Procedures & surgery prices at Wood County Hospital
Bowling Green, OH · every code in this section with a posted price and a Medicare benchmark.
409 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) | $1,090.25 | $1,090.25 | 1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,297 | $1,297 | 1.5× |
| Anal/Urinary Muscle Study (51784) | $342.25 | $342.25 | 2.8× |
| Anoscopy diagnostic (46600) | $171.50 | $171.50 | 1.4× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$332.25–$584.50 | $332.25–$584.50 | varies |
| Application Cast Finger (29086) | $174 | $174 | 1.1× |
| Application finger splint static (29130) | $314.75 | $314.75 | 2.5× |
| Application long arm splint shoulder hand (29105) | $285.25 | $285.25 | 1.9× |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$299.50–$355.25 | $299.50–$355.25 | varies |
| Application of long leg cast (29345) | $319.50 | $319.50 | 1.2× |
| Application of rigid total contact leg cast (29445) | $491.75 | $491.75 | 1.9× |
| Application Short Arm Splint Dynamic (29126) | $286.75 | $286.75 | 2.3× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$239.25–$360.75 | $239.25–$360.75 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$251.25–$290 | $251.25–$290 | varies |
| Apply hand/wrist cast (29085) | $294.25 | $294.25 | 1.9× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$603.50–$621 | $603.50–$621 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$280.25–$294.25 | $280.25–$294.25 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$332.25–$338.50 | $332.25–$338.50 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$332.25–$569 | $332.25–$569 | varies |
| Arterial puncture (36600) | $128 | $128 | 1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$525.25–$612.75 | $525.25–$612.75 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$1,100–$1,329.75 | $1,100–$1,329.75 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$508.50–$590.25 | $508.50–$590.25 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$430.50–$557 | $430.50–$557 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$423.75–$557 | $423.75–$557 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$1,184.50–$1,497.25 | $1,184.50–$1,497.25 | varies |
| Aspirate Pleura W/O Imaging (32554) | $1,354.25 | $1,354.25 | 2.3× |
| Aspiration and/or injection thyroid cyst (60300) | $276 | $276 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$331.25–$366.50 | $331.25–$366.50 | varies |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$1,350–$1,952.75 | $1,350–$1,952.75 | varies |
| Biopsy bone trocar/needle deep (20225) | $1,092 | $1,092 | 0.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
$1,092–$2,869.50 | $1,092–$2,869.50 | varies |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$231.75–$769 | $231.75–$769 | varies |
| Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
$1,275–$1,301 | $1,275–$1,301 | varies |
| Biopsy Pleura Percutaneous Needle (32400) | $271 | $271 | 0.2× |
| Bladder instillation anticarcinogenic agent (51720) | $528.25 | $528.25 | 0.8× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$528.25–$548.75 | $528.25–$548.75 | varies |
| Bladder Scan (51798) | $122.25 | $122.25 | 2.2× |
| Blood Transfusion Service (36430) | $700 | $700 | 1.7× |
| Bone Marrow Biopsy (38221) | $1,092 | $1,092 | 0.7× |
| Bone Marrow; Aspiration Only (38220) | $1,092 | $1,092 | 0.7× |
| Brnchsc Brushing/Protected Brushings (31623) | $2,839.75 | $2,839.75 | 1.7× |
| Bronchoscopy Clear Airways (31645) | $2,831.25 | $2,831.25 | 1.7× |
| Bronchoscopy W/Biopsy(S) (31625) range across 2 matching MRF lines |
$2,050–$2,413 | $2,050–$2,413 | varies |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $2,876.25 | $2,876.25 | 0.8× |
| Bx breast 1st lesion strtctc (19081) | $2,718 | $2,718 | 1.7× |
| Bx breast 1st lesion us imag (19083) | $2,595.50 | $2,595.50 | 1.7× |
| Bx/exc lymph node open superficial (38500) | $1,368.50 | $1,368.50 | 0.4× |
| Canthotomy Separate Procedure (67715) | $2,607.50 | $2,607.50 | 1.2× |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$835.25–$860.50 | $835.25–$860.50 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$305–$316.25 | $305–$316.25 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$337.50–$366.50 | $337.50–$366.50 | varies |
| Chemical Pleurodesis (32560) | $916 | $916 | 1.5× |
| Chemodenerv Musc Migraine (64615) | $558 | $558 | 1.9× |
| Chemodenerv musc neck dyston (64616) | $558 | $558 | 1.9× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$901.50–$1,254.75 | $901.50–$1,254.75 | varies |
