Procedures & surgery prices at Walthall General Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $448.24 $1,600.83 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $238.86 $853.05 0.3×
Ablate inf turbinate submuc (30802) $1,094.33 $3,908.30 0.8×
Ablation 1/> liver tumor perq cryoablation (47383) $5,112.80 $18,260 0.6×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure
$1,752.62 $6,259.33 0.1×
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) $1,094.33 $3,908.30 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,041.81 $3,720.75 0.6×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $1,041.81 $3,720.75 0.6×
Amniocentesis diagnostic (59000) $296.45 $1,058.75 0.4×
Amniocentesis therapeutic (59001) $296.45 $1,058.75 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,069.60 $3,819.97 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,182.76 $4,224.11 0.4×
Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) $525.14 $1,875.50 0.7×
Anosc Rmvl Mult Tumors Cautery/Snare (46612) $1,127.53 $4,026.88 0.5×
Anoscopy Ablation Lesion (46615) $1,127.53 $4,026.88 0.5×
Anoscopy Control Bleeding (46614) $295.44 $1,055.12 0.3×
Anoscopy diagnostic (46600) $36.93 $131.89 0.3×
Anoscopy remove lesion (46610) $1,127.53 $4,026.88 0.5×
Anoscopy W/Rmvl Foreign Body (46608) $278.84 $995.83 0.3×
Anoscopy; with biopsy, single or multiple (46606) $534.97 $1,910.59 0.5×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $534.97 $1,910.59 0.5×
Appl cranial tong/strtctc frame w/removal spx (20660) $563.09 $2,011.02 0.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $60.31 $215.38 0.4×
Application cast elbow finger short arm (29075) $180.25 $643.72 0.7×
Application Finger Splint Dynamic (29131)
range across 31 matching MRF lines
$32.53–$86.74 $116.16–$309.76 varies
Application finger splint static (29130)
range across 52 matching MRF lines
$26.09–$86.74 $93.17–$309.76 varies
Application long arm splint shoulder hand (29105)
range across 5 matching MRF lines
$39.98–$98.26 $142.78–$350.90 varies
Application Long Leg Splint (29505) $94.53 $337.59 0.7×
Application of rigid total contact leg cast (29445) $220.22 $786.50 0.9×
Application Short Arm Splint Dynamic (29126) $77.93 $278.30 0.7×
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines
$33.21–$136.20 $118.58–$486.42 varies
Application short leg splint calf foot (29515)
range across 6 matching MRF lines
$40.66–$86.74 $145.20–$309.76 varies
Apply hand/wrist cast (29085) $66.75 $238.37 0.5×
Apply long arm cast (29065) $77.59 $277.09 0.3×
Apply Multlay Comprs Lwr Leg (29581) $262.91 $938.96 1.9×
Apply Short Leg Cast (29405) $83.01 $296.45 0.3×
Apply short leg cast (29425) $73.19 $261.36 0.3×
Arterial puncture (36600)
range across 3 matching MRF lines
$23.04–$1,917.61 $82.28–$6,848.60 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $57.94 $206.91 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $296.45 $1,058.75 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$91.82–$160.26 $327.91–$572.33 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $296.45 $1,058.75 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $143.99 $514.25 0.5×
Aspirate pleura w/ imaging (32555) $476.70 $1,702.47 0.9×
Aspirate Pleura W/O Imaging (32554) $155.51 $555.39 0.3×
Aspirate/Inj Ganglion Cyst (20612) $72.17 $257.73 0.3×
Aspiration & Injection Treatment Bone Cyst (20615) $467.21 $1,668.59 0.8×
Aspiration and/or injection thyroid cyst (60300) $323.56 $1,155.55 0.5×
Aspiration bladder insert suprapubic catheter (51102) $1,443.29 $5,154.60 0.8×
Aspiration Bladder Needle (51100) $169.74 $606.21 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $48.11 $171.82 0.3×
Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552)
likely a partial charge, not the full procedure
$1,059.77 $3,784.88 0.2×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure
$3,859.95 $13,785.53 0.4×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge, not the full procedure
$951.36 $3,397.68 0.2×
Biopsy Abdominal Mass (49180) $485.84 $1,735.14 0.3×
Biopsy bone open deep (20245) $941.53 $3,362.59 0.4×
Biopsy bone open superficial (20240) $1,505.29 $5,376.03 0.6×
Biopsy bone trocar/needle deep (20225) $485.84 $1,735.14 0.3×
Biopsy Bone Trocar/Needle Superficial (20220) $303.23 $1,082.95 0.2×
Biopsy muscle percutaneous needle (20206) $476.70 $1,702.47 0.3×
Biopsy of liver, needle; percutaneous (47000) $555.30 $1,983.19 0.4×
Biopsy Pleura Percutaneous Needle (32400) $476.36 $1,701.26 0.3×
Biopsy Salivary Gland Needle (42400) $516.67 $1,845.25 0.8×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $439.43 $1,569.37 0.3×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $532.60 $1,902.12 0.4×
Biopsy Spinal Cord Percutaneous Needle (62269) $490.93 $1,753.29 0.3×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$66.41–$125.02 $237.16–$446.49 varies
Bladder Scan (51798) $67.76 $242 1.3×
Blepharotomy drainage abscess eyelid (67700) $175.84 $627.99 0.6×
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$177.87–$215.14 $635.25–$768.35 varies
Bone Marrow Biopsy (38221) $455.35 $1,626.24 0.3×
Bone Marrow; Aspiration Only (38220) $211.08 $753.83 0.1×
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure
$986.93 $3,524.73 0.2×
Bx breast 1st lesion us imag (19083) $937.13 $3,346.86 0.7×
Canthotomy Separate Procedure (67715) $1,138.37 $4,065.60 0.6×
Catheter aspiration nasotracheal spx (31720) $48.11 $171.82 0.3×
Cessj Therapy Cath Removal (37214) $1,673 $5,974.98 0.6×
Change Cystostomy Tube Complicated (51710) $294.42 $1,051.49 0.5×
