Procedures & surgery prices at Wayne County Hospital

Corydon, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $818–$2,475 $818–$2,475 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $636–$1,788 $636–$1,788 varies
Abdomen Surgery Procedure (22999) $2,377 $2,377 10.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $2,048–$3,614 $2,048–$3,614 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,790 $2,790 1.4×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693)
unusually low: confirm this is the full procedure		 $2,473 $2,473 0.4×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $1,741 $1,741 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 3 matching MRF lines		 $1,758–$2,073 $1,758–$2,073 varies
Amputation foot transmetarsal (28805) $3,416 $3,416 1.1×
Amputation metatarsal with toe single (28810) $1,410 $1,410 0.4×
Amputation toe interphalangeal joint (28825) $2,730 $2,730 0.9×
Amputation toe metatarsophalangeal joint (28820) $1,867 $1,867 0.6×
Anal/Urinary Muscle Study (51784) $328 $328 2.7×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $206–$440 $206–$440 varies
Anoscopy W/Rmvl Foreign Body (46608) $1,192 $1,192 1.3×
Anoscopy; with biopsy, single or multiple (46606) $751 $751 0.7×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $489 $489 0.2×
Anterior colporraphy rpr cystocele w/cysto (57240) $2,791 $2,791 0.6×
Appendectomy (44950)
range across 2 matching MRF lines		 $1,654–$2,460 $1,654–$2,460 varies
Application cast elbow finger short arm (29075)
range across 5 matching MRF lines		 $209–$461 $209–$461 varies
Application finger splint static (29130) $209 $209 1.6×
Application long arm splint shoulder hand (29105) $275 $275 1.8×
Application Long Leg Cast Walker/Ambulatory Type (29355) $281 $281 1.0×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $300–$410 $300–$410 varies
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $3,542 $3,542 0.3×
Application of long leg cast (29345)
range across 4 matching MRF lines		 $326–$697 $326–$697 varies
Application of rigid total contact leg cast (29445) $344 $344 1.3×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $250–$331 $250–$331 varies
Application short leg splint calf foot (29515) $252 $252 1.6×
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $1,910 $1,910 0.3×
Apply long arm cast (29065)
range across 3 matching MRF lines		 $225–$321 $225–$321 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $136–$202 $136–$202 varies
Apply Short Leg Cast (29405)
range across 4 matching MRF lines		 $172–$419 $172–$419 varies
Apply short leg cast (29425) $228 $228 0.8×
Arterial puncture (36600)
range across 2 matching MRF lines		 $63–$80 $63–$80 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $2,382 $2,382 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $162–$224 $162–$224 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines		 $190–$361 $190–$361 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $345 $345 1.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines		 $135–$280 $135–$280 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $3,121 $3,121 0.3×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure		 $2,435 $2,435 0.3×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $2,331 $2,331 0.2×
Arthrodesis triple (28715)
unusually low: confirm this is the full procedure		 $4,955 $4,955 0.4×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $3,959 $3,959 0.2×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $2,597 $2,597 0.8×
Arthroscopy Ankle Surgical Debridement Limited (29897) $2,571 $2,571 0.8×
Arthroscopy ankle w/removal loose/foreign body (29894) $1,399 $1,399 0.4×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $3,043 $3,043 1.0×
Arthroscopy shoulder distal claviculectomy (29824) $3,154 $3,154 1.0×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $3,383 $3,383 1.1×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $4,261 $4,261 0.6×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $2,844 $2,844 0.9×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $1,773 $1,773 0.6×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819)
range across 2 matching MRF lines		 $2,214–$2,260 $2,214–$2,260 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $4,077–$4,158 $4,077–$4,158 varies
Arthrotomy ankle w/expl drainage/removal fb (27610) $1,938 $1,938 0.6×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $3,413 $3,413 1.1×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $5,593–$5,705 $5,593–$5,705 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $4,420 $4,420 0.6×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $2,193 $2,193 0.7×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,814 $2,814 0.9×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $2,166–$2,208 $2,166–$2,208 varies
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $2,277 $2,277 0.7×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $939 $939 0.3×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $840–$1,389 $840–$1,389 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $451–$2,963 $451–$2,963 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $145–$194 $145–$194 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 7 matching MRF lines		 $115–$507 $115–$507 varies
Biopsy bone open superficial (20240) $707 $707 0.3×
Biopsy external ear (69100) $446 $446 2.0×
Biopsy muscle percutaneous needle (20206) $625 $625 0.4×
Biopsy Muscle Superficial (20200) $306 $306 0.2×
Biopsy nail unit (11755) $435 $435 0.6×
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines		 $801–$1,108 $801–$1,108 varies
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) $1,799 $1,799 0.5×
Biopsy soft tissue forearm&/wrist superficial (25065) $1,226 $1,226 0.8×
Biopsy soft tissue leg/ankle area superficial (27613) $829 $829 0.5×
Biopsy soft tissue neck/thorax (21550) $628 $628 0.4×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,596 $1,596 1.0×
Biopsy Tongue Anterior Two-Thirds (41100) $420 $420 0.8×
Biopsy Tongue Posterior One-Third (41105) $420 $420 0.1×
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines		 $225–$284 $225–$284 varies
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $219–$414 $219–$414 varies
Biopsy/removal lymph nodes (38510) $2,918 $2,918 0.8×
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines		 $308–$685 $308–$685 varies
Bladder Irrigation (51700)
range across 4 matching MRF lines		 $230–$642 $230–$642 varies
Bladder Scan (51798) $615 $615 10.8×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines		 $597–$1,247 $597–$1,247 varies
Blood Transfusion Service (36430)
range across 20 matching MRF lines		 $210–$553 $210–$553 varies
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $1,535 $1,535 0.2×
Bone Graft Any Donor Area Minor/Small (20900)
unusually low: confirm this is the full procedure		 $2,217 $2,217 0.3×
Bone Marrow; Aspiration Only (38220) $786 $786 0.5×
Bx breast 1st lesion us imag (19083) $2,699 $2,699 1.7×
Bx breast needle core w/o imaging guidance spx (19100) $309 $309 0.2×
Bx Cervix (57500)
range across 2 matching MRF lines		 $332–$508 $332–$508 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $2,315–$2,389 $2,315–$2,389 varies
Bx/exc lymph node open superficial (38500)
range across 2 matching MRF lines		 $754–$1,272 $754–$1,272 varies
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $2,673 $2,673 0.8×
Carpal Tunnel Surgery (64721) $1,649 $1,649 0.9×
Cataract surgery complex (66982) $2,695 $2,695 1.2×
Catheter aspiration nasotracheal spx (31720) $81 $81 0.4×
Cautery Cervix Cryocautery Initial/Repeat (57511) $374 $374 1.3×
Change Cystostomy Tube Complicated (51710) $360 $360 0.5×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines		 $230–$846 $230–$846 varies
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines		 $183–$392 $183–$392 varies
Chemodenerv Eccrine Glands (64650) $251 $251 0.9×
