Procedures & surgery prices at Baptist Memorial Hospital-Tipton

Covington, TN · every code in this section with a posted price and a Medicare benchmark.

417 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 2 matching MRF lines		 $210.72–$822.72 $878–$3,428 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $296.64–$321.84 $1,236–$1,341 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,308 $5,450 0.7×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $993.36 $4,139 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,033.20 $4,305 0.3×
Anoscopy W/Rmvl Foreign Body (46608) $625.92 $2,608 0.7×
Application cast elbow finger short arm (29075) $78.72 $328 0.3×
Application Finger Splint Dynamic (29131) $35.28 $147 0.6×
Application finger splint static (29130)
range across 2 matching MRF lines		 $26.88–$35.28 $112–$147 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $44.88–$135.84 $187–$566 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $26.88–$44.88 $112–$187 varies
Application of cylinder cast (thigh to ankle) (29365) $84.96 $354 0.3×
Application of long leg cast (29345) $78.72 $328 0.3×
Application Short Arm Splint Dynamic (29126) $35.28 $147 0.3×
Application short arm splint forearm-hand static (29125) $46.32 $193 0.4×
Application short leg splint calf foot (29515) $44.88 $187 0.3×
Apply Multlay Comprs Lwr Leg (29581) $53.76 $224 0.4×
Apply Short Leg Cast (29405) $78.72 $328 0.3×
Apply short leg cast (29425) $78.72 $328 0.3×
Arterial puncture (36600) $36.48 $152 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $74.16–$289.68 $309–$1,207 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $74.16–$289.68 $309–$1,207 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $517.20 $2,155 1.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $74.16–$115.68 $309–$482 varies
Aspirate pleura w/ imaging (32555) $733.44 $3,056 1.3×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $267.36–$289.68 $1,114–$1,207 varies
Aspirate/Inj Ganglion Cyst (20612) $74.16 $309 0.3×
Aspiration Bladder Needle (51100) $232.32 $968 1.0×
Avulsion nail plate partial/complete simple 1 (11730) $51.12 $213 0.3×
Biopsy of breast; open, incisional (19101) $1,417.20 $5,905 0.4×
Biopsy of rectum (45100) $882.72 $3,678 0.3×
Bladder instillation anticarcinogenic agent (51720) $253.44 $1,056 0.4×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $75.36–$126.24 $314–$526 varies
Bladder Scan (51798) $40.32 $168 0.7×
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $2,546.64 $10,611 1.8×
Blepharotomy drainage abscess eyelid (67700) $104.88 $437 0.4×
Blood Transfusion Service (36430) $296.64 $1,236 0.7×
Bone Marrow Biopsy (38221) $508.08 $2,117 0.3×
Bone Marrow; Aspiration Only (38220) $508.08 $2,117 0.3×
Bronchoscopy Clear Airways (31645) $410.88 $1,712 0.2×
Bronchoscopy W/Removal Foreign Body (31635) $1,153.20 $4,805 0.7×
Bx breast 1st lesion strtctc (19081) $1,692.96 $7,054 1.1×
Bx breast 1st lesion us imag (19083) $968.16 $4,034 0.6×
Bx Cervix (57500) $522 $2,175 0.6×
Canthotomy Separate Procedure (67715) $1,583.28 $6,597 0.7×
Car-t admn autologous (38228) $240 $1,000 0.8×
Catheter aspiration nasotracheal spx (31720) $142.08 $592 0.7×
Change Cystostomy Tube Simple (51705) $75.36 $314 0.3×
Change of Windpipe Airway (31502) $60.72 $253 0.3×
Chemical Cautery Tissue (17250) $66.24 $276 0.4×
Chemodenerv Musc Migraine (64615) $130.08 $542 0.5×
Chemodenerv musc neck dyston (64616) $229.20 $955 0.8×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $130.08 $542 0.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $130.08 $542 0.5×
Chest tube placement (32551)
range across 2 matching MRF lines		 $289.68–$503.52 $1,207–$2,098 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines		 $78.96–$630.48 $329–$2,627 varies
Cl Tx Scapular Fx; W Manip (23575) $483.12 $2,013 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $600.96 $2,504 0.4×
Clear outer ear canal (69200) $46.32 $193 0.4×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $75.36 $314 0.3×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $483.12 $2,013 0.3×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $151.68 $632 0.7×
Closed tx ankle dislocation w/o anesthesia (27840) $186.72 $778 0.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $483.12 $2,013 0.3×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $104.40 $435 0.5×
Closed tx carpal scaphoid fracture w/manj (25624) $1,074.24 $4,476 0.7×
Closed Tx Knee Dislocation W/Anesthesia (27552) $552.96 $2,304 0.4×
