Procedures & surgery prices at AdventHealth Polk
Columbus, NC · every code in this section with a posted price and a Medicare benchmark.
240 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) | $1,864.38 | $1,864.38 | 2.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $8,220.66 | $8,220.66 | 2.6× |
| Anoscopy diagnostic (46600) | $169.16 | $169.16 | 1.3× |
| Application cast elbow finger short arm (29075) | $488.88 | $488.88 | 1.8× |
| Application Cast Finger (29086) | $143.96 | $143.96 | 0.9× |
| Application finger splint static (29130) | $143.96 | $143.96 | 1.1× |
| Application long arm splint shoulder hand (29105) | $414.65 | $414.65 | 2.7× |
| Application Long Leg Splint (29505) | $671.06 | $671.06 | 4.3× |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$404.36–$734.37 | $404.36–$734.37 | varies |
| Application short arm splint forearm-hand static (29125) | $341.46 | $341.46 | 2.7× |
| Application short leg splint calf foot (29515) | $544.53 | $544.53 | 3.5× |
| Apply Short Leg Cast (29405) | $414.65 | $414.65 | 1.6× |
| Arterial puncture (36600) | $280.77 | $280.77 | 2.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$214.10–$974.72 | $214.10–$974.72 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $1,328.67 | $1,328.67 | 2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$271.11–$519.44 | $271.11–$519.44 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,464.54 | $1,464.54 | 5.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $421.89 | $421.89 | 1.4× |
| Aspirate pleura w/ imaging (32555) | $2,035.11 | $2,035.11 | 3.4× |
| Aspirate Pleura W/O Imaging (32554) | $1,751.40 | $1,751.40 | 2.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$342.83–$485.63 | $342.83–$485.63 | varies |
| Biopsy Abdominal Mass (49180) | $3,027.99 | $3,027.99 | 1.9× |
| Biopsy muscle percutaneous needle (20206) | $3,061.70 | $3,061.70 | 1.9× |
| Biopsy of liver, needle; percutaneous (47000) | $4,643.63 | $4,643.63 | 2.9× |
| Bladder instillation anticarcinogenic agent (51720) | $971.57 | $971.57 | 1.5× |
| Blepharotomy drainage abscess eyelid (67700) | $1,005.59 | $1,005.59 | 3.3× |
| Blood Transfusion Service (36430) | $2,047.40 | $2,047.40 | 4.9× |
| Bone Marrow Biopsy (38221) | $1,641.05 | $1,641.05 | 1.0× |
| Bx breast 1st lesion strtctc (19081) | $2,843.25 | $2,843.25 | 1.8× |
| Bx breast 1st lesion us imag (19083) | $3,349.92 | $3,349.92 | 2.1× |
| Catheter aspiration nasotracheal spx (31720) | $1,345.05 | $1,345.05 | 6.4× |
| Change Cystostomy Tube Simple (51705) | $1,425.38 | $1,425.38 | 6.0× |
| Change of Windpipe Airway (31502) | $847.46 | $847.46 | 3.7× |
| Chemical Cautery Tissue (17250) | $591.15 | $591.15 | 3.1× |
| Chemodenerv 1 extrem 5/> mus (64644) | $1,191.96 | $1,191.96 | 1.8× |
| Chemodenerv 1 extremity 1-4 (64642) | $1,045.59 | $1,045.59 | 1.5× |
| Chemodenerv Musc Migraine (64615) | $728.49 | $728.49 | 2.5× |
| Chemodenerv trunk musc 1-5 (64646) | $1,242.36 | $1,242.36 | 1.8× |
| Chemodenerv trunk musc 6/> (64647) | $1,253.49 | $1,253.49 | 1.9× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) | $759.78 | $759.78 | 2.6× |
| Chest tube placement (32551) | $1,567.02 | $1,567.02 | 1.0× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$224.49–$510.09 | $224.49–$510.09 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $813.86 | $813.86 | 3.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $753.90 | $753.90 | 3.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $1,636.11 | $1,636.11 | 6.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,203.20 | $1,203.20 | 5.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $478.70 | $478.70 | 0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) | $502.64 | $502.64 | 2.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $689.33 | $689.33 | 2.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,059.56 | $1,059.56 | 4.5× |
| Closed tx radial shaft fracture w/manipulation (25505) | $593.36 | $593.36 | 0.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $593.36 | $593.36 | 0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $306.71 | $306.71 | 1.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $891.35 | $891.35 | 3.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $726.29 | $726.29 | 3.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $686.18 | $686.18 | 2.9× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $724.61 | $724.61 | 3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $801.89 | $801.89 | 3.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $669.69 | $669.69 | 2.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $857.96 | $857.96 | 3.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $789.71 | $789.71 | 0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $478.70 | $478.70 | 0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $683.55 | $683.55 | 2.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $607.74 | $607.74 | 2.6× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,249.82 | $1,249.82 | 5.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $817.22 | $817.22 | 3.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$772.49–$1,146.50 | $772.49–$1,146.50 | varies |
