Procedures & surgery prices at Dignity Health - St. Rose Dominican, North Las Vegas Campus

North Las Vegas, NV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,367.80 $4,559.34 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,164.65 $3,882.18 1.2×
Anoscopy diagnostic (46600) $93.74 $312.46 0.6×
Anoscopy W/Rmvl Foreign Body (46608) $1,198.51 $3,995.04 1.2×
Application cast elbow finger short arm (29075) $314.75 $1,049.18 1.0×
Application cast shoulder hand long arm (29065) $342.54 $1,141.79 1.1×
Application Cast Shoulder Spica (29055) $290.23 $967.43 0.9×
Application finger splint static (29130) $228.54 $761.81 1.6×
Application long arm splint shoulder hand (29105) $228.54 $761.81 1.3×
Application of hip spica cast; 1 and one-half spica or both legs Facility (29325) $274.91 $916.36 0.9×
Application of long leg cast (29345) $314.75 $1,049.18 1.0×
Application short arm splint forearm-hand static (29125) $228.54 $761.81 1.6×
Apply Hand/Wrist Cast (29085) $314.75 $1,049.18 1.8×
Apply long leg splint (29505) $228.54 $761.81 1.3×
Apply short leg cast (29405) $91.44 $304.80 0.3×
Apply short leg cast (29425) $135.62 $452.07 0.4×
Apply short leg splint (29515) $228.54 $761.81 1.3×
Arterial puncture (36600) $112.86 $376.20 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $343.91 $1,146.37 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $471.19 $1,570.64 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $424.79 $1,415.98 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $322.28 $1,074.26 1.0×
Aspirate pleura w/ imaging (32555) $2,249.36 $7,497.88 3.3×
Aspirate/Inj Ganglion Cyst (20612) $306.83 $1,022.76 0.9×
Aspiration bladder insert suprapubic catheter (51102) $2,389.89 $7,966.30 1.0×
Aspiration bladder needle (51100) $1,398.84 $4,662.79 5.1×
Avulsion nail plate partial/complete simple 1 (11730) $154.24 $514.14 0.7×
Bladder Irrigation Simple (51700) $802.25 $2,674.16 2.9×
Blepharotomy drain absc eyelid (67700) $261.46 $871.53 0.8×
Blood transfusion service (36430) $394.07 $1,313.57 0.8×
Change of cystostomy tube simple (51705) $476.52 $1,588.40 1.7×
Chemical cautery tissue (17250) $275.57 $918.56 1.3×
Close Rx Prox/Mid Fing Shft Fx (26720) $269.93 $899.75 1.0×
Closed Rx Gr Tuberosity Hum Fx (23620) $269.93 $899.75 1.0×
Closed Rx Humer Epicondylr Fx,Manip (24565) $899.75 $2,999.15 0.5×
Closed Rx Humeral Supracondylar Fx (24530) $269.93 $899.75 1.0×
Closed Rx Radial Shaft Fx (25500) $269.93 $899.75 1.0×
Closed Rx Spontaneous Hip Disloc (27256) $269.93 $899.75 1.0×
Closed Rx Tibia Shaft Fx (27750) $269.93 $899.75 1.0×
Closed Rx Tibial Plateau Fx (27530) $269.93 $899.75 1.0×
Closed treat wrist dislocation (25660) $269.93 $899.75 1.0×
Closed Treatment Coccygeal Fracture (27200) $269.93 $899.75 1.0×
Closed Treatment Nasal Fracture W/Stabilization (21320) $4,051.67 $13,505.58 1.1×
Closed treatment of calcaneal fracture; without manipulation (28400) $269.93 $899.75 1.0×
Closed treatment of fracture of orbit, except blowout; without manipulation (21400) $269.93 $899.75 0.5×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) $269.93 $899.75 1.0×
Closed treatment of patellar fracture, without manipulation (27520) $269.93 $899.75 1.0×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $269.93 $899.75 1.0×
Closed treatment of sternoclavicular dislocation; without manipulation (23520) $899.75 $2,999.15 0.5×
Closed treatment of talus fracture; without manipulation (28430) $269.93 $899.75 1.0×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $269.93 $899.75 1.0×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $899.75 $2,999.15 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $269.93 $899.75 1.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $269.93 $899.75 1.0×
Closed Treatment Sternum Fracture (21820) $269.93 $899.75 1.0×
Closed Treatment Ulnar Styloid Fracture (25650) $269.93 $899.75 1.0×
Closed tx ankle dislocation w/o anesthesia (27840) $269.93 $899.75 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $899.75 $2,999.15 0.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $269.93 $899.75 1.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $269.93 $899.75 1.0×
Closed tx carpal scaphoid fracture w/manj (25624) $899.75 $2,999.15 0.5×
Closed tx femoral fracture prox head w/o manj (27267) $4,051.67 $13,505.58 1.1×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $269.93 $899.75 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $269.93 $899.75 1.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $269.93 $899.75 0.5×
