Procedures & surgery prices at Uintah Basin Medical Center
Roosevelt, UT · every code in this section with a posted price and a Medicare benchmark.
546 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
$661.50–$1,516.05 | $735–$1,684.50 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,215.45–$1,276.20 | $1,350.50–$1,418 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,477.13 | $1,641.25 | 0.4× |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$4,500–$6,435 | $5,000–$7,150 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 3 matching MRF lines |
$3,217.50–$3,701.25 | $3,575–$4,112.50 | varies |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$188.55–$198 | $209.50–$220 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $1,545.75 | $1,717.50 | 1.6× |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $3,217.50 | $3,575 | 0.6× |
| Appendectomy (44950) | $7,402.50 | $8,225 | 1.1× |
| Application cast elbow finger short arm (29075) | $497.70 | $553 | 1.8× |
| Application finger splint static (29130) | $136.80 | $152 | 1.0× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$275.63–$289.35 | $306.25–$321.50 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$312.53–$328.05 | $347.25–$364.50 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $497.70 | $553 | 1.8× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$441.23–$463.28 | $490.25–$514.75 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$207–$217.35 | $230–$241.50 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$267.98–$281.48 | $297.75–$312.75 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$382.95–$903.38 | $425.50–$1,003.75 | varies |
| Apply Short Leg Cast (29405) | $497.70 | $553 | 1.8× |
| Apply short leg cast (29425) | $427.05 | $474.50 | 1.5× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$209.48–$220.05 | $232.75–$244.50 | varies |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) | $13,207.50 | $14,675 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$437.63–$459.45 | $486.25–$510.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$250.20–$482.40 | $278–$536 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$424.80–$445.95 | $472–$495.50 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$250.20–$3,757.50 | $278–$4,175 | varies |
| Arthrodesis great toe interphalangeal joint (28755) | $8,370 | $9,300 | 1.1× |
| Arthrodesis great toe metatarsophalangeal joint (28750) range across 3 matching MRF lines |
$2,576.25–$4,080 | $2,862.50–$4,533.33 | varies |
| Arthrodesis subtalar (28725) | $7,627.50 | $8,475 | 0.6× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $14,175 | $15,750 | 0.8× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) | $6,015.01 | $6,683.34 | 1.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) | $6,015 | $6,683.33 | 0.8× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $3,690 | $4,100 | 2.3× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $7,402.50 | $8,225 | 2.2× |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$825.75–$902.48 | $917.50–$1,002.75 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$728.33–$901.35 | $809.25–$1,001.50 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $531.90 | $591 | 1.7× |
| Aspiration bladder insert suprapubic catheter (51102) | $1,701 | $1,890 | 0.8× |
| Aspiration Bladder Needle (51100) | $452.48 | $502.75 | 1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$186.30–$354.15 | $207–$393.50 | varies |
| Biopsy bone open deep (20245) | $4,643.55 | $5,159.50 | 1.6× |
| Biopsy bone open superficial (20240) | $4,643.55 | $5,159.50 | 1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,555.78 | $2,839.75 | 1.5× |
| Biopsy of liver, needle; percutaneous (47000) | $2,508.30 | $2,787 | 1.5× |
| Biopsy of penis (54100) | $2,250 | $2,500 | 1.3× |
| Bladder instillation anticarcinogenic agent (51720) | $534.38 | $593.75 | 0.8× |
| Bladder Scan (51798) range across 4 matching MRF lines |
$116.78–$191.70 | $129.75–$213 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $308.48 | $342.75 | 1.0× |
| Blood Transfusion Service (36430) range across 8 matching MRF lines |
$1,242–$1,800 | $1,380–$2,000 | varies |
| Bone Graft Any Donor Area Minor/Small (20900) likely a partial charge, not the full procedure |
$774 | $860 | 0.1× |
| Bone Marrow; Aspiration Only (38220) | $2,826.68 | $3,140.75 | 1.7× |
| Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$685.35–$1,090.80 | $761.50–$1,212 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $3,217.50 | $3,575 | 0.8× |
| Canthotomy Separate Procedure (67715) | $2,516.18 | $2,795.75 | 1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) range across 2 matching MRF lines |
$3,112.51–$4,402.51 | $3,458.34–$4,891.68 | varies |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$2,880–$5,467.50 | $3,200–$6,075 | varies |
| Cataract surgery complex (66982) range across 2 matching MRF lines |
$2,880–$3,701.25 | $3,200–$4,112.50 | varies |
| Catheter aspiration nasotracheal spx (31720) | $307.13 | $341.25 | 1.4× |
| Cerclage cervix pregnancy vaginal (59320) | $3,690 | $4,100 | 1.1× |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$427.50–$464.40 | $475–$516 | varies |
| Chest tube placement (32551) | $1,667.03 | $1,852.25 | 1.0× |
| Circumcision 28 days or older (54161) | $2,250 | $2,500 | 1.1× |
| Circumcision w/clamp/oth dev w/block (54150) | $166.73 | $185.25 | 0.1× |