Closed tx knee dislocation w/o anesthesia (27550) $75.36 $314 0.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $1,117.20 $4,655 0.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,050.48 $4,377 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $685.44 $2,856 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $84.96 $354 0.4×
Closed Tx Patellar Fracture W/O Manipulation (27520) $75.36 $314 0.3×
Closed tx radial head/neck fx w/manipulation (24655) $483.12 $2,013 0.3×
Closed tx radial shaft fracture w/manipulation (25505) $483.12 $2,013 0.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $483.12 $2,013 0.3×
Closed tx talotarsal joint dislc w/o anes (28570) $186.72 $778 0.8×
Closed Tx Talus Fracture W/Manipulation (28435) $461.04 $1,921 0.3×
Closed tx tarsometatarsal dislocation w/o anes (28600) $104.40 $435 0.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $73.20 $305 0.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $483.12 $2,013 0.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $128.16 $534 0.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $227.28 $947 0.5×
Clsd tx acromioclavicular dislc w/manipulation (23545) $186.72 $778 0.8×
Clsd tx clavicular fracture w/o manipulation (23500) $84.96 $354 0.4×
Clsd Tx Pelvic Ring Fx (27198) $84.96 $354 0.4×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $84.96 $354 0.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,071.60 $4,465 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $75.36 $314 0.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $75.60 $315 0.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,045.68 $4,357 0.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $483.12 $2,013 0.3×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $89.28 $372 0.4×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $483.12 $2,013 0.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $104.40 $435 0.5×
Cltx dstl fibular fx lat malls w/manj (27788) $75.36 $314 0.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $75.36 $314 0.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $75.36 $314 0.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $84.96 $354 0.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $75.36 $314 0.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $483.12 $2,013 0.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $483.12 $2,013 0.3×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $75.36 $314 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $461.04 $1,921 0.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $75.36 $314 0.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $75.36 $314 0.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $600.96 $2,504 0.4×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $461.04 $1,921 0.3×
Cltx hip dislocation traumatic req anesthesia (27252) $1,117.20 $4,655 0.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $75.36 $314 0.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $483.12 $2,013 0.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $84.96 $354 0.4×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,048.32 $4,368 0.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $84.96 $354 0.4×
Cltx Med Ankle Fx W/Mnpj (27762) $600.96 $2,504 0.4×
Cltx Medial Ankle Fx (27760) $75.36 $314 0.3×
Cltx metacarpal fx w/manipulation each bone (26605) $75.36 $314 0.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $75.36 $314 0.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $483.12 $2,013 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $75.36 $314 0.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $84.96 $354 0.4×
Cltx post hip arthrp dislc w/o anes (27265) $75.36 $314 0.3×
Cltx prox fibula/shft fx w/manj (27781) $483.12 $2,013 0.3×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $600.96 $2,504 0.4×
Cltx prox tibfib jt dislc w/o anes (27830) $84.96 $354 0.4×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $75.36 $314 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $75.36 $314 0.3×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,034.16 $4,309 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $483.12 $2,013 0.3×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $483.12 $2,013 0.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $483.12 $2,013 0.3×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $84.96 $354 0.4×
Cltx tibial shaft fx w/o manipulation (27750) $75.36 $314 0.3×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $75.60 $315 0.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $483.12 $2,013 0.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $75.36 $314 0.3×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $42.96–$109.68 $179–$457 varies
