Procedures & surgery prices at Virginia Gay Hospital
Vinton, IA · every code in this section with a posted price and a Medicare benchmark.
472 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
$772.80–$1,114.40 | $966–$1,393 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$528–$979.20 | $660–$1,224 | varies |
| Abrasion single lesion (15786) | $735.20 | $919 | 3.8× |
| Acne surgery (10040) | $331.20 | $414 | 1.7× |
| Anoscopy diagnostic (46600) | $296 | $370 | 2.3× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $264.80 | $331 | 1.7× |
| Application cast elbow finger short arm (29075) | $208.80 | $261 | 0.8× |
| Application Cast Finger (29086) | $176 | $220 | 1.1× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$95.20–$116 | $119–$145 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$193.60–$279.20 | $242–$349 | varies |
| Application Long Leg Cast Brace (29358) | $348 | $435 | 1.3× |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$160–$279.20 | $200–$349 | varies |
| Application of cylinder cast (thigh to ankle) (29365) | $293.60 | $367 | 1.1× |
| Application of long leg cast (29345) | $338.40 | $423 | 1.3× |
| Application of rigid total contact leg cast (29445) | $487.20 | $609 | 1.8× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$129.42–$217.60 | $161.77–$272 | varies |
| Application short leg splint calf foot (29515) range across 4 matching MRF lines |
$161.80–$279.20 | $202.25–$349 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$227.20–$279.20 | $284–$349 | varies |
| Apply long arm cast (29065) | $228.80 | $286 | 0.9× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$279.20–$419.20 | $349–$524 | varies |
| Apply Short Leg Cast (29405) | $202.40 | $253 | 0.8× |
| Apply short leg cast (29425) | $200 | $250 | 0.7× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$29.52–$30.40 | $36.90–$38 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 8 matching MRF lines |
$160.20–$750.40 | $200.25–$938 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 6 matching MRF lines |
$250.40–$851.20 | $313–$1,064 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 10 matching MRF lines |
$193.27–$776.80 | $241.59–$971 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 7 matching MRF lines |
$269.60–$1,159.20 | $337–$1,449 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$152–$735.20 | $190–$919 | varies |
| Aspirate pleura w/ imaging (32555) range across 5 matching MRF lines |
$774.40–$1,131.20 | $968–$1,414 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$612.80–$699.20 | $766–$874 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$179.20–$499.20 | $224–$624 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$337.60–$396 | $422–$495 | varies |
| Biopsy nail unit (11755) | $404.80 | $506 | 0.6× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $455.20 | $569 | 0.3× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $668.80 | $836 | 0.4× |
| Biopsy Vaginal Mucosa Simple (57100) | $338.40 | $423 | 0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $234.40 | $293 | 0.3× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$224–$230.40 | $280–$288 | varies |
| Bladder Scan (51798) range across 4 matching MRF lines |
$50.40–$310.40 | $63–$388 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $384 | $480 | 1.3× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$710.30–$734.40 | $887.88–$918 | varies |
| Bx Cervix (57500) | $548.80 | $686 | 0.6× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $598.40 | $748 | 2.0× |
| Cautery Cervix Electro/Thermal (57510) | $598.40 | $748 | 0.2× |
| Change Cystostomy Tube Simple (51705) | $265.60 | $332 | 1.1× |
| Chemical Cautery Tissue (17250) | $235.20 | $294 | 1.2× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$439.20–$1,404 | $549–$1,755 | varies |
| Circumcision 28 days or older (54161) | $549.60 | $687 | 0.3× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$473.60–$488 | $592–$610 | varies |
| Closed Treat Vert Body Fract (22310) | $1,098.40 | $1,373 | 4.6× |
| Closed Treatment Sternum Fracture (21820) | $612 | $765 | 2.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $758.40 | $948 | 3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,047.20 | $1,309 | 4.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $933.60 | $1,167 | 0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $1,240 | $1,550 | 5.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $592.80 | $741 | 2.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $1,098.40 | $1,373 | 4.6× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$1,037.60–$1,068.80 | $1,297–$1,336 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,069.60 | $1,337 | 4.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $558.40 | $698 | 0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $637.60 | $797 | 0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,218.40 | $1,523 | 5.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $818.40 | $1,023 | 3.5× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $1,256 | $1,570 | 5.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $1,012.80 | $1,266 | 4.3× |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,078.40–$1,110.40 | $1,348–$1,388 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $974.40 | $1,218 | 4.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,302.40–$1,726.40 | $1,628–$2,158 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $1,052.80 | $1,316 | 4.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $660.80 | $826 | 2.8× |