Chemodenervation of internal anal sphincter (46505) $1,347 $1,347 1.2×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $423 $423 1.4×
Chest tube placement (32551)
range across 2 matching MRF lines		 $462–$885 $462–$885 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $213–$708 $213–$708 varies
Cl Tx Tib Shft Fx W Manip (27752) $1,649 $1,649 1.1×
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $2,760–$2,831 $2,760–$2,831 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $296–$657 $296–$657 varies
Closed Rx Metacarpal Fx,Percut (26608) $1,833 $1,833 0.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,190 $1,190 5.0×
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines		 $936–$1,626 $936–$1,626 varies
Closed tx ankle dislocation w/o anesthesia (27840) $1,862 $1,862 7.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,409 $2,409 1.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 3 matching MRF lines		 $782–$1,696 $782–$1,696 varies
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,180 $1,180 5.0×
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines		 $614–$733 $614–$733 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines		 $785–$1,540 $785–$1,540 varies
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $1,620 $1,620 1.0×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,507 $1,507 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $2,523 $2,523 10.6×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,149 $1,149 0.7×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 4 matching MRF lines		 $505–$1,084 $505–$1,084 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,693 $1,693 1.1×
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines		 $1,154–$1,320 $1,154–$1,320 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $897–$1,920 $897–$1,920 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 3 matching MRF lines		 $756–$1,236 $756–$1,236 varies
Closed tx radial head/neck fx w/manipulation (24655) $2,231 $2,231 1.4×
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines		 $607–$1,323 $607–$1,323 varies
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines		 $1,924–$2,556 $1,924–$2,556 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $637–$1,367 $637–$1,367 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,259–$1,502 $1,259–$1,502 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines		 $850–$1,043 $850–$1,043 varies
Closed Tx Scapular Fracture W/O Manipulation (23570) $546 $546 2.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $502 $502 2.1×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,321 $2,321 1.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines		 $679–$1,473 $679–$1,473 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines		 $679–$740 $679–$740 varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540)
range across 2 matching MRF lines		 $526–$1,137 $526–$1,137 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $514–$1,107 $514–$1,107 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $947–$2,008 $947–$2,008 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,561 $1,561 6.6×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $2,093 $2,093 8.8×
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines		 $1,210–$1,476 $1,210–$1,476 varies
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines		 $1,155–$1,158 $1,155–$1,158 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $720 $720 3.0×
Cltx dstl fibular fx lat malls w/manj (27788) $1,296 $1,296 5.5×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $748–$1,609 $748–$1,609 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $746 $746 3.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $426–$934 $426–$934 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $735–$1,620 $735–$1,620 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines		 $1,500–$2,589 $1,500–$2,589 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,276 $1,276 5.4×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $2,415 $2,415 10.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $508 $508 2.1×
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines		 $331–$735 $331–$735 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $464 $464 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines		 $323–$623 $323–$623 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,674 $1,674 1.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines		 $845–$1,536 $845–$1,536 varies
Cltx greater humeral tuberosity fx w/o manj (23620) $629 $629 2.7×
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines		 $1,904–$2,072 $1,904–$2,072 varies
Cltx hip dislocation traumatic w/o anesthesia (27250) $597 $597 2.5×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $786 $786 3.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $586 $586 2.5×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $905 $905 3.4×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines		 $646–$1,381 $646–$1,381 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,400 $1,400 0.9×
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines		 $1,253–$1,279 $1,253–$1,279 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $754–$1,633 $754–$1,633 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines		 $668–$1,481 $668–$1,481 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,138 $1,138 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $492–$1,718 $492–$1,718 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $458–$754 $458–$754 varies
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $2,874–$2,963 $2,874–$2,963 varies
Cltx post hip arthrp dislc w/o anes (27265) $1,222 $1,222 5.2×
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines		 $677–$712 $677–$712 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $294–$691 $294–$691 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines		 $1,238–$2,078 $1,238–$2,078 varies
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,667 $1,667 1.1×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines		 $894–$1,221 $894–$1,221 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines		 $947–$1,574 $947–$1,574 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 4 matching MRF lines		 $927–$1,757 $927–$1,757 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,180–$1,404 $1,180–$1,404 varies
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $4,034 $4,034 0.8×
Collection of venous blood by venipuncture (36415) $27 $27 2.9×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $1,622 $1,622 1.4×
Colonoscopy thru stoma (44388) $1,426 $1,426 1.6×
Colonoscopy w/ablation (45388)
range across 2 matching MRF lines		 $1,855–$2,724 $1,855–$2,724 varies
Colonoscopy w/submucosal inj (45381) $1,863 $1,863 1.6×
Colpocentesis (57020) $490 $490 0.1×
Colpocleisis (le fort type) (57120) $2,324 $2,324 0.5×
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $2,363 $2,363 0.3×
Colpopexy vaginal intraperitoneal approach (57283)
unusually low: confirm this is the full procedure		 $3,240 $3,240 0.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $398–$717 $398–$717 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $284–$630 $284–$630 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $280–$515 $280–$515 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $310–$728 $310–$728 varies
Colposcopy cervix vag eltrd conization cervix (57461) $1,494 $1,494 0.5×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $727 $727 0.2×
Colposcopy entire vagina w/cervix if present (57420) $546 $546 1.9×
Colposcopy of vulva (56820) $518 $518 2.7×
Colposcopy Vulva W/Biopsy (56821) $696 $696 2.4×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $796 $796 0.9×
Colpotomy; with drainage of pelvic abscess (57010) $1,969 $1,969 0.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,884 $1,884 1.6×
Combined anteroposterior colporrhaphy; (57260) $3,486 $3,486 0.7×