Collection of venous blood by venipuncture (36415) $9.12 $38 1.0×
Colporrhaphy (57200) $2,201.76 $9,174 0.7×
Colsc Flexible W/Control Bleeding Any Method (45382) $310.08 $1,292 0.3×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $57.12–$75.12 $238–$313 varies
Control Nasal Hemorrhage Anterior Simple (30901) $46.32 $193 0.4×
Control oropharyngeal hemorrhage simple (42960) $188.40 $785 0.4×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $686.88 $2,862 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $45.36 $189 0.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $74.88 $312 0.3×
Cysto calibration dilat urtl strix/stenosis (52281) $696.24 $2,901 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $1,373.04 $5,721 0.7×
Cystourethroscopy (52000) $231.12 $963 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $188.88 $787 0.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $910.32 $3,793 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $415.68 $1,732 0.6×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $188.88–$582 $787–$2,425 varies
Debride nail 1-5 (11720) $40.32 $168 0.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $415.68 $1,732 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $99.60–$381.36 $415–$1,589 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $118.32–$281.76 $493–$1,174 varies
Delivery of placenta (59414)
range across 2 matching MRF lines		 $883.20–$1,162.56 $3,680–$4,844 varies
Destruct B9 Lesion 1-14 (17110) $51.84 $216 0.3×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $647.04 $2,696 0.4×
Dilate Urethra Stricture (53620) $637.20 $2,655 1.0×
Dilate Urethra Stricture (53600) $86.88 $362 0.4×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $257.76–$318.72 $1,074–$1,328 varies
Drainage Abscess/Hematoma Nasal Septum (30020) $128.16 $534 0.3×
Drainage external auditory canal abscess (69020) $228.48 $952 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $228.48 $952 0.3×
Drainage Mouth Roof Lesion (42000) $128.16 $534 0.6×
Drainage of eye (65800) $1,681.44 $7,006 0.8×
Drainage of finger abscess simple (26010) $100.32 $418 0.5×
Drainage of gum lesion (41800) $62.40 $260 0.5×
Drainage of hematoma/fluid (10140) $552 $2,300 0.4×
Drainage of hydrocele (55000) $164.40 $685 0.3×
Drainage of mouth lesion (41017) $1,974.24 $8,226 0.6×
Drainage of nose lesion (30000) $105.36 $439 0.5×
Drainage of scrotal wall abscess (55100) $552 $2,300 0.4×
Drainage of scrotum (54700) $638.16 $2,659 0.3×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $83.28–$109.68 $347–$457 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $228.48 $952 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $99.60–$240 $415–$1,000 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $99.60–$213.60 $415–$890 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $51.12–$188.40 $213–$785 varies
Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) $851.28 $3,547 0.5×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $904.32 $3,768 1.1×
Dx Bone Marrow Bx & Aspir (38222) $689.28 $2,872 0.3×
Egd guide wire insertion (43248) $198.96 $829 0.2×
Endometrial Biopsy (58100) $79.44 $331 0.4×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $227.28–$338.88 $947–$1,412 varies
Escharotomy; initial incision (16035) $264 $1,100 0.7×
Evacuation of subungual hematoma (11740) $22.56 $94 0.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $211.92 $883 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $211.92 $883 0.3×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $491.76 $2,049 0.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $415.68 $1,732 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $211.92 $883 0.3×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $851.28 $3,547 0.6×
Excision olecranon bursa (24105) $2,121.36 $8,839 0.7×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,167.84 $4,866 0.8×
Explo/Drain Breast Abscess (19020) $1,106.64 $4,611 0.7×
External cephalic version (59412) $1,139.28 $4,747 0.4×
Eye Surg Ant Sgmt Proc Unlisted (66999) $769.20 $3,205 0.4×
Fetal Contraction Stress Test (59020)
range across 2 matching MRF lines		 $262.56–$348.72 $1,094–$1,453 varies
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $174.24–$262.56 $726–$1,094 varies
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $486.96 $2,029 0.7×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $99.60–$171.36 $415–$714 varies
Fluid Pressure Muscle (20950) $483.12 $2,013 0.7×
Fluoro exam of g/colon tube (49465) $158.16 $659 0.7×
Fna Bx W/Fluor Gdn 1St Les (10007) $486.96 $2,029 0.7×
Foreskin manipulation (54450) $93.60 $390 0.4×
