Procedures & surgery prices at University Hospital – UMMC

Jackson, MS · every code in this section with a posted price and a Medicare benchmark.

1302 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $800 $2,000 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $800 $2,000 1.0×
Ablate Pulm Tumor Perq Crybl (32994)
unusually low: confirm this is the full procedure		 $4,000 $10,000 0.4×
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure		 $4,200 $10,500 0.4×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $5,600 $14,000 0.4×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $5,600 $14,000 0.9×
Adding Walker Previously Applied Cast (29440) $140 $350 1.0×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,800 $7,000 0.9×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,640 $4,100 0.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $1,640 $4,100 0.9×
Allogeneic lymphocyte infusions (38242) $1,160 $2,900 0.8×
Amniocentesis diagnostic (59000) $560 $1,400 0.7×
Amniocentesis therapeutic (59001) $288 $720 1.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,400 $6,000 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,400 $6,000 0.8×
Amputate Metacarpal Bone (26910) $2,400 $6,000 0.8×
Amputation toe interphalangeal joint (28825) $2,400 $6,000 0.8×
Amputation toe metatarsophalangeal joint (28820) $2,400 $6,000 0.8×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $270 $675 1.0×
Anal/Urinary Muscle Study (51784) $140 $350 1.2×
Anoscopy diagnostic (46600) $100 $250 0.8×
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $960 $2,400 0.9×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $2,360 $5,900 0.9×
Apheresis Platelets (36513) $405.20 $1,013 1.0×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $140 $350 1.0×
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) $246.40 $616 1.0×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $140 $350 1.0×
Application Body Cast Shoulder Hips (29035) $204 $510 0.8×
Application Body Cast Shoulder Hips Both Thighs (29046) $246.40 $616 1.0×
Application cast elbow finger short arm (29075) $204 $510 0.8×
Application Cast Finger (29086) $140 $350 1.0×
Application Cast Shoulder Spica (29055) $221.20 $553 0.9×
Application Finger Splint Dynamic (29131) $50 $125 0.9×
Application finger splint static (29130) $116 $290 1.0×
Application Halo Cranial Including Removal (20661) $525.20 $1,313 0.4×
Application Halo Type Body Cast (29000) $221.20 $553 0.9×
Application Hip Spica Cast 1 Leg (29305) $246.40 $616 1.0×
Application long arm splint shoulder hand (29105) $140 $350 1.0×
Application Long Leg Cast Brace (29358) $246.40 $616 1.0×
Application Long Leg Cast Walker/Ambulatory Type (29355) $246.40 $616 1.0×
Application Long Leg Splint (29505) $140 $350 1.0×
Application of body cast, shoulder to hips; including 1 thigh Facility (29044) $140 $350 1.0×
Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) $204 $510 0.8×
Application of cylinder cast (thigh to ankle) (29365) $246.40 $616 1.0×
Application of long leg cast (29345) $240 $600 1.0×
Application of rigid total contact leg cast (29445) $240 $600 1.0×
Application of Risser jacket, localizer, body; including head Facility (29015) $221.20 $553 0.9×
Application Patellar Tendon Bearing Cast (29435) $204 $510 0.8×
Application risser jacket localizer body only (29010) $221.20 $553 0.9×
Application Short Arm Splint Dynamic (29126) $100 $250 0.8×
Application short arm splint forearm-hand static (29125) $116 $290 1.0×
Application short leg splint calf foot (29515) $140 $350 1.0×
Application, cast; figure-of-eight Facility (29049) $221.20 $553 0.9×
Apply hand/wrist cast (29085) $140 $350 1.0×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $204–$240 $510–$600 varies
Apply Multlay Comprs Lwr Leg (29581) $140 $350 1.0×
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $204–$240 $510–$600 varies
Apply short leg cast (29425) $204 $510 0.8×
Apply shoulder cast,plastr velpeau (29058) $204 $510 0.8×
Arterial puncture (36600) $116 $290 1.0×
Arteriovenous Anastomosis Open Direct (36821) $2,200 $5,500 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $264 $660 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $520 $1,300 0.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $264–$528 $660–$1,320 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $264 $660 1.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $264 $660 1.0×
Arthrodesis sacroiliac joint percutaneous (27279) $14,000 $35,000 0.9×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) $17,756.40 $44,391 1.1×
Arthroplasty interphalangeal joint each (26535) $2,400 $6,000 0.8×
Aspirate pleura w/ imaging (32555) $520 $1,300 0.9×
Aspirate Pleura W/O Imaging (32554) $520 $1,300 0.9×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $260.80–$264 $652–$660 varies
Aspiration & Injection Treatment Bone Cyst (20615) $600 $1,500 0.9×
Aspiration and/or injection thyroid cyst (60300) $600 $1,500 0.9×
Aspiration bladder insert suprapubic catheter (51102) $1,520 $3,800 0.8×
Aspiration Bladder Needle (51100) $272 $680 1.2×
Aspiration bladder trocar/intracatheter (51101) $800 $2,000 1.0×
Av Fistula Revision Open (36832) $5,236 $13,090 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $183.60 $459 1.0×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) $10,411.20 $26,028 1.1×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure		 $4,000 $10,000 0.4×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
unusually low: confirm this is the full procedure		 $2,400 $6,000 0.4×
Biopsy Abdominal Mass (49180) $1,400 $3,500 0.9×
Biopsy bone trocar/needle deep (20225) $1,400 $3,500 0.9×
Biopsy Bone Trocar/Needle Superficial (20220) $1,400 $3,500 0.9×
Biopsy muscle percutaneous needle (20206) $1,400 $3,500 0.9×
Biopsy Nasopharynx Visible Lesion Simple (42804) $2,400 $6,000 0.8×
Biopsy of breast; open, incisional (19101) $3,029.60 $7,574 0.9×
Biopsy of floor of mouth (41108) $1,400 $3,500 0.9×
Biopsy of liver, needle; percutaneous (47000) $1,400 $3,500 0.9×
Biopsy of nerve (64795) $1,480 $3,700 0.8×
Biopsy of penis (54100) $1,400 $3,500 0.9×
Biopsy of rectum (45100) $2,360 $5,900 0.9×
Biopsy Oropharynx (42800) $1,200 $3,000 0.9×
Biopsy Pleura Percutaneous Needle (32400) $1,400 $3,500 0.9×
Biopsy Salivary Gland Needle (42400) $600 $1,500 0.9×
Biopsy soft tissue forearm&/wrist deep (25066) $2,000 $5,000 0.8×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,400 $3,500 0.9×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $2,000 $5,000 0.8×
Biopsy soft tissue leg/ankle area superficial (27613) $1,400 $3,500 0.9×
Biopsy soft tissue neck/thorax (21550) $1,400 $3,500 0.9×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,400 $3,500 0.9×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,400 $3,500 0.9×
Biopsy Soft Tissue Shoulder Deep (23066) $2,000 $5,000 0.8×
Biopsy Soft Tissue Shoulder Superficial (23065) $1,400 $3,500 0.9×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $2,000 $5,000 0.8×
Biopsy soft tissue thigh/knee area superficial (27323) $1,400 $3,500 0.9×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $1,400 $3,500 0.9×
Biopsy Spinal Cord Percutaneous Needle (62269) $1,400 $3,500 0.9×
Biopsy Testis Needle Separate Procedure (54500) $2,320 $5,800 0.9×
Biopsy Tongue Anterior Two-Thirds (41100) $400 $1,000 0.8×
Biopsy Tongue Posterior One-Third (41105) $2,600 $6,500 0.9×
Biopsy Vaginal Mucosa Extensive (57105)
range across 2 matching MRF lines		 $2,000–$2,520 $5,000–$6,300 varies
Biopsy Vaginal Mucosa Simple (57100) $560 $1,400 0.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $560 $1,400 0.7×
Biopsy, vestibule of mouth (40808) $400 $1,000 0.8×
Bladder instillation anticarcinogenic agent (51720) $240 $600 0.4×
Bladder Irrigation (51700) $240 $600 1.1×
Bladder Scan (51798) $50 $125 0.9×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $1,160 $2,900 0.8×
Blepharotomy drainage abscess eyelid (67700) $264 $660 0.9×
Blood Transfusion Service (36430) $396 $990 1.0×
Blood/Lymph System Procedure (38999) $396 $990 1.0×
Bone Marrow Biopsy (38221) $1,400 $3,500 0.9×
Bone Marrow; Aspiration Only (38220) $1,400 $3,500 0.9×
BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (0138U) $468.40 $1,171 1.0×
Brnchsc Brushing/Protected Brushings (31623) $1,400 $3,500 0.9×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $2,600 $6,500 0.8×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $2,600 $6,500 0.8×
Brnchsc Removal Bronchial Valve Ea Addl (31649) $1,400 $3,500 0.9×
Brnchsc Removal Bronchial Valve Initial (31648) $2,600 $6,500 0.8×
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) $5,947.60 $14,869 0.9×
Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) $2,600 $6,500 0.8×
Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) $1,400 $3,500 0.9×
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) $2,600 $6,500 0.8×
Bronch Thermoplsty 1 Lobe (31660) $6,187.20 $15,468 1.0×
Bronchial Valve Init Insert (31647) $5,200 $13,000 0.8×
Bronchoscopy Balloon Occlusion (31634) $6,187.20 $15,468 1.0×
Bronchoscopy Bronch Stents (31636) $5,200 $13,000 0.8×
Bronchoscopy Clear Airways (31645) $1,528 $3,820 1.0×
Bronchoscopy Dilate W/Stent (31631) $5,200 $13,000 0.8×
Bronchoscopy W/Biopsy(S) (31625) $1,400 $3,500 0.9×
Bronchoscopy W/Excision Tumor (31640) $2,293.20 $5,733 0.7×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $5,200 $13,000 0.8×
Bronchoscopy W/Removal Foreign Body (31635) $1,400 $3,500 0.9×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $2,600 $6,500 0.8×
Bronchoscopy/Needle Bx Each (31629) $2,600 $6,500 0.8×
Bx Arm/Elbow Soft Tissue,Deep (24066) $2,000 $5,000 0.8×
Bx breast 1st lesion mr imag (19085) $1,400 $3,500 0.9×
Bx breast 1st lesion strtctc (19081) $1,400 $3,500 0.9×
Bx breast 1st lesion us imag (19083) $1,400 $3,500 0.9×
Bx breast needle core w/o imaging guidance spx (19100) $1,400 $3,500 0.9×
Bx Cervix (57500) $560 $1,400 0.7×
Bx prostate strtctc saturation sampling img gid (55706) $2,000 $5,000 0.6×
Bx/exc lymph node open superficial (38500) $3,029.60 $7,574 0.9×
Canthotomy Separate Procedure (67715) $1,800 $4,500 0.8×
Car-t admn autologous (38228) $1,948.80 $4,872 6.5×
Carpal Tunnel Surgery (64721) $1,480 $3,700 0.8×
Catheter aspiration nasotracheal spx (31720) $192 $480 1.0×
Cautery Cervix Cryocautery Initial/Repeat (57511) $288 $720 1.0×
Cautery Cervix Electro/Thermal (57510) $2,520 $6,300 0.9×
