Procedures & surgery prices at Dosher Memorial Hospital

Southport, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,087 $2,174 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $294 $588 0.3×
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $1,600 $3,200 0.8×
Ankle Scope,Excis Osteochon Defct (29891) $6,900 $13,800 2.1×
Anoscopy Ablation Lesion (46615) $110.50 $221 0.0×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $144.50 $289 0.9×
Application finger splint static (29130) $93 $186 0.7×
Application long arm splint shoulder hand (29105) $225 $450 1.4×
Application long leg splint thigh ankle/toes (29505) $225 $450 1.4×
Application Of Rigid Total Contact Leg Cast (29445) $234.50 $469 0.8×
Application short arm splint forearm-hand static (29125) $187.50 $375 1.4×
Application short leg splint calf foot (29515) $225 $450 1.4×
Apply multlay comprs arm/hand (29584) $80 $160 0.5×
Arterial puncture (36600) $113.50 $227 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $145.18 $290.36 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $400.50 $801 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $403.50 $807 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $32.14 $64.28 0.1×
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure
$7,934.50 $15,869 0.5×
Arthroplasty ankle revision total ankle (27703) $12,000 $24,000 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $131.50 $263 0.7×
Biopsy muscle percutaneous needle (20206) $454 $908 0.3×
Biopsy of nail unit (11755) $61.99 $123.97 0.1×
Biopsy of ovary(s) (58900) $525.50 $1,051 0.2×
Biopsy of uterus lining (58100) $96.50 $193 0.5×
Biopsy Vaginal Mucosa Extensive (57105) $249.50 $499 0.1×
Biopsy Vaginal Mucosa Simple (57100) $107 $214 0.1×
Biopsy/removal lymph nodes (38510) $398.50 $797 0.1×
Bladder Scan (51798) $25.75 $51.50 0.4×
Blood patch (62273) $283.25 $566.50 0.4×
Blood transfusion service (36430) $423 $846 1.0×
Bone graft, any donor area; major or large (20902) $5,940 $11,880 0.8×
Bone Marrow Biopsy (38221) $107 $214 0.1×
Bx breast 1st lesion us imag (19083) $454 $908 0.3×
Bx breast needle core w/o imaging guidance spx (19100) $114.50 $229 0.1×
Bx vulva/perineum 1 lesion (56605) $145 $290 0.2×
Bx/exc lymph node needle superficial (38505) $454 $908 0.3×
Cautery Cervix Cryocautery Initial or Repeat (57511) $176.50 $353 0.6×
Cautery cervix laser ablation (57513) $302 $604 0.1×
Chemical Cautery Tissue (17250) $131.50 $263 0.7×
Chest tube placement (32551) $637 $1,274 0.4×
Chg Collect Blood From Catheter Venous Nos (36592) $111 $222 0.8×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $1,530 $3,060 1.0×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $1,165 $2,330 0.7×
Closed Rx Radial Shaft Fx (25500) $195.65 $391.30 0.8×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $1,354 $2,708 0.8×
Closed Rx Tibial Plateau Fx (27530) $172.25 $344.50 0.7×
Closed Rx Trauma Hip Disloc,Anesth (27252) $1,530 $3,060 1.0×
Closed treatment of talus fracture; without manipulation (28430) $164.94 $329.87 0.7×
Closed tx ankle dislocation w/o anesthesia (27840) $363 $726 1.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $816 $1,632 0.5×
Closed tx calcaneal fracture w/o manipulation (28400) $179.60 $359.19 0.7×
Closed tx metatarsal fracture w/o manipulation (28470) $162.44 $324.88 0.7×
Closed tx nasal fracture w/o stabilization (21315) $299.22 $598.43 0.2×
Closed tx patellar dislocation w/anesthesia (27562) $1,020 $2,040 4.1×
Closed tx patellar dislocation w/o anesthesia (27560) $488.17 $976.34 2.0×
Closed tx radial head/neck fx w/o manipulation (24650) $187.91 $375.81 0.8×
Closed Tx Talus Fracture W/Manipulation (28435) $602.50 $1,205 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $510 $1,020 2.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $185.13 $370.26 0.7×
Closure of vagina (57120)
likely a partial charge, not the full procedure
$391 $782 0.1×
Clsd tx clavicular fracture w/o manipulation (23500) $174.07 $348.13 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $765 $1,530 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $622.90 $1,245.81 2.5×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $292.01 $584.01 1.2×
Cltx dstl fibular fx lat malls w/manj (27788) $474 $948 1.9×
Cltx dstl fibular fx lat malls w/o manj (27786) $224.99 $449.97 0.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $144.73 $289.46 0.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,530 $3,060 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,896 $3,792 1.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $98.24 $196.48 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $94.37 $188.73 0.4×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $104.05 $208.10 0.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $70.57 $141.13 0.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $610.46 $1,220.90 2.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $216.68 $433.36 0.9×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $782.82 $1,565.65 3.2×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $1,020 $2,040 0.6×
