Procedures & surgery prices at Doctors Memorial Hospital

Bonifay, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $772.65 $1,717 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $405.45 $901 0.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $115.20 $256 0.1×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $685.35 $1,523 0.3×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $115.20 $256 0.0×
Amputation metatarsal with toe single (28810) $442.80 $984 0.1×
Application finger splint static (29130) $70.65 $157 0.5×
Application long arm splint shoulder hand (29105) $145.35 $323 0.9×
Application Long Leg Splint (29505) $132.30 $294 0.8×
Application of rigid total contact leg cast (29445) $195.30 $434 0.7×
Application short arm splint forearm-hand static (29125) $109.80 $244 0.8×
Application short leg splint calf foot (29515) $112.50 $250 0.7×
Application, cast; figure-of-eight Facility (29049) $195.30 $434 0.7×
Apply Multlay Comprs Lwr Leg (29581) $589.05 $1,309 3.5×
Apply short leg cast (29425) $112.50 $250 0.4×
Arterial puncture (36600)
range across 2 matching MRF lines		 $53.10–$53.55 $118–$119 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $108.90 $242 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $47.25 $105 0.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $36.90 $82 0.1×
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure		 $927.45 $2,061 0.0×
Aspirate pleura w/ imaging (32555) $279.45 $621 0.4×
Aspirate Pleura W/O Imaging (32554)
range across 5 matching MRF lines		 $61.65–$333.90 $137–$742 varies
Aspiration bladder insert suprapubic catheter (51102) $148.50 $330 0.1×
Avulsion nail plate partial/complete simple 1 (11730) $146.70 $326 0.7×
Biopsy bone open superficial (20240) $137.70 $306 0.0×
Biopsy external ear (69100) $129.15 $287 0.5×
Bladder instillation anticarcinogenic agent (51720) $439.65 $977 0.6×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $230.85–$440.10 $513–$978 varies
Bladder Scan (51798) $116.55 $259 1.9×
Blepharotomy drainage abscess eyelid (67700) $195.75 $435 0.6×
Blood Transfusion Service (36430) $557.55 $1,239 1.2×
Brnchsc Brushing/Protected Brushings (31623) $686.25 $1,525 0.4×
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines		 $150.30–$686.25 $334–$1,525 varies
Bronchoscopy Reclear Airway (31646) $652.95 $1,451 1.6×
Bronchoscopy W/Biopsy(S) (31625) $686.25 $1,525 0.4×
Bronchoscopy W/Excision Tumor (31640) $1,374.30 $3,054 0.4×
Bronchoscopy W/Removal Foreign Body (31635) $686.25 $1,525 0.4×
Bronchoscopy/Needle Bx Each (31629) $1,374.30 $3,054 0.4×
Bx/exc lymph node open superficial (38500) $250.65 $557 0.1×
Change Cystostomy Tube Simple (51705) $49.95 $111 0.2×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $34.65–$589.05 $77–$1,309 varies
Chest tube placement (32551)
range across 4 matching MRF lines		 $234–$383.85 $520–$853 varies
Circumcision 28 days or older (54161) $205.20 $456 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $802.80 $1,784 0.5×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $76.05–$160.20 $169–$356 varies
Closed Treat Vert Body Fract (22310) $314.55 $699 1.2×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $580.05 $1,289 2.3×
Closed Treatment Ulnar Styloid Fracture (25650) $580.05 $1,289 2.3×
Closed tx ankle dislocation w/o anesthesia (27840) $802.80 $1,784 3.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $659.70 $1,466 0.4×
Closed tx patellar dislocation w/anesthesia (27562) $721.35 $1,603 2.8×
Closed tx patellar dislocation w/o anesthesia (27560) $721.35 $1,603 2.8×
Closed tx radial head/neck fx w/manipulation (24655) $580.05 $1,289 0.3×
Closed tx radial shaft fracture w/manipulation (25505) $580.05 $1,289 0.3×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $580.05 $1,289 2.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,205.45 $4,901 1.3×
Closed tx radial&ulnar shaft fractures w/o man (25560) $580.05 $1,289 2.3×
Closed Tx Talus Fracture W/Manipulation (28435) $802.80 $1,784 0.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $162 $360 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $659.70 $1,466 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $659.70 $1,466 2.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $580.05 $1,289 0.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $802.80 $1,784 3.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $580.05 $1,289 2.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $580.05 $1,289 2.3×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $580.05 $1,289 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $580.05 $1,289 0.3×
