Procedures & surgery prices at Carle Richland Memorial Hospital

Olney, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,113–$2,216 $1,113–$2,216 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $1,229–$1,565 $1,229–$1,565 varies
Ablation ire liver 1+ tumors w/img gdn perq (47384) $56,956 $56,956 5.0×
Ablation ire prst8 1 or more tumors percutaneous (55877) $56,956 $56,956 5.0×
Amniocentesis diagnostic (59000) $1,250 $1,250 1.3×
Amputation foot transmetarsal (28805) $2,163 $2,163 0.6×
Amputation metatarsal with toe single (28810) $3,602 $3,602 1.0×
Amputation toe interphalangeal joint (28825) $3,371 $3,371 1.0×
Amputation toe metatarsophalangeal joint (28820) $3,707 $3,707 1.1×
Anoscopy diagnostic (46600) $704 $704 4.9×
Anoscopy; with biopsy, single or multiple (46606) $1,470 $1,470 1.1×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $851 $851 0.3×
Application Finger Splint Dynamic (29131) $425 $425 6.7×
Application finger splint static (29130) $350 $350 2.5×
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $520–$560 $520–$560 varies
Application Long Leg Splint (29505) $540 $540 3.1×
Application Short Arm Splint Dynamic (29126) $450 $450 3.2×
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines		 $399–$450 $399–$450 varies
Application short leg splint calf foot (29515)
range across 6 matching MRF lines		 $420–$495 $420–$495 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $385–$499 $385–$499 varies
Arterial puncture (36600) $184 $184 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $378–$977 $378–$977 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $830 $830 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $494–$1,166 $494–$1,166 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,103 $1,103 3.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $830–$977 $830–$977 varies
Arthrodesis great toe interphalangeal joint (28755)
unusually low: confirm this is the full procedure		 $3,528 $3,528 0.5×
Arthrodesis great toe metatarsophalangeal joint (28750) $5,366 $5,366 0.7×
Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) $5,250 $5,250 3.0×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $1,439–$4,694 $1,439–$4,694 varies
Aspirate Pleura W/O Imaging (32554) $1,302 $1,302 1.9×
Aspiration and/or injection thyroid cyst (60300) $1,670 $1,670 2.2×
Aspiration bladder insert suprapubic catheter (51102) $2,058 $2,058 0.9×
Biopsy Abdominal Mass (49180) $1,953 $1,953 1.1×
Biopsy muscle percutaneous needle (20206) $1,796 $1,796 1.0×
Biopsy of liver, needle; percutaneous (47000) $1,953 $1,953 1.1×
Biopsy Pleura Percutaneous Needle (32400) $2,027 $2,027 1.1×
Biopsy Prostate Any Approach Nonimaging-Guided (55705) $6,068 $6,068 1.6×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $18,887 $18,887 5.0×
Bladder instillation anticarcinogenic agent (51720) $1,145 $1,145 1.5×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $525–$588 $525–$588 varies
Bladder Scan (51798) $284 $284 4.5×
Blood Transfusion Service (36430) $1,580 $1,580 3.3×
Bone Marrow Biopsy (38221) $1,953 $1,953 1.1×
Bx breast 1st lesion strtctc (19081) $8,232 $8,232 4.7×
Bx breast 1st lesion us imag (19083) $3,864 $3,864 2.2×
Bx prostate in-bore CT/MRI trgt les only 1st (55714) $28,729 $28,729 5.0×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $18,887 $18,887 5.0×
Bx prostate transperineal ultrasound-guided (55709) $18,887 $18,887 5.0×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $18,887 $18,887 5.0×
Bx prst8 in-bore CT/MRI bx 1 (55713) $28,729 $28,729 5.0×
Bx prst8 tprn us w/MRI fus 1 (55710) $18,887 $18,887 5.0×
Bx prst8 trct us w/MRI fus 1 (55708) $18,887 $18,887 5.0×
Bx/exc lymph node open deep axillary node (38525) $1,617 $1,617 0.4×
Bx/exc lymph node open superficial (38500) $2,541 $2,541 0.6×
Catheter aspiration nasotracheal spx (31720) $252 $252 1.1×
Change Cystostomy Tube Simple (51705) $851 $851 3.2×
Chemodenerv trunk musc 1-5 (64646) $1,544 $1,544 2.0×
Circumcision 28 days or older (54161) $2,678 $2,678 1.2×
Circumcision w/clamp/oth dev w/block (54150) $1,071 $1,071 0.5×
Clear outer ear canal (69200) $609 $609 4.3×
Closed tx metatarsal fracture w/o manipulation (28470) $1,491 $1,491 5.6×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $5,607 $5,607 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $2,111 $2,111 8.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,743 $1,743 6.6×