Closed tx metatarsal fracture w/o manipulation (28470) $269.93 $899.75 1.0×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $899.75 $2,999.15 0.5×
Closed tx nasal fracture w/o stabilization (21315) $899.75 $2,999.15 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $269.93 $899.75 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $899.75 $2,999.15 0.5×
Closed tx radial head/neck fx w/o manipulation (24650) $269.93 $899.75 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $899.75 $2,999.15 0.5×
Closed tx radial&ulnar shaft fractures w/manj (25565) $899.75 $2,999.15 0.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $269.93 $899.75 1.0×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $269.93 $899.75 1.0×
Closed tx talotarsal joint dislc w/o anes (28570) $269.93 $899.75 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $269.93 $899.75 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $899.75 $2,999.15 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $269.93 $899.75 1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $269.93 $899.75 1.0×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $269.93 $899.75 1.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $269.93 $899.75 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $269.93 $899.75 1.0×
Clsd tx pelvic ring fx w/o manipulation (27197) $269.93 $899.75 1.0×
Clsd tx shoulder dislc w/manipulation req anes (23655) $899.75 $2,999.15 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $269.93 $899.75 1.0×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $269.93 $899.75 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $899.75 $2,999.15 0.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $269.93 $899.75 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $899.75 $2,999.15 0.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $269.93 $899.75 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $269.93 $899.75 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $269.93 $899.75 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $269.93 $899.75 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $269.93 $899.75 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $269.93 $899.75 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $899.75 $2,999.15 0.5×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $1,102.89 $3,676.31 0.6×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) $269.93 $899.75 1.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $4,051.67 $13,505.58 2.3×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $269.93 $899.75 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $899.75 $2,999.15 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $269.93 $899.75 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $269.93 $899.75 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $269.93 $899.75 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $269.93 $899.75 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $269.93 $899.75 1.0×
Cltx humeral condylar fx medial/lat w/o mnpj (24576) $269.93 $899.75 1.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $899.75 $2,999.15 0.5×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $899.75 $2,999.15 0.5×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $899.75 $2,999.15 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $269.93 $899.75 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $269.93 $899.75 1.0×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $269.93 $899.75 1.0×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $899.75 $2,999.15 0.5×
Cltx metacarpal fx w/manipulation each bone (26605) $269.93 $899.75 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $269.93 $899.75 1.0×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $269.93 $899.75 1.0×
Cltx metatarsophlngl jt dislc w/o anes (28630) $269.93 $899.75 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $269.93 $899.75 1.0×
Cltx post ankle fx w/mnpj (27768) $899.75 $2,999.15 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $269.93 $899.75 1.0×
Cltx prox fibula/shft fx w/manj (27781) $899.75 $2,999.15 0.5×
Cltx prox fibula/shft fx w/o manj (27780) $269.93 $899.75 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $899.75 $2,999.15 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $269.93 $899.75 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $899.75 $2,999.15 0.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $899.75 $2,999.15 0.5×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $269.93 $899.75 1.0×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $899.75 $2,999.15 0.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $269.93 $899.75 1.0×
