Procedures & surgery prices at Antelope Memorial Hospital

Neligh, NE · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 5 matching MRF lines
— $620–$2,915 —
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 7 matching MRF lines
— $449–$3,061 —
Acne surgery (10040) $249 $249 1.2×
Acromiopl/Acromionect Partial (23130) — $1,381 —
Adding Walker Previously Applied Cast (29440) — $94 —
Amniocentesis diagnostic (59000) — $242 —
Anoscopy diagnostic (46600)
range across 4 matching MRF lines
— $239–$250 —
Anoscopy W/Rmvl Foreign Body (46608)
range across 5 matching MRF lines
— $608–$2,596 —
Anoscopy; with biopsy, single or multiple (46606) — $593 —
Application cast elbow finger short arm (29075)
range across 6 matching MRF lines
— $117–$196 —
Application finger splint static (29130)
range across 4 matching MRF lines
— $90–$455 —
Application long arm splint shoulder hand (29105)
range across 6 matching MRF lines
— $91–$463 —
Application Long Leg Splint (29505)
range across 7 matching MRF lines
— $116–$723 —
Application of long leg cast (29345)
range across 4 matching MRF lines
— $289–$723 —
Application short arm splint forearm-hand static (29125)
range across 8 matching MRF lines
— $89–$440 —
Application short leg splint calf foot (29515)
range across 7 matching MRF lines
— $110–$519 —
Application uniplane external fixation system (20690) — $1,321 —
Apply long arm cast (29065)
range across 4 matching MRF lines
— $181–$209 —
Apply Short Leg Cast (29405)
range across 4 matching MRF lines
— $131–$626 —
Arterial puncture (36600)
range across 7 matching MRF lines
— $59–$581 —
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines
— $118–$674 —
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 12 matching MRF lines
— $101–$593 —
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 8 matching MRF lines
— $81–$139 —
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 5 matching MRF lines
— $910–$1,200 —
Arthroscopy knee synovectomy limited spx (29875) — $1,107 —
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) — $1,379 —
Arthroscopy shoulder distal claviculectomy (29824) — $1,508 —
Arthroscopy shoulder surgical capsulorrhaphy (29806) — $2,339 —
Arthroscopy, knee, surgical; with lateral release (29873) — $1,200 —
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) — $1,868 —
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) — $1,531 —
Arthroscopy, shoulder, surgical; debridement, extensive (29823) — $1,321 —
Arthroscopy, shoulder, surgical; debridement, limited (29822) — $1,208 —
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) — $2,289 —
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) — $2,363 —
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 5 matching MRF lines
— $2,819–$3,211 —
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) — $2,525 —
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) — $2,159 —
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) — $1,470 —
Arthrs knee debridement/shaving artclr crtlg (29877) — $1,382 —
Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) — $1,414 —
Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) — $1,672 —
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) — $1,253 —
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines
— $666–$2,382 —
Aspirate Pleura W/O Imaging (32554)
range across 5 matching MRF lines
— $498–$1,479 —
Aspirate/Inj Ganglion Cyst (20612) — $139 —
Avulsion nail plate partial/complete simple 1 (11730)
range across 5 matching MRF lines
— $215–$248 —
Biopsy external ear (69100) — $204 —
Biopsy Muscle Superficial (20200) — $440 —
Biopsy nail unit (11755) — $263 —
Biopsy Prostate Any Approach Nonimaging-Guided (55705)
range across 4 matching MRF lines
— $513–$2,766 —
Biopsy Prostate Transrectal Ultrasound-Guided (55707)
range across 2 matching MRF lines
— $564–$3,236 —
Biopsy Soft Tissue Back/Flank Superficial (21920) — $526 —
Bladder instillation anticarcinogenic agent (51720) — $1,068 —
Bladder Irrigation (51700)
range across 5 matching MRF lines
— $163–$502 —
Bladder Scan (51798)
range across 4 matching MRF lines
— $24–$309 —
Blood Transfusion Service (36430)
range across 14 matching MRF lines
— $1,365–$2,554 —
Bone Marrow Biopsy (38221) — $349 —
Bone Marrow; Aspiration Only (38220)
range across 4 matching MRF lines
— $337–$655 —
Bx breast 1st lesion us imag (19083) — $3,500 —
Bx breast needle core w/o imaging guidance spx (19100) — $311 —
Bx Cervix (57500) — $326 —
Bx/exc lymph node open deep axillary node (38525) — $910 —
Bx/exc lymph node open superficial (38500) — $701 —
Carpal Tunnel Surgery (64721)
range across 6 matching MRF lines
— $978–$4,334 —
Change Cystostomy Tube Simple (51705) — $663 —
Change of Windpipe Airway (31502) — $719 —
Chemical Cautery Tissue (17250) — $185 —
Chest tube placement (32551)
range across 4 matching MRF lines
— $320–$3,810 —
Circumcision 28 days or older (54161) — $422 —
Circumcision Neonate (54160) — $473 —
