Procedures & surgery prices at Choctaw Memorial Hospital
Hugo, OK · every code in this section with a posted price and a Medicare benchmark.
268 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$118–$1,500 | $236–$3,000 | varies |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $2,142 | $4,284 | 1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $2,121.50 | $4,243 | 0.7× |
| Amputation metatarsal with toe single (28810) | $3,658 | $7,316 | 1.2× |
| Amputation thigh through femur any level (27590) | $1,157 | $2,314 | 0.4× |
| Amputation toe interphalangeal joint (28825) | $3,658 | $7,316 | 1.2× |
| Amputation toe metatarsophalangeal joint (28820) | $3,658 | $7,316 | 1.2× |
| Amputation, leg, through tibia and fibula; (27880) likely a partial charge, not the full procedure |
$1,427.50 | $2,855 | 0.2× |
| Anoscopy; with biopsy, single or multiple (46606) | $383 | $766 | 0.3× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $2,022 | $4,044 | 0.8× |
| Appendectomy (44950) | $4,294.50 | $8,589 | 0.7× |
| Arterial puncture (36600) | $147.50 | $295 | 1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$62.50–$173.50 | $125–$347 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$71.50–$346.50 | $143–$693 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$146.50–$1,026.50 | $293–$2,053 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$83–$221 | $166–$442 | varies |
| Biopsy bone open superficial (20240) | $3,223.50 | $6,447 | 1.2× |
| Biopsy of breast; open, incisional (19101) | $3,749.50 | $7,499 | 1.0× |
| Biopsy soft tissue back/flank deep (21925) | $1,885.50 | $3,771 | 1.2× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $1,855 | $3,710 | 1.2× |
| Biopsy soft tissue neck/thorax (21550) | $2,019.50 | $4,039 | 1.3× |
| Biopsy Tongue Anterior Two-Thirds (41100) | $935 | $1,870 | 1.8× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $425 | $850 | 0.5× |
| Bladder Irrigation (51700) | $323.50 | $647 | 1.3× |
| Blood Transfusion Service (36430) | $532 | $1,064 | 1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) | $1,869 | $3,738 | 1.2× |
| Bx/exc lymph node open superficial (38500) | $3,749.50 | $7,499 | 1.0× |
| Carpal Tunnel Surgery (64721) | $2,345.50 | $4,691 | 1.2× |
| Catheter aspiration nasotracheal spx (31720) | $191 | $382 | 0.9× |
| Chest tube placement (32551) range across 3 matching MRF lines |
$285.50–$1,026.50 | $571–$2,053 | varies |
| Circumcision 28 days or older (54161) | $2,603.50 | $5,207 | 1.3× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$91–$150.50 | $182–$301 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) | $483 | $966 | 2.0× |
| Closed tx radial shaft fracture w/manipulation (25505) | $714 | $1,428 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$279–$412.50 | $558–$825 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $450 | $900 | 1.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $701 | $1,402 | 3.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $92 | $184 | 0.4× |
| Collection of venous blood by venipuncture (36415) | $5 | $10 | 0.5× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) | $938 | $1,876 | 0.8× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $3,128.50 | $6,257 | 1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$91.50–$170.50 | $183–$341 | varies |
| Cystourethroscopy with biopsy (52204) | $3,011 | $6,022 | 1.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $680 | $1,360 | 1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $439 | $878 | 1.1× |
| Declot vascular device (36593) | $419.50 | $839 | 1.3× |
| Deep Muscle Biopsy (20205) | $3,223.50 | $6,447 | 1.2× |
| Destroy cerv/thor facet jnt (64633) range across 4 matching MRF lines |
$332.50–$2,345.50 | $665–$4,691 | varies |
| Destroy lumb/sac facet jnt (64635) range across 4 matching MRF lines |
$327.50–$2,345.50 | $655–$4,691 | varies |
| Destruct B9 Lesion 1-14 (17110) | $230 | $460 | 1.2× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$85.50–$230 | $171–$460 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $3,128.50 | $6,257 | 1.0× |
| Drain Cerebro Spinal Fluid (62272) range across 3 matching MRF lines |
$134.50–$793.50 | $269–$1,587 | varies |
| Drainage of hematoma/fluid (10140) | $1,855 | $3,710 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$84.50–$230 | $169–$460 | varies |
| Dstrj Lesion Anus Extensive (46924) | $3,654.50 | $7,309 | 1.4× |
| Dstrj lesion anus simple surg excision (46922) | $3,251.50 | $6,503 | 1.2× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $2,267 | $4,534 | 1.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
$134.50–$1,114.50 | $269–$2,229 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $1,917 | $3,834 | 0.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,002.50 | $4,005 | 1.1× |
| Egd cautery tumor polyp (43250) | $2,002.50 | $4,005 | 1.1× |
| Egd Flexible Foreign Body Removal (43247) | $1,056 | $2,112 | 1.2× |
| Egd place gastrostomy tube (43246) | $2,002.50 | $4,005 | 1.1× |
| Electrical stimulation bone healing noninvasive (20974) | $14.50 | $29 | 0.2× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $4,763.50 | $9,527 | 1.0× |
| Endometrial Biopsy (58100) | $284.50 | $569 | 1.5× |
| Exc abdl tum deep 5 cm/> (22901) | $3,223.50 | $6,447 | 1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $1,855 | $3,710 | 1.2× |
