Procedures & surgery prices at Donalsonville Hospital

Donalsonville, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,477.30 $1,738 1.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $493.85 $581 0.6×
Acne Surgery (10040) $324.70 $382 1.8×
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $2,222.32 $2,614.50 1.2×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $5,338.85 $6,281 3.0×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $4,618.05 $5,433 2.6×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $4,122.50 $4,850 2.3×
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $2,394.45 $2,817 1.3×
Anoscopy diagnostic (46600) $85 $100 0.7×
Anoscopy W/Rmvl Foreign Body (46608) $300.90 $354 0.4×
Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) $204.85 $241 0.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $293.25 $345 2.1×
Application cast elbow finger short arm (29075) $308.98 $363.50 1.3×
Application Cast Finger (29086) $130.05 $153 0.9×
Application Cast Hand & Lower Forearm Gauntlet (29085) $108.80 $128 0.8×
Application cast shoulder hand long arm (29065) $272.85 $321 1.1×
Application Finger Splint Dynamic (29131) $189.55 $223 3.7×
Application finger splint static (29130) $118.15 $139 1.0×
Application long arm splint shoulder hand (29105) $183.60 $216 1.3×
Application Long Leg Cast Walker/Ambulatory Type (29355) $448.80 $528 1.8×
Application long leg splint thigh ankle/toes (29505) $218.02 $256.50 1.5×
Application of long leg cast (29345) $376.55 $443 1.5×
Application Short Arm Splint Dynamic (29126) $299.20 $352 2.6×
Application short arm splint forearm-hand static (29125) $128.35 $151 1.1×
Application short leg splint calf foot (29515) $116.02 $136.50 0.8×
Application, cast; figure-of-eight (29049) $230.35 $271 0.9×
Apply short leg cast (29405) $524.45 $617 2.1×
Apply short leg cast (29425) $248.20 $292 1.0×
Arterial puncture (36600) $37.40 $44 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $250.75 $295 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $234.60 $276 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $244.80 $288 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $336.60 $396 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $223.55 $263 0.8×
Aspir/inj thyroid cyst (60300) $576.30 $678 0.9×
Aspirat/Injection Ganglion Cyst(S) (20612) $184.45 $217 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $113.05 $133 0.6×
Biopsy muscle percutaneous needle (20206) $470.05 $553 0.3×
Biopsy soft tissue neck/thorax (21550) $917.15 $1,079 0.6×
Bladder Scan (51798) $522.75 $615 10.1×
Blood patch (62273) $957.95 $1,127 1.5×
Blood transfusion service (36430) $123.25 $145 0.3×
Bx abdl/retroperitoneal mass prq needle (49180) $674.90 $794 0.5×
Bx breast 1st lesion strtctc (19081) $636.65 $749 0.4×
Bx breast 1st lesion us imag (19083) $805.80 $948 0.6×
Bx breast needle core w/o imaging guidance spx (19100) $612 $720 0.4×
Bx vulva/perineum 1 lesion (56605) $260.52 $306.50 0.3×
Bx/exc lymph node needle superficial (38505) $524.88 $617.50 0.4×
Change Cystostomy Tube Simple (51705) $176.80 $208 0.8×
Chemical Cautery Tissue (17250) $106.25 $125 0.6×
Chest tube placement (32551) $754.80 $888 0.5×
Circumcision (54150) $200.60 $236 0.1×
Circumcision Neonate (54160) $300.90 $354 0.5×
Close Rx Fingr Articular Fx,Manip (26742) $1,340.88 $1,577.50 1.0×
Closed Rx Med Malleolus Fx,Manip (27762) $461.55 $543 0.3×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $2,147.52 $2,526.50 1.5×
Closed Rx Trauma Hip Disloc,Anesth (27252) $3,264 $3,840 2.3×
Closed treat wrist dislocation (25660) $2,167.50 $2,550 10.0×
Closed treatment nasal fracture w/stabilization (21320) $1,248.65 $1,469 0.4×
Closed tx ankle dislocation w/o anesthesia (27840) $1,739.95 $2,047 8.0×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $481.95 $567 2.2×
Closed tx calcaneal fracture w/o manipulation (28400) $586.08 $689.50 2.7×
Closed tx metatarsal fracture w/o manipulation (28470) $274.55 $323 1.3×
Closed tx patellar dislocation w/anesthesia (27562) $2,416.55 $2,843 11.2×
Closed tx patellar dislocation w/o anesthesia (27560) $296.65 $349 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $164.90 $194 0.8×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $365.08 $429.50 1.8×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $733.12 $862.50 1.6×
Clsd tx clavicular fracture w/manipulation (23505) $709.32 $834.50 0.5×