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines
— $286–$317 —
Claviculectomy partial (23120) — $1,313 —
Clear outer ear canal (69200)
range across 5 matching MRF lines
— $70–$171 —
Closed Rx Spontaneous Hip Disloc (27256) — $785 —
Closed rx talotarsal disloc,anesth (28575)
range across 4 matching MRF lines
— $817–$1,076 —
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) — $785 —
Closed treatment of ulnar shaft fracture; with manipulation (25535) — $1,075 —
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) — $637 —
Closed Treatment Ulnar Styloid Fracture (25650) — $723 —
Closed tx ankle dislocation w/o anesthesia (27840) — $835 —
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) — $785 —
Closed Tx Calcaneal Fracture W/O Manipulation (28400) — $543 —
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) — $678 —
Closed tx knee dislocation w/o anesthesia (27550)
range across 4 matching MRF lines
— $785–$1,101 —
Closed tx metatarsal fracture w/o manipulation (28470)
range across 4 matching MRF lines
— $479–$785 —
Closed tx patellar dislocation w/o anesthesia (27560) — $785 —
Closed Tx Patellar Fracture W/O Manipulation (27520) — $714 —
Closed tx radial head/neck fx w/o manipulation (24650) — $582 —
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) — $628 —
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 4 matching MRF lines
— $1,123–$1,575 —
Closed tx radial&ulnar shaft fractures w/o man (25560) — $639 —
Closed tx talus fracture w/o manipulation (28430) — $526 —
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 5 matching MRF lines
— $299–$785 —
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) — $643 —
Closed tx ulnar shaft fracture w/o manipulation (25530) — $585 —
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) — $523 —
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 4 matching MRF lines
— $784–$4,576 —
Clsd tx clavicular fracture w/o manipulation (23500) — $491 —
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 4 matching MRF lines
— $877–$1,191 —
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 6 matching MRF lines
— $680–$970 —
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 4 matching MRF lines
— $874–$1,053 —
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) — $515 —
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) — $671 —
Cltx dstl fibular fx lat malls w/o manj (27786) — $688 —
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) — $415 —
Cltx dstl radial fx/epiphysl sep w/o manj (25600) — $746 —
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 7 matching MRF lines
— $1,154–$1,224 —
Cltx fx grt toe phlx/phlg w/o manj (28490) — $312 —
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) — $363 —
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) — $267 —
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) — $690 —
Cltx greater humeral tuberosity fx w/o manj (23620) — $595 —
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 4 matching MRF lines
— $367–$785 —
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) — $774 —
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) — $730 —
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) — $270 —
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) — $865 —
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 4 matching MRF lines
— $634–$785 —
Cltx Medial Ankle Fx (27760)
range across 4 matching MRF lines
— $732–$1,357 —
Cltx metacarpal fx w/manipulation each bone (26605) — $724 —
Cltx metacarpal fx w/o manipulation each bone (26600) — $664 —
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) — $748 —
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) — $444 —
Cltx post hip arthrp dislc req anes (27266) — $1,303 —
Cltx post hip arthrp dislc w/o anes (27265)
range across 5 matching MRF lines
— $525–$895 —
Cltx prox fibula/shft fx w/manj (27781)
range across 4 matching MRF lines
— $948–$1,229 —
Cltx prox fibula/shft fx w/o manj (27780) — $679 —
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines
— $228–$785 —
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) — $1,244 —
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) — $839 —
Cltx tibial fx proximal w/o manipulation (27530) — $676 —
Cltx tibial shaft fx w/o manipulation (27750) — $761 —
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 4 matching MRF lines
— $785–$1,066 —
Cltx trimalleolar ankle fx w/o manipulation (27816) — $727 —
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) — $1,839 —
Collect Blood From Catheter Venous Nos (36592) — $151 —
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines
— $22–$56 —
Colonoscopy through stoma; with biopsy, single or multiple (44389) — $874 —
Colonoscopy thru stoma (44388)
range across 4 matching MRF lines
— $670–$2,627 —
Colonoscopy W/Band Ligation (45398)
range across 4 matching MRF lines
— $1,734–$3,885 —
Colonoscopy w/submucosal inj (45381)
range across 4 matching MRF lines
— $941–$3,615 —
