Procedures & surgery prices at Wayne Hospital

Greenville, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $3,433.89 $4,578.52 4.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $27,539.25 $36,719 32.1×
Abrasion single lesion (15786) $5,010.58 $6,680.77 26.4×
Acne surgery (10040) $14,343.24 $19,124.32 75.6×
Acromiopl/Acromionect Partial (23130) $39,247.34 $52,329.79 12.7×
Amputate Metacarpal Bone (26910) $8,715.94 $11,621.25 2.8×
Amputation Foot Midtarsal (28800) $27,096.74 $36,128.99 8.8×
Amputation foot transmetarsal (28805) $27,096.74 $36,128.99 8.8×
Amputation metatarsal with toe single (28810) $8,613.11 $11,484.14 2.8×
Amputation toe interphalangeal joint (28825) $8,549.48 $11,399.31 2.8×
Amputation toe metatarsophalangeal joint (28820) $6,526.77 $8,702.36 2.1×
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $27,096.74 $36,128.99 8.8×
Amputation, arm through humerus; secondary closure or scar revision Facility (24925) $7,491.22 $9,988.29 2.4×
Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) $7,491.22 $9,988.29 2.4×
Amputation, leg, through tibia and fibula; (27880) $16,622.20 $22,162.93 2.4×
Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) $16,622.20 $22,162.93 5.4×
Amputation, leg, through tibia and fibula; re-amputation (27886) $16,622.20 $22,162.93 5.4×
Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) $8,996 $11,994.66 2.9×
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) $16,622.20 $22,162.93 5.4×
Anal Sp Inf Pmp W/Reprg&Fill (62369) $28,314.63 $37,752.84 97.4×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $6,717.84 $8,957.12 2.6×
Application cast elbow finger short arm (29075) $668.25 $891 2.5×
Application Finger Splint Dynamic (29131) $184.50 $246 3.3×
Application finger splint static (29130) $184.50 $246 1.5×
Application long arm splint shoulder hand (29105) $308.25 $411 2.0×
Application Short Arm Splint Dynamic (29126) $294 $392 2.3×
Application short arm splint forearm-hand static (29125) $237 $316 1.9×
Application short leg splint calf foot (29515) $17,128.46 $22,837.94 111.4×
Arterial puncture (36600) $166.50 $222 1.3×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $43,077.36 $57,436.48 3.5×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines		 $37,914.85–$48,101.84 $50,553.13–$64,135.79 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $1,696.53 $2,262.04 5.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,867.04 $2,489.39 2.8×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $1,630.22–$27,863.38 $2,173.62–$37,151.17 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 5 matching MRF lines		 $651.75–$671.25 $869–$895 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $795 $1,060 2.7×
Arthrodesis ankle open (27870)
range across 2 matching MRF lines		 $27,268.05–$56,330.77 $36,357.40–$75,107.69 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines		 $19,759.08–$24,737.10 $26,345.44–$32,982.80 varies
Arthrodesis subtalar (28725)
range across 2 matching MRF lines		 $27,487.09–$50,295.58 $36,649.45–$67,060.77 varies
Arthrodesis triple (28715) $40,058.40 $53,411.20 3.3×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $26,626.85 $35,502.46 1.6×
Arthroplasty Ankle W/Implant (27702) $61,918.92 $82,558.56 2.4×
Arthroplasty glenohumeral joint total shoulder (23472) $42,424.49 $56,565.98 2.6×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) $39,247.34 $52,329.79 3.2×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $11,483.65 $15,311.53 3.7×
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines		 $23,032.21–$23,209.07 $30,709.61–$30,945.43 varies
Arthroscopy Ankle Surgical Debridement Limited (29897) $24,533.29 $32,711.05 7.9×
Arthroscopy hip w/femoroplasty (29914) $20,559.80 $27,413.07 3.0×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines		 $7,413.53–$7,945.60 $9,884.70–$10,594.13 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 2 matching MRF lines		 $10,130.15–$11,418.25 $13,506.87–$15,224.33 varies
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $8,735.52 $11,647.36 2.8×
Arthroscopy shoulder distal claviculectomy (29824)
range across 3 matching MRF lines		 $16,979.54–$24,641.81 $22,639.39–$32,855.75 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806) $22,886.51 $30,515.35 3.3×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $24,080.03 $32,106.70 7.8×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines		 $15,412.04–$23,465.86 $20,549.38–$31,287.81 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $20,245.22 $26,993.62 6.5×
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines		 $18,615.29–$22,796.82 $24,820.38–$30,395.76 varies
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines		 $16,684.86–$23,430.69 $22,246.48–$31,240.92 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $23,128.45–$24,879.02 $30,837.93–$33,172.02 varies
Arthrotomy W/Meniscus Repair Knee (27403) $52,904.54 $70,539.38 7.7×
Arthrotomy, elbow; with synovial biopsy only Facility (24100) $33,698.12 $44,930.82 10.9×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $33,685.71 $44,914.28 2.8×
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448)
range across 2 matching MRF lines		 $5,278.02–$5,542.64 $7,037.36–$7,390.18 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines		 $29,416.51–$31,102.10 $39,222.01–$41,469.46 varies
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $24,337.91–$28,260.06 $32,450.54–$37,680.08 varies
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891)
range across 2 matching MRF lines		 $22,145.33–$27,509 $29,527.11–$36,678.67 varies
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines		 $7,349.91–$8,048.01 $9,799.88–$10,730.68 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines		 $7,963.32–$8,363.21 $10,617.76–$11,150.95 varies
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $33,698.12 $44,930.82 10.9×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $5,563.07 $7,417.42 3.7×
Arthrt w/synvct kne ant&post w/pop area (27335) $27,828.09 $37,104.12 4.1×
Aspirate pleura w/ imaging (32555) $8,550 $11,400 14.4×
Aspirate Pleura W/O Imaging (32554) $26,004.71 $34,672.95 43.8×
Avulsion nail plate partial/complete simple 1 (11730) $3,494.87 $4,659.82 18.4×
Axillary lymphadenectomy; complete (38745) $13,239.98 $17,653.31 2.3×
Biopsy Abdominal Mass (49180) $3,751.50 $5,002 2.4×
Biopsy muscle percutaneous needle (20206) $4,173 $5,564 2.7×
Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) $17,714.22 $23,618.96 20.6×
Biopsy of liver, needle; percutaneous (47000) $3,751.50 $5,002 2.4×
Biopsy of rectum (45100) $6,982.58 $9,310.10 2.7×
Biopsy Pleura Percutaneous Needle (32400) $4,173 $5,564 2.7×
Biopsy soft tissue back/flank deep (21925) $2,503.50 $3,338 1.6×
Biopsy Soft Tissue Back/Flank Superficial (21920) $3,167.25 $4,223 2.0×
Biopsy soft tissue neck/thorax (21550) $4,173 $5,564 2.7×
Biopsy Vaginal Mucosa Simple (57100) $1,958.25 $2,611 2.2×
Bladder Scan (51798) $342 $456 6.1×
Blood Transfusion Service (36430) $1,299.75 $1,733 3.1×
Bone Graft Any Donor Area Major/Large (20902) $43,077.36 $57,436.48 6.3×
Bone Graft Any Donor Area Minor/Small (20900) $43,077.36 $57,436.48 6.3×
Bone graft with microvascular anastomosis; metatarsal Facility (20957) $43,077.36 $57,436.48 6.3×
Bone Marrow; Aspiration Only (38220) $21,269.07 $28,358.76 13.6×
Breast Reduction (19318) $24,494.60 $32,659.47 3.9×
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines		 $6,682.50–$6,938 $8,910–$9,250.67 varies
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines		 $3,261–$12,443.25 $4,348–$16,591 varies
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines		 $27,634.25–$30,105.48 $36,845.66–$40,140.64 varies
