Procedures & surgery prices at Alomere Health

Alexandria, MN · every code in this section with a posted price and a Medicare benchmark.

336 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines		 $186.18–$1,287.02 $321–$2,219 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $120.06–$951.20 $207–$1,640 varies
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $7,120.08 $12,276 0.4×
Acne surgery (10040) $111.94 $193 0.5×
Amniocentesis diagnostic (59000) $714.56 $1,232 0.8×
Anoscopy diagnostic (46600) $77.72 $134 0.6×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines		 $133.98–$153.70 $231–$265 varies
Application Cast Finger (29086) $56.26 $97 0.3×
Application finger splint static (29130) $66.70 $115 0.5×
Application long arm splint shoulder hand (29105) $145.58 $251 0.9×
Application Long Leg Splint (29505) $140.94 $243 0.8×
Application short arm splint forearm-hand static (29125) $107.88 $186 0.8×
Application short leg splint calf foot (29515) $108.46 $187 0.6×
Apply hand/wrist cast (29085) $141.52 $244 0.8×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $151.38–$153.70 $261–$265 varies
Apply Short Leg Cast (29405) $133.40 $230 0.5×
Arterial puncture (36600)
range across 2 matching MRF lines		 $36.54–$92.80 $63–$160 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $79.46–$277.82 $137–$479 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $127.02–$453.56 $219–$782 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $104.40–$348 $180–$600 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $158.92–$453.56 $274–$782 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $72.50–$277.82 $125–$479 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $186.18–$986.58 $321–$1,701 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $152.54–$838.10 $263–$1,445 varies
Aspirate/Inj Ganglion Cyst (20612) $245.34 $423 0.8×
Aspiration and/or injection thyroid cyst (60300) $693.10 $1,195 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $88.16 $152 0.4×
Biopsy Abdominal Mass (49180) $1,401.28 $2,416 0.8×
Biopsy bone trocar/needle deep (20225) $1,854.84 $3,198 1.1×
Biopsy Bone Trocar/Needle Superficial (20220) $1,488.28 $2,566 0.9×
Biopsy muscle percutaneous needle (20206) $1,310.22 $2,259 0.8×
Biopsy of liver, needle; percutaneous (47000) $1,309.06 $2,257 0.8×
Biopsy Salivary Gland Needle (42400) $436.16 $752 0.6×
Biopsy Soft Tissue Back/Flank Superficial (21920) $1,485.96 $2,562 0.9×
Biopsy soft tissue neck/thorax (21550) $1,904.72 $3,284 1.1×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,374.02 $2,369 0.8×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $118.90–$365.98 $205–$631 varies
Bladder Scan (51798)
range across 3 matching MRF lines		 $30.74–$127.60 $53–$220 varies
Blepharotomy drainage abscess eyelid (67700) $224.46 $387 0.7×
Blood Transfusion Service (36430) $700.06 $1,207 1.5×
Blood/Lymph System Procedure (38999) $433.26 $747 1.0×
Bone Marrow Biopsy (38221) $1,157.10 $1,995 0.7×
Bx breast 1st lesion strtctc (19081) $2,640.16 $4,552 1.5×
Bx breast 1st lesion us imag (19083) $2,286.36 $3,942 1.3×
Canthotomy Separate Procedure (67715) $183.28 $316 0.1×
Change Cystostomy Tube Complicated (51710) $152.54 $263 0.2×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $121.80–$312.04 $210–$538 varies
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $129.34–$298.70 $223–$515 varies
Chemodenerv Musc Migraine (64615) $374.68 $646 1.2×
Chest tube placement (32551)
range across 2 matching MRF lines		 $283.62–$980.78 $489–$1,691 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $2,191.24 $3,778 1.0×
Circumcision w/clamp/oth dev w/block (54150) $1,891.38 $3,261 0.9×
Cl Tx Tib Shft Fx W Manip (27752) $870 $1,500 0.5×
Clear outer ear canal (69200) $135.72 $234 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $797.50 $1,375 3.1×
Closed Treatment Ulnar Styloid Fracture (25650) $534.18 $921 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $662.94 $1,143 2.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $765.02 $1,319 0.5×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $696 $1,200 2.7×
Closed tx knee dislocation w/o anesthesia (27550) $806.78 $1,391 3.2×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $240.12 $414 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $252.88 $436 0.1×
Closed tx patellar dislocation w/o anesthesia (27560) $598.56 $1,032 2.4×
Closed tx radial head/neck fx w/manipulation (24655) $698.90 $1,205 0.4×
