Procedures & surgery prices at White Rock Medical Center

Dallas, TX · every code in this section with a posted price and a Medicare benchmark.

1174 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 4 matching MRF lines
$1,323.96–$1,777.22 $1,947–$2,613.56 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$1,069.64–$1,570.06 $1,573–$2,308.91 varies
Ablate inf turbinate submuc (30802) $5,459.72 $8,029 3.5×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $3,004.92 $4,419 1.4×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $12,147.34 $17,863.74 3.4×
Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) $4,082.56 $6,003.76 2.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $3,756.32 $5,524 1.8×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $3,004.92 $4,419 1.4×
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $12,780.50 $18,794.85 1.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $7,128.44 $10,483 2.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $11,800.50 $17,353.68 3.6×
Amputate Metacarpal Bone (26910) $11,800.50 $17,353.68 3.6×
Amputation foot transmetarsal (28805) $5,292.85 $7,783.60 1.6×
Amputation metatarsal with toe single (28810) $5,774.02 $8,491.20 1.8×
Amputation thigh through femur any level (27590) $31,416 $46,200 9.6×
Amputation toe interphalangeal joint (28825) $5,292.85 $7,783.60 1.6×
Amputation toe metatarsophalangeal joint (28820) $4,811.68 $7,076 1.5×
Amputation, leg, through tibia and fibula; (27880) $20,971.40 $30,840.30 2.9×
Ankle Arthroscopy/Surgery (29892) $19,170.75 $28,192.28 2.6×
Anoscopy diagnostic (46600) $484.16 $712 3.6×
Anoscopy W/Rmvl Foreign Body (46608) $2,479.85 $3,646.84 2.7×
Application cast elbow finger short arm (29075) $353.60 $520 1.3×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines
$335.19–$335.24 $492.92–$493 varies
Application finger splint static (29130)
range across 2 matching MRF lines
$234.53–$331.84 $344.90–$488 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$333.20–$347.02 $490–$510.32 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$402.23–$571.88 $591.52–$841 varies
Application multiplane external fixation system (20692) $50,244.22 $73,888.56 3.9×
Application of long leg cast (29345)
range across 2 matching MRF lines
$503.54–$503.88 $740.50–$741 varies
Application of rigid total contact leg cast (29445)
range across 5 matching MRF lines
$502.62–$594.32 $739.14–$874 varies
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines
$391.50–$425 $575.73–$625 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines
$420.24–$775.20 $618–$1,140 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines
$376.24–$432.01 $553.30–$635.31 varies
Application uniplane external fixation system (20690) $10,650.42 $15,662.38 1.5×
Apply hand/wrist cast (29085) $463.76 $682 2.8×
Apply long arm cast (29065) $370.15 $544.34 1.3×
Apply Multlay Comprs Lwr Leg (29581) $675.58 $993.50 4.1×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines
$394.35–$394.40 $579.92–$580 varies
Apply short leg cast (29425) $502.62 $739.14 1.8×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) $10,878.88 $15,998.36 2.0×
Arterial puncture (36600)
range across 2 matching MRF lines
$69.36–$104.04 $102–$153 varies
Arteriovenous Anastomosis Open Direct (36821) $8,260.67 $12,148.04 2.6×
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) $14,703.50 $21,622.80 2.6×
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) $9,955.20 $14,640 1.4×
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) $50,244.22 $73,888.56 3.9×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) $25,122.11 $36,944.28 1.9×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) $26,987.69 $39,687.78 3.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines
$326.01–$1,065.57 $479.42–$1,567.02 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,589.13 $3,807.54 3.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$1,065.57–$1,139.68 $1,567.02–$1,676 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,065.57 $1,567.02 3.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines
$422.96–$913.42 $622–$1,343.27 varies
Arthrodesis ankle open (27870) $51,380.62 $75,559.74 4.0×
Arthrodesis great toe interphalangeal joint (28755) $12,548.04 $18,453 1.7×
Arthrodesis great toe metatarsophalangeal joint (28750) $12,780.50 $18,794.85 1.8×
Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) $17,025.84 $25,038 5.2×
Arthrodesis knee any technique (27580) $44,795 $65,875 3.5×
Arthrodesis Posterior/Posterolateral Lumbar (22612) $25,122.11 $36,944.28 1.4×
Arthrodesis sacroiliac joint percutaneous (27279) $64,741.97 $95,208.78 3.7×
Arthrodesis subtalar (28725) $25,122.11 $36,944.28 1.9×
Arthrodesis triple (28715) $25,122.11 $36,944.28 1.9×
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) $64,741.97 $95,208.78 3.7×
Arthroplasty ankle revision total ankle (27703)
unusually low: confirm this is the full procedure
$5,440 $8,000 0.3×
Arthroplasty Ankle W/Implant (27702) $48,297.08 $71,025.12 1.8×
Arthroplasty glenohumeral joint total shoulder (23472) $66,992.29 $98,518.08 3.8×
Arthroplasty interphalangeal joint each (26535) $8,096.52 $11,906.64 2.5×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $5,292.85 $7,783.60 1.6×
Arthroplasty Radial Head W/Implant (24366) $51,380.62 $75,559.74 4.0×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $5,292.85 $7,783.60 1.6×
Arthroscopy Ankle Surgical Debridement Limited (29897) $6,736.35 $9,906.40 2.0×
Arthroscopy ankle w/removal loose/foreign body (29894) $8,096.52 $11,906.64 2.5×
Arthroscopy Elbow Surgical Debridement Extensive (29838) $8,096.52 $11,906.64 2.5×
Arthroscopy Elbow Surgical Debridement Limited (29837) $11,800.50 $17,353.68 3.6×
Arthroscopy hip w/femoroplasty (29914) $37,015.78 $54,434.97 5.1×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $17,322.05 $25,473.60 5.3×
Arthroscopy Knee Osteochondral Allograft (29867) $25,122.11 $36,944.28 1.9×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $17,322.05 $25,473.60 5.3×
Arthroscopy knee synovectomy limited spx (29875) $15,397.38 $22,643.20 4.7×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $15,397.38 $22,643.20 4.7×
Arthroscopy shoulder distal claviculectomy (29824) $19,246.72 $28,304 5.9×
Arthroscopy shoulder surgical capsulorrhaphy (29806) $12,780.50 $18,794.85 1.8×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $11,800.50 $17,353.68 3.6×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $11,800.50 $17,353.68 3.6×
Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) $27,810.63 $40,897.98 3.8×
Arthroscopy, knee, surgical; with lateral release (29873) $15,397.38 $22,643.20 4.7×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $14,688 $21,600 4.5×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $11,548.03 $16,982.40 3.5×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $12,780.50 $18,794.85 1.8×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $15,397.38 $22,643.20 4.7×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $11,548.03 $16,982.40 3.5×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $19,170.75 $28,192.28 2.6×
Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) $24,871 $36,575 7.6×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $34,081.33 $50,119.60 4.7×
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) $5,292.85 $7,783.60 1.6×
Arthrotomy ankle w/expl drainage/removal fb (27610) $8,096.52 $11,906.64 2.5×
Arthrotomy W/Meniscus Repair Knee (27403) $46,954.63 $69,050.92 6.4×
Arthrotomy wrist joint with synovectomy (25105) $5,774.02 $8,491.20 1.8×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) $8,096.52 $11,906.64 2.5×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) $53,236.17 $78,288.48 4.1×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) $26,099.96 $38,382.30 3.6×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) $12,780.50 $18,794.85 1.8×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) $25,122.11 $36,944.28 1.9×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $5,292.85 $7,783.60 1.6×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $19,246.72 $28,304 5.9×
Arthrs knee debridement/shaving artclr crtlg (29877) $24,871.07 $36,575.10 7.6×
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) $12,780.50 $18,794.85 1.8×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $17,322.05 $25,473.60 5.3×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $5,774.02 $8,491.20 1.8×
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) $6,736.35 $9,906.40 2.0×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $6,736.35 $9,906.40 2.0×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $5,680.79 $8,354.10 3.5×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $9,623.36 $14,152 2.9×
Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) $6,736.35 $9,906.40 2.0×
Arthrt w/synvct kne ant&post w/pop area (27335) $12,780.50 $18,794.85 1.8×
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $8,096.52 $11,906.64 2.5×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines
$1,332.12–$1,770.43 $1,959–$2,603.58 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$1,002.07–$1,081.20 $1,473.63–$1,590 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines
$426.70–$427.04 $627.50–$628 varies
Aspiration bladder insert suprapubic catheter (51102) $2,840.36 $4,177 1.4×
Av fistula revision (36833) $14,703.50 $21,622.80 2.6×
Av Fistula Revision Open (36832) $14,241.70 $20,943.68 2.5×
Avulsion nail plate partial/complete simple 1 (11730) $675.58 $993.50 3.4×
Biopsy Abdominal Mass (49180) $1,845.52 $2,714 1.1×
Biopsy bone open superficial (20240) $3,231.36 $4,752 1.1×
Biopsy bone trocar/needle deep (20225) $2,004.64 $2,948 1.2×
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines
$1,845.52–$3,908.61 $2,714–$5,747.96 varies
Biopsy muscle percutaneous needle (20206) $2,258.28 $3,321 1.4×
Biopsy of liver, needle; percutaneous (47000) $2,169.88 $3,191 1.3×
Biopsy Oropharynx (42800) $4,673.54 $6,872.85 3.0×
Biopsy Pleura Percutaneous Needle (32400) $1,845.52 $2,714 1.1×
Biopsy soft tissue neck/thorax (21550) $2,943.72 $4,329 1.8×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,845.52 $2,714 1.1×
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $7,363.99 $10,829.40 2.5×
Biopsy Tongue Posterior One-Third (41105) $9,303.73 $13,681.95 2.8×
Biopsy, vestibule of mouth (40808) $1,076.62 $1,583.26 2.0×
Biopsy/removal lymph nodes (38510) $9,662.68 $14,209.83 2.5×
Bladder Irrigation (51700) $616.76 $907 2.5×
Bladder Scan (51798) $161.57 $237.60 2.7×
Blepharoplasty upper eyelid (15822) $5,249 $7,719.12 2.5×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $5,792.24 $8,518 2.8×
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines
$3,308.80–$3,308.88 $4,865.88–$4,866 varies
Blood Transfusion Service (36430)
range across 3 matching MRF lines
$1,015.24–$1,400.12 $1,493–$2,059 varies
Bone Graft Any Donor Area Major/Large (20902) $13,049.98 $19,191.15 1.8×
Bone Graft Any Donor Area Minor/Small (20900) $17,040.66 $25,059.80 2.3×
Bone marrow harvest allogen (38230) $3,698.76 $5,439.36 2.4×
Bone Marrow; Aspiration Only (38220) $4,305.42 $6,331.50 2.6×
Breast augmentation with implant (19325) $17,963.71 $26,417.22 2.2×
Breast Reduction (19318) $15,052.32 $22,135.76 2.3×
Brnchsc Brushing/Protected Brushings (31623) $2,020.96 $2,972 1.1×
Bronchoscopy W/Biopsy(S) (31625) $4,104.47 $6,035.99 2.3×
Bx breast 1st lesion strtctc (19081) $3,903.88 $5,741 2.4×
Bx breast 1st lesion us imag (19083) $3,521.04 $5,178 2.1×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $4,811.68 $7,076 1.5×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $4,260.59 $6,265.58 2.6×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $5,292.85 $7,783.60 1.6×
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) $14,481.80 $21,296.77 2.0×
Capsulotomy Midtarsal (28264) $4,165.22 $6,125.32 2.6×
Capsulotomy Posterior Capsular Release Knee (27435) $9,759.36 $14,352 3.0×
Carpal Tunnel Surgery (64721) $7,157.91 $10,526.34 3.6×
Carpectomy All Bones Proximal Row (25215) $8,812.80 $12,960 2.7×
Cataract surgery complex (66982) $14,138.29 $20,791.60 6.1×
Cerv artific diskectomy (22856) $59,561.55 $87,590.52 3.4×
Cessj Therapy Cath Removal (37214) $3,342.20 $4,915 1.1×
Change Cystostomy Tube Complicated (51710) $2,996.51 $4,406.63 4.3×
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines
$1,649.68–$3,299.94 $2,426–$4,852.86 varies
Change of Windpipe Airway (31502)
range across 3 matching MRF lines
$741.88–$1,483.08 $1,091–$2,181 varies
Chemical Cautery Tissue (17250) $675.58 $993.50 3.4×
Chemodenerv 1 extrem 5/> mus (64644) $7,400.24 $10,882.70 10.4×
Chemodenerv 1 extremity 1-4 (64642) $2,589.44 $3,808 3.7×
Chemodenerv Musc Migraine (64615) $1,065.57 $1,567.02 3.5×
Chest tube placement (32551)
range across 4 matching MRF lines
$556.92–$1,614.15 $819–$2,373.75 varies
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $4,876.28 $7,171 1.4×
Circumcision w/clamp/oth dev w/block (54150) $7,140 $10,500 3.4×
Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) $6,181.19 $9,089.99 1.6×
Cl Tx Tib Shft Fx W Manip (27752) $2,504.24 $3,682.70 1.6×
Claviculectomy partial (23120) $11,800.50 $17,353.68 3.6×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$215.60–$323.68 $317.06–$476 varies
Closed Rx Metacarpal Fx,Percut (26608) $6,736.35 $9,906.40 2.0×
Closed Rx Spontaneous Hip Disloc (27256)
range across 2 matching MRF lines
$725.39–$725.56 $1,066.75–$1,067 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768)
range across 2 matching MRF lines
$3,006.11–$3,006.28 $4,420.75–$4,421 varies
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines
$3,487.72–$3,487.82 $5,129–$5,129.15 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines
$665.04–$735.76 $978–$1,082 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,884.11 $2,770.75 1.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines
$719.95–$720.12 $1,058.75–$1,059 varies
Closed Tx Femoral Shaft Fx W/O Manipulation (27500)
range across 2 matching MRF lines
$681.72–$829.60 $1,002.53–$1,220 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines
$1,878.16–$3,560.65 $2,762–$5,236.25 varies
Closed tx knee dislocation w/o anesthesia (27550) $963.56 $1,417 3.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines
$2,285.48–$2,285.60 $3,361–$3,361.17 varies
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines
$3,468.68–$3,468.71 $5,101–$5,101.05 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $6,330.12 $9,309 1.9×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines
$374.15–$561 $550.22–$825 varies
Closed tx radial head/neck fx w/manipulation (24655) $4,353.12 $6,401.64 2.7×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines
$475.32–$475.65 $699–$699.48 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $447.95 $658.75 0.3×
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines
$537.88–$538.15 $791–$791.40 varies
Closed Tx Talus Fracture W/Manipulation (28435) $1,886.83 $2,774.75 1.2×
Closed tx talus fracture w/o manipulation (28430) $550.12 $809 2.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines
$349.52–$698.63 $514–$1,027.40 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines
$554.20–$554.31 $815–$815.16 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,098.97 $3,086.72 1.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$1,181.16–$1,196 $1,737–$1,758.83 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines
$1,772.93–$1,878.16 $2,607.25–$2,762 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines
$551.48–$551.65 $811–$811.25 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $4,353.12 $6,401.64 2.7×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines
$146.64–$219.64 $215.64–$323 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
$165.24–$512.09 $243–$753.08 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines
$481.44–$718.25 $708–$1,056.25 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$569.16–$620.84 $837–$913 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines
$1,697.45–$3,869.23 $2,496.25–$5,690.04 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $4,353.12 $6,401.64 2.7×
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 2 matching MRF lines
$759.56–$759.86 $1,117–$1,117.44 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines
$680.51–$680.68 $1,000.75–$1,001 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines
$393.66–$393.72 $578.91–$579 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,240.20 $4,765 2.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $867.97 $1,276.42 3.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines
$148.48–$223.04 $218.35–$328 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$269.24–$403.92 $395.94–$594 varies
Cltx Med Ankle Fx W/Mnpj (27762) $1,878.16 $2,762 1.2×
Cltx Medial Ankle Fx (27760) $571.20 $840 2.3×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines
$896.07–$896.24 $1,317.75–$1,318 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 3 matching MRF lines
$463.76–$506.60 $682–$745 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $4,353.12 $6,401.64 2.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines
$533.80–$765.68 $785–$1,126 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines
$486.20–$2,720 $715–$4,000 varies
Cltx post hip arthrp dislc req anes (27266) $23,477.31 $34,525.45 14.5×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines
$710.60–$904.15 $1,045–$1,329.63 varies
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines
$1,421.37–$1,878.16 $2,090.25–$2,762 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$528.36–$1,057.23 $777–$1,554.75 varies
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines
$2,259.57–$2,259.64 $3,322.90–$3,323 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,004.98 $2,948.50 1.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines
$1,878.16–$2,101.74 $2,762–$3,090.80 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $4,468.47 $6,571.28 2.8×
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines
$527.18–$567.12 $775.26–$834 varies
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 2 matching MRF lines
$734.55–$922.08 $1,080.22–$1,356 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines
$1,616.12–$1,878.16 $2,376.64–$2,762 varies
Collection of venous blood by venipuncture (36415) $31.96 $47 3.4×
Colonoscopy w/submucosal inj (45381) $4,230.80 $6,221.76 3.5×
Complex drainage wound (10180) $4,834.82 $7,110.03 1.7×
Control Nasal Hemorrhage Anterior Complex (30903) $442.64 $650.94 3.3×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$331.87–$497.76 $488.04–$732 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,091.68 $3,076 1.3×
Correction hammertoe (28285) $9,759.36 $14,352 3.0×
Correction of inverted nipples (19355) $13,298.05 $19,555.95 3.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $5,774.02 $8,491.20 1.8×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) $10,650.42 $15,662.38 0.8×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $11,154.04 $16,403 1.5×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $5,774.02 $8,491.20 1.8×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $11,154.04 $16,403 1.5×
Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) $14,241.70 $20,943.68 2.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$252.96–$506.19 $372–$744.40 varies
Cysto calibration dilat urtl strix/stenosis (52281) $442.64 $650.94 0.2×
Cysto w/irrig & evac multple obstructing clots (52001) $4,065.72 $5,979 1.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $747.32 $1,099 1.8×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $11,281.25 $16,590.07 3.9×
Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) $7,867 $11,569.12 2.4×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $8,825.34 $12,978.44 2.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $2,981.08 $4,383.94 4.0×
Debride nail 1-5 (11720) $675.58 $993.50 11.4×
Debride nail 6 or more (11721) $675.58 $993.50 11.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $4,407.05 $6,480.96 2.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,051.28 $1,546 2.6×
Decompress Spinal Cord Lmbr (63056) $19,170.75 $28,192.28 2.6×
Decompression of tibia nerve (28035) $7,157.91 $10,526.34 3.6×
Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) $9,966.11 $14,656.04 4.8×
Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) $5,249 $7,719.12 2.5×
Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) $3,568.49 $5,247.78 1.7×
Delivery of placenta (59414) $3,493.84 $5,138 1.1×
Derma-fat-fascia graft (15770) $7,474.57 $10,992.01 2.1×
Destr W Neurolytic; Celiac Plexus (64680) $4,474.18 $6,579.68 5.0×
Destroy cerv/thor facet jnt (64633) $11,933.03 $17,548.57 6.1×
Destroy lumb/sac facet jnt (64635) $11,952.12 $17,576.65 6.1×
Destruction by neurolytic agent, intercostal nerve (64620) $1,677.82 $2,467.38 1.9×
Destruction by neurolytic agent; pudendal nerve (64630) $5,814.73 $8,551.07 6.5×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines
$4,243.57–$6,263.34 $6,240.55–$9,210.80 varies
Diagnostic sigmoidoscopy (45330) $2,479.85 $3,646.84 2.7×
Dilation Esophagus Guide Wire (43453) $3,139.68 $4,617.17 1.6×
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) $26,987.69 $39,687.78 3.7×
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $685.93 $1,008.72 0.4×
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) $4,730.61 $6,956.78 0.8×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines
$1,032.92–$2,157.61 $1,519–$3,172.95 varies
Drain Hand Tendon Sheath (26020) $8,388.56 $12,336.12 2.6×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,076.62 $1,583.26 2.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,032.53 $1,518.43 1.5×
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines
$1,409.64–$3,348.66 $2,073–$4,924.50 varies
Drainage Mouth Roof Lesion (42000)
range across 2 matching MRF lines
$569.53–$569.84 $837.55–$838 varies
Drainage of finger abscess simple (26010)
range across 3 matching MRF lines
$362.44–$732.56 $533–$1,077.30 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines
$280.84–$559.64 $413–$823 varies
Drainage of hematoma/fluid (10140) $4,605.84 $6,773.30 2.8×
Drainage of nose lesion (30000) $1,353.20 $1,990 5.7×
Drainage of palmar bursa single bursa (26025) $7,672.64 $11,283.29 2.3×
Drainage of scrotal wall abscess (55100) $1,845.52 $2,714 1.1×
Drainage of scrotum (54700) $5,208.80 $7,660 2.5×
Draw Blood Off Venous Device (36591) $288.66 $424.50 2.2×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $2,870.09 $4,220.72 5.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines
$799–$877 $1,175–$1,289.70 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $626.96 $922 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$302.60–$525.55 $445–$772.87 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines
$280.84–$487.40 $413–$716.77 varies
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $7,157.91 $10,526.34 3.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,677.82 $2,467.38 1.9×
Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) $1,677.82 $2,467.38 1.9×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,677.82 $2,467.38 1.9×
Dx Bone Marrow Bx & Aspir (38222) $3,154.52 $4,639 1.1×
Dx Bronchoscope/Lavage (31624) $2,091.68 $3,076 1.2×
Dx Bronchoscope/Wash (31622) $2,543.87 $3,740.98 1.4×
Dx Laryngoscopy Excl Nb (31525)
range across 3 matching MRF lines
$2,543.87–$3,597.20 $3,740.98–$5,290 varies
Dx laryngoscopy w/oper scope (31526) $5,459.72 $8,029 3.1×
Egd Balloon Dil Esoph30 Mm/> (43233) $4,931.33 $7,251.96 2.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $5,525.07 $8,125.10 2.9×
Egd cautery tumor polyp (43250) $7,029.30 $10,337.20 3.6×
Egd control bleeding any (43255) $3,867.55 $5,687.57 2.0×
Egd dilation gastric/duodenal stricture (43245) $4,290.43 $6,309.45 2.2×
Egd Flexible Foreign Body Removal (43247) $1,684.04 $2,476.53 1.8×
Egd place gastrostomy tube (43246) $3,665.28 $5,390.12 1.9×
Egd remove lesion snare (43251) $3,867.55 $5,687.57 2.0×
Egd us exam duodenum/jejunum (43259) $5,159.81 $7,587.96 2.7×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $741.12 $1,089.88 2.4×
Endoscopic plantar fasciotomy (29893) $5,875.20 $8,640 1.8×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $7,630.96 $11,222 2.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $9,940.34 $14,618.15 3.1×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $3,447.60 $5,070 1.7×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $3,540.08 $5,206 1.7×
Epidural Blood Patch (62273)
range across 4 matching MRF lines
$910.52–$2,589.13 $1,339–$3,807.54 varies
Epidural lysis mult sessions (62263) $1,538 $2,261.77 1.7×
Esc i p ulcer w ostect & flap (15946) $4,726.08 $6,950.12 2.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,477.38 $3,643.20 2.7×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $4,011.81 $5,899.72 2.1×
Esophagoscopy rigid trnso dx (43191) $5,342.83 $7,857.10 2.8×
Evacuation of subungual hematoma (11740) $675.58 $993.50 5.1×
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $4,783.80 $7,035 2.9×
Exc abdl tum deep 5 cm/> (22901) $8,388.56 $12,336.12 2.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,296.50 $1,906.62 1.8×
Exc Back Tum Deep 5 Cm/> (21933) $15,626.64 $22,980.36 5.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,903.23 $2,798.87 2.7×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $4,078.78 $5,998.20 2.5×
Exc Forearm Tum Deep 3 Cm/> (25073) $7,884.57 $11,594.95 2.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $3,345.60 $4,920 2.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,272.28 $1,871 0.8×
Exc Hand Les Sc < 1.5 Cm (26115) $3,348.66 $4,924.50 2.0×
Exc hand tum deep < 1.5 cm (26116) $5,740.56 $8,442 3.5×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $4,260.59 $6,265.58 2.6×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $4,260.59 $6,265.58 2.6×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $6,512.61 $9,577.37 2.0×
Exc lesion tongue w/clsr w/local tongue flap (41114) $9,673.10 $14,225.15 2.9×
Exc neuroma hand/foot xcp digital nerve (64782) $11,318.60 $16,645 5.8×
Exc neuroma major peripheral nrv xcp sciatic (64784) $4,877.80 $7,173.24 2.5×
Exc Shoulder Tum Deep 5 Cm/> (23073) $9,669.64 $14,220.06 3.3×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines
$4,019.48–$12,244.08 $5,911–$18,006 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $7,026.44 $10,333 2.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $18,366.12 $27,009 11.1×
Exc tendon shth lesion leg/ankle (27630) $8,388.56 $12,336.12 2.6×
Exc thigh/knee tum dep 5cm/> (27339) $7,884.23 $11,594.45 2.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines
$4,276.52–$4,276.61 $6,289–$6,289.13 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $5,100 $7,500 7.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $2,931.46 $4,310.97 1.8×
Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) $7,363.99 $10,829.40 2.5×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $3,348.66 $4,924.50 2.0×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $4,783.80 $7,035 2.9×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $8,627.16 $12,687 3.0×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $8,086.19 $11,891.45 2.8×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $5,640.63 $8,295.04 1.9×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $17,964.92 $26,419 6.2×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $5,640.63 $8,295.04 1.9×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $5,640.63 $8,295.04 1.9×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $6,528 $9,600 3.9×
Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) $5,640.63 $8,295.04 1.9×
Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) $4,834.82 $7,110.03 1.7×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $3,059.08 $4,498.65 1.8×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $4,834.82 $7,110.03 1.7×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $7,912.48 $11,636 4.8×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $5,640.63 $8,295.04 1.9×
Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) $15,345.25 $22,566.55 2.1×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $9,759.36 $14,352 3.0×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $9,759.36 $14,352 6.0×
Exchange Intraocular Lens (66986) $8,873.99 $13,049.99 3.8×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $4,106.86 $6,039.50 2.0×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,757.79 $5,526.16 2.4×
Excise excessive skin arm (15836) $7,026.44 $10,333 2.4×
Excise intraspinal lesion (63267) $32,640 $48,000 4.5×
Excise Wrist Tendon Sheath (25118) $4,608.33 $6,776.95 2.9×
Excision Chest Wall Tumor Including Ribs (21601) $7,363.99 $10,829.40 2.5×
Excision Excessive Skin & Subq Tissue Buttock (15835) $7,784.78 $11,448.20 2.7×
Excision Excessive Skin & Subq Tissue Other Area (15839) $7,026.44 $10,333 2.4×
Excision exostosis(es), external auditory canal Facility (69140) $12,134.84 $17,845.35 2.0×
Excision Hidradenitis Axillary Complex Repair (11451) $28,141.51 $41,384.57 9.6×
Excision Hidradenitis Inguinal Complex Repair (11463) $28,141.51 $41,384.57 9.6×
Excision Infected Graft Extremity (35903) $8,561.20 $12,590 2.7×
Excision inferior turbinate partial/complete (30130) $7,643.88 $11,241 2.3×
Excision Lesion Conjunctiva </1 Cm (68110) $4,765.60 $7,008.23 2.0×
Excision lesion conjunctiva > 1 cm (68115) $3,744.39 $5,506.46 1.6×
Excision lesion meniscus/capsule knee (27347) $6,736.35 $9,906.40 2.0×
Excision Lesion Tongue W/O Closure (41110) $9,673.10 $14,225.15 2.9×
Excision Lingual Frenum Frenectomy (41115) $3,219.64 $4,734.77 2.1×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $3,982.05 $5,855.96 2.4×
Excision Nasal Polyp Extensive (30115) $5,699.72 $8,381.94 1.7×
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) $11,716.03 $17,229.45 2.0×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $4,733.99 $6,961.75 2.9×
Excision of hydrocele; unilateral (55040) $9,634.05 $14,167.72 2.7×
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) $12,104.80 $17,801.18 2.0×
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) $12,558.65 $18,468.60 2.1×
Excision of sublingual gland (42450) $8,372.45 $12,312.42 1.4×
Excision of submandibular (submaxillary) gland (42440) $8,372.45 $12,312.42 1.4×
Excision olecranon bursa (24105) $6,736.35 $9,906.40 2.0×
Excision Pilonidal Cyst/Sinus Complicated (11772) $7,784.78 $11,448.20 2.7×
Excision Pilonidal Cyst/Sinus Extensive (11771) $7,784.78 $11,448.20 2.7×
Excision prepatellar bursa (27340) $11,800.50 $17,353.68 3.6×
Excision Skin Abd Infraumbilical Panniculectomy (15830) $9,407.70 $13,834.85 1.4×
Excision tendon finger flexor/extensor each (26180) $4,260.59 $6,265.58 2.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $4,407.05 $6,480.96 2.7×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $4,029.02 $5,925.03 1.4×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $2,870.28 $4,221 1.7×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) $7,884.23 $11,594.45 2.7×
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) $8,325.24 $12,243 2.9×
Excision, interdigital (morton) neuroma, single, each (28080) $3,787.19 $5,569.40 2.3×
Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) $4,975.51 $7,316.92 2.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $3,348.66 $4,924.50 2.0×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $7,026.44 $10,333 2.4×
Excision/curettage cyst/tumor phalanx finger (26210) $3,313.80 $4,873.23 2.1×
Excision/destruction intranasal lesion int appr (30117) $6,512.61 $9,577.37 2.0×
Excision/destruction lesion pharynx any method (42808) $11,399.44 $16,763.88 3.4×
Excision/Transposition Pterygium W/Grafg (65426) $3,404 $5,005.88 1.4×
Excision; trochanteric bursa or calcification (27062) $6,736.35 $9,906.40 2.0×
Expl po hemrrg thrombosis/infctj xtr (35860) $8,561.20 $12,590 2.7×
Explo/Drain Breast Abscess (19020)
range across 2 matching MRF lines
$3,908.61–$4,880.37 $5,747.96–$7,177.02 varies
Exploration of knee joint (27310) $8,096.52 $11,906.64 2.5×
