Procedures & surgery prices at Windom Area Health
Windom, MN · every code in this section with a posted price and a Medicare benchmark.
503 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,234.20 | $1,815 | 1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $819.40 | $1,205 | 0.9× |
| Amniocentesis diagnostic (59000) | $217.60 | $320 | 0.2× |
| Amputation toe interphalangeal joint (28825) | $4,711.04 | $6,928 | 1.4× |
| Anal/Urinary Muscle Study (51784) | $108.80 | $160 | 0.8× |
| Anoplasty, plastic operation for stricture; adult Facility (46700) | $3,631.88 | $5,341 | 1.3× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$195.16–$306 | $287–$450 | varies |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$19.72–$108.80 | $29–$160 | varies |
| Application Finger Splint Dynamic (29131) | $246.84 | $363 | 4.1× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$95.20–$220.32 | $140–$324 | varies |
| Application long arm splint shoulder hand (29105) | $283.56 | $417 | 1.7× |
| Application Long Leg Splint (29505) | $299.20 | $440 | 1.8× |
| Application of rigid total contact leg cast (29445) | $398.48 | $586 | 1.4× |
| Application Short Arm Splint Dynamic (29126) | $166.60 | $245 | 1.2× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$95.20–$261.80 | $140–$385 | varies |
| Application short leg splint calf foot (29515) | $287.64 | $423 | 1.7× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$122.40–$338.64 | $180–$498 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$227.12–$340.68 | $334–$501 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$19.72–$111.52 | $29–$164 | varies |
| Arterial puncture (36600) | $39.44 | $58 | 0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$19.72–$233.24 | $29–$343 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$163.20–$807.16 | $240–$1,187 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $816 | $1,200 | 2.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$197.20–$588.20 | $290–$865 | varies |
| Arthroplasty glenohumeral joint total shoulder (23472) | $10,749.44 | $15,808 | 0.6× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $5,495.08 | $8,081 | 1.6× |
| Arthroscopy knee synovectomy limited spx (29875) | $6,147.20 | $9,040 | 1.8× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) | $7,234.52 | $10,639 | 2.1× |
| Arthroscopy, knee, surgical; with lateral release (29873) | $5,645.36 | $8,302 | 1.7× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $5,355.68 | $7,876 | 1.6× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) | $9,469 | $13,925 | 0.7× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) | $8,792.40 | $12,930 | 0.7× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,234.20–$1,442.96 | $1,815–$2,122 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,165.52 | $1,714 | 1.8× |
| Aspirate/Inj Ganglion Cyst (20612) | $530.40 | $780 | 1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$166.60–$299.20 | $245–$440 | varies |
| Biopsy external ear (69100) | $405.28 | $596 | 1.7× |
| Biopsy of lip (40490) | $477.36 | $702 | 2.0× |
| Biopsy Vaginal Mucosa Simple (57100) | $43.52 | $64 | 0.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$1,300.16 | $53–$1,912 | 1.4× |
| Bladder instillation anticarcinogenic agent (51720) | $1,700 | $2,500 | 2.4× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$19.72–$388.96 | $29–$572 | varies |
| Bladder Scan (51798) | $144.84 | $213 | 2.4× |
| Blepharotomy drainage abscess eyelid (67700) | $19.72 | $29 | 0.1× |
| Blood Transfusion Service (36430) range across 5 matching MRF lines |
$24.44–$715.36 | $35.93–$1,052 | varies |
| Bone Marrow Biopsy (38221) | $929.56 | $1,367 | 0.5× |
| Bone Marrow; Aspiration Only (38220) | $1,001.64 | $1,473 | 0.6× |
| Bx Cervix (57500) range across 2 matching MRF lines |
$56.44–$1,555.84 | $83–$2,288 | varies |
| Cataract surgery complex (66982) | $6,064.92 | $8,919 | 2.5× |
| Change Cystostomy Tube Complicated (51710) | $136 | $200 | 0.2× |
| Change Cystostomy Tube Simple (51705) | $582.08 | $856 | 2.3× |
| Chemical Cautery Tissue (17250) | $299.20 | $440 | 1.4× |
| Chemical Pleurodesis (32560) | $1,164.84 | $1,713 | 1.8× |
| Chemodenerv Musc Migraine (64615) | $163.20 | $240 | 0.5× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$603.84–$986 | $888–$1,450 | varies |
| Chg onc prst8 ca alys all PSA structural isoforms (0359U) | $394.40 | $580 | 0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,613.64 | $2,373 | 1.0× |
| Claviculectomy partial (23120) | $4,711.04 | $6,928 | 1.4× |
