Procedures & surgery prices at Victor Valley Global Medical Center
Victorville, CA · every code in this section with a posted price and a Medicare benchmark.
526 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 3 matching MRF lines |
$1,621–$4,251 | $1,621–$4,251 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,621–$3,012 | $1,621–$3,012 | varies |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) | $19,794 | $19,794 | 0.9× |
| Amniocentesis diagnostic (59000) range across 2 matching MRF lines |
$565–$1,621 | $565–$1,621 | varies |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Application Cast Finger (29086) | $483 | $483 | 2.3× |
| Application Cast Shoulder Spica (29055) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Application finger splint static (29130) | $483 | $483 | 2.8× |
| Application long arm splint shoulder hand (29105) | $483 | $483 | 2.3× |
| Application Long Leg Splint (29505) | $483 | $483 | 2.3× |
| Application of long leg cast (29345) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Application short arm splint forearm-hand static (29125) | $483 | $483 | 2.8× |
| Application short leg splint calf foot (29515) | $483 | $483 | 2.3× |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Apply Short Leg Cast (29405) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Arterial puncture (36600) | $221 | $221 | 1.3× |
| Artery-vein autograft (36825) | $15,199 | $15,199 | 2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$483–$695 | $483–$695 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
$1,369–$3,256 | $1,369–$3,256 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $909 | $909 | 2.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$717–$1,323 | $717–$1,323 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $909 | $909 | 2.3× |
| Aspirate pleura w/ imaging (32555) range across 5 matching MRF lines |
$1,449–$2,946 | $1,449–$2,946 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$967–$1,449 | $967–$1,449 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $483 | $483 | 1.2× |
| Aspiration bladder insert suprapubic catheter (51102) | $6,227 | $6,227 | 2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) | $483 | $483 | 1.9× |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$4,886–$5,463 | $4,886–$5,463 | varies |
| Biopsy bone trocar/needle deep (20225) | $4,766 | $4,766 | 2.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $4,886 | $4,886 | 2.3× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$4,766–$4,777 | $4,766–$4,777 | varies |
| Biopsy Muscle Superficial (20200) | $4,766 | $4,766 | 2.2× |
| Biopsy of liver, needle; percutaneous (47000) | $3,114 | $3,114 | 1.5× |
| Biopsy Pleura Percutaneous Needle (32400) | $4,886 | $4,886 | 2.3× |
| Biopsy Salivary Gland Needle (42400) | $2,118 | $2,118 | 2.3× |
| Biopsy soft tissue back/flank deep (21925) | $4,886 | $4,886 | 2.3× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) | $13,326 | $13,326 | 3.6× |
| Biopsy soft tissue neck/thorax (21550) | $4,777 | $4,777 | 2.2× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) range across 3 matching MRF lines |
$4,886–$7,330 | $4,886–$7,330 | varies |
| Biopsy soft tissue thigh/knee area superficial (27323) | $5,795 | $5,795 | 2.7× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $4,766 | $4,766 | 2.2× |
| Biopsy Spinal Cord Percutaneous Needle (62269) | $4,886 | $4,886 | 2.3× |
| Biopsy/removal lymph nodes (38510) | $16,515 | $16,515 | 3.3× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$695–$875 | $695–$875 | varies |
| Bladder Scan (51798) | $483 | $483 | 6.4× |
| Blepharotomy drainage abscess eyelid (67700) | $967 | $967 | 2.4× |
| Blood Transfusion Service (36430) range across 10 matching MRF lines |
$695–$1,389 | $695–$1,389 | varies |
| Bone Marrow Biopsy (38221) | $5,007 | $5,007 | 2.4× |
| Bone Marrow; Aspiration Only (38220) range across 4 matching MRF lines |
$4,886–$7,330 | $4,886–$7,330 | varies |
| Bx Arm/Elbow Soft Tissue,Deep (24066) | $8,052 | $8,052 | 2.2× |
| Bx breast 1st lesion strtctc (19081) | $5,007 | $5,007 | 2.4× |
| Bx breast 1st lesion us imag (19083) | $2,334 | $2,334 | 1.1× |
| Bx/exc lymph node open deep axillary node (38525) | $9,780 | $9,780 | 1.9× |
| Bx/exc lymph node open superficial (38500) range across 3 matching MRF lines |
$10,521–$15,782 | $10,521–$15,782 | varies |
| Catheter aspiration nasotracheal spx (31720) | $222 | $222 | 0.8× |
