Procedures & surgery prices at Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources)
Fort Worth, TX · every code in this section with a posted price and a Medicare benchmark.
889 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 6 matching MRF lines |
$942.30–$1,178.85 | $1,570.50–$1,964.75 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $980.10 | $1,633.50 | 1.1× |
| Abdomen Surgery Procedure (22999) | $1,117.80 | $1,863 | 4.5× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $9,290.70 | $15,484.50 | 0.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,105.40 | $3,509 | 1.0× |
| Amniocentesis diagnostic (59000) | $943.50 | $1,572.50 | 1.0× |
| Amniocentesis therapeutic (59001) | $530.25 | $883.75 | 1.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,924.65 | $3,207.75 | 0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $3,738.90 | $6,231.50 | 1.1× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$131.25–$136.80 | $218.75–$228 | varies |
| Anoscopy remove lesion (46610) | $1,771.80 | $2,953 | 0.6× |
| Anoscopy W/Rmvl Foreign Body (46608) range across 2 matching MRF lines |
$719.70–$1,697.10 | $1,199.50–$2,828.50 | varies |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $748.50 | $1,247.50 | 0.6× |
| Apheresis Platelets (36513) | $2,772.60 | $4,621 | 6.3× |
| Application cast elbow finger short arm (29075) | $306.75 | $511.25 | 1.1× |
| Application Cast Finger (29086) | $268.20 | $447 | 1.6× |
| Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
$148.65–$154.65 | $247.75–$257.75 | varies |
| Application finger splint static (29130) | $154.65 | $257.75 | 1.2× |
| Application Halo Cranial Including Removal (20661) | $1,799.70 | $2,999.50 | 1.1× |
| Application long arm splint shoulder hand (29105) | $356.85 | $594.75 | 2.2× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $450.90 | $751.50 | 1.6× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$343.05–$356.85 | $571.75–$594.75 | varies |
| Application of long leg cast (29345) | $337.05 | $561.75 | 1.2× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$326.10–$339.15 | $543.50–$565.25 | varies |
| Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
$391.80–$407.55 | $653–$679.25 | varies |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$148.05–$154.05 | $246.75–$256.75 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$185.10–$192.60 | $308.50–$321 | varies |
| Apply hand/wrist cast (29085) | $294.90 | $491.50 | 1.8× |
| Apply long arm cast (29065) | $356.85 | $594.75 | 1.3× |
| Apply Multlay Comprs Lwr Leg (29581) | $192.60 | $321 | 1.2× |
| Apply Short Leg Cast (29405) | $339.15 | $565.25 | 1.2× |
| Arterial puncture (36600) | $77.40 | $129 | 0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $926.10 | $1,543.50 | 3.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,045.65 | $1,742.75 | 1.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 11 matching MRF lines |
$416.40–$441.30 | $694–$735.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $441.30 | $735.50 | 1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$347.10–$361.05 | $578.50–$601.75 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $1,422.60 | $2,371 | 0.9× |
| Aspirate pleura w/ imaging (32555) | $938.70 | $1,564.50 | 1.5× |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$1,009.05–$1,049.55 | $1,681.75–$1,749.25 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $441.30 | $735.50 | 1.4× |
| Aspiration and/or injection thyroid cyst (60300) range across 2 matching MRF lines |
$418.50–$1,053 | $697.50–$1,755 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $3,009.45 | $5,015.75 | 1.4× |
| Aspiration bladder trocar/intracatheter (51101) | $621.75 | $1,036.25 | 0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) | $235.35 | $392.25 | 1.2× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $4,498.20 | $7,497 | 0.7× |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) | $8,880.60 | $14,801 | 0.8× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) | $8,456.40 | $14,094 | 0.8× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) | $4,498.20 | $7,497 | 0.7× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$2,571 | $4,285 | 0.4× |
| Biopsy Abdominal Mass (49180) | $1,117.80 | $1,863 | 0.7× |
| Biopsy bone trocar/needle deep (20225) | $1,935.75 | $3,226.25 | 1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,935.75 | $3,226.25 | 1.2× |
| Biopsy muscle percutaneous needle (20206) | $1,459.95 | $2,433.25 | 0.9× |
| Biopsy of liver, needle; percutaneous (47000) | $1,265.25 | $2,108.75 | 0.8× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,112.10 | $1,853.50 | 0.7× |
| Biopsy Salivary Gland Needle (42400) | $888.75 | $1,481.25 | 1.2× |
| Biopsy soft tissue back/flank deep (21925) | $4,301.25 | $7,168.75 | 2.6× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $2,469.30 | $4,115.50 | 1.5× |
| Biopsy soft tissue neck/thorax (21550) | $4,562.25 | $7,603.75 | 2.7× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) range across 2 matching MRF lines |
$1,360.50–$1,414.95 | $2,267.50–$2,358.25 | varies |
| Bladder Irrigation (51700) | $279.90 | $466.50 | 1.1× |
| Blepharotomy drainage abscess eyelid (67700) | $360.45 | $600.75 | 1.1× |
| Blood Transfusion Service (36430) range across 9 matching MRF lines |
$761.40–$2,352.15 | $1,269–$3,920.25 | varies |
| Bone Marrow Biopsy (38221) | $2,661.60 | $4,436 | 1.6× |
| Bone Marrow; Aspiration Only (38220) | $1,800 | $3,000 | 1.1× |
| Brnchsc Brushing/Protected Brushings (31623) | $1,034.70 | $1,724.50 | 0.6× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) | $2,229 | $3,715 | 0.6× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) | $2,229 | $3,715 | 0.6× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) | $2,611.20 | $4,352 | 1.5× |
| Brnchsc Removal Bronchial Valve Initial (31648) | $5,165.70 | $8,609.50 | 1.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) | $2,229 | $3,715 | 0.6× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) | $5,183.70 | $8,639.50 | 1.4× |
| Bronchial Valve Init Insert (31647) | $5,165.70 | $8,609.50 | 0.7× |
| Bronchoscopy Balloon Occlusion (31634) | $4,153.50 | $6,922.50 | 0.6× |
| Bronchoscopy Bronch Stents (31636) | $5,183.70 | $8,639.50 | 0.7× |
| Bronchoscopy Clear Airways (31645) range across 2 matching MRF lines |
$1,034.70–$2,178.90 | $1,724.50–$3,631.50 | varies |
| Bronchoscopy Dilate W/Stent (31631) | $4,153.50 | $6,922.50 | 0.6× |
| Bronchoscopy Reclear Airway (31646) | $2,178.90 | $3,631.50 | 5.5× |
| Bronchoscopy W/Biopsy(S) (31625) | $1,034.70 | $1,724.50 | 0.6× |
| Bronchoscopy W/Excision Tumor (31640) | $2,229 | $3,715 | 0.6× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) | $4,153.50 | $6,922.50 | 0.6× |
| Bronchoscopy W/Removal Foreign Body (31635) | $1,034.70 | $1,724.50 | 0.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $2,229 | $3,715 | 0.6× |
| Bronchoscopy/Needle Bx Each (31629) | $2,229 | $3,715 | 0.6× |
| Bx breast 1st lesion mr imag (19085) range across 5 matching MRF lines |
$3,362.85–$3,497.40 | $5,604.75–$5,829 | varies |
| Bx breast 1st lesion strtctc (19081) | $3,497.40 | $5,829 | 2.1× |
| Bx breast 1st lesion us imag (19083) | $3,497.40 | $5,829 | 2.1× |
| Bx Cervix (57500) | $1,097.85 | $1,829.75 | 1.2× |
| Canthotomy Separate Procedure (67715) | $3,993.45 | $6,655.75 | 1.7× |
| Catheter aspiration nasotracheal spx (31720) | $150.45 | $250.75 | 0.7× |
| Cerclage cervix pregnancy vaginal (59320) | $3,891.90 | $6,486.50 | 1.2× |
| Cessj Therapy Cath Removal (37214) | $4,250.25 | $7,083.75 | 1.3× |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$1,901.10–$2,017.80 | $3,168.50–$3,363 | varies |
| Change Cystostomy Tube Simple (51705) | $390.75 | $651.25 | 1.6× |
| Change of Windpipe Airway (31502) | $517.50 | $862.50 | 2.2× |
| Change ureter stent percut (50382) | $4,353 | $7,255 | 2.1× |
| Chemical Cautery Tissue (17250) | $293.25 | $488.75 | 1.5× |
| Chest tube placement (32551) range across 5 matching MRF lines |
$952.35–$1,448.70 | $1,587.25–$2,414.50 | varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) range across 2 matching MRF lines |
$1,940.10–$2,017.80 | $3,233.50–$3,363 | varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) | $4,482.60 | $7,471 | 1.2× |
| Circumcision w/clamp/oth dev w/block (54150) | $1,229.25 | $2,048.75 | 0.6× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,327.55 | $3,879.25 | 1.4× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,650.90 | $2,751.50 | 1.0× |
| Clear outer ear canal (69200) | $197.25 | $328.75 | 1.5× |
