Procedures & surgery prices at Cabinet Peaks Medical Center
Libby, MT · every code in this section with a posted price and a Medicare benchmark.
275 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) | $566.30 | $809 | 0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $566.30 | $809 | 0.6× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$58.10–$168.70 | $83–$241 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $1,352.40 | $1,932 | 0.5× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$77–$173.60 | $110–$248 | varies |
| Application finger splint static (29130) | $18.48 | $26.40 | 0.1× |
| Application Short Arm Splint Dynamic (29126) | $86.80 | $124 | 0.6× |
| Application short arm splint forearm-hand static (29125) | $29.40 | $42 | 0.2× |
| Application short leg splint calf foot (29515) | $104.30 | $149 | 0.6× |
| Apply Multlay Comprs Lwr Leg (29581) | $77.70 | $111 | 0.5× |
| Arterial puncture (36600) | $146.30 | $209 | 1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$23.10–$1,002.40 | $33–$1,432 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $342.30 | $489 | 0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$28–$901.60 | $40–$1,288 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$189–$630.70 | $270–$901 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$21.70–$665 | $31–$950 | varies |
| Aspirate pleura w/ imaging (32555) | $670.60 | $958 | 1.0× |
| Aspirate Pleura W/O Imaging (32554) | $454.30 | $649 | 0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) | $170.10 | $243 | 0.8× |
| Biopsy of rectum (45100) | $732.90 | $1,047 | 0.3× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $333.20 | $476 | 0.6× |
| Bladder instillation anticarcinogenic agent (51720) | $57.40 | $82 | 0.1× |
| Bladder Irrigation (51700) | $198.80 | $284 | 0.8× |
| Bladder Scan (51798) | $124.60 | $178 | 2.1× |
| Blood Transfusion Service (36430) range across 14 matching MRF lines |
$87.50–$501.20 | $125–$716 | varies |
| Brnchsc Brushing/Protected Brushings (31623) | $1,425.90 | $2,037 | 0.8× |
| Bronchoscopy W/Biopsy(S) (31625) | $1,425.90 | $2,037 | 0.8× |
| Bronchoscopy W/Removal Foreign Body (31635) range across 2 matching MRF lines |
$863.10–$1,425.90 | $1,233–$2,037 | varies |
| Bx breast 1st lesion us imag (19083) | $1,984.50 | $2,835 | 1.2× |
| Bx breast needle core w/o imaging guidance spx (19100) | $66.50 | $95 | 0.0× |
| Catheter aspiration nasotracheal spx (31720) | $228.90 | $327 | 1.0× |
| Chemical Cautery Tissue (17250) | $37.80 | $54 | 0.2× |
| Chemodenerv 1 extremity 1-4 (64642) | $750.40 | $1,072 | 1.0× |
| Chemodenerv Musc Migraine (64615) | $952.70 | $1,361 | 3.0× |
| Chest tube placement (32551) | $940.80 | $1,344 | 0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,599.10 | $3,713 | 1.6× |
| Clear outer ear canal (69200) | $109.90 | $157 | 0.8× |
| Closed rx talotarsal disloc,anesth (28575) | $3,265.50 | $4,665 | 1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $781.90 | $1,117 | 0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $428.40 | $612 | 1.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $781.90 | $1,117 | 0.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $802.90 | $1,147 | 0.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $738.50 | $1,055 | 0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $777.35 | $1,110.50 | 0.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,921.50 | $2,745 | 0.6× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $148.40 | $212 | 0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) | $781.90 | $1,117 | 0.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $802.90 | $1,147 | 0.5× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $802.90 | $1,147 | 0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $162.40 | $232 | 0.6× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $781.90 | $1,117 | 0.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $781.90 | $1,117 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $155.40 | $222 | 0.6× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $802.90 | $1,147 | 0.5× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $171.08 | $244.40 | 0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $175 | $250 | 0.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $155.40 | $222 | 0.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $148.40 | $212 | 0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $830.90 | $1,187 | 0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $802.90 | $1,147 | 0.5× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) | $290.50 | $415 | 0.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,071.70 | $1,531 | 0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $148.40 | $212 | 0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $781.90 | $1,117 | 0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $155.40 | $222 | 0.6× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $781.90 | $1,117 | 0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $148.40 | $212 | 0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $175 | $250 | 0.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $781.90 | $1,117 | 0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $175 | $250 | 0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $175 | $250 | 0.7× |
