Procedures & surgery prices at Arbuckle Memorial Hospital Authority

Sulphur, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $253.50 $317 0.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $265.50 $332 0.3×
Abrasion single lesion (15786) $106 $133 0.5×
Amputation Finger/Thumb (26951) $969 $1,211 0.3×
Amputation follow-up surgery (23921) $494 $617.50 0.2×
Anoscopy diagnostic (46600) $97.50 $121.50 0.8×
Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) $171 $214 0.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $716 $895 4.6×
Application cast elbow finger short arm (29075) $142 $177 0.5×
Application Cast Hand & Lower Forearm Gauntlet (29085) $152.50 $190.50 1.0×
Application cast shoulder hand long arm (29065) $132 $165 0.5×
Application Finger Splint Dynamic (29131) $62 $77 1.1×
Application finger splint static (29130) $64 $80 0.5×
Application long arm splint shoulder hand (29105) $148 $185 0.9×
Application long leg splint thigh ankle/toes (29505) $131 $164 0.8×
Application of long leg cast (29345) $196 $245 0.7×
Application Short Arm Splint Dynamic (29126) $94 $117 0.7×
Application short arm splint forearm-hand static (29125) $121 $151 0.9×
Application short leg splint calf foot (29515) $114 $142.50 0.7×
Apply short leg cast (29405) $132 $165 0.5×
Arterial puncture (36600) $28 $35 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $85.50 $107 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $116 $145 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $160 $200 0.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $122 $152.50 0.4×
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) $16 $20 0.0×
Avulsion nail plate partial/complete simple 1 (11730) $135 $169 0.7×
Biopsy external ear (69100) $151 $189 0.7×
Biopsy muscle deep (20205) $182 $228 0.1×
Biopsy muscle percutaneous needle (20206) $84 $105 0.1×
Biopsy Muscle Superficial (20200) $110 $138 0.1×
Biopsy of nail unit (11755) $97 $121 0.1×
Biopsy Soft Tissue Shoulder Deep (23066) $15 $19 0.0×
Biopsy soft tissue shoulder superficial (23065) $120 $150 0.1×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $117 $146 0.1×
Biopsy, soft tissue of forearm and/or wrist; superficial (25065) $111 $139 0.1×
Bladder Irrigation Simple (51700) $8 $10 0.0×
Bladder Scan (51798) $24 $30 0.4×
Blood transfusion service (36430) $776 $970 1.8×
Bone Marrow Biopsy (38221) $140 $175 0.1×
Bronchoscopy W/Removal Foreign Body (31635) $1,145 $1,431 0.7×
Catheter Aspiration Nasotracheal Spx (31720) $296 $370 1.4×
Change Cystostomy Tube Complicated (51710) $629 $411 0.9×
Change Cystostomy Tube Simple (51705) $390 $488 1.6×
Chemical Cautery Tissue (17250) $360 $450 1.9×
Chest tube placement (32551) $480 $600 0.3×
Chg Collect Blood From Catheter Venous Nos (36592) $218 $273 1.7×
Close Rx Fingr Articular Fx,Manip (26742) $240 $300 0.2×
Closed Rx Gr Tuberosity Hum Fx (23620) $224 $280 0.9×
Closed Rx Humer Epicondylr Fx,Manip (24565) $369 $461 0.2×
Closed Rx Med Malleolus Fx,Manip (27762) $841 $1,051 0.5×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $637.50 $796.50 0.4×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $645 $806.50 0.4×
Closed Rx Radial Shaft Fx (25500) $197 $246 0.8×
Closed Rx Spontaneous Hip Disloc (27256) $470 $588 2.0×
Closed Treat Vert Body Fract (22310) $203 $254 0.9×
Closed treat wrist dislocation (25660) $265 $331 1.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $523 $654 2.2×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $206 $258 0.9×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $203 $254 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $620.50 $775.50 2.6×
Closed treatment pst malleolus fracture w/manj (27768) $858 $1,073 0.6×
Closed Treatment Sternum Fracture (21820) $110 $137 0.5×
Closed Treatment Ulnar Styloid Fracture (25650) $236 $295 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $728 $910 3.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $384 $480 0.2×
Closed tx calcaneal fracture w/o manipulation (28400) $4,463.50 $5,579.50 18.8×
Closed tx carpal scaphoid fracture w/manj (25624) $550.50 $688 0.4×
Closed tx knee dislocation w/o anesthesia (27550) $908 $1,135 3.8×
Closed Tx Lunate Dislocation W/Manipulation (25690) $431 $539 0.3×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $235 $294 0.5×
Closed tx nasal fracture w/o stabilization (21315) $112 $140 0.1×
Closed tx patellar dislocation w/anesthesia (27562) $859 $1,074 3.6×
Closed tx patellar dislocation w/o anesthesia (27560) $522 $653 2.2×
Closed tx radial head/neck fx w/manipulation (24655) $541.50 $676.50 0.4×
Closed tx radial head/neck fx w/o manipulation (24650) $184 $230 0.8×
Closed tx radial shaft fracture w/manipulation (25505) $618 $772 0.4×
