Procedures & surgery prices at Dayton General Hospital
Dayton, WA · every code in this section with a posted price and a Medicare benchmark.
288 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) | $589.50 | $655 | 0.3× |
| Acne surgery (10040) | $253.80 | $282 | 1.1× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $2,505.60 | $2,784 | 1.1× |
| Anoscopy diagnostic (46600) range across 3 matching MRF lines |
$297.90–$312.30 | $331–$347 | varies |
| Application cast elbow finger short arm (29075) range across 6 matching MRF lines |
$295.20–$472.50 | $328–$525 | varies |
| Application Cast Finger (29086) | $201.60 | $224 | 1.1× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$162–$175.50 | $180–$195 | varies |
| Application long arm splint shoulder hand (29105) range across 5 matching MRF lines |
$225–$333.90 | $250–$371 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$480.60–$576 | $534–$640 | varies |
| Application Long Leg Splint (29505) range across 4 matching MRF lines |
$291.60–$390.60 | $324–$434 | varies |
| Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
$415.80–$499.50 | $462–$555 | varies |
| Application of long leg cast (29345) range across 5 matching MRF lines |
$459–$603.90 | $510–$671 | varies |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$356.40–$594 | $396–$660 | varies |
| Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
$220.50–$315 | $245–$350 | varies |
| Application short leg splint calf foot (29515) range across 5 matching MRF lines |
$243.90–$306 | $271–$340 | varies |
| Apply hand/wrist cast (29085) range across 4 matching MRF lines |
$324–$387 | $360–$430 | varies |
| Apply long arm cast (29065) range across 5 matching MRF lines |
$326.70–$448.20 | $363–$498 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 5 matching MRF lines |
$47.70–$337.50 | $53–$375 | varies |
| Apply Short Leg Cast (29405) range across 5 matching MRF lines |
$275.40–$447.30 | $306–$497 | varies |
| Apply short leg cast (29425) range across 5 matching MRF lines |
$201.60–$447.30 | $224–$497 | varies |
| Arterial puncture (36600) | $317.70 | $353 | 2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$234–$468 | $260–$520 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 8 matching MRF lines |
$275.40–$468 | $306–$520 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$455.40–$667.80 | $506–$742 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$166.50–$468 | $185–$520 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $962.10 | $1,069 | 0.5× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$549–$1,113.30 | $610–$1,237 | varies |
| Aspirate Pleura W/O Imaging (32554) | $904.50 | $1,005 | 1.3× |
| Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
$154.80–$247.50 | $172–$275 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$192.60–$411.30 | $214–$457 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $391.50 | $435 | 1.1× |
| Blood Transfusion Service (36430) | $1,861.20 | $2,068 | 3.8× |
| Catheter aspiration nasotracheal spx (31720) | $519.30 | $577 | 2.1× |
| Change Cystostomy Tube Simple (51705) | $343.80 | $382 | 1.2× |
| Change of Windpipe Airway (31502) | $1,510.20 | $1,678 | 5.7× |
| Chemical Cautery Tissue (17250) range across 6 matching MRF lines |
$24.30–$785.70 | $27–$873 | varies |
| Chest tube placement (32551) | $474.30 | $527 | 0.3× |
| Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
$1,230.30–$1,345.50 | $1,367–$1,495 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$315.90–$321.30 | $351–$357 | varies |
| Closed Treatment Sternum Fracture (21820) | $671.40 | $746 | 2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $1,260.90 | $1,401 | 4.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,265.40–$1,400.40 | $1,406–$1,556 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
$1,047.60–$1,691.10 | $1,164–$1,879 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) | $1,723.50 | $1,915 | 6.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$765.90–$841.50 | $851–$935 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $1,239.30 | $1,377 | 4.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $1,010.70 | $1,123 | 3.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,026.90–$2,170.80 | $1,141–$2,412 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $956.70 | $1,063 | 3.5× |
| Closed tx septal&nose fx (21337) range across 2 matching MRF lines |
$1,413–$3,488.40 | $1,570–$3,876 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$350.10–$405 | $389–$450 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) | $752.40 | $836 | 2.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,323–$1,444.50 | $1,470–$1,605 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $1,076.40 | $1,196 | 3.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,378.80 | $1,532 | 0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$1,322.10–$1,454.40 | $1,469–$1,616 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,501.20 | $1,668 | 5.5× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$634.50–$931.50 | $705–$1,035 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 4 matching MRF lines |