| Cl Tx Scapular Fx; W Manip (23575) | $2,713.73 | $3,015.25 | 1.7× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$855–$897.75 | $950–$997.50 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$270.90–$284.40 | $301–$316 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) | $450.90 | $501 | 1.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $450.90 | $501 | 1.8× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $2,713.73 | $3,015.25 | 1.7× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $450.90 | $501 | 1.8× |
| Closed Treatment Sesamoid Fracture (28530) | $450.90 | $501 | 1.8× |
| Closed Treatment Sternum Fracture (21820) | $450.90 | $501 | 1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $450.90 | $501 | 1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $492.30 | $547 | 2.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,422.23 | $1,580.25 | 0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $396 | $440 | 1.6× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $383.40 | $426 | 1.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $450.90 | $501 | 1.8× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $482.85 | $536.50 | 1.9× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,713.73 | $3,015.25 | 1.7× |
| Closed tx knee dislocation w/o anesthesia (27550) | $532.35 | $591.50 | 2.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) | $995.18 | $1,105.75 | 1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $317.70 | $353 | 1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $2,880 | $3,200 | 0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) | $482.85 | $536.50 | 1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $425.03 | $472.25 | 1.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $357.30 | $397 | 1.4× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,845.68 | $2,050.75 | 1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $441.45 | $490.50 | 1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$2,406.60–$2,526.98 | $2,674–$2,807.75 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $450.90 | $501 | 1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,286.55–$1,350.90 | $1,429.50–$1,501 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $450.90 | $501 | 1.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $450.90 | $501 | 1.8× |
| Closed tx septal&nose fx (21337) | $4,609.58 | $5,121.75 | 1.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $2,713.73 | $3,015.25 | 1.7× |
| Closed tx talus fracture w/o manipulation (28430) | $450.90 | $501 | 1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $360.68 | $400.75 | 1.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $563.40 | $626 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $450.90 | $501 | 1.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $450.90 | $501 | 1.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $378.90 | $421 | 1.6× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $470.48 | $522.75 | 0.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $1,046.70 | $1,163 | 4.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $450.90 | $501 | 1.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $705.38 | $783.75 | 0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $395.10 | $439 | 1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,432.58 | $1,591.75 | 0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$937.58–$984.38 | $1,041.75–$1,093.75 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $450.90 | $501 | 1.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $437.40 | $486 | 0.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $568.80 | $632 | 0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $563.40 | $626 | 2.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $450.90 | $501 | 1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $564.30 | $627 | 2.3× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) | $482.85 | $536.50 | 1.9× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $492.30 | $547 | 2.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $482.85 | $536.50 | 1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $437.63 | $486.25 | 1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $464.85 | $516.50 | 1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $366.53 | $407.25 | 1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$864.68–$907.88 | $960.75–$1,008.75 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $482.85 | $536.50 | 1.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,701 | $1,890 | 1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $307.35 | $341.50 | 1.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $203.18 | $225.75 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $299.48 | $332.75 | 1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $223.20 | $248 | 0.9× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $482.85 | $536.50 | 1.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $532.35 | $591.50 | 2.1× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) | $450.90 | $501 | 1.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $995.63 | $1,106.25 | 0.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$774.45–$813.15 | $860.50–$903.50 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $450.90 | $501 | 1.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $875.03 | $972.25 | 0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $450.90 | $501 | 1.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $424.80 | $472 | 1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $268.88 | $298.75 | 1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $458.33 | $509.25 | 1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$442.80–$464.85 | $492–$516.50 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $401.18 | $445.75 | 0.2× |