Change Cystostomy Tube Simple (51705) $146.03 $521.51 0.7×
Change of Windpipe Airway (31502) $88.43 $315.81 0.4×
Change ureter stent percut (50382) $1,228.49 $4,387.46 0.7×
Chemical Cautery Tissue (17250) $175.84 $627.99 1.0×
Chest tube placement (32551)
range across 2 matching MRF lines
$155.51–$236.83 $555.39–$845.79 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $1,369.77 $4,892.03 0.4×
Circumcision w/clamp/oth dev w/block (54150) $90.80 $324.28 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $796.86 $2,845.92 0.6×
Clear outer ear canal (69200)
range across 3 matching MRF lines
$45.40–$86.06 $162.14–$307.34 varies
Closed Rx Spontaneous Hip Disloc (27256) $99.95 $356.95 0.5×
Closed Treat Vert Body Fract (22310) $177.87 $635.25 0.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $99.95 $356.95 0.5×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $662.70 $2,366.76 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $125.02 $446.49 0.6×
Closed Treatment Sesamoid Fracture (28530) $99.95 $356.95 0.5×
Closed Treatment Sternum Fracture (21820) $95.21 $340.01 0.4×
Closed Treatment Ulnar Styloid Fracture (25650) $99.95 $356.95 0.5×
Closed tx ankle dislocation w/o anesthesia (27840) $147.38 $526.35 0.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $353.03 $1,260.82 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $74.20 $264.99 0.3×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $796.86 $2,845.92 3.7×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $76.57 $273.46 0.4×
Closed tx carpal scaphoid fracture w/manj (25624) $380.14 $1,357.62 0.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $125.02 $446.49 0.6×
Closed tx femoral fracture prox head w/o manj (27267) $640.34 $2,286.90 0.2×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $143.32 $511.83 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $76.57 $273.46 0.4×
Closed Tx Lunate Dislocation W/Manipulation (25690) $796.86 $2,845.92 0.6×
Closed tx mandibular fracture w/manipulation (21451) $464.16 $1,657.70 0.3×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $100.63 $359.37 0.2×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $2,812.04 $10,043 0.6×
Closed tx metatarsal fracture w/o manipulation (28470) $125.02 $446.49 0.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $796.86 $2,845.92 0.6×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $729.44 $2,605.13 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $750.45 $2,680.15 0.3×
Closed tx patellar dislocation w/anesthesia (27562) $208.37 $744.15 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $76.91 $274.67 0.4×
Closed Tx Patellar Fracture W/O Manipulation (27520) $76.91 $274.67 0.4×
Closed tx radial head/neck fx w/manipulation (24655) $380.14 $1,357.62 0.3×
Closed tx radial head/neck fx w/o manipulation (24650) $77.59 $277.09 0.4×
Closed tx radial shaft fracture w/manipulation (25505) $380.14 $1,357.62 0.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $76.91 $274.67 0.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $380.14 $1,357.62 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines
$78.95–$126 $281.93–$450 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $71.49 $255.31 0.3×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $380.14 $1,357.62 1.8×
Closed tx talotarsal joint dislc w/o anes (28570) $95.21 $340.01 0.4×
Closed Tx Talus Fracture W/Manipulation (28435) $353.03 $1,260.82 0.3×
Closed tx talus fracture w/o manipulation (28430) $99.95 $356.95 0.5×
Closed tx tarsometatarsal dislocation w/o anes (28600) $99.95 $356.95 0.5×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $799.91 $2,856.81 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $56.25 $200.86 0.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $353.03 $1,260.82 0.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $70.48 $251.68 0.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $74.20 $264.99 0.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $100.63 $359.37 0.5×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $221.92 $792.55 0.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $380.14 $1,357.62 1.8×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $127.39 $454.96 0.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $796.86 $2,845.92 0.6×
Clsd tx clavicular fracture w/o manipulation (23500) $55.57 $198.44 0.3×
Clsd tx fx orbit except blowout w/o manipulation (21400) $221.92 $792.55 0.5×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $127.39 $454.96 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $440.44 $1,573 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines
$108.76–$116.21 $388.41–$415.03 varies
Clsd tx sternoclavicular dislc w/o manipulation (23520) $353.03 $1,260.82 0.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $76.57 $273.46 0.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $353.03 $1,260.82 0.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $77.25 $275.88 0.4×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $353.03 $1,260.82 0.3×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $95.21 $340.01 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $95.21 $340.01 0.4×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $127.39 $454.96 0.6×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $353.03 $1,260.82 0.3×