Exploration penetrating wound spx extremity (20103) $2,537.64 $3,731.82 1.5×
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) $4,910.58 $7,221.44 0.8×
Explore treat shoulder joint (23107) $25,561.20 $37,590 3.5×
Explore/Treat Elbow Joint (24101) $5,774.02 $8,491.20 1.8×
External cephalic version (59412) $2,224.28 $3,271 0.7×
Fasciectomy Palm Only (26121) $5,292.85 $7,783.60 1.6×
Fasciectomy Plantar Fascia Partial Spx (28060) $6,736.35 $9,906.40 2.0×
Fasciotomy palmar open partial (26045) $8,096.52 $11,906.64 2.5×
Fasciotomy, foot and/or toe (28008) $5,774.02 $8,491.20 1.8×
Fasciotomy, hip or thigh, any type (27025) $17,991.79 $26,458.52 5.5×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $11,016 $16,200 3.4×
Fetal Contraction Stress Test (59020) $597.04 $878 2.9×
Fetal non-stress test (59025) $682.72 $1,004 3.4×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $4,082.56 $6,003.76 2.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,938.68 $2,851 2.7×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines
$1,813.56–$3,627.31 $2,667–$5,334.28 varies
Finger tendon transfer (26497) $11,168.80 $16,424.70 3.4×
Fluoro exam of g/colon tube (49465) $582.76 $857 2.4×
Fna bx w/us gdn 1st les (10005) $1,764.60 $2,595 2.5×
Foreskin manipulation (54450)
range across 2 matching MRF lines
$1,542.92–$1,542.96 $2,269–$2,269.06 varies
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $3,520.75 $5,177.58 1.7×
Fusion Finger Joint (26860) $5,292.85 $7,783.60 1.6×
Fusion of foot bones (28740) $12,780.50 $18,794.85 1.8×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $9,957.84 $14,643.88 2.8×
Gastrocnemius recession (27687) $13,472.70 $19,812.80 4.1×
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $43,656 $64,200 11.3×
Goniotomy (65820) $7,992.19 $11,753.22 1.9×
Graft Ear Crtlg Autogenous Nose/Ear (21235) $8,646.29 $12,715.13 1.5×
Grafting of autologous fat by lipo 50 cc or less (15771) $14,370.37 $21,132.90 4.0×
Grafting of autologous soft tiss by direct exc (15769) $9,580.25 $14,088.60 2.7×
Gstr Rstcv Px Trnsorl Esg W/Argon Plasma Coagj (43889)
likely a partial charge, not the full procedure
$2,550.16 $3,750.24 0.2×
Guide Cathet Fluid Drainage (10030) $2,577.20 $3,790 3.6×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $19,170.75 $28,192.28 2.6×
Hand tendon reconstruction (26500) $6,110.48 $8,986 0.8×
Hip arthro acetabuloplasty (29915) $37,015.78 $54,434.97 5.1×
Hip arthro w/labral repair (29916) $43,815.80 $64,435 6.0×
I&d abscess peritonsillar (42700) $908.48 $1,336 3.8×
I&d abscess simple (10060) $675.58 $993.50 3.4×
I&D Below Fascia Foot 1 Bursal Space (28002) $5,803.84 $8,535.06 3.6×
I&d deep absc bursa/hematoma thigh/knee region (27301) $7,026.44 $10,333 2.4×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $11,548.03 $16,982.40 3.5×
I&D Intramural Im/Absc Transanal Anes (46045) $7,459.30 $10,969.56 2.7×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $2,097.14 $3,084.03 0.6×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines
$1,270.92–$2,542.35 $1,869–$3,738.75 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines
$1,210.40–$2,420.62 $1,780–$3,559.73 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$120.36–$180.88 $177–$266 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $7,363.99 $10,829.40 2.5×
Icd Pocket Revision (33223) $3,104.88 $4,566 1.5×
Image Cath Fluid Colxn Visc (49405) $4,533.56 $6,667 2.7×
Image Cath Fluid Peri/Retro (49406) $4,612.44 $6,783 2.8×
Immediate breast prosthesis (19340) $13,298.05 $19,555.95 1.6×
Implant neuroelectrodes (63650) $37,703.36 $55,446.12 5.9×
Implant Periph/Gastric Neurostim/Receiver (64590) $105,377.26 $154,966.56 5.4×
Implant Spine Infusion Pump (62362) $57,908.46 $85,159.50 3.2×
Implant temple bone w/stimul (69714) $66,992.29 $98,518.08 5.2×
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) $19,170.75 $28,192.28 2.6×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $27,922.35 $41,062.28 3.2×
Incise external hemorrhoid (46083) $556.24 $818 2.2×
Incise finger tendon sheath (26055) $5,680.79 $8,354.10 3.5×
Incision & drainage abscess complicated/multiple (10061) $1,522.13 $2,238.42 3.7×
Incision & drainage leg/ankle abscess/hematoma (27603) $4,939.96 $7,264.65 1.7×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines
$2,510.73–$4,078.78 $3,692.25–$5,998.20 varies
Incision & removal foreign body subq tiss simple (10120) $1,398.84 $2,057.12 3.4×
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines
$472.60–$676.23 $695–$994.45 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines
$715.36–$927.69 $1,052–$1,364.25 varies
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) $6,360.73 $9,354.01 0.9×
Incision bone cortex foot (28005) $6,736.35 $9,906.40 2.0×
Incision extensor tendon sheath wrist (25000) $5,680.79 $8,354.10 3.5×
Incision of fibula (27707) $8,388.56 $12,336.12 2.6×
Incision of Foot Tendon (28234) $5,576.68 $8,201 3.5×
Incision of rectal abscess (46040) $3,207.10 $4,716.32 2.7×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $3,348.66 $4,924.50 2.0×
Incisional biopsy skin single lesion (11106) $1,045.84 $1,538 1.4×
Initial Tx 1st Degree Burn Local Tx (16000) $540.46 $794.80 2.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,677.82 $2,467.38 1.9×
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines
$626.28–$812.65 $921–$1,195.08 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,677.82 $2,467.38 1.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $799.18 $1,175.27 2.6×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,158.96 $1,704.36 1.3×
Injection aa&/strd genicular nrv branches w/img (64454) $1,078.81 $1,586.48 1.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,677.82 $2,467.38 1.9×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $2,589.44 $3,808 3.7×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,941.85 $2,855.66 2.7×
Injection Anes Agent Sphenopalatine Ganglion (64505) $1,420.76 $2,089.36 4.6×
Injection Anes Superior Hypogastric Plexus (64517) $1,677.82 $2,467.38 1.9×
Injection anesthetic agent suprascapular nerve (64418) $2,157.61 $3,172.95 3.0×
Injection single tendon origin/insertion (20551) $621.59 $914.10 2.0×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
$505.92–$621.59 $744–$914.10 varies
Injection single/mlt trigger point 3/> muscles (20553) $887.98 $1,305.85 2.9×
Injection therapeutic carpal tunnel (20526) $1,065.57 $1,567.02 3.5×
Injection, anesthetic agent; femoral nerve, single (64447) $1,941.85 $2,855.66 2.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines
$857.48–$1,726.08 $1,261–$2,538.36 varies
Injection, intralesional; up to and including 7 lesions (11900) $427.33 $628.43 2.1×
Ins cath ren art 1st bilat (36252) $8,260.64 $12,148 2.6×
Ins cath ren art 1st unilat (36251) $5,901.72 $8,679 1.9×
Ins cath ren art 2nd+ bilat (36254) $8,561.20 $12,590 2.7×
Ins cath ren art 2nd+ unilat (36253) $14,703.50 $21,622.80 2.6×
Ins endovas vena cava filtr (37191) $8,748.88 $12,866 1.6×
Ins/Rep Subq Defibrillator (33270) $26,189.52 $38,514 0.8×
Insert 1 Electrode Pm-Defib (33216) $9,464.24 $13,918 1.1×
Insert Bladder Cath Complex (51703) $624.92 $919 4.8×
Insert cath pleura w/ image (32557) $1,587.12 $2,334 1.0×
Insert cervical dilator (59200) $605.88 $891 2.0×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines
$234.93–$331.05 $345.48–$486.84 varies
Insert Gastrostomy Tube Percutaneous (49440) $3,754.96 $5,522 1.9×
Insert Heart Pm Atrial (33206) $13,273.60 $19,520 1.3×
Insert Heart Pm Ventricular (33207) $13,848.20 $20,365 1.3×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines
$2,111.97–$3,158.60 $3,105.84–$4,645 varies
Insert Pacing Lead & Connect (33224) $11,001.04 $16,178 1.0×
Insert pulse gen dual leads (33213) $12,267.88 $18,041 1.2×
Insert Pulse Gen Sngl Lead (33212) $11,226.12 $16,509 1.4×
Insert spine infusion device (62360) $71,013.66 $104,431.86 3.9×
Insert Temp Bladder Cath (51702) $383.52 $564 2.9×
Insert tunneled cv cath (36561) $8,260.67 $12,148.04 2.6×
Insertion indwelling tunneled pleural catheter (32550)
range across 2 matching MRF lines
$4,370.36–$4,447.14 $6,427–$6,539.91 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,921 $2,825 1.2×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $12,387.56 $18,217 1.5×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $10,315.60 $15,170 1.2×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,563.74 $3,770.21 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines
$2,289.89–$2,928.76 $3,367.48–$4,307 varies
Insj Stablj Dev W/Dcmprn (22867) $67,374.51 $99,080.16 3.8×
Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) $37,683.17 $55,416.42 2.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,655.96 $6,847 1.5×
Insj/rplcmt breast implant sep day mastectomy (19342) $18,196.88 $26,760.12 2.2×
Insj/Rplcmt Defib W/Lead(S) (33249) $28,115.28 $41,346 0.9×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $118,426.08 $174,156 3.8×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $6,013.24 $8,843 0.7×
Insrt heart pm atrial & vent (33208) $15,112.32 $22,224 1.4×
Insrt Pulse Gen W/Singl Lead (33240) $35,769.36 $52,602 1.6×
Interdental fixation (21110) $3,952.17 $5,812.02 2.5×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,930.52 $2,839 4.7×
Intro cath dialysis circuit (36901) $2,204.56 $3,242 1.4×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $10,442.08 $15,356 0.9×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $7,820.68 $11,501 1.4×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$713.32–$785.67 $1,049–$1,155.39 varies
Irrigation of corpora cavernosa for priapism (54220) $603.16 $887 2.4×
IV injection test vascular flow flap/graft (15860) $1,032.59 $1,518.52 2.3×
Knee arthroscopy/drainage (29871) $11,800.50 $17,353.68 3.6×
Knee Arthroscopy/Surgery (29885) $12,780.50 $18,794.85 1.8×
Knee Arthroscopy/Surgery (29874) $24,871.07 $36,575.10 7.6×
Lam facetec & foramot lumbar (63047) $19,170.75 $28,192.28 2.6×
Laminotomy Single Lumbar (63042) $26,987.69 $39,687.78 3.7×
Lap insert tunnel ip cath (49324) $14,953.44 $21,990.36 2.5×
Lap paraesoph her rpr w/mesh (43282) $15,143.02 $22,269.15 1.4×
Lap paraesophag hern repair (43281) $15,143.02 $22,269.15 1.4×
Laparoscopy Enterolysis Separate Procedure (44180) $53,911.65 $79,281.84 8.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $20,646.60 $30,362.64 3.4×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $15,869.46 $23,337.44 2.6×
Laparoscopy, surgical, appendectomy (44970) $14,953.44 $21,990.36 2.5×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure
$1,235.87 $1,817.46 0.1×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) $6,267.49 $9,216.90 0.6×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $10,348.32 $15,218.12 2.7×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $21,084.18 $31,006.14 3.5×