Cltx prox fibula/shft fx w/manj (27781) $899.50 $1,799 0.6×
Cltx prox fibula/shft fx w/o manj (27780) $218.90 $437.79 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $556.50 $1,113 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $765 $1,530 3.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,281 $4,562 1.4×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265)
likely a partial charge, not the full procedure
$703 $1,406 0.1×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $341.50 $683 0.3×
Colonoscopy stoma w/biopsy (44389) $307 $614 0.3×
Colonoscopy stoma w/snare (44394) $385.50 $771 0.3×
Colonoscopy thru stoma (44388) $273.50 $547 0.3×
Colonoscopy w/fb removal (45379) $388 $776 0.3×
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge, not the full procedure
$384 $768 0.1×
Colporrhaphy suture injury vagina (57200) $231.50 $463 0.1×
Colposcopy cervix upper/adjacent vagina (57452) $120.50 $241 0.6×
Colposcopy cervix vag eltrd conization cervix (57461) $329.50 $659 0.1×
Colposcopy cervix vag loop eltrd bx cervix (57460) $295.50 $591 0.1×
Colposcopy entire vagina w/cervix if present (57420) $141.50 $283 0.5×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $174 $348 0.6×
Colposcopy vulva w/biopsy (56821) $179 $358 0.6×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $147 $294 0.5×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $121 $242 0.1×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $456.50 $913 0.4×
Complex Cystometrogram (51726) $309.50 $619 1.2×
Complex Drainage, Wound (10180) $2,783 $5,566 1.0×
Complex Uroflowmetry (51741) $12 $24 0.1×
Conization of cervix (57522) $499 $998 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $115.18 $230.37 0.9×
Control Nasal Hemorrhage Anterior Simple (30901) $277.56 $555.11 2.1×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $371.50 $743 0.2×
Correction of bunion (28298)
likely a partial charge, not the full procedure
$1,975.50 $3,951 0.3×
Correction of bunion (28297) $6,999.75 $13,999.50 0.5×
Cover eye w/membrane (65778) $6,360 $12,720 6.4×
Cryotherapy of skin (17340) $39.14 $78.28 0.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $80.53 $161.06 0.6×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $104.61 $209.21 0.4×
Cystometrogram W/Vp&Up (51729) $256 $512 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $56 $112 0.1×
Debride nail 1-5 (11720) $112 $224 1.9×
Debride nail 6 or more (11721) $112 $224 1.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $332.50 $665 0.8×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $517 $1,034 0.7×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $1,428 $2,856 0.9×
Destroy cerv/thor facet jnt (64633) $877.50 $1,755 0.4×
Destroy lumb/sac facet jnt (64635) $877.50 $1,755 0.4×
Destruc Benign/Premal,15+ Lesions (17004) $78.04 $156.08 0.2×
Destruction Benign Lesions Up To 14 (17110) $81.37 $162.74 0.4×
Destruction Lesions Vulva Extensive (56515) $262.50 $525 0.1×
Destruction Lesions Vulva Simple (56501) $182 $364 0.1×
Destruction neurolytic agt genicular nerve w/img (64624) $626.50 $1,253 0.3×
Destruction of skin lesions (17106) $253.38 $506.76 0.6×
Destruction premalignant lesion 1st (17000) $77.48 $154.94 0.4×
Destruction Vaginal Lesions Extensive (57065) $449.50 $899 0.1×
Destruction vaginal lesions simple (57061) $158 $316 0.0×
Dilation & curettage dx&/ther nonobstetric (58120) $269.50 $539 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $275 $550 0.4×
Drainage Finger Abscess Simple (26010) $170 $340 0.8×
Drainage of gum lesion (41800) $459 $918 3.4×
Drainage of hematoma/fluid (10140) $1,127 $2,254 0.7×
Drainage of hydrocele (55000) $90 $180 0.1×
Dressing change under anesthesia (15852) $42.50 $85 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $213.50 $427 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $153.75 $307.50 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $181.50 $363 0.9×
EMG stds anal/urtl sphnctr oth/thn ndl (51784) $145 $290 1.1×
Endoscopic Injection/Implant (51715) $222 $444 0.1×
Endoscopy Upper Small Intestine - Enteroscopy (44360) $122.50 $245 0.1×
Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) $1,785 $3,570 0.9×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,785 $3,570 0.9×