| Cltx Medial Ankle Fx (27760) | $482.85 | $536.50 | 1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $210.38 | $233.75 | 0.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $334.35 | $371.50 | 1.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $2,526.98 | $2,807.75 | 1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$364.73–$382.95 | $405.25–$425.50 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $348.98 | $387.75 | 1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) | $399.60 | $444 | 1.6× |
| Cltx prox fibula/shft fx w/manj (27781) | $562.50 | $625 | 0.3× |
| Cltx prox fibula/shft fx w/o manj (27780) | $482.85 | $536.50 | 1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $843.98 | $937.75 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$516.83–$542.70 | $574.25–$603 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $450.90 | $501 | 1.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $2,713.73 | $3,015.25 | 1.7× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $482.85 | $536.50 | 1.9× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $2,713.73 | $3,015.25 | 0.8× |
| Cltx tibial fx proximal w/o manipulation (27530) | $482.85 | $536.50 | 1.9× |
| Cltx tibial shaft fx w/o manipulation (27750) | $482.85 | $536.50 | 1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,354.50 | $1,505 | 0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $332.55 | $369.50 | 1.3× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) likely a partial charge, not the full procedure |
$427.50 | $475 | 0.1× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$315.68–$331.43 | $350.75–$368.25 | varies |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$40.73–$81.45 | $45.25–$90.50 | varies |
| Colonoscopy W/Band Ligation (45398) | $1,113.75 | $1,237.50 | 0.9× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$742.50–$1,113.75 | $825–$1,237.50 | varies |
| Colpotomy; with exploration (57000) | $342 | $380 | 0.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 3 matching MRF lines |
$742.50–$2,227.50 | $825–$2,475 | varies |
| Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
$4,185–$6,603.75 | $4,650–$7,337.50 | varies |
| Complex drainage wound (10180) | $4,211.78 | $4,679.75 | 1.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,880 | $3,200 | 0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $396.90 | $441 | 2.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$348.30–$365.63 | $387–$406.25 | varies |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$3,028.50–$4,402.49 | $3,365–$4,891.66 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 3 matching MRF lines |
$3,112.50–$9,337.50 | $3,458.33–$10,375 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) range across 2 matching MRF lines |
$4,402.49–$6,120 | $4,891.66–$6,800 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) unusually low: confirm this is the full procedure |
$3,112.50 | $3,458.33 | 0.4× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $9,337.50 | $10,375 | 1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$401.18–$421.20 | $445.75–$468 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $458.33 | $509.25 | 1.9× |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) | $2,880 | $3,200 | 0.9× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $2,880 | $3,200 | 1.4× |
| Cysto w/insert ureteral stent (52332) range across 4 matching MRF lines |
$2,733.75–$5,742 | $3,037.50–$6,380 | varies |
| Cysto w/removal of lesions small (52224) range across 2 matching MRF lines |
$2,145–$2,880 | $2,383.33–$3,200 | varies |
| Cysto w/removal of tumors small (52234) | $6,435 | $7,150 | 1.8× |
| Cysto w/ureter stricture tx (52341) | $2,467.49 | $2,741.66 | 0.7× |
| Cysto w/ureteroscopy w/lithotripsy (52353) | $3,217.50 | $3,575 | 0.6× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $2,467.49 | $2,741.66 | 0.7× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 2 matching MRF lines |
$2,733.75–$6,120 | $3,037.50–$6,800 | varies |
| Cysto/uretero w/lithotripsy (52356) range across 3 matching MRF lines |
$5,467.50–$15,142.50 | $6,075–$16,825 | varies |
| Cystourethroscopy (52000) range across 3 matching MRF lines |
$2,880–$5,152.50 | $3,200–$5,725 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $3,690 | $4,100 | 1.7× |
| Cystourethroscopy with biopsy (52204) | $5,467.50 | $6,075 | 2.6× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $2,880 | $3,200 | 1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $3,217.50 | $3,575 | 7.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$724.05–$5,467.50 | $804.50–$6,075 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$109.35–$114.75 | $121.50–$127.50 | varies |
| Debride nail 6 or more (11721) | $114.53 | $127.25 | 1.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$1,989–$2,552.63 | $2,210–$2,836.25 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$651.38–$711.23 | $723.75–$790.25 | varies |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$1,541.70–$3,204.68 | $1,713–$3,560.75 | varies |
| Destroy lumb/sac facet jnt (64635) range across 4 matching MRF lines |
$1,541.70–$3,204.68 | $1,713–$3,560.75 | varies |
