Procedures & surgery prices at Carlinville Area Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $412.30 $589 0.4×
Acne surgery (10040) $137.90 $197 0.6×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,305.40 $4,722 0.9×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,914.50 $2,735 0.9×
Anoscopy diagnostic (46600) $93.10 $133 0.7×
Application finger splint static (29130)
range across 3 matching MRF lines
$63–$108.50 $90–$155 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$148.40–$353.50 $212–$505 varies
Application Long Leg Splint (29505) $307.30 $439 1.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$108.50–$421.40 $155–$602 varies
Application short leg splint calf foot (29515) $391.30 $559 2.2×
Apply Multlay Comprs Lwr Leg (29581) $341.60 $488 2.0×
Arterial puncture (36600) $62.30 $89 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines
$91.70–$205.10 $131–$293 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $92.40 $132 0.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines
$115.50–$532.70 $165–$761 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $149.80 $214 0.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines
$93.80–$205.10 $134–$293 varies
Aspirate pleura w/ imaging (32555) $431.90 $617 0.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 5 matching MRF lines
$123.20–$213.50 $176–$305 varies
Biopsy Abdominal Mass (49180) $5,244.40 $7,492 3.0×
Biopsy external ear (69100) $117.60 $168 0.5×
Biopsy nail unit (11755) $158.20 $226 0.2×
Biopsy of lip (40490) $526.40 $752 2.1×
Biopsy of liver, needle; percutaneous (47000) $5,244.40 $7,492 3.0×
Biopsy Oropharynx (42800) $253.40 $362 0.2×
Biopsy Salivary Gland Incisional (42405) $260.40 $372 0.2×
Biopsy Tongue Anterior Two-Thirds (41100) $380.80 $544 0.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines
$33.60–$170.10 $48–$243 varies
Biopsy, vestibule of mouth (40808) $497.70 $711 0.9×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$112–$219.80 $160–$314 varies
Bladder Scan (51798)
range across 2 matching MRF lines
$180.60–$213.50 $258–$305 varies
Blepharotomy drainage abscess eyelid (67700) $270.20 $386 0.8×
Blood Transfusion Service (36430)
range across 6 matching MRF lines
$660.80–$1,747.20 $944–$2,496 varies
Bone Marrow; Aspiration Only (38220) $75.60 $108 0.0×
Bx breast 1st lesion us imag (19083) $3,088.40 $4,412 1.7×
Bx Cervix (57500) $270.20 $386 0.3×
Change Cystostomy Tube Simple (51705) $70 $100 0.3×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines
$151.20–$451.50 $216–$645 varies
Chest tube placement (32551) $1,690.50 $2,415 1.0×
Clear outer ear canal (69200)
range across 4 matching MRF lines
$127.40–$151.90 $182–$217 varies
Closed Treatment Ulnar Styloid Fracture (25650) $936.60 $1,338 3.5×
Closed tx ankle dislocation w/o anesthesia (27840) $406 $580 1.5×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $172.20 $246 0.7×
Closed tx patellar dislocation w/o anesthesia (27560) $172.20 $246 0.7×
Closed tx radial shaft fracture w/manipulation (25505) $1,319.50 $1,885 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $102.90 $147 0.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $251.30 $359 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,514.80 $2,164 0.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $710.50 $1,015 2.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $742.70 $1,061 0.4×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $296.10 $423 1.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $349.30 $499 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,261.40 $1,802 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $429.80 $614 1.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,779.40 $2,542 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,127 $1,610 4.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $213.50 $305 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$522.90–$602.70 $747–$861 varies
Cltx metacarpal fx w/manipulation each bone (26605) $704.20 $1,006 2.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $172.20 $246 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $290.50 $415 1.1×
Cltx post hip arthrp dislc w/o anes (27265) $384.30 $549 1.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $228.20 $326 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $438.90 $627 0.3×
Collect Blood From Catheter Venous Nos (36592) $41.30 $59 0.3×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$17.50–$18.90 $25–$27 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $307.30 $439 0.9×
Colposcopy Cervix Endocervical Curettage (57456) $274.40 $392 0.8×