Escharotomy initial incision (16035) $157.74 $315.47 0.4×
Evacuation of subungual hematoma (11740) $154.75 $309.50 1.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $195 $390 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $225.50 $451 0.1×
Exc back tum deep < 5 cm (21932) $508.50 $1,017 0.2×
Exc shoulder les sc 3 cm/> (23071) $397.50 $795 0.2×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $151.50 $303 0.2×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $162.50 $325 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $187 $374 0.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $211.50 $423 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $301 $602 0.2×
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $477.50 $955 0.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $231.50 $463 0.6×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $263.50 $527 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $131.50 $263 0.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $239.50 $479 0.3×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $280 $560 0.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $256 $512 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $110.50 $221 0.1×
Excision of nail fold toe (11765) $157 $314 0.4×
Excision of Umbilicus (49250) $451 $902 0.1×
Excision of vaginal cyst or tumor (57135) $315 $630 0.1×
Excision of vaginal septum (57130) $346.50 $693 0.1×
Fill contour defct <1cc (11950) $1,300.50 $2,601 6.5×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $411.50 $823 0.6×
Fluoro exam of g/colon tube (49465) $293.50 $587 1.2×
Hysteroscopy ablation (58563)
unusually low: confirm this is the full procedure
$1,942.50 $3,885 0.4×
Hysteroscopy dx sep proc (58555) $230 $460 0.1×
Hysteroscopy Removal Impacted Foreign Body (58562) $405 $810 0.1×
Hysteroscopy, surgical; with removal of leiomyomata (58561)
likely a partial charge, not the full procedure
$421.50 $843 0.1×
I&D Abscess Peritonsillar (42700) $612 $1,224 2.6×
I&d abscess simple (10060) $181.50 $363 0.9×
I&d perianal abscess superficial (46050) $548.74 $1,097.48 0.6×
I&d pilonidal cyst simple (10080) $773.25 $1,546.50 1.1×
I&d submucosal abscess rectum (45005) $207 $414 0.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $266 $532 0.1×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) $53 $106 0.1×
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) $64.50 $129 0.1×
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure
$3,081 $6,162 0.5×
Incision & drainage abscess complicated/multiple (10061) $263.50 $527 0.6×
Incision & drainage pilonidal cyst complicated (10081) $730.50 $1,461 1.0×
Incision & removal foreign body subq tiss compl (10121) $675.50 $1,351 0.4×
Incision & removal foreign body subq tiss simple (10120) $396 $792 1.0×
Incision and drainage of bartholin's gland abscess (56420) $176 $352 0.9×
Incision and drainage of vulva or perineal abscess (56405) $324.50 $649 1.1×
Incision of rectal abscess (46040) $206 $412 0.2×
Incisional biopsy skin single lesion (11106) $326 $652 0.4×
Initial tx 1st degree burn local tx (16000) $145.76 $291.53 0.7×
Inj paravert f jnt c/t 1 lev (64490) $617.25 $1,234.50 0.7×
Inj tendon sheath/ligament (20550) $55 $110 0.2×
Inj,Anes Agent,Brachial Plexus,Single (64415) $802 $1,604 0.9×
Inj,Anes Agent,Femoral Nerve,Single (64447) $661.50 $1,323 0.9×
Injection aa&/strd trigeminal nerve each branch (64400) $400.50 $801 1.3×
Injection anes other peripheral nerve/branch (64450) $536 $1,072 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $400.50 $801 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $131 $262 0.4×
Injection therapeutic carpal tunnel (20526) $44.83 $89.66 0.1×
Insert Bladder Cath Complex (51703) $98 $196 0.8×
Insert Drug Implant Device (11981) $107 $214 0.8×
Insert non-tunnel cv cath (36556) $1,000 $2,000 0.3×
Insert pessary/other device (57160) $57.17 $114.33 0.3×
Insert picc cath (36569) $848.50 $1,697 0.5×
Insert Temp Bladder Cath (51702) $168.75 $337.50 1.3×
Insert tunneled cv cath (36561) $2,147.75 $4,295.50 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $129 $258 1.0×
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590)
likely a partial charge, not the full procedure
$201 $402 0.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $7,794.50 $15,589 0.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$255 $510 0.0×
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure
$284 $568 0.0×
Intubation endotracheal emergency procedure (31500) $212 $424 0.9×
Irrigate corpora cavernosa for priapism (54220) $306 $612 1.2×
Lap jejunostomy (44186)
likely a partial charge, not the full procedure
$509 $1,018 0.1×