Cltx dstl fibular fx lat malls w/manj (27788) $99.95 $356.95 0.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $76.57 $273.46 0.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $127.39 $454.96 0.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $85.72 $306.13 0.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $76.57 $273.46 0.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $630.17 $2,250.60 0.5×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,069.60 $3,819.97 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $380.14 $1,357.62 0.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $127.39 $454.96 0.6×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $960.50 $3,430.35 0.7×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $71.49 $255.31 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $796.86 $2,845.92 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $127.39 $454.96 0.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $74.54 $266.20 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $76.57 $273.46 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $74.88 $267.41 0.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $796.86 $2,845.92 0.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $127.39 $454.96 0.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $76.57 $273.46 0.4×
Cltx Greater Trochanteric Fx W/O Manj (27246) $143.32 $511.83 0.7×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $796.86 $2,845.92 0.6×
Cltx hip dislocation traumatic req anesthesia (27252) $620.69 $2,216.72 0.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $122.65 $438.02 0.6×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $127.39 $454.96 0.6×
Cltx humeral condylar fx medial/lateral w/manj (24577) $719.95 $2,571.25 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $719.95 $2,571.25 0.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $86.40 $308.55 0.4×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $380.14 $1,357.62 0.3×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $560.72 $2,002.55 2.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $103.68 $370.26 0.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $55.57 $198.44 0.3×
Cltx Med Ankle Fx W/Mnpj (27762) $796.86 $2,845.92 0.6×
Cltx Medial Ankle Fx (27760) $71.49 $255.31 0.3×
Cltx metacarpal fx w/manipulation each bone (26605) $76.57 $273.46 0.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $76.91 $274.67 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $93.85 $335.17 0.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $84.70 $302.50 0.4×
Cltx post hip arthrp dislc req anes (27266) $645.08 $2,303.84 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $279.51 $998.25 1.3×
Cltx prox fibula/shft fx w/manj (27781) $796.86 $2,845.92 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $71.49 $255.31 0.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $796.86 $2,845.92 0.6×
Cltx prox tibfib jt dislc req anes (27831) $481.44 $1,719.41 0.2×
Cltx prox tibfib jt dislc w/o anes (27830)
range across 2 matching MRF lines
$147.38–$221.92 $526.35–$792.55 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $79.96 $285.56 0.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $127.39 $454.96 0.6×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $380.14 $1,357.62 0.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $380.14 $1,357.62 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $719.95 $2,571.25 0.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $99.95 $356.95 0.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $353.03 $1,260.82 0.3×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $95.21 $340.01 0.4×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $127.39 $454.96 0.6×
Cltx tibial fx proximal w/o manipulation (27530) $125.02 $446.49 0.6×
Cltx tibial shaft fx w/o manipulation (27750) $76.57 $273.46 0.4×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $107.74 $384.78 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $380.14 $1,357.62 0.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $76.57 $273.46 0.4×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $711.48 $2,541 0.3×
Collect Blood From Catheter Venous Nos (36592) $23.72 $84.70 0.2×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$2.04–$4.75 $7.26–$16.94 varies
Colpocentesis (57020) $599 $2,139.28 0.1×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $896.47 $3,201.66 0.3×
Complex drainage wound (10180) $687.09 $2,453.88 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $84.70 $302.50 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $71.83 $256.52 0.6×
Control oropharyngeal hemorrhage simple (42960) $101.64 $363 0.2×
Conversion ext bil drg cath (47535) $1,911.18 $6,825.61 0.6×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $580.37 $2,072.73 0.4×
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines
$2,447.50–$3,671.24 $8,741.04–$13,111.56 varies
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $1,643.52 $5,869.71 0.5×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $96.90 $346.06 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $98.26 $350.90 0.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $96.90 $346.06 0.5×
Curette/treat cornea (65435) $329.66 $1,177.33 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $284.26 $1,015.19 0.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $455.35 $1,626.24 0.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $275.11 $982.52 0.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $284.26 $1,015.19 0.4×
Debride nail 1-5 (11720) $29.48 $105.27 0.6×
Debride nail 6 or more (11721) $61.33 $219.01 1.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines
$535.99–$723.68 $1,914.22–$2,584.56 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $153.82 $549.34 0.4×
