Procedures & surgery prices at Wabash General Hospital 1
Mount Carmel, IL · every code in this section with a posted price and a Medicare benchmark.
513 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 2 matching MRF lines |
$207.40–$1,013 | $207.40–$1,013 | varies |
| Ablate inf turbinate submuc (30802) range across 2 matching MRF lines |
$247.40–$742.23 | $247.40–$742.23 | varies |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) range across 2 matching MRF lines |
$181.67–$546.61 | $181.67–$546.61 | varies |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $1,369.92 | $1,369.92 | 0.6× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $1,801.82 | $1,801.82 | 0.8× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $1,052.95 | $1,052.95 | 0.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $830.63 | $830.63 | 0.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $2,988.93 | $2,988.93 | 1.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) | $1,942.30 | $1,942.30 | 0.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $2,747.61 | $2,747.61 | 1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $3,241.86 | $3,241.86 | 0.9× |
| Amputate Thigh,Re-Amputatn (27596) | $1,407.26 | $1,407.26 | 0.4× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$181.48–$294.82 | $181.48–$294.82 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $375.33 | $375.33 | 2.2× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$168.24–$663.95 | $168.24–$663.95 | varies |
| Application Cast Finger (29086) | $394.48 | $394.48 | 2.3× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$131.18–$290.28 | $131.18–$290.28 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$99.02–$364.40 | $99.02–$364.40 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $599.78 | $599.78 | 2.0× |
| Application Long Leg Splint (29505) | $364.40 | $364.40 | 2.1× |
| Application of long leg cast (29345) | $599.78 | $599.78 | 2.0× |
| Application of rigid total contact leg cast (29445) | $599.78 | $599.78 | 2.0× |
| Application Short Arm Splint Dynamic (29126) | $195.08 | $195.08 | 1.4× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$72.13–$299 | $72.13–$299 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$188.67–$364.40 | $188.67–$364.40 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$364.40–$394.48 | $364.40–$394.48 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$108.46–$663.95 | $108.46–$663.95 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$50.32–$1,871.48 | $50.32–$1,871.48 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$142.63–$599.78 | $142.63–$599.78 | varies |
| Apply short leg cast (29425) | $599.78 | $599.78 | 2.0× |
| Arterial puncture (36600) | $51 | $51 | 0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$191.73–$198.49 | $191.73–$198.49 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $191.73 | $191.73 | 0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$162.76–$197 | $162.76–$197 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$115.54–$204 | $115.54–$204 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$191.73–$846.60 | $191.73–$846.60 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) likely a partial charge, not the full procedure |
$2,838.32 | $2,838.32 | 0.2× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) | $1,871.48 | $1,871.48 | 1.1× |
| Arthroscopy Knee Osteochondral Allograft (29867) likely a partial charge, not the full procedure |
$2,528.98 | $2,528.98 | 0.2× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $4,174.92 | $4,174.92 | 0.5× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$2,042.14 | $2,042.14 | 0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $1,441.35 | $1,441.35 | 0.4× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) unusually low: confirm this is the full procedure |
$4,437.11 | $4,437.11 | 0.3× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$214.46–$1,489.64 | $214.46–$1,489.64 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,446.25 | $1,446.25 | 2.2× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$189.28–$191.73 | $189.28–$191.73 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $592 | $592 | 0.8× |
| Augmentation lower jaw bone (21127) unusually low: confirm this is the full procedure |
$2,300 | $2,300 | 0.4× |
| Augmentation, mandibular body or angle; prosthetic material Facility (21125) unusually low: confirm this is the full procedure |
$2,000 | $2,000 | 0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$180.58–$206.59 | $180.58–$206.59 | varies |
| Biopsy Abdominal Mass (49180) | $162.38 | $162.38 | 0.1× |
| Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$728–$750 | $728–$750 | varies |
| Biopsy External Auditory Canal (69105) range across 2 matching MRF lines |
$81.65–$244.96 | $81.65–$244.96 | varies |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$109.93–$251.48 | $109.93–$251.48 | varies |
| Biopsy nail unit (11755) range across 2 matching MRF lines |
$79.14–$237.44 | $79.14–$237.44 | varies |
| Biopsy of breast; open, incisional (19101) | $566.65 | $566.65 | 0.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $3,748.88 | $3,748.88 | 2.1× |
| Biopsy soft tissue neck/thorax (21550) | $517.53 | $517.53 | 0.3× |
| Biopsy Tongue Posterior One-Third (41105) | $138.78 | $138.78 | 0.0× |