| Exc Back Les Sc < 3 Cm (21930) | $886 | $1,772 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $961 | $1,922 | 1.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $961 | $1,922 | 1.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,855 | $3,710 | 1.2× |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,917 | $3,834 | 1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $809 | $1,618 | 1.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $809 | $1,618 | 1.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,277 | $2,554 | 1.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,855 | $3,710 | 1.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $1,855 | $3,710 | 1.2× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $3,223.50 | $6,447 | 1.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,277 | $2,554 | 1.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,855 | $3,710 | 1.2× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $3,336 | $6,672 | 1.2× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $3,223.50 | $6,447 | 1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,277 | $2,554 | 1.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,020 | $4,040 | 1.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $3,223.50 | $6,447 | 1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $2,020 | $4,040 | 1.3× |
| Exc Skin Benig >4cm Face,Facial (11446) | $3,223.50 | $6,447 | 1.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,885.50 | $3,771 | 1.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $3,223.50 | $6,447 | 1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,128.50 | $4,257 | 1.3× |
| Exc thigh/knee les sc 3 cm/> (27337) | $3,223.50 | $6,447 | 1.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$244.50–$2,252 | $489–$4,504 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $453 | $906 | 1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $748 | $1,496 | 1.1× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,855 | $3,710 | 1.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,223.50 | $6,447 | 1.2× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $3,223.50 | $6,447 | 1.2× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) | $3,223.50 | $6,447 | 1.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $3,223.50 | $6,447 | 1.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $1,917 | $3,834 | 1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $1,917 | $3,834 | 1.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,650 | $3,300 | 0.6× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $3,261 | $6,522 | 1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $3,261 | $6,522 | 2.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $794 | $1,588 | 1.2× |
| Excision External Ear Partial Simple Repair (69110) | $3,223.50 | $6,447 | 1.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $3,223.50 | $6,447 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $801 | $1,602 | 1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $527 | $1,054 | 1.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $873.50 | $1,747 | 1.3× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $867 | $1,734 | 1.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $1,855 | $3,710 | 1.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $3,223.50 | $6,447 | 1.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $2,020 | $4,040 | 1.3× |
| Excision of bartholin's gland or cyst (56740) | $3,784.50 | $7,569 | 1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,687.50 | $3,375 | 1.1× |
| Excision of hydrocele; unilateral (55040) | $4,294.50 | $8,589 | 1.2× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) | $6,196.50 | $12,393 | 1.1× |
| Excision of single external papilla or tag, anus (46220) | $1,316.50 | $2,633 | 1.1× |
| Excision of vaginal cyst or tumor (57135) | $3,128.50 | $6,257 | 1.0× |
| Excision olecranon bursa (24105) | $3,658 | $7,316 | 1.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $3,223.50 | $6,447 | 1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,057.50 | $4,115 | 1.3× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $2,605 | $5,210 | 1.6× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $3,223.50 | $6,447 | 1.2× |
| Fine needle aspiration without imaging guidance (10021) | $473.50 | $947 | 1.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $2,142 | $4,284 | 1.1× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) | $2,142 | $4,284 | 1.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,002 | $2,004 | 1.1× |
| Hemorrhoidopexy by stapling (46947) | $3,556 | $7,112 | 1.3× |
| Hysteroscopy Endometrial Ablation (58563) | $5,716.50 | $11,433 | 1.2× |
| I&d abscess peritonsillar (42700) | $424.50 | $849 | 1.9× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$148–$239.50 | $296–$479 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$302.50–$439 | $605–$878 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$159–$439 | $318–$878 | varies |
| Incision of rectal abscess (46040) | $836.50 | $1,673 | 0.7× |
| Incisional biopsy skin single lesion (11106) | $439 | $878 | 0.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 4 matching MRF lines |
$157–$1,114.50 | $314–$2,229 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$69.50–$373 | $139–$746 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 4 matching MRF lines |