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) $19,320 $25,760 2.8×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $3,775.50–$4,278.57 $5,034–$5,704.76 varies
Carpectomy All Bones Proximal Row (25215) $6,301.65 $8,402.20 2.0×
Catheter aspiration nasotracheal spx (31720) $648 $864 3.1×
Cessj Therapy Cath Removal (37214) $10,545.26 $14,060.34 3.5×
Change Cystostomy Tube Complicated (51710) $1,740.75 $2,321 2.6×
Change Cystostomy Tube Simple (51705) $19,102.94 $25,470.59 80.8×
Chemodenerv 1 extremity 1-4 (64642) $1,437 $1,916 2.2×
Chemodenerv Musc Migraine (64615) $4,441.65 $5,922.20 15.3×
Chemodenerv musc neck dyston (64616) $6,095.65 $8,127.53 21.0×
Chemodenerv trunk musc 1-5 (64646) $1,437 $1,916 2.2×
Chest tube placement (32551) $10,428.75 $13,905 7.0×
Chg onc prst8 ca alys all PSA structural isoforms (0359U) $1,459.50 $1,946 1.9×
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $5,162.25 $6,883 2.6×
Circumcision 28 days or older (54161) $8,513.35 $11,351.13 4.3×
Circumcision Neonate (54160) $2,927.49 $3,903.32 4.4×
Circumcision w/clamp/oth dev w/block (54150) $2,927.49 $3,903.32 1.5×
Claviculectomy partial (23120)
range across 2 matching MRF lines		 $16,136.90–$19,006.25 $21,515.87–$25,341.67 varies
Closed Rx Spontaneous Hip Disloc (27256) $3,010.50 $4,014 12.9×
Closed Treatment Ulnar Styloid Fracture (25650) $2,832 $3,776 12.1×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $13,119.75 $17,493 8.6×
Closed tx radial head/neck fx w/manipulation (24655) $13,119.75 $17,493 8.6×
Closed tx radial head/neck fx w/o manipulation (24650) $13,119.75 $17,493 56.2×
Closed tx radial shaft fracture w/manipulation (25505) $13,119.75 $17,493 8.6×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $13,119.75 $17,493 56.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $13,119.75 $17,493 8.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $13,119.75 $17,493 56.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $2,832 $3,776 12.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $4,967.45 $6,623.27 3.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $4,967.45 $6,623.27 21.3×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $19,071.13 $25,428.17 12.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $19,071.13 $25,428.17 81.7×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $19,071.13 $25,428.17 81.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $13,119.75 $17,493 56.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $13,119.75 $17,493 8.6×
Cltx hip dislocation traumatic req anesthesia (27252) $3,010.50 $4,014 2.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $3,010.50 $4,014 12.9×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $19,071.13 $25,428.17 81.7×
Cltx post hip arthrp dislc req anes (27266) $3,010.50 $4,014 2.0×
Cltx post hip arthrp dislc w/o anes (27265) $3,010.50 $4,014 12.9×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $13,119.75 $17,493 8.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $4,967.45 $6,623.27 3.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $4,967.45 $6,623.27 3.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $6,500.52 $8,667.36 27.9×
Collection of venous blood by venipuncture (36415) $27 $36 2.9×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $19,858.07 $26,477.42 17.5×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $19,858.07 $26,477.42 17.5×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $20,891.19 $27,854.92 18.5×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $19,858.07 $26,477.42 17.5×
Colonoscopy W/Band Ligation (45398) $4,818.18 $6,424.24 4.3×
Colonoscopy W/Resection (45390) $19,858.07 $26,477.42 7.6×
Colonoscopy w/submucosal inj (45381) $5,192.18 $6,922.90 4.6×
Colporrhaphy (57200) $17,460.56 $23,280.74 5.7×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $10,497.25 $13,996.33 36.4×
Colposcopy cervix upper/adjacent vagina (57452) $496.50 $662 2.6×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $813 $1,084 2.8×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $7,868.25 $10,491 2.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $4,384.47 $5,845.96 3.9×
Complex drainage wound (10180) $17,200.66 $22,934.21 6.3×
Conization cervix w/wo d&c rpr eltrd exc (57522) $8,372.65 $11,163.53 2.7×
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) $36,058.22 $48,077.62 3.0×
Correction hammertoe (28285) $16,002.99 $21,337.32 5.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $15,492.65 $20,656.86 5.0×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $43,077.36 $57,436.48 13.9×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $43,077.36 $57,436.48 3.5×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $16,638.83 $22,185.10 2.4×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $43,077.36 $57,436.48 13.9×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $23,122.94 $30,830.59 3.4×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $13,620.27–$14,245.37 $18,160.36–$18,993.83 varies
Cysto calibration dilat urtl strix/stenosis (52281) $7,546.81 $10,062.41 3.8×
Cysto w/destruction of lesions (52214) $23,433.60 $31,244.80 7.0×
Cysto w/insert ureteral stent (52332) $14,684.03 $19,578.71 4.4×
Cysto W/Simple Removal Stone & Stent (52310) $5,438.45 $7,251.26 2.7×
Cysto w/up stricture tx (52342) $31,043.72 $41,391.63 9.3×
Cysto w/ureter stricture tx (52341) $31,043.72 $41,391.63 9.3×
Cysto w/ureteroscopy w/lithotripsy (52353) $23,098.50 $30,798 4.6×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $11,699.24 $15,598.98 3.5×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $31,043.72 $41,391.63 9.3×
Cysto/uretero w/lithotripsy (52356) $16,101.59 $21,468.78 3.2×
Cysto/uretero w/up stricture (52345) $31,232.90 $41,643.86 9.4×
Cystoscopy implant stent (52282) $14,245.37 $18,993.83 4.3×
Cystostomy Cystotomy W/Drainage (51040) $8,692.97 $11,590.63 4.4×
Cystotomy for excision, incision, or repair of ureterocele Facility (51535) $20,024.63 $26,699.50 6.0×
Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) $32,367.94 $43,157.25 9.7×
Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) $20,024.63 $26,699.50 6.0×
Cystouretero w/renal strict (52346) $31,043.72 $41,391.63 6.1×
Cystourethroscopy (52000) $5,070.93 $6,761.24 7.7×
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) $23,098.50 $30,798 4.6×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $9,754.69 $13,006.25 2.9×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $14,684.03 $19,578.71 4.4×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $11,160.08 $14,880.10 2.2×
Cystourethroscopy w/rmvl ureteral calculus (52320) $10,183.40 $13,577.87 3.1×
Cystourethroscopy with biopsy (52204) $9,124.28 $12,165.70 4.6×
Cystourethroscopy with direct vision internal urethrotomy (52276) $14,167.82 $18,890.43 7.2×
Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) $31,043.72 $41,391.63 9.3×
Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) $23,526.75 $31,369 7.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $5,010.58 $6,680.77 13.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $22,975.63 $30,634.17 34.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $22,773.89 $30,365.18 34.0×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $3,969 $5,292 2.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $14,310.44 $19,080.58 20.5×
Debride nail 1-5 (11720) $11,759.90 $15,679.86 210.7×
Debride nail 6 or more (11721) $11,759.90 $15,679.86 210.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $10,315.89 $13,754.52 6.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $9,368.38 $12,491.17 24.4×
Declot vascular device (36593) $10,545.26 $14,060.34 33.7×
Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) $11,909.68 $15,879.57 7.8×
Decompression of tibia nerve (28035)
range across 2 matching MRF lines		 $8,215.47–$23,862.59 $10,953.96–$31,816.78 varies
Delivery of placenta (59414) $7,868.25 $10,491 2.6×
Dermabrasion regional other than face (15782) $5,010.58 $6,680.77 1.8×
Dermabrasion superficial any site (15783) $5,010.58 $6,680.77 13.0×
Destr W Neurolytic; Celiac Plexus (64680) $1,861.50 $2,482 2.2×
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines		 $4,663.16–$6,977.53 $6,217.54–$9,303.37 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $6,978.34–$7,564.25 $9,304.45–$10,085.66 varies
Destruction by neurolytic agent, intercostal nerve (64620) $1,861.50 $2,482 2.2×
Destruction neurolytic agt genicular nerve w/img (64624) $4,795.27 $6,393.69 2.6×
Destruction Vaginal Lesions Simple (57061) $7,868.25 $10,491 2.6×
Diagnostic sigmoidoscopy (45330) $6,300.36 $8,400.48 7.2×
Dilat Xst Trc New Access Rcs (50437) $31,043.72 $41,391.63 9.3×
Dilate Esophagus 1/Mult Pass (43450) $4,449.36 $5,932.48 5.2×
Drain Cerebro Spinal Fluid (62272) $2,241 $2,988 3.4×
Drain/inj small joint/bursa w/us (20604) $592.50 $790 2.0×
Drainage of hematoma/fluid (10140) $10,666.19 $14,221.59 6.8×
Draw Blood Off Venous Device (36591) $213.75 $285 1.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $5,010.58 $6,680.77 13.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $5,010.58 $6,680.77 26.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $5,010.58 $6,680.77 26.4×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,861.50 $2,482 2.2×
Dx gastr intub w/asp specs (43755) $13,522.58 $18,030.10 111.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,904.25 $2,539 2.9×
Egd Balloon Dil Esoph30 Mm/> (43233) $19,858.54 $26,478.05 10.9×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $23,969.93 $31,959.90 13.2×
Egd cautery tumor polyp (43250) $23,969.93 $31,959.90 13.2×
Egd control bleeding any (43255) $27,701.29 $36,935.05 15.3×
Egd dilation gastric/duodenal stricture (43245) $23,969.93 $31,959.90 13.2×
Egd endo mucosal resection (43254) $23,969.93 $31,959.90 13.2×
Egd Endoscopic Stent Place (43266) $23,969.93 $31,959.90 4.2×
Egd Flexible Foreign Body Removal (43247) $10,100.78 $13,467.70 11.8×
Egd guide wire insertion (43248) $23,969.93 $31,959.90 27.9×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $23,969.93 $31,959.90 13.2×
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $19,858.54 $26,478.05 10.9×
Egd intrmural us needle aspirate/biopsy esophags (43238) $19,858.54 $26,478.05 10.9×
Egd lesion ablation (43270) $23,969.93 $31,959.90 13.2×
Egd Optical Endomicroscopy (43252) $19,858.54 $26,478.05 10.9×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $23,969.93 $31,959.90 2.4×
Egd place gastrostomy tube (43246) $23,969.93 $31,959.90 13.2×
Egd remove lesion snare (43251) $31,832.27 $42,443.02 17.5×
Egd Tube/Cath Insertion (43241) $19,858.54 $26,478.05 10.9×
Egd us exam duodenum/jejunum (43259) $19,858.54 $26,478.05 10.9×
Egd us transmural injxn/mark (43253) $23,969.93 $31,959.90 13.2×
Egd Varices Ligation (43244) $23,969.93 $31,959.90 13.2×
Egd W/Thrml Txmnt Gerd (43257) $23,969.93 $31,959.90 6.6×
Egd W/Transmural Drain Cyst (43240) $23,969.93 $31,959.90 4.2×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $28,314.63 $37,752.84 97.4×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $28,314.63 $37,752.84 97.4×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $28,314.63 $37,752.84 97.4×
Embedded ip cath exit-site (49436) $23,440.88 $31,254.50 12.9×
Endometrial Biopsy (58100) $496.50 $662 2.6×
Endoscopic plantar fasciotomy (29893) $23,862.59 $31,816.78 7.7×
Endoscopic us exam esoph (43237) $23,969.93 $31,959.90 13.2×
Endoscopy of ureter (50953) $31,043.72 $41,391.63 9.3×
Endoscopy Upper Small Intestine (44360) $18,316.77 $24,422.36 10.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $8,679 $11,572 2.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $8,679 $11,572 2.9×
Endoven ther chem adhes 1st (36482) $8,679 $11,572 1.6×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $18,316.77 $24,422.36 10.1×
Epidural Blood Patch (62273) $1,794 $2,392 2.7×
Esoph Optical Endomicroscopy (43206) $18,316.77 $24,422.36 10.1×
Esophagogastroduodenoscopy Submucosal Injection (43236) $19,858.54 $26,478.05 23.1×
Esophagoscop Mucosal Resect (43211) $18,316.77 $24,422.36 10.1×
Esophagoscop Stent Placement (43212) $18,316.77 $24,422.36 3.2×
Esophagoscopy Flexible Transnasal Diagnostic (43197) $18,316.77 $24,422.36 21.3×
Esophagoscopy Flexible Transnasal With Biopsy (43198) $30,633.26 $40,844.34 35.7×
Esophagoscopy Flexible Transoral Diagnostic (43200) $18,316.77 $24,422.36 21.3×
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $18,316.77 $24,422.36 10.1×
Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) $30,633.26 $40,844.34 16.9×
Esophagoscopy Rigid Balloon (43195) $18,316.77 $24,422.36 5.0×
Esophagoscopy rigid trnso dx (43191) $18,316.77 $24,422.36 10.1×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $30,633.26 $40,844.34 16.9×
Esophagoscp Rig Trnso Biopsy (43193) $30,633.26 $40,844.34 16.9×
Evacuate mole of uterus (59870) $18,076.13 $24,101.51 5.9×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $3,541.50 $4,722 2.3×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines		 $4,811.57–$5,032.04 $6,415.43–$6,709.39 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $9,126.91 $12,169.21 5.8×
Exc Back Les Sc < 3 Cm (21930) $7,948.98 $10,598.64 5.1×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $13,903.70 $18,538.27 3.8×
Exc Face Les Sbq 2 Cm/> (21012) $9,333.01 $12,444.01 6.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $4,776.30 $6,368.40 3.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $22,669.13 $30,225.51 33.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $9,126.91 $12,169.21 5.8×
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines		 $3,542.39–$3,675.76 $4,723.19–$4,901.01 varies
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines		 $5,716.67–$8,753.28 $7,622.22–$11,671.04 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $4,621 $6,161.33 3.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $24,494.60 $32,659.47 36.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $9,126.91 $12,169.21 5.8×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,328.23 $5,770.97 1.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $24,494.60 $32,659.47 15.7×
Exc tendon shth lesion leg/ankle (27630) $7,582.58 $10,110.11 2.4×
Exc thigh/knee les sc 3 cm/> (27337)
range across 2 matching MRF lines		 $6,441.06–$8,959.16 $8,588.08–$11,945.55 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $5,816.78 $7,755.71 8.7×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $6,037.52 $8,050.03 2.2×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $8,177 $10,902.67 5.2×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $33,638.09 $44,850.79 12.2×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $33,638.09 $44,850.79 12.2×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $4,148.25 $5,531 2.7×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $5,974.68 $7,966.24 3.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $7,059.83 $9,413.11 4.5×
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $11,909.68 $15,879.57 4.3×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $4,648.27 $6,197.69 1.7×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $43,077.36 $57,436.48 13.9×
Exc/fulguration urethral caruncle (53265) $8,740.01 $11,653.35 4.4×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $4,846.50 $6,462 2.7×
