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.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $470.75 $941.50 0.6×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $411.50 $823 0.5×
Application cast elbow finger short arm (29075) $55.38 $110.75 0.2×
Application cast shoulder hand long arm (29065) $92.50 $185 0.4×
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 thigh ankle/toes (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 short leg cast (29405) $88.75 $177.50 0.4×
Arterial puncture (36600) $32.75 $65.50 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $129.32 $258.62 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $142.76 $285.50 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $99.75 $199.50 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $178.44 $356.88 0.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $74.19 $148.38 0.3×
Aspirat/Injection Ganglion Cyst(S) (20612) $181.13 $362.25 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $66.88 $133.75 0.4×
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×
Bladder Instillation Anticarcinogenic Agent (51720) $362.13 $724.25 0.6×
Bladder Irrigation Simple (51700) $117.63 $235.25 0.5×
Blood patch (62273) $462.75 $925.50 0.7×
Blood transfusion service (36430) $364.75 $729.50 0.9×
Bone marrow aspiration only (38220) $130.88 $261.75 0.1×
Bone Marrow Biopsy (38221) $1,300.38 $1,191 0.9×
Brain Shunt Tube/Reserv Injectn (61070) $796.63 $1,593.25 1.3×
Bx abdl/retroperitoneal mass prq needle (49180) $1,336.88 $2,673.75 0.9×
Bx breast 1st lesion strtctc (19081) $597.50 $1,195 0.4×
Bx breast 1st lesion us imag (19083) $1,336.88 $2,673.75 0.9×
Bx/exc lymph node needle superficial (38505) $1,336.88 $2,673.75 0.9×
Catheter Aspiration Nasotracheal Spx (31720) $46.50 $93 0.2×
Chemical Cautery Tissue (17250) $65.38 $130.75 0.4×
Chest tube placement (32551) $405.50 $811 0.3×
Chg Collect Blood From Catheter Venous Nos (36592) $11.50 $23 0.1×
Cisternal/Lateral C1-C2 Puncture W/Injection (61055) $319.25 $638.50 1.2×
Close Rx Fingr Articular Fx,Manip (26742) $134.25 $268.50 0.1×
Closed Rx Humer Epicondylr Fx,Manip (24565) $134.25 $268.50 0.1×
Closed Rx Mandible Fx+Manipulatn (21451) $1,144.13 $2,288.25 0.8×
Closed Rx Med Malleolus Fx,Manip (27762) $832.88 $1,665.75 0.6×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $134.25 $268.50 0.1×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $398.38 $796.75 0.3×
Closed Rx Radial Shaft Fx (25500) $92.50 $185 0.4×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $398.38 $796.75 0.3×
Closed Rx Spontaneous Hip Disloc (27256) $134.25 $268.50 0.6×
Closed Rx Tibia Shaft Fx (27750) $92.50 $185 0.4×
Closed Rx Trauma Hip Disloc,Anesth (27252) $974 $1,948 0.7×
Closed treat wrist dislocation (25660) $134.25 $268.50 0.6×
Closed treatment nasal fracture w/stabilization (21320) $1,144.13 $2,288.25 0.4×
Closed treatment of broken top of shin bone at knee (27538) $134.25 $268.50 0.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $134.25 $268.50 0.6×
Closed treatment of talus fracture; without manipulation (28430) $92.50 $185 0.4×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $134.25 $268.50 0.6×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $134.25 $268.50 0.6×
Closed treatment pst malleolus fracture w/manj (27768) $134.25 $268.50 0.1×
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 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 fracture w/o stabilization (21315) $1,144.13 $2,288.25 0.8×
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 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 Talotarsal Joint Dislocation W/Anes (28575) $832.88 $1,665.75 0.3×
Closed Tx Talus Fracture W/Manipulation (28435) $134.25 $268.50 0.1×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $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 of laceration, vestibule of mouth; 2.5 cm or less (40830) $69.50 $139 0.3×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (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 w/manipulation w/anes (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 Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $134.25 $268.50 0.6×
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 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 w/o anesthesia (27250) $146.63 $293.25 0.7×
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 w/o anes (26770) $134.25 $268.50 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 metacarpophalangeal dislc w/manj w/o anes (26700) $134.25 $268.50 0.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $974 $1,948 0.7×
