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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $2,160 | $2,160 | 2.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$166–$2,160 | $166–$2,160 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,582 | $1,582 | 0.5× |
| Amputate Thigh,Re-Amputatn (27596) | $1,545 | $1,545 | 0.5× |
| Amputation foot transmetarsal (28805) | $1,648 | $1,648 | 0.6× |
| 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) range across 2 matching MRF lines |
$390–$550 | $390–$550 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $418 | $418 | 0.1× |
| 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× |
| Application cast elbow finger short arm (29075) | $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 (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 long arm cast (29065) | $640 | $640 | 2.5× |
| Apply Multlay Comprs Lwr Leg (29581) | $280 | $280 | 1.9× |
| 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) range across 2 matching MRF lines |
$140.25–$706 | $140.25–$706 | varies |
| 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× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) | $7,711 | $7,711 | 2.6× |
| Aspirate pleura w/ imaging (32555) | $1,577 | $1,577 | 2.8× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$205–$1,577 | $205–$1,577 | varies |
| 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 of liver, needle; percutaneous (47000) | $205 | $205 | 0.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,619 | $1,619 | 1.9× |
| Biopsy/removal lymph nodes (38510) | $957 | $957 | 0.3× |
| Bladder Irrigation (51700) | $680 | $680 | 3.0× |
| Bladder Scan (51798) | $146 | $146 | 2.7× |
| Blood Transfusion Service (36430) | $1,035 | $1,035 | 2.6× |
| Bone Marrow Biopsy (38221) | $3,593 | $3,593 | 2.4× |
| Bone Marrow; Aspiration Only (38220) | $3,593 | $3,593 | 2.4× |
| Bx breast 1st lesion us imag (19083) | $329 | $329 | 0.2× |
| Bx Cervix (57500) | $1,915 | $1,915 | 2.3× |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$557–$579 | $557–$579 | varies |
| Catheter aspiration nasotracheal spx (31720) | $509 | $509 | 2.6× |
| Cautery Cervix Cryocautery Initial/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) range across 6 matching MRF lines |
$341–$4,078 | $341–$4,078 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $3,829 | $3,829 | 2.6× |
| Clear outer ear canal (69200) | $305 | $305 | 2.5× |
| Closed Rx Spontaneous Hip Disloc (27256) | $562.73 | $562.73 | 2.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $3,829 | $3,829 | 2.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $562.73 | $562.73 | 2.5× |
| 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 Radial Shaft Fracture W/O Manipulation (25500) | $562.73 | $562.73 | 2.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $3,829 | $3,829 | 2.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $562.73 | $562.73 | 2.5× |
| 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 req anesthesia (27252) | $3,829 | $3,829 | 2.6× |
| 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 Req Anes (26775) | $640 | $640 | 2.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $562 | $562 | 2.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $3,829 | $3,829 | 2.6× |
| Cltx Medial Ankle Fx (27760) | $562.73 | $562.73 | 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 Metatarsophlngl Jt Dislc Req Anes (28635) | $3,829 | $3,829 | 2.6× |
| 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/Transcndylr Humeral Fx W/WO Manj (24530) | $562.73 | $562.73 | 2.5× |
| 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/o manipulation (27750) | $562.73 | $562.73 | 2.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $3,829 | $3,829 | 2.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $562.73 | $562.73 | 2.5× |
| Collect Blood From Catheter Venous Nos (36592) | $305 | $305 | 2.5× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$23–$28.15 | $23–$28.15 | varies |
| 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× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,350 | $1,350 | 1.2× |
| 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× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$377–$1,496 | $377–$1,496 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$181–$225 | $181–$225 | varies |
| Debride nail 6 or more (11721) | $225 | $225 | 4.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 4 matching MRF lines |
$542–$3,862 | $542–$3,862 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$140–$950 | $140–$950 | varies |
| Delivery of placenta (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× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$251.58–$477 | $251.58–$477 | varies |
| Destruction Benign Lesions 15/> (17111) | $266 | $266 | 1.5× |
