Procedures & surgery prices at Dorminy Medical Center
Fitzgerald, GA · every code in this section with a posted price and a Medicare benchmark.
356 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$399.50–$668.50 | $799–$1,337 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$399.50–$702.50 | $799–$1,405 | varies |
| Application cast elbow finger short arm (29075) | $55.38 | $110.75 | 0.2× |
| Application finger splint static (29130) | $134.75 | $269.50 | 1.2× |
| Application long arm splint shoulder hand (29105) | $96.38 | $192.75 | 0.7× |
| Application Long Leg Splint (29505) | $127.38 | $254.75 | 0.9× |
| Application of long leg cast (29345) | $59 | $118 | 0.2× |
| Application short arm splint forearm-hand static (29125) | $137.75 | $275.50 | 1.2× |
| Application short leg splint calf foot (29515) | $102.38 | $204.75 | 0.7× |
| Apply long arm cast (29065) | $92.50 | $185 | 0.4× |
| Apply Short Leg Cast (29405) | $88.75 | $177.50 | 0.4× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$22.75–$42.75 | $45.50–$85.50 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$77.50–$181.13 | $155–$362.25 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$140.63–$144.88 | $281.25–$289.75 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$91.50–$108 | $183–$216 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$175.75–$181.13 | $351.50–$362.25 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$63.38–$85 | $126.75–$170 | varies |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$399.50–$411.50 | $799–$823 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
$307.63–$702.50 | $615.25–$1,405 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $181.13 | $362.25 | 0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$54.25–$79.50 | $108.50–$159 | varies |
| Biopsy Abdominal Mass (49180) | $1,336.88 | $2,673.75 | 0.9× |
| Biopsy bone trocar/needle deep (20225) | $2,005.25 | $4,010.50 | 1.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,336.88 | $2,673.75 | 0.9× |
| Biopsy of liver, needle; percutaneous (47000) | $1,336.88 | $2,673.75 | 0.9× |
| Bladder instillation anticarcinogenic agent (51720) | $362.13 | $724.25 | 0.6× |
| Bladder Irrigation (51700) range across 2 matching MRF lines |
$115.88–$119.38 | $231.75–$238.75 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $224.63 | $449.25 | 0.8× |
| Blood Transfusion Service (36430) | $364.75 | $729.50 | 0.9× |
| Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
$595.50–$2,005.25 | $85.25–$4,010.50 | varies |
| Bone Marrow; Aspiration Only (38220) | $130.88 | $261.75 | 0.1× |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$507–$688 | $1,014–$1,376 | varies |
| Bx breast 1st lesion us imag (19083) | $1,336.88 | $2,673.75 | 0.9× |
| Catheter aspiration nasotracheal spx (31720) range across 5 matching MRF lines |
$32.75–$97.63 | $65.50–$195.25 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$27.13–$103.63 | $54.25–$207.25 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$399.50–$411.50 | $799–$823 | varies |
| Cl Tx Scapular Fx; W Manip (23575) | $398.38 | $796.75 | 0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) | $832.88 | $1,665.75 | 0.6× |
| Clear outer ear canal (69200) | $76.63 | $153.25 | 0.7× |
| Closed Rx Spontaneous Hip Disloc (27256) | $134.25 | $268.50 | 0.6× |
| Closed rx talotarsal disloc,anesth (28575) | $832.88 | $1,665.75 | 0.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $134.25 | $268.50 | 0.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $134.25 | $268.50 | 0.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $134.25 | $268.50 | 0.6× |
| Closed Treatment Sesamoid Fracture (28530) | $134.25 | $268.50 | 0.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $92.50 | $185 | 0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $134.25 | $268.50 | 0.1× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) | $832.88 | $1,665.75 | 3.9× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $92.50 | $185 | 0.4× |
| Closed tx carpal scaphoid fracture w/manj (25624) | $398.38 | $796.75 | 0.3× |
| Closed tx fx orbit except blowout w/manipulation (21401) | $496.25 | $992.50 | 0.4× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $974 | $1,948 | 0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) | $134.25 | $268.50 | 0.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $832.88 | $1,665.75 | 0.6× |