| Ciliary body dstrj cyclophotocoag transsceral (66710) | $3,642.25 | $3,642.25 | 1.6× |
| Circumcision w/clamp/oth dev w/block (54150) | $2,007.75 | $2,007.75 | 1.0× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$134.50–$158.50 | $134.50–$158.50 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $499.25 | $499.25 | 2.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $847 | $847 | 3.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $847 | $847 | 0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $434.75 | $434.75 | 1.9× |
| Closed tx knee dislocation w/o anesthesia (27550) | $437.25 | $437.25 | 1.9× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $2,895 | $2,895 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $435.75 | $435.75 | 1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $478.25 | $478.25 | 2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) | $867.25 | $867.25 | 0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) | $2,680.50 | $2,680.50 | 1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $915.75 | $915.75 | 0.6× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $460.25 | $460.25 | 2.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $544.50 | $544.50 | 0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $279.75 | $279.75 | 1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $532.50 | $532.50 | 2.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $478.75 | $478.75 | 2.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $813 | $813 | 0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $557.25 | $557.25 | 0.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $446.50 | $446.50 | 1.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $454.50 | $454.50 | 1.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $447 | $447 | 1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $468.25 | $468.25 | 2.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$336.25–$361.25 | $336.25–$361.25 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$462.75–$533.75 | $462.75–$533.75 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,050.50 | $1,050.50 | 0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,814.75 | $2,814.75 | 1.9× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $274.25 | $274.25 | 1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $427.50 | $427.50 | 1.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $791.75 | $791.75 | 3.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $427.50 | $427.50 | 1.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $288 | $288 | 1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $468.25 | $468.25 | 2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $485.50 | $485.50 | 2.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $421 | $421 | 1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $512.25 | $512.25 | 2.2× |
| Cltx post hip arthrp dislc w/o anes (27265) | $693.75 | $693.75 | 3.0× |
| Cltx prox fibula/shft fx w/o manj (27780) | $446 | $446 | 1.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $3,662 | $3,662 | 2.4× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $483 | $483 | 2.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $455.25 | $455.25 | 2.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $595 | $595 | 0.4× |
| Cltx tibial fx proximal w/o manipulation (27530) | $404.25 | $404.25 | 1.7× |
| Cltx tibial shaft fx w/o manipulation (27750) | $507.75 | $507.75 | 2.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $847 | $847 | 0.6× |
| Collect Blood From Catheter Venous Nos (36592) | $163 | $163 | 1.3× |
| Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
$18.55–$35 | $18.55–$35 | varies |
| Colporrhaphy (57200) | $5,302 | $5,302 | 1.7× |
| Complex Cystometrogram (51726) | $620 | $620 | 2.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $422.25 | $422.25 | 3.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $291 | $291 | 2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $516.25 | $516.25 | 4.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $291 | $291 | 1.3× |
| Cystometrogram W/Up (51727) | $821.50 | $821.50 | 1.2× |
| Cystometrogram W/Vp (51728) | $821.50 | $821.50 | 1.2× |
| Cystometrogram W/Vp&Up (51729) | $821.50 | $821.50 | 1.2× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $215 | $215 | 0.6× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $961 | $961 | 1.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,069.25 | $1,069.25 | 1.5× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$106–$113.50 | $106–$113.50 | varies |