| Clear outer ear canal (69200) | $298.52 | $439 | 2.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $501.16 | $737 | 2.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,908.08 | $2,806 | 1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $19.72 | $29 | 0.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $19.72 | $29 | 0.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,383.80 | $2,035 | 0.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $19.72 | $29 | 0.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,662.88 | $3,916 | 1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $19.72 | $29 | 0.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $19.72 | $29 | 0.0× |
| Closed tx patellar dislocation w/anesthesia (27562) | $494.36 | $727 | 1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $496.40 | $730 | 1.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $365.84 | $538 | 1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $19.72 | $29 | 0.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $19.72 | $29 | 0.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$412.76–$770.44 | $607–$1,133 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $19.72 | $29 | 0.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $19.72 | $29 | 0.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $447.44 | $658 | 1.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $743.24 | $1,093 | 0.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $19.72 | $29 | 0.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $19.72 | $29 | 0.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $19.72 | $29 | 0.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | — | $29 | — |
| Clsd tx clavicular fracture w/o manipulation (23500) | $19.72 | $29 | 0.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,570.12 | $2,309 | 0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $456.28 | $671 | 1.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,348.44 | $1,983 | 0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $452.20 | $665 | 0.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $19.72 | $29 | 0.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $19.72 | $29 | 0.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $19.72 | $29 | 0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $566.44 | $833 | 2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $427.04 | $628 | 1.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $19.72 | $29 | 0.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$380.80–$844.56 | $560–$1,242 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $19.72 | $29 | 0.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $19.72 | $29 | 0.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $452.20 | $665 | 1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $19.72 | $29 | 0.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $19.72 | $29 | 0.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $1,570.12 | $2,309 | 0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,570.12 | $2,309 | 6.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $367.20 | $540 | 1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $388.96 | $572 | 1.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $465.12 | $684 | 1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $19.72 | $29 | 0.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $2,176 | $3,200 | 1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $404.60 | $595 | 1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $317.56 | $467 | 1.2× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$2,392.92–$2,681.24 | $3,519–$3,943 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $503.20 | $740 | 2.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $422.96 | $622 | 1.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $498.44 | $733 | 0.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $3,018.52 | $4,439 | 1.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $251.60 | $370 | 0.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $19.72 | $29 | 0.1× |
| Cltx tibial fx proximal w/o manipulation (27530) | $19.72 | $29 | 0.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,354.56 | $1,992 | 0.8× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$18.66–$29.92 | $27.43–$44 | varies |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$2.04–$24.48 | $3–$36 | varies |
| Colonoscopy w/ablation (45388) | $2,293.64 | $3,373 | 1.9× |
| Colonoscopy W/Band Ligation (45398) | $3,385.04 | $4,978 | 2.7× |
| Colonoscopy w/submucosal inj (45381) | $1,765.96 | $2,597 | 1.4× |
| Colpocentesis (57020) likely a partial charge, not the full procedure |
$19.72 | $29 | 0.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $53.04 | $78 | 0.2× |