| Closed tx mandibular fracture w/manipulation (21451) | $1,144.13 | $2,288.25 | 0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $92.50 | $185 | 0.4× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $832.88 | $1,665.75 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $1,144.13 | $2,288.25 | 0.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $1,144.13 | $2,288.25 | 0.4× |
| Closed tx patellar dislocation w/anesthesia (27562) | $974 | $1,948 | 4.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $134.25 | $268.50 | 0.6× |
| Closed tx radial head/neck fx w/manipulation (24655) | $398.38 | $796.75 | 0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $92.50 | $185 | 0.4× |
| Closed tx radial shaft fracture w/manipulation (25505) | $398.38 | $796.75 | 0.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $92.50 | $185 | 0.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $398.38 | $796.75 | 0.3× |
| Closed tx septal&nose fx (21337) | $1,144.13 | $2,288.25 | 0.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) | $398.38 | $796.75 | 1.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) | $134.25 | $268.50 | 0.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $134.25 | $268.50 | 0.1× |
| Closed tx talus fracture w/o manipulation (28430) | $92.50 | $185 | 0.4× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) | $134.25 | $268.50 | 0.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) | $134.25 | $268.50 | 0.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $65.38 | $130.75 | 0.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) | $134.25 | $268.50 | 0.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $92.50 | $185 | 0.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $92.50 | $185 | 0.4× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $69.50 | $139 | 0.3× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) | $549.75 | $1,099.50 | 1.2× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $398.38 | $796.75 | 1.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $134.25 | $268.50 | 0.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) | $832.88 | $1,665.75 | 0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $69.50 | $139 | 0.3× |
| Clsd Tx Pelvic Ring Fx (27198) | $974 | $1,948 | 4.5× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) | $134.25 | $268.50 | 0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $974 | $1,948 | 0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $205.75 | $411.50 | 1.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) | $398.38 | $796.75 | 0.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $134.25 | $268.50 | 0.1× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) | $134.25 | $268.50 | 0.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $134.25 | $268.50 | 0.6× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) | $134.25 | $268.50 | 0.1× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) | $134.25 | $268.50 | 0.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $134.25 | $268.50 | 0.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $92.50 | $185 | 0.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $134.25 | $268.50 | 0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $398.38 | $796.75 | 0.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) | $1,165.88 | $2,331.75 | 0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) | $398.38 | $796.75 | 0.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $832.88 | $1,665.75 | 0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $134.25 | $268.50 | 0.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $69.50 | $139 | 0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $134.25 | $268.50 | 0.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $832.88 | $1,665.75 | 0.6× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) | $832.88 | $1,665.75 | 0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) | $974 | $1,948 | 0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $146.63 | $293.25 | 0.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) | $134.25 | $268.50 | 0.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) | $134.25 | $268.50 | 0.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) | $974 | $1,948 | 4.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $115.63 | $231.25 | 0.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $974 | $1,948 | 4.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $134.25 | $268.50 | 0.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $832.88 | $1,665.75 | 0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $134.25 | $268.50 | 0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $92.50 | $185 | 0.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) | $134.25 | $268.50 | 0.1× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $974 | $1,948 | 0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $134.25 | $268.50 | 0.6× |