$1,035–$1,130.40 | $1,150–$1,256 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,861.20–$1,956.60 | $2,068–$2,174 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$1,989.90–$2,153.70 | $2,211–$2,393 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$325.80–$340.20 | $362–$378 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$245.70–$424.80 | $273–$472 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$1,067.40–$2,173.50 | $1,186–$2,415 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$328.50–$412.20 | $365–$458 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $406.80 | $452 | 1.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $942.30 | $1,047 | 3.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$1,109.70–$1,630.80 | $1,233–$1,812 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$1,011.60–$1,394.10 | $1,124–$1,549 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$837–$1,154.70 | $930–$1,283 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$684.90–$946.80 | $761–$1,052 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$309.60–$468 | $344–$520 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $1,660.50 | $1,845 | 6.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$972.90–$2,169.90 | $1,081–$2,411 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$71.10–$182.70 | $79–$203 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$40.50–$63 | $45–$70 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$602.10–$4,308.30 | $669–$4,787 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 4 matching MRF lines |
$628.20–$824.40 | $698–$916 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$331.20–$479.70 | $368–$533 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $101.70 | $113 | 1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$486–$1,015.20 | $540–$1,128 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $1,222.20 | $1,358 | 4.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$248.40–$911.70 | $276–$1,013 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$528.30–$1,215 | $587–$1,350 | varies |
| Debride nail 1-5 (11720) range across 5 matching MRF lines |
$54–$150.30 | $60–$167 | varies |
| Debride nail 6 or more (11721) range across 5 matching MRF lines |
$88.20–$215.10 | $98–$239 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$780.30–$2,480.40 | $867–$2,756 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$213.30–$785.70 | $237–$873 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$161.10–$481.50 | $179–$535 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$283.50–$387.90 | $315–$431 | varies |
| Destruction Benign Lesions 15/> (17111) | $333.90 | $371 | 1.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $445.50 | $495 | 2.0× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $329.40 | $366 | 1.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $383.40 | $426 | 1.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $466.20 | $518 | 2.1× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $566.10 | $629 | 1.2× |
| Destruction of skin lesions (17106) range across 2 matching MRF lines |
$544.50–$848.70 | $605–$943 | varies |
| Destruction Premalignant Lesion 15/> (17004) | $885.60 | $984 | 2.0× |
| Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$268.20–$289.80 | $298–$322 | varies |
| Drainage of finger abscess simple (26010) | $923.40 | $1,026 | 4.1× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$405–$2,480.40 | $450–$2,756 | varies |
| Draw Blood Off Venous Device (36591) | $231.30 | $257 | 1.6× |
| Dressing Change Under Anesthesia (15852) | $117 | $130 | 0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 5 matching MRF lines |
$452.70–$785.70 | $503–$873 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 5 matching MRF lines |
$381.60–$546.30 | $424–$607 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 5 matching MRF lines |
$187.20–$411.30 | $208–$457 | varies |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) | $1,070.10 | $1,189 | 1.3× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) | $1,582.20 | $1,758 | 0.7× |
| Dstrj Lesion Penis Simple Chemical (54050) range across 2 matching MRF lines |
$457.20–$591.30 | $508–$657 | varies |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $495 | $550 | 2.2× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$713.70–$2,142.90 | $793–$2,381 | varies |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) range across 2 matching MRF lines |
$2,358–$3,819.60 | $2,620–$4,244 | varies |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) range across 2 matching MRF lines |