| Colposcopy Cervix Endocervical Curettage (57456) | $53.04 | $78 | 0.2× |
| Colposcopy cervix upper/adjacent vagina (57452) | $42.16 | $62 | 0.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $53.04 | $78 | 0.2× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $70.72 | $104 | 0.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,338.52 | $3,439 | 1.9× |
| Complex drainage wound (10180) | $4,014.04 | $5,903 | 1.3× |
| Contour of face bone lesion (21029) | $6,963.20 | $10,240 | 2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $346.12 | $509 | 2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $261.80 | $385 | 1.9× |
| Create Eardrum Opening (69433) | $639.20 | $940 | 1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $332.52 | $489 | 2.4× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) | $6,188 | $9,100 | 1.1× |
| Cysto w/insert ureteral stent (52332) | $4,556 | $6,700 | 1.3× |
| Cysto w/removal of lesions small (52224) | $1,224 | $1,800 | 0.3× |
| Cysto W/Simple Removal Stone & Stent (52310) | $204 | $300 | 0.1× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) | $4,182 | $6,150 | 1.1× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $4,080 | $6,000 | 1.1× |
| Cysto/uretero w/lithotripsy (52356) | $8,160 | $12,000 | 1.5× |
| Cystometrogram W/Up (51727) | $272 | $400 | 0.4× |
| Cystometrogram W/Vp (51728) | $244.80 | $360 | 0.3× |
| Cystometrogram W/Vp&Up (51729) | $272 | $400 | 0.4× |
| Cystourethroscopy (52000) | $463.08 | $681 | 0.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $282.88 | $416 | 0.1× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $6,528 | $9,600 | 1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $19.72 | $29 | 0.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$816–$1,898.56 | $1,200–$2,792 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$94.52–$223.04 | $139–$328 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$19.72–$94.52 | $29–$139 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,321.52 | $3,414 | 1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$531.08–$537.88 | $781–$791 | varies |
| Declot vascular device (36593) | $395.76 | $582 | 1.2× |
| Delivery of placenta (59414) | $665.72 | $979 | 0.2× |
| Destroy cerv/thor facet jnt (64633) | $4,724.64 | $6,948 | 2.3× |
| Destroy lumb/sac facet jnt (64635) | $2,683.96 | $3,947 | 1.3× |
| Destruct B9 Lesion 1-14 (17110) | $34 | $50 | 0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$3,536–$3,678.12 | $5,200–$5,409 | varies |
| Destruction premalignant lesion 1st (17000) | $22.44 | $33 | 0.1× |
| Dilate Urethra Stricture (53620) | $1,957.04 | $2,878 | 2.7× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$466.48–$4,453.32 | $686–$6,549 | varies |
| Drainage external auditory canal abscess (69020) | $19.72 | $29 | 0.0× |
| Drainage external ear abscess/hematoma cmplx (69005) | $19.72 | $29 | 0.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $19.72 | $29 | 0.0× |
| Drainage of eye (65800) | $2,196.40 | $3,230 | 0.9× |
| Drainage of finger abscess simple (26010) | $355.64 | $523 | 1.7× |
| Drainage of gum lesion (41800) | $313.48 | $461 | 2.3× |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$278.12–$2,321.52 | $409–$3,414 | varies |
| Drainage of nose lesion (30000) | $184.96 | $272 | 0.8× |
| Drainage of scrotal wall abscess (55100) | $523.60 | $770 | 0.3× |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$3,818.88–$4,390.08 | $5,616–$6,456 | varies |
| Draw Blood Off Venous Device (36591) | $29.92 | $44 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$531.08 | $29–$781 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$19.72–$299.20 | $29–$440 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$19.72–$299.20 | $29–$440 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$510–$1,908.08 | $750–$2,806 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $1,521.84 | $2,238 | 0.5× |
| Electro-Uroflowmetry First (51741) | $108.80 | $160 | 0.5× |
| Endocervical curettage (57505) | $45.56 | $67 | 0.0× |
| Endometrial Biopsy (58100) | $42.16 | $62 | 0.2× |
| Endoscopy upper small intestine w/biopsy (44361) | $2,844.44 | $4,183 | 1.4× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$5,834.40–$8,751.60 | $8,580–$12,870 | varies |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $2,615.28 | $3,846 | 1.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $2,615.28 | $3,846 | 1.2× |
| Epidural Blood Patch (62273) | $223.04 | $328 | 0.3× |
| Evacuation of subungual hematoma (11740) | $159.80 | $235 | 1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) | $4,328.88 | $6,366 | 2.5× |