Cessj Therapy Cath Removal (37214) $2,200 $5,500 0.8×
Change Cystostomy Tube Complicated (51710) $480 $1,200 0.8×
Change Cystostomy Tube Simple (51705) $272 $680 1.2×
Change of Windpipe Airway (31502) $200 $500 0.9×
Change ureter stent percut (50382) $1,800 $4,500 1.0×
Chemical Cautery Tissue (17250) $183.60 $459 1.0×
Chemical Pleurodesis (32560) $520 $1,300 0.9×
Chemodenerv 1 extrem 5/> mus (64644) $520 $1,300 0.8×
Chemodenerv 1 extremity 1-4 (64642) $520 $1,300 0.8×
Chemodenerv Musc Migraine (64615) $264 $660 1.0×
Chemodenerv musc neck dyston (64616) $264 $660 1.0×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $266.80 $667 1.0×
Chemodenerv trunk musc 1-5 (64646) $520 $1,300 0.8×
Chemodenerv trunk musc 6/> (64647) $520 $1,300 0.8×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $264 $660 0.4×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $264 $660 1.0×
Chest tube placement (32551) $1,200 $3,000 0.8×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $1,440 $3,600 0.8×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $2,400 $6,000 0.7×
Circumcision 28 days or older (54161) $1,800 $4,500 1.0×
Circumcision Neonate (54160) $480 $1,200 0.8×
Circumcision w/clamp/oth dev w/block (54150) $1,520 $3,800 0.8×
Cl Tx Scapular Fx; W Manip (23575) $1,422.40 $3,556 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $1,200 $3,000 0.8×
Clear outer ear canal (69200) $100 $250 0.8×
Closed Rx Spontaneous Hip Disloc (27256) $210.80 $527 0.9×
Closed Treat Vert Body Fract (22310) $210.80 $527 0.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $200 $500 0.9×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,434.40 $3,586 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $200 $500 0.9×
Closed Treatment Sesamoid Fracture (28530) $210.80 $527 0.9×
Closed Treatment Ulnar Styloid Fracture (25650) $200 $500 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $200 $500 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,200 $3,000 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $200 $500 0.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $210.80 $527 0.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $200 $500 0.9×
Closed tx carpal scaphoid fracture w/manj (25624) $1,200 $3,000 0.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $210.80 $527 0.9×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $200 $500 0.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $210.80 $527 0.9×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,400 $3,500 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $200 $500 0.9×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,200 $3,000 0.8×
Closed tx mandibular fracture w/manipulation (21451) $1,200 $3,000 0.9×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $400 $1,000 0.8×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $4,000 $10,000 0.7×
Closed tx metatarsal fracture w/o manipulation (28470) $210.80 $527 0.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,200 $3,000 0.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,200 $3,000 0.9×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $2,600 $6,500 0.9×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $2,600 $6,500 0.9×
Closed tx patellar dislocation w/anesthesia (27562) $210.80 $527 0.9×
Closed tx patellar dislocation w/o anesthesia (27560) $200 $500 0.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $200 $500 0.9×
Closed tx radial head/neck fx w/manipulation (24655) $1,200 $3,000 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $210.80 $527 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $1,200 $3,000 0.8×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $200 $500 0.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,200 $3,000 0.8×
Closed tx radial&ulnar shaft fractures w/o man (25560) $200 $500 0.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $210.80 $527 0.9×
Closed tx septal&nose fx (21337) $2,600 $6,500 0.9×
Closed Tx Talus Fracture W/Manipulation (28435) $1,200 $3,000 0.8×
Closed tx talus fracture w/o manipulation (28430) $200 $500 0.9×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $210.80 $527 0.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $200 $500 0.9×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $1,200 $3,000 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $210.80 $527 0.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,200 $3,000 0.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $210.80 $527 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $200 $500 0.9×
Closure Gastrostomy Surg (43870) $2,440 $6,100 0.7×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $200 $500 0.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $400 $1,000 0.8×
Closure lacrimal punctum (68760) $264 $660 0.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $210.80 $527 0.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $210.80 $527 0.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,400 $3,500 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $200 $500 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,200 $3,000 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $200 $500 0.9×
Clsr Lacrimal Punctum Plug Each (68761) $264 $660 0.9×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $224.80 $562 1.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,200 $3,000 0.8×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,200 $3,000 0.8×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $210.80 $527 0.9×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,200 $3,000 0.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $210.80 $527 0.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $200 $500 0.9×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $1,400 $3,500 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $200 $500 0.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $200 $500 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $200 $500 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $210.80 $527 0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $200 $500 0.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,200 $3,000 0.8×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,200 $3,000 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,200 $3,000 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,200 $3,000 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $200 $500 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $210.80 $527 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $200 $500 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $210.80 $527 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,200 $3,000 0.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $200 $500 0.9×
Cltx hip dislocation traumatic req anesthesia (27252) $1,200 $3,000 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $200 $500 0.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $210.80 $527 0.9×
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines		 $1,200–$1,400 $3,000–$3,500 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,200 $3,000 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $210.80 $527 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $210.80 $527 0.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $246.40 $616 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $200 $500 0.9×
Cltx Med Ankle Fx W/Mnpj (27762) $1,200 $3,000 0.8×
Cltx Medial Ankle Fx (27760) $210.80 $527 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $200 $500 0.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $200 $500 0.9×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,200 $3,000 0.8×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $1,400 $3,500 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $200 $500 0.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $210.80 $527 0.9×
Cltx post hip arthrp dislc req anes (27266) $1,200 $3,000 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $200 $500 0.9×
Cltx prox fibula/shft fx w/manj (27781) $1,200 $3,000 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $210.80 $527 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,200 $3,000 0.8×
Cltx prox tibfib jt dislc req anes (27831) $2,400 $6,000 0.8×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $210.80 $527 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $200 $500 0.9×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,200 $3,000 0.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,200 $3,000 0.8×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,200 $3,000 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,200 $3,000 0.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $200 $500 0.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,217.60 $3,044 0.8×
Cltx tibial fx proximal w/o manipulation (27530) $200 $500 0.9×
Cltx tibial shaft fx w/o manipulation (27750) $200 $500 0.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $210.80 $527 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,200 $3,000 0.8×
Cltx trimalleolar ankle fx w/o manipulation (27816) $210.80 $527 0.9×
Collect Blood From Catheter Venous Nos (36592) $116 $290 1.0×
Collection of venous blood by venipuncture (36415) $11.60 $29 1.2×
Colonoscopy Flexible With Decompression (45393) $960 $2,400 0.9×
Colonoscopy Stoma Ablation Lesion (44401) $960 $2,400 0.9×
Colonoscopy Stoma Control Bleeding (44391) $960 $2,400 0.9×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $960 $2,400 0.9×
Colonoscopy stoma w/balloon dilation (44405) $960 $2,400 0.9×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $960 $2,400 0.9×
Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) $4,000 $10,000 0.7×
Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) $960 $2,400 0.9×
Colonoscopy Stoma W/Submucosal Injection (44404) $960 $2,400 0.9×
Colonoscopy Through Stoma With Decompression (44408) $720 $1,800 0.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $960 $2,400 0.9×
Colonoscopy thru stoma (44388) $832 $2,080 1.0×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $960 $2,400 0.9×
Colonoscopy w/ablation (45388) $960 $2,400 0.9×
Colonoscopy W/Band Ligation (45398) $960 $2,400 0.9×
Colonoscopy w/fb removal (45379) $960 $2,400 0.9×
Colonoscopy w/ndl aspir/bx (44407) $960 $2,400 0.9×
Colonoscopy W/Resection (45390) $2,360 $5,900 0.9×
