Procedures & surgery prices at Douglas County Memorial Hospital-cah

Armour, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acne surgery (10040) $208.80 $232 1.0×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $1,835.10 $2,039 0.9×
Anoscopy diagnostic (46600) $197.10 $219 1.5×
Anoscopy W/Rmvl Foreign Body (46608)
range across 2 matching MRF lines
$496.80–$1,798.20 $552–$1,998 varies
Application cast elbow finger short arm (29075) $234 $260 0.8×
Application finger splint static (29130) $83.70 $93 0.6×
Application long arm splint shoulder hand (29105) $183.60 $204 1.1×
Application Long Leg Splint (29505) $218.70 $243 1.3×
Application Short Arm Splint Dynamic (29126) $216.90 $241 1.6×
Application short arm splint forearm-hand static (29125) $192.60 $214 1.4×
Application short leg splint calf foot (29515) $189 $210 1.1×
Apply Short Leg Cast (29405) $202.50 $225 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $118.80 $132 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines
$238.50–$855 $265–$950 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$1,409.40–$1,485 $1,566–$1,650 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines
$1,214.10–$1,278 $1,349–$1,420 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $100.80 $112 0.3×
Aspirate pleura w/ imaging (32555) $865.80 $962 1.4×
Avulsion nail plate partial/complete simple 1 (11730) $193.50 $215 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $235.80 $262 0.3×
Bladder Irrigation (51700) $317.70 $353 1.2×
Bladder Scan (51798) $93.60 $104 1.6×
Blepharotomy drainage abscess eyelid (67700) $588.60 $654 1.8×
Blood Transfusion Service (36430) $1,365.30 $1,517 3.0×
Bx Cervix (57500) $339.30 $377 0.4×
Chemical Cautery Tissue (17250) $159.30 $177 0.8×
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines
$403.20–$738 $448–$820 varies
Chest tube placement (32551) $636.30 $707 0.4×
Circumcision w/clamp/oth dev w/block (54150) $317.70 $353 0.1×
Clear outer ear canal (69200) $254.70 $283 1.9×
Closed Tx Knee Dislocation W/Anesthesia (27552) $1,670.40 $1,856 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $435.60 $484 1.7×
Closed tx patellar dislocation w/anesthesia (27562) $972.90 $1,081 3.9×
Closed tx radial head/neck fx w/o manipulation (24650) $405.90 $451 1.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,946.70 $2,163 1.2×
Closed tx radial&ulnar shaft fractures w/o man (25560) $749.70 $833 3.0×
Closed tx talus fracture w/o manipulation (28430) $363.60 $404 1.4×
Clsd tx clavicular fracture w/o manipulation (23500) $457.20 $508 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,125 $1,250 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $706.50 $785 2.8×
Cltx dstl fibular fx lat malls w/manj (27788) $1,505.70 $1,673 6.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $479.70 $533 1.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $646.20 $718 2.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$1,685.70–$1,872.90 $1,873–$2,081 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,534.50 $1,705 0.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $612 $680 2.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,055.70 $1,173 4.2×
Cltx post hip arthrp dislc w/o anes (27265) $1,311.30 $1,457 5.2×
Cltx prox fibula/shft fx w/o manj (27780) $632.70 $703 2.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $330.30 $367 1.3×
Cltx tibial shaft fx w/o manipulation (27750) $900 $1,000 3.6×
Collect Blood From Catheter Venous Nos (36592) $103.50 $115 0.8×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$2.76–$38.70 $3.06–$43 varies
Colonoscopy W/Band Ligation (45398) $2,259 $2,510 1.8×
Colonoscopy w/submucosal inj (45381) $1,552.50 $1,725 1.3×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,400.30 $2,667 2.0×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,977.30 $2,197 1.6×
Control Nasal Hemorrhage Anterior Complex (30903) $423 $470 3.1×
Control Nasal Hemorrhage Anterior Simple (30901) $198 $220 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $264.60 $294 1.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $309.60 $344 1.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $112.50 $125 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $540.90 $601 0.7×
Debride nail 6 or more (11721) $61.20 $68 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $283.50 $315 0.7×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines
$1,043.10–$3,222 $1,159–$3,580 varies
Destruct B9 Lesion 1-14 (17110) $221.40 $246 1.1×
Destruction Benign Lesions 15/> (17111) $261.90 $291 1.3×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $279.90 $311 1.4×
Destruction neurolytic agt genicular nerve w/img (64624) $1,278 $1,420 0.6×
Destruction Premalignant Lesion 15/> (17004) $325.80 $362 0.8×
Destruction premalignant lesion 1st (17000) $161.10 $179 0.8×
Diagnostic sigmoidoscopy (45330) $451.80 $502 0.5×
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines
$209.70–$1,215 $233–$1,350 varies
Drainage of hematoma/fluid (10140) $318.60 $354 0.2×
Drainage of scrotum (54700) $423.90 $471 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $171.90 $191 0.8×
Dstrj lesion anus simple cryosurgery (46916) $472.50 $525 2.3×
Dstrj Lesion Penis Simple Cryosurgery (54056) $384.30 $427 1.9×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$599.40–$1,606.50 $666–$1,785 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,957.50 $2,175 1.0×
Egd cautery tumor polyp (43250) $948.60 $1,054 0.5×
Egd control bleeding any (43255) $1,111.50 $1,235 0.6×
Egd dilation gastric/duodenal stricture (43245) $1,285.20 $1,428 0.7×
Egd place gastrostomy tube (43246) $1,224 $1,360 0.6×
Egd remove lesion snare (43251) $1,043.10 $1,159 0.5×
Endometrial Biopsy (58100) $224.10 $249 1.1×
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $3,225.60 $3,584 1.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,513.50 $5,015 1.4×
