Procedures & surgery prices at Whitman Hospital & Medical Clinics

Colfax, WA · every code in this section with a posted price and a Medicare benchmark.

876 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 2 matching MRF lines		 $778.40–$2,367.20 $973–$2,959 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $261.60–$778.40 $327–$973 varies
Acne surgery (10040)
range across 3 matching MRF lines		 $24.80–$124 $31–$155 varies
Acromiopl/Acromionect Partial (23130) $2,817.60 $3,522 0.8×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,154.40 $3,943 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,179.20 $2,724 0.9×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $2,668 $3,335 1.2×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,487.20 $3,109 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines		 $2,441.60–$2,736 $3,052–$3,420 varies
Amputate Thigh,Re-Amputatn (27596) $2,502.40 $3,128 0.7×
Amputation follow-up surgery (27594) $1,768.80 $2,211 0.5×
Amputation foot transmetarsal (28805) $2,733.60 $3,417 0.7×
Amputation metatarsal with toe single (28810) $1,608 $2,010 0.4×
Amputation toe interphalangeal joint (28825) $1,399.20 $1,749 0.4×
Amputation toe metatarsophalangeal joint (28820) $1,496 $1,870 0.4×
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $2,532 $3,165 0.7×
Amputation, leg, through tibia and fibula; (27880)
unusually low: confirm this is the full procedure		 $3,366.40 $4,208 0.4×
Anal/Urinary Muscle Study (51784) $103.20 $129 0.7×
Anoscopy diagnostic (46600)
range across 5 matching MRF lines		 $21.60–$172 $27–$215 varies
Anoscopy W/Rmvl Foreign Body (46608) $1,375.20 $1,719 1.3×
Anoscopy; with biopsy, single or multiple (46606) $263.20 $329 0.2×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $374.40 $468 0.1×
Anterior Tibial Tubercleplasty (27418)
unusually low: confirm this is the full procedure		 $3,347.20 $4,184 0.4×
Appendectomy (44950)
unusually low: confirm this is the full procedure		 $2,372.80 $2,966 0.3×
Application cast elbow finger short arm (29075)
range across 4 matching MRF lines		 $36.80–$352 $46–$440 varies
Application finger splint static (29130)
range across 4 matching MRF lines		 $17.60–$164.80 $22–$206 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $34.40–$342.40 $43–$428 varies
Application Long Leg Splint (29505) $303.20 $379 1.7×
Application multiplane external fixation system (20692)
likely a partial charge, not the full procedure		 $4,155.20 $5,194 0.3×
Application of long leg cast (29345)
range across 4 matching MRF lines		 $54.40–$279.20 $68–$349 varies
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines		 $56–$278.40 $70–$348 varies
Application Short Arm Splint Dynamic (29126) $206.40 $258 1.4×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $24–$268.80 $30–$336 varies
Application short leg splint calf foot (29515)
range across 4 matching MRF lines		 $27.20–$136 $34–$170 varies
Application uniplane external fixation system (20690)
likely a partial charge, not the full procedure		 $2,199.20 $2,749 0.3×
Apply hand/wrist cast (29085)
range across 4 matching MRF lines		 $39.20–$363.20 $49–$454 varies
Apply long arm cast (29065)
range across 4 matching MRF lines		 $39.20–$328.80 $49–$411 varies
Apply Multlay Comprs Lwr Leg (29581) $119.20 $149 0.7×
Apply Short Leg Cast (29405)
range across 4 matching MRF lines		 $33.60–$184.80 $42–$231 varies
Apply short leg cast (29425) $390.40 $488 1.3×
Arterial puncture (36600)
range across 2 matching MRF lines		 $202.40–$298.40 $253–$373 varies
Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841)
unusually low: confirm this is the full procedure		 $2,696 $3,370 0.3×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $2,728.80 $3,411 0.2×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
likely a partial charge, not the full procedure		 $2,075.20 $2,594 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines		 $22.40–$440 $28–$550 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 4 matching MRF lines		 $30.40–$200.80 $38–$251 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines		 $30.40–$220.80 $38–$276 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $29.60–$210.40 $37–$263 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $21.60–$104.80 $27–$131 varies
Arthrodesis ankle open (27870)
likely a partial charge, not the full procedure		 $3,600 $4,500 0.3×
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure		 $1,184.80 $1,481 0.1×
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure		 $2,176.80 $2,721 0.3×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $2,900.80 $3,626 0.2×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $3,493.60 $4,367 0.2×
Arthroplasty Ankle W/Implant (27702)
likely a partial charge, not the full procedure		 $3,575.20 $4,469 0.1×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $5,374.40 $6,718 0.3×
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
unusually low: confirm this is the full procedure		 $4,477.60 $5,597 0.3×
Arthroplasty interphalangeal joint each (26535) $1,564.80 $1,956 0.4×
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) $3,091.20 $3,864 0.8×
Arthroplasty Patella W/Prosthesis (27438)
likely a partial charge, not the full procedure		 $3,118.40 $3,898 0.2×
Arthroplasty radial head (24365)
likely a partial charge, not the full procedure		 $2,373.60 $2,967 0.2×
Arthroscopy Ankle Surgical Debridement Extensive (29898) $2,112.80 $2,641 0.6×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899)
unusually low: confirm this is the full procedure		 $3,841.60 $4,802 0.5×
Arthroscopy hip w/femoroplasty (29914)
unusually low: confirm this is the full procedure		 $3,868.80 $4,836 0.5×
Arthroscopy knee diagnostic w/wo synovial bx spx (29870) $1,537.60 $1,922 0.4×
Arthroscopy Knee Synovectomy 2/>Compartments (29876) $2,441.60 $3,052 0.7×
Arthroscopy knee synovectomy limited spx (29875) $1,846.40 $2,308 0.5×
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $2,804.80 $3,506 0.8×
Arthroscopy shoulder distal claviculectomy (29824) $2,498.40 $3,123 0.7×
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure		 $3,928 $4,910 0.5×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $1,786.40 $2,233 0.5×
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) $1,820.80 $2,276 0.5×
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
unusually low: confirm this is the full procedure		 $3,012.80 $3,766 0.4×
Arthroscopy, knee, surgical; with lateral release (29873) $1,962.40 $2,453 0.5×
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) $3,121.60 $3,902 0.9×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $2,600 $3,250 0.7×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure		 $3,403.20 $4,254 0.4×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $2,313.60 $2,892 0.6×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $2,119.20 $2,649 0.6×
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
unusually low: confirm this is the full procedure		 $3,836.80 $4,796 0.5×
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $2,176.80 $2,721 0.6×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
unusually low: confirm this is the full procedure		 $3,939.20 $4,924 0.5×
Arthrotomy ankle w/expl drainage/removal fb (27610) $2,408 $3,010 0.7×
Arthrotomy W/Synovectomy Ankle (27625) $2,146.40 $2,683 0.6×
Arthrotomy wrist joint with synovectomy (25105) $1,773.60 $2,217 0.5×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
unusually low: confirm this is the full procedure		 $5,000 $6,250 0.3×
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure		 $4,275.20 $5,344 0.3×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
unusually low: confirm this is the full procedure		 $3,645.60 $4,557 0.5×
Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889)
unusually low: confirm this is the full procedure		 $4,520 $5,650 0.3×
Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) $2,489.60 $3,112 0.7×
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $2,460.80 $3,076 0.7×
Arthrs knee debridement/shaving artclr crtlg (29877) $2,313.60 $2,892 0.6×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,092.80 $2,616 0.6×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,465.60 $1,832 0.8×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $2,081.60 $2,602 0.6×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $403.20–$1,567.20 $504–$1,959 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $573.60–$780 $717–$975 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $22.40–$107.20 $28–$134 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $394.40–$969.60 $493–$1,212 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines		 $35.20–$258.40 $44–$323 varies
Biopsy bone open deep (20245) $1,311.20 $1,639 0.4×
Biopsy bone open superficial (20240) $567.20 $709 0.2×
Biopsy bone trocar/needle deep (20225) $492 $615 0.3×