Colposcopy cervix upper/adjacent vagina (57452) $228.90 $327 1.1×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $290.50 $415 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $320.60 $458 0.3×
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines
$449.40–$533.40 $642–$762 varies
Control Nasal Hemorrhage Anterior Complex (30903) $338.80 $484 2.4×
Control Nasal Hemorrhage Anterior Simple (30901) $364.70 $521 2.6×
Create Eardrum Opening (69433) $514.50 $735 0.9×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $93.10 $133 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $166.60 $238 1.2×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $166.60 $238 0.7×
Cystourethroscopy (52000) $1,750 $2,500 2.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines
$76.30–$957.60 $109–$1,368 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $957.60 $1,368 1.2×
Debride nail 1-5 (11720) $66.50 $95 1.1×
Debride nail 6 or more (11721) $66.50 $95 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,667 $3,810 1.5×
Debridement Mastoidectomy Cavity Simple (69220) $74.90 $107 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines
$47.60–$851.20 $68–$1,216 varies
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines
$99.40–$219.10 $142–$313 varies
Destruction Benign Lesions 15/> (17111) $253.40 $362 1.2×
Destruction of skin lesions (17106) $581.70 $831 1.3×
Destruction Premalignant Lesion 15/> (17004)
range across 2 matching MRF lines
$180.60–$371.70 $258–$531 varies
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines
$103.60–$107.80 $148–$154 varies
Dilate Esophagus 1/Mult Pass (43450) $2,848.30 $4,069 2.9×
Drain Cerebro Spinal Fluid (62272) $357 $510 0.5×
Drain/inj small joint/bursa w/us (20604) $112.70 $161 0.3×
Drainage external ear abscess/hematoma cmplx (69005) $436.10 $623 0.2×
Drainage External Ear Abscess/Hematoma Simple (69000) $257.60 $368 0.3×
Drainage Finger Abscess Complicated (26011) $429.10 $613 0.2×
Drainage of finger abscess simple (26010) $247.80 $354 1.2×
Drainage of gum lesion (41800)
range across 2 matching MRF lines
$381.50–$470.40 $545–$672 varies
Drainage of hematoma/fluid (10140)
range across 5 matching MRF lines
$58.80–$445.20 $84–$636 varies
Drainage of scrotum (54700) $497 $710 0.2×
Draw Blood Off Venous Device (36591) $41.30 $59 0.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $287 $410 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines
$121.80–$381.50 $174–$545 varies
Dstrj Lesion Penis Simple Cryosurgery (54056) $371.70 $531 1.7×
Egd place gastrostomy tube (43246) $3,507 $5,010 1.7×
Endometrial Biopsy (58100) $182.70 $261 0.8×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines
$84–$137.90 $120–$197 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 2 matching MRF lines
$124.60–$221.90 $178–$317 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines
$72.80–$364 $104–$520 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines
$312.20–$468.30 $446–$669 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $247.10 $353 0.3×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $338.80 $484 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 4 matching MRF lines
$44.10–$220.50 $63–$315 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $280 $400 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines
$240.80–$1,191.40 $344–$1,702 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $347.90 $497 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,752.80 $2,504 0.6×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,283.80 $1,834 0.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines
$203–$333.90 $290–$477 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $299.60 $428 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $396.90 $567 0.2×
Excis Mouth Mucosa/Sub,No Repair (40810) $1,199.80 $1,714 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines
$383.60–$828.10 $548–$1,183 varies
Excision lesion mouth roof (42104) $549.50 $785 0.2×
Excision Lesion Tongue W/O Closure (41110) $1,872.50 $2,675 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $399 $570 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $426.30 $609 1.0×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $898.10 $1,283 1.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $305.90 $437 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $559.30 $799 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $893.90 $1,277 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $438.90 $627 0.6×
Excision Multiple External Papillae/Tags Anus (46230)
