Procedures & surgery prices at Chase County Community Hospital

Imperial, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $2,892 $2,892 3.1×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,599 $1,599 1.7×
Acne Surgery (10040) $188.50 $188.50 0.9×
Amputation Finger/Thumb (26951) $5,019 $5,019 1.5×
Amputation Toe Metatarsophalangeal Joint (28820) $68 $68 0.0×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $27 $27 0.2×
Application cast elbow finger short arm (29075) $181.50 $181.50 0.6×
Application Cast Finger (29086) $100 $100 0.6×
Application Cast Hand & Lower Forearm Gauntlet (29085) $211 $211 1.3×
Application cast shoulder hand long arm (29065) $220 $220 0.8×
Application finger splint static (29130) $92 $92 0.7×
Application long arm splint shoulder hand (29105) $195 $195 1.2×
Application long leg splint thigh ankle/toes (29505) $189 $189 1.1×
Application of long leg cast (29345) $312 $312 1.1×
Application Short Arm Splint Dynamic (29126) $413 $413 3.0×
Application short arm splint forearm-hand static (29125) $224 $224 1.6×
Application short leg splint calf foot (29515) $162 $162 1.0×
Apply multlay comprs arm/hand (29584) $290 $290 1.7×
Apply short leg cast (29405) $179 $179 0.6×
Apply short leg cast (29425) $65 $65 0.2×
Arterial puncture (36600) $150 $150 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $208 $208 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $239 $239 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $516.50 $516.50 1.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $80 $80 0.3×
Aspirat/Injection Ganglion Cyst(S) (20612) $116.50 $116.50 0.4×
Aspiration Bladder Insert Suprapubic Catheter (51102) $6,715 $6,715 3.1×
Avulsion nail plate partial/complete simple 1 (11730) $330 $330 1.6×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $114 $114 0.1×
Biopsy external ear (69100) $100 $100 0.4×
Biopsy of lip (40490) $101 $101 0.4×
Biopsy of penis (54100) $205 $205 0.1×
Biopsy of tongue (41100) $126 $126 0.2×
Biopsy of uterus lining (58100) $176.50 $176.50 0.8×
Bladder Instillation Anticarcinogenic Agent (51720) $100 $100 0.1×
Bladder Irrigation Simple (51700) $338.50 $338.50 1.3×
Bladder Scan (51798) $140.50 $140.50 2.3×
Blood transfusion service (36430) $1,271 $1,271 2.8×
Capsulotomy; interphalangeal joint, each joint (28272) $300 $300 0.2×
Catheter Aspiration Nasotracheal Spx (31720) $142 $142 0.6×
Change Cystostomy Tube Complicated (51710) $118 $118 0.2×
Change Cystostomy Tube Simple (51705) $363 $363 1.4×
Chemical Cautery Tissue (17250) $173 $173 0.8×
Chemodenerv Musc Migraine (64615) $647 $647 2.0×
Chest tube placement (32551) $751 $751 0.5×
Chg Collect Blood From Catheter Venous Nos (36592) $214 $214 1.5×
Circum 28 days or older (54161) $655 $655 0.3×
Circumcision (54150) $3,648 $3,648 1.7×
Circumcision Neonate (54160) $2,417 $2,417 3.3×
Closed Rx Humeral Supracondylar Fx (24530) $649.50 $649.50 2.5×
Closed Rx Med Malleolus Fx (27760) $693 $693 2.7×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $2,748 $2,748 1.6×
Closed Rx Radial Shaft Fx (25500) $600 $600 2.3×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $3,331 $3,331 2.0×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $5,138 $5,138 3.1×
Closed Rx Tibia Shaft Fx (27750) $756 $756 3.0×
Closed treatment nasal fracture w/stabilization (21320) $2,494 $2,494 0.7×
Closed treatment of broken top of shin bone at knee (27538) $970 $970 3.8×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $723 $723 2.8×
Closed tx ankle dislocation w/o anesthesia (27840) $896 $896 3.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,933 $1,933 1.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $817 $817 3.2×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $926 $926 3.6×
Closed tx knee dislocation w/o anesthesia (27550) $961 $961 3.8×
Closed tx metatarsal fracture w/o manipulation (28470) $534 $534 2.1×
Closed tx nasal fracture w/o stabilization (21315) $2,494 $2,494 1.5×
Closed tx patellar dislocation w/anesthesia (27562) $486 $486 1.9×
Closed tx patellar dislocation w/o anesthesia (27560) $618 $618 2.4×
Closed tx patellar fracture w/o manipulation (27520) $682 $682 2.7×
Closed tx radial head/neck fx w/o manipulation (24650) $655 $655 2.6×
Closed tx radial shaft fracture w/manipulation (25505) $2,564 $2,564 1.5×
Closed tx ulnar fracture prox end w/o manipulate (24670) $694 $694 2.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $580 $580 2.3×
Clsd tx clavicular fracture w/o manipulation (23500) $479 $479 1.9×
Clsd tx fx orbit except blowout w/o manipulation (21400) $987 $987 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,135 $2,135 1.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $479 $479 1.9×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $505 $505 2.0×
Cltx dstl fibular fx lat malls w/manj (27788) $918 $918 3.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $618 $618 2.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $450 $450 1.8×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $428 $428 1.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $725 $725 2.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,473.50 $1,473.50 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $998 $998 3.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $322.50 $322.50 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $753 $753 2.9×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $871 $871 3.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $257 $257 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $649 $649 2.5×