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 4 matching MRF lines
— $358–$592 —
Combined anteroposterior colporrhaphy; (57260) — $1,646 —
Control Nasal Hemorrhage Anterior Complex (30903)
range across 5 matching MRF lines
— $516–$698 —
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines
— $331–$539 —
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) — $3,662 —
Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) — $472 —
Cryotherapy Co2 Slush Liquid N2 Acne (17340) — $113 —
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 5 matching MRF lines
— $265–$740 —
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 5 matching MRF lines
— $630–$796 —
Cysto w/dilat rx balo cath urtl strix/sten male (52284) — $5,688 —
Cysto w/removal of tumors small (52234) — $517 —
Cysto W/Simple Removal Stone & Stent (52310)
range across 4 matching MRF lines
— $680–$5,250 —
Cystourethroscopy (52000)
range across 4 matching MRF lines
— $510–$2,625 —
Cystourethroscopy inj chemodenervation bladder (52287)
range across 4 matching MRF lines
— $824–$6,580 —
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) — $607 —
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) — $823 —
Cystourethroscopy with biopsy (52204) — $6,300 —
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) — $128 —
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) — $1,315 —
Debride nail 1-5 (11720)
range across 5 matching MRF lines
— $71–$176 —
Debride nail 6 or more (11721)
range across 4 matching MRF lines
— $96–$176 —
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) — $657 —
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines
— $174–$277 —
Declot vascular device (36593) — $912 —
Deep Muscle Biopsy (20205) — $609 —
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines
— $392–$4,237 —
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines
— $393–$6,186 —
Destruct B9 Lesion 1-14 (17110)
range across 4 matching MRF lines
— $176–$244 —
Destruction Benign Lesions 15/> (17111) — $286 —
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) — $387 —
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) — $762 —
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) — $303 —
Destruction Premalignant Lesion 15/> (17004) — $359 —
Destruction premalignant lesion 1st (17000) — $146 —
Diagnostic sigmoidoscopy (45330)
range across 4 matching MRF lines
— $382–$2,447 —
Dilate Esophagus 1/Mult Pass (43450) — $399 —
Dilate Urethra Stricture (53600) — $189 —
Drainage External Ear Abscess/Hematoma Simple (69000) — $397 —
Drainage Finger Abscess Complicated (26011) — $1,010 —
Drainage of finger abscess simple (26010) — $731 —
Drainage of hematoma/fluid (10140) — $363 —
Draw Blood Off Venous Device (36591) — $210 —
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) — $432 —
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) — $414 —
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) — $333 —
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) — $182 —
Dstrj les/scar vestibule mouth physical meths (40820) — $554 —
Dstrj lesion anus simple surg excision (46922) — $2,262 —
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) — $1,668 —
Egd Balloon Dil Esoph30 Mm/> (43233)
range across 4 matching MRF lines
— $476–$2,308 —
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 4 matching MRF lines
— $2,270–$5,366 —
Egd dilation gastric/duodenal stricture (43245) — $1,479 —
Egd Flexible Foreign Body Removal (43247)
range across 4 matching MRF lines
— $815–$3,974 —
Egd place gastrostomy tube (43246) — $416 —
Egd remove lesion snare (43251)
range across 4 matching MRF lines
— $1,050–$3,791 —
Endometrial Biopsy (58100) — $215 —
Epidural Blood Patch (62273) — $655 —
Esophagoscopy Flexible Transoral Diagnostic (43200) — $558 —
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215)
range across 5 matching MRF lines
— $830–$3,791 —
Evacuation of subungual hematoma (11740)
range across 4 matching MRF lines
— $124–$372 —
Exc arm/elbow les sc < 3 cm (24075) — $1,084 —
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) — $274 —
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) — $440 —
Exc Back Les Sc < 3 Cm (21930) — $1,059 —
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) — $1,190 —
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) — $507 —
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) — $573 —
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) — $827 —
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) — $308 —
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) — $373 —
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) — $414 —
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) — $487 —
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) — $605 —
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) — $272 —
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) — $343 —
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) — $384 —
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) — $423 —
