Procedures & surgery prices at CentraCare - Melrose Hospital
Melrose, MN · every code in this section with a posted price and a Medicare benchmark.
246 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,390.74 | $1,783 | 1.5× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) | $5,116.80 | $6,560 | 1.4× |
| Amputation metatarsal with toe single (28810) | $2,527.20 | $3,240 | 0.7× |
| Amputation toe interphalangeal joint (28825) | $4,492.80 | $5,760 | 1.3× |
| Amputation toe metatarsophalangeal joint (28820) range across 3 matching MRF lines |
$5,335.20–$10,461.75 | $6,840–$13,412.50 | varies |
| Anoscopy Ablation Lesion (46615) | $192.82 | $247.20 | 0.1× |
| Anoscopy diagnostic (46600) | $129.56 | $166.10 | 0.9× |
| Application cast elbow finger short arm (29075) | $291.72 | $374 | 1.0× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$256.62–$968.76 | $329–$1,242 | varies |
| Application long arm splint shoulder hand (29105) | $358.80 | $460 | 2.1× |
| Application Long Leg Splint (29505) | $358.80 | $460 | 2.1× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$265.20–$547.56 | $340–$702 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$265.20–$280.80 | $340–$360 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$89.70–$102.96 | $115–$132 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$503.88–$592.80 | $646–$760 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$571.74–$4,156.10 | $733–$5,328.33 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $592.80 | $760 | 1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$456.30–$571.74 | $585–$733 | varies |
| Arthrodesis great toe metatarsophalangeal joint (28750) | $12,012 | $15,400 | 1.6× |
| Arthroscopy shoulder distal claviculectomy (29824) | $4,149.60 | $5,320 | 1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $2,228.79 | $2,857.42 | 0.7× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
$4,118.40–$12,468.30 | $5,280–$15,985 | varies |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $4,126.20 | $5,290 | 1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) | $17,721.60 | $22,720 | 2.4× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $8,010.72 | $10,270.16 | 1.1× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) range across 2 matching MRF lines |
$2,228.79–$10,842 | $2,857.42–$13,900 | varies |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
$4,156.11–$8,252.40 | $5,328.34–$10,580 | varies |
| Aspiration and/or injection thyroid cyst (60300) | $125.81 | $161.30 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$330.72–$989.82 | $424–$1,269 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $633.36 | $812 | 0.9× |
| Bladder Irrigation (51700) | $517.92 | $664 | 2.0× |
| Bladder Scan (51798) range across 3 matching MRF lines |
$159.90–$517.92 | $205–$664 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$2,509.65–$5,855.85 | $3,217.50–$7,507.50 | varies |
| Bx breast 1st lesion us imag (19083) | $2,340 | $3,000 | 1.4× |
| Bx/exc lymph node open superficial (38500) | $6,318 | $8,100 | 1.6× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$4,773.60–$4,867.20 | $6,120–$6,240 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$156.78–$583.44 | $201–$748 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$103.74–$5,830.50 | $133–$7,475 | varies |
| Chemodenervation of internal anal sphincter (46505) | $2,015 | $2,583.33 | 1.6× |
| Cl Tx Scapular Fx; W Manip (23575) | $684.84 | $878 | 0.4× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$191.10–$557.70 | $245–$715 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $547.56 | $702 | 0.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $684.84 | $878 | 0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $684.84 | $878 | 2.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $684.84 | $878 | 2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 4 matching MRF lines |
$547.56–$12,675 | $702–$16,250 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$547.56–$684.84 | $702–$878 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) | $684.84 | $878 | 0.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $265.20 | $340 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $684.84 | $878 | 2.7× |
| Cltx prox fibula/shft fx w/manj (27781) | $684.84 | $878 | 0.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $479.70 | $615 | 1.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $684.84 | $878 | 0.4× |
| Collect Blood From Catheter Venous Nos (36592) | $296.40 | $380 | 2.2× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$26.91–$53.82 | $34.50–$69 | varies |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $2,652 | $3,400 | 2.1× |
| Colonoscopy w/ablation (45388) | $2,496 | $3,200 | 2.0× |
| Colonoscopy W/Resection (45390) range across 2 matching MRF lines |
$405.60–$468 | $520–$600 | varies |
| Colonoscopy w/submucosal inj (45381) range across 4 matching MRF lines |