| Cltx Medial Ankle Fx (27760) | $816.69 | $816.69 | 3.5× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,274.91 | $1,274.91 | 5.4× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $945.21 | $945.21 | 4.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $825.20 | $825.20 | 3.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $2,707.74 | $2,707.74 | 1.8× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,711.42 | $2,711.42 | 1.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,724.44 | $2,724.44 | 1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $416.96 | $416.96 | 0.3× |
| Collect Blood From Catheter Venous Nos (36592) | $188.48 | $188.48 | 1.5× |
| Collection of venous blood by venipuncture (36415) | $20 | $20 | 2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $554.72 | $554.72 | 4.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$400.89–$687.23 | $400.89–$687.23 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $5,808.92 | $5,808.92 | 3.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $770.60 | $770.60 | 6.1× |
| Declot vascular device (36593) | $792.54 | $792.54 | 2.5× |
| Destr W Neurolytic; Celiac Plexus (64680) | $3,404.52 | $3,404.52 | 4.0× |
| Destroy cerv/thor facet jnt (64633) | $3,599.51 | $3,599.51 | 1.9× |
| Destroy lumb/sac facet jnt (64635) | $3,878.81 | $3,878.81 | 2.1× |
| Drain/inj small joint/bursa w/us (20604) | $1,049.37 | $1,049.37 | 3.6× |
| Drainage Finger Abscess Complicated (26011) | $4,294.19 | $4,294.19 | 2.7× |
| Drainage Mouth Roof Lesion (42000) | $852.08 | $852.08 | 3.8× |
| Drainage of finger abscess simple (26010) | $935.87 | $935.87 | 4.9× |
| Drainage of gum lesion (41800) | $784.56 | $784.56 | 6.2× |
| Drainage of hematoma/fluid (10140) | $236.46 | $236.46 | 0.1× |
| Draw Blood Off Venous Device (36591) | $197.61 | $197.61 | 1.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $700.67 | $700.67 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $805.98 | $805.98 | 4.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $558.60 | $558.60 | 2.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $2,420.67 | $2,420.67 | 2.9× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) | $4,997.16 | $4,997.16 | 5.9× |
| Dx Bone Marrow Bx & Aspir (38222) | $2,449.55 | $2,449.55 | 0.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,414.69 | $2,414.69 | 3.6× |
| Evacuation of subungual hematoma (11740) | $204.75 | $204.75 | 1.6× |
| Exploration penetrating wound spx extremity (20103) | $1,602.93 | $1,602.93 | 1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) | $3,541.76 | $3,541.76 | 5.2× |
| Fine needle aspiration without imaging guidance (10021) | $1,141.04 | $1,141.04 | 2.9× |
| Fluid Pressure Muscle (20950) | $67.62 | $67.62 | 0.1× |
| Fluoro exam of g/colon tube (49465) | $2,219.81 | $2,219.81 | 9.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $1,834.88 | $1,834.88 | 2.7× |
| Fna bx w/us gdn 1st les (10005) | $1,796.55 | $1,796.55 | 2.7× |
| I&d abscess peritonsillar (42700) | $706.76 | $706.76 | 3.1× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$399.63–$2,075.54 | $399.63–$2,075.54 | varies |
| I&d perianal abscess superficial (46050) | $1,206.66 | $1,206.66 | 1.4× |
| I&d pilonidal cyst complicated (10081) | $3,190.27 | $3,190.27 | 4.7× |
| I&d pilonidal cyst simple (10080) | $615.72 | $615.72 | 0.9× |
| Image Cath Fluid Peri/Retro (49406) | $5,709.06 | $5,709.06 | 3.6× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $11,167.59 | $11,167.59 | 0.6× |
| Incise external hemorrhoid (46083) | $1,068.80 | $1,068.80 | 4.5× |
| Incision & drainage abscess complicated/multiple (10061) | $787.50 | $787.50 | 2.0× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$519.23–$768.60 | $519.23–$768.60 | varies |
| Incision of rectal abscess (46040) | $4,178.27 | $4,178.27 | 3.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $4,890.90 | $4,890.90 | 3.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $753.06 | $753.06 | 3.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $2,355.89 | $2,355.89 | 2.8× |
