Procedures & surgery prices at Tri Valley Health System
Cambridge, NE · every code in this section with a posted price and a Medicare benchmark.
482 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acromiopl/Acromionect Partial (23130) | $1,312.20 | $1,458 | 0.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,457.10–$1,620.90 | $1,619–$1,801 | varies |
| Amputation toe interphalangeal joint (28825) | $600.30 | $667 | 0.2× |
| Amputation toe metatarsophalangeal joint (28820) | $609.30 | $677 | 0.2× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$58.50–$297.90 | $65–$331 | varies |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$93.60–$197.10 | $104–$219 | varies |
| Application finger splint static (29130) | $117 | $130 | 0.8× |
| Application long arm splint shoulder hand (29105) | $173.70 | $193 | 1.0× |
| Application Long Leg Splint (29505) | $353.70 | $393 | 2.1× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$296.10–$746.10 | $329–$829 | varies |
| Application short arm splint forearm-hand static (29125) | $278.10 | $309 | 2.0× |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$203.40–$205.20 | $226–$228 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$204.30–$232.20 | $227–$258 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$211.50–$471.60 | $235–$524 | varies |
| Apply Short Leg Cast (29405) | $162 | $180 | 0.6× |
| Apply short leg cast (29425) | $148.50 | $165 | 0.5× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$137.70–$153.90 | $153–$171 | varies |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$1,282.50 | $1,425 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$45–$1,142.10 | $50–$1,269 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$235.80–$2,108.70 | $262–$2,343 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$126–$478.80 | $140–$532 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$320.40–$747 | $356–$830 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$45–$268.20 | $50–$298 | varies |
| Arthrodesis great toe interphalangeal joint (28755) likely a partial charge, not the full procedure |
$1,116 | $1,240 | 0.1× |
| Arthrodesis great toe metatarsophalangeal joint (28750) likely a partial charge, not the full procedure |
$1,668.60 | $1,854 | 0.2× |
| Arthrodesis sacroiliac joint percutaneous (27279) likely a partial charge, not the full procedure |
$1,778.40 | $1,976 | 0.1× |
| Arthrodesis subtalar (28725) likely a partial charge, not the full procedure |
$1,651.50 | $1,835 | 0.1× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) likely a partial charge, not the full procedure |
$1,677.60 | $1,864 | 0.1× |
| Arthroplasty glenohumeral joint total shoulder (23472) range across 3 matching MRF lines |
$913.50–$4,341.60 | $1,015–$4,824 | varies |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 2 matching MRF lines |
$494.10–$1,889.10 | $549–$2,099 | varies |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $1,296 | $1,440 | 0.4× |
| Arthroscopy ankle w/removal loose/foreign body (29894) | $1,139.40 | $1,266 | 0.3× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) range across 2 matching MRF lines |
$297.90–$1,392.30 | $331–$1,547 | varies |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $1,490.40 | $1,656 | 0.4× |
| Arthroscopy knee synovectomy limited spx (29875) range across 2 matching MRF lines |
$988.20–$1,047.60 | $1,098–$1,164 | varies |
| Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
$432–$1,621.80 | $480–$1,802 | varies |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) likely a partial charge, not the full procedure |
$1,880.10 | $2,089 | 0.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $1,112.40 | $1,236 | 0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $1,609.20 | $1,788 | 0.5× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$545.40–$1,816.20 | $606–$2,018 | varies |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$432–$1,419.30 | $480–$1,577 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
$348.30–$1,157.40 | $387–$1,286 | varies |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$2,044.80 | $2,272 | 0.3× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 3 matching MRF lines |
$555.30–$2,430.90 | $617–$2,701 | varies |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) likely a partial charge, not the full procedure |
$2,127.60 | $2,364 | 0.3× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$862.20–$3,298.50 | $958–$3,665 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
$518.40–$2,483.10 | $576–$2,759 | varies |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$317.70–$1,496.70 | $353–$1,663 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 3 matching MRF lines |
$391.50–$1,594.80 | $435–$1,772 | varies |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) | $727.20 | $808 | 0.2× |
| Aspirate Pleura W/O Imaging (32554) | $514.80 | $572 | 0.8× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$45–$191.70 | $50–$213 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $516.60 | $574 | 0.2× |