| Exc abdl tum deep 5 cm/> (22901) | $6,438.24 | $9,468 | 2.1× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,546.32 | $2,274 | 0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $42.16 | $62 | 0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $340 | $500 | 0.2× |
| Exc Back Les Sc < 3 Cm (21930) | $3,476.84 | $5,113 | 2.0× |
| Exc Back Tum Deep 5 Cm/> (21933) | $5,813.32 | $8,549 | 1.9× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $476 | $700 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $544 | $800 | 0.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $3,299.36 | $4,852 | 1.9× |
| Exc Face Les Sbq 2 Cm/> (21012) | $156.40 | $230 | 0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $49.64 | $73 | 0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $3,017.84 | $4,438 | 1.8× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $4,952.44 | $7,283 | 1.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $32.64 | $48 | 0.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$65.28–$1,912.16 | $96–$2,812 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $53.72 | $79 | 0.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $4,392.80 | $6,460 | 2.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $62.56 | $92 | 0.1× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$646–$3,135.48 | $950–$4,611 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$680–$3,958.96 | $1,000–$5,822 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$136–$3,800.52 | $200–$5,589 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$530.40–$3,906.60 | $780–$5,745 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,317.44 | $3,408 | 1.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $4,309.84 | $6,338 | 1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$353.60–$3,692.40 | $520–$5,430 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $19.72 | $29 | 0.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $34 | $50 | 0.1× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $52.36 | $77 | 0.1× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $6,936 | $10,200 | 2.3× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $5,203.36 | $7,652 | 1.7× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $5,933 | $8,725 | 2.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $3,034.16 | $4,462 | 1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $4,252.72 | $6,254 | 2.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $4,983.72 | $7,329 | 1.7× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $3,448.28 | $5,071 | 2.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$652.80–$2,018.24 | $960–$2,968 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$82.28–$1,209.72 | $121–$1,779 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$93.16–$3,341.52 | $137–$4,914 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $112.88 | $166 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $4,254.08 | $6,256 | 1.4× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $1,385.16 | $2,037 | 1.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$100.64–$2,131.12 | $148–$3,134 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $3,331.32 | $4,899 | 2.0× |
| Excision of hydrocele; unilateral (55040) | $7,786 | $11,450 | 2.1× |
| Excision of single external papilla or tag, anus (46220) | $3,540.08 | $5,206 | 2.9× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $6,917.64 | $10,173 | 2.3× |
| Excision synovial cyst popliteal space (27345) | $6,194.80 | $9,110 | 1.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $4,841.60 | $7,120 | 2.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $5,940.48 | $8,736 | 3.5× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $4,124.20 | $6,065 | 1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $3,498.60 | $5,145 | 2.1× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) | $5,293.80 | $7,785 | 1.8× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $6,133.60 | $9,020 | 2.0× |
| Excision; trochanteric bursa or calcification (27062) | $6,182.56 | $9,092 | 1.8× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $19.72 | $29 | 0.0× |
| Exploration penetrating wound spx extremity (20103) | $444.04 | $653 | 0.3× |
| External cephalic version (59412) | $522.92 | $769 | 0.2× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) | $2,902.92 | $4,269 | 1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) | $5,568.52 | $8,189 | 1.6× |
| Fetal Contraction Stress Test (59020) | $723.52 | $1,064 | 3.5× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$89.76–$259.08 | $132–$381 | varies |