Biopsy of breast; open, incisional (19101) $826.40 $1,033 0.2×
Biopsy of liver, needle; percutaneous (47000) $3,021.60 $3,777 1.6×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $1,510.40 $1,888 0.5×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $608.80 $761 0.3×
Biopsy Vaginal Mucosa Simple (57100)
range across 3 matching MRF lines		 $31.20–$157.60 $39–$197 varies
Bladder instillation anticarcinogenic agent (51720) $120.80 $151 0.2×
Bladder Irrigation (51700)
range across 5 matching MRF lines		 $16–$442.40 $20–$553 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $57.60–$138.40 $72–$173 varies
Blepharotomy drainage abscess eyelid (67700) $940 $1,175 2.7×
Blood Transfusion Service (36430) $1,200 $1,500 2.4×
Bone Graft Any Donor Area Major/Large (20902)
likely a partial charge, not the full procedure		 $1,214.40 $1,518 0.2×
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure		 $798.40 $998 0.1×
Bone Marrow Biopsy (38221) $829.60 $1,037 0.5×
Bone Marrow Harvest Autolog (38232) $756.80 $946 0.2×
Bx breast 1st lesion strtctc (19081) $1,460 $1,825 0.8×
Bx breast 1st lesion us imag (19083) $1,860 $2,325 1.0×
Bx breast needle core w/o imaging guidance spx (19100)
range across 3 matching MRF lines		 $34.40–$172.80 $43–$216 varies
Bx/exc lymph node open deep axillary node (38525) $1,620.80 $2,026 0.4×
Bx/exc lymph node open superficial (38500) $916 $1,145 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $1,178.40 $1,473 0.3×
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
likely a partial charge, not the full procedure		 $2,155.20 $2,694 0.3×
Carpal Tunnel Surgery (64721) $1,598.40 $1,998 0.7×
Carpectomy All Bones Proximal Row (25215) $2,298.40 $2,873 0.6×
Catheter aspiration nasotracheal spx (31720) $428 $535 1.8×
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 3 matching MRF lines		 $71.20–$354.40 $89–$443 varies
Change Cystostomy Tube Complicated (51710) $224 $280 0.3×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $195.20–$511.20 $244–$639 varies
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $21.60–$105.60 $27–$132 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 4 matching MRF lines		 $58.40–$399.20 $73–$499 varies
Chemodenerv Musc Migraine (64615)
range across 4 matching MRF lines		 $68.80–$443.20 $86–$554 varies
Chemodenerv musc neck dyston (64616)
range across 4 matching MRF lines		 $60–$390.40 $75–$488 varies
Chemodenerv trunk musc 1-5 (64646) $429.60 $537 0.5×
Chemodenerv trunk musc 6/> (64647) $499.20 $624 0.6×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $444.80 $556 0.6×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 4 matching MRF lines		 $66.40–$437.60 $83–$547 varies
Chest tube placement (32551)
range across 2 matching MRF lines		 $1,198.40–$1,995.20 $1,498–$2,494 varies
Circumcision 28 days or older (54161) $483.20 $604 0.2×
Circumcision Neonate (54160) $354.40 $443 0.5×
Circumcision w/clamp/oth dev w/block (54150)
range across 3 matching MRF lines		 $52–$256 $65–$320 varies
Claviculectomy partial (23120) $2,165.60 $2,707 0.6×
Clear outer ear canal (69200)
range across 4 matching MRF lines		 $24.80–$224 $31–$280 varies
Closed Rx Metacarpal Fx,Percut (26608) $1,784 $2,230 0.5×
Closed rx talotarsal disloc,anesth (28575) $1,227.20 $1,534 0.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,649.60 $2,062 6.0×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $100–$503.20 $125–$629 varies
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,102.40 $2,628 1.2×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $562.40 $703 0.3×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,035.20 $1,294 0.3×
Closed tx patellar dislocation w/anesthesia (27562) $1,808.80 $2,261 6.6×
Closed tx patellar dislocation w/o anesthesia (27560) $1,277.60 $1,597 4.6×
Closed tx radial shaft fracture w/manipulation (25505) $487.20 $609 0.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 3 matching MRF lines		 $144.80–$724.80 $181–$906 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines		 $1,624.80–$1,757.60 $2,031–$2,197 varies
Clsd tx clavicular fracture w/o manipulation (23500) $608.80 $761 2.2×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines		 $1,074.40–$1,498.40 $1,343–$1,873 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,148 $1,435 4.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $516 $645 0.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 3 matching MRF lines		 $154.40–$772.80 $193–$966 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $812.80 $1,016 0.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 4 matching MRF lines		 $137.60–$684.80 $172–$856 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $180–$903.20 $225–$1,129 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 5 matching MRF lines		 $279.20–$1,928.80 $349–$2,411 varies
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $422.40 $528 0.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $322.40 $403 1.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $392.80 $491 1.4×
Cltx greater humeral tuberosity fx w/o manj (23620) $964.80 $1,206 3.5×
Cltx hip dislocation traumatic req anesthesia (27252) $2,812 $3,515 1.6×
Cltx hip dislocation traumatic w/o anesthesia (27250) $330.40 $413 1.2×
Cltx humeral condylar fx medial/lateral w/manj (24577) $329.60 $412 0.2×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,712.80 $2,141 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $824 $1,030 3.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $2,726.40 $3,408 8.7×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 4 matching MRF lines		 $140–$698.40 $175–$873 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 4 matching MRF lines		 $168–$836.80 $210–$1,046 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $1,046.40 $1,308 3.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines		 $695.20–$1,109.60 $869–$1,387 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $696 $870 2.5×
Cltx post hip arthrp dislc req anes (27266) $2,152 $2,690 1.2×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $442.40 $553 1.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines		 $40–$471.20 $50–$589 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines		 $1,605.60–$1,619.20 $2,007–$2,024 varies
Collect Blood From Catheter Venous Nos (36592) $136 $170 0.9×
Collection of venous blood by venipuncture (36415) $24 $30 2.6×
Colonoscopy stoma w/balloon dilation (44405) $632.80 $791 0.5×
Colonoscopy Stoma W/Submucosal Injection (44404) $596 $745 0.4×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $605.60 $757 0.5×
Colonoscopy thru stoma (44388) $541.60 $677 0.5×
Colonoscopy w/ablation (45388) $953.60 $1,192 0.7×
Colonoscopy w/submucosal inj (45381) $748.80 $936 0.6×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 3 matching MRF lines		 $70.40–$348 $88–$435 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 3 matching MRF lines		 $50.40–$248 $63–$310 varies
Colsc Flexible W/Control Bleeding Any Method (45382) $941.60 $1,177 0.7×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $789.60 $987 0.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $853.60 $1,067 0.6×
Complex Cystometrogram (51726) $232.80 $291 0.8×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 4 matching MRF lines		 $54.40–$1,443.20 $68–$1,804 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines		 $30.40–$424 $38–$530 varies
Control oropharyngeal hemorrhage simple (42960) $449.60 $562 0.7×
Correction hammertoe (28285) $1,422.40 $1,778 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,969.60 $2,462 0.5×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $1,992.80 $2,491 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,239.20 $2,799 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $2,297.60 $2,872 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,805.60 $2,257 0.5×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
likely a partial charge, not the full procedure		 $2,134.40 $2,668 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $216.80–$500 $271–$625 varies
Curette/treat cornea (65435) $228.80 $286 0.2×
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines		 $371.20–$588 $464–$735 varies
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines		 $421.60–$636 $527–$795 varies
Cysto w/insert ureteral stent (52332) $432 $540 0.1×
Cysto w/irrig & evac multple obstructing clots (52001) $792 $990 0.2×
Cysto w/removal of lesions small (52224) $556 $695 0.1×
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines		 $419.20–$633.60 $524–$792 varies
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $1,622.40 $2,028 0.3×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $1,532.80 $1,916 0.4×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $1,257.60 $1,572 0.3×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
