Procedures & surgery prices at Chicot Memorial Medical Center

Lake Village, AR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $2,160 $2,160 2.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $546.75 $546.75 0.7×
Amputate lower leg at knee (27598) $1,588 $1,588 0.5×
Amputate Thigh,Re-Amputatn (27596) $1,545 $1,545 0.5×
Amputation Finger/Thumb (26951) $1,582 $1,582 0.5×
Amputation metatarsal with toe single (28810) $1,100 $1,100 0.4×
Amputation thigh through femur any level (27590) $1,875 $1,875 0.6×
Amputation toe interphalangeal joint (28825) $470 $470 0.2×
Amputation Toe Metatarsophalangeal Joint (28820) $418 $418 0.1×
Amputation, foot; transmetatarsal (28805) $1,648 $1,648 0.6×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,408 $1,408 0.2×
Anoscopy diagnostic (46600) $305 $305 2.5×
Anoscopy W/Rmvl Foreign Body (46608) $2,178 $2,178 2.6×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $280 $280 1.9×
Application cast elbow finger short arm (29075) $640 $640 2.5×
Application cast shoulder hand long arm (29065) $640 $640 2.5×
Application finger splint static (29130) $305 $305 2.5×
Application long arm splint shoulder hand (29105) $376 $376 2.5×
Application long leg splint thigh ankle/toes (29505) $376 $376 2.5×
Application of long leg cast (29345) $640 $640 2.5×
Application short arm splint forearm-hand static (29125) $305 $305 2.5×
Application short leg splint calf foot (29515) $376 $376 2.5×
Apply short leg cast (29405) $640 $640 2.5×
Arterial puncture (36600) $305 $305 2.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $706 $706 2.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,648 $1,648 2.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $423.12 $423.12 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $706 $706 2.5×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $706 $706 2.5×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $7,711 $7,711 2.6×
Avulsion nail plate partial/complete simple 1 (11730) $133 $133 0.7×
Biopsy bone open superficial (20240) $6,054 $6,054 2.3×
Biopsy Bone Trocar/Needle Superficial (20220) $3,593 $3,593 2.4×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $1,915 $1,915 2.3×
Biopsy or excision of lymph node(s); open, superficial (38500) $568 $568 0.2×
Biopsy/removal lymph nodes (38510) $957 $957 0.3×
Bladder Irrigation Simple (51700) $680 $680 3.0×
Bladder Scan (51798) $146 $146 2.7×
Blood transfusion service (36430) $1,035 $1,035 2.6×
Bone marrow aspiration only (38220) $3,593 $3,593 2.4×
Bone Marrow Biopsy (38221) $3,593 $3,593 2.4×
Bx breast 1st lesion us imag (19083) $329 $329 0.2×
Bx vulva/perineum 1 lesion (56605) $1,619 $1,619 1.9×
Catheter Aspiration Nasotracheal Spx (31720) $509 $509 2.6×
Cautery Cervix Cryocautery Initial or Repeat (57511) $288.25 $288.25 1.0×
Change Cystostomy Tube Simple (51705) $680 $680 3.0×
Chemical Cautery Tissue (17250) $375 $375 2.1×
Chest tube placement (32551) $4,078 $4,078 2.8×
Chg Collect Blood From Catheter Venous Nos (36592) $305 $305 2.5×
Closed Rx Humeral Supracondylar Fx (24530) $562.73 $562.73 2.5×
Closed Rx Med Malleolus Fx (27760) $562.73 $562.73 2.5×
Closed Rx Med Malleolus Fx,Manip (27762) $3,829 $3,829 2.6×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $3,829 $3,829 2.6×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $3,829 $3,829 2.6×
Closed Rx Radial Shaft Fx (25500) $562.73 $562.73 2.5×
Closed Rx Spontaneous Hip Disloc (27256) $562.73 $562.73 2.5×
Closed Rx Tibia Shaft Fx (27750) $562.73 $562.73 2.5×
Closed Rx Trauma Hip Disloc,Anesth (27252) $3,829 $3,829 2.6×
Closed Rx Trimalleolar Fx (27816) $562.73 $562.73 2.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $562.73 $562.73 2.5×
Closed treatment pst malleolus fracture w/manj (27768) $3,829 $3,829 2.6×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $562.73 $562.73 2.5×
Closed Treatment Ulnar Styloid Fracture (25650) $562 $562 2.5×
Closed tx ankle dislocation w/o anesthesia (27840) $562.73 $562.73 2.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,829 $3,829 2.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $562.73 $562.73 2.5×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $562.73 $562.73 2.5×
