Procedures & surgery prices at Community Hospital of Bremen Inc
Bremen, IN · every code in this section with a posted price and a Medicare benchmark.
228 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) | $1,580.15 | $2,431 | 1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,002.30 | $1,542 | 1.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $128.05 | $197 | 0.7× |
| Application finger splint static (29130) | $150.15 | $231 | 1.1× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$150.15–$286.65 | $231–$441 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$148.85–$298.35 | $229–$459 | varies |
| Application of rigid total contact leg cast (29445) | $748.15 | $1,151 | 2.5× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$150.15–$286.65 | $231–$441 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$148.85–$284.05 | $229–$437 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $128.05 | $197 | 0.7× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$125.45–$132.60 | $193–$204 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $341.25 | $525 | 1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $453.05 | $697 | 1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $613.60 | $944 | 1.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $286.65 | $441 | 0.9× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$897–$1,794 | $1,380–$2,760 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) | $222.95 | $343 | 1.1× |
| Bladder Irrigation (51700) | $224.25 | $345 | 0.8× |
| Bladder Scan (51798) | $134.55 | $207 | 2.2× |
| Blepharotomy drainage abscess eyelid (67700) | $261.30 | $402 | 0.8× |
| Blood Transfusion Service (36430) range across 8 matching MRF lines |
$505.70–$1,184.95 | $778–$1,823 | varies |
| Bx breast 1st lesion us imag (19083) | $4,065.75 | $6,255 | 2.3× |
| Change Cystostomy Tube Simple (51705) | $364.65 | $561 | 1.4× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$958.10–$1,916.20 | $1,474–$2,948 | varies |
| Circumcision Neonate (54160) | $261.95 | $403 | 0.4× |
| Circumcision w/clamp/oth dev w/block (54150) | $274.95 | $423 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,008.15–$2,016.30 | $1,551–$3,102 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$123.50–$235.95 | $190–$363 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$208–$416.65 | $320–$641 | varies |
| Closed rx talotarsal disloc,anesth (28575) range across 2 matching MRF lines |
$2,989.35–$5,978.70 | $4,599–$9,198 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $147.55 | $227 | 0.6× |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$218.40–$416.65 | $336–$641 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$216.45–$432.25 | $333–$665 | varies |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$1,513.20–$3,025.75 | $2,328–$4,655 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$241.80–$483.60 | $372–$744 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$208–$416.65 | $320–$641 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$227.50–$432.25 | $350–$665 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,008.15–$2,016.30 | $1,551–$3,102 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$186.55–$373.75 | $287–$575 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 2 matching MRF lines |
$208–$416.65 | $320–$641 | varies |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $416.65 | $641 | 1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $176.80 | $272 | 0.7× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $304.85 | $469 | 1.2× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $635.05 | $977 | 1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,175.85–$2,239.90 | $1,809–$3,446 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$227.50–$453.70 | $350–$698 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$1,441.05–$2,881.45 | $2,217–$4,433 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$1,008.15–$2,016.30 | $1,551–$3,102 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$241.80–$483.60 | $372–$744 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$241.80–$483.60 | $372–$744 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $696.80 | $1,072 | 2.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,008.15–$1,920.10 | $1,551–$2,954 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $554.45 | $853 | 2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $254.15 | $391 | 1.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
$1,441.05–$2,881.45 | $2,217–$4,433 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$1,441.05–$2,881.45 | $2,217–$4,433 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$397.80–$757.90 | $612–$1,166 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $378.95 | $583 | 1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $227.50 | $350 | 0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,119.95 | $1,723 | 3.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $227.50 | $350 | 0.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$254.15–$483.60 | $391–$744 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$226.20–$429.65 | $348–$661 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
$1,119.95–$2,239.90 | $1,723–$3,446 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $254.15 | $391 | 1.0× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,934.40–$3,683.55 | $2,976–$5,667 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$254.15–$507.65 | $391–$781 | varies |
| Cltx prox fibula/shft fx w/manj (27781) range across 2 matching MRF lines |
$960.05–$1,920.10 | $1,477–$2,954 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$241.80–$483.60 | $372–$744 | varies |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $4,644.25 | $7,145 | 2.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