| Biopsy/removal lymph nodes (38510) | $4,539.74 | $4,539.74 | 1.1× |
| Bladder Irrigation (51700) | $522.79 | $522.79 | 2.0× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$23.22–$150.78 | $23.22–$150.78 | varies |
| Blepharoplasty Lower Eyelid (15820) | $1,450 | $1,450 | 0.7× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) | $1,550 | $1,550 | 0.7× |
| Blepharoplasty upper eyelid (15822) | $1,130 | $1,130 | 0.5× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) | $1,550 | $1,550 | 0.7× |
| Blepharotomy drainage abscess eyelid (67700) | $310.59 | $310.59 | 0.9× |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$1,542.04–$2,313.06 | $1,542.04–$2,313.06 | varies |
| Bone Marrow Biopsy (38221) | $692.28 | $692.28 | 0.4× |
| Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$294.02–$4,537 | $294.02–$4,537 | varies |
| Bx/exc lymph node open deep axillary node (38525) | $4,540 | $4,540 | 1.1× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) | $2,976.66 | $2,976.66 | 0.8× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) | $495 | $495 | 0.3× |
| Catheter aspiration nasotracheal spx (31720) | $507.90 | $507.90 | 2.2× |
| Change Cystostomy Tube Simple (51705) | $576.30 | $576.30 | 2.2× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$162.56–$180.58 | $162.56–$180.58 | varies |
| Chest tube placement (32551) | $1,578.46 | $1,578.46 | 0.9× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$61.02–$215.24 | $61.02–$215.24 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $674.30 | $674.30 | 2.6× |
| Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
$449.38–$674 | $449.38–$674 | varies |
| Closed Treatment Sternum Fracture (21820) | $549.05 | $549.05 | 2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $517.53 | $517.53 | 2.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $549.05 | $549.05 | 2.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,521.89 | $1,521.89 | 0.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $517.53 | $517.53 | 2.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $1,477.56 | $1,477.56 | 0.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 2 matching MRF lines |
$449.38–$1,196.04 | $449.38–$1,196.04 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) | $450 | $450 | 1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$517.53–$584.54 | $517.53–$584.54 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $146.38 | $146.38 | 0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $549.05 | $549.05 | 2.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$517.53–$972.82 | $517.53–$972.82 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,521.89 | $1,521.89 | 0.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$517.53–$803.35 | $517.53–$803.35 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $674.30 | $674.30 | 0.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$517.53–$880.11 | $517.53–$880.11 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,521.89 | $1,521.89 | 0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$517.53–$652.33 | $517.53–$652.33 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $517.53 | $517.53 | 2.0× |
| Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
$517.53–$640.31 | $517.53–$640.31 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $549.05 | $549.05 | 2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $549.05 | $549.05 | 2.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$517.53–$532.90 | $517.53–$532.90 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $792.05 | $792.05 | 3.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $549.05 | $549.05 | 2.1× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $549.05 | $549.05 | 2.1× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $3,586.30 | $3,586.30 | 2.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$517.53–$746.40 | $517.53–$746.40 | varies |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $599.70 | $599.70 | 2.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $3,804.71 | $3,804.71 | 2.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $549.05 | $549.05 | 2.1× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $561.73 | $561.73 | 2.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $3,804.71 | $3,804.71 | 2.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $439.56 | $439.56 | 1.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$517.53–$710.65 | $517.53–$710.65 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $549.05 | $549.05 | 2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $572.84 | $572.84 | 2.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$357.25–$517.53 | $357.25–$517.53 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $549.05 | $549.05 | 2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$492–$517.53 | $492–$517.53 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$517.53–$914.26 | $517.53–$914.26 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,318.08 | $1,318.08 | 0.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 2 matching MRF lines |
$479.76–$985.96 | $479.76–$985.96 | varies |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