Closed tx knee dislocation w/anesthesia (27552) $3,829 $3,829 2.6×
Closed tx knee dislocation w/o anesthesia (27550) $562.73 $562.73 2.5×
Closed tx metatarsal fracture w/o manipulation (28470) $562.73 $562.73 2.5×
Closed tx patellar dislocation w/anesthesia (27562) $562.73 $562.73 2.5×
Closed tx patellar dislocation w/o anesthesia (27560) $562.73 $562.73 2.5×
Closed tx radial head/neck fx w/manipulation (24655) $3,829 $3,829 2.6×
Closed tx radial head/neck fx w/o manipulation (24650) $562 $562 2.5×
Closed tx radial shaft fracture w/manipulation (25505) $3,829 $3,829 2.6×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $3,829 $3,829 2.6×
Closed tx ulnar fracture prox end w/o manipulate (24670) $562.73 $562.73 2.5×
Closed tx ulnar shaft fracture w/o manipulation (25530) $562.73 $562.73 2.5×
Clsd tx clavicular fracture w/manipulation (23505) $3,829 $3,829 2.6×
Clsd tx clavicular fracture w/o manipulation (23500) $562.73 $562.73 2.5×
Clsd tx pelvic ring fx w/o manipulation (27197) $562 $562 2.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,829 $3,829 2.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $562.73 $562.73 2.5×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,829 $3,829 2.6×
Cltx dstl fibular fx lat malls w/manj (27788) $562.73 $562.73 2.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $562.73 $562.73 2.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $562.73 $562.73 2.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $562.73 $562.73 2.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $562 $562 2.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,829 $3,829 2.6×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $3,829 $3,829 2.6×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $562.73 $562.73 2.5×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,829 $3,829 2.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $562.73 $562.73 2.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $562.73 $562.73 2.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $562.73 $562.73 2.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $562.73 $562.73 2.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,829 $3,829 2.6×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $562.73 $562.73 2.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $562.73 $562.73 2.5×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $640 $640 2.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $562.73 $562.73 2.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $562 $562 2.5×
Cltx metacarpal fx w/manipulation each bone (26605) $562.73 $562.73 2.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $562.73 $562.73 2.5×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,829 $3,829 2.6×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $562.73 $562.73 2.5×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,829 $3,829 2.6×
Cltx metatarsophlngl jt dislc w/o anes (28630) $562 $562 2.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $562.73 $562.73 2.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $562.73 $562.73 2.5×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $3,829 $3,829 2.6×
Cltx post hip arthrp dislc w/o anes (27265) $562.73 $562.73 2.5×
Cltx prox fibula/shft fx w/manj (27781) $3,829 $3,829 2.6×
Cltx prox fibula/shft fx w/o manj (27780) $562 $562 2.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,829 $3,829 2.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $562.73 $562.73 2.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,829 $3,829 2.6×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $3,829 $3,829 2.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $562.73 $562.73 2.5×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $3,829 $3,829 2.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,829 $3,829 2.6×
Colonoscopy flex w/rem forcep (45384) $1,350 $1,350 1.2×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $337.40 $337.40 1.2×
Colposcopy cervix upper/adjacent vagina (57452) $216.10 $216.10 1.2×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,169 $1,169 1.4×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $295.02 $295.02 1.5×