| Destruct B9 Lesion 1-14 (17110) | $300.02 | $333.35 | 1.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$3,204.68–$3,357 | $3,560.75–$3,730 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $5,467.50 | $6,075 | 1.7× |
| Dilation Cervical Canal (57800) | $1,134 | $1,260 | 0.3× |
| Dilation Esophagus Guide Wire (43453) | $2,733.75 | $3,037.50 | 1.4× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) | $2,880 | $3,200 | 1.6× |
| Drain Cerebro Spinal Fluid (62272) | $1,170.23 | $1,300.25 | 1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$416.70–$437.63 | $463–$486.25 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$831.60–$873.23 | $924–$970.25 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$402.75–$423 | $447.50–$470 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$465.08–$488.25 | $516.75–$542.50 | varies |
| Drainage of hematoma/fluid (10140) | $426.60 | $474 | 0.3× |
| Drainage of nose lesion (30000) | $350.78 | $389.75 | 1.5× |
| Drainage of scrotum (54700) | $2,297.25 | $2,552.50 | 1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,201.05 | $1,334.50 | 1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$620.10–$651.38 | $689–$723.75 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 5 matching MRF lines |
$387.90–$565.88 | $431–$628.75 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$318.38–$334.35 | $353.75–$371.50 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,402.20 | $1,558 | 1.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$1,066.73–$1,232.55 | $1,185.25–$1,369.50 | varies |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,939.50 | $2,155 | 1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $969.75 | $1,077.50 | 0.5× |
| Egd cautery tumor polyp (43250) | $1,939.50 | $2,155 | 1.0× |
| Egd guide wire insertion (43248) | $969.75 | $1,077.50 | 1.1× |
| Egd Varices Ligation (43244) | $1,552.50 | $1,725 | 0.8× |
| Endometrial Biopsy (58100) | $5,467.50 | $6,075 | 26.7× |
| Endoscopic plantar fasciotomy (29893) range across 3 matching MRF lines |
$3,690–$8,370 | $4,100–$9,300 | varies |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,015.23 | $3,350.25 | 1.4× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,015.23 | $3,350.25 | 1.4× |
| Esophagoscopy rigid trnso dx (43191) | $2,733.75 | $3,037.50 | 1.4× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$260.55–$273.60 | $289.50–$304 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $3,217.50 | $3,575 | 1.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,130.18 | $1,255.75 | 1.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,911.83 | $2,124.25 | 1.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $613.13 | $681.25 | 1.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,076.40 | $1,196 | 1.5× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $8,370 | $9,300 | 2.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $5,467.50 | $6,075 | 3.3× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | $8,370 | $9,300 | 2.3× |
| Excision Nasal Polyp Extensive (30115) range across 2 matching MRF lines |
$1,674–$2,818.13 | $1,860–$3,131.25 | varies |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) | $12,240 | $13,600 | 2.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $6,435 | $7,150 | 2.2× |
| Excision spermatocele w/wo epididymectomy (54840) | $6,435 | $7,150 | 3.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $8,370 | $9,300 | 5.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $3,701.25 | $4,112.50 | 1.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $6,435 | $7,150 | 3.8× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $953.10 | $1,059 | 0.6× |
| Excision, interdigital (morton) neuroma, single, each (28080) | $3,757.50 | $4,175 | 2.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $6,435 | $7,150 | 2.2× |
| Excision/destruction intranasal lesion int appr (30117) | $4,500 | $5,000 | 1.3× |
| Excision/Transposition Pterygium W/Grafg (65426) range across 2 matching MRF lines |
$2,880–$3,690 | $3,200–$4,100 | varies |
| Exploration penetrating wound spx extremity (20103) | $1,249.20 | $1,388 | 0.7× |
| Exploration Penetrating Wound Spx Neck (20100) | $907.88 | $1,008.75 | 1.7× |
| Fetal non-stress test (59025) range across 7 matching MRF lines |
$333.45–$1,080 | $370.50–$1,200 | varies |
| Fine needle aspiration without imaging guidance (10021) | $470.93 | $523.25 | 1.1× |
| Fluid Pressure Muscle (20950) | $203.18 | $225.75 | 0.3× |
| Fusion of foot bones (28740) | $10,305 | $11,450 | 1.4× |
| Gastrocnemius recession (27687) | $3,757.50 | $4,175 | 1.1× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $6,435 | $7,150 | 2.3× |
| Hysteroscopy Biopsy (58558) | $3,690 | $4,100 | 1.1× |
| Hysteroscopy Endometrial Ablation (58563) range across 3 matching MRF lines |
$5,152.50–$6,435 | $5,725–$7,150 | varies |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $3,217.50 | $3,575 | 1.0× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$360.90–$378.90 | $401–$421 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$415.80–$477.23 | $462–$530.25 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $2,740.73 | $3,045.25 | 1.7× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) | $1,914.53 | $2,127.25 | 0.6× |
| I&d perianal abscess superficial (46050) | $506.48 | $562.75 | 0.5× |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$1,276.20–$1,706.40 | $1,418–$1,896 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$302.63–$1,214.33 | $336.25–$1,349.25 | varies |