Clsd tx clavicular fracture w/o manipulation (23500) $461.12 $542.50 2.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,976.25 $2,325 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $702.10 $826 3.2×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $2,025.55 $2,383 9.4×
Cltx dstl fibular fx lat malls w/manj (27788) $637.92 $750.50 3.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $3,721.30 $4,378 17.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $551.65 $649 2.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $942.65 $1,109 4.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,713.18 $2,015.50 1.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $273.70 $322 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $317.90 $374 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $192.52 $226.50 0.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,651.15 $3,119 1.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $814.30 $958 3.8×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $449.22 $528.50 1.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $147.05 $173 0.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $248.20 $292 1.1×
Cltx metacarpal fx w/manipulation each bone (26605) $635.80 $748 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $510.85 $601 2.4×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $791.35 $931 0.6×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $300.90 $354 1.4×
Cltx metatarsophlngl jt dislc w/o anes (28630) $282.20 $332 1.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $712.30 $838 3.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $495.55 $583 2.3×
Cltx prox fibula/shft fx w/o manj (27780) $687.65 $809 3.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,317.10 $2,726 1.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $228.65 $269 1.1×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $2,378.30 $2,798 1.7×
Colpocentesis (57020) $272 $320 0.1×
Complete replacement picc rs&i (36584) $559.30 $658 0.4×
Control Nasal Hemorrhage Anterior Complex (30903) $727.60 $856 6.2×
Control Nasal Hemorrhage Anterior Simple (30901) $317.90 $374 2.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $1,339.60 $1,576 11.5×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $146.20 $172 0.4×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $244.38 $287.50 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $245.22 $288.50 0.7×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $270.72 $318.50 0.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,022.12 $1,202.50 0.7×
Destruction benign lesions 15 or more (17111) $351.90 $414 2.0×
Destruction Benign Lesions Up To 14 (17110) $345.95 $407 2.0×
Destruction premalignant lesion 1st (17000) $223.55 $263 1.3×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $248.20 $292 0.4×
Drain/inj small joint/bursa w/us (20604) $209.10 $246 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $107.95 $127 0.2×
Drainage Finger Abscess Complicated (26011) $290.70 $342 0.2×
Drainage Finger Abscess Simple (26010) $272.85 $321 1.6×
Drainage of eyelid abscess (67700) $919.70 $1,082 3.3×
Drainage of gum lesion (41800) $753.95 $887 6.5×
Drainage of hematoma/fluid (10140) $152.15 $179 0.1×
Drainage of hydrocele (55000) $453.90 $534 0.7×
Drainage of scrotal wall abscess (55100) $366.35 $431 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $139.82 $164.50 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $135.15 $159 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $90.95 $107 0.5×
Dry Needling 3+ Muscles (20561) $73.95 $87 2.9×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $7,285.35 $8,571 2.6×
Endovenous rf 1st vein (36475) $7,285.35 $8,571 2.6×
Episiotomy or vaginal repair (59300) $364.65 $429 0.1×
Evacuation of subungual hematoma (11740) $129.62 $152.50 1.1×
Exc arm/elbow les sc < 3 cm (24075) $2,007.28 $2,361.50 1.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $347.65 $409 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $1,257.15 $1,479 0.9×
Exc back les sc < 3 cm (21930) $1,762.05 $2,073 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $232.05 $273 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $807.50 $950 0.6×
Exc forearm les sc < 3 cm (25075) $1,954.15 $2,299 1.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $462.40 $544 0.7×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $339.15 $399 1.0×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $500.65 $589 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $652.80 $768 1.1×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $952 $1,120 0.7×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $824.50 $970 0.6×