Control Nasal Hemorrhage Anterior Complex (30903) $305 $305 2.5×
Control Nasal Hemorrhage Anterior Simple (30901) $305 $305 2.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $305 $305 2.5×
Curette/treat cornea (65435) $2,412 $2,412 2.7×
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge, not the full procedure		 $1,788.78 $1,788.78 0.2×
Cystourethroscopy (52000) $1,628 $1,628 2.6×
Debride nail 1-5 (11720) $203 $203 3.8×
Debride nail 6 or more (11721) $225 $225 4.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $359.10 $598.50 1.0×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $936.50 $936.50 1.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,202 $2,202 1.5×
Delivery placenta separate procedure (59414) $7,447 $7,447 2.5×
Destroy cerv/thor facet jnt (64633) $4,484 $4,484 2.5×
Destroy lumb/sac facet jnt (64635) $4,484 $4,484 2.5×
Destruction benign lesions 15 or more (17111) $266 $266 1.5×
Destruction Benign Lesions Up To 14 (17110) $364.29 $364.29 2.0×
Destruction premalignant lesion 1st (17000) $175 $175 1.0×
Diagnostic sigmoidoscopy (45330) $389 $389 0.5×
Division of fallopian tube (58600) $6,699 $6,699 2.3×
Drain/inj small joint/bursa w/us (20604) $706 $706 2.5×
Drainage Finger Abscess Simple (26010) $477 $477 2.6×
Drainage of hematoma/fluid (10140) $1,369.04 $1,369.04 0.9×
Drainage of scrotal wall abscess (55100) $3,862 $3,862 2.6×
Draw blood off venous device (36591) $305 $305 2.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $375 $375 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $375 $375 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $375 $375 2.1×
Egd flexible foreign body removal (43247) $408 $408 0.5×
Egd place gastrostomy tube (43246) $2,011.24 $2,011.24 1.2×
Egd remove lesion snare (43251) $453 $453 0.3×
Esophagoscopy flex biopsy (43202) $249.44 $249.44 0.1×
Esophagoscp rig trnso biopsy (43193) $384 $384 0.2×
Evacuation of subungual hematoma (11740) $305 $305 2.5×
Exc abd les sc 3 cm/> (22903) $998 $998 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $356 $356 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $410 $410 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $405 $405 0.3×
Exc forearm les sc 3 cm/> (25071) $3,862 $3,862 2.6×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $243 $243 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $296 $296 0.8×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $300 $300 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $494 $494 0.8×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $511 $511 0.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $378 $378 0.3×
Exc Skin Benig >4 Cm Face,Facial (11446) $720 $720 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $649.75 $649.75 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $575 $575 0.4×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $3,370 $3,370 2.2×
Exc Skin Malig >4 Cm Face,Facial (11646) $840 $840 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $661 $661 0.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,639.25 $1,639.25 1.5×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $1,273 $1,273 0.5×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $777.28 $777.28 0.5×
Excision hidradenitis axillary complex repair (11451) $746 $746 0.3×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $997.50 $997.50 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,676 $1,676 2.6×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $353 $353 0.5×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $1,615.50 $1,615.50 2.5×
Excision of bartholin's gland or cyst (56740) $6,699 $6,699 2.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $400 $400 0.6×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $436.68 $436.68 0.7×
Excision of hydrocele; unilateral (55040) $775 $775 0.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $2,136.12 $2,136.12 1.4×
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $736.83 $736.83 0.5×
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $588 $588 0.2×