| Closed Treat Vert Body Fract (22310) | $408.15 | $680.25 | 1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $429.45 | $715.75 | 1.7× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,327.55 | $3,879.25 | 1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $343.95 | $573.25 | 1.4× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $294.15 | $490.25 | 1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $279.90 | $466.50 | 1.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $520.80 | $868 | 2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,396.80 | $2,328 | 0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $279.90 | $466.50 | 1.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $1,650.90 | $2,751.50 | 6.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $279.90 | $466.50 | 1.1× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,023.90 | $1,706.50 | 0.6× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $279.90 | $466.50 | 1.1× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) | $4,967.10 | $8,278.50 | 3.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $520.80 | $868 | 2.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $1,292.70 | $2,154.50 | 0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) | $279.90 | $466.50 | 1.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,650.90 | $2,751.50 | 1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $523.95 | $873.25 | 1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $279.90 | $466.50 | 1.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $1,650.90 | $2,751.50 | 1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,536 | $2,560 | 1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $4,616.10 | $7,693.50 | 1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,440.30 | $2,400.50 | 5.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $279.90 | $466.50 | 1.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $256.95 | $428.25 | 1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) | $2,327.55 | $3,879.25 | 1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $279.90 | $466.50 | 1.1× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,862.25 | $3,103.75 | 1.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $256.95 | $428.25 | 1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,396.80 | $2,328 | 0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $279.90 | $466.50 | 1.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $211.95 | $353.25 | 0.9× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $500.70 | $834.50 | 2.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $1,267.50 | $2,112.50 | 5.1× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $2,327.55 | $3,879.25 | 1.4× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $424.50 | $707.50 | 1.7× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $314.85 | $524.75 | 1.3× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $2,247.45 | $3,745.75 | 1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $217.20 | $362 | 0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $2,327.55 | $3,879.25 | 1.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $256.95 | $428.25 | 1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $279.90 | $466.50 | 1.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $286.50 | $477.50 | 1.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $1,409.40 | $2,349 | 2.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $520.80 | $868 | 2.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $194.40 | $324 | 0.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $1,650.90 | $2,751.50 | 1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $211.95 | $353.25 | 0.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $424.50 | $707.50 | 1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,408.80 | $2,348 | 0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $211.95 | $353.25 | 0.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,292.70 | $2,154.50 | 0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,862.25 | $3,103.75 | 1.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $424.50 | $707.50 | 1.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,327.55 | $3,879.25 | 1.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $256.95 | $428.25 | 1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $279.90 | $466.50 | 1.1× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $424.50 | $707.50 | 1.7× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $2,665.20 | $4,442 | 1.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $279.90 | $466.50 | 1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $279.90 | $466.50 | 1.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $211.95 | $353.25 | 0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $211.95 | $353.25 | 0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $279.90 | $466.50 | 1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,163.85 | $1,939.75 | 0.7× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,327.55 | $3,879.25 | 1.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $380.85 | $634.75 | 1.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,650.90 | $2,751.50 | 1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $211.95 | $353.25 | 0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $211.95 | $353.25 | 0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $211.95 | $353.25 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $1,650.90 | $2,751.50 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $279.90 | $466.50 | 1.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $424.50 | $707.50 | 1.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,650.90 | $2,751.50 | 1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,408.80 | $2,348 | 0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $279.90 | $466.50 | 1.1× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,327.55 | $3,879.25 | 1.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $2,327.55 | $3,879.25 | 1.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $408.15 | $680.25 | 1.6× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $389.40 | $649 | 1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $211.95 | $353.25 | 0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $389.40 | $649 | 1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $211.95 | $353.25 | 0.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,650.90 | $2,751.50 | 1.0× |
| Cltx Medial Ankle Fx (27760) | $256.95 | $428.25 | 1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $279.90 | $466.50 | 1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $279.90 | $466.50 | 1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $1,894.05 | $3,156.75 | 1.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $1,459.50 | $2,432.50 | 0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $211.95 | $353.25 | 0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $211.95 | $353.25 | 0.9× |
| Cltx post hip arthrp dislc req anes (27266) | $2,921.85 | $4,869.75 | 1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) | $256.95 | $428.25 | 1.0× |
| Cltx prox fibula/shft fx w/manj (27781) | $1,650.90 | $2,751.50 | 1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $1,650.90 | $2,751.50 | 1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $408.15 | $680.25 | 1.6× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $256.95 | $428.25 | 1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $279.90 | $466.50 | 1.1× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,023.90 | $1,706.50 | 0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,396.80 | $2,328 | 0.9× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,327.55 | $3,879.25 | 1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,327.55 | $3,879.25 | 1.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $279.90 | $466.50 | 1.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $2,661.45 | $4,435.75 | 1.6× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $268.20 | $447 | 1.1× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $5,221.80 | $8,703 | 1.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $345.75 | $576.25 | 1.4× |
| Cltx tibial fx proximal w/o manipulation (27530) | $256.95 | $428.25 | 1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) | $256.95 | $428.25 | 1.0× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $256.95 | $428.25 | 1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,163.85 | $1,939.75 | 0.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $279.90 | $466.50 | 1.1× |
