Procedures & surgery prices at Copper Queen Community Hospital

Bisbee, AZ · 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
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $708 $885 0.7×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $3,407.20 $4,259 0.9×
Amputation metatarsal with toe single (28810) $1,668.80 $2,086 0.5×
Anal/Urinary Muscle Study (51784) $285.60 $357 2.1×
Ant Vesicourethropexy/Urethropexy Smpl (51840) $2,856 $3,570 0.5×
Application Finger Splint Dynamic (29131) $101.60 $127 1.6×
Application finger splint static (29130) $184.80 $231 1.3×
Application long arm splint shoulder hand (29105) $216.80 $271 1.3×
Application Long Leg Splint (29505) $244.80 $306 1.4×
Application of cylinder cast (thigh to ankle) (29365) $402.40 $503 1.3×
Application short arm splint forearm-hand static (29125) $243.20 $304 1.7×
Application short leg splint calf foot (29515) $242.40 $303 1.4×
Arterial puncture (36600)
range across 3 matching MRF lines		 $88.80–$277.60 $111–$347 varies
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure		 $2,856.80 $3,571 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $293.60 $367 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $360 $450 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $206.40 $258 0.6×
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $2,444.80 $3,056 0.7×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) $1,752 $2,190 0.5×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,179.20 $1,474 0.7×
Aspirate/Inj Ganglion Cyst (20612) $213.60 $267 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $270.40 $338 1.3×
Biopsy nail unit (11755) $245.60 $307 0.3×
Biopsy Vaginal Mucosa Extensive (57105) $617.60 $772 0.2×
Biopsy Vaginal Mucosa Simple (57100) $285.60 $357 0.3×
Bladder Irrigation (51700) $134.40 $168 0.5×
Bladder Scan (51798) $42.40 $53 0.7×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $692.80–$766.40 $866–$958 varies
Change Cystostomy Tube Simple (51705) $216 $270 0.8×
Change of Windpipe Airway (31502) $172 $215 0.7×
Chest tube placement (32551) $1,566.40 $1,958 0.9×
Circumcision 28 days or older (54161) $831.20 $1,039 0.4×
Cl Tx Scapular Fx; W Manip (23575) $1,229.60 $1,537 0.7×
Clear outer ear canal (69200) $275.20 $344 1.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,506.40 $1,883 5.7×
Closed tx ankle dislocation w/o anesthesia (27840) $1,340 $1,675 5.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,304.80 $2,881 1.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,030.40 $1,288 3.9×
Closed tx knee dislocation w/o anesthesia (27550) $2,178.40 $2,723 8.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $4,629.60 $5,787 2.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $657.60 $822 0.4×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $628 $785 0.2×
Closed tx patellar dislocation w/o anesthesia (27560) $1,060.80 $1,326 4.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,700.80 $2,126 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $720.80 $901 2.7×
Closed Tx Scapular Fracture W/O Manipulation (23570) $706.40 $883 2.7×
Closed tx ulnar shaft fracture w/o manipulation (25530) $654.40 $818 2.5×
Closure of cystostomy (separate procedure) Facility (51880) $1,924 $2,405 0.5×
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $2,629.60 $3,287 0.8×
Closure of urethrovaginal fistula; Facility (57310)
likely a partial charge, not the full procedure		 $708 $885 0.1×
Clsd tx acromioclavicular dislc w/manipulation (23545) $969.60 $1,212 3.7×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $685.60 $857 2.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,120 $1,400 0.7×
Clsd tx clavicular fracture w/o manipulation (23500) $669.60 $837 2.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,079.20 $2,599 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $2,239.20 $2,799 8.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,177.60 $1,472 0.7×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $554.40 $693 2.1×
Cltx dstl fibular fx lat malls w/manj (27788) $1,173.60 $1,467 4.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $860.80 $1,076 3.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $520 $650 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $788.80 $986 3.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,885.60 $4,857 2.3×
