Procedures & surgery prices at Thibodaux Regional Health System

Thibodaux, LA · every code in this section with a posted price and a Medicare benchmark.

624 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $2,192–$2,308 $2,192–$2,308 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,196–$1,777 $1,196–$1,777 varies
Abrasion single lesion (15786) $487 $487 2.7×
Acne surgery (10040) $862 $862 4.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $1,532 $1,532 0.8×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,965 $1,965 1.1×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines		 $2,135–$2,635 $2,135–$2,635 varies
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $8,001 $8,001 4.3×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,821 $1,821 1.0×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,682 $1,682 0.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,212 $2,212 1.2×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,083 $2,083 1.1×
Amputation toe interphalangeal joint (28825) $8,021 $8,021 2.7×
Amputation toe metatarsophalangeal joint (28820) $13,497 $13,497 4.6×
Anal/Urinary Muscle Study (51784) $240 $240 2.1×
Anoscopy diagnostic (46600) $204 $204 1.7×
Application cast elbow finger short arm (29075) $206 $206 0.8×
Application finger splint static (29130) $401 $401 3.3×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $195–$411 $195–$411 varies
Application Long Leg Splint (29505) $311 $311 2.1×
Application of rigid total contact leg cast (29445)
range across 7 matching MRF lines		 $468–$1,181.22 $468–$1,181.22 varies
Application short arm splint forearm-hand static (29125) $515 $515 4.3×
Application short leg splint calf foot (29515) $325 $325 2.2×
Apply hand/wrist cast (29085) $332 $332 2.3×
Apply long arm cast (29065) $230 $230 0.9×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $393–$1,179 $393–$1,179 varies
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $1,133–$1,700 $1,133–$1,700 varies
Apply short leg cast (29425)
range across 3 matching MRF lines		 $268–$1,133 $268–$1,133 varies
Arterial puncture (36600) $118 $118 1.0×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
likely a partial charge, not the full procedure		 $1,840 $1,840 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 7 matching MRF lines		 $336–$1,205 $336–$1,205 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 4 matching MRF lines		 $322–$1,376 $322–$1,376 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 10 matching MRF lines		 $506–$1,167 $506–$1,167 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 9 matching MRF lines		 $1,025.31–$1,685 $1,025.31–$1,685 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 7 matching MRF lines		 $1,938–$2,907 $1,938–$2,907 varies
Artificial insemination intra-cervical (58321) $199 $199 0.7×
Artificial insemination intra-uterine (58322) $225 $225 1.2×
Aspirate pleura w/ imaging (32555)
range across 6 matching MRF lines		 $2,128–$3,493 $2,128–$3,493 varies
Aspirate Pleura W/O Imaging (32554) $840 $840 1.5×
Aspirate/Inj Ganglion Cyst (20612) $1,291 $1,291 4.6×
Aspiration and/or injection thyroid cyst (60300) $1,112 $1,112 1.7×
Aspiration bladder insert suprapubic catheter (51102) $5,305 $5,305 2.8×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $487–$510 $487–$510 varies
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines		 $3,033–$3,155 $3,033–$3,155 varies
Biopsy bone open superficial (20240) $11,433 $11,433 4.3×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $2,840–$2,953 $2,840–$2,953 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 5 matching MRF lines		 $1,814–$4,683 $1,814–$4,683 varies
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines		 $4,737–$4,928 $4,737–$4,928 varies
Biopsy Muscle Superficial (20200) $4,206 $4,206 2.8×
Biopsy of breast; open, incisional (19101) $6,054 $6,054 1.7×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $2,174–$2,261 $2,174–$2,261 varies
Biopsy Salivary Gland Needle (42400) $1,870 $1,870 2.9×
Biopsy soft tissue leg/ankle area superficial (27613) $4,041 $4,041 2.7×
Biopsy Vaginal Mucosa Simple (57100) $3,148 $3,148 3.8×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $3,148 $3,148 3.8×
Bladder instillation anticarcinogenic agent (51720) $1,367 $1,367 2.2×
Bladder Irrigation (51700) $361 $361 1.6×
Bladder Scan (51798) $271 $271 5.1×
Blood Transfusion Service (36430) $934 $934 2.3×
Brnchsc Brushing/Protected Brushings (31623) $7,054 $7,054 4.4×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $14,480 $14,480 4.3×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $14,480 $14,480 4.3×
Bronchoscopy W/Biopsy(S) (31625) $7,054 $7,054 4.4×
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines		 $352–$4,524 $352–$4,524 varies
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines		 $3,508–$6,037 $3,508–$6,037 varies
Bx breast needle core w/o imaging guidance spx (19100) $2,562 $2,562 1.7×
Bx Cervix (57500) $3,148 $3,148 3.8×
Catheter aspiration nasotracheal spx (31720) $244 $244 1.2×
Cautery Cervix Cryocautery Initial/Repeat (57511) $1,335 $1,335 4.8×
Cessj Therapy Cath Removal (37214) $3,506 $3,506 1.2×
Change Cystostomy Tube Complicated (51710) $2,744 $2,744 4.3×
Change Cystostomy Tube Simple (51705) $753 $753 3.3×