| Cltx post hip arthrp dislc req anes (27266) | $974 | $1,948 | 0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) | $134.25 | $268.50 | 0.6× |
| Cltx prox fibula/shft fx w/manj (27781) | $832.88 | $1,665.75 | 0.6× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $832.88 | $1,665.75 | 0.6× |
| Cltx prox tibfib jt dislc req anes (27831) | $832.88 | $1,665.75 | 0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $134.25 | $268.50 | 0.6× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $134.25 | $268.50 | 0.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $88.75 | $177.50 | 0.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $398.38 | $796.75 | 0.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $134.25 | $268.50 | 0.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $398.38 | $796.75 | 0.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $134.25 | $268.50 | 0.1× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) | $1,904.38 | $3,808.75 | 0.7× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) | $92.50 | $185 | 0.4× |
| Cltx tibial shaft fx w/o manipulation (27750) | $92.50 | $185 | 0.4× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $134.25 | $268.50 | 0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $398.38 | $796.75 | 0.3× |
| Collect Blood From Catheter Venous Nos (36592) range across 6 matching MRF lines |
$11.50–$14.63 | $23–$29.25 | varies |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$9–$31 | $18–$62 | varies |
| Complex drainage wound (10180) | $1,318.13 | $2,636.25 | 0.5× |
| Conization of cervix (57520) | $192.25 | $384.50 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$105.50–$108.75 | $211–$217.50 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$86.13–$88.75 | $172.25–$177.50 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $1,336.88 | $2,673.75 | 0.9× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) | $92.50 | $185 | 0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$112.25–$115.63 | $224.50–$231.25 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$66.88–$69 | $133.75–$138 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $210.13 | $420.25 | 0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$210.13–$227.75 | $420.25–$455.50 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$31–$114 | $62–$228 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$72.50–$120.75 | $145–$241.50 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $331.25 | $662.50 | 0.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$127.75–$210.13 | $255.50–$420.25 | varies |
| Declot vascular device (36593) range across 6 matching MRF lines |
$170.38–$289.75 | $340.75–$579.50 | varies |
| Destruction premalignant lesion 1st (17000) | $41.63 | $83.25 | 0.2× |
| Dilate Urethra Stricture (53620) | $15.75 | $31.50 | 0.0× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$105.50–$108.75 | $211–$217.50 | varies |
| Drainage external auditory canal abscess (69020) | $80.88 | $161.75 | 0.1× |
| Drainage external ear abscess/hematoma cmplx (69005) | $709.75 | $1,419.50 | 0.5× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $80.88 | $161.75 | 0.1× |
| Drainage Finger Abscess Complicated (26011) | $724.13 | $1,448.25 | 0.5× |
| Drainage of finger abscess simple (26010) | $123.25 | $246.50 | 0.7× |
| Drainage of gum lesion (41800) | $123.25 | $246.50 | 1.1× |
| Drainage of hematoma/fluid (10140) | $242.25 | $484.50 | 0.2× |
| Drainage of rectal abscess (45005) | $1,274.50 | $2,549 | 1.2× |
| Drainage of scrotal wall abscess (55100) | $724.13 | $1,448.25 | 0.5× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$31.75–$36.38 | $63.50–$72.75 | varies |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $496.25 | $992.50 | 1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $123.25 | $246.50 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$73.50–$195 | $147–$390 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$61.75–$178.75 | $123.50–$357.50 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$96.38–$162.50 | $192.75–$325 | varies |
| Epidural Blood Patch (62273) | $462.75 | $925.50 | 0.7× |
