Procedures & surgery prices at Box Butte General Hospital
Alliance, NE · every code in this section with a posted price and a Medicare benchmark.
280 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) | $617.40 | $686 | 0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $402.30 | $447 | 0.4× |
| Amniocentesis diagnostic (59000) | $703.80 | $782 | 0.7× |
| Amputation toe metatarsophalangeal joint (28820) | $3,549.60 | $3,944 | 1.0× |
| Anoscopy diagnostic (46600) | $270.90 | $301 | 2.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $227.70 | $253 | 1.3× |
| Application cast elbow finger short arm (29075) | $278.10 | $309 | 1.0× |
| Application Finger Splint Dynamic (29131) | $159.30 | $177 | 2.6× |
| Application finger splint static (29130) range across 2 matching MRF lines |
$237.60–$257.40 | $264–$286 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$261.90–$324.90 | $291–$361 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$233.10–$256.50 | $259–$285 | varies |
| Application of long leg cast (29345) | $278.10 | $309 | 1.0× |
| Application of rigid total contact leg cast (29445) | $497.70 | $553 | 1.7× |
| Application Short Arm Splint Dynamic (29126) | $236.70 | $263 | 1.7× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$224.10–$256.50 | $249–$285 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$233.10–$256.50 | $259–$285 | varies |
| Apply long arm cast (29065) | $308.70 | $343 | 1.1× |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$257.40–$437.40 | $286–$486 | varies |
| Apply Short Leg Cast (29405) | $281.70 | $313 | 1.0× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$97.20–$106.20 | $108–$118 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $180.45 | $200.50 | 0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$86.40–$9,317.70 | $96–$10,353 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $86.40 | $96 | 0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$2,459.25–$4,918.50 | $2,732.50–$5,465 | varies |
| Arthrodesis great toe interphalangeal joint (28755) unusually low: confirm this is the full procedure |
$2,837.25 | $3,152.50 | 0.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $9,487.80 | $10,542 | 0.5× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) | $1,418.63 | $1,576.25 | 0.4× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $2,912.85 | $3,236.50 | 0.9× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $3,549.60 | $3,944 | 1.0× |
| Arthroscopy knee synovectomy limited spx (29875) | $1,840.95 | $2,045.50 | 0.5× |
| Arthroscopy shoulder distal claviculectomy (29824) | $1,134.90 | $1,261 | 0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $2,093.09 | $2,325.66 | 0.6× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) likely a partial charge, not the full procedure |
$1,134.90 | $1,261 | 0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$1,134.90–$5,976.90 | $1,261–$6,641 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$9,828–$10,338.30 | $10,920–$11,487 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$2,093.09 | $2,325.66 | 0.3× |
| Arthrs knee debridement/shaving artclr crtlg (29877) | $1,840.95 | $2,045.50 | 0.5× |
| Aspirate pleura w/ imaging (32555) | $1,982.70 | $2,203 | 3.0× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,684.80–$1,719 | $1,872–$1,910 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$300.60–$371.70 | $334–$413 | varies |
| Bladder Irrigation (51700) | $444.60 | $494 | 1.7× |
| Bladder Scan (51798) range across 4 matching MRF lines |
$195.30–$211.50 | $217–$235 | varies |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$1,013.40–$1,261.80 | $1,126–$1,402 | varies |
| Bone Graft Any Donor Area Major/Large (20902) | $4,608 | $5,120 | 0.6× |
| Bone Marrow Biopsy (38221) | $2,074.50 | $2,305 | 1.2× |
| Bone Marrow; Aspiration Only (38220) | $278.10 | $309 | 0.2× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$658.28–$1,271.39 | $731.42–$1,412.66 | varies |
| Cataract surgery complex (66982) | $3,672 | $4,080 | 1.5× |
| Catheter aspiration nasotracheal spx (31720) | $296.10 | $329 | 1.3× |
| Chemical Cautery Tissue (17250) | $371.70 | $413 | 1.8× |
| Chemodenerv Musc Migraine (64615) | $86.40 | $96 | 0.3× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$500.40–$963 | $556–$1,070 | varies |
| Circumcision w/clamp/oth dev w/block (54150) | $1,913.40 | $2,126 | 0.9× |
| Clear outer ear canal (69200) | $221.40 | $246 | 1.6× |