| Cessj Therapy Cath Removal (37214) | $7,679 | $7,679 | 1.9× |
| Change Cystostomy Tube Simple (51705) | $483 | $483 | 1.5× |
| Chemical Cautery Tissue (17250) | $483 | $483 | 1.9× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$967–$3,319 | $967–$3,319 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$2,315–$3,473 | $2,315–$3,473 | varies |
| Clear outer ear canal (69200) | $483 | $483 | 2.8× |
| Closed Rx Spontaneous Hip Disloc (27256) | $483 | $483 | 1.5× |
| Closed rx talotarsal disloc,anesth (28575) range across 3 matching MRF lines |
$7,145–$8,931 | $7,145–$8,931 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $483 | $483 | 1.5× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $483 | $483 | 1.5× |
| Closed Treatment Sesamoid Fracture (28530) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$580–$726 | $580–$726 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 3 matching MRF lines |
$1,449–$2,176 | $1,449–$2,176 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 3 matching MRF lines |
$2,176–$3,286 | $2,176–$3,286 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx femoral fracture prox head w/o manj (27267) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx fx orbit except blowout w/manipulation (21401) range across 3 matching MRF lines |
$1,736–$2,804 | $1,736–$2,804 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 3 matching MRF lines |
$2,315–$3,473 | $2,315–$3,473 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) range across 3 matching MRF lines |
$2,315–$4,052 | $2,315–$4,052 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $2,894 | $2,894 | 1.5× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 2 matching MRF lines |
$1,736–$2,804 | $1,736–$2,804 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 3 matching MRF lines |
$2,315–$3,473 | $2,315–$3,473 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,894 | $2,894 | 1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $5,868 | $5,868 | 1.4× |
| Closed tx patellar dislocation w/anesthesia (27562) range across 3 matching MRF lines |
$1,449–$2,176 | $1,449–$2,176 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
$3,286–$4,113 | $3,286–$4,113 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$2,176–$3,286 | $2,176–$3,286 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $483 | $483 | 1.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $483 | $483 | 1.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx septal&nose fx (21337) | $5,868 | $5,868 | 1.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
$2,663–$4,052 | $2,663–$4,052 | varies |
| Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $1,195 | $1,195 | 3.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $483 | $483 | 1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $483 | $483 | 1.5× |
| Closure Gastrostomy Surg (43870) | $10,699 | $10,699 | 2.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 3 matching MRF lines |
$1,736–$3,286 | $1,736–$3,286 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) | $483 | $483 | 1.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $1,102 | $1,102 | 1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$2,084–$2,894 | $2,084–$2,894 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 3 matching MRF lines |
$2,315–$3,473 | $2,315–$3,473 | varies |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $483 | $483 | 1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
$2,315–$3,513 | $2,315–$3,513 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $483 | $483 | 1.5× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) range across 3 matching MRF lines |
$4,930–$6,162 | $4,930–$6,162 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $483 | $483 | 1.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $483 | $483 | 1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$2,176–$3,286 | $2,176–$3,286 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $1,919 | $1,919 | 0.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 3 matching MRF lines |
$2,315–$4,052 | $2,315–$4,052 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $483 | $483 | 1.5× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $483 | $483 | 1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $483 | $483 | 1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $483 | $483 | 1.5× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
