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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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 5 matching MRF lines |
$127.50–$1,598.85 | $150–$1,881 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $493.85 | $581 | 0.6× |
| Acne surgery (10040) | $324.70 | $382 | 1.8× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $2,795.65 | $3,289 | 1.5× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $1,892.95 | $2,227 | 1.0× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) | $5,338.85 | $6,281 | 3.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$3,737.45–$3,746.80 | $4,397–$4,408 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
$1,861.50–$2,583.15 | $2,190–$3,039 | varies |
| 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× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$290.70–$327.25 | $342–$385 | varies |
| Application Cast Finger (29086) range across 2 matching MRF lines |
$68.85–$191.25 | $81–$225 | varies |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$130.90–$248.20 | $154–$292 | varies |
| Application finger splint static (29130) range across 3 matching MRF lines |
$113.05–$168.30 | $133–$198 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$49.30–$277.10 | $58–$326 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) | $448.80 | $528 | 1.8× |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$99.45–$336.60 | $117–$396 | varies |
| 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) range across 3 matching MRF lines |
$123.25–$137.70 | $145–$162 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$107.95–$124.10 | $127–$146 | varies |
| Application, cast; figure-of-eight Facility (29049) range across 2 matching MRF lines |
$142.80–$317.90 | $168–$374 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$49.30–$168.30 | $58–$198 | varies |
| Apply long arm cast (29065) | $272.85 | $321 | 1.1× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$127.50–$459 | $150–$540 | varies |
| Apply Short Leg Cast (29405) | $524.45 | $617 | 2.1× |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$178.50–$317.90 | $210–$374 | varies |
| Arterial puncture (36600) | $37.40 | $44 | 0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$115.60–$461.55 | $136–$543 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) | $234.60 | $276 | 0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$73.10–$262.65 | $86–$309 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $336.60 | $396 | 1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$119–$444.55 | $140–$523 | varies |
| Aspirate pleura w/ imaging (32555) | $1,004.70 | $1,182 | 1.8× |
| Aspirate/Inj Ganglion Cyst (20612) | $184.45 | $217 | 0.7× |
| Aspiration and/or injection thyroid cyst (60300) | $576.30 | $678 | 0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$107.95–$224.40 | $127–$264 | varies |
| Biopsy Abdominal Mass (49180) | $674.90 | $794 | 0.5× |
| Biopsy muscle percutaneous needle (20206) | $470.05 | $553 | 0.3× |
| Biopsy soft tissue neck/thorax (21550) | $917.15 | $1,079 | 0.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$66.30–$454.75 | $78–$535 | varies |
| Bladder Scan (51798) | $522.75 | $615 | 10.1× |
| Blepharotomy drainage abscess eyelid (67700) | $919.70 | $1,082 | 3.3× |
| Blood Transfusion Service (36430) range across 5 matching MRF lines |
$63.75–$281.35 | $75–$331 | varies |
| Bx breast 1st lesion strtctc (19081) | $636.65 | $749 | 0.4× |
| Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
$731–$880.60 | $860–$1,036 | varies |
| Bx breast needle core w/o imaging guidance spx (19100) | $612 | $720 | 0.4× |
| Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
$53.55–$530.40 | $63–$624 | varies |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$204.85–$317.90 | $241–$374 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$77.35–$135.15 | $91–$159 | varies |
| Chest tube placement (32551) | $754.80 | $888 | 0.5× |
| Circumcision Neonate (54160) | $300.90 | $354 | 0.5× |
| Circumcision w/clamp/oth dev w/block (54150) | $200.60 | $236 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $2,378.30 | $2,798 | 1.7× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$58.65–$277.10 | $69–$326 | varies |
| 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) range across 2 matching MRF lines |
$304.30–$867.85 | $358–$1,021 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$186.15–$362.95 | $219–$427 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,248.65 | $1,469 | 0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) | $2,416.55 | $2,843 | 11.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$228.65–$381.65 | $269–$449 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$2,005.15–$2,289.90 | $2,359–$2,694 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $164.90 | $194 | 0.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$338.30–$391.85 | $398–$461 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$640.05–$826.20 | $753–$972 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$342.55–$1,076.10 | $403–$1,266 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$232.90–$689.35 | $274–$811 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,816.45–$2,136.05 | $2,137–$2,513 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$488.75–$1,257.15 | $575–$1,479 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$1,190.85–$1,490.90 | $1,401–$1,754 | varies |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $296.65 | $349 | 1.4× |
| 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) range across 2 matching MRF lines |
$277.10–$998.75 | $326–$1,175 | varies |
| 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) range across 2 matching MRF lines |
$1,533.40–$1,892.95 | $1,804–$2,227 | varies |
| 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) range across 3 matching MRF lines |