Declot vascular device (36593) $125.02 $446.49 0.4×
Delivery of placenta (59414) $599 $2,139.28 0.2×
Destruct B9 Lesion 1-14 (17110) $104.02 $371.47 0.6×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $127.73 $456.17 0.7×
Dilate Urethra Stricture (53620) $745.03 $2,660.79 1.2×
Dilation and catheterization of salivary duct, with or without injection (42660) $146.03 $521.51 0.3×
Drain Cerebro Spinal Fluid (62272) $262.57 $937.75 0.4×
Drain Spinal Cord Cyst (62268) $467.55 $1,669.80 0.6×
Drainage Abscess/Hematoma Nasal Septum (30020) $100.63 $359.37 0.2×
Drainage external auditory canal abscess (69020) $128.07 $457.38 0.2×
Drainage external ear abscess/hematoma cmplx (69005) $774.16 $2,764.85 0.5×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines
$126.38–$128.07 $451.33–$457.38 varies
Drainage Finger Abscess Complicated (26011) $762.98 $2,724.92 0.5×
Drainage Mouth Roof Lesion (42000) $249.02 $889.35 1.2×
Drainage of finger abscess simple (26010) $128.07 $457.38 0.7×
Drainage of gum lesion (41800) $94.19 $336.38 0.8×
Drainage of hematoma/fluid (10140) $568.85 $2,031.59 0.4×
Drainage of nose lesion (30000) $219.21 $782.87 1.1×
Drainage of rectal abscess (45005) $1,219.68 $4,356 1.2×
Drainage of salivary gland (42320) $100.63 $359.37 0.2×
Drainage of scrotal wall abscess (55100) $650.16 $2,321.99 0.5×
Drainage of scrotum (54700) $508.20 $1,815 0.3×
Draw Blood Off Venous Device (36591) $27.45 $98.01 0.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $237.16 $847 0.5×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $127.05 $453.75 0.2×
Drg Absc Submaxillary/Sublingual Intraoral (42310) $100.63 $359.37 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $72.51 $258.94 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $72.51 $258.94 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $46.42 $165.77 0.3×
Dx Bone Marrow Bx & Aspir (38222) $559.02 $1,996.50 0.2×
Dx Bronchoscope/Wash (31622) $898.16 $3,207.71 0.6×
Dx Laryngoscopy Excl Nb (31525) $1,118.04 $3,993 0.7×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) $1,233.24 $4,404.40 0.3×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,380.61 $4,930.75 0.8×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,871.87 $6,685.25 1.1×
Epidural Blood Patch (62273) $229.03 $817.96 0.4×
Episiotomy or vaginal repair (59300) $1,284.40 $4,587.11 0.5×
Ercp Dx Collection Specimen Brushing/Washing (43260) $832.44 $2,972.97 0.3×
Escharotomy; initial incision (16035) $214.80 $767.14 0.6×
Esophagoscop Stent Placement (43212)
likely a partial charge, not the full procedure
$1,163.11 $4,153.93 0.2×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $752.48 $2,687.41 0.5×
Evacuation of subungual hematoma (11740) $33.55 $119.79 0.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $385.22 $1,375.77 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $351.68 $1,255.98 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $552.59 $1,973.51 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $303.23 $1,082.95 0.2×
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $273.08 $975.26 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $514.64 $1,837.99 0.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,097.38 $3,919.19 0.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,458.54 $5,209.05 1.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $209.72 $748.99 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $255.80 $913.55 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $806.01 $2,878.59 0.6×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $1,911.18 $6,825.61 0.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines
$1,167.17–$1,750.58 $4,168.45–$6,252.07 varies
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $748.75 $2,674.10 0.5×
Excision of vaginal cyst or tumor (57135) $1,171.58 $4,184.18 0.4×
Expl penetrating wound spx abdomen/flank/back (20102) $807.70 $2,884.64 0.5×
Explo/Drain Breast Abscess (19020) $1,200.03 $4,285.82 0.8×
Exploration penetrating wound spx chest (20101) $769.08 $2,746.70 0.4×
Exploration penetrating wound spx extremity (20103) $691.83 $2,470.82 0.5×
Exploration Penetrating Wound Spx Neck (20100) $475.68 $1,698.84 1.0×
Fetal non-stress test (59025) $174.49 $623.15 1.0×
Fine needle aspiration without imaging guidance (10021) $104.36 $372.68 0.3×
Fluoro exam of g/colon tube (49465) $117.91 $421.08 0.6×
Foreskin manipulation (54450) $158.56 $566.28 0.7×
Guide Cathet Fluid Drainage (10030) $476.70 $1,702.47 0.8×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $1,389.08 $4,961 0.5×
I&d abscess peritonsillar (42700) $100.63 $359.37 0.5×
I&d abscess simple (10060) $175.84 $627.99 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,007.93 $3,599.75 0.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $768.06 $2,743.07 0.3×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,046.56 $3,737.69 0.4×
I&d forearm/wrist bursa (25031) $1,046.56 $3,737.69 0.8×
I&D Mouth/Tong Intra,Masticator (41009) $100.63 $359.37 0.2×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,046.56 $3,737.69 0.4×
I&d perianal abscess superficial (46050) $284.60 $1,016.40 0.4×
I&d pilonidal cyst complicated (10081) $610.18 $2,179.21 1.0×
I&d pilonidal cyst simple (10080) $73.52 $262.57 0.1×
I&d shoulder deep abscess/hematoma (23030) $455.35 $1,626.24 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $768.06 $2,743.07 0.3×
Image Cath Fluid Colxn Visc (49405) $998.11 $3,564.66 0.7×
Image Cath Fluid Peri/Retro (49406) $998.11 $3,564.66 0.7×