$2,894–$4,052 | $2,894–$4,052 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Greater Trochanteric Fx W/O Manj (27246) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 3 matching MRF lines |
$3,646–$4,558 | $3,646–$4,558 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx humeral condylar fx medial/lateral w/manj (24577) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 3 matching MRF lines |
$4,930–$6,162 | $4,930–$6,162 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $483 | $483 | 1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $483 | $483 | 1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $483 | $483 | 1.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
$2,894–$4,052 | $2,894–$4,052 | varies |
| Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 3 matching MRF lines |
$2,663–$4,052 | $2,663–$4,052 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $483 | $483 | 1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $483 | $483 | 1.5× |
| Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
$2,315–$3,473 | $2,315–$3,473 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
$3,646–$4,558 | $3,646–$4,558 | varies |
| Cltx prox tibfib jt dislc req anes (27831) range across 3 matching MRF lines |
$7,145–$8,931 | $7,145–$8,931 | varies |
| Cltx prox tibfib jt dislc w/o anes (27830) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
$3,646–$4,558 | $3,646–$4,558 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) range across 3 matching MRF lines |
$4,052–$6,251 | $4,052–$6,251 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $483 | $483 | 1.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $267 | $267 | 1.6× |
| Collection of venous blood by venipuncture (36415) | $41 | $41 | 4.4× |
| Complex drainage wound (10180) | $5,209 | $5,209 | 1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $483 | $483 | 2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $483 | $483 | 2.8× |
| Convert Nephrostomy Catheter (50434) | $1,434 | $1,434 | 0.5× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $4,886 | $4,886 | 2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $483 | $483 | 2.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $483 | $483 | 1.6× |
| Cysto w/insert ureteral stent (52332) range across 3 matching MRF lines |
$10,483–$15,725 | $10,483–$15,725 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $967 | $967 | 1.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $1,449 | $1,449 | 1.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $967 | $967 | 1.0× |
| Debride nail 1-5 (11720) | $251 | $251 | 3.3× |
| Debride nail 6 or more (11721) | $251 | $251 | 3.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $967 | $967 | 1.8× |
| Declot vascular device (36593) range across 2 matching MRF lines |
$695–$1,608 | $695–$1,608 | varies |
| Deep Muscle Biopsy (20205) | $8,052 | $8,052 | 2.2× |
| Delivery of placenta (59414) | $4,399 | $4,399 | 1.1× |
| Destruction of skin lesions (17106) | $967 | $967 | 1.8× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$2,080–$3,089 | $2,080–$3,089 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 4 matching MRF lines |
$483–$1,364 | $483–$1,364 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $2,315 | $2,315 | 1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,455 | $1,455 | 1.6× |
| Drainage Finger Abscess Complicated (26011) | $1,763 | $1,763 | 0.8× |
| Drainage of finger abscess simple (26010) | $483 | $483 | 1.9× |
| Drainage of gum lesion (41800) | $483 | $483 | 2.8× |
| Drainage of hematoma/fluid (10140) | $3,338 | $3,338 | 1.6× |
| Drainage of nose lesion (30000) | $483 | $483 | 1.6× |
| Drainage of rectal abscess (45005) | $2,894 | $2,894 | 1.9× |
| Drainage of scrotal wall abscess (55100) | $2,663 | $2,663 | 1.3× |
| Draw Blood Off Venous Device (36591) | $267 | $267 | 1.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $1,449 | $1,449 | 2.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $1,455 | $1,455 | 1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $967 | $967 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $483 | $483 | 1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $483 | $483 | 1.9× |
| Dx Bone Marrow Bx & Aspir (38222) range across 4 matching MRF lines |
$8,231–$14,404 | $8,231–$14,404 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$3,089–$3,300 | $3,089–$3,300 | varies |
