Procedures & surgery prices at Community Hospital

McCook, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,348.20 $1,498 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $366.08 $406.75 0.4×
Acne surgery (10040) $264.60 $294 1.3×
Anoplasty, plastic operation for stricture; adult Facility (46700) $580.29 $644.77 0.2×
Application cast elbow finger short arm (29075) $266.63 $296.25 0.9×
Application finger splint static (29130) $126.23 $140.25 0.9×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $252.45–$326.25 $280.50–$362.50 varies
Application Long Leg Splint (29505) $162.90 $181 1.0×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $202.05–$240.53 $224.50–$267.25 varies
Application short leg splint calf foot (29515) $326.48 $362.75 1.9×
Apply hand/wrist cast (29085) $293.18 $325.75 1.7×
Apply long arm cast (29065)
range across 2 matching MRF lines		 $295.43–$340.20 $328.25–$378 varies
Apply Short Leg Cast (29405) $246.60 $274 0.8×
Apply short leg cast (29425) $233.55 $259.50 0.8×
Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180)
likely a partial charge, not the full procedure		 $103.62 $115.13 0.0×
Aqueous Shunt Extraocular Reservoir W/O Graft (66179)
likely a partial charge, not the full procedure		 $106.97 $118.85 0.0×
Arterial puncture (36600) $120.15 $133.50 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $119.03–$127.80 $132.25–$142 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $137.25–$150.30 $152.50–$167 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $125.10 $139 0.4×
Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) $2.59 $2.88 0.0×
Aspirate/Inj Ganglion Cyst (20612) $132.98 $147.75 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $243.23 $270.25 1.2×
Biopsy eye muscle (67346) $457.25 $508.06 0.1×
Biopsy Muscle Superficial (20200) $3.91 $4.34 0.0×
Bladder instillation anticarcinogenic agent (51720) $646.43 $718.25 0.9×
Bladder Irrigation (51700) $500.63 $556.25 1.9×
Blood Transfusion Service (36430) $724.50 $805 1.6×
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) $43.16 $47.96 0.0×
Bx breast 1st lesion strtctc (19081) $3,531.60 $3,924 2.1×
Bx breast 1st lesion us imag (19083) $2,506.28 $2,784.75 1.5×
Cataract surg w/iol 1 stage (66983) $13.13 $14.59 0.0×
Cataract surgery complex (66982) $356.40 $396 0.1×
Change Cystostomy Tube Simple (51705) $120.15 $133.50 0.5×
Chemodenervation of extraocular muscle (67345) $795.23 $883.59 2.4×
Chest tube placement (32551)
range across 2 matching MRF lines		 $54.98–$521.10 $61.09–$579 varies
Ciliary body destruction; cryotherapy Facility (66720) $139.97 $155.52 0.1×
Ciliary body destruction; cyclodialysis Facility (66740) $259.60 $288.44 0.1×
Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) $954.68 $1,060.76 0.4×
Ciliary body dstrj cyclophotocoag transsceral (66710) $1,735.43 $1,928.26 0.7×
Cl Tx Tib Shft Fx W Manip (27752) $883.13 $981.25 0.5×
Closed tx patellar dislocation w/anesthesia (27562) $1,537.88 $1,708.75 6.0×
Closed tx patellar dislocation w/o anesthesia (27560) $992.48 $1,102.75 3.9×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,282.05 $1,424.50 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $594.23 $660.25 2.3×
Clsr Anal Fstl W/Rct Advmnt Flap (46288) $39.44 $43.82 0.0×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $1,534.05 $1,704.50 0.9×
Cltx dstl fibular fx lat malls w/manj (27788) $1,220.85 $1,356.50 4.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,029.73 $2,255.25 1.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $26.87 $29.86 0.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,182.38 $1,313.75 4.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,159.88 $1,288.75 4.5×
Cltx post hip arthrp dislc req anes (27266) $1,790.78 $1,989.75 1.1×
Cltx post hip arthrp dislc w/o anes (27265) $923.18 $1,025.75 3.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,082.48 $1,202.75 0.6×
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $6.30–$32.40 $7–$36 varies
Colonoscopy w/stent plcmt (45389)
likely a partial charge, not the full procedure		 $15.44 $17.15 0.0×
Control Nasal Hemorrhage Anterior Simple (30901) $337.50 $375 2.4×
Corneal Transplant,Penetrat,Aphakia (65750)
likely a partial charge, not the full procedure		 $3.94 $4.38 0.0×
Crnl Relaxing Inc Corrj Induced Astigmatism (65772) $11.54 $12.82 0.0×
Cystourethroscopy w/dil bladder general anesth (52260) $165.98 $184.42 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $126.45 $140.50 0.3×
Debride nail 1-5 (11720) $67.28 $74.75 1.1×
Derma-fat-fascia graft (15770) $7 $7.78 0.0×
Destruc retinal lesn,photocoag (67210) $54 $60 0.1×
