Procedures & surgery prices at Clay County Hospital

Flora, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,177 $1,177 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,057 $1,057 1.1×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,972 $2,972 1.3×
Anoscopy diagnostic (46600) $710 $710 5.0×
Application cast elbow finger short arm (29075) $569 $569 1.9×
Application Cast Finger (29086) $286 $286 1.6×
Application Finger Splint Dynamic (29131) $220 $220 3.5×
Application finger splint static (29130)
range across 2 matching MRF lines		 $135–$220 $135–$220 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $336–$566 $336–$566 varies
Application Long Leg Splint (29505) $646 $646 3.7×
Application of long leg cast (29345) $822 $822 2.7×
Application Short Arm Splint Dynamic (29126) $323 $323 2.3×
Application short arm splint forearm-hand static (29125) $323 $323 2.3×
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $238–$271 $238–$271 varies
Apply long arm cast (29065) $515 $515 1.7×
Apply Short Leg Cast (29405) $684 $684 2.3×
Arterial puncture (36600) $142 $142 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $216 $216 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $625 $625 1.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $147 $147 0.4×
Aspirate pleura w/ imaging (32555) $857 $857 1.3×
Aspirate Pleura W/O Imaging (32554) $963 $963 1.4×
Aspirate/Inj Ganglion Cyst (20612) $204 $204 0.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $292–$334 $292–$334 varies
Bladder Scan (51798) $211 $211 3.3×
Blood Transfusion Service (36430) $961 $961 2.0×
Bx breast 1st lesion mr imag (19085) $5,224 $5,224 3.0×
Bx breast 1st lesion strtctc (19081) $6,363 $6,363 3.6×
Bx breast 1st lesion us imag (19083) $3,017 $3,017 1.7×
Change Cystostomy Tube Simple (51705) $357 $357 1.3×
Change of Windpipe Airway (31502) $424 $424 1.7×
Chemical Cautery Tissue (17250) $527 $527 2.5×
Chest tube placement (32551) $924 $924 0.5×
Cl Tx Scapular Fx; W Manip (23575) $978 $978 0.6×
Cl Tx Tib Shft Fx W Manip (27752) $1,300 $1,300 0.8×
Clear outer ear canal (69200) $123 $123 0.9×
Closed Rx Metacarpal Fx,Percut (26608) $1,160 $1,160 0.3×
Closed Rx Spontaneous Hip Disloc (27256) $749 $749 2.8×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $976 $976 3.7×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,075 $1,075 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,181 $1,181 4.5×
Closed tx ankle dislocation w/o anesthesia (27840) $917 $917 3.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,134 $1,134 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $795 $795 3.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $932 $932 3.5×
Closed tx carpal scaphoid fracture w/manj (25624) $1,160 $1,160 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $1,268 $1,268 4.8×
Closed tx metatarsal fracture w/o manipulation (28470) $677 $677 2.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,354 $1,354 0.8×
Closed tx patellar dislocation w/o anesthesia (27560) $901 $901 3.4×
Closed tx radial head/neck fx w/manipulation (24655) $1,062 $1,062 0.6×
Closed tx radial shaft fracture w/manipulation (25505) $1,216 $1,216 0.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,248 $1,248 0.7×
Closed tx talotarsal joint dislc w/o anes (28570) $543 $543 2.1×
Closed Tx Talus Fracture W/Manipulation (28435) $872 $872 0.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $274 $274 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,108 $1,108 0.6×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $655 $655 2.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $838 $838 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,098 $1,098 4.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $895 $895 0.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $829 $829 3.1×
Cltx dstl fibular fx lat malls w/manj (27788) $1,023 $1,023 3.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $551 $551 2.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $662 $662 2.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $446 $446 1.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,016 $1,016 3.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,311 $1,311 0.8×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,676 $1,676 1.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $1,858 $1,858 1.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,878 $1,878 1.1×
Cltx fx grt toe phlx/phlg w/manj (28495) $422 $422 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $387 $387 1.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,328 $1,328 0.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $786 $786 3.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,332 $1,332 0.8×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,296 $1,296 0.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $921 $921 3.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $679 $679 2.6×
Cltx Med Ankle Fx W/Mnpj (27762) $1,158 $1,158 0.7×
Cltx metacarpal fx w/manipulation each bone (26605) $776 $776 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $706 $706 2.7×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,011 $1,011 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $814 $814 3.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $471 $471 1.8×
Cltx post hip arthrp dislc w/o anes (27265) $1,022 $1,022 3.9×
Cltx prox fibula/shft fx w/manj (27781) $1,042 $1,042 0.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,128 $1,128 0.7×