| Egd Flexible Foreign Body Removal (43247) | $2,812 | $2,812 | 2.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $9,174 | $9,174 | 2.3× |
| Endoven ther chem adhes 1st (36482) range across 2 matching MRF lines |
$15,960–$24,545 | $15,960–$24,545 | varies |
| Epidural Blood Patch (62273) | $1,449 | $1,449 | 1.6× |
| Escharotomy; initial incision (16035) | $967 | $967 | 1.8× |
| Evacuation of subungual hematoma (11740) | $251 | $251 | 1.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $2,195 | $2,195 | 2.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,315 | $2,315 | 1.1× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $16,515 | $16,515 | 3.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $3,338 | $3,338 | 1.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,449 | $1,449 | 1.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,315 | $2,315 | 1.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $967 | $967 | 1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $2,315 | $2,315 | 1.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) | $26,838 | $26,838 | 5.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $1,434 | $1,434 | 0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,315 | $2,315 | 0.9× |
| Explo/Drain Breast Abscess (19020) range across 3 matching MRF lines |
$4,767–$7,150 | $4,767–$7,150 | varies |
| Exploration penetrating wound spx chest (20101) | $2,315 | $2,315 | 0.9× |
| Exploration penetrating wound spx extremity (20103) | $1,736 | $1,736 | 0.8× |
| Exploration Penetrating Wound Spx Neck (20100) | $1,449 | $1,449 | 2.1× |
| External cephalic version (59412) | $6,251 | $6,251 | 1.5× |
| Fetal Contraction Stress Test (59020) | $688 | $688 | 2.6× |
| Fetal non-stress test (59025) | $688 | $688 | 2.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $3,337 | $3,337 | 3.7× |
| Fine needle aspiration without imaging guidance (10021) | $1,185 | $1,185 | 2.3× |
| Fluoro exam of g/colon tube (49465) range across 3 matching MRF lines |
$809–$1,149 | $809–$1,149 | varies |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$2,012–$3,337 | $2,012–$3,337 | varies |
| Guide Cathet Fluid Drainage (10030) range across 3 matching MRF lines |
$1,765–$3,300 | $1,765–$3,300 | varies |
| Head Surgery Procedure (21499) | $1,091 | $1,091 | 3.6× |
| Hysteroscopy Biopsy (58558) | $14,540 | $14,540 | 3.5× |
| I&d abscess peritonsillar (42700) | $967 | $967 | 3.2× |
| I&d abscess simple (10060) | $483 | $483 | 1.9× |
| I&d perianal abscess superficial (46050) | $967 | $967 | 0.8× |
| I&d pilonidal cyst complicated (10081) | $1,449 | $1,449 | 1.6× |
| I&d pilonidal cyst simple (10080) | $1,455 | $1,455 | 1.6× |
| Icd Pocket Revision (33223) | $5,379 | $5,379 | 2.0× |
| Image Cath Fluid Colxn Visc (49405) | $4,767 | $4,767 | 2.2× |
| Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$4,777–$7,604 | $4,777–$7,604 | varies |
| Incise external hemorrhoid (46083) | $483 | $483 | 1.5× |
| Incision & drainage abscess complicated/multiple (10061) | $483 | $483 | 0.9× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$4,052–$4,777 | $4,052–$4,777 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $967 | $967 | 1.8× |
| Incision and drainage of bartholin's gland abscess (56420) | $483 | $483 | 1.9× |
| Incision and drainage of vulva or perineal abscess (56405) | $695 | $695 | 1.8× |
| Incision of rectal abscess (46040) | $2,894 | $2,894 | 1.9× |
| Incisional biopsy skin single lesion (11106) | $2,975 | $2,975 | 3.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $483 | $483 | 1.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,820 | $2,820 | 2.5× |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$638–$1,005 | $638–$1,005 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $483 | $483 | 1.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 4 matching MRF lines |
$2,204–$3,857 | $2,204–$3,857 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $483 | $483 | 1.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $967 | $967 | 1.1× |
| Injection, intralesional; up to and including 7 lesions (11900) | $607 | $607 | 2.4× |
| Ins cath ren art 1st bilat (36252) range across 2 matching MRF lines |
$2,628–$9,559 | $2,628–$9,559 | varies |
| Ins cath ren art 1st unilat (36251) range across 2 matching MRF lines |
$2,250–$9,559 | $2,250–$9,559 | varies |