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554)
likely a partial charge, not the full procedure
$1,019.50 $2,039 0.1×
Laparoscopy gastrostomy (43653)
likely a partial charge, not the full procedure
$446.50 $893 0.1×
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure
$931 $1,862 0.1×
Laparoscopy Tubal Cautery (58670)
likely a partial charge, not the full procedure
$279.50 $559 0.0×
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545)
likely a partial charge, not the full procedure
$840.50 $1,681 0.1×
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge, not the full procedure
$290 $580 0.0×
Laps vaginal hysterectomy uterus 250 gm/< (58550)
likely a partial charge, not the full procedure
$678 $1,356 0.1×
Liver Biopsy (47000) $279 $558 0.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $259 $518 0.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $467 $934 0.5×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $347.50 $695 0.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $317.50 $635 0.4×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure
$619 $1,238 0.1×
Osteotomy Fibula (27707) $21,000 $42,000 6.4×
Ovarian cystectomy (58925)
likely a partial charge, not the full procedure
$840.50 $1,681 0.2×
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284)
likely a partial charge, not the full procedure
$629 $1,258 0.1×
Paravaginal defect repair vaginal approach (57285)
likely a partial charge, not the full procedure
$518 $1,036 0.1×
Percut Drain/Inject Renal Cyst (50390) $458.50 $917 0.6×
Perq dev breast 1st us imag (19285) $403.50 $807 0.6×
Perq device breast 1st imag (19281) $823.50 $1,647 0.5×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $1,500 $3,000 0.8×
Perq replacement gtube not req revj gstrst trc (43762) $62.50 $125 0.2×
Placement of implants to block fallopian tubes using an endoscope (58565) $2,626.50 $5,253 0.5×
Placement of needle for intraosseous infusion (36680) $119 $238 0.3×
Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) $658 $1,316 0.3×
Preputial Stretching (54450) $306 $612 1.2×
Punch biopsy skin single lesion (11104) $118 $236 0.3×
Puncture Aspiration (10160) $396 $792 1.0×
Puncture Aspiration Cyst Breast (19000) $269.75 $539.50 0.4×
Relieve inner eye pressure (65820) $742.50 $1,485 0.2×
Removal fb intranasal (30300) $406.95 $813.90 3.1×
Removal foreign body foot subcutaneous (28190) $1,020 $2,040 1.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $115.68 $231.35 0.1×
Removal foreign body pharynx (42809) $106.55 $213.09 0.2×
Removal foreign body, intranasal; requiring general anesthesia (30310) $163.83 $327.65 0.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $65.50 $131 1.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $64 $128 1.1×
Removal of anorectal lesion (45108) $287 $574 0.1×
Removal of intrauterine device (iud) (58301) $104.50 $209 0.3×
Removal of nail bed (11750) $361.36 $722.70 0.9×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $90.50 $181 0.5×
Removal of testis (54520) $252.50 $505 0.1×
Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) $523.50 $1,047 0.2×
Removal subq cardiac rhythm monitor (33286) $622 $1,244 0.9×
Remove drug implant device (11982) $121.50 $243 0.3×
Remove vagina wall partial (57106) $499 $998 0.2×
Remv Ext Canal F.B.,Gen Anesth (69205) $80.81 $161.61 0.0×
Remv Ext Canal Foreign Body (69200) $93 $186 0.7×
Remv F.B.,Eye,Superf Conjunc (65205) $36.25 $72.50 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $226.64 $453.28 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $848.80 $1,697.58 2.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $185.96 $371.92 0.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $321 $642 0.8×
Repair complex trunk 1.1-2.5 cm (13100) $162.17 $324.33 0.2×
Repair complex trunk 2.6-7.5 cm (13101) $199.52 $399.04 0.3×
Repair inguinal hernia, sliding, any age (49525) $445.50 $891 0.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $918 $1,836 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $816 $1,632 2.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $260 $520 0.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $122.87 $245.74 0.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $292.50 $585 0.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $594.96 $1,189.92 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $816 $1,632 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $178 $356 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,020 $2,040 2.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,250 $2,500 1.7×
Repair of enterocele, vaginal approach (separate procedure) (57268)