| Fine needle aspiration without imaging guidance (10021) | $366.52 | $539 | 0.9× |
| Fluid Pressure Muscle (20950) | $19.72 | $29 | 0.0× |
| Fna bx w/us gdn 1st les (10005) | $353.60 | $520 | 0.5× |
| Goniotomy (65820) | $3,536 | $5,200 | 0.8× |
| Hysteroscopy Biopsy (58558) | $6,170.32 | $9,074 | 1.8× |
| I&d abscess peritonsillar (42700) | $19.72 | $29 | 0.1× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$299.20–$646 | $440–$950 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,838.72 | $2,704 | 0.6× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $5,204.04 | $7,653 | 1.5× |
| I&d perianal abscess superficial (46050) | $19.72 | $29 | 0.0× |
| I&d pilonidal cyst complicated (10081) | $978.52 | $1,439 | 1.3× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$978.52–$992.80 | $1,439–$1,460 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $1,433.44 | $2,108 | 0.5× |
| Implant Neuroelectrodes (64561) | $6,868 | $10,100 | 1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) unusually low: confirm this is the full procedure |
$7,140 | $10,500 | 0.4× |
| Incise external hemorrhoid (46083) | $282.88 | $416 | 1.1× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$531.08 | $29–$781 | 1.3× |
| Incision & removal foreign body subq tiss compl (10121) | $2,321.52 | $3,414 | 1.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$444.72–$593.64 | $654–$873 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$19.72–$536.52 | $29–$789 | varies |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) | $3,677.44 | $5,408 | 1.2× |
| Incision and drainage of vulva or perineal abscess (56405) | $381.48 | $561 | 1.2× |
| Incision of lingual frenum (frenotomy) (41010) | $435.20 | $640 | 0.3× |
| Incision of rectal abscess (46040) | $1,466.08 | $2,156 | 1.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $695.64 | $1,023 | 0.4× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$285.60–$1,007.08 | $420–$1,481 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $19.72 | $29 | 0.1× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,604.12–$2,406.52 | $2,359–$3,539 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$19.72–$136 | $29–$200 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,649 | $2,425 | 1.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,714.28 | $2,521 | 2.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,594.60 | $2,345 | 1.7× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,264.80 | $1,860 | 1.7× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$19.72–$366.52 | $29–$539 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$428.40–$559.64 | $630–$823 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$282.88–$520.88 | $416–$766 | varies |
| Injection therapeutic carpal tunnel (20526) | $163.20 | $240 | 0.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$475.32–$2,652 | $699–$3,900 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) | $2,104.60 | $3,095 | 2.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$293.76–$1,157.36 | $432–$1,702 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $155.72 | $229 | 0.8× |
| Insert cath pleura w/o image (32556) | $1,819.68 | $2,676 | 0.9× |
| Insert Drug Implant Device (11981) | $17 | $25 | 0.1× |
| Insert pessary/other device (57160) | $38.08 | $56 | 0.2× |
| Insert Temp Bladder Cath (51702) | $69.36 | $102 | 0.5× |
| Insert tunneled cv cath (36561) | $4,935.44 | $7,258 | 1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $238 | $350 | 1.7× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) | $3,914.76 | $5,757 | 1.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$633.08–$1,770.04 | $931–$2,603 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $312.80 | $460 | 0.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $312.80 | $460 | 0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) | $2,142.68 | $3,151 | 0.6× |
| Intro Gastrointestinal Tube (44500) range across 3 matching MRF lines |
$13.26–$201.96 | $19.50–$297 | varies |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$509.32–$663.68 | $749–$976 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $14,743.08 | $21,681 | 1.3× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $8,918.88 | $13,116 | 1.4× |
| Laparoscopy w/rmvl adnexal structures (58661) | $10,296.56 | $15,142 | 1.7× |
| Laparoscopy, surgical, appendectomy (44970) | $9,430.92 | $13,869 | 1.5× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $13,295.36 | $19,552 | 1.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $4,844.32 | $7,124 | 0.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $10,695.04 | $15,728 | 1.7× |