likely a partial charge, not the full procedure		 $1,728.80 $2,161 0.3×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $1,721.60 $2,152 0.3×
Cystometrogram W/Up (51727) $293.60 $367 0.4×
Cystometrogram W/Vp (51728) $286.40 $358 0.4×
Cystometrogram W/Vp&Up (51729) $347.20 $434 0.4×
Cystourethroscopy (52000)
range across 2 matching MRF lines		 $222.40–$354.40 $278–$443 varies
Cystourethroscopy inj chemodenervation bladder (52287)
range across 2 matching MRF lines		 $466.40–$704.80 $583–$881 varies
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines		 $392–$591.20 $490–$739 varies
Cystourethroscopy with direct vision internal urethrotomy (52276) $1,097.60 $1,372 0.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $16–$75.20 $20–$94 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,568.80 $1,961 0.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,034.40 $1,293 1.3×
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) $1,808.80 $2,261 0.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $576 $720 0.7×
Debride nail 1-5 (11720)
range across 4 matching MRF lines		 $8–$135.20 $10–$169 varies
Debride nail 6 or more (11721) $88.80 $111 1.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $856 $1,070 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $34.40–$705.60 $43–$882 varies
Declot vascular device (36593) $369.60 $462 1.0×
Decompression of tibia nerve (28035) $1,338.40 $1,673 0.6×
Decompressive fasciotomy hand (26037) $1,996 $2,495 0.5×
Delivery of placenta (59414) $336 $420 0.1×
Destroy cerv/thor facet jnt (64633) $789.60 $987 0.4×
Destroy lumb/sac facet jnt (64635) $756.80 $946 0.3×
Destruct B9 Lesion 1-14 (17110)
range across 4 matching MRF lines		 $38.40–$254.40 $48–$318 varies
Destruction Benign Lesions 15/> (17111)
range across 3 matching MRF lines		 $46.40–$229.60 $58–$287 varies
Destruction Internal Hemorrhoid Thermal Energy (46930)
range across 3 matching MRF lines		 $81.60–$405.60 $102–$507 varies
Destruction neurolytic agt genicular nerve w/img (64624) $1,135.20 $1,419 0.5×
Destruction of skin lesions (17106)
range across 3 matching MRF lines		 $133.60–$664.80 $167–$831 varies
Destruction Premalignant Lesion 15/> (17004)
range across 3 matching MRF lines		 $64–$318.40 $80–$398 varies
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines		 $30.40–$152 $38–$190 varies
Diagnostic sigmoidoscopy (45330) $197.60 $247 0.2×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $116.80 $146 0.8×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $112.80 $141 0.8×
Dilat Urethral Strix Dilator Male Sbsq (53601) $146.40 $183 1.0×
Dilate Urethra Stricture (53620) $242.40 $303 0.3×
Dilate Urethra Stricture (53600) $176 $220 0.6×
Dilation & curettage dx&/ther nonobstetric (58120) $848 $1,060 0.2×
Division of scalenus anticus; without resection of cervical rib Facility (21700)
likely a partial charge, not the full procedure		 $1,369.60 $1,712 0.2×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $664–$1,004.80 $830–$1,256 varies
Drain Hand Tendon Sheath (26020) $2,059.20 $2,574 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines		 $61.60–$308.80 $77–$386 varies
Drainage Finger Abscess Complicated (26011) $754.40 $943 0.4×
Drainage of finger abscess simple (26010) $444.80 $556 2.0×
Drainage of gum lesion (41800) $319.20 $399 2.2×
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines		 $257.60–$655.20 $322–$819 varies
Drainage of hydrocele (55000) $238.40 $298 0.3×
Drainage of scrotal wall abscess (55100) $592.80 $741 0.3×
Draw Blood Off Venous Device (36591) $111.20 $139 0.8×
Dressing Change Under Anesthesia (15852) $88 $110 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $252.80 $316 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $553.60 $692 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 4 matching MRF lines		 $56.80–$306.40 $71–$383 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 5 matching MRF lines		 $28–$365.60 $35–$457 varies
Dstrj lesion anus simple surg excision (46922) $490.40 $613 0.2×
Dstrj Lesion Penis Simple Cryosurgery (54056)
range across 3 matching MRF lines		 $51.20–$258.40 $64–$323 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,133.60 $1,417 1.2×
Dx Bone Marrow Bx & Aspir (38222) $291.20 $364 0.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $335.20 $419 0.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $573.60 $717 0.3×
Egd control bleeding any (43255) $748.80 $936 0.4×
Egd dilation gastric/duodenal stricture (43245) $656.80 $821 0.3×
Egd Flexible Foreign Body Removal (43247) $624 $780 0.6×
Egd guide wire insertion (43248) $618.40 $773 0.6×
Egd place gastrostomy tube (43246) $705.60 $882 0.3×
Egd remove lesion snare (43251) $713.60 $892 0.3×
Electro-Uroflowmetry First (51741) $38.40 $48 0.2×
Endometrial Biopsy (58100)
range across 3 matching MRF lines		 $37.60–$190.40 $47–$238 varies
Endoscopic injection/implant (51715) $552.80 $691 0.1×
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines		 $130.40–$653.60 $163–$817 varies
Endoven ther chem adhes 1st (36482)
range across 3 matching MRF lines		 $84.80–$423.20 $106–$529 varies
Enterorrhaphy single perforation (44602) $5,652 $7,065 1.3×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $329.60–$1,072.80 $412–$1,341 varies
Episiotomy or vaginal repair (59300) $575.20 $719 0.2×
Esoph Scope W/Submucous Inj (43201) $359.20 $449 0.2×
Esophagogastroduodenoscopy Submucosal Injection (43236) $484.80 $606 0.5×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $364 $455 0.2×
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines		 $16–$145.60 $20–$182 varies
Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) $2,031.20 $2,539 1.1×
Exc arm/elbow les sc < 3 cm (24075) $1,212.80 $1,516 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 4 matching MRF lines		 $39.20–$374.40 $49–$468 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines		 $84.80–$423.20 $106–$529 varies
Exc Back Tum Deep 5 Cm/> (21933) $2,720.80 $3,401 0.8×
Exc back tum deep < 5 cm (21932) $2,439.20 $3,049 0.8×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $1,699.20 $2,124 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines		 $100–$500 $125–$625 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 3 matching MRF lines		 $154.40–$772.80 $193–$966 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines		 $56–$280.80 $70–$351 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 3 matching MRF lines		 $66.40–$332.80 $83–$416 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines		 $74.40–$369.60 $93–$462 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 3 matching MRF lines		 $89.60–$451.20 $112–$564 varies
Exc Face-Mm B9+Marg 3.1-4 Cm (11444)
range across 3 matching MRF lines		 $115.20–$577.60 $144–$722 varies
Exc Forearm Les Sc 3 Cm/> (25071) $1,561.60 $1,952 0.8×
Exc ganglion wrist recurrent (25112) $1,445.60 $1,807 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 4 matching MRF lines		 $39.20–$303.20 $49–$379 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 4 matching MRF lines		 $56–$479.20 $70–$599 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines		 $74.40–$368.80 $93–$461 varies
Exc Hand Les Sc < 1.5 Cm (26115) $1,220.80 $1,526 0.7×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,170.40 $1,463 0.7×
Exc Rct Tum Incl Muscularis Propria (45172) $3,040 $3,800 1.0×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,287.20 $2,859 0.7×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,545.60 $3,182 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 4 matching MRF lines		 $72–$539.20 $90–$674 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 3 matching MRF lines		 $98.40–$487.20 $123–$609 varies
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 3 matching MRF lines		 $141.60–$702.40 $177–$878 varies
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 4 matching MRF lines		 $134.40–$909.60 $168–$1,137 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 3 matching MRF lines		 $107.20–$537.60 $134–$672 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 4 matching MRF lines		 $100–$1,225.60 $125–$1,532 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 4 matching MRF lines		 $174.40–$1,103.20 $218–$1,379 varies
Exc tendon shth lesion leg/ankle (27630) $1,368 $1,710 0.4×
Exc thigh/knee les sc 3 cm/> (27337)
range across 3 matching MRF lines		 $201.60–$1,006.40 $252–$1,258 varies
Exc Thrombosed Hemorrhoid Xtrnl (46320) $319.20 $399 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 4 matching MRF lines		 $53.60–$383.20 $67–$479 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 5 matching MRF lines		 $62.40–$564.80 $78–$706 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 5 matching MRF lines		 $331.20–$1,711.20 $104–$2,139 varies
Exc tumor soft tiss shoulder subfasc <5cm (23076) $2,003.20 $2,504 0.6×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $2,556.80 $3,196 0.8×