$599.70–$1,178.70 | $599.70–$1,178.70 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $3,804.71 | $3,804.71 | 2.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$347.60–$449.38 | $347.60–$449.38 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$377.75–$517.53 | $377.75–$517.53 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$358.90–$449.38 | $358.90–$449.38 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$270.23–$307.32 | $270.23–$307.32 | varies |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
$517.53–$758.40 | $517.53–$758.40 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$517.53–$872.51 | $517.53–$872.51 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $3,804.71 | $3,804.71 | 2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $549.05 | $549.05 | 2.1× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 2 matching MRF lines |
$517.53–$777.98 | $517.53–$777.98 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$517.53–$732.78 | $517.53–$732.78 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $549.05 | $549.05 | 2.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $636.30 | $636.30 | 2.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$517.53–$662.85 | $517.53–$662.85 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$449.38–$610.54 | $449.38–$610.54 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $533.06 | $533.06 | 2.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$517.53–$783.99 | $517.53–$783.99 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $908.92 | $908.92 | 3.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$517.53–$607.05 | $517.53–$607.05 | varies |
| Cltx post hip arthrp dislc req anes (27266) | $3,804.71 | $3,804.71 | 2.2× |
| Cltx post hip arthrp dislc w/o anes (27265) | $549.05 | $549.05 | 2.1× |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$517.53–$1,275.68 | $517.53–$1,275.68 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$2,052.44–$3,586.30 | $2,052.44–$3,586.30 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$517.53–$556.63 | $517.53–$556.63 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $3,804.71 | $3,804.71 | 2.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $1,002.38 | $1,002.38 | 0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $517.53 | $517.53 | 2.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) | $583.66 | $583.66 | 2.2× |
| Cltx tibial fx proximal w/o manipulation (27530) | $517.53 | $517.53 | 2.0× |
| Cltx tibial shaft fx w/o manipulation (27750) | $449.38 | $449.38 | 1.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,521.89 | $1,521.89 | 0.9× |
| Collect Blood From Catheter Venous Nos (36592) | $161 | $161 | 1.1× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$20.89–$22.91 | $20.89–$22.91 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) | $307.96 | $307.96 | 2.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$61.73–$324.64 | $61.73–$324.64 | varies |
| Control oropharyngeal hemorrhage simple (42960) | $313.26 | $313.26 | 0.5× |
| Create Eardrum Opening (69433) range across 2 matching MRF lines |
$1,018.50–$1,527.75 | $1,018.50–$1,527.75 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $307.96 | $307.96 | 2.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $580.95 | $580.95 | 1.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $2,740.57 | $2,740.57 | 0.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 2 matching MRF lines |
$648.97–$1,116.22 | $648.97–$1,116.22 | varies |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,209.61 | $1,209.61 | 1.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$260.76–$1,452.38 | $260.76–$1,452.38 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$54.98–$151.32 | $54.98–$151.32 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$46.14–$151.32 | $46.14–$151.32 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$439.82–$1,499.55 | $439.82–$1,499.55 | varies |
| Debridement Mastoidectomy Cavity Simple (69220) range across 2 matching MRF lines |
$151.05–$397.40 | $151.05–$397.40 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$128.87–$373.07 | $128.87–$373.07 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$119.03–$128 | $119.03–$128 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$206.80–$234.71 | $206.80–$234.71 | varies |
| Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
$281.22–$467.93 | $281.22–$467.93 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $471.03 | $471.03 | 2.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $528.26 | $528.26 | 2.5× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $658.23 | $658.23 | 1.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $382.49 | $382.49 | 1.8× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $451.45 | $451.45 | 2.1× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $451.45 | $451.45 | 2.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $451.45 | $451.45 | 2.1× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) range across 2 matching MRF lines |
$268.12–$759.84 | $268.12–$759.84 | varies |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) range across 2 matching MRF lines |
$328–$760 | $328–$760 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) | $281.40 | $281.40 | 0.1× |
| Destruction Premalignant Lesion 15/> (17004) | $473.74 | $473.74 | 1.1× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$190.78–$192.63 | $190.78–$192.63 | varies |