| Collect Blood From Catheter Venous Nos (36592) | $94.50 | $157.50 | 0.7× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$12–$23.85 | $20–$39.75 | varies |
| Colonoscopy Flexible With Decompression (45393) | $760.95 | $1,268.25 | 0.6× |
| Colonoscopy Stoma Control Bleeding (44391) | $760.95 | $1,268.25 | 0.6× |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) | $3,571.80 | $5,953 | 0.6× |
| Colonoscopy Stoma W/Submucosal Injection (44404) | $760.95 | $1,268.25 | 0.6× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $760.95 | $1,268.25 | 0.6× |
| Colonoscopy thru stoma (44388) | $1,899 | $3,165 | 2.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $760.95 | $1,268.25 | 0.6× |
| Colonoscopy w/ablation (45388) | $760.95 | $1,268.25 | 0.6× |
| Colonoscopy W/Band Ligation (45398) | $760.95 | $1,268.25 | 0.6× |
| Colonoscopy w/fb removal (45379) | $760.95 | $1,268.25 | 0.6× |
| Colonoscopy W/Resection (45390) | $1,671.30 | $2,785.50 | 0.6× |
| Colonoscopy w/stent plcmt (45389) | $3,571.80 | $5,953 | 0.6× |
| Colonoscopy w/submucosal inj (45381) | $760.95 | $1,268.25 | 0.6× |
| Colporrhaphy (57200) | $2,070.30 | $3,450.50 | 0.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $760.95 | $1,268.25 | 0.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $760.95 | $1,268.25 | 0.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $760.95 | $1,268.25 | 0.6× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) | $760.95 | $1,268.25 | 0.6× |
| Complex drainage wound (10180) | $3,295.35 | $5,492.25 | 1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $261.30 | $435.50 | 2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $284.40 | $474 | 2.1× |
| Control oropharyngeal hemorrhage simple (42960) | $741.45 | $1,235.75 | 1.4× |
| Conversion ext bil drg cath (47535) | $2,790.30 | $4,650.50 | 0.8× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) | $1,862.85 | $3,104.75 | 1.0× |
| Convert Nephrostomy Catheter (50434) | $3,009.45 | $5,015.75 | 1.4× |
| Cordocentesis (59012) | $271.50 | $452.50 | 0.9× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $972.15 | $1,620.25 | 0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $284.40 | $474 | 2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $284.40 | $474 | 1.2× |
| Curettage postpartum (59160) | $3,827.25 | $6,378.75 | 1.2× |
| Cystostomy Cystotomy W/Drainage (51040) | $5,179.50 | $8,632.50 | 2.5× |
| Cystourethroscopy (52000) | $1,594.35 | $2,657.25 | 2.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $668.55 | $1,114.25 | 1.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $3,015 | $5,025 | 1.0× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $828.75 | $1,381.25 | 1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,266.60 | $2,111 | 1.7× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$80.85–$84.15 | $134.75–$140.25 | varies |
| Debride nail 6 or more (11721) | $84.15 | $140.25 | 1.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,896.60 | $3,161 | 1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $1,115.25 | $1,858.75 | 2.7× |
| Declot vascular device (36593) | $540 | $900 | 1.6× |
| Delivery of placenta (59414) | $1,907.85 | $3,179.75 | 0.6× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,382.70 | $2,304.50 | 1.6× |
| Diagnostic sigmoidoscopy (45330) | $1,094.55 | $1,824.25 | 1.2× |
| Dilat Xst Trc New Access Rcs (50437) | $4,213.20 | $7,022 | 1.2× |
| Dilate Esophagus 1/Mult Pass (43450) | $562.65 | $937.75 | 0.6× |
| Dilate Urethra Stricture (53620) | $1,600.35 | $2,667.25 | 2.3× |
| Dilate Urethra Stricture (53600) | $577.80 | $963 | 2.3× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) | $2,883.90 | $4,806.50 | 1.6× |
| Drain ant chmbr,remv vitreous (65810) | $1,876.35 | $3,127.25 | 0.8× |
| Drain Cerebro Spinal Fluid (62272) | $1,045.65 | $1,742.75 | 1.5× |
| Drain penis lesion (54015) | $1,611 | $2,685 | 1.0× |
| Drain/inj small joint/bursa w/us (20604) | $447.75 | $746.25 | 1.5× |
| Drainage abscess parotid simple (42300) | $1,476.90 | $2,461.50 | 0.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $462.15 | $770.25 | 0.9× |
| Drainage external auditory canal abscess (69020) | $1,053 | $1,755 | 1.5× |
| Drainage external ear abscess/hematoma cmplx (69005) | $2,428.35 | $4,047.25 | 1.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $631.80 | $1,053 | 0.9× |
| Drainage Finger Abscess Complicated (26011) | $1,051.50 | $1,752.50 | 0.6× |
| Drainage Mouth Roof Lesion (42000) | $286.50 | $477.50 | 1.2× |
| Drainage of finger abscess simple (26010) | $258.15 | $430.25 | 1.3× |
| Drainage of gum lesion (41800) | $217.20 | $362 | 1.6× |
| Drainage of hematoma/fluid (10140) | $1,946.55 | $3,244.25 | 1.2× |
| Drainage of mouth lesion (41017) | $1,914.30 | $3,190.50 | 0.6× |
| Drainage of nose lesion (30000) | $424.80 | $708 | 1.8× |
| Drainage of rectal abscess (45020) | $4,168.80 | $6,948 | 1.5× |
| Drainage of rectal abscess (45005) | $1,020.15 | $1,700.25 | 0.8× |
| Drainage of scrotal wall abscess (55100) | $1,051.50 | $1,752.50 | 0.6× |
| Drainage of scrotum (54700) | $3,085.80 | $5,143 | 1.5× |
| Draw Blood Off Venous Device (36591) | $77.40 | $129 | 0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $1,552.95 | $2,588.25 | 2.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,053 | $1,755 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $449.25 | $748.75 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $235.35 | $392.25 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $235.35 | $392.25 | 1.2× |
| Dstrj les/scar vestibule mouth physical meths (40820) | $4,596.60 | $7,661 | 1.4× |
| Dstrj lesion anus simple surg excision (46922) | $5,903.55 | $9,839.25 | 2.1× |
| Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
$2,661.60–$2,716.95 | $4,436–$4,528.25 | varies |
| Dx Bronchoscope/Lavage (31624) | $1,034.70 | $1,724.50 | 0.6× |
| Dx Bronchoscope/Wash (31622) | $2,137.05 | $3,561.75 | 1.2× |
| Dx Laryngoscopy Excl Nb (31525) range across 2 matching MRF lines |
$3,577.05–$3,720.15 | $5,961.75–$6,200.25 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,776.65 | $4,627.75 | 3.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,138.20 | $1,897 | 0.6× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,138.20 | $1,897 | 0.6× |
| Egd cautery tumor polyp (43250) | $1,138.20 | $1,897 | 0.6× |
| Egd control bleeding any (43255) | $1,138.20 | $1,897 | 0.6× |
| Egd dilation gastric/duodenal stricture (43245) | $1,138.20 | $1,897 | 0.6× |
| Egd endo mucosal resection (43254) | $1,138.20 | $1,897 | 0.6× |
| Egd Endoscopic Stent Place (43266) | $3,571.80 | $5,953 | 0.6× |
| Egd Flexible Foreign Body Removal (43247) | $731.70 | $1,219.50 | 0.8× |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) | $1,413 | $2,355 | 0.7× |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) | $669.90 | $1,116.50 | 0.7× |
| Egd guide wire insertion (43248) | $731.70 | $1,219.50 | 0.8× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) | $1,138.20 | $1,897 | 0.6× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $1,138.20 | $1,897 | 0.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $1,138.20 | $1,897 | 0.6× |
| Egd lesion ablation (43270) | $1,138.20 | $1,897 | 0.6× |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) | $6,991.95 | $11,653.25 | 0.7× |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$1,138.20–$1,742.85 | $1,897–$2,904.75 | varies |
| Egd remove lesion snare (43251) | $1,138.20 | $1,897 | 0.6× |
| Egd Tube/Cath Insertion (43241) | $1,138.20 | $1,897 | 0.6× |
| Egd us exam duodenum/jejunum (43259) | $1,138.20 | $1,897 | 0.6× |
| Egd us transmural injxn/mark (43253) | $1,138.20 | $1,897 | 0.6× |
| Egd Varices Ligation (43244) | $1,138.20 | $1,897 | 0.6× |
| Egd W/Thrml Txmnt Gerd (43257) | $2,282.85 | $3,804.75 | 0.6× |
| Egd W/Transmural Drain Cyst (43240) | $3,571.80 | $5,953 | 0.6× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) | $8,303.10 | $13,838.50 | 1.5× |
| Endometrial Biopsy (58100) | $148.80 | $248 | 0.7× |
| Endoscopic us exam esoph (43237) | $1,138.20 | $1,897 | 0.6× |
| Endoscopy Upper Small Intestine (44360) | $2,045.40 | $3,409 | 1.1× |