$2,329.20–$3,819.60 | $2,588–$4,244 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$128.70–$204.30 | $143–$227 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$430.20–$1,084.50 | $478–$1,205 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $644.40 | $716 | 0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $448.20 | $498 | 0.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $540.90 | $601 | 0.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $584.10 | $649 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 3 matching MRF lines |
$375.30–$1,988.10 | $417–$2,209 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $476.10 | $529 | 0.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $539.10 | $599 | 0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $691.20 | $768 | 0.9× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $866.70 | $963 | 0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $936.90 | $1,041 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $936.90 | $1,041 | 0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,107.90 | $1,231 | 0.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 4 matching MRF lines |
$465.30–$1,762.20 | $517–$1,958 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $540.90 | $601 | 1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $644.40 | $716 | 0.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $866.70 | $963 | 0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $941.40 | $1,046 | 1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $670.50 | $745 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $786.60 | $874 | 1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $846 | $940 | 1.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $781.20 | $868 | 1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $501.30 | $557 | 0.6× |
| Excision of single external papilla or tag, anus (46220) | $482.40 | $536 | 0.4× |
| Fine needle aspiration without imaging guidance (10021) | $313.20 | $348 | 0.7× |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$311.40–$434.70 | $346–$483 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$704.70–$1,341.90 | $783–$1,491 | varies |
| I&d pilonidal cyst complicated (10081) range across 5 matching MRF lines |
$575.10–$1,443.60 | $639–$1,604 | varies |
| I&d pilonidal cyst simple (10080) range across 5 matching MRF lines |
$351–$1,443.60 | $390–$1,604 | varies |
| Incise external hemorrhoid (46083) | $665.10 | $739 | 2.4× |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
$515.70–$785.70 | $573–$873 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 5 matching MRF lines |
$629.10–$2,480.40 | $699–$2,756 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$354.60–$785.70 | $394–$873 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$137.70–$335.70 | $153–$373 | varies |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$178.20–$450 | $198–$500 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$236.70–$311.40 | $263–$346 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$150.30–$468 | $167–$520 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$576–$1,284.30 | $640–$1,427 | varies |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$153.90–$220.50 | $171–$245 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 10 matching MRF lines |
$117.90–$268.20 | $131–$298 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 7 matching MRF lines |
$131.40–$261 | $146–$290 | varies |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$193.50–$315.90 | $215–$351 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$149.40–$261.90 | $166–$291 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $118.80 | $132 | 0.5× |
| Insert Bladder Cath Complex (51703) | $450 | $500 | 3.1× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$480.60–$1,913.40 | $534–$2,126 | varies |
| Insert Drug Implant Device (11981) | $275.40 | $306 | 1.9× |
| Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$244.80–$631.80 | $272–$702 | varies |
| Insert pessary/other device (57160) | $193.50 | $215 | 0.9× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$180.90–$276.30 | $201–$307 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$139.50–$204.30 | $155–$227 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $2,730.60 | $3,034 | 0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 3 matching MRF lines |
$1,492.20–$1,606.50 | $1,658–$1,785 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 4 matching MRF lines |
$1,980–$1,992.60 | $2,200–$2,214 | varies |
| Intubation endotracheal emergency procedure (31500) range across 5 matching MRF lines |
$375.30–$6,183 | $417–$6,870 | varies |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$295.20–$297 | $328–$330 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $737.10 | $819 | 3.3× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$2,732.40–$2,864.70 | $3,036–$3,183 | varies |
| N block inj intercost sng (64420) | $428.40 | $476 | 0.5× |