Implant neuroelectrodes (63650) $2,812.04 $10,043 0.5×
Incise external hemorrhoid (46083) $100.63 $359.37 0.5×
Incision & drainage abscess complicated/multiple (10061) $135.52 $484 0.4×
Incision & drainage leg/ankle abscess/hematoma (27603) $523.45 $1,869.45 0.2×
Incision & removal foreign body subq tiss compl (10121) $455.35 $1,626.24 0.3×
Incision & removal foreign body subq tiss simple (10120) $187.36 $669.13 0.5×
Incision and drainage of bartholin's gland abscess (56420) $56.25 $200.86 0.3×
Incision and drainage of vulva or perineal abscess (56405) $80.64 $287.98 0.3×
Incision of rectal abscess (46040) $534.97 $1,910.59 0.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $636.95 $2,274.80 0.4×
Initial Tx 1st Degree Burn Local Tx (16000) $41 $146.41 0.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $332.03 $1,185.80 0.4×
Inj W/Fluor Eval Cv Device (36598) $151.11 $539.66 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $91.14 $325.49 0.3×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $379.12 $1,353.99 0.5×
Injection for identification of sentinel node (38792) $173.47 $619.52 0.5×
Injection Into Brain Canal (61055) $366.59 $1,309.22 1.4×
Injection single tendon origin/insertion (20551) $123.67 $441.65 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $91.14 $325.49 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $153.48 $548.13 0.6×
Injection Sinus Tract Therapeutic Separate Proc (20500) $399.79 $1,427.80 0.3×
Injection, anesthetic agent; femoral nerve, single (64447) $188.38 $672.76 0.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $131.12 $468.27 0.2×
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines
$2,100.23–$2,223.89 $7,500.79–$7,942.44 varies
Ins cath ren art 1st unilat (36251) $1,662.50 $5,937.47 0.6×
Ins cath ren art 2nd+ bilat (36254) $2,302.83 $8,224.37 0.8×
Ins cath ren art 2nd+ unilat (36253) $1,745.84 $6,235.13 0.4×
Ins endovas vena cava filtr (37191) $3,991.41 $14,255.01 0.8×
Ins Vag Brachytx Device (57156) $228.69 $816.75 0.9×
Insert and remove bone pin (20650) $803.30 $2,868.91 0.3×
Insert Bladder Cath Complex (51703) $108.42 $387.20 1.0×
Insert cath pleura w/ image (32557) $476.70 $1,702.47 0.4×
Insert Gastrostomy Tube Percutaneous (49440) $725.38 $2,590.61 0.4×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure
$3,515.73 $12,556.17 0.2×
Insert non-tunnel cv cath (36556) $656.94 $2,346.19 0.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $433.33 $1,547.59 0.3×
Insert Temp Bladder Cath (51702) $50.82 $181.50 0.4×
Insert tun ip cath perc (49418) $1,482.59 $5,294.96 0.5×
Insert tunneled cv cath (36561) $1,842.06 $6,578.77 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $22.03 $78.65 0.2×
Insertion indwelling tunneled pleural catheter (32550) $1,092.63 $3,902.25 0.4×
Insertion of cannula (36800) $1,054.01 $3,764.31 0.2×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $599 $2,139.28 0.1×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $435.70 $1,556.06 0.2×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $999.13 $3,568.29 0.4×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $799.23 $2,854.39 0.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $708.44 $2,530.11 0.5×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $1,142.10 $4,078.91 0.4×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $2,114.12 $7,550.40 0.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,421.95 $5,078.37 0.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
unusually low: confirm this is the full procedure
$2,155.45 $7,698.02 0.3×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $1,213.25 $4,333.01 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $139.93 $499.73 0.4×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $111.81 $399.30 0.3×
Intraoral i&d tongue/floor sublngl supfc (41005) $120.28 $429.55 0.6×
Intro cath dialysis circuit (36901) $683.03 $2,439.36 0.5×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $7,878.12 $28,136.13 0.8×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $4,842.47 $17,294.53 1.0×
Intro Gastrointestinal Tube (44500) $364.21 $1,300.75 0.5×
Intubation endotracheal emergency procedure (31500) $136.20 $486.42 0.7×
Irrigation of corpora cavernosa for priapism (54220) $178.21 $636.46 0.8×
Laryngoscopy diagnostic (31505) $72.85 $260.15 0.4×
Laryngoscopy flexible diagnostic (31575) $83.69 $298.87 0.5×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $179.57 $641.30 0.5×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $58.28 $208.12 0.3×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $907.65 $3,241.59 2.7×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $456.03 $1,628.66 0.3×
Mech remov tunneled cv cath (36595) $799.23 $2,854.39 0.3×
Myelography Lumbar Injection (62305) $836.84 $2,988.70 1.2×
Myelography Lumbar Injection (62304) $669.13 $2,389.75 1.0×
Myelography via lumbar injection rs&i cervical (62302) $669.13 $2,389.75 1.0×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $669.13 $2,389.75 1.0×
N Block Inj Plantar Digit (64455) $94.53 $337.59 0.4×
Nasal Endoscopy Dx (31231) $55.57 $198.44 0.3×
Nasal/Orogastric W/Tube Plmt (43752) $61.67 $220.22 0.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,033.34 $3,690.50 0.7×
Needle Biopsy Lymph Nodes (38505) $566.14 $2,021.91 0.4×
Needle Biopsy Pancreas (48102) $485.84 $1,735.14 0.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $349.58 $1,248.50 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $90.13 $321.86 0.3×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $313.39 $1,119.25 0.1×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $1,911.18 $6,825.61 0.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $502.11 $1,793.22 0.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $446.20 $1,593.57 0.7×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines
$327.96–$491.94 $1,171.28–$1,756.92 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines
$686.41–$1,029.62 $2,451.46–$3,677.19 varies
Obstructive material removal from gi tube (49460) $285.61 $1,020.03 0.4×
Occipital Nerve Block (64405) $242.59 $866.36 0.9×
Open Tx Distal Phalangeal Fracture Each (26765) $1,237.64 $4,420.13 0.4×
Open tx interphalangeal joint dislocation (26785) $1,240.35 $4,429.81 0.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,761.76 $6,292 0.6×
Open Tx Trans-Scaphoperilunar Fracture Dislc (25685)
unusually low: confirm this is the full procedure
$2,171.71 $7,756.10 0.3×
Open/Perq Place Stent 1St (37236) $7,195.10 $25,696.77 0.7×
Open/Perq Place Stent Same (37238) $7,195.10 $25,696.77 0.7×
Penile Injection (54235) $186.34 $665.50 0.9×
Perc Cryo Ablate Renal Tum (50593) $7,901.44 $28,219.40 0.9×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,213.25 $4,333.01 1.0×
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines
$1,658.43–$4,429.04 $5,922.95–$15,818 varies
Percut Ablate Liver Rf (47382)
range across 2 matching MRF lines
$1,898.98–$4,429.04 $6,782.05–$15,818 varies
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure
$3,071.57 $10,969.86 0.3×
Percut Drain/Inject Renal Cyst (50390)
range across 3 matching MRF lines
$522.10–$715.21 $1,864.61–$2,554.31 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $2,261.16 $8,075.54 0.8×
Peritoneal Lavage (49084) $238.86 $853.05 0.3×
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure
$1,400.94 $5,003.35 0.1×
Perq Cervicothoracic Inject (22510) $2,320.78 $8,288.50 0.8×
Perq dev breast 1st us imag (19285) $421.81 $1,506.45 0.7×
Perq Lumbosacral Injection (22511) $2,320.78 $8,288.50 0.8×
Perq Radiofreq Ablation Tx, Pul Tumor (32998)
unusually low: confirm this is the full procedure
$1,587.96 $5,671.27 0.3×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $423.50 $1,512.50 0.7×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,481.24 $5,290.12 0.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $6,267.80 $22,385 0.6×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $2,879.80 $10,285 0.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $3,743.74 $13,370.50 0.6×
Perq Vertebral Augmentation (22513) $3,743.74 $13,370.50 0.6×
Place Cath Subclavian Art (36225) $1,940.31 $6,929.67 0.7×
Place Cath Thoracic Aorta (36221) $2,740.22 $9,786.48 1.0×
Place Cath Vertebral Art (36226)
range across 3 matching MRF lines
$1,940.31–$5,341.86 $6,929.67–$19,078.07 varies
Place Rt Device/Marker Pros (55876) $1,213.25 $4,333.01 1.0×
Placement of needle for intraosseous infusion (36680) $103.68 $370.26 0.3×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
unusually low: confirm this is the full procedure
$2,137.49 $7,633.89 0.4×
Plmt Bile Duct Stent Prq Existing Access (47538) $4,316.66 $15,416.61 0.8×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $4,760.14 $17,000.50 0.9×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $6,286.44 $22,451.55 1.2×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines
$1,997.23–$2,995.67 $7,132.95–$10,698.82 varies
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines
$2,805.95–$4,208.92 $10,021.22–$15,031.83 varies
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines
$4,116.76–$6,174.97 $14,702.71–$22,053.46 varies
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines
$2,616.90–$3,925.34 $9,346.04–$14,019.06 varies
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines
$2,805.95–$4,208.92 $10,021.22–$15,031.83 varies
Prim art mech thrombectomy (37184)
range across 3 matching MRF lines
$1,687.23–$2,410.57 $6,025.80–$8,609.15 varies
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $303.23 $1,082.95 0.5×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $1,911.18 $6,825.61 0.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $2,137.49 $7,633.89 0.7×
Pseudoaneurysm Injection Trt (36002) $282.56 $1,009.14 0.5×
Punch biopsy skin single lesion (11104) $175.84 $627.99 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $78.27 $279.51 0.2×
Puncture Aspiration Cyst Breast (19000) $522.10 $1,864.61 0.9×
Push Transfusion Blood 2 Yr/Under (36440) $254.44 $908.71 0.7×
Redo Endovas Vena Cava Filtr (37192) $1,715.35 $6,126.23 0.6×
Rem Endovas Vena Cava Filter (37193) $4,058.49 $14,494.59 1.5×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $423.84 $1,513.71 0.5×
Removal Embedded Foreign Body Eyelid (67938) $266.98 $953.48 1.0×
Removal Foreign Body Deep Thigh/Knee (27372) $666.76 $2,381.28 0.3×
Removal Foreign Body Foot Complicated (28193) $455.35 $1,626.24 0.3×
Removal foreign body foot deep (28192) $666.76 $2,381.28 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $303.23 $1,082.95 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $303.23 $1,082.95 0.2×
Removal foreign body upper arm/elbow deep (24201) $533.28 $1,904.54 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $55.91 $199.65 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $35.24 $125.84 0.7×
Removal of foreign body from pharynx (42809) $77.25 $275.88 0.2×
Removal of nail bed (11750) $186.34 $665.50 0.5×
Removal of tunneled intraperitoneal catheter (49422) $1,059.43 $3,783.67 0.4×
Removal or bivalving full arm or full leg cast (29705) $66.75 $238.37 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $37.95 $135.52 0.2×