Excise breast duct fistula (19112) $24,494.60 $32,659.47 6.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $24,670 $32,893.33 36.8×
Excision lesion meniscus/capsule knee (27347) $34,181.54 $45,575.38 11.0×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $24,494.60 $32,659.47 36.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $24,494.60 $32,659.47 36.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $24,494.60 $32,659.47 63.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $24,494.60 $32,659.47 36.6×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $5,331.74 $7,108.99 3.4×
Excision Multiple External Papillae/Tags Anus (46230) $5,095.27 $6,793.69 1.9×
Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) $43,077.36 $57,436.48 13.9×
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines		 $4,550.11–$6,044.85 $6,066.81–$8,059.80 varies
Excision of pilonidal cyst or sinus; simple (11770) $9,073.69 $12,098.25 3.3×
Excision of single external papilla or tag, anus (46220) $8,048.29 $10,731.05 7.1×
Excision of vaginal cyst or tumor (57135) $7,868.25 $10,491 2.6×
Excision olecranon bursa (24105) $8,384.78 $11,179.71 2.7×
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) $43,077.36 $57,436.48 6.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $18,496.11 $24,661.48 6.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $7,925.92 $10,567.89 2.9×
Excision prepatellar bursa (27340) $9,892.37 $13,189.82 3.2×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $23,440.88 $31,254.50 3.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $9,118.01 $12,157.34 5.8×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $9,700.91 $12,934.55 3.5×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $5,699.57 $7,599.43 3.6×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $10,503.05 $14,004.07 6.7×
Excision, interdigital (morton) neuroma, single, each (28080) $8,367.62 $11,156.83 5.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $8,587.15 $11,449.53 3.1×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $9,567.05 $12,756.06 6.1×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632)
range across 2 matching MRF lines		 $7,469.95–$7,793.31 $9,959.93–$10,391.08 varies
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $11,909.68 $15,879.57 4.3×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $9,187.97 $12,250.63 5.9×
Expl penetrating wound spx abdomen/flank/back (20102) $23,440.88 $31,254.50 12.0×
Explore/Treat Elbow Joint (24101) $33,698.12 $44,930.82 10.9×
Fasciectomy Palm Only (26121) $7,792.84 $10,390.45 2.5×
Fasciectomy Plantar Fascia Partial Spx (28060) $10,472.46 $13,963.28 3.4×
Fasciotomy palmar open partial (26045) $3,747.41 $4,996.55 1.2×
Fasciotomy Plantar Fascia Radical Spx (28062) $7,996.52 $10,662.03 2.6×
Fetal Contraction Stress Test (59020) $3,057 $4,076 16.0×
Fetal non-stress test (59025) $1,032 $1,376 5.4×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,567.50 $2,090 2.3×
Fine needle aspiration without imaging guidance (10021) $942.75 $1,257 2.5×
Fluoro exam of g/colon tube (49465) $789.75 $1,053 3.5×
Fna bx w/us gdn 1st les (10005) $1,881 $2,508 2.8×
Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) $43,077.36 $57,436.48 6.3×
Fuse hand bones with graft (25825) $17,463.97 $23,285.29 2.5×
Fusion Finger Joint (26860) $7,807.76 $10,410.35 2.5×
Fusion of foot bones (28740)
range across 2 matching MRF lines		 $30,252.83–$31,843.91 $40,337.11–$42,458.55 varies
Gastrocnemius recession (27687)
range across 2 matching MRF lines		 $21,361.67–$30,197.59 $28,482.22–$40,263.45 varies
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $10,046.84 $13,395.79 5.5×
Guide Cathet Fluid Drainage (10030) $1,567.50 $2,090 2.3×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $43,077.36 $57,436.48 6.3×
Hemiarthroplasty hip partial (27125) $34,537.25 $46,049.67 2.8×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $6,486.79 $8,649.05 2.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $8,756.61 $11,675.48 3.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $9,048.15–$9,549.44 $12,064.20–$12,732.58 varies
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $6,905.22 $9,206.96 7.8×
Hip arthro w/labral repair (29916)
range across 2 matching MRF lines		 $22,126.15–$22,558.29 $29,501.53–$30,077.72 varies
Hysteroscopy Biopsy (58558) $9,998.75 $13,331.67 3.3×
Hysteroscopy Endometrial Ablation (58563) $11,934.50 $15,912.66 2.5×
I&d abscess simple (10060) $438 $584 2.3×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,205.25 $1,607 0.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $9,618.53 $12,824.71 3.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $8,283.75 $11,045 2.7×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $8,283.75 $11,045 2.7×
I&d perianal abscess superficial (46050) $10,000.07 $13,333.42 11.4×
I&d pilonidal cyst complicated (10081) $21,052.14 $28,069.52 31.4×
I&d pilonidal cyst simple (10080) $21,052.14 $28,069.52 31.4×
I&d shoulder deep abscess/hematoma (23030) $10,276.02 $13,701.36 3.7×
I&d upper arm/elbow deep abscess/hematoma (23930) $7,188.75 $9,585 2.6×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $18,316.77 $24,422.36 21.3×
Image Cath Fluid Colxn Visc (49405) $3,860.25 $5,147 2.5×
Image Cath Fluid Peri/Retro (49406) $1,567.50 $2,090 1.0×
Implant neuroelectrodes (63650) $20,384.45 $27,179.26 3.4×
Implant Periph/Gastric Neurostim/Receiver (64590) $66,504.75 $88,673 3.6×
Incise finger tendon sheath (26055) $4,175.45 $5,567.27 2.7×
Incision & drainage abscess complicated/multiple (10061) $7,541.47 $10,055.29 19.6×
Incision & drainage leg/ankle abscess/hematoma (27603) $7,188.75 $9,585 2.6×
Incision & removal foreign body subq tiss compl (10121) $28,262.93 $37,683.91 18.1×
Incision & removal foreign body subq tiss simple (10120) $3,289.38 $4,385.84 8.6×
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines		 $2,689.50–$2,953.01 $3,586–$3,937.34 varies
Incision of rectal abscess (46040) $10,786.86 $14,382.48 9.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $7,500.62 $10,000.83 4.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $2,373.68–$3,018.98 $3,164.91–$4,025.30 varies
Inj W/Fluor Eval Cv Device (36598) $682.46 $909.94 3.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines		 $2,047.50–$2,109 $2,730–$2,812 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $592.50 $790 2.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,437 $1,916 1.7×
Injection aa&/strd genicular nrv branches w/img (64454) $1,474.01 $1,965.35 2.2×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $4,021.50–$4,072.15 $5,362–$5,429.53 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451) $1,666 $2,221.33 2.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,437 $1,916 2.2×
Injection Anes Superior Hypogastric Plexus (64517) $1,861.50 $2,482 2.2×
Injection anesthetic agent suprascapular nerve (64418) $1,437 $1,916 2.2×
Injection for identification of sentinel node (38792) $29,779.38 $39,705.84 78.7×
Injection Into Brain Canal (61055) $613.50 $818 2.1×
Injection single tendon origin/insertion (20551) $592.50 $790 2.0×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $928.49–$1,337.90 $1,237.98–$1,783.87 varies
Injection single/mlt trigger point 3/> muscles (20553) $605.18 $806.91 2.1×
Injection therapeutic carpal tunnel (20526) $4,148.25 $5,531 14.3×
Injection, anesthetic agent; brachial plexus, single (64415) $36,890.69 $49,187.59 44.1×
Injection, anesthetic agent; femoral nerve, single (64447) $30,069.91 $40,093.21 45.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $3,361.52 $4,482.03 5.0×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,861.50 $2,482 2.2×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,861.50 $2,482 2.2×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $1,861.50 $2,482 2.2×