Cltx prox tibfib jt dislc w/o anes (27830) $930 $930 3.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $240 $240 0.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,035 $1,035 0.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,337 $1,337 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,493 $1,493 0.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $1,971 $1,971 1.1×
Cltx tibial fx proximal w/o manipulation (27530) $723 $723 2.7×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $1,275 $1,275 4.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,179 $1,179 0.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $778 $778 2.9×
Collect Blood From Catheter Venous Nos (36592) $84 $84 0.6×
Collection of venous blood by venipuncture (36415) $30 $30 3.2×
Control Nasal Hemorrhage Anterior Complex (30903) $766 $766 5.4×
Control Nasal Hemorrhage Anterior Simple (30901) $612 $612 4.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $787 $787 5.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $824 $824 3.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $590 $590 1.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $590 $590 0.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $590 $590 0.8×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $590 $590 0.8×
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $1,919 $1,919 0.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $707 $707 0.9×
Debride nail 1-5 (11720) $152 $152 2.4×
Debride nail 6 or more (11721) $180 $180 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $590 $590 1.4×
Declot vascular device (36593) $1,139 $1,139 3.2×
Delivery of placenta (59414) $1,717 $1,717 0.5×
Destruct B9 Lesion 1-14 (17110) $232 $232 1.1×
Destruction Benign Lesions 15/> (17111) $291 $291 1.4×
Destruction Lesions Vulva Extensive (56515) $318 $318 0.1×
Destruction Lesions Vulva Simple (56501) $209 $209 0.1×
Destruction premalignant lesion 1st (17000) $170 $170 0.8×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $493–$2,416 $493–$2,416 varies
Drainage external auditory canal abscess (69020) $536 $536 0.7×
Drainage external ear abscess/hematoma cmplx (69005) $515 $515 0.3×
Drainage External Ear Abscess/Hematoma Simple (69000) $439 $439 0.6×
Drainage Finger Abscess Complicated (26011) $1,016 $1,016 0.6×
Drainage Mouth Roof Lesion (42000) $370 $370 1.5×
Drainage of finger abscess simple (26010) $703 $703 3.3×
Drainage of gum lesion (41800) $679 $679 4.8×
Drainage of hematoma/fluid (10140) $849 $849 0.5×
Drainage of scrotal wall abscess (55100) $409 $409 0.2×
Drainage of scrotum (54700) $528 $528 0.2×
Draw Blood Off Venous Device (36591) $181 $181 1.3×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $708 $708 1.2×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $485 $485 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $610 $610 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $508 $508 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $407 $407 1.9×
Dstrj Lesion Penis Simple Cryosurgery (54056) $160 $160 0.7×
Dx gastr intub w/asp spec (43754) $781 $781 3.4×
Dx Laryngoscopy Excl Nb (31525) $595 $595 0.3×
Endometrial Biopsy (58100) $358 $358 1.7×
Epidural Blood Patch (62273) $409 $409 0.5×
Evacuation of subungual hematoma (11740) $149 $149 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $423 $423 0.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $831 $831 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $781 $781 1.0×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $955 $955 1.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $524 $524 0.7×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $627 $627 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $728 $728 1.0×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,082 $1,082 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $509 $509 0.3×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $645 $645 0.8×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $779 $779 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $712 $712 0.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $996 $996 0.6×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $931 $931 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $457 $457 0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $461 $461 1.1×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $502 $502 0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,351 $1,351 0.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,082 $1,082 1.4×
Excision & Repair Eyelid < One-Fourth Lid Margin (67961) $1,363 $1,363 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $841 $841 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $901 $901 1.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $961 $961 2.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $630 $630 0.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $570 $570 0.3×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $691 $691 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $810 $810 1.1×
Excision of pilonidal cyst or sinus; simple (11770) $601 $601 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $781 $781 0.3×
Explo/Drain Breast Abscess (19020) $1,028 $1,028 0.6×
Exploration penetrating wound spx extremity (20103) $306 $306 0.2×
Fna bx w/us gdn 1st les (10005) $1,322 $1,322 1.7×
Foreskin manipulation (54450) $168 $168 0.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $710 $710 0.7×
