Procedures & surgery prices at Boone County Health Center
Albion, NE · every code in this section with a posted price and a Medicare benchmark.
265 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,300 | $1,300 | 1.4× |
| Acne surgery (10040) range across 2 matching MRF lines |
$135–$231 | $135–$231 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $2,100 | $2,100 | 0.7× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$164–$180 | $164–$180 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$73–$170 | $73–$170 | varies |
| Application long arm splint shoulder hand (29105) | $480 | $480 | 2.8× |
| Application Long Leg Splint (29505) | $186 | $186 | 1.1× |
| Application of long leg cast (29345) | $365 | $365 | 1.3× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$272–$288 | $272–$288 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$120–$123 | $120–$123 | varies |
| Application short leg splint calf foot (29515) | $180 | $180 | 1.1× |
| Apply Multlay Comprs Lwr Leg (29581) | $171 | $171 | 1.0× |
| Arterial puncture (36600) | $111 | $111 | 0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$46–$104 | $46–$104 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$85–$1,320 | $85–$1,320 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$45–$100 | $45–$100 | varies |
| Aspirate pleura w/ imaging (32555) | $1,150 | $1,150 | 1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$234–$298 | $234–$298 | varies |
| Biopsy external ear (69100) range across 2 matching MRF lines |
$166–$201 | $166–$201 | varies |
| Biopsy of liver, needle; percutaneous (47000) | $1,731 | $1,731 | 1.0× |
| Biopsy of toe joint lining (28054) | $584 | $584 | 0.2× |
| Biopsy soft tissue neck/thorax (21550) | $3,756 | $3,756 | 2.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$90–$188 | $90–$188 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $137 | $137 | 0.2× |
| Bladder Irrigation (51700) | $120 | $120 | 0.5× |
| Bladder Scan (51798) range across 3 matching MRF lines |
$20–$108 | $20–$108 | varies |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$990–$1,450 | $990–$1,450 | varies |
| Bx breast 1st lesion strtctc (19081) | $3,485 | $3,485 | 2.0× |
| Bx breast 1st lesion us imag (19083) | $2,415 | $2,415 | 1.4× |
| Bx Cervix (57500) | $271 | $271 | 0.3× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $367 | $367 | 1.2× |
| Change of Windpipe Airway (31502) | $72 | $72 | 0.3× |
| Chemodenerv Eccrine Glands (64650) | $211 | $211 | 0.7× |
| Chemodenerv Musc Migraine (64615) | $278 | $278 | 0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,775 | $1,775 | 1.1× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$169–$214 | $169–$214 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $675 | $675 | 0.4× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $1,152 | $1,152 | 4.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,225 | $1,225 | 0.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $474 | $474 | 1.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $460 | $460 | 1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $500 | $500 | 2.0× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,467 | $1,467 | 0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,085 | $2,085 | 1.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $1,196 | $1,196 | 0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $110 | $110 | 0.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,175 | $1,175 | 0.7× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,345 | $2,345 | 1.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 2 matching MRF lines |
$550–$586 | $550–$586 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$812–$985 | $812–$985 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $632 | $632 | 2.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $635 | $635 | 2.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $387 | $387 | 1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$693–$900 | $693–$900 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,035–$1,129 | $1,035–$1,129 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $2,815 | $2,815 | 1.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $300 | $300 | 1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $257 | $257 | 1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $500 | $500 | 1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $498 | $498 | 1.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,654 | $1,654 | 1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $1,120 | $1,120 | 4.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$575–$750 | $575–$750 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$418–$653 | $418–$653 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $413 | $413 | 1.6× |
| Cltx post hip arthrp dislc req anes (27266) | $1,585 | $1,585 | 0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $250 | $250 | 1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,163 | $1,163 | 0.7× |
| Collect Blood From Catheter Venous Nos (36592) | $85 | $85 | 0.6× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $2,079 | $2,079 | 1.7× |
| Colonoscopy thru stoma (44388) | $2,503 | $2,503 | 2.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $3,102 | $3,102 | 2.5× |
| Colonoscopy w/ablation (45388) | $2,188 | $2,188 | 1.8× |
| Colonoscopy W/Band Ligation (45398) | $2,374 | $2,374 | 1.9× |
| Colonoscopy w/fb removal (45379) | $2,479 | $2,479 | 2.0× |
| Colonoscopy w/submucosal inj (45381) | $1,786 | $1,786 | 1.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $336 | $336 | 1.1× |
| Colposcopy Cervix Endocervical Curettage (57456) | $239 | $239 | 0.8× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
$138–$306 | $138–$306 | varies |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $147 | $147 | 0.2× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $2,027 | $2,027 | 1.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $2,233 | $2,233 | 1.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,679 | $2,679 | 2.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$300–$320 | $300–$320 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$196–$301 | $196–$301 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,000 | $2,000 | 1.2× |