Cltx hip dislocation traumatic req anesthesia (27252) $721.35 $1,603 0.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $315 $700 1.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $580.05 $1,289 2.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $580.05 $1,289 2.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $580.05 $1,289 2.3×
Cltx post hip arthrp dislc req anes (27266) $721.35 $1,603 0.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $310.05–$329.40 $689–$732 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $580.05 $1,289 0.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $802.80 $1,784 0.5×
Collect Blood From Catheter Venous Nos (36592) $68.85 $153 0.5×
Collection of venous blood by venipuncture (36415) $28.80 $64 3.1×
Colonoscopy w/ablation (45388) $652.95 $1,451 0.5×
Colonoscopy w/fb removal (45379) $652.95 $1,451 0.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $139.50 $310 0.4×
Colsc Flexible W/Control Bleeding Any Method (45382) $652.95 $1,451 0.5×
Colsc flx w/removal lesion by hot bx forceps (45384) $652.95 $1,451 0.5×
Control Nasal Hemorrhage Anterior Simple (30901) $193.95 $431 1.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $195.30 $434 0.5×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $160.20–$589.05 $356–$1,309 varies
Debride nail 1-5 (11720) $146.70 $326 2.4×
Debride nail 6 or more (11721) $24.75 $55 0.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $219.15–$589.05 $487–$1,309 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $195.30–$589.05 $434–$1,309 varies
Declot vascular device (36593) $43.65 $97 0.1×
Destroy cerv/thor facet jnt (64633) $2,949.75 $6,555 1.4×
Destroy lumb/sac facet jnt (64635) $3,126.60 $6,948 1.5×
Destruct B9 Lesion 1-14 (17110) $70.20 $156 0.3×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $206.55 $459 0.3×
Destruction neurolytic agt genicular nerve w/img (64624) $2,655 $5,900 1.3×
Destruction premalignant lesion 1st (17000) $57.15 $127 0.3×
Diagnostic sigmoidoscopy (45330) $652.95 $1,451 0.7×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $652.95 $1,451 0.5×
Dilate Esophagus 1/Mult Pass (43450)
range across 3 matching MRF lines		 $46.80–$180.45 $104–$401 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $318.15 $707 0.4×
Drainage Finger Abscess Complicated (26011) $424.80 $944 0.2×
Drainage Mouth Roof Lesion (42000) $195.75 $435 0.8×
Drainage of finger abscess simple (26010) $195.75 $435 0.9×
Drainage of gum lesion (41800) $195.75 $435 1.4×
Drainage of hematoma/fluid (10140) $195.75 $435 0.1×
Drainage of scrotum (54700) $204.75 $455 0.1×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $335.25 $745 0.1×
Draw Blood Off Venous Device (36591) $68.85 $153 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $280.35–$399.15 $623–$887 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $198–$282.60 $440–$628 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $103.05–$198.90 $229–$442 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,474.65 $3,277 1.6×
Dx Bronchoscope/Lavage (31624) $686.25 $1,525 0.4×
Dx Bronchoscope/Wash (31622)
range across 3 matching MRF lines		 $86.85–$686.25 $193–$1,525 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $158.85 $353 0.1×
Egd control bleeding any (43255) $652.95 $1,451 0.3×
Egd dilation gastric/duodenal stricture (43245) $1,230.75 $2,735 0.6×
Egd Flexible Foreign Body Removal (43247)
range across 3 matching MRF lines		 $182.70–$1,230.75 $406–$2,735 varies
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines		 $207.45–$652.95 $461–$1,451 varies
Egd remove lesion snare (43251)
range across 3 matching MRF lines		 $438.30–$652.95 $974–$1,451 varies
Endometrial Biopsy (58100) $66.60 $148 0.3×
Enterorrhaphy single perforation (44602) $861.30 $1,914 0.2×
Ercp Dx Collection Specimen Brushing/Washing (43260) $331.65 $737 0.1×
Escharotomy; initial incision (16035) $203.40 $452 0.5×
Evacuation of subungual hematoma (11740) $146.70 $326 1.1×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $441.90 $982 0.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $88.20 $196 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $163.80 $364 0.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $186.75 $415 0.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $86.40 $192 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $115.20 $256 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $156.15 $347 0.2×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $115.20 $256 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $162 $360 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $260.10 $578 0.2×