| Ins endovas vena cava filtr (37191) | $15,890 | $15,890 | 2.2× |
| Insert 1 Electrode Pm-Defib (33216) | $10,478 | $10,478 | 1.0× |
| Insert Bladder Cath Complex (51703) | $483 | $483 | 2.9× |
| Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$1,449–$2,655 | $1,449–$2,655 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$3,603–$4,504 | $3,603–$4,504 | varies |
| Insert Gastrostomy Tube Percutaneous (49440) | $5,151 | $5,151 | 2.1× |
| Insert Heart Pm Atrial (33206) | $38,118 | $38,118 | 2.8× |
| Insert Heart Pm Ventricular (33207) | $14,323 | $14,323 | 1.1× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,449–$2,894 | $1,449–$2,894 | varies |
| Insert Pacing Lead & Connect (33224) range across 2 matching MRF lines |
$34,310–$54,381 | $34,310–$54,381 | varies |
| Insert pessary/other device (57160) | $935 | $935 | 3.6× |
| Insert pulse gen dual leads (33213) | $20,660 | $20,660 | 1.5× |
| Insert Pulse Gen Sngl Lead (33212) | $11,882 | $11,882 | 1.1× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$388–$695 | $388–$695 | varies |
| Insert tun ip cath perc (49418) | $10,236 | $10,236 | 2.2× |
| Insert tunneled cv cath (36561) | $7,640 | $7,640 | 1.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $225 | $225 | 1.3× |
| Insertion indwelling tunneled pleural catheter (32550) | $9,655 | $9,655 | 2.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$9,956–$25,324 | $9,956–$25,324 | varies |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) | $11,184 | $11,184 | 1.1× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,449 | $1,449 | 0.4× |
| Insj Picc Rs&I <5 Yr (36572) | $2,806 | $2,806 | 3.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$2,587–$7,355 | $2,587–$7,355 | varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $7,640 | $7,640 | 1.9× |
| Insj/Rplcmt Defib W/Lead(S) (33249) | $106,466 | $106,466 | 2.6× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$22,209–$28,250 | $22,209–$28,250 | varies |
| Insrt heart pm atrial & vent (33208) | $20,660 | $20,660 | 1.5× |
| Interdental Wiring Other Than Fracture (21497) | $3,953 | $3,953 | 2.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $483 | $483 | 0.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $483 | $483 | 0.9× |
| Intro cath dialysis circuit (36901) | $2,769 | $2,769 | 1.4× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) | $39,473 | $39,473 | 2.7× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) | $19,530 | $19,530 | 2.7× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$483–$934 | $483–$934 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $1,100 | $1,100 | 3.4× |
| Late closure of wound (13160) | $2,315 | $2,315 | 0.5× |
| Ligation or biopsy temporal artery (37609) | $2,894 | $2,894 | 1.4× |
| Myelography Lumbar Injection (62305) | $2,584 | $2,584 | 2.6× |
| Myelography Lumbar Injection (62304) range across 2 matching MRF lines |
$2,402–$3,755 | $2,402–$3,755 | varies |
| Myelography via lumbar injection rs&i cervical (62302) | $2,402 | $2,402 | 2.4× |
| N Block Inj Plantar Digit (64455) | $909 | $909 | 2.3× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$695–$1,780 | $695–$1,780 | varies |
| Needle Biopsy Lymph Nodes (38505) | $4,766 | $4,766 | 2.2× |
| Needle Biopsy Pancreas (48102) | $4,766 | $4,766 | 2.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $483 | $483 | 1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $11,592 | $11,592 | 2.5× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) range across 2 matching MRF lines |
$4,464–$18,138 | $4,464–$18,138 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$2,820–$4,999 | $2,820–$4,999 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $3,204 | $3,204 | 3.6× |
| Open biopsy/excision inguinofemoral nodes (38531) | $16,515 | $16,515 | 3.3× |
| Open/Perq Place Stent 1St (37236) | $19,564 | $19,564 | 1.3× |
| Open/Perq Place Stent Same (37238) | $27,615 | $27,615 | 1.9× |
| Penile Injection (54235) | $1,159 | $1,159 | 3.6× |
| Perc Cryo Ablate Renal Tum (50593) | $29,214 | $29,214 | 2.1× |
| Perc Rf Ablate Renal Tumor (50592) range across 3 matching MRF lines |
$17,574–$26,361 | $17,574–$26,361 | varies |
| Percut Ablate Liver Rf (47382) | $16,785 | $16,785 | 2.2× |
| Percut Drain/Inject Renal Cyst (50390) | $2,160 | $2,160 | 2.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) range across 3 matching MRF lines |