Laparoscopy, surgical; with biopsy (single or multiple) (49321) $14,072.60 $20,695 2.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $15,484.95 $22,771.98 2.5×
Laps Gastric Restrictive Px Remove Device & Port (43774) $9,427.22 $13,863.56 2.4×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $6,319.96 $9,294.06 1.7×
Laryngoscopy flexible diagnostic (31575)
range across 3 matching MRF lines
$480.76–$1,117.85 $707–$1,643.90 varies
Laryngoscopy W/Biopsy (31535) $9,479.94 $13,941.09 2.5×
Laryngoscopy w/biopsy microscope/telescope (31536) $5,266.63 $7,745.05 1.4×
Larynscop w/tumr exc + scope (31541) $6,319.96 $9,294.06 1.7×
Late closure of wound (13160) $4,406.40 $6,480 1.2×
Ligamentous Reconstruction Knee Extra-Articular (27427) $13,805.36 $20,302 1.9×
Ligate leg veins open (37761) $8,102.80 $11,915.88 2.6×
Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) $9,940.34 $14,618.15 3.1×
Ligation of a-v fistula (37607) $8,260.67 $12,148.04 2.6×
Ligation Of Inf Vena Cava (37619) $13,069.60 $19,220 2.3×
Ligation or biopsy temporal artery (37609) $4,201.72 $6,179 2.5×
Low Back Disk Surgery (63030) $21,300.83 $31,324.75 2.9×
Manipulation Elbow Under Anesthesia (24300) $3,313.80 $4,873.23 2.1×
Manipulation knee joint under general anesthesia (27570) $3,313.80 $4,873.23 2.1×
Manipulation wrist under anesthesia (25259) $2,603.69 $3,828.96 1.6×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $5,680.79 $8,354.10 3.5×
Mastectomy for gynecomastia (19300) $8,666.89 $12,745.43 2.2×
Mastectomy partial (19301) $9,285.96 $13,655.82 2.4×
Mastopexy (19316) $16,165.37 $23,772.60 2.4×
Middle ear surgery proc unlisted (69799) $2,870.47 $4,221.28 12.1×
Musc myocutaneous/fasciocutaneous flap uxtr (15736) $6,998.67 $10,292.16 3.4×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $7,185.19 $10,566.45 2.0×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $14,813.30 $21,784.26 2.0×
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) $9,297.67 $13,673.04 2.6×
Muscle-skin graft trunk (15734) $7,185.19 $10,566.45 2.0×
Myelography Lumbar Injection (62305)
range across 2 matching MRF lines
$1,490.57–$2,148.12 $2,192.01–$3,159 varies
Myelography Lumbar Injection (62304) $1,713.60 $2,520 2.2×
Myelography via lumbar injection rs&i cervical (62302) $1,746.24 $2,568 2.2×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,148.12 $3,159 2.7×
N Block Inj Celiac Pelus (64530) $1,677.82 $2,467.38 1.9×
N Block Inj Ilio-Ing/Hypogi (64425) $1,941.85 $2,855.66 2.7×
N block inj intercost sng (64420) $2,157.61 $3,172.95 3.0×
N Block Inj Paracervical (64435) $7,400.24 $10,882.70 10.4×
N Block Inj Plantar Digit (64455) $7,400.24 $10,882.70 24.0×
N Block Lumbar/Thoracic (64520) $1,677.82 $2,467.38 1.9×
Nasal/Orogastric W/Tube Plmt (43752) $693.43 $1,019.75 1.5×
Nasal/sinus endoscopy w/maxillary antrostomy (31256) $12,639.92 $18,588.12 3.4×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $9,898.69 $14,556.90 1.4×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $8,735.96 $12,847 4.9×
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) $6,105.27 $8,978.34 3.4×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $4,578.96 $6,733.76 2.6×
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $9,898.69 $14,556.90 1.4×
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $15,837.91 $23,291.04 2.2×
Nasal/sinus ndsc total with sphenoidotomy (31257)
unusually low: confirm this is the full procedure
$3,307.64 $4,864.17 0.5×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $9,828.04 $14,453 1.4×
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) $15,837.91 $23,291.04 2.2×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $31,675.81 $46,582.08 4.5×
Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) $56,484.62 $83,065.62 7.7×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $7,574.38 $11,138.80 4.7×
Neck spine disk surgery (63020) $26,987.69 $39,687.78 3.7×
Needle Biopsy Lymph Nodes (38505) $1,845.52 $2,714 1.1×
Needle Biopsy Pancreas (48102) $1,845.52 $2,714 1.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $64.46 $94.79 2.2×
Nerve repair w/conduit each nerve (64910) $11,628.59 $17,100.87 1.3×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $7,157.91 $10,526.34 3.6×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $9,543.88 $14,035.12 4.9×
Njx anes stellate ganglion crv sympathetic (64510) $1,677.82 $2,467.38 1.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines
$363.80–$1,065.57 $535–$1,567.02 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $9,949.76 $14,632 2.8×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $9,949.76 $14,632 2.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,677.82 $2,467.38 1.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $2,796.36 $4,112.30 3.1×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,294.56 $1,903.77 1.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $3,355.64 $4,934.76 3.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,294.56 $1,903.77 1.8×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $9,414.10 $13,844.27 10.6×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $5,947.48 $8,746.30 2.9×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $5,947.48 $8,746.30 2.9×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $1,098.88 $1,616 1.6×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $720.12 $1,059 1.8×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $9,828.04 $14,453 1.4×
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) $10,920.12 $16,059 1.5×
Occipital Nerve Block (64405) $532.79 $783.51 1.7×
Ocular Surface Reconstruction Amniotic Membrane (65780) $6,743.12 $9,916.35 1.7×
Omntc Epiploectomy Rescj Omentum Spx (49255) $9,741.24 $14,325.35 1.5×
Open bowel to skin (44300) $2,244.73 $3,301.08 1.2×
Open Implantation Nea Peripheral Nerve (64575) $26,220.01 $38,558.84 2.3×
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) $50,055.68 $73,611.30 1.1×
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) $122,659 $180,380.88 4.0×
Open rdl shaft fx closed rad/uln jt dislocate (25525) $12,780.50 $18,794.85 1.8×
Open Repair of Rotator Cuff Acute (23410) $21,300.83 $31,324.75 2.9×
Open Treatment Bimalleolar Ankle Fracture (27814) $12,548.04 $18,453 1.7×
Open treatment calcaneal fracture (28415) $24,406.36 $35,891.70 3.3×
Open Treatment Fracture Distal Tibia & Fibula (27828) $51,162.47 $75,238.92 4.0×
Open treatment fracture distal tibia only (27827) $51,160.30 $75,235.74 4.0×
Open Treatment Grter Humeral Tuberosity Fracture (23630) $12,780.50 $18,794.85 1.8×
Open Treatment Humeral Condylar Fracture (24579) $53,236.17 $78,288.48 4.1×
Open Treatment Lunate Dislocation (25695) $8,147.08 $11,981 1.1×
Open Treatment Medial Malleolus Fracture (27766) $25,561 $37,589.70 3.5×
Open treatment metatarsal fracture each (28485) $9,759.36 $14,352 1.3×
Open treatment of acromioclavicular dislocation acute or chronic (23550) $49,354.40 $72,580 6.8×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) $15,705.28 $23,096 2.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $17,040.66 $25,059.80 2.3×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $43,656 $64,200 6.0×
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) $15,022.56 $22,092 1.2×
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) $26,987.69 $39,687.78 3.7×
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) $16,090.89 $23,663.07 1.2×
Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) $8,373.36 $12,313.76 2.5×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $7,698.28 $11,321 2.3×
Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) $26,987.69 $39,687.78 3.7×
Open Treatment of Ulnar Shaft Fracture (25545) $12,780.50 $18,794.85 1.8×
Open treatment of ulnar styloid fracture (25652) $8,894.40 $13,080 1.2×
Open Treatment Proximal Fibula/Shaft Fracture (27784) $11,154.04 $16,403 1.5×
Open Treatment Proximal Humeral Fracture (23615) $14,134.48 $20,786 1.1×
Open Tx Acute/Chronic Elbow Dislocation (24615) $26,099.96 $38,382.30 3.6×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $5,292.85 $7,783.60 1.6×
Open tx carpal bone fracture oth/thn scaphoid ea (25645) $15,345.25 $22,566.55 4.7×
Open tx carpal scaphoid navicular fracture (25628) $24,406.36 $35,891.70 3.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792) $11,154.04 $16,403 1.5×
Open Tx Distal Phalangeal Fracture Each (26765) $4,811.68 $7,076 1.5×
Open Tx Distal Tibiofibular Joint Disruption (27829) $12,548.04 $18,453 1.7×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $11,548.03 $16,982.40 3.5×
Open Tx Humeral Epicondylar Fracture (24575) $34,997.75 $51,467.28 2.7×
Open tx interphalangeal joint dislocation (26785) $7,752 $11,400 2.4×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $4,811.68 $7,076 1.5×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 3 matching MRF lines
$4,811.68–$7,547.34 $7,076–$11,099.03 varies
Open Tx Radial Head/Neck Fracture (24665) $12,780.50 $18,794.85 1.8×
Open Tx Radial Head/Neck Fracture Prosth (24666) $51,160.30 $75,235.74 4.0×
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $9,759.36 $14,352 1.3×
Open Tx Tibial Fracture Proximal Unicondylar (27535) $25,561 $37,589.70 3.5×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $12,780.50 $18,794.85 1.8×
Open tx ulnar fx proximal end (24685) $26,099.96 $38,382.30 3.6×
Open/Perq Place Stent 1St (37236) $16,900.72 $24,854 1.5×
Open/Perq Place Stent Same (37238) $23,414.10 $34,432.50 2.0×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) $9,165.72 $13,479 1.3×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) $25,561 $37,589.70 3.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $43,656 $64,200 6.0×
Optx humeral shft fx w/plate/screws w/wocerclage (24515) $50,244.22 $73,888.56 3.9×
Ostc compl all metar heads w/prtl prox phalangc (28114) $11,800.50 $17,353.68 3.6×
Ostc prtl exostc/condylc metar head (28288) $4,811.68 $7,076 1.5×
Ostectomy calcaneus (28118) $5,292.85 $7,783.60 1.6×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $11,035.46 $16,228.62 3.4×
Ostectomy, complete excision; fifth metatarsal head (28113) $5,292.85 $7,783.60 1.6×
Ostectomy, complete excision; first metatarsal head (28111) $11,035.46 $16,228.62 3.4×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $4,811.68 $7,076 1.5×
Osteochondral allograft knee open (27415) $53,236.17 $78,288.48 4.1×
Osteoplasty Radius/Ulna Shortening (25390) $26,987.69 $39,687.78 3.7×
Osteot w/wo lngth shrt/corrj 1st metar (28306) $9,759.36 $14,352 1.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $4,811.68 $7,076 1.5×
Osteotomy calcaneus w/wo internal fixation (28300) $9,759.36 $14,352 1.3×
