Procedures & surgery prices at Trinity Health Oakland Hospital

Pontiac, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,255.15–$1,446.63 — varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $819 $1,260 0.9×
Ablate inf turbinate submuc (30802) $18,430.90 — 11.9×
Ablate Pulm Tumor Perq Crybl (32994)
range across 3 matching MRF lines		 $4,781.40–$7,172.10 $7,356–$11,034 varies
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure		 $5,037.50 $7,750 0.5×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 4 matching MRF lines		 $5,681–$8,521.50 $8,740–$13,110 varies
Ablation ire liver 1+ tumors w/img gdn perq (47384)
unusually low: confirm this is the full procedure		 $5,294.25 $8,145 0.5×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
range across 3 matching MRF lines		 $6,256.90–$9,385.35 $9,626–$14,439 varies
Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) $1,705.60 $2,624 1.0×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $12,267.90 — 6.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $19,330.43 — 5.5×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $22,222.23 — 10.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $25,154.54 — 12.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $22,790.54 — 11.1×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041)
range across 2 matching MRF lines		 $38,145.62–$50,752.40 — varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $19,840.32 — 9.7×
Amniocentesis diagnostic (59000) $604.50 $930 0.7×
Amniocentesis therapeutic (59001) $408.85 $629 1.3×
Amputation toe metatarsophalangeal joint (28820) $13,830.31 — 4.2×
Anoscopy diagnostic (46600) $160.55 $247 1.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $9,599.20 — 3.5×
Anterior colporraphy rpr cystocele w/cysto (57240) $22,058.39 — 4.4×
Anterior Tibial Tubercleplasty (27418) $40,307.07 — 5.6×
Application of rigid total contact leg cast (29445)
range across 6 matching MRF lines		 $365.30–$547.30 $562–$842 varies
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines		 $111.15–$167.05 $171–$257 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines		 $176.80–$265.20 $272–$408 varies
Arrest Epiphyseal Distal Femur (27475)
range across 2 matching MRF lines		 $34,593.84–$37,769.65 — varies
Arterial puncture (36600) $1,514.50 — 11.4×
Arteriovenous Anastomosis Open Direct (36821) $19,915.25 — 6.3×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) $40,429.77 — 3.2×
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) $41,092.31 — 3.2×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $56,415.43 — 4.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,499.61 — 4.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 3 matching MRF lines		 $575.90–$863.85 $886–$1,329 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $2,626.06–$2,781.46 — varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines		 $448.50–$672.75 $690–$1,035 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $343.85–$516.10 $529–$794 varies
Arthrodesis great toe interphalangeal joint (28755) $21,542.13 — 3.0×
Arthrodesis great toe metatarsophalangeal joint (28750) $30,693.84 — 4.2×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $30,969.30 — 1.8×
Arthrodesis sacroiliac joint percutaneous (27279) $37,769.32 — 2.2×
Arthrodesis subtalar (28725) $47,867.81 — 3.7×
Arthroplasty Ankle W/Implant (27702) $52,074.91 — 1.9×
Arthroplasty glenohumeral joint total shoulder (23472) $42,704.70 — 2.4×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $47,710.63 — 3.7×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $27,041.84 — 8.3×
Arthroplasty Patella W/Prosthesis (27438) $26,715.76 — 2.1×
Arthroplasty Radial Head W/Implant (24366) $41,413.61 — 3.2×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $49,922.56 — 31.2×
Arthroscopy Ankle Surgical Debridement Limited (29897) $21,586.14 — 6.6×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $36,343.83 — 11.1×
Arthroscopy hip w/femoroplasty (29914) $34,350.73 — 4.8×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $27,330.16 — 8.4×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $17,422.21 — 5.3×
Arthroscopy shoulder distal claviculectomy (29824) $28,587.99 — 8.8×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $34,165.93 — 4.7×
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) $70,752.39 — 9.8×
Arthroscopy, knee, surgical; with lateral release (29873) $18,299.84 — 5.6×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $39,220.84 — 12.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $35,825.01 — 11.0×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $36,122.22 — 5.0×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $33,992.48 — 10.4×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $28,587.99 — 8.8×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $28,587.99 — 4.0×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $36,122.22 — 5.0×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $38,743.26–$43,380.15 — varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $32,219.93 — 2.5×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $37,425.11 — 5.2×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $25,201.70 — 7.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $18,591.56 — 5.7×
Arthrs knee debridement/shaving artclr crtlg (29877) $17,249.47 — 5.3×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $27,272.99 — 3.8×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $18,665.11–$20,595.35 — varies
Aspirate pleura w/ imaging (32555)
range across 9 matching MRF lines		 $1,492.40–$2,237.95 $2,296–$3,443 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $933.40–$1,400.10 $1,436–$2,154 varies
Aspiration and/or injection thyroid cyst (60300) $494 $760 0.7×
Aspiration bladder insert suprapubic catheter (51102) $17,774.56 — 8.5×
Autologous Chondrocyte Implantation Knee (27412) $32,280.52 — 4.5×
Av Fistula Revision Open (36832) $16,976.89 — 3.1×
Avulsion nail plate partial/complete simple 1 (11730) $466.05 — 2.3×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $5,441.80 $8,372 0.5×
Biopsy Abdominal Mass (49180) $971.75 $1,495 0.6×
Biopsy bone open superficial (20240) $14,305.39 — 4.9×
Biopsy bone trocar/needle deep (20225) $1,558.05 $2,397 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $15,802.15 — 9.6×
Biopsy muscle percutaneous needle (20206) $1,075.75 $1,655 0.7×
Biopsy Muscle Superficial (20200) $1,085.50 $1,670 0.7×
Biopsy of floor of mouth (41108) $17,793.49 — 10.8×
Biopsy of lip (40490) $13,855.73 — 58.7×
Biopsy of liver, needle; percutaneous (47000) $1,474.85 $2,269 0.9×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $30,198.93 — 7.7×
Biopsy Oropharynx (42800) $13,658.42 — 8.8×
Biopsy Pleura Percutaneous Needle (32400) $1,028.95 $1,583 0.6×
Biopsy Salivary Gland Incisional (42405) $10,555.88 — 6.8×
Biopsy Salivary Gland Needle (42400) $594.75 $915 0.8×
Biopsy soft tissue neck/thorax (21550) $1,474.20 $2,268 0.9×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)
range across 3 matching MRF lines		 $1,311.05–$1,966.90 $2,017–$3,026 varies
Biopsy Tongue Anterior Two-Thirds (41100) $16,153.80 — 30.1×
Biopsy Vaginal Mucosa Extensive (57105) $13,265.40 — 4.1×
Biopsy Vaginal Mucosa Simple (57100) $13,634.17 — 14.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $14,151.51 — 15.4×
Biopsy/removal lymph nodes (38510) $16,549.75 — 4.2×
Bladder instillation anticarcinogenic agent (51720) $20,089.52 — 28.9×
Bladder Irrigation (51700) $247.65 $381 1.0×
Bladder Scan (51798) $82.55 $127 1.4×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $14,879.38 — 7.2×
Blood Transfusion Service (36430) $7,072 — 16.1×
Bone Graft Any Donor Area Major/Large (20902) $24,140.35 — 3.3×
Bone Graft Any Donor Area Minor/Small (20900) $40,269.76 — 5.6×
Bone Marrow Biopsy (38221)
range across 4 matching MRF lines		 $637–$955.50 $980–$1,470 varies
Breast augmentation with implant (19325) $30,914.38 — 3.8×
Breast Reduction (19318)
range across 2 matching MRF lines		 $22,040.63–$29,839.15 — varies
Brnchsc Brushing/Protected Brushings (31623) $7,810.27 — 4.4×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $8,489.26 — 2.3×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $9,675.74 — 2.6×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $13,068.44 — 3.5×
Bronchoscopy Clear Airways (31645) $6,074.90 — 3.4×
Bronchoscopy W/Biopsy(S) (31625) $11,608.41 — 6.5×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $7,293.16 — 2.0×
Bronchoscopy/Needle Bx Each (31629) $8,029.45 — 2.2×
Bx breast 1st lesion mr imag (19085)
range across 3 matching MRF lines		 $4,755.40–$7,133.10 $7,316–$10,974 varies
Bx breast 1st lesion strtctc (19081)
range across 9 matching MRF lines		 $2,824.90–$4,237.35 $4,346–$6,519 varies