Cltx fx grt toe phlx/phlg w/manj (28495) $464 $580 1.8×
Cltx fx grt toe phlx/phlg w/o manj (28490) $365.60 $457 1.4×
Cltx Greater Trochanteric Fx W/O Manj (27246) $1,531.20 $1,914 5.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $317.60 $397 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,039.20 $1,299 3.9×
Cltx Medial Ankle Fx (27760) $900 $1,125 3.4×
Cltx metacarpal fx w/manipulation each bone (26605) $880.80 $1,101 3.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $598.40 $748 2.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $819.20 $1,024 3.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $425.60 $532 1.6×
Cltx prox fibula/shft fx w/manj (27781) $1,364 $1,705 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $792.80 $991 3.0×
Cltx tibial shaft fx w/o manipulation (27750) $1,115.20 $1,394 4.2×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $3,620 $4,525 0.7×
Collection of venous blood by venipuncture (36415)
range across 7 matching MRF lines		 $9.60–$32.80 $12–$41 varies
Colonoscopy W/Band Ligation (45398) $1,182.40 $1,478 0.9×
Colpocleisis (le fort type) (57120)
unusually low: confirm this is the full procedure		 $2,301.60 $2,877 0.4×
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $1,700.80 $2,126 0.5×
Colpopexy extraperitoneal (57282)
unusually low: confirm this is the full procedure		 $2,876 $3,595 0.4×
Colporrhaphy (57200) $1,424 $1,780 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $988.80 $1,236 3.0×
Colposcopy Cervix Endocervical Curettage (57456) $985.60 $1,232 3.0×
Colposcopy cervix upper/adjacent vagina (57452) $728.80 $911 3.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $988.80 $1,236 3.0×
Colposcopy entire vagina w/cervix if present (57420) $376 $470 1.2×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $2,508 $3,135 2.6×
Complex Cystometrogram (51726) $1,319.20 $1,649 4.9×
Control Nasal Hemorrhage Anterior Complex (30903) $1,044 $1,305 7.4×
Control Nasal Hemorrhage Anterior Simple (30901) $545.60 $682 3.8×
Correction hammertoe (28285) $1,480.80 $1,851 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,014.40 $2,518 0.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $962.40 $1,203 6.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $1,072.80 $1,341 4.2×
Cysto calibration dilat urtl strix/stenosis (52281) $632 $790 0.3×
Cysto w/insert ureteral stent (52332) $641.60 $802 0.2×
Cysto w/irrig & evac multple obstructing clots (52001) $1,239.20 $1,549 0.3×
Cysto W/Simple Removal Stone & Stent (52310) $624.80 $781 0.3×
Cysto w/ureteroscopy w/lithotripsy (52353)
likely a partial charge, not the full procedure		 $1,620.80 $2,026 0.3×
Cysto/uretero w/lithotripsy (52356)
range across 2 matching MRF lines		 $688–$1,719.20 $860–$2,149 varies
Cystometrogram W/Up (51727) $1,583.20 $1,979 2.1×
Cystometrogram W/Vp (51728) $1,600 $2,000 2.2×
Cystometrogram W/Vp&Up (51729) $1,664.80 $2,081 2.2×
Cystorrhaphy suture of bladder wound injury or rupture simple (51860)
unusually low: confirm this is the full procedure		 $3,229.60 $4,037 0.3×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) $2,176 $2,720 1.0×
Cystourethroscopy (52000) $1,370.40 $1,713 1.8×
Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) $1,090.40 $1,363 0.3×
Cystourethroscopy inj chemodenervation bladder (52287) $696 $870 0.3×
Cystourethroscopy w/dil bladder general anesth (52260) $907.20 $1,134 0.4×
Cystourethroscopy with biopsy (52204) $608.80 $761 0.3×
Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) $1,421.60 $1,777 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $140 $175 0.3×
Decompression of tibia nerve (28035) $1,389.60 $1,737 0.7×
Destruct B9 Lesion 1-14 (17110) $267.20 $334 1.2×
Destruction Benign Lesions 15/> (17111) $328 $410 1.5×
Diagnostic sigmoidoscopy (45330) $303.20 $379 0.3×
Dilation of vagina (57400) $544 $680 0.2×
Drainage of finger abscess simple (26010) $882.40 $1,103 4.1×
Drainage of hematoma/fluid (10140) $344.80 $431 0.2×
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $1,856.80 $2,321 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $480 $600 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $392 $490 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $232 $290 1.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $5,077.60 $6,347 2.5×
Egd place gastrostomy tube (43246) $5,077.60 $6,347 2.5×
