Procedures & surgery prices at UConn John Dempsey Hospital

Farmington, CT · every code in this section with a posted price and a Medicare benchmark.

1087 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,500.60 $2,501 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,506 $2,510 1.4×
Ablate Pulm Tumor Perq Crybl (32994) $24,544.20 $40,907 1.9×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $10,875 $18,125 0.5×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $16,756.20 $27,927 1.9×
Acne surgery (10040) $289.20 $482 1.2×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $2,044.20 $3,407 0.8×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,927.80 $3,213 0.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,195 $5,325 0.8×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $2,257.20 $3,762 0.9×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,968.20 $4,947 1.2×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,253.60 $3,756 0.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,257.20 $3,762 0.9×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,253.60 $3,756 0.9×
Amniocentesis diagnostic (59000) $1,325.40 $2,209 1.2×
Amniocentesis therapeutic (59001) $1,682.40 $2,804 4.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,648.40 $4,414 0.7×
Amputation foot transmetarsal (28805) $4,582.20 $7,637 1.2×
Amputation metatarsal with toe single (28810) $4,582.20 $7,637 1.2×
Amputation toe interphalangeal joint (28825) $4,582.20 $7,637 1.2×
Amputation toe metatarsophalangeal joint (28820) $4,582.20 $7,637 1.2×
Anal/Urinary Muscle Study (51784) $517.20 $862 3.4×
Anoscopy diagnostic (46600) $192 $320 1.2×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $1,725 $2,875 1.2×
Anoscopy W/Rmvl Foreign Body (46608) $1,818 $3,030 1.6×
Anoscopy; with biopsy, single or multiple (46606) $3,858 $6,430 2.7×
Appl cranial tong/strtctc frame w/removal spx (20660) $2,202.60 $3,671 1.1×
Application cast elbow finger short arm (29075) $324 $540 1.0×
Application Cast Finger (29086) $234.60 $391 1.2×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $103.20–$106.20 $172–$177 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $142.20–$192 $237–$320 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $175.20–$234 $292–$390 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $400.20 $667 1.2×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $187.80–$253.80 $313–$423 varies
Application of cylinder cast (thigh to ankle) (29365) $324 $540 1.0×
Application of long leg cast (29345) $324 $540 1.0×
Application of rigid total contact leg cast (29445) $673.80 $1,123 2.0×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $219.60–$366 $366–$610 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $222–$398.40 $370–$664 varies
Apply hand/wrist cast (29085) $234.60 $391 1.2×
Apply long arm cast (29065) $324 $540 1.0×
Apply Multlay Comprs Lwr Leg (29581) $398.40 $664 2.0×
Apply Short Leg Cast (29405) $501.60 $836 1.5×
Apply short leg cast (29425) $517.20 $862 1.5×
Arterial puncture (36600) $192 $320 1.2×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $11,197.20 $18,662 0.7×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $11,197.20 $18,662 0.7×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $11,197.20 $18,662 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $364.80–$745.20 $608–$1,242 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $927.60–$1,168.20 $1,546–$1,947 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $396–$2,568 $660–$4,280 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $546 $910 1.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $333–$745.20 $555–$1,242 varies
Arthrodesis ankle open (27870) $18,025.80 $30,043 1.2×
Arthrodesis great toe interphalangeal joint (28755) $4,582.20 $7,637 0.5×
Arthrodesis great toe metatarsophalangeal joint (28750) $11,197.20 $18,662 1.3×
Arthrodesis subtalar (28725) $11,197.20 $18,662 0.7×
Arthrotomy W/Meniscus Repair Knee (27403) $5,317.20 $8,862 0.6×
Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) $5,317.20 $8,862 1.4×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $4,582.20 $7,637 2.4×
Aspirate pleura w/ imaging (32555) $1,345.20 $2,242 1.8×
Aspirate Pleura W/O Imaging (32554) $1,264.80 $2,108 1.7×
Aspirate/Inj Ganglion Cyst (20612) $529.80 $883 1.4×
Aspiration and/or injection thyroid cyst (60300) $996 $1,660 1.2×
Aspiration bladder insert suprapubic catheter (51102) $4,702.80 $7,838 1.9×
Aspiration Bladder Needle (51100) $438 $730 1.5×
Aspiration bladder trocar/intracatheter (51101) $993.60 $1,656 1.0×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $257.40–$504 $429–$840 varies
Biopsy Abdominal Mass (49180) $2,376 $3,960 1.2×
Biopsy bone trocar/needle deep (20225) $4,060.80 $6,768 2.1×
Biopsy Bone Trocar/Needle Superficial (20220) $4,060.80 $6,768 2.1×
Biopsy external ear (69100) $446.40 $744 1.6×
Biopsy muscle percutaneous needle (20206) $2,883 $4,805 1.5×
Biopsy nail unit (11755) $1,018.80 $1,698 1.2×
Biopsy of lip (40490) $427.20 $712 1.5×
Biopsy of liver, needle; percutaneous (47000) $2,376 $3,960 1.2×
Biopsy of penis (54100) $2,732.40 $4,554 1.4×
Biopsy of urethra (53200) $4,486.80 $7,478 1.8×
Biopsy Pleura Percutaneous Needle (32400) $2,340 $3,900 1.2×
Biopsy Salivary Gland Needle (42400) $1,897.20 $3,162 2.2×
Biopsy soft tissue thigh/knee area superficial (27323) $2,449.80 $4,083 1.2×
Biopsy Testis Incisional Separate Procedure (54505) $2,775.60 $4,626 0.7×
Biopsy Tongue Anterior Two-Thirds (41100) $922.20 $1,537 1.4×
Biopsy Vaginal Mucosa Extensive (57105) $5,788.20 $9,647 1.5×
Biopsy Vaginal Mucosa Simple (57100) $1,325.40 $2,209 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,325.40 $2,209 1.2×
Biopsy, vestibule of mouth (40808) $424.80 $708 0.7×
Bladder instillation anticarcinogenic agent (51720) $3,210 $5,350 3.8×
Bladder Irrigation (51700) $438 $730 1.5×
Bladder Scan (51798)
range across 2 matching MRF lines		 $117–$124.20 $195–$207 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $3,345 $5,575 1.8×
Blepharotomy drainage abscess eyelid (67700) $597.60 $996 1.6×
Blood Transfusion Service (36430) $867 $1,445 1.6×
Blood/Lymph System Procedure (38999) $817.20 $1,362 1.5×
Bone Marrow Biopsy (38221) $2,376 $3,960 1.2×
Bone Marrow; Aspiration Only (38220) $2,376 $3,960 1.2×
Brnchsc Brushing/Protected Brushings (31623) $3,432 $5,720 1.6×
Bronchoscopy W/Removal Foreign Body (31635) $2,185.20 $3,642 1.0×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $3,637.80 $6,063 0.8×
Bronchoscopy/Needle Bx Each (31629) $3,432 $5,720 0.8×
Bx breast 1st lesion mr imag (19085) $3,454.20 $5,757 1.7×
Bx breast 1st lesion strtctc (19081) $2,992.20 $4,987 1.5×
Bx breast 1st lesion us imag (19083) $3,624.60 $6,041 1.8×
Bx breast needle core w/o imaging guidance spx (19100) $2,376 $3,960 1.2×
Bx Cervix (57500) $1,325.40 $2,209 1.2×
Bx/exc lymph node open superficial (38500) $5,774.40 $9,624 1.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $4,582.20 $7,637 1.2×
Car-t admn autologous (38228) $764.40 $1,274 1.9×
Carpal Tunnel Surgery (64721) $5,136 $8,560 2.2×
Cautery Cervix Electro/Thermal (57510) $4,530.60 $7,551 1.2×
Cerclage cervix pregnancy vaginal (59320) $5,355.60 $8,926 1.4×
Cerclage Uterine Cervix Nonobstetrical (57700) $4,785 $7,975 1.2×
Cessj Therapy Cath Removal (37214) $5,400 $9,000 1.4×
Change Cystostomy Tube Complicated (51710) $1,263 $2,105 1.5×
Change Cystostomy Tube Simple (51705) $465.60 $776 1.6×
Change of Windpipe Airway (31502) $375.60 $626 1.3×
Change ureter stent percut (50382) $4,661.40 $7,769 1.9×
Chemical Cautery Tissue (17250) $504 $840 2.1×
Chemical exfoliation for acne (17360) $199.80 $333 0.8×
Chemical peel face dermal (15789) $397.20 $662 0.4×
Chemical peel nonfacial dermal (15793) $253.80 $423 0.5×
Chemical peel nonfacial epidermal (15792) $330 $550 0.4×
Chemical peel, facial; epidermal (15788) $208.20 $347 0.4×
Chemodenerv 1 extrem 5/> mus (64644) $1,015.80 $1,693 1.2×
Chemodenerv 1 extremity 1-4 (64642) $1,015.80 $1,693 1.2×
Chemodenerv Eccrine Glands (64650) $441.60 $736 1.2×
Chemodenerv Musc Migraine (64615) $700.20 $1,167 1.9×
Chemodenerv musc neck dyston (64616) $700.20 $1,167 1.9×
Chemodenerv trunk musc 1-5 (64646) $1,015.80 $1,693 1.2×
Chemodenerv trunk musc 6/> (64647) $876 $1,460 1.0×
Chemodenervation eccrine glands oth area per day (64653) $441.60 $736 1.2×
Chest tube placement (32551) $2,265 $3,775 1.2×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $3,458.40 $5,764 1.4×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $6,343.20 $10,572 1.5×
Chorionic Villus Sampling (59015) $301.80 $503 0.3×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $3,717–$3,717.60 $6,195–$6,196 varies
Cl Tx Scapular Fx; W Manip (23575) $2,202.60 $3,671 1.1×
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines		 $1,447.20–$2,164.20 $2,412–$3,607 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $98.40–$192 $164–$320 varies
Closed rx talotarsal disloc,anesth (28575) $4,410.60 $7,351 1.1×
Closed Treat Vert Body Fract (22310) $384 $640 1.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines		 $232.20–$382.80 $387–$638 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,544.40 $2,574 0.8×
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines		 $324.60–$406.20 $541–$677 varies