Colonoscopy w/stent plcmt (45389) $4,918 $12,295 0.9×
Colonoscopy w/submucosal inj (45381) $998.40 $2,496 0.9×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $2,520 $6,300 0.9×
Colporrhaphy (57200) $2,520 $6,300 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $200 $500 0.7×
Colposcopy Cervix Endocervical Curettage (57456) $200 $500 0.7×
Colposcopy cervix upper/adjacent vagina (57452) $173.60 $434 1.0×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $200 $500 0.7×
Colposcopy cervix vag eltrd conization cervix (57461) $2,000 $5,000 0.7×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,000 $5,000 0.7×
Colposcopy entire vagina w/cervix if present (57420) $317.20 $793 1.2×
Colposcopy of vulva (56820) $160 $400 0.9×
Colposcopy Vulva W/Biopsy (56821) $200 $500 0.7×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $560 $1,400 0.7×
Colpotomy; with drainage of pelvic abscess (57010) $2,000 $5,000 0.7×
Colsc Flexible W/Control Bleeding Any Method (45382) $960 $2,400 0.9×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $960 $2,400 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $960 $2,400 0.9×
Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) $1,060 $2,650 1.0×
Complex Cystometrogram (51726) $240 $600 1.1×
Complex drainage wound (10180) $2,400 $6,000 0.9×
Composite Skin Graft (15760) $1,720 $4,300 0.9×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,000 $5,000 0.7×
Conization of cervix (57520) $2,520 $6,300 0.9×
Constj tracheoesophgl fstl&insj sp prosth (31611) $2,600 $6,500 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $100 $250 0.8×
Control Nasal Hemorrhage Anterior Simple (30901) $100 $250 0.8×
Control oropharyngeal hemorrhage simple (42960) $400 $1,000 0.8×
Conversion ext bil drg cath (47535) $2,400 $6,000 0.7×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,480 $3,700 0.9×
Convert Nephrostomy Catheter (50434) $1,520 $3,800 0.8×
Cordocentesis (59012) $288 $720 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,400 $3,500 0.9×
Cornea Scraping Diagnostic Smear &/Culture (65430) $260 $650 0.6×
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) $3,140 $7,850 1.0×
Correction of trichiasis; epilation, by forceps only (67820) $100 $250 0.8×
Create Eardrum Opening (69433) $400 $1,000 0.8×
Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) $5,200 $13,000 0.7×
Csf shunt reprogram (62252) $278.80 $697 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $100 $250 0.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $204 $510 1.0×
Cysto Bladder W/Ureteral Catheterization (52005) $1,828.80 $4,572 1.0×
Cysto calibration dilat urtl strix/stenosis (52281) $1,520 $3,800 0.8×
Cysto w/complex removal stone & stent (52315) $1,800 $4,500 1.0×
Cysto w/insert ureteral stent (52332) $3,000 $7,500 0.9×
Cysto W/Simple Removal Stone & Stent (52310) $1,520 $3,800 0.8×
Cystometrogram W/Up (51727) $480 $1,200 0.8×
Cystometrogram W/Vp (51728) $480 $1,200 0.8×
Cystometrogram W/Vp&Up (51729) $480 $1,200 0.8×
Cystostomy Cystotomy W/Drainage (51040) $1,800 $4,500 1.0×
Cystourethroscopy (52000) $499.20 $1,248 0.8×
Cystourethroscopy with biopsy (52204) $1,440 $3,600 0.8×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $1,440 $3,600 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $520 $1,300 1.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,400 $6,000 0.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $600 $1,500 0.9×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $635.60 $1,589 1.0×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $1,480 $3,700 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $520 $1,300 0.8×
Debride nail 1-5 (11720) $50 $125 0.9×
Debride nail 6 or more (11721) $50 $125 0.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,400 $3,500 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $353.20 $883 1.0×
Declot vascular device (36593) $325.60 $814 1.1×
Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including… (64728) $2,010.80 $5,027 1.1×
Deep Muscle Biopsy (20205) $2,320 $5,800 0.9×
Delivery of placenta (59414) $2,000 $5,000 0.7×
Destr penis lesion(s) (54065) $1,640 $4,100 0.9×
Destr W Neurolytic; Celiac Plexus (64680) $840 $2,100 1.1×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $1,480–$2,960 $3,700–$7,400 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines		 $1,480–$2,960 $3,700–$7,400 varies
Destruct B9 Lesion 1-14 (17110) $183.60 $459 1.0×
Destruction Benign Lesions 15/> (17111) $183.60 $459 1.0×
Destruction by neurolytic agent, intercostal nerve (64620)
range across 2 matching MRF lines		 $520–$1,040 $1,300–$2,600 varies
Destruction by neurolytic agent; plantar common digital nerve (64632) $282.40 $706 1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,124.40 $2,811 1.0×
Destruction Lesions Vulva Extensive (56515) $1,640 $4,100 0.9×
Destruction Lesions Vulva Simple (56501) $1,640 $4,100 0.9×
Destruction neurolytic agt genicular nerve w/img (64624) $1,719.20 $4,298 1.0×
Destruction of rectal tumor transanal approach (45190) $2,495.20 $6,238 1.0×
Destruction of skin lesions (17106) $340 $850 0.9×
Destruction Premalignant Lesion 15/> (17004) $353.20 $883 1.0×
Destruction premalignant lesion 1st (17000) $183.60 $459 1.0×
Destruction Vaginal Lesions Extensive (57065) $2,520 $6,300 0.9×
Destruction Vaginal Lesions Simple (57061) $2,000 $5,000 0.7×
Diagnostic anoscopy (46601) $100 $250 0.2×
Diagnostic sigmoidoscopy (45330) $800 $2,000 1.0×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $946.80 $2,367 0.9×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $144 $360 1.2×
Dilat rct strix spx under anes oth/thn local (45910) $1,078.40 $2,696 1.0×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $240 $600 1.1×
Dilat Xst Trc New Access Rcs (50437) $3,000 $7,500 0.9×
Dilate Esophagus 1/Mult Pass (43450) $720 $1,800 0.9×
Dilate Urethra Stricture (53620) $480 $1,200 0.8×
Dilation and catheterization of salivary duct, with or without injection (42660) $400 $1,000 0.8×
Dilation Esophagus Guide Wire (43453) $1,480 $3,700 0.9×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $5,194.40 $12,986 1.0×
Drain ant chmbr,remv vitreous (65810) $2,000 $5,000 1.0×
Drain Cerebro Spinal Fluid (62272) $520 $1,300 0.8×
Drain shoulder bursa (23031) $2,320 $5,800 0.9×
Drain Spinal Cord Cyst (62268) $840 $2,100 1.1×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $260.80–$264 $652–$660 varies
Drainage abscess parotid simple (42300) $1,200 $3,000 0.9×
Drainage Abscess/Hematoma Nasal Septum (30020) $400 $1,000 0.8×
Drainage external auditory canal abscess (69020) $600 $1,500 0.9×
Drainage external ear abscess/hematoma cmplx (69005) $1,400 $3,500 0.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $600 $1,500 0.9×
Drainage Finger Abscess Complicated (26011) $1,400 $3,500 0.9×
Drainage Mouth Roof Lesion (42000) $204 $510 1.0×
Drainage of eye (65800) $2,000 $5,000 1.0×
Drainage of finger abscess simple (26010) $183.60 $459 1.0×
Drainage of gum lesion (41800) $116 $290 1.0×
Drainage of hematoma/fluid (10140) $1,400 $3,500 0.9×
Drainage of hydrocele (55000) $600 $1,500 0.9×
Drainage of mouth lesion (41017) $2,794 $6,985 0.9×
Drainage of nose lesion (30000) $204 $510 1.0×
Drainage of rectal abscess (45005) $960 $2,400 0.9×
Drainage of salivary gland (42305) $2,600 $6,500 0.9×
Drainage of scrotal wall abscess (55100) $1,400 $3,500 0.9×
Drainage of scrotum (54700) $1,520 $3,800 0.8×
Drainage of skene's gland abscess or cyst (53060) $1,520 $3,800 0.8×
Draw Blood Off Venous Device (36591) $116 $290 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $400 $1,000 0.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $600 $1,500 0.9×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $400 $1,000 0.8×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $2,421.60 $6,054 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $340 $850 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $183.60 $459 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $183.60 $459 1.0×
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $520 $1,300 0.8×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $1,640 $4,100 0.9×
Dstrj Lesion Penis Simple Cryosurgery (54056) $160 $400 0.9×
Dstrj Lesion Penis Simple Electrodesiccation (54055) $1,640 $4,100 0.9×
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $1,480 $3,700 0.8×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $840–$1,680 $2,100–$4,200 varies
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $840 $2,100 1.1×
Duodenal intubat w/imag guided multiple specimen (43757) $720 $1,800 0.9×
Dx Bone Marrow Bx & Aspir (38222) $2,000 $5,000 0.8×
Dx Bronchoscope/Lavage (31624) $1,400 $3,500 0.9×
Dx Bronchoscope/Wash (31622) $1,400 $3,500 0.9×
Dx gastr intub w/asp spec (43754) $240 $600 1.2×
Dx gastr intub w/asp specs (43755) $140 $350 1.2×
Dx Laryngoscopy Excl Nb (31525) $1,400 $3,500 0.9×
Dx lmbr spi pnxr w/fluor/CT (62328) $520 $1,300 0.8×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,560 $3,900 0.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,622.40 $4,056 0.9×
Egd cautery tumor polyp (43250) $1,560 $3,900 0.9×
Egd control bleeding any (43255) $1,560 $3,900 0.9×
Egd dilation gastric/duodenal stricture (43245) $1,560 $3,900 0.9×
Egd endo mucosal resection (43254) $1,560 $3,900 0.9×
Egd Endoscopic Stent Place (43266) $4,000 $10,000 0.7×
Egd Flexible Foreign Body Removal (43247) $800 $2,000 1.0×
Egd guide wire insertion (43248) $800 $2,000 1.0×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,480 $3,700 0.9×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,560 $3,900 0.9×
Egd intrmural us needle aspirate/biopsy esophags (43238) $1,560 $3,900 0.9×
Egd lesion ablation (43270) $1,560 $3,900 0.9×
Egd place gastrostomy tube (43246) $1,622.40 $4,056 0.9×
Egd remove lesion snare (43251) $1,560 $3,900 0.9×
Egd Tube/Cath Insertion (43241) $1,480 $3,700 0.9×
Egd us exam duodenum/jejunum (43259) $1,560 $3,900 0.9×
Egd us transmural injxn/mark (43253) $1,560 $3,900 0.9×
Egd Varices Ligation (43244) $1,622.40 $4,056 0.9×
Egd W/Transmural Drain Cyst (43240) $4,000 $10,000 0.7×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $270 $675 1.0×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $270 $675 1.0×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $270 $675 1.0×
Electro-Uroflowmetry First (51741) $140 $350 0.7×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $2,640 $6,600 0.5×
Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) $2,640 $6,600 0.5×
Endocervical curettage (57505) $560 $1,400 0.7×
Endometrial Biopsy (58100) $160 $400 0.9×
Endoscopic injection/implant (51715) $2,000 $5,000 0.6×
Endoscopic us exam esoph (43237) $1,560 $3,900 0.9×
Endoscopy Upper Small Intestine (44360) $1,560 $3,900 0.9×
Endoscopy upper small intestine w/biopsy (44361) $1,560 $3,900 0.9×
Endovasc Temp Balloon Occlus,Head/Nck (61623) $7,200 $18,000 0.7×
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $2,400 $6,000 0.8×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $2,400 $6,000 0.8×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,400 $6,000 0.8×
Enteroscopy > 2nd prtn conv gstrst tube (44373) $1,480 $3,700 0.9×
Enteroscopy > 2nd prtn w/plmt prq tube (44372) $1,480 $3,700 0.9×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $1,560 $3,900 0.9×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) $1,480 $3,700 0.9×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,640 $4,100 0.9×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,640 $4,100 0.9×
Epidural Blood Patch (62273) $520 $1,300 0.8×
Epidural lysis mult sessions (62263) $840 $2,100 1.1×
Episiotomy or vaginal repair (59300) $2,000 $5,000 0.7×
Ercp Destruction/Lithotripsy Calculi Any Method (43265) $4,000 $10,000 0.7×
Ercp duct stent placement (43274) $4,000 $10,000 0.7×
Ercp Dx Collection Specimen Brushing/Washing (43260) $2,440 $6,100 0.7×
Ercp ea duct/ampulla dilate (43277) $2,440 $6,100 0.7×
Ercp remove calculi/debris biliary/pancreas duct (43264) $2,440 $6,100 0.7×
Ercp remove forgn body duct (43275) $2,440 $6,100 1.4×
Ercp Stent Exchange W/Dilate (43276) $4,000 $10,000 0.7×
Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) $2,440 $6,100 0.7×
Ercp W/Biopsy Single/Multiple (43261) $2,440 $6,100 0.7×
Ercp,Sphincterotomy (43262) $2,440 $6,100 0.7×
Escharotomy; initial incision (16035) $340 $850 0.9×
Esoph Scope W/Submucous Inj (43201) $1,480 $3,700 0.9×
Esophagogastroduodenoscopy Submucosal Injection (43236) $832 $2,080 1.0×
Esophagosc Dilate Balloon 30 (43214) $1,480 $3,700 0.9×
Esophagoscop Mucosal Resect (43211) $1,480 $3,700 0.9×
Esophagoscop Stent Placement (43212) $4,000 $10,000 0.7×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,560 $3,900 0.9×
Esophagoscopy Flex Transoral Injection Varices (43204) $1,480 $3,700 0.9×
Esophagoscopy Flex Transoral Lesion Ablation (43229) $2,440 $6,100 0.7×
Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) $1,560 $3,900 0.9×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,560 $3,900 0.9×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $720 $1,800 0.9×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $720 $1,800 0.9×
Esophagoscopy Flexible Transoral Diagnostic (43200) $720 $1,800 0.9×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $1,560 $3,900 0.9×
Esophagoscopy Flexible W/Bleeding Control (43227) $1,560 $3,900 0.9×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $1,560 $3,900 0.9×
Esophagoscopy Retro Balloon (43213) $1,480 $3,700 0.9×
Esophagoscopy rig transoral removal foreign body (43194) $1,480 $3,700 0.9×
Esophagoscopy Rigid Balloon (43195) $2,440 $6,100 0.7×
Esophagoscopy rigid trnso dx (43191) $1,480 $3,700 0.9×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,560 $3,900 0.9×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,480 $3,700 0.9×
Esophagoscp Guide Wire Dilat (43196) $2,440 $6,100 1.4×
Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) $4,000 $10,000 0.7×
Esophagoscp Rig Trnso Biopsy (43193) $1,480 $3,700 0.9×
Esophagoscp Rig Trnso Inject (43192) $1,560 $3,900 0.9×
Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) $1,480 $3,700 0.9×
Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) $1,560 $3,900 0.9×
Evacuation of subungual hematoma (11740) $100 $250 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $600 $1,500 0.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,400 $3,500 0.9×
Exc Back Les Sc < 3 Cm (21930) $1,400 $3,500 0.9×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $600 $1,500 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $600 $1,500 0.9×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $600 $1,500 0.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $600 $1,500 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,400 $3,500 0.9×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $1,400 $3,500 0.9×
Exc Frenum Labial/Buccal (40819) $1,200 $3,000 0.9×
Exc ganglion wrist recurrent (25112) $1,200 $3,000 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,400 $3,500 0.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $600 $1,500 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,400 $3,500 0.9×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $600 $1,500 0.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,400 $3,500 0.9×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,320 $5,800 0.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,400 $3,500 0.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,400 $3,500 0.9×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $960 $2,400 0.9×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $353.20 $883 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $600 $1,500 0.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,400 $3,500 0.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,707.20 $6,768 1.0×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,544.80 $3,862 1.0×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $2,400 $6,000 0.7×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $1,828.80 $4,572 1.0×
Exchange Transfusion (36455) $396 $990 1.0×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,560 $3,900 0.9×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $1,200 $3,000 0.9×
Excision Aural Polyp (69540) $1,200 $3,000 0.9×
Excision Chalazion Multiple Same Lid (67801) $820 $2,050 0.9×
Excision Chalazion Single (67800) $264 $660 0.9×
Excision Chest Wall Tumor Including Ribs (21601) $2,320 $5,800 0.9×
Excision H/P/P/U Complex Repair (11471) $2,320 $5,800 0.9×
Excision H/P/P/U Simple/Intermediate Repair (11470) $2,400 $6,000 0.9×
Excision Hidradenitis Axillary Complex Repair (11451) $2,320 $5,800 0.9×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 2 matching MRF lines		 $2,320–$2,400 $5,800–$6,000 varies
Excision Lesion Cornea Xcp Pterygium (65400) $820 $2,050 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $600 $1,500 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $600 $1,500 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $340 $850 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $635.60 $1,589 1.0×
Excision nasal polyp(s) simple (30110) $1,200 $3,000 0.9×
Excision of chalazion; multiple, different lids (67805) $264 $660 0.9×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,200 $3,000 0.8×
Excision of pilonidal cyst or sinus; simple (11770) $2,320 $5,800 0.9×
Excision of single external papilla or tag, anus (46220) $960 $2,400 0.9×
Excision of vaginal cyst or tumor (57135) $2,520 $6,300 0.9×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,544.80 $3,862 1.0×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,400 $3,500 0.9×
Excision/Transposition Pterygium W/Grafg (65426) $1,960 $4,900 0.9×
Excision/Transposition Pterygium W/O Graft (65420) $1,800 $4,500 0.8×
Expl penetrating wound spx abdomen/flank/back (20102) $1,640 $4,100 0.9×
Expl po hemrrg thrombosis/infctj xtr (35860) $2,400 $6,000 0.8×
Explo/Drain Breast Abscess (19020) $1,400 $3,500 0.9×
Exploration penetrating wound spx chest (20101) $1,640 $4,100 0.9×
Exploration penetrating wound spx extremity (20103) $600 $1,500 0.4×
Exploration Penetrating Wound Spx Neck (20100) $400 $1,000 0.8×
External cephalic version (59412) $2,800 $7,000 1.0×
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,000 $5,000 1.0×
Fetal Contraction Stress Test (59020) $160 $400 0.9×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $288 $720 1.0×
Fetal non-stress test (59025) $160 $400 0.9×
Fetal Scalp Blood Sampling (59030) $288 $720 1.0×
Fetal Shunt Placement W/Ultrasound Guidance (59076) $288 $720 1.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $600 $1,500 0.9×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $600 $1,500 0.9×
Fine needle aspiration without imaging guidance (10021) $353.20 $883 1.0×
Fluoro exam of g/colon tube (49465) $236 $590 1.1×
Fna Bx W/Fluor Gdn 1St Les (10007) $600 $1,500 0.9×
Fna bx w/us gdn 1st les (10005) $600 $1,500 0.9×
Foreskin manipulation (54450) $240 $600 1.1×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $1,640 $4,100 0.9×
Fusion Finger Joint (26860) $2,400 $6,000 0.8×
Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) $720 $1,800 0.9×
Gene analysis for detection of infectious agent and drug resistance gene (0112U) $162 $405 0.5×
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $22 $55 0.6×
Grafting of autologous fat by lipo 25 cc or less (15773) $1,640 $4,100 0.9×
Grafting of autologous fat by lipo 50 cc or less (15771) $2,800 $7,000 0.9×
Grafting of autologous soft tiss by direct exc (15769) $2,800 $7,000 0.9×
Guide Cathet Fluid Drainage (10030) $600 $1,500 0.9×
Head Surgery Procedure (21499) $3,800 $9,500 17.8×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $2,443.20 $6,108 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,570 $6,425 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $2,569.60 $6,424 1.0×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $720 $1,800 0.9×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) $3,200 $8,000 0.7×
Hysteroscopy Biopsy (58558) $2,000 $5,000 0.7×
Hysteroscopy Dx Sep Proc (58555) $2,000 $5,000 0.7×
Hysteroscopy Endometrial Ablation (58563) $3,200 $8,000 0.7×
Hysteroscopy Removal Impacted Foreign Body (58562) $2,000 $5,000 0.7×
I&d abscess peritonsillar (42700) $200 $500 0.9×
I&d abscess simple (10060) $183.60 $459 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,320 $5,800 0.9×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,400 $6,000 0.8×
I&d forearm/wrist bursa (25031) $1,400 $3,500 1.0×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $2,360 $5,900 0.9×
I&D Mouth/Tong Intra,Masticator (41009) $400 $1,000 0.8×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $2,400 $6,000 0.8×
I&d perianal abscess superficial (46050) $800 $2,000 1.0×
