Procedures & surgery prices at Community Memorial Hospital
Burke, SD · every code in this section with a posted price and a Medicare benchmark.
256 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) | $348.17 | $489 | 0.4× |
| Application cast elbow finger short arm (29075) | $197.94 | $278 | 0.7× |
| Application Cast Finger (29086) range across 2 matching MRF lines |
$143.12–$252.76 | $201–$355 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$98.97–$165.19 | $139–$232 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$220.01–$293.35 | $309–$412 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$230.69–$264.16 | $324–$371 | varies |
| Application Short Arm Splint Dynamic (29126) | $220.01 | $309 | 1.6× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$165.19–$220.01 | $232–$309 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$150.24–$157.36 | $211–$221 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$205.06–$220.01 | $288–$309 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$220.01–$322.54 | $309–$453 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $330.37 | $464 | 2.0× |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$194.38–$311.86 | $273–$438 | varies |
| Arterial puncture (36600) | $143.12 | $201 | 1.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$91.85–$597.37 | $129–$839 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$153.80–$880.04 | $216–$1,236 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $88.29 | $124 | 0.3× |
| Aspirate/Inj Ganglion Cyst (20612) | $124.60 | $175 | 0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$183.70–$1,257.40 | $258–$1,766 | varies |
| Biopsy nail unit (11755) | $234.96 | $330 | 0.3× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$136–$373.80 | $191–$525 | varies |
| Bladder Scan (51798) | $165.19 | $232 | 2.7× |
| Blood Transfusion Service (36430) | $927.74 | $1,303 | 2.1× |
| Chemical Cautery Tissue (17250) | $143.12 | $201 | 0.7× |
| Chest tube placement (32551) | $1,679.61 | $2,359 | 1.0× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$201.50–$216.45 | $283–$304 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$641.52–$1,176.94 | $901–$1,653 | varies |
| Closed Treatment Sternum Fracture (21820) | $257.04 | $361 | 1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$670.71–$902.11 | $942–$1,267 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $656.47 | $922 | 2.6× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$656.47–$964.05 | $922–$1,354 | varies |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,980.08 | $2,781 | 1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $652.91 | $917 | 2.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,473.84 | $2,070 | 0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $498.40 | $700 | 2.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $1,569.25 | $2,204 | 1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $597.37 | $839 | 2.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $385.20 | $541 | 1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$403.71–$561.06 | $567–$788 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $2,735.51 | $3,842 | 1.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $561.06 | $788 | 2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $330.37 | $464 | 1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$480.60–$946.25 | $675–$1,329 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,466.72 | $2,060 | 0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$363.12–$520.48 | $510–$731 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$576.01–$645.08 | $809–$906 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $528.31 | $742 | 2.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$601.64–$656.47 | $845–$922 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $443.58 | $623 | 1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) | $550.38 | $773 | 2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$788.19–$1,686.73 | $1,107–$2,369 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$179.43–$678.54 | $252–$953 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $550.38 | $773 | 2.2× |
| Collect Blood From Catheter Venous Nos (36592) | $157.36 | $221 | 1.2× |
| Collection of venous blood by venipuncture (36415) | $25.64 | $36 | 2.7× |
| Complex drainage wound (10180) | $440.02 | $618 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$318.98–$392.32 | $448–$551 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$242.08–$257.04 | $340–$361 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $95.41 | $134 | 1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$225.71–$576.01 | $317–$809 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$98.97–$949.81 | $139–$1,334 | varies |
| Debride nail 1-5 (11720) | $58.39 | $82 | 1.0× |
| Debride nail 6 or more (11721) | $80.46 | $113 | 1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$209.33–$1,055.90 | $294–$1,483 | varies |
| Declot vascular device (36593) | $601.64 | $845 | 1.8× |
| Destruct B9 Lesion 1-14 (17110) | $201.50 | $283 | 1.0× |
| Destruction Benign Lesions 15/> (17111) | $234.96 | $330 | 1.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $318.98 | $448 | 1.6× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $366.68 | $515 | 1.8× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $436.46 | $613 | 1.1× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $498.40 | $700 | 0.7× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $637.96 | $896 | 0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $260.60 | $366 | 1.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $315.42 | $443 | 1.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $341.05 | $479 | 1.7× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $366.68 | $515 | 0.9× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $414.39 | $582 | 1.0× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $252.76 | $355 | 1.2× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $271.28 | $381 | 1.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $293.35 | $412 | 1.4× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $333.93 | $469 | 1.6× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $370.24 | $520 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $436.46 | $613 | 1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $172.31 | $242 | 0.8× |