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $362.40 $604 1.2×
Closed Treatment Sesamoid Fracture (28530) $362.40 $604 1.2×
Closed Treatment Sternum Fracture (21820) $240 $400 0.8×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $232.20–$406.20 $387–$677 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines		 $232.20–$462.60 $387–$771 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines		 $1,042.80–$2,313.60 $1,738–$3,856 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $232.20–$406.20 $387–$677 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $362.40 $604 1.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $409.80 $683 1.4×
Closed tx carpal scaphoid fracture w/manj (25624) $1,047 $1,745 0.5×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $406.20 $677 1.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $362.40 $604 1.2×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,202.60 $3,671 1.1×
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines		 $232.20–$462.60 $387–$771 varies
Closed tx mandibular fracture w/manipulation (21451) $1,879.20 $3,132 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $612 $1,020 0.9×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $8,302.20 $13,837 1.2×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $243.60–$355.20 $406–$592 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,917.20 $4,862 1.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,198.80 $1,998 0.6×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,933 $6,555 1.0×
Closed Tx Nasomaxillary Complex Fracture (21345) $1,879.20 $3,132 1.0×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $5,764.20 $9,607 1.5×
Closed tx patellar dislocation w/anesthesia (27562) $362.40 $604 1.2×
Closed tx patellar dislocation w/o anesthesia (27560) $355.20 $592 1.2×
Closed Tx Patellar Fracture W/O Manipulation (27520) $406.20 $677 1.4×
Closed tx radial head/neck fx w/manipulation (24655) $1,043.40 $1,739 0.5×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $352.20–$382.80 $587–$638 varies
Closed tx radial shaft fracture w/manipulation (25505) $2,313.60 $3,856 1.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $254.40 $424 0.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,042.80–$1,544.40 $1,738–$2,574 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $232.20–$240 $387–$400 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $254.40 $424 0.9×
Closed tx septal&nose fx (21337) $3,933 $6,555 1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $362.40 $604 1.2×
Closed tx talotarsal joint dislc w/o anes (28570) $385.20 $642 1.3×
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines		 $1,042.80–$1,043.40 $1,738–$1,739 varies
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines		 $243.60–$256.80 $406–$428 varies
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $362.40 $604 1.2×
Closed tx tarsometatarsal dislocation w/o anes (28600) $355.20 $592 1.2×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $4,332 $7,220 2.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $355.20 $592 1.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,043.40 $1,739 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $254.40 $424 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $232.20–$240 $387–$400 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $609.60 $1,016 2.1×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,290.60 $2,151 2.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $406.20 $677 1.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $362.40 $604 1.2×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,202.60 $3,671 1.1×
Clsd tx clavicular fracture w/o manipulation (23500) $254.40 $424 0.9×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,198.80 $1,998 1.9×
Clsd Tx Pelvic Ring Fx (27198) $362.40 $604 1.2×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $362.40 $604 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,693.40 $4,489 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $271.80–$494.40 $453–$824 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $2,917.20 $4,862 1.5×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $362.40 $604 1.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,202.60 $3,671 1.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,313.60 $3,856 1.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $508.80 $848 1.7×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,043.40 $1,739 0.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $462.60 $771 1.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines		 $232.20–$254.40 $387–$424 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $2,313.60 $3,856 1.2×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $362.40 $604 1.2×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $2,202.60 $3,671 1.1×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines		 $324.60–$408.60 $541–$681 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $232.80–$462.60 $388–$771 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines		 $324.60–$406.20 $541–$677 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 3 matching MRF lines		 $232.20–$462.60 $387–$771 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $433.80 $723 1.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,313.60 $3,856 1.2×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,043.40 $1,739 0.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $406.20 $677 1.4×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $478.20 $797 0.2×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $362.40 $604 1.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,917.20 $4,862 1.5×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines		 $341.40–$415.80 $569–$693 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $243.60–$256.80 $406–$428 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $327–$343.20 $545–$572 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $243.60–$256.80 $406–$428 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,917.20 $4,862 1.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $406.20 $677 1.4×
Cltx greater humeral tuberosity fx w/o manj (23620) $254.40 $424 0.9×
Cltx Greater Trochanteric Fx W/O Manj (27246) $362.40 $604 1.2×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,917.20 $4,862 1.5×
Cltx hip dislocation traumatic req anesthesia (27252) $2,202.60 $3,671 1.1×
Cltx hip dislocation traumatic w/o anesthesia (27250) $462.60 $771 1.6×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $406.20 $677 1.4×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,043.40 $1,739 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,043.40 $1,739 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $362.40 $604 1.2×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,202.60 $3,671 1.1×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $580.80 $968 1.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines		 $232.80–$576 $388–$960 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $400.20 $667 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $233.40–$355.20 $389–$592 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines		 $1,447.20–$2,917.20 $2,412–$4,862 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $232.20–$385.20 $387–$642 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $324.60–$408.60 $541–$681 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines		 $260.40–$355.20 $434–$592 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,043.40 $1,739 0.5×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,202.60 $3,671 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $341.40–$427.20 $569–$712 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 3 matching MRF lines		 $252–$355.20 $420–$592 varies
Cltx post hip arthrp dislc req anes (27266) $2,690.40 $4,484 1.4×
Cltx post hip arthrp dislc w/o anes (27265) $308.40 $514 1.0×
Cltx prox fibula/shft fx w/manj (27781)
range across 3 matching MRF lines		 $1,447.20–$2,313.60 $2,412–$3,856 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $232.20–$406.20 $387–$677 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,918.40 $4,864 1.5×
Cltx prox tibfib jt dislc req anes (27831) $4,410.60 $7,351 1.1×
Cltx prox tibfib jt dislc w/o anes (27830) $362.40 $604 1.2×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 3 matching MRF lines		 $219.60–$362.40 $366–$604 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $232.20–$427.20 $387–$712 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,202.60 $3,671 1.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,544.40 $2,574 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,313.60 $3,856 1.2×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $462.60 $771 1.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,043.40 $1,739 0.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $362.40 $604 1.2×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $4,410.60 $7,351 1.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $254.40 $424 0.9×
Cltx tibial fx proximal w/o manipulation (27530) $406.20 $677 1.4×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines		 $232.20–$406.20 $387–$677 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $362.40 $604 1.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,544.40 $2,574 0.8×