likely a partial charge, not the full procedure
$371 $742 0.1×
Repair of nail bed (11760) $105.16 $210.32 0.1×
Repair of vagina (57260)
likely a partial charge, not the full procedure
$641.50 $1,283 0.1×
Repair rectum & vagina (57250)
likely a partial charge, not the full procedure
$520.50 $1,041 0.1×
Repair Tongue Laceration (41250) $193.50 $387 0.4×
Reposition gastrostomy tube (43761) $880.50 $1,761 3.5×
Rerepair fem hernia blocked (49557) $563 $1,126 0.2×
Rerepair fem hernia reduce (49555) $567.50 $1,135 0.2×
Revise vag graft via vagina (57295) $366.50 $733 0.1×
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $287 $574 0.1×
Revj clst comp rcnstj in-depth spx (44345) $825 $1,650 0.2×
Revj/rmvl peripheral neurostimulator electrode (64585) $186 $372 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $144.52 $289.04 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $174.58 $349.17 1.3×
Rmvl fecal impaction/fb spx under anes (45915) $561 $1,122 0.5×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $196.21 $392.41 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $224.50 $449 0.1×
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure
$816 $1,632 0.1×
Rpr Lip Full Thickness Vermilion Only (40650) $1,530 $3,060 2.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $109 $218 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $74.50 $149 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $91.50 $183 0.5×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $94.50 $189 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $114 $228 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $129.50 $259 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $192 $384 0.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $294.50 $589 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $172.16 $344.31 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $235.68 $471.37 1.2×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $1,020 $2,040 5.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $294.50 $589 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $408 $816 2.0×
Skin splt grft trnk/arm/leg (15100) $2,968.50 $5,937 1.4×
Skin sub graft face/nk/hf/g (15275) $1,688 $3,376 2.3×
Skin sub graft trnk/arm/leg (15271) $916.75 $1,833.50 1.2×
Skin Sub Grft T/Arm/Lg Child (15273) $3,037 $6,074 1.5×
Skn splt a-grft fac/nck/hf/g (15120) $2,968.50 $5,937 0.8×
Skn sub grft f/n/hf/g child (15277) $738 $1,476 0.4×
Sling operation for stress incontinence (eg, fascia or synthetic) (57288)
likely a partial charge, not the full procedure
$551.50 $1,103 0.1×
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) $134.50 $269 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $351.25 $702.50 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $765 $1,530 1.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $231 $462 0.6×
Sphincterotomy (46080) $193 $386 0.1×
Spinal puncture lumbar diagnostic (62270) $229.50 $459 0.3×
Spinal Puncture Therapeutic (62272) $380.75 $761.50 0.5×
Strapping Hip (29520) $39.66 $79.31 0.3×
Strapping shoulder (29240) $34.32 $68.63 0.3×
Strapping unna boot (29580) $229.50 $459 1.4×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $411.50 $823 0.1×
Tangential biopsy skin single lesion (11102) $97 $194 0.2×
Test for markers of Sjögren's syndrome (0522U) $91.50 $183 0.4×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $406 $812 0.6×
Thoracentesis needle/cath pleura w/o imaging (32554) $643 $1,286 1.0×
Trach Tube Change (31502) $127.50 $255 0.5×
Treat finger dislocation (26775) $517.54 $1,035.09 1.8×
Treat Fracture Radius & Ulna (25560) $197.04 $394.07 0.8×
Treat toe fracture (28525) $317.97 $635.93 0.1×
Treat wrist bone fracture (25622) $216.96 $433.92 0.9×
Treatment closed elbow dislocation req anes (24605) $1,020 $2,040 0.6×
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure
$1,326 $2,652 0.2×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $151.93 $303.85 0.6×
Trim skin lesion (11055) $154 $308 0.8×
Trim skin lesions 2 to 4 (11056) $154 $308 0.8×
Trim skin lesions over 4 (11057) $271 $542 1.3×
Trimming Of Nondystrophic Nails, Any Number (11719) $112 $224 1.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $235 $470 0.3×
Tx superficial wound dehiscence w/packing (12021) $228.50 $457 0.6×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
likely a partial charge, not the full procedure
$1,260.50 $2,521 0.3×
Venipuncture (36415) $2.58 $5.15 0.3×
Wedge Rescj/Bisctj Ovary Uni/Bi (58920)
likely a partial charge, not the full procedure
$630.50 $1,261 0.1×
Wound Prep F/N/Hf/G (15004) $546.50 $1,093 1.3×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $1,799.50 $3,599 2.4×