| Drain Hand Tendon Sheath (26020) | $1,536.52 | $1,536.52 | 0.4× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$90.72–$191.73 | $90.72–$191.73 | varies |
| Drainage external auditory canal abscess (69020) | $604.02 | $604.02 | 0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,212.82 | $1,212.82 | 1.6× |
| Drainage Mouth Roof Lesion (42000) | $555.32 | $555.32 | 2.2× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$289.89–$451.45 | $289.89–$451.45 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$452.48–$1,499.55 | $452.48–$1,499.55 | varies |
| Drainage of scrotal wall abscess (55100) | $2,765.70 | $2,765.70 | 1.6× |
| Drainage of scrotum (54700) range across 3 matching MRF lines |
$416.94–$1,940.66 | $416.94–$1,940.66 | varies |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$260–$267.80 | $260–$267.80 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $558.95 | $558.95 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $464.41 | $464.41 | 2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$216.20–$456.85 | $216.20–$456.85 | varies |
| Dstrj Lesion Anus Simple Chemical (46900) | $400.09 | $400.09 | 0.9× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $376.16 | $376.16 | 1.7× |
| Dx Bone Marrow Bx & Aspir (38222) | $3,384.19 | $3,384.19 | 1.1× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $665.87 | $665.87 | 0.3× |
| Epidural Blood Patch (62273) | $273.28 | $273.28 | 0.4× |
| Evacuation of subungual hematoma (11740) | $79.23 | $79.23 | 0.6× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,930.94 | $1,930.94 | 1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$245.92–$648.97 | $245.92–$648.97 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$225.34–$1,499.55 | $225.34–$1,499.55 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $2,317.13 | $2,317.13 | 1.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$298.14–$648.97 | $298.14–$648.97 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$356.86–$648.97 | $356.86–$648.97 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$356.71–$1,070.14 | $356.71–$1,070.14 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,499.55 | $1,499.55 | 0.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$132.53–$397.62 | $132.53–$397.62 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$386.44–$648.97 | $386.44–$648.97 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$492.49–$648.97 | $492.49–$648.97 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,499.55 | $1,499.55 | 0.8× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,499.55 | $1,499.55 | 0.8× |
| Exc Frenum Labial/Buccal (40819) range across 2 matching MRF lines |
$382.91–$2,962.56 | $382.91–$2,962.56 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$134.08–$1,499.55 | $134.08–$1,499.55 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$316.18–$648.97 | $316.18–$648.97 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$398.15–$1,499.55 | $398.15–$1,499.55 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $598.10 | $598.10 | 0.6× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $1,434.52 | $1,434.52 | 0.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$480.14–$648.97 | $480.14–$648.97 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $1,499.55 | $1,499.55 | 0.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,583.25 | $2,583.25 | 0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,499.55 | $1,499.55 | 0.8× |
| Exc Skin Benig >4cm Face,Facial (11446) | $2,583.25 | $2,583.25 | 0.8× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,499.55 | $1,499.55 | 0.8× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $2,583.25 | $2,583.25 | 0.8× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,499.55 | $1,499.55 | 0.8× |
| Exc thigh/knee les sc 3 cm/> (27337) | $1,255.75 | $1,255.75 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$292.77–$932.68 | $292.77–$932.68 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$374.73–$648.97 | $374.73–$648.97 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$632.37–$1,499.55 | $632.37–$1,499.55 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,384.19 | $3,384.19 | 1.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,931 | $1,931 | 1.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,930.94 | $1,930.94 | 1.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) range across 2 matching MRF lines |
$227.10–$681.57 | $227.10–$681.57 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$373.07–$378 | $373.07–$378 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$559.29–$648.97 | $559.29–$648.97 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$610.14–$648.97 | $610.14–$648.97 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$273.52–$373.07 | $273.52–$373.07 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $648.97 | $648.97 | 0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$535.17–$648.97 | $535.17–$648.97 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $648.97 | $648.97 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $2,583.25 | $2,583.25 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 2 matching MRF lines |