Removal subcutaneous cardiac rhythm monitor (33286) $889.69 $3,177.46 1.5×
Removal/bivalving gauntlet boot/body cast (29700) $66.75 $238.37 0.3×
Remove Forearm Foreign Body (25248) $907.65 $3,241.59 0.7×
Remove foreign body from eye (65205) $52.86 $188.76 0.5×
Remove Intrauterine Device (58301) $134.17 $479.16 0.5×
Remove intrvas foreign body (37197) $2,118.18 $7,564.92 0.8×
Remove lung catheter (32552) $262.24 $936.54 0.5×
Remove Nasal Foreign Body (30300) $81.32 $290.40 0.7×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines
$233.10–$291.37 $832.48–$1,040.60 varies
Remove Shoulder Foreign Body (23330) $303.23 $1,082.95 0.2×
Remove ureter stent percut (50384) $782.63 $2,795.10 0.4×
Renal Biopsy Perq (50200) $529.55 $1,891.23 0.4×
Repair Blood Vessel Direct Hand Finger (35207) $2,553.88 $9,120.98 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $250.72 $895.40 0.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $328.98 $1,174.91 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $137.90 $492.47 0.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $284.26 $1,015.19 0.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $137.90 $492.47 0.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $187.36 $669.13 0.5×
Repair complex trunk 1.1-2.5 cm (13100) $454.34 $1,622.61 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $137.90 $492.47 0.2×
Repair Extensor Tendon Finger W/Graft Each (26420) $1,794.97 $6,410.58 0.6×
Repair extensor tendon finger w/o graft each (26418) $551.57 $1,969.88 0.4×
Repair Finger/Hand Tendon (26350) $999.46 $3,569.50 0.4×
Repair Hand Tendon (26410) $719.28 $2,568.83 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $187.36 $669.13 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $187.36 $669.13 0.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $94.53 $337.59 0.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $108.42 $387.20 0.3×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $154.50 $551.76 0.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $80.30 $286.77 0.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $66.75 $238.37 0.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $187.36 $669.13 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $284.26 $1,015.19 0.4×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $154.50 $551.76 0.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $96.22 $343.64 0.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $187.36 $669.13 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $187.36 $669.13 0.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $137.90 $492.47 0.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $96.22 $343.64 0.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $454.34 $1,622.61 0.3×
Repair Laceration Palate </2 Cm (42180) $100.63 $359.37 0.2×
Repair of nail bed (11760) $150.77 $538.45 0.2×
Repair tongue laceration (41252) $221.92 $792.55 1.1×
Repair tongue laceration (41250) $84.70 $302.50 0.2×
Replace duodenostomy/jejunostomy tube perq (49451) $288.32 $1,029.71 0.4×
Replace G-J Tube Perc (49452) $292.73 $1,045.44 0.4×
Replace g/c tube perc (49450) $279.51 $998.25 0.4×
Reposition Gastrostomy Tube (43761) $418.08 $1,493.14 1.9×
Reposition Venous Catheter (36597) $434.01 $1,550.01 0.3×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $3,938.22 $14,065.04 0.8×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $761.29 $2,718.87 0.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $30.50 $108.90 0.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $67.43 $240.79 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $160.93 $574.75 1.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 3 matching MRF lines
$49.47–$79.96 $176.66–$285.56 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $793.81 $2,835.03 0.3×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $455.35 $1,626.24 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $218.87 $781.66 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $581.39 $2,076.36 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $403.52 $1,441.11 0.7×
Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) $180.25 $643.72 0.7×
Rplc Gtube No Revj Trc (43762) $277.48 $990.99 1.3×
Rplc gtube revj gstrst trc (43763) $277.48 $990.99 1.3×
Rplcmt cath ctr vad subq port/pmp (36578) $999.13 $3,568.29 0.4×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $700.30 $2,501.07 0.5×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $799.23 $2,854.39 0.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $626.45 $2,237.29 0.5×
Rplcmt compl tun ctr vad w/subq port (36582) $1,000.14 $3,571.92 0.4×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $1,007.26 $3,597.33 0.4×
Rpr blood vessel direct lower extremity (35226) $412.66 $1,473.78 0.7×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $452.30 $1,615.35 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $66.75 $238.37 0.4×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $80.30 $286.77 0.1×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $100.63 $359.37 0.5×
Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) $1,699.09 $6,068.15 0.5×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $524.81 $1,874.29 1.1×
Rpr Lip Full Thickness Vermilion Only (40650) $503.12 $1,796.85 1.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $576.64 $2,059.42 0.4×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $420.12 $1,500.40 0.8×
Sclerotx Fluid Collection (49185) $999.46 $3,569.50 0.7×