Insert Bladder Cath Complex (51703) $16,253.88 $21,671.84 133.5×
Insert cath pleura w/ image (32557) $11,951.27 $15,935.03 8.0×
Insert cath pleura w/o image (32556) $11,951.27 $15,935.03 6.6×
Insert non-tunnel cv cath (36556) $27,367.80 $36,490.40 9.2×
Insert pessary/other device (57160) $496.50 $662 2.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $18,652.03 $24,869.37 12.5×
Insert spine infusion device (62360) $28,262.93 $37,683.91 1.7×
Insert Temp Bladder Cath (51702) $435 $580 3.5×
Insert tun ip cath perc (49418) $19,635.26 $26,180.35 5.8×
Insert tunneled cv cath (36561) $9,692.87 $12,923.82 3.2×
Insert tunneled cv cath (36563) $16,112.33 $21,483.10 3.1×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $16,112.33 $21,483.10 3.1×
Insert,Non-Indwelling Bladder Catheter (51701) $19,284.02 $25,712.02 153.2×
Insertion indwelling tunneled pleural catheter (32550) $11,951.27 $15,935.03 3.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $20,956.87 $27,942.49 14.1×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $13,344.87 $17,793.16 1.7×
Insj Picc Rs&I <5 Yr (36572) $20,956.87 $27,942.49 35.3×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $18,652.03 $24,869.37 6.2×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $18,652.03 $24,869.37 6.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $11,955.01 $15,940.01 8.0×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $36,307.50 $48,410 3.0×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $16,112.33 $21,483.10 5.4×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $16,112.33 $21,483.10 3.1×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $16,112.33 $21,483.10 5.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $16,112.33 $21,483.10 5.4×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $66,504.75 $88,673 2.3×
Intro Gastrointestinal Tube (44500) $2,076 $2,768 2.4×
Kidney endoscopy (50575) $32,367.94 $43,157.25 6.4×
Kidney endoscopy (50553) $31,043.72 $41,391.63 6.1×
Kidney endoscopy (50551) $31,043.72 $41,391.63 6.1×
Lap replace gastr adj device (43773) $23,969.93 $31,959.90 4.2×
Lap revision perm ip cath (49325) $23,440.88 $31,254.50 4.1×
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines		 $15,335.11–$21,817.84 $20,446.81–$29,090.45 varies
Laparoscopy gastrostomy (43653) $23,969.93 $31,959.90 4.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 3 matching MRF lines		 $16,835.33–$20,504.14 $22,447.10–$27,338.85 varies
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $19,779.75 $26,373 2.0×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) $19,779.75 $26,373 2.0×
Laparoscopy w/rmvl adnexal structures (58661)
range across 3 matching MRF lines		 $12,252.55–$15,269.66 $16,336.73–$20,359.54 varies
Laparoscopy, surgical, appendectomy (44970) $21,799.19 $29,065.58 3.8×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $23,969.93 $31,959.90 2.4×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $23,969.93 $31,959.90 6.6×
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $19,779.75 $26,373 2.0×
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) $19,122.62 $25,496.82 3.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $24,373.68 $32,498.24 4.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $31,601.66 $42,135.54 3.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $16,312.82 $21,750.42 2.9×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $16,972.79 $22,630.39 3.0×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines		 $12,457.79–$17,569.38 $16,610.38–$23,425.84 varies
Laps Gastric Restrictive Px Remove Device & Port (43774) $23,969.93 $31,959.90 6.6×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $19,779.75 $26,373 2.0×
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) $21,811.19 $29,081.58 2.2×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $1,050 $1,400 2.8×
Laser vaporization of prostate (52648) $23,433.60 $31,244.80 4.6×
Late closure of wound (13160) $23,440.88 $31,254.50 7.0×
Ligamentous Reconstruction Knee Extra-Articular (27427) $20,957.25 $27,943 3.1×
Litholapaxy comp/lg > 2.5 cm (52318) $17,305.07 $23,073.42 5.2×
Litholapaxy smpl/sm <2.5 cm (52317) $19,011.02 $25,348.03 5.7×
Lithotripsy, extracorporeal shock wave (50590)
range across 3 matching MRF lines		 $8,489.15–$9,014.60 $11,318.87–$12,019.46 varies
Lsh uterus 250 g or less (58541) $19,779.75 $26,373 2.0×
Lsh uterus above 250 g (58543) $19,779.75 $26,373 2.0×
Lsh w/t/o uterus above 250 g (58544) $19,779.75 $26,373 2.0×
Manipulation knee joint under general anesthesia (27570)
range across 3 matching MRF lines		 $3,919.64–$9,201.92 $5,226.18–$12,269.23 varies
Mast mod rad (19307) $36,860.57 $49,147.42 5.9×
Mastectomy for gynecomastia (19300) $24,494.60 $32,659.47 6.6×
Mastectomy partial (19301) $31,835.60 $42,447.46 8.6×
Mastectomy partial w/axillary lymphadenectomy (19302) $24,494.60 $32,659.47 3.9×
Mastectomy simple complete (19303) $37,488.05 $49,984.06 6.0×
Maternity Care Procedure (59899) $19,059.14 $25,412.18 99.6×
Metatarsectomy (28140) $43,077.36 $57,436.48 13.9×
Myelography Lumbar Injection (62305) $2,161.50 $2,882 2.9×
Myelography Lumbar Injection (62304) $2,161.50 $2,882 2.9×
Myelography via lumbar injection rs&i cervical (62302) $2,161.50 $2,882 2.9×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,161.50 $2,882 2.9×
N Block Inj Celiac Pelus (64530) $1,861.50 $2,482 2.2×
N Block Inj Ilio-Ing/Hypogi (64425) $1,604.39 $2,139.19 2.4×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $4,021.50–$4,072.15 $5,362–$5,429.53 varies
N Block Inj Pudendal (64430) $1,861.50 $2,482 2.2×
N Block Lumbar/Thoracic (64520) $2,576.59 $3,435.45 3.1×
Nasal/Orogastric W/Tube Plmt (43752) $629.25 $839 1.5×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $18,316.77 $24,422.36 20.8×
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 3 matching MRF lines		 $6,034.92–$8,827.65 $8,046.56–$11,770.20 varies
Needle Biopsy Lymph Nodes (38505) $966 $1,288 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $20.25 $27 0.7×
Needle insertion w/o injection 3 or more muscles (20561) $41.25 $55 1.5×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines		 $5,800.16–$6,397.68 $7,733.55–$8,530.24 varies
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 2 matching MRF lines		 $8,857.78–$14,126.94 $11,810.37–$18,835.92 varies
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $14,126.94 $18,835.92 7.6×
Nipple Exploration (19110) $24,494.60 $32,659.47 6.6×
Njx anes stellate ganglion crv sympathetic (64510) $2,628.26 $3,504.35 3.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,043.25 $1,391 3.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines		 $2,810.51–$3,011.23 $3,747.35–$4,014.97 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $1,861.50 $2,482 2.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,681.28 $2,241.71 2.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,437 $1,916 2.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $1,861.50 $2,482 2.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,656.92 $2,209.22 2.5×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $2,488.50 $3,318 3.8×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $649.34–$676.31 $865.79–$901.75 varies
Open biopsy/excision inguinofemoral nodes (38531) $24,651.14 $32,868.18 6.7×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $59,882.51 $79,843.35 8.7×
Open Treatment Bimalleolar Ankle Fracture (27814) $20,906.96 $27,875.94 3.0×
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines		 $22,776.80–$26,819.46 $30,369.06–$35,759.28 varies