$610.14–$648.97 | $610.14–$648.97 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $648.97 | $648.97 | 0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$461.48–$1,499.55 | $461.48–$1,499.55 | varies |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $982.98 | $982.98 | 0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) | $3,385 | $3,385 | 1.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,930.94 | $1,930.94 | 1.1× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $618.86 | $618.86 | 0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $4,293.08 | $4,293.08 | 1.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $1,930.94 | $1,930.94 | 1.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $2,856.85 | $2,856.85 | 1.3× |
| Exploration penetrating wound spx chest (20101) | $2,856.85 | $2,856.85 | 1.3× |
| Exploration penetrating wound spx extremity (20103) | $992.22 | $992.22 | 0.6× |
| Exploration Penetrating Wound Spx Neck (20100) | $635.95 | $635.95 | 1.1× |
| Fasciotomy, foot and/or toe (28008) range across 2 matching MRF lines |
$569.88–$2,976.66 | $569.88–$2,976.66 | varies |
| Fine Needle Aspiration Orbital Contents (67415) | $282.57 | $282.57 | 0.1× |
| Fine needle aspiration without imaging guidance (10021) | $799.06 | $799.06 | 1.8× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$141.20–$1,671.10 | $141.20–$1,671.10 | varies |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $1,757.60 | $1,757.60 | 0.8× |
| Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$1,196.78 | $1,196.78 | 0.2× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) | $3,500 | $3,500 | 0.6× |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) unusually low: confirm this is the full procedure |
$2,210 | $2,210 | 0.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $465.56 | $465.56 | 0.5× |
| I&d abscess peritonsillar (42700) | $590.27 | $590.27 | 2.3× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$253.77–$451.45 | $253.77–$451.45 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $3,062.66 | $3,062.66 | 1.8× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $2,583.25 | $2,583.25 | 0.8× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$223.53–$390.93 | $223.53–$390.93 | varies |
| I&d pilonidal cyst complicated (10081) | $1,721.23 | $1,721.23 | 2.3× |
| I&d pilonidal cyst simple (10080) | $1,622.43 | $1,622.43 | 2.1× |
| Incise external hemorrhoid (46083) | $328.27 | $328.27 | 1.2× |
| Incise finger tendon sheath (26055) | $1,717.13 | $1,717.13 | 1.0× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$237.85–$932.68 | $237.85–$932.68 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $1,590.88 | $1,590.88 | 0.9× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$306.02–$551.88 | $306.02–$551.88 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $2,074.33 | $2,074.33 | 9.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $318.58 | $318.58 | 1.0× |
| Incision of labial frenum (frenotomy) (40806) range across 3 matching MRF lines |
$56.66–$1,018.50 | $56.66–$1,018.50 | varies |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$207.06–$2,962.56 | $207.06–$2,962.56 | varies |
| Incision of rectal abscess (46040) | $725.22 | $725.22 | 0.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $4,054.45 | $4,054.45 | 2.3× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$73.54–$167.75 | $73.54–$167.75 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $398.46 | $398.46 | 1.9× |
| Inj W/Fluor Eval Cv Device (36598) | $465 | $465 | 2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$65.99–$102.45 | $65.99–$102.45 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $150.60 | $150.60 | 0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$158.94–$162.04 | $158.94–$162.04 | varies |
| Injection for identification of sentinel node (38792) | $414 | $414 | 1.0× |
| Injection single tendon origin/insertion (20551) | $164.35 | $164.35 | 0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $186.04 | $186.04 | 0.6× |
| Injection single/mlt trigger point 3/> muscles (20553) | $215.24 | $215.24 | 0.7× |
| Injection therapeutic carpal tunnel (20526) | $344.01 | $344.01 | 1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$286.99–$1,469.30 | $286.99–$1,469.30 | varies |
| Insert Drug Implant Device (11981) | $302.03 | $302.03 | 2.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $260 | $260 | 0.1× |
| Insert non-tunnel cv cath (36556) | $509.09 | $509.09 | 0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $2,678 | $2,678 | 1.6× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$162.98–$257.80 | $162.98–$257.80 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$91.43–$98 | $91.43–$98 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,698 | $3,698 | 2.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,831 | $3,831 | 2.3× |
| Interdental fixation (21110) | $1,960 | $1,960 | 1.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $1,320.18 | $1,320.18 | 3.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,705.70 | $1,705.70 | 3.9× |
| Intubation endotracheal emergency procedure (31500) | $535 | $535 | 2.1× |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$166.53–$485.35 | $166.53–$485.35 | varies |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) range across 2 matching MRF lines |
$289.10–$970.78 | $289.10–$970.78 | varies |
| Laryngoscopy W/Biopsy (31535) | $460.33 | $460.33 | 0.1× |