Egd Varices Ligation (43244) $5,077.60 $6,347 2.5×
Electro-Uroflowmetry First (51741) $63.20 $79 0.3×
Endocervical curettage (57505) $462.40 $578 0.5×
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
likely a partial charge, not the full procedure		 $1,004 $1,255 0.2×
Endometrial Biopsy (58100) $148.80 $186 0.7×
Endoscopic injection/implant (51715)
range across 2 matching MRF lines		 $824–$865.60 $1,030–$1,082 varies
Endoscopic plantar fasciotomy (29893) $1,673.60 $2,092 0.5×
Evacuation of subungual hematoma (11740) $136 $170 1.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,201.60 $1,502 0.7×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,057.60 $1,322 0.6×
Exc urethral diverticulum spx female (53230)
unusually low: confirm this is the full procedure		 $2,641.60 $3,302 0.5×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $1,239.20 $1,549 0.7×
Exc/fulguration urethral caruncle (53265) $815.20 $1,019 0.4×
Excis urethral prolapse (53275) $1,138.40 $1,423 0.3×
Excision of bartholin's gland or cyst (56740) $1,300 $1,625 0.4×
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) $2,696.80 $3,371 0.5×
Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556)
unusually low: confirm this is the full procedure		 $2,553.60 $3,192 0.5×
Excision of hydrocele; unilateral (55040) $1,432 $1,790 0.4×
Excision of vaginal septum (57130) $708 $885 0.2×
Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) $785.60 $982 0.2×
Excision, interdigital (morton) neuroma, single, each (28080) $1,432.80 $1,791 0.8×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,624.80 $4,531 1.0×
Guide Cathet Fluid Drainage (10030) $560 $700 0.7×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $1,793.60 $2,242 0.2×
Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565)
unusually low: confirm this is the full procedure		 $2,021.60 $2,527 0.4×
Hysteroscopy Biopsy (58558) $997.60 $1,247 0.3×
Hysteroscopy Dx Sep Proc (58555) $659.20 $824 0.2×
Hysteroscopy Endometrial Ablation (58563)
range across 2 matching MRF lines		 $1,020–$3,056 $1,275–$3,820 varies
I&d abscess simple (10060) $466.40 $583 2.2×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $1,740 $2,175 0.5×
Implant Neuroelectrodes (64561)
likely a partial charge, not the full procedure		 $1,270.40 $1,588 0.2×
Implant Periph/Gastric Neurostim/Receiver (64590)
likely a partial charge, not the full procedure		 $697.60 $872 0.0×
Incise finger tendon sheath (26055) $1,264 $1,580 0.7×
Incision & drainage abscess complicated/multiple (10061) $699.20 $874 1.6×
Incision & removal foreign body subq tiss compl (10121) $720.80 $901 0.4×
Incision & removal foreign body subq tiss simple (10120) $465.60 $582 1.1×
Incision and drainage of bartholin's gland abscess (56420) $555.20 $694 2.6×
Incision and drainage of vulva or perineal abscess (56405) $537.60 $672 1.7×
Initial Tx 1st Degree Burn Local Tx (16000) $180.80 $226 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $152.80–$180.80 $191–$226 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $174.40 $218 0.2×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $252–$340 $315–$425 varies
Insert Drug Implant Device (11981) $277.40 $346.75 2.0×
Insert non-tunnel cv cath (36556) $313.60 $392 0.1×
Insert pessary/other device (57160) $303.20 $379 1.4×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $84.80–$233.60 $106–$292 varies
Insertion indwelling tunneled pleural catheter (32550) $840.80 $1,051 0.2×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,279.20 $1,599 2.9×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,512.80 $1,891 3.5×
Intubation endotracheal emergency procedure (31500) $1,237.60 $1,547 4.9×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,081.60 $1,352 0.2×
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425)
unusually low: confirm this is the full procedure		 $4,040 $5,050 0.4×
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) $15,755.20 $19,694 2.4×
Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) $3,229.60 $4,037 0.5×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure		 $674.40 $843 0.1×
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542)
unusually low: confirm this is the full procedure		 $3,624.80 $4,531 0.3×
Laryngoscopy diagnostic (31505) $558.40 $698 2.6×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $525.60 $657 1.3×
Litholapaxy smpl/sm <2.5 cm (52317) $1,432 $1,790 0.4×