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) — $507 —
Exc Skin Benig >4 Cm Remaindr Body (11426) — $697 —
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) — $673 —
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) — $632 —
Exc Skin Malig >4 Cm Remaindr Body (11626) — $858 —
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 4 matching MRF lines
— $947–$1,000 —
Exc thigh/knee les sc 3 cm/> (27337) — $875 —
Exc thigh/knee tum dep 5cm/> (27339) — $1,572 —
Exc Thrombosed Hemorrhoid Xtrnl (46320) — $183 —
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) — $334 —
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) — $368 —
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) — $476 —
Exc tumor soft tiss shoulder subfasc <5cm (23076) — $1,088 —
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) — $596 —
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) — $421 —
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) — $489 —
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) — $525 —
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) — $663 —
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) — $435 —
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) — $672 —
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) — $1,068 —
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) — $423 —
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) — $490 —
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) — $542 —
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) — $718 —
Excision of ganglion, wrist (dorsal or volar); primary (25111) — $734 —
Excision of pilonidal cyst or sinus; simple (11770) — $745 —
Excision of single external papilla or tag, anus (46220) — $514 —
Excision olecranon bursa (24105) — $813 —
Excision prepatellar bursa (27340) — $842 —
Excision Skin Abd Infraumbilical Panniculectomy (15830) — $2,442 —
Excision tumor soft tissue shoulder subq 3 cm/> (23071) — $876 —
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) — $1,056 —
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) — $913 —
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) — $762 —
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) — $693 —
Fetal non-stress test (59025)
range across 4 matching MRF lines
— $251–$260 —
Foreskin manipulation (54450) — $147 —
Hemorrhoidectomy, external, 2 or more columns/groups (46250) — $1,009 —
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) — $1,011 —
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 4 matching MRF lines
— $603–$2,262 —
I&d abscess simple (10060)
range across 9 matching MRF lines
$273 $239–$438 1.3×
I&d perianal abscess superficial (46050)
range across 4 matching MRF lines
— $501–$2,596 —
I&d pilonidal cyst simple (10080)
range across 5 matching MRF lines
— $532–$2,018 —
Implant Neuroelectrodes (64561)
range across 4 matching MRF lines
— $1,558–$6,369 —
Implant Periph/Gastric Neurostim/Receiver (64590) — $938 —
Incise external hemorrhoid (46083)
range across 8 matching MRF lines
— $237–$807 —
Incise finger tendon sheath (26055) — $1,340 —
Incision & drainage abscess complicated/multiple (10061)
range across 9 matching MRF lines
— $414–$966 —
Incision & removal foreign body subq tiss compl (10121) — $563 —
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines
— $326–$1,094 —
Incision and drainage of bartholin's gland abscess (56420) — $580 —
Incision and drainage of vulva or perineal abscess (56405) — $951 —
Incision extensor tendon sheath wrist (25000)
range across 5 matching MRF lines
— $583–$783 —
Incision of lingual frenum (frenotomy) (41010)
range across 4 matching MRF lines
— $255–$461 —
Incision of rectal abscess (46040)
range across 4 matching MRF lines
— $1,165–$3,413 —
Incision of sperm duct (55200) — $820 —
Incisional biopsy skin single lesion (11106) — $331 —
Initial Tx 1st Degree Burn Local Tx (16000) — $159 —
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines
— $215–$2,494 —
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) — $2,223 —
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 7 matching MRF lines
— $88–$139 —
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines
— $168–$2,375 —
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 4 matching MRF lines
— $50–$1,369 —
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) — $2,166 —
Injection of sclerosing solution, hemorrhoids (46500) — $663 —
Injection single tendon origin/insertion (20551)
range across 4 matching MRF lines
— $123–$301 —
Injection single/mlt trigger point 1/2 muscles (20552)
range across 7 matching MRF lines
— $84–$1,116 —
Injection single/mlt trigger point 3/> muscles (20553)
range across 6 matching MRF lines
— $96–$1,936 —
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines
— $174–$405 —
Injection, anesthetic agent; brachial plexus, single (64415) — $2,166 —
Injection, anesthetic agent; femoral nerve, single (64447)
