Procedures & surgery prices at Delta County Memorial Hospital

Delta, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $968.20 $1,613.66 1.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $968.20 $1,613.66 1.0×
Acne surgery (10040) $320.70 $534.50 1.5×
Amniocentesis diagnostic (59000) $757.49 $1,262.49 0.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,050.65 $3,417.75 0.6×
Anoscopy W/Rmvl Foreign Body (46608) $949.12 $1,581.87 1.0×
Application cast elbow finger short arm (29075) $288.41 $480.69 1.0×
Application Cast Finger (29086) $168.84 $281.40 1.0×
Application Finger Splint Dynamic (29131) $86.40 $144 1.4×
Application finger splint static (29130)
range across 2 matching MRF lines
$133.88–$172.65 $223.13–$287.75 varies
Application long arm splint shoulder hand (29105) $216.60 $361 1.3×
Application Long Leg Splint (29505) $270.30 $450.50 1.6×
Application of long leg cast (29345) $273.45 $455.75 0.9×
Application Short Arm Splint Dynamic (29126) $198.60 $331 1.4×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$133.88–$198.45 $223.13–$330.75 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$168.83–$216.60 $281.39–$361 varies
Apply hand/wrist cast (29085) $273.45 $455.75 1.6×
Apply long arm cast (29065) $288.41 $480.69 1.0×
Apply Short Leg Cast (29405) $273.45 $455.75 0.9×
Arterial puncture (36600) $133.88 $223.13 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines
$354.30–$674.55 $590.50–$1,124.25 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 12 matching MRF lines
$312.33–$794.85 $520.55–$1,324.75 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $354.30 $590.50 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines
$316.81–$354.30 $528.02–$590.50 varies
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines
$1,179–$1,920 $1,965–$3,200 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines
$343.84–$354.30 $573.06–$590.50 varies
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines
$1,655.40–$2,242.81 $2,759–$3,738.02 varies
Avulsion nail plate partial/complete simple 1 (11730) $214.72 $357.87 1.0×
Biopsy Abdominal Mass (49180) $907.80 $1,513 0.5×
Biopsy bone trocar/needle deep (20225) $1,283.70 $2,139.50 0.7×
Biopsy Bone Trocar/Needle Superficial (20220) $1,283.70 $2,139.50 0.7×
Biopsy muscle percutaneous needle (20206) $748.80 $1,248 0.4×
Biopsy of liver, needle; percutaneous (47000) $916.05 $1,526.75 0.5×
Biopsy soft tissue back/flank deep (21925) $1,531.35 $2,552.25 0.9×
Biopsy soft tissue neck/thorax (21550) $1,117.35 $1,862.25 0.6×
Bladder instillation anticarcinogenic agent (51720) $751.78 $1,252.97 1.0×
Bladder Irrigation (51700) $372.90 $621.50 1.4×
Bladder Scan (51798) $372.90 $621.50 6.0×
Blepharotomy drainage abscess eyelid (67700) $338.18 $563.64 1.0×
Blood Transfusion Service (36430)
range across 13 matching MRF lines
$602.25–$869.85 $1,003.75–$1,449.75 varies
Bone Marrow Biopsy (38221) $1,283.70 $2,139.50 0.7×
Bx breast 1st lesion mr imag (19085)
range across 4 matching MRF lines
$1,924.35–$2,607 $3,207.25–$4,345 varies
Bx breast 1st lesion strtctc (19081)
range across 4 matching MRF lines
$1,742.70–$3,485.25 $2,904.50–$5,808.75 varies
Bx breast 1st lesion us imag (19083)
range across 12 matching MRF lines
$1,176.45–$3,082.65 $1,960.75–$5,137.75 varies
Canthotomy Separate Procedure (67715) $1,323 $2,205 0.5×
Catheter aspiration nasotracheal spx (31720)
range across 3 matching MRF lines
$224.68–$231.55 $374.47–$385.92 varies
Change Cystostomy Tube Complicated (51710)
range across 3 matching MRF lines
$343.68–$1,540.05 $572.80–$2,566.75 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$318.28–$360.15 $530.46–$600.25 varies
Chemical Cautery Tissue (17250) $214.72 $357.87 1.0×
Chemodenerv Musc Migraine (64615) $316.81 $528.02 1.0×
Chest tube placement (32551) $686.70 $1,144.50 0.4×
Circumcision w/clamp/oth dev w/block (54150) $782.70 $1,304.50 0.4×
Cl Tx Scapular Fx; W Manip (23575) $918.80 $1,531.33 0.5×
Cl Tx Tib Shft Fx W Manip (27752) $345 $575 0.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$169.95–$190.80 $283.25–$318 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,665.11 $2,775.18 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,578.90 $2,631.50 6.1×