Open Treatment Fracture Distal Tibia & Fibula (27828) $38,486.48 $51,315.30 3.2×
Open treatment fracture distal tibia only (27827) $44,116.47 $58,821.96 3.6×
Open treatment greater trochanteric fracture (27248) $32,141.76 $42,855.68 4.7×
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines		 $19,156.77–$22,167.96 $25,542.36–$29,557.28 varies
Open treatment metatarsal fracture each (28485) $26,726.18 $35,634.90 3.9×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $22,669.13 $30,225.51 3.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines		 $23,151.38–$34,044.54 $30,868.50–$45,392.72 varies
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) $28,393.25 $37,857.67 4.1×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) $36,317.36 $48,423.15 5.3×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $36,317.36 $48,423.15 5.3×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $30,887.65 $41,183.53 4.5×
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) $32,141.76 $42,855.68 4.7×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $44,850.31 $59,800.41 3.7×
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) $59,882.51 $79,843.35 8.7×
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) $59,882.51 $79,843.35 8.7×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $51,191.25 $68,255 7.5×
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) $28,393.25 $37,857.67 9.2×
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) $28,393.25 $37,857.67 4.1×
Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) $28,393.25 $37,857.67 4.1×
Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) $28,393.25 $37,857.67 9.2×
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) $22,669.13 $30,225.51 3.3×
Open Treatment of Ulnar Shaft Fracture (25545) $59,882.51 $79,843.35 8.7×
Open treatment of ulnar styloid fracture (25652) $59,882.51 $79,843.35 8.7×
Open treatment posterior malleolus fracture (27769) $23,200.55 $30,934.06 3.4×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $30,887.65 $41,183.53 4.5×
Open Treatment Proximal Humeral Fracture (23615) $30,978.28 $41,304.37 2.6×
Open Treatment Radial Shaft Fracture (25515) $14,298.12 $19,064.16 2.1×
Open tx carpal scaphoid navicular fracture (25628) $19,442.03 $25,922.71 2.8×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines		 $15,736.95–$21,736.13 $20,982.60–$28,981.51 varies
Open Tx Distal Tibiofibular Joint Disruption (27829) $20,504.69 $27,339.59 3.0×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $6,060.13 $8,080.17 2.0×
Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) $29,517.44 $39,356.58 4.3×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $15,958.65 $21,278.20 5.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $12,551.25 $16,735 4.1×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $29,517.44 $39,356.58 4.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines		 $23,462.80–$26,220.37 $31,283.73–$34,960.49 varies
Open tx ulnar fx proximal end (24685) $59,882.51 $79,843.35 8.7×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines		 $13,229.06–$15,169.13 $17,638.75–$20,225.51 varies
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $15,469.65 $20,626.20 2.3×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $31,800.36 $42,400.48 4.6×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $28,187.49 $37,583.32 2.3×
Optx tibial fx prox bicondylar w/wo int fixj (27536) $52,904.54 $70,539.38 7.7×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) $29,859.99 $39,813.32 2.5×
Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) $46,543.94 $62,058.59 14.0×
Ostc compl all metar heads w/prtl prox phalangc (28114) $43,077.36 $57,436.48 13.9×
Ostc prtl exostc/condylc metar head (28288) $31,047.80 $41,397.06 10.0×
Ostectomy calcaneus (28118)
range across 2 matching MRF lines		 $19,376.42–$29,573.12 $25,835.22–$39,430.82 varies
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $43,077.36 $57,436.48 13.9×
Ostectomy, complete excision; fifth metatarsal head (28113) $10,214.51 $13,619.35 3.3×
Ostectomy, complete excision; first metatarsal head (28111) $43,077.36 $57,436.48 13.9×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $43,077.36 $57,436.48 13.9×
Osteoplasty, femur; shortening (excluding 64876) Facility (27465) $32,663.71 $43,551.61 4.8×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) $43,077.36 $57,436.48 6.3×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $43,077.36 $57,436.48 6.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $32,458.27 $43,277.69 10.5×
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines		 $24,488.97–$28,871.52 $32,651.96–$38,495.36 varies
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
range across 2 matching MRF lines		 $26,810–$39,452.68 $35,746.66–$52,603.57 varies
Osteotomy, femoral neck (separate procedure) Facility (27161) $28,393.25 $37,857.67 4.1×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $36,317.36 $48,423.15 5.3×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $43,077.36 $57,436.48 6.3×
Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) $49,641.24 $66,188.32 4.1×
Ovarian cystectomy, unilateral or bilateral (58925) $16,567.84 $22,090.45 3.5×
Part remv talus or calcaneus (28120)
range across 2 matching MRF lines		 $10,697.40–$24,080.03 $14,263.20–$32,106.70 varies
Partial excision bone metacarpal (26230) $4,018.15 $5,357.53 1.3×
Partial Excision Distal Phalanx Finger (26236) $3,644.24 $4,858.99 2.4×
Partial removal of fibula (27641) $5,583.90 $7,445.20 1.8×
Partial removal of tibia (27640) $12,144.27 $16,192.36 3.9×
Partical Excision Bone Phalanx Toe (28124) $4,757.13 $6,342.84 1.5×
Pelvic examination under anesthesia (other than local) (57410) $340.50 $454 0.1×
Percut Drain/Inject Renal Cyst (50390)
range across 4 matching MRF lines		 $1,896–$2,670.75 $2,528–$3,561 varies
Percut Mech Thrombectomy, Venous, Repeat (37188) $10,545.26 $14,060.34 3.5×
Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) $45,822.75 $61,097 30.1×
Perq dev breast 1st us imag (19285) $2,250 $3,000 3.4×
Perq device breast 1st imag (19281)
range across 3 matching MRF lines		 $174–$2,661.75 $232–$3,549 varies
Perq dilation xst trc endourologic px w/img (50436) $31,043.72 $41,391.63 9.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $14,152.50 $18,870 2.1×
Perq Vertebral Augmentation (22513) $14,152.50 $18,870 2.1×
Prim art mech thrombectomy (37184) $10,545.26 $14,060.34 0.6×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $19,858.07 $26,477.42 17.5×
Prostate laser enucleation (52649) $23,433.60 $31,244.80 4.6×
Prosthesis Removal Humeral/Glenoid Component (23334) $27,965.11 $37,286.81 4.1×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $13,927.50 $18,570 2.3×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $11,952.81 $15,937.08 3.9×
Prq skel fixj femoral fx prox end neck (27235) $33,951.83 $45,269.11 4.9×
Prq Skeletal Fixj Femoral Fx Distal End (27509) $33,951.83 $45,269.11 4.9×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $11,554.96 $15,406.61 3.7×
Punch biopsy skin single lesion (11104) $21,257.01 $28,342.68 55.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,038.75 $1,385 2.7×
Puncture Aspiration Cyst Breast (19000) $939.75 $1,253 1.4×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,437 $1,916 2.2×
Push Transfusion Blood 2 Yr/Under (36440) $17,700.65 $23,600.86 42.4×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) $26,325.45 $35,100.60 9.6×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) $26,325.45 $35,100.60 9.6×
Radical Resection Tumor Metatarsal (28173) $43,077.36 $57,436.48 13.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,969 $5,292 2.1×