| Destruction of skin lesions (17106) | $615.88 | $865 | 1.5× |
| Destruction Premalignant Lesion 15/> (17004) | $260.60 | $366 | 0.6× |
| Destruction premalignant lesion 1st (17000) | $121.04 | $170 | 0.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) | $425.07 | $597 | 0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $333.93 | $469 | 0.5× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$366.68–$535.43 | $515–$752 | varies |
| Drainage of hematoma/fluid (10140) | $278.40 | $391 | 0.2× |
| Drainage of rectal abscess (45005) | $494.84 | $695 | 0.4× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$161.63–$165.19 | $227–$232 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $385.20 | $541 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $337.49 | $474 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $264.16 | $371 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$150.24–$282.67 | $211–$397 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $781.07 | $1,097 | 1.0× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $257.04 | $361 | 1.3× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $506.24 | $711 | 1.2× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$88.29–$410.83 | $124–$577 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $216.45 | $304 | 0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $341.05 | $479 | 0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $403.71 | $567 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $462.09 | $649 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $670.71 | $942 | 0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $230.69 | $324 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $286.23 | $402 | 0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $322.54 | $453 | 0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $381.64 | $536 | 0.2× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $477.04 | $670 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $209.33 | $294 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $267.72 | $376 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $300.47 | $422 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $330.37 | $464 | 0.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $399.44 | $561 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $571.74 | $803 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $535.43 | $752 | 0.3× |
| Exc Skin Benig >4cm Face,Facial (11446) | $663.59 | $932 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $513.36 | $721 | 0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $692.78 | $973 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $766.12 | $1,076 | 0.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $257.04 | $361 | 0.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $286.23 | $402 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $370.24 | $520 | 0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $484.16 | $680 | 0.7× |
| Excision H/P/P/U Complex Repair (11471) | $872.92 | $1,226 | 0.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $704.17 | $989 | 0.2× |
| Excision Hidradenitis Axillary Complex Repair (11451) | $828.77 | $1,164 | 0.3× |
| Excision Hidradenitis Inguinal Complex Repair (11463) | $835.89 | $1,174 | 0.3× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $637.96 | $896 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $330.37 | $464 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $388.76 | $546 | 0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $421.51 | $592 | 1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $535.43 | $752 | 0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $341.05 | $479 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $542.55 | $762 | 0.3× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $872.92 | $1,226 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $333.93 | $469 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $385.20 | $541 | 0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $436.46 | $613 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $576.01 | $809 | 0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) | $494.84 | $695 | 0.2× |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,081.53–$1,881.11 | $1,519–$2,642 | varies |
| Fetal Contraction Stress Test (59020) | $337.49 | $474 | 1.6× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$88.29–$274.84 | $124–$386 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$212.89–$509.80 | $299–$716 | varies |
| I&d pilonidal cyst complicated (10081) | $480.60 | $675 | 0.7× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$318.98–$784.63 | $448–$1,102 | varies |
| Incise external hemorrhoid (46083) | $322.54 | $453 | 1.3× |
| Incision & drainage abscess complicated/multiple (10061) | $366.68 | $515 | 0.9× |
| Incision & removal foreign body subq tiss compl (10121) | $487.72 | $685 | 0.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$271.28–$736.92 | $381–$1,035 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $359.56 | $505 | 0.2× |
| Incisional biopsy skin single lesion (11106) | $216.45 | $304 | 0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $124.60 | $175 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $95.41 | $134 | 0.3× |
| Injection single tendon origin/insertion (20551) | $110.36 | $155 | 0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $98.97 | $139 | 0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) | $113.92 | $160 | 0.4× |
| Injection therapeutic carpal tunnel (20526) | $139.56 | $196 | 0.4× |
| Insert Drug Implant Device (11981) | $252.76 | $355 | 1.9× |
| Insert non-tunnel cv cath (36556) | $373.80 | $525 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$157.36–$161.63 | $221–$227 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$124.60–$205.06 | $175–$288 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $828.77 | $1,164 | 2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $990.40 | $1,391 | 2.4× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$458.53–$477.04 | $644–$670 | varies |
| Laryngoscopy diagnostic (31505) | $407.27 | $572 | 2.0× |
| Late closure of wound (13160) | $1,437.53 | $2,019 | 0.4× |