| Closed Rx Spontaneous Hip Disloc (27256) | $1,237.50 | $1,375 | 4.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $379.80 | $422 | 1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $630.50 | $700.55 | 2.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,852.20 | $2,058 | 1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$423.90–$706.50 | $471–$785 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $1,879.20 | $2,088 | 7.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,628.10 | $1,809 | 1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $439.20 | $488 | 1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $541.80 | $602 | 2.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $985.50 | $1,095 | 3.8× |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$423.90–$1,256.40 | $471–$1,396 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $370.80 | $412 | 1.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,147.50 | $1,275 | 0.7× |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$126–$147.60 | $140–$164 | varies |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$37.80–$136.80 | $42–$152 | varies |
| Colonoscopy thru stoma (44388) | $1,709.10 | $1,899 | 1.8× |
| Colonoscopy W/Band Ligation (45398) | $2,030.40 | $2,256 | 1.6× |
| Colonoscopy W/Resection (45390) | $2,386.80 | $2,652 | 0.8× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$626.40–$2,246.40 | $696–$2,496 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,709.10 | $1,899 | 1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $513.90 | $571 | 3.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $293.40 | $326 | 2.1× |
| Correction hammertoe (28285) range across 2 matching MRF lines |
$2,534.85–$2,686.05 | $2,816.50–$2,984.50 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $652.50 | $725 | 4.7× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $3,549.60 | $3,944 | 1.6× |
| Cysto w/destruction of lesions (52214) | $3,228.30 | $3,587 | 0.9× |
| Cystourethroscopy (52000) | $1,840.95 | $2,045.50 | 2.5× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $3,549.60 | $3,944 | 1.0× |
| Cystourethroscopy with biopsy (52204) | $3,681.90 | $4,091 | 1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$1,161.90–$1,699.20 | $1,291–$1,888 | varies |
| Debride nail 1-5 (11720) | $114.30 | $127 | 1.9× |
| Debride nail 6 or more (11721) | $114.30 | $127 | 1.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,879.20–$2,998.80 | $2,088–$3,332 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $738 | $820 | 1.7× |
| Declot vascular device (36593) range across 4 matching MRF lines |
$282.60–$527.40 | $314–$586 | varies |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,709.10–$1,879.20 | $1,899–$2,088 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,520.10–$1,944 | $1,689–$2,160 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$1,879.20–$2,385 | $2,088–$2,650 | varies |
| Drainage of hematoma/fluid (10140) | $2,998.80 | $3,332 | 1.7× |
| Draw Blood Off Venous Device (36591) range across 4 matching MRF lines |
$135.90–$155.70 | $151–$173 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $738 | $820 | 1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $371.70 | $413 | 1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$292.50–$371.70 | $325–$413 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $1,545.30 | $1,717 | 1.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$507.60–$2,222.10 | $564–$2,469 | varies |
| Egd control bleeding any (43255) | $2,828.70 | $3,143 | 1.4× |
| Egd Flexible Foreign Body Removal (43247) | $4,557.60 | $5,064 | 4.8× |
| Egd guide wire insertion (43248) range across 2 matching MRF lines |
$939.60–$1,393.20 | $1,044–$1,548 | varies |
| Egd Varices Ligation (43244) range across 2 matching MRF lines |
$1,709.10–$4,831.20 | $1,899–$5,368 | varies |
| Endoscopic injection/implant (51715) | $3,398.40 | $3,776 | 0.9× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $1,709.10 | $1,899 | 1.8× |
| Evacuation of subungual hematoma (11740) | $136.80 | $152 | 1.0× |
| Exc ganglion wrist recurrent (25112) | $1,183.19 | $1,314.66 | 0.7× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) | $868.68 | $965.20 | 0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $1,840.95 | $2,045.50 | 0.6× |
| Excise tendon forearm/wrist (25109) | $658.28 | $731.42 | 0.2× |
| Excision inferior turbinate partial/complete (30130) | $953.55 | $1,059.50 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$3,549.60–$3,681.90 | $3,944–$4,091 | varies |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) | $1,699.20 | $1,888 | 0.8× |
| Excision spermatocele w/wo epididymectomy (54840) | $3,681.90 | $4,091 | 1.7× |
| Excision synovial cyst popliteal space (27345) | $1,840.95 | $2,045.50 | 0.5× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) | $8,807.40 | $9,786 | 2.6× |
