emergency procedure (31500) | $2,103.75 | $2,805 | 8.8× |
| Irrigation of corpora cavernosa for priapism (54220) | $1,142.25 | $1,523 | 4.6× |
| Laryngoscopy diagnostic (31505) | $529.50 | $706 | 2.6× |
| Laryngoscopy flexible diagnostic (31575) | $873.75 | $1,165 | 4.4× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $1,897.50 | $2,530 | 4.8× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $873.75 | $1,165 | 4.4× |
| Laryngoscopy W/Foreign Body Removal (31530) | $4,908.75 | $6,545 | 2.7× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) | $4,695 | $6,260 | 11.9× |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) | $873.75 | $1,165 | 2.2× |
| Late closure of wound (13160) | $6,794.25 | $9,059 | 1.9× |
| Mech remov tunneled cv cath (36595) | $7,142.25 | $9,523 | 2.3× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) | $4,695 | $6,260 | 1.3× |
| Myelography Lumbar Injection (62305) | $2,592 | $3,456 | 3.3× |
| Myelography Lumbar Injection (62304) range across 2 matching MRF lines |
$2,739–$3,423.75 | $3,652–$4,565 | varies |
| Myelography via lumbar injection rs&i cervical (62302) range across 2 matching MRF lines |
$2,739–$3,423.75 | $3,652–$4,565 | varies |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) range across 2 matching MRF lines |
$2,759.25–$3,423.75 | $3,679–$4,565 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$1,262.25–$2,462.25 | $1,683–$3,283 | varies |
| N block inj intercost sng (64420) | $1,262.25 | $1,683 | 1.8× |
| N Block Inj Pudendal (64430) range across 6 matching MRF lines |
$3,671.25–$5,508 | $4,895–$7,344 | varies |
| N Block Lumbar/Thoracic (64520) | $2,122.50 | $2,830 | 2.4× |
| Nasal surgery procedure (30999) | $529.50 | $706 | 2.2× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 4 matching MRF lines |
$907.50–$1,134.75 | $1,210–$1,513 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $4,695 | $6,260 | 2.6× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$3,426–$4,344.75 | $4,568–$5,793 | varies |
| Needle Biopsy Pancreas (48102) range across 2 matching MRF lines |
$2,008.50–$2,263.50 | $2,678–$3,018 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$863.25–$1,515.75 | $1,151–$2,021 | varies |
| Njx anes stellate ganglion crv sympathetic (64510) | $2,031 | $2,708 | 2.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $1,649.25 | $2,199 | 5.3× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
$2,472.75–$10,825.50 | $3,297–$14,434 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) range across 2 matching MRF lines |
$8,091–$10,022.25 | $10,788–$13,363 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$1,463.25–$2,194.50 | $1,951–$2,926 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$972.75–$3,598.50 | $1,297–$4,798 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $2,121.75 | $2,829 | 2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
$1,356.75–$4,338.75 | $1,809–$5,785 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 4 matching MRF lines |
$2,052–$3,846.75 | $2,736–$5,129 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 3 matching MRF lines |
$2,052–$3,077.25 | $2,736–$4,103 | varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $873.75 | $1,165 | 2.1× |
| Occipital Nerve Block (64405) | $1,262.25 | $1,683 | 4.1× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $4,695 | $6,260 | 1.4× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) | $4,695 | $6,260 | 0.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $4,695 | $6,260 | 1.4× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $4,695 | $6,260 | 1.4× |
| Open tx interphalangeal joint dislocation (26785) | $4,695 | $6,260 | 1.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $4,695 | $6,260 | 1.4× |
| Open/Perq Place Stent 1St (37236) | $48,644.25 | $64,859 | 4.2× |
| Open/Perq Place Stent Same (37238) | $48,644.25 | $64,859 | 4.2× |
| Penile Injection (54235) | $978 | $1,304 | 3.9× |