Closed tx radial shaft fracture w/manipulation (25505) $779.52 $1,344 0.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $847.96 $1,462 0.5×
Closed tx talotarsal joint dislc w/o anes (28570) $368.88 $636 1.4×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $1,459.86 $2,517 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $54.52 $94 0.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $311.46 $537 1.3×
Clsd tx clavicular fracture w/o manipulation (23500) $410.64 $708 1.6×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $232 $400 0.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $700.64 $1,208 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $517.36 $892 2.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $607.26 $1,047 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $552.74 $953 2.2×
Cltx dstl fibular fx lat malls w/manj (27788) $690.78 $1,191 2.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $502.86 $867 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $516.20 $890 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $334.08 $576 1.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $572.46 $987 2.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $890.30 $1,535 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $259.26 $447 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $223.88 $386 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $247.08 $426 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $193.14 $333 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $454.72 $784 1.8×
Cltx metacarpal fx w/manipulation each bone (26605) $521.42 $899 2.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $505.76 $872 2.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $552.16 $952 2.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $332.92 $574 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $708.76 $1,222 2.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $760.38 $1,311 0.5×
Cltx prox tibfib jt dislc w/o anes (27830) $623.50 $1,075 2.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $137.46 $237 0.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $689.04 $1,188 0.4×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $873.48 $1,506 0.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $794.02 $1,369 0.5×
Collect Blood From Catheter Venous Nos (36592) $109.62 $189 0.8×
Collection of venous blood by venipuncture (36415) $18.56 $32 2.0×
Colposcopy cervix upper/adjacent vagina (57452) $287.10 $495 1.4×
Complex drainage wound (10180) $296.38 $511 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $219.82 $379 1.6×
Control Nasal Hemorrhage Anterior Simple (30901) $155.44 $268 1.1×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $1,363 $2,350 0.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,971.42 $3,399 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $303.92 $524 2.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $371.20 $640 1.5×
Cysto calibration dilat urtl strix/stenosis (52281) $249.40 $430 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $49.30 $85 0.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $551 $950 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043) $504.02 $869 0.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $392.08–$2,314.20 $676–$3,990 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $132.82–$454.14 $229–$783 varies
Delivery of placenta (59414) $1,977.22 $3,409 0.6×
Destr W Neurolytic; Celiac Plexus (64680) $964.54 $1,663 1.1×
Destroy cerv/thor facet jnt (64633) $2,124.54 $3,663 1.1×
Destroy lumb/sac facet jnt (64635) $2,339.72 $4,034 1.2×
Destruct B9 Lesion 1-14 (17110) $116 $200 0.6×
Destruction neurolytic agt genicular nerve w/img (64624) $1,226.12 $2,114 0.6×
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $70.76 $122 0.5×
Dilate Urethra Stricture (53620) $1,444.20 $2,490 2.0×
Dilate Urethra Stricture (53600) $137.46 $237 0.5×
Drain Cerebro Spinal Fluid (62272) $910.02 $1,569 1.2×
Drain Spinal Cord Cyst (62268) $1,125.20 $1,940 1.2×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines		 $116–$400.78 $200–$691 varies
Drainage abscess parotid simple (42300) $1,822.94 $3,143 1.1×
Drainage Abscess/Hematoma Nasal Septum (30020) $209.38 $361 0.4×
Drainage external auditory canal abscess (69020) $249.40 $430 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $218.66 $377 0.3×
Drainage Finger Abscess Complicated (26011) $316.10 $545 0.2×
Drainage Mouth Roof Lesion (42000) $263.32 $454 1.1×
Drainage of finger abscess simple (26010) $276.08 $476 1.3×