Collect Blood From Catheter Venous Nos (36592) $241.71 $805.70 1.7×
Colporrhaphy Suture Injury Vagina (57200) $2,376.65 $7,922.15 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $241.71 $805.70 1.7×
Control Nasal Hemorrhage Anterior Simple (30901) $241.71 $805.70 1.7×
Control Oropharyngeal Hemorrhage Simple (42960) $241.71 $805.70 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $241.71 $805.70 1.7×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $349.24 $1,164.13 0.1×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $349.24 $1,164.13 0.5×
Debride nail 1-5 (11720) $48.91 $163.02 0.8×
Debride tissue/muscle (11043) $2,264.10 $7,546.99 2.8×
Debridement subcutaneous tissue 20 sq cm/< (11042) $891.28 $2,970.94 2.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $3,387.05 $11,290.18 1.9×
Declot vascular device (36593) $333.25 $1,110.84 0.9×
Delivery placenta separate procedure (59414) $1,582.86 $5,276.21 0.4×
Destruction premalignant lesion 1st (17000) $180.89 $602.97 0.8×
Drain bladder by trocar/cath (51101) $1,349.28 $4,497.60 1.4×
Drain Ext Ear Absc/Blood,Complic (69005) $1,215.13 $4,050.42 0.7×
Drain lower leg bursa (27604) $4,051.67 $13,505.58 1.1×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $1,049.60 $3,498.66 1.4×
Drainage Abscess/Hematoma Nasal Septum (30020) $563.21 $1,877.36 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,049.60 $3,498.66 1.4×
Drainage Finger Abscess Complicated (26011) $1,215.13 $4,050.42 0.7×
Drainage Finger Abscess Simple (26010) $261.46 $871.53 1.2×
Drainage Mouth Roof Lesion (42000) $261.46 $871.53 1.0×
Drainage of abscess; submaxillary or sublingual, intraoral (42310) $1,049.60 $3,498.66 1.8×
Drainage of gum lesion (41800) $261.46 $871.53 1.8×
Drainage of hematoma/fluid (10140) $1,468.75 $4,895.83 0.8×
Drainage of scrotal wall abscess (55100) $1,215.13 $4,050.42 0.7×
Draw blood off venous device (36591) $110.98 $369.93 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $487.18 $1,623.93 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $211.30 $704.33 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $129.48 $431.59 0.6×
Escharotomy initial incision (16035) $576.21 $1,920.71 1.3×
Evacuation of subungual hematoma (11740) $158.32 $527.73 1.1×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $700.67 $2,335.58 0.9×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $409.12 $1,363.73 0.5×
Excision of thrombosed hemorrhoid, external (46320) $1,049.60 $3,498.66 0.8×
Expl penetrating wound spx abdomen/flank/back (20102) $647.06 $2,156.88 0.3×
Exploration penetrating wound spx chest (20101) $647.06 $2,156.88 0.3×
Exploration penetrating wound spx extremity (20103) $647.06 $2,156.88 0.4×
Fine needle aspiration without imaging guidance (10021) $375.89 $1,252.96 0.8×
Fluoro exam of g/colon tube (49465) $523.23 $1,744.11 2.0×
Foreskin manipulation (54450) $407.24 $1,357.46 1.5×
Gastric Intubation/Aspiration, Therapeutic (43753) $126.34 $421.14 0.5×
I&D Abscess Peritonsillar (42700) $261.46 $871.53 1.0×
I&d abscess simple (10060) $210.05 $700.15 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,215.13 $4,050.42 0.4×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $1,765.01 $5,883.35 0.5×
I&d pilonidal cyst simple (10080) $1,049.60 $3,498.66 1.4×
I&d shoulder deep abscess/hematoma (23030) $1,215.13 $4,050.42 0.4×
I&D Upper Arm/Elbow Bursa (23931) $1,215.13 $4,050.42 0.7×
I&d vulva/perineal abscess (56405) $261.46 $871.53 0.8×
Incise external hemorrhoid (46083) $307.55 $1,025.15 1.1×
Incision & drainage abscess complicated/multiple (10061) $389.06 $1,296.85 0.9×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,790.40 $5,968 0.6×
Incision & drainage pilonidal cyst complicated (10081) $1,391.31 $4,637.71 1.8×
Incision & removal foreign body subq tiss compl (10121) $1,215.13 $4,050.42 0.7×
Incision & removal foreign body subq tiss simple (10120) $479.97 $1,599.90 1.1×
Incision and drainage of bartholin's gland abscess (56420) $261.46 $871.53 1.2×
Incision and drainage perianal abscess superficial (46050) $1,049.60 $3,498.66 1.0×
Incision and drainage, complex, postoperative wound infection (10180) $1,285.67 $4,285.55 0.4×
Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) $1,215.13 $4,050.42 0.4×
Incision of rectal abscess (46040) $3,307.43 $11,024.75 2.5×
Incision of urethra (53000) $1,988.84 $6,629.48 0.9×
Initial tx 1st degree burn local tx (16000) $487.18 $1,623.93 2.2×
Inj tendon sheath/ligament (20550) $322.28 $1,074.26 1.0×
Inject Nerv Blck,Intercostal,One (64420) $673.40 $2,244.66 0.9×