Bx breast 1st lesion us imag (19083)
range across 9 matching MRF lines		 $2,501.20–$3,751.80 $3,848–$5,772 varies
Bx breast needle core w/o imaging guidance spx (19100)
range across 3 matching MRF lines		 $620.75–$931.45 $955–$1,433 varies
Bx Cervix (57500) $687.05 — 0.7×
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $23,461.78–$29,078.90 — varies
Bx/exc lymph node open superficial (38500) $39,388.80 — 10.1×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $23,057 — 3.2×
Capsulotomy Iphal Joint Each Joint Spx (28272) $1,510.60 $2,324 0.9×
Carpal Tunnel Surgery (64721) $14,163.17 — 7.3×
Catheter aspiration nasotracheal spx (31720) $178.75 $275 0.8×
Cerclage cervix pregnancy vaginal (59320) $13,522.92 — 4.2×
Cerv artific diskectomy (22856) $36,110.03 — 2.1×
Cessj Therapy Cath Removal (37214) $2,574 $3,960 0.8×
Change Cystostomy Tube Simple (51705) $16,695.39 — 67.1×
Change of Windpipe Airway (31502) $245.70 $378 1.0×
Change ureter stent percut (50382)
range across 3 matching MRF lines		 $1,755–$2,632.50 $2,700–$4,050 varies
Chemical Cautery Tissue (17250) $221.65 $341 1.1×
Chemodenerv 1 extremity 1-4 (64642) $760.50 $1,170 1.1×
Chemodenerv Musc Migraine (64615) $824.85 $1,269 2.7×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $341.25 $525 1.1×
Chemodenervation of internal anal sphincter (46505) $9,550.84 — 8.0×
Chest tube placement (32551)
range across 6 matching MRF lines		 $1,029.60–$1,544.40 $1,584–$2,376 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,755 $2,700 0.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $3,334.50 $5,130 0.9×
Chorionic Villus Sampling (59015) $570.05 $877 0.6×
Circumcision 28 days or older (54161) $15,132.42 — 7.3×
Circumcision w/clamp/oth dev w/block (54150) $10,354.79 — 5.0×
Cl Tx Tib Shft Fx W Manip (27752) $11,132.71 — 6.9×
Claviculectomy partial (23120) $43,207.84 — 13.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $1,398.80–$2,098.20 $2,152–$3,228 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $10,650.30 — 3.2×
Closed tx septal&nose fx (21337) $11,468.41 — 3.5×
Closure of urethrovaginal fistula; Facility (57310) $24,598.35 — 3.3×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $16,216.96 — 5.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines		 $999.05–$1,498.90 $1,537–$2,306 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines		 $1,530.75–$2,296.45 $2,355–$3,533 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $25,689.78 — 5.2×
Collect Blood From Catheter Venous Nos (36592) $96.20 $148 0.7×
Collection of venous blood by venipuncture (36415) $10.40 $16 1.1×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $7,846.70 — 6.6×
Colonoscopy thru stoma (44388) $34,519.26 — 37.3×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $5,005.23 — 4.2×
Colonoscopy w/ablation (45388) $6,629.43 — 5.6×
Colonoscopy W/Band Ligation (45398) $3,285.33 — 2.8×
Colonoscopy W/Resection (45390) $6,326.64 — 2.3×
Colonoscopy w/submucosal inj (45381) $6,808.26 — 5.7×
Colpopexy extraperitoneal (57282) $27,493.66 — 3.7×
Colpopexy vaginal intraperitoneal approach (57283) $36,925.35 — 5.0×
Colporrhaphy (57200) $22,398.98 — 6.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $831.35 — 2.7×
Colposcopy Cervix Endocervical Curettage (57456) $278.85 $429 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $174.20 — 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $615.55 — 2.0×
Colposcopy cervix vag eltrd conization cervix (57461) $12,859.41 — 4.0×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $12,814.87 — 4.0×
Colposcopy entire vagina w/cervix if present (57420) $263.25 $405 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $737.10 $1,134 0.8×
Colsc Flexible W/Control Bleeding Any Method (45382) $6,602.46 — 5.5×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $5,627.75 — 4.7×
Combined anteroposterior colporrhaphy; (57260) $36,478.29 — 7.3×
Complex drainage wound (10180) $2,018.25 $3,105 0.7×
Composite Skin Graft (15760) $17,859.35 — 8.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $12,570.33 — 3.9×
Conization of cervix (57520) $16,703.31 — 5.2×
Control Nasal Hemorrhage Anterior Simple (30901) $16,136.94 — 121.7×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $37,197.01 — 2.9×
Conversion ext bil drg cath (47535) $2,848.30 $4,382 0.8×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,682.85 $2,589 0.9×
Convert Nephrostomy Catheter (50434)
range across 3 matching MRF lines		 $1,058.20–$1,587.30 $1,628–$2,442 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,430 $2,200 0.9×
Correction hammertoe (28285) $21,731.12 — 6.7×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $24,459.38 — 7.5×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $38,091.42 — 3.0×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $31,021.26 — 9.5×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $30,228.38 — 4.2×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $31,221.51 — 5.6×
Curettage postpartum (59160) $13,509.96 — 4.2×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 3 matching MRF lines		 $15,718.83–$17,163.63 — varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $18,565.33–$19,094.46 — varies
Cysto w/destruction of lesions (52214) $18,580.48 — 5.3×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $22,302.14 — 4.2×
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines		 $18,258.40–$18,829.90 — varies
Cysto w/irrig & evac multple obstructing clots (52001) $18,580.48 — 5.3×
Cysto w/removal of lesions small (52224) $18,485.97 — 5.3×
Cysto w/removal of tumors small (52234) $18,623.08 — 5.3×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $16,417.70–$19,006.19 — varies
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 2 matching MRF lines		 $18,443.51–$22,990.19 — varies
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 2 matching MRF lines		 $18,329.43–$20,660.31 — varies
Cysto w/urtroscopy w/tx ureteral stricture (52344) $19,823.35 — 5.6×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines		 $16,901.27–$18,193.32 — varies
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 2 matching MRF lines		 $15,448.26–$19,272.40 — varies
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines		 $22,053.67–$22,850.26 — varies
Cystostomy Cystotomy W/Drainage (51040) $18,580.48 — 8.9×
Cystourethroscopy (52000) $15,656.61 — 22.5×
Cystourethroscopy inj chemodenervation bladder (52287) $17,614.22 — 8.5×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $20,670.17 — 5.9×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $22,614.33 — 4.2×
Cystourethroscopy w/dil bladder general anesth (52260) $16,555.69 — 7.9×
Cystourethroscopy with biopsy (52204) $17,705.51 — 8.5×
Cystourethroscopy with direct vision internal urethrotomy (52276) $21,722.60 — 10.4×
Cystourethroscopy, with steroid injection into stricture Facility (52283) $19,919.74 — 9.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,220.05 — 1.7×
Debride nail 1-5 (11720) $104.65 $161 1.8×
Debride nail 6 or more (11721) $703.30 — 12.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,181.70 — 0.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $577.20 — 1.4×
Declot vascular device (36593) $280.15 $431 0.9×
Deep Muscle Biopsy (20205) $13,433.08 — 4.6×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630)
range across 2 matching MRF lines		 $13,326.89–$19,508.68 — varies
Delivery of placenta (59414) $1,573.65 $2,421 0.5×
Derma-fat-fascia graft (15770) $13,010.76 — 3.7×
Destroy cerv/thor facet jnt (64633)
range across 6 matching MRF lines		 $1,850.55–$2,776.15 $2,847–$4,271 varies
Destroy lumb/sac facet jnt (64635)
range across 6 matching MRF lines		 $1,850.55–$2,776.15 $2,847–$4,271 varies
Destruct B9 Lesion 1-14 (17110) $21,049.61 — 105.3×
Destruction by neurolytic agent, intercostal nerve (64620) $1,035.45 $1,593 1.2×
Destruction Lesions Vulva Simple (56501) $40,532.80 — 19.7×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines		 $1,713.40–$2,570.75 $2,636–$3,955 varies
Diagnostic sigmoidoscopy (45330) $3,330.89 — 3.6×
Dilat Xst Trc New Access Rcs (50437)
range across 3 matching MRF lines		 $2,713.10–$4,069.65 $4,174–$6,261 varies
Dilate Esophagus 1/Mult Pass (43450) $5,241.83 — 5.8×
Dilation & curettage dx&/ther nonobstetric (58120) $12,501.48 — 3.9×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $7,460.93 — 4.2×
Drain Cerebro Spinal Fluid (62272) $772.20 $1,188 1.1×
Drainage of finger abscess simple (26010) $312.65 $481 1.6×
Drainage of gum lesion (41800) $133.90 $206 1.0×
Drainage of hematoma/fluid (10140) $11,560.46 — 7.0×
Drainage of scrotal wall abscess (55100) $1,673.75 $2,575 1.0×
Draw Blood Off Venous Device (36591) $104 $160 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $328.90 $506 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $274.95 $423 1.4×