Exc Skin Benig >4cm Face,Facial (11446) $188.55 $419 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $111.15 $247 0.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $121.05 $269 0.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $172.35 $383 0.1×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $474.30 $1,054 0.2×
Excis Mouth Mucosa/Sub,No Repair (40810) $206.10 $458 0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $347.85 $773 0.2×
Excision of submandibular (submaxillary) gland (42440)
likely a partial charge, not the full procedure		 $440.55 $979 0.1×
Explo/Drain Breast Abscess (19020) $424.80 $944 0.2×
Exploration penetrating wound spx extremity (20103) $1,102.50 $2,450 0.6×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $681.75 $1,515 0.9×
Fine needle aspiration without imaging guidance (10021) $279.45 $621 0.7×
Fna bx w/us gdn 1st les (10005) $372.15 $827 0.5×
Foreskin manipulation (54450) $318.15 $707 1.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $288.45 $641 0.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $288.45 $641 0.1×
I&d abscess peritonsillar (42700) $357.30 $794 1.4×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $110.25–$310.05 $245–$689 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $424.80 $944 0.1×
I&D Deep Absc/Hematoma Neck/Chest (21501) $424.80 $944 0.1×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $424.80 $944 0.1×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $468.45 $1,041 0.2×
I&d perianal abscess superficial (46050) $468.45 $1,041 0.5×
I&d pilonidal cyst complicated (10081) $318.15 $707 0.4×
I&d pilonidal cyst simple (10080) $109.80 $244 0.1×
I&d shoulder deep abscess/hematoma (23030) $424.80 $944 0.1×
Incise external hemorrhoid (46083) $405.90 $902 1.6×
Incision & drainage abscess complicated/multiple (10061) $192.15 $427 0.5×
Incision & drainage leg/ankle abscess/hematoma (27603) $424.80 $944 0.1×
Incision & removal foreign body subq tiss compl (10121) $424.80 $944 0.2×
Incision & removal foreign body subq tiss simple (10120) $110.25 $245 0.3×
Incision and drainage of bartholin's gland abscess (56420) $385.65 $857 1.8×
Incision and drainage of vulva or perineal abscess (56405) $385.65 $857 1.2×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $101.70–$145.35 $226–$323 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $40.95 $91 0.1×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,212.75 $2,695 1.3×
Injection aa&/strd genicular nrv branches w/img (64454) $1,708.65 $3,797 2.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $261 $580 0.4×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $81.45–$1,708.65 $181–$3,797 varies
Injection single/mlt trigger point 1/2 muscles (20552) $38.70 $86 0.1×
Injection single/mlt trigger point 3/> muscles (20553) $27.90 $62 0.1×
Injection, anesthetic agent; femoral nerve, single (64447) $2,260.35 $5,023 3.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $43.65 $97 0.1×
Insert non-tunnel cv cath (36556) $731.25 $1,625 0.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $731.25 $1,625 0.4×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $111.60–$167.85 $248–$373 varies
Insert tunneled cv cath (36561)
range across 2 matching MRF lines		 $324–$674.10 $720–$1,498 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $111.60–$167.85 $248–$373 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $731.25 $1,625 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $353.70–$548.10 $786–$1,218 varies
Intraoral i&d tongue/floor submndblr space (41008) $195.75 $435 0.1×
Intubation endotracheal emergency procedure (31500)
range across 5 matching MRF lines		 $228.15–$497.70 $507–$1,106 varies
Irrigation of corpora cavernosa for priapism (54220) $279.45 $621 1.1×
Lap paraesophag hern repair (43281)
range across 2 matching MRF lines		 $861.30–$1,621.80 $1,914–$3,604 varies
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines		 $714.60–$1,036.80 $1,588–$2,304 varies
Laparoscopy Enterolysis Separate Procedure (44180)
range across 2 matching MRF lines		 $564.30–$971.10 $1,254–$2,158 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $409.50–$459 $910–$1,020 varies
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $714.60 $1,588 0.1×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $861.30 $1,914 0.1×
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
likely a partial charge, not the full procedure		 $1,548.45 $3,441 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
range across 2 matching MRF lines		 $714.60–$762.30 $1,588–$1,694 varies