Exc Skin Benig >4 Cm Face,Facial (11446) $1,308.58 $1,539.50 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,066.75 $1,255 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,788.40 $2,104 1.2×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $1,733.15 $2,039 1.2×
Exc Skin Malig >4 Cm Face,Facial (11646) $2,391.90 $2,814 0.9×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,471.35 $1,731 0.6×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,353.20 $1,592 0.9×
Exc Sweat Gland Lesn Perineal,Complx (11471) $1,567.40 $1,844 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $161.50 $190 0.2×
Exc tr-ext b9+marg 0.5 cm or less (11400) $276.25 $325 0.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $1,766.30 $2,078 0.7×
Excision Breast Lesion (19125) $1,883.60 $2,216 0.5×
Excision h/p/p/u simple/intermediate repair (11470) $1,907.40 $2,244 0.7×
Excision hidradenitis axillary complex repair (11451) $1,907.40 $2,244 0.7×
Excision hidradenitis inguinal smpl/intrm rpr (11462) $1,733.15 $2,039 0.7×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $589.05 $693 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $468.35 $551 0.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $737.38 $867.50 2.1×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $828.75 $975 1.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,081.62 $1,272.50 1.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $754.80 $888 1.2×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $787.10 $926 1.3×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $1,084.60 $1,276 1.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $1,764.60 $2,076 1.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $698.70 $822 0.5×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $929.90 $1,094 1.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $999.18 $1,175.50 1.6×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $719.10 $846 0.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,615 $1,900 1.1×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $572.05 $673 0.9×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $413.95 $487 0.7×
Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) $584.80 $688 0.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $473.88 $557.50 0.3×
Excision of lesion other than skin tag </= 0.5 cm (11420) $296.65 $349 0.2×
Excision of nail fold toe (11765) $245.22 $288.50 0.7×
Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) $1,907.40 $2,244 0.7×
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $1,558.90 $1,834 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,497.30 $2,938 1.7×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,974.55 $2,323 1.4×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,547 $1,820 0.6×
Expl penetrating wound spx abdomen/flank/back (20102) $259.68 $305.50 0.1×
Exploration penetrating wound spx extremity (20103) $1,063.35 $1,251 0.7×
Exploration Penetrating Wound Spx Neck (20100) $584.80 $688 1.2×
Fetal Contraction Stress Test (59020) $89.25 $105 0.5×
Fetal non-stress test (59025) $53.55 $63 0.3×
Filleted finger/toe flap (14350) $2,884.90 $3,394 1.6×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,120.72 $1,318.50 1.8×
Fine needle aspiration without imaging guidance (10021) $427.55 $503 1.2×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $2,946.10 $3,466 1.6×
Gastric Intubation/Aspiration, Therapeutic (43753) $92.65 $109 0.5×
Guide Cathet Fluid Drainage (10030) $756.50 $890 1.2×
Hemorrhoidectomy external complete (46250) $979.20 $1,152 0.4×
I&D Abscess Peritonsillar (42700) $248.20 $292 1.2×
I&d abscess simple (10060) $209.52 $246.50 1.2×
I&d perianal abscess superficial (46050) $272.85 $321 0.3×
I&d pilonidal cyst simple (10080) $142.80 $168 0.2×
Incision & drainage abscess complicated/multiple (10061) $439.02 $516.50 1.2×
Incision & removal foreign body subq tiss compl (10121) $617.95 $727 0.4×
Incision & removal foreign body subq tiss simple (10120) $413.95 $487 1.2×
Incision and drainage of bartholin's gland abscess (56420) $307.70 $362 1.7×
Incision and drainage of vulva or perineal abscess (56405) $209.95 $247 0.8×
Incision of rectal abscess (46040) $908.65 $1,069 0.9×
Initial tx 1st degree burn local tx (16000) $102 $120 0.6×