| Closed tx talus fracture w/o manipulation (28430) | $592.80 | $741 | 2.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$189.60–$195.20 | $237–$244 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $1,037.60 | $1,297 | 4.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $758.40 | $948 | 3.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $984 | $1,230 | 4.1× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) | $572 | $715 | 1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $470.40 | $588 | 0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $854.40 | $1,068 | 3.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,389.60 | $1,737 | 0.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $818.40 | $1,023 | 3.5× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $1,144 | $1,430 | 4.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
$940–$1,480.80 | $1,175–$1,851 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,341.60 | $1,677 | 5.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,192 | $1,490 | 5.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $701.60 | $877 | 3.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $1,098.40 | $1,373 | 4.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,301.60–$1,340.80 | $1,627–$1,676 | varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$1,060.80–$1,092.80 | $1,326–$1,366 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,995.20 | $2,494 | 8.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $632 | $790 | 2.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $464 | $580 | 2.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $488 | $610 | 2.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $550.40 | $688 | 0.4× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $567.20 | $709 | 2.4× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $913.60 | $1,142 | 3.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $1,000.80 | $1,251 | 0.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $1,215.20 | $1,519 | 5.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $1,067.20 | $1,334 | 4.5× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $362.40 | $453 | 1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $453.60 | $567 | 1.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,024 | $1,280 | 3.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$725.60–$1,024 | $907–$1,280 | varies |
| Cltx Medial Ankle Fx (27760) | $1,240.80 | $1,551 | 5.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$1,204.80–$1,240.80 | $1,506–$1,551 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$855.20–$907.20 | $1,069–$1,134 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$893.60–$1,301.60 | $1,117–$1,627 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $722.40 | $903 | 3.0× |
| Cltx prox fibula/shft fx w/o manj (27780) | $1,278.40 | $1,598 | 5.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$717.60–$739.20 | $897–$924 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $2,222.40 | $2,778 | 1.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,914.40 | $2,393 | 1.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $470.40 | $588 | 2.0× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,475.20 | $1,844 | 6.2× |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,350.40 | $1,688 | 5.7× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $1,341.60 | $1,677 | 5.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,228 | $1,535 | 0.8× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $923.20 | $1,154 | 3.9× |
| Collect Blood From Catheter Venous Nos (36592) range across 5 matching MRF lines |
$30.40–$113.60 | $38–$142 | varies |
| Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
$64.40–$69.60 | $80.50–$87 | varies |
| Colonoscopy w/ablation (45388) | $1,254.40 | $1,568 | 1.1× |
| Colonoscopy W/Band Ligation (45398) | $2,147.20 | $2,684 | 1.9× |
| Colonoscopy w/fb removal (45379) | $1,108 | $1,385 | 1.0× |
| Colonoscopy W/Resection (45390) | $1,272.80 | $1,591 | 0.5× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,096.80–$1,129.60 | $1,371–$1,412 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $668.80 | $836 | 2.3× |
| Colposcopy Cervix Endocervical Curettage (57456) | $1,358.40 | $1,698 | 4.6× |
| Colposcopy cervix upper/adjacent vagina (57452) | $812 | $1,015 | 4.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $550.40 | $688 | 1.9× |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,500 | $1,875 | 0.5× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $1,358.40 | $1,698 | 0.4× |
| Colposcopy entire vagina w/cervix if present (57420) | $638.40 | $798 | 2.2× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $468 | $585 | 0.5× |
| Colpotomy; with drainage of pelvic abscess (57010) | $1,007.20 | $1,259 | 0.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,717.60 | $2,147 | 1.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,254.40 | $1,568 | 1.1× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $1,124 | $1,405 | 0.4× |