Chemical Cautery Tissue (17250) $487 $487 2.7×
Chemodenerv 1 extrem 5/> mus (64644) $3,082 $3,082 4.8×
Chemodenerv 1 extremity 1-4 (64642) $3,082 $3,082 4.8×
Chemodenerv Eccrine Glands (64650) $212 $212 0.8×
Chemodenerv Musc Migraine (64615) $1,291 $1,291 4.6×
Chemodenerv musc neck dyston (64616) $1,291 $1,291 4.6×
Chemodenerv trunk musc 1-5 (64646) $392 $392 0.6×
Chemodenerv trunk musc 6/> (64647) $453 $453 0.7×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines		 $1,291–$1,937 $1,291–$1,937 varies
Chest tube placement (32551) $1,009 $1,009 0.7×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $7,487 $7,487 2.3×
Circumcision w/clamp/oth dev w/block (54150) $388 $388 0.2×
Cl Tx Scapular Fx; W Manip (23575) $1,513 $1,513 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $6,419 $6,419 4.4×
Clear outer ear canal (69200)
range across 4 matching MRF lines		 $224–$313 $224–$313 varies
Closed tx ankle dislocation w/o anesthesia (27840) $863 $863 3.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,091 $1,091 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $817 $817 3.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $598 $598 2.7×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $750 $750 3.4×
Closed tx metatarsal fracture w/o manipulation (28470) $525 $525 2.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,272 $3,272 2.3×
Closed tx patellar dislocation w/o anesthesia (27560) $597 $597 2.7×
Closed Tx Patellar Fracture W/O Manipulation (27520) $796 $796 3.6×
Closed tx radial head/neck fx w/o manipulation (24650) $641 $641 2.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $695 $695 3.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $763–$1,289 $763–$1,289 varies
Closed tx radial&ulnar shaft fractures w/o man (25560) $708 $708 3.2×
Closed tx talus fracture w/o manipulation (28430) $581 $581 2.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $402 $402 1.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $716 $716 3.2×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $637–$639 $637–$639 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $746 $746 3.5×
Clsd tx clavicular fracture w/o manipulation (23500) $545 $545 2.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,349 $2,349 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $605 $605 2.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $805 $805 0.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $566 $566 2.5×
Cltx dstl fibular fx lat malls w/manj (27788) $828 $828 3.7×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $663–$769 $663–$769 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $751–$788 $751–$788 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $458 $458 2.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $821 $821 3.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $831–$1,342 $831–$1,342 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $220 $220 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $337 $337 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $301 $301 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $287 $287 1.3×
Cltx greater humeral tuberosity fx w/o manj (23620) $664 $664 3.0×
Cltx hip dislocation traumatic req anesthesia (27252) $2,545 $2,545 1.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $346 $346 1.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $300 $300 1.3×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $476–$707 $476–$707 varies
Cltx Medial Ankle Fx (27760) $812 $812 3.6×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $305–$810 $305–$810 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $732 $732 3.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $390 $390 1.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $487 $487 2.2×
Cltx post hip arthrp dislc req anes (27266) $3,020 $3,020 2.1×
Cltx prox fibula/shft fx w/o manj (27780) $757 $757 3.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $642 $642 2.9×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $936 $936 4.2×
Cltx tibial fx proximal w/o manipulation (27530) $750 $750 3.4×
Cltx tibial shaft fx w/o manipulation (27750) $851 $851 3.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,235 $1,235 0.8×
Collection of venous blood by venipuncture (36415) $30 $30 3.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $1,335–$1,669 $1,335–$1,669 varies
Colposcopy Cervix Endocervical Curettage (57456) $1,335 $1,335 4.8×
Colposcopy cervix upper/adjacent vagina (57452) $819 $819 4.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $1,335 $1,335 4.8×
Colposcopy cervix vag eltrd conization cervix (57461) $12,317 $12,317 4.2×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $12,317 $12,317 4.2×
Colposcopy entire vagina w/cervix if present (57420) $1,335 $1,335 4.8×
Colposcopy of vulva (56820) $819 $819 4.5×
Colposcopy Vulva W/Biopsy (56821) $1,335 $1,335 4.8×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $3,148 $3,148 3.8×
Complex Cystometrogram (51726)
range across 2 matching MRF lines		 $210–$1,158 $210–$1,158 varies
Complex drainage wound (10180)
range across 3 matching MRF lines		 $639–$6,961 $639–$6,961 varies
Conization cervix w/wo d&c rpr eltrd exc (57522) $12,317 $12,317 4.2×