Closed tx ankle dislocation w/o anesthesia (27840) $348.90 $581.50 1.3×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $380.40 $634 0.2×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $345 $575 0.2×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,980 $3,300 1.2×
Closed tx knee dislocation w/o anesthesia (27550) $345 $575 1.3×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $778.35 $1,297.25 0.5×
Closed tx patellar dislocation w/anesthesia (27562) $345 $575 1.3×
Closed tx patellar dislocation w/o anesthesia (27560) $345 $575 1.3×
Closed tx radial head/neck fx w/manipulation (24655) $345 $575 0.2×
Closed tx radial head/neck fx w/o manipulation (24650) $345 $575 1.3×
Closed tx radial shaft fracture w/manipulation (25505) $345 $575 0.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $345 $575 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $345 $575 0.2×
Closed tx tarsometatarsal dislocation w/o anes (28600) $345 $575 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $273.45 $455.75 1.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $345 $575 1.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $327.60 $546 1.3×
Clsd tx clavicular fracture w/o manipulation (23500) $258 $430 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines
$1,130.55–$2,261.10 $1,884.25–$3,768.50 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $265.50 $442.50 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $345 $575 0.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $345 $575 1.3×
Cltx dstl fibular fx lat malls w/manj (27788) $258 $430 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $258 $430 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $258 $430 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $258 $430 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $345 $575 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $345 $575 0.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $345 $575 0.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $258 $430 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $258 $430 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $258 $430 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $258 $430 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $348.90 $581.50 0.2×
Cltx hip dislocation traumatic req anesthesia (27252) $1,111.35 $1,852.25 0.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $345 $575 1.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $353.40 $589 0.2×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $405 $675 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $258 $430 1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $348 $580 1.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $265.50 $442.50 1.0×
Cltx Med Ankle Fx W/Mnpj (27762) $345 $575 0.2×
Cltx Medial Ankle Fx (27760) $345 $575 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $345 $575 1.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $345 $575 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $258 $430 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $258 $430 1.0×
Cltx post hip arthrp dislc req anes (27266) $532.65 $887.75 0.3×
Cltx post hip arthrp dislc w/o anes (27265) $400.35 $667.25 1.5×
Cltx prox fibula/shft fx w/manj (27781) $1,665.11 $2,775.18 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $345 $575 1.3×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,688.99 $2,814.98 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $900 $1,500 0.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $900 $1,500 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $353.40 $589 0.2×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $345 $575 0.2×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $345 $575 0.1×
Cltx tibial shaft fx w/o manipulation (27750) $345 $575 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $425.25 $708.75 0.3×
Collect Blood From Catheter Venous Nos (36592)
range across 4 matching MRF lines
$133.88–$139.20 $223.13–$232 varies
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$4.80–$15.60 $8–$26 varies
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) $3,629.42 $6,049.04 1.1×
Control Nasal Hemorrhage Anterior Complex (30903) $353.40 $589 2.5×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$140.39–$353.40 $233.98–$589 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $918.60 $1,531 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $353.40 $589 2.5×