Cltx Med Ankle Fx W/Mnpj (27762) $3,171 $3,171 1.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $998 $998 3.8×
Collect Blood From Catheter Venous Nos (36592) $452 $452 3.2×
Collection of venous blood by venipuncture (36415) $40 $40 4.3×
Colonoscopy w/submucosal inj (45381) $3,633 $3,633 2.8×
Colposcopy entire vagina w/cervix if present (57420) $882 $882 2.7×
Colsc Flexible W/Control Bleeding Any Method (45382) $4,809 $4,809 3.8×
Control Nasal Hemorrhage Anterior Complex (30903) $1,029 $1,029 7.2×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $5,975 $5,975 2.9×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $3,749 $3,749 2.1×
Correction hammertoe (28285) $2,930 $2,930 0.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $1,638 $1,638 11.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,670 $1,670 6.6×
Cysto Bladder W/Ureteral Catheterization (52005) $1,974 $1,974 0.9×
Cysto calibration dilat urtl strix/stenosis (52281) $2,163 $2,163 1.0×
Cysto w/destruction of lesions (52214) $5,219 $5,219 1.4×
Cysto w/insert ureteral stent (52332) $2,919 $2,919 0.8×
Cysto w/irrig & evac multple obstructing clots (52001) $4,158 $4,158 1.1×
Cysto w/removal of lesions small (52224) $5,397 $5,397 1.4×
Cysto w/removal of tumors small (52234) $2,814 $2,814 0.7×
Cysto W/Simple Removal Stone & Stent (52310) $2,247 $2,247 1.0×
Cysto w/ureter stricture tx (52341) $861 $861 0.2×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $7,329 $7,329 1.9×
Cysto w/urtroscopy w/tx ureteral stricture (52344) $4,253 $4,253 1.1×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $4,253 $4,253 1.1×
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $5,366 $5,366 0.9×
Cysto/uretero w/lithotripsy (52356) $5,303 $5,303 0.9×
Cystourethroscopy (52000) $1,302 $1,302 1.7×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $5,061 $5,061 1.3×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,696 $3,696 1.0×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $6,048 $6,048 1.1×
Cystourethroscopy with biopsy (52204) $2,447 $2,447 1.1×
Cystourethroscopy with direct vision internal urethrotomy (52276) $3,035 $3,035 1.4×
Cystourethroscopy, with internal urethrotomy; male Facility (52275) $3,759 $3,759 1.7×
Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) $38,879 $38,879 5.0×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,607 $1,607 2.0×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $746–$1,071 $746–$1,071 varies
Declot vascular device (36593) $1,124 $1,124 3.2×
Destroy cerv/thor facet jnt (64633) $7,361 $7,361 3.5×
Destroy lumb/sac facet jnt (64635) $6,048 $6,048 2.9×
Destruct B9 Lesion 1-14 (17110) $473 $473 2.2×
Destruction neurolytic agt genicular nerve w/img (64624) $4,536 $4,536 2.2×
Diagnostic sigmoidoscopy (45330) $1,092 $1,092 1.1×
Dilate Esophagus 1/Mult Pass (43450) $284 $284 0.3×
Drainage of gum lesion (41800) $1,092 $1,092 7.7×
Drainage of hematoma/fluid (10140) $935 $935 0.5×
Drainage of scrotal wall abscess (55100) $1,386 $1,386 0.8×
Draw Blood Off Venous Device (36591) $210 $210 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $798 $798 3.7×
Dstrj lesion anus simple surg excision (46922) $1,502 $1,502 0.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,279 $2,279 2.4×
Dx Bronchoscope/Wash (31622) $2,909 $2,909 1.5×
Egd Flexible Foreign Body Removal (43247) $2,258 $2,258 2.3×
Egd place gastrostomy tube (43246) $704 $704 0.3×
Egd remove lesion snare (43251) $2,447 $2,447 1.2×
Egd Tube/Cath Insertion (43241) $2,058 $2,058 1.0×
Endoscopic plantar fasciotomy (29893) $1,554 $1,554 0.4×
Epididymectomy unilateral (54860) $1,491 $1,491 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,229 $1,229 0.7×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $3,812 $3,812 0.9×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $1,617 $1,617 2.1×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $2,310 $2,310 1.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $704 $704 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $662 $662 0.4×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $819 $819 1.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $998 $998 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,208 $1,208 1.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,079 $2,079 0.7×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,869 $1,869 1.1×
