Procedures & surgery prices at Bon Secours Southampton Medical Center

Franklin, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $573.90 $1,913 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $573.90 $1,913 0.6×
Acne surgery (10040) $237.60 $792 1.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,198.80 $3,996 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $2,067.90 $6,893 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,067.90 $6,893 0.6×
Anoscopy diagnostic (46600) $81 $270 0.6×
Application cast elbow finger short arm (29075) $166.50 $555 0.6×
Application Finger Splint Dynamic (29131) $167.10 $557 2.9×
Application finger splint static (29130) $167.10 $557 1.3×
Application long arm splint shoulder hand (29105) $88.80 $296 0.6×
Application Long Leg Splint (29505) $167.10 $557 1.1×
Application of long leg cast (29345) $166.50 $555 0.6×
Application Short Arm Splint Dynamic (29126) $167.10 $557 1.3×
Application short arm splint forearm-hand static (29125) $143.40 $478 1.1×
Application short leg splint calf foot (29515) $167.10 $557 1.1×
Apply long arm cast (29065) $166.50 $555 0.6×
Apply Short Leg Cast (29405) $166.50 $555 0.6×
Apply short leg cast (29425) $166.50 $555 0.6×
Arterial puncture (36600) $63.60 $212 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $189 $630 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $654 $2,180 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $444.30 $1,481 1.5×
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 4 matching MRF lines		 $34,323.59–$42,720.19 $57,205.98–$71,200.32 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines		 $37,278.98–$41,785.34 $62,131.63–$69,642.23 varies
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 5 matching MRF lines		 $7,560.66–$22,666.67 $12,601.10–$37,777.78 varies
Arthroscopy knee synovectomy limited spx (29875) $8,921.24 $14,868.73 2.8×
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines		 $11,529.17–$13,140.87 $19,215.28–$21,901.45 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines		 $11,529.17–$13,140.87 $19,215.28–$21,901.45 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines		 $11,529.17–$13,140.87 $19,215.28–$21,901.45 varies
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines		 $33,634.77–$35,245.21 $56,057.95–$58,742.02 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) $31,125.08 $51,875.13 2.5×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines		 $22,407.29–$22,666.67 $37,345.48–$37,777.78 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $996.90 $3,323 0.6×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $996.90 $3,323 0.6×
Aspirate pleura w/ imaging (32555) $1,073.70 $3,579 1.8×
Aspirate Pleura W/O Imaging (32554) $78.90 $263 0.1×
Aspiration bladder insert suprapubic catheter (51102) $1,935.90 $6,453 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $126.30 $421 0.6×
Bladder Irrigation (51700) $149.70 $499 0.6×
Bladder Scan (51798) $102.90 $343 1.8×
Blepharotomy drainage abscess eyelid (67700) $184.20 $614 0.6×
Blood Transfusion Service (36430) $591 $1,970 1.4×
Canthotomy Separate Procedure (67715) $1,468.50 $4,895 0.6×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines		 $6,101.32–$9,855.21 $10,168.87–$16,425.35 varies
Cataract surgery complex (66982)
range across 2 matching MRF lines		 $5,695.46–$5,842.58 $9,492.43–$9,737.63 varies
Catheter aspiration nasotracheal spx (31720) $132 $440 0.6×
Change Cystostomy Tube Simple (51705) $149.70 $499 0.6×
Change of Windpipe Airway (31502) $144.60 $482 0.6×
Chemical Cautery Tissue (17250) $194.70 $649 1.0×
Chest tube placement (32551) $1,033.50 $3,445 0.7×
Circumcision 28 days or older (54161) $1,288.80 $4,296 0.6×
Cl Tx Scapular Fx; W Manip (23575) $1,494.60 $4,982 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $996.90 $3,323 0.6×
Clear outer ear canal (69200) $96.60 $322 0.7×
Closed Rx Spontaneous Hip Disloc (27256) $222.90 $743 0.9×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $222.90 $743 0.9×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $996.90 $3,323 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $222.90 $743 0.9×
Closed Treatment Ulnar Styloid Fracture (25650) $226.80 $756 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $222.90 $743 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $996.90 $3,323 0.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $222.90 $743 0.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $222.90 $743 0.9×