Cltx trimalleolar ankle fx w/o manipulation (27816) $406.20 $677 1.4×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $2,202.60 $3,671 0.6×
Collect Blood From Catheter Venous Nos (36592) $282.60 $471 1.8×
Collection of venous blood by venipuncture (36415) $7.80 $13 0.8×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $5,355.60 $8,926 1.4×
Colporrhaphy (57200) $4,785 $7,975 1.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $729 $1,215 2.0×
Colposcopy Cervix Endocervical Curettage (57456) $677.40 $1,129 1.9×
Colposcopy cervix upper/adjacent vagina (57452) $430.20 $717 1.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $677.40 $1,129 1.9×
Colposcopy cervix vag eltrd conization cervix (57461) $4,307.40 $7,179 1.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,421.80 $5,703 0.9×
Colposcopy entire vagina w/cervix if present (57420) $677.40 $1,129 1.9×
Colposcopy of vulva (56820) $291 $485 1.2×
Colposcopy Vulva W/Biopsy (56821) $438.60 $731 1.2×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $841.20 $1,402 0.8×
Complex Cystometrogram (51726) $1,075.80 $1,793 3.6×
Complex drainage wound (10180) $7,113.60 $11,856 2.0×
Composite Skin Graft (15760) $2,487.60 $4,146 1.0×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $166.20–$220.20 $277–$367 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $160.80–$220.20 $268–$367 varies
Conversion ext bil drg cath (47535) $6,396 $10,660 1.5×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,760.60 $4,601 1.2×
Convert Nephrostomy Catheter (50434) $4,311.60 $7,186 1.7×
Cordocentesis (59012)
range across 2 matching MRF lines		 $636.60–$764.40 $1,061–$1,274 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,114 $5,190 1.6×
Correction hammertoe (28285) $2,267.40 $3,779 0.6×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,315 $5,525 0.8×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,517.80 $5,863 0.9×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $89.40 $149 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $220.20 $367 1.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $340.80 $568 1.2×
Curettage postpartum (59160) $4,657.20 $7,762 1.2×
Cysto Bladder W/Ureteral Catheterization (52005) $3,432 $5,720 1.4×
Cysto calibration dilat urtl strix/stenosis (52281) $2,806.20 $4,677 1.1×
Cysto w/complex removal stone & stent (52315) $880.20 $1,467 0.4×
Cystometrogram W/Up (51727) $1,072.20 $1,787 1.3×
Cystometrogram W/Vp (51728) $1,072.20 $1,787 1.3×
Cystometrogram W/Vp&Up (51729) $2,067.60 $3,446 2.5×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $1,518.60 $2,531 0.6×
Cystourethroscopy (52000) $1,399.80 $2,333 1.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $396.60–$397.20 $661–$662 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,576.20 $2,627 1.8×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $106.80–$157.80 $178–$263 varies
Debride nail 6 or more (11721) $157.80 $263 2.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,060.80 $6,768 2.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,002 $1,670 2.1×
Declot vascular device (36593) $681 $1,135 1.7×
Decompression of tibia nerve (28035) $3,878.40 $6,464 1.7×
Deep Muscle Biopsy (20205) $2,350.20 $3,917 0.7×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $2,487.60 $4,146 1.0×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $2,487.60 $4,146 1.0×
Delivery of placenta (59414) $5,644.20 $9,407 1.5×
Dermabrasion regional other than face (15782) $1,094.40 $1,824 0.3×
Dermabrasion segmental face (15781) $864 $1,440 1.0×
Dermabrasion superficial any site (15783) $370.80 $618 0.8×
Dermabrasion total face (15780) $2,668.80 $4,448 0.8×
Destr penis lesion(s) (54065) $2,968.20 $4,947 1.2×
Destr W Neurolytic; Celiac Plexus (64680) $1,948.20 $3,247 1.8×
Destroy cerv/thor facet jnt (64633) $3,850.80 $6,418 1.6×
Destroy lumb/sac facet jnt (64635) $3,496.20 $5,827 1.5×
Destruct B9 Lesion 1-14 (17110) $289.20 $482 1.2×
Destruction Benign Lesions 15/> (17111) $289.20 $482 1.2×
Destruction by neurolytic agent, intercostal nerve (64620) $1,951.20 $3,252 1.8×
Destruction Lesions Vulva Extensive (56515) $2,535.60 $4,226 1.0×
Destruction Lesions Vulva Simple (56501) $2,937.60 $4,896 1.2×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $385.20 $642 1.6×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $366 $610 1.5×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $392.40 $654 0.8×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $531.60 $886 0.6×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $531.60 $886 0.6×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $289.20 $482 1.2×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $289.20 $482 1.2×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $332.40 $554 1.4×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $585 $975 1.2×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $355.80 $593 0.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $289.20 $482 1.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $256.80 $428 1.1×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $256.80 $428 1.1×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $289.20 $482 1.2×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $585 $975 1.2×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $369.60 $616 0.8×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $289.20 $482 1.2×
Destruction neurolytic agt genicular nerve w/img (64624) $2,809.20 $4,682 1.2×
Destruction of skin lesions (17106) $585 $975 1.2×
Destruction Premalignant Lesion 15/> (17004) $672.60 $1,121 1.4×
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines		 $211.80–$289.20 $353–$482 varies
Destruction Vaginal Lesions Simple (57061) $3,974.40 $6,624 1.0×
Diagnostic anoscopy (46601) $327.60 $546 0.6×
Diaphragm or cervical cap fitting with instructions (57170) $139.20 $232 0.6×
Dilat Xst Trc New Access Rcs (50437) $6,231 $10,385 1.5×
Dilate Esophagus 1/Mult Pass (43450) $1,265.40 $2,109 1.2×
Dilate Urethra Stricture (53600) $448.20 $747 1.5×
Dilation & curettage dx&/ther nonobstetric (58120) $5,355.60 $8,926 1.4×
Dilation And Curettage Of Cervical Stump (57558) $3,452.40 $5,754 0.9×
Dilation Cervical Canal (57800) $4,657.20 $7,762 1.2×
Drain Cerebro Spinal Fluid (62272) $892.80 $1,488 1.1×
Drain Spinal Cord Cyst (62268) $2,195.40 $3,659 2.1×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $544.20–$546 $907–$910 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $801.60 $1,336 1.2×
Drainage external auditory canal abscess (69020) $1,707.60 $2,846 2.0×
Drainage external ear abscess/hematoma cmplx (69005) $2,083.80 $3,473 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $456–$681 $760–$1,135 varies
Drainage Finger Abscess Complicated (26011) $2,376 $3,960 1.2×
Drainage Mouth Roof Lesion (42000) $609.60 $1,016 2.1×
Drainage of finger abscess simple (26010) $414.60 $691 1.7×
Drainage of gum lesion (41800) $375.60 $626 2.4×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,482–$4,060.80 $2,470–$6,768 varies
Drainage of hydrocele (55000) $1,488 $2,480 1.8×
Drainage of nose lesion (30000) $340.80 $568 1.2×
Drainage of rectal abscess (45005) $1,591.20 $2,652 1.1×
Drainage of scrotal wall abscess (55100) $2,083.80 $3,473 1.1×
Drainage of scrotum (54700) $3,290.40 $5,484 1.3×
Draw Blood Off Venous Device (36591) $166.20 $277 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,270.20 $2,117 2.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $444 $740 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,000.80 $1,668 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $504 $840 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $208.20–$504 $347–$840 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $531.60 $886 0.6×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,701 $2,835 0.7×
Dstrj les/scar vestibule mouth physical meths (40820) $2,037.60 $3,396 0.5×
Dstrj Lesion Anus Extensive (46924) $2,548.80 $4,248 0.8×
Dstrj Lesion Anus Simple Chemical (46900) $390 $650 0.8×
Dstrj lesion anus simple cryosurgery (46916) $332.40 $554 1.4×
Dstrj lesion anus simple surg excision (46922) $2,548.80 $4,248 0.8×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $2,548.80 $4,248 1.0×
Dstrj Lesion Penis Simple Chemical (54050) $267.60 $446 0.5×
Dstrj Lesion Penis Simple Cryosurgery (54056) $289.20 $482 1.2×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $4,507.20 $7,512 1.8×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $382.20 $637 0.8×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $3,669.60 $6,116 1.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,146 $1,910 1.1×
Dx Bone Marrow Bx & Aspir (38222) $4,179 $6,965 1.2×
Dx Bronchoscope/Lavage (31624) $3,432 $5,720 1.6×
Dx Bronchoscope/Wash (31622) $3,462.60 $5,771 1.6×
Dx lmbr spi pnxr w/fluor/CT (62328) $4,815 $8,025 5.7×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,955.40 $3,259 0.9×
Egd control bleeding any (43255) $2,123.40 $3,539 0.9×
Egd Flexible Foreign Body Removal (43247) $1,423.20 $2,372 1.3×
Egd lesion ablation (43270) $2,198.40 $3,664 1.0×
Egd Varices Ligation (43244) $1,955.40 $3,259 0.9×
Electro-Uroflowmetry First (51741) $517.20 $862 2.0×