$1,187.55–$2,652 | $1,522.50–$3,400 | varies |
| Colporrhaphy (57200) | $5,327.40 | $6,830 | 1.6× |
| Colposcopy entire vagina w/cervix if present (57420) | $936 | $1,200 | 3.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $4,305.60 | $5,520 | 1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$634.14–$655.20 | $813–$840 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) | $655.20 | $840 | 4.8× |
| Correction hammertoe (28285) range across 3 matching MRF lines |
$2,535–$5,070 | $3,250–$6,500 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) | $6,162 | $7,900 | 1.8× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) | $12,606.75 | $16,162.50 | 1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $5,054.40 | $6,480 | 6.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $4,679.22 | $5,999 | 11.2× |
| Declot vascular device (36593) | $521.82 | $669 | 1.5× |
| Decompression of tibia nerve (28035) | $6,177.60 | $7,920 | 3.1× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $5,046.60 | $6,470 | 4.1× |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) | $5,327.40 | $6,830 | 4.3× |
| Division of stricture of rectum Facility (45150) | $5,265 | $6,750 | 4.3× |
| Drainage of hematoma/fluid (10140) | $877.50 | $1,125 | 0.5× |
| Draw Blood Off Venous Device (36591) | $352.56 | $452 | 2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$448.50–$507 | $575–$650 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$390–$448.50 | $500–$575 | varies |
| Dstrj lesion anus simple surg excision (46922) | $1,369.64 | $1,755.95 | 0.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 3 matching MRF lines |
$3,198–$4,108 | $4,100–$5,266.67 | varies |
| Egd Flexible Foreign Body Removal (43247) | $1,150.50 | $1,475 | 1.2× |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$405.60–$2,652 | $520–$3,400 | varies |
| Endometrial Biopsy (58100) | $928.20 | $1,190 | 4.4× |
| Epidural Blood Patch (62273) | $2,262 | $2,900 | 3.1× |
| Evacuation of subungual hematoma (11740) | $263.64 | $338 | 1.9× |
| Exc abdl tum deep 5 cm/> (22901) | $3,783 | $4,850 | 1.3× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$877.50–$1,219.97 | $1,125–$1,564.06 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $585 | $750 | 0.3× |
| Exc Back Les Sc < 3 Cm (21930) | $585 | $750 | 0.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $936 | $1,200 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $585 | $750 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$585–$2,788.50 | $750–$3,575 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $877.50 | $1,125 | 0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$236.73–$2,091.38 | $303.50–$2,681.25 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$292.50–$5,577 | $375–$7,150 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$585–$5,577 | $750–$7,150 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 3 matching MRF lines |
$585–$5,577 | $750–$7,150 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $585 | $750 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$585–$4,182.75 | $750–$5,362.50 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
$585–$8,365.50 | $750–$10,725 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$585–$5,577 | $750–$7,150 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $5,070 | $6,500 | 1.7× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $3,276 | $4,200 | 1.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $5,577 | $7,150 | 1.9× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $585 | $750 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $468 | $600 | 0.6× |
| Excision Multiple External Papillae/Tags Anus (46230) | $7,593.30 | $9,735 | 2.7× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $3,822 | $4,900 | 2.3× |
| Excision of pilonidal cyst or sinus; simple (11770) | $585 | $750 | 0.2× |
| Excision of single external papilla or tag, anus (46220) range across 2 matching MRF lines |
$585–$5,046.60 | $750–$6,470 | varies |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) | $2,059.20 | $2,640 | 0.6× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $10,233.60 | $13,120 | 3.4× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $2,915.25 | $3,737.50 | 1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$585–$5,577 | $750–$7,150 | varies |
| Excision, interdigital (morton) neuroma, single, each (28080) | $2,839.20 | $3,640 | 1.7× |
| Expl po hemrrg thrombosis/infctj xtr (35860) | $5,928 | $7,600 | 1.8× |
| Explo/Drain Breast Abscess (19020) | $4,914 | $6,300 | 2.9× |
| Fetal non-stress test (59025) | $292.50 | $375 | 1.4× |
| Fna bx w/us gdn 1st les (10005) | $1,464.84 | $1,878 | 2.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $5,752.50 | $7,375 | 2.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$585–$3,504.95 | $750–$4,493.53 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $10,982.40 | $14,080 | 3.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