Closed tx carpal scaphoid fracture w/manj (25624) $996.90 $3,323 0.6×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $2,709.60 $9,032 1.7×
Closed tx knee dislocation w/o anesthesia (27550) $222.90 $743 0.9×
Closed Tx Lunate Dislocation W/Manipulation (25690) $996.90 $3,323 0.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $996.90 $3,323 0.6×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $964.50 $3,215 0.6×
Closed tx patellar dislocation w/anesthesia (27562) $222.90 $743 0.9×
Closed tx patellar dislocation w/o anesthesia (27560) $222.90 $743 0.9×
Closed tx radial head/neck fx w/manipulation (24655) $996.90 $3,323 0.6×
Closed tx radial head/neck fx w/o manipulation (24650) $222.90 $743 0.9×
Closed tx radial shaft fracture w/manipulation (25505) $996.90 $3,323 0.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $996.90 $3,323 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $222.90 $743 0.9×
Closed tx talotarsal joint dislc w/o anes (28570) $222.90 $743 0.9×
Closed Tx Talus Fracture W/Manipulation (28435) $996.90 $3,323 0.6×
Closed tx tarsometatarsal dislocation w/o anes (28600) $222.90 $743 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $222.90 $743 0.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $996.90 $3,323 0.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $144.60 $482 0.6×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $222.90 $743 0.9×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $996.90 $3,323 0.6×
Clsd tx fx orbit except blowout w/o manipulation (21400) $317.40 $1,058 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,635.90 $5,453 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $222.90 $743 0.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $996.90 $3,323 0.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $222.90 $743 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $222.90 $743 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $222.90 $743 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $226.80 $756 0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $222.90 $743 0.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $996.90 $3,323 0.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $996.90 $3,323 0.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $996.90 $3,323 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $222.90 $743 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $222.90 $743 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $996.90 $3,323 0.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $222.90 $743 0.9×
Cltx Greater Trochanteric Fx W/O Manj (27246) $222.90 $743 0.9×
Cltx hip dislocation traumatic req anesthesia (27252) $1,519.50 $5,065 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $222.90 $743 0.9×
Cltx humeral condylar fx medial/lateral w/manj (24577) $996.90 $3,323 0.6×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $996.90 $3,323 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $222.90 $743 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $222.90 $743 0.9×
Cltx Med Ankle Fx W/Mnpj (27762) $996.90 $3,323 0.6×
Cltx metacarpal fx w/manipulation each bone (26605) $222.90 $743 0.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $222.90 $743 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $10,863.02 $18,105.03 45.1×
Cltx post hip arthrp dislc req anes (27266) $1,494.60 $4,982 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $222.90 $743 0.9×
Cltx prox fibula/shft fx w/manj (27781) $996.90 $3,323 0.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $996.90 $3,323 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $222.90 $743 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $996.90 $3,323 0.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $996.90 $3,323 0.6×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $996.90 $3,323 0.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $996.90 $3,323 0.6×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $222.90 $743 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $996.90 $3,323 0.6×
Collect Blood From Catheter Venous Nos (36592) $63.60 $212 0.5×
Collection of venous blood by venipuncture (36415) $12.30 $41 1.3×
Colonoscopy w/ablation (45388) $7,620.02 $12,700.03 6.5×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines		 $11,106.46–$12,099.58 $18,510.77–$20,165.97 varies
Colporrhaphy (57200) $1,964.10 $6,547 0.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $4,418.28 $7,363.80 3.8×