Endocervical curettage (57505) $1,524 $2,540 1.4×
Endometrial Biopsy (58100) $334.80 $558 1.4×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $5,059.80 $8,433 1.3×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $9,145.80 $15,243 2.4×
Endoven ther chem adhes 1st (36482) $9,401.40 $15,669 1.4×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $4,565.40 $7,609 1.8×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $4,565.40 $7,609 1.8×
Epidural Blood Patch (62273) $1,358.40 $2,264 1.6×
Epidural lysis mult sessions (62263) $1,663.20 $2,772 1.6×
Ercp Dx Collection Specimen Brushing/Washing (43260) $5,063.40 $8,439 1.1×
Escharotomy; initial incision (16035) $579 $965 1.2×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $97.20–$321 $162–$535 varies
Exc arm/elbow les sc < 3 cm (24075) $3,871.80 $6,453 2.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,018.80 $1,698 1.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $2,732.40 $4,554 1.4×
Exc Back Les Sc < 3 Cm (21930) $3,807.60 $6,346 1.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $907.20 $1,512 1.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,130.40 $1,884 1.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $2,732.40 $4,554 1.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $681 $1,135 0.8×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,018.80 $1,698 1.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,249.20 $2,082 1.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,450.20 $2,417 0.7×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,083.80 $3,473 1.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,094.40 $1,824 0.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,271.40 $2,119 1.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,376 $3,960 1.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $2,388 $3,980 2.0×
Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) $3,129.60 $5,216 0.8×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $4,582.20 $7,637 2.4×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $4,582.20 $7,637 2.4×
Exc neuroma hand/foot xcp digital nerve (64782) $3,878.40 $6,464 1.7×
Exc neuroma major peripheral nrv xcp sciatic (64784) $3,878.40 $6,464 1.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,358.40 $2,264 1.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,123.60 $5,206 1.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,772.20 $6,287 1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,273.60 $5,456 1.7×
Exc Skin Benig >4cm Face,Facial (11446) $2,806.20 $4,677 0.8×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $2,113.20 $3,522 1.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,810.40 $4,684 0.8×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,732.40 $4,554 1.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines		 $3,307.80–$3,309.60 $5,513–$5,516 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $672.60 $1,121 1.4×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,018.80 $1,698 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,732.40 $4,554 1.4×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,013.60 $3,356 0.6×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $3,665.40 $6,109 1.1×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,013.60 $3,356 1.0×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $2,083.80 $3,473 1.1×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $4,822.80 $8,038 1.4×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $4,582.20 $7,637 1.2×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $4,582.20 $7,637 2.4×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $5,923.80 $9,873 1.4×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $5,065.80 $8,443 2.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $2,760.60 $4,601 1.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,018.80 $1,698 1.2×
Excision H/P/P/U Complex Repair (11471) $7,107 $11,845 2.0×
Excision H/P/P/U Simple/Intermediate Repair (11470) $7,107 $11,845 2.0×
Excision Hidradenitis Axillary Complex Repair (11451) $7,107 $11,845 2.0×
Excision Hidradenitis Inguinal Complex Repair (11463) $7,107 $11,845 2.0×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $7,110.60 $11,851 2.0×
Excision Lingual Frenum Frenectomy (41115) $1,941 $3,235 1.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $907.20 $1,512 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $637.20 $1,062 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $585 $975 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,171.80 $1,953 1.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $951.60 $1,586 1.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $2,376 $3,960 1.2×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,872.20 $4,787 0.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,511.40 $2,519 0.8×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $971.40 $1,619 1.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,171.80 $1,953 1.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,240.40 $3,734 1.1×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $4,582.20 $7,637 1.2×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $4,843.80 $8,073 1.4×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $3,665.40 $6,109 1.9×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,668.80 $4,448 1.3×
Excision, interdigital (morton) neuroma, single, each (28080) $4,582.20 $7,637 2.4×
Excision/surgical planing skin nose rhinophyma (30120) $2,865 $4,775 0.7×
Explo/Drain Breast Abscess (19020) $3,837 $6,395 1.9×
Exploration penetrating wound spx extremity (20103) $1,515.60 $2,526 0.8×
External cephalic version (59412) $5,355.60 $8,926 1.4×
Fasciectomy Plantar Fascia Partial Spx (28060) $4,582.20 $7,637 1.2×
Fasciotomy Plantar Fascia Radical Spx (28062) $4,582.20 $7,637 1.2×
Fasciotomy, foot and/or toe (28008) $4,582.20 $7,637 1.2×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $635.40 $1,059 1.7×
Fetal non-stress test (59025) $291 $485 1.2×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $4,517.40 $7,529 1.8×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,234.20 $2,057 1.5×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,234.20 $2,057 1.5×
Fine needle aspiration without imaging guidance (10021) $585 $975 1.2×
Fluoro exam of g/colon tube (49465) $430.20 $717 1.5×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,234.20 $2,057 1.5×
Fna bx w/us gdn 1st les (10005) $2,400 $4,000 2.8×
Forehead flap w/vasc pedicle (15731) $3,043.80 $5,073 0.7×
Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) $2,487.60 $4,146 1.0×
Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) $2,487.60 $4,146 1.0×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,315.40 $3,859 0.9×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,044.20 $3,407 0.8×
Fusion of foot bones (28740) $11,197.20 $18,662 1.3×
Graft Ear Crtlg Autogenous Nose/Ear (21235)
unusually low: confirm this is the full procedure		 $3,517.80 $5,863 0.5×
Guide Cathet Fluid Drainage (10030) $2,417.40 $4,029 2.8×
Hair xplant punch grft 1-15 (15775) $270.60 $451 0.6×
Hair xplant punch grft >15 (15776) $270.60 $451 0.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,171.80 $1,953 1.1×
I&d abscess peritonsillar (42700) $610.20 $1,017 2.1×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $290.40–$504 $484–$840 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $4,657.80 $7,763 2.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,273.60 $5,456 0.9×
I&D Deep Absc/Hematoma Neck/Chest (21501) $4,179 $6,965 1.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,982 $4,970 0.8×
I&d forearm/wrist bursa (25031) $2,982 $4,970 1.5×
I&D Mouth/Tong Intra,Masticator (41009) $801.60 $1,336 1.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $2,982 $4,970 0.8×
I&d perianal abscess superficial (46050) $1,338 $2,230 1.2×
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $1,321.80–$2,051.40 $2,203–$3,419 varies
I&d pilonidal cyst simple (10080)
range across 3 matching MRF lines		 $525–$1,765.80 $875–$2,943 varies
I&d shoulder deep abscess/hematoma (23030) $3,888.60 $6,481 1.1×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,339.60 $5,566 1.0×
I&d vaginal hematoma obstetrical/postpartum (57022) $2,790 $4,650 0.8×
Icd Pocket Revision (33223) $4,084.80 $6,808 1.7×
Image Cath Fluid Colxn Visc (49405) $3,123.60 $5,206 1.6×
Image Cath Fluid Peri/Retro (49406) $2,786.40 $4,644 1.4×
Incise external hemorrhoid (46083) $494.40 $824 1.7×
Incise/Drain Conjunctiva (68020) $1,401 $2,335 1.2×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $359.40–$1,002 $599–$1,670 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $3,981.60 $6,636 1.1×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $2,013–$2,376 $3,355–$3,960 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $415.80–$1,002 $693–$1,670 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $298.80–$334.80 $498–$558 varies
Incision and drainage of vulva or perineal abscess (56405) $504.60 $841 1.4×
Incision bone cortex foot (28005) $4,582.20 $7,637 1.2×
Incision of Foot Tendon (28234) $4,582.20 $7,637 2.4×
Incision of rectal abscess (46040) $4,504.20 $7,507 3.1×