| Perc Cryo Ablate Renal Tum (50593) range across 4 matching MRF lines |
$20,996.25–$31,494.75 | $27,995–$41,993 | varies |
| Perc Rf Ablate Renal Tumor (50592) range across 3 matching MRF lines |
$12,062.25–$18,093 | $16,083–$24,124 | varies |
| Percut Ablate Liver Rf (47382) range across 2 matching MRF lines |
$12,062.25–$15,078 | $16,083–$20,104 | varies |
| Percut Cath Occlusn Non Cns Lesn (61626) | $32,381.25 | $43,175 | 2.8× |
| Percut Drain/Inject Renal Cyst (50390) range across 5 matching MRF lines |
$2,302.50–$4,527 | $3,070–$6,036 | varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) range across 2 matching MRF lines |
$20,407.50–$24,488.25 | $27,210–$32,651 | varies |
| Pericardiocentesis W/Imaging (33016) | $5,043 | $6,724 | 3.2× |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$1,700.25–$1,897.50 | $2,267–$2,530 | varies |
| Perm Occlusion/Embolization,Percut,Cns (61624) | $32,381.25 | $43,175 | 1.8× |
| Perq dev breast 1st mr guide (19287) | $5,832 | $7,776 | 8.2× |
| Perq dev breast 1st strtctc (19283) | $3,472.50 | $4,630 | 4.9× |
| Perq dev breast 1st us imag (19285) range across 6 matching MRF lines |
$3,084–$5,104.50 | $4,112–$6,806 | varies |
| Perq device breast 1st imag (19281) range across 6 matching MRF lines |
$2,565–$3,588 | $3,420–$4,784 | varies |
| Perq dilation xst trc endourologic px w/img (50436) range across 6 matching MRF lines |
$8,627.25–$13,849.50 | $11,503–$18,466 | varies |
| Perq Lumbosacral Injection (22511) | $7,605 | $10,140 | 2.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,521 | $2,028 | 2.1× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $42,933 | $57,244 | 3.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) range across 3 matching MRF lines |
$20,407.50–$24,489 | $27,210–$32,652 | varies |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $15,493.50 | $20,658 | 2.1× |
| Perq Vertebral Augmentation (22513) | $17,454 | $23,272 | 2.4× |
| Place Cath Subclavian Art (36225) range across 4 matching MRF lines |
$10,603.50–$14,592.75 | $14,138–$19,457 | varies |
| Place Cath Thoracic Aorta (36221) | $12,160.50 | $16,214 | 3.8× |
| Place Cath Vertebral Art (36226) range across 4 matching MRF lines |
$10,603.50–$14,460 | $14,138–$19,280 | varies |
| Place Duod/Jej Tube Perc (49441) range across 3 matching MRF lines |
$4,182.75–$5,228.25 | $5,577–$6,971 | varies |
| Placement of needle for intraosseous infusion (36680) | $907.50 | $1,210 | 2.0× |
| Plastic Repair Canaliculi (68700) | $4,695 | $6,260 | 2.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $15,078 | $20,104 | 2.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $12,062.25 | $16,083 | 2.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 6 matching MRF lines |
$4,614.75–$5,768.25 | $6,153–$7,691 | varies |
| Plmt Nephroureteral Catheter (50433) range across 6 matching MRF lines |
$7,124.25–$11,132.25 | $9,499–$14,843 | varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 6 matching MRF lines |
$8,442.75–$13,071 | $11,257–$17,428 | varies |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$6,550.50–$12,282 | $8,734–$16,376 | varies |
| Prim art mech thrombectomy (37184) | $21,645 | $28,860 | 1.2× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $4,695 | $6,260 | 1.7× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $1,567.50 | $2,090 | 2.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $10,728 | $14,304 | 3.0× |
| Pseudoaneurysm Injection Trt (36002) range across 3 matching MRF lines |
$873.75–$2,128.50 | $1,165–$2,838 | varies |
| Punch biopsy skin single lesion (11104) | $519 | $692 | 1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 6 matching MRF lines |
$548.25–$1,169.25 | $731–$1,559 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 14 matching MRF lines |
$1,338.75–$2,442.75 | $1,785–$3,257 | varies |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,897.50 | $2,530 | 2.7× |