Inject Tendon Origin/Insert (20551) $322.28 $1,074.26 1.0×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $922.63 $3,075.44 1.2×
Injection aa&/strd trigeminal nerve each branch (64400) $257.70 $858.99 0.8×
Injection Anes Agent Sphenopalatine Ganglion (64505) $258.32 $861.08 0.8×
Injection into skin lesions (11900) $68.34 $227.81 0.3×
Injection single/mlt trigger point 1/2 muscles (20552) $322.28 $1,074.26 1.0×
Injection single/mlt trigger point 3/> muscles (20553) $322.28 $1,074.26 1.0×
Insert cath pleura w/o image (32556) $726.69 $2,422.31 0.3×
Insert non-tunnel cv cath (36556) $2,064.71 $6,882.37 0.6×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $2,002.95 $6,676.51 0.6×
Insert Temp Bladder Cath (51702) $343.60 $1,145.32 2.4×
Insert,Non-Indwelling Bladder Catheter (51701) $227.60 $758.67 1.6×
Insj picc rs&i 5 yr+ (36573) $440.47 $1,468.23 0.3×
Int hrhc by ligation single hroid w/o img gdn (46945) $2,874.15 $9,580.50 0.9×
Intraoral i&d tongue/floor lingual (41000) $1,049.60 $3,498.66 1.8×
Intubation endotracheal emergency procedure (31500) $593.46 $1,978.19 2.3×
Irrigation of corpora cavernosa for priapism (54220) $906.02 $3,020.05 3.3×
Laryngoscopy diagnostic (31505) $743.62 $2,478.74 3.4×
Laryngoscopy W/Foreign Body Removal (31530) $2,691.71 $8,972.37 1.4×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $231.05 $770.17 0.5×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $230.42 $768.08 0.8×
Occipital Nerve Block (64405) $422.60 $1,408.66 1.3×
Perq replacement gtube not req revj gstrst trc (43762) $487.49 $1,624.98 1.8×
Picc line placement (36569) $1,915.80 $6,386 1.1×
Placement of needle for intraosseous infusion (36680) $300.65 $1,002.16 0.6×
Puncture Aspiration Cyst Breast (19000) $332.31 $1,107.70 0.4×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $1,091.30 $3,637.65 2.5×
Removal Foreign Body Deep Thigh/Knee (27372) $3,323.42 $11,078.05 1.0×
Removal Foreign Body Foot Complicated (28193) $1,297.26 $4,324.21 0.7×
Removal foreign body foot deep (28192) $1,297.26 $4,324.21 0.7×
Removal foreign body foot subcutaneous (28190) $834.85 $2,782.84 1.1×
Removal foreign body intranasal (30300) $241.71 $805.70 1.7×
Removal foreign body muscle/tendon sheath simple (20520) $1,929.28 $6,430.93 1.1×
Removal foreign body pharynx (42809) $241.71 $805.70 0.5×
Removal foreign body shoulder subcutaneous (23330) $817.92 $2,726.41 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $257.07 $856.90 4.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $257.07 $856.90 4.0×
Removal of arm foreign body (24200) $1,929.28 $6,430.93 1.1×
Removal of embedded foreign body, eyelid (67938) $241.71 $805.70 0.7×
Removal of foreign body in scrotum (55120) $1,036.43 $3,454.77 0.5×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $241.71 $805.70 0.5×
Removal of iud (58301) $241.71 $805.70 0.7×
Removal of nail bed (11750) $308.80 $1,029.33 0.7×
Removal of salivary stone (42330) $1,098.57 $3,661.89 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $241.71 $805.70 1.1×
Removal/bivalving gauntlet boot/body cast (29700) $257.07 $856.90 0.8×
Remv Ext Canal F.B.,Gen Anesth (69205) $1,297.26 $4,324.21 0.7×
Remv Ext Canal Foreign Body (69200) $241.71 $805.70 1.7×
Remv F.B.,Eye,Superf Conjunc (65205) $241.71 $805.70 1.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $546.74 $1,822.48 0.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $546.74 $1,822.48 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $546.74 $1,822.48 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $546.74 $1,822.48 1.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $546.74 $1,822.48 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $546.74 $1,822.48 1.2×
Repair complex trunk 1.1-2.5 cm (13100) $546.74 $1,822.48 0.7×
Repair complex trunk 2.6-7.5 cm (13101) $546.74 $1,822.48 0.7×
Repair extensor tendon finger w/o graft each (26418) $2,376.65 $7,922.15 1.4×
Repair hand tendon (26410) $2,376.65 $7,922.15 1.4×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $546.74 $1,822.48 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $269.93 $899.75 0.6×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $546.74 $1,822.48 1.2×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $546.74 $1,822.48 1.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $546.74 $1,822.48 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $546.74 $1,822.48 1.2×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $546.74 $1,822.48 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $546.74 $1,822.48 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $546.74 $1,822.48 1.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $546.74 $1,822.48 1.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $546.74 $1,822.48 0.7×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $2,376.65 $7,922.15 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $546.74 $1,822.48 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $546.74 $1,822.48 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $546.74 $1,822.48 1.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $546.74 $1,822.48 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $546.74 $1,822.48 1.2×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,376.65 $7,922.15 1.1×