Dstrj lesion anus simple surg excision (46922) $12,414.01 — 4.5×
Dstrj Lesion Penis Simple Cryosurgery (54056) $13,500.82 — 67.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $1,378–$2,067 $2,120–$3,180 varies
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines		 $5,240.67–$6,081.65 — varies
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines		 $7,404.60–$9,409.92 — varies
Dx Bronchoscope/Wash (31622) $4,939.28 — 2.8×
Dx Laryngoscopy Excl Nb (31525) $13,901.88 — 7.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,244.10 $1,914 1.8×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $6,036.71 — 3.2×
Egd control bleeding any (43255) $6,399.69 — 3.3×
Egd dilation gastric/duodenal stricture (43245) $6,865.33 — 3.6×
Egd Flexible Foreign Body Removal (43247) $4,100.49 — 4.5×
Egd guide wire insertion (43248) $6,291.22 — 7.0×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $6,802.54 — 3.6×
Egd intrmural us needle aspirate/biopsy esophags (43238) $7,154.39 — 3.7×
Egd lesion ablation (43270) $5,161.18 — 2.7×
Egd place gastrostomy tube (43246) $5,730.66 — 3.0×
Egd remove lesion snare (43251) $7,094.91 — 3.7×
Egd us exam duodenum/jejunum (43259) $5,032.53 — 2.6×
Egd Varices Ligation (43244) $4,296.69 — 2.2×
Endocervical curettage (57505) $1,096.55 — 1.2×
Endometrial Biopsy (58100) $396.50 — 2.0×
Endoscopic injection/implant (51715) $17,096.92 — 4.9×
Endoscopic us exam esoph (43237) $4,883.03 — 2.6×
Endoscopy upper small intestine w/biopsy (44361) $4,433.51 — 2.3×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $11,261.90 $17,326 1.0×
Endoven ther chem adhes 1st (36482)
range across 3 matching MRF lines		 $4,651.40–$6,977.10 $7,156–$10,734 varies
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $5,131.39 — 2.7×
Epidural Blood Patch (62273) $893.75 $1,375 1.3×
Ercp duct stent placement (43274) $12,890.57 — 2.1×
Ercp Dx Collection Specimen Brushing/Washing (43260) $8,364.39 — 2.2×
Ercp ea duct/ampulla dilate (43277) $10,775.57 — 2.8×
Ercp remove calculi/debris biliary/pancreas duct (43264) $11,468.83 — 3.0×
Ercp remove forgn body duct (43275) $11,468.83 — 6.0×
Ercp,Sphincterotomy (43262) $11,279.81 — 2.9×
Esophagogastroduodenoscopy Submucosal Injection (43236) $9,004.71 — 10.0×
Esophagoscopy rigid trnso dx (43191) $12,573.83 — 6.6×
Exc arm/elbow les sc < 3 cm (24075) $15,109.38 — 9.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $544.05 $837 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $12,693.75 — 7.7×
Exc Back Les Sc < 3 Cm (21930) $11,069.76 — 6.7×
Exc Back Tum Deep 5 Cm/> (21933) $13,727.27 — 4.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $15,428.15 — 4.0×
Exc Chalazion Anes Req Hospization Single/Mult (67808) $17,000.20 — 7.2×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $21,126.62 — 12.8×
Exc Face Les Sbq 2 Cm/> (21012) $15,372.66 — 9.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $14,548.62 — 20.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $15,034.43 — 21.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $12,393.01 — 17.6×
Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) $26,582.21 — 3.7×
Exc Forearm Les Sc 3 Cm/> (25071) $19,655.23 — 11.9×
Exc Frenum Labial/Buccal (40819) $12,167.94 — 7.9×
Exc ganglion wrist recurrent (25112) $15,864.89 — 9.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $15,529.21 — 9.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $12,690.89 — 18.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $13,111.21 — 8.0×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $16,577.87 — 5.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $17,813.54 — 11.1×
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) $15,012.84 — 4.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $16,027 — 22.7×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $13,625.98 — 8.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $9,583.92 — 3.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $15,250.12 — 9.3×
Exc Skin Benig >4cm Face,Facial (11446) $15,339.10 — 5.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $8,880.30 — 5.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $16,436.50 — 5.7×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $16,298.68 — 9.9×
Exc thigh/knee les sc 3 cm/> (27337) $11,765.29 — 4.1×
Exc thigh/knee tum dep 5cm/> (27339) $14,601.76 — 5.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $22,519.30 — 55.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $12,165.33 — 17.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $10,834.43 — 6.6×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $13,784.60 — 4.8×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $12,096.24 — 4.2×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $15,737.75 — 9.6×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $11,857.57 — 4.1×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $38,800.27 — 13.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $13,950.31 — 8.5×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $19,638.09 — 11.9×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $13,572.98 — 4.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $16,742.48 — 10.2×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $11,346.92 — 3.9×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $11,468.46 — 4.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $3,299.40 $5,076 0.9×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 6 matching MRF lines		 $1,058.20–$1,587.30 $1,628–$2,442 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,318.20 $2,028 0.7×
Excis Mouth Mucosa/Sub,No Repair (40810) $19,061.28 — 5.8×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $12,720.64 — 8.2×
Excise intraspinal lesion (63267) $29,996.34 — 4.1×
Excise mandible lesion (21040) $14,710.77 — 4.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $12,100.46 — 17.1×
Excision exostosis(es), external auditory canal Facility (69140) $12,346.28 — 2.1×
Excision External Ear Partial Simple Repair (69110) $15,890.42 — 5.5×
Excision inferior turbinate partial/complete (30130)
range across 2 matching MRF lines		 $27,084.54–$38,164.11 — varies
Excision Lingual Frenum Frenectomy (41115) $11,748.91 — 7.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $8,519.26 — 12.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $9,648.60 — 23.8×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $12,948.06 — 7.9×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $19,177.65 — 6.6×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $13,980.35 — 8.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $15,163.21 — 21.5×
Excision of bartholin's gland or cyst (56740) $14,614.24 — 4.5×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $19,004.70 — 3.2×
Excision of extraparenchymal lesion of testis (54512) $24,305.72 — 6.9×
Excision of hydrocele; unilateral (55040) $18,560.97 — 5.2×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $38,342.54 — 6.5×
Excision of pilonidal cyst or sinus; simple (11770) $13,598.42 — 4.7×
Excision of sublingual gland (42450) $36,088.73 — 6.1×
Excision of submandibular (submaxillary) gland (42440) $28,973.59 — 4.9×
Excision of vaginal cyst or tumor (57135) $22,519.22 — 7.0×
Excision olecranon bursa (24105) $18,619.31 — 5.7×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $23,805.70 — 7.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $13,680.91 — 4.7×
Excision spermatocele w/wo epididymectomy (54840) $16,950.62 — 8.1×
Excision Thyroglossal Duct Cyst/Sinus (60280) $20,473.25 — 3.4×
Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) $26,119.12 — 4.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $11,803.80 — 7.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $18,273.87 — 11.1×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $13,865.15 — 8.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $15,084.81 — 9.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $11,684.17 — 4.0×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $15,372.66 — 9.3×
Excision/destruction intranasal lesion int appr (30117)
range across 2 matching MRF lines		 $11,240.86–$26,643 — varies
Excision/surgical planing skin nose rhinophyma (30120) $16,838.41 — 5.1×
External cephalic version (59412) $1,726.40 $2,656 0.5×
Fetal non-stress test (59025) $456.95 — 2.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,936.35 $2,979 2.7×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,686.10 $2,594 2.4×
Fine needle aspiration without imaging guidance (10021) $404.95 $623 1.0×
Fluoro exam of g/colon tube (49465) $315.90 $486 1.3×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,467.70 $2,258 2.1×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $245.21–$1,712.91 — varies