$9,938–$17,392 | $9,938–$17,392 | varies |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) | $4,052 | $4,052 | 1.0× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) range across 3 matching MRF lines |
$4,052–$6,251 | $4,052–$6,251 | varies |
| Pericardiocentesis W/Imaging (33016) | $7,355 | $7,355 | 3.6× |
| Perq Cervicothoracic Inject (22510) | $9,506 | $9,506 | 2.3× |
| Perq dev breast 1st strtctc (19283) | $2,183 | $2,183 | 2.4× |
| Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$2,183–$3,255 | $2,183–$3,255 | varies |
| Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$1,042–$2,183 | $1,042–$2,183 | varies |
| Perq Lumbosacral Injection (22511) | $9,506 | $9,506 | 2.3× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) | $39,473 | $39,473 | 2.7× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) range across 2 matching MRF lines |
$17,202–$19,530 | $17,202–$19,530 | varies |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $19,794 | $19,794 | 2.1× |
| Perq Vertebral Augmentation (22513) | $20,775 | $20,775 | 2.2× |
| Place Cath Thoracic Aorta (36221) | $8,564 | $8,564 | 2.1× |
| Placement of needle for intraosseous infusion (36680) | $483 | $483 | 0.8× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $6,152 | $6,152 | 2.3× |
| Plmt Nephroureteral Catheter (50433) | $4,118 | $4,118 | 0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) | $6,133 | $6,133 | 1.4× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $6,133 | $6,133 | 1.4× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
$10,483–$15,725 | $10,483–$15,725 | varies |
| Prim art mech thrombectomy (37184) range across 3 matching MRF lines |
$34,878–$61,036 | $34,878–$61,036 | varies |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $5,851 | $5,851 | 1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) | $11,056 | $11,056 | 2.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$483–$1,110 | $483–$1,110 | varies |
| Puncture Aspiration Cyst Breast (19000) | $2,118 | $2,118 | 2.3× |
| Relocation Pocket Pacemaker (33222) | $4,379 | $4,379 | 1.7× |
| Rem Endovas Vena Cava Filter (37193) | $9,475 | $9,475 | 2.3× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) | $4,251 | $4,251 | 3.6× |
| Removal Embedded Foreign Body Eyelid (67938) | $967 | $967 | 2.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $5,557 | $5,557 | 1.5× |
| Removal Foreign Body Foot Complicated (28193) range across 2 matching MRF lines |
$1,449–$2,547 | $1,449–$2,547 | varies |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$2,315–$4,052 | $2,315–$4,052 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,449–$2,547 | $1,449–$2,547 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $3,338 | $3,338 | 1.6× |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$3,473–$5,801 | $3,473–$5,801 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$194–$291 | $194–$291 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $483 | $483 | 6.4× |
| Removal of foreign body from pharynx (42809) | $483 | $483 | 0.8× |
| Removal of nail bed (11750) | $967 | $967 | 1.8× |
| Removal of tunneled intraperitoneal catheter (49422) | $9,174 | $9,174 | 2.3× |
| Removal or bivalving full arm or full leg cast (29705) | $483 | $483 | 1.3× |
| Removal Pacemaker Electrode (33235) | $10,872 | $10,872 | 2.3× |
| Removal ppm generator only (33233) | $28,250 | $28,250 | 2.7× |
| Removal shoulder foreign body deep subfascial/im (23333) range across 2 matching MRF lines |
$2,084–$3,338 | $2,084–$3,338 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $483 | $483 | 1.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,636 | $1,636 | 1.8× |
| Removal/bivalving gauntlet boot/body cast (29700) | $483 | $483 | 1.3× |
| Remove cerclage suture (59871) | $8,445 | $8,445 | 2.0× |
| Remove Elctrd Transvenously (33244) | $18,010 | $18,010 | 3.7× |
| Remove Forearm Foreign Body (25248) range across 2 matching MRF lines |
$3,473–$4,052 | $3,473–$4,052 | varies |
| Remove foreign body from eye (65205) | $483 | $483 | 2.8× |
| Remove Intrauterine Device (58301) | $940 | $940 | 2.4× |
| Remove intrvas foreign body (37197) | $10,170 | $10,170 | 2.5× |
| Remove lung catheter (32552) | $2,153 | $2,153 | 2.7× |
| Remove Nasal Foreign Body (30300) | $483 | $483 | 2.8× |
| Remove renal tube w/fluoro (50389) | $1,953 | $1,953 | 2.2× |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$2,084–$3,338 | $2,084–$3,338 | varies |