Cysto calibration dilat urtl strix/stenosis (52281) $2,364.53 $3,940.89 1.1×
Cysto w/dilat rx balo cath urtl strix/sten male (52284) $6,006.49 $10,010.81 1.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $626.85 $1,044.75 1.5×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,977.90 $3,296.50 2.6×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $1,977.90 $3,296.50 2.6×
Debride nail 1-5 (11720) $66.56 $110.94 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $558.90 $931.50 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $558.90 $931.50 1.3×
Declot vascular device (36593) $482.40 $804 1.4×
Delivery of placenta (59414) $3,137.09 $5,228.48 0.9×
Destroy cerv/thor facet jnt (64633) $2,081.87 $3,469.78 1.0×
Destroy lumb/sac facet jnt (64635) $2,098.07 $3,496.78 1.0×
Destruction neurolytic agt genicular nerve w/img (64624) $2,129.24 $3,548.74 1.0×
Drain Cerebro Spinal Fluid (62272) $533.10 $888.50 0.7×
Drain Spinal Cord Cyst (62268) $998.22 $1,663.70 1.1×
Drain/inj small joint/bursa w/us (20604) $354.30 $590.50 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $743.81 $1,239.69 1.0×
Drainage Finger Abscess Complicated (26011) $464.10 $773.50 0.3×
Drainage of finger abscess simple (26010) $353.40 $589 1.7×
Drainage of gum lesion (41800) $353.40 $589 2.5×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines
$256.50–$756.75 $427.50–$1,261.25 varies
Drainage of scrotal wall abscess (55100) $320.70 $534.50 0.2×
Drainage of scrotum (54700) $585 $975 0.3×
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines
$133.88–$172.50 $223.14–$287.50 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $743.81 $1,239.69 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $413.59 $689.31 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $297.15 $495.25 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$214.72–$216.60 $357.87–$361 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$998.22–$1,996.44 $1,663.70–$3,327.40 varies
Dx Bone Marrow Bx & Aspir (38222) $1,283.70 $2,139.50 0.4×
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 3 matching MRF lines
$758.90–$770 $1,264.84–$1,283.34 varies
Epidural Blood Patch (62273) $758.90 $1,264.84 1.0×
Episiotomy or vaginal repair (59300) $3,418.79 $5,697.98 1.0×
Ercp Dx Collection Specimen Brushing/Washing (43260) $3,973.20 $6,622 1.0×
Evacuation of subungual hematoma (11740) $133.88 $223.13 1.0×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $464.10 $773.50 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $464.10 $773.50 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $400.35 $667.25 0.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,438.50 $2,397.50 1.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $413.59 $689.31 1.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $2,242.81 $3,738.02 1.0×
Excise tendon forearm/wrist (25109) $632.70 $1,054.50 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $468.90 $781.50 0.2×
Exploration penetrating wound spx extremity (20103) $743.81 $1,239.69 0.4×
External cephalic version (59412) $1,437.60 $2,396 0.4×
Fetal Contraction Stress Test (59020) $402 $670 1.9×
Fetal non-stress test (59025) $267.15 $445.25 1.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,016 $3,360 2.7×
Fine needle aspiration without imaging guidance (10021) $468.90 $781.50 1.1×
Fluid Pressure Muscle (20950) $743.81 $1,239.69 1.0×
Fluoro exam of g/colon tube (49465) $325.80 $543 1.3×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines
$1,058.40–$1,108.65 $1,764–$1,847.75 varies
Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) $472.50 $787.50 12.9×
Guide Cathet Fluid Drainage (10030) $806.10 $1,343.50 1.1×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,259.60 $5,432.66 1.1×
I&d abscess peritonsillar (42700) $320.70 $534.50 1.3×
I&d abscess simple (10060) $320.70 $534.50 1.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,875.18 $4,791.96 0.9×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,383.35 $3,972.25 0.8×
I&d perianal abscess superficial (46050) $949.12 $1,581.87 1.0×
I&d pilonidal cyst complicated (10081) $1,462.80 $2,438 2.0×
I&d pilonidal cyst simple (10080) $743.81 $1,239.69 1.0×
Image Cath Fluid Colxn Visc (49405) $1,706.18 $2,843.64 1.0×