Control Nasal Hemorrhage Anterior Complex (30903) $81 $270 0.6×
Control Nasal Hemorrhage Anterior Simple (30901) $81 $270 0.6×
Control oropharyngeal hemorrhage simple (42960) $317.40 $1,058 0.6×
Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) $2,226.60 $7,422 0.6×
Correction hammertoe (28285)
range across 2 matching MRF lines		 $20,753.40–$42,720.19 $34,589–$71,200.32 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $126.30 $421 1.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $144.60 $482 0.6×
Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) $1,976.70 $6,589 0.6×
Cysto Bladder W/Ureteral Catheterization (52005) $1,288.80 $4,296 0.6×
Cysto calibration dilat urtl strix/stenosis (52281) $1,288.80 $4,296 0.6×
Cysto w/complex removal stone & stent (52315) $1,288.80 $4,296 0.6×
Cysto W/Simple Removal Stone & Stent (52310) $1,288.80 $4,296 0.6×
Cystourethroscopy (52000) $434.70 $1,449 0.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $403.50 $1,345 1.0×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,794.30 $5,981 0.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $403.50 $1,345 0.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,041.90 $3,473 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $14,045.87 $23,409.78 35.4×
Declot vascular device (36593) $378 $1,260 1.2×
Destruct B9 Lesion 1-14 (17110) $125.70 $419 0.6×
Diagnostic sigmoidoscopy (45330) $2,987.88 $4,979.80 3.3×
Dilate Esophagus 1/Mult Pass (43450) $5,030.09 $8,383.48 5.7×
Dilate Urethra Stricture (53620) $434.70 $1,449 0.6×
Drainage external auditory canal abscess (69020) $450.90 $1,503 0.7×
Drainage external ear abscess/hematoma cmplx (69005) $1,041.90 $3,473 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $450.90 $1,503 0.7×
Drainage Finger Abscess Complicated (26011) $1,041.90 $3,473 0.6×
Drainage Mouth Roof Lesion (42000) $144.60 $482 0.6×
Drainage of finger abscess simple (26010) $125.70 $419 0.6×
Drainage of gum lesion (41800) $81 $270 0.6×
Drainage of hematoma/fluid (10140) $1,041.90 $3,473 0.6×
Drainage of rectal abscess (45005) $2,102.40 $7,008 1.8×
Drainage of scrotal wall abscess (55100) $1,742.70 $5,809 1.1×
Drainage of scrotum (54700) $1,288.80 $4,296 0.6×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $450.90 $1,503 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $259.20 $864 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $125.70 $419 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $144 $480 0.7×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $4,914.29 $8,190.48 2.6×
Egd Flexible Foreign Body Removal (43247) $573.90 $1,913 0.6×
Egd remove lesion snare (43251) $5,805.90 $9,676.50 3.1×
Epidural Blood Patch (62273) $672 $2,240 1.0×
Escharotomy; initial incision (16035) $259.20 $864 0.7×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $1,209.90 $4,033 0.6×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,209.90 $4,033 0.6×
Evacuation of subungual hematoma (11740) $135.90 $453 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $450.90 $1,503 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $450.90 $1,503 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,041.90 $3,473 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $9,020.83 $15,034.72 13.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $259.20 $864 0.7×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $14,175.54 $23,625.90 9.0×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,468.50 $4,895 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $224.40 $748 0.1×
Excision prepatellar bursa (27340) $11,763.32 $19,605.53 3.7×
Explo/Drain Breast Abscess (19020) $1,041.90 $3,473 0.6×
Exploration of knee joint (27310) $17,924.74 $29,874.57 5.6×
Exploration penetrating wound spx extremity (20103) $1,041.90 $3,473 0.6×
Fine needle aspiration without imaging guidance (10021) $165.60 $552 0.4×
Fluid Pressure Muscle (20950) $450.90 $1,503 0.7×
Foreskin manipulation (54450) $149.70 $499 0.6×
Goniotomy (65820)
range across 3 matching MRF lines		 $7,967.83–$7,977.37 $13,279.72–$13,295.62 varies
Hysteroscopy Biopsy (58558) $7,140.51 $11,900.85 2.3×
I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) $1,976.70 $6,589 0.6×
I&d abscess peritonsillar (42700) $461.40 $1,538 2.0×
I&d abscess simple (10060) $238.80 $796 1.2×
I&D Mouth/Tong Intra,Masticator (41009) $481.20 $1,604 0.9×
I&d perianal abscess superficial (46050) $577.50 $1,925 0.6×
I&d pilonidal cyst complicated (10081) $450.90 $1,503 0.7×