| Destruction premalignant lesion 1st (17000) | $175 | $175 | 1.0× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$128–$650 | $128–$650 | varies |
| Disarticulation At Knee (27598) | $1,588 | $1,588 | 0.5× |
| Drain/inj small joint/bursa w/us (20604) | $706 | $706 | 2.5× |
| Drainage of finger abscess simple (26010) | $477 | $477 | 2.6× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$263–$2,475.09 | $263–$2,475.09 | varies |
| Drainage of scrotal wall abscess (55100) | $3,862 | $3,862 | 2.6× |
| Drainage of scrotum (54700) | $512.50 | $512.50 | 0.3× |
| 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) range across 2 matching MRF lines |
$454–$3,568.48 | $454–$3,568.48 | varies |
| Egd remove lesion snare (43251) | $453 | $453 | 0.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) range across 2 matching MRF lines |
$227–$271.88 | $227–$271.88 | varies |
| Esophagoscp Rig Trnso Biopsy (43193) | $384 | $384 | 0.2× |
| Evacuation of subungual hematoma (11740) | $305 | $305 | 2.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $356 | $356 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $353 | $353 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$1,555–$1,676 | $1,555–$1,676 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $400 | $400 | 0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
$332–$3,749 | $332–$3,749 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $405 | $405 | 0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $511 | $511 | 0.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $3,862 | $3,862 | 2.6× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $243 | $243 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$410.25–$3,862 | $410.25–$3,862 | varies |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $736.83 | $736.83 | 0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$338–$650 | $338–$650 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $410 | $410 | 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 Benig >4cm Face,Facial (11446) | $720 | $720 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $661 | $661 | 0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$467.50–$2,811 | $467.50–$2,811 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $296 | $296 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $300 | $300 | 0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $378 | $378 | 0.3× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $1,273 | $1,273 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$440–$1,555 | $440–$1,555 | varies |
| Excision Hidradenitis Axillary Complex Repair (11451) | $746 | $746 | 0.3× |
| 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 2.1-3.0 Cm (11643) | $3,370 | $3,370 | 2.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $840 | $840 | 0.3× |
| Excision of bartholin's gland or cyst (56740) | $6,699 | $6,699 | 2.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $3,829 | $3,829 | 2.6× |
| Excision of hydrocele; unilateral (55040) | $775 | $775 | 0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$1,299–$1,314 | $1,299–$1,314 | varies |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $1,017 | $1,017 | 0.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$1,103.08–$3,862 | $1,103.08–$3,862 | varies |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $998 | $998 | 0.4× |
| Explo/Drain Breast Abscess (19020) | $702 | $702 | 0.5× |
| Fine needle aspiration without imaging guidance (10021) | $1,432 | $1,432 | 3.9× |
| Foreskin manipulation (54450) | $589 | $589 | 2.6× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (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) range across 2 matching MRF lines |
$128.78–$477 | $214.64–$477 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $318 | $318 | 0.2× |
| 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 complicated (10081) range across 2 matching MRF lines |
$500–$1,589 | $500–$1,589 | varies |
| I&d pilonidal cyst simple (10080) | $1,526 | $1,526 | 2.4× |
| Incise external hemorrhoid (46083) | $500 | $500 | 2.2× |
| Incision & drainage abscess complicated/multiple (10061) | $418 | $418 | 1.1× |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $858 | $858 | 0.3× |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$445–$3,593 | $445–$3,593 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$799–$950 | $799–$950 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 3 matching MRF lines |
$415–$475 | $415–$475 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $765 | $765 | 2.8× |
| Incision of rectal abscess (46040) range across 3 matching MRF lines |
$966–$2,811 | $966–$2,811 | varies |