Control Nasal Hemorrhage Anterior Complex (30903) $655 $655 5.4×
Control Nasal Hemorrhage Anterior Simple (30901) $556 $556 4.6×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $3,393 $3,393 2.0×
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines		 $3,010–$3,726 $3,010–$3,726 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 4 matching MRF lines		 $2,164–$2,251 $2,164–$2,251 varies
Correction hammertoe (28285) $13,497 $13,497 4.6×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,472 $2,472 0.2×
Csf shunt reprogram (62252) $1,336 $1,336 4.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $542 $542 4.5×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 6 matching MRF lines		 $732–$8,735 $732–$8,735 varies
Cysto calibration dilat urtl strix/stenosis (52281) $8,735 $8,735 4.6×
Cysto w/destruction of lesions (52214) $8,735 $8,735 2.7×
Cysto w/insert ureteral stent (52332) $14,883 $14,883 4.7×
Cysto w/removal of lesions small (52224) $8,735 $8,735 2.7×
Cysto W/Simple Removal Stone & Stent (52310) $8,735 $8,735 4.6×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $14,883 $14,883 4.7×
Cystometrogram W/Vp (51728) $2,744 $2,744 4.3×
Cystometrogram W/Vp&Up (51729) $922 $922 1.5×
Cystoscopy and radiotracer (52250) $14,883 $14,883 4.7×
Cystourethroscopy (52000) $2,744 $2,744 4.3×
Cystourethroscopy inj chemodenervation bladder (52287) $8,735 $8,735 4.6×
Cystourethroscopy w/dil bladder general anesth (52260) $8,735 $8,735 4.6×
Cystourethroscopy with biopsy (52204) $8,735 $8,735 4.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $140–$2,451 $140–$2,451 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $2,973 $2,973 4.6×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $386–$1,566 $386–$1,566 varies
Debride nail 1-5 (11720) $155 $155 2.9×
Debride nail 6 or more (11721) $155 $155 2.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,041 $4,041 2.7×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $1,005–$1,077 $1,005–$1,077 varies
Declot vascular device (36593) $1,489 $1,489 5.0×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $8,001 $8,001 4.3×
Dermabrasion superficial any site (15783) $1,575 $1,575 4.3×
Destr penis lesion(s) (54065) $414 $414 0.2×
Destruct B9 Lesion 1-14 (17110) $487 $487 2.7×
Destruction Benign Lesions 15/> (17111) $312 $312 1.7×
Destruction Lesions Vulva Extensive (56515) $8,001 $8,001 4.3×
Destruction Lesions Vulva Simple (56501) $8,001 $8,001 4.3×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $862 $862 4.7×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $862 $862 4.7×
Destruction Premalignant Lesion 15/> (17004) $397 $397 1.1×
Destruction premalignant lesion 1st (17000) $487 $487 2.7×
Destruction Vaginal Lesions Simple (57061) $12,317 $12,317 4.2×
Diaphragm or cervical cap fitting with instructions (57170) $819 $819 4.5×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $180 $180 1.5×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $538 $538 4.5×
Dilate Urethra Stricture (53600) $1,158 $1,158 5.1×
Dilation Cervical Canal (57800) $12,317 $12,317 4.2×
Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) $8,735 $8,735 2.7×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $1,291–$1,937 $1,291–$1,937 varies
Drainage external auditory canal abscess (69020) $257.52 $257.52 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $360 $360 0.6×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $1,152–$1,832 $1,152–$1,832 varies
Drainage Mouth Roof Lesion (42000) $786 $786 3.7×
Drainage of finger abscess simple (26010) $432 $432 2.4×
Drainage of gum lesion (41800) $555 $555 4.6×
Drainage of hematoma/fluid (10140)
range across 5 matching MRF lines		 $408–$6,745 $408–$6,745 varies
Drainage of hydrocele (55000)
range across 3 matching MRF lines		 $3,008–$4,512 $3,008–$4,512 varies
Drainage of scrotal wall abscess (55100) $947 $947 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $2,973 $2,973 4.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,005 $1,005 2.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $487 $487 2.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $133–$487 $133–$487 varies
Dstrj lesion penis simple surg excision (54060) $8,001 $8,001 4.3×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $5,353–$5,568 $5,353–$5,568 varies
Dx Bronchoscope/Wash (31622) $7,054 $7,054 4.4×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,198 $1,198 1.9×
Egd lesion ablation (43270) $7,679 $7,679 4.4×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $1,336 $1,336 4.8×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,336 $1,336 4.8×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $1,336 $1,336 4.8×
Electro-Uroflowmetry First (51741) $779 $779 4.0×
Embedded ip cath exit-site (49436) $2,999 $2,999 1.7×
Endocervical curettage (57505) $3,148 $3,148 3.8×
Endometrial Biopsy (58100) $819 $819 4.5×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,266.80 $2,266.80 0.8×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,490.58 $2,490.58 0.9×
Endoven ther chem adhes 1st (36482) $3,791.28 $3,791.28 0.8×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $4,651 $4,651 2.5×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $4,651 $4,651 2.5×
Epidural Blood Patch (62273) $1,461 $1,461 2.3×
Evacuation of subungual hematoma (11740) $163 $163 1.4×