Complex drainage wound (10180) $724 $724 0.3×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,328 $1,328 0.4×
Conization of cervix (57520) $1,200 $1,200 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $476–$1,060 $476–$1,060 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $260–$502 $260–$502 varies
Correction hammertoe (28285) $2,881 $2,881 0.9×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,579 $3,579 1.1×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,940 $2,940 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
unusually low: confirm this is the full procedure		 $2,778 $2,778 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines		 $1,916–$2,282 $1,916–$2,282 varies
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure		 $2,593 $2,593 0.4×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $124 $124 2.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $592–$1,311 $592–$1,311 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,461 $1,461 6.4×
Curettage postpartum (59160)
range across 2 matching MRF lines		 $544–$1,287 $544–$1,287 varies
Cysto Bladder W/Ureteral Catheterization (52005) $1,516 $1,516 0.8×
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $831–$1,283 $831–$1,283 varies
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $1,465 $1,465 0.4×
Cystometrogram W/Vp&Up (51729) $1,594 $1,594 2.4×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure		 $3,553 $3,553 0.4×
Cystourethroscopy (52000) $773 $773 1.2×
Cystourethroscopy inj chemodenervation bladder (52287) $1,451 $1,451 0.7×
Cystourethroscopy w/dil bladder general anesth (52260) $1,024 $1,024 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $177–$275 $177–$275 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines		 $907–$2,320 $907–$2,320 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $661–$1,252 $661–$1,252 varies
Debride nail 1-5 (11720)
range across 5 matching MRF lines		 $25–$163 $25–$163 varies
Debride nail 6 or more (11721)
range across 4 matching MRF lines		 $107–$153 $107–$153 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $999–$1,737 $999–$1,737 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 6 matching MRF lines		 $179–$579 $179–$579 varies
Declot vascular device (36593) $146 $146 0.5×
Decompression of tibia nerve (28035) $1,713 $1,713 0.9×
Delivery of placenta (59414)
range across 3 matching MRF lines		 $204–$485 $204–$485 varies
Destroy lumb/sac facet jnt (64635) $1,458 $1,458 0.8×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $267–$324 $267–$324 varies
Destruction Benign Lesions 15/> (17111) $331 $331 1.7×
Destruction Lesions Vulva Simple (56501) $288 $288 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $449 $449 2.3×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $438 $438 2.3×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $365 $365 1.9×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $364 $364 1.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $660 $660 3.4×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $337 $337 1.7×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $582 $582 3.0×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $484 $484 1.2×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $236 $236 1.2×
Destruction neurolytic agt genicular nerve w/img (64624) $1,539 $1,539 0.8×
Destruction of skin lesions (17106) $690 $690 1.8×
Destruction Premalignant Lesion 15/> (17004) $432 $432 1.1×
Destruction premalignant lesion 1st (17000) $196 $196 1.0×
Destruction Vaginal Lesions Simple (57061)
range across 2 matching MRF lines		 $290–$448 $290–$448 varies
Diagnostic sigmoidoscopy (45330) $566 $566 0.6×
Diaphragm or cervical cap fitting with instructions (57170) $175 $175 0.9×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $194 $194 1.6×
Dilate Esophagus 1/Mult Pass (43450) $621 $621 0.7×
Dilate Urethra Stricture (53620) $612 $612 0.9×
Dilate Urethra Stricture (53600) $242 $242 1.0×
Dilation & curettage dx&/ther nonobstetric (58120)
range across 3 matching MRF lines		 $651–$1,002 $651–$1,002 varies
Dilation Cervical Canal (57800) $151 $151 0.0×
Drain Cerebro Spinal Fluid (62272) $937 $937 1.4×
Drainage external auditory canal abscess (69020) $262 $262 0.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $970 $970 1.4×
Drainage Finger Abscess Complicated (26011) $1,999 $1,999 1.3×
Drainage of finger abscess simple (26010) $1,334 $1,334 6.9×
Drainage of gum lesion (41800) $1,362 $1,362 10.6×
Drainage of hematoma/fluid (10140)
range across 6 matching MRF lines		 $394–$817 $394–$817 varies
Drainage of scrotal wall abscess (55100) $633 $633 0.4×
Drainage of scrotum (54700) $1,012 $1,012 0.5×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,578 $1,578 0.5×
Draw Blood Off Venous Device (36591) $49 $49 0.4×
Dressing Change Under Anesthesia (15852)
range across 3 matching MRF lines		 $125–$216 $125–$216 varies
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,626 $1,626 3.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,089 $1,089 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 4 matching MRF lines		 $438–$928 $438–$928 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $461–$751 $461–$751 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $206–$413 $206–$413 varies
Dstrj Lesion Anus Simple Chemical (46900) $477 $477 1.2×
Dstrj lesion anus simple surg excision (46922) $1,018 $1,018 0.4×
Dstrj Lesion Penis Simple Chemical (54050) $331 $331 0.8×
Dstrj Lesion Penis Simple Cryosurgery (54056) $310 $310 1.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $650–$1,055 $650–$1,055 varies
Dx Bronchoscope/Wash (31622) $1,230 $1,230 0.7×
Egd Balloon Dil Esoph30 Mm/> (43233) $1,189 $1,189 0.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $3,333 $3,333 1.8×
Egd dilation gastric/duodenal stricture (43245) $756 $756 0.4×
Egd Flexible Foreign Body Removal (43247) $809 $809 0.9×
Egd guide wire insertion (43248) $999 $999 1.1×
Egd place gastrostomy tube (43246) $1,189 $1,189 0.6×
Egd remove lesion snare (43251) $879 $879 0.5×
Egd Tube/Cath Insertion (43241) $665 $665 0.4×
Electro-Uroflowmetry First (51741) $77 $77 0.4×
Endocervical curettage (57505)
range across 2 matching MRF lines		 $278–$480 $278–$480 varies
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $282–$310 $282–$310 varies
Endoscopic injection/implant (51715) $1,372 $1,372 0.4×
Endoscopic plantar fasciotomy (29893) $1,979 $1,979 0.6×
Endoscopy upper small intestine w/biopsy (44361) $553 $553 0.3×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 2 matching MRF lines		 $1,326–$4,212 $1,326–$4,212 varies
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110)
range across 2 matching MRF lines		 $2,403–$4,004 $2,403–$4,004 varies
Epidural Blood Patch (62273) $1,335 $1,335 2.0×
Episiotomy or vaginal repair (59300)
range across 3 matching MRF lines		 $491–$1,006 $491–$1,006 varies
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $947 $947 0.5×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,794 $1,794 1.0×
Evacuate mole of uterus (59870) $2,408 $2,408 0.8×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $110–$247 $110–$247 varies
Exc arm/elbow les sc < 3 cm (24075) $1,595 $1,595 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines		 $288–$402 $288–$402 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines		 $485–$661 $485–$661 varies
Exc Back Les Sc < 3 Cm (21930) $2,223 $2,223 1.4×
Exc Back Tum Deep 5 Cm/> (21933) $2,362 $2,362 0.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,757 $1,757 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines		 $574–$784 $574–$784 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines		 $663–$1,229 $663–$1,229 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $964 $964 0.6×