| Remove&replace pm gen singl (33227) | $25,714 | $25,714 | 2.4× |
| Remv&replc cvd gen dual lead (33263) | $83,165 | $83,165 | 2.9× |
| Remv&replc cvd gen mult lead (33264) | $106,466 | $106,466 | 2.6× |
| Remv&replc cvd gen sing lead (33262) | $76,391 | $76,391 | 2.7× |
| Remv&replc pm gen dual lead (33228) | $34,310 | $34,310 | 2.6× |
| Remv&replc pm gen mult leads (33229) | $63,600 | $63,600 | 2.6× |
| Renal Biopsy Perq (50200) | $4,777 | $4,777 | 2.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $967 | $967 | 1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $967 | $967 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $483 | $483 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $967 | $967 | 1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,223 | $1,223 | 2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $967 | $967 | 1.8× |
| Repair complex trunk 1.1-2.5 cm (13100) | $967 | $967 | 1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) | $967 | $967 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $967 | $967 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $483 | $483 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $483 | $483 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $483 | $483 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $483 | $483 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,223 | $1,223 | 1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $967 | $967 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $483 | $483 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $1,223 | $1,223 | 1.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $3,854 | $3,854 | 1.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $967 | $967 | 1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $483 | $483 | 0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $483 | $483 | 0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $967 | $967 | 1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $483 | $483 | 0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $6,761 | $6,761 | 2.5× |
| Repair lead pace-defib dual (33220) | $6,197 | $6,197 | 1.3× |
| Repair Lead Pace-Defib One (33218) | $6,197 | $6,197 | 1.3× |
| Repair of nail bed (11760) | $1,223 | $1,223 | 1.3× |
| Repair tongue laceration (41252) | $1,449 | $1,449 | 4.8× |
| Repair tongue laceration (41250) | $483 | $483 | 0.8× |
| Reposition Gastrostomy Tube (43761) | $1,449 | $1,449 | 4.5× |
| Reposition Pacing-Defib Lead (33215) | $5,418 | $5,418 | 1.3× |
| Rmvl embedded fb vestibule mouth comp (40805) | $4,052 | $4,052 | 5.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $483 | $483 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $483 | $483 | 0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $483 | $483 | 2.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $483 | $483 | 0.8× |
| Rmvl fecal impaction/fb spx under anes (45915) | $3,601 | $3,601 | 2.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $3,473 | $3,473 | 0.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$2,315–$3,338 | $2,315–$3,338 | varies |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $4,353 | $4,353 | 0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,910 | $2,910 | 1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,629 | $1,629 | 2.0× |
| Rplc Gtube No Revj Trc (43762) | $797 | $797 | 2.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $5,310 | $5,310 | 2.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $10,100 | $10,100 | 2.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $483 | $483 | 1.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $483 | $483 | 0.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $967 | $967 | 3.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,449 | $1,449 | 2.1× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $5,298 | $5,298 | 1.3× |
| Sigmoidoscopy w/fb removal (45332) | $1,449 | $1,449 | 0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $483 | $483 | 0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $483 | $483 | 1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $483 | $483 | 1.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $483 | $483 | 0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $483 | $483 | 1.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $483 | $483 | 1.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $483 | $483 | 1.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $483 | $483 | 1.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $483 | $483 | 1.9× |