| Late closure of wound (13160) | $3,113.65 | $3,113.65 | 0.8× |
| Lateral Canthopexy (21282) | $1,140 | $1,140 | 0.3× |
| Lip Surgery Procedure (40799) | $2,200 | $2,200 | 8.7× |
| Lysis Intranasal Synechia (30560) | $351.73 | $351.73 | 0.6× |
| Malar Augmentation Prosthetic Material (21270) unusually low: confirm this is the full procedure |
$2,200 | $2,200 | 0.3× |
| Mastectomy for gynecomastia (19300) range across 2 matching MRF lines |
$847.52–$1,271.28 | $847.52–$1,271.28 | varies |
| Medial Canthopexy Separate Procedure (21280) | $1,140 | $1,140 | 0.3× |
| Myringoplasty (69620) range across 2 matching MRF lines |
$621.11–$1,863.66 | $621.11–$1,863.66 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) | $104.90 | $104.90 | 0.1× |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$88.87–$442.79 | $88.87–$442.79 | varies |
| Nasal Endoscopy Dx (31231) | $246.06 | $246.06 | 1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 3 matching MRF lines |
$204.48–$613.47 | $204.48–$613.47 | varies |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) likely a partial charge, not the full procedure |
$438.88 | $438.88 | 0.1× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) likely a partial charge, not the full procedure |
$349.63 | $349.63 | 0.0× |
| Needle Biopsy Lymph Nodes (38505) | $625 | $625 | 0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $50 | $50 | 1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) | $75 | $75 | 2.4× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $867.67 | $867.67 | 2.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $286.99 | $286.99 | 0.9× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $5,502.78 | $5,502.78 | 1.6× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $807 | $807 | 0.2× |
| Open tx interphalangeal joint dislocation (26785) | $3,241.86 | $3,241.86 | 0.9× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) likely a partial charge, not the full procedure |
$1,771.32 | $1,771.32 | 0.2× |
| Osteotomy Phalanx Finger Each (26567) | $1,410.64 | $1,410.64 | 0.4× |
| Osteotomy talus (28302) likely a partial charge, not the full procedure |
$1,412.06 | $1,412.06 | 0.2× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) likely a partial charge, not the full procedure |
$1,532.70 | $1,532.70 | 0.2× |
| Palatopharyngoplasty (42145) likely a partial charge, not the full procedure |
$1,325.38 | $1,325.38 | 0.2× |
| Partial removal of thyroid (60220) likely a partial charge, not the full procedure |
$1,426.24 | $1,426.24 | 0.2× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) | $1,421.10 | $1,421.10 | 0.8× |
| Perq Cervicothoracic Inject (22510) | $2,976.66 | $2,976.66 | 0.8× |
| Perq dev breast 1st us imag (19285) | $1,039 | $1,039 | 1.4× |
| Perq device breast 1st imag (19281) | $747 | $747 | 0.4× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$137.72–$373.07 | $137.72–$373.07 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $932.68 | $932.68 | 2.1× |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$289.14–$1,340.72 | $289.14–$1,340.72 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $354.38 | $354.38 | 0.5× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) | $1,212.80 | $1,212.80 | 0.3× |
| Rad resect elbow caps/sr bone w rels (24149) unusually low: confirm this is the full procedure |
$2,957.83 | $2,957.83 | 0.4× |
| Removal Embedded Foreign Body Eyelid (67938) | $387.06 | $387.06 | 1.1× |
| Removal foreign body foot deep (28192) | $762.55 | $762.55 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$748.84–$1,622.43 | $748.84–$1,622.43 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $394.74 | $394.74 | 0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $51.86 | $51.86 | 0.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$40.84–$122.54 | $40.84–$122.54 | varies |
| Removal Implant Superficial Separate Procedure (20670) | $561.26 | $561.26 | 0.3× |
| Removal of brow wrinkles (15826) | $4,400 | $4,400 | 1.2× |
| Removal of heel spur (28119) | $3,855.04 | $3,855.04 | 1.1× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$249.45–$373.07 | $249.45–$373.07 | varies |
| Removal of skin wrinkles (15829) | $8,250 | $8,250 | 2.2× |
| Removal of tonsils (42826) | $496.20 | $496.20 | 0.1× |
| Removal or bivalving full arm or full leg cast (29705) | $636.30 | $636.30 | 2.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$234.01–$245.66 | $234.01–$245.66 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $636.30 | $636.30 | 2.1× |
| Remove drug implant device (11982) | $348.03 | $348.03 | 0.7× |
| Remove foreign body from eye (65205) | $106.23 | $106.23 | 0.7× |
| Remove Intrauterine Device (58301) | $256.05 | $256.05 | 0.8× |
| Remove Nasal Foreign Body (30300) | $483.62 | $483.62 | 3.4× |
| Remove Peritoneal Foreign Body (49402) | $1,711.18 | $1,711.18 | 0.4× |
| Remove Shoulder Foreign Body (23330) | $1,590.88 | $1,590.88 | 0.9× |
| Remove/Insert Drug Implant (11983) | $626.79 | $626.79 | 1.3× |
| Repair Achilles Tendon (27650) unusually low: confirm this is the full procedure |
$2,654.79 | $2,654.79 | 0.3× |