Exc Face Les Sbq 2 Cm/> (21012) $1,603 $1,603 1.0×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $318–$618 $318–$618 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $400 $400 0.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $604 $604 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines		 $542–$1,038 $542–$1,038 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $685 $685 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $265–$399 $265–$399 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $373–$514 $373–$514 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $416–$571 $416–$571 varies
Exc Hand Les Sc < 1.5 Cm (26115) $2,435 $2,435 1.5×
Exc hydrocele sprmatic cord uni spx (55500) $1,540 $1,540 0.5×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $1,755–$1,790 $1,755–$1,790 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $885 $885 0.6×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $691 $691 0.2×
Exc neuroma hand/foot xcp digital nerve (64782) $1,392 $1,392 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $453–$622 $453–$622 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines		 $561–$665 $561–$665 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines		 $806–$1,640 $806–$1,640 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $736–$1,006 $736–$1,006 varies
Exc Skin Benig >4cm Face,Facial (11446)
range across 2 matching MRF lines		 $1,264–$1,266 $1,264–$1,266 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $729 $729 0.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,054 $1,054 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 2 matching MRF lines		 $1,012–$2,208 $1,012–$2,208 varies
Exc tendon shth lesion leg/ankle (27630) $1,661 $1,661 0.5×
Exc thigh/knee les sc 3 cm/> (27337) $1,967 $1,967 0.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $703 $703 0.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines		 $352–$487 $352–$487 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $390–$773 $390–$773 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines		 $514–$707 $514–$707 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,419 $1,419 0.5×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,447 $2,447 0.9×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $2,348 $2,348 1.5×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,515 $1,515 0.5×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $2,494 $2,494 0.9×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $374 $374 0.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,286 $1,286 0.8×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,252 $1,252 0.4×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
unusually low: confirm this is the full procedure		 $2,314 $2,314 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $2,513 $2,513 0.8×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $2,217 $2,217 1.4×
Excise Wrist Tendon Sheath (25118) $1,236 $1,236 0.8×
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		 $682–$923 $682–$923 varies
Excision Excessive Skin & Subq Tissue Other Area (15839) $315 $315 0.1×
Excision Hidradenitis Axillary Complex Repair (11451) $1,155 $1,155 0.4×
Excision Lesion Tongue W/O Closure (41110) $580 $580 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $445 $445 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $546 $546 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines		 $600–$1,068 $600–$1,068 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 2 matching MRF lines		 $754–$1,025 $754–$1,025 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $472–$655 $472–$655 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 2 matching MRF lines		 $783–$1,432 $783–$1,432 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,269 $1,269 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 2 matching MRF lines		 $454–$634 $454–$634 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines		 $551–$750 $551–$750 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $621 $621 0.9×
Excision Multiple External Papillae/Tags Anus (46230)
range across 2 matching MRF lines		 $634–$773 $634–$773 varies
Excision of bartholin's gland or cyst (56740) $1,579 $1,579 0.5×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,488 $1,488 1.0×
Excision of hydrocele; unilateral (55040) $1,322 $1,322 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $892 $892 0.3×
Excision of single external papilla or tag, anus (46220) $785 $785 0.7×
Excision of vaginal cyst or tumor (57135) $750 $750 0.2×
Excision olecranon bursa (24105) $1,336 $1,336 0.4×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,758 $1,758 0.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,047 $3,047 1.1×
Excision prepatellar bursa (27340) $1,210 $1,210 0.4×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,180 $2,180 1.4×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,477 $1,477 0.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,308 $1,308 0.8×
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 2 matching MRF lines		 $1,063–$1,626 $1,063–$1,626 varies
Excision, interdigital (morton) neuroma, single, each (28080) $1,572 $1,572 1.0×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,084 $2,084 0.7×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,554 $1,554 0.6×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,351 $1,351 0.9×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines		 $1,082–$2,314 $1,082–$2,314 varies
Exploration of knee joint (27310) $2,241 $2,241 0.7×
Exploration penetrating wound spx extremity (20103)
range across 3 matching MRF lines		 $1,100–$1,643 $1,100–$1,643 varies
External cephalic version (59412)
range across 2 matching MRF lines		 $373–$396 $373–$396 varies
Fasciectomy Plantar Fascia Partial Spx (28060) $678 $678 0.2×
Fasciotomy Plantar Fascia Radical Spx (28062) $2,943 $2,943 0.9×
Fasciotomy, foot and/or toe (28008) $1,395 $1,395 0.4×
Fetal Contraction Stress Test (59020) $130 $130 0.7×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $131–$773 $131–$773 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $352–$572 $352–$572 varies
Foreskin manipulation (54450) $323 $323 1.3×
Fusion of foot bones (28740)
unusually low: confirm this is the full procedure		 $2,751 $2,751 0.4×
Gastrocnemius recession (27687) $1,475 $1,475 0.5×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $1,924 $1,924 0.7×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,748 $1,748 0.7×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $2,300 $2,300 0.9×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $900 $900 1.0×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $876–$3,703 $876–$3,703 varies
Hysteroscopy Dx Sep Proc (58555) $1,254 $1,254 0.4×
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $1,064–$6,708 $1,064–$6,708 varies
Hysteroscopy Removal Impacted Foreign Body (58562) $2,263 $2,263 0.7×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $1,665 $1,665 0.3×
I&d abscess simple (10060)
range across 7 matching MRF lines		 $289–$627 $289–$627 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,840 $1,840 0.7×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $555–$1,027 $555–$1,027 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $1,372–$1,573 $1,372–$1,573 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $408–$894 $408–$894 varies
Implant Neuroelectrodes (64561) $3,861 $3,861 0.6×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $1,329 $1,329 0.1×
Incise external hemorrhoid (46083)
range across 3 matching MRF lines		 $423–$581 $423–$581 varies
Incise finger tendon sheath (26055) $2,171 $2,171 1.4×
Incision & drainage abscess complicated/multiple (10061)
range across 5 matching MRF lines		 $460–$1,013 $460–$1,013 varies
Incision & drainage leg/ankle abscess/hematoma (27603)
range across 2 matching MRF lines		 $2,074–$2,943 $2,074–$2,943 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $640–$1,386 $640–$1,386 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $341–$460 $341–$460 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines		 $320–$639 $320–$639 varies