| Incisional biopsy skin single lesion (11106) | $126 | $126 | 0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $477 | $477 | 2.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,825.84–$2,172 | $1,825.84–$2,172 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$79.05–$511 | $79.05–$511 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $2,172 | $2,172 | 2.7× |
| Injection single tendon origin/insertion (20551) | $706 | $706 | 2.5× |
| 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; other peripheral nerve or branch (64450) | $1,648 | $1,648 | 2.6× |
| Insert Bladder Cath Complex (51703) | $373 | $373 | 3.2× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$2,109–$7,593 | $2,109–$7,593 | varies |
| Insert pessary/other device (57160) | $475 | $475 | 2.6× |
| Insert Temp Bladder Cath (51702) | $305 | $305 | 2.5× |
| Insert tunneled cv cath (36561) range across 3 matching MRF lines |
$753–$6,231.85 | $753–$6,231.85 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$305–$330 | $305–$330 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $7,593 | $7,593 | 2.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $950 | $950 | 2.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $950 | $950 | 2.6× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$541–$582 | $541–$582 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$1,369–$1,437 | $1,369–$1,437 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,634 | $1,634 | 0.3× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$739 | $739 | 0.1× |
| Mast mod rad (19307) range across 2 matching MRF lines |
$2,563–$15,534 | $2,563–$15,534 | varies |
| Mastectomy for gynecomastia (19300) range across 2 matching MRF lines |
$962–$976 | $962–$976 | varies |
| Mastectomy partial (19301) | $1,498 | $1,498 | 0.4× |
| N block inj intercost sng (64420) | $1,648 | $1,648 | 2.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $706 | $706 | 2.5× |
| 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) range across 2 matching MRF lines |
$228–$1,648 | $228–$1,648 | varies |
| Occipital Nerve Block (64405) | $706 | $706 | 2.5× |
| 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× |
| Placement of needle for intraosseous infusion (36680) | $950 | $950 | 2.3× |
| Punch biopsy skin single lesion (11104) | $375 | $375 | 1.0× |
| Removal Embedded Foreign Body Eyelid (67938) | $708.80 | $708.80 | 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 upper arm/elbow deep (24201) | $6,769 | $6,769 | 2.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$35–$146 | $35–$146 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$110.45–$146 | $110.45–$146 | varies |
| Removal implantable contraceptive capsules (11976) | $226 | $226 | 0.4× |
| Removal of foreign body from pharynx (42809) | $950 | $950 | 2.3× |
| Removal of nail bed (11750) | $350 | $350 | 0.9× |
| Removal or bivalving full arm or full leg cast (29705) | $640 | $640 | 2.5× |
| Removal shoulder foreign body deep subfascial/im (23333) | $6,769 | $6,769 | 2.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$170–$477 | $170–$477 | varies |
| Removal sweat gland lesion (11450) | $588 | $588 | 0.2× |
| Remove drug implant device (11982) | $180 | $180 | 0.4× |
| Remove foreign body from eye (65205) | $305 | $305 | 2.5× |
| Remove groin lymph nodes (38760) likely a partial charge, not the full procedure |
$1,650 | $1,650 | 0.3× |
| Remove Intrauterine Device (58301) | $765 | $765 | 2.8× |
| Remove Nasal Foreign Body (30300) | $305 | $305 | 2.5× |
| Remove Shoulder Foreign Body (23330) | $3,862 | $3,862 | 2.6× |
| Remove Tendon Sheath Lesion (26160) | $777.28 | $777.28 | 0.5× |
| Remove/Insert Drug Implant (11983) | $540.90 | $540.90 | 1.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$628–$1,496 | $628–$1,496 | varies |
| 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) range across 2 matching MRF lines |
$650–$950 | $650–$950 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$691–$1,496 | $691–$1,496 | varies |
| 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) range across 2 matching MRF lines |
$588–$1,496 | $588–$1,496 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,496 | $1,496 | 2.2× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$565–$1,496 | $565–$1,496 | varies |
| 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 2.5 cm/< (12051) | $374 | $374 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$451–$454 | $451–$454 | varies |
| 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) range across 2 matching MRF lines |
$405–$1,496 | $405–$1,496 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$240–$950 | $240–$950 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$445–$950 | $445–$950 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$1,208–$1,496 | $1,208–$1,496 | varies |
| 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) range across 3 matching MRF lines |