| Autologous Chondrocyte Implantation Knee (27412) range across 2 matching MRF lines |
$793.80–$3,225.60 | $882–$3,584 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$45–$456.30 | $50–$507 | varies |
| Biopsy Muscle Superficial (20200) | $445.50 | $495 | 0.3× |
| Biopsy of breast; open, incisional (19101) | $562.50 | $625 | 0.1× |
| Biopsy soft tissue neck/thorax (21550) | $486.90 | $541 | 0.3× |
| Biopsy Soft Tissue Shoulder Superficial (23065) | $517.50 | $575 | 0.3× |
| Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$226.80–$1,251.90 | $252–$1,391 | varies |
| Bladder Irrigation (51700) | $1,552.50 | $1,725 | 6.0× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$195.30–$203.40 | $217–$226 | varies |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$1,016.10–$1,662.30 | $1,129–$1,847 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) likely a partial charge, not the full procedure |
$684 | $760 | 0.1× |
| Buttock fasciotomy (27027) range across 2 matching MRF lines |
$522.90–$2,035.80 | $581–$2,262 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$522.90–$650.70 | $581–$723 | varies |
| Bx Cervix (57500) | $288 | $320 | 0.3× |
| Carpal Tunnel Surgery (64721) | $972 | $1,080 | 0.5× |
| Change Cystostomy Tube Simple (51705) | $270.90 | $301 | 1.0× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$181.80–$578.70 | $202–$643 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $2,118.60 | $2,354 | 6.6× |
| Chest tube placement (32551) | $324.90 | $361 | 0.2× |
| Circumcision 28 days or older (54161) | $577.80 | $642 | 0.3× |
| Circumcision w/clamp/oth dev w/block (54150) | $417.60 | $464 | 0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) | $990 | $1,100 | 0.6× |
| Claviculectomy partial (23120) range across 2 matching MRF lines |
$323.10–$1,071.90 | $359–$1,191 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$288–$310.50 | $320–$345 | varies |
| Closed Treat Vert Body Fract (22310) | $617.40 | $686 | 2.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $682.20 | $758 | 2.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $502.20 | $558 | 2.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $447.30 | $497 | 1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$1,144.80–$1,145.70 | $1,272–$1,273 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) | $560.70 | $623 | 2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,490.40 | $1,656 | 0.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $907.20 | $1,008 | 3.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $635.40 | $706 | 2.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $501.30 | $557 | 2.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $396 | $440 | 0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $902.70 | $1,003 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $713.70 | $793 | 2.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $764.10 | $849 | 3.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $766.80 | $852 | 3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$853.20–$1,016.10 | $948–$1,129 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$493.20–$720 | $548–$800 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$748.80–$1,058.40 | $832–$1,176 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,160.10–$1,651.50 | $1,289–$1,835 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $414.90 | $461 | 1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $586.80 | $652 | 2.3× |
| Cltx Medial Ankle Fx (27760) | $1,042.20 | $1,158 | 4.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $782.10 | $869 | 3.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $669.60 | $744 | 2.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $744.30 | $827 | 2.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $489.60 | $544 | 1.9× |
| Cltx post hip arthrp dislc req anes (27266) | $1,163.70 | $1,293 | 0.7× |
| Cltx prox fibula/shft fx w/manj (27781) | $963.90 | $1,071 | 0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $224.10 | $249 | 0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $883.80 | $982 | 0.5× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$39.60–$54 | $44–$60 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$868.50–$1,987.20 | $965–$2,208 | varies |
| Colonoscopy w/fb removal (45379) range across 2 matching MRF lines |
$918.90–$2,178 | $1,021–$2,420 | varies |
| Colonoscopy w/submucosal inj (45381) | $935.10 | $1,039 | 0.8× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $329.40 | $366 | 1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) | $249.30 | $277 | 1.2× |
| Combined anteroposterior colporrhaphy; (57260) likely a partial charge, not the full procedure |
$609.30 | $677 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $514.80 | $572 | 3.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$382.50–$399.60 | $425–$444 | varies |
| Correction hammertoe (28285) | $1,330.20 | $1,478 | 0.4× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$2,641.50–$2,800.80 | $2,935–$3,112 | varies |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) range across 3 matching MRF lines |