| Escharotomy; initial incision (16035) | $108.75 | $217.50 | 0.3× |
| Evacuation of subungual hematoma (11740) | $31 | $62 | 0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $96.38 | $192.75 | 0.1× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $1,506.13 | $3,012.25 | 0.8× |
| Exploration penetrating wound spx chest (20101) | $1,506.13 | $3,012.25 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $724.13 | $1,448.25 | 0.5× |
| Exploration Penetrating Wound Spx Neck (20100) | $496.25 | $992.50 | 1.0× |
| Fetal non-stress test (59025) | $164.88 | $329.75 | 0.9× |
| Fna bx w/us gdn 1st les (10005) | $668.50 | $1,337 | 1.1× |
| Guide Cathet Fluid Drainage (10030) | $703 | $1,406 | 1.1× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$82.88–$127.25 | $165.75–$254.50 | varies |
| I&d perianal abscess superficial (46050) | $438.38 | $876.75 | 0.5× |
| I&d pilonidal cyst complicated (10081) | $724.13 | $1,448.25 | 1.2× |
| I&d pilonidal cyst simple (10080) | $126.88 | $253.75 | 0.2× |
| Image Cath Fluid Colxn Visc (49405) | $1,545 | $3,090 | 1.1× |
| Image Cath Fluid Peri/Retro (49406) | $733 | $1,466 | 0.5× |
| Implant neuroelectrodes (63650) | $4,101.88 | $8,203.75 | 0.7× |
| Incise external hemorrhoid (46083) | $152.25 | $304.50 | 0.7× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$96.38–$110.50 | $192.75–$221 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $150.13 | $300.25 | 0.1× |
| Incision & removal foreign body subq tiss simple (10120) | $167.88 | $335.75 | 0.5× |
| Incision and drainage of bartholin's gland abscess (56420) | $96.38 | $192.75 | 0.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $119.63 | $239.25 | 0.4× |
| Incision of rectal abscess (46040) | $1,274.50 | $2,549 | 1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$72.50–$73.50 | $145–$147 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $492.50 | $985 | 0.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $181.13 | $362.25 | 0.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $462.75 | $925.50 | 0.6× |
| Injection Into Brain Canal (61055) | $319.25 | $638.50 | 1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$181.13–$186.63 | $362.25–$373.25 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $186.63 | $373.25 | 0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) | $289.75 | $579.50 | 0.5× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$351.50–$362.13 | $703–$724.25 | varies |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$399.50–$411.50 | $799–$823 | varies |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$399.50–$411.50 | $799–$823 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$759.25–$782.13 | $1,518.50–$1,564.25 | varies |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 2 matching MRF lines |
$759.25–$777.13 | $1,518.50–$1,554.25 | varies |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$35.25–$108.50 | $70.50–$217 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$48–$72.50 | $96–$145 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) range across 2 matching MRF lines |
$759.25–$782.13 | $1,518.50–$1,564.25 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $1,121.25 | $2,242.50 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 9 matching MRF lines |
$777.13–$1,091.50 | $1,554.25–$2,183 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $173.25 | $346.50 | 0.5× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $115.63 | $231.25 | 0.3× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$209.13–$389 | $418.25–$778 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $152.25 | $304.50 | 0.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $186.63 | $373.25 | 0.3× |
| N block inj intercost sng (64420) | $186.63 | $373.25 | 0.3× |
| N Block Lumbar/Thoracic (64520) | $492.50 | $985 | 0.6× |
| Nasal/Orogastric W/Tube Plmt (43752) | $192.25 | $384.50 | 0.5× |
| Needle Biopsy Lymph Nodes (38505) | $1,336.88 | $2,673.75 | 0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) | $492.50 | $985 | 0.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $181.13 | $362.25 | 0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $117.88 | $235.75 | 0.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $492.50 | $985 | 0.6× |
| Occipital Nerve Block (64405) | $186.63 | $373.25 | 0.7× |
| Penile Injection (54235) | $206.63 | $413.25 | 0.9× |
| Peritoneal Lavage (49084) | $411.50 | $823 | 0.5× |
| Perq dev breast 1st strtctc (19283) | $127.13 | $254.25 | 0.2× |