| Inj W/Fluor Eval Cv Device (36598) | $172.31 | $172.31 | 0.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,684.96 | $2,684.96 | 3.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $4,798.08 | $4,798.08 | 16.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $2,193.50 | $2,193.50 | 3.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $2,173.82 | $2,173.82 | 2.6× |
| Injection for identification of sentinel node (38792) | $515.55 | $515.55 | 1.3× |
| Injection single tendon origin/insertion (20551) | $559.97 | $559.97 | 1.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$196.46–$489.72 | $196.46–$489.72 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $610.68 | $610.68 | 2.1× |
| Injection therapeutic carpal tunnel (20526) | $738.89 | $738.89 | 2.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $864.89 | $864.89 | 1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $864.89 | $864.89 | 1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $1,022.49 | $1,022.49 | 1.5× |
| Insert Bladder Cath Complex (51703) | $325.08 | $325.08 | 2.6× |
| Insert cath pleura w/o image (32556) | $3,754.59 | $3,754.59 | 2.0× |
| Insert non-tunnel cv cath (36556) | $1,361.85 | $1,361.85 | 0.5× |
| Insert Temp Bladder Cath (51702) | $357.42 | $357.42 | 2.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $457.49 | $457.49 | 3.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $4,091.33 | $4,091.33 | 2.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $6,178.73 | $6,178.73 | 0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $3,973.10 | $3,973.10 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $3,583.23 | $3,583.23 | 2.4× |
| Insrt heart pm atrial & vent (33208) | $23,000 | $23,000 | 2.3× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$406.46–$1,762.74 | $406.46–$1,762.74 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $1,054.83 | $1,054.83 | 4.4× |
| Laryngoscopy flexible diagnostic (31575) | $367.19 | $367.19 | 1.9× |
| Lithotripsy, extracorporeal shock wave (50590) | $15,407.37 | $15,407.37 | 4.6× |
| Myelography Lumbar Injection (62304) | $1,593.90 | $1,593.90 | 2.1× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,548.02 | $1,548.02 | 2.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $2,807.60 | $2,807.60 | 3.7× |
| N Block Inj Celiac Pelus (64530) | $3,224.13 | $3,224.13 | 3.8× |
| N block inj intercost sng (64420) | $1,342.11 | $1,342.11 | 2.0× |
| N Block Lumbar/Thoracic (64520) | $2,390.96 | $2,390.96 | 2.8× |
| Needle Biopsy Lymph Nodes (38505) | $1,846.64 | $1,846.64 | 1.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,030 | $1,030 | 2.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $1,015.98 | $1,015.98 | 3.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $2,266.64 | $2,266.64 | 2.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $4,568.45 | $4,568.45 | 6.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $2,277.24 | $2,277.24 | 3.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $3,499.97 | $3,499.97 | 4.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $4,372.94 | $4,372.94 | 6.5× |
| Occipital Nerve Block (64405) | $1,023.02 | $1,023.02 | 3.5× |
| Perq dev breast 1st us imag (19285) | $2,515.70 | $2,515.70 | 3.7× |
| Perq device breast 1st imag (19281) | $5,132.61 | $5,132.61 | 3.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $24,015.29 | $24,015.29 | 3.5× |
| Perq Vertebral Augmentation (22513) | $17,001.92 | $17,001.92 | 2.5× |
| Placement of needle for intraosseous infusion (36680) | $829.40 | $829.40 | 1.9× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $6,184.40 | $6,184.40 | 1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,746.78 | $1,746.78 | 4.5× |
| Puncture Aspiration Cyst Breast (19000) | $827.51 | $827.51 | 1.2× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $2,392.22 | $2,392.22 | 3.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) | $3,346.56 | $3,346.56 | 5.0× |
| Removal Foreign Body Foot Subcutaneous (28190) | $1,368.26 | $1,368.26 | 2.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$601.44–$5,633.04 | $601.44–$5,633.04 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$53.66–$170.63 | $53.66–$170.63 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$208.53–$258.72 | $208.53–$258.72 | varies |
| Removal of foreign body from pharynx (42809) | $941.33 | $941.33 | 2.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$775.32–$1,728.30 | $775.32–$1,728.30 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $4,212.97 | $4,212.97 | 6.2× |