Drainage of gum lesion (41800)
range across 2 matching MRF lines		 $315.52–$336.98 $544–$581 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $200.10–$1,017.90 $345–$1,755 varies
Drainage of scrotal wall abscess (55100) $353.80 $610 0.2×
Draw Blood Off Venous Device (36591) $176.32 $304 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $302.76 $522 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $233.16 $402 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $116 $200 0.6×
Dx Bone Marrow Bx & Aspir (38222) $1,712.16 $2,952 0.6×
Dx lmbr spi pnxr w/fluor/CT (62328) $940.76 $1,622 1.3×
Endometrial Biopsy (58100) $282.46 $487 1.4×
Epidural Blood Patch (62273) $955.84 $1,648 1.3×
Episiotomy or vaginal repair (59300)
range across 2 matching MRF lines		 $243.60–$2,185.44 $420–$3,768 varies
Escharotomy; initial incision (16035) $319 $550 0.8×
Evacuation of subungual hematoma (11740) $54.52 $94 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $201.26 $347 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $186.76 $322 0.3×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,070.02 $3,569 1.0×
Excision nasal polyp(s) simple (30110) $261.58 $451 0.2×
Exploration penetrating wound spx extremity (20103) $881.02 $1,519 0.5×
External cephalic version (59412) $2,688.30 $4,635 0.8×
Fetal Contraction Stress Test (59020) $356.12 $614 1.7×
Fetal non-stress test (59025) $228.52 $394 1.1×
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines		 $180.96–$1,235.40 $312–$2,130 varies
Fine needle aspiration bx w/mr gdn 1st lesion (10011)
range across 2 matching MRF lines		 $664.68–$1,014.42 $1,146–$1,749 varies
Fluoro exam of g/colon tube (49465) $243.60 $420 1.0×
Fna Bx W/Fluor Gdn 1St Les (10007)
range across 2 matching MRF lines		 $146.74–$1,171.60 $253–$2,020 varies
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines		 $122.38–$1,085.76 $211–$1,872 varies
Foreskin manipulation (54450)
range across 2 matching MRF lines		 $96.28–$169.36 $166–$292 varies
Guide Cathet Fluid Drainage (10030) $1,248.74 $2,153 1.7×
I&d abscess peritonsillar (42700) $232.58 $401 1.0×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $181.54–$406 $313–$700 varies
I&d perianal abscess superficial (46050) $236.64 $408 0.2×
I&d pilonidal cyst simple (10080) $241.86 $417 0.3×
Image Cath Fluid Colxn Visc (49405) $1,670.98 $2,881 1.0×
Image Cath Fluid Peri/Retro (49406) $1,670.98 $2,881 1.0×
Incise external hemorrhoid (46083) $238.96 $412 0.9×
Incision & drainage abscess complicated/multiple (10061) $312.04 $538 0.7×
Incision & removal foreign body subq tiss compl (10121) $307.98 $531 0.2×
Incision & removal foreign body subq tiss simple (10120) $179.80 $310 0.4×
Incision and drainage of bartholin's gland abscess (56420) $188.50 $325 0.9×
Incision and drainage of vulva or perineal abscess (56405) $211.70 $365 0.7×
Incision of lingual frenum (frenotomy) (41010) $161.24 $278 0.1×
Incision of rectal abscess (46040) $751.68 $1,296 0.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $426.88 $736 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $96.86 $167 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,329.94 $2,293 1.5×
Inj W/Fluor Eval Cv Device (36598) $241.28 $416 1.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,270.20 $2,190 1.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $198.36 $342 0.6×
Injection aa&/strd genicular nrv branches w/img (64454) $526.06 $907 0.7×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,148.98 $1,981 1.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $526.06 $907 0.7×
Injection for identification of sentinel node (38792) $635.68 $1,096 1.5×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $85.84–$191.98 $148–$331 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $102.66–$260.42 $177–$449 varies
Injection therapeutic carpal tunnel (20526) $303.34 $523 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $706.44 $1,218 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $131.66 $227 0.2×
Insert Bladder Cath Complex (51703) $186.76 $322 1.4×
Insert cath pleura w/ image (32557) $1,415.78 $2,441 0.9×
Insert cath pleura w/o image (32556) $1,383.88 $2,386 0.7×
Insert cervical dilator (59200) $298.70 $515 0.9×
Insert Drug Implant Device (11981) $170.52 $294 1.2×
Insert Gastrostomy Tube Percutaneous (49440) $1,204.66 $2,077 0.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $202.42–$1,963.88 $349–$3,386 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $104.40–$190.82 $180–$329 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $51.62–$108.46 $89–$187 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines		 $164.14–$2,238.80 $283–$3,860 varies