| Debride nail 6 or more (11721) | $113.50 | $113.50 | 2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,869.50 | $2,869.50 | 1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$537.25–$705.25 | $537.25–$705.25 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$599–$731.50 | $599–$731.50 | varies |
| Delivery of placenta (59414) | $4,842 | $4,842 | 1.6× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,736.50 | $1,736.50 | 2.1× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,662.25–$1,791.50 | $1,662.25–$1,791.50 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,925.75–$2,976.50 | $2,925.75–$2,976.50 | varies |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,727.75 | $1,727.75 | 2.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $3,657.50 | $3,657.50 | 2.0× |
| Drain Cerebro Spinal Fluid (62272) | $908 | $908 | 1.4× |
| Drain/inj small joint/bursa w/us (20604) | $183.75 | $183.75 | 0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$372.50–$413 | $372.50–$413 | varies |
| Drainage Mouth Roof Lesion (42000) | $548.75 | $548.75 | 2.4× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$316.50–$364.50 | $316.50–$364.50 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$349.25–$372.50 | $349.25–$372.50 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$514.25–$2,869.50 | $514.25–$2,869.50 | varies |
| Drainage of scrotal wall abscess (55100) | $313 | $313 | 0.2× |
| Draw Blood Off Venous Device (36591) | $243 | $243 | 1.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $358.25 | $358.25 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $377.25 | $377.25 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$362.25–$403.75 | $362.25–$403.75 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,243.25 | $1,243.25 | 1.5× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $2,588 | $2,588 | 3.1× |
| Dx Bone Marrow Bx & Aspir (38222) | $2,346 | $2,346 | 0.9× |
| Dx Bronchoscope/Lavage (31624) range across 2 matching MRF lines |
$2,050–$2,413 | $2,050–$2,413 | varies |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$2,050–$2,413 | $2,050–$2,413 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $1,905.75 | $1,905.75 | 1.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,297.50 | $1,297.50 | 1.9× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $606.75 | $606.75 | 2.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $575.25 | $575.25 | 2.0× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $575.25 | $575.25 | 2.0× |
| Electro-Uroflowmetry First (51741) | $291.50 | $291.50 | 1.4× |
| Endocervical curettage (57505) | $1,054.75 | $1,054.75 | 1.2× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$330.75–$385.50 | $330.75–$385.50 | varies |
| Endoven ther chem adhes 1st (36482) | $9,418.25 | $9,418.25 | 1.8× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $3,498.50 | $3,498.50 | 1.8× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $3,498.50 | $3,498.50 | 1.8× |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$1,279.25–$1,498.75 | $1,279.25–$1,498.75 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$158.25–$183.25 | $158.25–$183.25 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $2,521.25 | $2,521.25 | 1.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,321.75 | $1,321.75 | 2.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $3,138.50 | $3,138.50 | 2.0× |
| Exc back tum deep < 5 cm (21932) | $2,155.50 | $2,155.50 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $937.25 | $937.25 | 1.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,702 | $1,702 | 2.5× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,822.75 | $1,822.75 | 1.2× |
| Exc Face Les Sbq 2 Cm/> (21012) | $2,044.25 | $2,044.25 | 1.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $1,321.75 | $1,321.75 | 2.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $1,036.75 | $1,036.75 | 1.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,781.25 | $1,781.25 | 2.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,625 | $1,625 | 1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $3,100 | $3,100 | 2.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $3,492.50 | $3,492.50 | 2.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$1,268.50–$1,328.25 | $1,268.50–$1,328.25 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $3,138.50 | $3,138.50 | 2.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$1,320.50–$1,321.75 | $1,320.50–$1,321.75 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $3,138.50 | $3,138.50 | 2.