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $2,006.40 $2,508 0.6×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $2,083.20 $2,604 0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines		 $687.20–$1,162.40 $859–$1,453 varies
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,123.20 $1,404 0.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,455.20 $1,819 0.4×
Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638)
unusually low: confirm this is the full procedure		 $2,786.40 $3,483 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $1,247.20 $1,559 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines		 $106.40–$530.40 $133–$663 varies
Excision Chalazion Single (67800)
range across 3 matching MRF lines		 $48.80–$239.20 $61–$299 varies
Excision Distal Ulna Partial/Complete (25240) $1,604.80 $2,006 0.4×
Excision External Ear Partial Simple Repair (69110)
range across 3 matching MRF lines		 $149.60–$754.40 $187–$943 varies
Excision H/P/P/U Complex Repair (11471) $1,280.80 $1,601 0.4×
Excision H/P/P/U Simple/Intermediate Repair (11470) $1,039.20 $1,299 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 3 matching MRF lines		 $83.20–$412.80 $104–$516 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 3 matching MRF lines		 $105.60–$524.80 $132–$656 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 3 matching MRF lines		 $125.60–$624.80 $157–$781 varies
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646)
range across 3 matching MRF lines		 $183.20–$919.20 $229–$1,149 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 3 matching MRF lines		 $62.40–$313.60 $78–$392 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 3 matching MRF lines		 $76.80–$380.80 $96–$476 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 3 matching MRF lines		 $86.40–$432.80 $108–$541 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 3 matching MRF lines		 $121.60–$609.60 $152–$762 varies
Excision of bartholin's gland or cyst (56740)
range across 3 matching MRF lines		 $154.40–$771.20 $193–$964 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 4 matching MRF lines		 $165.60–$1,200.80 $207–$1,501 varies
Excision of hydrocele; unilateral (55040) $1,403.20 $1,754 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $1,160 $1,450 0.4×
Excision of single external papilla or tag, anus (46220)
range across 3 matching MRF lines		 $60.80–$305.60 $76–$382 varies
Excision olecranon bursa (24105) $1,314.40 $1,643 0.4×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $1,491.20 $1,864 0.4×
Excision Pilonidal Cyst/Sinus Complicated (11772) $2,528.80 $3,161 0.8×
Excision prepatellar bursa (27340) $1,677.60 $2,097 0.5×
Excision spermatocele w/wo epididymectomy (54840) $1,374.40 $1,718 0.6×
Excision synovial cyst popliteal space (27345) $1,781.60 $2,227 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,721.60 $2,152 0.9×
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,268 $1,585 0.4×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,157.60 $1,447 0.6×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327)
range across 3 matching MRF lines		 $149.60–$754.40 $187–$943 varies
Excision, interdigital (morton) neuroma, single, each (28080) $1,330.40 $1,663 0.7×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,413.60 $1,767 0.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,680.80 $2,101 0.5×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $3,273.60 $4,092 1.0×
Excision/curettage cyst/tumor phalanx finger (26210) $1,625.60 $2,032 0.9×
Expl penetrating wound spx abdomen/flank/back (20102) $4,861.60 $6,077 2.1×
Exploration of knee joint (27310) $2,693.60 $3,367 0.7×
Exploration penetrating wound spx chest (20101) $4,861.60 $6,077 2.1×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines		 $1,290.40–$2,260 $1,613–$2,825 varies
Exploration Penetrating Wound Spx Neck (20100) $4,861.60 $6,077 8.1×
External cephalic version (59412) $365.60 $457 0.1×
Fasciotomy, foot and/or toe (28008) $1,093.60 $1,367 0.3×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,097.60 $3,872 0.8×
Fetal non-stress test (59025) $260 $325 1.2×
Fine needle aspiration without imaging guidance (10021)
range across 5 matching MRF lines		 $31.20–$258.40 $39–$323 varies
Fluid Pressure Muscle (20950) $344 $430 0.4×
Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) $10,664.80 $13,331 1.3×
Fusion Finger Joint (26860) $2,115.20 $2,644 0.6×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure		 $2,308.80 $2,886 0.3×
Fusion of knuckle (26850)
unusually low: confirm this is the full procedure		 $2,515.20 $3,144 0.3×
Fusion of knuckle joint (26516) $2,535.20 $3,169 0.7×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
unusually low: confirm this is the full procedure		 $2,698.40 $3,373 0.3×
Hemiarthroplasty hip partial (27125)
likely a partial charge, not the full procedure		 $4,193.60 $5,242 0.3×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,034.40 $3,793 1.0×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,780 $2,225 0.6×
Hemorrhoidopexy by stapling (46947) $1,319.20 $1,649 0.4×
Hip arthro acetabuloplasty (29915) $4,081.60 $5,102 0.5×
Hip arthro w/labral repair (29916)
unusually low: confirm this is the full procedure		 $3,430.40 $4,288 0.4×
Hysteroscopy Biopsy (58558) $870.40 $1,088 0.2×
I&d abscess peritonsillar (42700) $618.40 $773 2.3×
I&d abscess simple (10060)
range across 4 matching MRF lines		 $56–$281.60 $70–$352 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,852.80 $2,316 0.6×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,018.40 $1,273 0.3×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,736.80 $2,171 0.6×
I&d pilonidal cyst complicated (10081) $2,176 $2,720 2.8×
I&d pilonidal cyst simple (10080)
range across 5 matching MRF lines		 $50.40–$1,398.40 $63–$1,748 varies
I&d upper arm/elbow deep abscess/hematoma (23930) $796.80 $996 0.2×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $257.60 $322 0.3×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $847.20 $1,059 0.1×
Incise external hemorrhoid (46083)
range across 5 matching MRF lines		 $52.80–$403.20 $66–$504 varies
Incise finger tendon sheath (26055) $1,170.40 $1,463 0.7×
Incise Wrist/Forearm Tendon (25290) $1,636.80 $2,046 0.4×
Incision & drainage abscess complicated/multiple (10061)
range across 5 matching MRF lines		 $92.80–$672 $116–$840 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $1,440.80 $1,801 0.4×
Incision & removal foreign body subq tiss compl (10121) $688 $860 0.4×
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines		 $56–$390.40 $70–$488 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $53.60–$268 $67–$335 varies
Incision and drainage of vulva or perineal abscess (56405) $752.80 $941 2.2×
Incision extensor tendon sheath wrist (25000) $1,268 $1,585 0.7×
Incision of eardrum (69421) $541.60 $677 0.1×
Incision of Foot Tendon (28234) $987.20 $1,234 0.6×
Incision of lingual frenum (frenotomy) (41010) $400.80 $501 0.2×
Incision of rectal abscess (46040)
range across 5 matching MRF lines		 $208–$1,530.40 $260–$1,913 varies
Incision of urethra (53020) $269.60 $337 0.1×
Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) $3,438.40 $4,298 0.9×
Incisional biopsy skin single lesion (11106)
range across 4 matching MRF lines		 $30.40–$237.60 $38–$297 varies
Initial Tx 1st Degree Burn Local Tx (16000) $371.20 $464 1.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $406.40 $508 0.4×
Inj W/Fluor Eval Cv Device (36598) $646.40 $808 2.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $504.80 $631 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 5 matching MRF lines		 $31.20–$158.40 $39–$198 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $111.20 $139 0.1×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $222.40 $278 0.2×
Injection aa&/strd genicular nrv branches w/img (64454) $303.20 $379 0.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $93.60–$1,182.40 $117–$1,478 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 4 matching MRF lines		 $42.40–$210.40 $53–$263 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines		 $292–$552.80 $365–$691 varies
Injection for identification of sentinel node (38792) $112.80 $141 0.3×
Injection procedure for peyronie disease (54200) $250.40 $313 0.9×
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines		 $25.60–$126.40 $32–$158 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines		 $29.60–$200.80 $37–$251 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 4 matching MRF lines		 $25.60–$162.40 $32–$203 varies
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 $29.60–$200.80 $37–$251 varies
Injection, anesthetic agent; brachial plexus, single (64415) $379.20 $474 0.4×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 4 matching MRF lines		 $38.40–$379.20 $48–$474 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 6 matching MRF lines		 $27.20–$379.20 $34–$474 varies