| Create Eardrum Opening (69433) | $359 | $359 | 0.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $290 | $290 | 2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $300 | $300 | 1.2× |
| Cystourethroscopy (52000) | $290 | $290 | 0.4× |
| Debride nail 1-5 (11720) | $78 | $78 | 1.3× |
| Debride nail 6 or more (11721) | $78 | $78 | 1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$150–$264 | $150–$264 | varies |
| Declot vascular device (36593) | $110 | $110 | 0.3× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$143–$219 | $143–$219 | varies |
| Destruction Benign Lesions 15/> (17111) | $257 | $257 | 1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $283 | $283 | 1.4× |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$189–$450 | $189–$450 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$75–$137 | $75–$137 | varies |
| Diagnostic sigmoidoscopy (45330) | $1,058 | $1,058 | 1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $363 | $363 | 0.5× |
| Drainage of hematoma/fluid (10140) | $430 | $430 | 0.3× |
| Drainage of salivary cyst (42409) | $720 | $720 | 0.2× |
| Draw Blood Off Venous Device (36591) | $80 | $80 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $455 | $455 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $415 | $415 | 2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $275 | $275 | 1.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,986 | $1,986 | 1.0× |
| Egd cautery tumor polyp (43250) | $1,771 | $1,771 | 0.9× |
| Egd control bleeding any (43255) | $2,150 | $2,150 | 1.1× |
| Egd dilation gastric/duodenal stricture (43245) | $1,697 | $1,697 | 0.9× |
| Egd Flexible Foreign Body Removal (43247) | $2,221 | $2,221 | 2.4× |
| Egd place gastrostomy tube (43246) | $1,945 | $1,945 | 1.0× |
| Egd remove lesion snare (43251) | $2,115 | $2,115 | 1.1× |
| Endometrial Biopsy (58100) range across 2 matching MRF lines |
$88–$210 | $88–$210 | varies |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $6,830 | $6,830 | 2.1× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$113–$120 | $113–$120 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $264 | $264 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $205 | $205 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $569 | $569 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $800 | $800 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$225–$294 | $225–$294 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $361 | $361 | 0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$200–$400 | $200–$400 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $267 | $267 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $336 | $336 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$190–$377 | $190–$377 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$410–$549 | $410–$549 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $493 | $493 | 0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $704 | $704 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $660 | $660 | 0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $630 | $630 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $939 | $939 | 0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $337 | $337 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $322 | $322 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$190–$356 | $190–$356 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $464 | $464 | 0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $578 | $578 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $414 | $414 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $482 | $482 | 0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $510 | $510 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $659 | $659 | 0.9× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $669 | $669 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $416 | $416 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $484 | $484 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $537 | $537 | 0.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $712 | $712 | 0.4× |
| Excision Multiple External Papillae/Tags Anus (46230) | $597 | $597 | 0.2× |
| Excision of vaginal septum (57130) | $464 | $464 | 0.1× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $380 | $380 | 0.2× |
| Fetal non-stress test (59025) | $365 | $365 | 1.7× |
| Fine needle aspiration without imaging guidance (10021) | $100 | $100 | 0.2× |
| Fluoro exam of g/colon tube (49465) | $298 | $298 | 1.2× |
| Fna bx w/us gdn 1st les (10005) | $953 | $953 | 1.3× |
| Guide Cathet Fluid Drainage (10030) | $2,675 | $2,675 | 3.6× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$560–$960 | $560–$960 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$107–$396 | $107–$396 | varies |
| I&d pilonidal cyst simple (10080) | $471 | $471 | 0.6× |
| Image Cath Fluid Colxn Visc (49405) | $4,700 | $4,700 | 2.7× |
| Image Cath Fluid Peri/Retro (49406) | $4,700 | $4,700 | 2.7× |
| Incise external hemorrhoid (46083) | $403 | $403 | 1.6× |
| Incision & drainage abscess complicated/multiple (10061) | $441 | $441 | 1.0× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$295–$385 | $295–$385 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $271 | $271 | 0.9× |
| Incision of eardrum (69420) | $350 | $350 | 1.4× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$245–$321 | $245–$321 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,738 | $1,738 | 1.9× |
| Inj W/Fluor Eval Cv Device (36598) | $346 | $346 | 1.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,906 | $1,906 | 2.1× |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$140–$163 | $140–$163 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $150 | $150 | 0.2× |
| Insert Drug Implant Device (11981) | $215 | $215 | 1.6× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$107–$152 | $107–$152 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$80–$140 | $80–$140 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $450 | $450 | 1.7× |
| Laryngoscopy flexible diagnostic (31575) | $235 | $235 | 1.1× |