Cltx metatarsophlngl jt dislc w/o anes (28630) $134.25 $268.50 0.6×
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 rdl head sublxtj chld nursemaid elbw w/manj (24640) $88.75 $177.50 0.4×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $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/manj w/wo skel tracj (27752) $832.88 $1,665.75 0.6×
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×
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) $107.12 $214.25 0.9×
Control Nasal Hemorrhage Anterior Simple (30901) $87.44 $174.88 0.7×
Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) $92.50 $185 0.4×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,336.88 $2,673.75 0.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $113.94 $227.88 1.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $67.94 $135.88 0.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $210.13 $420.25 0.6×
Debride nail 1-5 (11720) $72.50 $145 1.4×
Debride nail 6 or more (11721) $96.62 $193.25 1.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $168.94 $337.88 0.5×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $218.94 $437.88 0.3×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $331.25 $662.50 0.2×
Declot vascular device (36593) $205.25 $410.50 0.7×
Destruction premalignant lesion 1st (17000) $41.63 $83.25 0.2×
Dilate urethra stricture (53620) $15.75 $31.50 0.0×
Drain Ext Ear Absc/Blood,Complic (69005) $709.75 $1,419.50 0.5×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $123.25 $246.50 0.2×
Drain outer ear canal lesion (69020) $80.88 $161.75 0.1×
Drain/inj small joint/bursa w/us (20604) $107.12 $214.25 0.4×
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 Finger Abscess Simple (26010) $123.25 $246.50 0.7×
Drainage of eyelid abscess (67700) $224.63 $449.25 0.8×
Drainage of gum lesion (41800) $123.25 $246.50 1.1×
Drainage of hematoma/fluid (10140) $242.25 $484.50 0.2×
Drainage of scrotal wall abscess (55100) $724.13 $1,448.25 0.5×
Draw blood off venous device (36591) $34.06 $68.12 0.3×
Drg absc cst hmtma vestibule mouth comp (40801) $496.25 $992.50 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $134.25 $268.50 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $120.25 $240.50 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $129.44 $258.88 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×
Excision of nail fold toe (11765) $96.38 $192.75 0.3×
Expl penetrating wound spx abdomen/flank/back (20102) $1,506.13 $3,012.25 0.8×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $1,549.75 $3,099.50 1.1×
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×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $668.50 $1,337 1.1×
Gastric Intubation/Aspiration, Therapeutic (43753) $58 $116 0.3×
Guide Cathet Fluid Drainage (10030) $703 $1,406 1.1×
I&d abscess simple (10060) $105.06 $210.12 0.6×
I&d perianal abscess superficial (46050) $438.38 $876.75 0.5×
I&d pilonidal cyst simple (10080) $126.88 $253.75 0.2×
I&d submucosal abscess rectum (45005) $1,274.50 $2,549 1.2×
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 inner eye adhesns,laser (65860) $1,383 $2,766 2.9×
Incision & drainage abscess complicated/multiple (10061) $103.44 $206.88 0.3×
Incision & drainage pilonidal cyst complicated (10081) $724.13 $1,448.25 1.2×
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×
Incision thrombosed hemorrhoid external (46083) $152.25 $304.50 0.7×
Initial tx 1st degree burn local tx (16000) $73.50 $147 0.4×
Inj paravert f jnt c/t 1 lev (64490) $492.50 $985 0.6×
Inj tendon sheath/ligament (20550) $181.13 $362.25 0.7×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $186.63 $373.25 0.3×
Inject Nerv Blck,Intercost,Multpl (64421) $462.75 $925.50 0.6×
Inject Nerv Blck,Intercostal,One (64420) $186.63 $373.25 0.3×
Inject Nerv Blck,Paravert Sympath (64520) $492.50 $985 0.6×
Injection aa&/strd trigeminal nerve each branch (64400) $181.13 $362.25 0.7×
Injection anes other peripheral nerve/branch (64450) $289.75 $579.50 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $183.88 $367.75 0.7×
Injection single/mlt trigger point 3/> muscles (20553) $186.63 $373.25 0.7×
Injection, anesthetic agent; greater occipital nerve (64405) $186.63 $373.25 0.7×
Insert Bladder Cath Complex (51703) $356.82 $713.62 3.2×
Insert non-tunnel cv cath (36556) $770.69 $1,541.38 0.3×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $770.69 $1,541.38 0.3×