Hymenotomy Simple Incision (56442) $1,857.60 $7,740 0.6×
I&d abscess peritonsillar (42700) $128.16 $534 0.6×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $57.12–$112.56 $238–$469 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $910.08 $3,792 0.3×
I&d perianal abscess superficial (46050) $212.40 $885 0.2×
I&d pilonidal cyst complicated (10081) $228.48 $952 0.3×
I&d pilonidal cyst simple (10080) $228.48 $952 0.3×
Incise external hemorrhoid (46083) $138.72 $578 0.6×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $100.32–$171.36 $418–$714 varies
Incision & removal foreign body subq tiss compl (10121) $1,135.44 $4,731 0.7×
Incision & removal foreign body subq tiss simple (10120) $99.60 $415 0.3×
Incision and drainage of bartholin's gland abscess (56420) $68.88 $287 0.4×
Incision and drainage of vulva or perineal abscess (56405) $123.60 $515 0.4×
Incision of rectal abscess (46040) $841.92 $3,508 0.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $875.04 $3,646 0.6×
Incisional biopsy skin single lesion (11106) $148.32 $618 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $51.84 $216 0.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $425.28 $1,772 0.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $425.28–$506.16 $1,772–$2,109 varies
Inject Intravitreal Pharmcologic (67028) $123.60 $515 0.4×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $90.96–$169.92 $379–$708 varies
Injection anesthetic agent suprascapular nerve (64418) $504 $2,100 0.8×
Injection for identification of sentinel node (38792) $182.88 $762 0.5×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $74.16–$182.64 $309–$761 varies
Injection single/mlt trigger point 3/> muscles (20553) $203.04 $846 0.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $204.96–$214.56 $854–$894 varies
Injection, intralesional; up to and including 7 lesions (11900) $148.32 $618 0.8×
Insert Bladder Cath Complex (51703) $57.12 $238 0.5×
Insert cath pleura w/o image (32556) $532.08 $2,217 0.3×
Insert cervical dilator (59200) $204.72 $853 0.7×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $318.48–$900.48 $1,327–$3,752 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines		 $355.68–$479.52 $1,482–$1,998 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $44.16–$46.32 $184–$193 varies
Insert,Non-Indwelling Bladder Catheter (51701) $46.32 $193 0.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $525.12 $2,188 0.4×
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $3,579.60 $14,915 0.7×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines		 $377.28–$520.80 $1,572–$2,170 varies
Insj Picc Rs&I <5 Yr (36572) $591.12 $2,463 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,245.84 $5,191 0.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $289.68–$413.52 $1,207–$1,723 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines		 $3,471.36–$4,732.32 $14,464–$19,718 varies
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
range across 2 matching MRF lines		 $2,307.60–$4,355.76 $9,615–$18,149 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $104.16 $434 0.3×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $86.88–$286.32 $362–$1,193 varies
Irrigation of corpora cavernosa for priapism (54220) $79.92 $333 0.3×
Laryngoscopy flexible diagnostic (31575) $52.80 $220 0.3×
Lip Surgery Procedure (40799)
range across 2 matching MRF lines		 $73.20–$74.88 $305–$312 varies
N Block Lumbar/Thoracic (64520) $300.96 $1,254 0.4×
Nasal Endoscopy Dx (31231) $52.80 $220 0.3×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $520.08 $2,167 0.3×
Needle Biopsy Lymph Nodes (38505) $631.68 $2,632 0.4×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $2,159.76 $8,999 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $90.96 $379 0.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $425.28 $1,772 0.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $453.84 $1,891 0.7×
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $174–$203.04 $725–$846 varies
Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) $2,364.48 $9,852 0.8×
Open tx interphalangeal joint dislocation (26785) $2,317.92 $9,658 0.8×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $2,178 $9,075 0.7×
Penile Injection (54235) $75.36 $314 0.3×
Pericardiocentesis W/Imaging (33016) $97.68 $407 0.1×
Perq device breast 1st imag (19281) $737.52 $3,073 0.5×
Placement of needle for intraosseous infusion (36680) $111.84 $466 0.3×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $1,834.08 $7,642 0.7×
Pseudoaneurysm Injection Trt (36002) $289.68 $1,207 0.5×