range across 2 matching MRF lines
$303.10–$550.90 $433–$787 varies
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $891.10 $1,273 0.5×
Excision/destruction intranasal lesion int appr (30117) $702.80 $1,004 0.2×
Exploration penetrating wound spx extremity (20103) $1,398.60 $1,998 0.8×
Fasciotomy, foot and/or toe (28008) $2,380.70 $3,401 0.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $3,507 $5,010 3.5×
I&d abscess simple (10060)
range across 5 matching MRF lines
$43.40–$758.80 $62–$1,084 varies
I&d perianal abscess superficial (46050) $228.90 $327 0.2×
I&d pilonidal cyst complicated (10081) $411.60 $588 0.5×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$247.10–$435.40 $353–$622 varies
Incise external hemorrhoid (46083)
range across 3 matching MRF lines
$273.70–$364.70 $391–$521 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines
$319.90–$663.60 $457–$948 varies
Incision & removal foreign body subq tiss compl (10121) $616.70 $881 0.3×
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines
$51.80–$270.20 $74–$386 varies
Incision and drainage of bartholin's gland abscess (56420) $210 $300 1.0×
Incision and drainage of vulva or perineal abscess (56405) $240.80 $344 0.7×
Incision of rectal abscess (46040) $410.20 $586 0.3×
Incisional biopsy eyelid skin & lid margin (67810) $199.50 $285 0.6×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines
$54.60–$272.30 $78–$389 varies
Initial Tx 1st Degree Burn Local Tx (16000) $116.20 $166 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines
$102.90–$225.40 $147–$322 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 5 matching MRF lines
$101.50–$898.10 $145–$1,283 varies
Injection single/mlt trigger point 3/> muscles (20553) $135.10 $193 0.4×
Injection, anesthetic agent; brachial plexus, single (64415) $1,621.90 $2,317 1.7×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$154.70–$1,250.90 $221–$1,787 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines
$133–$1,268.40 $40–$1,812 varies
Injection, intralesional; up to and including 7 lesions (11900) $96.60 $138 0.4×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $84.70 $121 0.1×
Insert Bladder Cath Complex (51703) $404.60 $578 2.9×
Insert Drug Implant Device (11981) $179.90 $257 1.3×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$1,740.20–$1,783.60 $2,486–$2,548 varies
Insert pessary/other device (57160) $133.70 $191 0.6×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines
$114.10–$221.20 $163–$316 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines
$81.20–$103.60 $116–$148 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,771.30 $3,959 1.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,848.30 $4,069 0.8×
Intubation endotracheal emergency procedure (31500) $798.70 $1,141 3.1×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $639.80 $914 1.5×
Late closure of wound (13160) $1,505.70 $2,151 0.4×
Middle ear surgery proc unlisted (69799) $119 $170 0.5×
N block inj intercost sng (64420) $1,250.90 $1,787 1.7×
N Block Inj Plantar Digit (64455) $379.40 $542 1.2×
Needle Biopsy Lymph Nodes (38505) $1,624.70 $2,321 0.9×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $436.10 $623 1.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines
$172.20–$411.60 $246–$588 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $244.30 $349 0.3×
Percut Drain/Inject Renal Cyst (50390) $513.80 $734 0.7×
Perineoplasty rpr perineum nonobstetrical spx (56810) $501.20 $716 0.1×
Perq dev breast 1st us imag (19285) $2,097.90 $2,997 2.8×
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines
$43.40–$850.50 $62–$1,215 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 5 matching MRF lines
$43.40–$240.80 $62–$344 varies
Puncture Aspiration Cyst Breast (19000) $108.50 $155 0.1×
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines
$200.20–$490.70 $286–$701 varies
Removal foreign body upper arm/elbow deep (24201) $548.80 $784 0.2×
Removal foreign body, intranasal; requiring general anesthesia (30310) $1,276.80 $1,824 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines
$26.60–$41.30 $38–$59 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines
$84.70–$99.40 $121–$142 varies
Removal implantable contraceptive capsules (11976) $260.40 $372 0.3×
Removal of intranasal lesion (30118) $2,854.60 $4,078 0.8×
Removal of nail bed (11750)
range across 3 matching MRF lines
$280–$346.50 $400–$495 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $158.90 $227 0.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $221.90 $317 0.1×
Remove drug implant device (11982) $203 $290 0.4×