Osteotomy Clavicle W Bone Graft (23485) $50,244.22 $73,888.56 3.9×
Osteotomy radius distal third (25350) $12,780.50 $18,794.85 1.8×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $9,759.36 $14,352 1.3×
Osteotomy Tibia (27705) $18,540.42 $27,265.32 2.5×
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) $15,912 $23,400 2.2×
Osteotomy, iliac, acetabular or innominate bone; Facility (27146)
unusually low: confirm this is the full procedure
$3,610.85 $5,310.08 0.5×
Osteotomy, mandible, segmental; with genioglossus advancement (21199) $15,176.81 $22,318.84 2.6×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) $12,780.50 $18,794.85 1.8×
Palatopharyngoplasty (42145) $8,646.29 $12,715.13 1.5×
Part remv talus or calcaneus (28120) $9,623.36 $14,152 2.9×
Partial Excision Distal Phalanx Finger (26236) $4,260.59 $6,265.58 2.6×
Partial excision of lip (40520) $9,673.10 $14,225.15 2.9×
Partial removal of fibula (27641) $8,388.56 $12,336.12 2.6×
Partial removal of thyroid (60220) $20,646.60 $30,362.64 3.4×
Partial removal of tibia (27640) $5,292.85 $7,783.60 1.6×
Partial removal of toe (28160) $6,736.35 $9,906.40 2.0×
Partical Excision Bone Phalanx Toe (28124) $4,811.68 $7,076 1.5×
Penile Injection (54235) $543.32 $799 2.2×
Perc Rf Ablate Renal Tumor (50592) $8,602 $12,650 1.4×
Percut Cath Occlusn Non Cns Lesn (61626) $8,290.56 $12,192 0.7×
Percut Drain/Inject Renal Cyst (50390) $1,360.68 $2,001 1.9×
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) $32,511.04 $47,810.36 2.9×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $7,412 $10,900 2.3×
Peri-Implant Capsulectomy Breast Complete (19371) $6,441.79 $9,473.22 1.6×
Pericardiocentesis W/Imaging (33016) $2,080.12 $3,059 1.3×
Perq Cervicothoracic Inject (22510) $1,005.72 $1,479 0.3×
Perq dev breast 1st us imag (19285) $1,020 $1,500 1.4×
Perq device breast 1st imag (19281) $799 $1,175 0.5×
Perq Lumbosacral Injection (22511) $1,005.72 $1,479 0.3×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $12,164.52 $17,889 1.0×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $5,820.12 $8,559 1.0×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 3 matching MRF lines
$10,876.60–$34,081.33 $15,995–$50,119.60 varies
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines
$10,876.60–$12,780.50 $15,995–$18,794.85 varies
Phleb Veins - Extrem 20+ (37766) $8,102.80 $11,915.88 2.6×
Pin Finger Dislocation (26776) $6,736.35 $9,906.40 2.0×
Pin hand dislocation (26676) $8,388.56 $12,336.12 2.6×
Place Amniotic Membrane Ocular Surface Sutured (65779) $13,776.85 $20,260.08 3.5×
Place Cath Subclavian Art (36225) $4,904.16 $7,212 1.5×
Place Cath Thoracic Aorta (36221) $4,666.84 $6,863 1.5×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines
$285.96–$364.48 $420.53–$536 varies
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $16,793.28 $24,696 2.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $16,793.28 $24,696 2.8×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $16,793.28 $24,696 2.8×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $16,793.28 $24,696 2.8×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,267.80 $3,335 1.1×
Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) $27,668.11 $40,688.40 4.7×
Prim art mech thrombectomy (37184)
unusually low: confirm this is the full procedure
$8,290.56 $12,192 0.5×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $18,851.68 $27,723.06 2.9×
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $3,355.64 $4,934.76 3.8×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $8,096.52 $11,906.64 2.5×
Prq skel fixj femoral fx prox end neck (27235) $19,430.95 $28,574.92 2.7×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $8,372.32 $12,312.24 2.5×
Pseudoaneurysm Injection Trt (36002) $1,351.16 $1,987 2.1×
Punch biopsy skin single lesion (11104) $467.84 $688 1.1×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines
$608.60–$1,114.30 $895–$1,638.67 varies
Puncture Aspiration Cyst Breast (19000) $439.96 $647 0.6×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,941.85 $2,855.66 2.7×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $881.99 $1,297.04 1.2×
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) $26,099.96 $38,382.30 3.6×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $4,733.99 $6,961.75 2.9×
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $9,165.72 $13,479 2.8×
Rad resect elbow caps/sr bone w rels (24149) $15,705.28 $23,096 2.2×
Rad resect hand tumor 3 cm/> (26118) $5,640.63 $8,295.04 1.9×
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $9,461.07 $13,913.34 3.2×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) $4,834.82 $7,110.03 1.7×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $12,872.71 $18,930.45 4.4×
Radical styloidectomy separate procedure (25230) $9,955.20 $14,640 3.0×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $5,368.44 $7,894.76 2.7×
Rcnstj angular dfrm toe soft tiss px only (28313) $11,035.46 $16,228.62 3.4×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $11,800.50 $17,353.68 3.6×
Rcnstj Dislocating Patella (27420) $17,991.79 $26,458.52 2.5×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $13,942.72 $20,504 1.9×
Realignment extensor tendon hand each tendon (26437) $11,800.50 $17,353.68 3.6×
Reconstruct elbow med ligmnt (24346) $25,122.11 $36,944.28 1.9×
Reconstruct finger joint (26545) $8,661.02 $12,736.80 2.6×
Reconstruct Finger Joint (26548) $8,661.02 $12,736.80 2.6×
Reconstruct ulna/radioulnar (25337) $11,016 $16,200 1.5×
Reconstruct wrist joint (25445) $11,016 $16,200 1.5×
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) $30,353.62 $44,637.68 5.1×
Reconstruction Nail Bed W/Graft (11762) $5,249 $7,719.12 2.5×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) $13,805.36 $20,302 1.9×
Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) $15,176.81 $22,318.84 2.6×
Redo Endovas Vena Cava Filtr (37192) $12,011.52 $17,664 3.8×
Reinforce tibia (27745) $19,430.95 $28,574.92 2.7×
Release foot/toe nerve (64726) $7,157.91 $10,526.34 3.6×
Relocation Pocket Pacemaker (33222) $2,596.24 $3,818 1.3×
Rem Endovas Vena Cava Filter (37193) $8,277.30 $12,172.50 2.6×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,317.16 $1,937 1.4×
Removal Foreign Body Deep Thigh/Knee (27372) $10,539.66 $15,499.50 3.6×
Removal Foreign Body Foot Complicated (28193) $4,305.42 $6,331.50 2.6×
Removal foreign body foot deep (28192) $3,348.66 $4,924.50 2.0×
Removal Foreign Body Foot Subcutaneous (28190) $1,913.76 $2,814.36 2.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $4,407.05 $6,480.96 2.7×
Removal Foreign Body Scrotum (55120)
range across 2 matching MRF lines
$6,038.40–$6,038.49 $8,880–$8,880.13 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$328.91–$329.12 $483.69–$484 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines
$244.19–$2,229.69 $359.10–$3,278.95 varies
Removal Implant Deep (20680) $8,058.03 $11,850.05 2.8×
Removal Implant Superficial Separate Procedure (20670) $2,611.20 $3,840 1.6×
Removal implantable contraceptive capsules (11976) $1,168.24 $1,718 1.6×
Removal intact breast implant (19328) $6,649.03 $9,777.99 1.7×
Removal of adenoids (42831) $6,512.61 $9,577.37 2.0×
Removal of adenoids (42830) $6,512.61 $9,577.37 2.0×
Removal of ankle implant (27704) $8,365.36 $12,302 2.5×
Removal of heel spur (28119) $5,774.02 $8,491.20 1.8×
Removal of mammary implant material (19330) $8,772 $12,900 2.2×
Removal of nail bed (11750) $5,451.60 $8,017.06 13.3×
Removal of posterior segmental instrumentation Facility (22852) $20,958.96 $30,822 2.9×
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $5,640.63 $8,295.04 0.8×
Removal of sesamoid bone (28315) $6,736.35 $9,906.40 2.0×
Removal of thyroid (60271) $21,192.62 $31,165.62 3.6×
Removal of tonsils (42826) $14,885.96 $21,891.12 4.5×
Removal of tunneled intraperitoneal catheter (49422) $8,774.37 $12,903.48 2.8×
Removal of wrist bone (25210) $8,812.80 $12,960 2.7×
Removal or bivalving full arm or full leg cast (29705) $437.92 $644 1.6×
Removal Pacemaker Electrode (33235) $8,780.16 $12,912 2.3×
Removal ppm generator only (33233) $10,070.80 $14,810 1.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $1,684.36 $2,477 8.4×
Removal subcutaneous cardiac rhythm monitor (33286) $1,913.76 $2,814.36 2.7×
Removal Submand Stone,Complicated (42335) $9,673.10 $14,225.15 2.9×
Removal, under anesthesia, of external fixation system (20694) $5,680.79 $8,354.10 3.5×
Remove & graft wrist lesion (25135) $16,053.37 $23,607.90 2.2×
Remove Ankle Joint Lining (27626) $6,736.35 $9,906.40 2.0×
Remove drug implant device (11982)
range across 2 matching MRF lines
$3,821.37–$3,821.60 $5,619.66–$5,620 varies
Remove Elbow Joint Lining (24102) $8,096.52 $11,906.64 2.5×
Remove Elctrd Transvenously (33244) $4,313.24 $6,343 1.1×
Remove foreign body from eye (65205) $421.10 $619.27 3.2×
Remove Gastric Port Open (43887) $1,299.92 $1,911.64 0.6×
Remove groin lymph nodes (38760) $8,813.35 $12,960.81 1.3×
Remove Intrauterine Device (58301) $1,725.06 $2,536.86 5.6×
Remove intrvas foreign body (37197) $8,680.20 $12,765 2.7×
Remove knee joint lining (27334) $8,096.52 $11,906.64 2.5×
Remove Lower Leg Bone Lesion (27635) $11,154.04 $16,403 3.4×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$219.64–$362.44 $323–$533 varies
Remove Peritoneal Foreign Body (49402) $9,599.04 $14,116.24 2.7×
Remove Pulse Generator (33241)
range across 2 matching MRF lines
$3,816.84–$56,956.14 $5,613–$83,759.03 varies
Remove spine eltrd plate (63662) $41,539.84 $61,088 11.8×
Remove spine fixation device (22850) $23,868 $35,100 3.3×
Remove Tendon Sheath Lesion (26160) $6,609.60 $9,720 4.1×
Remove vc lesion w/scope (31545) $4,529.48 $6,661 1.2×
Remove&replace pm gen singl (33227) $12,250.20 $18,015 1.5×
Remove/graft finger lesion (26215) $5,292.85 $7,783.60 1.6×
Remove/graft forearm lesion (25125) $4,165.22 $6,125.32 2.6×
Remove/Insert Drug Implant (11983) $1,032.59 $1,518.52 2.3×
Remv&replc cvd gen dual lead (33263) $21,465.56 $31,567 1.0×
Remv&replc cvd gen mult lead (33264) $28,331.52 $41,664 0.9×
Remv&replc cvd gen sing lead (33262) $20,645.48 $30,361 0.9×
Remv&replc pm gen dual lead (33228) $15,470.68 $22,751 1.5×
Remv&replc pm gen mult leads (33229) $15,683.52 $23,064 0.8×
Renal Biopsy Perq (50200) $1,238.28 $1,821 0.7×
Repair Achilles Tendon (27650) $26,987.69 $39,687.78 3.7×
Repair arm/leg nerve (64857) $31,009.58 $45,602.32 9.0×
Repair Blood Vessel Direct Hand Finger (35207) $11,675.57 $17,169.96 3.7×
Repair Blood Vessel Direct Upper Extremity (35206) $23,351.15 $34,339.92 7.4×
Repair brow ptosis (67900) $8,169.59 $12,014.10 3.4×
Repair Collat Ankle Ligmnt,Secondary (27698) $25,561 $37,589.70 3.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 3 matching MRF lines