| Push Transfusion Blood 2 Yr/Under (36440) | $1,180.50 | $1,574 | 2.7× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $4,695 | $6,260 | 1.3× |
| Reconstruct extra finger (26587) | $4,695 | $6,260 | 1.4× |
| Redo Endovas Vena Cava Filtr (37192) | $9,088.50 | $12,118 | 2.9× |
| Reduction of rectal prolapse (45900) | $1,897.50 | $2,530 | 2.0× |
| Relocation Pocket Pacemaker (33222) | $18,283.50 | $24,378 | 8.8× |
| Rem Endovas Vena Cava Filter (37193) | $11,423.25 | $15,231 | 3.6× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) range across 2 matching MRF lines |
$2,238–$2,589.75 | $2,984–$3,453 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $2,081.25 | $2,775 | 6.5× |
| Removal Foreign Body Foot Complicated (28193) | $3,671.25 | $4,895 | 2.2× |
| Removal foreign body foot deep (28192) | $4,695 | $6,260 | 2.8× |
| Removal Foreign Body Foot Subcutaneous (28190) | $5,134.50 | $6,846 | 7.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $2,479.50 | $3,306 | 1.5× |
| Removal Foreign Body Scrotum (55120) | $4,695 | $6,260 | 2.2× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $4,695 | $6,260 | 1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $592.50 | $790 | 10.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$284.25–$741 | $379–$988 | varies |
| Removal Implant Deep (20680) | $4,695 | $6,260 | 1.6× |
| Removal Implant Superficial Separate Procedure (20670) | $6,135.75 | $8,181 | 3.7× |
| Removal of foreign body from pharynx (42809) | $529.50 | $706 | 1.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$2,079–$3,954 | $2,772–$5,272 | varies |
| Removal of tunneled intraperitoneal catheter (49422) | $6,633 | $8,844 | 2.1× |
| Removal or bivalving full arm or full leg cast (29705) | $529.50 | $706 | 1.9× |
| Removal Pacemaker Electrode (33235) | $14,761.50 | $19,682 | 3.9× |
| Removal ppm generator only (33233) | $19,571.25 | $26,095 | 2.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $529.50 | $706 | 2.6× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $15,657 | $20,876 | 22.0× |
| Removal, under anesthesia, of external fixation system (20694) | $5,505.75 | $7,341 | 3.4× |
| Removal/bivalving gauntlet boot/body cast (29700) | $529.50 | $706 | 1.9× |
| Remove brain canal fluid (61050) | $2,056.50 | $2,742 | 6.7× |
| Remove Brain Cavity Fluid (61020) | $3,671.25 | $4,895 | 4.1× |
| Remove Elctrd Transvenously (33244) | $14,761.50 | $19,682 | 3.9× |
| Remove Forearm Foreign Body (25248) | $4,695 | $6,260 | 2.9× |
| Remove foreign body from eye (65235) | $4,695 | $6,260 | 2.0× |
| Remove foreign body from eye (65205) | $741 | $988 | 5.5× |
| Remove Intrauterine Device (58301) | $913.50 | $1,218 | 3.0× |
| Remove intrvas foreign body (37197) | $11,257.50 | $15,010 | 3.5× |
| Remove lung catheter (32552) | $1,690.50 | $2,254 | 2.7× |
| Remove Nasal Foreign Body (30300) | $741 | $988 | 5.5× |
| Remove Pulse Generator (33241) | $14,761.50 | $19,682 | 3.9× |
| Remove renal tube w/fluoro (50389) | $1,652.25 | $2,203 | 2.4× |
| Remove Shoulder Foreign Body (23330) | $3,671.25 | $4,895 | 2.2× |
| Remove ureter stent percut (50384) | $4,149 | $5,532 | 2.0× |
| Remove&replace pm gen singl (33227) | $25,579.50 | $34,106 | 3.1× |
| Remv&replc cvd gen dual lead (33263) | $51,132 | $68,176 | 2.3× |
| Remv&replc cvd gen mult lead (33264) | $57,549.75 | $76,733 | 1.8× |
| Remv&replc cvd gen sing lead (33262) | $21,891.75 | $29,189 | 1.0× |
| Remv&replc pm gen dual lead (33228) | $35,517 | $47,356 | 3.4× |
| Remv&replc pm gen mult leads (33229) | $22,847.25 | $30,463 | 1.2× |
| Renal Biopsy Perq (50200) range across 9 matching MRF lines |
$3,333.75–$7,275 | $4,445–$9,700 | varies |
| Repair Achilles Tendon (27650) | $4,695 | $6,260 | 0.6× |
| Repair Blood Vessel Direct Hand Finger (35207) | $4,695 | $6,260 | 1.5× |
| Repair blood vessel direct neck (35201) range across 2 matching MRF lines |
$4,695–$8,246.62 | $6,260–$10,995.50 | varies |