$1,652.40–$2,930.40 | $1,836–$3,256 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) likely a partial charge, not the full procedure |
$1,765.80 | $1,962 | 0.1× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) likely a partial charge, not the full procedure |
$1,494.90 | $1,661 | 0.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) | $1,497.60 | $1,664 | 0.4× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) likely a partial charge, not the full procedure |
$1,724.40 | $1,916 | 0.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$704.70–$810.90 | $783–$901 | varies |
| Curettage postpartum (59160) | $577.80 | $642 | 0.2× |
| Cysto Bladder W/Ureteral Catheterization (52005) range across 2 matching MRF lines |
$670.50–$3,863.70 | $745–$4,293 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$670.50–$698.40 | $745–$776 | varies |
| Cysto w/destruction of lesions (52214) | $1,606.50 | $1,785 | 0.4× |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$1,087.20–$9,423 | $1,208–$10,470 | varies |
| Cysto w/irrig & evac multple obstructing clots (52001) | $905.40 | $1,006 | 0.2× |
| Cysto w/removal of tumors small (52234) | $477 | $530 | 0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$613.80–$775.80 | $682–$862 | varies |
| Cysto w/ureteroscopy w/lithotripsy (52353) likely a partial charge, not the full procedure |
$781.20 | $868 | 0.1× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $603 | $670 | 0.2× |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$1,087.20–$11,947.50 | $1,208–$13,275 | varies |
| Cystoscopy implant stent (52282) range across 3 matching MRF lines |
$998.10–$3,222 | $1,109–$3,580 | varies |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$453.60–$670.50 | $504–$745 | varies |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) range across 2 matching MRF lines |
$706.50–$7,953.30 | $785–$8,837 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) range across 2 matching MRF lines |
$670.50–$778.50 | $745–$865 | varies |
| Cystourethroscopy tx female urethral syndrome (52285) | $703.80 | $782 | 1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $675 | $750 | 0.2× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) likely a partial charge, not the full procedure |
$719.10 | $799 | 0.1× |
| Cystourethroscopy with biopsy (52204) | $944.10 | $1,049 | 0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $172.80 | $192 | 0.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$583.20–$1,585.80 | $648–$1,762 | varies |
| Debride nail 1-5 (11720) range across 4 matching MRF lines |
$45–$135 | $50–$150 | varies |
| Debride nail 6 or more (11721) range across 4 matching MRF lines |
$45–$179.10 | $50–$199 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$607.50–$1,585.80 | $675–$1,762 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$335.70–$1,094.40 | $373–$1,216 | varies |
| Declot vascular device (36593) | $589.50 | $655 | 1.7× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$922.50–$4,563 | $1,025–$5,070 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$901.80–$4,563 | $1,002–$5,070 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$63–$395.10 | $70–$439 | varies |
| Destruction Benign Lesions 15/> (17111) | $410.40 | $456 | 2.0× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) | $990 | $1,100 | 0.5× |
| Destruction Premalignant Lesion 15/> (17004) | $561.60 | $624 | 1.3× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$203.40–$224.10 | $226–$249 | varies |
| Diagnostic sigmoidoscopy (45330) | $393.30 | $437 | 0.4× |
| Dilate Urethra Stricture (53600) | $174.60 | $194 | 0.7× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$365.40–$849.60 | $406–$944 | varies |
| Drainage of hydrocele (55000) | $260.10 | $289 | 0.4× |
| Drainage of scrotum (54700) | $396.90 | $441 | 0.2× |
| Draw Blood Off Venous Device (36591) | $194.40 | $216 | 1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$207–$580.50 | $230–$645 | varies |
| Dstrj lesion anus simple cryosurgery (46916) | $556.20 | $618 | 2.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$552.60–$2,444.40 | $614–$2,716 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,787.40 | $1,986 | 0.9× |
| Egd Flexible Foreign Body Removal (43247) | $810 | $900 | 0.9× |
| Egd guide wire insertion (43248) | $1,260 | $1,400 | 1.3× |
| Egd remove lesion snare (43251) | $1,043.10 | $1,159 | 0.5× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) range across 3 matching MRF lines |
$129.60–$486 | $144–$540 | varies |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 4 matching MRF lines |
$45–$241.20 | $50–$268 | varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $168.30 | $187 | 0.5× |
| Endometrial Biopsy (58100) | $413.10 | $459 | 2.0× |
| Endoscopic injection/implant (51715) | $916.20 | $1,018 | 0.3× |
| Endoscopic plantar fasciotomy (29893) range across 2 matching MRF lines |
$1,807.20–$1,917 | $2,008–$2,130 | varies |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$503.10–$1,364.40 | $559–$1,516 | varies |