Forehead flap w/vasc pedicle (15731) $20,458.99 — 5.8×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $25,396.56 — 7.7×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $19,437.35 — 9.5×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $33,494.53 — 16.3×
Gastrocnemius recession (27687) $24,406.95 — 7.5×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $25,937.39 — 4.4×
Grafting of autologous fat by lipo 50 cc or less (15771) $22,518.23 — 6.4×
Guide Cathet Fluid Drainage (10030) $677.95 $1,043 1.0×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $25,495.94 — 3.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $14,115.51 — 5.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $3,330.89 — 3.6×
Hip arthro acetabuloplasty (29915) $37,635.83 — 5.2×
Hip arthro w/labral repair (29916) $34,350.73 — 4.8×
Hysteroscopy Biopsy (58558)
range across 3 matching MRF lines		 $14,717.90–$18,943.72 — varies
Hysteroscopy Div/Rescj Intrauterine Septum (58560) $42,492.62 — 8.5×
Hysteroscopy Dx Sep Proc (58555) $16,083.57 — 5.0×
Hysteroscopy Endometrial Ablation (58563) $19,541.83 — 3.9×
Hysteroscopy Lysis Intrauterine Adhesions (58559) $21,967.19 — 4.4×
Hysteroscopy Removal Impacted Foreign Body (58562) $17,156.36 — 5.3×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $18,640.86 — 3.7×
I&d abscess peritonsillar (42700) $427.70 $658 1.8×
I&d abscess simple (10060) $17,163.31 — 85.9×
I&d perianal abscess superficial (46050) $1,001.65 $1,541 1.1×
I&d pilonidal cyst complicated (10081) $723.45 $1,113 1.0×
I&d pilonidal cyst simple (10080) $3,088.99 — 4.4×
Icd Pocket Revision (33223) $2,341.95 $3,603 1.1×
Image Cath Fluid Colxn Visc (49405) $1,976 $3,040 1.2×
Image Cath Fluid Peri/Retro (49406) $3,280.55 $5,047 2.0×
Image Cath Fluid Trns/Vgnl (49407) $2,106 $3,240 1.3×
Implant neuroelectrodes (63650) $20,093.19 — 3.2×
Implant Neuroelectrodes (64561) $23,784.41 — 3.7×
Implant Periph/Gastric Neurostim/Receiver (64590)
range across 2 matching MRF lines		 $14,682.56–$31,023.23 — varies
Implant Spine Infusion Pump (62362) $31,677.81 — 1.8×
Incise external hemorrhoid (46083) $319.80 $492 1.3×
Incision & drainage abscess complicated/multiple (10061) $15,802.15 — 39.0×
Incision & removal foreign body subq tiss compl (10121) $12,184.86 — 7.4×
Incision & removal foreign body subq tiss simple (10120) $11,693.01 — 28.9×
Incision and drainage of bartholin's gland abscess (56420) $15,989.98 — 79.4×
Incision and drainage of vulva or perineal abscess (56405) $13,816.30 — 45.5×
Incision of eardrum (69421)
range across 2 matching MRF lines		 $14,257.08–$14,711.37 — varies
Incision of lingual frenum (frenotomy) (41010) $11,335.23 — 7.3×
Incisional biopsy skin single lesion (11106) $776.10 — 1.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 8 matching MRF lines		 $1,656.85–$2,484.30 $2,549–$3,822 varies
Inj W/Fluor Eval Cv Device (36598)
range across 6 matching MRF lines		 $304.85–$456.95 $469–$703 varies
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 3 matching MRF lines		 $1,386.45–$2,080 $2,133–$3,200 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 6 matching MRF lines		 $1,534–$2,301 $2,360–$3,540 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines		 $1,155.05–$1,732.25 $1,777–$2,665 varies
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)
range across 3 matching MRF lines		 $1,105–$1,657.50 $1,700–$2,550 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines		 $1,051.70–$1,577.55 $1,618–$2,427 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines		 $1,102.40–$1,653.60 $1,696–$2,544 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 3 matching MRF lines		 $741.65–$1,112.15 $1,141–$1,711 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines		 $1,040–$1,560 $1,600–$2,400 varies
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 3 matching MRF lines		 $1,171.30–$1,756.95 $1,802–$2,703 varies
Injection Anes Superior Hypogastric Plexus (64517) $1,221.35 $1,879 1.4×
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $1,172.60–$1,758.25 $1,804–$2,705 varies
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $942.76–$1,692.47 — varies
Injection single tendon origin/insertion (20551) $326.30 $502 1.1×
Injection single/mlt trigger point 1/2 muscles (20552) $20,464.96 — 66.9×
Injection single/mlt trigger point 3/> muscles (20553) $12,926.29 — 42.3×
Injection Turbinate Therapeutic (30200) $10,694.06 — 19.9×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines		 $1,069.25–$1,604.20 $1,645–$2,468 varies
Injection, anesthetic agent; femoral nerve, single (64447) $37,856.48 — 53.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $3,086.74–$4,938.63 — varies
Ins cath ren art 1st bilat (36252) $3,666 $5,640 1.2×
Ins cath ren art 1st unilat (36251) $2,444 $3,760 0.8×
Ins cath ren art 2nd+ bilat (36254) $3,831.75 $5,895 1.2×
Ins cath ren art 2nd+ unilat (36253) $2,869.75 $4,415 0.5×
Ins endovas vena cava filtr (37191) $8,427.90 $12,966 1.5×
Ins/Rep Subq Defibrillator (33270) $34,433.10 $52,974 1.1×
Insert 1 Electrode Pm-Defib (33216) $6,301.10 $9,694 0.8×
Insert cath pleura w/ image (32557)
range across 9 matching MRF lines		 $1,185.60–$1,778.40 $1,824–$2,736 varies
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines		 $1,281.80–$1,922.70 $1,972–$2,958 varies
Insert cervical dilator (59200) $570.70 $878 1.9×
Insert Drug Implant Device (11981) $237.25 $365 1.8×
Insert Gastrostomy Tube Percutaneous (49440) $1,454.05 $2,237 0.8×
Insert Heart Pm Atrial (33206) $10,040.55 $15,447 1.0×
Insert Heart Pm Ventricular (33207) $42,099.11 — 4.0×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $2,965.30 $4,562 0.2×
Insert non-tunnel cv cath (36556) $2,032.55 $3,127 0.6×
Insert Pacing Lead & Connect (33224) $12,846.60 $19,764 1.2×
Insert pessary/other device (57160) $145.60 $224 0.7×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,158.30 $1,782 0.7×
Insert pulse gen dual leads (33213) $6,890 $10,600 0.7×
Insert pulse gen mult leads (33221) $13,832.65 $21,281 0.7×
Insert Pulse Gen Sngl Lead (33212) $6,476.60 $9,964 0.8×
Insert Temp Bladder Cath (51702) $48,138.54 — 363.1×
Insert tun ip cath perc (49418) $2,917.20 $4,488 0.8×
Insert tunneled cv cath (36561)
range across 3 matching MRF lines		 $5,352.40–$16,009.40 — varies
Insert Uro/Ves Nck Sphincter (53445) $51,050.64 — 2.5×
Insert,Non-Indwelling Bladder Catheter (51701) $2,478.51 — 18.7×
Insertion indwelling tunneled pleural catheter (32550) $3,372.17 — 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,171 $3,340 1.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $8,622.25 $13,265 1.0×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $21,292.04 — 4.3×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,574.75 $10,115 0.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,562.60 $2,404 0.5×
Insj Picc Rs&I <5 Yr (36572) $1,313.65 $2,021 2.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 3 matching MRF lines		 $3,086.20–$4,629.30 $4,748–$7,122 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,191.80 $3,372 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $11,242.63 — 3.6×
Insj/rplcmt breast implant sep day mastectomy (19342) $21,630.07 — 2.7×
Insj/Rplcmt Defib W/Lead(S) (33249) $69,140.64 — 2.2×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $44,915.06 — 1.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $7,082.40 $10,896 0.9×
Insrt heart pm atrial & vent (33208) $10,157.55 $15,627 1.0×
Insrt Pulse Gen W/Dual Leads (33230) $23,595 $36,300 1.1×
Insrt Pulse Gen W/Mult Leads (33231) $29,087.50 $44,750 0.9×
Insrt Pulse Gen W/Singl Lead (33240) $20,822.75 $32,035 0.9×
Intro cath dialysis circuit (36901) $1,242.80 $1,912 0.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $11,770.85 $18,109 1.0×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $5,824 $8,960 1.0×
Intubation endotracheal emergency procedure (31500) $19,780.70 — 83.8×
Island pedicle flap graft (15740) $18,770.40 — 9.1×
Lam facetec & foramot lumbar (63047) $30,038.24 — 4.2×
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $27,535.01 — 3.8×
Lap insert tunnel ip cath (49324) $19,281.61 — 3.2×
Lap paraesophag hern repair (43281)
range across 2 matching MRF lines		 $25,950.27–$44,579.38 — varies
Laparo-vag hyst incl t/o (58552) $37,414.50 — 3.5×
Laparoscopic myomectomy (58545) $41,924.40 — 7.0×
Laparoscopy aspiration (49322) $29,438.77 — 4.9×
Laparoscopy Enterolysis Separate Procedure (44180) $28,327.43 — 4.7×
Laparoscopy fimbrioplasty (58672) $35,838.25 — 5.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $28,016.10–$31,473.57 — varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $40,435.75 — 3.8×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $39,099.70 — 3.7×
Laparoscopy W/Lysis Of Adhesions (58660) $29,438.77 — 4.9×