| Repair Blood Vessel Direct Upper Extremity (35206) | $4,695 | $6,260 | 1.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $2,479.50 | $3,306 | 3.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,655 | $3,540 | 3.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,262.25 | $1,683 | 3.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $2,655 | $3,540 | 6.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,578 | $2,104 | 3.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,412.25 | $1,883 | 3.5× |
| Repair complex trunk 1.1-2.5 cm (13100) | $5,425.50 | $7,234 | 7.3× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,897.50 | $2,530 | 2.6× |
| Repair extensor tendon finger w/o graft each (26418) | $4,695 | $6,260 | 2.9× |
| Repair Eyelid Wound (67935) | $4,830 | $6,440 | 2.0× |
| Repair Finger/Hand Tendon (26350) | $4,695 | $6,260 | 1.4× |
| Repair Hand Tendon (26410) | $4,695 | $6,260 | 2.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $1,765.50 | $2,354 | 4.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,906.50 | $2,542 | 4.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $2,047.50 | $2,730 | 5.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $2,252.25 | $3,003 | 5.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,262.25 | $1,683 | 3.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,319.25 | $1,759 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $834 | $1,112 | 2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $1,907.25 | $2,543 | 4.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $3,101.25 | $4,135 | 4.2× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,262.25 | $1,683 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $2,887.50 | $3,850 | 7.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,765.50 | $2,354 | 4.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $1,906.50 | $2,542 | 4.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $3,176.25 | $4,235 | 4.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $2,047.50 | $2,730 | 5.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $5,425.50 | $7,234 | 2.6× |
| Repair lead pace-defib dual (33220) | $14,761.50 | $19,682 | 3.9× |
| Repair Lead Pace-Defib One (33218) | $19,571.25 | $26,095 | 5.2× |
| Repair of nail bed (11760) | $2,154.75 | $2,873 | 2.9× |
| Repair Spica/Body/Jacket Cast (29720) | $529.50 | $706 | 3.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $6,831.75 | $9,109 | 2.1× |
| Repair tongue laceration (41252) | $1,983.75 | $2,645 | 8.3× |
| Repair tongue laceration (41250) | $592.50 | $790 | 1.3× |
| Repair Tooth Socket (41874) | $4,695 | $6,260 | 1.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $2,563.50 | $3,418 | 2.8× |
| Replace G-J Tube Perc (49452) range across 2 matching MRF lines |
$1,897.50–$2,372.25 | $2,530–$3,163 | varies |
| Replace g/c tube perc (49450) range across 2 matching MRF lines |
$1,897.50–$2,372.25 | $2,530–$3,163 | varies |
| Reposition Gastrostomy Tube (43761) range across 3 matching MRF lines |
$1,157.25–$4,589.25 | $1,543–$6,119 | varies |
| Reposition L Ventric Lead (33226) | $15,800.25 | $21,067 | 5.0× |
| Reposition Pacing-Defib Lead (33215) range across 2 matching MRF lines |
$15,800.25–$18,284.25 | $21,067–$24,379 | varies |
| Reposition Venous Catheter (36597) | $7,572 | $10,096 | 4.8× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $15,312 | $20,416 | 2.7× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 3 matching MRF lines |
$3,270.75–$4,905.75 | $4,361–$6,541 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $529.50 | $706 | 0.6× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $4,695 | $6,260 | 2.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $1,185.75 | $1,581 | 2.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $741 | $988 | 5.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $692.25 | $923 | 1.5× |