range across 5 matching MRF lines
— $250–$2,223 —
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 7 matching MRF lines
— $161–$2,270 —
Injection, intralesional; up to and including 7 lesions (11900) — $123 —
Insert Bladder Cath Complex (51703) — $350 —
Insert cath pleura w/o image (32556)
range across 5 matching MRF lines
— $1,564–$2,024 —
Insert Drug Implant Device (11981) — $212 —
Insert non-tunnel cv cath (36556)
range across 6 matching MRF lines
— $450–$4,554 —
Insert pessary/other device (57160) — $158 —
Insert Temp Bladder Cath (51702)
range across 6 matching MRF lines
— $133–$322 —
Insert tun ip cath perc (49418) — $2,037 —
Insert tunneled cv cath (36561) — $2,027 —
Insert,Non-Indwelling Bladder Catheter (51701)
range across 7 matching MRF lines
— $95–$323 —
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) — $4,554 —
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 6 matching MRF lines
— $196–$3,150 —
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) — $706 —
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) — $720 —
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 5 matching MRF lines
— $1,062–$1,094 —
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 5 matching MRF lines
— $1,094–$1,221 —
Intubation endotracheal emergency procedure (31500)
range across 6 matching MRF lines
— $294–$1,159 —
Irrigation of corpora cavernosa for priapism (54220) — $472 —
Knee Arthroscopy/Surgery (29885) — $1,678 —
Knee Arthroscopy/Surgery (29874) — $1,195 —
Laparoscopy fulguration oviducts (58670) — $787 —
Laparoscopy, surgical, appendectomy (44970) — $1,238 —
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) — $1,470 —
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) — $2,283 —
Laparoscopy, Tubal Block (58671) — $787 —
Laryngoscopy flexible diagnostic (31575)
range across 4 matching MRF lines
— $217–$274 —
Late closure of wound (13160) — $1,671 —
Lithotripsy, extracorporeal shock wave (50590) — $1,582 —
Manipulation knee joint under general anesthesia (27570) — $343 —
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) — $437 —
Mastectomy simple complete (19303) — $1,963 —
N block inj intercost sng (64420)
range across 4 matching MRF lines
— $120–$3,114 —
N Block Inj Plantar Digit (64455)
range across 6 matching MRF lines
— $108–$555 —
Nasal Endoscopy Dx (31231)
range across 6 matching MRF lines
— $70–$398 —
Nasal/Orogastric W/Tube Plmt (43752) — $84 —
Needle Biopsy Lymph Nodes (38505) — $2,683 —
Needle insertion w/o injection 1 or 2 muscles (20560) — $51 —
Needle insertion w/o injection 3 or more muscles (20561) — $51 —
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) — $1,345 —
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) — $670 —
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 4 matching MRF lines
— $237–$705 —
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines
— $184–$2,375 —
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 4 matching MRF lines
— $218–$2,426 —
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 4 matching MRF lines
— $202–$2,180 —
Open Repair of Rotator Cuff Acute (23410) — $1,821 —
Open Treatment Bimalleolar Ankle Fracture (27814) — $1,701 —
Open Treatment Medial Malleolus Fracture (27766) — $1,357 —
Open treatment of acromioclavicular dislocation acute or chronic (23550) — $1,281 —
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) — $2,945 —
Open Treatment Proximal Humeral Fracture (23615) — $1,959 —
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 4 matching MRF lines
— $1,307–$1,441 —
Open Tx Distal Phalangeal Fracture Each (26765) — $1,081 —
Open Tx Distal Tibiofibular Joint Disruption (27829) — $1,584 —
Open Tx Humeral Epicondylar Fracture (24575) — $1,633 —
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) — $1,952 —
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) — $1,845 —
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) — $2,627 —
Orchiopexy Ingun/Scrot Appr (54640) — $916 —
Pelvic examination under anesthesia (other than local) (57410) — $223 —
Penile Injection (54235) — $193 —
Perq skel fixj distal radial fx/epiphysl sep (25606) — $1,495 —
Place Rt Device/Marker Pros (55876) — $324 —
Placement of needle for intraosseous infusion (36680)
range across 7 matching MRF lines
— $123–$697 —
Prq skel fixj femoral fx prox end neck (27235) — $2,003 —
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines
— $267–$285 —
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines
— $277–$557 —
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines
— $213–$1,020 —
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) — $2,375 —
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) — $1,650 —
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 5 matching MRF lines
— $34–$176 —
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 6 matching MRF lines
— $102–$213 —
Removal Implant Deep (20680) — $933 —
Removal of foreign body from pharynx (42809) — $1,213 —