Injection, Intralesional; More Than 7 Lesions (11901)
range across 3 matching MRF lines		 $22.40–$108.80 $28–$136 varies
Injection, intralesional; up to and including 7 lesions (11900)
range across 3 matching MRF lines		 $12.80–$70.40 $16–$88 varies
Insert Bladder Cath Complex (51703) $741.60 $927 5.2×
Insert cath pleura w/o image (32556) $460 $575 0.2×
Insert Drug Implant Device (11981)
range across 4 matching MRF lines		 $45.60–$303.20 $57–$379 varies
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $389.60–$1,326.40 $487–$1,658 varies
Insert pessary/other device (57160)
range across 4 matching MRF lines		 $21.60–$208 $27–$260 varies
Insert spine infusion device (62360)
likely a partial charge, not the full procedure		 $1,155.20 $1,444 0.1×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $13.60–$402.40 $17–$503 varies
Insert tissue expander(s) (11960) $3,546.40 $4,433 0.9×
Insert tunneled cv cath (36561) $1,220 $1,525 0.3×
Insert tunneled cv cath (36563)
likely a partial charge, not the full procedure		 $1,433.60 $1,792 0.2×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $72–$305.60 $90–$382 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $318.40 $398 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,712.80 $2,141 1.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,097.60 $1,372 0.3×
Instlj ther agent renal pelvis&/ureter via tub (50391) $271.20 $339 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $953.60 $1,192 2.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $995.20 $1,244 2.2×
Intro Gastrointestinal Tube (44500) $70.40 $88 0.1×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $571.20–$680.80 $714–$851 varies
Irrigation of corpora cavernosa for priapism (54220) $464 $580 1.7×
Knee Arthroscopy/Surgery (29874) $1,999.20 $2,499 0.5×
Lam facetec & foramot lumbar (63047)
unusually low: confirm this is the full procedure		 $4,003.20 $5,004 0.5×
Lap paraesoph her rpr w/mesh (43282) $6,380 $7,975 0.5×
Lap paraesophag hern repair (43281)
unusually low: confirm this is the full procedure		 $5,676 $7,095 0.5×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $1,383.20 $1,729 0.2×
Laparoscopy Enterolysis Separate Procedure (44180) $3,388.80 $4,236 0.5×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $1,470.40 $1,838 0.2×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,596.80 $1,996 0.2×
Laparoscopy W/Lysis Of Adhesions (58660)
unusually low: confirm this is the full procedure		 $2,438.40 $3,048 0.4×
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323)
unusually low: confirm this is the full procedure		 $2,239.20 $2,799 0.3×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure		 $2,224 $2,780 0.3×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
unusually low: confirm this is the full procedure		 $3,977.60 $4,972 0.3×
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $3,748 $4,685 0.9×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $2,652 $3,315 0.4×
Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186)
unusually low: confirm this is the full procedure		 $2,879.20 $3,599 0.4×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure		 $2,079.20 $2,599 0.3×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $1,212.80 $1,516 0.2×
Laps Gastric Restrictive Px Remove Device & Port (43774) $3,799.20 $4,749 0.9×
Laser vaporization of prostate (52648)
unusually low: confirm this is the full procedure		 $2,841.60 $3,552 0.5×
Late closure of wound (13160)
range across 2 matching MRF lines		 $1,596.80–$2,966.40 $1,996–$3,708 varies
Lateral retinacular release open (27425) $1,668.80 $2,086 0.5×
Lengthen radius or ulna (25391)
likely a partial charge, not the full procedure		 $3,695.20 $4,619 0.3×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $2,261.60 $2,827 0.6×
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429)
unusually low: confirm this is the full procedure		 $4,599.20 $5,749 0.3×
Ligamentous Reconstruction Knee Extra-Articular (27427)
unusually low: confirm this is the full procedure		 $2,635.20 $3,294 0.3×
Ligate leg veins open (37761) $1,256 $1,570 0.4×
Ligation or biopsy temporal artery (37609) $785.60 $982 0.4×
Litholapaxy smpl/sm <2.5 cm (52317) $1,509.60 $1,887 0.4×
Lithotripsy, extracorporeal shock wave (50590) $2,552.80 $3,191 0.6×
Low Back Disk Surgery (63030)
unusually low: confirm this is the full procedure		 $3,522.40 $4,403 0.4×
Manipulation knee joint under general anesthesia (27570) $561.60 $702 0.3×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $730.40 $913 0.4×
Mast mod rad (19307) $4,367.20 $5,459 0.6×
Mastectomy partial (19301) $2,370.40 $2,963 0.5×
Mastectomy simple complete (19303)
unusually low: confirm this is the full procedure		 $3,532.80 $4,416 0.5×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) $4,748.80 $5,936 0.6×
Muscle-skin graft trunk (15734) $5,509.60 $6,887 1.4×
Myelography Lumbar Injection (62305) $325.60 $407 0.4×
Myelography Lumbar Injection (62304) $2,476 $3,095 2.8×
Myelography via lumbar injection rs&i cervical (62302) $2,476 $3,095 2.8×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,476 $3,095 2.8×
N Block Inj Ilio-Ing/Hypogi (64425) $379.20 $474 0.5×
N block inj intercost sng (64420) $379.20 $474 0.5×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $18.40–$89.60 $23–$112 varies
N Block Lumbar/Thoracic (64520) $504.80 $631 0.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $371.20 $464 0.2×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $263.20 $329 0.3×
Ndsc eval intstinal pouch w/bx single/multiple (44386) $324.80 $406 0.3×
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,916 $2,395 1.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $66.40 $83 2.1×
Needle insertion w/o injection 3 or more muscles (20561) $99.20 $124 3.1×
Nerve repair w/conduit each nerve (64910)
unusually low: confirm this is the full procedure		 $3,092.80 $3,866 0.3×
Neuroeltrd Stim Post Tibial (64566) $84 $105 0.2×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $2,212 $2,765 1.0×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $1,854.40 $2,318 0.9×
Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) $2,686.40 $3,358 1.2×
Neurp major prph nrv opn arm/leg sciatic nrv (64712) $2,124.80 $2,656 1.0×
Njx anes stellate ganglion crv sympathetic (64510) $504.80 $631 0.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $252.80–$268.80 $316–$336 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $51.20–$314.40 $64–$393 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $372 $465 0.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $118.40 $148 0.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,092 $1,365 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $111.20 $139 0.1×
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 3 matching MRF lines		 $18.40–$89.60 $23–$112 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 3 matching MRF lines		 $34.40–$177.60 $43–$222 varies
Occipital Nerve Block (64405)
range across 4 matching MRF lines		 $36.80–$236 $46–$295 varies
Omntc Epiploectomy Rescj Omentum Spx (49255)
unusually low: confirm this is the full procedure		 $2,784 $3,480 0.4×
Open biopsy/excision inguinofemoral nodes (38531) $1,616 $2,020 0.4×
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure		 $3,053.60 $3,817 0.4×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure		 $2,824.80 $3,531 0.3×
Open treatment calcaneal fracture (28415) $4,148 $5,185 0.5×
Open Treatment Fracture Distal Tibia & Fibula (27828)
unusually low: confirm this is the full procedure		 $4,771.20 $5,964 0.3×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure		 $3,986.40 $4,983 0.3×
Open treatment greater trochanteric fracture (27248)
unusually low: confirm this is the full procedure		 $2,768 $3,460 0.3×
Open Treatment Humeral Condylar Fracture (24579)
likely a partial charge, not the full procedure		 $3,098.40 $3,873 0.2×
Open Treatment Medial Malleolus Fracture (27766)
likely a partial charge, not the full procedure		 $2,250.40 $2,813 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $2,008 $2,510 0.2×
Open treatment of acromioclavicular dislocation acute or chronic (23550)
likely a partial charge, not the full procedure		 $2,086.40 $2,608 0.3×
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552)
unusually low: confirm this is the full procedure		 $2,708.80 $3,386 0.3×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
unusually low: confirm this is the full procedure		 $2,669.60 $3,337 0.3×
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507)
unusually low: confirm this is the full procedure		 $3,597.60 $4,497 0.4×
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) $4,942.40 $6,178 0.6×
Open Treatment of Ulnar Shaft Fracture (25545)
likely a partial charge, not the full procedure		 $2,172 $2,715 0.3×
Open treatment of ulnar styloid fracture (25652)