Image Cath Fluid Peri/Retro (49406) $2,499.45 $4,165.75 1.4×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines
$318.28–$464.10 $530.46–$773.50 varies
Incision & drainage abscess complicated/multiple (10061) $464.10 $773.50 1.1×
Incision & removal foreign body subq tiss compl (10121) $632.70 $1,054.50 0.4×
Incision & removal foreign body subq tiss simple (10120) $413.59 $689.31 1.0×
Incision and drainage of bartholin's gland abscess (56420) $320.70 $534.50 1.5×
Incision and drainage of vulva or perineal abscess (56405) $336.62 $561.03 1.0×
Incision of rectal abscess (46040) $1,240.10 $2,066.83 1.0×
Incisional biopsy skin single lesion (11106) $626.85 $1,044.75 0.8×
Initial Tx 1st Degree Burn Local Tx (16000) $214.72 $357.87 1.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines
$983.58–$1,475.37 $1,639.30–$2,458.95 varies
Inj W/Fluor Eval Cv Device (36598) $340.80 $568 1.5×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines
$758.90–$1,517.81 $1,264.84–$2,529.68 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines
$336.75–$378.60 $561.25–$631 varies
Injection aa&/strd axillary nerve w/img gdn (64417) $983.58 $1,639.30 1.1×
Injection aa&/strd genicular nrv branches w/img (64454) $770 $1,283.34 1.0×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines
$758.90–$1,517.81 $1,264.84–$2,529.68 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $758.90 $1,264.84 1.0×
Injection anesthetic agent suprascapular nerve (64418) $758.90 $1,264.84 1.0×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$312.34–$336.75 $520.56–$561.25 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$312.34–$336.75 $520.56–$561.25 varies
Injection, anesthetic agent; brachial plexus, single (64415) $983.58 $1,639.30 1.1×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines
$363.90–$758.90 $606.50–$1,264.84 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 6 matching MRF lines
$363.90–$2,826.41 $606.50–$4,710.68 varies
Insert Bladder Cath Complex (51703) $270.30 $450.50 2.0×
Insert cath pleura w/ image (32557) $1,024.80 $1,708 0.6×
Insert Gastrostomy Tube Percutaneous (49440)
range across 2 matching MRF lines
$1,120.80–$1,176.90 $1,868–$1,961.50 varies
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines
$1,220.85–$3,422.24 $2,034.75–$5,703.74 varies
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$146.55–$206.25 $244.25–$343.75 varies
Insert,Non-Indwelling Bladder Catheter (51701) $133.88 $223.13 1.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines
$1,547.10–$1,874.40 $2,578.50–$3,124 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $1,220.85 $2,034.75 0.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines
$909.75–$1,219.80 $1,516.25–$2,033 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,220.85 $2,034.75 0.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $9,893.26 $16,488.76 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $413.59 $689.31 1.0×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $464.10 $773.50 1.1×
Intro Gastrointestinal Tube (44500) $968.20 $1,613.66 1.0×
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines
$473.70–$473.85 $789.50–$789.75 varies
Irrigation of corpora cavernosa for priapism (54220) $480 $800 1.8×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $7,669.80 $12,783 1.2×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $6,900 $11,500 0.6×
Laryngoscopy flexible diagnostic (31575) $473.85 $789.75 2.3×
Laser vaporization of prostate (52648)
range across 2 matching MRF lines
$4,849.65–$6,904.05 $8,082.75–$11,506.75 varies
N block inj intercost sng (64420) $758.90 $1,264.84 1.0×
Nasal surgery procedure (30999) $353.40 $589 1.4×
Nasal/Orogastric W/Tube Plmt (43752) $323.15 $538.59 0.7×
Needle Biopsy Lymph Nodes (38505) $1,108.65 $1,847.75 0.6×
Needle Biopsy Pancreas (48102) $1,661.40 $2,769 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines
$29.51–$34.57 $49.18–$57.62 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines
$29.51–$34.57 $49.18–$57.62 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $500.14 $833.56 1.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $320.70 $534.50 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 7 matching MRF lines
$1,018.98–$2,037.96 $1,698.30–$3,396.60 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $758.90 $1,264.84 1.0×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $758.90 $1,264.84 1.0×