| Laryngoscopy flexible diagnostic (31575) | $527 | $775 | 2.6× |
| Lig&div long saph vein saphfem junct/interrupj (37700) | $6,304.28 | $9,271 | 1.9× |
| Ligate/strip long leg vein (37722) | $8,500 | $12,500 | 2.6× |
| Litholapaxy comp/lg > 2.5 cm (52318) | $7,820 | $11,500 | 2.1× |
| Lysis/excision penile postcircumcision adhesions (54162) | $3,974.60 | $5,845 | 1.8× |
| Maternity Care Procedure (59899) | $382.84 | $563 | 1.8× |
| Middle ear surgery proc unlisted (69799) | $369.24 | $543 | 1.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$55.08–$1,134.24 | $81–$1,668 | varies |
| N block inj intercost sng (64420) | $1,324.64 | $1,948 | 1.8× |
| N Block Inj Plantar Digit (64455) | $280.16 | $412 | 0.9× |
| N Block Inj Pudendal (64430) | $1,037.68 | $1,526 | 1.1× |
| N Block Lumbar/Thoracic (64520) | $1,942.08 | $2,856 | 2.1× |
| Nasal Endoscopy Dx (31231) | $356.32 | $524 | 1.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $444.04 | $653 | 1.0× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) | $2,180.08 | $3,206 | 3.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $994.16 | $1,462 | 2.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $208.76 | $307 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $568.48 | $836 | 0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) | $568.48 | $836 | 0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,763.92–$2,645.88 | $2,594–$3,891 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,897.88 | $2,791 | 2.6× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,755.08 | $2,581 | 2.4× |
| Occipital Nerve Block (64405) | $765 | $1,125 | 2.4× |
| Open biopsy/excision inguinofemoral nodes (38531) | $5,678 | $8,350 | 1.4× |
| Open Implantation Nea Sacral Nerve (64581) | $5,780 | $8,500 | 0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) | $9,994.64 | $14,698 | 1.3× |
| Open Treatment Medial Malleolus Fracture (27766) | $7,554.80 | $11,110 | 1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $12,408.64 | $18,248 | 1.7× |
| Open Treatment of Ulnar Shaft Fracture (25545) | $8,536.72 | $12,554 | 1.1× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) | $9,656 | $14,200 | 1.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $7,273.28 | $10,696 | 1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $714 | $1,050 | 0.2× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) | $6,154 | $9,050 | 0.8× |
| Open Tx Humeral Epicondylar Fracture (24575) likely a partial charge, not the full procedure |
$1,697.28 | $2,496 | 0.1× |
| Open tx humeral supracondylar fracture w/o xtn (24545) | $14,669.64 | $21,573 | 1.1× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) | $9,070.52 | $13,339 | 1.2× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $9,575.08 | $14,081 | 1.3× |
| Orchiopexy Ingun/Scrot Appr (54640) | $5,236 | $7,700 | 1.4× |
| Ostc prtl exostc/condylc metar head (28288) | $4,126.92 | $6,069 | 1.2× |
| Ostectomy calcaneus (28118) | $3,857.64 | $5,673 | 1.1× |
| Part remv talus or calcaneus (28120) | $4,600.20 | $6,765 | 1.4× |
| Placement of needle for intraosseous infusion (36680) | $19.72 | $29 | 0.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $3,182.40 | $4,680 | 0.6× |
| Pseudoaneurysm Injection Trt (36002) | $654.16 | $962 | 1.0× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$129.20–$500.48 | $190–$736 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$335.24–$531.08 | $493–$781 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $3,718.24 | $5,468 | 1.8× |
| Removal Embedded Foreign Body Eyelid (67938) | $748 | $1,100 | 2.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $19.72 | $29 | 0.0× |
| Removal Foreign Body Foot Complicated (28193) | $298.52 | $439 | 0.2× |
| Removal foreign body foot deep (28192) | $4,559.40 | $6,705 | 2.7× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,278.40–$1,493.28 | $1,880–$2,196 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$94.52–$98.60 | $139–$145 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$19.72–$94.52 | $29–$139 | varies |
| Removal of foreign body from pharynx (42809) | $19.72 | $29 | 0.0× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$531.08 | $29–$781 | 1.3× |
| Removal or bivalving full arm or full leg cast (29705) | $19.72 | $29 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$27.20–$191.76 | $40–$282 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $245.48 | $361 | 0.9× |
| Remove drug implant device (11982) | $23.12 | $34 | 0.1× |
| Remove foreign body from eye (65205) | $286.96 | $422 | 2.1× |
| Remove Hand Bone Lesion (26200) | $3,184.44 | $4,683 | 1.9× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$19.72–$38.08 | $29–$56 | varies |