| Evacuation of subungual hematoma (11740) | $149.40 | $166 | 1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $281.70 | $313 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$478.80–$483.30 | $532–$537 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$3,268.80–$4,051.80 | $3,632–$4,502 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $555.30 | $617 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $659.70 | $733 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $858.60 | $954 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $441 | $490 | 0.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $420.30 | $467 | 0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $513.90 | $571 | 0.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $585.90 | $651 | 0.3× |
| Exc ganglion wrist recurrent (25112) | $827.10 | $919 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$67.50–$321.30 | $75–$357 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $348.30 | $387 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$393.30–$405.90 | $437–$451 | varies |
| Exc Hand Les Sc < 1.5 Cm (26115) | $1,143 | $1,270 | 0.7× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $813.60 | $904 | 0.4× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,252.80 | $1,392 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$465.30–$469.80 | $517–$522 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $580.50 | $645 | 0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $716.40 | $796 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $708.30 | $787 | 0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $745.20 | $828 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$782.10–$813.60 | $869–$904 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$334.80–$351.90 | $372–$391 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$359.10–$400.50 | $399–$445 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $529.20 | $588 | 0.3× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $1,258.20 | $1,398 | 0.4× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $945.90 | $1,051 | 0.6× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $916.20 | $1,018 | 0.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$1,084.50–$1,775.70 | $1,205–$1,973 | varies |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $1,431 | $1,590 | 0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,017.90 | $1,131 | 0.6× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $1,112.40 | $1,236 | 0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $861.30 | $957 | 0.3× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | $827.10 | $919 | 0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $601.20 | $668 | 0.8× |
| Excision lesion meniscus/capsule knee (27347) range across 2 matching MRF lines |
$332.10–$1,116 | $369–$1,240 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
$462.60–$859.50 | $514–$955 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $502.20 | $558 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 3 matching MRF lines |
$331.20–$813.60 | $368–$904 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $474.30 | $527 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $455.40 | $506 | 0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $555.30 | $617 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $813.60 | $904 | 0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $730.80 | $812 | 0.4× |
| Excision of hydrocele; unilateral (55040) | $722.70 | $803 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$703.80–$762.30 | $782–$847 | varies |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) | $1,328.40 | $1,476 | 0.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,350 | $1,500 | 0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,125 | $1,250 | 0.7× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $968.40 | $1,076 | 0.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $1,233.90 | $1,371 | 0.7× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 2 matching MRF lines |
$249.30–$1,002.60 | $277–$1,114 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) | $1,301.40 | $1,446 | 0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $987.30 | $1,097 | 0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $806.40 | $896 | 0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $994.50 | $1,105 | 0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) | $1,440.90 | $1,601 | 0.5× |
| Excision/curettage cyst/tumor carpal bones (25130) | $846 | $940 | 0.2× |
| Excision; trochanteric bursa or calcification (27062) | $1,367.10 | $1,519 | 0.4× |
| Exploration of knee joint (27310) | $1,285.20 | $1,428 | 0.4× |
| Fasciectomy Palm Only (26121) | $1,272.60 | $1,414 | 0.4× |
| Fasciotomy Iliotibial Open (27305) range across 3 matching MRF lines |
$303.30–$1,447.20 | $337–$1,608 | varies |
| Fasciotomy palmar open partial (26045) | $1,003.50 | $1,115 | 0.3× |
| Fasciotomy Plantar Fascia Radical Spx (28062) | $1,268.10 | $1,409 | 0.4× |
