Procedures & surgery prices at Eastland Memorial Hospital

Eastland, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $211–$398 $422–$796 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $143–$381 $286–$762 varies
Acne surgery (10040) $83 $166 0.4×
Adding Walker Previously Applied Cast (29440) $33 $66 0.2×
Anal/Urinary Muscle Study (51784) $51 $102 0.4×
Anoscopy diagnostic (46600) $79 $157 0.6×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $110 $219 0.7×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $64 $127 0.4×
Application cast elbow finger short arm (29075) $65 $129 0.2×
Application Cast Finger (29086) $59 $118 0.4×
Application Finger Splint Dynamic (29131) $39 $78 0.7×
Application finger splint static (29130)
range across 2 matching MRF lines		 $31–$84 $62–$168 varies
Application Hip Spica Cast 1 Leg (29305) $183 $366 0.7×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $61–$202 $122–$404 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $107 $213 0.4×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $64–$202 $128–$404 varies
Application of long leg cast (29345) $102 $203 0.4×
Application of rigid total contact leg cast (29445) $99 $197 0.4×
Application Patellar Tendon Bearing Cast (29435) $86 $172 0.3×
Application Short Arm Splint Dynamic (29126) $58 $116 0.4×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $48–$160 $96–$319 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $54–$207 $107–$413 varies
Apply hand/wrist cast (29085) $71 $142 0.4×
Apply long arm cast (29065) $72 $143 0.3×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $69–$202 $137–$404 varies
Apply Short Leg Cast (29405) $60 $120 0.2×
Apply short leg cast (29425) $58 $115 0.2×
Arterial puncture (36600) $45 $90 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines		 $40–$458 $79–$916 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $64 $128 0.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines		 $47–$458 $94–$916 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $72 $143 0.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $38–$458 $76–$916 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $219–$732 $438–$1,464 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $47–$116 $93–$231 varies
Aspiration & Injection Treatment Bone Cyst (20615) $189 $378 0.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $84–$304 $168–$607 varies
Biopsy nail unit (11755) $93 $186 0.1×
Biopsy of liver, needle; percutaneous (47000) $2,064 $4,127 1.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $69 $137 0.1×
Bladder instillation anticarcinogenic agent (51720) $64 $127 0.1×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $57–$271 $114–$542 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $8–$85 $15–$169 varies
Blepharotomy drainage abscess eyelid (67700) $316 $632 1.0×
Blood Transfusion Service (36430) $575 $1,149 1.3×
Bx breast 1st lesion us imag (19083) $1,624 $3,247 1.0×
Bx Cervix (57500) $119 $238 0.1×
Cautery Cervix Cryocautery Initial/Repeat (57511) $133 $265 0.4×
Cautery Cervix Electro/Thermal (57510) $115 $229 0.0×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines		 $72–$102 $144–$203 varies
Change of Windpipe Airway (31502) $211 $421 0.9×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $14–$65 $27–$129 varies
Chest tube placement (32551) $1,641 $3,281 1.0×
Circumcision w/clamp/oth dev w/block (54150) $117 $233 0.1×
Cl Tx Tib Shft Fx W Manip (27752) $2,580 $5,159 1.6×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $62–$160 $123–$319 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $853 $1,706 0.5×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $874 $1,748 3.5×
Closed tx ankle dislocation w/o anesthesia (27840) $254 $507 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines		 $253–$582 $506–$1,163 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $253 $506 1.0×
Closed Tx Knee Dislocation W/Anesthesia (27552) $122 $244 0.1×
Closed tx knee dislocation w/o anesthesia (27550) $338 $675 1.4×
Closed Tx Lunate Dislocation W/Manipulation (25690) $934 $1,867 0.6×
Closed tx metatarsal fracture w/o manipulation (28470) $166 $332 0.7×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $1,068 $2,136 0.7×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $259 $517 0.1×
Closed tx patellar dislocation w/o anesthesia (27560) $338 $675 1.4×
Closed Tx Patellar Fracture W/O Manipulation (27520) $245 $489 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $199 $397 0.8×
Closed tx radial shaft fracture w/manipulation (25505) $1,594 $3,187 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines		 $211–$254 $422–$507 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,594 $3,187 1.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $254 $507 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $625 $1,249 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $338 $675 1.4×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $803 $1,605 0.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $221 $442 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $167 $333 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $778 $1,556 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines		 $242–$254 $484–$507 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $94 $187 0.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $266 $531 1.1×
Cltx dstl fibular fx lat malls w/manj (27788) $742 $1,483 3.0×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines		 $238–$254 $476–$507 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $254 $507 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $141 $281 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $252–$338 $503–$675 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $657 $1,313 0.4×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,319 $2,637 0.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,466 $2,932 0.9×
Cltx fx grt toe phlx/phlg w/manj (28495) $290 $580 1.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $109 $217 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $125–$266 $249–$531 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $254 $507 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,594 $3,187 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $241 $481 1.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $338 $675 1.4×