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines		 $32,635.82–$33,804.17 — varies
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) $26,732.84 — 2.5×
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines		 $11,864.55–$29,309.47 — varies
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $45,398.93 — 4.3×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $36,049.40 — 3.4×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $40,847.18 — 6.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $26,015.55 — 4.3×
Laparoscopy, surgical; partial nephrectomy (50543) $43,461.59 — 4.1×
Laparoscopy, surgical; pyeloplasty (50544) $43,146.49 — 4.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines		 $28,256.80–$31,266.64 — varies
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) $48,187.50 — 4.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $32,651.33 — 5.4×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $23,293.67 — 3.9×
Laps fulg/exc ovary viscera/peritoneal surface (58662) $32,708.69 — 5.4×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $46,992.11 — 4.4×
Laps surg prst8ect smpl stot robotic assistance (55867) $46,563.32 — 4.4×
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $55,876.92 — 9.3×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $38,474.11 — 3.6×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $13,214.92 — 3.6×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $13,667.35 — 3.7×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $12,895.93 — 3.5×
Laryngoscopy flexible diagnostic (31575) $291.20 $448 1.5×
Laryngoscopy W/Biopsy (31535) $17,241.90 — 4.6×
Laryngoscopy w/biopsy microscope/telescope (31536)
range across 2 matching MRF lines		 $14,119.75–$14,835.37 — varies
Larynscop w/tumr exc + scope (31541) $15,307.11 — 4.1×
Late closure of wound (13160)
range across 2 matching MRF lines		 $12,248.27–$53,558.08 — varies
Ligamentous Reconstruction Knee Extra-Articular (27427) $39,439.52 — 5.5×
Ligation of a-v fistula (37607) $17,364.03 — 5.5×
Ligation of hemorrhoids (46946) $13,095.01 — 4.7×
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines		 $16,809.36–$18,133.30 — varies
Litholapaxy comp/lg > 2.5 cm (52318) $22,340.16 — 6.4×
Litholapaxy smpl/sm <2.5 cm (52317) $20,310.06 — 5.8×
Low Back Disk Surgery (63030)
range across 2 matching MRF lines		 $27,003.46–$27,468.45 — varies
Lumbar spine fusion combined (22633) $66,445.83 — 2.5×
Lyse chest fibrin init day (32561) $956.80 $1,472 1.5×
Malar Augmentation Prosthetic Material (21270) $15,275.76 — 2.6×
Male sling procedure (53440) $31,884.03 — 2.4×
Manipulation knee joint under general anesthesia (27570) $7,306.42 — 4.6×
Manipulation tmj therapeutic require anesthesia (21073) $9,373.97 — 6.1×
Marsupialization of bartholin's gland cyst (56440) $14,341.99 — 4.4×
Mastectomy partial (19301) $19,731.30 — 5.1×
Mastectomy partial w/axillary lymphadenectomy (19302) $20,218.24 — 3.1×
Mastectomy simple complete (19303)
range across 2 matching MRF lines		 $39,907.84–$45,121.73 — varies
Mech remov tunneled cv cath (36595) $1,863.55 $2,867 0.6×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $45,775.91 — 6.3×
Muscle-skin graft trunk (15734) $24,184.48 — 6.8×
Myelography Lumbar Injection (62305) $1,674.40 $2,576 2.1×
Myelography Lumbar Injection (62304) $1,267.50 $1,950 1.6×
Myelography via lumbar injection rs&i cervical (62302) $1,274.65 $1,961 1.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,274.65 $1,961 1.6×
N Block Inj Celiac Pelus (64530) $1,264.90 $1,946 1.4×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines		 $1,030.90–$1,546.35 $1,586–$2,379 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines		 $1,172.60–$1,758.25 $1,804–$2,705 varies
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines		 $1,171.30–$1,756.95 $1,802–$2,703 varies
Nasal Endoscopy Dx (31231) $24,074.43 — 121.0×
Nasal/Orogastric W/Tube Plmt (43752) $755.30 $1,162 1.7×
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines		 $23,841.04–$26,536.39 — varies
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $27,661.44 — 3.9×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines		 $17,291.27–$19,958.48 — varies
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 2 matching MRF lines		 $24,788.50–$26,536.39 — varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines		 $16,743.04–$21,538.53 — varies
Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) $18,340.25 — 4.9×
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) $23,645.11 — 3.4×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) $23,645.11 — 3.4×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253)
range across 2 matching MRF lines		 $23,869.62–$27,815.76 — varies
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259)
range across 2 matching MRF lines		 $27,504.58–$28,582.58 — varies
Nasal/sinus ndsc total with sphenoidotomy (31257)
range across 2 matching MRF lines		 $27,359.67–$27,661.44 — varies
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines		 $24,334.26–$25,396.56 — varies
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 2 matching MRF lines		 $27,680.96–$28,070.87 — varies
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 2 matching MRF lines		 $22,858.81–$26,560.55 — varies
Needle Biopsy Lymph Nodes (38505)
range across 8 matching MRF lines		 $1,080.30–$1,621.10 $1,662–$2,494 varies
Needle Biopsy Pancreas (48102) $1,158.30 $1,782 0.7×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $29,929.76 — 15.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $898.30 $1,382 2.2×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $1,170 $1,800 0.6×
Njx anes stellate ganglion crv sympathetic (64510)
range across 3 matching MRF lines		 $1,102.40–$1,653.60 $1,696–$2,544 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $2,903.97 — 9.5×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,326.35 $3,579 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,018.60 $4,644 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 8 matching MRF lines		 $1,656.85–$2,484.30 $2,549–$3,822 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $2,995.20 $4,608 3.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,319.68 — 4.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $964.60 $1,484 1.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,915.90 $4,486 3.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,116.05 $1,717 1.6×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $2,915.90 $4,486 3.3×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 6 matching MRF lines		 $769.60–$1,154.40 $1,184–$1,776 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines		 $858–$1,287 $1,320–$1,980 varies
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 3 matching MRF lines		 $365.30–$547.95 $562–$843 varies
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines		 $23,874.67–$27,511.14 — varies
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
range across 2 matching MRF lines		 $20,515.75–$24,334.26 — varies
Obstructive material removal from gi tube (49460) $1,056.25 $1,625 1.2×
Occipital Nerve Block (64405) $3,025.75 — 9.9×
Open biopsy/excision inguinofemoral nodes (38531) $19,330.43 — 5.0×
Open Implantation Nea Sacral Nerve (64581) $34,161.53 — 5.4×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $59,232.11 — 1.9×
Open Treatment Bimalleolar Ankle Fracture (27814) $29,649.40 — 4.1×
Open treatment fracture distal tibia only (27827) $48,138.54 — 3.8×
Open Treatment Humeral Condylar Fracture (24579) $32,004.03 — 2.5×
Open treatment metatarsal fracture each (28485) $25,441.68 — 3.5×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $41,135.47 — 5.7×
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) $10,478.29 — 1.8×
Open treatment of fracture of orbit, except blowout; without implant Facility (21406) $25,991.35 — 4.4×
Open Treatment Proximal Humeral Fracture (23615) $48,822.55 — 3.8×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $27,760.56 — 3.8×
Open Tx Distal Tibiofibular Joint Disruption (27829) $29,649.40 — 4.1×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $21,986.96 — 6.7×
Open Tx Humeral Epicondylar Fracture (24575) $29,929.76 — 2.3×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $18,931.95 — 3.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $25,610.03 — 7.9×
Open tx ulnar fx proximal end (24685) $40,240.56 — 5.6×
Open/Perq Place Stent 1St (37236)
range across 8 matching MRF lines		 $10,281.05–$15,420.60 $15,817–$23,724 varies
Open/Perq Place Stent Same (37238)
range across 8 matching MRF lines		 $11,060.40–$16,590.60 $17,016–$25,524 varies
Opn tx orbit fx combined (21387) $27,622.95 — 4.7×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $42,782.14 — 5.9×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $31,193.10 — 4.3×