Exc Skin Benig >4cm Face,Facial (11446) $2,762 $2,762 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $903 $903 1.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,465 $3,465 1.1×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $5,849 $5,849 1.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,113 $1,113 0.6×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $5,670 $5,670 2.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,880 $1,880 1.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,365 $1,365 1.8×
Excision Multiple External Papillae/Tags Anus (46230) $1,848 $1,848 0.6×
Excision of extraparenchymal lesion of testis (54512) $1,659 $1,659 0.4×
Excision of hydrocele; bilateral (55041) $1,827 $1,827 0.5×
Excision of hydrocele; unilateral (55040) $4,095 $4,095 1.1×
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) $4,683 $4,683 1.3×
Excision Pilonidal Cyst/Sinus Complicated (11772) $4,946 $4,946 1.6×
Excision Pilonidal Cyst/Sinus Extensive (11771) $4,179 $4,179 1.3×
Excision spermatocele w/wo epididymectomy (54840) $1,145 $1,145 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,864 $3,864 2.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $3,045 $3,045 1.0×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $6,374 $6,374 2.0×
Excision/destruction lesion pharynx any method (42808) $7,340 $7,340 2.1×
External cephalic version (59412) $3,213 $3,213 0.9×
Fetal non-stress test (59025) $893 $893 4.1×
Fluoro exam of g/colon tube (49465) $725 $725 2.8×
Fna bx w/us gdn 1st les (10005) $1,208 $1,208 1.6×
Fusion of foot bones (28740) $5,859 $5,859 0.8×
Gene analysis for detection of infectious agent and drug resistance gene (0112U) $355 $355 1.0×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,644 $3,644 1.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $4,127 $4,127 1.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,271 $1,271 1.3×
Hysteroscopy Removal Impacted Foreign Body (58562) $10,710 $10,710 3.1×
I&d abscess peritonsillar (42700) $777 $777 3.1×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $599–$683 $599–$683 varies
I&d perianal abscess superficial (46050) $1,082 $1,082 1.1×
I&d pilonidal cyst complicated (10081) $1,554 $1,554 2.0×
Image Cath Fluid Colxn Visc (49405) $3,140 $3,140 1.8×
Image Cath Fluid Peri/Retro (49406) $4,200 $4,200 2.4×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $893–$1,218 $893–$1,218 varies
Incision & removal foreign body subq tiss compl (10121) $1,565 $1,565 0.9×
Incision & removal foreign body subq tiss simple (10120) $798 $798 1.8×
Incision bone cortex foot (28005) $2,037 $2,037 0.6×
Incision of rectal abscess (46040) $2,625 $2,625 2.0×
Incision of urethra (53020) $1,575 $1,575 0.7×
Initial open implantation of baroreflex activation therapy (bat) modulation system, including lead placement onto the… (64654) $236,005 $236,005 5.0×
Initial Tx 1st Degree Burn Local Tx (16000) $368 $368 1.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines		 $1,008–$2,930 $1,008–$2,930 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $1,911 $1,911 5.8×
Injection aa&/strd genicular nrv branches w/img (64454)
range across 3 matching MRF lines		 $2,279–$3,119 $2,279–$3,119 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $2,814–$3,560 $2,814–$3,560 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $1,302–$1,449 $1,302–$1,449 varies
Injection for identification of sentinel node (38792) $1,491 $1,491 3.5×
Injection single tendon origin/insertion (20551) $935 $935 2.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $945–$1,113 $945–$1,113 varies
Insert Bladder Cath Complex (51703) $1,491 $1,491 10.8×
Insert cath pleura w/ image (32557) $2,112 $2,112 1.3×
Insert cath pleura w/o image (32556) $5,711 $5,711 2.8×
Insert Gastrostomy Tube Percutaneous (49440) $10,101 $10,101 4.9×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $194–$641 $194–$641 varies
Insert tunneled cv cath (36561) $8,085 $8,085 2.4×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $236–$494 $236–$494 varies
Insj Picc Rs&I <5 Yr (36572) $1,092 $1,092 1.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $5,943 $5,943 0.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $1,166–$1,355 $1,166–$1,355 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $4,494 $4,494 0.7×
Laparoscopy, surgical, appendectomy (44970) $4,883 $4,883 0.8×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $1,785 $1,785 0.3×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $2,040 $2,040 4.9×