$70.55–$370.60 | $83–$436 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$130.90–$254.15 | $154–$299 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,651.15 | $3,119 | 1.9× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $3,264 | $3,840 | 2.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $814.30 | $958 | 3.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$216.75–$681.70 | $255–$802 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $147.05 | $173 | 0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $1,422.05 | $1,673 | 5.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$130.90–$326.40 | $154–$384 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$287.30–$635.80 | $338–$748 | varies |
| 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 phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$142.80–$888.25 | $168–$1,045 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$282.20–$708.90 | $332–$834 | varies |
| 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 Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $2,167.50 | $2,550 | 10.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$186.15–$319.60 | $219–$376 | varies |
| Collection of venous blood by venipuncture (36415) | $39.95 | $47 | 4.3× |
| Colpocentesis (57020) | $272 | $320 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $727.60 | $856 | 6.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 5 matching MRF lines |
$104.55–$481.95 | $123–$567 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$461.55–$1,339.60 | $543–$1,576 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
$59.50–$193.80 | $70–$228 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 2 matching MRF lines |
$196.35–$292.40 | $231–$344 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$88.40–$453.05 | $104–$533 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$801.55–$1,242.70 | $943–$1,462 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines |
$175.95–$636.65 | $207–$749 | varies |
| Destruct B9 Lesion 1-14 (17110) | $345.95 | $407 | 2.0× |
| Destruction Benign Lesions 15/> (17111) | $351.90 | $414 | 2.0× |
| Destruction premalignant lesion 1st (17000) | $223.55 | $263 | 1.3× |
| Drain Cerebro Spinal Fluid (62272) range across 3 matching MRF lines |
$142.80–$708.90 | $168–$834 | varies |
| Drain/inj small joint/bursa w/us (20604) | $209.10 | $246 | 0.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$59.50–$156.40 | $70–$184 | varies |
| Drainage Finger Abscess Complicated (26011) | $290.70 | $342 | 0.2× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$165.75–$272.85 | $195–$321 | varies |
| Drainage of gum lesion (41800) | $753.95 | $887 | 6.5× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$59.50–$266.05 | $70–$313 | varies |
| Drainage of hydrocele (55000) | $453.90 | $534 | 0.7× |
| Drainage of scrotal wall abscess (55100) | $366.35 | $431 | 0.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $248.20 | $292 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 6 matching MRF lines |
$59.50–$505.75 | $70–$595 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$83.30–$300.90 | $98–$354 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 5 matching MRF lines |
$51–$124.10 | $60–$146 | varies |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) | $7,285.35 | $8,571 | 2.6× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $7,285.35 | $8,571 | 2.6× |
| Epidural Blood Patch (62273) | $957.95 | $1,127 | 1.5× |
| Episiotomy or vaginal repair (59300) | $364.65 | $429 | 0.1× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$84.15–$175.10 | $99–$206 | varies |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$1,745.05–$2,269.50 | $2,053–$2,670 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$240.55–$311.95 | $283–$367 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$196.35–$498.95 | $231–$587 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $1,762.05 | $2,073 | 1.2× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $1,883.60 | $2,216 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $787.10 | $926 | 1.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $1,084.60 | $1,276 | 1.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $1,764.60 | $2,076 | 1.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
$87.55–$340 | $103–$400 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $572.05 | $673 | 0.9× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 4 matching MRF lines |
$130.90–$1,225.70 | $154–$1,442 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 3 matching MRF lines |
$807.50–$1,007.25 | $950–$1,185 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
$90.95–$1,330.25 | $107–$1,565 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $296.65 | $349 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $462.40 | $544 | 0.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$109.65–$714.85 | $129–$841 | varies |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) | $584.80 | $688 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$644.30–$661.30 | $758–$778 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$1,032.75–$1,263.95 | $1,215–$1,487 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$1,063.35–$1,070.15 | $1,251–$1,259 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,788.40 | $2,104 | 1.2× |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$1,103.30–$1,513.85 | $1,298–$1,781 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$566.10–$872.10 | $666–$1,026 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $1,471.35 | $1,731 | 0.6× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$998.75–$1,707.65 | $1,175–$2,009 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $161.50 | $190 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$296.65–$381.65 | $349–$449 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$364.65–$542.30 | $429–$638 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$807.50–$841.50 | $950–$990 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,766.30 | $2,078 | 0.7× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$1,699.15–$2,209.15 | $1,999–$2,599 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $828.75 | $975 | 1.3× |
| Excision H/P/P/U Complex Repair (11471) | $1,567.40 | $1,844 | 0.6× |
| 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 Complex Repair (11463) | $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) range across 2 matching MRF lines |
$638.35–$836.40 | $751–$984 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$977.50–$1,185.75 | $1,150–$1,395 | varies |