Orchiectomy radical tumor inguinal approach (54530) $18,383.53 — 5.2×
Orchiopexy Ingun/Scrot Appr (54640)
range across 2 matching MRF lines		 $16,947.53–$17,598.22 — varies
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $14,992.38 — 4.6×
Osteochondral allograft knee open (27415) $54,343.28 — 4.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $20,079.08 — 6.2×
Osteotomy calcaneus w/wo internal fixation (28300) $40,730.21 — 5.6×
Parathyroidectomy or exploration of parathyroid(s); (60500) $28,307.79 — 4.8×
Part remv talus or calcaneus (28120) $23,898.68 — 7.3×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) $54,062.35 — 7.5×
Partial Excision Distal Phalanx Finger (26236) $16,232.45 — 10.1×
Partial hymenectomy or revision of hymenal ring (56700) $12,099.78 — 3.8×
Partial removal of thyroid (60220) $31,055.23 — 5.2×
Partical Excision Bone Phalanx Toe (28124) $16,422.31 — 5.0×
Pelvic examination under anesthesia (other than local) (57410) $11,121.63 — 3.4×
Perc Cryo Ablate Renal Tum (50593)
range across 3 matching MRF lines		 $6,272.50–$9,408.75 $9,650–$14,475 varies
Percut Ablate Liver Rf (47382) $4,290 $6,600 0.7×
Percut Cath Occlusn Non Cns Lesn (61626) $11,189.75 $17,215 1.0×
Percut Drain/Inject Renal Cyst (50390)
range across 3 matching MRF lines		 $845–$1,267.50 $1,300–$1,950 varies
Percut Mech Thrombectomy, Venous, Repeat (37188)
range across 3 matching MRF lines		 $2,667.60–$4,001.40 $4,104–$6,156 varies
Peri-Implant Capsulectomy Breast Complete (19371)
range across 2 matching MRF lines		 $22,938.69–$33,723.22 — varies
Pericardiocentesis W/Imaging (33016) $989.30 $1,522 0.6×
Perm Occlusion/Embolization,Percut,Cns (61624) $9,920.95 $15,263 0.5×
Perq Cervicothoracic Inject (22510) $3,735.55 $5,747 1.1×
Perq dev breast 1st mr guide (19287)
range across 3 matching MRF lines		 $1,428.05–$2,142.40 $2,197–$3,296 varies
Perq dev breast 1st strtctc (19283)
range across 3 matching MRF lines		 $1,311.05–$1,966.90 $2,017–$3,026 varies
Perq dev breast 1st us imag (19285) $2,834.86 — 4.0×
Perq device breast 1st imag (19281) $3,480.59 — 2.1×
Perq dilation xst trc endourologic px w/img (50436)
range across 3 matching MRF lines		 $1,741.35–$2,611.70 $2,679–$4,018 varies
Perq Lumbosacral Injection (22511) $3,735.55 $5,747 1.1×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $25,839.58 — 2.7×
Perq p-art revsc 1 nm nt uni (33900) $6,581.90 $10,126 0.6×
Perq p-art revsc st 1st abnor connj unilateral (33902) $10,652.20 $16,388 0.6×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $15,978.30 $24,582 1.4×
Perq p-art revsc st 1st nml native connj bi (33901) $9,872.85 $15,189 0.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 4 matching MRF lines		 $739.70–$1,109.55 $1,138–$1,707 varies
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $10,899.20 $16,768 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $6,739.20 $10,368 1.2×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $25,332.82 — 3.5×
Perq Vertebral Augmentation (22513) $25,309.88 — 3.5×
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines		 $3,968.90–$5,953.35 $6,106–$9,159 varies
Place Cath Thoracic Aorta (36221) $3,393 $5,220 1.1×
Place Cath Vertebral Art (36226)
range across 6 matching MRF lines		 $6,207.50–$9,311.25 $9,550–$14,325 varies
Place Duod/Jej Tube Perc (49441) $1,711.45 $2,633 0.9×
Placement of needle for intraosseous infusion (36680) $341.25 $525 0.8×
Placement of seton (46020) $11,303.11 — 4.1×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $3,369.60 $5,184 0.5×
Plmt Bile Duct Stent Prq Existing Access (47538) $5,710.25 $8,785 0.9×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $5,710.25 $8,785 0.9×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 9 matching MRF lines		 $2,210.65–$3,316.30 $3,401–$5,102 varies
Plmt Nephroureteral Catheter (50433)
range across 6 matching MRF lines		 $1,852.50–$2,778.75 $2,850–$4,275 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 6 matching MRF lines		 $3,087.50–$4,631.25 $4,750–$7,125 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 6 matching MRF lines		 $2,756–$4,134 $4,240–$6,360 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 3 matching MRF lines		 $2,823.60–$4,235.40 $4,344–$6,516 varies
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $29,985.70 — 6.0×
Prim art mech thrombectomy (37184)
range across 6 matching MRF lines		 $6,643.65–$9,965.80 $10,221–$15,332 varies
Probe nasolacrimal duct w/wo irrig req gen anes (68811) $17,909.58 — 7.6×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $512.85 $789 0.7×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,165.45 $1,793 1.3×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,299.40 $5,076 0.9×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $3,299.40 $5,076 0.9×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $31,193.10 — 9.6×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines		 $16,497.87–$18,889.62 — varies
Pseudoaneurysm Injection Trt (36002)
range across 4 matching MRF lines		 $845–$1,267.50 $1,300–$1,950 varies
Punch biopsy skin single lesion (11104) $12,871.40 — 31.8×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $557.24–$1,201.32 — varies
Puncture Aspiration Cyst Breast (19000) $731.25 $1,125 1.0×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,298.70 $1,998 1.8×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 3 matching MRF lines		 $491.40–$737.10 $756–$1,134 varies
Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) $22,144.10 — 3.8×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $36,596.97 — 5.1×
Relieve Pressure on Nerve(S) (64722) $23,561.66 — 12.1×
Relocation Pocket Pacemaker (33222) $2,307.50 $3,550 1.1×
Rem Endovas Vena Cava Filter (37193) $3,844.10 $5,914 1.2×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $713.05 $1,097 0.8×
Removal Foreign Body Foot Complicated (28193) $11,770.62 — 7.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $14,491.64 — 246.5×
Removal Implant Deep (20680) $21,717.41 — 7.5×
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $11,760.03–$39,033.03 — varies
Removal of adenoids (42831) $18,197.37 — 5.5×
Removal of adenoids (42830) $17,379.68 — 5.3×
Removal of anal fissure (46200) $12,471.11 — 4.5×
Removal of anterior instrumentation (22855) $33,999.23 — 4.7×
Removal of bladder cyst (51500) $15,021.66 — 2.5×
Removal of brow wrinkles (15826) $15,275.76 — 4.3×
Removal of heel spur (28119) $17,025.55 — 5.2×
Removal of kidney stone (50081) $26,593.40 — 2.8×
Removal of nail bed (11750) $438.10 $674 1.1×
Removal of sesamoid bone (28315) $17,163.31 — 5.3×
Removal of skin wrinkles (15829) $42,248.04 — 12.0×
Removal of sperm cord lesion (55520) $18,167.01 — 5.2×
Removal of testis (54520) $17,377.59 — 4.9×
Removal of tonsils (42825) $14,451.07 — 2.4×
Removal of tonsils (42826) $15,352.64 — 4.6×
Removal of tunneled intraperitoneal catheter (49422) $10,844.59 — 3.4×
Removal or bivalving full arm or full leg cast (29705)
range across 3 matching MRF lines		 $204.10–$306.15 $314–$471 varies
Removal Pacemaker Electrode (33235) $2,860 $4,400 0.8×
Removal ppm generator only (33233) $48,777.12 — 5.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $17,844.77 — 89.3×
Removal subcutaneous cardiac rhythm monitor (33286) $1,131.65 $1,741 1.6×
Removal, under anesthesia, of external fixation system (20694) $48,138.54 — 30.0×
Remove cerclage suture (59871) $2,379 $3,660 0.7×
Remove drug implant device (11982) $152.10 — 0.3×
Remove Elctrd Transvenously (33244) $65,435.26 — 17.6×
Remove groin lymph nodes (38760) $25,905.42 — 3.9×
Remove Intrauterine Device (58301) $13,693.04 — 45.1×
Remove intrvas foreign body (37197) $2,616.25 $4,025 0.8×
Remove lung catheter (32552) $624 $960 1.0×
Remove muti-comp penis pros (54406) $20,239.65 — 5.8×
Remove part lumbar vertebra (22102) $24,184.48 — 3.3×
Remove Peritoneal Foreign Body (49402) $34,872.62 — 9.8×
Remove prostate regrowth (52630) $19,047.21 — 3.6×
Remove Pulse Generator (33241) $56,598.35 — 15.2×
Remove renal tube w/fluoro (50389)
range across 6 matching MRF lines		 $581.10–$871.65 $894–$1,341 varies
Remove spine eltrd plate (63662) $21,513.86 — 6.2×
Remove&replace pm gen singl (33227) $8,080.80 $12,432 1.0×
Remove/Insert Drug Implant (11983) $414.05 $637 0.9×
Remove/replace penis prosth (54410) $43,483.02 — 2.1×
Remv cartilage for graft nasal (20912) $3,003 — 0.9×
Remv&replc cvd gen dual lead (33263) $24,212.50 $37,250 1.1×
Remv&replc cvd gen mult lead (33264) $27,950 $43,000 0.9×
Remv&replc cvd gen sing lead (33262) $20,166.90 $31,026 0.9×
Remv&replc pm gen dual lead (33228) $11,531 $17,740 1.1×
Remv&replc pm gen mult leads (33229) $11,586.25 $17,825 0.6×
Renal Biopsy Perq (50200)
range across 9 matching MRF lines		 $1,267.50–$1,901.90 $1,950–$2,926 varies