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $3,138.50 | $3,138.50 | 2.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $3,692.75 | $3,692.75 | 2.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,620 | $2,620 | 1.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $3,175 | $3,175 | 2.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $717 | $717 | 1.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,321.75 | $1,321.75 | 2.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $3,138.50 | $3,138.50 | 2.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $369.75 | $369.75 | 0.1× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,500 | $1,500 | 0.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $436.50 | $436.50 | 0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $2,869.50 | $2,869.50 | 1.8× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,172 | $2,172 | 1.4× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $3,276.25 | $3,276.25 | 1.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$1,092–$3,962.75 | $1,092–$3,962.75 | varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $2,640.75 | $2,640.75 | 1.5× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $5,351.25 | $5,351.25 | 1.7× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $796.75 | $796.75 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $643.75 | $643.75 | 1.0× |
| Excision Lesion Tongue W/O Closure (41110) | $5,166 | $5,166 | 1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $1,503 | $1,503 | 2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $474.25 | $474.25 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $568 | $568 | 1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $1,858.50 | $1,858.50 | 2.8× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $640.25 | $640.25 | 1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,361.50 | $1,361.50 | 0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $1,858.50 | $1,858.50 | 2.8× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,382.50 | $2,382.50 | 0.9× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,813.25 | $2,813.25 | 1.8× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $846.50 | $846.50 | 0.5× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $2,839.75 | $2,839.75 | 1.8× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $2,605.50 | $2,605.50 | 1.7× |
| Explo/Drain Breast Abscess (19020) | $2,274 | $2,274 | 1.5× |
| Exploration penetrating wound spx extremity (20103) | $2,113.75 | $2,113.75 | 1.4× |
| External cephalic version (59412) | $1,167 | $1,167 | 0.4× |
| Fasciotomy, foot and/or toe (28008) | $3,046.50 | $3,046.50 | 1.0× |
| Fetal non-stress test (59025) | $299 | $299 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) | $705.25 | $705.25 | 1.8× |
| Fluoro exam of g/colon tube (49465) | $811 | $811 | 3.6× |
| Fna bx w/us gdn 1st les (10005) | $1,098 | $1,098 | 1.6× |
| Guide Cathet Fluid Drainage (10030) range across 3 matching MRF lines |
$1,082.50–$1,316 | $1,082.50–$1,316 | varies |
| I&d abscess peritonsillar (42700) | $441.50 | $441.50 | 2.0× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$354.75–$382.25 | $354.75–$382.25 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$1,601.50–$1,696.25 | $1,601.50–$1,696.25 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$378.50–$1,268.50 | $378.50–$1,268.50 | varies |
| Image Cath Fluid Colxn Visc (49405) range across 13 matching MRF lines |
$264.25–$1,683 | $264.25–$1,683 | varies |
| Image Cath Fluid Peri/Retro (49406) range across 9 matching MRF lines |
$2,628–$2,785.75 | $2,628–$2,785.75 | varies |
| Implant neuroelectrodes (63650) | $9,870 | $9,870 | 1.6× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$531.50–$545.50 | $531.50–$545.50 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$357.25–$705.25 | $357.25–$705.25 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,759.75 | $2,759.75 | 1.8× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$646–$705.50 | $646–$705.50 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $375.25 | $375.25 | 2.0× |
| Incision and drainage of vulva or perineal abscess (56405) | $722.50 | $722.50 | 2.5× |
| Incision of lingual frenum (frenotomy) (41010) | $801 | $801 | 0.5× |
| Incision of rectal abscess (46040) | $2,233.25 | $2,233.25 | 2.0× |
| Incisional biopsy eyelid skin & lid margin (67810) | $732.50 | $732.50 | 2.4× |
| Incisional biopsy skin single lesion (11106) | $1,069.25 | $1,069.25 | 1.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$239.25–$278.50 | $239.25–$278.50 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,558.75 | $1,558.75 | 1.9× |
