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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$370–$1,804 | $740–$3,608 | varies |
| 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× |
| Anal/Urinary Muscle Study (51784) | $145 | $290 | 1.1× |
| Anorectal myomectomy (45108) | $287 | $574 | 0.1× |
| Anoscopy Ablation Lesion (46615) | $110.50 | $221 | 0.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $80 | $160 | 0.5× |
| Application finger splint static (29130) | $93 | $186 | 0.7× |
| Application long arm splint shoulder hand (29105) | $225 | $450 | 1.4× |
| Application Long Leg Splint (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 Lwr Leg (29581) range across 4 matching MRF lines |
$80–$278.50 | $160–$557 | varies |
| Arterial puncture (36600) | $113.50 | $227 | 0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$37.60–$252.77 | $75.19–$505.53 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$61.50–$440.81 | $123–$881.62 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $403.50 | $807 | 1.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$28.23–$36.05 | $56.45–$72.10 | varies |
| 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) range across 3 matching MRF lines |
$3,000–$23,925 | $6,000–$47,850 | varies |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) | $6,900 | $13,800 | 2.1× |
| Aspirate pleura w/ imaging (32555) | $406 | $812 | 0.6× |
| Aspirate Pleura W/O Imaging (32554) | $643 | $1,286 | 1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$73.65–$510 | $147.29–$1,020 | varies |
| Biopsy muscle percutaneous needle (20206) | $454 | $908 | 0.3× |
| Biopsy nail unit (11755) | $61.99 | $123.97 | 0.1× |
| Biopsy of liver, needle; percutaneous (47000) | $279 | $558 | 0.2× |
| Biopsy ovary uni/bi separate procedure (58900) | $525.50 | $1,051 | 0.2× |
| Biopsy Vaginal Mucosa Extensive (57105) | $249.50 | $499 | 0.1× |
| Biopsy Vaginal Mucosa Simple (57100) | $107 | $214 | 0.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $145 | $290 | 0.2× |
| Biopsy/removal lymph nodes (38510) | $398.50 | $797 | 0.1× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$25.50–$26 | $51–$52 | varies |
| Blood Transfusion Service (36430) range across 2 matching MRF lines |
$396–$450 | $792–$900 | varies |
| Bone Graft Any Donor Area Major/Large (20902) range across 3 matching MRF lines |
$3,375–$11,092.50 | $6,750–$22,185 | varies |
| 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× |
| Ca vi psp&sp1 igg igm&iga antb cl semiql blood (0522U) | $91.50 | $183 | 0.4× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $176.50 | $353 | 0.6× |
| Change of Windpipe Airway (31502) | $127.50 | $255 | 0.5× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$81.50–$181.50 | $163–$363 | varies |
| Chest tube placement (32551) | $637 | $1,274 | 0.4× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$91.16–$255 | $182.31–$510 | varies |
| 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 Carpal Scaphoid Fracture W/O Manj (25622) | $216.96 | $433.92 | 0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $162.44 | $324.88 | 0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj 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) range across 2 matching MRF lines |
$262.34–$714 | $524.68–$1,428 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) | $187.91 | $375.81 | 0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $195.65 | $391.30 | 0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,165 | $2,330 | 0.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $197.04 | $394.07 | 0.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) | $602.50 | $1,205 | 0.4× |
| Closed tx talus fracture w/o manipulation (28430) | $164.94 | $329.87 | 0.7× |
| 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× |
| 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) range across 2 matching MRF lines |
$225.81–$1,020 | $451.62–$2,040 | varies |
| 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) range across 2 matching MRF lines |
$1,020–$2,040 | $2,040–$4,080 | varies |
| 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 hip dislocation traumatic req anesthesia (27252) | $1,530 | $3,060 | 1.0× |
| 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 Req Anes (26775) range across 2 matching MRF lines |
$270.09–$765 | $540.18–$1,530 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$200.91–$1,020 | $401.81–$2,040 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $216.68 | $433.36 | 0.9× |
| 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 Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) | $1,354 | $2,708 | 0.8× |
| Cltx tibial fx proximal w/o manipulation (27530) | $172.25 | $344.50 | 0.7× |
| 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× |
| Collect Blood From Catheter Venous Nos (36592) | $111 | $222 | 0.8× |
| Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
$2.50–$16.50 | $5–$33 | varies |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) | $341.50 | $683 | 0.3× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) | $307 | $614 | 0.3× |
| Colonoscopy thru stoma (44388) | $273.50 | $547 | 0.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) | $385.50 | $771 | 0.3× |