| Cltx post hip arthrp dislc req anes (27266) | $802.90 | $1,147 | 0.5× |
| Cltx post hip arthrp dislc w/o anes (27265) | $148.40 | $212 | 0.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $802.90 | $1,147 | 0.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $162.40 | $232 | 0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $781.90 | $1,117 | 0.5× |
| Collect Blood From Catheter Venous Nos (36592) | $69.30 | $99 | 0.5× |
| Collection of venous blood by venipuncture (36415) | $14 | $20 | 1.5× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $115.50 | $165 | 0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $115.50 | $165 | 0.8× |
| Control oropharyngeal hemorrhage simple (42960) | $273 | $390 | 0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $115.50 | $165 | 0.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $148.40 | $212 | 0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $25.90 | $37 | 0.1× |
| Debride nail 6 or more (11721) | $93.80 | $134 | 1.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $791.70 | $1,131 | 0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$53.90–$205.80 | $77–$294 | varies |
| Declot vascular device (36593) | $79.80 | $114 | 0.2× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,930.60–$3,861.90 | $2,758–$5,517 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$1,976.10–$3,952.20 | $2,823–$5,646 | varies |
| Destruct B9 Lesion 1-14 (17110) | $127.40 | $182 | 0.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) | $1,976.10 | $2,823 | 2.2× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) | $1,976.10 | $2,823 | 6.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$2,748.20–$3,010 | $3,926–$4,300 | varies |
| Drain Cerebro Spinal Fluid (62272) range across 3 matching MRF lines |
$434–$1,148.70 | $620–$1,641 | varies |
| Drain/inj small joint/bursa w/us (20604) | $501.20 | $716 | 1.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $320.60 | $458 | 0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $439.60 | $628 | 0.6× |
| Drainage of finger abscess simple (26010) | $320.60 | $458 | 1.6× |
| Drainage of gum lesion (41800) | $233.80 | $334 | 1.7× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$705.60–$793.10 | $1,008–$1,133 | varies |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$60.20–$198.10 | $86–$283 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $233.10 | $333 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $241.50 | $345 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $245.70 | $351 | 1.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 5 matching MRF lines |
$735.70–$1,976.10 | $1,051–$2,823 | varies |
| Dx Bronchoscope/Lavage (31624) | $1,425.90 | $2,037 | 0.8× |
| Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$863.10–$1,425.90 | $1,233–$2,037 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $943.60 | $1,348 | 1.3× |
| Egd Flexible Foreign Body Removal (43247) | $261.80 | $374 | 0.3× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$544.60–$1,608.60 | $778–$2,298 | varies |
| Evacuation of subungual hematoma (11740) | $147.70 | $211 | 1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $57.40 | $82 | 0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $63.70 | $91 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $70.70 | $101 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $70.70 | $101 | 0.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $136.92 | $195.60 | 0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $131.67 | $188.10 | 0.1× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $69.30 | $99 | 0.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $76.30 | $109 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $177.80 | $254 | 0.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $113.40 | $162 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $380.10 | $543 | 0.5× |
| Exploration penetrating wound spx extremity (20103) | $375.90 | $537 | 0.2× |
| Fetal non-stress test (59025) | $240.80 | $344 | 1.2× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$56–$288.40 | $80–$412 | varies |
| Fna Bx W/Fluor Gdn 1St Les (10007) | $879.90 | $1,257 | 1.2× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$54.60–$86.80 | $78–$124 | varies |
| I&d perianal abscess superficial (46050) | $106.40 | $152 | 0.1× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$126.70–$161 | $181–$230 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$84–$300.30 | $120–$429 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$95.90–$288.40 | $137–$412 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $3,304 | $4,720 | 2.0× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$97.30–$310.80 | $139–$444 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $303.10 | $433 | 1.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $196.70 | $281 | 0.6× |