| Skin Tissue Procedure (17999) | $483 | $483 | 1.9× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) | $15,890 | $15,890 | 2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $483 | $483 | 1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $483 | $483 | 0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $483 | $483 | 0.9× |
| Spinal puncture lumbar diagnostic (62270) range across 6 matching MRF lines |
$967–$3,089 | $967–$3,089 | varies |
| Strapping ankle (29540) | $483 | $483 | 2.3× |
| Strapping elbow or wrist (29260) | $483 | $483 | 6.4× |
| Strapping hand/finger (29280) | $483 | $483 | 6.4× |
| Strapping Hip (29520) | $483 | $483 | 2.8× |
| Strapping knee (29530) | $483 | $483 | 2.8× |
| Strapping shoulder (29240) | $483 | $483 | 2.8× |
| Strapping toes (29550) | $483 | $483 | 6.4× |
| Strapping Unna Boot (29580) | $483 | $483 | 2.3× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) | $87,033 | $87,033 | 3.5× |
| Tcat Rmvl Perm Ldls Pm (33275) | $14,237 | $14,237 | 3.5× |
| Therapeutic plasma exchange (36514) | $3,418 | $3,418 | 1.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) | $59,831 | $59,831 | 2.5× |
| Thrombolytic Therapy Stroke (37195) | $483 | $483 | 1.1× |
| Thyroid biopsy (60100) | $2,320 | $2,320 | 2.5× |
| Tooth extraction (41899) | $2,205 | $2,205 | 7.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,449 | $1,449 | 4.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $1,449 | $1,449 | 0.7× |
| Transcatheter biopsy (37200) | $15,199 | $15,199 | 2.1× |
| Treat ectopic pregnancy (59151) | $26,803 | $26,803 | 3.4× |
| Treat humerus fracture (24500) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Treat Humerus Fracture (24505) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Treat knee fracture (27532) range across 3 matching MRF lines |
$6,582–$8,228 | $6,582–$8,228 | varies |
| Treat Knee Fracture(S) (27538) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Treat Knuckle Dislocation (26700) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Treat Metatarsal Fracture (28475) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Treat midfoot fracture (28456) range across 3 matching MRF lines |
$14,096–$17,620 | $14,096–$17,620 | varies |
| Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Treat Thumb Fracture (26645) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Treat toe dislocation (28630) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$1,910–$2,894 | $1,910–$2,894 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $251 | $251 | 3.3× |
| Trluml Balo Angiop 1St Art (37246) | $19,530 | $19,530 | 2.7× |
| Trluml Balo Angiop 1St Vein (37248) | $19,530 | $19,530 | 2.7× |
| Tx Gastro Intub W/Asp (43753) | $483 | $483 | 1.7× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 3 matching MRF lines |
$3,286–$4,108 | $3,286–$4,108 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $967 | $967 | 1.0× |
| Tx superficial wound dehiscence w/packing (12021) | $483 | $483 | 0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 3 matching MRF lines |
$6,582–$8,228 | $6,582–$8,228 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 3 matching MRF lines |
$483–$967 | $483–$967 | varies |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $26,803 | $26,803 | 3.4× |
| Unlisted Procedure Hands/Fingers (26989) | $483 | $483 | 1.5× |
| Unlisted Procedure Male Genital System (55899) | $483 | $483 | 1.5× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $483 | $483 | 1.6× |
| Unlisted Procedure Rectum (45999) | $967 | $967 | 0.8× |
| Unlisted px female genital system nonobstetrical (58999) | $483 | $483 | 1.9× |
| Upgrade of pacemaker system (33214) | $14,323 | $14,323 | 1.1× |
| Vaginal delivery only (59409) | $3,473 | $3,473 | 0.8× |
| Vasc Embolize/Occlude Bleed (37244) | $51,597 | $51,597 | 3.5× |
| Vasc Embolize/Occlude Organ (37243) | $33,579 | $33,579 | 2.3× |
| Venous Mech Thrombectomy (37187) range across 3 matching MRF lines |
$34,878–$61,036 | $34,878–$61,036 | varies |
| Wedge excision skin nail fold (11765) | $483 | $483 | 0.9× |
| Wedging of cast (29740) | $483 | $483 | 1.3× |
| Windowing of cast (29730) | $483 | $483 | 2.3× |
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.