Destruct B9 Lesion 1-14 (17110) $214.43 $238.25 1.0×
Destruction Benign Lesions 15/> (17111) $277.88 $308.75 1.3×
Destruction ciliary body (66700) $207.07 $230.08 0.1×
Destruction Lesions Vulva Simple (56501) $68.08 $75.64 0.0×
Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) $471.99 $524.43 0.8×
Destruction of lesion of lid margin (up to 1 cm) (67850) $414 $460 0.4×
Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) $151.08 $167.87 0.0×
Destruction premalignant lesion 1st (17000) $126.90 $141 0.6×
Diagnostic anoscopy (46601) $378.19 $420.21 0.8×
Dilation And Curettage Of Cervical Stump (57558) $426.69 $474.10 0.1×
Dilation of vagina (57400) $20.02 $22.24 0.0×
Discission of vitreous strands (without removal), pars plana approach Facility (67030) $292.49 $324.99 0.1×
Discission Secondary Membranous Cataract (66820) $27.08 $30.09 0.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $355.73 $395.25 0.5×
Drainage of eye (65800) $38.01 $42.23 0.0×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $441.68–$550.80 $490.75–$612 varies
Drainage of hematoma/fluid (10140) $395.33 $439.25 0.2×
Drg privesical/prevesical space absc (51080) $63.74 $70.82 0.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $180.45 $200.50 0.9×
Dstrj lesion choroid pc 1/> sess (67220) $465.86 $517.62 0.8×
Dstrj Lesion Choroid Photodynamic Therapy (67221) $203.67 $226.30 0.4×
Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201)
likely a partial charge, not the full procedure		 $12.96 $14.40 0.0×
Endometrial Biopsy (58100) $195.30 $217 0.9×
Evacuation of subungual hematoma (11740) $123.30 $137 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $268.65 $298.50 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $428.40 $476 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $495.68 $550.75 0.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $559.80 $622 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $301.95 $335.50 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $323.78–$325.80 $359.75–$362 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $403.88 $448.75 0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $269.33 $299.25 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $308.48–$335.93 $342.75–$373.25 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $375.98 $417.75 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $413.10 $459 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $489.83 $544.25 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $690.98 $767.75 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $657.90 $731 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $617.85 $686.50 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $841.50 $935 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $922.73 $1,025.25 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $327.60 $364 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $360.45 $400.50 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $467.33 $519.25 0.3×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $80.34 $89.27 0.0×
Exchange Intraocular Lens (66986) $6.77 $7.52 0.0×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $582.30 $647 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $377.78 $419.75 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $399.38 $443.75 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $482.18 $535.75 1.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $647.78 $719.75 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 2 matching MRF lines		 $424.13–$426.15 $471.25–$473.50 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $416.03 $462.25 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $480.38 $533.75 0.7×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $528.98 $587.75 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $701.78 $779.75 0.4×
Extensive Retinopathy 1/> Sess Preterm Infant (67229) $7,670.39 $8,522.66 13.4×
Extraction of lens (66940) $161.19 $179.10 0.1×
Extraction of lens (66920) $106.16 $117.96 0.0×
Extraction of lens (66930) $6.10 $6.78 0.0×
Eye Surg Ant Sgmt Proc Unlisted (66999) $10.25 $11.39 0.0×
Eye surgery procedure (67299) $54.47 $60.52 0.0×
Fetal non-stress test (59025) $90.45 $100.50 0.4×
Fine Needle Aspiration Orbital Contents (67415) $9,299.42 $10,332.69 3.8×
Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) $1.62 $1.80 0.0×
Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) $726.50 $807.22 0.2×
Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) $243.86 $270.95 0.1×
Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) $43.64 $48.49 0.0×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $7.91 $8.79 0.0×
Glaucoma surgery (66160) $272.86 $303.18 0.1×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $290.03–$470.48 $322.25–$522.75 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,557.90 $1,731 0.5×
I&d perianal abscess superficial (46050) $313.43 $348.25 0.3×
I&d pilonidal cyst complicated (10081) $730.58 $811.75 1.0×
I&d pilonidal cyst simple (10080) $538.88 $598.75 0.7×
Implant eye drug system (67027)
likely a partial charge, not the full procedure		 $109.79 $121.99 0.0×
Implantation intrastromal corneal ring segments (65785) $8.49 $9.43 0.0×
Incise flexor carpi radialis (25001) $2.91 $3.23 0.0×
Incision & drainage abscess complicated/multiple (10061) $488.25 $542.50 1.2×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $346.95–$504 $385.50–$560 varies
Incision and drainage of bartholin's gland abscess (56420) $248.63 $276.25 1.2×
Incision and drainage of vulva or perineal abscess (56405) $392.63 $436.25 1.2×
Incision of iris (66500) $18.26 $20.29 0.0×
Injection Into Brain Canal (61055) $49.49 $54.99 0.2×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $122.40–$184.73 $136–$205.25 varies
Injection single/mlt trigger point 3/> muscles (20553) $71.78 $79.75 0.2×
Injx anterior chamber eye air/liquid spx (66020) $5.69 $6.32 0.0×
Injx Anterior Chamber Eye Medication Spx (66030) $19.29 $21.43 0.0×
Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) $19.98 $22.20 0.0×
Insert Drug Implant Device (11981) $352.58 $391.75 2.6×
Insert Temp Bladder Cath (51702) $83.48 $92.75 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $86.40 $96 0.6×
Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) $49.82 $55.35 0.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,225.35 $1,361.50 0.7×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) $10.62 $11.80 0.0×
Intubation endotracheal emergency procedure (31500) $421.88 $468.75 1.7×
Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) $871.31 $968.12 0.4×
Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) $3.04 $3.38 0.0×
Iridoplasty photocoagulation 1/> sessions (66762) $19.66 $21.84 0.0×
Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) $1.04 $1.16 0.0×
Iridotomy/irridectomy laser surg per session (66761) $23.09 $25.66 0.0×
Keratoplasty (corneal transplant); endothelial (65756) $9.71 $10.79 0.0×
Keratoplasty Penetrating Pseudophakia (65755) $3.27 $3.63 0.0×
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age… (31553)
likely a partial charge, not the full procedure		 $7.27 $8.08 0.0×
Laser Surgery,Sever Vitreous Strands (67031) $90.32 $100.36 0.2×
Laser treatment of retina (67040) $138.88 $154.31 0.0×
Ligation External Carotid Artery (37600) $2.39 $2.66 0.0×
Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) $52.74 $58.60 0.0×
Muscle/tendon transfer upper arm/elbow single (24301) — $1.06 —
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 3 matching MRF lines		 $18–$54 $20–$60 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $223.65–$524.70 $248.50–$583 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,270.58 $1,411.75 0.3×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $40.28 $44.76 0.0×
Ocular Surface Reconstruction Amniotic Membrane (65780) $7.41 $8.23 0.0×
Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) $11.47 $12.74 0.0×
Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Facility (65781)
likely a partial charge, not the full procedure		 $232.41 $258.23 0.0×
Optx tibial fx prox bicondylar w/wo int fixj (27536)
likely a partial charge, not the full procedure		 $207.38 $230.42 0.0×
Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) $12,524.88 $13,916.53 3.1×
Orbitotomy w/o bone flap expl w/wo biopsy (67400) $272.76 $303.07 0.1×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $452.99 $503.32 0.2×
Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) $194.72 $216.36 0.1×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) $75.50 $83.89 0.0×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) $732.98 $814.42 0.2×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) $2,351.70 $2,613 0.6×
Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) $13,415.19 $14,905.77 3.3×
Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) $12.62 $14.02 0.0×
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214)
likely a partial charge, not the full procedure		 $48.42 $53.80 0.0×
Osteotomy talus (28302)
likely a partial charge, not the full procedure		 $27.51 $30.57 0.0×
Penile venous occlusive procedure Facility (37790) $24.06 $26.73 0.0×