$136–$959 | $272–$1,918 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$128.50–$346.50 | $257–$693 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 4 matching MRF lines |
$112.50–$793.50 | $225–$1,587 | varies |
| Injection of sclerosing solution, hemorrhoids (46500) | $1,002 | $2,004 | 1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$69.50–$352 | $139–$704 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$69.50–$352 | $139–$704 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$67.50–$761 | $135–$1,522 | varies |
| Insert Temp Bladder Cath (51702) | $150.50 | $301 | 1.2× |
| Insert tunneled cv cath (36561) | $3,669 | $7,338 | 1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $150.50 | $301 | 1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,275 | $2,550 | 0.8× |
| Insj Picc Rs&I <5 Yr (36572) | $1,275 | $2,550 | 2.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$448.50–$3,541 | $897–$7,082 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 7 matching MRF lines |
$439–$476 | $878–$952 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 7 matching MRF lines |
$439–$590 | $878–$1,180 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$213–$266 | $426–$532 | varies |
| Laparoscopy Enterolysis Separate Procedure (44180) | $6,299 | $12,598 | 1.1× |
| Laparoscopy fulguration oviducts (58670) | $6,364.50 | $12,729 | 1.1× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $6,299 | $12,598 | 1.1× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $10,455 | $20,910 | 1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) | $6,299 | $12,598 | 1.1× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) | $10,455 | $20,910 | 1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $6,299 | $12,598 | 1.1× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $6,299 | $12,598 | 1.1× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) | $6,299 | $12,598 | 1.1× |
| Late closure of wound (13160) | $2,392 | $4,784 | 0.7× |
| Ligate/strip long leg vein (37722) | $3,541 | $7,082 | 1.2× |
| Ligation or biopsy temporal artery (37609) | $1,443.50 | $2,887 | 0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) range across 2 matching MRF lines |
$313.50–$2,603.50 | $627–$5,207 | varies |
| Mastectomy for gynecomastia (19300) | $3,749.50 | $7,499 | 1.0× |
| Mastectomy partial (19301) | $3,749.50 | $7,499 | 1.0× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$120–$852 | $240–$1,704 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$61.50–$395.50 | $123–$791 | varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $625.50 | $1,251 | 1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$133.50–$1,114.50 | $267–$2,229 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 4 matching MRF lines |
$163.50–$793.50 | $327–$1,587 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
$149–$793.50 | $298–$1,587 | varies |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$92.50–$346.50 | $185–$693 | varies |
| Ovarian cystectomy, unilateral or bilateral (58925) | $6,079 | $12,158 | 1.3× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$97–$395.50 | $194–$791 | varies |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $5,716.50 | $11,433 | 1.2× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) range across 4 matching MRF lines |
$352.50–$1,114.50 | $705–$2,229 | varies |
| Punch biopsy skin single lesion (11104) | $439 | $878 | 1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $309.50 | $619 | 0.8× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) | $3,223.50 | $6,447 | 1.2× |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) | $3,223.50 | $6,447 | 1.2× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$497–$1,917 | $994–$3,834 | varies |
| Removal foreign body upper arm/elbow deep (24201) range across 2 matching MRF lines |
$225–$562.50 | $450–$1,125 | varies |
| Removal foreign body, intranasal; requiring general anesthesia (30310) | $3,261 | $6,522 | 1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$53–$84 | $106–$168 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$53–$82 | $106–$164 | varies |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$242.50–$394.50 | $485–$789 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$271.50–$778.50 | $543–$1,557 | varies |
| Removal of tonsils (42826) | $3,261 | $6,522 | 1.0× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$75.50–$331.50 | $151–$663 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $230 | $460 | 1.2× |
| Remove Skin Nerve Lesion (64774) | $2,345.50 | $4,691 | 1.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 5 matching MRF lines |
$450.50–$680 | $901–$1,360 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 5 matching MRF lines |
$546.50–$680 | $1,093–$1,360 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 10 matching MRF lines |
$392–$581 | $784–$1,162 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 10 matching MRF lines |
$493–$680 | $986–$1,360 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 4 matching MRF lines |
$367–$680 | $734–$1,360 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 4 matching MRF lines |
$418.50–$680 | $837–$1,360 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$321.50–$1,913 | $643–$3,826 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$394–$680 | $788–$1,360 | varies |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $4,294.50 | $8,589 | 1.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $4,294.50 | $8,589 | 1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 7 matching MRF lines |