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) $1,596 $1,596 0.6×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $248–$555 $248–$555 varies
Incision of lingual frenum (frenotomy) (41010) $492 $492 0.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $2,018–$2,681 $2,018–$2,681 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $879 $879 0.6×
Induced abortion, by dilation and evacuation (59841) $978 $978 0.3×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $171–$355 $171–$355 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $144–$224 $144–$224 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $1,173 $1,173 1.4×
Injection aa&/strd genicular nrv branches w/img (64454) $688 $688 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $707 $707 0.8×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $2,646 $2,646 3.9×
Injection anesthetic agent suprascapular nerve (64418) $588 $588 0.9×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $162–$228 $162–$228 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines		 $177–$280 $177–$280 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $162–$503 $162–$503 varies
Injection therapeutic carpal tunnel (20526) $150 $150 0.5×
Injection, anesthetic agent; brachial plexus, single (64415) $918 $918 1.1×
Injection, anesthetic agent; femoral nerve, single (64447) $420 $420 0.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines		 $86–$544 $86–$544 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $139–$273 $139–$273 varies
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $93–$683 $93–$683 varies
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines		 $2,475–$3,548 $2,475–$3,548 varies
Insert cervical dilator (59200) $204 $204 0.7×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines		 $385–$662 $385–$662 varies
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $603–$922 $603–$922 varies
Insert pessary/other device (57160)
range across 2 matching MRF lines		 $168–$357 $168–$357 varies
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines		 $175–$535 $175–$535 varies
Insert tunneled cv cath (36561) $4,666 $4,666 1.5×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $177–$224 $177–$224 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,296 $3,296 2.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines		 $438–$844 $438–$844 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure		 $940 $940 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $682 $682 0.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $2,369 $2,369 6.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $2,760 $2,760 7.1×
Intubation endotracheal emergency procedure (31500)
range across 6 matching MRF lines		 $291–$623 $291–$623 varies
Iridotomy/irridectomy laser surg per session (66761) $1,380 $1,380 2.6×
Knee arthroscopy/drainage (29871) $1,674 $1,674 0.5×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $4,299 $4,299 0.4×
Laparo-vag hyst incl t/o (58552)
unusually low: confirm this is the full procedure		 $4,535 $4,535 0.4×
Laparoscopic myomectomy (58545) $4,293 $4,293 0.7×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $1,430 $1,430 0.2×
Laparoscopy Enterolysis Separate Procedure (44180) $4,349 $4,349 0.7×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,435 $1,435 0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,275 $1,275 0.2×
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $5,675 $5,675 0.6×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
unusually low: confirm this is the full procedure		 $4,188 $4,188 0.4×
Laparoscopy W/Lysis Of Adhesions (58660) $3,131 $3,131 0.5×
Laparoscopy w/rmvl adnexal structures (58661) $3,022 $3,022 0.5×
Laparoscopy, surgical, appendectomy (44970) $2,989 $2,989 0.5×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure		 $4,538 $4,538 0.4×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
range across 2 matching MRF lines		 $2,734–$5,082 $2,734–$5,082 varies
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $3,986 $3,986 0.7×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $2,743 $2,743 0.5×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
unusually low: confirm this is the full procedure		 $3,518 $3,518 0.3×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure		 $2,762 $2,762 0.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $1,647 $1,647 0.3×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $1,686 $1,686 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $1,260 $1,260 0.2×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
unusually low: confirm this is the full procedure		 $2,300 $2,300 0.4×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
unusually low: confirm this is the full procedure		 $3,811 $3,811 0.4×
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines		 $204–$333 $204–$333 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $289–$627 $289–$627 varies
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $1,280 $1,280 0.7×
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines		 $519–$942 $519–$942 varies
Laser Surgery Anal Lesions (46917) $1,073 $1,073 0.4×
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,308–$3,941 $1,308–$3,941 varies
Lateral retinacular release open (27425)
range across 2 matching MRF lines		 $1,679–$1,714 $1,679–$1,714 varies
Ligation of a-v fistula (37607) $1,017 $1,017 0.3×
Ligation of hemorrhoids (46946) $724 $724 0.3×
Ligation or biopsy temporal artery (37609) $1,228 $1,228 0.8×
Lithotripsy, extracorporeal shock wave (50590) $10,541 $10,541 3.1×
Lsh uterus 250 g or less (58541)
unusually low: confirm this is the full procedure		 $3,375 $3,375 0.3×
Lysis of labial adhesions (56441)
range across 2 matching MRF lines		 $381–$772 $381–$772 varies
Lysis/excision penile postcircumcision adhesions (54162)
range across 2 matching MRF lines		 $741–$1,255 $741–$1,255 varies
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $565–$581 $565–$581 varies
Marsupialization of bartholin's gland cyst (56440) $834 $834 0.3×
Mastectomy for gynecomastia (19300) $1,691 $1,691 0.4×
Mastectomy partial (19301) $3,561 $3,561 0.9×
Mastectomy partial w/axillary lymphadenectomy (19302) $4,786 $4,786 0.7×
Mastectomy simple complete (19303) $5,374 $5,374 0.8×
Maternity Care Procedure (59899) $1,750 $1,750 9.0×
Metatarsectomy (28140) $1,734 $1,734 0.6×
Muscle-skin graft trunk (15734) $7,088 $7,088 2.1×
N block inj intercost sng (64420) $588 $588 0.9×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $129–$156 $129–$156 varies
Nasal/Orogastric W/Tube Plmt (43752) $208 $208 0.5×
Needle Biopsy Lymph Nodes (38505) $321 $321 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560) $20 $20 0.7×
Needle insertion w/o injection 3 or more muscles (20561) $30 $30 1.1×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $469 $469 1.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $331 $331 1.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines		 $225–$1,789 $225–$1,789 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,335 $1,335 1.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,146 $1,146 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $772 $772 1.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,126 $1,126 1.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326)
range across 2 matching MRF lines		 $554–$571 $554–$571 varies
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $225–$544 $225–$544 varies
Occlusion flp tube dev vag/suprapubic appr (58615) $1,165 $1,165 0.4×
Open biopsy/excision inguinofemoral nodes (38531) $2,224 $2,224 0.6×
Open Implantation Nea Sacral Nerve (64581) $3,135 $3,135 0.5×
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure		 $3,167 $3,167 0.5×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines		 $2,923–$2,980 $2,923–$2,980 varies
Open treatment calcaneal fracture (28415)
unusually low: confirm this is the full procedure		 $3,295 $3,295 0.5×