Exc arm/elbow les sc < 3 cm (24075) $2,562 $2,562 1.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,112 $1,112 1.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $6,768 $6,768 4.5×
Exc Back Les Sc < 3 Cm (21930) $2,562 $2,562 1.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $565 $565 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $642 $642 1.0×
Exc Face Les Sbq 2 Cm/> (21012) $2,562 $2,562 1.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $3,008 $3,008 4.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $417 $417 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $353–$464 $353–$464 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $6,768 $6,768 4.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $689 $689 0.5×
Exc Forearm Les Sc 3 Cm/> (25071) $2,562 $2,562 1.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $6,768 $6,768 4.5×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $2,973 $2,973 4.6×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $6,691 $6,691 4.5×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $6,683 $6,683 4.6×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $6,683 $6,683 4.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $3,008 $3,008 4.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $568 $568 0.4×
Exc Skin Benig >4 Cm Remaindr Body (11426) $819 $819 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $6,768 $6,768 4.5×
Exc Skin Benig >4cm Face,Facial (11446) $945 $945 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $713 $713 0.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $4,525 $4,525 1.7×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,562 $2,562 1.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,864 $1,864 1.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,575 $1,575 4.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $3,008 $3,008 4.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $6,768 $6,768 4.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $4,525 $4,525 1.7×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,562 $2,562 1.7×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,562 $2,562 1.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,562 $2,562 1.7×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $4,525 $4,525 1.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines		 $4,516–$6,773 $4,516–$6,773 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $3,065 $3,065 1.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $667 $667 1.0×
Excision Hidradenitis Axillary Complex Repair (11451) $823 $823 0.3×
Excision Hidradenitis Inguinal Complex Repair (11463) $831 $831 0.3×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $616 $616 0.2×
Excision Lingual Frenum Frenectomy (41115) $6,653 $6,653 4.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,112 $1,112 1.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $3,008 $3,008 4.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $583 $583 1.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,112 $1,112 1.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $485 $485 0.8×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $760 $760 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $474 $474 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $548 $548 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $603 $603 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,562 $2,562 1.7×
Excision of hydrocele; unilateral (55040) $15,331 $15,331 4.7×
Excision of vaginal cyst or tumor (57135) $12,317 $12,317 4.2×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,562 $2,562 1.7×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $2,562 $2,562 1.7×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $4,525 $4,525 1.7×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,562 $2,562 1.7×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,562 $2,562 1.7×
Exploration penetrating wound spx extremity (20103) $839 $839 0.6×
Fasciectomy Plantar Fascia Partial Spx (28060) $9,340 $9,340 3.2×
Fetal Contraction Stress Test (59020) $728 $728 4.0×
Fetal non-stress test (59025) $423 $423 2.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,374 $2,374 3.7×
Fine needle aspiration without imaging guidance (10021) $743 $743 2.0×
Fluoro exam of g/colon tube (49465) $696 $696 3.2×
Fna bx w/us gdn 1st les (10005)
range across 4 matching MRF lines		 $1,424–$4,517 $1,424–$4,517 varies
Foreskin manipulation (54450) $1,158 $1,158 5.1×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $8,001 $8,001 4.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $8,001 $8,001 4.3×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,845 $1,845 1.0×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $23,916 $23,916 4.5×
Guide Cathet Fluid Drainage (10030) $1,992 $1,992 3.1×
Hysteroscopy Biopsy (58558) $585 $585 0.2×
Hysteroscopy Removal Impacted Foreign Body (58562) $562 $562 0.2×
I&d abscess peritonsillar (42700) $1,115 $1,115 5.2×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $474–$862 $474–$862 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $6,683 $6,683 4.6×
I&d perianal abscess superficial (46050) $2,911 $2,911 3.5×
I&d pilonidal cyst complicated (10081) $2,105 $2,105 3.3×