likely a partial charge, not the full procedure		 $2,324.80 $2,906 0.3×
Open Treatment Proximal Fibula/Shaft Fracture (27784)
unusually low: confirm this is the full procedure		 $2,656 $3,320 0.3×
Open Treatment Proximal Humeral Fracture (23615)
likely a partial charge, not the full procedure		 $3,276 $4,095 0.2×
Open Tx Acute/Chronic Elbow Dislocation (24615)
unusually low: confirm this is the full procedure		 $2,643.20 $3,304 0.3×
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $2,607.20 $3,259 0.7×
Open tx carpal scaphoid navicular fracture (25628)
unusually low: confirm this is the full procedure		 $2,686.40 $3,358 0.3×
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $2,134.40 $2,668 0.6×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure		 $2,425.60 $3,032 0.3×
Open Tx Distal Phalangeal Fracture Each (26765)
range across 5 matching MRF lines		 $248.80–$1,851.20 $311–$2,314 varies
Open Tx Distal Tibiofibular Joint Disruption (27829)
unusually low: confirm this is the full procedure		 $2,542.40 $3,178 0.3×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $3,676.80 $4,596 0.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,856.80 $2,321 0.5×
Open Tx Humeral Epicondylar Fracture (24575)
likely a partial charge, not the full procedure		 $2,696.80 $3,371 0.2×
Open tx humeral supracondylar fracture w/o xtn (24545)
likely a partial charge, not the full procedure		 $3,436.80 $4,296 0.2×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,127.20 $2,659 0.6×
Open Tx Radial Head/Neck Fracture (24665)
likely a partial charge, not the full procedure		 $2,356 $2,945 0.3×
Open Tx Radial Head/Neck Fracture Prosth (24666)
likely a partial charge, not the full procedure		 $2,720.80 $3,401 0.2×
Open Tx Tibial Fracture Proximal Unicondylar (27535)
unusually low: confirm this is the full procedure		 $3,313.60 $4,142 0.4×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
unusually low: confirm this is the full procedure		 $3,166.40 $3,958 0.4×
Open tx ulnar fx proximal end (24685)
unusually low: confirm this is the full procedure		 $2,432 $3,040 0.3×
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
unusually low: confirm this is the full procedure		 $3,038.40 $3,798 0.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
unusually low: confirm this is the full procedure		 $3,858.40 $4,823 0.5×
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) $4,421.60 $5,527 0.5×
Optx humeral shft fx w/plate/screws w/wocerclage (24515)
likely a partial charge, not the full procedure		 $3,260.80 $4,076 0.2×
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758)
likely a partial charge, not the full procedure		 $3,294.40 $4,118 0.2×
Orchiopexy Ingun/Scrot Appr (54640) $1,830.40 $2,288 0.5×
Ostc prtl exostc/condylc metar head (28288) $1,608 $2,010 0.4×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,178.40 $1,473 0.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $1,074.40 $1,343 0.3×
Osteochondral allograft knee open (27415)
unusually low: confirm this is the full procedure		 $4,431.20 $5,539 0.3×
Osteoplasty Radius/Ulna Shortening (25390)
unusually low: confirm this is the full procedure		 $2,796 $3,495 0.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,403.20 $1,754 0.4×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
likely a partial charge, not the full procedure		 $2,169.60 $2,712 0.3×
Part remv talus or calcaneus (28120) $1,850.40 $2,313 0.5×
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184)
unusually low: confirm this is the full procedure		 $3,358.40 $4,198 0.4×
Partial Excision Bone Humerus (24140) $2,600 $3,250 0.7×
Partial Excision Bone Ulna (25150) $2,079.20 $2,599 0.6×
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines		 $985.60–$3,571.20 $1,232–$4,464 varies
Partical Excision Bone Phalanx Toe (28124) $1,224.80 $1,531 0.3×
Pelvic examination under anesthesia (other than local) (57410) $371.20 $464 0.1×
Penile Injection (54235) $208.80 $261 0.7×
Pericardiocentesis W/Imaging (33016) $804 $1,005 0.5×
Peritoneal Lavage (49084) $940 $1,175 0.9×
Perq dev breast 1st strtctc (19283) $638.40 $798 0.8×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines		 $186.40–$308.80 $233–$386 varies
Perq device breast 1st imag (19281) $638.40 $798 0.3×
Perq skel fixj distal radial fx/epiphysl sep (25606) $2,464.80 $3,081 0.7×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
unusually low: confirm this is the full procedure		 $2,522.40 $3,153 0.3×
Perq Vertebral Augmentation (22513)
unusually low: confirm this is the full procedure		 $2,522.40 $3,153 0.3×
Place Rt Device/Marker Pros (55876) $287.20 $359 0.2×
Placement of needle for intraosseous infusion (36680) $210.40 $263 0.4×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $899.20 $1,124 0.4×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $192 $240 0.2×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $397.60 $497 0.3×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $259.20 $324 0.2×
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327)
likely a partial charge, not the full procedure		 $416.80 $521 0.1×
Prostatic microwave thermotx (53850) $1,011.20 $1,264 0.3×
Prosthesis Removal Humeral/Glenoid Component (23334)
unusually low: confirm this is the full procedure		 $3,979.20 $4,974 0.5×
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) $1,570.40 $1,963 0.4×
Prq skel fixj femoral fx prox end neck (27235)
unusually low: confirm this is the full procedure		 $3,364 $4,205 0.4×
Prq skel fixj metar fx w/manj (28476) $1,297.60 $1,622 0.4×
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
unusually low: confirm this is the full procedure		 $2,738.40 $3,423 0.3×
Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) $1,973.60 $2,467 0.5×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,632.80 $2,041 0.4×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines		 $38.40–$192 $48–$240 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines		 $52.80–$524.80 $66–$656 varies
Pvb thoracic cont infusion (64463) $292 $365 0.4×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $277.60 $347 0.4×
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $2,835.20 $3,544 1.6×
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) $3,779.20 $4,724 1.2×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,271.20 $1,589 0.3×
Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) $2,975.20 $3,719 0.8×
Rcnstj Dislocating Patella (27420)
unusually low: confirm this is the full procedure		 $2,706.40 $3,383 0.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,731.20 $2,164 0.2×
Reconstruct elbow lat ligmnt (24344) $4,071.20 $5,089 0.5×
Reconstruct elbow med ligmnt (24346)
likely a partial charge, not the full procedure		 $4,056.80 $5,071 0.3×
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
unusually low: confirm this is the full procedure		 $2,744 $3,430 0.3×
Release of shoulder ligament (23415)
unusually low: confirm this is the full procedure		 $2,565.60 $3,207 0.3×
Relieve Pressure on Nerve(S) (64722) $1,371.20 $1,714 0.6×
Removal Embedded Foreign Body Eyelid (67938) $596.80 $746 1.7×
Removal Foreign Body Foot Subcutaneous (28190)
range across 4 matching MRF lines		 $60–$1,012.80 $75–$1,266 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $767.20 $959 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $39.20–$52.80 $49–$66 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $18.40–$89.60 $23–$112 varies
Removal Implant Deep (20680)
range across 4 matching MRF lines		 $243.20–$1,580.80 $304–$1,976 varies
Removal Implant Superficial Separate Procedure (20670)
range across 4 matching MRF lines		 $85.60–$544.80 $107–$681 varies
Removal of anal fissure (46200) $1,212.80 $1,516 0.4×
Removal of knee prosthesis (27488)
unusually low: confirm this is the full procedure		 $4,435.20 $5,544 0.3×
Removal of nail bed (11750)
range across 5 matching MRF lines		 $80.80–$533.60 $101–$667 varies
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) $4,741.60 $5,927 0.6×
Removal of tendon for graft (20924)
likely a partial charge, not the full procedure		 $1,876.80 $2,346 0.2×
Removal of tonsils (42825)
likely a partial charge, not the full procedure		 $972 $1,215 0.1×
Removal of tonsils (42826) $929.60 $1,162 0.3×
Removal of wrist bone (25210) $1,804 $2,255 0.5×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines		 $39.20–$200 $49–$250 varies
Removal Sutures/Staples Requiring Anesthesia (15851) $156 $195 0.1×
Removal, under anesthesia, of external fixation system (20694) $1,256 $1,570 0.7×
Removal/bivalving gauntlet boot/body cast (29700)
range across 3 matching MRF lines		 $17.60–$82.40 $22–$103 varies
Remove drug implant device (11982)
range across 4 matching MRF lines		 $54.40–$372 $68–$465 varies
Remove Elbow Joint Lining (24102) $2,291.20 $2,864 0.6×
Remove foreign body from eye (65205)
range across 4 matching MRF lines		 $20.80–$139.20 $26–$174 varies