I&d pilonidal cyst complicated (10081) $600 $1,500 0.9×
I&d pilonidal cyst simple (10080) $600 $1,500 0.9×
I&d shoulder deep abscess/hematoma (23030) $2,320 $5,800 0.9×
I&d vaginal hematoma obstetrical/postpartum (57022) $2,320 $5,800 0.9×
Icd Pocket Revision (33223) $1,720 $4,300 0.9×
Idh1 idh2&tert promoter cns tumors ngs s/d/i (0481U) $269.60 $674 0.4×
Ileoscopy Stoma W/Balloon Dilation (44381) $1,480 $3,700 0.9×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $800 $2,000 1.0×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $800 $2,000 1.0×
Image Cath Fluid Colxn Visc (49405) $1,400 $3,500 0.9×
Image Cath Fluid Peri/Retro (49406) $1,400 $3,500 0.9×
Image Cath Fluid Trns/Vgnl (49407) $1,400 $3,500 0.9×
Implant neuroelectrodes (63650) $6,295.20 $15,738 1.1×
Implant Neuroelectrodes (64561) $5,979.60 $14,949 1.0×
Implant Periph/Gastric Neurostim/Receiver (64590) $18,707.20 $46,768 1.1×
Impression & Preparation Oral Surgical Splint (21085) $204 $510 1.0×
Incise external hemorrhoid (46083) $240 $600 1.1×
Incise finger tendon sheath (26055) $1,200 $3,000 0.8×
Incision & drainage abscess complicated/multiple (10061) $353.20 $883 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $2,320 $5,800 0.9×
Incision & drainage leg/ankle infected bursa (27604) $2,400 $6,000 0.8×
Incision & removal foreign body subq tiss compl (10121) $1,400 $3,500 0.9×
Incision & removal foreign body subq tiss simple (10120) $353.20 $883 1.0×
Incision and drainage of bartholin's gland abscess (56420) $173.60 $434 1.0×
Incision and drainage of vulva or perineal abscess (56405) $288 $720 1.0×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,400 $3,500 1.0×
Incision bone cortex foot (28005) $2,400 $6,000 0.8×
Incision of eardrum (69421) $2,600 $6,500 0.9×
Incision of eardrum (69420) $204 $510 1.0×
Incision of lingual frenum (frenotomy) (41010) $1,200 $3,000 0.9×
Incision of rectal abscess (46040) $1,060 $2,650 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,400 $3,500 0.9×
Incisional biopsy skin single lesion (11106) $520 $1,300 0.8×
Initial Tx 1st Degree Burn Local Tx (16000) $183.60 $459 1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $520–$1,040 $1,300–$2,600 varies
Inj W/Fluor Eval Cv Device (36598) $200 $500 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $840 $2,100 1.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $840 $2,100 1.1×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $260.80–$264 $652–$660 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $840 $2,100 1.1×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $840 $2,100 1.1×
Injection aa&/strd genicular nrv branches w/img (64454) $625.20 $1,563 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $840 $2,100 1.1×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $840 $2,100 1.1×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $648.40 $1,621 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $520 $1,300 0.8×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $840 $2,100 1.1×
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines		 $264–$528 $660–$1,320 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $520–$1,040 $1,300–$2,600 varies
Injection anesthetic agent suprascapular nerve (64418) $600 $1,500 0.9×
Injection enzyme palmar fascial cord (20527) $260.80 $652 0.9×
Injection for identification of sentinel node (38792) $384.80 $962 1.1×
Injection Into Brain Canal (61055) $264 $660 1.0×
Injection medication/other subst tenon capsule (67515) $264 $660 0.9×
Injection single tendon origin/insertion (20551) $264 $660 1.0×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $264–$528 $660–$1,320 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $264–$528 $660–$1,320 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $1,200 $3,000 0.9×
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines		 $261.60–$264 $654–$660 varies
Injection, anesthetic agent; brachial plexus, single (64415) $840 $2,100 1.1×
Injection, anesthetic agent; femoral nerve, single (64447) $520 $1,300 0.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $520–$1,040 $1,300–$2,600 varies
Injection, Intralesional; More Than 7 Lesions (11901) $183.60 $459 1.0×
Injection, intralesional; up to and including 7 lesions (11900) $183.60 $459 1.0×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $868.40 $2,171 1.1×
Ins cath ren art 1st bilat (36252) $2,400 $6,000 0.8×
Ins cath ren art 1st unilat (36251) $2,200 $5,500 0.8×
Ins cath ren art 2nd+ bilat (36254) $2,200 $5,500 0.8×
Ins cath ren art 2nd+ unilat (36253) $2,640 $6,600 0.5×
Ins endovas vena cava filtr (37191) $2,640 $6,600 0.5×
Ins/Rep Subq Defibrillator (33270) $34,496 $86,240 1.2×
Insert 1 Electrode Pm-Defib (33216) $6,400 $16,000 0.9×
Insert and remove bone pin (20650) $2,892.40 $7,231 1.0×
Insert Bladder Cath Complex (51703) $140 $350 1.2×
Insert cath pleura w/ image (32557) $1,200 $3,000 0.8×
Insert cath pleura w/o image (32556) $1,560 $3,900 0.9×
Insert Cecostomy/Other Colonic Tube Percutaneous (49442) $960 $2,400 0.9×
Insert cervical dilator (59200) $288 $720 1.0×
Insert Drug Implant Device (11981) $100 $250 0.8×
Insert eye socket implant (67550) $3,200 $8,000 0.9×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines		 $1,480–$1,560 $3,700–$3,900 varies
Insert Heart Pm Atrial (33206) $8,800 $22,000 0.9×
Insert Heart Pm Ventricular (33207) $9,600 $24,000 1.0×
Insert hepatic shunt (tips) (37182)
unusually low: confirm this is the full procedure		 $5,240 $13,100 0.3×
Insert non-tunnel cv cath (36556) $2,200 $5,500 0.8×
Insert Pacing Lead & Connect (33224) $9,600 $24,000 1.0×
Insert pessary/other device (57160) $160 $400 0.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,200 $3,000 0.8×
Insert pulse gen dual leads (33213) $8,800 $22,000 0.9×
Insert pulse gen mult leads (33221) $14,400 $36,000 0.8×
Insert Pulse Gen Sngl Lead (33212) $6,400 $16,000 0.9×
Insert Temp Bladder Cath (51702) $116 $290 1.0×
Insert testicular prosthesis (54660) $4,506 $11,265 0.9×
Insert tun ip cath perc (49418) $2,400 $6,000 0.7×
Insert tunneled cv cath (36561) $2,400 $6,000 0.8×
Insert tunneled cv cath (36563) $2,640 $6,600 0.5×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $2,640 $6,600 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $116 $290 1.0×
Insertion indwelling tunneled pleural catheter (32550) $2,400 $6,000 0.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,200 $3,000 0.8×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,200 $18,000 1.0×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $2,800 $7,000 0.9×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $6,400 $16,000 0.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,200 $5,500 0.8×
Insj Picc Rs&I <5 Yr (36572) $596.40 $1,491 1.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,200 $5,500 0.8×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $2,200 $5,500 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,200 $3,000 0.8×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $12,000 $30,000 1.0×
Insj Subq Impltbl Dfb Elctrd (33271) $8,000 $20,000 1.1×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $2,200 $5,500 0.8×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $2,640 $6,600 0.5×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $2,200 $5,500 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,400 $6,000 0.8×
Insj/Rplcmt Defib W/Lead(S) (33249) $24,600 $61,500 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $6,400 $16,000 0.9×
Insrt heart pm atrial & vent (33208) $9,600 $24,000 1.0×
Insrt Pulse Gen W/Dual Leads (33230) $20,000 $50,000 1.0×
Insrt Pulse Gen W/Mult Leads (33231) $21,930 $54,825 0.8×
Insrt Pulse Gen W/Singl Lead (33240) $20,000 $50,000 1.0×
Insrt/Redo Neurostim 1 Array (61885) $19,264 $48,160 0.7×
Interdental fixation (21110) $1,200 $3,000 0.9×
Interdental Wiring Other Than Fracture (21497) $1,200 $3,000 0.9×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,289.60 $3,224 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $353.20 $883 1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $353.20 $883 1.0×
Intranasal Biopsy (30100) $1,200 $3,000 0.9×
Intraoral i&d tongue/floor lingual (41000) $400 $1,000 0.8×
Intraoral i&d tongue/floor submndblr space (41008) $2,600 $6,500 0.9×
Intro cath dialysis circuit (36901) $1,200 $3,000 0.8×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $8,000 $20,000 0.8×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $4,400 $11,000 0.9×
Intro Gastrointestinal Tube (44500) $720 $1,800 0.9×
Intubation endotracheal emergency procedure (31500) $200 $500 0.9×
Iridotomy/irridectomy laser surg per session (66761) $514 $1,285 1.0×
Irrigation maxillary sinus (31000) $204 $510 1.0×
Irrigation of corpora cavernosa for priapism (54220) $272 $680 1.2×
Klhl11 antb serum/csf cell binding assay qual (0432U) $210 $525 5.7×
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371)
unusually low: confirm this is the full procedure		 $3,758.40 $9,396 0.4×
Laps surg prst8ect smpl stot robotic assistance (55867)
unusually low: confirm this is the full procedure		 $3,200 $8,000 0.3×
Laryngoscopy diagnostic (31505) $168 $420 0.9×
Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) $2,600 $6,500 0.8×
Laryngoscopy flexible diagnostic (31575) $168 $420 0.9×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $168 $420 0.5×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $168 $420 0.5×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $168 $420 0.9×
Laryngoscopy W/Biopsy (31535) $2,600 $6,500 0.8×
Laser Surgery of Cervix (57513) $2,520 $6,300 0.9×
Late closure of wound (13160) $1,640 $4,100 0.5×
Lavage cannulation sphenoid sinus (31002) $1,200 $3,000 0.9×
Ligation External Carotid Artery (37600) $2,400 $6,000 0.8×
Ligation of a-v fistula (37607) $2,200 $5,500 0.8×
Ligation Of Neck Artery (37615) $2,200 $5,500 0.8×
Ligation or biopsy temporal artery (37609) $1,400 $3,500 0.9×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $2,400 $6,000 0.8×
Lip Surgery Procedure (40799) $204 $510 1.0×
Lithotripsy, extracorporeal shock wave (50590) $3,000 $7,500 0.9×
Lyse chest fibrin init day (32561) $520 $1,300 0.9×
Lyse Chest Fibrin Subq Day (32562) $520 $1,300 0.9×
Lysis/excision penile postcircumcision adhesions (54162) $1,520 $3,800 0.8×
Marsupialization of bartholin's gland cyst (56440) $2,520 $6,300 0.9×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $1,200 $3,000 0.8×