Closed tx scapular fracture w/o manipulation (23570) $162 $203 0.7×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $226 $283 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $534 $667 0.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $59 $74 0.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $492 $615 0.3×
Closed tx ulnar fracture prox end w/o manipulate (24670) $185 $231 0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $190 $237 0.8×
Clsd tx acromioclavicular dislc w/manipulation (23545) $214 $267 0.9×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $154 $192 0.6×
Clsd tx clavicular fracture w/manipulation (23505) $452 $565 0.3×
Clsd tx clavicular fracture w/o manipulation (23500) $153 $191 0.6×
Clsd tx fx orbit except blowout w/o manipulation (21400) $126 $158 0.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $544 $680 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $462.50 $578 1.9×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $144 $180 0.1×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $834 $1,042 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $126 $157 0.5×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $200 $250 0.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $386 $482.50 1.6×
Cltx dstl fibular fx lat malls w/manj (27788) $747 $934 3.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $491 $614 2.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $317.50 $396.50 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $733 $916 0.5×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,346 $1,683 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,425 $1,781 0.9×
Cltx fx grt toe phlx/phlg w/manj (28495) $267 $334 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $260 $325 1.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $920 $1,150 0.6×
Cltx grter humeral tuberosity fx w/manipulation (23625) $322 $403 0.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $409 $511 1.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $162 $202 0.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $443 $554 1.9×
Cltx metacarpal fx w/manipulation each bone (26605) $490.50 $613.50 2.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $143 $179 0.6×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $357.50 $446.50 1.5×
Cltx metatarsophlngl jt dislc w/o anes (28630) $190 $238 0.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $338.50 $423.50 1.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $113 $141 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $648 $810 2.7×
Cltx prox fibula/shft fx w/manj (27781) $770 $962 0.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $578.50 $723.50 0.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $123 $153.50 0.5×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $282 $353 0.2×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $780 $975 0.5×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $1,578 $1,973 1.0×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $972 $1,215 0.6×
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $338 $422 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $825 $1,031 0.5×
Colonoscopy flex w/rem forcep (45384) $744 $930 0.6×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $414 $517 0.4×
Colonoscopy stoma w/snare (44394) $483 $604 0.4×
Colonoscopy thru stoma (44388) $313 $391 0.3×
Colonoscopy w/ablation (45388) $446 $558 0.4×
Colonoscopy w/fb removal (45379) $744 $930 0.6×
Colposcopy entire vagina w/cervix if present (57420) $22.50 $28 0.1×
Complete replacement picc rs&i (36584) $2,812 $3,515 1.9×
Complex Drainage, Wound (10180) $138 $172 0.0×
Control Nasal Hemorrhage Anterior Complex (30903) $245.50 $306.50 1.9×
Control Nasal Hemorrhage Anterior Simple (30901) $153 $191.50 1.2×
Control Oropharyngeal Hemorrhage Simple (42960) $883 $1,104 1.7×
Cryotherapy of skin (17340) $42 $52 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $191.50 $239.50 1.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $160 $200 0.7×
Cystoscopy & duct catheter (52010) $9 $11 0.0×
Cystoscopy,Dil Urethral Stricture (52281) $8 $10 0.0×
Cystourethroscopy (52000) $49 $61 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $149 $186 0.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $627 $783.50 0.2×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $351 $439 0.5×
Debride nail 1-5 (11720) $28.50 $35.50 0.5×
Debride nail 6 or more (11721) $46 $57 0.8×
Debride skin musc at fx site (11011) $418 $522 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $182 $227.50 0.5×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $244 $305 0.3×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $458 $572 0.3×
Decompress fingers/hand (26037) $564 $705 0.2×
Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) $577 $721 0.2×
Delivery placenta separate procedure (59414) $1,440 $1,800 0.5×