| Conization of cervix (57520) | $1,341.60 | $1,677 | 0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 4 matching MRF lines |
$493.60–$584.80 | $617–$731 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 5 matching MRF lines |
$230.40–$338.40 | $288–$423 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $224 | $280 | 3.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 4 matching MRF lines |
$419.20–$592.80 | $524–$741 | varies |
| Cysto Bladder W/Ureteral Catheterization (52005) | $825.60 | $1,032 | 0.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 3 matching MRF lines |
$908.80–$1,810.40 | $1,136–$2,263 | varies |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$1,316–$1,355.20 | $1,645–$1,694 | varies |
| Cysto w/removal of lesions small (52224) range across 2 matching MRF lines |
$560–$576.80 | $700–$721 | varies |
| Cysto w/removal of tumors small (52234) | $620.80 | $776 | 0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 4 matching MRF lines |
$804.69–$2,144.80 | $1,005.86–$2,681 | varies |
| Cysto w/ureteroscopy w/lithotripsy (52353) likely a partial charge, not the full procedure |
$1,241.60 | $1,552 | 0.2× |
| Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$1,148.80 | $1,436 | 0.2× |
| Cystourethroscopy (52000) range across 7 matching MRF lines |
$607.98–$1,384.80 | $759.97–$1,731 | varies |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) range across 4 matching MRF lines |
$2,720–$3,274.40 | $3,400–$4,093 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) range across 4 matching MRF lines |
$1,005.60–$1,914.40 | $1,257–$2,393 | varies |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $812 | $1,015 | 0.2× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) likely a partial charge, not the full procedure |
$1,236.80 | $1,546 | 0.2× |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$1,125.60–$1,159.20 | $1,407–$1,449 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $149.60 | $187 | 0.4× |
| Debride nail 1-5 (11720) | $116 | $145 | 2.0× |
| Debride nail 6 or more (11721) | $174.40 | $218 | 3.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$368–$554.40 | $460–$693 | varies |
| Destroy cerv/thor facet jnt (64633) range across 6 matching MRF lines |
$1,109.60–$3,139.20 | $1,387–$3,924 | varies |
| Destroy lumb/sac facet jnt (64635) range across 8 matching MRF lines |
$1,100.80–$3,139.20 | $1,376–$3,924 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$300–$388 | $375–$485 | varies |
| Destruction Benign Lesions 15/> (17111) | $331.20 | $414 | 1.7× |
| Destruction Lesions Vulva Simple (56501) | $463.20 | $579 | 0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $615.20 | $769 | 3.2× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $685.60 | $857 | 1.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $432 | $540 | 2.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $458.40 | $573 | 2.4× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $455.20 | $569 | 2.4× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $521.60 | $652 | 2.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $596 | $745 | 3.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $336 | $420 | 1.7× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$991.20–$1,754.40 | $1,239–$2,193 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $781.60 | $977 | 2.0× |
| Destruction premalignant lesion 1st (17000) | $244.80 | $306 | 1.3× |
| Destruction Vaginal Lesions Simple (57061) | $464 | $580 | 0.1× |
| Diagnostic sigmoidoscopy (45330) | $517.60 | $647 | 0.6× |
| Diaphragm or cervical cap fitting with instructions (57170) | $1,997.60 | $2,497 | 10.3× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $230.40 | $288 | 1.9× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) range across 4 matching MRF lines |
$197.60–$288.80 | $247–$361 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $1,141.60 | $1,427 | 0.4× |
| Dilation Cervical Canal (57800) | $1,141.60 | $1,427 | 0.4× |
| Drain/inj small joint/bursa w/us (20604) range across 4 matching MRF lines |
$224–$1,061.60 | $280–$1,327 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $669.60 | $837 | 1.0× |
| Drainage Finger Abscess Complicated (26011) | $923.20 | $1,154 | 0.6× |
| Drainage of finger abscess simple (26010) | $292.80 | $366 | 1.5× |
| Drainage of gum lesion (41800) | $421.60 | $527 | 3.3× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$275.20–$458.40 | $344–$573 | varies |
| Drainage of hydrocele (55000) range across 4 matching MRF lines |
$268.80–$642.40 | $336–$803 | varies |
| Drainage of rectal abscess (45005) | $770.40 | $963 | 0.7× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$110.40–$113.60 | $138–$142 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$660.80–$701.60 | $826–$877 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $576.80 | $721 | 3.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$271.20–$333.60 | $339–$417 | varies |
| Dstrj lesion anus simple cryosurgery (46916) | $550.40 | $688 | 2.9× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $341.60 | $427 | 1.8× |
| Dstrj lesion penis simple surg excision (54060) | $576 | $720 | 0.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$677.60–$1,620 | $847–$2,025 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$2,512.48–$2,603.20 | $3,140.60–$3,254 | varies |