| Implant neuroelectrodes (63650) | $10,952.10 | $12,169 | 1.7× |
| Incise external hemorrhoid (46083) | $344.48 | $382.75 | 1.4× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$418.50–$613.80 | $465–$682 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 4 matching MRF lines |
$1,677.38–$6,435 | $1,863.75–$7,150 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$423.68–$5,467.50 | $470.75–$6,075 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $342.23 | $380.25 | 1.7× |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$562.05–$619.65 | $624.50–$688.50 | varies |
| Incision of eardrum (69421) | $250.43 | $278.25 | 0.1× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$2,057.85–$5,467.50 | $2,286.50–$6,075 | varies |
| Incisional biopsy skin single lesion (11106) | $649.80 | $722 | 0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $338.85 | $376.50 | 1.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$585.68–$1,427.40 | $650.75–$1,586 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $482.40 | $536 | 1.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,495.13 | $1,661.25 | 1.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $991.58 | $1,101.75 | 1.4× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,045.80 | $1,162 | 1.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $448.43 | $498.25 | 1.4× |
| Injection single tendon origin/insertion (20551) | $531.90 | $591 | 1.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$326.03–$342.23 | $362.25–$380.25 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$501.08–$526.05 | $556.75–$584.50 | varies |
| Injection therapeutic carpal tunnel (20526) | $519.08 | $576.75 | 1.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $535.50 | $595 | 0.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $497.25 | $552.50 | 0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$464.40–$1,035 | $516–$1,150 | varies |
| Insert cath pleura w/ image (32557) | $2,134.80 | $2,372 | 1.3× |
| Insert Drug Implant Device (11981) | $3,217.50 | $3,575 | 23.9× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$658.80–$1,091.48 | $732–$1,212.75 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,558.80 | $1,732 | 1.0× |
| Insert tunneled cv cath (36561) | $6,435 | $7,150 | 2.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$1,484.55–$1,558.80 | $1,649.50–$1,732 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,484.55–$1,558.80 | $1,649.50–$1,732 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$5,152.50 | $5,725 | 0.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$12,460.05–$14,472.90 | $13,844.50–$16,081 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $530.55 | $589.50 | 1.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$585.45–$614.70 | $650.50–$683 | varies |
| Intro Gastrointestinal Tube (44500) | $769.50 | $855 | 0.8× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$562.50–$875.03 | $625–$972.25 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$438.53–$5,207.63 | $487.25–$5,786.25 | varies |
| Laparoscopy gastrostomy (43653) | $11,272.50 | $12,525 | 1.8× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $4,668.75 | $5,187.50 | 0.8× |
| Laparoscopy w/rmvl adnexal structures (58661) range across 3 matching MRF lines |
$5,636.25–$8,370 | $6,262.50–$9,300 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 3 matching MRF lines |
$5,152.50–$10,305 | $5,725–$11,450 | varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $15,142.50 | $16,825 | 2.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $8,370 | $9,300 | 1.4× |
| Laparoscopy, Tubal Block (58671) range across 2 matching MRF lines |
$2,733.75–$4,500 | $3,037.50–$5,000 | varies |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $5,467.50 | $6,075 | 0.9× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $8,370 | $9,300 | 1.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $376.88 | $418.75 | 1.0× |
| Laryngoscopy w/biopsy microscope/telescope (31536) | $7,402.50 | $8,225 | 2.0× |
| Late closure of wound (13160) | $3,401.78 | $3,779.75 | 0.9× |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$3,170.48–$6,435 | $3,522.75–$7,150 | varies |
| Litholapaxy comp/lg > 2.5 cm (52318) range across 2 matching MRF lines |
$6,120–$6,435 | $6,800–$7,150 | varies |
| Lithotripsy, extracorporeal shock wave (50590) range across 3 matching MRF lines |
$5,467.50–$7,402.50 | $6,075–$8,225 | varies |
| Manipulation knee joint under general anesthesia (27570) | $2,880 | $3,200 | 1.8× |
| Mastectomy partial (19301) | $3,217.50 | $3,575 | 0.8× |
| Myringoplasty (69620) | $5,467.50 | $6,075 | 1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $477 | $530 | 0.7× |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$1,307.03–$1,319.63 | $1,452.25–$1,466.25 | varies |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) range across 2 matching MRF lines |
$2,061–$5,467.50 | $2,290–$6,075 | varies |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) | $2,061 | $2,290 | 1.1× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) unusually low: confirm this is the full procedure |
$2,818.13 | $3,131.25 | 0.4× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) likely a partial charge, not the full procedure |
$2,061 | $2,290 | 0.3× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) likely a partial charge, not the full procedure |
$1,674 | $1,860 | 0.2× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) likely a partial charge, not the full procedure |