Insj Picc Rs&I <5 Yr (36572)
range across 3 matching MRF lines		 $140.94–$1,334 $243–$2,300 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $217.50–$1,737.10 $375–$2,995 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $557.38 $961 1.3×
Intro Gastrointestinal Tube (44500) $724.42 $1,249 0.8×
Intubation endotracheal emergency procedure (31500) $245.92 $424 1.0×
Irrigation of corpora cavernosa for priapism (54220)
range across 2 matching MRF lines		 $237.80–$571.30 $410–$985 varies
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $145–$262.16 $250–$452 varies
Myelography Lumbar Injection (62305) $1,520.18 $2,621 1.9×
Myelography Lumbar Injection (62304) $1,266.72 $2,184 1.6×
Myelography via lumbar injection rs&i cervical (62302) $1,456.96 $2,512 1.8×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,329.94 $2,293 1.6×
N Block Inj Ilio-Ing/Hypogi (64425) $844.48 $1,456 1.2×
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $152.54–$886.24 $263–$1,528 varies
N Block Inj Pudendal (64430) $1,173.34 $2,023 1.3×
N Block Lumbar/Thoracic (64520) $1,059.66 $1,827 1.2×
Nasal/Orogastric W/Tube Plmt (43752) $399.62 $689 0.9×
Needle Biopsy Lymph Nodes (38505) $1,309.06 $2,257 0.8×
Needle Biopsy Pancreas (48102) $1,037.04 $1,788 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $16.82 $29 0.6×
Needle insertion w/o injection 3 or more muscles (20561) $16.82 $29 0.6×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $415.86 $717 0.6×
Njx anes stellate ganglion crv sympathetic (64510) $1,334 $2,300 1.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $118.32 $204 0.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,408.74 $4,153 0.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,137.38 $1,961 1.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,422.16 $2,452 2.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,342.12 $2,314 1.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,020.22 $1,759 1.4×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $125.86–$432.68 $217–$746 varies
Open treatment metacarpophalangeal dislocation (26715) $1,121.72 $1,934 0.3×
Percut Drain/Inject Renal Cyst (50390) $802.72 $1,384 1.1×
Pericardiocentesis W/Imaging (33016) $378.74 $653 0.2×
Perq Cervicothoracic Inject (22510) $4,965.38 $8,561 1.5×
Perq dev breast 1st strtctc (19283) $1,435.50 $2,475 2.0×
Perq dev breast 1st us imag (19285) $1,044 $1,800 1.4×
Perq device breast 1st imag (19281) $981.94 $1,693 0.6×
Perq dilation xst trc endourologic px w/img (50436) $2,217.34 $3,823 0.6×
Perq Lumbosacral Injection (22511) $4,807.04 $8,288 1.4×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $1,183.20 $2,040 1.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,822.46 $13,487 1.0×
Perq Vertebral Augmentation (22513) $7,704.14 $13,283 1.0×
Placement of needle for intraosseous infusion (36680) $97.44 $168 0.2×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $2,408.16 $4,152 1.1×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $134.56–$268.54 $232–$463 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $164.72–$435 $284–$750 varies
Puncture Aspiration Cyst Breast (19000) $667.58 $1,151 0.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,226.12 $2,114 0.6×
Removal Embedded Foreign Body Eyelid (67938) $203 $350 0.6×
Removal foreign body foot deep (28192) $536.50 $925 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $261 $450 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines		 $255.20–$2,173.84 $440–$3,748 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $27.26 $47 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $63.22 $109 1.0×
Removal of foreign body from pharynx (42809) $212.86 $367 0.5×
Removal of nail bed (11750) $203 $350 0.5×
Removal or bivalving full arm or full leg cast (29705) $116 $200 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $131.66–$168.20 $227–$290 varies
Removal/bivalving gauntlet boot/body cast (29700) $77.72 $134 0.3×
Remove foreign body from eye (65205) $60.90 $105 0.4×
Remove Intrauterine Device (58301) $144.42 $249 0.5×
Remove Nasal Foreign Body (30300) $238.96 $412 1.7×
Renal Biopsy Perq (50200) $1,557.88 $2,686 0.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $466.32 $804 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $570.72 $984 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $414.70 $715 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $545.20 $940 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $449.50 $775 1.1×