| Rmvl fecal impaction/fb spx under anes (45915) | $4,695 | $6,260 | 3.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $4,695 | $6,260 | 1.6× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $3,671.25 | $4,895 | 1.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,897.50 | $2,530 | 1.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $14,761.50 | $19,682 | 3.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$3,837.75–$4,589.25 | $5,117–$6,119 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 4 matching MRF lines |
$1,897.50–$2,500.50 | $2,530–$3,334 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$490.50–$1,412.25 | $654–$1,883 | varies |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $3,671.25 | $4,895 | 2.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $4,589.25 | $6,119 | 2.9× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $5,334.75 | $7,113 | 1.7× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $5,815.50 | $7,754 | 1.8× |
| Rpr blood vessel direct lower extremity (35226) | $3,837.75 | $5,117 | 5.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $891 | $1,188 | 4.4× |
| Rpr ing hernia init reduce (49500) | $4,695 | $6,260 | 0.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,262.25 | $1,683 | 1.7× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $1,262.25 | $1,683 | 5.3× |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) | $4,695 | $6,260 | 2.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,897.50 | $2,530 | 3.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $2,655 | $3,540 | 4.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,897.50 | $2,530 | 1.2× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $4,695 | $6,260 | 1.4× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $4,695 | $6,260 | 1.4× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) | $4,695 | $6,260 | 1.2× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $4,695 | $6,260 | 1.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $4,695 | $6,260 | 1.4× |
| Scrotoplasty Simple (55175) | $4,695 | $6,260 | 1.3× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $4,695 | $6,260 | 1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $980.25 | $1,307 | 2.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$489.75–$592.50 | $653–$790 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $736.50 | $982 | 3.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $529.50 | $706 | 1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $810 | $1,080 | 4.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,262.25 | $1,683 | 6.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $592.50 | $790 | 2.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $553.50 | $738 | 2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $717 | $956 | 3.6× |
| Skin Full Grft Face/Genit/Hf (15240) | $4,695 | $6,260 | 2.3× |
| Skin sub graft face/nk/hf/g (15275) | $6,072 | $8,096 | 8.2× |
| Skin sub graft trnk/arm/leg (15271) | $6,072 | $8,096 | 8.2× |
| Skin sub grft t/arm/lg child (15273) | $8,640.75 | $11,521 | 4.2× |
| Skin Tissue Procedure (17999) | $529.50 | $706 | 2.6× |
| Skn sub grft f/n/hf/g child (15277) | $8,796.75 | $11,729 | 4.2× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 4 matching MRF lines |
$10,603.50–$15,062.25 | $14,138–$20,083 | varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 4 matching MRF lines |
$9,088.50–$14,071.50 | $12,118–$18,762 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 4 matching MRF lines |
$10,701–$14,460 | $14,268–$19,280 | varies |
| Slitting of prepuce (54001) | $4,695 | $6,260 | 2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $651.75 | $869 | 3.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $834 | $1,112 | 2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $918.75 | $1,225 | 2.2× |
| Spinal puncture lumbar diagnostic (62270) | $1,336.50 | $1,782 | 1.9× |
| Strapping ankle (29540) | $529.50 | $706 | 3.2× |