$2,061 | $2,290 | 0.3× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) likely a partial charge, not the full procedure |
$2,061 | $2,290 | 0.3× |
| Needle insertion w/o injection 3 or more muscles (20561) | $34.65 | $38.50 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$341.10–$358.20 | $379–$398 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$766.02–$1,427.40 | $851.13–$1,586 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,170 | $1,300 | 1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $1,093.05 | $1,214.50 | 1.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$991.58–$1,390.50 | $1,101.75–$1,545 | varies |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) unusually low: confirm this is the full procedure |
$2,818.13 | $3,131.25 | 0.4× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) unusually low: confirm this is the full procedure |
$2,818.13 | $3,131.25 | 0.4× |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$505.35–$530.55 | $561.50–$589.50 | varies |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) unusually low: confirm this is the full procedure |
$12,240 | $13,600 | 0.4× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $12,240 | $13,600 | 1.7× |
| Open treatment metatarsal fracture each (28485) | $4,500 | $5,000 | 0.6× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $10,305 | $11,450 | 1.4× |
| Open treatment of ulnar styloid fracture (25652) | $5,636.25 | $6,262.50 | 0.8× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $5,152.50 | $5,725 | 0.7× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $9,337.50 | $10,375 | 1.3× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $5,152.50 | $5,725 | 0.7× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $6,435 | $7,150 | 1.9× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $12,240 | $13,600 | 1.7× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$5,636.25–$9,337.50 | $6,262.50–$10,375 | varies |
| Ostectomy calcaneus (28118) | $3,757.50 | $4,175 | 1.1× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $5,467.50 | $6,075 | 1.7× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$2,790–$3,112.50 | $3,100–$3,458.33 | varies |
| Parathyroidectomy or exploration of parathyroid(s); (60500) | $10,305 | $11,450 | 1.7× |
| Part remv talus or calcaneus (28120) | $7,402.50 | $8,225 | 2.2× |
| Partial Excision Distal Phalanx Finger (26236) | $1,750.28 | $1,944.75 | 1.1× |
| Partial hymenectomy or revision of hymenal ring (56700) | $4,613.18 | $5,125.75 | 1.4× |
| Partial removal of thyroid (60220) | $10,305 | $11,450 | 1.7× |
| Partical Excision Bone Phalanx Toe (28124) range across 9 matching MRF lines |
$1,229.99–$6,435 | $1,366.66–$7,150 | varies |
| Pericardiocentesis W/Imaging (33016) | $2,531.70 | $2,813 | 1.6× |
| Peritoneal Lavage (49084) | $1,489.28 | $1,654.75 | 1.6× |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$1,565.10–$1,787.40 | $1,739–$1,986 | varies |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$10,257.75–$10,860.75 | $11,397.50–$12,067.50 | varies |
| Perq Vertebral Augmentation (22513) | $5,353.88 | $5,948.75 | 0.7× |
| Placement of needle for intraosseous infusion (36680) range across 3 matching MRF lines |
$312.53–$328.05 | $347.25–$364.50 | varies |
| Placement of seton (46020) | $7,402.50 | $8,225 | 2.6× |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) | $2,880 | $3,200 | 1.2× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 5 matching MRF lines |
$3,217.50–$7,402.50 | $3,575–$8,225 | varies |
| Punch biopsy skin single lesion (11104) | $364.05 | $404.50 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$435.60–$457.43 | $484–$508.25 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
$661.50–$1,201.05 | $735–$1,334.50 | varies |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) | $8,370 | $9,300 | 1.1× |
| Reduction of rectal prolapse (45900) | $1,563.08 | $1,736.75 | 1.7× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$2,187.90–$3,701.25 | $2,431–$4,112.50 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$387–$406.35 | $430–$451.50 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,312.88 | $1,458.75 | 0.8× |
| Removal Foreign Body Pelvis/Hip Deep (27087) | $5,125.95 | $5,695.50 | 1.5× |
| Removal foreign body upper arm/elbow deep (24201) | $4,874.85 | $5,416.50 | 1.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$302.18–$386.55 | $335.75–$429.50 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $143.78 | $159.75 | 2.4× |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$5,467.50–$9,337.50 | $6,075–$10,375 | varies |
| Removal of adenoids (42831) | $2,145 | $2,383.33 | 0.6× |
| Removal of foreign body from pharynx (42809) | $468.90 | $521 | 1.0× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$418.50–$3,217.50 | $465–$3,575 | varies |
| Removal of sesamoid bone (28315) | $6,435 | $7,150 | 1.9× |
| Removal of tonsils (42825) unusually low: confirm this is the full procedure |
$2,880 | $3,200 | 0.5× |
| Removal of tonsils (42826) | $6,435 | $7,150 | 1.9× |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$691.20–$725.85 | $768–$806.50 | varies |
| Remove Forearm Foreign Body (25248) | $2,370.38 | $2,633.75 | 1.5× |
| Remove foreign body from eye (65205) | $5,093.33 | $5,659.25 | 37.8× |
| Remove Intrauterine Device (58301) | $2,733.75 | $3,037.50 | 8.9× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$239.85–$251.78 | $266.50–$279.75 | varies |