Excision of Umbilicus (49250) $1,389.80 $1,389.80 0.4×
Excision pilonidal cyst/sinus complicated (11772) $1,306.50 $1,306.50 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,482.54 $2,482.54 1.7×
Explo/Drain Breast Abscess (19020) $702 $702 0.5×
Fine needle aspiration without imaging guidance (10021) $1,432 $1,432 3.9×
Gastric Intubation/Aspiration, Therapeutic (43753) $748 $748 3.8×
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) $3,090 $3,090 0.9×
Gastrostomy opn w/o constj gstr tube spx (43830) $1,599 $1,599 0.9×
I&D Abscess Peritonsillar (42700) $582 $582 2.7×
I&d abscess simple (10060) $302.89 $345.82 1.7×
I&d below fascia foot 1 bursal space (28002) $318 $318 0.2×
I&d epididymis tstis&/scrotal space (54700) $512.50 $512.50 0.3×
I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) $1,485 $1,485 0.5×
I&d perianal abscess superficial (46050) $1,775 $1,775 2.1×
I&d pilonidal cyst simple (10080) $1,526 $1,526 2.4×
Incision & drainage abscess complicated/multiple (10061) $418 $418 1.1×
Incision & drainage leg/ankle abscess/hematoma (27603) $858 $858 0.3×
Incision & drainage pilonidal cyst complicated (10081) $1,044.50 $1,044.50 1.6×
Incision & removal foreign body subq tiss compl (10121) $2,019 $2,019 1.3×
Incision & removal foreign body subq tiss simple (10120) $874.50 $874.50 2.4×
Incision and drainage of bartholin's gland abscess (56420) $475 $475 2.6×
Incision and drainage of vulva or perineal abscess (56405) $765 $765 2.8×
Incision of rectal abscess (46040) $2,811 $2,811 2.6×
Incision thrombosed hemorrhoid external (46083) $500 $500 2.2×
Incisional biopsy skin single lesion (11106) $126 $126 0.2×
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760)
likely a partial charge, not the full procedure		 $1,650 $1,650 0.3×
Initial tx 1st degree burn local tx (16000) $477 $477 2.6×
Inj paravert f jnt c/t 1 lev (64490) $1,998.92 $1,998.92 2.5×
Inject Nerv Blck,Intercost,Multpl (64421) $2,172 $2,172 2.7×
Inject Nerv Blck,Intercostal,One (64420) $1,648 $1,648 2.6×
Inject Tendon Origin/Insert (20551) $706 $706 2.5×
Injection aa&/strd trigeminal nerve each branch (64400) $706 $706 2.5×
Injection anes other peripheral nerve/branch (64450) $1,648 $1,648 2.6×
Injection single/mlt trigger point 1/2 muscles (20552) $706 $706 2.5×
Injection single/mlt trigger point 3/> muscles (20553) $706 $706 2.5×
Injection, anesthetic agent; greater occipital nerve (64405) $706 $706 2.5×
Insert Bladder Cath Complex (51703) $373 $373 3.2×
Insert non-tunnel cv cath (36556) $7,310 $7,310 2.5×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $7,593 $7,593 2.6×
Insert pessary/other device (57160) $475 $475 2.6×
Insert Temp Bladder Cath (51702) $305 $305 2.5×
Insert tunneled cv cath (36561) $900 $900 0.3×
Insert,Non-Indwelling Bladder Catheter (51701) $317.50 $317.50 2.6×
Intubation endotracheal emergency procedure (31500) $561.50 $561.50 2.6×
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure		 $1,403 $1,403 0.3×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320)
likely a partial charge, not the full procedure		 $739 $739 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,634 $1,634 0.3×
Liver Biopsy (47000) $205 $205 0.1×
Mast mod rad (19307) $9,048.50 $9,048.50 1.5×
Mastectomy gynecomastia (19300) $969 $969 0.3×
Mastectomy partial (19301) $1,498 $1,498 0.4×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $8,855 $8,855 2.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,825.84 $1,825.84 2.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $938 $938 1.5×
Pericardiocentesis W/Imaging (33016) $3,815 $3,815 2.7×
Peritoneal Lavage (49084) $2,160 $2,160 2.6×
Perq dev breast 1st us imag (19285) $1,676 $1,676 2.6×
Perq device breast 1st imag (19281) $3,862 $3,862 2.6×
Perq replacement gtube not req revj gstrst trc (43762) $350 $350 1.5×
Placement of needle for intraosseous infusion (36680) $950 $950 2.3×
Preputial Stretching (54450) $589 $589 2.6×
Punch biopsy skin single lesion (11104) $375 $375 1.0×
Removal fb intranasal (30300) $305 $305 2.5×
Removal Foreign Body Foot Complicated (28193) $3,862 $3,862 2.6×
Removal foreign body foot deep (28192) $3,862 $3,862 2.6×