| Egd control bleeding any (43255) | $1,548.80 | $1,936 | 0.8× |
| Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
$1,432–$1,475.20 | $1,790–$1,844 | varies |
| Egd remove lesion snare (43251) | $1,216.80 | $1,521 | 0.7× |
| Egd Varices Ligation (43244) | $933.60 | $1,167 | 0.5× |
| Endocervical curettage (57505) | $416.80 | $521 | 0.5× |
| Endometrial Biopsy (58100) | $464 | $580 | 2.4× |
| Endoscopic injection/implant (51715) | $956 | $1,195 | 0.3× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$509.60–$1,199.20 | $637–$1,499 | varies |
| Escharotomy; initial incision (16035) | $1,098.40 | $1,373 | 2.8× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$175.20–$216.80 | $219–$271 | varies |
| Exc abdl tum deep 5 cm/> (22901) | $1,855.20 | $2,319 | 0.7× |
| Exc arm/elbow les sc < 3 cm (24075) | $952 | $1,190 | 0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $416.80 | $521 | 0.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $723.20 | $904 | 0.5× |
| Exc Back Les Sc < 3 Cm (21930) | $1,055.20 | $1,319 | 0.7× |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,138.40 | $2,673 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $804 | $1,005 | 1.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $931.20 | $1,164 | 1.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,341.60 | $1,677 | 0.8× |
| Exc Face Les Sbq 2 Cm/> (21012) | $980.80 | $1,226 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$464–$728.80 | $580–$911 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $560 | $700 | 0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $672 | $840 | 1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $818.40 | $1,023 | 0.5× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,037.60 | $1,297 | 0.7× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $1,228.80 | $1,536 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $432 | $540 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $546.40 | $683 | 0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$612–$1,078.40 | $765–$1,348 | varies |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $1,922.40 | $2,403 | 0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $660 | $825 | 1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $825.60 | $1,032 | 0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$1,098.40–$1,396.80 | $1,373–$1,746 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $912.80 | $1,141 | 0.6× |
| Exc Skin Benig >4cm Face,Facial (11446) | $1,285.60 | $1,607 | 0.5× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $929.60 | $1,162 | 0.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,409.60 | $1,762 | 0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,182.40 | $1,478 | 0.7× |
| Exc thigh/knee les sc 3 cm/> (27337) | $1,211.20 | $1,514 | 0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $545.60 | $682 | 0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $488 | $610 | 1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $560 | $700 | 0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $732 | $915 | 0.5× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,240.80 | $1,551 | 0.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $1,496 | $1,870 | 0.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $1,922.40 | $2,403 | 0.7× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,371.20 | $1,714 | 0.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $1,303.20 | $1,629 | 0.8× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $1,312.80 | $1,641 | 0.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $1,172.80 | $1,466 | 0.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,256 | $1,570 | 0.4× |
| Excise breast duct fistula (19112) | $1,236.80 | $1,546 | 0.3× |
| Excise mandible lesion (21040) | $324.80 | $406 | 0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $818.40 | $1,023 | 1.2× |
| Excision Chalazion Single (67800) | $488 | $610 | 1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $612 | $765 | 0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $699.20 | $874 | 1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $739.20 | $924 | 1.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $904 | $1,130 | 1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $616.80 | $771 | 0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,080 | $1,350 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,899.20 | $2,374 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $584.80 | $731 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $689.60 | $862 | 1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $792.80 | $991 | 1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,077.60 | $1,347 | 0.7× |
| Excision of hydrocele; unilateral (55040) | $966.40 | $1,208 | 0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) | $966.40 | $1,208 | 0.3× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,911.20 | $2,389 | 0.7× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,136.80 | $1,421 | 0.4× |