| Fasciotomy, foot and/or toe (28008) | $866.70 | $963 | 0.3× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$105.30–$486.90 | $117–$541 | varies |
| Fine needle aspiration without imaging guidance (10021) | $283.50 | $315 | 0.7× |
| Gastrocnemius recession (27687) | $913.50 | $1,015 | 0.3× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) likely a partial charge, not the full procedure |
$1,407.60 | $1,564 | 0.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$585–$933.30 | $650–$1,037 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$280.80–$579.60 | $312–$644 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $500.40 | $556 | 0.3× |
| I&d perianal abscess superficial (46050) | $463.50 | $515 | 0.5× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$3,695.40–$6,835.50 | $4,106–$7,595 | varies |
| Implant Neuroelectrodes (64561) likely a partial charge, not the full procedure |
$1,409.40 | $1,566 | 0.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$538.20 | $598 | 0.0× |
| Implant Spine Infusion Pump (62362) likely a partial charge, not the full procedure |
$1,025.10 | $1,139 | 0.1× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) likely a partial charge, not the full procedure |
$916.20 | $1,018 | 0.1× |
| Incise external hemorrhoid (46083) | $431.10 | $479 | 1.7× |
| Incise finger tendon sheath (26055) | $708.30 | $787 | 0.4× |
| Incision & drainage abscess complicated/multiple (10061) | $472.50 | $525 | 1.1× |
| Incision & removal foreign body subq tiss compl (10121) | $531 | $590 | 0.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$278.10–$333.90 | $309–$371 | varies |
| Incision of Foot Tendon (28234) range across 2 matching MRF lines |
$1,188–$1,260 | $1,320–$1,400 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $438.30 | $487 | 0.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$469.80–$562.50 | $522–$625 | varies |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$278.10–$387.90 | $309–$431 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $291.60 | $324 | 1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$734.40–$2,036.70 | $816–$2,263 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $249.30 | $277 | 1.1× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $635.40 | $706 | 0.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$108.90–$2,173.50 | $121–$2,415 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$920.70–$1,233.90 | $1,023–$1,371 | varies |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,739.70 | $1,933 | 1.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$102.60–$452.70 | $114–$503 | varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) | $684 | $760 | 0.7× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$415.80–$2,239.20 | $462–$2,488 | varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) | $1,392.30 | $1,547 | 1.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $415.80 | $462 | 1.3× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$45–$222.30 | $50–$247 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$45–$992.70 | $50–$1,103 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$261–$2,118.60 | $290–$2,354 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$674.10–$1,233.90 | $749–$1,371 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $684 | $760 | 0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$163.80–$1,341.90 | $182–$1,491 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $126.90 | $141 | 0.6× |
| Insert Bladder Cath Complex (51703) | $270 | $300 | 2.0× |
| Insert cervical dilator (59200) | $224.10 | $249 | 0.7× |
| Insert Drug Implant Device (11981) | $217.80 | $242 | 1.6× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$200.70–$224.10 | $223–$249 | varies |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$1,363.50–$1,981.80 | $1,515–$2,202 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$510.30–$1,408.50 | $567–$1,565 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$1,748.70–$1,853.10 | $1,943–$2,059 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$818.10 | $909 | 0.0× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$551.70–$899.10 | $613–$999 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $552.60 | $614 | 1.0× |
| Knee Arthroscopy/Surgery (29874) range across 2 matching MRF lines |
$273.60–$1,066.50 | $304–$1,185 | varies |
| Laparoscopy W/Lysis Of Adhesions (58660) likely a partial charge, not the full procedure |
$1,466.10 | $1,629 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$352.80–$1,399.50 | $392–$1,555 | varies |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) unusually low: confirm this is the full procedure |
$1,945.80 | $2,162 | 0.3× |
| Late closure of wound (13160) | $1,459.80 | $1,622 | 0.4× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) likely a partial charge, not the full procedure |
$1,309.50 | $1,455 | 0.2× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $943.20 | $1,048 | 0.3× |