| Colonoscopy w/fb removal (45379) | $388 | $776 | 0.3× |
| Colpocleisis (le fort type) (57120) likely a partial charge, not the full procedure |
$391 | $782 | 0.1× |
| Colpopexy extraperitoneal (57282) likely a partial charge, not the full procedure |
$384 | $768 | 0.1× |
| Colporrhaphy (57200) | $231.50 | $463 | 0.1× |
| Colposcopy Cervix Endocervical Curettage (57456) | $147 | $294 | 0.5× |
| Colposcopy cervix upper/adjacent vagina (57452) | $120.50 | $241 | 0.6× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $174 | $348 | 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 Vulva W/Biopsy (56821) | $179 | $358 | 0.6× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $121 | $242 | 0.1× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $456.50 | $913 | 0.4× |
| Combined anteroposterior colporrhaphy; (57260) likely a partial charge, not the full procedure |
$641.50 | $1,283 | 0.1× |
| Complex Cystometrogram (51726) | $309.50 | $619 | 1.2× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$2,602–$2,964 | $5,204–$5,928 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $499 | $998 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$63.37–$167 | $126.74–$334 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$45.11–$510 | $90.22–$1,020 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $371.50 | $743 | 0.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) range across 2 matching MRF lines |
$2,307–$11,692.50 | $4,614–$23,385 | varies |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) likely a partial charge, not the full procedure |
$1,975.50 | $3,951 | 0.3× |
| Cryotherapy Co2 Slush Liquid N2 Acne (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× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $517 | $1,034 | 0.7× |
| Debride nail 1-5 (11720) | $112 | $224 | 1.9× |
| Debride nail 6 or more (11721) | $112 | $224 | 1.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,428 | $2,856 | 0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $332.50 | $665 | 0.8× |
| Destroy cerv/thor facet jnt (64633) | $877.50 | $1,755 | 0.4× |
| Destroy lumb/sac facet jnt (64635) | $877.50 | $1,755 | 0.4× |
| Destruct B9 Lesion 1-14 (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 15/> (17004) | $78.04 | $156.08 | 0.2× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$64.50–$90.45 | $129–$180.89 | varies |
| 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× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$280.50–$481 | $561–$962 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $275 | $550 | 0.4× |
| Drainage of finger abscess simple (26010) | $170 | $340 | 0.8× |
| Drainage of gum lesion (41800) | $459 | $918 | 3.4× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$714–$1,540 | $1,428–$3,080 | varies |
| Drainage of hydrocele (55000) | $90 | $180 | 0.1× |
| Drainage of rectal abscess (45005) | $207 | $414 | 0.2× |
| Dressing Change Under Anesthesia (15852) | $42.50 | $85 | 0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 4 matching MRF lines |
$107.37–$765 | $214.74–$1,530 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$88.83–$459 | $177.66–$918 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$86.50–$459 | $173–$918 | varies |
| Electro-Uroflowmetry First (51741) | $12 | $24 | 0.1× |
| Endometrial Biopsy (58100) | $96.50 | $193 | 0.5× |
| Endoscopic injection/implant (51715) | $222 | $444 | 0.1× |
| Endoscopy Upper Small Intestine (44360) | $122.50 | $245 | 0.1× |
| Endoscopy upper small intestine w/biopsy (44361) | $134.50 | $269 | 0.1× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (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× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$178.50–$388 | $357–$776 | varies |
| Escharotomy; initial incision (16035) | $157.74 | $315.47 | 0.4× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$54.50–$255 | $109–$510 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $195 | $390 | 0.1× |
| Exc back tum deep < 5 cm (21932) | $508.50 | $1,017 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $110.50 | $221 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $151.50 | $303 | 0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $187 | $374 | 0.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $225.50 | $451 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $301 | $602 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $280 | $560 | 0.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $162.50 | $325 | 0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $211.50 | $423 | 0.1× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $477.50 | $955 | 0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $263.50 | $527 | 0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $231.50 | $463 | 0.6× |
| 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 3.1-4.0 Cm (11624) | $256 | $512 | 0.2× |
| Excision of vaginal cyst or tumor (57135) | $315 | $630 | 0.1× |
| Excision of vaginal septum (57130) | $346.50 | $693 | 0.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $397.50 | $795 | 0.2× |
| Fluoro exam of g/colon tube (49465) | $293.50 | $587 | 1.2× |
| Fna bx w/us gdn 1st les (10005) | $411.50 | $823 | 0.6× |
| Foreskin manipulation (54450) | $306 | $612 | 1.2× |