Punch biopsy skin single lesion (11104) $95.52 $398 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $100.32 $418 0.3×
Puncture Aspiration Cyst Breast (19000) $296.64 $1,236 0.5×
Puncture shunt tube/reservoir aspiration/inj px (61070)
range across 2 matching MRF lines		 $196.32–$300.72 $818–$1,253 varies
Removal Embedded Foreign Body Eyelid (67938) $104.88 $437 0.4×
Removal Foreign Body Deep Thigh/Knee (27372) $1,711.44 $7,131 0.6×
Removal Foreign Body Foot Complicated (28193) $1,056 $4,400 0.7×
Removal foreign body foot deep (28192) $530.88 $2,212 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $415.68 $1,732 0.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $415.68 $1,732 0.3×
Removal Foreign Body Pelvis/Hip Deep (27087) $2,125.92 $8,858 0.7×
Removal Foreign Body Scrotum (55120) $1,343.76 $5,599 0.7×
Removal foreign body upper arm/elbow deep (24201) $1,779.84 $7,416 0.7×
Removal impacted cerumen irrigation/lvg unilat (69209) $24.48 $102 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $20.16 $84 0.4×
Removal impacted vag fb spx w/anes oth/thn local (57415) $1,969.44 $8,206 0.7×
Removal of foreign body from pharynx (42809) $111.84 $466 0.3×
Removal of nail bed (11750) $134.40 $560 0.4×
Removal or bivalving full arm or full leg cast (29705) $78.72 $328 0.3×
Removal shoulder foreign body deep subfascial/im (23333) $1,779.84 $7,416 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $51.84–$81.36 $216–$339 varies
Removal subcutaneous cardiac rhythm monitor (33286) $920.64 $3,836 1.4×
Removal/bivalving gauntlet boot/body cast (29700) $91.92 $383 0.4×
Remove cerclage suture (59871) $679.68 $2,832 0.2×
Remove drug implant device (11982) $111.84 $466 0.3×
Remove Forearm Foreign Body (25248) $1,045.68 $4,357 0.7×
Remove foreign body from eye (65205) $47.76 $199 0.4×
Remove Intrauterine Device (58301) $116.88 $487 0.4×
Remove Nasal Foreign Body (30300) $46.32 $193 0.4×
Remove Shoulder Foreign Body (23330) $467.04 $1,946 0.3×
Repair Blood Vessel Direct Hand Finger (35207) $1,176 $4,900 0.4×
Repair Blood Vessel Direct Upper Extremity (35206) $2,147.76 $8,949 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $159.84 $666 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $153.12 $638 0.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $188.88 $787 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $151.20 $630 0.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $151.20 $630 0.4×
Repair extensor tendon finger w/o graft each (26418) $1,117.20 $4,655 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $99.60 $415 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $103.44 $431 0.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $103.44 $431 0.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $123.84 $516 0.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $191.28 $797 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $123.84 $516 0.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $103.44 $431 0.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $191.28 $797 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $151.20 $630 0.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $103.44 $431 0.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $90.96–$119.52 $379–$498 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $151.20 $630 0.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $103.44 $431 0.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,019.76 $4,249 0.5×
Repair of nail bed (11760) $188.88 $787 0.3×
Repair tongue laceration (41252) $227.28 $947 1.0×
Repair tongue laceration (41250) $111.84 $466 0.3×
Replace duodenostomy/jejunostomy tube perq (49451) $296.64 $1,236 0.4×
Replace g/c tube perc (49450) $296.64 $1,236 0.4×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $1,014.96 $4,229 0.7×
Rmvl embedded fb vestibule mouth comp (40805) $339.36 $1,414 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $304.56 $1,269 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $111.84 $466 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $47.76 $199 0.4×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $203.76 $849 0.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $875.04 $3,646 0.3×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,779.84 $7,416 0.7×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $524.16 $2,184 0.3×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $243.12 $1,013 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $266.16 $1,109 0.5×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $194.88–$220.32 $812–$918 varies