$960.05–$1,920.10 | $1,477–$2,954 | varies |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) range across 2 matching MRF lines |
$2,989.35–$5,978.70 | $4,599–$9,198 | varies |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
$208–$416.65 | $320–$641 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,008.15–$2,016.30 | $1,551–$3,102 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $85.80 | $132 | 0.6× |
| Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
$1.95–$18.20 | $3–$28 | varies |
| Complex drainage wound (10180) | $2,761.85 | $4,249 | 0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$191.10–$364 | $294–$560 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$191.10–$364 | $294–$560 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $191.10 | $294 | 1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $146.25 | $225 | 0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $401.05 | $617 | 0.9× |
| Debride nail 1-5 (11720) | $130.65 | $201 | 2.1× |
| Drainage external auditory canal abscess (69020) | $232.70 | $358 | 0.3× |
| Drainage external ear abscess/hematoma cmplx (69005) | $1,263.60 | $1,944 | 0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $244.40 | $376 | 0.3× |
| Drainage Finger Abscess Complicated (26011) | $1,392.30 | $2,142 | 0.8× |
| Drainage Mouth Roof Lesion (42000) | $304.85 | $469 | 1.2× |
| Drainage of finger abscess simple (26010) | $244.40 | $376 | 1.2× |
| Drainage of gum lesion (41800) | $176.80 | $272 | 1.3× |
| Drainage of hematoma/fluid (10140) | $1,616.55 | $2,487 | 0.9× |
| Drainage of nose lesion (30000) | $195 | $300 | 0.8× |
| Drainage of scrotal wall abscess (55100) | $1,764.10 | $2,714 | 1.0× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$85.80–$203.45 | $132–$313 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $232.70 | $358 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $243.10 | $374 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $243.10 | $374 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $153.40 | $236 | 0.7× |
| Epidural Blood Patch (62273) | $873.60 | $1,344 | 1.2× |
| Escharotomy; initial incision (16035) | $401.05 | $617 | 0.9× |
| Evacuation of subungual hematoma (11740) | $136.50 | $210 | 1.0× |
| Excision of submandibular (submaxillary) gland (42440) | $8,691.15 | $13,371 | 1.4× |
| Fetal Contraction Stress Test (59020) | $442 | $680 | 2.1× |
| Fetal non-stress test (59025) | $410.15 | $631 | 1.9× |
| Fluoro exam of g/colon tube (49465) | $514.15 | $791 | 2.0× |
| I&d abscess peritonsillar (42700) | $319.80 | $492 | 1.3× |
| I&d abscess simple (10060) | $346.45 | $533 | 1.6× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $8,371.35 | $12,879 | 2.9× |
| I&d perianal abscess superficial (46050) | $476.45 | $733 | 0.5× |
| I&d pilonidal cyst simple (10080) | $256.10 | $394 | 0.3× |
| Incise external hemorrhoid (46083) | $310.70 | $478 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$377.65–$401.05 | $581–$617 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $1,288.30 | $1,982 | 0.7× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$481.65–$917.15 | $741–$1,411 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $238.55 | $367 | 1.1× |
| Incision and drainage of vulva or perineal abscess (56405) | $264.55 | $407 | 0.8× |
| Incision of rectal abscess (46040) | $1,506.05 | $2,317 | 1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $153.40 | $236 | 0.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $462.15 | $711 | 1.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $236.60 | $364 | 0.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $559 | $860 | 0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $240.50 | $370 | 0.3× |
| Insert Bladder Cath Complex (51703) | $308.10 | $474 | 2.3× |
| Insert non-tunnel cv cath (36556) | $2,510.95 | $3,863 | 0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,115.40 | $1,716 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$104–$108.55 | $160–$167 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$104–$108.55 | $160–$167 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$1,129.05–$1,171.30 | $1,737–$1,802 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $307.45 | $473 | 0.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $292.50 | $450 | 0.7× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$404.95–$421.20 | $623–$648 | varies |
| Laryngoscopy flexible diagnostic (31575) | $525.85 | $809 | 2.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $62.40 | $96 | 2.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $74.75 | $115 | 2.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$581.75–$1,164.15 | $895–$1,791 | varies |
| Placement of needle for intraosseous infusion (36680) | $167.05 | $257 | 0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $371.15 | $571 | 0.9× |
| Puncture Aspiration Cyst Breast (19000) range across 3 matching MRF lines |
$248.95–$1,167.40 | $383–$1,796 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$261.30–$521.95 | $402–$803 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$1,626.95–$3,253.90 | $2,503–$5,006 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $832.65 | $1,281 | 0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$70.20–$133.90 | $108–$206 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$159.90–$319.80 | $246–$492 | varies |
| Removal of nail bed (11750) | $692.25 | $1,065 | 1.6× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$169.65–$338.65 | $261–$521 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$241.15–$482.30 | $371–$742 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$229.45–$436.80 | $353–$672 | varies |
| Remove Intrauterine Device (58301) | $631.15 | $971 | 2.0× |