I&d pilonidal cyst simple (10080) $224.40 $748 0.3×
I&d upper arm/elbow deep abscess/hematoma (23930) $1,794.30 $5,981 0.6×
Incise external hemorrhoid (46083) $1,046.70 $3,489 4.3×
Incise finger tendon sheath (26055) $5,426.57 $9,044.28 3.5×
Incision & drainage abscess complicated/multiple (10061) $205.20 $684 0.5×
Incision & removal foreign body subq tiss compl (10121) $1,041.90 $3,473 0.6×
Incision & removal foreign body subq tiss simple (10120) $259.20 $864 0.7×
Incision and drainage of bartholin's gland abscess (56420) $234.90 $783 1.2×
Incision and drainage of vulva or perineal abscess (56405) $235.20 $784 0.8×
Incision of rectal abscess (46040) $752.10 $2,507 0.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,041.90 $3,473 0.6×
Incisional biopsy skin single lesion (11106) $403.50 $1,345 0.6×
Initial Tx 1st Degree Burn Local Tx (16000) $125.70 $419 0.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $888 $2,960 1.0×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $888 $2,960 1.0×
Injection aa&/strd axillary nerve w/img gdn (64417) $888 $2,960 1.0×
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) $888 $2,960 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $888 $2,960 1.0×
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $888 $2,960 1.0×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $672 $2,240 1.0×
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) $888 $2,960 1.0×
Injection Anes Agent Sphenopalatine Ganglion (64505) $189 $630 0.6×
Injection anesthetic agent suprascapular nerve (64418) $672 $2,240 1.0×
Injection single/mlt trigger point 1/2 muscles (20552) $189 $630 0.6×
Injection single/mlt trigger point 3/> muscles (20553) $189 $630 0.6×
Injection, anesthetic agent; brachial plexus, single (64415) $888 $2,960 1.0×
Injection, anesthetic agent; femoral nerve, single (64447) $537.30 $1,791 0.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $672 $2,240 1.0×
Insert and remove bone pin (20650) $2,067.90 $6,893 0.6×
Insert Bladder Cath Complex (51703) $101.10 $337 0.8×
Insert cath pleura w/o image (32556) $1,209.90 $4,033 0.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $1,063.50–$1,386 $3,545–$4,620 varies
Insert Temp Bladder Cath (51702) $138.60 $462 1.1×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $199.20–$28,001.85 $664–$46,669.75 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $1,873.80–$1,967.40 $6,246–$6,558 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,800.60 $6,002 0.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,083.60 $3,612 0.7×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,669.70 $18,899 0.7×
Interdental fixation (21110) $964.50 $3,215 0.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $517.80 $1,726 1.3×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $517.80 $1,726 1.3×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines		 $427.50–$459 $1,425–$1,530 varies
Irrigation of corpora cavernosa for priapism (54220) $149.70 $499 0.6×
Laryngoscopy flexible diagnostic (31575) $124.50 $415 0.6×
Late closure of wound (13160) $1,724.40 $5,748 0.5×
Ligation Internal/Common Carotid Artery (37605) $2,069.10 $6,897 0.7×
Lip Surgery Procedure (40799) $144.60 $482 0.6×
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines		 $4,645.69–$4,648.06 $7,742.82–$7,746.77 varies
N Block Inj Ilio-Ing/Hypogi (64425) $672 $2,240 1.0×
N block inj intercost sng (64420) $672 $2,240 1.0×
N Block Inj Plantar Digit (64455) $283.50 $945 0.9×
N Block Lumbar/Thoracic (64520) $888 $2,960 1.0×
Nasal Endoscopy Dx (31231) $124.50 $415 0.6×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $1,110.60 $3,702 0.6×
Needle insertion w/o injection 1 or 2 muscles (20560) $13.20 $44 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $16.80 $56 0.6×
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $14,098.89 $23,498.15 7.4×
Nfct ds csf metagenomic ngs bioinformatic alys (0480U) $3,189.30 $10,631 1.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $427.50 $1,425 1.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $888 $2,960 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $888 $2,960 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $672 $2,240 1.0×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $888 $2,960 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $672 $2,240 1.0×
Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) $135 $450 1.0×
Occipital Nerve Block (64405) $427.50 $1,425 1.4×