Litholapaxy comp/lg > 2.5 cm (52318) $5,082 $5,082 1.3×
Litholapaxy smpl/sm <2.5 cm (52317) $1,229 $1,229 0.3×
Lithotripsy, extracorporeal shock wave (50590) $10,364 $10,364 2.7×
Lysis of labial adhesions (56441) $1,208 $1,208 0.3×
Mastectomy partial (19301) $2,415 $2,415 0.6×
N Block Inj Plantar Digit (64455) $893 $893 2.7×
N Block Inj Pudendal (64430) $2,930 $2,930 3.1×
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines		 $609–$1,859 $609–$1,859 varies
Needle insertion w/o injection 1 or 2 muscles (20560) $89 $89 2.9×
Needle insertion w/o injection 3 or more muscles (20561) $56 $56 1.8×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $1,775 $1,775 2.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $1,964–$2,058 $1,964–$2,058 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,334 $1,334 4.1×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,011 $4,011 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $4,011 $4,011 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $1,901–$2,583 $1,901–$2,583 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 3 matching MRF lines		 $2,279–$2,930 $2,279–$2,930 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines		 $1,974–$2,783 $1,974–$2,783 varies
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $1,796 $1,796 2.4×
Open Treatment Fracture Distal Tibia & Fibula (27828) $10,406 $10,406 0.8×
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) $7,949 $7,949 1.0×
Open/Perq Place Stent 1St (37236) $28,833 $28,833 2.3×
Orchiectomy radical tumor inguinal approach (54530) $5,124 $5,124 1.3×
Orchiopexy Ingun/Scrot Appr (54640) $5,586 $5,586 1.5×
Ostectomy calcaneus (28118) $4,085 $4,085 1.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,386 $1,386 0.4×
Part remv talus or calcaneus (28120) $4,515 $4,515 1.3×
Partial removal of thyroid (60220)
unusually low: confirm this is the full procedure		 $2,195 $2,195 0.3×
Perineoplasty rpr perineum nonobstetrical spx (56810) $4,578 $4,578 1.3×
Perq dev breast 1st us imag (19285) $1,197 $1,197 1.6×
Perq device breast 1st imag (19281) $2,384 $2,384 1.3×
Perq Elec Nrv Field Stimj Cranial Nrv W/O Impltj (64567) $4,860 $4,860 5.0×
Perq sft tiss loc device plmt 1st les w/gdnce (10035) $2,625 $2,625 3.5×
Place Rt Device/Marker Pros (55876) $3,444 $3,444 2.3×
Placement of seton (46020) $1,638 $1,638 0.6×
Plmt Bile Duct Stent Prq Existing Access (47538) $11,750 $11,750 1.8×
Punch biopsy skin single lesion (11104) $473 $473 1.1×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $567–$599 $567–$599 varies
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $152–$2,006 $152–$2,006 varies
Redo Endovas Vena Cava Filtr (37192) $9,986 $9,986 3.0×
Removal bat modulation system total system (64657) $18,304 $18,304 5.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $305 $305 4.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $257 $257 4.1×
Removal Implant Deep (20680) $2,909 $2,909 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $446 $446 2.1×
Remove Intrauterine Device (58301) $620 $620 1.9×
Remove Nasal Foreign Body (30300) $693 $693 4.9×
Remove prostate regrowth (52630) $6,825 $6,825 1.2×
Repair Collat Ankle Ligmnt,Secondary (27698) $7,266 $7,266 0.9×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure		 $2,531 $2,531 0.3×
Repair incomplete circumcision (54163) $1,491 $1,491 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,250 $1,250 2.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,544 $1,544 3.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,218 $1,218 2.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,407 $1,407 3.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,008 $1,008 2.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,271 $1,271 2.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,533 $1,533 3.5×
Repair secondary achilles tendon w/wo graft (27654) $7,067 $7,067 0.9×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $10,101 $10,101 1.5×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $5,366 $5,366 1.4×
Revj/rplcmt bat mod sys lead (64655) $18,732 $18,732 5.0×