$1,059.44–$2,138.61 $1,558–$3,145.02 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,085.96 $1,597 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,033.38 $1,519.68 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines
$707.88–$2,138.61 $1,041–$3,145.02 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $2,491.52 $3,664 6.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines
$1,029.52–$2,138.61 $1,514–$3,145.02 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,245.76 $1,832 1.7×
Repair complex trunk 2.6-7.5 cm (13101)
range across 3 matching MRF lines
$1,530–$3,737.30 $2,250–$5,496.03 varies
Repair Ectropion Extensive (67917) $14,084.16 $20,712 5.9×
Repair Elbow Perc (24357) $11,800.50 $17,353.68 3.6×
Repair Extensor Tendon Finger W/Graft Each (26420) $11,800.50 $17,353.68 3.6×
Repair extensor tendon finger w/o graft each (26418) $4,260.59 $6,265.58 2.6×
Repair Finger Tendon (26433) $6,691.20 $9,840 2.0×
Repair Finger/Hand Tendon (26350) $7,752 $11,400 2.4×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $4,811.68 $7,076 1.5×
Repair Foot Dislocation (28615) $25,561 $37,589.70 3.5×
Repair Forearm Tendon Sheath (25275) $11,800.50 $17,353.68 3.6×
Repair Hallux Rigidus (28289) $5,292.85 $7,783.60 1.6×
Repair Hand Joint (26540) $15,134.08 $22,256 4.6×
Repair Hand Tendon (26410) $4,260.59 $6,265.58 2.6×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $12,988.31 $19,100.46 3.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $724.20 $1,065 1.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$852.04–$889.39 $1,253–$1,307.92 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,067.31 $1,569.58 2.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,199.40 $1,763.83 2.9×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $714 $1,050 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $467.84 $688 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$1,050.60–$1,111.68 $1,545–$1,634.82 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $2,681.24 $3,943 3.6×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $4,515.88 $6,641 2.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$848.64–$1,696.60 $1,248–$2,495 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $482.80 $710 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $590.24 $868 1.4×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,000.96 $1,472 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$735.76–$1,472.16 $1,082–$2,164.94 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $2,310.64 $3,398 1.1×
Repair Nasal Vestibular Stenosis (30465) $12,191.99 $17,929.40 2.1×
Repair Nonunion Carpal Bone Each Bone (25431) $27,810.63 $40,897.98 3.8×
Repair Nonunion Hand (26546) $9,955.20 $14,640 1.4×
Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) $8,661.02 $12,736.80 2.6×
Repair of metatarsals (28322) $18,540.42 $27,265.32 2.5×
Repair of nail bed (11760)
range across 3 matching MRF lines
$722.16–$3,564.36 $1,062–$5,241.70 varies
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) $17,399.98 $25,588.20 2.4×
Repair of Ruptured Tendon (24342) $15,705.28 $23,096 2.2×
Repair Rotator Cuff Chronic (23412) $21,300.83 $31,324.75 2.9×
Repair secondary achilles tendon w/wo graft (27654) $13,942.72 $20,504 1.9×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $5,774.02 $8,491.20 1.8×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $15,705.28 $23,096 2.2×
Repair tongue laceration (41250)
range across 3 matching MRF lines
$364.48–$592.96 $536–$872 varies
Repair webbed toe(s) (28345) $3,901.89 $5,738.08 2.4×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) $26,987.69 $39,687.78 3.7×
Repair, primary, disrupted ligament, ankle; collateral (27695) $12,548.04 $18,453 1.7×
Repair/graft achilles tendon (27652) $12,780.50 $18,794.85 1.8×
Repair/Graft Wrist Bone (25440) $12,780.50 $18,794.85 1.8×
Repair/Revise Wrist Joint (25320) $8,976 $13,200 1.2×
Repair/transpose nerve (64856) $31,716.76 $46,642.30 3.6×
Replace duodenostomy/jejunostomy tube perq (49451) $1,081.88 $1,591 1.2×
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines
$900.39–$990.76 $1,324.10–$1,457 varies
Replace g/c tube perc (49450)
range across 2 matching MRF lines
$1,069.64–$1,652.79 $1,573–$2,430.57 varies
Replacement Tissue Expander W/Permanent Implant (11970) $9,929.77 $14,602.61 1.4×
Reposition Gastrostomy Tube (43761) $1,643.56 $2,417 6.5×
Reposition L Ventric Lead (33226) $6,748.32 $9,924 2.1×
Reposition Pacing-Defib Lead (33215) $4,549.88 $6,691 1.4×
Reposition Venous Catheter (36597) $1,215.84 $1,788 0.8×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $3,888.03 $5,717.69 1.7×
Repr elbow lat ligmnt w/tiss (24343) $8,661.02 $12,736.80 2.6×
Rerepair ing hernia reduce (49520) $9,634.05 $14,167.72 2.7×
Resect forarm/wrist tum 3cm> (25078) $12,892.85 $18,960.08 4.4×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $5,292.85 $7,783.60 1.6×
Rev/rmv prph sac/gstr npg/r (64595) $13,650.58 $20,074.38 3.9×
Revise Hand/Foot Nerve (64704) $7,157.91 $10,526.34 3.6×
Revise knuckle joint (26530) $26,987.69 $39,687.78 3.7×
Revise Lower Leg Tendons (27686) $8,388.56 $12,336.12 2.6×
Revise radius & ulna (25365) $11,016 $16,200 0.9×
Revise ulnar nerve at wrist (64719) $4,175.45 $6,140.37 2.1×
Revise/Implant Finger Joint (26536) $21,749.97 $31,985.25 3.0×
Revise/Repair Finger/Toe Nerve (64702) $5,964.93 $8,771.95 3.0×
Revision of big toe (28310) $9,759.36 $14,352 1.3×
Revision of foot (28116) $11,548.03 $16,982.40 3.5×
Revision of foot fascia (28250) $11,800.50 $17,353.68 3.6×
Revision of lower leg tendon (27685) $5,292.85 $7,783.60 1.6×
Revision of reconstructed breast (19380) $22,578.48 $33,203.64 3.4×
Revision Peri-Implant Capsule Breast (19370) $13,171.60 $19,370 3.3×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $5,768.74 $8,483.44 2.5×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $20,946.31 $30,803.40 3.3×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) $13,616.32 $20,024 0.8×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $17,061.82 $25,090.91 4.9×
Revj/rmvl peripheral neurostimulator electrode (64585) $13,650.58 $20,074.38 3.9×
Revj/rpr oprative wound anterior segment (66250) $5,558.86 $8,174.80 2.3×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $32,080.31 $47,176.92 2.8×
Rib cartilage graft (21230) $8,646.29 $12,715.13 1.5×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) $2,399.72 $3,529 1.1×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $3,219.64 $4,734.77 2.1×
Rmvl embedded fb vestibule mouth comp (40805) $1,076.62 $1,583.26 2.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $6,118.16 $8,997.30 3.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$576.68–$627.64 $848.06–$923 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines
$335.92–$402.73 $494–$592.25 varies
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines
$2,726.80–$5,452.92 $4,010–$8,019 varies
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $15,504 $22,800 5.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines
$1,659.59–$1,845.52 $2,440.57–$2,714 varies
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $7,888 $11,600 3.4×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $4,175.45 $6,140.37 2.1×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $10,736.87 $15,789.51 5.5×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $11,628.59 $17,100.87 3.4×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $6,809.52 $10,014 1.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,587.12 $2,334 1.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,257.32 $1,849 2.0×
Rmvl Vitreous Ant Appr Partial Removal (67005) $5,768.74 $8,483.44 2.5×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $3,888.03 $5,717.69 1.7×
Rmvl/rpr emgnt bone cndj dev temporal bone (69711) $9,673.10 $14,225.15 2.9×
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines
$421.60–$950.13 $620–$1,397.25 varies
Rplcmt compl tun cvc w/o subq port/pmp (36581) $8,260.67 $12,148.04 2.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $15,869.46 $23,337.44 2.6×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $12,042.56 $17,709.65 3.3×
Rpr aa hernia recr 3-10 cm reducible (49615) $8,966.04 $13,185.36 1.4×
Rpr aa hrn 1st 3-10 rdc (49593) $9,634.05 $14,167.72 1.5×
Rpr aa hrn 1st < 3 ncr/strn (49592) $7,088.52 $10,424.30 1.2×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $8,169.59 $12,014.10 3.4×
Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) $8,169.59 $12,014.10 3.4×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $5,774.02 $8,491.20 1.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 3 matching MRF lines
$624.24–$678.98 $918–$998.50 varies
Rpr flexor tendon leg secondary w/o graft each (27659) $25,561 $37,589.70 3.5×
Rpr Lip Full Thickness Vermilion Only (40650) $1,900.11 $2,794.28 3.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,757.79 $5,526.16 2.4×
Rpr Nsl Vlv Collapse W/Implt (30468) $14,128.41 $20,777.08 2.4×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $10,650.42 $15,662.38 1.5×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $6,734.31 $9,903.40 2.0×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $5,292.85 $7,783.60 1.6×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $11,168.80 $16,424.70 3.4×
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) $14,188.45 $20,865.37 1.9×
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $5,292.85 $7,783.60 1.6×
Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) $26,987.69 $39,687.78 3.7×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $8,661.02 $12,736.80 2.6×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $11,548.03 $16,982.40 3.5×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $13,025.22 $19,154.73 3.9×
Shoulder arthroscopy (29820) $10,650.42 $15,662.38 1.5×
Shoulder arthroscopy diagnostic (29805) $24,871.07 $36,575.10 7.6×
Shoulder Arthroscopy/Surgery (29825) $15,397.38 $22,643.20 4.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $777.24 $1,143 1.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $435.88 $641 2.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$408.61–$539.24 $600.90–$793 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $940.44 $1,383 2.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$451.62–$599.08 $664.14–$881 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,067.60 $1,570 5.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $675.58 $993.50 3.4×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $267.68 $393.64 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$469.94–$510.68 $691.09–$751 varies
Skin Full Grft Face/Genit/Hf (15240) $3,207.72 $4,717.24 1.5×
Skin graft, harvest cultured tissue (15040) $4,975.51 $7,316.92 2.4×