Onc pan-tumor DNA&RNA next-generation sequencing (0211U) $10,146 $33,820 1.2×
Open Treatment Bimalleolar Ankle Fracture (27814) $24,213.68 $40,356.13 3.4×
Open Treatment Proximal Humeral Fracture (23615) $29,356.86 $48,928.10 2.3×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $43,294.01 $72,156.68 6.1×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines		 $16,766.97–$18,332.06 $27,944.95–$30,553.43 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $20,753.40 $34,589 6.5×
Partial Excision Distal Phalanx Finger (26236) $996.90 $3,323 0.6×
Partial removal of toe (28160) $14,045.87 $23,409.78 4.4×
Pericardiocentesis W/Imaging (33016) $1,033.50 $3,445 0.7×
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 3 matching MRF lines		 $8,329.21–$8,337.65 $13,882.02–$13,896.08 varies
Placement of needle for intraosseous infusion (36680) $231.90 $773 0.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $1,784.70 $5,949 0.7×
Punch biopsy skin single lesion (11104) $259.20 $864 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $228.90 $763 0.6×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $672 $2,240 1.0×
Reduction of rectal prolapse (45900) $577.50 $1,925 0.6×
Removal Embedded Foreign Body Eyelid (67938) $184.20 $614 0.6×
Removal Foreign Body Foot Subcutaneous (28190) $450.90 $1,503 0.7×
Removal foreign body jawbone (41806) $964.50 $3,215 0.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,041.90 $3,473 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $71.40 $238 1.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $96.90 $323 1.7×
Removal Implant Deep (20680)
range across 3 matching MRF lines		 $10,953.97–$11,700.54 $18,256.62–$19,500.90 varies
Removal of foreign body from pharynx (42809) $262.80 $876 0.6×
Removal of heel spur (28119)
range across 2 matching MRF lines		 $33,133.36–$34,324.64 $55,222.27–$57,207.73 varies
Removal of nail bed (11750) $14,175.54 $23,625.90 35.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $125.70 $419 0.6×
Remove foreign body from eye (65235) $1,500 $5,000 0.7×
Remove foreign body from eye (65205) $81 $270 0.6×
Remove Intrauterine Device (58301) $202.80 $676 0.7×
Remove Nasal Foreign Body (30300) $98.70 $329 0.8×
Repair Achilles Tendon (27650)
range across 2 matching MRF lines		 $33,133.36–$34,324.64 $55,222.27–$57,207.73 varies
Repair Blood Vessel Direct Upper Extremity (35206) $2,069.10 $6,897 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $717.30 $2,391 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $717.30 $2,391 1.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $717.30 $2,391 1.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $717.30 $2,391 1.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $717.30 $2,391 1.8×
Repair complex trunk 1.1-2.5 cm (13100) $717.30 $2,391 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $717.30 $2,391 1.0×
Repair extensor tendon finger w/o graft each (26418) $996.90 $3,323 0.6×
Repair Eyelid Wound (67935) $1,468.50 $4,895 0.6×
Repair Finger/Hand Tendon (26350) $2,067.90 $6,893 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $517.80 $1,726 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $517.80 $1,726 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $517.80 $1,726 1.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $517.80 $1,726 1.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $517.80 $1,726 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $517.80 $1,726 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $517.80 $1,726 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $517.80 $1,726 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $517.80 $1,726 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $517.80 $1,726 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,035.60 $3,452 2.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $517.80 $1,726 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $517.80 $1,726 1.3×
Repair of nail bed (11760) $403.50 $1,345 0.6×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,067.90 $6,893 0.6×
Repair tongue laceration (41252) $144.60 $482 0.6×
Repair tongue laceration (41250) $262.80 $876 0.6×
Replace duodenostomy/jejunostomy tube perq (49451) $573.90 $1,913 0.6×
Replace g/c tube perc (49450) $377.10 $1,257 0.4×
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
range across 2 matching MRF lines		 $39,574.36–$47,812.57 $65,957.27–$79,687.62 varies