Obstructive material removal from gi tube (49460) $968.20 $1,613.66 1.0×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$312.34–$320.70 $520.56–$534.50 varies
Open Tx Distal Phalangeal Fracture Each (26765) $3,434.09 $5,723.48 1.0×
Partial Excision Distal Phalanx Finger (26236) $345 $575 0.2×
Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) $1,509.44 $2,515.73 1.0×
Percut Drain/Inject Renal Cyst (50390) $1,831.80 $3,053 2.5×
Perq dev breast 1st strtctc (19283) $1,708.05 $2,846.75 2.3×
Perq dev breast 1st us imag (19285) $1,145.40 $1,909 1.5×
Perq device breast 1st imag (19281)
range across 10 matching MRF lines
$743.81–$1,708.05 $1,239.69–$2,846.75 varies
Perq sft tiss loc device plmt 1st les w/gdnce (10035)
range across 2 matching MRF lines
$743.81–$1,036.20 $1,239.69–$1,727 varies
Placement of needle for intraosseous infusion (36680) $323.15 $538.59 0.7×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $3,858.05 $6,430.08 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160) $413.59 $689.31 1.0×
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines
$743.81–$779.85 $1,239.69–$1,299.75 varies
Pvb Thoracic Single Injection Site W/Img Gid (64461) $758.90 $1,264.84 1.0×
Removal Embedded Foreign Body Eyelid (67938) $416.85 $694.75 1.2×
Removal Foreign Body Deep Thigh/Knee (27372) $1,659.15 $2,765.25 0.5×
Removal Foreign Body Foot Complicated (28193) $1,030.95 $1,718.25 0.6×
Removal foreign body foot deep (28192) $1,659.15 $2,765.25 1.0×
Removal Foreign Body Foot Subcutaneous (28190) $743.81 $1,239.69 1.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $632.70 $1,054.50 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$69.50–$169.95 $115.84–$283.25 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$76.20–$169.95 $127–$283.25 varies
Removal Implant Superficial Separate Procedure (20670) $1,882.18 $3,136.96 1.1×
Removal of foreign body from pharynx (42809) $323.15 $538.59 0.7×
Removal of nail bed (11750) $632.70 $1,054.50 1.5×
Removal or bivalving full arm or full leg cast (29705) $178.35 $297.25 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $320.70 $534.50 1.5×
Remove foreign body from eye (65235) $416.85 $694.75 0.2×
Remove foreign body from eye (65205) $416.85 $694.75 3.0×
Remove Intrauterine Device (58301) $336.62 $561.03 1.0×
Remove Nasal Foreign Body (30300) $353.40 $589 2.5×
Renal Biopsy Perq (50200) $1,020.30 $1,700.50 0.6×
Repair Blood Vessel Direct Hand Finger (35207) $1,575 $2,625 0.5×
Repair Blood Vessel Direct Upper Extremity (35206) $1,905.15 $3,175.25 0.6×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $626.85 $1,044.75 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $626.85 $1,044.75 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $591.45 $985.75 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $626.85 $1,044.75 1.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $626.85 $1,044.75 1.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $626.85 $1,044.75 1.5×
Repair complex trunk 1.1-2.5 cm (13100) $626.85 $1,044.75 0.8×
Repair complex trunk 2.6-7.5 cm (13101) $626.85 $1,044.75 0.8×
Repair extensor tendon finger w/o graft each (26418) $1,111.35 $1,852.25 0.7×
Repair Eyelid Wound (67935) $360 $600 0.1×
Repair Finger/Hand Tendon (26350) $1,111.35 $1,852.25 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $464.10 $773.50 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $464.10 $773.50 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $464.10 $773.50 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $464.10 $773.50 1.1×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,913.40 $3,189 4.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $626.85 $1,044.75 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $413.59 $689.31 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $464.10 $773.50 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $626.85 $1,044.75 0.8×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $2,051.39 $3,418.99 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $464.10 $773.50 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $464.10 $773.50 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $464.10 $773.50 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $626.85 $1,044.75 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $464.10 $773.50 1.1×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,051.39 $3,418.99 0.9×