| Lithotripsy, extracorporeal shock wave (50590) range across 3 matching MRF lines |
$1,697.40–$9,362.70 | $1,886–$10,403 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) | $748.80 | $832 | 0.3× |
| Manipulation knee joint under general anesthesia (27570) | $305.10 | $339 | 0.2× |
| Mastectomy for gynecomastia (19300) | $1,156.50 | $1,285 | 0.3× |
| N Block Inj Celiac Pelus (64530) | $2,118.60 | $2,354 | 2.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $928.80 | $1,032 | 1.3× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$321.30–$1,582.20 | $357–$1,758 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$45–$224.10 | $50–$249 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$462.60–$2,118.60 | $514–$2,354 | varies |
| Needle Biopsy Lymph Nodes (38505) | $367.20 | $408 | 0.2× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$504–$2,010.60 | $560–$2,234 | varies |
| Nipple Exploration (19110) | $904.50 | $1,005 | 0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$554.40–$1,827.90 | $616–$2,031 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$760.50–$4,104.90 | $845–$4,561 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 4 matching MRF lines |
$635.40–$2,014.20 | $706–$2,238 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,071 | $1,190 | 1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$635.40–$2,014.20 | $706–$2,238 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$437.40–$1,233.90 | $486–$1,371 | varies |
| Open Implantation Nea Sacral Nerve (64581) likely a partial charge, not the full procedure |
$1,207.80 | $1,342 | 0.2× |
| Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
$457.20–$1,755 | $508–$1,950 | varies |
| Open Treatment Bimalleolar Ankle Fracture (27814) range across 3 matching MRF lines |
$275.40–$1,854 | $306–$2,060 | varies |
| Open Treatment Medial Malleolus Fracture (27766) likely a partial charge, not the full procedure |
$1,464.30 | $1,627 | 0.2× |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$1,202.40 | $1,336 | 0.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) range across 2 matching MRF lines |
$315.90–$1,251.90 | $351–$1,391 | varies |
| Open tx carpal scaphoid navicular fracture (25628) likely a partial charge, not the full procedure |
$1,527.30 | $1,697 | 0.2× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
$358.20–$1,390.50 | $398–$1,545 | varies |
| Open Tx Distal Tibiofibular Joint Disruption (27829) range across 3 matching MRF lines |
$391.50–$1,680.30 | $435–$1,867 | varies |
| Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,568.70 | $1,743 | 0.1× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) likely a partial charge, not the full procedure |
$1,350 | $1,500 | 0.2× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) likely a partial charge, not the full procedure |
$1,613.70 | $1,793 | 0.2× |
| Orchiectomy radical tumor inguinal approach (54530) | $948.60 | $1,054 | 0.3× |
| Ostc prtl exostc/condylc metar head (28288) | $1,457.10 | $1,619 | 0.4× |
| Ostectomy calcaneus (28118) | $1,309.50 | $1,455 | 0.4× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) | $934.20 | $1,038 | 0.3× |
| Osteochondral allograft knee open (27415) range across 2 matching MRF lines |
$617.40–$2,465.10 | $686–$2,739 | varies |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$1,223.10 | $1,359 | 0.2× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$1,406.70–$1,745.10 | $1,563–$1,939 | varies |
| Part remv talus or calcaneus (28120) | $1,289.70 | $1,433 | 0.4× |
| Partical Excision Bone Phalanx Toe (28124) | $959.40 | $1,066 | 0.3× |
| Pelvic examination under anesthesia (other than local) (57410) | $432 | $480 | 0.1× |
| Perq device breast 1st imag (19281) | $2,025.90 | $2,251 | 1.2× |
| Placement of needle for intraosseous infusion (36680) | $510.30 | $567 | 1.1× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) | $839.70 | $933 | 0.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $1,190.70 | $1,323 | 0.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$302.40–$315.90 | $336–$351 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$144–$285.30 | $160–$317 | varies |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) | $2,791.80 | $3,102 | 0.9× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) likely a partial charge, not the full procedure |
$1,171.80 | $1,302 | 0.2× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $913.50 | $1,015 | 0.2× |
| Reconstruct wrist joint (25445) likely a partial charge, not the full procedure |
$1,333.80 | $1,482 | 0.2× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) likely a partial charge, not the full procedure |
$2,118.60 | $2,354 | 0.3× |
| Removal foreign body foot deep (28192) | $995.40 | $1,106 | 0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) | $548.10 | $609 | 0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $182.70 | $203 | 3.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $193.50 | $215 | 3.2× |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$317.70–$1,492.20 | $353–$1,658 | varies |