I&d pilonidal cyst simple (10080) $393 $393 0.6×
Image Cath Fluid Colxn Visc (49405)
range across 6 matching MRF lines		 $3,020–$5,265 $3,020–$5,265 varies
Image Cath Fluid Peri/Retro (49406)
range across 3 matching MRF lines		 $4,954–$5,203 $4,954–$5,203 varies
Implant neuroelectrodes (63650) $5,449 $5,449 0.9×
Implant Neuroelectrodes (64561)
range across 2 matching MRF lines		 $2,040–$45,759 $2,040–$45,759 varies
Incise external hemorrhoid (46083) $1,113 $1,113 4.9×
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines		 $679–$1,005 $679–$1,005 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $11,433 $11,433 4.3×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $641–$4,041 $641–$4,041 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $473–$1,575 $473–$1,575 varies
Incision and drainage of bartholin's gland abscess (56420) $490 $490 2.7×
Incision and drainage of vulva or perineal abscess (56405) $690 $690 2.5×
Incision bone cortex foot (28005) $13,497 $13,497 4.6×
Incision of Foot Tendon (28234) $6,683 $6,683 4.6×
Incision of labial frenum (frenotomy) (40806) $223 $223 0.5×
Incision of lingual frenum (frenotomy) (41010) $490 $490 0.3×
Incision of rectal abscess (46040) $5,340 $5,340 4.9×
Incision of urethra (53020) $240 $240 0.1×
Incisional biopsy skin single lesion (11106) $1,566 $1,566 2.3×
Initial Tx 1st Degree Burn Local Tx (16000) $314 $314 1.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $4,004 $4,004 5.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $375 $375 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $1,291–$1,937 $1,291–$1,937 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $501 $501 0.6×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $359 $359 0.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $432 $432 0.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $544 $544 0.9×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $390 $390 0.5×
Injection anesthetic agent suprascapular nerve (64418) $222 $222 0.3×
Injection for identification of sentinel node (38792) $2,726 $2,726 7.5×
Injection single tendon origin/insertion (20551) $1,291 $1,291 4.6×
Injection single/mlt trigger point 1/2 muscles (20552) $630 $630 2.3×
Injection single/mlt trigger point 3/> muscles (20553) $584 $584 2.1×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $1,291–$1,937 $1,291–$1,937 varies
Injection, anesthetic agent; brachial plexus, single (64415)
range across 4 matching MRF lines		 $1,357–$4,204.50 $1,357–$4,204.50 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 4 matching MRF lines		 $321–$2,342 $321–$2,342 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $491–$737 $491–$737 varies
Injection, anesthetic agent; vagus nerve (64408) $299 $299 1.1×
Injection, Intralesional; More Than 7 Lesions (11901) $862 $862 4.7×
Injection, intralesional; up to and including 7 lesions (11900) $862 $862 4.7×
Ins cath ren art 1st bilat (36252) $9,757 $9,757 3.4×
Ins cath ren art 1st unilat (36251) $20,524 $20,524 7.2×
Ins endovas vena cava filtr (37191) $13,250 $13,250 2.6×
Insert 1 Electrode Pm-Defib (33216) $15,421 $15,421 2.1×
Insert Bladder Cath Complex (51703) $363 $363 3.1×
Insert cath pleura w/ image (32557) $2,715 $2,715 1.9×
Insert cath pleura w/o image (32556) $2,763 $2,763 1.6×
Insert Drug Implant Device (11981) $538 $538 4.5×
Insert Gastrostomy Tube Percutaneous (49440) $3,160 $3,160 1.8×
Insert Heart Pm Atrial (33206) $38,525 $38,525 4.1×
Insert Heart Pm Ventricular (33207) $28,036 $28,036 3.0×
Insert hepatic shunt (tips) (37182) $21,349 $21,349 1.3×
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines		 $210–$2,326 $210–$2,326 varies
Insert pessary/other device (57160) $819 $819 4.5×
Insert Temp Bladder Cath (51702)
range across 6 matching MRF lines		 $226–$394 $226–$394 varies
Insert tun ip cath perc (49418) $9,876 $9,876 3.0×
Insert tunneled cv cath (36561) $20,524 $20,524 7.2×
Insert,Non-Indwelling Bladder Catheter (51701) $538 $538 4.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,517 $2,517 1.8×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $17,491 $17,491 2.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $2,854–$4,008 $2,854–$4,008 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $8,535–$8,698 $8,535–$8,698 varies
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines		 $69,393–$81,691 $69,393–$81,691 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $16,781 $16,781 2.2×
Insrt heart pm atrial & vent (33208) $32,466 $32,466 3.4×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411)
range across 2 matching MRF lines		 $3,611–$3,755 $3,611–$3,755 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,220 $1,220 3.3×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,406 $1,406 3.8×
Intro cath dialysis circuit (36901)
range across 4 matching MRF lines		 $3,309–$12,080 $3,309–$12,080 varies
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $21,298 $21,298 2.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines		 $17,236–$19,545 $17,236–$19,545 varies
Intubation endotracheal emergency procedure (31500) $1,161 $1,161 5.4×
Irrigation of corpora cavernosa for priapism (54220) $1,207 $1,207 5.3×
Laryngoscopy flexible diagnostic (31575) $653 $653 3.6×
Late closure of wound (13160) $8,001 $8,001 2.5×