| N Block Inj Plantar Digit (64455) | $122.40 | $136 | 0.4× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$144.90–$532.80 | $161–$592 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $151.20 | $168 | 4.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$141.30–$422.10 | $157–$469 | varies |
| Peritoneal Lavage (49084) | $428.40 | $476 | 0.4× |
| Placement of needle for intraosseous infusion (36680) range across 3 matching MRF lines |
$182.70–$211.50 | $203–$235 | varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 2 matching MRF lines |
$476.10–$1,341.90 | $529–$1,491 | varies |
| Punch biopsy skin single lesion (11104) range across 5 matching MRF lines |
$146.70–$371.70 | $163–$413 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$328.50–$786.60 | $365–$874 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$912.60–$1,084.50 | $1,014–$1,205 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
$706.50–$1,988.10 | $785–$2,209 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 5 matching MRF lines |
$33.30–$187.20 | $37–$208 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$115.20–$223.20 | $128–$248 | varies |
| Removal implantable contraceptive capsules (11976) | $266.40 | $296 | 0.3× |
| Removal of nail bed (11750) range across 5 matching MRF lines |
$63.90–$984.60 | $71–$1,094 | varies |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$234–$447.30 | $260–$497 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$306–$321.30 | $340–$357 | varies |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$262.80–$750.60 | $292–$834 | varies |
| Remove foreign body from eye (65205) range across 4 matching MRF lines |
$249.30–$270 | $277–$300 | varies |
| Remove Intrauterine Device (58301) range across 4 matching MRF lines |
$205.20–$556.20 | $228–$618 | varies |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$594.90–$657.90 | $661–$731 | varies |
| Remove Shoulder Foreign Body (23330) range across 2 matching MRF lines |
$897.30–$1,084.50 | $997–$1,205 | varies |
| Remove/Insert Drug Implant (11983) | $316.80 | $352 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,445.40 | $1,606 | 1.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,737 | $1,930 | 2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $1,341 | $1,490 | 3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,636.20 | $1,818 | 3.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $1,203.30 | $1,337 | 2.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$1,407.60–$1,484.10 | $1,564–$1,649 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $1,152.90 | $1,281 | 1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $1,364.40 | $1,516 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$763.20–$888.30 | $848–$987 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$872.10–$1,010.70 | $969–$1,123 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 4 matching MRF lines |
$872.10–$1,187.10 | $969–$1,319 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 4 matching MRF lines |
$1,341–$1,349.10 | $1,490–$1,499 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 4 matching MRF lines |
$2,248.20–$2,262.60 | $2,498–$2,514 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 4 matching MRF lines |
$911.70–$1,386 | $1,013–$1,540 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
$630–$859.50 | $700–$955 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
$809.10–$1,044.90 | $899–$1,161 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 4 matching MRF lines |
$911.70–$1,237.50 | $1,013–$1,375 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 4 matching MRF lines |
$1,593–$2,864.70 | $1,770–$3,183 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 4 matching MRF lines |
$1,062.90–$1,378.80 | $1,181–$1,532 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$676.80–$957.60 | $752–$1,064 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$773.10–$1,099.80 | $859–$1,222 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 4 matching MRF lines |
$1,313.10–$1,508.40 | $1,459–$1,676 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
$860.40–$1,123.20 | $956–$1,248 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 4 matching MRF lines |
$1,526.40–$5,024.70 | $1,696–$5,583 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$344.70–$864.90 | $383–$961 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$140.40–$548.10 | $156–$609 | varies |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) range across 2 matching MRF lines |
$2,165.40–$2,597.40 | $2,406–$2,886 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 4 matching MRF lines |
$332.10–$532.80 | $369–$592 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $327.60 | $364 | 2.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$720–$1,988.10 | $800–$2,209 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$553.50–$850.50 | $615–$945 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 4 matching MRF lines |
$1,396.80–$1,625.40 | $1,552–$1,806 | varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines |
$2,163.60–$2,595.60 | $2,404–$2,884 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 3 matching MRF lines |
$273.60–$356.40 | $304–$396 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
$352.80–$414 | $392–$460 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $466.20 | $518 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 3 matching MRF lines |
$304.20–$366.30 | $338–$407 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $315.90 | $351 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $363.60 | $404 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $404.10 | $449 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $371.70 | $413 | 1.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $405 | $450 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $309.60 | $344 | 1.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $404.10 | $449 | 0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $356.40 | $396 | 1.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 4 matching MRF lines |
$701.10–$1,067.40 | $779–$1,186 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$379.80–$562.50 | $422–$625 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$394.20–$709.20 | $438–$788 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 4 matching MRF lines |
$515.70–$1,413 | $573–$1,570 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$457.20–$759.60 | $508–$844 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 3 matching MRF lines |
$688.50–$1,746 | $765–$1,940 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$310.50–$476.10 | $345–$529 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$252.90–$379.80 | $281–$422 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 4 matching MRF lines |
$442.80–$597.60 | $492–$664 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$422.10–$547.20 | $469–$608 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$289.80–$1,873.80 | $322–$2,082 | varies |
| Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$685.80–$6,203.70 | $762–$6,893 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
$375.30–$532.80 | $417–$592 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 4 matching MRF lines |
$552.60–$766.80 | $614–$852 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 4 matching MRF lines |
$653.40–$953.10 | $726–$1,059 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$612.90–$1,020.60 | $681–$1,134 | varies |
| Strapping ankle (29540) range across 5 matching MRF lines |
$69.30–$101.70 | $77–$113 | varies |
| Strapping elbow or wrist (29260) | $105.30 | $117 | 1.6× |
| Strapping hand/finger (29280) | $98.10 | $109 | 1.5× |
| Strapping knee (29530) | $98.10 | $109 | 0.7× |
| Strapping shoulder (29240) range across 4 matching MRF lines |
$102.60–$258.30 | $114–$287 | varies |
| Strapping toes (29550) | $66.60 | $74 | 1.0× |
| Strapping Unna Boot (29580) range across 7 matching MRF lines |
$123.30–$337.50 | $137–$375 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $277.20 | $308 | 0.6× |
| Suture 1 Nerve Median Motor Thenar (64835) range across 2 matching MRF lines |
$2,808–$3,367.80 | $3,120–$3,742 | varies |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$137.70–$335.70 | $153–$373 | varies |
| Treat humerus fracture (24500) | $1,213.20 | $1,348 | 4.4× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$977.40–$2,169.90 | $1,086–$2,411 | varies |
| Treat Knuckle Dislocation (26700) | $1,102.50 | $1,225 | 4.0× |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$677.70–$765.90 | $753–$851 | varies |
| Treat toe dislocation (28630) | $562.50 | $625 | 2.0× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,243.80 | $1,382 | 4.5× |
| Trim skin lesion (11055) range across 5 matching MRF lines |
$59.40–$411.30 | $66–$457 | varies |
| Trim skin lesions 2 to 4 (11056) range across 6 matching MRF lines |
$81.90–$411.30 | $91–$457 | varies |
| Trim skin lesions over 4 (11057) range across 5 matching MRF lines |
$104.40–$411.30 | $116–$457 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$31.50–$150.30 | $35–$167 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$89.10–$1,165.50 | $99–$1,295 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
$711.90–$1,039.50 | $791–$1,155 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines |
$590.40–$644.40 | $656–$716 | varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $1,394.10 | $1,549 | 5.1× |
| Unlisted Procedure Casting/Strapping (29799) | $214.20 | $238 | 1.2× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$2,404.80–$2,705.40 | $2,672–$3,006 | varies |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$3,184.20–$3,348 | $3,538–$3,720 | varies |
| Vein Access Cutdown < 1 Yr (36420) | $215.10 | $239 | 1.5× |
| Venous Cutdown >1 Y/O (36425) | $161.10 | $179 | 0.3× |
| Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
$427.50–$617.40 | $475–$686 | varies |
| Windowing of cast (29730) | $299.70 | $333 | 1.7× |
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.