| Removal of heel spur (28119) | $1,157.40 | $1,286 | 0.3× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$65.70–$344.70 | $73–$383 | varies |
| Removal of sesamoid bone (28315) | $966.60 | $1,074 | 0.3× |
| Removal of sperm cord lesion (55520) | $949.50 | $1,055 | 0.3× |
| Removal or bivalving full arm or full leg cast (29705) | $193.50 | $215 | 0.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $265.50 | $295 | 1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) | $120.60 | $134 | 0.4× |
| Remove drug implant device (11982) | $240.30 | $267 | 0.5× |
| Remove foreign body from eye (65205) | $230.40 | $256 | 1.7× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) | $1,597.50 | $1,775 | 0.7× |
| Remove Intrauterine Device (58301) | $325.67 | $361.86 | 1.0× |
| Remove Nasal Foreign Body (30300) | $427.50 | $475 | 3.1× |
| Remove Tendon Sheath Lesion (26160) | $1,262.70 | $1,403 | 0.8× |
| Remove/Insert Drug Implant (11983) | $306 | $340 | 0.7× |
| Renal Biopsy Perq (50200) | $465.30 | $517 | 0.3× |
| Repair Achilles Tendon (27650) likely a partial charge, not the full procedure |
$1,287 | $1,430 | 0.2× |
| Repair Collat Ankle Ligmnt,Secondary (27698) likely a partial charge, not the full procedure |
$1,187.10 | $1,319 | 0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $828 | $920 | 1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $621.90 | $691 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,075.50 | $1,195 | 2.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$810.90–$857.70 | $901–$953 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,232.10 | $1,369 | 2.9× |
| Repair complex trunk 2.6-7.5 cm (13101) | $875.70 | $973 | 1.1× |
| Repair Hallux Rigidus (28289) | $1,697.40 | $1,886 | 0.5× |
| Repair incomplete circumcision (54163) | $498.60 | $554 | 0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,316.70 | $1,463 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $661.50 | $735 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $727.20 | $808 | 1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$517.50–$603 | $575–$670 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $701.10 | $779 | 1.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $880.20 | $978 | 2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $612 | $680 | 1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$712.80–$834.30 | $792–$927 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $858.60 | $954 | 1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$714.60–$722.70 | $794–$803 | varies |
| Repair of nail bed (11760) | $393.30 | $437 | 0.5× |
| Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$407.70–$1,638.90 | $453–$1,821 | varies |
| Repair Rotator Cuff Chronic (23412) range across 3 matching MRF lines |
$544.50–$2,544.30 | $605–$2,827 | varies |
| Repair secondary achilles tendon w/wo graft (27654) likely a partial charge, not the full procedure |
$1,521 | $1,690 | 0.2× |
| Repair tongue laceration (41250) | $622.80 | $692 | 1.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) likely a partial charge, not the full procedure |
$1,016.10 | $1,129 | 0.1× |
| Rerepair ing hernia reduce (49520) | $1,309.50 | $1,455 | 0.4× |
| Resection, partial or complete, phalangeal base, each toe (28126) | $783 | $870 | 0.2× |
| Rev/rmv prph sac/gstr npg/r (64595) | $475.20 | $528 | 0.1× |
| Revision of toe (28312) | $1,178.10 | $1,309 | 0.3× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 2 matching MRF lines |
$688.50–$2,751.30 | $765–$3,057 | varies |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $777.60 | $864 | 0.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $499.50 | $555 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $232.20 | $258 | 0.5× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 2 matching MRF lines |
$842.40–$1,461.60 | $936–$1,624 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $478.80 | $532 | 0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $381.60 | $424 | 0.6× |
| Rmvl/revj sling stress incontinence (57287) | $1,638.90 | $1,821 | 0.5× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$505.80–$527.40 | $562–$586 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $637.20 | $708 | 0.2× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$884.70 | $983 | 0.1× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) range across 2 matching MRF lines |
$1,409.40–$1,494.90 | $1,566–$1,661 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $403.20 | $448 | 1.9× |
| Rpr flexor tendon leg secondary w/o graft each (27659) likely a partial charge, not the full procedure |
$941.40 | $1,046 | 0.1× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) range across 2 matching MRF lines |
$385.20–$684.90 | $428–$761 | varies |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $1,067.40 | $1,186 | 0.3× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $612.90 | $681 | 0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $632.70 | $703 | 0.5× |