Ligation of a-v fistula (37607) $12,325 $12,325 4.3×
Lithotripsy, extracorporeal shock wave (50590) $38,789 $38,789 12.2×
Lysis/excision penile postcircumcision adhesions (54162) $8,735 $8,735 4.6×
Myelography Lumbar Injection (62305) $5,042 $5,042 7.1×
Myelography Lumbar Injection (62304) $5,042 $5,042 7.1×
Myelography via lumbar injection rs&i cervical (62302) $5,042 $5,042 7.1×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $5,042 $5,042 7.1×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $244–$366 $244–$366 varies
N block inj intercost sng (64420) $2,120 $2,120 3.3×
N Block Inj Plantar Digit (64455) $1,291 $1,291 4.6×
Nasal/Orogastric W/Tube Plmt (43752) $1,772 $1,772 4.4×
Needle Biopsy Lymph Nodes (38505)
range across 4 matching MRF lines		 $1,836–$4,737 $1,836–$4,737 varies
Neu prksn msfl a-syncln prtn (0393U) $1,838 $1,838 3.4×
Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) $1,838 $1,838 2.5×
Neuroeltrd Stim Post Tibial (64566) $1,291 $1,291 4.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,485 $1,485 3.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $769 $769 2.8×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,370 $4,370 1.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $4,004–$6,006 $4,004–$6,006 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $390 $390 0.6×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $265 $265 0.4×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $2,965.35 $2,965.35 1.6×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $3,208.38 $3,208.38 1.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $2,124 $2,124 3.4×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines		 $268.53–$450 $268.53–$450 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines		 $450–$466.13 $450–$466.13 varies
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines		 $450–$500 $450–$500 varies
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $1,291–$1,937 $1,291–$1,937 varies
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,361 $1,361 0.5×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $7,107–$13,343 $7,107–$13,343 varies
Open/Perq Place Stent 1St (37236) $39,831 $39,831 3.8×
Open/Perq Place Stent Same (37238) $39,831 $39,831 3.8×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $13,497 $13,497 4.6×
Ostectomy, complete excision; fifth metatarsal head (28113) $13,497 $13,497 4.6×
Ostectomy, complete excision; first metatarsal head (28111) $1,152 $1,152 0.4×
Penile Injection (54235) $613 $613 2.7×
Perc Cryo Ablate Renal Tum (50593) $19,143 $19,143 2.0×
Perc Rf Ablate Renal Tumor (50592) $15,236 $15,236 2.8×
Percut Ablate Liver Rf (47382) $14,418 $14,418 2.6×
Percut Drain/Inject Renal Cyst (50390) $3,483.48 $3,483.48 5.4×
Pericardiocentesis W/Imaging (33016) $3,434 $3,434 2.4×
Perq dev breast 1st us imag (19285) $1,112 $1,112 1.7×
Perq device breast 1st imag (19281) $2,089 $2,089 1.4×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,878 $1,878 2.9×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $39,937 $39,937 3.8×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $19,697 $19,697 3.0×
Perq Vertebral Augmentation (22513) $19,697 $19,697 3.0×
Phleb Veins - Extrem 20+ (37766) $1,194.38 $1,194.38 0.4×
Place Cath Thoracic Aorta (36221) $8,512 $8,512 3.0×
Place Duod/Jej Tube Perc (49441) $11,534 $11,534 6.6×
Placement of needle for intraosseous infusion (36680) $265 $265 0.7×
Plmt Bile Duct Stent Prq Existing Access (47538) $15,808 $15,808 2.9×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $5,940 $5,940 3.1×
Plmt Nephroureteral Catheter (50433) $5,692 $5,692 1.8×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $7,662 $7,662 2.4×
Prim art mech thrombectomy (37184) $14,188 $14,188 0.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $7,732 $7,732 2.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $13,497 $13,497 4.6×
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines		 $1,336–$1,516 $1,336–$1,516 varies
Punch biopsy skin single lesion (11104) $1,005 $1,005 2.7×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $402–$1,032 $402–$1,032 varies
Puncture Aspiration Cyst Breast (19000) $1,112 $1,112 1.7×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $933 $933 1.5×
Reduction of rectal prolapse (45900) $1,433 $1,433 1.7×
Rem Endovas Vena Cava Filter (37193)
range across 2 matching MRF lines		 $5,657–$8,486 $5,657–$8,486 varies
Removal Embedded Foreign Body Eyelid (67938) $525 $525 1.8×
Removal foreign body foot deep (28192) $6,768 $6,768 4.5×
Removal Foreign Body Foot Subcutaneous (28190) $485 $485 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $6,768 $6,768 4.5×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 5 matching MRF lines		 $268–$402 $268–$402 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 6 matching MRF lines		 $155–$462 $155–$462 varies
Removal Implant Deep (20680) $8,003 $8,003 3.0×
Removal Implant Superficial Separate Procedure (20670) $6,768 $6,768 4.5×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $759–$1,528 $759–$1,528 varies
Removal or bivalving full arm or full leg cast (29705) $162 $162 0.6×
Removal Pacemaker Electrode (33235) $11,993 $11,993 3.5×