Inj tendon sheath/ligament (20550) $102 $120 0.4×
Inject Nerv Blck,Intercostal,One (64420) $121.55 $143 0.2×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,781.60 $2,096 2.9×
Injection aa&/strd trigeminal nerve each branch (64400) $351.05 $413 1.3×
Injection anes other peripheral nerve/branch (64450) $119 $140 0.2×
Injection(s) spider veins (36468) $112.20 $132 0.3×
Insert Bladder Cath Complex (51703) $391.85 $461 3.5×
Insert non-tunnel cv cath (36556) $1,159.40 $1,364 0.4×
Insert picc cath (36569) $787.95 $927 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,805.40 $2,124 1.3×
Insert picvad cath (36570) $3,756.15 $4,419 1.4×
Insert Temp Bladder Cath (51702) $213.35 $251 1.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,247.40 $2,644 1.6×
Insertion picc w/rs&i < 5 yr (36572) $2,578.48 $3,033.50 4.7×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,756.15 $4,419 1.4×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,056.20 $4,772 1.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$691.05 $813 0.1×
Intubation endotracheal emergency procedure (31500) $294.95 $347 1.4×
Laryngoscopy Indirect Diagnostic Spx (31505) $243.95 $287 1.4×
Laryngoscopy indirect w/removal foreign body (31511) $325.55 $383 1.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $65.45 $77 2.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $1,195.10 $1,406 0.4×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,016.60 $1,196 2.9×
Open Tx Distal Phalangeal Fracture Each (26765) $1,862.35 $2,191 0.6×
Open Tx Metacarpal Fracture Single Ea Bone (26615) $521.90 $614 0.2×
Pelvic exam under anesthesia (57410) $440.30 $518 0.2×
Perq dev breast 1st us imag (19285) $1,290.30 $1,518 2.1×
Perq device breast 1st imag (19281) $562.70 $662 0.4×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $1,573.35 $1,851 0.9×
Perq replacement gtube not req revj gstrst trc (43762) $1,185.75 $1,395 5.4×
Phleb Veins - Extrem 20+ (37766) $2,557.65 $3,009 0.9×
Puncture Aspiration (10160) $223.55 $263 0.6×
Puncture Aspiration Cyst Breast (19000) $311.95 $367 0.5×
Puncture/clear windpipe (31612) $215.90 $254 0.1×
Reattachment of part of cutoff finger (20822) $7,962.80 $9,368 5.7×
Reconstruction of nail bed with graft (11762) $590.75 $695 0.3×
Release palm contracture (26121) $5,585.35 $6,571 1.9×
Removal fb intranasal (30300) $205.70 $242 1.8×
Removal foreign body foot subcutaneous (28190) $231.20 $272 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $505.32 $594.50 0.3×
Removal foreign body pharynx (42809) $253.72 $298.50 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $91.80 $108 1.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $96.90 $114 1.9×
Removal of intrauterine device (iud) (58301) $109.65 $129 0.4×
Removal of nail bed (11750) $459.85 $541 1.3×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $145.35 $171 0.8×
Removal of vein clot (34421) $2,364.70 $2,782 0.9×
Remv Ext Canal Foreign Body (69200) $167.88 $197.50 1.4×
Remv F.B.,Eye,Superf Conjunc (65205) $161.50 $190 1.4×
Repair arm tendon/muscle (24341)
likely a partial charge, not the full procedure
$844.05 $993 0.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,020 $1,200 1.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,501.52 $1,766.50 2.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $606.05 $713 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $617.10 $726 1.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $437.75 $515 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $694.02 $816.50 1.9×
Repair complex trunk 1.1-2.5 cm (13100) $510 $600 0.8×
Repair complex trunk 2.6-7.5 cm (13101) $796.88 $937.50 1.2×
Repair forearm tendon/muscle (25260) $2,721.70 $3,202 0.9×
Repair hand tendon (26410) $922.25 $1,085 0.7×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $935 $1,100 2.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $592.02 $696.50 1.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $342.12 $402.50 1.0×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $1,195.10 $1,406 3.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,217.20 $1,432 3.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $738.22 $868.50 2.1×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $689.35 $811 1.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $406.72 $478.50 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $175.10 $206 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $782 $920 2.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $365.50 $430 0.6×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $993.65 $1,169 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $722.08 $849.50 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $384.20 $452 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $656.20 $772 1.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $780.72 $918.50 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $497.25 $585 1.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $1,142.40 $1,344 0.6×