| Remove Tendon Sheath Lesion (26160) | $5,467.50 | $6,075 | 3.4× |
| Repair Choanal Atresia Intranasal (30540) | $8,370 | $9,300 | 1.4× |
| Repair Collat Ankle Ligmnt,Secondary (27698) | $6,603.75 | $7,337.50 | 0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$597.60–$919.80 | $664–$1,022 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$732.38–$769.05 | $813.75–$854.50 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$555.98–$583.88 | $617.75–$648.75 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$724.05–$753.08 | $804.50–$836.75 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $682.43 | $758.25 | 1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$774–$812.70 | $860–$903 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $940.95 | $1,045.50 | 1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,001.03 | $1,112.25 | 1.3× |
| Repair Extensor Tendon Finger W/Graft Each (26420) | $4,500 | $5,000 | 1.4× |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$2,396.25–$3,217.50 | $2,662.50–$3,575 | varies |
| Repair Hallux Rigidus (28289) range across 2 matching MRF lines |
$2,790–$8,370 | $3,100–$9,300 | varies |
| Repair Hand Tendon (26410) | $1,837.80 | $2,042 | 1.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $6,435 | $7,150 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$499.50–$580.28 | $555–$644.75 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$517.50–$635.63 | $575–$706.25 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $531 | $590 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $820.58 | $911.75 | 2.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $614.70 | $683 | 1.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$919.80–$965.70 | $1,022–$1,073 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$405–$674.78 | $450–$749.75 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$405–$703.35 | $450–$781.50 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $937.58 | $1,041.75 | 1.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $3,102.30 | $3,447 | 1.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$781.43–$820.58 | $868.25–$911.75 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$547.20–$562.73 | $608–$625.25 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$656.33–$689.18 | $729.25–$765.75 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $843.53 | $937.25 | 1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$677.25–$711.23 | $752.50–$790.25 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $3,353.18 | $3,725.75 | 1.6× |
| Repair lower leg tendons (27676) | $6,603.75 | $7,337.50 | 0.9× |
| Repair Nasal Vestibular Stenosis (30465) | $5,047.51 | $5,608.34 | 0.8× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$833.40–$875.03 | $926–$972.25 | varies |
| Repair secondary achilles tendon w/wo graft (27654) | $3,757.50 | $4,175 | 0.5× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $10,305 | $11,450 | 1.4× |
| Repair tongue laceration (41252) | $410.40 | $456 | 1.7× |
| Repair tongue laceration (41250) | $339.08 | $376.75 | 0.7× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$4,500–$7,402.50 | $5,000–$8,225 | varies |
| Revision of foot bones (28737) | $7,571.25 | $8,412.50 | 0.6× |
| Revision of lower leg tendon (27685) | $3,217.50 | $3,575 | 1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$495–$519.75 | $550–$577.50 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
$272.93–$545.85 | $303.25–$606.50 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$645.53–$677.70 | $717.25–$753 | varies |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,872 | $2,080 | 1.5× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $2,683.58 | $2,981.75 | 0.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $2,826.68 | $3,140.75 | 1.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $5,467.50 | $6,075 | 3.4× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $3,701.25 | $4,112.50 | 1.6× |
| Rplc Gtube No Revj Trc (43762) | $426.15 | $473.50 | 1.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $5,467.50 | $6,075 | 1.5× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) | $6,435 | $7,150 | 1.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $8,370 | $9,300 | 2.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $8,370 | $9,300 | 1.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $6,435 | $7,150 | 1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $360.45 | $400.50 | 1.8× |
| Rpr flexor tendon leg secondary w/o graft each (27659) | $6,120 | $6,800 | 0.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $965.70 | $1,073 | 1.3× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $2,061 | $2,290 | 0.6× |
| Shave skin lesion 0.5 cm/< (11300) | $354.15 | $393.50 | 0.9× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $4,885.88 | $5,428.75 | 1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $530.55 | $589.50 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$328.50–$344.93 | $365–$383.25 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$347.40–$364.73 | $386–$405.25 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $651.38 | $723.75 | 1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$450–$472.50 | $500–$525 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $784.13 | $871.25 | 3.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$252–$264.60 | $280–$294 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$810–$850.50 | $900–$945 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$381.15–$400.28 | $423.50–$444.75 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$2,871.68–$3,015.23 | $3,190.75–$3,350.25 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$2,871.68–$3,015.23 | $3,190.75–$3,350.25 | varies |