| Perq dev breast 1st us imag (19285) | $668.50 | $1,337 | 1.1× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$188.50–$194.25 | $377–$388.50 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $77.13 | $154.25 | 0.2× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) | $796.63 | $1,593.25 | 1.3× |
| Removal Embedded Foreign Body Eyelid (67938) | $111.88 | $223.75 | 0.4× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $1,633 | $3,266 | 0.6× |
| Removal Foreign Body Foot Complicated (28193) | $583 | $1,166 | 0.4× |
| Removal foreign body foot deep (28192) | $1,118.88 | $2,237.75 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) | $583 | $1,166 | 0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $161.63 | $323.25 | 0.1× |
| Removal foreign body upper arm/elbow deep (24201) | $1,118.88 | $2,237.75 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$61–$69.50 | $122–$139 | varies |
| Removal of foreign body from pharynx (42809) | $49.50 | $99 | 0.1× |
| Removal of nail bed (11750) | $207.13 | $414.25 | 0.6× |
| Removal or bivalving full arm or full leg cast (29705) | $46.50 | $93 | 0.2× |
| Removal shoulder foreign body deep subfascial/im (23333) | $1,633 | $3,266 | 0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) | $94.25 | $188.50 | 0.4× |
| Remove Forearm Foreign Body (25248) | $1,549.75 | $3,099.50 | 1.1× |
| Remove foreign body from eye (65205) | $108 | $216 | 0.9× |
| Remove Nasal Foreign Body (30300) | $103.88 | $207.75 | 0.9× |
| Remove Shoulder Foreign Body (23330) | $579.38 | $1,158.75 | 0.4× |
| Renal Biopsy Perq (50200) | $2,005.25 | $4,010.50 | 1.4× |
| Repair Achilles Tendon (27650) | $3,428.63 | $6,857.25 | 0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $150.13 | $300.25 | 0.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $173.25 | $346.50 | 0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $150.13 | $300.25 | 0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $150.13 | $300.25 | 0.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $173.25 | $346.50 | 0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $173.25 | $346.50 | 0.5× |
| Repair complex trunk 1.1-2.5 cm (13100) | $173.25 | $346.50 | 0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) | $173.25 | $346.50 | 0.3× |
| Repair extensor tendon finger w/o graft each (26418) | $1,165.88 | $2,331.75 | 0.8× |
| Repair Finger Tendon (26433) | $1,165.88 | $2,331.75 | 0.4× |
| Repair Finger/Hand Tendon (26350) | $2,063.63 | $4,127.25 | 0.7× |
| Repair Hand Joint (26540) | $1,165.88 | $2,331.75 | 0.4× |
| Repair Hand Tendon (26410) | $1,165.88 | $2,331.75 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $173.25 | $346.50 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $248.75 | $497.50 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $173.25 | $346.50 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $173.25 | $346.50 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $250 | $500 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $115.63 | $231.25 | 0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $248.75 | $497.50 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $173.25 | $346.50 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $166 | $332 | 0.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $250 | $500 | 0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $173.25 | $346.50 | 0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $228.88 | $457.75 | 0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $236 | $472 | 0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $173.25 | $346.50 | 0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $250.50 | $501 | 0.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $250 | $500 | 0.1× |
| Repair of nail bed (11760) | $100.25 | $200.50 | 0.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) | $1,535.25 | $3,070.50 | 0.5× |
| Repair tongue laceration (41252) range across 3 matching MRF lines |
$69.50–$549.75 | $139–$1,099.50 | varies |
| Repair tongue laceration (41250) | $69.50 | $139 | 0.2× |
| Replace g/c tube perc (49450) | $325.88 | $651.75 | 0.4× |
| Reposition Gastrostomy Tube (43761) | $604.75 | $1,209.50 | 2.8× |
| Rmvl embedded fb vestibule mouth comp (40805) | $1,795.88 | $3,591.75 | 3.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $49.50 | $99 | 0.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $248.75 | $497.50 | 0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $72.50 | $145 | 0.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $72.50 | $145 | 0.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $1,630.13 | $3,260.25 | 0.6× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $259.13 | $518.25 | 0.2× |