Open Treatment Fracture Distal Tibia & Fibula (27828)
range across 2 matching MRF lines		 $4,909–$5,006 $4,909–$5,006 varies
Open treatment fracture distal tibia only (27827)
unusually low: confirm this is the full procedure		 $5,306 $5,306 0.4×
Open treatment interphalangeal joint dislocation (28675) $2,845 $2,845 0.9×
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $2,304–$2,349 $2,304–$2,349 varies
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $1,625 $1,625 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $2,768 $2,768 0.4×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $4,573 $4,573 0.7×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $6,380 $6,380 0.9×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
unusually low: confirm this is the full procedure		 $4,904 $4,904 0.4×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $3,699 $3,699 0.5×
Open Treatment of Ulnar Shaft Fracture (25545)
unusually low: confirm this is the full procedure		 $2,965 $2,965 0.4×
Open treatment of ulnar styloid fracture (25652)
unusually low: confirm this is the full procedure		 $2,958 $2,958 0.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
range across 2 matching MRF lines		 $2,700–$2,756 $2,700–$2,756 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure		 $2,530 $2,530 0.4×
Open Tx Distal Phalangeal Fracture Each (26765) $1,179 $1,179 0.4×
Open Tx Distal Tibiofibular Joint Disruption (27829)
likely a partial charge, not the full procedure		 $2,036 $2,036 0.3×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
unusually low: confirm this is the full procedure		 $4,568 $4,568 0.4×
Open tx femoral supracondylar fracture w/o xtn (27511)
range across 2 matching MRF lines		 $3,795–$3,872 $3,795–$3,872 varies
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $3,463 $3,463 0.3×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $2,848 $2,848 0.2×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $2,734 $2,734 0.9×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines		 $1,433–$2,279 $1,433–$2,279 varies
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $3,394 $3,394 0.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $3,196–$3,261 $3,196–$3,261 varies
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $3,156 $3,156 0.5×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $3,379 $3,379 0.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines		 $4,521–$4,611 $4,521–$4,611 varies
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $3,374 $3,374 0.3×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
range across 2 matching MRF lines		 $3,364–$3,433 $3,364–$3,433 varies
Ostc prtl exostc/condylc metar head (28288) $1,799 $1,799 0.6×
Ostectomy calcaneus (28118) $2,956 $2,956 0.9×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $2,278 $2,278 0.7×
Ostectomy, complete excision; first metatarsal head (28111) $2,379 $2,379 0.8×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,512 $1,512 0.5×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,831 $1,831 0.6×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure		 $2,636 $2,636 0.4×
Osteotomy talus (28302)
unusually low: confirm this is the full procedure		 $2,856 $2,856 0.4×
Osteotomy Tibia (27705)
unusually low: confirm this is the full procedure		 $2,235 $2,235 0.3×
Ovarian cystectomy, unilateral or bilateral (58925)
range across 2 matching MRF lines		 $1,801–$2,892 $1,801–$2,892 varies
Part remv talus or calcaneus (28120) $1,929 $1,929 0.6×
Partial Excision Distal Phalanx Finger (26236) $2,079 $2,079 1.3×
Partical Excision Bone Phalanx Toe (28124) $2,370 $2,370 0.8×
Pelvic examination under anesthesia (other than local) (57410) $419 $419 0.1×
Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436)
likely a partial charge, not the full procedure		 $1,444 $1,444 0.2×
Perineoplasty rpr perineum nonobstetrical spx (56810) $1,221 $1,221 0.4×
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,548 $2,548 0.8×
Placement of needle for intraosseous infusion (36680) $196 $196 0.5×
Placement of seton (46020) $1,305 $1,305 0.5×
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) $3,167 $3,167 0.7×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $617 $617 0.7×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $976 $976 0.8×
Prq skel fixj femoral fx prox end neck (27235)
range across 2 matching MRF lines		 $3,434–$3,503 $3,434–$3,503 varies
Prq skel fixj metar fx w/manj (28476) $1,043 $1,043 0.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $2,830 $2,830 0.9×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $394–$566 $394–$566 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $313–$365 $313–$365 varies
Puncture Aspiration Cyst Breast (19000) $274 $274 0.4×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,128 $1,128 0.4×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
unusually low: confirm this is the full procedure		 $3,387 $3,387 0.5×
Release of big toe (28240) $2,116 $2,116 0.7×
Removal Embedded Foreign Body Eyelid (67938) $1,212 $1,212 4.0×
Removal Foreign Body Foot Complicated (28193) $2,730 $2,730 1.7×
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $2,000–$2,404 $2,000–$2,404 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines		 $591–$1,295 $591–$1,295 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,026 $1,026 0.6×
Removal foreign body upper arm/elbow deep (24201) $2,534 $2,534 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $61–$74 $61–$74 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $124–$264 $124–$264 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $625 $625 0.2×
Removal Implant Deep (20680)
range across 3 matching MRF lines		 $1,981–$2,380 $1,981–$2,380 varies
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines		 $761–$1,499 $761–$1,499 varies
Removal implantable contraceptive capsules (11976) $380 $380 0.6×
Removal of heel spur (28119) $2,639 $2,639 0.8×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $529–$743 $529–$743 varies
Removal of sesamoid bone (28315) $1,444 $1,444 0.5×
Removal of testis (54520) $1,276 $1,276 0.4×
Removal of tunneled intraperitoneal catheter (49422) $1,089 $1,089 0.4×
Removal or bivalving full arm or full leg cast (29705) $160 $160 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $286–$424 $286–$424 varies
Removal sweat gland lesion (11450)
range across 2 matching MRF lines		 $945–$1,858 $945–$1,858 varies
Removal, under anesthesia, of external fixation system (20694) $2,473 $2,473 1.6×
Removal/bivalving gauntlet boot/body cast (29700) $339 $339 1.3×
Remove drug implant device (11982)
range across 2 matching MRF lines		 $382–$428 $382–$428 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $138–$282 $138–$282 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines		 $255–$497 $255–$497 varies
Remove Lower Leg Bone Lesion (27635) $1,748 $1,748 0.6×
Remove lung catheter (32552) $962 $962 1.6×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $546–$1,212 $546–$1,212 varies
Remove Shoulder Foreign Body (23330) $1,221 $1,221 0.8×
Remove Tendon Sheath Lesion (26160) $2,973 $2,973 1.9×
Remove/graft leg bone lesion (27637)
unusually low: confirm this is the full procedure		 $3,012 $3,012 0.4×
Remove/Insert Drug Implant (11983) $504 $504 1.2×
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $2,134 $2,134 0.3×
Repair Blood Vessel Direct Hand Finger (35207) $2,265 $2,265 0.7×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $2,083 $2,083 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $2,077 $2,077 2.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,283 $1,283 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $888–$1,841 $888–$1,841 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,205–$1,440 $1,205–$1,440 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,667 $1,667 4.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $1,089–$1,402 $1,089–$1,402 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,604 $1,604 2.3×