Removal of knee prosthesis (27488) — $2,643 —
Removal of nail bed (11750)
range across 6 matching MRF lines
— $249–$347 —
Removal or bivalving full arm or full leg cast (29705)
range across 4 matching MRF lines
— $100–$822 —
Removal skn tags mlt fibrq tags any area upw/15 (11200) — $199 —
Removal/bivalving gauntlet boot/body cast (29700)
range across 5 matching MRF lines
— $137–$822 —
Remove drug implant device (11982) — $234 —
Remove foreign body from eye (65205)
range across 4 matching MRF lines
— $62–$372 —
Remove Intrauterine Device (58301) — $234 —
Remove Nasal Foreign Body (30300)
range across 4 matching MRF lines
— $372–$448 —
Remove/Insert Drug Implant (11983) — $299 —
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) — $1,682 —
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 5 matching MRF lines
— $1,058–$1,682 —
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) — $1,094 —
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 5 matching MRF lines
— $1,005–$1,682 —
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 5 matching MRF lines
— $757–$1,682 —
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 5 matching MRF lines
— $907–$1,682 —
Repair complex trunk 1.1-2.5 cm (13100) — $1,682 —
Repair complex trunk 2.6-7.5 cm (13101) — $1,682 —
Repair Elbow Perc (24357) — $953 —
Repair incomplete circumcision (54163) — $471 —
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) — $1,299 —
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) — $1,209 —
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 5 matching MRF lines
— $604–$941 —
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 4 matching MRF lines
— $674–$1,094 —
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 5 matching MRF lines
— $776–$1,094 —
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 5 matching MRF lines
— $813–$1,094 —
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) — $1,094 —
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) — $1,682 —
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines
— $563–$1,094 —
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 5 matching MRF lines
— $663–$1,094 —
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 4 matching MRF lines
— $814–$1,682 —
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) — $5,396 —
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 7 matching MRF lines
— $822–$1,094 —
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 5 matching MRF lines
— $561–$1,094 —
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 4 matching MRF lines
— $650–$1,094 —
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 4 matching MRF lines
— $910–$1,682 —
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 4 matching MRF lines
— $495–$713 —
Repair intermediate s/a/t/e >30.0 cm (12037)
range across 5 matching MRF lines
— $1,020–$5,396 —
Repair of nail bed (11760) — $395 —
Repair of shoulder (23420) — $2,157 —
Repair Rotator Cuff Chronic (23412) — $1,890 —
Repair tongue laceration (41250) — $372 —
Rerepair ing hernia reduce (49520) — $1,300 —
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) — $3,211 —
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) — $3,334 —
Revj tot hip arthrp bth w/wo agrft/algrft (27134) — $3,211 —
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) — $3,840 —
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) — $3,084 —
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) — $1,213 —
Rmvl fb xtrnl eye corneal w/slit lamp (65222) — $372 —
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) — $1,213 —
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 4 matching MRF lines
— $465–$5,004 —
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) — $346 —
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) — $1,507 —
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) — $694 —
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) — $1,157 —
Rpr aa hrn 1st 3-10 rdc (49593) — $1,159 —
Rpr aa hrn 1st < 3 ncr/strn (49592) — $962 —
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) — $818 —
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 4 matching MRF lines
— $361–$615 —
Rpr ing hernia init reduce (49500) — $861 —
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) — $1,682 —
Rpr Lip Full Thickness Half/< Vertical Height (40652) — $1,698 —
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) — $4,457 —
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) — $3,332 —
Shave skin lesion 0.5 cm/< (11300) — $214 —
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) — $247 —
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) — $387 —
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) — $226 —
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) — $263 —
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) — $297 —
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) — $313 —
Shoulder Arthroscopy/Surgery (29825) — $1,307 —