Remove Intrauterine Device (58301)
range across 5 matching MRF lines		 $36.80–$249.60 $46–$312 varies
Remove knee joint lining (27334) $2,520 $3,150 0.7×
Remove Lower Leg Bone Lesion (27635) $2,164 $2,705 0.6×
Remove Nasal Foreign Body (30300)
range across 4 matching MRF lines		 $58.40–$288.80 $73–$361 varies
Remove Peritoneal Foreign Body (49402) $3,054.40 $3,818 0.8×
Remove renal tube w/fluoro (50389) $585.60 $732 0.8×
Remove Skin Nerve Lesion (64774) $1,540.80 $1,926 0.7×
Remove Tendon Sheath Lesion (26160) $1,256.80 $1,571 0.7×
Remove tissue expander (11971) $1,192 $1,490 0.4×
Remove wrist joint cartilage (25107) $2,268 $2,835 0.6×
Remove/Insert Drug Implant (11983)
range across 3 matching MRF lines		 $97.60–$483.20 $122–$604 varies
Repair Achilles Tendon (27650)
unusually low: confirm this is the full procedure		 $2,439.20 $3,049 0.3×
Repair Blood Vessel Direct Hand Finger (35207) $2,800.80 $3,501 0.8×
Repair Blood Vessel Direct Upper Extremity (35206) $2,925.60 $3,657 0.8×
Repair Collat Ankle Ligmnt,Secondary (27698)
likely a partial charge, not the full procedure		 $2,384 $2,980 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $846.40 $1,058 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 4 matching MRF lines		 $151.20–$1,790.40 $189–$2,238 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 4 matching MRF lines		 $136–$884.80 $170–$1,106 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $1,171.20–$1,515.20 $1,464–$1,894 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $703.20 $879 1.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 5 matching MRF lines		 $144–$1,102.40 $180–$1,378 varies
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $672–$731.20 $840–$914 varies
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $796–$872 $995–$1,090 varies
Repair Elbow Perc (24357) $1,601.60 $2,002 0.4×
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines		 $1,159.20–$2,171.20 $1,449–$2,714 varies
Repair Finger/Hand Tendon (26350) $2,723.20 $3,404 0.7×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,376 $1,720 0.4×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure		 $3,005.60 $3,757 0.4×
Repair Hallux Rigidus (28289) $2,062.40 $2,578 0.6×
Repair Hand Joint (26540) $2,450.40 $3,063 0.7×
Repair Hand Tendon (26410) $1,288.80 $1,611 0.7×
Repair humerus with graft (24435)
likely a partial charge, not the full procedure		 $3,988 $4,985 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $2,112 $2,640 0.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 4 matching MRF lines		 $86.40–$500 $108–$625 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $664 $830 1.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $693.60 $867 1.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $783.20 $979 1.7×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,161.60 $1,452 2.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $809.60 $1,012 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 5 matching MRF lines		 $76.80–$565.60 $96–$707 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 4 matching MRF lines		 $92.80–$486.40 $116–$608 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $746.40 $933 0.9×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,122.40 $1,403 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $762.40 $953 1.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $389.60–$570.40 $487–$713 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 5 matching MRF lines		 $98.40–$722.40 $123–$903 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $834.40 $1,043 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 4 matching MRF lines		 $100–$656.80 $125–$821 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $956 $1,195 0.4×
Repair Nonunion/Malunion Tibia W/O Graft (27720)
unusually low: confirm this is the full procedure		 $3,240 $4,050 0.4×
Repair of biceps tendon (24340)
likely a partial charge, not the full procedure		 $2,284 $2,855 0.3×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure		 $3,579.20 $4,474 0.4×
Repair of nail bed (11760) $504.80 $631 0.6×
Repair of Ruptured Tendon (24342)
unusually low: confirm this is the full procedure		 $2,888.80 $3,611 0.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure		 $2,527.20 $3,159 0.4×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure		 $3,149.60 $3,937 0.4×
Repair shoulder capsule (23462)
unusually low: confirm this is the full procedure		 $3,912 $4,890 0.5×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
unusually low: confirm this is the full procedure		 $2,776.80 $3,471 0.3×
Repair tongue laceration (41250) $572.80 $716 1.2×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure		 $1,760 $2,200 0.2×
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
unusually low: confirm this is the full procedure		 $2,497.60 $3,122 0.3×
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure		 $2,510.40 $3,138 0.3×
Repair/graft femur head/neck (27170) $4,823.20 $6,029 0.6×
Repair/Revise Wrist Joint (25320)
unusually low: confirm this is the full procedure		 $3,689.60 $4,612 0.5×
Reposition Gastrostomy Tube (43761) $364 $455 1.3×
Repr elbow lat ligmnt w/tiss (24343) $2,627.20 $3,284 0.7×
Repr Elbw Med Ligmnt W/Tiss (24345)
unusually low: confirm this is the full procedure		 $2,615.20 $3,269 0.3×
Repr torn cruciate knee ligam (27407)
unusually low: confirm this is the full procedure		 $2,858.40 $3,573 0.4×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $966.40 $1,208 0.3×
Revis reconst shoulder joint (23473)
unusually low: confirm this is the full procedure		 $5,976.80 $7,471 0.4×
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
unusually low: confirm this is the full procedure		 $6,457.60 $8,072 0.5×
Revise finger joint each (26140) $1,889.60 $2,362 1.1×
Revise Hand/Foot Nerve (64704) $1,199.20 $1,499 0.6×
Revise ulnar nerve at wrist (64719) $1,499.20 $1,874 0.7×
Revision of foot fascia (28250) $1,496 $1,870 0.4×
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) $4,200.80 $5,251 1.1×
Revision of lower leg tendon (27685) $1,720.80 $2,151 0.5×
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137)
unusually low: confirm this is the full procedure		 $5,456.80 $6,821 0.4×
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
unusually low: confirm this is the full procedure		 $5,636.80 $7,046 0.4×
Revj tot hip arthrp bth w/wo agrft/algrft (27134)
unusually low: confirm this is the full procedure		 $7,046.40 $8,808 0.5×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
unusually low: confirm this is the full procedure		 $6,472.80 $8,091 0.3×
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
unusually low: confirm this is the full procedure		 $5,188.80 $6,486 0.4×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $1,388 $1,735 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 4 matching MRF lines		 $84.80–$222.40 $28–$278 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $403.20 $504 2.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $160 $200 0.3×
Rmvl fecal impaction/fb spx under anes (45915) $824.80 $1,031 0.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 4 matching MRF lines		 $89.60–$2,688.80 $112–$3,361 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $504–$1,269.60 $630–$1,587 varies
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines		 $17.60–$140 $22–$175 varies
Rplcmt cath ctr vad subq port/pmp (36578) $4,689.60 $5,862 1.3×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $4,689.60 $5,862 2.7×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure		 $2,615.20 $3,269 0.4×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $1,200 $1,500 0.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,844.80 $2,306 0.5×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $2,008 $2,510 0.3×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $1,668 $2,085 0.2×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $1,808 $2,260 0.5×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
likely a partial charge, not the full procedure		 $1,340.80 $1,676 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $636.80 $796 2.8×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $956 $1,195 1.2×
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) $4,644.80 $5,806 0.6×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
likely a partial charge, not the full procedure		 $2,080 $2,600 0.3×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,468.80 $1,836 0.4×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 2 matching MRF lines		 $1,062.40–$2,315.20 $1,328–$2,894 varies
Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202)
likely a partial charge, not the full procedure		 $1,617.60 $2,022 0.2×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $808 $1,010 1.2×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $2,918.40 $3,648 0.8×
Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) $2,746.40 $3,433 0.8×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $232.80 $291 0.2×
Shave skin lesion 0.5 cm/< (11300)
range across 3 matching MRF lines		 $17.60–$81.60 $22–$102 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 3 matching MRF lines		 $24.80–$120 $31–$150 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 3 matching MRF lines		 $25.60–$126.40 $32–$158 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 3 matching MRF lines		 $36.80–$182.40 $46–$228 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 3 matching MRF lines		 $38.40–$188.80 $48–$236 varies
Shoulder Arthroscopy/Surgery (29825) $2,161.60 $2,702 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 3 matching MRF lines		 $30.40–$155.20 $38–$194 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 3 matching MRF lines		 $39.20–$188 $49–$235 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301)
range across 3 matching MRF lines		 $25.60–$126.40 $32–$158 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 3 matching MRF lines		 $37.60–$185.60 $47–$232 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 3 matching MRF lines		 $28–$142.40 $35–$178 varies
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $208.80 $261 0.1×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $263.20 $329 0.3×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $415.20 $519 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $746.40 $933 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $29.60–$279.20 $37–$349 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 4 matching MRF lines		 $31.20–$417.60 $39–$522 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $686.40 $858 1.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $540.80 $676 2.4×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $776.80 $971 3.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines		 $24–$279.20 $30–$349 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $788.80 $986 3.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 4 matching MRF lines		 $36.80–$500 $46–$625 varies
Skin sub graft trnk/arm/leg (15271) $316.80 $396 0.4×
Skin Tissue Procedure (17999) $328.80 $411 1.5×
Slitting of prepuce (54001) $399.20 $499 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines		 $31.20–$422.40 $39–$528 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $571.20 $714 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $681.60 $852 1.5×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $236–$1,110.40 $295–$1,388 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $2,608 $3,260 0.7×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $2,662.40 $3,328 1.2×
Strapping ankle (29540) $210.40 $263 1.2×
Strapping elbow or wrist (29260) $356.80 $446 5.4×
Strapping hand/finger (29280)
range across 4 matching MRF lines		 $8.80–$374.40 $11–$468 varies
Strapping knee (29530) $180.80 $226 1.2×
Strapping shoulder (29240)
range across 4 matching MRF lines		 $9.60–$363.20 $12–$454 varies
Strapping thorax (29200) $363.20 $454 2.0×
Strapping toes (29550) $232 $290 3.5×
Surg tx anal fistula subq (46270) $1,622.40 $2,028 0.5×
Suture digital nerve hand/foot 1 nerve (64831) $2,532.80 $3,166 1.2×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure		 $2,204 $2,755 0.3×
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381)
unusually low: confirm this is the full procedure		 $2,949.60 $3,687 0.4×
Suture of quadriceps or hamstring muscle rupture primary (27385)
likely a partial charge, not the full procedure		 $2,129.60 $2,662 0.3×
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386)
unusually low: confirm this is the full procedure		 $3,049.60 $3,812 0.4×
Suture of sciatic nerve (64858) $4,386.40 $5,483 2.0×
Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) $1,911.20 $2,389 1.1×
Tangential biopsy skin single lesion (11102)
range across 4 matching MRF lines		 $20.80–$133.60 $26–$167 varies
Tendon transfer with graft (26492) $3,332 $4,165 0.9×
Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) $2,643.20 $3,304 0.7×
Tenodesis long tendon biceps (23430)
unusually low: confirm this is the full procedure		 $2,760.80 $3,451 0.3×
Tenolysis flexor foot single tendon (28220) $1,073.60 $1,342 0.6×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,575.20 $1,969 0.4×
Tenotomy Hip Abd/Ext Open (27006) $2,721.60 $3,402 0.7×
Tenotomy Percutaneous Toe Single Tendon (28010)
range across 4 matching MRF lines		 $100–$951.20 $125–$1,189 varies
Tenotomy Prq Achilles Tendon Spx General Anes (27606) $972 $1,215 0.3×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $2,310.40 $2,888 0.3×
Tenotomy, open, elbow to shoulder, each tendon Facility (24310) $1,759.20 $2,199 0.5×
Thrombolytic Venous Therapy (37212) $1,586.40 $1,983 0.5×
Tibial Arthroscopy/Surgery (29855)
unusually low: confirm this is the full procedure		 $2,896.80 $3,621 0.4×
Tnot elbow lateral/medial debride open tdn rpr (24359) $2,432 $3,040 0.7×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $1,113.60 $1,392 0.3×
Total Knee Arthroplasty (27447)
unusually low: confirm this is the full procedure		 $4,999.20 $6,249 0.3×
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $2,002.40 $2,503 0.9×
Transplant hand tendon (26480) $2,720 $3,400 0.7×
Treat Big Toe Fracture (28505) $1,883.20 $2,354 0.5×
Treat Finger Fracture Each (26727) $1,759.20 $2,199 0.5×
Treat fracture radius/ulna (25575)
unusually low: confirm this is the full procedure		 $3,338.40 $4,173 0.4×
Treat Fx Rad Extra-Articul (25607)
unusually low: confirm this is the full procedure		 $2,734.40 $3,418 0.3×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines		 $487.20–$1,675.20 $609–$2,094 varies
Treat humerus fracture (23600) $520 $650 1.9×
Treat Kneecap Fracture (27524)
unusually low: confirm this is the full procedure		 $2,786.40 $3,483 0.3×
Treat toe dislocation (28630) $246.40 $308 0.9×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,752 $2,190 1.0×
Treatment closed elbow dislocation w/o anes (24600) $458.40 $573 1.7×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $4,368.80 $5,461 0.5×
Trim skin lesion (11055)
range across 4 matching MRF lines		 $18.40–$93.60 $23–$117 varies
Trim skin lesions 2 to 4 (11056)
range across 4 matching MRF lines		 $21.60–$104.80 $27–$131 varies
Trim skin lesions over 4 (11057)
range across 3 matching MRF lines		 $16–$72.80 $20–$91 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $7.20–$33.60 $9–$42 varies
Trnsplj autologous hematopoietic cells per donor (38241) $793.60 $992 0.5×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $1,081.60 $1,352 0.3×
Tx Gastro Intub W/Asp (43753) $289.60 $362 1.2×
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
likely a partial charge, not the full procedure		 $3,180 $3,975 0.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,135.20 $1,419 0.3×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) $4,551.20 $5,689 0.6×
Tx Missed Abortion First Trimester Surgical (59820) $1,390.40 $1,738 0.4×
Tx open tendon flexor toe 1 tendon spx (28232) $900 $1,125 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $444–$719.20 $555–$899 varies
Tx superficial wound dehiscence w/packing (12021) $504.80 $631 1.1×
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
likely a partial charge, not the full procedure		 $3,692 $4,615 0.3×
Tympanostomy general anesthesia (69436) $579.20 $724 0.3×
Unlisted laparoscopy procedure stomach (43659)
likely a partial charge, not the full procedure		 $464.80 $581 0.1×
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329)
likely a partial charge, not the full procedure		 $478.40 $598 0.1×
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge, not the full procedure		 $464.80 $581 0.1×
Unlisted procedure femur or knee (27599) $770.40 $963 2.8×
Unlisted procedure foot or toes (28899) $2,698.40 $3,373 9.8×
Unlisted Procedure Hands/Fingers (26989) $464.80 $581 1.7×
Unlisted Procedure Intestine (44799) $240.80 $301 0.2×
Unlisted Procedure Leg/Ankle (27899) $2,425.60 $3,032 8.8×
Unlisted procedure nervous system (64999) $956 $1,195 2.8×
Unlisted procedure pelvis/hip joint (27299) $716.80 $896 2.6×
Urethromeatoplasty W/Mucosal Advancement (53450) $1,695.20 $2,119 0.4×
Vaginal delivery only (59409) $3,036.80 $3,796 0.8×
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 4 matching MRF lines		 $124–$987.20 $155–$1,234 varies
Ventilating tube removal requiring general anesthesia (69424) $214.40 $268 0.1×
Wedge excision skin nail fold (11765)
range across 4 matching MRF lines		 $44.80–$268 $56–$335 varies
Wound Prep F/N/Hf/G (15004) $1,012 $1,265 2.2×
Wound Prep Trk/Arm/Leg (15002) $844.80 $1,056 1.0×
Wrist arthroscopy with partial removal of joint lining (29844) $1,860 $2,325 0.5×
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure		 $2,794.40 $3,493 0.3×

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.