| Exploration penetrating wound spx extremity (20103) | $1,699.20 | $1,888 | 1.0× |
| Fetal Contraction Stress Test (59020) | $512.10 | $569 | 2.4× |
| Fetal non-stress test (59025) | $375.30 | $417 | 1.8× |
| Fine needle aspiration without imaging guidance (10021) | $582.30 | $647 | 1.4× |
| Fusion Finger Joint (26860) | $3,398.40 | $3,776 | 1.0× |
| Fusion of foot bones (28740) likely a partial charge, not the full procedure |
$630.50 | $700.55 | 0.1× |
| Fusion of knuckle (26850) range across 2 matching MRF lines |
$1,907.10–$3,549.60 | $2,119–$3,944 | varies |
| Gastrocnemius recession (27687) | $1,494.23 | $1,660.25 | 0.4× |
| Grafting of autologous soft tiss by direct exc (15769) | $2,478.60 | $2,754 | 0.7× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $158.40 | $176 | 0.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$158.40–$1,015.20 | $176–$1,128 | varies |
| Hemorrhoidopexy by stapling (46947) | $1,840.95 | $2,045.50 | 0.6× |
| Hip arthro w/labral repair (29916) unusually low: confirm this is the full procedure |
$2,988.45 | $3,320.50 | 0.4× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$270–$371.70 | $300–$413 | varies |
| Implant Neuroelectrodes (64561) range across 3 matching MRF lines |
$2,030.40–$3,681.90 | $2,256–$4,091 | varies |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$3,398.40 | $3,776 | 0.2× |
| Incise finger tendon sheath (26055) range across 3 matching MRF lines |
$1,639.49–$3,398.40 | $1,821.66–$3,776 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $434.70 | $483 | 1.0× |
| Incision and drainage of bartholin's gland abscess (56420) | $448.20 | $498 | 2.1× |
| Incisional biopsy skin single lesion (11106) | $1,161.90 | $1,291 | 1.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$342.45–$684.90 | $380.50–$761 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $135.90 | $151 | 0.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$86.40–$4,918.50 | $96–$5,465 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $936.90 | $1,041 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $411.30 | $457 | 1.3× |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$86.40–$421.20 | $96–$468 | varies |
| Insert cervical dilator (59200) | $308.70 | $343 | 1.0× |
| Insert non-tunnel cv cath (36556) | $1,935 | $2,150 | 0.6× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$176.40–$209.70 | $196–$233 | varies |
| Insert tunneled cv cath (36561) | $2,030.40 | $2,256 | 0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$198.90–$203.40 | $221–$226 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$2,690.10–$2,900.70 | $2,989–$3,223 | varies |
| Intubation endotracheal emergency procedure (31500) | $743.40 | $826 | 3.0× |
| Knee Arthroscopy/Surgery (29874) range across 2 matching MRF lines |
$1,840.95–$2,371.95 | $2,045.50–$2,635.50 | varies |
| Lam facetec & foramot lumbar (63047) unusually low: confirm this is the full procedure |
$2,761.65 | $3,068.50 | 0.4× |
| Ligamentous reconstruction knee intra-articular (27428) likely a partial charge, not the full procedure |
$2,912.85 | $3,236.50 | 0.2× |
| Ligation or biopsy temporal artery (37609) | $1,879.20 | $2,088 | 1.1× |
| Lithotripsy, extracorporeal shock wave (50590) range across 3 matching MRF lines |
$1,774.80–$3,549.60 | $1,972–$3,944 | varies |
| Low Back Disk Surgery (63030) unusually low: confirm this is the full procedure |
$2,761.65 | $3,068.50 | 0.4× |
| N block inj intercost sng (64420) | $684.90 | $761 | 0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) | $506.70 | $563 | 1.1× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) | $3,814.20 | $4,238 | 0.5× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) | $1,884.60 | $2,094 | 7.3× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) | $2,252.70 | $2,503 | 2.3× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) range across 2 matching MRF lines |
$2,459.25–$4,918.50 | $2,732.50–$5,465 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines |
$43.20–$107.10 | $48–$119 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) range across 2 matching MRF lines |
$51.30–$129.60 | $57–$144 | varies |
| Nerve Pedicle Transfer First Stage (64905) likely a partial charge, not the full procedure |
$868.68 | $965.20 | 0.1× |
| Nerve repair w/conduit each nerve (64910) range across 2 matching MRF lines |
$868.68–$1,699.20 | $965.20–$1,888 | varies |