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure
$1,180.22 $1,388.50 0.2×
Repair of nail bed (11760) $870.40 $1,024 1.3×
Repair Tongue Laceration (41250) $351.05 $413 0.9×
Reposition gastrostomy tube (43761) $681.70 $802 3.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $239.28 $281.50 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $102 $120 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $584.38 $687.50 1.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $1,358.30 $1,598 1.0×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $786.68 $925.50 1.2×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $982.60 $1,156 4.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,289.90 $2,694 4.8×
Rpr Lip Full Thickness Vermilion Only (40650) $986 $1,160 2.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $471.75 $555 2.7×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $704.65 $829 2.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $304.30 $358 1.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $433.50 $510 2.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $504.05 $593 2.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $836.40 $984 2.3×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $257.55 $303 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $456.45 $537 2.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $535.50 $630 1.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $384.20 $452 2.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $559.30 $658 1.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $456.45 $537 2.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $660.88 $777.50 1.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $455.18 $535.50 2.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $447.95 $527 2.5×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $749.28 $881.50 2.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $623.48 $733.50 3.5×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $495.12 $582.50 2.8×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $1,275.42 $1,500.50 7.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $210.80 $248 1.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $684.68 $805.50 3.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $496.40 $584 2.8×
Skin tissue rearrangement (14040) $3,742.12 $4,402.50 2.1×
Skn splt a-grft fac/nck/hf/g (15120) $3,496.05 $4,113 1.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $162.35 $191 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $561.85 $661 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $555.05 $653 1.6×
Spinal puncture lumbar diagnostic (62270) $369.32 $434.50 0.6×
Spinal Puncture Therapeutic (62272) $704.65 $829 1.1×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $2,664.75 $3,135 1.0×
Strapping knee (29530) $86.70 $102 0.7×
Strapping shoulder (29240) $126.22 $148.50 1.1×
Strapping unna boot (29580) $130.05 $153 0.9×
Tangential biopsy skin single lesion (11102) $631.55 $743 1.8×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,004.70 $1,182 1.8×
Thyroid biopsy (60100) $635.80 $748 1.0×
Tis trnfr trunk 10 sq cm/< (14000) $2,795.65 $3,289 1.5×
Tis trnfr trunk 10.1-30sqcm (14001) $1,892.95 $2,227 1.0×
Trach Tube Change (31502) $261.38 $307.50 1.3×
Tracheostomy emergency cricothyroid membrane (31605) $1,541.05 $1,813 7.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,145.40 $2,524 1.6×
Treat finger dislocation (26775) $1,422.05 $1,673 5.8×
Treat Metatarsal Fracture (28475) $216.75 $255 1.0×
Treat Vaginal Bleeding (57180) $124.10 $146 0.7×
Treat Wrist Bone Fracture (25630) $296.65 $349 1.4×
Treatment closed elbow dislocation w/o anes (24600) $437.75 $515 2.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $274.98 $323.50 0.4×
Unlisted Procedure Small Intestine (44799) $169.58 $199.50 0.2×
Unlisted Procedure Vascular Surgery (37799) $2,133.50 $2,510 3.9×
Venipuncture (36415) $39.95 $47 4.3×