| Remove Lower Leg Bone Lesion (27635) | $5,015.68 | $7,376 | 1.5× |
| Remove lung catheter (32552) | $1,217.88 | $1,791 | 1.9× |
| Remove Nasal Foreign Body (30300) | $188.36 | $277 | 1.4× |
| Remove/Insert Drug Implant (11983) | $34 | $50 | 0.1× |
| Repair Achilles Tendon (27650) | $7,093.76 | $10,432 | 0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $312.80 | $460 | 0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $312.80 | $460 | 0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $312.80 | $460 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$312.80–$1,459.28 | $460–$2,146 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $312.80 | $460 | 0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$115.60–$2,404.48 | $170–$3,536 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $312.80 | $460 | 0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$312.80–$2,214.76 | $460–$3,257 | varies |
| Repair incomplete circumcision (54163) | $3,937.20 | $5,790 | 1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$204–$312.80 | $300–$460 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$312.80–$340 | $460–$500 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$312.80–$800.36 | $460–$1,177 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $312.80 | $460 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $312.80 | $460 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $312.80 | $460 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$70.72–$312.80 | $104–$460 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $312.80 | $460 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $312.80 | $460 | 0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $312.80 | $460 | 0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $312.80 | $460 | 0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$77.52–$3,937.20 | $114–$5,790 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$112.88–$796.96 | $166–$1,172 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $312.80 | $460 | 0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $312.80 | $460 | 0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $312.80 | $460 | 0.1× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) | $8,496.60 | $12,495 | 1.1× |
| Repair of nail bed (11760) | $388.96 | $572 | 0.5× |
| Repair of Ruptured Tendon (24342) | $9,562.84 | $14,063 | 1.3× |
| Repair tongue laceration (41252) | $1,058.08 | $1,556 | 4.3× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) | $6,664 | $9,800 | 0.9× |
| Revise ulnar nerve at wrist (64719) | $3,432.64 | $5,048 | 1.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $282.88 | $416 | 0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $19.72 | $29 | 0.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $19.72 | $29 | 0.0× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) | $3,947.40 | $5,805 | 1.7× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) | $5,913.28 | $8,696 | 2.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $964.92 | $1,419 | 0.6× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $2,582.64 | $3,798 | 1.1× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) | $245.48 | $361 | 0.9× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$70.04–$699.72 | $103–$1,029 | varies |
| Rplc gtube revj gstrst trc (43763) | $995.52 | $1,464 | 3.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $19.72 | $29 | 0.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $12,510.64 | $18,398 | 2.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $312.80 | $460 | 1.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $312.80 | $460 | 0.4× |
| Shave skin lesion 0.5 cm/< (11300) | $43.52 | $64 | 0.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$190.40–$217.60 | $280–$320 | varies |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) | $1,425.96 | $2,097 | 1.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $2,110.72 | $3,104 | 2.2× |
| Simple Cystometrogram (51725) range across 2 matching MRF lines |
$70.72–$282.20 | $104–$415 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $312.80 | $460 | 0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $312.80 | $460 | 1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $312.80 | $460 | 1.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $312.80 | $460 | 0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $312.80 | $460 | 1.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $312.80 | $460 | 1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $312.80 | $460 | 1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $312.80 | $460 | 1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $312.80 | $460 | 1.5× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$1,380.40–$2,992 | $2,030–$4,400 | varies |