| Neuroeltrd Stim Post Tibial (64566) | $421.20 | $468 | 1.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$2,534.85–$4,918.50 | $2,816.50–$5,465 | varies |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) | $1,271.41 | $1,412.68 | 0.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$342.45–$684.90 | $380.50–$761 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $684.90 | $761 | 0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$135.90–$684.90 | $151–$761 | varies |
| Occipital Nerve Block (64405) | $684.90 | $761 | 2.1× |
| Open Implantation Nea Sacral Nerve (64581) range across 2 matching MRF lines |
$1,699.20–$3,549.60 | $1,888–$3,944 | varies |
| Open treatment metatarsal fracture each (28485) likely a partial charge, not the full procedure |
$630.50 | $700.55 | 0.1× |
| Open Treatment Tarsal Bone Dislocation (28555) likely a partial charge, not the full procedure |
$1,907.10 | $2,119 | 0.3× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) | $5,372.10 | $5,969 | 0.7× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $5,372.10 | $5,969 | 1.6× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
$5,069.70–$5,372.10 | $5,633–$5,969 | varies |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) | $2,093.09 | $2,325.66 | 0.6× |
| Osteotomy radius distal third (25350) likely a partial charge, not the full procedure |
$658.28 | $731.42 | 0.1× |
| Part remv talus or calcaneus (28120) | $1,494.23 | $1,660.25 | 0.4× |
| Perq Vertebral Augmentation (22513) likely a partial charge, not the full procedure |
$1,879.20 | $2,088 | 0.2× |
| Punch biopsy skin single lesion (11104) | $738 | $820 | 1.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $366.30 | $407 | 0.9× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) range across 2 matching MRF lines |
$658.28–$1,132.81 | $731.42–$1,258.68 | varies |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) | $5,523.30 | $6,137 | 0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) | $780.30 | $867 | 1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $114.30 | $127 | 1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$114.30–$117 | $127–$130 | varies |
| Removal Implant Deep (20680) range across 3 matching MRF lines |
$1,709.10–$2,093.11 | $1,899–$2,325.68 | varies |
| Removal of adenoids (42830) | $939.60 | $1,044 | 0.3× |
| Removal of nail bed (11750) | $738 | $820 | 1.7× |
| Removal of sesamoid bone (28315) | $2,837.25 | $3,152.50 | 0.8× |
| Removal of tonsils (42826) | $953.55 | $1,059.50 | 0.3× |
| Removal of wrist bone (25210) range across 2 matching MRF lines |
$3,549.60–$5,069.70 | $3,944–$5,633 | varies |
| Remove foreign body from eye (65205) | $180 | $200 | 1.3× |
| Remove Lower Leg Bone Lesion (27635) | $1,418.63 | $1,576.25 | 0.4× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$100.80–$385.20 | $112–$428 | varies |
| Remove Tendon Sheath Lesion (26160) | $3,228.30 | $3,587 | 1.9× |
| Repair Achilles Tendon (27650) | $5,372.10 | $5,969 | 0.7× |
| Repair Collat Ankle Ligmnt,Secondary (27698) likely a partial charge, not the full procedure |
$1,418.63 | $1,576.25 | 0.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $922.50 | $1,025 | 2.2× |
| Repair Extensor Tendon Hand W/Graft Each (26412) | $868.68 | $965.20 | 0.3× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $1,418.63 | $1,576.25 | 0.4× |
| Repair Foot Dislocation (28615) range across 2 matching MRF lines |
$630.50–$1,907.10 | $700.55–$2,119 | varies |
| Repair Forearm Tendon Sheath (25275) | $868.68 | $965.20 | 0.3× |
| Repair Hand Joint (26540) | $3,398.40 | $3,776 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $423.90 | $471 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $982.80 | $1,092 | 2.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $679.50 | $755 | 1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$222.30–$788.40 | $247–$876 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $815.40 | $906 | 1.9× |
| Repair Nonunion Hand (26546) likely a partial charge, not the full procedure |
$1,359.59 | $1,510.66 | 0.2× |
| Repair of metatarsals (28322) likely a partial charge, not the full procedure |
$2,093.09 | $2,325.66 | 0.3× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) likely a partial charge, not the full procedure |
$658.28 | $731.42 | 0.1× |
| Repair secondary achilles tendon w/wo graft (27654) range across 2 matching MRF lines |
$1,494.23–$6,128.10 | $1,660.25–$6,809 | varies |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) likely a partial charge, not the full procedure |
$2,093.11 | $2,325.68 | 0.3× |
| Revise ulnar nerve at wrist (64719) | $1,271.39 | $1,412.66 | 0.6× |