| Inj W/Fluor Eval Cv Device (36598) | $413.75 | $413.75 | 2.1× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,498.75 | $1,498.75 | 1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$342.75–$557 | $342.75–$557 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $1,620.25 | $1,620.25 | 1.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,340 | $1,340 | 2.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,727.75 | $1,727.75 | 2.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) | $1,340 | $1,340 | 2.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$1,168–$1,329.75 | $1,168–$1,329.75 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $643.75 | $643.75 | 2.2× |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,558.75 | $1,558.75 | 1.9× |
| Injection anesthetic agent suprascapular nerve (64418) | $1,329.75 | $1,329.75 | 2.0× |
| Injection for identification of sentinel node (38792) | $354.50 | $354.50 | 0.9× |
| Injection single tendon origin/insertion (20551) | $557 | $557 | 1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$252–$557 | $252–$557 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $530.50 | $530.50 | 1.8× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$555.75–$557 | $555.75–$557 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$1,492.25–$1,562.50 | $1,492.25–$1,562.50 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$1,168–$1,329.75 | $1,168–$1,329.75 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$890–$1,049.50 | $890–$1,049.50 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $371.50 | $371.50 | 2.0× |
| Insert Bladder Cath Complex (51703) | $273.50 | $273.50 | 2.2× |
| Insert cath pleura w/ image (32557) | $2,872.25 | $2,872.25 | 1.9× |
| Insert cervical dilator (59200) range across 4 matching MRF lines |
$85–$680.75 | $85–$680.75 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$3,028.25–$3,057.50 | $3,028.25–$3,057.50 | varies |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$169.75–$245.25 | $169.75–$245.25 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$217.50–$254.25 | $217.50–$254.25 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$1,619.50–$2,389.50 | $1,619.50–$2,389.50 | varies |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) | $2,244 | $2,244 | 1.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $477 | $477 | 1.2× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$635–$666.75 | $635–$666.75 | varies |
| Iridotomy/irridectomy laser surg per session (66761) | $1,267.25 | $1,267.25 | 2.4× |
| Irrigation of corpora cavernosa for priapism (54220) | $494.75 | $494.75 | 2.1× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$402.75–$406.25 | $402.75–$406.25 | varies |
| Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$347.50–$485 | $347.50–$485 | varies |
| Laryngoscopy W/Foreign Body Removal (31530) | $3,783.25 | $3,783.25 | 2.2× |
| Lithotripsy, extracorporeal shock wave (50590) | $7,660 | $7,660 | 2.3× |
| Myelography Lumbar Injection (62305) | $797 | $797 | 1.1× |
| Myelography Lumbar Injection (62304) | $1,460.25 | $1,460.25 | 2.0× |
| Myelography via lumbar injection rs&i cervical (62302) | $797 | $797 | 1.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $797 | $797 | 1.1× |
| N Block Inj Celiac Pelus (64530) | $1,558.75 | $1,558.75 | 1.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $997.25 | $997.25 | 1.5× |
| N block inj intercost sng (64420) | $997.25 | $997.25 | 1.5× |
| N Block Inj Pudendal (64430) | $1,579.25 | $1,579.25 | 1.9× |
| N Block Lumbar/Thoracic (64520) range across 3 matching MRF lines |
$1,528.50–$1,558.75 | $1,528.50–$1,558.75 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $332.25 | $332.25 | 0.8× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$1,092–$1,211.25 | $1,092–$1,211.25 | varies |
| Needle Biopsy Pancreas (48102) | $271 | $271 | 0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $165.50 | $165.50 | 6.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $180.50 | $180.50 | 6.6× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,558.75 | $1,558.75 | 1.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$557–$567.50 | $557–$567.50 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $6,303.25 | $6,303.25 | 1.9× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) range across 2 matching MRF lines |