Skin sub graft face/nk/hf/g (15275) $4,975.51 $7,316.92 6.7×
Skin sub graft trnk/arm/leg (15271) $6,998.67 $10,292.16 9.4×
Skin sub grft t/arm/lg child (15273) $4,710.36 $6,927 2.3×
Skin Tissue Procedure (17999) $4,155.64 $6,111.23 20.6×
Skn sub grft f/n/hf/g child (15277) $4,975.51 $7,316.92 2.4×
Slctv cath carotid/innom art angio xtrcranl art (36222) $6,145.84 $9,038 1.9×
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $11,229.52 $16,514 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$462.57–$501.16 $680.25–$737 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$675.58–$771.58 $993.50–$1,134.67 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 3 matching MRF lines
$807.16–$850.68 $1,187–$1,251 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$857.48–$1,510.33 $1,261–$2,221.07 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $8,515.64 $12,523 2.4×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $4,975.51 $7,316.92 2.4×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $9,940.34 $14,618.15 3.1×
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) $9,510.92 $13,986.64 1.6×
Strapping ankle (29540) $429.19 $631.16 2.6×
Strapping toes (29550)
range across 2 matching MRF lines
$223.72–$223.85 $329–$329.19 varies
Strapping Unna Boot (29580) $675.58 $993.50 4.1×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $4,651.87 $6,840.98 1.4×
Suction assisted lipectomy; head and neck (15876) $5,550.33 $8,162.25 1.6×
Suction assisted lipectomy; trunk (15877) $8,325.51 $12,243.40 2.3×
Suction assisted lipectomy; upper extremity (15878) $8,325.24 $12,243 4.0×
Suction Lipectomy Lwr Extrem (15879) $845.51 $1,243.40 0.2×
Surg Implnt Neuroelect,Epidural (63655) $41,778.75 $61,439.34 2.1×
Surg tx anal fistula subq (46270) $5,089.88 $7,485.12 1.8×
Suture 1 nerve hand/foot common sensory nerve (64834) $11,880.86 $17,471.85 3.5×
Suture 1 Nerve Median Motor Thenar (64835) $11,880.86 $17,471.85 3.5×
Suture 1 Nerve Ulnar Motor (64836) $15,841.14 $23,295.80 4.6×
Suture digital nerve hand/foot 1 nerve (64831) $9,543.88 $14,035.12 4.9×
Suture infrapatellar tendon primary (27380) $12,780.50 $18,794.85 1.8×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $3,888.03 $5,717.69 1.7×
Suture of quadriceps or hamstring muscle rupture primary (27385) $12,780.50 $18,794.85 1.8×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) $18,540.42 $27,265.32 2.5×
Sympathectomy; digital arteries, each digit Facility (64820) $6,254.74 $9,198.15 3.2×
Sympathectomy; ulnar artery (64822) $8,388.56 $12,336.12 2.6×
Syndactylization toes (28280) $8,096.52 $11,906.64 2.5×
Synovectomy carpometacarpal joint (26130) $9,914.40 $14,580 3.0×
Synovectomy Tendon Sheath Foot Flexor (28086) $5,292.85 $7,783.60 1.6×
Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) $8,976 $13,200 2.7×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $5,680.79 $8,354.10 3.5×
Talectomy (astragalectomy) Facility (28130) $18,540.42 $27,265.32 2.5×
Tangential biopsy skin single lesion (11102) $486.20 $715 1.2×
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) $49,588.32 $72,924 1.7×
Tcat Insj/Rpl Perm Ldls Pm (33274) $21,496.84 $31,613 1.1×
Tcat Rmvl Perm Ldls Pm (33275) $7,091.04 $10,428 2.2×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) $9,165.72 $13,479 2.8×
Tenodesis long tendon biceps (23430) $34,081.33 $50,119.60 4.7×
Tenodesis Wrist Extensors Fingers (25301) $15,345.25 $22,566.55 4.7×
Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) $5,774.02 $8,491.20 1.8×
Tenolysis flexor foot single tendon (28220) $5,803.84 $8,535.06 3.6×
Tenolysis flexor tendon palm&finger each tendo (26442) $4,811.68 $7,076 1.5×
Tenolysis flexor tendon palm/finger each tendon (26440) $4,260.59 $6,265.58 2.6×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $5,292.85 $7,783.60 1.6×
Tenolysis Triceps (24332) $8,388.56 $12,336.12 2.6×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $17,025.84 $25,038 5.2×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $10,281.60 $15,120 3.1×
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $5,292.85 $7,783.60 1.6×
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $11,800.50 $17,353.68 3.6×
Tenotomy shoulder area single tendon (23405) $16,372.34 $24,076.97 2.2×
Therapeutic plasma exchange (36514) $2,669.68 $3,926 1.7×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $53,236.17 $78,288.48 4.1×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $14,241.70 $20,943.68 2.5×
Thrmbc/Nfs Dialysis Circuit (36906) $27,234.68 $40,051 1.5×
Thromblytic art/ven therapy (37213) $5,012.96 $7,372 1.6×
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $43,656 $64,200 7.8×
Thrombolytic Art Therapy (37211) $8,220.52 $12,089 1.5×
Thrombolytic Therapy Stroke (37195) $1,983.56 $2,917 6.0×
Thrombolytic Venous Therapy (37212) $3,158.60 $4,645 1.0×
Thyroid biopsy (60100) $799 $1,175 1.1×
Thyroidectomy Post Prev Thyr Surg (60260) $34,000 $50,000 5.7×
Thyroidectomy, total or complete (60240) $27,528.79 $40,483.52 4.5×
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $10,375.54 $15,258.15 1.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,975.51 $7,316.92 2.4×
Tnot elbow lateral/medial debride open (24358) $23,800 $35,000 7.2×
Tnot elbow lateral/medial debride open tdn rpr (24359) $5,774.02 $8,491.20 1.8×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $14,885.96 $21,891.12 4.5×
Tooth extraction (41899)
range across 2 matching MRF lines
$11,106.90–$11,107.12 $16,333.67–$16,334 varies
Total Knee Arthroplasty (27447) $37,683.17 $55,416.42 2.9×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines
$741.20–$1,482.43 $1,090–$2,180.05 varies
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $696.32 $1,024 2.3×
Transection or avulsion of; greater occipital nerve Facility (64744) $6,111.57 $8,987.60 3.1×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $6,111.57 $8,987.60 3.1×
Translum Dil Eye Canal (66174) $10,867.98 $15,982.32 2.6×
Transplant hand tendon (26480) $5,292.85 $7,783.60 1.6×
Treat ankle fracture (28445) $10,650.42 $15,662.38 1.5×
Treat Big Toe Fracture (28505) $8,388.56 $12,336.12 2.6×
Treat elbow fracture (24586) $53,236.17 $78,288.48 4.1×
Treat Finger Fracture Each (26727) $4,406.40 $6,480 1.3×
Treat fracture radius/ulna (25575) $9,914.40 $14,580 1.4×
Treat Fx Rad Extra-Articul (25607) $26,987.69 $39,687.78 3.7×
Treat Humerus Fracture (24505) $1,878.16 $2,762 1.2×
Treat Kneecap Fracture (27524) $12,780.50 $18,794.85 1.8×
Treat Knuckle Dislocation (26700)
range across 3 matching MRF lines
$490.74–$668.99 $721.67–$983.81 varies
Treat metacarpal fracture (26607) $11,800.50 $17,353.68 3.6×
Treat Metatarsal Fracture (28475) $652.47 $959.52 2.6×
Treat scapula fracture (23585) $14,134.48 $20,786 1.9×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines
$459–$670.48 $675–$986 varies
Treat Thumb Fracture (26645)
range across 2 matching MRF lines
$1,503.64–$1,878.16 $2,211.23–$2,762 varies
Treat toe dislocation (28630)
range across 2 matching MRF lines
$326.40–$653.14 $480–$960.50 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines
$2,991.10–$3,089.92 $4,398.68–$4,544 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines
$951.25–$951.32 $1,398.90–$1,399 varies
Treatment of ankle fracture (27823) $27,810.63 $40,897.98 3.8×
Treatment of nose fracture (21330) $15,176.81 $22,318.84 2.6×
Trim skin lesion (11055) $675.58 $993.50 3.4×
Trim skin lesions 2 to 4 (11056) $274.04 $403 1.4×
Trim skin lesions over 4 (11057) $354.28 $521 1.8×
Trimming Nondystrophic Nails Any Number (11719) $675.58 $993.50 11.4×
Trluml Balo Angiop 1St Art (37246) $9,043.32 $13,299 1.6×
Trluml Balo Angiop 1St Vein (37248) $6,266.88 $9,216 1.1×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines
$391.68–$391.90 $576–$576.32 varies
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $43,656 $64,200 6.0×
Tx open tendon flexor toe 1 tendon spx (28232) $3,313.80 $4,873.23 2.1×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $4,165.20 $6,125.30 2.6×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$1,115.88–$2,231.85 $1,641–$3,282.13 varies
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $572.56 $842 2.3×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) $34,108.31 $50,159.28 2.6×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $4,139.54 $6,087.56 2.7×
Tympanoplasty (69631) $8,646.29 $12,715.13 1.5×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) $10,375.54 $15,258.15 1.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) $10,375.54 $15,258.15 1.7×
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) $19,403.12 $28,534 3.3×
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) $8,646.29 $12,715.13 1.5×
Tympanostomy general anesthesia (69436) $3,679.59 $5,411.16 2.4×
Unlisted laparoscopic procedure liver (47379) $7,630.76 $11,221.70 1.3×
Unlisted laparoscopy procedure stomach (43659)
range across 6 matching MRF lines
$13,764.40–$13,764.56 $20,241.76–$20,242 varies
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) $10,323.30 $15,181.32 1.7×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $7,022.43 $10,327.10 1.2×
Unlisted laparoscopy procedure, intestine (except rectum) (44238) $13,764.56 $20,242 2.3×
Unlisted procedure arthroscopy (29999) $422.30 $621.03 1.7×
Unlisted Procedure Esophagus (43499) $5,311.32 $7,810.77 5.8×
Unlisted procedure foot or toes (28899) $841.26 $1,237.14 3.4×
Unlisted Procedure Intestine (44799) $2,245.39 $3,302.04 2.5×
Unlisted Procedure Leg/Ankle (27899) $6,736.35 $9,906.40 27.2×
Unlisted procedure nervous system (64999) $1,065.57 $1,567.02 3.5×
Unlisted procedure pelvis/hip joint (27299) $1,121.67 $1,649.52 4.5×
Unlisted procedure stomach (43999)
range across 2 matching MRF lines
$1,323.96–$3,740 $1,947–$5,500 varies
Unlisted Procedure Tongue Floor Mouth (41599) $1,869.32 $2,749 7.9×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,009.51 $4,425.75 3.3×
Upgrade of pacemaker system (33214) $21,913 $32,225 2.1×
Vaginal delivery only (59409)
range across 2 matching MRF lines
$4,581.04–$4,581.16 $6,736.83–$6,737 varies
Vasc embolize/occlude artery (37242) $16,387.32 $24,099 0.9×
Venous Mech Thrombectomy (37187) $8,290.56 $12,192 0.7×
Ventilating tube removal requiring general anesthesia (69424) $6,512.61 $9,577.37 2.0×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines
$563.05–$4,081.36 $828.01–$6,002 varies
Wound Prep Trk/Arm/Leg (15002) $4,975.51 $7,316.92 6.7×
Wrist arthroscopy (29840) $5,292.85 $7,783.60 1.6×
Wrist arthroscopy with partial removal of joint lining (29844) $5,292.85 $7,783.60 1.6×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) $11,561.36 $17,002 2.2×
Xfer Single Deep Low Leg Tendon (27691) $12,780.50 $18,794.85 1.8×

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.