| Endoscopy upper small intestine w/biopsy (44361) | $1,138.20 | $1,897 | 0.6× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) | $11,497.65 | $19,162.75 | 1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $9,208.95 | $15,348.25 | 2.9× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) | $1,138.20 | $1,897 | 0.6× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) | $2,045.40 | $3,409 | 1.1× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) | $1,138.20 | $1,897 | 0.6× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) | $1,138.20 | $1,897 | 0.6× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) | $3,571.80 | $5,953 | 0.6× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) | $1,138.20 | $1,897 | 0.6× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) | $1,138.20 | $1,897 | 0.6× |
| Epidural Blood Patch (62273) | $1,045.65 | $1,742.75 | 1.5× |
| Episiotomy or vaginal repair (59300) | $3,843.60 | $6,406 | 1.2× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) | $3,571.80 | $5,953 | 0.6× |
| Ercp duct stent placement (43274) | $3,571.80 | $5,953 | 0.6× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $4,494.90 | $7,491.50 | 1.2× |
| Ercp ea duct/ampulla dilate (43277) | $2,282.85 | $3,804.75 | 0.6× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) | $2,282.85 | $3,804.75 | 0.6× |
| Ercp remove forgn body duct (43275) | $2,144.25 | $3,573.75 | 1.1× |
| Ercp Stent Exchange W/Dilate (43276) | $3,571.80 | $5,953 | 0.6× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) | $2,282.85 | $3,804.75 | 0.6× |
| Ercp W/Biopsy Single/Multiple (43261) | $2,282.85 | $3,804.75 | 0.6× |
| Ercp,Sphincterotomy (43262) | $2,282.85 | $3,804.75 | 0.6× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $731.70 | $1,219.50 | 0.8× |
| Esophagosc Dilate Balloon 30 (43214) | $1,138.20 | $1,897 | 0.6× |
| Esophagoscop Stent Placement (43212) | $3,571.80 | $5,953 | 0.6× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,138.20 | $1,897 | 0.6× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) | $2,282.85 | $3,804.75 | 0.6× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) | $1,138.20 | $1,897 | 0.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,824.75 | $3,041.25 | 2.0× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) | $1,138.20 | $1,897 | 0.6× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $1,138.20 | $1,897 | 0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $1,138.20 | $1,897 | 0.6× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) | $1,138.20 | $1,897 | 0.6× |
| Evacuation of subungual hematoma (11740) | $97.35 | $162.25 | 0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $827.40 | $1,379 | 1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,823.55 | $3,039.25 | 1.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $549.60 | $916 | 0.8× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $795.45 | $1,325.75 | 1.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,535.55 | $2,559.25 | 0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,896.60 | $3,161 | 1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $827.40 | $1,379 | 1.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,896.60 | $3,161 | 1.1× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$795.45–$827.40 | $1,325.75–$1,379 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,896.60 | $3,161 | 1.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,915.20 | $3,192 | 1.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$431.85–$449.25 | $719.75–$748.75 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$795.45–$827.40 | $1,325.75–$1,379 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,896.60 | $3,161 | 1.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $2,790.30 | $4,650.50 | 0.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $3,009.45 | $5,015.75 | 1.4× |
| Exchange Transfusion Blood Newborn (36450) | $566.55 | $944.25 | 1.3× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,017.80 | $3,363 | 1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) | $1,813.35 | $3,022.25 | 0.6× |
| Excision of vaginal cyst or tumor (57135) | $3,843.60 | $6,406 | 1.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $2,469.30 | $4,115.50 | 1.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $1,681.65 | $2,802.75 | 0.8× |
| Explo/Drain Breast Abscess (19020) | $1,611 | $2,685 | 1.0× |
| Exploration of knee joint (27310) | $2,593.50 | $4,322.50 | 0.8× |
| Exploration Penetrating Wound Spx Neck (20100) | $812.40 | $1,354 | 1.5× |
| External cephalic version (59412) | $1,907.85 | $3,179.75 | 0.6× |
| Fetal Contraction Stress Test (59020) | $441.90 | $736.50 | 2.2× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) | $469.50 | $782.50 | 1.5× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$324.45–$337.50 | $540.75–$562.50 | varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $526.50 | $877.50 | 0.7× |
| Fine needle aspiration without imaging guidance (10021) | $237.15 | $395.25 | 0.6× |
| Fluid Pressure Muscle (20950) | $1,053 | $1,755 | 1.5× |
| Fluoro exam of g/colon tube (49465) range across 2 matching MRF lines |
$281.55–$298.80 | $469.25–$498 | varies |
| Fna bx w/us gdn 1st les (10005) | $526.50 | $877.50 | 0.7× |
| Foreskin manipulation (54450) | $756.45 | $1,260.75 | 3.0× |
| Guide Cathet Fluid Drainage (10030) | $631.80 | $1,053 | 0.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $890.85 | $1,484.75 | 1.0× |
| I&d abscess peritonsillar (42700) | $283.05 | $471.75 | 1.2× |
| I&d abscess simple (10060) | $467.85 | $779.75 | 2.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $4,191.30 | $6,985.50 | 1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $1,689.60 | $2,816 | 0.6× |
| I&d forearm/wrist bursa (25031) | $2,562.60 | $4,271 | 1.6× |
| I&D Intramural Im/Absc Transanal Anes (46045) | $2,329.35 | $3,882.25 | 0.8× |
| I&D Mouth/Tong Intra,Masticator (41009) | $618.45 | $1,030.75 | 1.1× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) range across 5 matching MRF lines |
$3,101.10–$3,863.70 | $5,168.50–$6,439.50 | varies |
| I&d perianal abscess superficial (46050) | $1,020.15 | $1,700.25 | 1.1× |
| I&d pilonidal cyst complicated (10081) | $1,069.20 | $1,782 | 1.5× |
| I&d pilonidal cyst simple (10080) | $526.50 | $877.50 | 0.7× |
| I&d vaginal hematoma obstetrical/postpartum (57022) | $2,611.20 | $4,352 | 0.9× |
| Icd Pocket Revision (33223) | $1,665.60 | $2,776 | 0.8× |
| Ileoscopy Stoma W/Balloon Dilation (44381) | $1,138.20 | $1,897 | 0.6× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $562.65 | $937.75 | 0.6× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $2,104.50 | $3,507.50 | 2.3× |
| Image Cath Fluid Colxn Visc (49405) | $3,207.15 | $5,345.25 | 1.9× |
| Image Cath Fluid Peri/Retro (49406) | $2,433 | $4,055 | 1.5× |
| Image Cath Fluid Trns/Vgnl (49407) | $4,171.50 | $6,952.50 | 2.5× |
| Implant neuroelectrodes (63650) | $7,672.50 | $12,787.50 | 1.2× |
| Incise external hemorrhoid (46083) | $322.50 | $537.50 | 1.3× |
| Incise finger tendon sheath (26055) | $3,451.50 | $5,752.50 | 2.1× |
| Incision & drainage abscess complicated/multiple (10061) | $812.40 | $1,354 | 2.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) range across 5 matching MRF lines |
$1,689.60–$4,191.30 | $2,816–$6,985.50 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $1,896.60 | $3,161 | 1.1× |
| Incision & removal foreign body subq tiss simple (10120) | $484.50 | $807.50 | 1.2× |
| Incision and drainage of bartholin's gland abscess (56420) | $306.90 | $511.50 | 1.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $306.90 | $511.50 | 1.0× |
| Incision of lingual frenum (frenotomy) (41010) | $1,183.95 | $1,973.25 | 0.8× |
| Incision of rectal abscess (46040) | $1,915.20 | $3,192 | 1.6× |
| Incision&drainage bursa foot (28001) | $2,661.45 | $4,435.75 | 1.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,611 | $2,685 | 1.0× |
| Incisional biopsy skin single lesion (11106) | $449.25 | $748.75 | 0.6× |
| Induced abortion dilation and curettage (59840) range across 3 matching MRF lines |
$1,907.85–$2,915.70 | $3,179.75–$4,859.50 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$226.20–$235.35 | $377–$392.25 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,482.45 | $2,470.75 | 1.7× |
| Inj W/Fluor Eval Cv Device (36598) | $198.60 | $331 | 0.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $1,382.70 | $2,304.50 | 1.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $441.30 | $735.50 | 1.4× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,382.70 | $2,304.50 | 1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,141.35 | $1,902.25 | 1.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,382.70 | $2,304.50 | 1.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$880.20–$1,045.65 | $1,467–$1,742.75 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,382.70 | $2,304.50 | 1.6× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $456.60 | $761 | 1.5× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,045.65 | $1,742.75 | 1.5× |