Rcnstj angular dfrm toe soft tiss px only (28313) $16,421.41 $21,895.21 5.3×
Rcnstj Dislocating Patella (27420) $22,827.93 $30,437.24 3.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
range across 2 matching MRF lines		 $20,098.77–$35,575.97 $26,798.36–$47,434.63 varies
Realignment of knee (27455) $29,859.99 $39,813.32 4.3×
Reinforce hip bones (27187) $28,048.92 $37,398.56 4.1×
Removal Foreign Body Deep Thigh/Knee (27372) $19,443 $25,924 7.1×
Removal Implant Deep (20680) $10,526.53 $14,035.37 3.8×
Removal of bladder cyst (51500) $23,440.88 $31,254.50 4.1×
Removal of hip joint lining (27054) $19,320 $25,760 6.2×
Removal of knee prosthesis (27488) $51,085.71 $68,114.28 4.2×
Removal of nail bed (11750) $3,644.24 $4,858.99 9.5×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $27,965.11 $37,286.81 4.1×
Removal of wrist bone (25210) $4,689.52 $6,252.69 1.5×
Removal peritoneal-venous shunt (49429) $23,440.88 $31,254.50 7.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $9,364.73 $12,486.30 49.3×
Removal, under anesthesia, of external fixation system (20694) $45,169.16 $60,225.55 29.7×
Remove Elbow Joint Lining (24102) $33,698.12 $44,930.82 10.9×
Remove Intrauterine Device (58301) $12,751.38 $17,001.84 44.2×
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines		 $3,330.28–$4,545.75 $4,440.37–$6,061 varies
Remove/graft foot lesion (28107) $14,114.75 $18,819.67 2.1×
Renal Biopsy Perq (50200)
range across 4 matching MRF lines		 $1,896–$2,670.75 $2,528–$3,561 varies
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) $23,098.50 $30,798 4.6×
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) $31,043.72 $41,391.63 47.1×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $16,319.63–$16,642.31 $21,759.50–$22,189.74 varies
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines		 $23,824.48–$27,554.48 $31,765.97–$36,739.30 varies
Repair extensor tendon finger w/o graft each (26418) $5,682.62 $7,576.82 3.7×
Repair Finger/Hand Tendon (26350) $13,408.53 $17,878.04 4.3×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $22,621.31 $30,161.74 7.3×
Repair Foot Dislocation (28615)
range across 2 matching MRF lines		 $23,399.30–$29,602.16 $31,199.06–$39,469.55 varies
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines		 $7,037.89–$7,916.53 $9,383.85–$10,555.37 varies
Repair Hand Joint (26540) $9,131.12 $12,174.83 2.9×
Repair incomplete circumcision (54163) $2,927.49 $3,903.32 1.5×
Repair inguinal hernia, sliding, any age (49525) $23,346.75 $31,129 6.9×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $21,758.57 $29,011.43 6.4×
Repair initial femoral hernia, any age; reducible (49550) $21,758.57 $29,011.43 6.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $22,311.59 $29,748.78 6.6×
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) $23,346.75 $31,129 6.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $10,337.23 $13,782.97 14.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $10,337.23 $13,782.97 26.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $10,337.23 $13,782.97 26.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $10,337.23 $13,782.97 14.8×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $10,337.23 $13,782.97 5.3×
Repair Non/Malunion Humerus W/O Graft (24430) $34,507.53 $46,010.04 2.8×
Repair Nonunion/Malunion Tibia W/O Graft (27720) $29,517.44 $39,356.58 4.3×
Repair of anal sphincter (46760) $7,779.75 $10,373 3.0×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $21,894.86 $29,193.15 3.2×
Repair of hammertoe (28286)
range across 2 matching MRF lines		 $15,338.74–$26,135.23 $20,451.65–$34,846.97 varies
Repair of metatarsals (28322) $51,191.25 $68,255 7.5×
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) $59,882.51 $79,843.35 8.7×
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $59,882.51 $79,843.35 8.7×
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) $29,517.44 $39,356.58 4.3×
Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) $29,517.44 $39,356.58 4.3×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines		 $16,266.77–$17,561.36 $21,689.03–$23,415.15 varies
Repair of urethra injury (53502) $17,860.52 $23,814.03 5.4×
Repair radius & ulna (25415) $59,882.51 $79,843.35 8.7×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $21,758.57 $29,011.43 6.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $23,346.75 $31,129 3.8×
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines		 $16,438.64–$19,219.16 $21,918.18–$25,625.55 varies
Repair secondary achilles tendon w/wo graft (27654) $19,223.15 $25,630.86 2.8×
Repair Toe Dislocation (28645) $12,428.87 $16,571.82 4.0×
Repair umbilical lesion (49600) $23,440.88 $31,254.50 6.9×
Repair webbed toe(s) (28345) $22,669.13 $30,225.51 14.9×
Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) $23,346.75 $31,129 6.9×
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) $23,346.75 $31,129 4.1×
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines		 $25,020.66–$31,782.20 $33,360.88–$42,376.27 varies
Repair/graft achilles tendon (27652) $29,573.12 $39,430.82 4.3×
Replace g/c tube perc (49450) $681 $908 0.8×
Reposition Gastrostomy Tube (43761) $681 $908 2.9×
Reposition Venous Catheter (36597) $4,140.75 $5,521 2.8×
Rerepair ing hernia reduce (49520) $12,123.61 $16,164.81 3.6×
Resect enlarged toe tissue (28340) $51,191.25 $68,255 16.5×
Resection of elbow joint (arthrectomy) Facility (24155) $33,698.12 $44,930.82 10.9×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $23,142.29 $30,856.39 7.5×
Revis reconst shoulder joint (23473) $37,567.65 $50,090.20 3.1×
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $23,501.81 $31,335.75 1.9×
Revision of reconstructed breast (19380) $24,494.60 $32,659.47 3.9×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) $33,044.09 $44,058.78 2.7×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $13,927.50 $18,570 2.3×
Revj tot hip arthrp bth w/wo agrft/algrft (27134) $37,059.14 $49,412.19 3.1×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $29,914.56 $39,886.08 1.8×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $50,911.95 $67,882.60 4.2×
Rmvl fecal impaction/fb spx under anes (45915) $41,549.25 $55,399 36.7×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $19,400.81 $25,867.75 7.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $14,958.31 $19,944.41 9.6×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $3,969 $5,292 2.1×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $3,969 $5,292 2.1×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $28,262.93 $37,683.91 8.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $6,121.64 $8,162.18 4.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,578 $2,104 2.7×
Rplcmt cath ctr vad subq port/pmp (36578) $7,320 $9,760 2.5×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $2,811.75 $3,749 1.9×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $7,320 $9,760 2.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,811.75 $3,749 1.9×
Rplcmt compl tun ctr vad w/subq pmp (36583) $12,362.25 $16,483 2.3×
Rplcmt compl tun ctr vad w/subq port (36582) $7,320 $9,760 2.5×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $7,320 $9,760 2.5×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $21,834.26 $29,112.35 3.8×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $10,950.20 $14,600.26 3.2×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $23,943.35 $31,924.47 3.9×
Rpr aa hernia recr 3-10 cm reducible (49615) $19,376.16 $25,834.88 3.2×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $9,775.28 $13,033.71 2.9×
Rpr aa hrn 1st 3-10 rdc (49593) $15,360.16 $20,480.21 2.5×