Dermabrasion regional other than face (15782) $221 $276 0.1×
Dermabrasion segmental face (15781) $354 $442 0.5×
Dermabrasion superficial any site (15783) $248 $310 0.6×
Dermabrasion total face (15780) $336 $420 0.1×
Destroy internal hemorrhoids (46930) $504 $630 0.4×
Destruc Benign/Premal,15+ Lesions (17004) $173.50 $216.50 0.4×
Destruction Benign Lesions Up To 14 (17110) $100 $125 0.5×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $158 $197 0.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $192 $240 1.0×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $235 $294 0.6×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $280 $350 0.4×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $373 $466 0.5×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $106 $132 0.5×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $141 $176 0.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $168 $210 0.9×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $190 $237 0.5×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $236 $295 0.6×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $117 $146 0.6×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $110 $137 0.6×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $134 $168 0.7×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $165 $206 0.9×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $194 $242 0.5×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $243 $304 0.6×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $84 $105 0.4×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) $526 $658 0.7×
Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) $925 $1,156 0.5×
Destruction of skin lesions (17106) $266 $333 0.7×
Destruction premalignant lesion 1st (17000) $120.50 $150.50 0.6×
Diagnostic sigmoidoscopy (45330) $23 $29 0.0×
Dilate Urethra Stricture (53600) $69 $86 0.3×
Dilation of female urethra including suppository and/or instillation; initial (53660) $45 $56 0.4×
Disarticulation shoulder (23920)
likely a partial charge, not the full procedure
$15 $19 0.0×
Drain hand tendon sheath (26020) $334 $418 0.1×
Drain shoulder bursa (23031) $17 $21 0.0×
Drainage abscess/hematoma nasal int approach (30000) $225 $281 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $205 $256 0.3×
Drainage Finger Abscess Complicated (26011) $245.50 $307 0.2×
Drainage Finger Abscess Simple (26010) $232 $290 1.2×
Drainage of eyelid abscess (67700) $225 $281 0.7×
Drainage of gum lesion (41800) $324 $405 2.5×
Drainage of hematoma/fluid (10140) $880 $1,100 0.6×
Draw blood off venous device (36591) $218 $273 1.7×
Dressing change under anesthesia (15852) $55 $69 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $176.50 $221 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $155.50 $194.50 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $124 $155 0.6×
Dry Needling 3+ Muscles (20561) $71 $89 2.6×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $283 $354 0.7×
Egd balloon dilation esophagus <30 mm diam (43249) $573 $716 0.3×
Egd place gastrostomy tube (43246) $763 $953.50 0.4×
Egd rem tumr/polyp forcep (43250) $573 $716 0.3×
Egd remove lesion snare (43251) $573 $716 0.3×
Egd Transoral Control Bleeding Any Method - Egd (43255) $744 $930 0.4×
Escharotomy initial incision (16035) $270 $338 0.7×
Evacuation of subungual hematoma (11740) $91 $114 0.7×
Exc arm/elbow les sc < 3 cm (24075) $245 $306 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $143 $179 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $165 $206 0.1×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $246 $307 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $162 $202 0.1×
Exc forearm les sc < 3 cm (25075) $380 $475 0.2×
Exc hand les sc < 1.5 cm (26115) $242 $302 0.2×
Exc hydrocele sprmatic cord uni spx (55500) $3 $4 0.0×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $263 $329 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $256 $320 0.7×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $282 $352 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $126 $158 0.2×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $199 $249 0.1×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $148 $185 0.1×
Exc Skin Benig >4 Cm Face,Facial (11446) $256 $320 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $234 $293 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $197 $246 0.1×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $270 $337 0.2×
Exc Skin Malig >4 Cm Face,Facial (11646) $431 $539 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $325 $406 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $279 $349 0.2×
Exc Sweat Gland Lesn Perineal,Complx (11471) $288 $360 0.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $163 $203.50 0.1×