I&d abscess peritonsillar (42700) $451 $451 1.8×
I&d abscess simple (10060) $361 $361 1.7×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,028 $1,028 0.3×
I&D Mouth/Tong Intra,Masticator (41009) $973 $973 1.7×
I&d perianal abscess superficial (46050) $1,433 $1,433 1.4×
I&d pilonidal cyst complicated (10081) $660 $660 0.9×
I&d pilonidal cyst simple (10080) $510 $510 0.7×
I&d shoulder deep abscess/hematoma (23030) $1,028 $1,028 0.3×
I&d upper arm/elbow deep abscess/hematoma (23930) $848 $848 0.3×
Incise external hemorrhoid (46083) $457 $457 1.7×
Incision & drainage abscess complicated/multiple (10061) $541 $541 1.2×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,278 $1,278 0.4×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $849–$1,021 $849–$1,021 varies
Incision & removal foreign body subq tiss simple (10120) $733 $733 1.7×
Incision and drainage of bartholin's gland abscess (56420) $372 $372 1.7×
Incision and drainage of vulva or perineal abscess (56405) $1,094 $1,094 3.4×
Incision of rectal abscess (46040) $1,316 $1,316 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $679 $679 0.4×
Incisional biopsy skin single lesion (11106) $423 $423 0.5×
Initial Tx 1st Degree Burn Local Tx (16000) $339 $339 1.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) $206 $206 0.6×
Injection single tendon origin/insertion (20551) $206 $206 0.6×
Injection single/mlt trigger point 1/2 muscles (20552) $236 $236 0.7×
Injection single/mlt trigger point 3/> muscles (20553) $271 $271 0.8×
Injection, anesthetic agent; brachial plexus, single (64415) $462 $462 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $462 $462 0.6×
Injection, intralesional; up to and including 7 lesions (11900) $234 $234 1.1×
Insert Bladder Cath Complex (51703) $789 $789 5.7×
Insert Drug Implant Device (11981) $426 $426 3.0×
Insert non-tunnel cv cath (36556) $3,802 $3,802 1.1×
Insert pessary/other device (57160) $323 $323 1.5×
Insert Temp Bladder Cath (51702) $357 $357 2.5×
Insert,Non-Indwelling Bladder Catheter (51701) $189 $189 1.3×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $442 $442 0.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,649 $2,649 1.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $6,756 $6,756 2.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,140 $1,140 2.6×
Intraoral i&d tongue/floor lingual (41000) $374 $374 0.6×
Intraoral i&d tongue/floor submental space (41007) $795 $795 0.5×
Intraoral i&d tongue/floor submndblr space (41008) $905 $905 0.3×
Intubation endotracheal emergency procedure (31500) $821 $821 3.2×
Laryngoscopy diagnostic (31505) $204 $204 1.0×
Laryngoscopy flexible diagnostic (31575) $592 $592 2.8×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $653 $653 1.6×
Late closure of wound (13160) $558 $558 0.1×
N Block Inj Plantar Digit (64455) $462 $462 1.4×
Nasal/Orogastric W/Tube Plmt (43752) $781 $781 1.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,195 $1,195 2.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $462 $462 1.4×
Open Tx Distal Phalangeal Fracture Each (26765) $1,213 $1,213 0.3×
Open tx interphalangeal joint dislocation (26785) $1,326 $1,326 0.4×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,446 $1,446 0.4×
Partial Excision Distal Phalanx Finger (26236) $1,071 $1,071 0.6×
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $1,184 $1,184 0.3×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,616 $1,616 0.5×
Placement of needle for intraosseous infusion (36680) $463 $463 1.0×
Punch biopsy skin single lesion (11104) $413 $413 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $765 $765 1.8×
Removal Embedded Foreign Body Eyelid (67938) $595 $595 1.7×
Removal Foreign Body Foot Subcutaneous (28190) $445 $445 0.6×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $445 $445 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines		 $106–$211 $106–$211 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $138–$277 $138–$277 varies
Removal of foreign body from pharynx (42809) $210 $210 0.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $511–$781 $511–$781 varies
Removal or bivalving full arm or full leg cast (29705) $375 $375 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $253 $253 1.2×
Remove drug implant device (11982) $426 $426 0.9×
Remove foreign body from eye (65205) $88 $88 0.6×
Remove Intrauterine Device (58301) $366 $366 1.1×
Remove Nasal Foreign Body (30300) $322 $322 2.3×
Remove/Insert Drug Implant (11983) $546 $546 1.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,082 $1,082 1.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,800 $1,800 2.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,082 $1,082 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,560 $1,560 3.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $901 $901 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,082 $1,082 2.5×
Repair complex trunk 1.1-2.5 cm (13100) $781 $781 1.0×
Repair complex trunk 2.6-7.5 cm (13101) $961 $961 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $570 $570 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $660 $660 1.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $810 $810 1.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $901 $901 2.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,050 $1,050 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $660 $660 1.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $750 $750 1.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $901 $901 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,140 $1,140 2.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $708 $708 1.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $781 $781 1.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,399 $1,399 1.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $918 $918 2.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,717 $1,717 0.8×