Incision&drainage bursa foot (28001) $4,060.20 $6,767 2.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $3,640.80 $6,068 1.8×
Incisional biopsy eyelid skin & lid margin (67810) $525.60 $876 1.4×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $406.20–$1,576.20 $677–$2,627 varies
Induced abortion dilation and curettage (59840) $3,887.40 $6,479 1.0×
Induced abortion, by dilation and evacuation (59841) $7,267.80 $12,113 1.9×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $138.60–$504 $231–$840 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,648.80–$1,650 $2,748–$2,750 varies
Inj W/Fluor Eval Cv Device (36598) $754.80 $1,258 3.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,601.40–$1,749.60 $2,669–$2,916 varies
Inject Intravitreal Pharmcologic (67028) $751.20 $1,252 1.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $645.60 $1,076 1.8×
Injection aa&/strd axillary nerve w/img gdn (64417) $2,095.80 $3,493 2.0×
Injection aa&/strd genicular nrv branches w/img (64454) $1,402.80 $2,338 1.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,663.20 $2,772 1.6×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,333.20 $2,222 1.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,695 $2,825 2.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $610.80 $1,018 1.7×
Injection anesthetic agent suprascapular nerve (64418) $855 $1,425 1.0×
Injection for identification of sentinel node (38792) $575.40 $959 1.2×
Injection Into Brain Canal (61055) $1,537.80 $2,563 4.2×
Injection single tendon origin/insertion (20551) $543 $905 1.5×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $313.80–$674.40 $523–$1,124 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $373.80–$777 $623–$1,295 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $3,583.20 $5,972 1.9×
Injection, anesthetic agent; brachial plexus, single (64415) $2,096.40 $3,494 2.0×
Injection, anesthetic agent; femoral nerve, single (64447) $1,608.60 $2,681 1.9×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $634.80–$1,618.20 $1,058–$2,697 varies
Injection, anesthetic agent; vagus nerve (64408) $418.80 $698 1.1×
Injection, Intralesional; More Than 7 Lesions (11901) $289.20 $482 1.2×
Injection, intralesional; up to and including 7 lesions (11900) $289.20 $482 1.2×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,663.20 $2,772 1.6×
Ins cath ren art 1st bilat (36252) $7,771.80 $12,953 2.1×
Ins cath ren art 1st unilat (36251) $7,329 $12,215 1.9×
Ins cath ren art 2nd+ bilat (36254) $7,258.20 $12,097 1.9×
Ins cath ren art 2nd+ unilat (36253) $6,581.40 $10,969 1.0×
Ins endovas vena cava filtr (37191) $10,221 $17,035 1.5×
Ins Vag Brachytx Device (57156) $552.60 $921 1.5×
Ins/Rep Subq Defibrillator (33270) $80,398.20 $133,997 2.1×
Insert 1 Electrode Pm-Defib (33216) $13,976.40 $23,294 1.4×
Insert and remove bone pin (20650) $4,410.60 $7,351 1.1×
Insert Bladder Cath Complex (51703) $294 $490 1.9×
Insert cath pleura w/ image (32557) $2,265 $3,775 1.2×
Insert cath pleura w/o image (32556) $2,760.60 $4,601 1.2×
Insert cervical dilator (59200) $517.20 $862 1.4×
Insert Drug Implant Device (11981) $273 $455 1.7×
Insert Gastrostomy Tube Percutaneous (49440) $3,174.60 $5,291 1.4×
Insert Heart Pm Atrial (33206) $28,810.80 $48,018 2.3×
Insert Heart Pm Ventricular (33207) $17,292 $28,820 1.4×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $3,294.60 $5,491 0.1×
Insert non-tunnel cv cath (36556) $4,542.60 $7,571 1.2×
Insert Pacing Lead & Connect (33224) $28,731.60 $47,886 2.3×
Insert pessary/other device (57160) $245.40 $409 1.0×
Insert pulse gen dual leads (33213) $19,509.60 $32,516 1.6×
Insert pulse gen mult leads (33221) $27,709.80 $46,183 1.2×
Insert Pulse Gen Sngl Lead (33212) $11,008.80 $18,348 1.1×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $145.80–$165 $243–$275 varies
Insert tun ip cath perc (49418) $7,194 $11,990 1.7×
Insert tunneled cv cath (36561) $7,225.80 $12,043 1.9×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $156–$190.20 $260–$317 varies
Insertion indwelling tunneled pleural catheter (32550) $6,696.60 $11,161 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,604.60 $4,341 1.4×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $17,536.80 $29,228 1.8×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $4,754.40 $7,924 0.8×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $13,976.40 $23,294 1.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,295 $3,825 0.6×
Insj Picc Rs&I <5 Yr (36572) $1,333.80 $2,223 1.8×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $5,224.20 $8,707 1.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,508.40 $2,514 0.8×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $4,321.80 $7,203 1.1×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $14,615.40 $24,359 2.2×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,542.60 $7,571 1.2×
Insj/Rplcmt Defib W/Lead(S) (33249) $54,432 $90,720 1.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $11,905.20 $19,842 1.2×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $13,976.40 $23,294 1.4×
Insrt heart pm atrial & vent (33208) $18,830.40 $31,384 1.5×
Insrt Pulse Gen W/Dual Leads (33230) $31,098 $51,830 1.2×
Insrt Pulse Gen W/Mult Leads (33231) $41,275.20 $68,792 1.1×
Insrt Pulse Gen W/Singl Lead (33240) $42,745.20 $71,242 1.6×
Interdental fixation (21110) $1,270.20 $2,117 0.7×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,033.60 $5,056 1.8×
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $668.40–$669 $1,114–$1,115 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056) $765.60 $1,276 1.6×
Intraoral i&d tongue/floor lingual (41000) $801.60 $1,336 1.2×
Intraoral i&d tongue/floor sublngl supfc (41005) $375.60 $626 1.3×
Intraoral i&d tongue/floor submental space (41007) $1,879.20 $3,132 1.0×
Intraoral i&d tongue/floor submndblr space (41008) $3,933 $6,555 1.0×
Intro cath dialysis circuit (36901) $2,265 $3,775 1.2×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $19,389.60 $32,316 1.4×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $10,076.40 $16,794 1.5×
Intro Gastrointestinal Tube (44500) $1,506 $2,510 1.4×
Intubation endotracheal emergency procedure (31500) $642 $1,070 2.3×
Irrigation of corpora cavernosa for priapism (54220) $492 $820 1.6×
Island pedicle flap graft (15740) $2,044.20 $3,407 0.8×
Laparoscopy, Tubal Block (58671) $9,315.60 $15,526 1.3×
Laryngoscopy diagnostic (31505) $351.60 $586 1.5×
Laryngoscopy flexible diagnostic (31575) $520.20 $867 2.2×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $861 $1,435 1.8×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $265.80 $443 1.1×
Laryngoscopy W/Foreign Body Removal (31530) $2,833.80 $4,723 1.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $5,166.60 $8,611 11.0×
Late closure of wound (13160) $2,487.60 $4,146 0.6×
Ligation of a-v fistula (37607) $4,407.60 $7,346 1.2×
Lithotripsy, extracorporeal shock wave (50590) $7,006.80 $11,678 1.7×
Lyse chest fibrin init day (32561) $1,518.60 $2,531 2.0×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $2,665.80 $4,443 1.4×
Marsupialization of bartholin's gland cyst (56440) $3,205.20 $5,342 0.8×
Maternity Care Procedure (59899) $854.40 $1,424 3.5×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $2,604.60 $4,341 1.4×
Mech remov tunneled cv cath (36595) $5,184 $8,640 1.4×
Metatarsectomy (28140) $4,582.20 $7,637 1.2×
Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) $730.20 $1,217 0.8×
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $730.20 $1,217 0.8×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $2,442.60 $4,071 0.6×
Myelography Lumbar Injection (62305) $3,472.80 $5,788 3.7×
Myelography Lumbar Injection (62304) $3,472.80 $5,788 3.7×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $3,472.80 $5,788 3.7×
N Block Inj Celiac Pelus (64530) $2,003.40 $3,339 1.9×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines		 $855.60–$1,015.80 $1,426–$1,693 varies
N block inj intercost sng (64420) $1,509 $2,515 1.8×
N Block Inj Paracervical (64435) $918.60 $1,531 1.1×
N Block Inj Plantar Digit (64455) $716.40 $1,194 1.9×
N Block Inj Pudendal (64430) $1,156.80 $1,928 1.1×
N Block Lumbar/Thoracic (64520) $1,663.20 $2,772 1.6×
Nasal Endoscopy Dx (31231) $353.40 $589 1.5×
Nasal/Orogastric W/Tube Plmt (43752) $643.20 $1,072 1.2×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $430.20 $717 1.4×
Needle Biopsy Lymph Nodes (38505) $2,376 $3,960 1.2×
Needle Biopsy Pancreas (48102) $1,986 $3,310 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $59.40 $99 1.7×
Needle insertion w/o injection 3 or more muscles (20561) $59.40 $99 1.7×
Neuropsychiatry (eg, depression, anxiety), genomic sequence analysis panel, variant analysis of 13 genes, saliva or… (0419U) $1,717.80 $2,863 1.3×
Nipple Exploration (19110) $3,565.80 $5,943 0.8×
Njx anes stellate ganglion crv sympathetic (64510) $1,663.20 $2,772 1.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $857.40 $1,429 2.3×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,151 $8,585 1.2×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $5,923.80 $9,873 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $4,815 $8,025 4.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,210 $5,350 3.8×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,913.40 $3,189 2.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $4,500 $7,500 5.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,315.20 $2,192 1.2×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,261.80 $2,103 1.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,200.60 $2,001 1.4×