$349.52–$2,106 | $448.10–$2,700 | varies |
| Hysteroscopy Biopsy (58558) | $5,850 | $7,500 | 1.8× |
| Hysteroscopy Endometrial Ablation (58563) | $6,988.80 | $8,960 | 1.4× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$509.34–$585 | $653–$750 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $485.16 | $622 | 0.2× |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$803.40–$2,651.22 | $1,030–$3,399 | varies |
| I&d pilonidal cyst simple (10080) | $585 | $750 | 0.8× |
| Incise finger tendon sheath (26055) range across 3 matching MRF lines |
$1,813.50–$5,440.50 | $2,325–$6,975 | varies |
| Incision & drainage abscess complicated/multiple (10061) | $936 | $1,200 | 2.2× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$185.41–$1,310.40 | $237.70–$1,680 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $509.34 | $653 | 1.6× |
| Incision extensor tendon sheath wrist (25000) | $3,900 | $5,000 | 2.3× |
| Incision of rectal abscess (46040) | $2,730 | $3,500 | 2.2× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $4,679.22 | $5,999 | 2.7× |
| Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory… (0311U) | $140.44 | $180.05 | 17.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $507 | $650 | 2.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,910.22 | $2,449 | 2.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $2,465.58 | $3,161 | 2.7× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) | $1,431.30 | $1,835 | 1.6× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$1,657.50–$2,289.30 | $2,125–$2,935 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $580.32 | $744 | 1.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 3 matching MRF lines |
$2,262–$3,091.14 | $2,900–$3,963 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$2,289.30–$3,161.34 | $2,935–$4,053 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$904.80–$1,937.52 | $1,160–$2,484 | varies |
| Insert pessary/other device (57160) | $5,647.20 | $7,240 | 27.1× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$206.70–$461.76 | $265–$592 | varies |
| Insert tunneled cv cath (36561) | $6,162 | $7,900 | 1.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$156–$922.74 | $200–$1,183 | varies |
| Intubation endotracheal emergency procedure (31500) | $1,216.80 | $1,560 | 5.0× |
| Lap insert tunnel ip cath (49324) | $11,310 | $14,500 | 1.8× |
| Lap paraesoph her rpr w/mesh (43282) | $16,594.50 | $21,275 | 1.5× |
| Laparoscopy aspiration (49322) | $3,705 | $4,750 | 0.6× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $9,734.40 | $12,480 | 1.6× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $16,438.50 | $21,075 | 2.6× |
| Laparoscopy w/rmvl adnexal structures (58661) | $15,756 | $20,200 | 2.5× |
| Laparoscopy, surgical, appendectomy (44970) | $11,778 | $15,100 | 1.9× |
| Laparoscopy, surgical, splenectomy (38120) | $10,140 | $13,000 | 0.9× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $11,797.50 | $15,125 | 1.9× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$9,204–$16,438.50 | $11,800–$21,075 | varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $7,410 | $9,500 | 1.2× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $10,608 | $13,600 | 1.7× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $5,557.50 | $7,125 | 0.9× |
| Ligation of hemorrhoids (46946) | $5,752.50 | $7,375 | 2.0× |
| Manipulation knee joint under general anesthesia (27570) | $5,850 | $7,500 | 3.5× |
| Mastectomy simple complete (19303) | $11,324.89 | $14,519.09 | 1.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $12.09 | $15.50 | 0.4× |
| Needle insertion w/o injection 3 or more muscles (20561) | $99.06 | $127 | 3.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $4,617.60 | $5,920 | 2.3× |
| Nipple Exploration (19110) | $8,814 | $11,300 | 2.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $968.76 | $1,242 | 3.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,588.08–$3,176.16 | $2,036–$4,072 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,746.42 | $2,239 | 2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $1,746.42 | $2,239 | 2.4× |
| Open Treatment Medial Malleolus Fracture (27766) | $12,675 | $16,250 | 1.7× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) | $8,346 | $10,700 | 1.1× |
| Open tx interphalangeal joint dislocation (26785) | $585 | $750 | 0.2× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) | $11,524.50 | $14,775 | 1.5× |
| Ostectomy calcaneus (28118) | $3,276 | $4,200 | 1.0× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $6,302.40 | $8,080 | 1.9× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) range across 2 matching MRF lines |
$4,134–$5,678.40 | $5,300–$7,280 | varies |
| Partial removal of thyroid (60220) | $12,636 | $16,200 | 2.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $12,636 | $16,200 | 2.0× |