Repair Hand Tendon (26410) $1,056.18 $1,821 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $304.50 $525 0.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $336.98 $581 0.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $403.10 $695 1.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $371.78 $641 0.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $652.50 $1,125 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $276.66 $477 0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $334.66 $577 0.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $409.48 $706 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $487.20 $840 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $394.98 $681 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $322.48 $556 0.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $690.78 $1,191 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $366.56 $632 0.9×
Repair intermediate s/a/t/e >30.0 cm (12037) $721.52 $1,244 0.3×
Repair of nail bed (11760) $208.80 $360 0.3×
Repair tongue laceration (41252) $509.24 $878 2.1×
Repair tongue laceration (41250) $348 $600 0.8×
Replace duodenostomy/jejunostomy tube perq (49451)
range across 2 matching MRF lines		 $152.54–$1,037.04 $263–$1,788 varies
Replace G-J Tube Perc (49452) $803.30 $1,385 0.9×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $112.52–$803.30 $194–$1,385 varies
Reposition Gastrostomy Tube (43761) $704.70 $1,215 2.7×
Reposition Venous Catheter (36597) $1,492.92 $2,574 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $95.70 $165 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $87 $150 0.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $62.06 $107 0.1×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $138.04–$252.30 $238–$435 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $263.90 $455 1.3×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $354.38 $611 1.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $613.06 $1,057 1.1×
Rpr Lip Full Thickness Vermilion Only (40650) $531.28 $916 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $724.42 $1,249 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $81.20 $140 0.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $287.10 $495 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $102.08 $176 0.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $186.18 $321 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $217.50 $375 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $149.64 $258 0.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $364.82 $629 1.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $211.70 $365 1.0×
Skin Tissue Procedure (17999) $87 $150 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $181.54 $313 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $265.64 $458 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $236.64 $408 0.6×
Sperm washing artificial insemination (58323) $32.48 $56 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $220.40–$861.30 $380–$1,485 varies
Strapping Unna Boot (29580) $66.70 $115 0.4×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,002.24 $1,728 1.4×
Thyroid biopsy (60100) $877.54 $1,513 1.2×
Tooth extraction (41899) $152.54 $263 0.6×
Treat Humerus Fracture (24505) $885.66 $1,527 0.5×
Treat Knuckle Dislocation (26700) $541.72 $934 2.1×
Treat Thumb Fracture (26645) $683.24 $1,178 0.4×
Treat toe dislocation (28630) $259.84 $448 1.0×
Treat Vaginal Bleeding (57180) $222.14 $383 1.1×
Treatment closed elbow dislocation w/o anes (24600) $600.30 $1,035 2.4×
Trim skin lesion (11055) $26.10 $45 0.1×
Trimming Nondystrophic Nails Any Number (11719) $13.34 $23 0.2×
Tx Gastro Intub W/Asp (43753) $37.12 $64 0.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $564.92 $974 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $335.24 $578 0.4×
Unlisted Procedure Casting/Strapping (29799) $89.90 $155 0.5×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $327.70 $565 1.3×
Unlisted procedure stomach (43999) $643.80 $1,110 0.7×
Unlisted Procedure Vascular Surgery (37799) $65.54 $113 0.1×
Vaginal delivery only (59409) $1,321.82 $2,279 0.4×
Vein Access Cutdown < 1 Yr (36420) $78.30 $135 0.6×
Wedge excision skin nail fold (11765) $158.92 $274 0.4×

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.