| Skin sub grft t/arm/lg child (15273) | $5,397.30 | $5,997 | 2.6× |
| Skn sub grft f/n/hf/g child (15277) | $3,015.23 | $3,350.25 | 1.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
$4,185–$6,435 | $4,650–$7,150 | varies |
| Slitting of prepuce (54001) | $3,696.98 | $4,107.75 | 1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$326.93–$343.35 | $363.25–$381.50 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$506.03–$531.23 | $562.25–$590.25 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $708.75 | $787.50 | 1.7× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$668.93–$1,154.93 | $743.25–$1,283.25 | varies |
| Strapping ankle (29540) | $541.80 | $602 | 3.3× |
| Strapping elbow or wrist (29260) | $115.88 | $128.75 | 1.9× |
| Strapping knee (29530) | $350.10 | $389 | 2.6× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$162–$321.75 | $180–$357.50 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$2,061–$3,217.50 | $2,290–$3,575 | varies |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) unusually low: confirm this is the full procedure |
$2,250 | $2,500 | 0.4× |
| Surg tx anal fistula subq (46270) | $6,435 | $7,150 | 2.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $6,435 | $7,150 | 4.0× |
| Tangential biopsy skin single lesion (11102) | $316.58 | $351.75 | 0.8× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 6 matching MRF lines |
$1,229.99–$5,047.50 | $1,366.66–$5,608.33 | varies |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) range across 2 matching MRF lines |
$9,337.50–$18,870.98 | $10,375–$20,967.75 | varies |
| Thrombolytic Therapy Stroke (37195) | $578.03 | $642.25 | 1.7× |
| Thyroidectomy, total or complete (60240) | $17,077.50 | $18,975 | 2.8× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $4,500 | $5,000 | 2.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $3,690 | $4,100 | 1.1× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$378.90–$9,337.50 | $421–$10,375 | varies |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$11,272.50–$14,175 | $12,525–$15,750 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,642.73 | $1,825.25 | 6.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $2,496.38 | $2,773.75 | 1.6× |
| Transur electr resection of prostate (52601) | $9,337.50 | $10,375 | 1.7× |
| Treat ectopic pregnancy (59151) | $10,305 | $11,450 | 1.7× |
| Treat humerus fracture (24500) | $450.90 | $501 | 1.8× |
| Treat Humerus Fracture (24505) | $1,172.03 | $1,302.25 | 0.7× |
| Treat humerus fracture (23600) | $454.05 | $504.50 | 1.8× |
| Treat knee fracture (27532) | $905.63 | $1,006.25 | 0.3× |
| Treat Kneecap Fracture (27524) | $10,305 | $11,450 | 1.4× |
| Treat Knuckle Dislocation (26700) | $541.80 | $602 | 2.2× |
| Treat Metatarsal Fracture (28475) | $450.90 | $501 | 1.8× |
| Treat Tail Bone Fracture (27200) | $450.90 | $501 | 1.8× |
| Treat Thumb Dislocation (26641) | $482.85 | $536.50 | 1.9× |
| Treat Thumb Fracture (26645) | $2,713.73 | $3,015.25 | 1.7× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$545.85–$573.08 | $606.50–$636.75 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$459.90–$482.85 | $511–$536.50 | varies |
| Treatment of foot infection (28003) | $5,632.20 | $6,258 | 1.7× |
| Treatment of penis lesion (54115) | $2,812.95 | $3,125.50 | 1.0× |
| Trim skin lesion (11055) | $312.75 | $347.50 | 1.5× |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$328.50–$344.93 | $365–$383.25 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$328.50–$344.93 | $365–$383.25 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$109.13–$114.53 | $121.25–$127.25 | varies |
| Tx Gastro Intub W/Asp (43753) | $183.60 | $204 | 0.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $5,467.50 | $6,075 | 1.7× |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,880 | $3,200 | 0.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$2,662.88–$2,796.08 | $2,958.75–$3,106.75 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $924.75 | $1,027.50 | 1.2× |
| Tx superficial wound dehiscence w/packing (12021) | $611.10 | $679 | 1.5× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $2,713.73 | $3,015.25 | 1.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $450.90 | $501 | 1.8× |
| Tympanoplasty (69631) | $7,571.25 | $8,412.50 | 1.3× |
| Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$1,440–$2,880 | $1,600–$3,200 | varies |
| Unlisted procedure humerus/elbow (24999) | $450.90 | $501 | 1.8× |
| Unlisted procedure nervous system (64999) | $402.08 | $446.75 | 1.3× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $902.70 | $1,003 | 3.8× |
| Unlisted Procedure Vascular Surgery (37799) | $402.08 | $446.75 | 0.6× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $4,185 | $4,650 | 0.8× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) | $9,337.50 | $10,375 | 1.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $3,217.50 | $3,575 | 1.5× |
| Ventilating tube removal requiring general anesthesia (69424) | $1,440 | $1,600 | 0.4× |
| Vulvectomy simple partial (56620) | $8,370 | $9,300 | 2.6× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) | $2,880 | $3,200 | 0.5× |
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.