Repair of nail bed (11760) $626.85 $1,044.75 0.8×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,434.09 $5,723.48 1.0×
Repair tongue laceration (41250) $400.35 $667.25 0.8×
Replace G-J Tube Perc (49452) $968.20 $1,613.66 1.0×
Replace g/c tube perc (49450) $968.20 $1,613.66 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $998.16 $1,663.60 1.0×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $169.95 $283.25 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $424.65 $707.75 0.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $416.85 $694.75 3.0×
Rmvl fecal impaction/fb spx under anes (45915) $1,240.10 $2,066.83 1.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $405 $675 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,131.30 $1,885.50 1.7×
Rpr blood vessel direct lower extremity (35226) $1,905.15 $3,175.25 2.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $400.35 $667.25 1.9×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $626.85 $1,044.75 0.8×
Rpr Lip Full Thickness Vermilion Only (40650) $540.97 $901.62 1.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $400.35 $667.25 0.2×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $1,146.15 $1,910.25 0.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $400.35 $667.25 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$214.72–$400.35 $357.87–$667.25 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $400.35 $667.25 1.9×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $413.59 $689.31 1.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$219–$400.35 $365–$667.25 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $575.55 $959.25 2.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$214.72–$400.35 $357.87–$667.25 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $464.10 $773.50 2.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $400.35 $667.25 1.9×
Skin Tissue Procedure (17999) $464.10 $773.50 2.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$214.72–$400.35 $357.87–$667.25 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $413.59 $689.31 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $413.59 $689.31 1.0×
Spinal puncture lumbar diagnostic (62270) $758.90 $1,264.84 1.0×
Strapping ankle (29540) $178.35 $297.25 1.0×
Strapping elbow or wrist (29260) $273.45 $455.75 4.4×
Strapping hand/finger (29280) $273.45 $455.75 4.4×
Strapping Hip (29520) $178.20 $297 1.3×
Strapping knee (29530) $178.35 $297.25 1.3×
Strapping shoulder (29240) $547.20 $912 3.9×
Strapping thorax (29200) $273.45 $455.75 1.6×
Strapping toes (29550) $178.35 $297.25 2.9×
Strapping Unna Boot (29580) $178.35 $297.25 1.0×
Suture infrapatellar tendon primary (27380)
likely a partial charge, not the full procedure
$535.50 $892.50 0.1×
Thrombolytic Therapy Stroke (37195) $371.62 $619.37 1.1×
Thyroid biopsy (60100) $743.81 $1,239.69 1.0×
Tooth extraction (41899) $353.40 $589 1.4×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,970.25 $3,283.75 7.9×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,970.25 $3,283.75 1.2×
Treat humerus fracture (23600) $345 $575 1.3×
Treat Knuckle Dislocation (26700) $258 $430 1.0×
Treat Thumb Dislocation (26641) $345 $575 1.3×
Treat Thumb Fracture (26645) $345 $575 0.2×
Treat toe dislocation (28630) $258 $430 1.0×
Treat Vaginal Bleeding (57180) $346.50 $577.50 1.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $345 $575 0.2×
Treatment closed elbow dislocation w/o anes (24600) $345 $575 1.3×
Trimming Nondystrophic Nails Any Number (11719) $66.56 $110.94 1.1×
Tx Gastro Intub W/Asp (43753) $316.25 $527.09 1.4×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,969.35 $3,282.25 1.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $413.59 $689.31 0.5×
Unlisted Procedure Intestine (44799) $968.20 $1,613.66 1.0×
Unlisted procedure nervous system (64999) $316.81 $528.02 1.0×
Unlisted procedure stomach (43999) $968.20 $1,613.66 1.0×
Unlisted Procedure Tongue Floor Mouth (41599) $400.35 $667.25 1.6×
Unlisted Procedure Vascular Surgery (37799) $1,030.95 $1,718.25 1.6×
Wedge excision skin nail fold (11765) $468.90 $781.50 1.1×
Windowing of cast (29730) $178.35 $297.25 1.0×

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.