Perq dev breast 1st strtctc (19283) $2,148.53 $2,387.25 2.9×
Perq dev breast 1st us imag (19285) $1,518.53 $1,687.25 2.1×
Perq device breast 1st imag (19281) $1,683 $1,870 1.0×
Place Amniotic Membra Ocular Surface W/O Sutures (65778) $14.52 $16.13 0.0×
Place Amniotic Membrane Ocular Surface Sutured (65779) $4.07 $4.52 0.0×
Prescrl Fuse W/ Instr L5/S1 (22586)
likely a partial charge, not the full procedure		 $15.55 $17.28 0.0×
Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) $38.57 $42.86 0.1×
Punch biopsy skin single lesion (11104) $240.98 $267.75 0.6×
Puncture aspiration abscess hematoma bulla/cyst (10160) $279.23 $310.25 0.7×
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) $169.05 $187.83 0.1×
Radical resection of tumor, radial head or neck Facility (24152)
likely a partial charge, not the full procedure		 $9.61 $10.68 0.0×
Release encircling material (67115) $287.22 $319.13 0.1×
Release eye tissue (67343) $2,171.25 $2,412.50 0.9×
Removal Embedded Foreign Body Eyelid (67938) $486.45 $540.50 1.5×
Removal Foreign Body Foot Subcutaneous (28190) $526.50 $585 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $92.48–$96.08 $102.75–$106.75 varies
Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) $7.39 $8.21 0.0×
Removal of iris (66635) $304.45 $338.28 0.1×
Removal of iris (66630) $373.16 $414.62 0.2×
Removal of lens material (66852) $5,318.35 $5,909.28 1.2×
Removal of nail bed (11750) $315.68 $350.75 0.7×
Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) $4.46 $4.95 0.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $174.38 $193.75 0.8×
Remove blood clot from eye (65930) $117.14 $130.16 0.0×
Remove drug implant device (11982) $424.13 $471.25 0.9×
Remove eye lesion (66130) $29.03 $32.25 0.0×
Remove foreign body from eye (65205) $89.55 $99.50 0.6×
Remove Intrauterine Device (58301) $238.50 $265 0.8×
Remove iris and lesion (66600) $70.58 $78.42 0.0×
Remove renal tube w/fluoro (50389) $2.93 $3.26 0.0×
Remove sacrum pressure sore (15937) $23.69 $26.32 0.0×
Repair Detached Retina (67101) $5.36 $5.96 0.0×
Repair detached retina (67105) $5,918.92 $6,576.58 10.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $528.30 $587 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $408.38 $453.75 1.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $671.40 $746 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $676.58 $751.75 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $608.18 $675.75 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $614.25–$672.75 $682.50–$747.50 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $937.80 $1,042 2.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $571.73–$604.80 $635.25–$672 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $656.33–$786.38 $729.25–$873.75 varies
Repair iris ciliary body (66680) $23.05 $25.61 0.0×
Repair of scleral staphyloma with graft Facility (66225)
likely a partial charge, not the full procedure		 $1,356.42 $1,507.13 0.2×
Repair paravag defect vag (57285)
likely a partial charge, not the full procedure		 $112.05 $124.50 0.0×
Repair retinal detach cplx (67113)
likely a partial charge, not the full procedure		 $46.58 $51.75 0.0×
Repair Retinal Detachment Scleral Buckling (67107) $7,301.30 $8,112.56 1.7×
Repositioning Io Lens Prosthesis Req Inc Spx (66825) $44.24 $49.15 0.0×
Resect back tum < 5 cm (21935) $398.12 $442.35 0.1×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $16.29 $18.10 0.0×
Revise cornea with implant (65770) — $1.09 —
Revise radius & ulna (25365)
likely a partial charge, not the full procedure		 $41.79 $46.43 0.0×
Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) $36.81 $40.90 0.0×
Revj Shunt Extraocular Reservoir W/O Graft (66184) $81.68 $90.76 0.0×
Revj/rpr oprative wound anterior segment (66250) $1,084.88 $1,205.42 0.4×
Rmvl implnt matl posterior segment extraocular (67120) $238.28 $264.76 0.1×
Rmvl Implt Matrl Posterior Segment Intraocular (67121) $274.23 $304.70 0.1×
Rmvl Lens Material Aspir Tq 1/> Stages (66840) $435.60 $484 0.2×
Rmvl Lens Material Phacofragmentation Aspir (66850) $6.22 $6.91 0.0×
Rmvl Vitreous Ant Appr Partial Removal (67005) $1,699.20 $1,888 0.7×
Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) $8.76 $9.73 0.0×
Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) $2,036.07 $2,262.30 0.8×
Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) $535.50 $595 0.1×
Scleral reinforcement (separate procedure); without graft Facility (67250) $5.72 $6.35 0.0×
Scleral Reinforcement Spx W/Graft (67255) $4.26 $4.73 0.0×
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines		 $215.55–$222.08 $239.50–$246.75 varies