Remove foreign body from eye (65205)
range across 3 matching MRF lines
$89.60–$104.30 $128–$149 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines
$197.40–$198.10 $282–$283 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$76.30–$205.10 $109–$293 varies
Remove palate/lesion (42120) $6,244.70 $8,921 1.0×
Remove/Insert Drug Implant (11983) $259 $370 0.5×
Renal Biopsy Perq (50200) $5,244.40 $7,492 3.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $592.90 $847 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $751.10 $1,073 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $370.30 $529 0.9×
Repair complex trunk 1.1-2.5 cm (13100) $240.80 $344 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$415.10–$549.50 $593–$785 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $494.20 $706 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $182 $260 0.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $620.20 $886 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 4 matching MRF lines
$94.50–$471.80 $135–$674 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $483.70 $691 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $519.40 $742 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $582.40 $832 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $375.90 $537 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $472.50 $675 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $501.90 $717 1.2×
Repair tongue laceration (41250) $362.60 $518 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$99.40–$138.60 $142–$198 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $126.70 $181 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $301.70 $431 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $804.30 $1,149 0.5×
Rplc Gtube No Revj Trc (43762) $950.60 $1,358 3.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $788.90 $1,127 3.7×
Shave skin lesion 0.5 cm/< (11300) $174.30 $249 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $201.60 $288 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines
$182–$214.90 $260–$307 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $212.80 $304 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 3 matching MRF lines
$186.90–$237.30 $267–$339 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines
$218.40–$273 $312–$390 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $210.70 $301 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $269.50 $385 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $237.30 $339 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $377.30 $539 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines
$200.20–$493.50 $286–$705 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $511 $730 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $308.70 $441 1.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines
$130.90–$493.50 $187–$705 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $288.40 $412 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $788.90 $1,127 3.7×
Skin sub graft trnk/arm/leg (15271) $1,960 $2,800 2.5×
Skin sub grft t/arm/lg child (15273) $113.40 $162 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$203.70–$511 $291–$730 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $793.10 $1,133 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $274.40 $392 0.6×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines
$568.40–$1,421 $812–$2,030 varies
Strapping Unna Boot (29580) $340.90 $487 2.0×
Tangential biopsy skin single lesion (11102) $174.30 $249 0.4×
Tooth extraction (41899)
range across 2 matching MRF lines
$168–$396.20 $240–$566 varies
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,174.60 $1,678 2.0×
Treat Knuckle Dislocation (26700) $695.10 $993 2.6×
Treatment closed elbow dislocation w/o anes (24600) $821.80 $1,174 3.1×
Trim skin lesion (11055)
range across 2 matching MRF lines
$46.90–$66.50 $67–$95 varies
Trim skin lesions 2 to 4 (11056) $99.40 $142 0.5×
Trim skin lesions over 4 (11057) $128.10 $183 0.6×
Trimming Nondystrophic Nails Any Number (11719) $50.40 $72 0.8×
Tx Gastro Intub W/Asp (43753) $235.20 $336 1.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $195.30 $279 0.2×
Unlisted Procedure External Ear (69399) $119 $170 0.5×
Unlisted procedure nervous system (64999) $266.70 $381 0.8×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $126 $180 0.5×
Unlisted Procedure Tongue Floor Mouth (41599) $167.30 $239 0.7×
Vaginal delivery only (59409) $2,639 $3,770 0.8×
Wedge excision skin nail fold (11765) $261.10 $373 0.6×

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.