| Goniotomy (65820) | $742.50 | $1,485 | 0.2× |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) | $2,626.50 | $5,253 | 0.5× |
| Hysteroscopy Dx Sep Proc (58555) | $230 | $460 | 0.1× |
| Hysteroscopy Endometrial Ablation (58563) unusually low: confirm this is the full procedure |
$1,942.50 | $3,885 | 0.4× |
| 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) range across 3 matching MRF lines |
$120.50–$267 | $241–$534 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$77.49–$1,020 | $154.97–$2,040 | varies |
| I&d pilonidal cyst complicated (10081) | $730.50 | $1,461 | 1.0× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$730.50–$816 | $1,461–$1,632 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $266 | $532 | 0.1× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) | $64.50 | $129 | 0.1× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) | $53 | $106 | 0.1× |
| Implant neuroelectrodes (63650) unusually low: confirm this is the full procedure |
$3,081 | $6,162 | 0.5× |
| Implant Periph/Gastric Neurostim/Receiver (64590) likely a partial charge, not the full procedure |
$201 | $402 | 0.0× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$203.50–$500 | $407–$1,000 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$250–$1,718.50 | $500–$3,437 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$115–$537.50 | $230–$1,075 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $176 | $352 | 0.9× |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$139–$510 | $278–$1,020 | varies |
| Incision of fibula (27707) | $21,000 | $42,000 | 6.4× |
| 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) range across 2 matching MRF lines |
$36.53–$255 | $73.06–$510 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $617.25 | $1,234.50 | 0.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $55 | $110 | 0.2× |
| 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× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $802 | $1,604 | 0.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $661.50 | $1,323 | 0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$36.25–$956.50 | $72.50–$1,913 | varies |
| Insert Bladder Cath Complex (51703) | $98 | $196 | 0.8× |
| Insert cath pleura w/o image (32556) | $1,500 | $3,000 | 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 Temp Bladder Cath (51702) range across 2 matching MRF lines |
$167–$170.50 | $334–$341 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1,800–$2,495.50 | $3,600–$4,991 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $129 | $258 | 1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $7,794.50 | $15,589 | 0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$215–$1,393.50 | $430–$2,787 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$284 | $568 | 0.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$255 | $510 | 0.0× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$179.50–$306 | $359–$612 | varies |
| Irrigation of corpora cavernosa for priapism (54220) | $306 | $612 | 1.2× |
| Laparo-vag hyst incl t/o (58552) likely a partial charge, not the full procedure |
$931 | $1,862 | 0.1× |
| Laparoscopic myomectomy (58545) likely a partial charge, not the full procedure |
$840.50 | $1,681 | 0.1× |
| Laparoscopy aspiration (49322) likely a partial charge, not the full procedure |
$290 | $580 | 0.0× |
| Laparoscopy fulguration oviducts (58670) likely a partial charge, not the full procedure |
$279.50 | $559 | 0.0× |
| Laparoscopy gastrostomy (43653) likely a partial charge, not the full procedure |
$446.50 | $893 | 0.1× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) likely a partial charge, not the full procedure |
$678 | $1,356 | 0.1× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) likely a partial charge, not the full procedure |
$509 | $1,018 | 0.1× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) likely a partial charge, not the full procedure |
$1,019.50 | $2,039 | 0.1× |
| Laser Surgery of Cervix (57513) | $302 | $604 | 0.1× |
| Needle Biopsy Lymph Nodes (38505) | $454 | $908 | 0.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $259 | $518 | 0.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $400.50 | $801 | 1.3× |
| 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× |
| Open bowel to skin (44300) | $658 | $1,316 | 0.3× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) | $317.97 | $635.93 | 0.1× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) likely a partial charge, not the full procedure |
$1,326 | $2,652 | 0.2× |
| Ovarian cystectomy, unilateral or bilateral (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× |
| 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× |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) range across 2 matching MRF lines |
$5,242.50–$7,477.50 | $10,485–$14,955 | varies |
| Placement of needle for intraosseous infusion (36680) | $119 | $238 | 0.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) likely a partial charge, not the full procedure |
$520.50 | $1,041 | 0.1× |
| Punch biopsy skin single lesion (11104) range across 5 matching MRF lines |
$118–$209.50 | $236–$419 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$99–$459 | $198–$918 | varies |
| Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$85.50–$454 | $171–$908 | varies |
| 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, intranasal; requiring general anesthesia (30310) | $163.83 | $327.65 | 0.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$38–$93 | $76–$186 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 6 matching MRF lines |
$37.08–$300 | $74.16–$600 | varies |
| Removal of foreign body from pharynx (42809) | $106.55 | $213.09 | 0.2× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$136.71–$586 | $273.41–$1,172 | varies |
| Removal of testis (54520) | $252.50 | $505 | 0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$87.50–$96.28 | $175–$192.56 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $622 | $1,244 | 0.9× |
| Remove drug implant device (11982) | $121.50 | $243 | 0.3× |
| Remove foreign body from eye (65205) | $36.25 | $72.50 | 0.3× |
| Remove Intrauterine Device (58301) | $104.50 | $209 | 0.3× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$99.90–$714 | $199.80–$1,428 | varies |
| 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) range across 2 matching MRF lines |
$197.59–$1,500 | $395.17–$3,000 | varies |
| 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) range across 2 matching MRF lines |
$169.92–$1,020 | $339.83–$2,040 | varies |
| 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 paravag defect vag (57285) likely a partial charge, not the full procedure |
$518 | $1,036 | 0.1× |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) | $563 | $1,126 | 0.2× |
| Repair recurrent femoral hernia; reducible Facility (49555) | $567.50 | $1,135 | 0.2× |
| Repair tongue laceration (41250) | $193.50 | $387 | 0.4× |
| Reposition Gastrostomy Tube (43761) | $880.50 | $1,761 | 3.5× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) | $366.50 | $733 | 0.1× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) | $825 | $1,650 | 0.2× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) | $287 | $574 | 0.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) | $186 | $372 | 0.1× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $80.81 | $161.61 | 0.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$34.04–$255 | $68.07–$510 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$43.17–$306 | $86.34–$612 | varies |
| 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× |
| Rmvl/revj sling stress incontinence (57287) | $523.50 | $1,047 | 0.2× |
| Rplc Gtube No Revj Trc (43762) | $62.50 | $125 | 0.2× |
| Rpr aa hrn 1st 3-10 rdc (49593) likely a partial charge, not the full procedure |
$816 | $1,632 | 0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $1,020 | $2,040 | 5.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) | $1,530 | $3,060 | 2.8× |
| Shave skin lesion 0.5 cm/< (11300) | $94.50 | $189 | 0.2× |
| 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× |
| 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) range across 2 matching MRF lines |
$49.81–$294.50 | $99.62–$589 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$63.37–$408 | $126.74–$816 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$88.50–$328 | $177–$656 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $408 | $816 | 2.0× |
| Skin sub graft face/nk/hf/g (15275) | $1,688 | $3,376 | 2.3× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$145.50–$1,688 | $291–$3,376 | varies |
| Skin sub grft t/arm/lg child (15273) | $3,037 | $6,074 | 1.5× |
| 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× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$294.50–$408 | $589–$816 | varies |
| 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 anal division sphincter spx (46080) | $193 | $386 | 0.1× |
| Spinal puncture lumbar diagnostic (62270) | $229.50 | $459 | 0.3× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $2,968.50 | $5,937 | 0.8× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $2,968.50 | $5,937 | 1.4× |
| Strapping Hip (29520) | $39.66 | $79.31 | 0.3× |
| Strapping shoulder (29240) | $34.32 | $68.63 | 0.3× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$153–$306 | $306–$612 | varies |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) | $1,300.50 | $2,601 | 6.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $411.50 | $823 | 0.1× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$95–$181.50 | $190–$363 | varies |
| Treat Humerus Fracture (24505) | $1,530 | $3,060 | 1.0× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$239.65–$1,326 | $479.30–$2,652 | varies |
| Treat Thumb Dislocation (26641) | $292.01 | $584.01 | 1.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,020 | $2,040 | 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 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× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $151.93 | $303.85 | 0.6× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) | $451 | $902 | 0.1× |
| 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× |
| Vaginectomy, partial removal of vaginal wall; (57106) | $499 | $998 | 0.2× |
| Wedge excision skin nail fold (11765) | $157 | $314 | 0.4× |
| 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 (15002) | $1,799.50 | $3,599 | 2.4× |
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.