| Excision spermatocele w/wo epididymectomy (54840) | $872.80 | $1,091 | 0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,360.80 | $1,701 | 0.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,073.60 | $1,342 | 0.7× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $905.60 | $1,132 | 0.6× |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) | $572 | $715 | 0.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $1,268.80 | $1,586 | 0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $750.40 | $938 | 0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $940 | $1,175 | 0.6× |
| Exploration of knee joint (27310) | $2,070.40 | $2,588 | 0.7× |
| Explore/Treat Hand Joint (26070) | $847.20 | $1,059 | 0.5× |
| Fasciotomy, foot and/or toe (28008) | $850.40 | $1,063 | 0.3× |
| Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
$314.40–$432 | $393–$540 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,332.80 | $1,666 | 0.5× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $912.80 | $1,141 | 0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $2,106.40 | $2,633 | 0.8× |
| I&d abscess peritonsillar (42700) | $220.80 | $276 | 1.0× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$337.60–$395.20 | $422–$494 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,776.80 | $2,221 | 0.6× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$622.40–$3,896 | $778–$4,870 | varies |
| I&d pilonidal cyst complicated (10081) range across 4 matching MRF lines |
$732–$1,502.40 | $915–$1,878 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$577.60–$764 | $722–$955 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $387.20 | $484 | 0.1× |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $1,014.40 | $1,268 | 0.4× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$638.40–$732 | $798–$915 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$515.20–$612 | $644–$765 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$827.20–$1,599.20 | $1,034–$1,999 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$385.60–$426.40 | $482–$533 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $446.40 | $558 | 2.3× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$355.20–$488 | $444–$610 | varies |
| Incision of rectal abscess (46040) | $1,200.80 | $1,501 | 1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $467.20 | $584 | 0.3× |
| Incisional biopsy skin single lesion (11106) | $227.20 | $284 | 0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
$224–$279.20 | $280–$349 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 6 matching MRF lines |
$560–$1,892 | $700–$2,365 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$244.80–$412 | $306–$515 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 4 matching MRF lines |
$599.20–$818.40 | $749–$1,023 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 3 matching MRF lines |
$637.60–$1,224 | $797–$1,530 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 4 matching MRF lines |
$492.19–$664 | $615.24–$830 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$446.40–$460 | $558–$575 | varies |
| Injection anesthetic agent suprascapular nerve (64418) | $342.40 | $428 | 0.5× |
| Injection single tendon origin/insertion (20551) | $248.80 | $311 | 0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 6 matching MRF lines |
$164.66–$518.40 | $205.82–$648 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
$190.40–$534.40 | $238–$668 | varies |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$231.20–$648.80 | $289–$811 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$460–$473.60 | $575–$592 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$338.40–$348.80 | $423–$436 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$300–$791.20 | $375–$989 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $259.20 | $324 | 1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) | $209.60 | $262 | 1.1× |
| Insert Drug Implant Device (11981) | $278.40 | $348 | 2.2× |
| Insert non-tunnel cv cath (36556) | $803.20 | $1,004 | 0.3× |
| Insert pessary/other device (57160) | $292 | $365 | 1.5× |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$192.80–$278.40 | $241–$348 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$160.80–$292.86 | $201–$366.07 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,438.40 | $1,798 | 1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,110.40–$1,144 | $1,388–$1,430 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,246.40 | $1,558 | 3.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,484 | $1,855 | 3.8× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$408–$472.80 | $510–$591 | varies |
| Laparoscopy, surgical, appendectomy (44970) unusually low: confirm this is the full procedure |
$2,210.40 | $2,763 | 0.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$1,857.60 | $2,322 | 0.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,492 | $1,865 | 0.3× |
| Ligation of hemorrhoids (46946) | $923.20 | $1,154 | 0.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) | $3,159.20 | $3,949 | 0.9× |
| Lithotripsy, extracorporeal shock wave (50590) range across 2 matching MRF lines |
$1,670.40–$1,720.80 | $2,088–$2,151 | varies |
| Manipulation tmj therapeutic require anesthesia (21073) | $1,016.80 | $1,271 | 0.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $536.80 | $671 | 0.3× |
| Marsupialization of bartholin's gland cyst (56440) | $431.20 | $539 | 0.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$372.80–$384 | $466–$480 | varies |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$432.80–$736.80 | $541–$921 | varies |