| Incision of rectal abscess (46040) | $786.80 | $1,124 | 0.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $165.90 | $237 | 0.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $126 | $180 | 0.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$1,529.50–$3,325 | $2,185–$4,750 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,463.70 | $2,091 | 1.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$30.80–$387.80 | $44–$554 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $750.40 | $1,072 | 0.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$901.60–$3,984.40 | $1,288–$5,692 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$1,171.10–$1,448.30 | $1,673–$2,069 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$901.60–$2,788.80 | $1,288–$3,984 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
$901.60–$2,038.40 | $1,288–$2,912 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
$176.40–$1,715.70 | $252–$2,451 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $1,976.10 | $2,823 | 2.2× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$750.40–$1,501.50 | $1,072–$2,145 | varies |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$189–$450.80 | $270–$644 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$189–$450.80 | $270–$644 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$189–$541.10 | $270–$773 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$188.30–$414.40 | $269–$592 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$750.40–$1,171.10 | $1,072–$1,673 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 3 matching MRF lines |
$450.80–$1,802.50 | $644–$2,575 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 7 matching MRF lines |
$414.40–$901.60 | $51–$1,288 | varies |
| Insert Bladder Cath Complex (51703) | $92.40 | $132 | 0.7× |
| Insert cath pleura w/o image (32556) | $1,498.70 | $2,141 | 0.8× |
| Insert non-tunnel cv cath (36556) | $1,805.30 | $2,579 | 0.6× |
| Insert Temp Bladder Cath (51702) | $119.70 | $171 | 0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $98 | $140 | 0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines |
$888.30–$932.40 | $1,269–$1,332 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$369.60–$505.40 | $528–$722 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $154 | $220 | 0.6× |
| Laryngoscopy flexible diagnostic (31575) | $112.70 | $161 | 0.6× |
| N Block Inj Celiac Pelus (64530) | $1,976.10 | $2,823 | 2.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 4 matching MRF lines |
$60.90–$1,500.80 | $87–$2,144 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$901.60–$1,019.20 | $1,288–$1,456 | varies |
| N Block Inj Plantar Digit (64455) | $590.80 | $844 | 1.9× |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$1,126.30–$2,253.30 | $1,609–$3,219 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$1,206.80–$2,413.60 | $1,724–$3,448 | varies |
| Needle Biopsy Lymph Nodes (38505) | $172.98 | $247.11 | 0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $48.30 | $69 | 1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) | $70 | $100 | 2.4× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) | $1,400.70 | $2,001 | 1.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $770.70 | $1,101 | 1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,976.10 | $2,823 | 2.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$178.50–$1,838.90 | $255–$2,627 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$1,529.50–$2,963.80 | $2,185–$4,234 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $1,171.10 | $1,673 | 1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,608.60 | $2,298 | 2.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $706.30 | $1,009 | 1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $1,171.10 | $1,673 | 1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$943.60–$1,341.20 | $1,348–$1,916 | varies |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$178.50–$1,500.80 | $255–$2,144 | varies |
| Pelvic examination under anesthesia (other than local) (57410) | $1,440.60 | $2,058 | 0.4× |
| Perq dev breast 1st us imag (19285) | $583.10 | $833 | 0.8× |
| Perq device breast 1st imag (19281) | $380.80 | $544 | 0.2× |
| Placement of needle for intraosseous infusion (36680) | $413.70 | $591 | 0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $46.90 | $67 | 0.0× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$56.70–$196.70 | $81–$281 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$60.20–$230.30 | $86–$329 | varies |
| Puncture Aspiration Cyst Breast (19000) | $879.90 | $1,257 | 1.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$901.60–$985.60 | $1,288–$1,408 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$3,007.90–$4,363.80 | $4,297–$6,234 | varies |
| Reduction of rectal prolapse (45900) | $536.90 | $767 | 0.6× |
| Removal foreign body foot deep (28192) | $207.90 | $297 | 0.1× |
| Removal Foreign Body Foot Subcutaneous (28190) | $448.70 | $641 | 0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $56 | $80 | 0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $61.60 | $88 | 1.0× |
| Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$700–$791.70 | $1,000–$1,131 | varies |