| Injection for identification of sentinel node (38792) | $731.25 | $1,218.75 | 1.8× |
| Injection Into Brain Canal (61055) | $746.85 | $1,244.75 | 2.4× |
| Injection single tendon origin/insertion (20551) | $521.70 | $869.50 | 1.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $441.30 | $735.50 | 1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) | $441.30 | $735.50 | 1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$541.95–$1,382.70 | $903.25–$2,304.50 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 4 matching MRF lines |
$515.55–$1,045.65 | $859.25–$1,742.75 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,045.65 | $1,742.75 | 1.5× |
| Inner ear surgery proc unlisted (69949) | $1,476.90 | $2,461.50 | 6.2× |
| Ins cath ren art 1st bilat (36252) | $5,395.20 | $8,992 | 1.7× |
| Ins cath ren art 1st unilat (36251) | $5,395.20 | $8,992 | 1.7× |
| Ins cath ren art 2nd+ bilat (36254) | $5,395.20 | $8,992 | 1.7× |
| Ins cath ren art 2nd+ unilat (36253) | $5,395.20 | $8,992 | 1.0× |
| Ins endovas vena cava filtr (37191) | $8,028.15 | $13,380.25 | 1.4× |
| Ins/Rep Subq Defibrillator (33270) | $32,052.60 | $53,421 | 1.0× |
| Insert 1 Electrode Pm-Defib (33216) | $9,426.60 | $15,711 | 1.1× |
| Insert and remove bone pin (20650) | $5,177.85 | $8,629.75 | 1.6× |
| Insert Bladder Cath Complex (51703) | $375 | $625 | 2.9× |
| Insert cath pleura w/ image (32557) | $2,414.10 | $4,023.50 | 1.5× |
| Insert cath pleura w/o image (32556) | $2,825.70 | $4,709.50 | 1.5× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) | $2,298.30 | $3,830.50 | 1.9× |
| Insert cervical dilator (59200) range across 2 matching MRF lines |
$251.10–$261.15 | $418.50–$435.25 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,865.10 | $3,108.50 | 1.0× |
| Insert Heart Pm Atrial (33206) | $15,654.45 | $26,090.75 | 1.5× |
| Insert Heart Pm Ventricular (33207) | $16,493.55 | $27,489.25 | 1.6× |
| Insert hepatic shunt (tips) (37182) likely a partial charge, not the full procedure |
$4,419.15 | $7,365.25 | 0.2× |
| Insert non-tunnel cv cath (36556) | $2,899.95 | $4,833.25 | 0.9× |
| Insert Pacing Lead & Connect (33224) | $33,423.45 | $55,705.75 | 3.2× |
| Insert pessary/other device (57160) | $234.30 | $390.50 | 1.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,780.70 | $4,634.50 | 1.8× |
| Insert pulse gen dual leads (33213) | $14,063.40 | $23,439 | 1.3× |
| Insert pulse gen mult leads (33221) | $15,107.85 | $25,179.75 | 0.8× |
| Insert Pulse Gen Sngl Lead (33212) | $13,247.55 | $22,079.25 | 1.6× |
| Insert Temp Bladder Cath (51702) | $188.70 | $314.50 | 1.4× |
| Insert tun ip cath perc (49418) | $5,882.10 | $9,803.50 | 1.6× |
| Insert tunneled cv cath (36561) | $3,648.15 | $6,080.25 | 1.2× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) | $3,267.30 | $5,445.50 | 0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $205.20 | $342 | 1.5× |
| Insertion indwelling tunneled pleural catheter (32550) | $4,035.45 | $6,725.75 | 1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,414.10 | $4,023.50 | 1.5× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $9,277.20 | $15,462 | 1.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $3,880.20 | $6,467 | 1.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $9,134.25 | $15,223.75 | 1.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $2,899.95 | $4,833.25 | 0.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
$2,984.25–$3,167.85 | $4,973.75–$5,279.75 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $2,510.55 | $4,184.25 | 1.6× |
| Insj Subq Impltbl Dfb Elctrd (33271) | $8,937.30 | $14,895.50 | 1.1× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $10,115.70 | $16,859.50 | 1.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $3,045.90 | $5,076.50 | 1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $51,832.80 | $86,388 | 1.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$8,602.65–$9,426.60 | $14,337.75–$15,711 | varies |
| Insrt heart pm atrial & vent (33208) | $18,985.80 | $31,643 | 1.8× |
| Insrt Pulse Gen W/Dual Leads (33230) | $42,952.50 | $71,587.50 | 1.9× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) range across 2 matching MRF lines |
$2,405.25–$2,553.75 | $4,008.75–$4,256.25 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $312.90 | $521.50 | 0.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $276.30 | $460.50 | 0.7× |
| Intraoral i&d tongue/floor lingual (41000) | $1,536 | $2,560 | 2.8× |
| Intraoral i&d tongue/floor submental space (41007) | $3,879.30 | $6,465.50 | 2.5× |
| Intraoral i&d tongue/floor submndblr space (41008) | $3,261.15 | $5,435.25 | 1.0× |
| Intro cath dialysis circuit (36901) | $1,545.15 | $2,575.25 | 1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $11,787.75 | $19,646.25 | 1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $9,720.45 | $16,200.75 | 1.7× |
| Intro Gastrointestinal Tube (44500) | $669.90 | $1,116.50 | 0.7× |
| Intubation endotracheal emergency procedure (31500) | $539.85 | $899.75 | 2.3× |
| Irrigation of corpora cavernosa for priapism (54220) | $457.80 | $763 | 1.8× |
| Laryngoscopy diagnostic (31505) | $163.35 | $272.25 | 0.8× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) | $4,966.80 | $8,278 | 1.3× |
| Laryngoscopy flexible diagnostic (31575) | $163.05 | $271.75 | 0.8× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $931.80 | $1,553 | 2.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 5 matching MRF lines |
$485.10–$2,904.90 | $808.50–$4,841.50 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $2,174.85 | $3,624.75 | 1.2× |
| Late closure of wound (13160) | $2,105.40 | $3,509 | 0.6× |
| Ligation of a-v fistula (37607) | $8,234.70 | $13,724.50 | 2.6× |
| Ligation or biopsy temporal artery (37609) | $1,355.85 | $2,259.75 | 0.8× |
| Lithotripsy, extracorporeal shock wave (50590) | $18,406.05 | $30,676.75 | 5.2× |
| Maternity Care Procedure (59899) range across 3 matching MRF lines |
$300.90–$3,526.95 | $501.50–$5,878.25 | varies |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) | $1,186.35 | $1,977.25 | 0.8× |
| Mech remov tunneled cv cath (36595) | $3,167.85 | $5,279.75 | 1.0× |
| Myelography Lumbar Injection (62305) | $1,300.20 | $2,167 | 1.7× |
| Myelography Lumbar Injection (62304) range across 2 matching MRF lines |
$1,250.10–$1,300.20 | $2,083.50–$2,167 | varies |
| Myelography via lumbar injection rs&i cervical (62302) range across 2 matching MRF lines |
$1,250.10–$1,300.20 | $2,083.50–$2,167 | varies |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,300.20 | $2,167 | 1.7× |
| N Block Inj Celiac Pelus (64530) | $1,382.70 | $2,304.50 | 1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,045.65 | $1,742.75 | 1.5× |
| N block inj intercost sng (64420) | $1,045.65 | $1,742.75 | 1.5× |
| N Block Inj Paracervical (64435) | $1,045.65 | $1,742.75 | 1.5× |
| N Block Inj Plantar Digit (64455) | $493.65 | $822.75 | 1.6× |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$1,354.95–$1,355.25 | $2,258.25–$2,258.75 | varies |
| Nasal Endoscopy Dx (31231) | $322.50 | $537.50 | 1.6× |
| Nasal surgery procedure (30999) | $217.20 | $362 | 0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$501–$510.45 | $835–$850.75 | varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) | $1,779.15 | $2,965.25 | 1.0× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $508.20 | $847 | 2.0× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $1,899 | $3,165 | 2.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) | $1,899 | $3,165 | 2.0× |
| Needle Biopsy Lymph Nodes (38505) range across 4 matching MRF lines |
$2,743.20–$2,853 | $4,572–$4,755 | varies |
| Needle Biopsy Pancreas (48102) range across 2 matching MRF lines |
$1,074.75–$1,117.80 | $1,791.25–$1,863 | varies |
| Neuro alys b-amyl 1-42&1-40 (0358U) | $1,041 | $1,735 | 4.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) | $1,800 | $3,000 | 0.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $264.30 | $440.50 | 0.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $2,494.35 | $4,157.25 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $3,103.35 | $5,172.25 | 0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,482.45 | $2,470.75 | 1.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,045.65 | $1,742.75 | 1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,261.20 | $2,102 | 1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,001.25 | $1,668.75 | 1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $1,261.95 | $2,103.25 | 1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,657.05 | $2,761.75 | 2.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,657.05 | $2,761.75 | 2.4× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $244.80 | $408 | 0.6× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $237.15 | $395.25 | 0.6× |