| Strapping elbow or wrist (29260) | $553.50 | $738 | 9.3× |
| Strapping hand/finger (29280) | $529.50 | $706 | 8.9× |
| Strapping Hip (29520) | $529.50 | $706 | 4.0× |
| Strapping knee (29530) | $692.25 | $923 | 5.2× |
| Strapping shoulder (29240) | $741 | $988 | 5.5× |
| Strapping thorax (29200) | $529.50 | $706 | 3.2× |
| Strapping toes (29550) | $692.25 | $923 | 11.7× |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$529.50–$1,236.75 | $706–$1,649 | varies |
| Subconjunctival injection (68200) | $529.50 | $706 | 1.2× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $4,695 | $6,260 | 2.0× |
| Suture 1 Nerve Ulnar Motor (64836) | $13,060.50 | $17,414 | 3.8× |
| Suture digital nerve hand/foot 1 nerve (64831) | $13,060.50 | $17,414 | 6.7× |
| Suture infrapatellar tendon primary (27380) | $4,695 | $6,260 | 0.6× |
| Tangential biopsy skin single lesion (11102) | $506.25 | $675 | 1.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $18,284.25 | $24,379 | 0.9× |
| Ther Apheresis,Red Blood Cells (36512) | $9,018 | $12,024 | 5.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,560.75 | $2,081 | 2.2× |
| Therapeutic Apheresis White Blood Cells (36511) | $9,018 | $12,024 | 5.8× |
| Therapeutic plasma exchange (36514) range across 2 matching MRF lines |
$9,018–$11,272.50 | $12,024–$15,030 | varies |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) | $12,122.25 | $16,163 | 2.0× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) | $17,475 | $23,300 | 3.1× |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) | $16,326 | $21,768 | 2.9× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $49,268.25 | $65,691 | 2.7× |
| Thromblytic art/ven therapy (37213) | $8,414.25 | $11,219 | 2.7× |
| Thrombolytic Art Therapy (37211) range across 2 matching MRF lines |
$14,592.75–$19,347 | $19,457–$25,796 | varies |
| Thrombolytic Therapy Stroke (37195) | $1,688.25 | $2,251 | 5.1× |
| Thrombolytic Venous Therapy (37212) range across 2 matching MRF lines |
$2,538.75–$3,366.75 | $3,385–$4,489 | varies |
| Thyroid biopsy (60100) range across 10 matching MRF lines |
$1,116.75–$2,210.25 | $1,489–$2,947 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $4,695 | $6,260 | 2.3× |
| Tooth extraction (41899) | $529.50 | $706 | 2.2× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $1,897.50 | $2,530 | 3.5× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,897.50 | $2,530 | 8.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,897.50 | $2,530 | 1.2× |
| Transcatheter biopsy (37200) | $18,075 | $24,100 | 3.2× |
| Treat Big Toe Fracture (28505) | $4,695 | $6,260 | 1.4× |
| Treat Dental Ridge Fracture (21440) | $4,695 | $6,260 | 1.4× |
| Treat dental ridge fracture (21445) | $15,210.75 | $20,281 | 2.6× |
| Treat humerus fracture (24500) | $873.75 | $1,165 | 3.5× |
| Treat Humerus Fracture (24505) | $5,897.25 | $7,863 | 3.7× |
| Treat humerus fracture (23600) | $935.25 | $1,247 | 3.8× |
| Treat knee fracture (27532) | $3,671.25 | $4,895 | 1.1× |
| Treat Knee Fracture(S) (27538) | $873.75 | $1,165 | 3.5× |
| Treat Knuckle Dislocation (26700) | $1,222.50 | $1,630 | 4.9× |
| Treat Metatarsal Fracture (28475) | $1,092 | $1,456 | 4.4× |
| Treat Tail Bone Fracture (27200) | $873.75 | $1,165 | 3.5× |
| Treat Thumb Dislocation (26641) | $913.50 | $1,218 | 3.7× |
| Treat Thumb Fracture (26645) | $1,897.50 | $2,530 | 1.2× |
| Treat toe dislocation (28630) | $1,092 | $1,456 | 4.4× |
| Treat Vaginal Bleeding (57180) | $873.75 | $1,165 | 4.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $4,695 | $6,260 | 2.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,222.50 | $1,630 | 4.9× |
| Trim skin lesion (11055) | $436.50 | $582 | 2.2× |
| Trim skin lesions 2 to 4 (11056) | $415.50 | $554 | 2.1× |
| Trim skin lesions over 4 (11057) | $707.25 | $943 | 3.5× |
| Trimming Nondystrophic Nails Any Number (11719) | $183 | $244 | 3.1× |
| Trluml Balo Angiop 1St Art (37246) range across 4 matching MRF lines |