$5,946.50–$6,303.25 | $5,946.50–$6,303.25 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,558.75 | $1,558.75 | 1.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,498.75 | $1,498.75 | 2.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$1,168–$1,498.75 | $1,168–$1,498.75 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,420–$1,498.75 | $1,420–$1,498.75 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,291.50 | $1,291.50 | 2.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,291.50 | $1,291.50 | 2.0× |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$575.25–$782.25 | $575.25–$782.25 | varies |
| Percut Drain/Inject Renal Cyst (50390) range across 2 matching MRF lines |
$1,092–$1,146.50 | $1,092–$1,146.50 | varies |
| Perq dev breast 1st us imag (19285) | $1,102 | $1,102 | 1.6× |
| Perq device breast 1st imag (19281) | $884 | $884 | 0.6× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) | $3,336 | $3,336 | 0.7× |
| Placement of needle for intraosseous infusion (36680) | $242 | $242 | 0.6× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 3 matching MRF lines |
$649.25–$1,092 | $649.25–$1,092 | varies |
| Plmt Nephroureteral Catheter (50433) | $675.50 | $675.50 | 0.2× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $9,696 | $9,696 | 1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) | $3,900 | $3,900 | 1.2× |
| Punch biopsy skin single lesion (11104) | $665.50 | $665.50 | 1.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$593–$748.25 | $593–$748.25 | varies |
| Puncture Aspiration Cyst Breast (19000) | $606.75 | $606.75 | 0.9× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $1,147.75 | $1,147.75 | 1.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $3,657.50 | $3,657.50 | 2.0× |
| Removal Embedded Foreign Body Eyelid (67938) | $281.50 | $281.50 | 0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,066.50–$1,187.75 | $1,066.50–$1,187.75 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$533.75–$596.25 | $533.75–$596.25 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $154 | $154 | 2.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$113.50–$171 | $113.50–$171 | varies |
| Removal of foreign body from pharynx (42809) | $163.25 | $163.25 | 0.4× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$705.25–$1,130.50 | $705.25–$1,130.50 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $308.75 | $308.75 | 1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $285.25 | $285.25 | 1.5× |
| Removal/bivalving gauntlet boot/body cast (29700) | $280.50 | $280.50 | 1.1× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$280.25–$326.75 | $280.25–$326.75 | varies |
| Remove lung catheter (32552) | $1,335 | $1,335 | 2.2× |
| Remove Nasal Foreign Body (30300) | $171 | $171 | 1.4× |
| Remove renal tube w/fluoro (50389) | $1,990 | $1,990 | 3.0× |
| Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$813–$1,325 | $813–$1,325 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $611.75 | $611.75 | 0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $830.75 | $830.75 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $496 | $496 | 1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $758 | $758 | 2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $567 | $567 | 1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) | $966.50 | $966.50 | 1.4× |
| Repair extensor tendon finger w/o graft each (26418) | $4,171.50 | $4,171.50 | 2.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$781–$788 | $781–$788 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$719.25–$747 | $719.25–$747 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $610.25 | $610.25 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $613.50 | $613.50 | 1.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $757.75 | $757.75 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$130.25–$652.25 | $130.25–$652.25 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$682.75–$788 | $682.75–$788 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $403.75 | $403.75 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $688.25 | $688.25 | 1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$705.25–$788 | $705.25–$788 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$682.75–$788 | $682.75–$788 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$682.75–$788 | $682.75–$788 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$375.75–$437 | $375.75–$437 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $9,650.75 | $9,650.75 | 1.4× |
| Repair tongue laceration (41252) | $1,426 | $1,426 | 6.4× |
| Repair tongue laceration (41250) | $279.75 | $279.75 | 0.7× |
| Replace g/c tube perc (49450) | $893.50 | $893.50 | 1.0× |