| Njx Sclrsnt Spider Veins (36468) | $237.15 | $395.25 | 0.6× |
| Obstructive material removal from gi tube (49460) | $710.40 | $1,184 | 0.8× |
| Occipital Nerve Block (64405) | $427.05 | $711.75 | 1.4× |
| Open treatment metacarpophalangeal dislocation (26715) | $5,611.05 | $9,351.75 | 1.7× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) | $5,143.95 | $8,573.25 | 1.5× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $3,331.35 | $5,552.25 | 1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $3,331.35 | $5,552.25 | 1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $3,409.05 | $5,681.75 | 1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $2,911.20 | $4,852 | 0.9× |
| Open/Perq Place Stent 1St (37236) | $11,631.90 | $19,386.50 | 1.0× |
| Open/Perq Place Stent Same (37238) | $11,631.90 | $19,386.50 | 1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $12,184.35 | $20,307.25 | 1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $12,184.35 | $20,307.25 | 1.7× |
| Penile Injection (54235) | $386.70 | $644.50 | 1.5× |
| Perc Cryo Ablate Renal Tum (50593) | $7,870.05 | $13,116.75 | 0.7× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) | $2,553.75 | $4,256.25 | 1.8× |
| Perc Rf Ablate Renal Tumor (50592) | $8,181.60 | $13,636 | 1.3× |
| Percut Ablate Liver Rf (47382) | $8,181.60 | $13,636 | 1.3× |
| Percut Cath Occlusn Non Cns Lesn (61626) | $11,497.65 | $19,162.75 | 1.0× |
| Percut Drain/Inject Renal Cyst (50390) | $1,053 | $1,755 | 1.5× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $5,094.75 | $8,491.25 | 1.6× |
| Pericardiocentesis W/Imaging (33016) | $2,976.90 | $4,961.50 | 1.9× |
| Peritoneal Lavage (49084) range across 2 matching MRF lines |
$961.80–$980.10 | $1,603–$1,633.50 | varies |
| Perm Occlusion/Embolization,Percut,Cns (61624) unusually low: confirm this is the full procedure |
$7,075.50 | $11,792.50 | 0.4× |
| Perq av fistula creation uxtr sep access sites (36837) | $27,869.10 | $46,448.50 | 1.5× |
| Perq av fistula creation uxtr single access (36836) | $27,869.10 | $46,448.50 | 1.5× |
| Perq Cervicothoracic Inject (22510) | $5,623.50 | $9,372.50 | 1.7× |
| Perq dev breast 1st strtctc (19283) | $490.20 | $817 | 0.7× |
| Perq dev breast 1st us imag (19285) | $490.20 | $817 | 0.7× |
| Perq device breast 1st imag (19281) | $972.15 | $1,620.25 | 0.6× |
| Perq dilation xst trc endourologic px w/img (50436) | $4,213.20 | $7,022 | 1.2× |
| Perq Lumbosacral Injection (22511) | $8,790.30 | $14,650.50 | 2.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $969.15 | $1,615.25 | 1.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $11,787.75 | $19,646.25 | 1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) | $9,720.45 | $16,200.75 | 1.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$10,203.30–$12,860.55 | $17,005.50–$21,434.25 | varies |
| Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
$10,203.30–$12,860.55 | $17,005.50–$21,434.25 | varies |
| Phleb Veins - Extrem 20+ (37766) | $4,691.40 | $7,819 | 1.5× |
| Place Cath Subclavian Art (36225) | $5,377.65 | $8,962.75 | 1.7× |
| Place Cath Thoracic Aorta (36221) | $5,377.65 | $8,962.75 | 1.7× |
| Place Cath Vertebral Art (36226) | $8,795.70 | $14,659.50 | 1.6× |
| Place Duod/Jej Tube Perc (49441) | $1,862.85 | $3,104.75 | 1.0× |
| Placement of needle for intraosseous infusion (36680) | $361.95 | $603.25 | 0.8× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) | $4,498.20 | $7,497 | 0.7× |
| Plmt Bile Duct Stent Prq Existing Access (47538) | $5,100.60 | $8,501 | 0.8× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) | $4,904.40 | $8,174 | 0.8× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $5,100.60 | $8,501 | 0.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $3,150.90 | $5,251.50 | 1.5× |
| Plmt Nephroureteral Catheter (50433) | $3,150.90 | $5,251.50 | 0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $5,272.80 | $8,788 | 1.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $5,272.80 | $8,788 | 1.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) | $5,272.80 | $8,788 | 1.5× |
| Prim art mech thrombectomy (37184) | $10,774.05 | $17,956.75 | 0.6× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,094.55 | $1,824.25 | 1.2× |
| Proctosgmdsc Rigid Control Bleeding (45317) | $748.50 | $1,247.50 | 0.6× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $748.50 | $1,247.50 | 0.6× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) | $1,842.75 | $3,071.25 | 0.7× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) | $830.10 | $1,383.50 | 1.2× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) | $1,393.80 | $2,323 | 1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $5,641.20 | $9,402 | 1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $5,641.20 | $9,402 | 1.6× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) | $5,395.20 | $8,992 | 1.6× |
| Pseudoaneurysm Injection Trt (36002) | $1,994.85 | $3,324.75 | 3.2× |
| Punch biopsy skin single lesion (11104) | $458.25 | $763.75 | 1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $484.50 | $807.50 | 1.2× |
| Puncture Aspiration Cyst Breast (19000) | $1,053 | $1,755 | 1.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) range across 3 matching MRF lines |
$774.15–$822 | $1,290.25–$1,370 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $1,045.65 | $1,742.75 | 1.5× |
| Redo Endovas Vena Cava Filtr (37192) | $5,297.10 | $8,828.50 | 1.7× |
| Reduction of rectal prolapse (45900) | $1,355.70 | $2,259.50 | 1.5× |
| Relocation Pocket Pacemaker (33222) | $2,431.80 | $4,053 | 1.2× |
| Rem Endovas Vena Cava Filter (37193) | $5,509.05 | $9,181.75 | 1.7× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $1,178.85 | $1,964.75 | 1.3× |
| Removal Embedded Foreign Body Eyelid (67938) | $360.45 | $600.75 | 1.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,743.60 | $2,906 | 0.6× |
| Removal Foreign Body Foot Complicated (28193) | $1,401.75 | $2,336.25 | 0.8× |
| Removal foreign body foot deep (28192) | $1,355.85 | $2,259.75 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) | $694.20 | $1,157 | 1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,896.60 | $3,161 | 1.1× |
| Removal Foreign Body Scrotum (55120) | $3,347.55 | $5,579.25 | 1.6× |
| Removal foreign body upper arm/elbow deep (24201) | $2,349 | $3,915 | 0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $111.30 | $185.50 | 1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$80.85–$84.15 | $134.75–$140.25 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $3,346.05 | $5,576.75 | 2.0× |
| Removal implantable contraceptive capsules (11976) | $946.80 | $1,578 | 1.3× |
| Removal of foreign body from pharynx (42809) | $407.10 | $678.50 | 0.9× |
| Removal of nail bed (11750) | $449.25 | $748.75 | 1.1× |
| Removal of tunneled intraperitoneal catheter (49422) | $3,089.85 | $5,149.75 | 1.0× |
| Removal or bivalving full arm or full leg cast (29705) | $389.40 | $649 | 1.4× |
| Removal Pacemaker Electrode (33235) | $3,027 | $5,045 | 0.8× |
| Removal ppm generator only (33233) | $7,946.25 | $13,243.75 | 1.0× |
| Removal shoulder foreign body deep subfascial/im (23333) | $1,770 | $2,950 | 0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $235.35 | $392.25 | 1.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,044.15 | $1,740.25 | 1.5× |
| Remove Brain Cavity Fluid (61020) | $1,382.70 | $2,304.50 | 1.6× |
| Remove cerclage suture (59871) | $5,702.55 | $9,504.25 | 1.8× |
| Remove drug implant device (11982) | $612.90 | $1,021.50 | 1.4× |
| Remove Elctrd Transvenously (33244) | $3,027 | $5,045 | 0.8× |
| Remove Forearm Foreign Body (25248) | $4,662.30 | $7,770.50 | 2.9× |
| Remove foreign body from eye (65235) | $3,503.70 | $5,839.50 | 1.5× |
| Remove foreign body from eye (65205) | $339.60 | $566 | 2.5× |
| Remove Intrauterine Device (58301) | $219.60 | $366 | 0.7× |
| Remove intrvas foreign body (37197) | $5,398.35 | $8,997.25 | 1.7× |
| Remove lung catheter (32552) | $938.70 | $1,564.50 | 1.5× |
| Remove Nasal Foreign Body (30300) | $217.20 | $362 | 1.6× |
| Remove Pulse Generator (33241) | $4,986.90 | $8,311.50 | 1.3× |