Rplc gtube revj gstrst trc (43763) $220.32 $918 1.0×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $1,245.84 $5,191 0.4×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $520.80 $2,170 0.4×
Rpr blood vessel direct lower extremity (35226) $472.80 $1,970 0.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $57.60 $240 0.3×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $70.08 $292 0.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $181.20 $755 0.4×
Rpr Lip Full Thickness Vermilion Only (40650) $356.16 $1,484 0.7×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $440.16 $1,834 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $127.20 $530 0.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $57.60 $240 0.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $57.60 $240 0.3×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $123.84 $516 0.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $57.60 $240 0.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $57.60 $240 0.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $99.60 $415 0.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $57.60 $240 0.3×
Skin Tissue Procedure (17999) $51.84 $216 0.3×
Slitting of prepuce (54001) $663.60 $2,765 0.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $57.60 $240 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $123.84 $516 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $123.84 $516 0.3×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $237.84–$257.76 $991–$1,074 varies
Strapping ankle (29540) $44.88 $187 0.3×
Strapping hand/finger (29280) $35.28 $147 0.6×
Strapping knee (29530) $35.28 $147 0.3×
Strapping shoulder (29240) $35.28 $147 0.3×
Strapping thorax (29200) $57.12 $238 0.4×
Strapping toes (29550) $35.28 $147 0.6×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $1,646.64 $6,861 0.7×
Suture digital nerve hand/foot 1 nerve (64831) $277.92 $1,158 0.2×
Suture pharynx for wound or injury (42900) $684 $2,850 0.5×
Therapeutic plasma exchange (36514) $711.12 $2,963 0.5×
Thrombolytic Therapy Stroke (37195) $118.32 $493 0.4×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,308 $5,450 0.7×
Tooth extraction (41899) $74.88 $312 0.3×
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $2,013.60 $8,390 0.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $305.04 $1,271 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $227.28 $947 1.0×
Treat humerus fracture (24500) $75.36 $314 0.3×
Treat Humerus Fracture (24505) $483.12 $2,013 0.3×
Treat humerus fracture (23600) $75.36 $314 0.3×
Treat knee fracture (27532) $2,083.20 $8,680 0.7×
Treat Knuckle Dislocation (26700) $75.36 $314 0.3×
Treat Metatarsal Fracture (28475) $75.36 $314 0.3×
Treat Thumb Dislocation (26641) $75.36 $314 0.3×
Treat Thumb Fracture (26645) $483.12 $2,013 0.3×
Treat toe dislocation (28630) $75.36 $314 0.3×
Treat Vaginal Bleeding (57180) $126.96 $529 0.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,044.72 $4,353 0.7×
Treatment closed elbow dislocation w/o anes (24600) $75.36 $314 0.3×
Trim skin lesion (11055) $51.84 $216 0.3×
Trim skin lesions 2 to 4 (11056) $127.44 $531 0.7×
Trimming Nondystrophic Nails Any Number (11719) $41.28 $172 0.8×
Trnsplj allogeneic hematopoietic cells per donor (38240)
likely a partial charge, not the full procedure		 $15,577.68 $64,907 0.3×
Trnsplj autologous hematopoietic cells per donor (38241) $2,084.40 $8,685 1.4×
Tx Gastro Intub W/Asp (43753) $96.96 $404 0.5×
Tx open tendon flexor toe 1 tendon spx (28232) $1,092.48 $4,552 0.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $151.20 $630 0.2×
Unlisted procedure anus (46999) $212.40 $885 0.2×
Unlisted Procedure Casting/Strapping (29799) $44.88 $187 0.3×
Unlisted procedure humerus/elbow (24999) $84.96 $354 0.4×
Unlisted Procedure Leg/Ankle (27899) $84.96 $354 0.4×
Unlisted Procedure Male Genital System (55899) $91.68 $382 0.4×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $32.64–$214.56 $136–$894 varies
Unlisted Procedure Palate Uvula (42299) $156.24 $651 0.7×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines		 $73.20–$74.88 $305–$312 varies
Unlisted Procedure Rectum (45999) $282.72 $1,178 0.3×
Unlisted Procedure Tongue Floor Mouth (41599) $74.88 $312 0.3×
Unlisted Procedure Vascular Surgery (37799) $365.52 $1,523 0.6×
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 2 matching MRF lines		 $642.96–$869.76 $2,679–$3,624 varies
Unlisted px female genital system nonobstetrical (58999) $64.32 $268 0.3×
Unlisted Px Salivary Glands/Ducts (42699) $686.88 $2,862 3.1×
Vaginal Delivery After Cesarean Delivery (59612) $1,936.08 $8,067 0.6×
Wedge excision skin nail fold (11765) $123.84 $516 0.3×

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.