| Manipulation knee joint under general anesthesia (27570) | $1,586 | $1,586 | 0.9× |
| Myelography Lumbar Injection (62305) | $3,374 | $3,374 | 4.1× |
| Myelography Lumbar Injection (62304) | $1,463 | $1,463 | 1.8× |
| Myelography via lumbar injection rs&i cervical (62302) | $1,533 | $1,533 | 1.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $1,597 | $1,597 | 2.0× |
| N Block Inj Plantar Digit (64455) | $96 | $96 | 0.3× |
| Nasal Endoscopy Dx (31231) | $235 | $235 | 1.1× |
| Needle Biopsy Lymph Nodes (38505) | $853 | $853 | 0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $50 | $50 | 1.7× |
| Needle insertion w/o injection 3 or more muscles (20561) | $55 | $55 | 1.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $2,007 | $2,007 | 2.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,505 | $1,505 | 2.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$516–$1,355 | $516–$1,355 | varies |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) | $467 | $467 | 1.1× |
| Occipital Nerve Block (64405) | $139 | $139 | 0.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,050 | $1,050 | 0.3× |
| Perq dev breast 1st us imag (19285) | $1,720 | $1,720 | 2.3× |
| Perq device breast 1st imag (19281) | $1,139 | $1,139 | 0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $7,135 | $7,135 | 0.9× |
| Perq Vertebral Augmentation (22513) | $6,504 | $6,504 | 0.9× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$200–$264 | $200–$264 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $274 | $274 | 0.6× |
| Reduction of rectal prolapse (45900) | $725 | $725 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) | $268 | $268 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$29–$58 | $29–$58 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$50–$124 | $50–$124 | varies |
| Removal Implant Deep (20680) | $590 | $590 | 0.2× |
| Removal implantable contraceptive capsules (11976) | $304 | $304 | 0.4× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$200–$380 | $200–$380 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$100–$187 | $100–$187 | varies |
| Remove drug implant device (11982) | $244 | $244 | 0.5× |
| Remove foreign body from eye (65205) | $107 | $107 | 0.8× |
| Remove Intrauterine Device (58301) | $207 | $207 | 0.7× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$360–$395 | $360–$395 | varies |
| Remove Tendon Sheath Lesion (26160) | $1,178 | $1,178 | 0.7× |
| Remove/Insert Drug Implant (11983) | $303 | $303 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$1,009–$1,085 | $1,009–$1,085 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $719 | $719 | 0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) | $845 | $845 | 1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $315 | $315 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$500–$643 | $500–$643 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$750–$794 | $750–$794 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$298–$592 | $298–$592 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $680 | $680 | 1.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $900 | $900 | 2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$300–$550 | $300–$550 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$625–$637 | $625–$637 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $650 | $650 | 1.5× |
| Replace G-J Tube Perc (49452) | $695 | $695 | 0.7× |
| Rplc Gtube No Revj Trc (43762) | $600 | $600 | 2.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$351–$450 | $351–$450 | varies |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,798 | $1,798 | 1.9× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,282 | $1,282 | 1.0× |
| Shave skin lesion 0.5 cm/< (11300) | $210 | $210 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$175–$243 | $175–$243 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $391 | $391 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $222 | $222 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $260 | $260 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $304 | $304 | 1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $289 | $289 | 1.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $335 | $335 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $256 | $256 | 1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $326 | $326 | 0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $296 | $296 | 1.4× |
| Sigmoidoscopy & decompress (45337) | $2,244 | $2,244 | 2.3× |
| Sigmoidoscopy & Polypectomy (45333) | $1,669 | $1,669 | 1.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $2,030 | $2,030 | 2.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$225–$229 | $225–$229 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$239–$250 | $239–$250 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$290–$325 | $290–$325 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$188–$225 | $188–$225 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$268–$300 | $268–$300 | varies |
| Skin sub graft face/nk/hf/g (15275) | $1,086 | $1,086 | 1.4× |
| Skin sub graft trnk/arm/leg (15271) | $1,035 | $1,035 | 1.3× |
| Skin sub grft t/arm/lg child (15273) | $1,800 | $1,800 | 0.8× |
| Skn sub grft f/n/hf/g child (15277) | $1,800 | $1,800 | 0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$230–$275 | $230–$275 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $458 | $458 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $453 | $453 | 1.1× |
| Strapping Unna Boot (29580) | $100 | $100 | 0.6× |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$123–$210 | $123–$210 | varies |
| Treat Knuckle Dislocation (26700) | $638 | $638 | 2.5× |
| Treat toe dislocation (28630) | $297 | $297 | 1.2× |
| Trim skin lesion (11055) | $132 | $132 | 0.6× |
| Trim skin lesions 2 to 4 (11056) | $83 | $83 | 0.4× |
| Trim skin lesions over 4 (11057) | $185 | $185 | 0.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $78 | $78 | 1.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$518–$683 | $518–$683 | varies |
| Wedge excision skin nail fold (11765) | $358 | $358 | 0.8× |
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.