Epidural Blood Patch (62273)
range across 4 matching MRF lines
$1,161.90–$1,602 $1,291–$1,780 varies
Evacuation of subungual hematoma (11740) $98.10 $109 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $253.80 $282 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $396 $440 0.2×
Exc Back Tum Deep 5 Cm/> (21933) $2,070.90 $2,301 0.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $546.30 $607 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $630.90 $701 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $894.60 $994 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $274.50 $305 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $330.30 $367 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $367.20 $408 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $436.50 $485 0.3×
Exc Forearm Les Sc 3 Cm/> (25071) $1,026 $1,140 0.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $148.50 $165 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $310.50 $345 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $343.80 $382 0.2×
Exc Rct Tum Not Incl Muscularis Propria (45171) $2,155.50 $2,395 0.8×
Exc Shoulder Tum Deep 5 Cm/> (23073) $2,353.50 $2,615 0.8×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $375.30 $417 0.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $452.70 $503 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $801 $890 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $645.30 $717 0.4×
Exc Skin Benig >4cm Face,Facial (11446) $936.90 $1,041 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $607.50 $675 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,035.90 $1,151 0.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $341.10 $379 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $358.20 $398 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $425.70 $473 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $949.50 $1,055 1.3×
Excision Chest Wall Tumor Including Ribs (21601) $3,294 $3,660 1.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $799.20 $888 1.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $874.80 $972 2.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,025.10 $1,139 1.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $724.50 $805 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,167.30 $1,297 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $558.90 $621 0.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $675 $750 0.4×
Excision of pilonidal cyst or sinus; simple (11770) $716.40 $796 0.2×
Excision Pilonidal Cyst/Sinus Complicated (11772) $1,647 $1,830 0.6×
Exploration penetrating wound spx extremity (20103) $1,163.70 $1,293 0.7×
Fetal non-stress test (59025) $469.80 $522 2.3×
Fna bx w/us gdn 1st les (10005) $783.90 $871 1.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,317.60 $1,464 0.5×
I&d abscess simple (10060) $280.80 $312 1.4×
I&d pilonidal cyst simple (10080) $444.60 $494 0.6×
Incise external hemorrhoid (46083) $444.60 $494 1.7×
Incision & drainage abscess complicated/multiple (10061) $425.70 $473 1.0×
Incision & removal foreign body subq tiss compl (10121) $544.50 $605 0.3×
Incision & removal foreign body subq tiss simple (10120) $514.80 $572 1.2×
Incision and drainage of bartholin's gland abscess (56420) $326.70 $363 1.6×
Incision and drainage of vulva or perineal abscess (56405) $352.80 $392 1.1×
Incision of labial frenum (frenotomy) (40806) $536.40 $596 1.0×
Incision of lingual frenum (frenotomy) (41010) $500.40 $556 0.3×
Incision of rectal abscess (46040) $1,083.60 $1,204 0.9×
Incisional biopsy skin single lesion (11106) $256.50 $285 0.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines
$2,684.70–$2,826 $2,983–$3,140 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$869.40–$1,935 $966–$2,150 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$461.70–$486 $513–$540 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines
$1,226.70–$1,291.50 $1,363–$1,435 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines
$644.40–$1,989 $716–$2,210 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines
$1,295.10–$1,363.50 $1,439–$1,515 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines
$589.50–$1,818 $655–$2,020 varies
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 3 matching MRF lines
$923.40–$972 $1,026–$1,080 varies
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines
$721.80–$2,227.50 $802–$2,475 varies
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines
$1,153.80–$1,215 $1,282–$1,350 varies
Injection single/mlt trigger point 1/2 muscles (20552) $114.30 $127 0.4×
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines
$183.60–$495 $204–$550 varies
Injection therapeutic carpal tunnel (20526) $160.20 $178 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$1,060.20–$1,116 $1,178–$1,240 varies
Injection, intralesional; up to and including 7 lesions (11900) $62.10 $69 0.3×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines
$1,206.90–$1,267.20 $1,341–$1,408 varies
Insert Drug Implant Device (11981) $284.40 $316 2.1×
Insert Temp Bladder Cath (51702) $141.30 $157 1.0×
Insert,Non-Indwelling Bladder Catheter (51701) $108 $120 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,671.30 $1,857 1.0×
Intubation endotracheal emergency procedure (31500) $706.50 $785 2.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure
$1,317.60 $1,464 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure
$2,117.70 $2,353 0.3×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure
$2,969.10 $3,299 0.3×
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines
$594–$2,259 $660–$2,510 varies
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines
$1,111.50–$1,170 $1,235–$1,300 varies
N block inj intercost sng (64420)
range across 3 matching MRF lines
$1,132.20–$1,192.50 $1,258–$1,325 varies