Cltx metacarpal fx w/manipulation each bone (26605) $779 $779 3.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $644 $644 2.5×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $710 $710 2.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $551.50 $551.50 2.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $479 $479 1.9×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $5,138 $5,138 3.1×
Cltx prox fibula/shft fx w/o manj (27780) $679 $679 2.7×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,844 $2,844 1.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $387.50 $387.50 1.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,824 $2,824 1.7×
Colonoscopy flex w/rem forcep (45384) $3,399 $3,399 2.7×
Colonoscopy thru stoma (44388) $2,388 $2,388 2.5×
Colonoscopy w/ablation (45388) $2,301 $2,301 1.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $334 $334 1.1×
Colsc flx with directed submucosal njx any sbst (45381) $2,251 $2,251 1.8×
Control Nasal Hemorrhage Anterior Complex (30903) $24 $24 0.2×
Control Nasal Hemorrhage Anterior Simple (30901) $299 $299 2.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $349 $349 2.5×
Cysto W/Simple Removal Stone & Stent (52310) $3,050 $3,050 1.4×
Cystourethroscopy (52000) $2,479 $2,479 3.4×
Cystourethroscopy Inj Chemodenervation Bladder (52287) $7,145 $7,145 3.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $122 $122 0.3×
Debride nail 1-5 (11720) $43 $43 0.7×
Debride nail 6 or more (11721) $19 $19 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $216 $216 0.5×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $93 $93 0.1×
Declot vascular device (36593) $640 $640 1.9×
Destruc Benign/Premal,15+ Lesions (17004) $364.50 $364.50 0.9×
Destruction benign lesions 15 or more (17111) $238.50 $238.50 1.1×
Destruction Benign Lesions Up To 14 (17110) $223 $223 1.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $219 $219 1.1×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $256 $256 1.2×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $181 $181 0.9×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $301.50 $301.50 1.4×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $186 $186 0.4×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $310 $310 1.5×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $308 $308 1.5×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $135 $135 0.6×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) $251 $251 1.2×
Destruction premalignant lesion 1st (17000) $152 $152 0.7×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $246 $246 0.3×
Diagnostic sigmoidoscopy (45330) $2,083 $2,083 2.2×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $146 $146 0.2×
Drain/inj small joint/bursa w/us (20604) $96 $96 0.3×
Drainage of eyelid abscess (67700) $597 $597 1.8×
Drainage of hematoma/fluid (10140) $298.50 $298.50 0.2×
Draw blood off venous device (36591) $227 $227 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $566 $566 2.7×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $272 $272 0.1×
Egd balloon dilation esophagus <30 mm diam (43249) $3,069 $3,069 1.5×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $6,251 $6,251 3.1×
Egd flexible foreign body removal (43247) $2,631 $2,631 2.8×
Egd rem tumr/polyp forcep (43250) $3,190 $3,190 1.6×
Egd remove lesion snare (43251) $3,069 $3,069 1.5×
Egd Transoral Control Bleeding Any Method - Egd (43255) $2,587 $2,587 1.3×
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $52 $52 0.2×
Electronic analysis reprogramming refill of spinal canal drug infusion (62369) $563 $563 1.8×
Endoscopy of bowel pouch (44385) $2,918 $2,918 3.0×
Evacuation of subungual hematoma (11740) $153 $153 1.1×
Exc arm/elbow les sc < 3 cm (24075) $234 $234 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $440 $440 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $318 $318 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $489 $489 0.3×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $381 $381 0.5×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $270 $270 0.6×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $251 $251 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $363.50 $363.50 0.5×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $296.50 $296.50 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $681 $681 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $919 $919 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,084 $1,084 0.6×
Exc tr-ext b9+marg 0.5 cm or less (11400) $299 $299 0.4×