Revj/rplcmt bat mod sys pg (64656) $165,338 $165,338 5.0×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $30,496 $30,496 5.0×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $30,496 $30,496 5.0×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $98,223 $98,223 5.0×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $98,223 $98,223 5.0×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $98,223 $98,223 5.0×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $98,223 $98,223 5.0×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $61,855 $61,855 5.0×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $61,855 $61,855 5.0×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $61,855 $61,855 5.0×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $61,855 $61,855 5.0×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $30,496 $30,496 5.0×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $30,496 $30,496 5.0×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $61,855 $61,855 5.0×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $61,855 $61,855 5.0×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $61,855 $61,855 5.0×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $61,855 $61,855 5.0×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $98,223 $98,223 5.0×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $98,223 $98,223 5.0×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $98,223 $98,223 5.0×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $98,223 $98,223 5.0×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $98,223 $98,223 5.0×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $98,223 $98,223 5.0×
Rmvl bat modul sys lead only (64658) $18,732 $18,732 5.0×
Rmvl bat modulj sys pg only (64659) $18,732 $18,732 5.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,019 $1,019 0.6×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $7,298 $7,298 3.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,268 $2,268 1.3×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $746–$1,166 $746–$1,166 varies
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $6,153 $6,153 0.9×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,814 $2,814 0.7×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $6,353 $6,353 0.9×
Rpr aa hrn 1st 3-10 rdc (49593) $4,725 $4,725 0.7×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $1,512 $1,512 0.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,554 $1,554 7.2×
Rpr Nsl Vlv Collapse W/Implt (30468) $8,022 $8,022 1.3×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,985 $1,985 2.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $425 $425 0.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $221 $221 1.0×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,334 $1,334 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $924 $924 4.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $1,061 $1,061 4.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,271 $1,271 5.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $777 $777 3.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $1,134 $1,134 5.3×
Slitting of prepuce (54001) $1,365 $1,365 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $945 $945 4.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,344 $1,344 3.1×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $1,040–$1,250 $1,040–$1,250 varies
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) $7,854 $7,854 2.1×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $7,067 $7,067 3.2×
Strapping ankle (29540)
range across 6 matching MRF lines		 $588–$590 $588–$590 varies
Strapping elbow or wrist (29260) $295 $295 4.7×
Strapping hand/finger (29280) $295 $295 4.7×
Strapping Unna Boot (29580) $462 $462 2.7×
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $17,576 $17,576 2.8×
Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) $17,576 $17,576 2.8×
Surg tx anal fistula subq (46270) $3,371 $3,371 1.1×
Thyroid biopsy (60100) $1,491 $1,491 2.0×
Transcatheter biopsy (37200) $16,485 $16,485 2.8×
Transrectal abltj mal prst8 tissue hifu w/us (55880) $9,723 $9,723 1.0×
Transur electr resection of prostate (52601) $8,432 $8,432 1.5×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,722 $1,722 0.6×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines		 $257–$462 $257–$462 varies
Unlisted procedure foot or toes (28899) $872 $872 3.3×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,037 $2,037 0.9×
Wound Prep Trk/Arm/Leg (15002) $2,730 $2,730 3.4×

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.