| Shave skin lesion 0.5 cm/< (11300) | $225.90 | $251 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $243.90 | $271 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$208.80–$234 | $232–$260 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$291.60–$312.30 | $324–$347 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $343.80 | $382 | 1.7× |
| Shoulder arthroscopy diagnostic (29805) | $1,154.70 | $1,283 | 0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $346.50 | $385 | 1.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $456.30 | $507 | 1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $272.70 | $303 | 1.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $310.50 | $345 | 1.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$603.90–$629.10 | $671–$699 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$278.10–$576.90 | $309–$641 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$323.10–$633.60 | $359–$704 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $347.40 | $386 | 1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $225 | $250 | 1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $288 | $320 | 1.4× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$382.50–$4,498.20 | $425–$4,998 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$358.20–$2,770.20 | $398–$3,078 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$3,025.80–$4,814.10 | $3,362–$5,349 | varies |
| Skn sub grft f/n/hf/g child (15277) | $2,368.80 | $2,632 | 1.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$1,599.30 | $1,777 | 0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $245.70 | $273 | 1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$372.60–$597.60 | $414–$664 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $438.30 | $487 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) | $658.80 | $732 | 0.9× |
| Strapping toes (29550) | $36 | $40 | 0.6× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$240.30–$444.60 | $267–$494 | varies |
| Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$1,303.20 | $1,448 | 0.2× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) range across 2 matching MRF lines |
$432–$1,419.30 | $480–$1,577 | varies |
| Tangential biopsy skin single lesion (11102) | $291.60 | $324 | 0.7× |
| Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$470.70–$1,791 | $523–$1,990 | varies |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) | $973.80 | $1,082 | 0.3× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) range across 2 matching MRF lines |
$349.20–$1,335.60 | $388–$1,484 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $473.40 | $526 | 0.3× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) | $585.90 | $651 | 0.4× |
| Tnot elbow lateral/medial debride open (24358) range across 2 matching MRF lines |
$273.60–$1,058.40 | $304–$1,176 | varies |
| Tnot elbow lateral/medial debride open tdn rpr (24359) | $1,505.70 | $1,673 | 0.4× |
| Total Knee Arthroplasty (27447) range across 3 matching MRF lines |
$849.60–$3,263.40 | $944–$3,626 | varies |
| Trabeculoplasty by laser surgery (65855) | $531.90 | $591 | 0.9× |
| Transur electr resection of prostate (52601) unusually low: confirm this is the full procedure |
$1,718.10 | $1,909 | 0.3× |
| Treat ankle fracture (28445) likely a partial charge, not the full procedure |
$2,179.80 | $2,422 | 0.3× |
| Treat Big Toe Fracture (28505) | $1,608.30 | $1,787 | 0.5× |
| Treat Fx Rad Extra-Articul (25607) range across 3 matching MRF lines |
$368.10–$1,475.10 | $409–$1,639 | varies |
| Treat humerus fracture (23600) | $786.60 | $874 | 3.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $990 | $1,100 | 0.6× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$149.40–$156.60 | $166–$174 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$181.80–$208.80 | $202–$232 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$178.20–$281.70 | $198–$313 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $55.80 | $62 | 0.9× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $844.20 | $938 | 0.3× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $763.20 | $848 | 0.2× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) unusually low: confirm this is the full procedure |
$2,351.70 | $2,613 | 0.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $456.30 | $507 | 1.8× |
| Unlisted procedure foot or toes (28899) | $149.40 | $166 | 0.6× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$684–$1,025.10 | $760–$1,139 | varies |
| Unlisted procedure pelvis/hip joint (27299) range across 2 matching MRF lines |
$580.50–$891.90 | $645–$991 | varies |
| Vaginal delivery only (59409) | $1,646.10 | $1,829 | 0.5× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) likely a partial charge, not the full procedure |
$531.90 | $591 | 0.1× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) likely a partial charge, not the full procedure |
$729.90 | $811 | 0.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$349.20–$842.40 | $388–$936 | varies |
| Wedge excision skin nail fold (11765) | $368.10 | $409 | 0.9× |
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.