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) $29,033.08 $48,388.47 2.3×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $573.90 $1,913 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $157.50 $525 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $157.50 $525 1.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $262.80 $876 0.6×
Rplc Gtube No Revj Trc (43762) $377.10 $1,257 1.5×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,120.50 $3,735 0.7×
Rpr blood vessel direct lower extremity (35226) $450.90 $1,503 0.7×
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) $17,924.74 $29,874.57 2.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $380.40 $1,268 1.9×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $144.60 $482 0.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $317.40 $1,058 0.6×
Rpr Lip Full Thickness Vermilion Only (40650) $317.40 $1,058 0.6×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,067.90 $6,893 0.6×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $402 $1,340 0.7×
Shave skin lesion 0.5 cm/< (11300) $259.20 $864 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $380.40 $1,268 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $380.40 $1,268 1.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $380.40 $1,268 1.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $380.40 $1,268 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $380.40 $1,268 1.9×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $380.40 $1,268 1.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $380.40 $1,268 1.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $380.40 $1,268 1.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $380.40 $1,268 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $380.40 $1,268 1.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $380.40 $1,268 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $380.40 $1,268 1.0×
Spinal puncture lumbar diagnostic (62270) $726.90 $2,423 1.1×
Strapping ankle (29540) $101.40 $338 0.6×
Strapping elbow or wrist (29260) $39.90 $133 0.7×
Strapping hand/finger (29280) $39.90 $133 0.7×
Strapping knee (29530) $81 $270 0.6×
Strapping shoulder (29240) $167.10 $557 1.3×
Strapping Unna Boot (29580) $101.40 $338 0.6×
Tangential biopsy skin single lesion (11102) $125.70 $419 0.3×
Tenodesis long tendon biceps (23430) $22,857.13 $38,095.22 3.2×
Thrombolytic Therapy Stroke (37195) $231.30 $771 0.7×
Thrombolytic Venous Therapy (37212) $2,069.10 $6,897 0.7×
Tnot elbow lateral/medial debride open tdn rpr (24359) $12,406.50 $20,677.50 3.9×
Tooth extraction (41899) $1,315.50 $4,385 5.7×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines		 $34,647.07–$36,356.77 $57,745.12–$60,594.62 varies
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) $1,964.10 $6,547 0.6×
Tracheobrnchsc Thru Est Trachs Inc (31615) $317.40 $1,058 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $144.60 $482 0.6×
Tracheostomy Emergency Procedure Transtracheal (31603) $964.50 $3,215 0.6×
Translum Dil Eye Canal (66174)
range across 3 matching MRF lines		 $7,976.83–$9,325.48 $13,294.72–$15,542.47 varies
Treat humerus fracture (24500) $226.80 $756 0.9×
Treat Humerus Fracture (24505) $996.90 $3,323 0.6×
Treat knee fracture (27532) $2,067.90 $6,893 0.6×
Treat Knuckle Dislocation (26700) $222.90 $743 0.9×
Treat Metatarsal Fracture (28475) $222.90 $743 0.9×
Treat Tail Bone Fracture (27200) $222.90 $743 0.9×
Treat Thumb Dislocation (26641) $222.90 $743 0.9×
Treat Thumb Fracture (26645) $996.90 $3,323 0.6×
Treat toe dislocation (28630) $222.90 $743 0.9×
Treatment Closed Elbow Dislocation Req Anes (24605) $996.90 $3,323 0.6×
Treatment closed elbow dislocation w/o anes (24600) $222.90 $743 0.9×
Trim skin lesion (11055) $125.70 $419 0.6×
Tx Gastro Intub W/Asp (43753) $194.70 $649 0.9×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,964.10 $6,547 0.6×
Tx Missed Abortion First Trimester Surgical (59820) $1,964.10 $6,547 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $403.50 $1,345 0.6×
Unlisted Procedure Hands/Fingers (26989) $226.80 $756 0.9×
Unlisted procedure nervous system (64999) $283.50 $945 0.9×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $144.60 $482 0.6×
Unlisted Procedure Tongue Floor Mouth (41599) $144.60 $482 0.6×
Unlisted Procedure Vascular Surgery (37799) $1,340.40 $4,468 2.2×
Unlisted procedure, vestibule of mouth (40899) $230.70 $769 1.0×
Vaginal delivery only (59409) $1,964.10 $6,547 0.6×
Wedge excision skin nail fold (11765) $259.20 $864 0.7×

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.