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines		 $201.15–$347.85 $447–$773 varies
Laryngoscopy diagnostic (31505) $51.30 $114 0.2×
Laryngoscopy Indirect W/Removal Foreign Body (31511) $388.35 $863 1.9×
Ligation of hemorrhoids (46946) $288.45 $641 0.1×
Lysis/excision penile postcircumcision adhesions (54162) $310.05 $689 0.1×
Manipulation knee joint under general anesthesia (27570) $1,003.50 $2,230 0.6×
Mastectomy for gynecomastia (19300) $335.25 $745 0.1×
N Block Inj Ilio-Ing/Hypogi (64425) $103.05 $229 0.1×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines		 $53.10–$57.15 $118–$127 varies
N Block Lumbar/Thoracic (64520) $1,208.25 $2,685 1.3×
Nasal Endoscopy Dx (31231) $67.95 $151 0.3×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $167.40 $372 0.1×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $76.05 $169 0.0×
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
likely a partial charge, not the full procedure		 $206.10 $458 0.0×
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
likely a partial charge, not the full procedure		 $154.35 $343 0.0×
Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) $1,012.95 $2,251 3.9×
Needle Biopsy Lymph Nodes (38505) $495.45 $1,101 0.3×
Needle insertion w/o injection 1 or 2 muscles (20560) $19.80 $44 0.7×
Needle insertion w/o injection 3 or more muscles (20561) $25.20 $56 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $146.70 $326 0.5×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $747.90 $1,662 0.1×
Peritoneal Lavage (49084)
range across 2 matching MRF lines		 $112.05–$201.15 $249–$447 varies
Perq device breast 1st imag (19281) $279.45 $621 0.2×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $234–$731.25 $520–$1,625 varies
Proctopexy Perineal Approach (45541) $924.30 $2,054 0.3×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $652.95 $1,451 0.7×
Proctosgmdsc Rigid Control Bleeding (45317) $652.95 $1,451 0.5×
Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) $652.95 $1,451 0.2×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $652.95 $1,451 0.5×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $652.95 $1,451 0.5×
Proctosgmdsc rigid w/dilation (45303) $652.95 $1,451 0.5×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $652.95 $1,451 0.2×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $652.95 $1,451 0.2×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $652.95 $1,451 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $175.05–$372.15 $389–$827 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $2,784.15 $6,187 1.4×
Removal Embedded Foreign Body Eyelid (67938) $770.40 $1,712 2.3×
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines		 $424.80–$475.65 $944–$1,057 varies
Removal foreign body foot deep (28192)
range across 2 matching MRF lines		 $414.90–$424.80 $922–$944 varies
Removal Foreign Body Foot Subcutaneous (28190) $138.15 $307 0.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $539.10 $1,198 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $26.10 $58 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $89.10–$160.20 $198–$356 varies
Removal of bladder cyst (51500)
likely a partial charge, not the full procedure		 $609.30 $1,354 0.1×
Removal of nail bed (11750) $104.40 $232 0.2×
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines		 $485.55–$586.35 $1,079–$1,303 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $80.10 $178 0.4×
Remove foreign body from eye (65205) $247.95 $551 1.8×
Remove Intrauterine Device (58301) $195.75 $435 0.6×
Remove Nasal Foreign Body (30300) $263.25 $585 1.9×
Remove Tendon Sheath Lesion (26160) $586.35 $1,303 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $696.60 $1,548 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $891.45 $1,981 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $556.20 $1,236 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $773.10 $1,718 1.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $499.50 $1,110 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $600.30 $1,334 1.4×
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines		 $208.80–$478.35 $464–$1,063 varies
Repair complex trunk 2.6-7.5 cm (13101) $549.90 $1,222 0.7×