| Nasal/Orogastric W/Tube Plmt (43752) | $417.95 | $587 | 0.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $212.89 | $299 | 0.5× |
| Placement of needle for intraosseous infusion (36680) | $443.58 | $623 | 1.0× |
| Punch biopsy skin single lesion (11104) | $187.26 | $263 | 0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $230.69 | $324 | 0.6× |
| Reconstruction Nail Bed W/Graft (11762) | $498.40 | $700 | 0.2× |
| Removal Embedded Foreign Body Eyelid (67938) | $436.46 | $613 | 1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) | $469.21 | $659 | 0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $37.03 | $52 | 0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $91.85 | $129 | 1.5× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$271.28–$956.93 | $381–$1,344 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $153.80 | $216 | 0.8× |
| Removal sweat gland lesion (11450) | $656.47 | $922 | 0.2× |
| Remove drug implant device (11982) | $274.84 | $386 | 0.6× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$106.09–$223.57 | $149–$314 | varies |
| Remove Intrauterine Device (58301) | $274.84 | $386 | 0.9× |
| Remove Nasal Foreign Body (30300) | $282.67 | $397 | 2.1× |
| Repair Blood Vessel Direct Hand Finger (35207) | $3,344.27 | $4,697 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $751.88 | $1,056 | 1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$902.11–$1,488.80 | $1,267–$2,091 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $689.22 | $968 | 1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$847.28–$1,041.66 | $1,190–$1,463 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $627.28 | $881 | 1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$759–$821.65 | $1,066–$1,154 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $597.37 | $839 | 0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) | $704.17 | $989 | 0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$462.09–$660.03 | $649–$927 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$524.04–$726.24 | $736–$1,020 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $615.88 | $865 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $641.52 | $901 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $1,052.34 | $1,478 | 2.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $714.85 | $1,004 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$443.58–$623.72 | $623–$876 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$542.55–$711.29 | $762–$999 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $641.52 | $901 | 0.8× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $942.69 | $1,324 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$707.73–$894.99 | $994–$1,257 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$447.14–$623.72 | $628–$876 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$568.18–$711.29 | $798–$999 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $762.56 | $1,071 | 1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$586.69–$799.58 | $824–$1,123 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $857.96 | $1,205 | 0.4× |
| Repair of nail bed (11760) | $333.93 | $469 | 0.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $330.37 | $464 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$194.38–$399.44 | $273–$561 | varies |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $370.24 | $520 | 0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $656.47 | $922 | 3.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $857.96 | $1,205 | 1.1× |
| Shave skin lesion 0.5 cm/< (11300) | $168.75 | $237 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $194.38 | $273 | 0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $318.98 | $448 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $168.75 | $237 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $209.33 | $294 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $249.20 | $350 | 1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $257.04 | $361 | 0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $190.82 | $268 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $274.84 | $386 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $205.06 | $288 | 1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $267.72 | $376 | 0.6× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $242.08 | $340 | 1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $670.71 | $942 | 1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$341.05–$403.71 | $479–$567 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$399.44–$440.02 | $561–$618 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $682.10 | $958 | 1.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$477.04–$502.68 | $670–$706 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $697.05 | $979 | 3.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$267.72–$381.64 | $376–$536 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $726.24 | $1,020 | 3.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$414.39–$454.97 | $582–$639 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$333.93–$417.95 | $469–$587 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$528.31–$535.43 | $742–$752 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $601.64 | $845 | 1.4× |
| Strapping elbow or wrist (29260) | $66.22 | $93 | 1.1× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$113.92–$318.98 | $160–$448 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $601.64 | $845 | 2.5× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$363.12–$608.76 | $510–$855 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$330.37–$623.72 | $464–$876 | varies |
| Trim skin lesion (11055) | $88.29 | $124 | 0.4× |
| Trim skin lesions 2 to 4 (11056) | $102.53 | $144 | 0.5× |
| Trim skin lesions over 4 (11057) | $117.48 | $165 | 0.6× |
| Trimming Nondystrophic Nails Any Number (11719) | $25.64 | $36 | 0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $524.04 | $736 | 0.7× |
| Tx superficial wound dehiscence w/packing (12021) | $293.35 | $412 | 0.7× |
| Unlisted Procedure Hands/Fingers (26989) | $249.20 | $350 | 1.0× |
| Vaginal delivery only (59409) | $2,346.76 | $3,296 | 0.7× |
| Wedge excision skin nail fold (11765) | $296.91 | $417 | 0.7× |
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.