Excise/repair mouth lesion (40812) $399 $399 0.2×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $425 $425 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $340 $340 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $433.50 $433.50 1.0×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $478.50 $478.50 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $688 $688 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $440 $440 0.6×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $403 $403 0.5×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $1,482 $1,482 2.0×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $326 $326 0.2×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $392 $392 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $561 $561 0.8×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $659 $659 0.4×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $369 $369 0.5×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $412 $412 0.6×
Excision of lesion of tongue without closure (41110) $297 $297 0.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $386.50 $386.50 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $226 $226 0.1×
Excision of nail fold toe (11765) $409 $409 1.0×
Explore & Treat Metacarpo-Phal Jt (26075) $725 $725 0.2×
Fetal Contraction Stress Test (59020) $227 $227 1.1×
Fetal non-stress test (59025) $489 $489 2.3×
Fine needle aspiration without imaging guidance (10021) $269 $269 0.6×
I&d abscess simple (10060) $286 $286 1.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $790 $790 0.3×
I&d perianal abscess superficial (46050) $270 $270 0.3×
I&d pilonidal cyst simple (10080) $315 $315 0.4×
I&D Upper Arm/Elbow Bursa (23931) $623 $623 0.4×
I&d upper arm/elbow deep abscess/hematoma (23930) $781 $781 0.3×
Incise finger tendon sheath (26055) $600 $600 0.4×
Incision & drainage abscess complicated/multiple (10061) $454 $454 1.1×
Incision & removal foreign body subq tiss compl (10121) $2,490 $2,490 1.5×
Incision & removal foreign body subq tiss simple (10120) $493 $493 1.2×
Incision of lingual frenum (41010) $269 $269 0.2×
Incision thrombosed hemorrhoid external (46083) $415.50 $415.50 1.6×
Incisional biopsy eyelid skin & lid margin (67810) $86 $86 0.3×
Incisional biopsy skin single lesion (11106) $331 $331 0.4×
Initial tx 1st degree burn local tx (16000) $213.50 $213.50 1.0×
Inj paravert f jnt c/t 1 lev (64490) $1,802 $1,802 2.0×
Inj tendon sheath/ligament (20550) $128 $128 0.4×
Inj,Anes Agent,Brachial Plexus,Single (64415) $1,647 $1,647 1.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,077 $3,077 3.4×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $29 $29 0.1×
Inject Nerv Blck,Intercost,Multpl (64421) $31 $31 0.0×
Inject Nerv Blck,Intercostal,One (64420) $72 $72 0.1×
Inject Tendon Origin/Insert (20551) $104.50 $104.50 0.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $2,368 $2,368 3.2×
Injection aa&/strd trigeminal nerve each branch (64400) $528 $528 1.7×
Injection anes other peripheral nerve/branch (64450) $656 $656 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $128 $128 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $528 $528 1.7×
Injection therapeutic carpal tunnel (20526) $229.50 $229.50 0.7×
Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) $1,552 $1,552 1.7×
Injection, anesthetic agent; greater occipital nerve (64405) $374 $374 1.2×
Injection, Intralesional; More Than 7 Lesions (11901) $154 $154 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $111.50 $111.50 0.5×
Insert Bladder Cath Complex (51703) $318.50 $318.50 2.4×
Insert cervical dilator (59200) $1,145 $1,145 3.6×
Insert Drug Implant Device (11981) $339 $339 2.5×
Insert non-tunnel cv cath (36556) $2,998 $2,998 0.9×
Insert pessary/other device (57160) $48 $48 0.2×
Insert picc cath (36569) $4,141 $4,141 2.5×
Insert Temp Bladder Cath (51702) $412 $412 3.0×
Insert,Non-Indwelling Bladder Catheter (51701) $146 $146 1.1×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,393 $2,393 1.5×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure
$209 $209 0.0×
Intubation endotracheal emergency procedure (31500) $490 $490 2.0×
Laryngoscopy Flexible Diagnostic (31575) $124 $124 0.6×
Lavage by cannulation; sphenoid sinus (31002) $399 $399 0.2×
Lithotripsy (50590) $11,624 $11,624 3.2×
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $83 $83 0.4×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $196 $196 0.5×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $424 $424 0.9×
Njx anes stellate ganglion crv sympathetic (64510) $225 $225 0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,810 $1,810 2.0×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $2,415 $2,415 3.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,234 $1,234 1.7×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $413 $413 1.0×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $426 $426 0.3×
Perq replacement gtube not req revj gstrst trc (43762) $582 $582 2.2×
Placement of needle for intraosseous infusion (36680) $447 $447 1.0×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $1,527 $1,527 1.6×
Prq impltj neurostim eltrd sacral nrve w/imaging (64561) $8,088 $8,088 1.2×
Punch biopsy skin single lesion (11104) $151 $151 0.4×
Puncture Aspiration (10160) $286 $286 0.7×
Removal fb intranasal (30300) $333.50 $333.50 2.4×
Removal foreign body foot subcutaneous (28190) $601 $601 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $495 $495 0.3×
Removal foreign body pharynx (42809) $364 $364 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $127.50 $127.50 2.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $181 $181 3.0×