Repair extensor tendon finger w/o graft each (26418) $586.35 $1,303 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $581.85 $1,293 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $407.25 $905 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $207.90 $462 0.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $465.75 $1,035 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $515.25 $1,145 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $538.20 $1,196 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $353.25 $785 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $422.55 $939 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $471.60 $1,048 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $233.10–$495.90 $518–$1,102 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) $320.85 $713 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $176.85–$387.90 $393–$862 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $214.20 $476 0.5×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $760.50 $1,690 0.1×
Repair tongue laceration (41250) $357.75 $795 0.8×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $186.75–$195.75 $415–$435 varies
Reposition Gastrostomy Tube (43761) $186.75 $415 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $118.35 $263 0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $160.20 $356 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $126.45 $281 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $225.90 $502 1.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $455.40 $1,012 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $455.40 $1,012 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $201.60 $448 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $184.50 $410 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $184.50–$674.10 $410–$1,498 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $186.75–$257.40 $415–$572 varies
Rplc gtube revj gstrst trc (43763) $206.10 $458 0.8×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $189.45 $421 0.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
range across 2 matching MRF lines		 $515.25–$788.40 $1,145–$1,752 varies
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $361.35 $803 0.1×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure		 $813.60 $1,808 0.1×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $445.05 $989 0.1×
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines		 $515.25–$605.25 $1,145–$1,345 varies
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $502.65 $1,117 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $486.90 $1,082 2.3×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $396.45 $881 1.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $652.95 $1,451 0.7×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $581.85 $1,293 1.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $298.35 $663 1.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $328.50 $730 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $382.05 $849 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $282.60 $628 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $557.55 $1,239 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $347.85 $773 1.7×
Slitting of prepuce (54001) $318.15 $707 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $301.05 $669 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $436.50 $970 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $541.35 $1,203 1.3×
Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) $729.90 $1,622 0.3×
Sphincterotomy anal division sphincter spx (46080) $167.40 $372 0.1×
Spinal puncture lumbar diagnostic (62270) $369 $820 0.5×
Strapping ankle (29540) $38.70 $86 0.2×
Strapping elbow or wrist (29260) $69.30 $154 1.1×
Strapping hand/finger (29280) $109.80 $244 1.8×
Strapping knee (29530) $50.40 $112 0.4×
Strapping shoulder (29240) $119.70 $266 0.9×
Strapping toes (29550) $50.40 $112 0.8×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $48.15–$589.05 $107–$1,309 varies
Surg tx anal fistula subq (46270) $468.45 $1,041 0.2×
Tracheobrnchsc Thru Est Trachs Inc (31615)
range across 2 matching MRF lines		 $310.05–$652.95 $689–$1,451 varies
Tracheostomy Emergency Cricothyroid Membrane (31605) $373.50 $830 1.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $459 $1,020 0.3×
Treat toe dislocation (28630) $315 $700 1.2×
Treat Vaginal Bleeding (57180) $298.35 $663 1.4×
Treatment closed elbow dislocation w/o anes (24600) $823.50 $1,830 3.2×
Trim skin lesion (11055) $146.70 $326 0.7×
Trim skin lesions 2 to 4 (11056) $146.70 $326 0.7×
Tx Gastro Intub W/Asp (43753) $230.85 $513 1.0×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $160.20 $356 0.2×
Vaginal delivery only (59409) $1,788.75 $3,975 0.5×
Vein Access Cutdown < 1 Yr (36420) $103.95 $231 0.7×
Venous Cutdown >1 Y/O (36425) $297 $660 0.6×
Wedge excision skin nail fold (11765) $146.70 $326 0.3×
Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) $195.75 $435 0.3×

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.