| Remove renal tube w/fluoro (50389) | $613.35 | $1,022.25 | 0.9× |
| Remove Shoulder Foreign Body (23330) | $964.05 | $1,606.75 | 0.6× |
| Remove ureter stent percut (50384) | $4,353 | $7,255 | 2.1× |
| Remove&replace pm gen singl (33227) | $17,102.25 | $28,503.75 | 2.1× |
| Remv&replc cvd gen dual lead (33263) | $36,434.85 | $60,724.75 | 1.6× |
| Remv&replc cvd gen mult lead (33264) | $36,434.85 | $60,724.75 | 1.2× |
| Remv&replc cvd gen sing lead (33262) | $36,434.85 | $60,724.75 | 1.6× |
| Remv&replc pm gen dual lead (33228) | $18,139.20 | $30,232 | 1.7× |
| Remv&replc pm gen mult leads (33229) | $18,139.20 | $30,232 | 0.9× |
| Renal Biopsy Perq (50200) | $1,241.85 | $2,069.75 | 0.7× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $2,536.80 | $4,228 | 0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $478.95 | $798.25 | 0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $487.20 | $812 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $449.25 | $748.75 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $478.95 | $798.25 | 1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $478.95 | $798.25 | 1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $478.95 | $798.25 | 1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) | $695.40 | $1,159 | 0.9× |
| Repair extensor tendon finger w/o graft each (26418) | $1,446.15 | $2,410.25 | 0.9× |
| Repair Eyelid Wound (67935) | $1,854 | $3,090 | 0.8× |
| Repair incomplete circumcision (54163) | $4,027.05 | $6,711.75 | 1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $312.90 | $521.50 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $312.90 | $521.50 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $312.90 | $521.50 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $312.90 | $521.50 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $373.50 | $622.50 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $312.90 | $521.50 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $312.90 | $521.50 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $373.50 | $622.50 | 0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,365.90 | $2,276.50 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $449.25 | $748.75 | 1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $449.25 | $748.75 | 1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $449.25 | $748.75 | 1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $695.40 | $1,159 | 0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $449.25 | $748.75 | 1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $3,840.60 | $6,401 | 1.9× |
| Repair Laceration Palate </2 Cm (42180) | $546 | $910 | 1.0× |
| Repair lead pace-defib dual (33220) | $5,222.10 | $8,703.50 | 1.4× |
| Repair Lead Pace-Defib One (33218) | $3,886.05 | $6,476.75 | 1.0× |
| Repair of nail bed (11760) | $373.50 | $622.50 | 0.5× |
| Repair tongue laceration (41252) | $1,536 | $2,560 | 6.5× |
| Repair tongue laceration (41250) | $438.90 | $731.50 | 1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) | $1,382.70 | $2,304.50 | 1.5× |
| Replace G-J Tube Perc (49452) | $1,382.70 | $2,304.50 | 1.5× |
| Replace g/c tube perc (49450) | $1,382.70 | $2,304.50 | 1.5× |
| Repos Previously Implanted Subq Implantable Dfb (33273) | $3,841.05 | $6,401.75 | 1.0× |
| Reposition Gastrostomy Tube (43761) | $730.95 | $1,218.25 | 2.9× |
| Reposition L Ventric Lead (33226) | $4,504.20 | $7,507 | 1.4× |
| Reposition Pacing-Defib Lead (33215) | $4,504.20 | $7,507 | 1.4× |
| Reposition Venous Catheter (36597) | $1,069.50 | $1,782.50 | 0.7× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) | $11,632.05 | $19,386.75 | 2.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) | $2,433.45 | $4,055.75 | 1.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $2,053.05 | $3,421.75 | 1.3× |
| Rmvl embedded fb vestibule mouth comp (40805) | $908.10 | $1,513.50 | 1.7× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,339.65 | $2,232.75 | 1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $339.60 | $566 | 0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $339.60 | $566 | 2.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $339.60 | $566 | 0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,020.15 | $1,700.25 | 0.8× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $3,295.35 | $5,492.25 | 1.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $6,010.35 | $10,017.25 | 2.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,822.05 | $3,036.75 | 1.1× |
| Rmvl of subq implantable defibrillator electrode (33272) | $3,994.80 | $6,658 | 1.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $6,373.35 | $10,622.25 | 1.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,931.40 | $3,219 | 1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 5 matching MRF lines |
$1,877.25–$1,885.20 | $3,128.75–$3,142 | varies |
| Rplc Gtube No Revj Trc (43762) | $446.55 | $744.25 | 1.8× |
| Rplc gtube revj gstrst trc (43763) | $507.60 | $846 | 2.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $3,167.85 | $5,279.75 | 1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $2,414.10 | $4,023.50 | 1.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $2,414.10 | $4,023.50 | 1.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $3,794.10 | $6,323.50 | 1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $3,286.65 | $5,477.75 | 1.0× |
| Rpr blood vessel direct lower extremity (35226) | $2,439.15 | $4,065.25 | 3.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,070.85 | $1,784.75 | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $312.90 | $521.50 | 1.6× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $434.10 | $723.50 | 1.8× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $1,536 | $2,560 | 2.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,536 | $2,560 | 2.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,591.05 | $2,651.75 | 1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,008.30 | $1,680.50 | 1.6× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $2,413.80 | $4,023 | 0.7× |
| Sclerotx Fluid Collection (49185) | $1,898.10 | $3,163.50 | 1.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $547.05 | $911.75 | 0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $748.50 | $1,247.50 | 0.6× |
| Sigmoidoscopy & decompress (45337) | $547.05 | $911.75 | 0.6× |
| Sigmoidoscopy & Polypectomy (45333) | $719.70 | $1,199.50 | 0.8× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) | $748.50 | $1,247.50 | 0.6× |
| Sigmoidoscopy flx tndsc balo dilat (45340) | $748.50 | $1,247.50 | 0.6× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $748.50 | $1,247.50 | 0.6× |
| Sigmoidoscopy w/fb removal (45332) | $707.55 | $1,179.25 | 0.6× |
| Sigmoidoscopy w/plcmt stent (45347) | $3,571.80 | $5,953 | 0.6× |
| Sigmoidoscopy W/Resection (45349) | $1,671.30 | $2,785.50 | 0.6× |
| Sigmoidoscopy W/Ultrasound (45341) | $748.50 | $1,247.50 | 0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $547.05 | $911.75 | 0.6× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) | $748.50 | $1,247.50 | 0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $607.35 | $1,012.25 | 1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $312.90 | $521.50 | 1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $312.90 | $521.50 | 1.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $607.35 | $1,012.25 | 1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $312.90 | $521.50 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$306.30–$312.90 | $510.50–$521.50 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $235.35 | $392.25 | 1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $235.35 | $392.25 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) | $2,189.70 | $3,649.50 | 2.9× |
| Skin sub graft trnk/arm/leg (15271) | $2,189.70 | $3,649.50 | 2.9× |
| Skin sub grft t/arm/lg child (15273) | $3,840.60 | $6,401 | 1.9× |
| Skin Tissue Procedure (17999) | $237.60 | $396 | 1.2× |
| Skn sub grft f/n/hf/g child (15277) | $2,105.40 | $3,509 | 1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $5,377.65 | $8,962.75 | 1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) | $5,377.65 | $8,962.75 | 1.7× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $8,795.70 | $14,659.50 | 1.6× |
| Slitting of prepuce (54001) | $3,281.10 | $5,468.50 | 1.6× |