Removal Implant Superficial Separate Procedure (20670) $303 $303 0.2×
Removal Implantable Contraceptive Capsules (11976) $317 $317 0.4×
Removal of indwelling tunneled pleural catheter with cuff (32552) $89 $89 0.1×
Removal of intrauterine device (iud) (58301) $200.50 $200.50 0.6×
Removal of nail bed (11750) $366 $366 0.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $161.50 $161.50 0.8×
Remove drug implant device (11982) $347 $347 0.7×
Remove Eyelid Foreign Body (67938) $578 $578 1.8×
Remv Ext Canal Foreign Body (69200) $234 $234 1.7×
Remv F.B.,Eye,Superf Conjunc (65205) $352 $352 2.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $743 $743 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $612 $612 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $647 $647 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $736 $736 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $703 $703 1.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $907 $907 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $589 $589 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $662 $662 1.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $756 $756 1.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $866 $866 2.1×
Repair of fibula nonunion and/or malunion with internal fixation (27726) $7,663 $7,663 1.0×
Repair of nail bed (11760) $656.50 $656.50 0.9×
Repair rotator cuff acute (23410) $12,054 $12,054 1.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $281.50 $281.50 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $151 $151 1.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $272 $272 0.2×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $502 $502 1.1×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $192 $192 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $171 $171 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $408 $408 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $171 $171 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $199.50 $199.50 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $194.50 $194.50 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $350 $350 0.8×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $167.50 $167.50 0.4×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $204 $204 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $352 $352 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $165.50 $165.50 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $343 $343 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $321.50 $321.50 1.5×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $2,992 $2,992 3.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $589 $589 1.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $314.50 $314.50 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $322 $322 1.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $313 $313 1.5×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $437.50 $437.50 2.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $360 $360 1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $320.50 $320.50 1.5×
Skin sub graft face/nk/hf/g (15275) $358 $358 0.5×
Skin sub graft trnk/arm/leg (15271) $325.50 $325.50 0.4×
Skin Sub Grft T/Arm/Lg Child (15273) $4,322 $4,322 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $306.50 $306.50 1.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $539 $539 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $539 $539 1.3×
Spinal puncture lumbar diagnostic (62270) $1,035.50 $1,035.50 1.4×
Strapping ankle (29540) $286 $286 1.7×
Strapping elbow/wrist (29260) $128 $128 2.1×
Strapping hand/finger (29280) $215 $215 3.5×
Strapping knee (29530) $233 $233 1.7×
Strapping shoulder (29240) $140 $140 1.0×
Strapping unna boot (29580) $292.50 $292.50 1.7×
Tangential biopsy skin single lesion (11102) $137 $137 0.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $245 $245 0.1×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $741 $741 1.1×
Thoracentesis needle/cath pleura w/o imaging (32554) $963 $963 1.5×
Thrombolytic Therapy, Stroke (37195) $983 $983 2.9×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $4,727 $4,727 1.4×
Treat finger dislocation (26775) $674 $674 2.3×
Treat Fracture Radius & Ulna (25560) $765 $765 3.0×
Treat humerus fracture (24500) $845 $845 3.3×
Treat humerus fracture (23600) $769 $769 3.0×
Treat Metatarsal Fracture (28475) $530 $530 2.1×
Treat wrist bone fracture (25622) $668 $668 2.6×
Treatment closed elbow dislocation req anes (24605) $2,569 $2,569 1.5×
Trim skin lesion (11055) $60.50 $60.50 0.3×
Trim skin lesions 2 to 4 (11056) $75 $75 0.4×
Trim skin lesions over 4 (11057) $87.50 $87.50 0.4×
Trimming Of Nondystrophic Nails, Any Number (11719) $33 $33 0.5×
Tx Incomplete Abortion Any Trimester Surgical (59812) $824 $824 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $636.50 $636.50 0.8×
Unlisted procedure, stomach (43999) $1,533 $1,533 1.6×
Vasectomy (55250) $1,283 $1,283 0.6×
Venipuncture (36415) $49 $49 5.2×
Ventilating tube removal requiring general anesthesia (69424) $118 $118 0.0×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $264 $264 0.3×