$21,250.50–$24,041.25 | $28,334–$32,055 | varies |
| Trluml Balo Angiop 1St Vein (37248) range across 3 matching MRF lines |
$17,000.25–$25,500.75 | $22,667–$34,001 | varies |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) | $1,897.50 | $2,530 | 1.1× |
| Tx Gastro Intub W/Asp (43753) | $632.25 | $843 | 2.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $4,695 | $6,260 | 1.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $4,908.75 | $6,545 | 3.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $7,830 | $10,440 | 10.5× |
| Tx superficial wound dehiscence w/packing (12021) | $1,262.25 | $1,683 | 3.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $4,215.75 | $5,621 | 2.6× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $873.75 | $1,165 | 3.5× |
| Unlisted Cardiac Surgery (33999) range across 2 matching MRF lines |
$1,897.50–$28,782 | $2,530–$38,376 | varies |
| Unlisted Procedure Accessory Sinuses (31299) | $529.50 | $706 | 2.2× |
| Unlisted procedure anus (46999) | $1,983.75 | $2,645 | 2.1× |
| Unlisted Procedure Casting/Strapping (29799) | $529.50 | $706 | 3.2× |
| Unlisted Procedure Esophagus (43499) | $3,671.25 | $4,895 | 4.0× |
| Unlisted procedure femur or knee (27599) | $515.25 | $687 | 2.1× |
| Unlisted Procedure Hands/Fingers (26989) | $873.75 | $1,165 | 3.5× |
| Unlisted procedure humerus/elbow (24999) | $1,142.25 | $1,523 | 4.6× |
| Unlisted Procedure Intestine (44799) range across 2 matching MRF lines |
$1,619.44–$6,135.75 | $2,159.25–$8,181 | varies |
| Unlisted Procedure Leg/Ankle (27899) | $873.75 | $1,165 | 3.5× |
| Unlisted Procedure Male Genital System (55899) | $529.50 | $706 | 2.1× |
| Unlisted Procedure Muscskeletal System General (20999) | $4,695 | $6,260 | 18.9× |
| Unlisted procedure nervous system (64999) | $1,262.25 | $1,683 | 4.1× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $553.50 | $738 | 2.3× |
| Unlisted Procedure Rectum (45999) | $1,897.50 | $2,530 | 2.0× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $529.50 | $706 | 2.2× |
| Unlisted Procedure Vascular Surgery (37799) range across 3 matching MRF lines |
$1,122.38–$3,316.50 | $1,496.50–$4,422 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) | $4,695 | $6,260 | 5.2× |
| Unlisted procedure, orbit (67599) | $1,262.25 | $1,683 | 4.0× |
| Unlisted Procedure, Urinary System (53899) | $529.50 | $706 | 2.1× |
| Unlisted px female genital system nonobstetrical (58999) | $529.50 | $706 | 2.6× |
| Unlisted Px Salivary Glands/Ducts (42699) | $529.50 | $706 | 2.2× |
| Upgrade of pacemaker system (33214) | $14,761.50 | $19,682 | 1.4× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$4,695–$11,427 | $6,260–$15,236 | varies |
| Vasc embolize/occlude artery (37242) range across 2 matching MRF lines |
$36,689.25–$48,644.25 | $48,919–$64,859 | varies |
| Vasc Embolize/Occlude Bleed (37244) range across 3 matching MRF lines |
$36,689.25–$48,644.25 | $48,919–$64,859 | varies |
| Vasc Embolize/Occlude Organ (37243) range across 2 matching MRF lines |
$36,689.25–$45,444.75 | $48,919–$60,593 | varies |
| Vasc embolize/occlude venous (37241) range across 2 matching MRF lines |
$36,689.25–$48,644.25 | $48,919–$64,859 | varies |
| Vein Access Cutdown < 1 Yr (36420) | $529.50 | $706 | 4.0× |
| Venous Cutdown >1 Y/O (36425) | $529.50 | $706 | 1.2× |
| Venous Mech Thrombectomy (37187) range across 2 matching MRF lines |
$17,316–$25,974 | $23,088–$34,632 | varies |
| Ventilating tube removal requiring general anesthesia (69424) | $4,695 | $6,260 | 1.4× |
| Wedge excision skin nail fold (11765) | $692.25 | $923 | 1.7× |
| Wedging of cast (29740) | $529.50 | $706 | 1.9× |
| Windowing of cast (29730) | $529.50 | $706 | 3.2× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) | $16,326 | $21,768 | 2.9× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) | $16,326 | $21,768 | 10.3× |
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.