Njx Sclrsnt 1 Incmptnt Vein (36470) $385.20 $642 0.8×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $267.60 $446 0.5×
Njx Sclrsnt Spider Veins (36468) $209.40 $349 0.4×
Occipital Nerve Block (64405) $805.80 $1,343 2.2×
Onc Hl Neo Gen Seq Alys Alg (0364U) $2,505 $4,175 1.2×
Open biopsy/excision inguinofemoral nodes (38531) $6,354.60 $10,591 1.4×
Open treatment interphalangeal joint dislocation (28675) $5,382.60 $8,971 1.4×
Open treatment metatarsal fracture each (28485) $9,751.80 $16,253 1.1×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $5,382.60 $8,971 1.4×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $9,751.80 $16,253 1.1×
Open/Perq Place Stent 1St (37236) $20,769 $34,615 1.5×
Open/Perq Place Stent Same (37238) $21,805.80 $36,343 1.6×
Ostc compl all metar heads w/prtl prox phalangc (28114) $4,582.20 $7,637 1.2×
Ostc prtl exostc/condylc metar head (28288) $4,582.20 $7,637 1.2×
Ostectomy calcaneus (28118) $4,582.20 $7,637 1.2×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $4,582.20 $7,637 1.2×
Ostectomy, complete excision; fifth metatarsal head (28113) $4,582.20 $7,637 1.2×
Ostectomy, complete excision; first metatarsal head (28111) $4,582.20 $7,637 1.2×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $4,582.20 $7,637 1.2×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $4,582.20 $7,637 0.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $4,582.20 $7,637 1.2×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $8,360.40 $13,934 1.4×
Part remv talus or calcaneus (28120) $4,582.20 $7,637 1.2×
Partial excision of lip (40520) $2,037.60 $3,396 0.5×
Partial removal of toe (28160) $4,582.20 $7,637 1.2×
Partical Excision Bone Phalanx Toe (28124) $4,582.20 $7,637 1.2×
Pelvic examination under anesthesia (other than local) (57410) $5,355.60 $8,926 1.4×
Penile Injection (54235) $360 $600 1.2×
Perc Cryo Ablate Renal Tum (50593) $16,473.60 $27,456 1.3×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $3,297.60 $5,496 2.0×
Perc Rf Ablate Renal Tumor (50592) $9,463.20 $15,772 1.3×
Percut Ablate Liver Rf (47382) $8,697 $14,495 1.2×
Percut Cath Occlusn Non Cns Lesn (61626) $24,493.20 $40,822 1.8×
Percut Drain/Inject Renal Cyst (50390) $1,358.40 $2,264 1.6×
Pericardiocentesis W/Imaging (33016) $1,996.80 $3,328 1.1×
Peritoneal Lavage (49084) $1,152 $1,920 1.1×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $3,799.80 $6,333 0.2×
Perq Cervicothoracic Inject (22510) $6,726 $11,210 1.7×
Perq dev breast 1st mr guide (19287) $1,112.40 $1,854 1.3×
Perq dev breast 1st us imag (19285) $1,171.80 $1,953 1.4×
Perq device breast 1st imag (19281) $2,376 $3,960 1.2×
Perq dilation xst trc endourologic px w/img (50436) $3,703.20 $6,172 0.9×
Perq Lumbosacral Injection (22511) $6,406.20 $10,677 1.6×
Perq p-art revsc 1 nm nt uni (33900) $26,083.20 $43,472 1.9×
Perq p-art revsc st 1st nml native connj bi (33901) $26,083.20 $43,472 1.9×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,515.60 $2,526 1.8×
Perq skel fixj distal radial fx/epiphysl sep (25606) $5,067 $8,445 1.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $25,388.40 $42,314 1.8×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $16,731 $27,885 2.5×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $12,128.40 $20,214 1.4×
Perq Vertebral Augmentation (22513) $11,551.80 $19,253 1.3×
Phalangectomy toe each toe (28150) $4,582.20 $7,637 1.2×
Place Cath Subclavian Art (36225) $6,959.40 $11,599 1.8×
Place Cath Thoracic Aorta (36221) $6,895.20 $11,492 1.8×
Place Cath Vertebral Art (36226) $10,737.60 $17,896 1.6×
Place Duod/Jej Tube Perc (49441) $2,436.60 $4,061 1.1×
Placement of needle for intraosseous infusion (36680) $643.20 $1,072 1.2×
Plastic Repair Introitus (56800) $4,785 $7,975 1.2×
Plmt Bile Duct Stent Prq Existing Access (47538) $6,396 $10,660 0.9×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $10,277.40 $17,129 1.4×
Plmt expandable cath brst following prtl mast (19296) $14,048.40 $23,414 1.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $8,083.20 $13,472 3.2×
Plmt Nephroureteral Catheter (50433) $5,071.20 $8,452 1.2×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $7,344 $12,240 1.7×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $7,694.40 $12,824 1.8×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $7,693.80 $12,823 1.8×
Prim art mech thrombectomy (37184) $26,371.80 $43,953 1.2×
Proctopexy Perineal Approach (45541) $4,634.40 $7,724 1.4×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $3,861 $6,435 1.2×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,264.80 $2,108 1.5×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $2,793 $4,655 2.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $6,241.20 $10,402 1.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $6,699.60 $11,166 1.6×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,582.20 $7,637 1.2×
Pseudoaneurysm Injection Trt (36002) $903 $1,505 1.2×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $406.20–$1,002 $677–$1,670 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $258.60–$1,002 $431–$1,670 varies
Puncture Aspiration Cyst Breast (19000) $1,018.80 $1,698 1.2×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,015.80 $1,693 1.2×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $1,114.20 $1,857 1.3×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $3,665.40 $6,109 1.1×
Radical resection of tumor; phalanx of toe Facility (28175) $4,582.20 $7,637 2.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,333.20 $2,222 0.6×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $11,197.20 $18,662 1.3×
Relocation Pocket Pacemaker (33222) $4,084.80 $6,808 1.7×
Rem Endovas Vena Cava Filter (37193) $7,405.80 $12,343 2.0×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,704.60 $2,841 1.6×
Removal Embedded Foreign Body Eyelid (67938) $426 $710 1.1×
Removal Foreign Body Foot Complicated (28193) $2,236.20 $3,727 1.1×
Removal foreign body foot deep (28192) $2,521.20 $4,202 1.3×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $1,765.80–$2,127 $2,943–$3,545 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 3 matching MRF lines		 $1,041.60–$1,563.60 $1,736–$2,606 varies
Removal Foreign Body Pelvis/Hip Deep (27087) $3,820.20 $6,367 1.0×
Removal Foreign Body Scrotum (55120) $2,975.40 $4,959 1.2×
Removal foreign body upper arm/elbow deep (24201) $2,673 $4,455 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $115.80 $193 1.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $102.60–$115.80 $171–$193 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,772.20 $6,287 1.0×
Removal Implant Deep (20680) $3,765 $6,275 1.1×
Removal implantable contraceptive capsules (11976) $1,560 $2,600 1.8×
Removal of foreign body from pharynx (42809) $256.20 $427 0.5×
Removal of heel spur (28119) $4,582.20 $7,637 1.2×
Removal of infusion pump (36262) $4,857 $8,095 1.1×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $682.20–$1,002 $1,137–$1,670 varies
Removal of sesamoid bone (28315) $4,582.20 $7,637 1.2×
Removal of tunneled intraperitoneal catheter (49422) $5,794.80 $9,658 1.5×
Removal Pacemaker Electrode (33235) $5,842.20 $9,737 1.3×
Removal ppm generator only (33233) $9,067.80 $15,113 0.9×
Removal shoulder foreign body deep subfascial/im (23333) $2,236.20 $3,727 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $289.20 $482 1.2×
Removal subcutaneous cardiac rhythm monitor (33286) $1,374 $2,290 1.6×
Removal sweat gland lesion (11450) $6,349.80 $10,583 1.8×
Removal, under anesthesia, of external fixation system (20694) $3,297.60 $5,496 1.7×
Removal/bivalving gauntlet boot/body cast (29700) $673.80 $1,123 2.0×
Remove brain canal fluid (61050) $3,620.40 $6,034 9.8×
Remove cerclage suture (59871) $5,355.60 $8,926 1.4×
Remove drug implant device (11982) $844.80 $1,408 1.6×
Remove Elctrd Transvenously (33244) $3,505.80 $5,843 0.8×
Remove Forearm Foreign Body (25248) $3,820.20 $6,367 2.0×
Remove foreign body from eye (65235) $3,703.20 $6,172 1.3×
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $130.20–$220.20 $217–$367 varies
Remove Intrauterine Device (58301) $438.60 $731 1.2×
Remove intrvas foreign body (37197) $6,526.20 $10,877 1.7×
Remove lung catheter (32552) $1,540.80 $2,568 2.0×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $90.60–$254.40 $151–$424 varies
Remove Pulse Generator (33241) $5,842.20 $9,737 1.3×
Remove renal tube w/fluoro (50389) $763.20 $1,272 0.9×
Remove Shoulder Foreign Body (23330) $2,376 $3,960 1.2×
Remove Skin Nerve Lesion (64774) $3,878.40 $6,464 1.7×
Remove tissue expander (11971) $7,107 $11,845 2.0×
Remove ureter stent percut (50384) $4,327.80 $7,213 1.7×
Remove&replace pm gen singl (33227) $11,905.20 $19,842 1.2×
Remv&replc cvd gen dual lead (33263) $36,799.20 $61,332 1.4×
Remv&replc cvd gen mult lead (33264) $51,928.80 $86,548 1.4×
Remv&replc cvd gen sing lead (33262) $36,799.20 $61,332 1.4×
Remv&replc pm gen dual lead (33228) $15,036.60 $25,061 1.2×
Remv&replc pm gen mult leads (33229) $27,709.80 $46,183 1.2×
Renal Biopsy Perq (50200) $2,376 $3,960 1.2×