N Block Inj Plantar Digit (64455) $238.50 $265 0.8×
N Block Inj Pudendal (64430)
range across 2 matching MRF lines
$411.30–$2,137.50 $457–$2,375 varies
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines
$2,145.60–$2,259 $2,384–$2,510 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines
$584.10–$587.70 $649–$653 varies
Njx anes stellate ganglion crv sympathetic (64510)
range across 3 matching MRF lines
$1,183.50–$1,246.50 $1,315–$1,385 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines
$356.40–$846 $396–$940 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$1,113.30–$2,277 $1,237–$2,530 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines
$1,718.10–$1,809 $1,909–$2,010 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$751.50–$1,669.50 $835–$1,855 varies
Occipital Nerve Block (64405)
range across 3 matching MRF lines
$628.20–$661.50 $698–$735 varies
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $1,901.70 $2,113 0.6×
Phleb Veins - Extrem 20+ (37766) $4,013.10 $4,459 1.2×
Placement of needle for intraosseous infusion (36680) $279.90 $311 0.6×
Placement of seton (46020) $683.10 $759 0.2×
Punch biopsy skin single lesion (11104) $292.50 $325 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $255.60 $284 0.6×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines
$476.10–$1,395 $529–$1,550 varies
Removal Foreign Body Deep Thigh/Knee (27372)
range across 2 matching MRF lines
$423–$633.60 $470–$704 varies
Removal Foreign Body Foot Subcutaneous (28190) $666 $740 0.9×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$44.10–$1,267.20 $49–$1,408 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $103.50 $115 1.7×
Removal implantable contraceptive capsules (11976) $356.40 $396 0.5×
Removal of nail bed (11750) $462.60 $514 1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $180.90 $201 0.9×
Remove drug implant device (11982) $320.40 $356 0.7×
Remove foreign body from eye (65205) $217.80 $242 1.6×
Remove Intrauterine Device (58301) $188.10 $209 0.6×
Remove Nasal Foreign Body (30300) $483.30 $537 3.6×
Remove Tendon Sheath Lesion (26160) $2,024.10 $2,249 1.2×
Remove/Insert Drug Implant (11983) $447.30 $497 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,024.20 $1,138 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $780.30 $867 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,317.60 $1,464 3.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $400.50 $445 1.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,025.10 $1,139 2.5×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $524.70 $583 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$558–$585 $620–$650 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $847.80 $942 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $963 $1,070 2.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $504 $560 1.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $628.20 $698 1.5×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $837 $930 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $724.50 $805 1.7×
Repair of nail bed (11760) $805.50 $895 1.1×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $526.50 $585 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $197.10 $219 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $144.90 $161 1.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $423 $470 0.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $494.10 $549 0.8×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure
$2,282.40 $2,536 0.4×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure
$1,951.20 $2,168 0.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$137.70–$641.70 $153–$713 varies
Shave skin lesion 0.5 cm/< (11300) $198 $220 0.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $227.70 $253 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $197.10 $219 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $243.90 $271 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $335.70 $373 1.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $256.50 $285 1.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $329.40 $366 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $243.90 $271 1.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $311.40 $346 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $289.80 $322 1.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $565.20 $628 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$386.10–$405 $429–$450 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $522.90 $581 2.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $610.20 $678 3.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$349.20–$366.30 $388–$407 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$550.80–$578.70 $612–$643 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $442.80 $492 2.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$585–$677.70 $650–$753 varies
Sphincterotomy anal division sphincter spx (46080) $455.40 $506 0.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $1,746.90 $1,941 0.5×
Strapping Unna Boot (29580) $108 $120 0.7×
Tangential biopsy skin single lesion (11102) $198 $220 0.5×
Treat Knuckle Dislocation (26700) $649.80 $722 2.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,268.10 $1,409 0.8×
Treatment closed elbow dislocation w/o anes (24600) $1,035.90 $1,151 4.1×
Trim skin lesion (11055) $95.40 $106 0.5×
Trim skin lesions 2 to 4 (11056) $119.70 $133 0.6×
Trim skin lesions over 4 (11057) $123.30 $137 0.6×
Trimming Nondystrophic Nails Any Number (11719) $33.30 $37 0.6×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines
$931.50–$981 $1,035–$1,090 varies
Vaginal delivery only (59409) $1,316.70 $1,463 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $790.20 $878 0.4×
Wedge excision skin nail fold (11765) $337.50 $375 0.8×

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.