| Remove foreign body from eye (65205) | $910.88 | $910.88 | 7.2× |
| Remove Nasal Foreign Body (30300) | $268.17 | $268.17 | 2.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $2,971.08 | $2,971.08 | 4.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $859.95 | $859.95 | 2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$859.95–$1,749.72 | $859.95–$1,749.72 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $469.25 | $469.25 | 1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $2,579.85 | $2,579.85 | 6.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $1,242.47 | $1,242.47 | 3.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$750.12–$999.60 | $750.12–$999.60 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $779 | $779 | 2.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$730.17–$980.28 | $730.17–$980.28 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $1,339.70 | $1,339.70 | 3.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $822.78 | $822.78 | 2.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $1,339.70 | $1,339.70 | 3.4× |
| Repair of nail bed (11760) | $664.76 | $664.76 | 0.9× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $7,471.17 | $7,471.17 | 2.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) | $5,352.27 | $5,352.27 | 3.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$209.58–$717.05 | $209.58–$717.05 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $717.05 | $717.05 | 5.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $713.58 | $713.58 | 1.7× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $5,107.31 | $5,107.31 | 3.2× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$663.39–$1,025.75 | $663.39–$1,025.75 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $3,938.87 | $3,938.87 | 2.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$830.13–$910.77 | $830.13–$910.77 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $2,231.25 | $2,231.25 | 4.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $2,374.26 | $2,374.26 | 4.6× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $2,550.03 | $2,550.03 | 1.7× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $8,178.56 | $8,178.56 | 2.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $798.74 | $798.74 | 2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$593.25–$846.93 | $593.25–$846.93 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$651.32–$846.93 | $651.32–$846.93 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $822.78 | $822.78 | 4.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$528.36–$1,302.63 | $528.36–$1,302.63 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $806.30 | $806.30 | 4.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$698.99–$1,203.93 | $698.99–$1,203.93 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$594.30–$1,303.79 | $594.30–$1,303.79 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $830.13 | $830.13 | 2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $717.26 | $717.26 | 1.8× |
| Spinal puncture lumbar diagnostic (62270) | $2,229.57 | $2,229.57 | 3.3× |
| Strapping ankle (29540) | $302.61 | $302.61 | 1.9× |
| Strapping elbow or wrist (29260) | $219.14 | $219.14 | 3.9× |
| Strapping knee (29530) | $417.38 | $417.38 | 3.3× |
| Strapping shoulder (29240) | $256.62 | $256.62 | 2.0× |
| Strapping toes (29550) | $412.76 | $412.76 | 7.3× |
| Strapping Unna Boot (29580) | $318.78 | $318.78 | 2.1× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $2,414.69 | $2,414.69 | 3.6× |
| Thrombolytic Therapy Stroke (37195) | $1,078.14 | $1,078.14 | 3.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $2,547.62 | $2,547.62 | 11.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $4,606.88 | $4,606.88 | 3.1× |
| Treat humerus fracture (24500) | $806.93 | $806.93 | 3.4× |
| Treat Knuckle Dislocation (26700) | $646.38 | $646.38 | 2.7× |
| Treat metacarpal fracture (26607) | $5,602.59 | $5,602.59 | 1.8× |
| Treat toe dislocation (28630) | $591.99 | $591.99 | 2.5× |
| Treatment closed elbow dislocation w/o anes (24600) | $730.91 | $730.91 | 3.1× |
| Trimming Nondystrophic Nails Any Number (11719) | $223.02 | $223.02 | 4.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,148.91 | $1,148.91 | 1.6× |
| Tx superficial wound dehiscence w/packing (12021) | $705.39 | $705.39 | 1.8× |
| Unlisted procedure nervous system (64999) | $912.24 | $912.24 | 3.1× |
| Vaginal delivery only (59409) | $10,395.42 | $10,395.42 | 3.4× |
| Wedge excision skin nail fold (11765) | $487.94 | $487.94 | 1.3× |
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.