Mech remov tunneled cv cath (36595) $2,200 $5,500 0.8×
Myelography Lumbar Injection (62305) $730.80 $1,827 1.0×
Myelography Lumbar Injection (62304) $730.80 $1,827 1.0×
Myelography via lumbar injection rs&i cervical (62302) $730.80 $1,827 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $730.80 $1,827 1.0×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines		 $520–$1,040 $1,300–$2,600 varies
N Block Inj Ilio-Ing/Hypogi (64425) $600 $1,500 0.9×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $520–$1,040 $1,300–$2,600 varies
N Block Inj Paracervical (64435) $558.80 $1,397 0.9×
N Block Inj Pudendal (64430) $840 $2,100 1.1×
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $520–$1,040 $1,300–$2,600 varies
Nasal Endoscopy Dx (31231) $168 $420 0.9×
Nasal surgery procedure (30999)
range across 2 matching MRF lines		 $200–$204 $500–$510 varies
Nasal/Orogastric W/Tube Plmt (43752) $260 $650 0.6×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $1,400 $3,500 0.9×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,400 $3,500 0.9×
Nasal/Sphenoid Sinus Endoscopy,Dx (31235) $1,400 $3,500 0.9×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $240 $600 1.1×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $800 $2,000 1.0×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $832 $2,080 1.0×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,400 $3,500 1.0×
Needle Biopsy Lymph Nodes (38505) $1,400 $3,500 0.9×
Needle Biopsy Pancreas (48102) $1,400 $3,500 0.9×
Neurofilament light chain ultrsens ia serum/csf (0443U) $80 $200 0.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $416.80 $1,042 1.0×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $844.40 $2,111 0.4×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $520–$1,040 $1,300–$2,600 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $264–$528 $660–$1,320 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,400 $6,000 0.7×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $2,400 $6,000 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $855.60–$1,040 $2,139–$2,600 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $648.40 $1,621 1.0×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $520 $1,300 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $520 $1,300 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $480 $1,200 0.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $480 $1,200 0.8×
Njx Sclrsnt 1 Incmptnt Vein (36470) $353.20 $883 1.0×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $353.20 $883 1.0×
Njx Sclrsnt Spider Veins (36468) $340 $850 0.9×
Obstructive material removal from gi tube (49460) $800 $2,000 1.0×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $264–$528 $660–$1,320 varies
Open Implantation Nea Sacral Nerve (64581) $5,979.60 $14,949 1.0×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $30,063.60 $75,159 1.1×
Open treatment fracture distal tibia only (27827) $12,593.20 $31,483 1.1×
Open treatment metacarpophalangeal dislocation (26715) $2,400 $6,000 0.8×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
likely a partial charge, not the full procedure		 $1,200 $3,000 0.2×
Open treatment of mandibular fracture with external fixation Facility (21454) $4,000 $10,000 0.7×
Open Tx Distal Phalangeal Fracture Each (26765) $2,400 $6,000 0.8×
Open Tx Mandibular Fx W/Interdental Fixation (21462) $4,000 $10,000 0.7×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,400 $6,000 0.8×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $4,400 $11,000 0.7×
Open/Perq Place Stent 1St (37236) $8,000 $20,000 0.8×
Open/Perq Place Stent Same (37238) $8,000 $20,000 0.8×
Partial Excision Distal Phalanx Finger (26236) $1,312.80 $3,282 0.9×
Partical Excision Bone Phalanx Toe (28124) $2,400 $6,000 0.8×
Ped Whl Gen Mthyltn Alys 50+ (0318U) $1,770.40 $4,426 1.0×
Penile Injection (54235) $240 $600 1.1×
Penile Plethysmography (54240) $240 $600 1.2×
Perc Cryo Ablate Renal Tum (50593) $8,000 $20,000 0.8×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,289.60 $3,224 1.0×
Perc Rf Ablate Renal Tumor (50592) $4,000 $10,000 0.7×
Percut Ablate Liver Rf (47382) $4,000 $10,000 0.7×
Percut Cath Occlusn Non Cns Lesn (61626) $7,200 $18,000 0.7×
Percut Drain/Inject Renal Cyst (50390) $600 $1,500 0.9×
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,200 $5,500 0.8×
Pericardiocentesis W/Imaging (33016) $1,200 $3,000 0.8×
Peritoneal Lavage (49084) $720 $1,800 0.9×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure		 $2,000 $5,000 0.1×
Perq av fistula creation uxtr single access (36836) $17,177.60 $42,944 1.0×
Perq Cervicothoracic Inject (22510) $2,400 $6,000 0.8×
Perq dev breast 1st mr guide (19287) $600 $1,500 0.9×
Perq dev breast 1st strtctc (19283) $600 $1,500 0.9×
Perq dev breast 1st us imag (19285) $600 $1,500 0.9×
Perq device breast 1st imag (19281) $600 $1,500 0.4×
Perq dilation xst trc endourologic px w/img (50436) $2,000 $5,000 0.6×
Perq Lumbosacral Injection (22511) $2,400 $6,000 0.8×
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) $7,200 $18,000 0.8×
Perq p-art revsc 1 nm nt uni (33900) $8,000 $20,000 0.8×
Perq p-art revsc st 1st abnor connj unilateral (33902)
unusually low: confirm this is the full procedure		 $8,000 $20,000 0.5×
Perq p-art revsc st 1st abnormal connj bilateral (33903) $10,000 $25,000 1.0×
Perq p-art revsc st 1st nml native connj bi (33901) $9,280.80 $23,202 0.9×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $4,000 $10,000 0.7×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $600 $1,500 0.9×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $9,752.40 $24,381 0.9×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $4,400 $11,000 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $5,600 $14,000 0.9×
Perq Vertebral Augmentation (22513) $5,600 $14,000 0.9×
Phleb Veins - Extrem 20+ (37766) $2,200 $5,500 0.8×
Photopheresis extracorporeal (36522) $3,434 $8,585 0.9×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $820 $2,050 0.9×
Place Cath Subclavian Art (36225) $2,400 $6,000 0.8×
Place Cath Thoracic Aorta (36221) $2,200 $5,500 0.8×
Place Cath Vertebral Art (36226) $4,870 $12,175 1.0×
Place Duod/Jej Tube Perc (49441) $1,480 $3,700 0.9×
Place Rt Device/Marker Pros (55876) $1,320.40 $3,301 1.1×
Placement of needle for intraosseous infusion (36680) $260 $650 0.6×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure		 $2,800 $7,000 0.5×
Plmt Bile Duct Stent Prq Existing Access (47538) $4,000 $10,000 0.7×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $4,000 $10,000 0.7×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $4,000 $10,000 0.7×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $1,828.80 $4,572 1.0×
Plmt Nephroureteral Catheter (50433) $2,400 $6,000 0.8×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $3,000 $7,500 0.9×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $3,140 $7,850 1.0×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $2,400 $6,000 0.8×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure		 $7,200 $18,000 0.4×
Probe lacrimal canaliculi w/wo irrigation (68840) $264 $660 0.9×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $1,960 $4,900 0.9×
Probing nasolacrimal duct (68810) $264 $660 0.9×
Proctopexy Perineal Approach (45541) $2,360 $5,900 0.9×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $720 $1,800 0.9×
Proctosgmdsc rigid w/dilation (45303) $960 $2,400 0.9×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $2,360 $5,900 0.9×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $960 $2,400 0.9×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $635.60 $1,589 1.0×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $6,562.80 $16,407 1.1×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $840 $2,100 1.1×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $2,400 $6,000 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $2,400 $6,000 0.7×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $2,400 $6,000 0.8×
Pseudoaneurysm Injection Trt (36002) $520 $1,300 0.9×
Punch biopsy skin single lesion (11104) $352.80 $882 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $353.20 $883 1.0×
Puncture Aspiration Cyst Breast (19000) $600 $1,500 0.9×
Puncture shunt tube/reservoir aspiration/inj px (61070) $520 $1,300 0.8×
Push Transfusion Blood 2 Yr/Under (36440) $405.20 $1,013 1.0×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $600 $1,500 0.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,719.20 $4,298 1.0×
Reconstruction Nail Bed W/Graft (11762) $1,749.20 $4,373 0.9×
Redo Endovas Vena Cava Filtr (37192) $2,200 $5,500 0.8×
Reduction of rectal prolapse (45900) $720 $1,800 0.9×
Relocation Pocket Pacemaker (33222) $1,720 $4,300 0.9×
Rem Endovas Vena Cava Filter (37193) $2,200 $5,500 0.8×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $800 $2,000 1.0×
Removal Embedded Foreign Body Eyelid (67938) $264 $660 0.9×
Removal Foreign Body Deep Thigh/Knee (27372) $2,320 $5,800 0.9×
Removal Foreign Body Foot Complicated (28193) $1,400 $3,500 0.9×
Removal foreign body foot deep (28192) $1,400 $3,500 0.9×
Removal Foreign Body Foot Subcutaneous (28190) $600 $1,500 0.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,400 $3,500 0.9×
Removal Foreign Body Pelvis/Hip Deep (27087) $2,400 $6,000 0.8×
Removal foreign body upper arm/elbow deep (24201) $2,421.60 $6,054 0.9×
Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr (64584) $6,404 $16,010 2.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $56.80 $142 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $56.80 $142 1.1×
Removal Implant Deep (20680) $2,320 $5,800 0.9×
Removal Implant Superficial Separate Procedure (20670) $1,400 $3,500 0.9×
Removal implantable contraceptive capsules (11976) $600 $1,500 0.9×
Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) $1,560 $3,900 0.9×
Removal of foreign body from pharynx (42809) $260 $650 0.6×
Removal of kidney stone (50081) $8,000 $20,000 0.9×
Removal of nail bed (11750) $353.20 $883 1.0×
Removal of tunneled intraperitoneal catheter (49422) $2,200 $5,500 0.8×
Removal or bivalving full arm or full leg cast (29705)
range across 3 matching MRF lines		 $204–$240 $510–$600 varies
Removal Pacemaker Electrode (33235) $2,400 $6,000 0.7×
Removal ppm generator only (33233) $7,200 $18,000 1.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $183.60 $459 1.0×