Repair complex trunk 2.6-7.5 cm (13101) $2,034 $2,034 2.9×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,157 $1,157 0.4×
Repair Foot Dislocation (28615) $3,889 $3,889 0.6×
Repair Hallux Rigidus (28289) $2,189 $2,189 0.7×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $3,060 $3,060 0.9×
Repair initial femoral hernia, any age; reducible (49550) $1,862 $1,862 0.5×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $2,250 $2,250 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $656–$760 $656–$760 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $750–$1,521 $750–$1,521 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $822–$1,757 $822–$1,757 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $872–$1,867 $872–$1,867 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $3,164 $3,164 8.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $1,987–$2,006 $1,987–$2,006 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $614–$1,230 $614–$1,230 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $713–$838 $713–$838 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,040 $1,040 1.5×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,639 $2,639 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $902–$1,935 $902–$1,935 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $588–$1,263 $588–$1,263 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $748–$1,561 $748–$1,561 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 3 matching MRF lines		 $990–$1,252 $990–$1,252 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $643–$746 $643–$746 varies
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 2 matching MRF lines		 $1,111–$2,413 $1,111–$2,413 varies
Repair of fibula nonunion and/or malunion with internal fixation (27726) $4,865 $4,865 0.7×
Repair of metatarsals (28322)
unusually low: confirm this is the full procedure		 $2,356 $2,356 0.3×
Repair of nail bed (11760)
range across 4 matching MRF lines		 $495–$1,162 $495–$1,162 varies
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400)
unusually low: confirm this is the full procedure		 $3,161 $3,161 0.5×
Repair of rectocele (45560) $3,273 $3,273 1.2×
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure		 $2,513 $2,513 0.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $3,411 $3,411 0.5×
Repair Rotator Cuff Chronic (23412) $4,030 $4,030 0.6×
Repair secondary achilles tendon w/wo graft (27654) $3,551 $3,551 0.5×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $2,867 $2,867 0.4×
Repair Toe Dislocation (28645) $1,595 $1,595 0.5×
Repair tongue laceration (41252) $1,638 $1,638 7.2×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,416 $1,416 0.2×
Reposition Venous Catheter (36597) $633 $633 0.4×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $3,148 $3,148 1.4×
Rerepair ing hernia reduce (49520) $2,413 $2,413 0.7×
Revise Hand/Foot Nerve (64704) $1,041 $1,041 0.6×
Revision including removal of prosthetic vaginal graft vaginal approach (57295) $2,240 $2,240 0.7×
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) $4,034 $4,034 1.2×
Revision of foot (28116) $2,187 $2,187 0.7×
Revision of leg vein (37780) $1,038 $1,038 0.3×
Revision of toe (28312) $1,547 $1,547 0.5×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $7,243 $7,243 0.6×
Revj Colostomy Smpl Rls Supfc Scar Spx (44340) $2,384 $2,384 0.7×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
likely a partial charge, not the full procedure		 $4,955 $4,955 0.3×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $6,618 $6,618 0.5×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $254 $254 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $141–$298 $141–$298 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $386 $386 3.0×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $351 $351 0.8×
Rmvl fecal impaction/fb spx under anes (45915) $766 $766 0.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,582 $1,582 0.6×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,292 $1,292 0.5×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines		 $484–$1,044 $484–$1,044 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,141 $1,141 0.8×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $655 $655 1.1×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $1,028–$1,397 $1,028–$1,397 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $637 $637 0.4×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,393 $3,393 0.6×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $1,625 $1,625 0.5×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
unusually low: confirm this is the full procedure		 $2,715 $2,715 0.5×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $2,003 $2,003 0.6×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure		 $2,723 $2,723 0.4×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure		 $2,163 $2,163 0.4×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,147 $1,147 0.8×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $2,439 $2,439 0.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $637–$913 $637–$913 varies
Rpr flexor tendon leg secondary w/o graft each (27659)
unusually low: confirm this is the full procedure		 $2,211 $2,211 0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $2,293 $2,293 3.2×
Rpr Lip Full Thickness Vermilion Only (40650) $2,310 $2,310 4.5×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure		 $2,615 $2,615 0.4×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,016 $1,016 0.3×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,065 $3,065 1.0×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
likely a partial charge, not the full procedure		 $1,413 $1,413 0.2×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $557 $557 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,582 $1,582 1.4×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $252–$492 $252–$492 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $262 $262 1.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $381 $381 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $236 $236 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $252–$356 $252–$356 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $294–$370 $294–$370 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $309 $309 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $289 $289 1.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $304 $304 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 2 matching MRF lines		 $262–$603 $262–$603 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $322 $322 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $289 $289 1.5×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $622 $622 0.2×
Sigmoidoscopy & Polypectomy (45333) $318 $318 0.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $679 $679 0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,129 $1,129 2.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $394–$581 $394–$581 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $433–$629 $433–$629 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $834 $834 2.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $393–$509 $393–$509 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $970 $970 5.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $256–$370 $256–$370 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $514 $514 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines		 $458–$676 $458–$676 varies
Skin Full Grft Face/Genit/Hf (15240) $2,024 $2,024 1.0×
Skin Pinch Graft (15050) $1,347 $1,347 1.9×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $306–$605 $306–$605 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $233–$565 $233–$565 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $507–$1,158 $507–$1,158 varies
Skin Tissue Procedure (17999)