Removal foreign body foot subcutaneous (28190) $1,676 $1,676 2.6×
Removal Foreign Body Pelvis/Hip Deep (27087) $7,711 $7,711 2.6×
Removal foreign body pharynx (42809) $950 $950 2.3×
Removal foreign body upper arm/elbow deep (24201) $6,769 $6,769 2.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $146 $146 2.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $128.22 $128.22 2.4×
Removal Implantable Contraceptive Capsules (11976) $226 $226 0.4×
Removal of arm foreign body (24200) $3,862 $3,862 2.6×
Removal of intrauterine device (iud) (58301) $765 $765 2.8×
Removal of nail bed (11750) $350 $350 0.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $323.50 $323.50 1.8×
Removal shoulder foreign body deep subfascial/im (23333) $6,769 $6,769 2.6×
Removal/bivalving full arm/full leg cast (29705) $640 $640 2.5×
Remove drug implant device (11982) $180 $180 0.4×
Remove Eyelid Foreign Body (67938) $708.80 $708.80 2.5×
Remove foreign body from eye (65210) $950 $950 2.3×
Remove Pilonidal Cyst Exten (11771) $1,017 $1,017 0.4×
Remove shoulder foreign body (23330) $3,862 $3,862 2.6×
Remove wrist tendon lesion (25111) $3,829 $3,829 2.6×
Remv Ext Canal Foreign Body (69200) $305 $305 2.5×
Remv F.B.,Eye,Superf Conjunc (65205) $305 $305 2.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,062 $1,062 1.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $765 $765 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $800 $800 2.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,093.50 $1,093.50 3.0×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,496 $1,496 4.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,042 $1,042 2.8×
Repair complex trunk 1.1-2.5 cm (13100) $1,496 $1,496 2.2×
Repair complex trunk 2.6-7.5 cm (13101) $1,030.50 $1,030.50 1.5×
Repair extensor tendon finger w/o graft each (26418) $3,829 $3,829 2.6×
Repair hand tendon (26410) $3,829 $3,829 2.6×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,335 $1,335 0.4×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $950 $950 2.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $374 $374 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $452.50 $452.50 1.2×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $950 $950 2.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $487 $487 1.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $950 $950 2.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $950 $950 2.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $950.50 $950.50 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $595 $595 1.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $697.50 $697.50 1.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,352 $1,352 2.0×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $4,374 $4,374 2.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $545 $545 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $570.50 $570.50 1.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $800 $800 2.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,496 $1,496 2.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $799 $799 2.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $4,374 $4,374 2.3×
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
unusually low: confirm this is the full procedure		 $2,112 $2,112 0.4×
Repair of nail bed (11760) $1,496 $1,496 2.2×
Repair Tongue Laceration (41250) $950 $950 2.3×
Replace g/c tube perc (49450) $650 $650 0.8×
Rerepair ing hernia reduce (49520) $1,428 $1,428 0.4×
Rmvl embedded fb vestibule mouth comp (40805) $1,311 $1,311 2.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $21,260 $21,260 25.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $950 $950 2.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $305 $305 2.5×
Rmvl fecal impaction/fb spx under anes (45915) $550 $550 0.5×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $561 $561 0.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $6,769 $6,769 2.6×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $424 $424 0.3×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $540.90 $540.90 1.3×