| Repair brow ptosis (67900) | $1,500 | $1,500 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,161.97 | $1,161.97 | 1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,078.21 | $1,078.21 | 1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,004.25 | $1,004.25 | 2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,452.38 | $1,452.38 | 3.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $922.98 | $922.98 | 2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $1,240.53 | $1,240.53 | 2.8× |
| Repair complex trunk 1.1-2.5 cm (13100) | $838.74 | $838.74 | 1.1× |
| Repair complex trunk 2.6-7.5 cm (13101) | $812.96 | $812.96 | 1.0× |
| Repair extensor tendon finger w/o graft each (26418) | $3,693.89 | $3,693.89 | 2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $761.58 | $761.58 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $893.41 | $893.41 | 2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $919.47 | $919.47 | 2.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $1,072.07 | $1,072.07 | 2.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $2,490.49 | $2,490.49 | 5.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $1,086.41 | $1,086.41 | 1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$667.27–$718.76 | $667.27–$718.76 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$594.88–$779.61 | $594.88–$779.61 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $921.87 | $921.87 | 1.2× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $2,212.29 | $2,212.29 | 1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $1,015.78 | $1,015.78 | 2.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$589.37–$917.80 | $589.37–$917.80 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$530.31–$749.40 | $530.31–$749.40 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $1,232.28 | $1,232.28 | 1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $807.96 | $807.96 | 1.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $2,490.49 | $2,490.49 | 1.1× |
| Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$1,155.24 | $1,155.24 | 0.1× |
| Repair of nail bed (11760) | $290.64 | $290.64 | 0.4× |
| Repair tongue laceration (41252) | $1,413.16 | $1,413.16 | 5.6× |
| Repair tongue laceration (41250) | $247.07 | $247.07 | 0.5× |
| Replace g/c tube perc (49450) | $1,275.71 | $1,275.71 | 1.3× |
| Reposition Venous Catheter (36597) | $3,106.88 | $3,106.88 | 1.8× |
| Resection, humeral head Facility (23195) likely a partial charge, not the full procedure |
$1,475.82 | $1,475.82 | 0.2× |
| Revision of big toe (28310) likely a partial charge, not the full procedure |
$712.52 | $712.52 | 0.1× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) unusually low: confirm this is the full procedure |
$5,797.26 | $5,797.26 | 0.4× |
| Rhinoplasty primary w/major septal repair (30420) | $4,100 | $4,100 | 0.6× |
| Rhinoplasty Secondary Minor Revision (30430) unusually low: confirm this is the full procedure |
$3,000 | $3,000 | 0.5× |
| Rhinp Prim Complete Xtrnl Parts (30410) | $4,000 | $4,000 | 0.6× |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) | $3,450 | $3,450 | 0.5× |
| Rhytidectomy Cheek Chin & Neck (15828) | $6,600 | $6,600 | 1.7× |
| Rhytidectomy Forehead (15824) | $2,200 | $2,200 | 1.0× |
| Rhytidectomy Neck W/Platysmal Tightening (15825) | $4,400 | $4,400 | 1.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $408.60 | $408.60 | 0.4× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $181.08 | $181.08 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $361.25 | $361.25 | 0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $133.45 | $133.45 | 0.9× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $566.13 | $566.13 | 1.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,507.72 | $2,507.72 | 0.8× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,590.88 | $1,590.88 | 0.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) | $1,691.18 | $1,691.18 | 0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$232–$3,052 | $232–$3,052 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $551 | $551 | 0.8× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$68.19–$76.16 | $68.19–$76.16 | varies |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) | $1,700 | $1,700 | 0.7× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) | $1,250 | $1,250 | 0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $1,017.88 | $1,017.88 | 4.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $1,309.58 | $1,309.58 | 1.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $2,164.61 | $2,164.61 | 3.7× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,200.94 | $1,200.94 | 2.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,412.85 | $2,412.85 | 1.5× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) likely a partial charge, not the full procedure |
$363.63 | $363.63 | 0.1× |
| Shave skin lesion 0.5 cm/< (11300) | $128.53 | $128.53 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $158.19 | $158.19 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$272.89–$373.07 | $272.89–$373.07 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$138.42–$180.58 | $138.42–$180.58 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$168.08–$180.58 | $168.08–$180.58 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$197.75–$254.97 | $197.75–$254.97 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$227.41–$373.07 | $227.41–$373.07 | varies |
| Shoulder arthroscopy (29820) likely a partial charge, not the full procedure |