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310)
range across 2 matching MRF lines		 $220.95–$227.48 $245.50–$252.75 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305)
range across 2 matching MRF lines		 $226.35–$233.10 $251.50–$259 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306)
range across 2 matching MRF lines		 $260.33–$268.20 $289.25–$298 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307)
range across 2 matching MRF lines		 $298.13–$307.13 $331.25–$341.25 varies
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308)
range across 2 matching MRF lines		 $316.58–$326.03 $351.75–$362.25 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311)
range across 2 matching MRF lines		 $290.25–$299.03 $322.50–$332.25 varies
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312)
range across 2 matching MRF lines		 $328.95–$338.85 $365.50–$376.50 varies
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $266.63 $296.25 1.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $321.98–$331.65 $357.75–$368.50 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $291.83–$300.60 $324.25–$334 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $238.73–$384.08 $265.25–$426.75 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $248.18–$388.58 $275.75–$431.75 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $303.98–$394.20 $337.75–$438 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $173.70–$340.88 $193–$378.75 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $278.55–$434.48 $309.50–$482.75 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $240.08–$346.95 $266.75–$385.50 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $374.85 $416.50 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $438.30 $487 1.0×
Spinal puncture lumbar diagnostic (62270) $579.60 $644 0.8×
Strabismus Any Superior Oblique Muscle (67318) $5.83 $6.48 0.0×
Strabismus Recession/Rescj 1 Hrzntl Musc (67311) $4,075.53 $4,528.37 1.7×
Strabismus Recession/Rescj 1 Ver Musc (67314) $1,468.06 $1,631.18 0.6×
Strabismus Recession/Rescj 2 Hrzntl Musc (67312) $16.24 $18.04 0.0×
Strabismus Recession/Rescj 2/More Ver Musc (67316) $887.32 $985.91 0.4×
Subcutaneous injection filling matrl 1.1-5.0 cc (11951) $1.90 $2.11 0.0×
Surg tx anal fistula subq (46270) $14.81 $16.45 0.0×
Suture Iris Ciliary Body Spx Retrieval Suture (66682) $387.22 $430.24 0.2×
Tangential biopsy skin single lesion (11102) $189.90 $211 0.4×
Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) $66.45 $73.83 0.0×
Translum Dil Eye Canal (66174) $677.50 $752.78 0.2×
Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Facility (66175)
likely a partial charge, not the full procedure		 $455.41 $506.01 0.1×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875)
likely a partial charge, not the full procedure		 $66.62 $74.02 0.0×
Treat Humerus Fracture (24505) $1,225.80 $1,362 0.7×
Treat Trigeminal Nerve (61790) $22.16 $24.62 0.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,495.13 $1,661.25 0.9×
Treatment of retina (67141) $1,132.87 $1,258.74 3.4×
Treatment of retinal lesion (67208) $1,914.35 $2,127.06 5.8×
Trim skin lesions 2 to 4 (11056) $174.38 $193.75 0.8×
Trimming Nondystrophic Nails Any Number (11719) $29.48 $32.75 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $645.98 $717.75 0.8×
Tx superficial wound dehiscence w/packing (12021) $378.68 $420.75 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $9.68 $10.75 0.0×
Unlisted px extraocular musc (67399) $1,091.05 $1,212.28 3.3×
Unlisted vascular endoscopy procedure (37501) $5.67 $6.30 0.0×
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308)
likely a partial charge, not the full procedure		 $3.85 $4.28 0.0×
Vaginoplasty for intersex state Facility (57335)
likely a partial charge, not the full procedure		 $152.97 $169.97 0.0×
Vit for membrane dissect (67043) $205.78 $228.64 0.0×
Vitrectomy mechanical pars plana (67036) $476.31 $529.23 0.1×
Vitrectomy pars plana remove int memb retina (67042) $708.98 $787.75 0.2×
Vitrectomy Pars Plana Remove Preretinal Membrane (67041) $98.62 $109.58 0.0×
Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) $1,942.21 $2,158.01 0.5×
Wedge excision skin nail fold (11765) $361.35 $401.50 0.9×
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)
likely a partial charge, not the full procedure		 $11.08 $12.31 0.0×
Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) $2,024.42 $2,249.36 0.5×
Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989)
likely a partial charge, not the full procedure		 $404.89 $449.88 0.1×

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.