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) — $292 —
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) — $333 —
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) — $260 —
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) — $324 —
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) — $293 —
Sigmoidoscopy & Polypectomy (45333) — $676 —
Sigmoidoscopy Flx With With Band Ligation(S) (45350) — $1,415 —
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 4 matching MRF lines
— $608–$3,290 —
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 4 matching MRF lines
— $458–$1,094 —
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines
— $236–$589 —
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 4 matching MRF lines
— $246–$629 —
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 4 matching MRF lines
— $314–$1,094 —
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 4 matching MRF lines
— $299–$615 —
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 5 matching MRF lines
— $354–$615 —
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 5 matching MRF lines
— $199–$555 —
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 4 matching MRF lines
— $486–$615 —
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 4 matching MRF lines
— $280–$557 —
Skin Full Grft Face/Genit/Hf (15240) — $1,983 —
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 4 matching MRF lines
— $241–$537 —
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 4 matching MRF lines
— $372–$591 —
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 5 matching MRF lines
— $429–$1,094 —
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines
— $306–$1,681 —
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) — $1,751 —
Strapping ankle (29540) — $234 —
Strapping elbow or wrist (29260)
range across 4 matching MRF lines
— $63–$111 —
Strapping knee (29530) — $248 —
Strapping shoulder (29240) — $495 —
Strapping toes (29550) — $195 —
Strapping Unna Boot (29580)
range across 6 matching MRF lines
— $21–$673 —
Subcutaneous Hormone Pellet Implantation (11980) — $351 —
Surg tx anal fistula subq (46270) — $1,126 —
Suture infrapatellar tendon primary (27380) — $1,387 —
Suture of quadriceps or hamstring muscle rupture primary (27385) — $1,363 —
Tangential biopsy skin single lesion (11102)
range across 5 matching MRF lines
— $215–$789 —
Tenodesis long tendon biceps (23430) — $1,656 —
Tnot elbow lateral/medial debride open (24358) — $1,188 —
Tnot elbow lateral/medial debride open tdn rpr (24359) — $1,481 —
Total Knee Arthroplasty (27447) — $2,817 —
Tprnl Plmt Biodegrdabl Matrl (55874) — $6,041 —
Tracheostomy Emergency Cricothyroid Membrane (31605) — $719 —
Tracheostomy Emergency Procedure Transtracheal (31603) — $4,457 —
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) — $810 —
Transur electr resection of prostate (52601) — $1,547 —
Treat Ankle Dislocation (27846) — $1,536 —
Treat Fx Rad Extra-Articul (25607) — $1,654 —
Treat humerus fracture (24500) — $795 —
Treat humerus fracture (23600) — $731 —
Treat Kneecap Fracture (27524) — $1,674 —
Treat Knuckle Dislocation (26700)
range across 4 matching MRF lines
— $742–$785 —
Treat Metatarsal Fracture (28475) — $571 —
Treat Tail Bone Fracture (27200) — $413 —
Treat Thumb Dislocation (26641)
range across 5 matching MRF lines
— $785–$913 —
Treat toe dislocation (28630)
range across 5 matching MRF lines
— $316–$785 —
Treatment closed elbow dislocation w/o anes (24600)
range across 4 matching MRF lines
— $785–$819 —
Treatment of ankle fracture (27823) — $2,191 —
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) — $2,702 —
Trim skin lesion (11055)
range across 4 matching MRF lines
— $152–$176 —
Trim skin lesions 2 to 4 (11056)
range across 4 matching MRF lines
— $176–$177 —
Trim skin lesions over 4 (11057)
range across 4 matching MRF lines
— $176–$194 —
Trimming Nondystrophic Nails Any Number (11719)
range across 4 matching MRF lines
— $31–$176 —
Tx Gastro Intub W/Asp (43753)
range across 4 matching MRF lines
— $44–$878 —
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) — $2,699 —
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 4 matching MRF lines
— $637–$1,682 —
Tx superficial wound dehiscence w/packing (12021) — $1,094 —
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) — $465 —
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) — $2,202 —
Unlisted procedure pelvis/hip joint (27299) — $1,363 —
Vag hyst complex (58290) — $2,421 —
Vaginal Delivery After Cesarean Delivery (59612) — $1,798 —
Vaginal delivery only (59409)
range across 4 matching MRF lines
— $1,608–$8,226 —
Vaginal hysterectomy, for uterus 250 g or less; (58260) — $1,771 —
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) — $1,957 —
Vasectomy uni/bi spx w/postop semen exams (55250)
range across 4 matching MRF lines
— $717–$805 —
Wedge excision skin nail fold (11765)
range across 4 matching MRF lines
— $357–$1,094 —

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.