| Revise Wrist/Forearm Tendon (25280) | $4,078.80 | $4,532 | 1.2× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $3,681.90 | $4,091 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$575.10–$2,030.40 | $639–$2,256 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
$1,094.40–$1,879.20 | $1,216–$2,088 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,259.10 | $1,399 | 0.8× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $3,681.90 | $4,091 | 1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,879.20 | $2,088 | 0.3× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $1,383.30 | $1,537 | 2.1× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) | $1,359.59 | $1,510.66 | 0.4× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) | $953.55 | $1,059.50 | 0.3× |
| Shoulder Arthroscopy/Surgery (29825) | $1,134.90 | $1,261 | 0.3× |
| Sigmoidoscopy w/fb removal (45332) | $1,907.10 | $2,119 | 1.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,709.10 | $1,899 | 1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $504.90 | $561 | 1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$96.30–$342 | $107–$380 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$86.40–$391.50 | $96–$435 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$222.30–$439.20 | $247–$488 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$86.40–$344.70 | $96–$383 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$222.30–$411.30 | $247–$457 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $3,681.90 | $4,091 | 1.7× |
| Skin sub graft face/nk/hf/g (15275) | $1,144.80 | $1,272 | 1.5× |
| Skin sub graft trnk/arm/leg (15271) | $1,144.80 | $1,272 | 1.5× |
| Skin sub grft t/arm/lg child (15273) | $1,916.10 | $2,129 | 0.9× |
| Skn sub grft f/n/hf/g child (15277) | $1,144.80 | $1,272 | 0.5× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $3,549.60 | $3,944 | 0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$86.40–$375.30 | $96–$417 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $474.30 | $527 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$222.30–$396 | $247–$440 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$135.90–$667.80 | $151–$742 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$137.70–$149.40 | $153–$166 | varies |
| Strapping hand/finger (29280) | $159.30 | $177 | 2.6× |
| Strapping Hip (29520) | $159.30 | $177 | 1.2× |
| Strapping knee (29530) range across 2 matching MRF lines |
$151.20–$163.80 | $168–$182 | varies |
| Strapping shoulder (29240) | $181.80 | $202 | 1.3× |
| Strapping Unna Boot (29580) range across 4 matching MRF lines |
$216–$437.40 | $240–$486 | varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) | $1,774.80 | $1,972 | 0.5× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) | $5,674.50 | $6,305 | 0.8× |
| Tangential biopsy skin single lesion (11102) | $371.70 | $413 | 0.9× |
| Tenodesis long tendon biceps (23430) | $9,487.80 | $10,542 | 1.3× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $3,228.30 | $3,587 | 0.9× |
| Tooth extraction (41899) | $2,276.10 | $2,529 | 9.3× |
| Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$2,371.95–$9,317.70 | $2,635.50–$10,353 | varies |
| Tprnl Plmt Biodegrdabl Matrl (55874) | $3,549.60 | $3,944 | 0.6× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $658.28 | $731.42 | 0.3× |
| Translum Dil Eye Canal (66174) | $9,361.80 | $10,402 | 2.2× |
| Transur electr resection of prostate (52601) | $3,814.20 | $4,238 | 0.7× |
| Treat Finger Fracture Each (26727) | $2,030.40 | $2,256 | 0.6× |
| Treat fracture radius/ulna (25575) | $6,732.90 | $7,481 | 0.9× |
| Treat Knuckle Dislocation (26700) | $431.10 | $479 | 1.7× |
| Treat metacarpal fracture (26607) | $1,879.20 | $2,088 | 0.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $761.40 | $846 | 3.0× |
| Trim skin lesion (11055) | $371.70 | $413 | 1.8× |
| Trim skin lesions 2 to 4 (11056) | $371.70 | $413 | 1.8× |
| Trimming Nondystrophic Nails Any Number (11719) | $114.30 | $127 | 1.9× |
| Tx Gastro Intub W/Asp (43753) | $302.40 | $336 | 1.3× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $630.50 | $700.55 | 2.5× |
| Tympanostomy general anesthesia (69436) | $1,015.20 | $1,128 | 0.6× |
| Uvulectomy excision of uvula (42140) | $953.55 | $1,059.50 | 0.3× |
| Vaginal delivery only (59409) | $2,457 | $2,730 | 0.7× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) | $3,780.90 | $4,201 | 0.7× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) likely a partial charge, not the full procedure |
$1,193.40 | $1,326 | 0.2× |
| Xfer Single Deep Low Leg Tendon (27691) likely a partial charge, not the full procedure |
$1,494.23 | $1,660.25 | 0.2× |
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.