Lsh uterus above 250 g (58543)
unusually low: confirm this is the full procedure		 $3,504 $4,380 0.3×
Lsh w/t/o uterus above 250 g (58544)
unusually low: confirm this is the full procedure		 $3,960.80 $4,951 0.3×
Mastectomy partial w/axillary lymphadenectomy (19302)
likely a partial charge, not the full procedure		 $1,501.60 $1,877 0.2×
N block inj intercost sng (64420) $243.20 $304 0.3×
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $136–$883.20 $170–$1,104 varies
N Block Inj Pudendal (64430) $239.20 $299 0.3×
Neuroeltrd Stim Post Tibial (64566) $134.40 $168 0.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,583.20 $1,979 3.8×
Occipital Nerve Block (64405) $439.20 $549 1.3×
Open Implantation Nea Sacral Nerve (64581)
unusually low: confirm this is the full procedure		 $2,864.80 $3,581 0.4×
Open Repair of Rotator Cuff Acute (23410)
unusually low: confirm this is the full procedure		 $3,561.60 $4,452 0.5×
Open treatment interphalangeal joint dislocation (28675) $1,568 $1,960 0.4×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure		 $2,350.40 $2,938 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure		 $2,118.40 $2,648 0.3×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
unusually low: confirm this is the full procedure		 $2,533.60 $3,167 0.3×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $1,572.80 $1,966 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,480.80 $1,851 0.4×
Ovarian cystectomy, unilateral or bilateral (58925) $3,168 $3,960 0.6×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $3,456 $4,320 0.6×
Part remv talus or calcaneus (28120) $1,847.20 $2,309 0.5×
Partial removal of tibia (27640) $3,232 $4,040 0.9×
Partial removal of toe (28160) $1,044 $1,305 0.3×
Partical Excision Bone Phalanx Toe (28124) $1,297.60 $1,622 0.4×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $948 $1,185 0.3×
Phalangectomy toe each toe (28150) $1,092 $1,365 0.3×
Placement of needle for intraosseous infusion (36680) $376.80 $471 0.8×
Plastic Repair Introitus (56800) $1,040 $1,300 0.3×
Prostate laser enucleation (52649) $3,457.60 $4,322 0.6×
Prq skel fixj metar fx w/manj (28476) $1,363.20 $1,704 0.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,716.80 $2,146 0.5×
Rcnstj angular dfrm toe soft tiss px only (28313) $1,315.20 $1,644 0.4×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238)
likely a partial charge, not the full procedure		 $1,900 $2,375 0.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $568 $710 0.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $184 $230 2.9×
Removal of residual cervix (57550)
unusually low: confirm this is the full procedure		 $1,868.80 $2,336 0.4×
Removal of sesamoid bone (28315) $1,272 $1,590 0.4×
Remove foreign body from eye (65235) $1,869.60 $2,337 0.8×
Remove foreign body from eye (65205) $161.60 $202 1.1×
Remove muti-comp penis pros (54406) $5,072 $6,340 1.3×
Remove Nasal Foreign Body (30300) $311.20 $389 2.2×
Remove prostate regrowth (52630)
likely a partial charge, not the full procedure		 $1,690.40 $2,113 0.3×
Reopen fallopian tube (58350)
likely a partial charge, not the full procedure		 $212 $265 0.0×
Repair Bladder-Vagina Lesion (57320)
unusually low: confirm this is the full procedure		 $2,312 $2,890 0.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $870.40 $1,088 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,566.40 $1,958 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $887.20 $1,109 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,064 $1,330 2.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,222.40 $1,528 2.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,666.40 $2,083 3.8×
Repair complex trunk 1.1-2.5 cm (13100) $712.80 $891 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $912 $1,140 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $565.60 $707 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $797.60 $997 1.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $792 $990 1.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $996 $1,245 2.3×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,749.60 $2,187 4.0×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $943.20 $1,179 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $716.80 $896 1.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $616.80 $771 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $792.80 $991 1.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $1,452 $1,815 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $880 $1,100 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,194.40 $1,493 2.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,543.20 $1,929 3.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,078.40 $1,348 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,162.40 $1,453 2.7×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,280 $1,600 0.6×