Reopen fallopian tube (58350)
range across 2 matching MRF lines		 $31,162.40–$31,622.34 — varies
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $10,944.44–$27,172.31 — varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $15,890.42 — 21.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $15,688.45 — 38.7×
Repair complex trunk 2.6-7.5 cm (13101) $686.40 $1,056 0.9×
Repair Fistula Oromaxillary (30580) $17,635.42 — 3.0×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $26,210.92 — 8.0×
Repair Foot Dislocation (28615) $29,294.36 — 4.1×
Repair Hallux Rigidus (28289) $20,177.10 — 6.2×
Repair humerus with graft (24435) $61,870.11 — 4.8×
Repair inguinal hernia, sliding, any age (49525) $23,006.42 — 6.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $24,569.42 — 6.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $15,753.33 — 38.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $12,948.06 — 32.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $15,339.10 — 37.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $13,525.78 — 33.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $13,562.43 — 33.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $8,880.30 — 21.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $12,100.46 — 29.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $12,125.62 — 29.9×
Repair lead pace-defib dual (33220) $2,685.80 $4,132 0.7×
Repair Lead Pace-Defib One (33218) $2,668.90 $4,106 0.7×
Repair mouth/nose fistula (30600) $19,029.83 — 3.2×
Repair Nasal Vestibular Stenosis (30465) $22,382.56 — 3.8×
Repair of biceps tendon (24340) $40,269.76 — 5.6×
Repair of hydrocele (55060) $16,674.44 — 4.7×
Repair of Ruptured Tendon (24342) $30,965.19 — 4.3×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $20,280.40 — 3.1×
Repair Tooth Socket (41874) $20,281.36 — 6.1×
Repair, primary, disrupted ligament, ankle; collateral (27695) $34,211.01 — 4.7×
Replace duodenostomy/jejunostomy tube perq (49451) $1,332.50 $2,050 1.5×
Replace G-J Tube Perc (49452) $1,332.50 $2,050 1.5×
Replace g/c tube perc (49450) $1,332.50 $2,050 1.5×
Replacement Tissue Expander W/Permanent Implant (11970)
range across 3 matching MRF lines		 $15,325.93–$25,216.84 — varies
Reposition Gastrostomy Tube (43761) $491.40 $756 2.0×
Reposition L Ventric Lead (33226) $2,730 $4,200 0.9×
Reposition Pacing-Defib Lead (33215) $2,665 $4,100 0.8×
Reposition Venous Catheter (36597) $1,348.75 $2,075 0.9×
Repr elbow lat ligmnt w/tiss (24343) $41,413.61 — 12.7×
Repr Elbw Med Ligmnt W/Tiss (24345) $30,762.46 — 4.3×
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines		 $17,242.35–$36,861.03 — varies
Resection of scrotum (55150) $24,305.72 — 6.9×
Rev/rmv prph sac/gstr npg/r (64595) $22,994.41 — 6.6×
Revis reconst shoulder joint (23473)
range across 2 matching MRF lines		 $26,649.15–$33,142.12 — varies
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $69,489.37 — 5.4×
Revise lower leg tendon (27690) $20,607.96 — 2.9×
Revise Spine Eltrd Plate (63664) $26,053.54 — 2.3×
Revise ulnar nerve at wrist (64719) $19,086.05 — 9.8×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $20,056.57 — 6.2×
Revision of reconstructed breast (19380)
range across 2 matching MRF lines		 $22,518.23–$25,198.97 — varies
Revision Peri-Implant Capsule Breast (19370)
range across 2 matching MRF lines		 $21,630.07–$27,536.11 — varies
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $40,865.40 — 6.4×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $71,386.24 — 4.1×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $29,645.10 — 2.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $4,722.90 $7,266 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $21,513.86 — 6.2×
Revj/rmvl peripheral neurostimulator electrode (64585) $12,450.52 — 3.6×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
range across 3 matching MRF lines		 $7,937.80–$11,906.70 $12,212–$18,318 varies
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 3 matching MRF lines		 $7,937.80–$11,906.70 $12,212–$18,318 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
range across 3 matching MRF lines		 $15,489.50–$23,234.25 $23,830–$35,745 varies
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 3 matching MRF lines		 $15,489.50–$23,234.25 $23,830–$35,745 varies
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
range across 3 matching MRF lines		 $15,847–$23,770.50 $24,380–$36,570 varies
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
range across 3 matching MRF lines		 $15,847–$23,770.50 $24,380–$36,570 varies
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
range across 3 matching MRF lines		 $11,802.05–$17,702.10 $18,157–$27,234 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 3 matching MRF lines		 $11,802.05–$17,702.10 $18,157–$27,234 varies
Revsc evasc imvt angiop uni cplx les 1st vsl (37298)
range across 3 matching MRF lines		 $5,749.90–$8,624.85 $8,846–$13,269 varies
Revsc evasc imvt angiop uni sf les 1st vsl (37296)
range across 3 matching MRF lines		 $5,749.90–$8,624.85 $8,846–$13,269 varies
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)
range across 3 matching MRF lines		 $8,164–$12,246.65 $12,560–$18,841 varies
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 3 matching MRF lines		 $8,164–$12,246.65 $12,560–$18,841 varies
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
range across 3 matching MRF lines		 $9,231.95–$13,848.25 $14,203–$21,305 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 3 matching MRF lines		 $9,231.95–$13,848.25 $14,203–$21,305 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)
range across 3 matching MRF lines		 $8,632–$12,948 $13,280–$19,920 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 3 matching MRF lines		 $8,632–$12,948 $13,280–$19,920 varies
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
range across 3 matching MRF lines		 $15,551.90–$23,327.85 $23,926–$35,889 varies
Revsc evasc tpvt athrc uni sf les 1st vsl (37288)
range across 3 matching MRF lines		 $15,551.90–$23,327.85 $23,926–$35,889 varies
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294)
range across 3 matching MRF lines		 $17,486.95–$26,230.10 $26,903–$40,354 varies
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292)
range across 3 matching MRF lines		 $17,486.95–$26,230.10 $26,903–$40,354 varies
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
range across 3 matching MRF lines		 $15,503.15–$23,254.40 $23,851–$35,776 varies
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
range across 3 matching MRF lines		 $15,503.15–$23,254.40 $23,851–$35,776 varies
Rhinoplasty primary w/major septal repair (30420) $24,374.07 — 4.1×
Rhinp Prim Complete Xtrnl Parts (30410) $3,003 — 0.5×
Rhytidectomy Forehead (15824) $42,248.04 — 20.6×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 6 matching MRF lines		 $1,228.50–$1,842.75 $1,890–$2,835 varies
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines		 $10,636.40–$12,332.84 — varies
Rmvl of subq implantable defibrillator electrode (33272) $2,892.50 $4,450 0.8×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,827.50 $4,350 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,352.84 — 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,586 — 2.5×
Rmvl/revj sling stress incontinence (57287) $18,997.55 — 5.9×
Rplc Gtube No Revj Trc (43762) $361.53 — 1.5×
Rplc gtube revj gstrst trc (43763) $508.95 $783 2.0×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,244.10 $1,914 0.8×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $2,604.55 $4,007 0.8×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,244.10 $1,914 0.8×
Rplcmt compl tun ctr vad w/subq port (36582) $2,559.70 $3,938 0.8×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,979.93 — 0.9×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $29,132.72 — 4.8×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $17,495.19 — 4.9×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $33,629.21 — 5.2×
Rpr aa hernia recr 3-10 cm reducible (49615) $21,232.06 — 3.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $14,265.87 — 4.0×
Rpr aa hrn 1st 3-10 rdc (49593) $19,593.72 — 3.0×
Rpr aa hrn 1st < 3 ncr/strn (49592) $17,527.21 — 2.9×
Rpr flexor tendon leg secondary w/o graft each (27659) $30,174.32 — 4.2×
Rpr Lip Full Thickness Vermilion Only (40650) $25,154.54 — 46.8×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $37,092.17 — 5.1×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $19,675.04 — 6.0×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $19,086.05 — 5.9×
Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) $25,734.96 — 3.6×