| Replantation digit complete (20822) | $4,562 | $4,562 | 3.0× |
| Reposition Venous Catheter (36597) | $1,020.75 | $1,020.75 | 0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$260.25–$304.75 | $260.25–$304.75 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $335 | $335 | 2.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$289.75–$314.25 | $289.75–$314.25 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,059.25 | $1,059.25 | 0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,346.50 | $1,346.50 | 2.3× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$522–$547 | $522–$547 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $949.25 | $949.25 | 0.6× |
| Rpr blood vessel direct lower extremity (35226) range across 2 matching MRF lines |
$1,204.50–$3,601.50 | $1,204.50–$3,601.50 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$349.25–$410.50 | $349.25–$410.50 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) | $433.50 | $433.50 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $398.50 | $398.50 | 2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $243.50 | $243.50 | 0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$362.25–$407.25 | $362.25–$407.25 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$241.25–$281.75 | $241.25–$281.75 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $280.50 | $280.50 | 1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$255.25–$295.50 | $255.25–$295.50 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $236.75 | $236.75 | 1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$241.25–$280.50 | $241.25–$280.50 | varies |
| Skin sub graft face/nk/hf/g (15275) | $3,498.50 | $3,498.50 | 5.0× |
| Skin sub graft trnk/arm/leg (15271) | $3,498.50 | $3,498.50 | 5.0× |
| Skin sub grft t/arm/lg child (15273) | $7,183.50 | $7,183.50 | 3.7× |
| Skn sub grft f/n/hf/g child (15277) | $3,498.50 | $3,498.50 | 1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$301.50–$366.50 | $301.50–$366.50 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$279.25–$280.50 | $279.25–$280.50 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $456.75 | $456.75 | 1.2× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$1,261.75–$1,416.50 | $1,261.75–$1,416.50 | varies |
| Strapping ankle (29540) | $272 | $272 | 1.8× |
| Strapping hand/finger (29280) | $165.50 | $165.50 | 3.0× |
| Strapping shoulder (29240) | $280.50 | $280.50 | 2.2× |
| Strapping thorax (29200) | $180 | $180 | 1.2× |
| Strapping toes (29550) | $184.25 | $184.25 | 3.3× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$288–$298.25 | $288–$298.25 | varies |
| Tangential biopsy skin single lesion (11102) | $377.25 | $377.25 | 1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,839.75 | $2,839.75 | 1.9× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,297.50 | $1,297.50 | 1.9× |
| Thrombolytic Therapy Stroke (37195) | $731.50 | $731.50 | 2.3× |
| Thyroid biopsy (60100) range across 2 matching MRF lines |
$366.75–$463.50 | $366.75–$463.50 | varies |
| Tooth extraction (41899) | $185.50 | $185.50 | 0.8× |
| Trabeculoplasty by laser surgery (65855) | $1,267.25 | $1,267.25 | 2.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) | $2,258 | $2,258 | 4.4× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) | $7,008.50 | $7,008.50 | 1.4× |
| Treat humerus fracture (24500) | $460.25 | $460.25 | 2.0× |
| Treat Humerus Fracture (24505) | $614.50 | $614.50 | 0.4× |
| Treat knee fracture (27532) | $2,904.25 | $2,904.25 | 0.9× |
| Treat Knuckle Dislocation (26700) | $509.25 | $509.25 | 2.2× |
| Treat Thumb Fracture (26645) | $835.25 | $835.25 | 0.5× |
| Treat toe dislocation (28630) | $475.25 | $475.25 | 2.0× |
| Treat Vaginal Bleeding (57180) | $349.50 | $349.50 | 1.8× |
| Treatment closed elbow dislocation w/o anes (24600) | $554.50 | $554.50 | 2.4× |
| Trim skin lesion (11055) | $366.50 | $366.50 | 1.9× |
| Trim skin lesions 2 to 4 (11056) | $366.50 | $366.50 | 1.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $113.50 | $113.50 | 2.0× |
| Tx Gastro Intub W/Asp (43753) | $364 | $364 | 1.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $3,967.50 | $3,967.50 | 1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$1,082–$1,186.75 | $1,082–$1,186.75 | varies |
| Unlisted procedure anus (46999) | $765.50 | $765.50 | 0.9× |
| Unlisted procedure foot or toes (28899) | $390.25 | $390.25 | 1.7× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$522.25–$557 | $522.25–$557 | varies |
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.