Repair of enterocele, vaginal approach (separate procedure) (57268)
unusually low: confirm this is the full procedure		 $2,092 $2,615 0.4×
Repair of hydrocele (55060) $1,588 $1,985 0.4×
Repair of nail bed (11760) $536.80 $671 0.7×
Repair Rotator Cuff Chronic (23412)
unusually low: confirm this is the full procedure		 $3,700 $4,625 0.5×
Repair Toe Dislocation (28645) $1,896 $2,370 0.5×
Reposition Gastrostomy Tube (43761) $1,727.20 $2,159 6.5×
Rev/rmv prph sac/gstr npg/r (64595) $550.40 $688 0.1×
Revision of penis (54300) $2,711.20 $3,389 0.7×
Revision of urethra (57220)
likely a partial charge, not the full procedure		 $1,420 $1,775 0.3×
Revj/rmvl peripheral neurostimulator electrode (64585) $592 $740 0.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $186.40 $233 0.4×
Rmvl/revj sling stress incontinence (57287) $3,044 $3,805 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $1,055.20 $1,319 4.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,232.80 $1,541 1.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $421.60 $527 0.3×
Simple Cystometrogram (51725) $987.20 $1,234 3.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $988.80 $1,236 2.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $582.40 $728 2.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $675.20 $844 3.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,271.20 $1,589 2.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $820.80 $1,026 3.8×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $1,575.20 $1,969 7.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $476 $595 2.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,025.60 $1,282 4.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $758.40 $948 3.5×
Skin sub graft face/nk/hf/g (15275) $3,668.80 $4,586 4.7×
Skin sub graft trnk/arm/leg (15271) $3,668.80 $4,586 4.7×
Skin sub grft t/arm/lg child (15273) $468.80 $586 0.2×
Small bowel endoscopy (44366) $5,077.60 $6,347 2.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $618.40 $773 2.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $761.60 $952 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $928 $1,160 2.1×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $3,120 $3,900 1.1×
Spinal puncture lumbar diagnostic (62270) $560 $700 0.7×
Strapping ankle (29540) $110.40 $138 0.6×
Strapping elbow or wrist (29260) $113.60 $142 1.8×
Strapping hand/finger (29280) $113.60 $142 1.8×
Strapping Hip (29520) $111.20 $139 0.8×
Strapping knee (29530) $134.40 $168 0.9×
Strapping shoulder (29240) $168 $210 1.2×
Strapping thorax (29200) $140 $175 0.8×
Strapping toes (29550) $107.20 $134 1.7×
Strapping Unna Boot (29580) $165.60 $207 1.0×
Treat humerus fracture (24500) $998.40 $1,248 3.8×
Treat Humerus Fracture (24505) $1,624 $2,030 0.9×
Treat Knuckle Dislocation (26700) $910.40 $1,138 3.5×
Treat Tail Bone Fracture (27200) $561.60 $702 2.1×
Treatment closed elbow dislocation w/o anes (24600) $1,126.40 $1,408 4.3×
Trim skin lesion (11055) $61.60 $77 0.3×
Trim skin lesions 2 to 4 (11056) $87.20 $109 0.4×
Trim skin lesions over 4 (11057) $118.40 $148 0.6×
Trimming Nondystrophic Nails Any Number (11719) $31.20 $39 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $671.20 $839 0.9×
Tx superficial wound dehiscence w/packing (12021) $429.60 $537 1.0×
Urine Flow Measurement (51736) $57.60 $72 0.4×
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) $3,901.60 $4,877 0.7×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $4,044.80 $5,056 0.8×
Vaginectomy, partial removal of vaginal wall; (57106) $2,192 $2,740 0.6×
Vasectomy uni/bi spx w/postop semen exams (55250) $971.20 $1,214 0.4×
Vein Access Cutdown < 1 Yr (36420) $248 $310 1.7×
Venous Cutdown >1 Y/O (36425) $155.20 $194 0.3×
Vulvectomy simple; complete (56625) $2,736 $3,420 0.8×

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.