| Remove lung catheter (32552) | $1,749.15 | $2,691 | 2.6× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$145.60–$276.90 | $224–$426 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $421.20 | $648 | 0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $533.65 | $821 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $421.20 | $648 | 1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $421.20 | $648 | 1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $401.05 | $617 | 0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $421.20 | $648 | 1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) | $536.25 | $825 | 0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) | $421.20 | $648 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $307.45 | $473 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $307.45 | $473 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $307.45 | $473 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $307.45 | $473 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $292.50 | $450 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $292.50 | $450 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $307.45 | $473 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $307.45 | $473 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $307.45 | $473 | 0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,744.60 | $2,684 | 0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $307.45 | $473 | 0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $307.45 | $473 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $307.45 | $473 | 0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $307.45 | $473 | 0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $307.45 | $473 | 0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,751.10 | $2,694 | 0.8× |
| Repair of nail bed (11760) | $421.20 | $648 | 0.5× |
| Repair tongue laceration (41252) | $620.75 | $955 | 2.5× |
| Repair tongue laceration (41250) | $168.35 | $259 | 0.4× |
| Reposition Gastrostomy Tube (43761) | $793.65 | $1,221 | 3.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $117.65 | $181 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$218.40–$436.80 | $336–$672 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$218.40–$436.80 | $336–$672 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$229.45–$458.90 | $353–$706 | varies |
| Rplc Gtube No Revj Trc (43762) | $316.55 | $487 | 1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $292.50 | $450 | 1.4× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $292.50 | $450 | 0.4× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $739.05 | $1,137 | 2.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,003.60 | $1,544 | 1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $292.50 | $450 | 0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $292.50 | $450 | 1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $307.45 | $473 | 1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $292.50 | $450 | 0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $307.45 | $473 | 1.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $292.50 | $450 | 1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $510.90 | $786 | 2.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $243.10 | $374 | 1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $230.10 | $354 | 1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $230.10 | $354 | 1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $230.10 | $354 | 0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $221.65 | $341 | 0.5× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$684.45–$687.05 | $1,053–$1,057 | varies |
| Strapping ankle (29540) range across 4 matching MRF lines |
$53.95–$297.05 | $83–$457 | varies |
| Strapping elbow or wrist (29260) range across 3 matching MRF lines |
$55.90–$143 | $86–$220 | varies |
| Strapping hand/finger (29280) range across 4 matching MRF lines |
$56.55–$286.65 | $87–$441 | varies |
| Strapping Hip (29520) | $53.95 | $83 | 0.4× |
| Strapping knee (29530) range across 4 matching MRF lines |
$53.30–$182 | $82–$280 | varies |
| Strapping shoulder (29240) range across 4 matching MRF lines |
$55.90–$286.65 | $86–$441 | varies |
| Strapping thorax (29200) | $53.95 | $83 | 0.3× |
| Strapping toes (29550) range across 3 matching MRF lines |
$56.55–$95.55 | $87–$147 | varies |
| Strapping Unna Boot (29580) | $154.05 | $237 | 0.9× |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$247–$905.45 | $380–$1,393 | varies |
| Tooth extraction (41899) | $1,312.35 | $2,019 | 5.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $800.80 | $1,232 | 3.2× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,008.15–$1,920.10 | $1,551–$2,954 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$254.15–$483.60 | $391–$744 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$214.50–$408.20 | $330–$628 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,119.95–$2,239.90 | $1,723–$3,446 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$227.50–$453.70 | $350–$698 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$124.80–$832.65 | $192–$1,281 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$1,513.20–$3,025.75 | $2,328–$4,655 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $421.20 | $648 | 0.5× |
| Tx superficial wound dehiscence w/packing (12021) | $401.05 | $617 | 0.9× |
| Unlisted Procedure Casting/Strapping (29799) | $50.05 | $77 | 0.3× |
| Unlisted procedure nervous system (64999) | $592.15 | $911 | 1.8× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $204.75 | $315 | 0.8× |
| Unlisted Procedure Rectum (45999) | $2,613 | $4,020 | 2.7× |
| Unlisted Procedure Vascular Surgery (37799) | $1,772.55 | $2,727 | 2.7× |
| Vaginal delivery only (59409) | $8,230.95 | $12,663 | 2.4× |
| Wedge excision skin nail fold (11765) | $262.60 | $404 | 0.6× |
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.