| 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 2.1-3.0 Cm (11643) | $1,733.15 | $2,039 | 1.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $2,391.90 | $2,814 | 0.9× |
| 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) range across 2 matching MRF lines |
$959.65–$1,038.70 | $1,129–$1,222 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $1,615 | $1,900 | 1.1× |
| 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) range across 2 matching MRF lines |
$201.45–$317.90 | $237–$374 | varies |
| Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
$201.45–$1,318.35 | $237–$1,551 | varies |
| Exploration Penetrating Wound Spx Neck (20100) range across 2 matching MRF lines |
$265.20–$904.40 | $312–$1,064 | varies |
| Fasciectomy Palm Only (26121) | $5,585.35 | $6,571 | 1.9× |
| Fetal Contraction Stress Test (59020) | $89.25 | $105 | 0.5× |
| Fetal non-stress test (59025) | $53.55 | $63 | 0.3× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) | $2,884.90 | $3,394 | 1.6× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$405.45–$449.65 | $477–$529 | varies |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$390.15–$1,851.30 | $459–$2,178 | varies |
| Guide Cathet Fluid Drainage (10030) | $756.50 | $890 | 1.2× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) range across 2 matching MRF lines |
$481.95–$1,476.45 | $567–$1,737 | varies |
| I&d abscess peritonsillar (42700) | $248.20 | $292 | 1.2× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$120.70–$298.35 | $142–$351 | varies |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$154.70–$378.25 | $182–$445 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$124.10–$170.85 | $146–$201 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$215.90–$662.15 | $254–$779 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 4 matching MRF lines |
$391.85–$827.90 | $461–$974 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$405.45–$476 | $477–$560 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$239.70–$375.70 | $282–$442 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$176.80–$238 | $208–$280 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$353.60–$1,463.70 | $416–$1,722 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $102 | $120 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $102 | $120 | 0.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,781.60 | $2,096 | 2.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $119 | $140 | 0.2× |
| Insert Bladder Cath Complex (51703) | $391.85 | $461 | 3.5× |
| Insert cath pleura w/o image (32556) | $1,573.35 | $1,851 | 0.9× |
| Insert non-tunnel cv cath (36556) | $1,159.40 | $1,364 | 0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,805.40 | $2,124 | 1.3× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$130.90–$295.80 | $154–$348 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
$311.10–$2,247.40 | $366–$2,644 | varies |
| Insj Picc Rs&I <5 Yr (36572) range across 2 matching MRF lines |
$2,347.70–$2,809.25 | $2,762–$3,305 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $3,756.15 | $4,419 | 1.4× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $3,756.15 | $4,419 | 1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$699.55–$1,202.75 | $823–$1,415 | varies |
| 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× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$806.65–$1,063.35 | $949–$1,251 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$1,031.90–$1,358.30 | $1,214–$1,598 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$282.20–$456.45 | $332–$537 | varies |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$109.65–$378.25 | $129–$445 | varies |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $325.55 | $383 | 1.9× |
| N block inj intercost sng (64420) | $121.55 | $143 | 0.2× |
| Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$447.10–$602.65 | $526–$709 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $65.45 | $77 | 2.6× |
| Needle insertion w/o injection 3 or more muscles (20561) | $73.95 | $87 | 2.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $351.05 | $413 | 1.3× |
| 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× |
| Njx Sclrsnt Spider Veins (36468) | $112.20 | $132 | 0.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,862.35 | $2,191 | 0.6× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 3 matching MRF lines |
$206.55–$1,070.15 | $243–$1,259 | varies |
| Pelvic examination under anesthesia (other than local) (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× |
| Phleb Veins - Extrem 20+ (37766) | $2,557.65 | $3,009 | 0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$106.25–$242.25 | $125–$285 | varies |
| Puncture Aspiration Cyst Breast (19000) | $311.95 | $367 | 0.5× |
| Reconstruction Nail Bed W/Graft (11762) | $590.75 | $695 | 0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$92.65–$369.75 | $109–$435 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$228.65–$782 | $269–$920 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $91.80 | $108 | 1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$48.45–$150.45 | $57–$177 | varies |
| Removal of foreign body from pharynx (42809) range across 4 matching MRF lines |
$96.90–$481.95 | $114–$567 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$210.80–$708.90 | $248–$834 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 5 matching MRF lines |
$44.20–$221 | $52–$260 | varies |
| Removal sweat gland lesion (11450) | $1,558.90 | $1,834 | 0.6× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$99.45–$223.55 | $117–$263 | varies |
| Remove Intrauterine Device (58301) | $109.65 | $129 | 0.4× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$134.30–$277.10 | $158–$326 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$897.60–$1,142.40 | $1,056–$1,344 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$1,366.80–$1,636.25 | $1,608–$1,925 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 6 matching MRF lines |
$66.30–$918 | $78–$1,080 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 7 matching MRF lines |
$66.30–$1,470.50 | $78–$1,730 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 5 matching MRF lines |