Removal ppm generator only (33233) $15,608 $15,608 2.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $487 $487 2.7×
Removal subcutaneous cardiac rhythm monitor (33286) $2,118 $2,118 3.3×
Removal Sutures/Staples Requiring Anesthesia (15851) $8,001 $8,001 4.3×
Removal sweat gland lesion (11450) $651 $651 0.2×
Removal, under anesthesia, of external fixation system (20694) $6,683 $6,683 4.6×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines		 $264–$646 $264–$646 varies
Remove drug implant device (11982) $1,793 $1,793 4.4×
Remove foreign body from eye (65205) $554 $554 4.6×
Remove Intrauterine Device (58301) $1,335 $1,335 4.8×
Remove lung catheter (32552) $1,974 $1,974 3.5×
Remove Nasal Foreign Body (30300) $433 $433 3.6×
Remove renal tube w/fluoro (50389) $1,866 $1,866 3.0×
Remove&replace pm gen singl (33227) $27,725 $27,725 3.7×
Remove/Insert Drug Implant (11983) $1,793 $1,793 4.4×
Remv&replc cvd gen dual lead (33263) $77,579 $77,579 3.9×
Remv&replc cvd gen mult lead (33264) $69,421 $69,421 2.4×
Remv&replc pm gen dual lead (33228) $29,379 $29,379 3.1×
Remv&replc pm gen mult leads (33229) $31,105 $31,105 1.8×
Renal Biopsy Perq (50200) $3,155 $3,155 2.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $851 $851 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 3 matching MRF lines		 $764–$821 $764–$821 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $686 $686 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,029 $1,029 2.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $854–$2,451 $854–$2,451 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $1,019–$1,107 $1,019–$1,107 varies
Repair complex trunk 1.1-2.5 cm (13100) $816 $816 1.2×
Repair complex trunk 2.6-7.5 cm (13101) $2,451 $2,451 3.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $548 $548 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $426 $426 1.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $873 $873 2.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $544 $544 1.5×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,492 $1,492 4.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $987 $987 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $469 $469 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $667–$1,005 $667–$1,005 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $911 $911 1.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,349 $1,349 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $588 $588 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $365–$628 $365–$628 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $620–$1,005 $620–$1,005 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,037 $1,037 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $620 $620 1.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,189 $1,189 0.6×
Repair of nail bed (11760) $685 $685 1.0×
Repair tongue laceration (41250) $551 $551 1.4×
Replace duodenostomy/jejunostomy tube perq (49451) $1,100 $1,100 1.3×
Replace g/c tube perc (49450) $5,820 $5,820 7.1×
Reposition Pacing-Defib Lead (33215) $9,575 $9,575 3.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $13,470 $13,470 2.6×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $11,795 $11,795 1.1×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $11,795 $11,795 1.1×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $5,815 $5,815 1.1×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $5,815 $5,815 1.1×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $11,794 $11,794 1.1×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $11,794 $11,794 1.1×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $11,795 $11,795 1.1×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $11,795 $11,795 1.1×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $18,729 $18,729 1.1×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $18,729 $18,729 1.1×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294)
range across 2 matching MRF lines		 $12,500–$18,729 $12,500–$18,729 varies
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $18,729 $18,729 1.1×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $18,729 $18,729 1.1×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $18,729 $18,729 1.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $3,720 $3,720 2.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $744 $744 1.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $782 $782 6.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,435 $2,435 1.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $3,905 $3,905 6.9×
Rplc Gtube No Revj Trc (43762) $1,267 $1,267 5.6×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $8,517 $8,517 3.0×
Rpr blood vessel direct lower extremity (35226) $1,033.62 $1,033.62 1.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $424–$516 $424–$516 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,229 $1,229 1.8×
Sclerotx Fluid Collection (49185) $2,955 $2,955 2.0×