| Small bowel endoscopy (44366) | $1,138.20 | $1,897 | 0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $312.90 | $521.50 | 1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $449.25 | $748.75 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $449.25 | $748.75 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) | $1,045.65 | $1,742.75 | 1.5× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $3,692.85 | $6,154.75 | 1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $4,879.20 | $8,132 | 1.5× |
| Strapping ankle (29540) | $205.20 | $342 | 1.3× |
| Strapping elbow or wrist (29260) | $225.15 | $375.25 | 3.8× |
| Strapping hand/finger (29280) | $225.15 | $375.25 | 3.8× |
| Strapping knee (29530) range across 2 matching MRF lines |
$197.25–$205.20 | $328.75–$342 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$197.25–$205.20 | $328.75–$342 | varies |
| Strapping toes (29550) | $142.05 | $236.75 | 2.4× |
| Strapping Unna Boot (29580) | $192.60 | $321 | 1.2× |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) | $1,721.70 | $2,869.50 | 0.7× |
| Suture digital nerve hand/foot 1 nerve (64831) | $2,861.70 | $4,769.50 | 1.5× |
| Tangential biopsy skin single lesion (11102) | $449.25 | $748.75 | 1.1× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) | $40,452.30 | $67,420.50 | 1.4× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $40,546.80 | $67,578 | 2.1× |
| Tgsap sld org neo DNA 523&RNA 55 next gnrj seq (0379U) | $2,573.10 | $4,288.50 | 0.8× |
| Ther Apheresis,Red Blood Cells (36512) | $2,772.60 | $4,621 | 1.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $2,776.65 | $4,627.75 | 3.9× |
| Therapeutic pneumothorax (32960) | $435.75 | $726.25 | 0.7× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) | $21,248.85 | $35,414.75 | 1.6× |
| Thoracoscopy w/bx nodule (32608) | $6,120.30 | $10,200.50 | 0.6× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $17,867.40 | $29,779 | 1.0× |
| Thromblytic art/ven therapy (37213) | $4,250.25 | $7,083.75 | 1.3× |
| Thrombolytic Art Therapy (37211) | $3,267.30 | $5,445.50 | 0.6× |
| Thrombolytic Therapy Stroke (37195) | $5,052.15 | $8,420.25 | 15.2× |
| Thrombolytic Venous Therapy (37212) | $3,866.70 | $6,444.50 | 1.2× |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$704.85–$733.05 | $1,174.75–$1,221.75 | varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,626.30 | $2,710.50 | 0.8× |
| Tooth extraction (41899) range across 4 matching MRF lines |
$286.50–$1,536 | $477.50–$2,560 | varies |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) | $2,053.05 | $3,421.75 | 0.6× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $1,437.45 | $2,395.75 | 2.7× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,591.05 | $2,651.75 | 6.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,529.85 | $2,549.75 | 1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) | $313.95 | $523.25 | 1.0× |
| Transcatheter biopsy (37200) | $3,794.10 | $6,323.50 | 0.7× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) | $3,328.80 | $5,548 | 1.0× |
| Transfusion Intrauterine Fetal (36460) | $589.35 | $982.25 | 1.3× |
| Transoral lower esophageal myotomy (43497) | $5,503.20 | $9,172 | 0.9× |
| Transrectal Drainage of Pelvic Abscess (45000) | $2,635.50 | $4,392.50 | 2.2× |
| Treat Hip Socket Fracture (27222) | $1,701.75 | $2,836.25 | 6.9× |
| Treat humerus fracture (24500) | $279.90 | $466.50 | 1.1× |
| Treat Humerus Fracture (24505) | $2,327.55 | $3,879.25 | 1.4× |
| Treat humerus fracture (23600) | $279.90 | $466.50 | 1.1× |
| Treat knee fracture (27532) | $4,829.55 | $8,049.25 | 1.5× |
| Treat Knee Fracture(S) (27538) | $424.50 | $707.50 | 1.7× |
| Treat Knuckle Dislocation (26700) | $211.95 | $353.25 | 0.9× |
| Treat Metatarsal Fracture (28475) | $429.45 | $715.75 | 1.7× |
| Treat Thumb Dislocation (26641) | $279.90 | $466.50 | 1.1× |
| Treat Thumb Fracture (26645) | $2,327.55 | $3,879.25 | 1.4× |
| Treat toe dislocation (28630) | $211.95 | $353.25 | 0.9× |
| Treat Vaginal Bleeding (57180) | $306.90 | $511.50 | 1.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,408.80 | $2,348 | 0.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $279.90 | $466.50 | 1.1× |
| Trim skin lesion (11055) | $235.35 | $392.25 | 1.2× |
| Trim skin lesions 2 to 4 (11056) | $235.35 | $392.25 | 1.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $84.15 | $140.25 | 1.4× |
| Trluml Balo Angiop 1St Art (37246) | $9,720.45 | $16,200.75 | 1.7× |
| Trluml Balo Angiop 1St Vein (37248) | $9,720.45 | $16,200.75 | 1.7× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) | $1,584 | $2,640 | 0.9× |
| Tx Gastro Intub W/Asp (43753) | $196.95 | $328.25 | 0.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $1,907.85 | $3,179.75 | 0.6× |
| Tx Missed Abortion First Trimester Surgical (59820) | $1,858.95 | $3,098.25 | 0.6× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,292.70 | $2,154.50 | 0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $695.40 | $1,159 | 0.9× |
| Tx superficial wound dehiscence w/packing (12021) | $431.85 | $719.75 | 1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $2,327.55 | $3,879.25 | 1.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $256.95 | $428.25 | 1.0× |
| Unlisted Cardiac Surgery (33999) range across 5 matching MRF lines |
$4,898.70–$14,593.50 | $8,164.50–$24,322.50 | varies |
| Unlisted procedure anus (46999) | $1,680.90 | $2,801.50 | 1.8× |
| Unlisted Procedure Biliary Tract (47999) range across 4 matching MRF lines |
$742.05–$4,088.70 | $1,236.75–$6,814.50 | varies |
| Unlisted procedure breast (19499) range across 5 matching MRF lines |
$2,266.50–$4,428.15 | $3,777.50–$7,380.25 | varies |
| Unlisted Procedure Casting/Strapping (29799) | $136.50 | $227.50 | 0.8× |
| Unlisted procedure colon (45399) range across 2 matching MRF lines |
$731.55–$760.95 | $1,219.25–$1,268.25 | varies |
| Unlisted Procedure Endocrine System (60699) | $3,430.65 | $5,717.75 | 0.6× |
| Unlisted Procedure External Ear (69399) | $329.70 | $549.50 | 1.4× |
| Unlisted procedure femur or knee (27599) | $269.10 | $448.50 | 1.1× |
| Unlisted Procedure Intestine (44799) range across 7 matching MRF lines |
$760.95–$2,671.50 | $1,268.25–$4,452.50 | varies |
| Unlisted procedure larynx (31599) | $221.40 | $369 | 0.9× |
| Unlisted procedure liver (47399) | $2,926.80 | $4,878 | 4.1× |
| Unlisted procedure lungs and pleura (32999) | $1,070.85 | $1,784.75 | 1.7× |
| Unlisted Procedure Muscskeletal System General (20999) | $4,575.90 | $7,626.50 | 18.5× |
| Unlisted procedure nervous system (64999) range across 5 matching MRF lines |
$832.50–$2,491.20 | $1,387.50–$4,152 | varies |
| Unlisted Procedure Palate Uvula (42299) | $448.95 | $748.25 | 1.9× |
| Unlisted procedure pancreas (48999) | $2,144.25 | $3,573.75 | 3.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $678 | $1,130 | 2.8× |
| Unlisted Procedure Rectum (45999) | $543.60 | $906 | 0.6× |
| Unlisted procedure spine (22899) | $4,478.85 | $7,464.75 | 18.1× |
| Unlisted procedure stomach (43999) range across 5 matching MRF lines |
$703.50–$731.70 | $1,172.50–$1,219.50 | varies |
| Unlisted Procedure Tongue Floor Mouth (41599) | $211.95 | $353.25 | 0.9× |
| Unlisted Procedure Trachea Bronchi (31899) range across 3 matching MRF lines |
$855.60–$4,040.40 | $1,426–$6,734 | varies |
| Unlisted Procedure Vascular Surgery (37799) range across 9 matching MRF lines |
$373.65–$5,514.90 | $622.75–$9,191.50 | varies |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 4 matching MRF lines |
$1,070.85–$4,831.95 | $1,784.75–$8,053.25 | varies |
| Unlisted Procedure, Urinary System (53899) range across 2 matching MRF lines |
$275.25–$280.65 | $458.75–$467.75 | varies |
| Unlisted procedure, vestibule of mouth (40899) | $646.20 | $1,077 | 2.7× |
| Unlisted px female genital system nonobstetrical (58999) | $513.30 | $855.50 | 2.5× |
| Upgrade of pacemaker system (33214) | $18,019.35 | $30,032.25 | 1.7× |
| Vaginal Delivery After Cesarean Delivery (59612) | $3,843.60 | $6,406 | 1.2× |
| Vaginal delivery only (59409) | $1,907.85 | $3,179.75 | 0.6× |
| Vasc embolize/occlude artery (37242) | $11,865.60 | $19,776 | 0.6× |
| Vasc Embolize/Occlude Bleed (37244) | $11,865.60 | $19,776 | 1.0× |
| Vasc Embolize/Occlude Organ (37243) | $11,865.60 | $19,776 | 1.0× |
| Vasc embolize/occlude venous (37241) | $11,497.65 | $19,162.75 | 1.0× |
| Venous Mech Thrombectomy (37187) | $8,611.50 | $14,352.50 | 0.7× |
| Wedge excision skin nail fold (11765) | $449.25 | $748.75 | 1.1× |
| Wound Prep F/N/Hf/G (15004) | $695.40 | $1,159 | 1.7× |
| Wound Prep Trk/Arm/Leg (15002) | $2,189.70 | $3,649.50 | 2.9× |
| Xtroral I&D Floor Masticator Space (41018) | $2,247.45 | $3,745.75 | 1.4× |
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.