Rplcmt compl tun ctr vad w/subq port (36582) $659 $659 0.2×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure		 $1,893.50 $1,893.50 0.3×
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure		 $1,699.50 $1,699.50 0.3×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
unusually low: confirm this is the full procedure		 $2,112 $2,112 0.4×
Rpr aa hernia 1st < 3 cm reducible (49591) $1,439.50 $1,439.50 0.4×
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615)
unusually low: confirm this is the full procedure		 $2,112 $2,112 0.4×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
unusually low: confirm this is the full procedure		 $1,691.50 $1,691.50 0.3×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $2,112 $2,112 0.6×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $420 $420 0.3×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $988 $988 1.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $582 $582 2.7×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $529.50 $529.50 2.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $115 $115 0.6×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $407 $407 0.5×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $212 $212 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $950 $950 2.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $305.50 $305.50 1.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $449.69 $449.69 2.5×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $950 $950 2.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $207 $207 1.1×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $477 $477 2.6×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $477 $477 2.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $457 $457 2.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $477 $477 2.6×
Skin sub graft face/nk/hf/g (15275) $359.63 $359.63 0.5×
Skin sub graft trnk/arm/leg (15271) $336.95 $336.95 0.5×
Skin Sub Grft T/Arm/Lg Child (15273) $709.43 $709.43 0.4×
Skn sub grft f/n/hf/g child (15277) $778.03 $778.03 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $477 $477 2.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $950 $950 2.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $950 $950 2.6×
Spinal puncture lumbar diagnostic (62270) $1,648 $1,648 2.6×
Strapping ankle (29540) $59.60 $59.60 0.4×
Strapping elbow/wrist (29260) $146 $146 2.7×
Strapping hand/finger (29280) $146 $146 2.7×
Strapping Hip (29520) $305 $305 2.5×
Strapping knee (29530) $59.60 $59.60 0.5×
Strapping shoulder (29240) $182.30 $182.30 1.5×
Strapping thorax (29200) $376 $376 2.5×
Strapping toes (29550) $146 $146 2.7×
Strapping unna boot (29580) $328 $328 2.2×
Subcutaneous Hormone Pellet Implantation (11980) $725 $725 1.8×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,577 $1,577 2.8×
Thoracentesis needle/cath pleura w/o imaging (32554) $891 $891 1.6×
Throat Surgery Procedure (42999) $581 $581 2.7×
Thrombolytic Therapy, Stroke (37195) $832 $832 2.8×
Tracheostomy emergency cricothyroid membrane (31605) $582 $582 2.7×
Treat finger dislocation (26775) $640 $640 2.5×
Treat Fracture Radius & Ulna (25560) $562.73 $562.73 2.5×
Treat humerus fracture (24500) $562.73 $562.73 2.5×
Treat humerus fracture (23600) $562.73 $562.73 2.5×
Treat Metatarsal Fracture (28475) $562.73 $562.73 2.5×
Treatment closed elbow dislocation req anes (24605) $3,829 $3,829 2.6×
Treatment closed elbow dislocation w/o anes (24600) $562.73 $562.73 2.5×
Treatment of foot infection (28003) $606 $606 0.2×
Trim skin lesion (11055) $350 $350 1.9×
Trimming Of Nondystrophic Nails, Any Number (11719) $18 $18 0.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $3,829 $3,829 2.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,496 $1,496 2.2×
Unlisted Procedure Dentoalveolar Structures (41899) $514.12 $514.12 2.4×
Unlisted procedure, male genital system (55899) $587.25 $587.25 2.6×
Vaginal delivery only (59409) $7,447 $7,447 2.5×
Vasc Embolize/Occlude Bleed (37244) $26,539 $26,539 2.5×
Venipuncture (36415) $25.58 $25.58 2.7×
Venipuncture Cutdown Younger Than 1 Year (36420) $305 $305 2.5×
Venipuncture, cutdown; age 1 or over (36425) $950 $950 2.3×