| Skin sub graft trnk/arm/leg (15271) | $1,380.40 | $2,030 | 1.8× |
| Skin sub grft t/arm/lg child (15273) | $4,358.80 | $6,410 | 2.0× |
| Skn sub grft f/n/hf/g child (15277) | $1,380.40 | $2,030 | 0.6× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $6,362.08 | $9,356 | 1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $312.80 | $460 | 1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $312.80 | $460 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $312.80 | $460 | 0.7× |
| Spinal puncture lumbar diagnostic (62270) | $671.84 | $988 | 0.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $4,617.20 | $6,790 | 2.2× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $5,499.16 | $8,087 | 1.7× |
| Strapping ankle (29540) | $19.72 | $29 | 0.1× |
| Strapping elbow or wrist (29260) | $19.72 | $29 | 0.3× |
| Strapping hand/finger (29280) | $19.72 | $29 | 0.3× |
| Strapping knee (29530) | $19.72 | $29 | 0.1× |
| Strapping shoulder (29240) | $19.72 | $29 | 0.1× |
| Strapping toes (29550) | $19.72 | $29 | 0.3× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$19.72–$340.68 | $29–$501 | varies |
| Surg tx anal fistula subq (46270) | $952 | $1,400 | 0.3× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) | $8,774.04 | $12,903 | 1.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $3,047.08 | $4,481 | 1.8× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$95.20–$370.60 | $140–$545 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $367.20 | $540 | 0.2× |
| Tibial Arthroscopy/Surgery (29855) | $5,536.56 | $8,142 | 0.7× |
| Tnot elbow lateral/medial debride open (24358) | $1,505.52 | $2,214 | 0.4× |
| Tooth extraction (41899) | $305.32 | $449 | 1.2× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$9,469–$14,203.84 | $13,925–$20,888 | varies |
| Translum Dil Eye Canal (66174) | $5,660.32 | $8,324 | 1.3× |
| Transur electr resection of prostate (52601) | $10,404 | $15,300 | 1.9× |
| Treat ectopic pregnancy (59151) | $5,594.36 | $8,227 | 0.9× |
| Treat elbow fracture (24586) | $14,171.20 | $20,840 | 1.1× |
| Treat Fx Rad Extra-Articul (25607) | $9,305.80 | $13,685 | 1.2× |
| Treat humerus fracture (24500) | $19.72 | $29 | 0.1× |
| Treat humerus fracture (23600) | $19.72 | $29 | 0.1× |
| Treat knee fracture (27532) | $4,026.96 | $5,922 | 1.2× |
| Treat Knuckle Dislocation (26700) | $476.68 | $701 | 1.9× |
| Treat Thumb Dislocation (26641) | $19.72 | $29 | 0.1× |
| Treat Thumb Fracture (26645) | $19.72 | $29 | 0.0× |
| Treat Vaginal Bleeding (57180) | $497.08 | $731 | 2.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,185.24 | $1,743 | 0.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $444.04 | $653 | 1.7× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$147.56–$299.20 | $217–$440 | varies |
| Trim skin lesions 2 to 4 (11056) | $299.20 | $440 | 1.4× |
| Trim skin lesions over 4 (11057) | $299.20 | $440 | 1.4× |
| Trimming Nondystrophic Nails Any Number (11719) | $94.52 | $139 | 1.6× |
| Tx Gastro Intub W/Asp (43753) | $444.04 | $653 | 2.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $3,990.24 | $5,868 | 1.2× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $1,382.44 | $2,033 | 0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $312.80 | $460 | 0.4× |
| Tx superficial wound dehiscence w/packing (12021) | $312.80 | $460 | 0.7× |
| Unlisted laparoscopic procedure liver (47379) | $7,152.24 | $10,518 | 1.1× |
| Unlisted procedure anus (46999) | $1,481.04 | $2,178 | 1.5× |
| Unlisted procedure femur or knee (27599) | $6,000.32 | $8,824 | 23.6× |
| Unlisted procedure foot or toes (28899) | $3,745.44 | $5,508 | 14.7× |
| Unlisted procedure nervous system (64999) | $1,515.72 | $2,229 | 4.8× |
| Unlisted procedure pelvis/hip joint (27299) | $5,452.24 | $8,018 | 21.4× |
| Unlisted Procedure Tongue Floor Mouth (41599) | $369.24 | $543 | 1.5× |
| Unlisted Procedure Vascular Surgery (37799) | $3,956.24 | $5,818 | 6.1× |
| Unlisted Procedure, Urinary System (53899) | $5,134 | $7,550 | 19.9× |
| Unlisted px female genital system nonobstetrical (58999) | $4,115.36 | $6,052 | 19.7× |
| Vaginal delivery only (59409) | $1,498.04 | $2,203 | 0.4× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,054 | $1,550 | 0.5× |
| Wedge excision skin nail fold (11765) | $19.72 | $29 | 0.0× |
| Wound Prep F/N/Hf/G (15004) | $3,026 | $4,450 | 7.2× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) | $3,977.32 | $5,849 | 0.7× |
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.