| Rplc Gtube No Revj Trc (43762) | $108.75 | $217.50 | 0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $173.25 | $346.50 | 1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $115.63 | $231.25 | 0.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $549.75 | $1,099.50 | 2.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $476.75 | $953.50 | 1.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $2,299.13 | $4,598.25 | 0.8× |
| Severing Adhesions Anterior Segment Laser Spx (65860) | $1,383 | $2,766 | 2.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $173.25 | $346.50 | 0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $152.63 | $305.25 | 0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $228.88 | $457.75 | 1.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $79.88 | $159.75 | 0.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $173.25 | $346.50 | 1.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $253.63 | $507.25 | 1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $208.88 | $417.75 | 1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $79.88 | $159.75 | 0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $218.88 | $437.75 | 1.2× |
| Skin sub graft face/nk/hf/g (15275) | $328.88 | $657.75 | 0.5× |
| Skin sub graft trnk/arm/leg (15271) | $241.50 | $483 | 0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $228.88 | $457.75 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $243.13 | $486.25 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $192.25 | $384.50 | 0.5× |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$175.75–$493.38 | $351.50–$986.75 | varies |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $965.63 | $1,931.25 | 0.5× |
| Strapping ankle (29540) | $54.50 | $109 | 0.4× |
| Strapping elbow or wrist (29260) | $54.50 | $109 | 1.1× |
| Strapping hand/finger (29280) | $54.50 | $109 | 1.1× |
| Strapping Hip (29520) | $54.50 | $109 | 0.5× |
| Strapping knee (29530) | $139.38 | $278.75 | 1.2× |
| Strapping shoulder (29240) | $54.50 | $109 | 0.5× |
| Strapping toes (29550) | $73.50 | $147 | 1.4× |
| Strapping Unna Boot (29580) range across 3 matching MRF lines |
$72.50–$94.25 | $145–$188.50 | varies |
| Suture infrapatellar tendon primary (27380) unusually low: confirm this is the full procedure |
$2,299.13 | $4,598.25 | 0.4× |
| Tangential biopsy skin single lesion (11102) | $65.75 | $131.50 | 0.2× |
| Therapeutic Apheresis White Blood Cells (36511) | $1,448.25 | $2,896.50 | 1.1× |
| Thrombolytic Therapy Stroke (37195) | $170.38 | $340.75 | 0.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $496.25 | $992.50 | 2.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $496.25 | $992.50 | 0.4× |
| Treat humerus fracture (24500) | $115.63 | $231.25 | 0.5× |
| Treat Humerus Fracture (24505) | $134.25 | $268.50 | 0.1× |
| Treat Knee Fracture(S) (27538) | $134.25 | $268.50 | 0.6× |
| Treat Knuckle Dislocation (26700) | $134.25 | $268.50 | 0.6× |
| Treat Metatarsal Fracture (28475) | $134.25 | $268.50 | 0.6× |
| Treat Thumb Dislocation (26641) | $134.25 | $268.50 | 0.6× |
| Treat Thumb Fracture (26645) | $398.38 | $796.75 | 0.3× |
| Treat toe dislocation (28630) | $134.25 | $268.50 | 0.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $974 | $1,948 | 0.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $134.25 | $268.50 | 0.6× |
| Trim skin lesion (11055) | $76.13 | $152.25 | 0.4× |
| Trim skin lesions 2 to 4 (11056) | $89.88 | $179.75 | 0.5× |
| Tx Gastro Intub W/Asp (43753) | $58 | $116 | 0.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) | $974 | $1,948 | 0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $391.25 | $782.50 | 0.6× |
| Tx superficial wound dehiscence w/packing (12021) | $250 | $500 | 0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $134.25 | $268.50 | 0.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $92.50 | $185 | 0.4× |
| Unlisted procedure nervous system (64999) | $462.75 | $925.50 | 1.7× |
| Unlisted Procedure Vascular Surgery (37799) | $47.50 | $95 | 0.1× |
| Vaginal delivery only (59409) | $1,448.25 | $2,896.50 | 0.5× |
| Venous Cutdown >1 Y/O (36425) | $38.63 | $77.25 | 0.1× |
| Wedge excision skin nail fold (11765) | $96.38 | $192.75 | 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.