$266–$330 | $532–$660 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 7 matching MRF lines |
$316–$439 | $632–$878 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 7 matching MRF lines |
$340–$439 | $680–$878 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 7 matching MRF lines |
$359–$439 | $718–$878 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 7 matching MRF lines |
$330–$599.50 | $660–$1,199 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 5 matching MRF lines |
$420.50–$680 | $841–$1,360 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 5 matching MRF lines |
$242.50–$439 | $485–$878 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 5 matching MRF lines |
$310.50–$439 | $621–$878 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 5 matching MRF lines |
$337–$680 | $674–$1,360 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 5 matching MRF lines |
$537.50–$2,142 | $1,075–$4,284 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 5 matching MRF lines |
$378.50–$439 | $757–$878 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 5 matching MRF lines |
$236.50–$439 | $473–$878 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 5 matching MRF lines |
$300–$439 | $600–$878 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 5 matching MRF lines |
$440–$680 | $880–$1,360 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 5 matching MRF lines |
$322–$439 | $644–$878 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 5 matching MRF lines |
$515–$3,757.50 | $1,030–$7,515 | varies |
| Repair paravag defect vag (57285) | $8,799.50 | $17,599 | 1.2× |
| Reposition Gastrostomy Tube (43761) range across 3 matching MRF lines |
$168.50–$1,010.50 | $337–$2,021 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$68–$395.50 | $136–$791 | varies |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) range across 2 matching MRF lines |
$242.50–$864 | $485–$1,728 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,274.50 | $2,549 | 0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,026.50 | $2,053 | 1.7× |
| Rmvl/revj sling stress incontinence (57287) | $3,440 | $6,880 | 1.1× |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$76.50–$324.50 | $153–$649 | varies |
| Rplcmt cath ctr vad subq port/pmp (36578) | $3,541 | $7,082 | 1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 7 matching MRF lines |
$160–$230 | $320–$460 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 5 matching MRF lines |
$439–$477.50 | $878–$955 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $230 | $460 | 0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 7 matching MRF lines |
$217.50–$230 | $435–$460 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 7 matching MRF lines |
$90–$230 | $180–$460 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 7 matching MRF lines |
$101–$230 | $202–$460 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 7 matching MRF lines |
$249.50–$439 | $499–$878 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 7 matching MRF lines |
$128.50–$230 | $257–$460 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 7 matching MRF lines |
$285–$345 | $570–$690 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 9 matching MRF lines |
$72–$230 | $144–$460 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 7 matching MRF lines |
$242–$306 | $484–$612 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 7 matching MRF lines |
$119–$230 | $238–$460 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $2,142 | $4,284 | 1.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $1,513 | $3,026 | 0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 7 matching MRF lines |
$95–$230 | $190–$460 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 7 matching MRF lines |
$161–$439 | $322–$878 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 7 matching MRF lines |
$195–$439 | $390–$878 | varies |
| Sphincterotomy anal division sphincter spx (46080) | $3,251.50 | $6,503 | 1.2× |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$56–$84 | $112–$168 | varies |
| Tangential biopsy skin single lesion (11102) | $439 | $878 | 1.1× |
| Thrombolytic Therapy Stroke (37195) | $419.50 | $839 | 1.3× |
| Thyroid biopsy (60100) | $809 | $1,618 | 1.2× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $3,261 | $6,522 | 1.0× |
| Treat Thumb Dislocation (26641) | $293.50 | $587 | 1.2× |
| Treatment closed elbow dislocation w/o anes (24600) | $483 | $966 | 2.0× |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$13–$91.50 | $26–$183 | varies |
| Tubal ligation (58600) | $3,784.50 | $7,569 | 1.2× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $3,251.50 | $6,503 | 1.2× |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$34–$348.50 | $68–$697 | varies |
| Unlisted procedure stomach (43999) | $1,500 | $3,000 | 1.7× |
| Unlisted Procedure Vascular Surgery (37799) | $772 | $1,544 | 1.3× |
| Vag hyst complex (58290) | $8,799.50 | $17,599 | 1.2× |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$1,322.50–$3,128.50 | $2,645–$6,257 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) | $2,996.50 | $5,993 | 0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $2,603.50 | $5,207 | 1.3× |
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.