range across 2 matching MRF lines		 $263–$534 $263–$534 varies
Skn sub grft f/n/hf/g child (15277)
range across 3 matching MRF lines		 $507–$1,161 $507–$1,161 varies
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $3,369 $3,369 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $395–$523 $395–$523 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $574–$873 $574–$873 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $449–$585 $449–$585 varies
Sphincterotomy anal division sphincter spx (46080) $1,390 $1,390 0.5×
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines		 $390–$845 $390–$845 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $72–$147 $72–$147 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $101–$114 $101–$114 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $119–$135 $119–$135 varies
Strapping Hip (29520) $101 $101 0.8×
Strapping knee (29530)
range across 2 matching MRF lines		 $124–$135 $124–$135 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $119–$135 $119–$135 varies
Strapping toes (29550) $72 $72 1.3×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $128–$267 $128–$267 varies
Surg tx anal fistula subq (46270) $1,258 $1,258 0.5×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $1,824 $1,824 0.3×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $1,841 $1,841 0.3×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $4,089 $4,089 0.6×
Synovectomy carpometacarpal joint (26130) $2,230 $2,230 0.7×
Tangential biopsy skin single lesion (11102) $246 $246 0.6×
Tenodesis long tendon biceps (23430) $3,559 $3,559 0.5×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $2,001 $2,001 0.6×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 3 matching MRF lines		 $663–$1,090 $663–$1,090 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $1,433 $1,433 0.5×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $910 $910 0.6×
Therapeutic pneumothorax (32960) $378 $378 0.6×
Thrombolytic Therapy Stroke (37195) $1,461 $1,461 4.6×
Thyroid biopsy (60100) $292 $292 0.4×
Tooth extraction (41899) $225 $225 1.0×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $5,973–$6,093 $5,973–$6,093 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,607 $1,607 0.5×
Tracheostomy Emergency Cricothyroid Membrane (31605) $942 $942 4.1×
Translum Dil Eye Canal (66174) $3,503 $3,503 0.9×
Treat ectopic pregnancy (59151) $3,530 $3,530 0.6×
Treat Finger Fracture Each (26727) $923 $923 0.3×
Treat fracture radius/ulna (25575) $4,274 $4,274 0.6×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure		 $2,382 $2,382 0.3×
Treat Hip Socket Fracture (27222) $2,880 $2,880 12.1×
Treat humerus fracture (24500)
range across 3 matching MRF lines		 $833–$1,804 $833–$1,804 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines		 $759–$1,644 $759–$1,644 varies
Treat Knee Fracture(S) (27538) $2,328 $2,328 9.8×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $2,439 $2,439 0.3×
Treat Knuckle Dislocation (26700) $1,620 $1,620 6.8×
Treat Metatarsal Fracture (28475) $634 $634 2.7×
Treat Tail Bone Fracture (27200) $503 $503 2.1×
Treat vagina infection (57150) $213 $213 3.8×
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines		 $1,130–$2,383 $1,130–$2,383 varies
Treatment closed elbow dislocation w/o anes (24600) $1,845 $1,845 7.8×
Treatment of ankle fracture (27823)
range across 2 matching MRF lines		 $3,624–$3,696 $3,624–$3,696 varies
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
range across 2 matching MRF lines		 $4,647–$4,741 $4,647–$4,741 varies
Trim skin lesion (11055)
range across 4 matching MRF lines		 $57–$326 $57–$326 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $80–$204 $80–$204 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $102–$241 $102–$241 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $39–$79 $39–$79 varies
Tubal ligation (58600) $1,430 $1,430 0.5×
Tx Gastro Intub W/Asp (43753) $107 $107 0.5×
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 3 matching MRF lines		 $814–$941 $814–$941 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines		 $4,675–$4,769 $4,675–$4,769 varies
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines		 $967–$1,098 $967–$1,098 varies
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines		 $1,832–$1,833 $1,832–$1,833 varies
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines		 $1,251–$1,289 $1,251–$1,289 varies
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $658–$926 $658–$926 varies
Tx superficial wound dehiscence w/packing (12021) $387 $387 1.0×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines		 $3,780–$3,857 $3,780–$3,857 varies
Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) $1,781 $1,781 0.5×
Unlisted hysteroscopy procedure, uterus (58579) $423 $423 2.2×
Unlisted laparoscopic procedure liver (47379)
likely a partial charge, not the full procedure		 $338 $338 0.1×
Unlisted laparoscopy procedure oviduct ovary (58679)
unusually low: confirm this is the full procedure		 $1,865 $1,865 0.3×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $1,536 $1,536 0.3×
Unlisted laparoscopy procedure, biliary tract (47579) $2,989 $2,989 0.5×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $7,613 $7,613 1.3×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $4,958 $4,958 0.9×
Unlisted laparoscopy procedure, lymphatic system (38589)
unusually low: confirm this is the full procedure		 $2,040 $2,040 0.4×
Unlisted procedure anus (46999) $612 $612 0.7×
Unlisted procedure arthroscopy (29999)
range across 3 matching MRF lines		 $2,120–$2,513 $2,120–$2,513 varies
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines		 $275–$359 $275–$359 varies
Unlisted Procedure Esophagus (43499)
range across 2 matching MRF lines		 $2,648–$3,415 $2,648–$3,415 varies
Unlisted procedure excision pressure ulcer (15999) $1,365 $1,365 2.0×
Unlisted Procedure External Ear (69399) $175 $175 0.8×
Unlisted procedure femur or knee (27599)
range across 3 matching MRF lines		 $2,832–$7,243 $2,832–$7,243 varies
Unlisted procedure foot or toes (28899)
range across 6 matching MRF lines		 $105–$2,413 $105–$2,413 varies
Unlisted procedure humerus/elbow (24999) $2,703 $2,703 11.4×
Unlisted Procedure Leg/Ankle (27899)
range across 4 matching MRF lines		 $301–$2,530 $301–$2,530 varies
Unlisted procedure lungs and pleura (32999) $885 $885 1.5×
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines		 $1,841–$5,080 $1,841–$5,080 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $365 $365 1.6×
Unlisted Procedure Rectum (45999) $2,873 $2,873 3.2×
Unlisted procedure stomach (43999)
range across 2 matching MRF lines		 $1,189–$1,206 $1,189–$1,206 varies
Unlisted Procedure Trachea Bronchi (31899) $982 $982 5.1×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines		 $810–$1,263 $810–$1,263 varies
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,250 $2,250 2.6×
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines		 $296–$297 $296–$297 varies
Unlisted px female genital system nonobstetrical (58999)
range across 6 matching MRF lines		 $335–$4,154 $335–$4,154 varies
Urinary Reflex Study (51792) $993 $993 17.5×
Vag hyst w/t/o & vag repair (58263) $4,630 $4,630 1.0×
Vaginal Delivery After Cesarean Delivery (59612) $1,865 $1,865 0.6×
Vaginal delivery only (59409)
range across 3 matching MRF lines		 $1,710–$4,271 $1,710–$4,271 varies
Vaginal hysterectomy, for uterus 250 g or less; (58260) $3,768 $3,768 0.8×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 3 matching MRF lines		 $1,231–$1,557 $1,231–$1,557 varies
Venous Cutdown >1 Y/O (36425) $209 $209 0.5×
Vulvectomy simple partial (56620) $2,491 $2,491 0.8×
Wedge excision skin nail fold (11765) $533 $533 1.4×
Wound Prep F/N/Hf/G (15004) $2,172 $2,172 5.6×
Wound Prep Trk/Arm/Leg (15002)
range across 2 matching MRF lines		 $1,628–$1,717 $1,628–$1,717 varies
Xfer Single Deep Low Leg Tendon (27691) $3,513 $3,513 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.