Shave skin lesion 0.5 cm/< (11300) $1,005 $1,005 2.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $276 $276 1.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $436 $436 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $255 $255 1.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $292 $292 1.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $336 $336 1.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $358 $358 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $862 $862 4.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $1,575 $1,575 4.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $862 $862 4.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $363 $363 1.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $862 $862 4.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $393–$545 $393–$545 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $719 $719 4.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 3 matching MRF lines		 $286–$719 $286–$719 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $401 $401 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $236–$664 $236–$664 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $456 $456 2.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $719 $719 4.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $342–$577 $342–$577 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $322–$719 $322–$719 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines		 $1,921–$2,234 $1,921–$2,234 varies
Skin sub graft face/nk/hf/g (15275) $4,651 $4,651 6.9×
Skin sub graft trnk/arm/leg (15271) $4,651 $4,651 6.9×
Skin sub grft t/arm/lg child (15273) $8,766 $8,766 4.7×
Skin Tissue Procedure (17999)
range across 10 matching MRF lines		 $150–$650 $150–$650 varies
Skn sub grft f/n/hf/g child (15277) $4,651 $4,651 2.5×
Slctv cath carotid/innom art angio xtrcranl art (36222) $13,521 $13,521 4.7×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $19,048 $19,048 3.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $719 $719 4.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $435–$529 $435–$529 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $510–$626 $510–$626 varies
Sperm washing artificial insemination (58323) $38 $38 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $306–$979 $306–$979 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $8,766 $8,766 2.7×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $4,651 $4,651 2.5×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,014.03 $1,014.03 0.4×
Strapping toes (29550)
range across 3 matching MRF lines		 $271–$407 $271–$407 varies
Strapping Unna Boot (29580)
range across 6 matching MRF lines		 $393–$1,179 $393–$1,179 varies
Subcutaneous Hormone Pellet Implantation (11980) $1,793 $1,793 4.4×
Tangential biopsy skin single lesion (11102) $487 $487 1.3×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $81,251 $81,251 3.1×
Tcat Insj/Rpl Perm Ldls Pm (33274) $50,595 $50,595 2.9×
Tenolysis extensor foot single tendon (28225) $983 $983 0.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $4,678 $4,678 3.2×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $13,497 $13,497 4.6×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $3,866 $3,866 2.7×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $760 $760 0.5×
Ther Apheresis,Red Blood Cells (36512) $4,398 $4,398 3.1×
Therapeutic plasma exchange (36514) $4,398 $4,398 3.1×
Thrmbc/Nfs Dialysis Circuit (36906) $58,943 $58,943 3.6×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,847 $1,847 1.0×
Treat humerus fracture (24500) $885 $885 4.0×
Treat Humerus Fracture (24505) $1,127 $1,127 0.8×
Treat humerus fracture (23600) $814 $814 3.6×
Treat Knuckle Dislocation (26700) $364 $364 1.6×
Treat Tail Bone Fracture (27200) $461 $461 2.1×
Treat toe dislocation (28630) $263 $263 1.2×
Treat vagina infection (57150) $271 $271 5.1×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,419.54 $2,419.54 1.7×
Treatment closed elbow dislocation w/o anes (24600) $382 $382 1.7×
Treatment of foot infection (28003) $13,497 $13,497 4.6×
Treatment of tibia fracture (27756) $6,419 $6,419 1.0×
Trim skin lesion (11055) $487 $487 2.7×
Trim skin lesions 2 to 4 (11056) $487 $487 2.7×
Trim skin lesions over 4 (11057) $487 $487 2.7×
Trimming Nondystrophic Nails Any Number (11719) $155 $155 2.9×
Trluml Balo Angiop 1St Art (37246) $11,306 $11,306 2.2×
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines		 $12,908–$13,554 $12,908–$13,554 varies
Tx open tendon flexor toe 1 tendon spx (28232) $6,967 $6,967 4.8×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,087 $2,087 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $2,451 $2,451 3.7×
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines		 $346–$431 $346–$431 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $510 $510 2.3×
Unlisted Procedure Casting/Strapping (29799) $412 $412 2.8×
Unlisted procedure forearm or wrist (25999) $1,247 $1,247 5.6×
Vaginal Delivery After Cesarean Delivery (59612) $2,374 $2,374 0.8×
Vasc embolize/occlude artery (37242)
range across 2 matching MRF lines		 $21,968–$31,910 $21,968–$31,910 varies
Vasc Embolize/Occlude Bleed (37244) $23,766 $23,766 2.3×
Vasc Embolize/Occlude Organ (37243) $23,353 $23,353 2.2×
Vasc embolize/occlude venous (37241) $26,747 $26,747 2.6×
Vasectomy uni/bi spx w/postop semen exams (55250) $8,735 $8,735 4.6×
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines		 $15,426–$16,197 $15,426–$16,197 varies
Wound Prep F/N/Hf/G (15004) $1,566 $1,566 4.3×
Wound Prep Trk/Arm/Leg (15002) $4,651 $4,651 6.9×

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.