Rpr aa hrn 1st < 3 ncr/strn (49592) $9,230.61 $12,307.48 1.6×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $4,140.75 $5,521 2.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $9,589.19 $12,785.58 50.5×
Rpr flexor tendon leg secondary w/o graft each (27659)
range across 2 matching MRF lines		 $23,123.99–$25,861.43 $30,831.98–$34,481.90 varies
Rpr ing hern premie blocked (49492) $23,346.75 $31,129 6.9×
Rpr Ing Hernia Baby, Reduc (49495) $23,346.75 $31,129 6.9×
Rpr ing hernia init reduce (49500) $23,346.75 $31,129 3.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $10,337.23 $13,782.97 14.8×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $29,517.44 $39,356.58 4.3×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
range across 2 matching MRF lines		 $26,264.86–$26,435.78 $35,019.81–$35,247.70 varies
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines		 $11,073.89–$13,091.33 $14,765.18–$17,455.11 varies
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,610.25 $2,147 2.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $12,964.88 $17,286.50 4.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,940.72 $5,254.29 3.5×
Shoulder Arthroscopy/Surgery (29825) $17,948.46 $23,931.28 5.8×
Sigmoidoscopy & Polypectomy (45333) $19,858.07 $26,477.42 22.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $11,087.05 $14,782.73 9.8×
Sigmoidoscopy w/fb removal (45332) $41,549.25 $55,399 36.7×
Sigmoidoscopy W/Resection (45349) $19,858.07 $26,477.42 7.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $4,795.52 $6,394.02 5.5×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $15,268.87 $20,358.49 13.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $9,589.19 $12,785.58 50.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $9,589.19 $12,785.58 50.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $9,589.19 $12,785.58 50.5×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $9,589.19 $12,785.58 50.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $9,618.41 $12,824.55 50.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $9,618.41 $12,824.55 50.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $9,618.41 $12,824.55 50.7×
Skin sub graft face/nk/hf/g (15275) $20,251.67 $27,002.22 29.0×
Skin sub graft trnk/arm/leg (15271) $26,840.15 $35,786.86 38.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $9,618.41 $12,824.55 50.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $9,618.41 $12,824.55 25.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $9,618.41 $12,824.55 25.0×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $7,779.75 $10,373 3.0×
Sphnctrop Anal Levator Musc Imbrcj (46761) $7,779.75 $10,373 3.0×
Spinal puncture lumbar diagnostic (62270) $6,519.63 $8,692.84 9.8×
Strapping Unna Boot (29580) $391.50 $522 2.5×
Surg Implnt Neuroelect,Epidural (63655) $26,250 $35,000 1.4×
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines		 $15,587.79–$28,267.37 $20,783.72–$37,689.83 varies
Suture of quadriceps or hamstring muscle rupture primary (27385) $13,011.33 $17,348.44 1.9×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $7,388.36 $9,851.14 2.4×
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines		 $19,030.58–$21,688.61 $25,374.10–$28,918.14 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $19,448.89 $25,931.85 12.8×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,680.75 $2,241 2.5×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $27,859.50 $37,146 2.3×
Thromblytic art/ven therapy (37213) $10,545.26 $14,060.34 3.5×
Thrombolytic Venous Therapy (37212) $10,545.26 $14,060.34 3.5×
Thyroid biopsy (60100) $329.25 $439 0.5×
Tlh uterus over 250 g (58572) $19,779.75 $26,373 2.0×
Tnot elbow lateral/medial debride open (24358) $6,397.68 $8,530.24 2.1×
Tnot elbow lateral/medial debride open tdn rpr (24359) $8,866.70 $11,822.26 2.9×
Tooth extraction (41899) $7,018.91 $9,358.54 31.3×
Total Knee Arthroplasty (27447) $45,700.44 $60,933.92 3.8×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $4,874.64 $6,499.52 2.6×
Transur electr resection of prostate (52601) $18,670.10 $24,893.46 3.7×
Transvesical ureterolithotomy Facility (51060) $32,367.94 $43,157.25 16.4×
Treat ectopic pregnancy (59151) $15,463.75 $20,618.33 2.7×
Treat Elbow Fracture (24635) $59,882.51 $79,843.35 8.7×
Treat elbow fracture (24587) $59,882.51 $79,843.35 4.9×
Treat Finger Fracture Each (26727) $6,548.39 $8,731.18 2.1×
Treat fracture radius/ulna (25575) $59,882.51 $79,843.35 8.7×
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines		 $13,453.41–$15,275.33 $17,937.88–$20,367.11 varies
Treat humerus fracture (23616) $39,247.34 $52,329.79 2.4×
Treat Knee Fracture(S) (27538) $17,128.46 $22,837.94 73.4×
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines		 $18,943.66–$21,319.22 $25,258.21–$28,425.62 varies
Treat lower leg dislocation (27832) $29,859.99 $39,813.32 4.3×
Treat midfoot fracture (28456) $45,822.75 $61,097 6.7×
Treatment of ankle fracture (27823) $21,294.82 $28,393.09 3.1×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $32,141.76 $42,855.68 4.7×
Trimming Nondystrophic Nails Any Number (11719) $11,759.90 $15,679.86 210.7×
Tx Gastro Intub W/Asp (43753) $13,522.58 $18,030.10 66.2×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $27,706.51 $36,942.01 2.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $8,375.37 $11,167.16 2.7×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $12,836.85 $17,115.80 1.9×
Tx Missed Abortion First Trimester Surgical (59820) $9,174.02 $12,232.03 3.0×
Tx Missed Abortion Second Trimester Surgical (59821) $18,076.13 $24,101.51 5.9×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $3,010.50 $4,014 2.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $8,540.21 $11,386.94 12.2×
Unlisted fetal invasive px w/ultrasound (59897) $10,278.86 $13,705.15 53.7×
Unlisted hysteroscopy procedure, uterus (58579) $9,981.71 $13,308.95 52.2×
Unlisted laparoscopy procedure stomach (43659) $23,969.93 $31,959.90 4.2×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $41,754.83 $55,673.10 7.3×
Unlisted procedure arthroscopy (29999) $20,346.44 $27,128.58 87.2×
Unlisted procedure excision pressure ulcer (15999) $22,669.13 $30,225.51 33.8×
Unlisted procedure femur or knee (27599) $18,348.64 $24,464.85 78.6×
Unlisted procedure foot or toes (28899) $19,363.22 $25,817.62 83.0×
Unlisted Procedure Intestine (44799) $39,535.72 $52,714.29 46.1×
Unlisted Procedure Leg/Ankle (27899) $23,407.55 $31,210.07 100.3×
Unlisted procedure liver (47399) $10,278.86 $13,705.15 15.3×
Unlisted Procedure Muscskeletal System General (20999) $576.75 $769 2.5×
Unlisted procedure nervous system (64999) $592.50 $790 2.0×
Unlisted procedure pelvis/hip joint (27299) $22,685.19 $30,246.92 97.2×
Unlisted Procedure Trachea Bronchi (31899) $11,612.68 $15,483.57 61.5×
Unlisted Procedure Vascular Surgery (37799) $24,309.84 $32,413.12 41.0×
Unlisted Procedure, Urinary System (53899) $14,245.37 $18,993.83 60.3×
Unlisted px female genital system nonobstetrical (58999) $10,337.23 $13,782.97 54.0×
Ureter endoscopy (50970) $32,367.94 $43,157.25 9.7×
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) $31,232.90 $41,643.86 9.4×
Vaginal Delivery After Cesarean Delivery (59612) $10,278.86 $13,705.15 3.4×
Vaginal delivery only (59409) $10,278.86 $13,705.15 3.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $6,762 $9,016 3.4×
Venous Mech Thrombectomy (37187) $10,545.26 $14,060.34 1.0×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920) $16,567.84 $22,090.45 2.4×
Xfer Single Deep Low Leg Tendon (27691)
range across 2 matching MRF lines		 $27,431.81–$29,002.19 $36,575.75–$38,669.59 varies
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) $10,545.26 $14,060.34 7.1×

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.