Removal subcutaneous cardiac rhythm monitor (33286) $600 $1,500 0.9×
Removal Sutures/Staples Requiring Anesthesia (15851) $1,640 $4,100 0.9×
Removal sweat gland lesion (11450) $2,400 $6,000 0.9×
Removal tong/halo applied by another individual (20665) $260 $650 0.6×
Removal, under anesthesia, of external fixation system (20694) $1,260 $3,150 0.9×
Removal/bivalving gauntlet boot/body cast (29700) $246.40 $616 1.0×
Remove brain canal fluid (61050) $264 $660 1.0×
Remove Brain Cavity Fluid (61020) $840 $2,100 1.1×
Remove drug implant device (11982) $277.20 $693 0.7×
Remove Elctrd Transvenously (33244) $2,400 $6,000 0.7×
Remove Forearm Foreign Body (25248) $1,400 $3,500 1.0×
Remove foreign body from eye (65235) $2,000 $5,000 1.0×
Remove foreign body from eye (65205) $100 $250 0.8×
Remove Intrauterine Device (58301) $288 $720 1.0×
Remove intrvas foreign body (37197) $2,200 $5,500 0.8×
Remove lung catheter (32552) $520 $1,300 0.9×
Remove Nasal Foreign Body (30300) $100 $250 0.8×
Remove Pulse Generator (33241) $2,400 $6,000 0.7×
Remove renal tube w/fluoro (50389) $480 $1,200 0.8×
Remove Shoulder Foreign Body (23330) $635.60 $1,589 0.4×
Remove Tendon Sheath Lesion (26160) $1,200 $3,000 0.8×
Remove ureter stent percut (50384) $1,828.80 $4,572 1.0×
Remove&replace pm gen singl (33227) $6,400 $16,000 0.9×
Remove/Insert Drug Implant (11983) $277.20 $693 0.7×
Remv&replc cvd gen dual lead (33263) $21,930 $54,825 1.1×
Remv&replc cvd gen mult lead (33264) $24,600 $61,500 0.9×
Remv&replc cvd gen sing lead (33262) $21,930 $54,825 1.1×
Remv&replc pm gen dual lead (33228) $9,600 $24,000 1.0×
Remv&replc pm gen mult leads (33229) $18,400 $46,000 1.1×
Renal Biopsy Perq (50200) $1,400 $3,500 0.9×
Repair Blood Vessel Direct Hand Finger (35207) $2,400 $6,000 0.8×
Repair Blood Vessel Direct Upper Extremity (35206) $2,200 $5,500 0.8×
Repair blood vessel lesion (35190) $5,448.80 $13,622 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $520 $1,300 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $520 $1,300 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $353.20 $883 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $520 $1,300 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $520 $1,300 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $520 $1,300 1.4×
Repair complex trunk 1.1-2.5 cm (13100) $520 $1,300 0.8×
Repair complex trunk 2.6-7.5 cm (13101) $520 $1,300 0.8×
Repair Detached Retina (67101) $2,000 $5,000 1.0×
Repair extensor tendon finger w/o graft each (26418) $1,200 $3,000 0.8×
Repair Eyelid Wound (67935) $1,800 $4,500 0.8×
Repair Finger/Hand Tendon (26350) $2,400 $6,000 0.8×
Repair Hand Tendon (26410) $1,200 $3,000 0.8×
Repair incomplete circumcision (54163) $1,828.80 $4,572 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $353.20 $883 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $353.20 $883 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $353.20 $883 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $353.20 $883 1.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $340 $850 0.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $520 $1,300 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $353.20 $883 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $353.20 $883 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $520 $1,300 0.8×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,640 $4,100 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $353.20 $883 1.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $353.20 $883 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $353.20 $883 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $520 $1,300 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $353.20 $883 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,720 $4,300 0.9×
Repair intrinsic muscles hand each muscle (26591) $2,400 $6,000 0.8×
Repair Laceration Palate </2 Cm (42180) $400 $1,000 0.8×
Repair lead pace-defib dual (33220) $2,400 $6,000 0.7×
Repair Lead Pace-Defib One (33218) $2,400 $6,000 0.7×
Repair of nail bed (11760) $520 $1,300 0.8×
Repair Spica/Body/Jacket Cast (29720) $140 $350 1.0×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,400 $6,000 0.8×
Repair tongue laceration (41252) $200 $500 0.9×
Repair tongue laceration (41250) $260 $650 0.6×
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263)
unusually low: confirm this is the full procedure		 $3,200 $8,000 0.5×
Replace duodenostomy/jejunostomy tube perq (49451) $800 $2,000 1.0×
Replace G-J Tube Perc (49452) $800 $2,000 1.0×
Replace g/c tube perc (49450) $800 $2,000 1.0×
Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) $1,480 $3,700 0.8×
Replantation digit complete (20822) $1,400 $3,500 1.0×
Repos Previously Implanted Subq Implantable Dfb (33273) $2,400 $6,000 0.7×
Reposition Gastrostomy Tube (43761) $272 $680 1.2×
Reposition L Ventric Lead (33226) $2,200 $5,500 0.8×
Reposition Pacing-Defib Lead (33215) $2,400 $6,000 0.8×
Reposition Venous Catheter (36597) $1,200 $3,000 0.8×
Rerepair ing hernia reduce (49520) $2,800 $7,000 0.9×
Retrobulbar injection (67500) $264 $660 0.9×
Revise ulnar nerve at wrist (64719) $1,480 $3,700 0.8×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $4,400 $11,000 0.9×
Revj/rmvl neurostimulator pulse generator (61888) $11,390 $28,475 1.1×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $5,861.20 $14,653 1.1×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $1,828.80 $4,572 1.0×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,352.80 $3,382 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $720 $1,800 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $260 $650 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $100 $250 0.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $260 $650 0.6×
Rmvl fecal impaction/fb spx under anes (45915) $960 $2,400 0.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $2,320 $5,800 0.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $2,320 $5,800 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,400 $3,500 0.9×
Rmvl of subq implantable defibrillator electrode (33272) $2,400 $6,000 0.7×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $2,400 $6,000 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,200 $3,000 0.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $520 $1,300 0.9×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710)
range across 2 matching MRF lines		 $204–$246.40 $510–$616 varies
Rplc Gtube No Revj Trc (43762) $272 $680 1.2×
Rplc gtube revj gstrst trc (43763) $240 $600 1.1×
Rplcmt cath ctr vad subq port/pmp (36578) $2,200 $5,500 0.8×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $1,200 $3,000 0.8×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $2,200 $5,500 0.8×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,200 $3,000 0.8×
Rplcmt compl tun ctr vad w/subq pmp (36583) $2,640 $6,600 0.5×
Rplcmt compl tun ctr vad w/subq port (36582) $2,200 $5,500 0.8×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $2,400 $6,000 0.8×
Rplcmt/irrigation ventricular catheter (62225) $5,509.20 $13,773 1.8×
Rpr aa hernia recr 3-10 cm reducible (49615) $3,200 $8,000 0.5×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $3,200 $8,000 0.6×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $3,200 $8,000 1.0×
Rpr blood vessel direct lower extremity (35226) $635.60 $1,589 1.0×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,080 $2,700 0.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $183.60 $459 1.0×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $520 $1,300 0.8×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $204 $510 1.0×
Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) $1,960 $4,900 0.9×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $3,200 $8,000 0.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $400 $1,000 0.8×
Rpr Lip Full Thickness Vermilion Only (40650) $400 $1,000 0.8×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,200 $3,000 0.9×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $2,400 $6,000 0.8×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,400 $6,000 0.8×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $2,400 $6,000 0.8×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $520 $1,300 0.9×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $3,200 $8,000 0.9×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,400 $6,000 0.8×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) $2,400 $6,000 0.8×
Sclerotx Fluid Collection (49185) $600 $1,500 0.4×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $800 $2,000 1.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $998.40 $2,496 0.9×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $160 $400 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $183.60 $459 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $183.60 $459 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $160 $400 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $340 $850 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $183.60 $459 1.0×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $2,600 $6,500 0.9×
Sigmoidoscopy & decompress (45337) $720 $1,800 0.9×
Sigmoidoscopy & Polypectomy (45333) $720 $1,800 0.9×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $960 $2,400 0.9×
Sigmoidoscopy flx tndsc balo dilat (45340) $960 $2,400 0.9×
Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) $960 $2,400 0.9×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $960 $2,400 0.9×
Sigmoidoscopy w/fb removal (45332) $960 $2,400 0.9×
Sigmoidoscopy w/plcmt stent (45347) $5,240.80 $13,102 1.0×
Sigmoidoscopy W/Resection (45349) $2,360 $5,900 0.9×
Sigmoidoscopy W/Ultrasound (45341) $800 $2,000 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $832 $2,080 1.0×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $960 $2,400 0.9×
Simple Cystometrogram (51725)
range across 2 matching MRF lines		 $240–$370 $600–$925 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $353.20 $883 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $183.60 $459 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $183.60 $459 1.0×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $340 $850 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $183.60 $459 1.0×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $183.60 $459 1.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $183.60 $459 1.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $183.60 $459 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $183.60 $459 1.0×