$543–$950 | $543–$950 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$342–$799 | $342–$799 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$650–$950 | $650–$950 | varies |
| 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 nail bed (11760) | $1,496 | $1,496 | 2.2× |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$477–$582 | $477–$582 | varies |
| Repair tongue laceration (41250) | $950 | $950 | 2.3× |
| Replace g/c tube perc (49450) | $650 | $650 | 0.8× |
| Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$1,415–$1,441 | $1,415–$1,441 | varies |
| 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 fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $950 | $950 | 2.3× |
| 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 Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $3,862 | $3,862 | 2.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$414–$434 | $414–$434 | varies |
| Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$91.35–$680 | $91.35–$680 | varies |
| Rplcmt compl tun ctr vad w/subq port (36582) | $659 | $659 | 0.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$1,675–$2,112 | $1,675–$2,112 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$767–$2,112 | $767–$2,112 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) unusually low: confirm this is the full procedure |
$2,112 | $2,112 | 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) range across 2 matching MRF lines |
$1,271–$2,112 | $1,271–$2,112 | varies |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) | $2,112 | $2,112 | 0.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$1,287–$2,112 | $1,287–$2,112 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) unusually low: confirm this is the full procedure |
$2,112 | $2,112 | 0.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $420 | $420 | 0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $477 | $477 | 2.6× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$480–$1,496 | $480–$1,496 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $582 | $582 | 2.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $115 | $115 | 0.6× |
| Sigmoidoscopy & Polypectomy (45333) | $212 | $212 | 0.3× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$164–$650 | $164–$650 | varies |
| 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) range across 2 matching MRF lines |
$134–$477 | $134–$477 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$422.38–$477 | $422.38–$477 | varies |
| 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 >30.0 Cm (12018) | $477 | $477 | 2.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$437–$477 | $437–$477 | varies |
| 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) range across 3 matching MRF lines |
$59.60–$376 | $59.60–$376 | varies |
| Strapping elbow or wrist (29260) | $146 | $146 | 2.7× |
| Strapping hand/finger (29280) | $146 | $146 | 2.7× |
| Strapping Hip (29520) | $305 | $305 | 2.5× |
| Strapping knee (29530) range across 3 matching MRF lines |
$59.60–$305 | $59.60–$305 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$59.60–$305 | $59.60–$305 | varies |
| Strapping thorax (29200) | $376 | $376 | 2.5× |
| Strapping toes (29550) | $146 | $146 | 2.7× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$280–$376 | $280–$376 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) range across 3 matching MRF lines |
$350–$950 | $350–$950 | varies |
| Thrombolytic Therapy Stroke (37195) | $832 | $832 | 2.8× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$446.25–$582 | $446.25–$582 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $582 | $582 | 2.7× |
| Treat humerus fracture (24500) | $562.73 | $562.73 | 2.5× |
| Treat Humerus Fracture (24505) | $3,829 | $3,829 | 2.6× |
| Treat humerus fracture (23600) | $562.73 | $562.73 | 2.5× |
| Treat Knuckle Dislocation (26700) | $562.73 | $562.73 | 2.5× |
| Treat Metatarsal Fracture (28475) | $562.73 | $562.73 | 2.5× |
| Treat toe dislocation (28630) | $562 | $562 | 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) range across 3 matching MRF lines |
$128.43–$350 | $128.43–$350 | varies |
| Trimming Nondystrophic Nails Any Number (11719) | $18 | $18 | 0.3× |
| Tubal ligation (58600) | $6,699 | $6,699 | 2.3× |
| Tx Gastro Intub W/Asp (43753) | $748 | $748 | 3.8× |
| 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× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $1,389.80 | $1,389.80 | 0.4× |
| Unlisted Procedure Male Genital System (55899) | $587.25 | $587.25 | 2.6× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $581 | $581 | 2.7× |
| Vaginal delivery only (59409) | $7,447 | $7,447 | 2.5× |
| Vasc Embolize/Occlude Bleed (37244) | $26,539 | $26,539 | 2.5× |
| Vein Access Cutdown < 1 Yr (36420) | $305 | $305 | 2.5× |
| Venous Cutdown >1 Y/O (36425) | $950 | $950 | 2.3× |
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.