| N Block Inj Pudendal (64430) range across 4 matching MRF lines |
$384.80–$1,327.20 | $481–$1,659 | varies |
| N Block Lumbar/Thoracic (64520) range across 4 matching MRF lines |
$524–$1,153.60 | $655–$1,442 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 3 matching MRF lines |
$237.35–$241.60 | $296.69–$302 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
$380–$628.80 | $475–$786 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 8 matching MRF lines |
$493.60–$1,892 | $617–$2,365 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 4 matching MRF lines |
$685.60–$1,260.80 | $857–$1,576 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
$678.64–$1,260.80 | $848.30–$1,576 | varies |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$328–$620.80 | $410–$776 | varies |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) likely a partial charge, not the full procedure |
$1,045.60 | $1,307 | 0.1× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,404.80 | $1,756 | 0.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $1,935.20 | $2,419 | 0.6× |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) likely a partial charge, not the full procedure |
$1,351.20 | $1,689 | 0.2× |
| Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) | $3,258.40 | $4,073 | 1.4× |
| Placement of needle for intraosseous infusion (36680) | $499.20 | $624 | 1.2× |
| Placement of seton (46020) | $754.40 | $943 | 0.3× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) | $584.80 | $731 | 0.2× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$337.60–$472.80 | $422–$591 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$393.60–$457.60 | $492–$572 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$321.60–$839.20 | $402–$1,049 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$1,280–$2,038.40 | $1,600–$2,548 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $748.80 | $936 | 2.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,680.80 | $2,101 | 0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$321.60–$751.20 | $402–$939 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$724.80–$2,664.80 | $906–$3,331 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$46.40–$118.40 | $58–$148 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$128–$199.20 | $160–$249 | varies |
| Removal implantable contraceptive capsules (11976) | $331.20 | $414 | 0.5× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$620.80–$751.20 | $776–$939 | varies |
| Removal of testis (54520) | $876 | $1,095 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $281.60 | $352 | 1.5× |
| Removal sweat gland lesion (11450) | $610.40 | $763 | 0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$114.40–$506.40 | $143–$633 | varies |
| Remove drug implant device (11982) | $316.80 | $396 | 0.7× |
| Remove Forearm Foreign Body (25248) | $235.20 | $294 | 0.2× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$207.20–$213.60 | $259–$267 | varies |
| Remove Intrauterine Device (58301) | $419.20 | $524 | 1.4× |
| Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
$246.40–$588 | $308–$735 | varies |
| Remove Tendon Sheath Lesion (26160) | $660.80 | $826 | 0.4× |
| Remove/Insert Drug Implant (11983) | $446.40 | $558 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
$797.60–$906.40 | $997–$1,133 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
$1,009.60–$1,120.80 | $1,262–$1,401 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$820.80–$1,016.80 | $1,026–$1,271 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$937.60–$1,186.40 | $1,172–$1,483 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$453.60–$776 | $567–$970 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$745.60–$1,118.40 | $932–$1,398 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$1,020–$1,022.40 | $1,275–$1,278 | varies |
| Repair incomplete circumcision (54163) | $622.40 | $778 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$720–$756.80 | $900–$946 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$784.80–$850.40 | $981–$1,063 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$945.60–$984 | $1,182–$1,230 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$968.80–$1,040.80 | $1,211–$1,301 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,555.20 | $1,944 | 4.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,082.40 | $1,353 | 1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$669.60–$708.80 | $837–$886 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$772–$826.40 | $965–$1,033 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$818.40–$987.20 | $1,023–$1,234 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,380.80 | $1,726 | 0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$996.80–$1,040.80 | $1,246–$1,301 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$648–$708.80 | $810–$886 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$776–$850.40 | $970–$1,063 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,150.40 | $1,438 | 1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$835.20–$899.20 | $1,044–$1,124 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,253.60 | $1,567 | 0.6× |