Repair of nail bed (11760) $348 $348 0.4×
Repair tongue laceration (41252) $761 $761 3.0×
Repair tongue laceration (41250) $655 $655 1.4×
Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) $1,363 $1,363 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $142 $142 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $123 $123 0.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $534 $534 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $4,450 $4,450 2.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,788 $2,788 4.1×
Rplc Gtube No Revj Trc (43762) $1,346 $1,346 5.0×
Rplc gtube revj gstrst trc (43763) $781 $781 2.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $805 $805 3.7×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,260 $1,260 1.6×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,203 $1,203 2.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $1,372 $1,372 0.8×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,536 $1,536 0.4×
Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) $1,198 $1,198 0.3×
Shave skin lesion 0.5 cm/< (11300) $198 $198 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $312 $312 1.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $198 $198 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $245 $245 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $288 $288 1.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $385 $385 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $342 $342 1.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $420 $420 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $245 $245 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $385 $385 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $288 $288 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $965 $965 2.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $443 $443 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $558 $558 2.6×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,158 $1,158 2.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $670 $670 3.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $552 $552 2.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,159 $1,159 5.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $799 $799 3.7×
Skin Tissue Procedure (17999) $10,667 $10,667 49.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $673 $673 3.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $865 $865 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,050 $1,050 2.4×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $475–$2,001 $475–$2,001 varies
Strapping ankle (29540)
range across 2 matching MRF lines		 $188–$276 $188–$276 varies
Strapping elbow or wrist (29260)
range across 3 matching MRF lines		 $166–$203 $166–$203 varies
Strapping hand/finger (29280)
range across 3 matching MRF lines		 $74–$166 $74–$166 varies
Strapping Hip (29520)
range across 2 matching MRF lines		 $123–$365 $123–$365 varies
Strapping knee (29530)
range across 2 matching MRF lines		 $290–$304 $290–$304 varies
Strapping shoulder (29240)
range across 3 matching MRF lines		 $128–$365 $128–$365 varies
Strapping Unna Boot (29580) $178 $178 1.0×
Suture digital nerve hand/foot 1 nerve (64831) $462 $462 0.2×
Tangential biopsy skin single lesion (11102) $230 $230 0.5×
Thyroid biopsy (60100) $1,739 $1,739 2.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $5,098 $5,098 2.3×
Tracheostomy Emergency Cricothyroid Membrane (31605) $848 $848 3.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $807 $807 0.5×
Treat Hip Socket Fracture (27222) $2,401 $2,401 9.1×
Treat Humerus Fracture (24505) $1,203 $1,203 0.7×
Treat humerus fracture (23600) $1,006 $1,006 3.8×
Treat knee fracture (27532) $723 $723 0.2×
Treat Knuckle Dislocation (26700) $805 $805 3.0×
Treat Metatarsal Fracture (28475) $615 $615 2.3×
Treat Thumb Dislocation (26641) $921 $921 3.5×
Treat Thumb Fracture (26645) $1,038 $1,038 0.6×
Treat toe dislocation (28630) $374 $374 1.4×
Treat Vaginal Bleeding (57180) $413 $413 1.9×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,150 $1,150 0.7×
Treatment closed elbow dislocation w/o anes (24600) $898 $898 3.4×
Trim skin lesion (11055) $176 $176 0.8×
Trim skin lesions 2 to 4 (11056) $187 $187 0.9×
Trim skin lesions over 4 (11057) $199 $199 0.9×
Trimming Nondystrophic Nails Any Number (11719) $135 $135 2.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $558 $558 0.7×
Tx superficial wound dehiscence w/packing (12021) $670 $670 1.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $690 $690 0.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $504 $504 1.9×
Unlisted Procedure Casting/Strapping (29799) $166 $166 1.0×
Unlisted procedure nervous system (64999) $462 $462 1.4×
Vaginal delivery only (59409) $2,060 $2,060 0.6×
Vein Access Cutdown < 1 Yr (36420) $123 $123 0.9×
Venous Cutdown >1 Y/O (36425) $99 $99 0.2×
Wedge excision skin nail fold (11765) $348 $348 0.8×
Wound Prep F/N/Hf/G (15004) $2,100 $2,100 4.8×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.