Repair Achilles Tendon (27650) $9,586.80 $15,978 1.1×
Repair brow ptosis (67900) $3,108.60 $5,181 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $786.60 $1,311 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,063.80 $1,773 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $585 $975 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $585 $975 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $531.60 $886 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $585 $975 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $582 $970 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $586.80 $978 0.7×
Repair extensor tendon finger w/o graft each (26418) $2,913 $4,855 1.5×
Repair Eyelid Wound (67935) $3,377.40 $5,629 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $391.80–$585 $653–$975 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $419.40–$672.60 $699–$1,121 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $458.40–$602.40 $764–$1,004 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $645.60 $1,076 1.3×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $814.20 $1,357 1.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $562.80 $938 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $270.60–$585 $451–$975 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $303.60–$585 $506–$975 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $412.20–$531.60 $687–$886 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,701 $2,835 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $672.60 $1,121 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $322.80–$585 $538–$975 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $471–$585 $785–$975 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $689.40 $1,149 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $459.60–$672.60 $766–$1,121 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $1,701 $2,835 0.7×
Repair Laceration Palate </2 Cm (42180) $609.60 $1,016 0.9×
Repair Laceration Palate >2 Cm/Complex (42182) $7,471.20 $12,452 1.1×
Repair lead pace-defib dual (33220) $13,368.60 $22,281 3.0×
Repair Lead Pace-Defib One (33218) $5,324.40 $8,874 1.2×
Repair of nail bed (11760) $1,063.80 $1,773 1.2×
Repair paravag defect vag (57285) $12,819 $21,365 1.4×
Repair secondary achilles tendon w/wo graft (27654) $9,586.80 $15,978 1.1×
Repair Spica/Body/Jacket Cast (29720) $455.40 $759 2.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $4,582.20 $7,637 1.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $9,442.80 $15,738 1.1×
Repair Toe Dislocation (28645) $5,382.60 $8,971 1.4×
Repair tongue laceration (41252) $1,270.20 $2,117 4.5×
Repair tongue laceration (41250) $643.20 $1,072 1.2×
Replace duodenostomy/jejunostomy tube perq (49451) $1,207.20 $2,012 1.1×
Replace G-J Tube Perc (49452) $1,506 $2,510 1.4×
Replace g/c tube perc (49450) $1,500.60 $2,501 1.4×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $580.80–$581.40 $968–$969 varies
Reposition L Ventric Lead (33226) $4,349.40 $7,249 1.1×
Reposition Pacing-Defib Lead (33215) $5,463.60 $9,106 1.4×
Reposition Venous Catheter (36597) $2,604.60 $4,341 1.4×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $4,582.20 $7,637 1.2×
Revise Hand/Foot Nerve (64704) $3,878.40 $6,464 1.7×
Revise lower leg tendon (27690) $9,586.80 $15,978 1.1×
Revise/Repair Finger/Toe Nerve (64702) $3,878.40 $6,464 1.7×
Revision of big toe (28310) $4,582.20 $7,637 0.5×
Revision of foot bones (28737) $11,197.20 $18,662 0.7×
Revision of lower leg tendon (27685) $6,533.40 $10,889 1.7×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $11,853.60 $19,756 1.7×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265)
range across 2 matching MRF lines		 $13,141.80–$17,742 $21,903–$29,570 varies
Revsc evasc fpvt angiop uni sf les 1st vsl (37263)
range across 2 matching MRF lines		 $13,141.80–$17,742 $21,903–$29,570 varies
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273)
range across 2 matching MRF lines		 $35,987.40–$42,327.60 $59,979–$70,546 varies
Revsc evasc fpvt athrc uni sf les 1st vsl (37271)
range across 2 matching MRF lines		 $35,987.40–$42,327.60 $59,979–$70,546 varies
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277)
range across 2 matching MRF lines		 $35,987.40–$42,327.60 $59,979–$70,546 varies
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275)
range across 2 matching MRF lines		 $35,987.40–$42,327.60 $59,979–$70,546 varies
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269)
range across 2 matching MRF lines		 $26,656.20–$35,987.40 $44,427–$59,979 varies
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267)
range across 2 matching MRF lines		 $26,656.20–$35,987.40 $44,427–$59,979 varies
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $26,656.20 $44,427 1.9×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $26,656.20 $44,427 1.9×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256)
range across 2 matching MRF lines		 $13,141.80–$17,742 $21,903–$29,570 varies
Revsc evasc ivt angiop uni sf les 1st vsl (37254)
range across 2 matching MRF lines		 $13,141.80–$17,742 $21,903–$29,570 varies
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260)
range across 2 matching MRF lines		 $26,656.20–$35,987.40 $44,427–$59,979 varies
Revsc evasc ivt st plmt uni sf les 1st vsl (37258)
range across 2 matching MRF lines		 $26,656.20–$35,987.40 $44,427–$59,979 varies
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282)
range across 2 matching MRF lines		 $17,742–$26,656.20 $29,570–$44,427 varies
Revsc evasc tpvt angiop uni sf les 1st vsl (37280)
range across 2 matching MRF lines		 $17,742–$26,656.20 $29,570–$44,427 varies
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290)
range across 2 matching MRF lines		 $35,987.40–$42,327.60 $59,979–$70,546 varies
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $42,327.60 $70,546 1.9×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294)
range across 2 matching MRF lines		 $35,987.40–$42,327.60 $59,979–$70,546 varies
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292)
range across 2 matching MRF lines		 $35,987.40–$42,327.60 $59,979–$70,546 varies
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286)
range across 2 matching MRF lines		 $35,987.40–$42,327.60 $59,979–$70,546 varies
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284)
range across 2 matching MRF lines		 $35,987.40–$42,327.60 $59,979–$70,546 varies
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $3,704.40 $6,174 1.5×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,879.20 $3,132 1.0×
Rmvl embedded fb vestibule mouth comp (40805) $801.60 $1,336 1.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $574.80 $958 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $287.40–$643.20 $479–$1,072 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $408 $680 2.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $423.60 $706 0.8×
Rmvl fecal impaction/fb spx under anes (45915) $3,308.40 $5,514 2.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,888.60 $6,481 1.1×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,494.60 $2,491 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,494.60 $2,491 0.8×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $5,228.40 $8,714 1.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,265 $3,775 1.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,377.60 $2,296 1.8×
Rplc Gtube No Revj Trc (43762) $520.20 $867 1.7×
Rplc gtube revj gstrst trc (43763) $493.20 $822 1.6×
Rplcmt cath ctr vad subq port/pmp (36578) $6,959.40 $11,599 1.8×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,494.20 $4,157 1.3×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $5,224.20 $8,707 1.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,604.60 $4,341 1.4×
Rplcmt compl tun ctr vad w/subq pmp (36583) $5,554.20 $9,257 0.8×
Rplcmt compl tun ctr vad w/subq port (36582) $5,052.60 $8,421 1.3×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $6,064.20 $10,107 1.6×
Rpr blood vessel direct lower extremity (35226) $1,494.60 $2,491 1.8×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $3,658.20 $6,097 1.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $310.20–$825 $517–$1,375 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $664.20 $1,107 0.7×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $610.20 $1,017 2.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $819 $1,365 1.3×
Rpr Lip Full Thickness Vermilion Only (40650) $1,271.40 $2,119 2.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,428.60 $2,381 0.8×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $6,001.20 $10,002 1.5×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $4,410.60 $7,351 1.1×
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) $11,197.20 $18,662 1.3×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,494.60 $2,491 2.0×
Sclerotx Fluid Collection (49185) $1,563.60 $2,606 0.8×