| Partical Excision Bone Phalanx Toe (28124) | $12,109.50 | $15,525 | 3.6× |
| Placement of needle for intraosseous infusion (36680) | $448.50 | $575 | 1.0× |
| Placement of seton (46020) range across 2 matching MRF lines |
$803.40–$1,606.80 | $1,030–$2,060 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$877.50–$3,393 | $1,125–$4,350 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$158.42–$639.60 | $203.10–$820 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $557.70 | $715 | 1.7× |
| Removal Foreign Body Foot Subcutaneous (28190) | $3,939 | $5,050 | 5.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $191.10 | $245 | 3.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $191.10 | $245 | 3.1× |
| Removal Implant Deep (20680) | $5,499 | $7,050 | 1.8× |
| Removal of anal fissure (46200) | $8,039.85 | $10,307.50 | 2.8× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$956.28–$1,954.68 | $1,226–$2,506 | varies |
| Removal of sesamoid bone (28315) | $14,227.20 | $18,240 | 4.2× |
| Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
$3,153.98–$5,479.50 | $4,043.57–$7,025 | varies |
| Removal of testis (54520) | $1,613.04 | $2,068 | 0.4× |
| Removal Sutures/Staples Requiring Anesthesia (15851) | $5,327.40 | $6,830 | 2.5× |
| Remove Intrauterine Device (58301) | $2,670.72 | $3,424 | 8.5× |
| Remove Nasal Foreign Body (30300) | $465.66 | $597 | 3.4× |
| Remove Tendon Sheath Lesion (26160) | $5,460 | $7,000 | 3.3× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $2,059.20 | $2,640 | 0.6× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $8,648.79 | $11,088.19 | 2.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $15,631.20 | $20,040 | 4.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $1,053 | $1,350 | 2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $877.50 | $1,125 | 2.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $877.50 | $1,125 | 2.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $877.50 | $1,125 | 2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$292.50–$585 | $375–$750 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$292.50–$1,170 | $375–$1,500 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $234 | $300 | 0.6× |
| Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
$8,299.20–$13,260 | $10,640–$17,000 | varies |
| Repair tongue laceration (41250) | $585 | $750 | 1.3× |
| Repair/graft achilles tendon (27652) | $11,388 | $14,600 | 1.5× |
| Rerepair ing hernia reduce (49520) range across 3 matching MRF lines |
$8,330.40–$9,640.80 | $10,680–$12,360 | varies |
| Revision of foot (28116) | $12,109.50 | $15,525 | 3.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $557.70 | $715 | 1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $557.70 | $715 | 4.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $25,334.40 | $32,480 | 4.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$9,515.22–$10,959 | $12,199–$14,050 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) | $10,959 | $14,050 | 1.6× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $13,728 | $17,600 | 2.1× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $10,959 | $14,050 | 1.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $10,959 | $14,050 | 1.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,872 | $2,400 | 1.5× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$1,248–$2,652 | $1,600–$3,400 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $1,170 | $1,500 | 5.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $2,145 | $2,750 | 10.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$585–$1,120.86 | $750–$1,437 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $585 | $750 | 2.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$265.20–$585 | $340–$750 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $585 | $750 | 1.4× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$950.82–$2,188.68 | $1,219–$2,806 | varies |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$2,523.30–$5,460 | $3,235–$7,000 | varies |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $5,616 | $7,200 | 2.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) | $17,721.60 | $22,720 | 2.4× |
| Thyroidectomy, total or complete (60240) | $18,844.80 | $24,160 | 3.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) | $12,636 | $16,200 | 2.1× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) range across 6 matching MRF lines |
$1,248–$8,219.25 | $1,600–$10,537.50 | varies |
| Unlisted laparoscopy procedure, spermatic cord (55559) likely a partial charge, not the full procedure |
$78 | $100 | 0.0× |
| Unlisted procedure nervous system (64999) | $1,733.16 | $2,222 | 5.5× |
| Unlisted Procedure Rectum (45999) | $2,876.25 | $3,687.50 | 3.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,833 | $2,350 | 0.8× |
| Wound Prep F/N/Hf/G (15004) | $3,276 | $4,200 | 7.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.