Shave skin lesion 0.5 cm/< (11300) $54.55 $194.81 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $59.29 $211.75 0.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $117.23 $418.66 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $69.80 $249.26 0.4×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $111.81 $399.30 0.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $87.42 $312.18 0.5×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $111.81 $399.30 0.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $67.43 $240.79 0.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $72.51 $258.94 0.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $85.38 $304.92 0.5×
Skin sub graft face/nk/hf/g (15275) $1,095.35 $3,911.93 1.7×
Skin sub graft trnk/arm/leg (15271) $583.76 $2,084.83 0.9×
Skin sub grft t/arm/lg child (15273) $1,707.56 $6,098.40 1.0×
Skn sub grft f/n/hf/g child (15277) $1,707.56 $6,098.40 1.0×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 3 matching MRF lines
$2,664.33–$6,208.51 $9,515.44–$22,173.25 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 3 matching MRF lines
$1,592.70–$4,868.90 $5,688.21–$17,388.91 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 3 matching MRF lines
$2,664.33–$6,208.51 $9,515.44–$22,173.25 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $71.15 $254.10 0.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $84.03 $300.08 0.2×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $101.64 $363 0.3×
Spinal puncture lumbar diagnostic (62270) $188.38 $672.76 0.3×
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,140.20 $7,643.57 0.7×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,140.20 $7,643.57 1.2×
Strapping ankle (29540) $38.29 $136.73 0.3×
Strapping elbow or wrist (29260) $36.60 $130.68 0.7×
Strapping hand/finger (29280)
range across 3 matching MRF lines
$37.95–$53.54 $135.52–$191.18 varies
Strapping Hip (29520) $53.54 $191.18 0.5×
Strapping knee (29530) $39.64 $141.57 0.3×
Strapping shoulder (29240) $40.66 $145.20 0.4×
Strapping thorax (29200) $53.54 $191.18 0.4×
Strapping toes (29550)
range across 10 matching MRF lines
$30.50–$51.84 $108.90–$185.13 varies
Strapping Unna Boot (29580) $262.91 $938.96 1.9×
Therapeutic plasma exchange (36514) $760.27 $2,715.24 0.6×
Thrmbc/Nfs Dialysis Circuit (36906) $8,774.59 $31,337.79 0.6×
Thromblytic art/ven therapy (37213) $1,673 $5,974.98 0.6×
Thrombolytic Art Therapy (37211) $1,223.07 $4,368.10 0.3×
Thrombolytic Therapy Stroke (37195) $174.49 $623.15 0.6×
Thrombolytic Venous Therapy (37212) $1,223.07 $4,368.10 0.4×
Thyroid biopsy (60100) $448.24 $1,600.83 0.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $553.94 $1,978.35 2.7×
Tracheostomy Emergency Procedure Transtracheal (31603) $179.23 $640.09 0.1×
Transcatheter biopsy (37200) $1,221.72 $4,363.26 0.3×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $882.24 $3,150.84 0.3×
Treat Dental Ridge Fracture (21440) $1,549.68 $5,534.54 0.5×
Treat humerus fracture (24500) $86.40 $308.55 0.4×
Treat Humerus Fracture (24505) $719.95 $2,571.25 0.5×
Treat humerus fracture (23600) $55.57 $198.44 0.3×
Treat knee fracture (27532) $474.66 $1,695.21 0.2×
Treat Knee Fracture(S) (27538) $127.39 $454.96 0.6×
Treat Knuckle Dislocation (26700) $84.70 $302.50 0.4×
Treat Metatarsal Fracture (28475) $127.39 $454.96 0.6×
Treat Tail Bone Fracture (27200) $75.56 $269.83 0.4×
Treat Thumb Dislocation (26641) $99.95 $356.95 0.5×
Treat Thumb Fracture (26645) $380.14 $1,357.62 0.3×
Treat toe dislocation (28630) $75.22 $268.62 0.4×
Treat Vaginal Bleeding (57180) $109.78 $392.04 0.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $813.46 $2,905.21 0.6×
Treatment closed elbow dislocation w/o anes (24600) $55.57 $198.44 0.3×
Trim skin lesion (11055) $262.91 $938.96 1.5×
Trim skin lesions 2 to 4 (11056) $37.95 $135.52 0.2×
Trimming Nondystrophic Nails Any Number (11719) $17.96 $64.13 0.4×
Trluml Balo Angiop 1St Art (37246) $4,159.45 $14,855.17 0.8×
Trluml Balo Angiop 1St Vein (37248) $3,859.28 $13,783.11 0.8×
Tx Gastro Intub W/Asp (43753) $70.81 $252.89 0.4×
Tx Missed Abortion First Trimester Surgical (59820) $1,245.09 $4,446.75 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $162.63 $580.80 0.3×
Tx superficial wound dehiscence w/packing (12021) $137.90 $492.47 0.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $353.03 $1,260.82 0.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $108.42 $387.20 0.5×
Unlisted Procedure Biliary Tract (47999) $1,011.32 $3,611.85 1.3×
Unlisted procedure nervous system (64999) $130.78 $467.06 0.5×
Vaginal Delivery After Cesarean Delivery (59612) $978.46 $3,494.48 0.4×
Vaginal delivery only (59409) $845.65 $3,020.16 0.3×
Vasc embolize/occlude artery (37242)
unusually low: confirm this is the full procedure
$6,972.51 $24,901.80 0.4×
Vasc Embolize/Occlude Bleed (37244) $6,972.51 $24,901.80 0.7×
Vasc Embolize/Occlude Organ (37243) $6,972.51 $24,901.80 0.7×
Vasc embolize/occlude venous (37241) $6,972.51 $24,901.80 0.7×
Vein Access Cutdown < 1 Yr (36420) $235.81 $842.16 2.1×
Venous Cutdown >1 Y/O (36425) $294.42 $1,051.49 0.8×
Venous Mech Thrombectomy (37187)
likely a partial charge, not the full procedure
$2,261.16 $8,075.54 0.2×
Wedge excision skin nail fold (11765) $37.95 $135.52 0.1×
Wedging of cast (29740) $66.75 $238.37 0.3×
Windowing of cast (29730) $50.15 $179.08 0.4×
Wound Prep F/N/Hf/G (15004) $453.66 $1,620.19 1.3×
Wound Prep Trk/Arm/Leg (15002) $453.66 $1,620.19 0.7×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $225.98 $807.07 0.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.