Exc tr-ext b9+marg 0.5 cm or less (11400) $215 $269 0.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $380 $475 0.2×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $229 $286 0.1×
Excision h/p/p/u simple/intermediate repair (11470) $254 $317 0.1×
Excision hidradenitis axillary complex repair (11451) $286 $358 0.1×
Excision hidradenitis inguinal smpl/intrm rpr (11462) $206 $257 0.1×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $104 $130 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $326 $407 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $161 $201 0.4×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $190 $238 0.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $215 $269 0.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $287 $359 0.4×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $186 $233 0.3×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $227 $284 0.3×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $334 $417 0.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $110 $138 0.1×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $154 $192 0.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $187 $234 0.3×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $229 $286 0.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $277 $346 0.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $287 $359 0.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $122 $153 0.2×
Excision of Epiphyseal Bar (20150) $1,098 $1,372 0.3×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $293 $366 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $206 $258 0.1×
Excision of nail fold toe (11765) $120 $150 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $227 $284 0.1×
Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) $246 $307 0.1×
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $228 $285 0.1×
Excision pilonidal cyst/sinus complicated (11772) $488 $610 0.2×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $173 $216 0.1×
Expl penetrating wound spx abdomen/flank/back (20102) $242 $303 0.1×
Exploration of spinal fusion (22830)
likely a partial charge, not the full procedure
$2 $2 0.0×
Exploration penetrating wound spx chest (20101) $198 $247 0.1×
Exploration penetrating wound spx extremity (20103) $326 $407 0.2×
Exploration Penetrating Wound Spx Neck (20100) $626 $782 1.2×
Explore/Treat Interphalangeal Jt,Ea (26080) $298 $372 0.2×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $618 $772 0.3×
Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) $721 $901 0.4×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $525 $656 0.3×
Fth/gft free w/direct closure trunk 20 cm/< (15200) $491 $614 0.2×
Gastric Intubation/Aspiration, Therapeutic (43753) $192 $240 0.9×
I&D Abscess Peritonsillar (42700) $258 $323 1.1×
I&d abscess simple (10060) $201 $251 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $224 $280 0.1×
I&d pilonidal cyst simple (10080) $244.50 $305.50 0.4×
Incision & drainage abscess complicated/multiple (10061) $343 $429 0.9×
Incision & drainage pilonidal cyst complicated (10081) $399 $499 0.6×
Incision & removal foreign body subq tiss compl (10121) $395 $493.50 0.2×
Incision & removal foreign body subq tiss simple (10120) $206 $257.50 0.5×
Incision and drainage of bartholin's gland abscess (56420) $175 $219 0.9×
Incision and drainage of vulva or perineal abscess (56405) $201 $251 0.7×
Incision thrombosed hemorrhoid external (46083) $314 $393 1.3×
Initial tx 1st degree burn local tx (16000) $97 $121.50 0.5×
Inj tendon sheath/ligament (20550) $102 $127 0.3×
Inject Nerv Blck,Axillary Nerv (64417) $138 $172 0.2×
Inject Tendon Origin/Insert (20551) $116 $145 0.4×
Injection anes other peripheral nerve/branch (64450) $181 $226 0.3×
Injection of agent to destroy presacral nerve bundle (64681) $33 $41 0.0×
Injection single/mlt trigger point 1/2 muscles (20552) $212 $265 0.7×
Injection single/mlt trigger point 3/> muscles (20553) $304 $380 1.0×
Injection therapeutic carpal tunnel (20526) $150 $187 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $32 $40 0.2×
Insert and remove bone pin (20650) $132 $165 0.0×
Insert Bladder Cath Complex (51703) $156 $195 1.3×
Insert Drug Implant Device (11981) $281 $351 2.2×
Insert non-tunnel cv cath (36556) $640 $800 0.2×
Insert picc cath (36569) $2,058.50 $2,573 1.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,812 $3,515 1.9×
Insert Temp Bladder Cath (51702) $123 $153.50 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $52 $65 0.4×
Insertion of vascular pedicle into carpal bone (eg, harii procedure) (25430) $11 $14 0.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,812 $3,515 1.9×
Insertion picc w/rs&i < 5 yr (36572) $1,083 $1,354 1.8×
Intubation endotracheal emergency procedure (31500) $181.50 $227 0.8×
Irrigation maxillary sinus (31000) $25 $31 0.1×