Skin sub graft face/nk/hf/g (15275) $1,720 $4,300 2.6×
Skin sub graft trnk/arm/leg (15271) $1,720 $4,300 2.6×
Skin sub grft t/arm/lg child (15273) $2,800 $7,000 1.5×
Skin Tissue Procedure (17999) $183.60 $459 1.0×
Skn sub grft f/n/hf/g child (15277) $1,351.60 $3,379 0.7×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $4,870.40 $12,176 1.0×
Slctv cath carotid/innom art angio xtrcranl art (36222) $2,923.60 $7,309 1.0×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $4,870.40 $12,176 1.0×
Slitting of prepuce (54001) $2,064.80 $5,162 1.1×
Small bowel endoscopy (44384) $2,440 $6,100 1.4×
Small bowel endoscopy (44366) $1,560 $3,900 0.9×
Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) $1,560 $3,900 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $183.60 $459 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $353.20 $883 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $353.20 $883 1.0×
Spinal puncture lumbar diagnostic (62270) $520 $1,300 0.8×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $2,200 $5,500 0.8×
Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) $5,200 $13,000 1.7×
Strapping ankle (29540) $140 $350 1.0×
Strapping elbow or wrist (29260) $56.80 $142 1.1×
Strapping hand/finger (29280) $50 $125 0.9×
Strapping Hip (29520) $100 $250 0.8×
Strapping knee (29530) $100 $250 0.8×
Strapping shoulder (29240) $100 $250 0.8×
Strapping thorax (29200) $140 $350 1.0×
Strapping toes (29550) $50 $125 0.9×
Strapping Unna Boot (29580) $140 $350 1.0×
Subcutaneous Injection Filling Material 1 Cc/< (11950) $160 $400 0.9×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $520 $1,300 0.8×
Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) $520 $1,300 0.8×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $1,960 $4,900 0.9×
Tangential biopsy skin single lesion (11102) $183.60 $459 0.5×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $26,440 $66,100 1.0×
Tcat Insj/Rpl Perm Ldls Pm (33274) $14,780 $36,950 0.8×
Tcat Rmvl Perm Ldls Pm (33275) $2,400 $6,000 0.8×
Temporary Closure Eyelids Suture (67875) $820 $2,050 0.9×
Thaw preserved stem cells (38208) $396 $990 1.0×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $3,400 $8,500 0.9×
Ther Apheresis,Red Blood Cells (36512) $1,160 $2,900 0.8×
Ther Spi Pnxr Csf Fluor/Ct (62329) $648.40 $1,621 1.0×
Therapeutic Apheresis White Blood Cells (36511) $1,160 $2,900 0.8×
Therapeutic plasma exchange (36514) $1,160 $2,900 0.8×
Thoracoscopy w/bx pleura (32609) $4,000 $10,000 0.7×
Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607)
unusually low: confirm this is the full procedure		 $4,000 $10,000 0.4×
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604)
unusually low: confirm this is the full procedure		 $4,000 $10,000 0.4×
Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) $4,000 $10,000 0.7×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $3,200 $8,000 0.6×
Thrmbc/Nfs Dialysis Circuit (36906) $12,400 $31,000 0.7×
Thromblytic art/ven therapy (37213) $2,200 $5,500 0.8×
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
unusually low: confirm this is the full procedure		 $2,000 $5,000 0.4×
Thrombolytic Art Therapy (37211) $2,640 $6,600 0.5×
Thrombolytic Therapy Stroke (37195) $325.60 $814 1.1×
Thrombolytic Venous Therapy (37212) $2,200 $5,500 0.8×
Thyroid biopsy (60100) $600 $1,500 0.9×
Tooth extraction (41899) $200 $500 0.9×
Tprnl Plmt Biodegrdabl Matrl (55874) $3,200 $8,000 0.7×
Trabeculoplasty by laser surgery (65855) $514 $1,285 1.0×
Tracheal pnxr prq w/transtracheal aspir&/njx (31612) $2,845.20 $7,113 1.0×
Tracheobrnchsc Thru Est Trachs Inc (31615) $400 $1,000 0.8×
Tracheostomy Emergency Cricothyroid Membrane (31605) $204 $510 1.0×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,200 $3,000 0.9×
Tracheostomy planned (31600) $2,600 $6,500 0.9×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $288 $720 1.0×
Transcatheter biopsy (37200) $4,000 $10,000 0.8×
Transfusion Intrauterine Fetal (36460) $405.20 $1,013 1.0×
Transoral lower esophageal myotomy (43497) $3,136 $7,840 0.6×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $3,200 $8,000 0.7×
Treat Dental Ridge Fracture (21440) $2,600 $6,500 0.9×
Treat dental ridge fracture (21445) $4,000 $10,000 0.7×
Treat Hip Socket Fracture (27222) $230 $575 1.0×
Treat humerus fracture (24500) $200 $500 0.9×
Treat Humerus Fracture (24505) $1,200 $3,000 0.8×
Treat humerus fracture (23600) $210.80 $527 0.9×
Treat knee fracture (27532) $2,892.40 $7,231 1.0×
Treat Knee Fracture(S) (27538) $210.80 $527 0.9×
Treat Knuckle Dislocation (26700) $200 $500 0.9×
Treat metacarpal fracture (26607) $2,400 $6,000 0.8×
Treat Metatarsal Fracture (28475) $200 $500 0.9×
Treat Thumb Dislocation (26641) $210.80 $527 0.9×
Treat Thumb Fracture (26645) $1,200 $3,000 0.8×
Treat toe dislocation (28630) $200 $500 0.9×
Treat vagina infection (57150) $112 $280 2.1×
Treat Vaginal Bleeding (57180) $160 $400 0.9×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,200 $3,000 0.8×
Treatment closed elbow dislocation w/o anes (24600) $200 $500 0.9×
Trim skin lesion (11055) $160 $400 0.9×
Trim skin lesions 2 to 4 (11056) $183.60 $459 1.0×
Trim skin lesions over 4 (11057) $160 $400 0.9×
Trimming Nondystrophic Nails Any Number (11719) $50 $125 0.9×
Trluml Balo Angiop 1St Art (37246) $4,400 $11,000 0.9×
Trluml Balo Angiop 1St Vein (37248) $4,400 $11,000 0.9×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $396 $990 1.0×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $396 $990 1.0×
Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) $405.20 $1,013 1.0×
Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) $396 $990 1.0×
Trnsplj allogeneic hematopoietic cells per donor (38240)
unusually low: confirm this is the full procedure		 $26,000 $65,000 0.5×
Trnsplj autologous hematopoietic cells per donor (38241) $1,160 $2,900 0.8×
Trnsplj Hematopoietic Cell Boost (38243) $1,160 $2,900 0.8×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $1,496.40 $3,741 0.9×
Tx Gastro Intub W/Asp (43753) $240 $600 1.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,000 $5,000 0.7×
Tx Missed Abortion First Trimester Surgical (59820) $2,520 $6,300 0.9×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,400 $3,500 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $520 $1,300 0.8×
Tx superficial wound dehiscence w/packing (12021) $340 $850 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,200 $3,000 0.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $200 $500 0.9×
Tympanostomy general anesthesia (69436) $1,200 $3,000 0.9×
Umbilical cord occlud w/us (59072) $288 $720 1.0×
Unlisted Cardiac Surgery (33999)
range across 2 matching MRF lines		 $520–$7,400 $1,300–$18,500 varies
Unlisted procedure anus (46999) $800 $2,000 1.0×
Unlisted procedure breast (19499) $1,898.80 $4,747 0.5×
Unlisted Procedure Casting/Strapping (29799) $140 $350 1.0×
Unlisted Procedure Esophagus (43499) $800 $2,000 1.0×
Unlisted Procedure External Ear (69399) $200 $500 0.9×
Unlisted procedure femur or knee (27599) $3,972.40 $9,931 17.8×
Unlisted procedure foot or toes (28899) $6,614.80 $16,537 29.7×
Unlisted procedure forearm or wrist (25999)
range across 2 matching MRF lines		 $210.80–$3,972.40 $527–$9,931 varies
Unlisted Procedure Hands/Fingers (26989) $210.80 $527 0.9×
Unlisted procedure humerus/elbow (24999)
range across 2 matching MRF lines		 $210.80–$3,972.40 $527–$9,931 varies
Unlisted Procedure Intestine (44799) $720 $1,800 0.9×
Unlisted procedure larynx (31599) $800 $2,000 3.7×
Unlisted Procedure Leg/Ankle (27899) $4,255.20 $10,638 19.1×
Unlisted procedure liver (47399) $1,880 $4,700 2.9×
Unlisted procedure lungs and pleura (32999) $3,751.20 $9,378 6.6×
Unlisted Procedure Male Genital System (55899) $240 $600 1.1×
Unlisted Procedure Muscskeletal System General (20999) $4,255.20 $10,638 19.1×
Unlisted procedure neck or thorax (21899) $3,800 $9,500 17.8×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $264–$4,000 $660–$10,000 varies
Unlisted procedure pancreas (48999) $4,800 $12,000 7.5×
Unlisted procedure pelvis/hip joint (27299)
range across 3 matching MRF lines		 $1,680–$4,568.40 $4,200–$11,421 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $204 $510 1.0×
Unlisted Procedure Rectum (45999) $800 $2,000 1.0×
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines		 $200–$4,255.20 $500–$10,638 varies
Unlisted procedure stomach (43999) $800 $2,000 1.0×
Unlisted Procedure Tongue Floor Mouth (41599) $204 $510 1.0×
Unlisted Procedure Trachea Bronchi (31899) $168 $420 0.9×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $520–$2,226 $1,300–$5,565 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $720 $1,800 0.9×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $1,840–$4,000 $4,600–$10,000 varies
Unlisted px female genital system nonobstetrical (58999)
range across 4 matching MRF lines		 $1,200–$4,800 $3,000–$12,000 varies
Unlisted Px Salivary Glands/Ducts (42699) $204 $510 1.0×
Upgrade of pacemaker system (33214) $8,800 $22,000 0.9×
Urethromeatoplasty W/Mucosal Advancement (53450) $3,000 $7,500 0.9×
Urinary Reflex Study (51792) $70 $175 1.3×
Urine Flow Measurement (51736) $100 $250 0.8×
Vaginal delivery only (59409) $2,679.60 $6,699 0.9×
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure		 $8,000 $20,000 0.5×
Vasc Embolize/Occlude Bleed (37244) $8,000 $20,000 0.8×
Vasc Embolize/Occlude Organ (37243) $8,000 $20,000 0.8×
Vasc embolize/occlude venous (37241) $8,000 $20,000 0.8×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,440 $3,600 0.8×
Venous Mech Thrombectomy (37187) $7,200 $18,000 0.7×
Ventricular puncture previous burr hole w/inj (61026) $600 $1,500 0.9×
Wash harvest stem cells (38209) $405.20 $1,013 1.0×
Wedge excision skin nail fold (11765) $353.20 $883 1.0×
Wedging of cast (29740) $204 $510 0.8×
Wedging of clubfoot cast (29750) $204 $510 0.8×
Windowing of cast (29730) $140 $350 1.0×
Wound Prep F/N/Hf/G (15004) $580.80 $1,452 1.6×
Wound Prep Trk/Arm/Leg (15002) $1,737.60 $4,344 2.6×
Xtrnl Cannula Decltng Spx W/Balo Cath (36861) $2,640 $6,600 0.5×
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $1,200 $3,000 0.8×
Xtroral I&D Floor Masticator Space (41018) $1,381.60 $3,454 1.0×

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.