$66.30–$753.10 | $78–$886 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 6 matching MRF lines |
$351.90–$1,239.30 | $414–$1,458 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$444.55–$575.45 | $523–$677 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$689.35–$904.40 | $811–$1,064 | varies |
| Repair Hand Tendon (26410) | $922.25 | $1,085 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$579.70–$604.35 | $682–$711 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$335.75–$348.50 | $395–$410 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$1,193.40–$1,241 | $1,404–$1,460 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$621.35–$855.10 | $731–$1,006 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 3 matching MRF lines |
$686.80–$1,556.35 | $808–$1,831 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$398.65–$414.80 | $469–$488 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$170.85–$179.35 | $201–$211 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$751.40–$933.30 | $884–$1,098 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$350.20–$454.75 | $412–$535 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$923.95–$1,063.35 | $1,087–$1,251 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$564.40–$879.75 | $664–$1,035 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$215.90–$691.05 | $254–$813 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$629–$735.25 | $740–$865 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$681.70–$879.75 | $802–$1,035 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$444.55–$549.95 | $523–$647 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$826.20–$1,458.60 | $972–$1,716 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$708.90–$1,031.90 | $834–$1,214 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 2 matching MRF lines |
$536.35–$1,151.75 | $631–$1,355 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$391–$1,574.20 | $460–$1,852 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$300.90–$401.20 | $354–$472 | varies |
| Replantation digit complete (20822) | $7,962.80 | $9,368 | 5.7× |
| Reposition Gastrostomy Tube (43761) | $681.70 | $802 | 3.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$161.50–$317.05 | $190–$373 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $102 | $120 | 0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$244.80–$923.95 | $288–$1,087 | varies |
| Rplc Gtube No Revj Trc (43762) | $1,185.75 | $1,395 | 5.4× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $559.30 | $658 | 0.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,358.30 | $1,598 | 1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$319.60–$670.65 | $376–$789 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$606.90–$966.45 | $714–$1,137 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) | $2,289.90 | $2,694 | 4.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$861.05–$1,110.95 | $1,013–$1,307 | varies |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $2,721.70 | $3,202 | 0.9× |
| Shave skin lesion 0.5 cm/< (11300) | $257.55 | $303 | 0.7× |
| 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× |
| 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) range across 2 matching MRF lines |
$617.10–$704.65 | $726–$829 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$350.20–$560.15 | $412–$659 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$431.80–$996.20 | $508–$1,172 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$570.35–$928.20 | $671–$1,092 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$611.15–$635.80 | $719–$748 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$1,105–$1,445.85 | $1,300–$1,701 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$206.55–$215.05 | $243–$253 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$570.35–$799 | $671–$940 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$486.20–$506.60 | $572–$596 | varies |
| Skin Full Grft Face/Genit/Hf (15240) | $2,946.10 | $3,466 | 1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$158.95–$165.75 | $187–$195 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$453.05–$670.65 | $533–$789 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$462.40–$647.70 | $544–$762 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$256.70–$481.95 | $302–$567 | varies |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $3,496.05 | $4,113 | 1.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) | $2,664.75 | $3,135 | 1.0× |
| Strapping knee (29530) range across 2 matching MRF lines |
$49.30–$124.10 | $58–$146 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$59.50–$192.95 | $70–$227 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$73.95–$186.15 | $87–$219 | varies |
| Suture infrapatellar tendon primary (27380) range across 2 matching MRF lines |
$792.20–$1,568.25 | $932–$1,845 | varies |
| Tangential biopsy skin single lesion (11102) | $631.55 | $743 | 1.8× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) | $2,364.70 | $2,782 | 0.9× |
| Thyroid biopsy (60100) | $635.80 | $748 | 1.0× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $4,618.05 | $5,433 | 2.6× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) | $215.90 | $254 | 0.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,541.05 | $1,813 | 7.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines |
$1,232.50–$3,058.30 | $1,450–$3,598 | varies |
| Treat Knuckle Dislocation (26700) | $300.90 | $354 | 1.4× |
| Treat Metatarsal Fracture (28475) | $216.75 | $255 | 1.0× |
| Treat toe dislocation (28630) | $282.20 | $332 | 1.3× |
| Treat Vaginal Bleeding (57180) | $124.10 | $146 | 0.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $437.75 | $515 | 2.0× |
| Tx Gastro Intub W/Asp (43753) | $92.65 | $109 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$96.90–$453.05 | $114–$533 | varies |
| Unlisted Procedure Intestine (44799) range across 2 matching MRF lines |
$123.25–$215.90 | $145–$254 | varies |
| Unlisted Procedure Vascular Surgery (37799) | $2,133.50 | $2,510 | 3.9× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$193.80–$296.65 | $228–$349 | varies |
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.