Insert picc cath (36569) $779.63 $1,559.25 0.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $768.19 $1,536.38 0.6×
Insert Temp Bladder Cath (51702) $43.88 $87.75 0.4×
Insert,Non-Indwelling Bladder Catheter (51701) $49.50 $99 0.4×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,121.25 $2,242.50 0.4×
Intubation endotracheal emergency procedure (31500) $260.13 $520.25 1.3×
Irrigate corpora cavernosa for priapism (54220) $152.25 $304.50 0.7×
Liver Biopsy (47000) $1,336.88 $2,673.75 0.9×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $192.25 $384.50 0.5×
Njx anes stellate ganglion crv sympathetic (64510) $492.50 $985 0.6×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $206.63 $413.25 0.9×
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×
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×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $405.50 $811 0.3×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $405.50 $811 0.2×
Perq replacement gtube not req revj gstrst trc (43762) $108.75 $217.50 0.5×
Placement of needle for intraosseous infusion (36680) $191.38 $382.75 0.5×
Puncture Aspiration (10160) $77.13 $154.25 0.2×
Removal fb intranasal (30300) $103.88 $207.75 0.9×
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 pharynx (42809) $49.50 $99 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) $65.25 $130.50 1.3×
Removal of arm foreign body (24200) $259.13 $518.25 0.2×
Removal of nail bed (11750) $207.13 $414.25 0.6×
Removal shoulder foreign body deep subfascial/im (23333) $1,633 $3,266 0.6×
Removal/bivalving full arm/full leg cast (29705) $46.50 $93 0.2×
Removal/bivalving gauntlet boot/body cast (29700) $94.25 $188.50 0.4×
Remove Eyelid Foreign Body (67938) $111.88 $223.75 0.4×
Remove foreign body from eye (65210) $72.50 $145 0.2×
Remove shoulder foreign body (23330) $579.38 $1,158.75 0.4×
Remv Ext Canal Foreign Body (69200) $76.63 $153.25 0.7×
Remv F.B.,Eye,Superf Conjunc (65205) $108 $216 0.9×
Renal biopsy (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 (26432) $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 forearm tendon/muscle (25260) $2,299.13 $4,598.25 0.8×
Repair hand tendon (26410) $1,165.88 $2,331.75 0.8×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $173.25 $346.50 0.5×
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 20.1-30.0cm (12056) $115.63 $231.25 0.3×
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 kneecap tendon (27380)
unusually low: confirm this is the full procedure
$2,299.13 $4,598.25 0.4×
Repair Of Foot Tendon (28208) $1,535.25 $3,070.50 0.5×
Repair of nail bed (11760) $100.25 $200.50 0.2×
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 foreign body muscle/tendon sheath deep/comp (20525) $1,630.13 $3,260.25 0.6×
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) $1,165.88 $2,331.75 0.4×
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 lac tongue floor mouth > 2.6 cm/cplx (41252) $497.75 $995.50 2.4×
Rpr Lip Full Thickness Vermilion Only (40650) $476.75 $953.50 1.0×
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 7.6cm-12.5 cm (12015) $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 splt grft trnk/arm/leg (15100) $965.63 $1,931.25 0.5×
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) $186.63 $373.25 0.3×
Strapping ankle (29540) $54.50 $109 0.4×
Strapping elbow/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) $90.13 $180.25 0.6×
Tangential biopsy skin single lesion (11102) $65.75 $131.50 0.2×
Ther Apheresis,White Blood Cells (36511) $1,448.25 $2,896.50 1.1×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $411.50 $823 0.7×
Thoracentesis needle/cath pleura w/o imaging (32554) $405.50 $811 0.7×
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 finger dislocation (26775) $974 $1,948 4.0×
Treat humerus fracture (24500) $115.63 $231.25 0.5×
Treat humerus fracture (24577) $134.25 $268.50 0.1×
Treat Metatarsal Fracture (28475) $134.25 $268.50 0.6×
Treat Thumb Fx/Disloc,Manip (26645) $398.38 $796.75 0.3×
Treat wrist bone fracture (25635) $134.25 $268.50 0.1×
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×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $92.50 $185 0.4×
Trim skin lesion (11055) $76.13 $152.25 0.4×
Trim skin lesions 2 to 4 (11056) $89.88 $179.75 0.5×
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×
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×
Venipuncture (36415) $15.63 $31.25 1.7×
Venipuncture, cutdown; age 1 or over (36425) $38.63 $77.25 0.1×