Laryngoscopy Flexible Diagnostic (31575) $227 $284 1.2×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $356 $445 0.9×
Late closure of wound (13160) $538 $672 0.2×
Lavage by cannulation; sphenoid sinus (31002) $39 $49 0.0×
Lengthening of hand tendon (26478) $44 $55 0.0×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $296 $370 0.7×
Needle insertion w/o injection 1 or 2 muscles (20560) $29 $36 1.0×
Nerve graft arm or leg (64897)
likely a partial charge, not the full procedure
$25.50 $31.50 0.0×
Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve… (21433)
likely a partial charge, not the full procedure
$893.50 $1,117 0.2×
Osteoplasty, tibia and fibula, lengthening or shortening Other Surgical Services (27715)
likely a partial charge, not the full procedure
$52 $65 0.0×
Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure) (27712)
likely a partial charge, not the full procedure
$267 $334 0.0×
Pelvic exam under anesthesia (57410) $8 $10 0.0×
Placement of needle for intraosseous infusion (36680) $144 $180 0.3×
Punch biopsy skin single lesion (11104) $408 $510 1.0×
Puncture Aspiration (10160) $155 $193.50 0.4×
Puncture Aspiration Cyst Breast (19000) $52 $65 0.1×
Removal fb intranasal (30300) $202 $252 1.6×
Removal Foreign Body Foot Complicated (28193) $732 $915 0.5×
Removal foreign body foot deep (28192) $617 $771 0.4×
Removal foreign body foot subcutaneous (28190) $267 $333.50 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $231.50 $289.50 0.1×
Removal Foreign Body Pelvis/Hip Deep (27087) $1,214 $1,517 0.4×
Removal foreign body upper arm/elbow deep (24201) $714 $892 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $26 $32 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $77 $96.50 1.4×
Removal Implantable Contraceptive Capsules (11976) $134 $168 0.2×
Removal of arm foreign body (24200) $183 $228.50 0.1×
Removal of fixation device (20665) $74 $92 0.2×
Removal of intrauterine device (iud) (58301) $480 $600 1.6×
Removal of nail bed (11750) $270 $338 0.7×
Removal of nose lesion (30125)
likely a partial charge, not the full procedure
$74 $92 0.0×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $147 $184 0.8×
Removal or relocation of corneal conjunctiva (65420) $399 $499 0.2×
Removal shoulder foreign body deep subfascial/im (23333) $904 $1,130 0.3×
Removal Sutures/Staples Requiring Anesthesia (15851) $67 $84 0.0×
Removal,Blood Clot,Ant Segment,Eye (65930) $7 $9 0.0×
Remove drug implant device (11982) $281 $351 0.7×
Remove forearm bone lesion (25145) $2 $3 0.0×
Remove Pilonidal Cyst Exten (11771) $424 $530 0.2×
Remove shoulder foreign body (23330) $322 $403 0.2×
Remove wrist tendon lesion (25111) $281 $351 0.2×
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure
$4.50 $5.50 0.0×
Remv Ext Canal Foreign Body (69200) $162 $203 1.3×
Remv F.B.,Eye,Superf Conjunc (65205) $91 $114 0.7×
Remv&replc pm gen mult leads (33229) $29,177 $36,471 1.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $445 $556.50 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $605 $756.50 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $351 $439 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $606 $757.50 1.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $300.50 $376 0.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $415.50 $519.50 1.1×
Repair complex trunk 1.1-2.5 cm (13100) $283.50 $354 0.4×
Repair complex trunk 2.6-7.5 cm (13101) $362 $452.50 0.5×
Repair extensor tendon finger w/o graft each (26418) $661 $826.50 0.4×
Repair finger tendon (26432) $302 $377 0.2×
Repair finger/hand tendon (26370) $582 $728 0.2×
Repair hand tendon (26410) $694.50 $868 0.4×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $395.50 $494.50 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $302 $377 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $394.50 $493 1.0×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $496 $620.50 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $417.50 $521.50 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $317.50 $397 0.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $567.50 $709.50 1.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $326 $408 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $322 $402.50 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $384 $479.50 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $417.50 $522 0.6×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $330.50 $413.50 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $447 $559 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $311 $389 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $362.50 $453 0.9×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $364.50 $455.50 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $398 $497.50 1.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $432 $540 0.2×