| Repair of nail bed (11760) | $612 | $765 | 0.9× |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$596–$613.60 | $745–$767 | varies |
| Rerepair ing hernia reduce (49520) | $1,648.80 | $2,061 | 0.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $360 | $450 | 0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$228–$235.20 | $285–$294 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $210.40 | $263 | 1.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $604 | $755 | 1.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $750.40 | $938 | 0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$633.60–$708.80 | $792–$886 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,256.80 | $1,571 | 1.8× |
| Shave skin lesion 0.5 cm/< (11300) | $221.60 | $277 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $296 | $370 | 1.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $532.80 | $666 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $244 | $305 | 1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $333.60 | $417 | 1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $382.40 | $478 | 2.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $464.80 | $581 | 1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $358.40 | $448 | 1.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $404.80 | $506 | 1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $303.20 | $379 | 1.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $439.20 | $549 | 1.1× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $362.40 | $453 | 1.9× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $1,672.80 | $2,091 | 1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$775.20–$850.40 | $969–$1,063 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$415.77–$444.80 | $519.71–$556 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$456.80–$520 | $571–$650 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $850.40 | $1,063 | 2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$541.60–$614.40 | $677–$768 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $944.80 | $1,181 | 4.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$391.66–$423.20 | $489.58–$529 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$824–$850.40 | $1,030–$1,063 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$491.20–$520 | $614–$650 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 3 matching MRF lines |
$283.20–$1,997.60 | $354–$2,497 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$417.86–$444.80 | $522.32–$556 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$632–$661.60 | $790–$827 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$690.40–$732 | $863–$915 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $1,360.80 | $1,701 | 0.5× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$455.20–$796.80 | $569–$996 | varies |
| Strapping ankle (29540) | $95.20 | $119 | 0.6× |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$66.40–$119.20 | $83–$149 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$66.40–$116.80 | $83–$146 | varies |
| Strapping knee (29530) | $119.20 | $149 | 0.9× |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
$118.40–$406.40 | $148–$508 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $223.20 | $279 | 0.5× |
| Tangential biopsy skin single lesion (11102) | $148.80 | $186 | 0.4× |
| Thrombolytic Therapy Stroke (37195) | $512.80 | $641 | 1.6× |
| Thyroid biopsy (60100) | $722.40 | $903 | 1.1× |
| Tnot elbow lateral/medial debride open (24358) | $1,320.80 | $1,651 | 0.4× |
| Treat humerus fracture (24500) | $1,292 | $1,615 | 5.4× |
| Treat humerus fracture (23600) | $1,419.20 | $1,774 | 6.0× |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$1,299.20–$1,338.40 | $1,624–$1,673 | varies |
| Treat Knuckle Dislocation (26700) range across 3 matching MRF lines |
$659.20–$1,341.60 | $824–$1,677 | varies |
| Treat Metatarsal Fracture (28475) | $666.40 | $833 | 2.8× |
| Treat scapula fracture (23585) unusually low: confirm this is the full procedure |
$2,916 | $3,645 | 0.4× |
| Treat Thumb Dislocation (26641) | $1,024 | $1,280 | 4.3× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$393.60–$540.80 | $492–$676 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,160–$1,195.20 | $1,450–$1,494 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $1,015.20 | $1,269 | 4.3× |
| Trim skin lesion (11055) | $157.60 | $197 | 0.8× |
| Trim skin lesions 2 to 4 (11056) | $196 | $245 | 1.0× |
| Trim skin lesions over 4 (11057) | $235.20 | $294 | 1.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $95.20 | $119 | 1.7× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $1,389.60 | $1,737 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $783.20 | $979 | 1.1× |
| Tx superficial wound dehiscence w/packing (12021) | $491.20 | $614 | 1.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $931.20 | $1,164 | 3.9× |
| Unlisted procedure nervous system (64999) range across 4 matching MRF lines |
$580.80–$600.80 | $726–$751 | varies |
| Vaginal delivery only (59409) | $2,224.80 | $2,781 | 0.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 4 matching MRF lines |
$1,040.80–$2,621.60 | $1,301–$3,277 | varies |
| Wedge excision skin nail fold (11765) | $387.20 | $484 | 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.