$1,071.06 | $1,071.06 | 0.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $185.88 | $185.88 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$217.52–$373.07 | $217.52–$373.07 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$64.36–$158.19 | $64.36–$158.19 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$225.43–$402.06 | $225.43–$402.06 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $187.86 | $187.86 | 0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $1,136.02 | $1,136.02 | 2.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $323.45 | $323.45 | 1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $329.82 | $329.82 | 1.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $1,442.07 | $1,442.07 | 3.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $860.12 | $860.12 | 4.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $1,773.05 | $1,773.05 | 8.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$470.55–$524.66 | $470.55–$524.66 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $1,178.11 | $1,178.11 | 5.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$451.45–$786.98 | $451.45–$786.98 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$138.63–$2,606.30 | $138.63–$2,606.30 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$125.58–$2,606.30 | $125.58–$2,606.30 | varies |
| Skin Tissue Procedure (17999) | $478.94 | $478.94 | 2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$598.82–$633.96 | $598.82–$633.96 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $189.42 | $189.42 | 0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $1,070.99 | $1,070.99 | 2.5× |
| Spinal puncture lumbar diagnostic (62270) | $1,107.68 | $1,107.68 | 1.5× |
| Strapping ankle (29540) | $386.59 | $386.59 | 2.2× |
| Strapping elbow or wrist (29260) | $152.45 | $152.45 | 2.4× |
| Strapping hand/finger (29280) | $152.45 | $152.45 | 2.4× |
| Strapping Hip (29520) | $307.96 | $307.96 | 2.2× |
| Strapping knee (29530) | $307.96 | $307.96 | 2.2× |
| Strapping shoulder (29240) | $307.96 | $307.96 | 2.2× |
| Strapping thorax (29200) | $386.59 | $386.59 | 2.2× |
| Strapping toes (29550) | $32.10 | $32.10 | 0.5× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$364.40–$382.70 | $364.40–$382.70 | varies |
| Suction assisted lipectomy; head and neck (15876) | $2,100 | $2,100 | 0.6× |
| Suture infrapatellar tendon primary (27380) likely a partial charge, not the full procedure |
$2,258.03 | $2,258.03 | 0.3× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$55.70–$109.83 | $55.70–$109.83 | varies |
| Tenolysis extensor foot single tendon (28225) | $513.02 | $513.02 | 0.1× |
| Tenotomy Percutaneous Toe Single Tendon (28010) range across 2 matching MRF lines |
$408.94–$1,434.52 | $408.94–$1,434.52 | varies |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) range across 3 matching MRF lines |
$542.42–$1,478 | $542.42–$1,478 | varies |
| Thyroidectomy, total or complete (60240) likely a partial charge, not the full procedure |
$1,811.25 | $1,811.25 | 0.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,839.04 | $1,839.04 | 0.8× |
| Tooth extraction (41899) | $247.07 | $247.07 | 1.0× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $223.38 | $223.38 | 0.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $551.23 | $551.23 | 2.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $3,681.69 | $3,681.69 | 2.2× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$517.53–$1,067.72 | $517.53–$1,067.72 | varies |
| Treat Humerus Fracture (24505) | $1,521.89 | $1,521.89 | 0.9× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$517.53–$884.83 | $517.53–$884.83 | varies |
| Treat knee fracture (27532) | $3,157.94 | $3,157.94 | 0.9× |
| Treat Knuckle Dislocation (26700) | $796.88 | $796.88 | 3.0× |
| Treat Metatarsal Fracture (28475) | $526.25 | $526.25 | 2.0× |
| Treat Thumb Dislocation (26641) | $533.06 | $533.06 | 2.0× |
| Treat Thumb Fracture (26645) | $1,521.89 | $1,521.89 | 0.9× |
| Treat toe dislocation (28630) | $549.05 | $549.05 | 2.1× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,434.52 | $1,434.52 | 0.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $549.05 | $549.05 | 2.1× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$40.02–$48.62 | $40.02–$48.62 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$74.38–$92.55 | $74.38–$92.55 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$54.48–$123.17 | $54.48–$123.17 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$10.40–$45.93 | $10.40–$45.93 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$365.72–$609.77 | $365.72–$609.77 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $380.08 | $380.08 | 0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$517.53–$649.86 | $517.53–$649.86 | varies |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) | $2,200 | $2,200 | 8.7× |
| Unlisted procedure eyelids (67999) | $5,000 | $5,000 | 14.7× |
| Unlisted Procedure Male Genital System (55899) | $513.57 | $513.57 | 1.9× |
| Unlisted procedure nervous system (64999) | $573.46 | $573.46 | 1.7× |
| Vaginal delivery only (59409) | $2,178.47 | $2,178.47 | 0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $665 | $665 | 0.3× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$150.51–$332.07 | $150.51–$332.07 | varies |
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.