Sclerotx Fluid Collection (49185) $1,149.20 $1,768 0.7×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $22,055.09 — 6.7×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $6,133.04 — 6.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $4,919.13 — 4.1×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $4,973.27 — 4.2×
Sigmoidoscopy flx tndsc balo dilat (45340) $7,231.61 — 6.1×
Sigmoidoscopy W/Ultrasound (45341) $3,368.92 — 3.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $3,137.52 — 3.4×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $3,677.56 — 3.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $219.05 $337 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $30,114.88 — 150.6×
Skin Full Grft Face/Genit/Hf (15240) $31,232.45 — 15.2×
Skin sub graft face/nk/hf/g (15275) $4,279.26 — 5.8×
Skin sub graft trnk/arm/leg (15271) $6,131.76 — 8.3×
Skin sub grft t/arm/lg child (15273) $2,349.75 $3,615 1.1×
Skin Tissue Procedure (17999) $286 $440 1.4×
Skn sub grft f/n/hf/g child (15277) $27,229.57 — 13.2×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 6 matching MRF lines		 $4,543.50–$6,815.25 $6,990–$10,485 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 6 matching MRF lines		 $3,934.45–$5,902.65 $6,053–$9,081 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 9 matching MRF lines		 $5,803.20–$8,705.45 $8,928–$13,393 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
range across 2 matching MRF lines		 $28,643.42–$51,340.48 — varies
Slitting of prepuce (54001) $12,731.13 — 6.1×
Small bowel endoscopy (44366) $4,923.90 — 2.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $362.05 $557 1.8×
Spinal puncture lumbar diagnostic (62270) $2,048.88 — 2.9×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,588.30 $3,982 1.3×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $14,902.64 — 4.7×
Strapping ankle (29540)
range across 3 matching MRF lines		 $117.65–$176.80 $181–$272 varies
Strapping Unna Boot (29580)
range across 6 matching MRF lines		 $171.60–$256.75 $264–$395 varies
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines		 $21,760.75–$24,374.07 — varies
Suction assisted lipectomy; head and neck (15876) $15,275.76 — 4.3×
Suction assisted lipectomy; trunk (15877) $46,569.61 — 13.2×
Surg Implnt Neuroelect,Epidural (63655) $56,012.62 — 2.9×
Surg nasopharyngoscopy dilat eustachian tube bi (69706)
range across 2 matching MRF lines		 $16,895.89–$20,521.95 — varies
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $19,774.16 — 3.4×
Surg tx anal fistula subq (46270) $10,237.69 — 3.7×
Surgery to stop leg growth (27477) $31,604.10 — 4.4×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $12,961 — 4.7×
Suture infrapatellar tendon primary (27380) $23,810.12 — 3.3×
Tangential biopsy skin single lesion (11102) $286.65 $441 0.7×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $25,201.80 $38,772 0.9×
Tcat Insj/Rpl Perm Ldls Pm (33274) $17,930.90 $27,586 0.9×
Tcat Rmvl Perm Ldls Pm (33275) $3,142.75 $4,835 1.0×
Tenodesis long tendon biceps (23430) $39,981.20 — 5.5×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $21,625.27 — 6.6×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,699.75 $2,615 1.1×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $17,224.35 — 5.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,265.55 $1,947 1.8×
Therapeutic plasma exchange (36514) $1,483.95 $2,283 1.0×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $30,176.30 — 2.4×
Thrmbc/Nfs Dialysis Circuit (36906) $16,497 $25,380 0.9×
Thromblytic art/ven therapy (37213) $2,600 $4,000 0.8×
Thrombolytic Art Therapy (37211)
range across 6 matching MRF lines		 $3,463.20–$5,194.80 $5,328–$7,992 varies
Thrombolytic Venous Therapy (37212)
range across 4 matching MRF lines		 $2,737.80–$4,106.70 $4,212–$6,318 varies
Thyroid biopsy (60100) $597.35 $919 0.8×
Thyroidectomy, total or complete (60240) $28,487.64 — 4.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $16,299.91 — 7.9×
Tissue Expander Placement Breast Reconstruction (19357)
range across 2 matching MRF lines		 $42,911.04–$54,334.59 — varies
Tlh uterus over 250 g (58572) $50,655.12 — 4.8×
Tnot elbow lateral/medial debride open tdn rpr (24359) $24,534.31 — 7.5×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $17,175.86 — 5.2×
Tooth extraction (41899)
range across 2 matching MRF lines		 $10,922.60–$23,306.27 — varies
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $33,144.29–$34,004.94 — varies
Tracheostomy planned (31600) $2,106.65 $3,241 0.6×
Transcatheter biopsy (37200)
unusually low: confirm this is the full procedure		 $2,627.30 $4,042 0.5×
Transection/Avulsion Facial Nrv Different/Cmpl (64742) $25,002.60 — 12.9×
Transur electr resection of prostate (52601) $25,169.86 — 4.7×
Transurethral incision of prostate (52450) $18,115.84 — 5.2×
Transurethral resection bladder neck (52500) $20,353.56 — 5.8×
Treat elbow fracture (24586) $36,781.79 — 2.9×
Treat Metatarsal Fracture (28475) $236.60 $364 1.0×
Trim skin lesion (11055) $142.35 $219 0.7×
Trim skin lesions 2 to 4 (11056) $161.85 $249 0.8×
Trim skin lesions over 4 (11057) $183.95 $283 0.9×
Trimming Nondystrophic Nails Any Number (11719) $115.70 $178 2.0×
Trluml Balo Angiop 1St Art (37246)
range across 8 matching MRF lines		 $6,600.10–$9,900.15 $10,154–$15,231 varies
Trluml Balo Angiop 1St Vein (37248)
range across 8 matching MRF lines		 $6,309.55–$9,464.65 $9,707–$14,561 varies
Trurl rescj postop bladder neck contracture (52640) $19,919.74 — 5.7×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $11,938.74 — 4.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $12,087.40 — 3.7×
Tx Missed Abortion First Trimester Surgical (59820) $13,348.17 — 4.1×
Tx Missed Abortion Second Trimester Surgical (59821) $14,816.26 — 4.6×
Tx open tendon flexor toe 1 tendon spx (28232) $13,810.78 — 8.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $11,994.19 — 16.3×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 2 matching MRF lines		 $14,580.47–$15,891.82 — varies
Tympanoplasty (69631) $13,010.76 — 2.2×
Tympanostomy general anesthesia (69436)
range across 3 matching MRF lines		 $13,364.88–$14,713.80 — varies
Unlisted Cardiac Surgery (33999)
range across 3 matching MRF lines		 $625.30–$10,801.70 $962–$16,618 varies
Unlisted laparoscopic procedure liver (47379) $23,202.45 — 3.9×
Unlisted laparoscopy procedure appendix (44979) $37,334.63 — 6.2×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $33,383.55 — 5.5×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $33,683.18 — 5.6×
Unlisted laparoscopy procedure, spermatic cord (55559)
range across 2 matching MRF lines		 $33,683.18–$35,880.30 — varies
Unlisted laparoscopy procedure, uterus (58578) $34,989.75 — 5.8×
Unlisted procedure anus (46999) $13,478.11 — 14.5×
Unlisted procedure arthroscopy (29999) $20,507.66 — 83.4×
Unlisted procedure femur or knee (27599) $7,177.92 — 29.2×
Unlisted procedure lungs and pleura (32999)
range across 3 matching MRF lines		 $890.50–$1,035.45 $1,370–$1,593 varies
Unlisted Procedure Male Genital System (55899) $21,726.46 — 87.3×
Unlisted procedure nervous system (64999)
range across 6 matching MRF lines		 $274.95–$1,140.75 $423–$1,755 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $220.35 $339 0.9×
Unlisted procedure spine (22899) $6,108.05 $9,397 24.9×
Unlisted procedure stomach (43999) $682.50 $1,050 0.8×
Unlisted Procedure Vascular Surgery (37799) $44,151.05 — 70.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $612.30 $942 0.7×
Unlisted Procedure, Urinary System (53899) $35,274.64 — 141.7×
Unlisted px female genital system nonobstetrical (58999) $772.85 $1,189 3.8×
Upgrade of pacemaker system (33214) $9,983.35 $15,359 1.0×
Urethrlys Transvag W/ Scope (53500) $20,193.06 — 5.7×
Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) $31,232.45 — 5.8×
Uvulectomy excision of uvula (42140) $13,384.68 — 4.1×
Vag hyst w/t/o & vag repair (58263) $35,228.78 — 7.1×
Vaginal hysterectomy, for uterus 250 g or less; (58260) $32,619.76 — 6.5×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $36,330.59 — 7.3×
Vaginectomy, partial removal of vaginal wall; (57106) $27,264.90 — 8.5×
Vasc embolize/occlude artery (37242) $10,671.05 $16,417 0.6×
Vasc Embolize/Occlude Bleed (37244) $10,477.35 $16,119 0.9×
Vasc Embolize/Occlude Organ (37243) $11,106.55 $17,087 1.0×
Vasc embolize/occlude venous (37241) $10,562.50 $16,250 0.9×
Venous Mech Thrombectomy (37187)
range across 8 matching MRF lines		 $5,131.75–$7,697.30 $7,895–$11,842 varies
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines		 $15,734.52–$16,598.14 — varies
Vulvectomy simple partial (56620) $16,991.36 — 5.3×
Wedge excision skin nail fold (11765) $317.85 $489 0.8×
Wound Prep F/N/Hf/G (15004) $24,044.42 — 59.4×
Wound Prep Trk/Arm/Leg (15002) $31,664.89 — 43.0×
Xfer Single Deep Low Leg Tendon (27691) $37,894.78 — 5.2×

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.