| Removal of nail bed (11750) | $363.30 | $519 | 0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$40.60–$129.50 | $58–$185 | varies |
| Remove foreign body from eye (65205) | $93.80 | $134 | 0.7× |
| Remove Intrauterine Device (58301) | $113.40 | $162 | 0.4× |
| Remove Nasal Foreign Body (30300) | $115.50 | $165 | 0.8× |
| Repair Blood Vessel Direct Hand Finger (35207) | $1,523.90 | $2,177 | 0.5× |
| Repair Blood Vessel Direct Upper Extremity (35206) | $1,523.90 | $2,177 | 0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $249.20 | $356 | 0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $378 | $540 | 0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $378 | $540 | 0.9× |
| Repair Finger/Hand Tendon (26350) | $1,339.80 | $1,914 | 0.4× |
| Repair Hand Tendon (26410) | $781.90 | $1,117 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $254.80 | $364 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $249.20 | $356 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $249.20 | $356 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $249.20 | $356 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $358.40 | $512 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $360.50 | $515 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$129.50–$310.10 | $185–$443 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $358.40 | $512 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $249.20 | $356 | 0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $249.20 | $356 | 0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $249.20 | $356 | 0.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $378 | $540 | 0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $249.20 | $356 | 0.6× |
| Repair of nail bed (11760) | $224 | $320 | 0.3× |
| Repair tongue laceration (41252) | $174.58 | $249.40 | 0.7× |
| Repair tongue laceration (41250) | $117.60 | $168 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $269.50 | $385 | 0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $121.10 | $173 | 0.9× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $1,372 | $1,960 | 0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $454.30 | $649 | 0.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $58.10 | $83 | 0.1× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) | $2,170.70 | $3,101 | 0.9× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$252–$305.90 | $360–$437 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $196.70 | $281 | 1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $233.80 | $334 | 0.3× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $147 | $210 | 0.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $928.20 | $1,326 | 1.7× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $1,659.70 | $2,371 | 0.5× |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) | $2,170.70 | $3,101 | 0.9× |
| Shave skin lesion 0.5 cm/< (11300) | $43.40 | $62 | 0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $47.60 | $68 | 0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $62.30 | $89 | 0.3× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $1,510.60 | $2,158 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $196.70 | $281 | 1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $196.70 | $281 | 1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $227.50 | $325 | 0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $196.70 | $281 | 1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$41.30–$196.70 | $59–$281 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $196.70 | $281 | 1.0× |
| Skin sub graft trnk/arm/leg (15271) | $126 | $180 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$50.40–$196.70 | $72–$281 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $273.70 | $391 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $350.70 | $501 | 0.8× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$403.20–$1,022.70 | $576–$1,461 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$44.80–$126 | $64–$180 | varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) | $1,073.10 | $1,533 | 1.5× |
| Treat humerus fracture (24500) | $616 | $880 | 2.4× |
| Treat Knuckle Dislocation (26700) | $175 | $250 | 0.7× |
| Treat Thumb Fracture (26645) | $175 | $250 | 0.1× |
| Treat toe dislocation (28630) | $148.40 | $212 | 0.6× |
| Treat Vaginal Bleeding (57180) | $192.50 | $275 | 0.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $757.40 | $1,082 | 0.5× |
| Treatment closed elbow dislocation w/o anes (24600) | $162.40 | $232 | 0.6× |
| Trim skin lesion (11055) | $127.40 | $182 | 0.6× |
| Tx Gastro Intub W/Asp (43753) | $194.60 | $278 | 0.9× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $781.90 | $1,117 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $134.40 | $192 | 0.2× |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$77.70–$249.20 | $111–$356 | varies |
| Unlisted procedure nervous system (64999) | $188.30 | $269 | 0.6× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $2,282.70 | $3,261 | 9.4× |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$1,596–$1,650.60 | $2,280–$2,358 | varies |
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.