Shave skin lesion 0.5 cm/< (11300) $585 $975 1.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $289.20 $482 1.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $585 $975 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $289.20 $482 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $289.20 $482 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $289.20 $482 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $585 $975 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $289.20 $482 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $585 $975 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $289.20 $482 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $585 $975 1.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $332.40 $554 1.4×
Sigmoidoscopy w/fb removal (45332) $1,591.20 $2,652 1.1×
Simple Cystometrogram (51725) $430.20 $717 1.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $829.80 $1,383 1.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $175.80–$491.40 $293–$819 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $241.80–$581.40 $403–$969 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $961.20 $1,602 2.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $273.60–$719.40 $456–$1,199 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,048.20 $1,747 4.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $175.80–$504 $293–$840 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $744 $1,240 3.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $348–$610.20 $580–$1,017 varies
Skin Full Grft Face/Genit/Hf (15240) $1,790.40 $2,984 0.7×
Skin Pinch Graft (15050) $552.60 $921 0.6×
Skin sub graft face/nk/hf/g (15275) $4,568.40 $7,614 5.2×
Skin sub graft trnk/arm/leg (15271) $4,568.40 $7,614 5.2×
Skin sub grft t/arm/lg child (15273) $8,982.60 $14,971 3.6×
Skin Tissue Procedure (17999)
range across 3 matching MRF lines		 $138.60–$2,961 $231–$4,935 varies
Skn sub grft f/n/hf/g child (15277) $4,568.40 $7,614 1.8×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $6,943.80 $11,573 1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222) $6,505.80 $10,843 1.7×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $11,379.60 $18,966 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $271.20–$504 $452–$840 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $253.80–$770.40 $423–$1,284 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $639 $1,065 1.3×
Spinal puncture lumbar diagnostic (62270) $1,168.20 $1,947 1.4×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $8,982.60 $14,971 2.1×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $4,565.40 $7,609 1.8×
Strapping ankle (29540)
range across 2 matching MRF lines		 $104.40–$121.20 $174–$202 varies
Strapping elbow or wrist (29260) $121.20 $202 1.7×
Strapping hand/finger (29280) $121.20 $202 1.7×
Strapping knee (29530) $186 $310 1.2×
Strapping shoulder (29240) $121.20 $202 0.8×
Strapping toes (29550) $122.40 $204 1.7×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $178.80–$398.40 $298–$664 varies
Suction assisted lipectomy; head and neck (15876) $3,043.80 $5,073 0.7×
Suction assisted lipectomy; trunk (15877) $3,043.80 $5,073 0.7×
Suction assisted lipectomy; upper extremity (15878) $3,043.80 $5,073 1.2×
Suction Lipectomy Lwr Extrem (15879) $3,043.80 $5,073 0.7×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $2,998.20 $4,997 1.1×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $406.20–$585 $677–$975 varies
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $66,165 $110,275 1.9×
Tcat Insj/Rpl Perm Ldls Pm (33274) $34,626.60 $57,711 1.5×
Tenotomy Percutaneous Toe Single Tendon (28010) $4,026 $6,710 2.1×
Thaw preserved stem cells (38208) $709.20 $1,182 1.3×
Ther Apheresis,Red Blood Cells (36512) $3,319.20 $5,532 1.8×
Ther Spi Pnxr Csf Fluor/Ct (62329) $2,790 $4,650 3.3×
Therapeutic plasma exchange (36514) $4,279.20 $7,132 2.3×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $13,488.60 $22,481 2.0×
Thrmbc/Nfs Dialysis Circuit (36906) $29,388 $48,980 1.3×
Thromblytic art/ven therapy (37213) $5,052.60 $8,421 1.3×
Thrombolytic Art Therapy (37211) $6,943.80 $11,573 1.0×
Thrombolytic Therapy Stroke (37195) $429 $715 1.1×
Thrombolytic Venous Therapy (37212) $4,542.60 $7,571 1.2×
Thyroid biopsy (60100) $1,009.80 $1,683 1.2×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $2,655.60 $4,426 1.1×
Tooth extraction (41899) $406.80 $678 1.4×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $4,785 $7,975 1.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $502.80 $838 1.8×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $753 $1,255 2.1×
Transcatheter biopsy (37200) $6,224.40 $10,374 0.9×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $6,382.20 $10,637 1.6×
Transfusion Intrauterine Fetal (36460) $744 $1,240 1.4×
Treat Big Toe Fracture (28505) $5,382.60 $8,971 1.4×
Treat Dental Ridge Fracture (21440) $4,084.80 $6,808 1.0×
Treat Hip Socket Fracture (27222) $2,635.20 $4,392 8.9×
Treat humerus fracture (24500) $406.20 $677 1.4×
Treat Humerus Fracture (24505) $2,313.60 $3,856 1.2×
Treat humerus fracture (23600) $406.20 $677 1.4×
Treat knee fracture (27532) $2,917.20 $4,862 0.7×
Treat Knee Fracture(S) (27538) $406.20 $677 1.4×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines		 $232.20–$462.60 $387–$771 varies
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines		 $324.60–$406.20 $541–$677 varies
Treat Tail Bone Fracture (27200) $254.40 $424 0.9×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines		 $232.20–$462.60 $387–$771 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines		 $1,042.80–$1,104.60 $1,738–$1,841 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines		 $232.20–$408.60 $387–$681 varies
Treat vagina infection (57150) $310.80 $518 4.4×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,693.40 $4,489 1.4×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines		 $232.80–$462.60 $388–$771 varies
Treatment of foot infection (28003) $4,657.80 $7,763 1.2×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $211.80–$424.20 $353–$707 varies
Trim skin lesions 2 to 4 (11056) $504 $840 2.1×
Trim skin lesions over 4 (11057) $504 $840 2.1×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $96–$159.60 $160–$266 varies
Trluml Balo Angiop 1St Art (37246) $16,731 $27,885 2.5×
Trluml Balo Angiop 1St Vein (37248) $10,076.40 $16,794 1.5×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $2,748 $4,580 5.2×
Trnsplj autologous hematopoietic cells per donor (38241) $4,455.60 $7,426 2.4×
Tx Gastro Intub W/Asp (43753) $310.80 $518 1.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $5,355.60 $8,926 1.4×
Tx Missed Abortion First Trimester Surgical (59820) $5,698.20 $9,497 1.5×
Tx Missed Abortion Second Trimester Surgical (59821) $6,231 $10,385 1.6×
Tx open tendon flexor toe 1 tendon spx (28232) $4,582.20 $7,637 2.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,573.80 $2,623 1.8×
Tx superficial wound dehiscence w/packing (12021) $355.20 $592 0.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines		 $211.80–$322.20 $353–$537 varies
Unlisted Cardiac Surgery (33999) $25,869.60 $43,116 34.4×
Unlisted fetal invasive px w/ultrasound (59897) $1,890 $3,150 7.8×
Unlisted procedure breast (19499)
range across 2 matching MRF lines		 $534–$2,418.60 $890–$4,031 varies
Unlisted Procedure Casting/Strapping (29799) $234 $390 1.2×
Unlisted procedure femur or knee (27599) $2,580 $4,300 8.7×
Unlisted procedure foot or toes (28899) $667.80 $1,113 2.3×
Unlisted Procedure Leg/Ankle (27899) $371.40 $619 1.3×
Unlisted procedure lungs and pleura (32999) $1,349.40 $2,249 1.8×
Unlisted Procedure Muscskeletal System General (20999) $4,657.80 $7,763 15.8×
Unlisted procedure nervous system (64999)
range across 6 matching MRF lines		 $441.60–$9,322.20 $736–$15,537 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $502.80–$571.20 $838–$952 varies
Unlisted Procedure Rectum (45999) $1,104.60 $1,841 1.0×
Unlisted procedure spine (22899) $1,508.40 $2,514 5.1×
Unlisted Procedure Tongue Floor Mouth (41599) $2,385.60 $3,976 8.4×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $2,171.40–$5,713.80 $3,619–$9,523 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,223.20 $5,372 3.0×
Unlisted Procedure, Urinary System (53899) $6,808.20 $11,347 22.7×
Unlisted px female genital system nonobstetrical (58999)
range across 2 matching MRF lines		 $2,383.80–$16,473.60 $3,973–$27,456 varies
Upgrade of pacemaker system (33214) $17,933.40 $29,889 1.4×
Urinary Reflex Study (51792) $258.60 $431 3.7×
Urine Flow Measurement (51736) $430.20 $717 2.7×
Vaginal Delivery After Cesarean Delivery (59612)
range across 2 matching MRF lines		 $6,391.20–$8,452.20 $10,652–$14,087 varies
Vaginal delivery only (59409)
range across 2 matching MRF lines		 $4,657.20–$5,688.60 $7,762–$9,481 varies
Vaginoplasty for intersex state Facility (57335) $4,785 $7,975 0.8×
Vasc embolize/occlude artery (37242) $26,371.80 $43,953 1.2×
Vasc Embolize/Occlude Bleed (37244) $21,144.60 $35,241 1.5×
Vasc Embolize/Occlude Organ (37243) $21,144.60 $35,241 1.5×
Vasc embolize/occlude venous (37241) $20,134.80 $33,558 1.5×
Venous Mech Thrombectomy (37187) $16,607.40 $27,679 1.2×
Vermilionectomy lip shv w/mucosal advmnt (40500) $2,037.60 $3,396 0.5×
Vulvectomy simple partial (56620) $5,104.20 $8,507 1.3×
Wedge excision skin nail fold (11765) $385.20 $642 0.8×
Wound Prep F/N/Hf/G (15004) $1,573.80 $2,623 3.2×
Wound Prep Trk/Arm/Leg (15002) $4,565.40 $7,609 5.2×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) $4,332 $7,220 0.6×

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.