Repair Laceration Palate </2 Cm (42180) $546.74 $1,822.48 0.9×
Repair of nail bed (11760) $576.21 $1,920.71 0.7×
Repair tongue laceration (41252) $546.74 $1,822.48 2.1×
Repair Tongue Laceration (41250) $269.93 $899.75 0.6×
Repeat control of nosebleed (30906) $241.71 $805.70 0.9×
Rmvl embedded fb vestibule mouth comp (40805) $817.92 $2,726.41 1.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $241.71 $805.70 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $241.71 $805.70 1.7×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $241.71 $805.70 0.5×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $2,908.65 $9,695.49 0.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $1,297.26 $4,324.21 0.4×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $546.74 $1,822.48 0.7×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $269.93 $899.75 1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $546.74 $1,822.48 0.9×
Rpr Lip Full Thickness Vermilion Only (40650) $546.74 $1,822.48 0.9×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,376.65 $7,922.15 1.4×
Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) $3,191.75 $10,639.15 0.9×
Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) $2,376.65 $7,922.15 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $269.93 $899.75 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $269.93 $899.75 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $269.93 $899.75 1.2×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $269.93 $899.75 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $139.19 $463.98 0.6×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $269.93 $899.75 1.2×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $269.93 $899.75 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $269.93 $899.75 1.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $269.93 $899.75 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $269.93 $899.75 1.2×
Slitting of prepuce (54001) $2,084.95 $6,949.82 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $269.93 $899.75 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $269.93 $899.75 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $269.93 $899.75 0.6×
Spinal puncture lumbar diagnostic (62270) $1,045.84 $3,486.12 1.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,918.94 $6,396.45 2.8×
Thrombolytic Therapy Stroke (37195) $1,392.57 $4,641.89 3.9×
Tracheostomy emergency cricothyroid membrane (31605) $1,364.98 $4,549.93 5.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,292.87 $4,309.58 0.8×
Tracheotomy tube change (31502) $200.33 $667.76 0.8×
Treat clavicle dislocation (23540) $269.93 $899.75 1.0×
Treat clavicle fracture (23505) $899.75 $2,999.15 0.5×
Treat humerus fracture (24500) $269.93 $899.75 1.0×
Treat humerus fracture (23600) $269.93 $899.75 1.0×
Treat Metatarsal Fracture (28475) $269.93 $899.75 1.0×
Treat Thigh Fracture (27246) $269.93 $899.75 1.0×
Treat Thumb Dislocation (26641) $269.93 $899.75 1.0×
Treat Thumb Fx/Disloc,Manip (26645) $899.75 $2,999.15 0.5×
Treat Vaginal Bleeding (57180) $241.71 $805.70 1.1×
Treat wrist bone fracture (25622) $269.93 $899.75 1.0×
Treat Wrist Bone Fracture (25630) $269.93 $899.75 1.0×
Treatment closed elbow dislocation req anes (24605) $899.75 $2,999.15 0.5×
Treatment closed elbow dislocation w/o anes (24600) $269.93 $899.75 1.0×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $269.93 $899.75 1.0×
Trim skin lesion (11055) $206.28 $687.61 0.9×
Tube thoracostomy includes water seal (32551) $1,828.96 $6,096.53 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $2,509.25 $8,364.18 3.1×
Tx superficial wound dehiscence w/packing (12021) $788.14 $2,627.13 1.8×
Unlisted procedure nervous system (64999) $334.82 $1,116.06 1.0×
Vaginal delivery only (59409) $2,633.72 $8,779.05 0.7×
Venipuncture (36415) $33.55 $111.82 3.6×
Venipuncture, cutdown; age 1 or over (36425) $300.65 $1,002.16 0.6×
Wedge excision skin nail fold (11765) $576.21 $1,920.71 1.3×