Repair Of Foot Tendon (28208) $506 $633 0.2×
Repair of nail bed (11760) $256 $320 0.4×
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $440 $550 0.1×
Revise Eyelashes,Forceps (67820) $55 $69 0.4×
Revision peri-implant capsule breast (19370) $6 $8 0.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $86 $108 0.2×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $232 $290 0.1×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $326 $407 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $498 $622 0.3×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $408 $510 0.9×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $392 $490 0.6×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $582 $727 2.6×
Rpr Lip Full Thickness Vermilion Only (40650) $546 $683 1.1×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,083 $1,354 1.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $59 $74 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $130 $163 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $58 $72.50 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $85.50 $107 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $96 $120 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $119 $149 0.3×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $52 $65 0.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $79 $99 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $98 $122 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $63 $79 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $112 $140 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $100 $125 0.5×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $744 $930 0.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $482.50 $603 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $306 $382 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $271 $339 1.4×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $320 $399.50 0.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $320 $400 1.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $402.50 $503.50 2.1×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $395.50 $494.50 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $231.50 $289.50 1.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $328.50 $411 1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $292 $365.50 1.5×
Skin pinch graft (15050) $240 $300 0.3×
Skin splt grft trnk/arm/leg (15100) $539 $674 0.3×
Skn splt a-grft fac/nck/hf/g (15120) $646 $807 0.2×
Skn sub grft f/n/hf/g child (15277) $1,551 $1,939 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $249 $311 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $365 $456.50 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $293.50 $367 0.8×
Spinal puncture lumbar diagnostic (62270) $214 $267.50 0.3×
Strapping ankle (29540) $38 $47 0.2×
Strapping elbow/wrist (29260) $39 $49 0.7×
Strapping hand/finger (29280) $41 $51 0.7×
Strapping knee (29530) $91 $114 0.7×
Strapping shoulder (29240) $38 $47 0.3×
Strapping thorax (29200) $38 $47 0.2×
Strapping toes (29550) $23 $29 0.4×
Strapping unna boot (29580) $62 $77 0.4×
Tangential biopsy skin single lesion (11102) $350 $437 0.9×
Tendon lengthening (26476) $78 $98 0.0×
Tendon shortening (26477) $78 $98 0.0×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure
$11 $14 0.0×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $273 $341 0.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $128.50 $160.50 0.2×
Thrombolytic Therapy, Stroke (37195) $619 $774 1.9×
Tis trnfr trunk 10 sq cm/< (14000) $2 $3 0.0×
Treat elbow fracture (24586)
likely a partial charge, not the full procedure
$202.50 $253.50 0.0×
Treat Finger Fracture Each (26727) $310 $388 0.1×
Treat Fracture Radius & Ulna (25560) $194 $242 0.8×
Treat humerus fracture (24500) $237 $296 1.0×
Treat humerus fracture (24577) $402 $503 0.3×
Treat humerus fracture (23600) $243 $304 1.0×
Treat knee fracture (27532) $1,120 $1,400 0.4×
Treat Metatarsal Fracture (28475) $442 $553 1.9×
Treat scapula fracture (23585)
likely a partial charge, not the full procedure
$43 $54 0.0×
Treat Thumb Fx/Disloc,Manip (26645) $270 $338 0.2×
Treat wrist bone fracture (25635) $321 $401 0.2×
Treat wrist bone fracture (25622) $202 $252 0.9×
Treat Wrist Bone Fracture (25630) $209 $261 0.9×
Treatment closed elbow dislocation req anes (24605) $784 $979.50 0.5×
Treatment closed elbow dislocation w/o anes (24600) $425 $531 1.8×
Trim skin lesion (11055) $350 $437 1.8×
Trim skin lesions 2 to 4 (11056) $49 $61 0.3×
Trim skin lesions over 4 (11057) $53 $66 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $158 $197 0.2×
Tx superficial wound dehiscence w/packing (12021) $101 $126 0.3×
Vaginal delivery only (59409) $1,614 $2,017 0.5×
Venipuncture (36415) $6 $8 0.6×
Venipuncture, cutdown; age 1 or over (36425) $59.50 $74 0.1×