Cltx humeral condylar fx medial/lateral w/manj (24577) $972 $1,944 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $254 $507 1.0×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $668 $1,336 2.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $266 $531 1.1×
Cltx Med Ankle Fx W/Mnpj (27762) $1,970 $3,940 1.2×
Cltx Medial Ankle Fx (27760) $253 $506 1.0×
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines		 $247–$338 $493–$675 varies
Cltx metacarpal fx w/o manipulation each bone (26600) $225 $450 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $254 $507 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $254 $507 1.0×
Cltx post hip arthrp dislc w/o anes (27265) $777 $1,553 3.1×
Cltx prox fibula/shft fx w/o manj (27780) $233 $465 0.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $819 $1,637 0.5×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $798 $1,595 3.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines		 $78–$266 $155–$531 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,594 $3,187 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $230 $460 0.9×
Cltx tibial shaft fx w/o manipulation (27750) $262 $523 1.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $838 $1,675 0.5×
Collect Blood From Catheter Venous Nos (36592) $126 $252 0.9×
Collection of venous blood by venipuncture (36415) $6 $11 0.6×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $124 $248 0.4×
Colposcopy cervix upper/adjacent vagina (57452) $91 $182 0.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $118 $235 0.4×
Colposcopy cervix vag eltrd conization cervix (57461) $261 $522 0.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $233 $466 0.1×
Colposcopy entire vagina w/cervix if present (57420) $96 $191 0.3×
Colposcopy of vulva (56820) $91 $181 0.4×
Colposcopy Vulva W/Biopsy (56821) $121 $241 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $126–$173 $252–$345 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $109–$160 $217–$319 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $126–$257 $252–$513 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906)
range across 2 matching MRF lines		 $211–$267 $421–$534 varies
Cysto calibration dilat urtl strix/stenosis (52281) $244 $488 0.1×
Cystometrogram W/Vp (51728) $268 $535 0.4×
Cystourethroscopy (52000) $160 $320 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $43 $86 0.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $359 $718 0.5×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) $399 $798 0.6×
Debride nail 1-5 (11720)
range across 2 matching MRF lines		 $25–$66 $50–$132 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $35–$88 $69–$176 varies
Debridement subcutaneous tissue 20 sq cm/< (11042) $95 $190 0.2×
Destr penis lesion(s) (54065) $167 $334 0.1×
Destruct B9 Lesion 1-14 (17110) $85 $169 0.4×
Destruction Benign Lesions 15/> (17111) $100 $199 0.5×
Destruction Lesions Vulva Extensive (56515) $192 $383 0.1×
Destruction Lesions Vulva Simple (56501) $125 $249 0.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $135 $270 0.7×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $156 $311 0.8×
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) $185 $370 0.5×
Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) $211 $421 0.3×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $271 $542 0.4×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $111 $221 0.6×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $134 $268 0.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $146 $291 0.7×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $156 $312 0.4×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $178 $355 0.4×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $106 $211 0.5×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $113 $225 0.6×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $125 $249 0.6×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $142 $284 0.7×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $158 $316 0.4×
Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) $186 $372 0.5×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $73 $146 0.4×
Destruction of skin lesions (17106) $259 $518 0.6×
Destruction Premalignant Lesion 15/> (17004) $120 $240 0.3×
Destruction premalignant lesion 1st (17000) $50 $99 0.2×
Destruction Vaginal Lesions Extensive (57065) $169 $337 0.1×
Destruction Vaginal Lesions Simple (57061) $108 $215 0.0×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $53 $106 0.4×
Dilat Urethral Strix Dilator Male Sbsq (53601) $62 $123 0.5×
Dilate Urethra Stricture (53620) $171 $341 0.2×
Drain/inj small joint/bursa w/us (20604) $58 $116 0.2×
Drainage external ear abscess/hematoma cmplx (69005) $164 $328 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines		 $142–$676 $284–$1,352 varies
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines		 $332–$1,591 $664–$3,182 varies
Drainage Mouth Roof Lesion (42000) $211 $421 0.9×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $208–$230 $416–$459 varies
Drainage of gum lesion (41800) $160 $319 1.2×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $129–$2,064 $258–$4,127 varies
Drainage of nose lesion (30000) $228 $455 1.0×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $47–$126 $93–$252 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $676 $1,352 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $146–$367 $292–$734 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $116–$200 $232–$399 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $63–$265 $125–$529 varies
Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) $339 $677 0.5×
Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) $483 $965 0.2×
Dstrj Lesion Penis Simple Chemical (54050) $102 $204 0.2×
Dstrj Lesion Penis Simple Cryosurgery (54056) $107 $213 0.5×
Dstrj lesion penis simple surg excision (54060) $143 $286 0.1×
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $216 $431 0.5×
Electro-Uroflowmetry First (51741) $11 $22 0.1×
Endocervical curettage (57505) $98 $196 0.1×
Endometrial Biopsy (58100) $74 $148 0.4×
Epidural Blood Patch (62273) $222 $443 0.3×
Escharotomy; initial incision (16035) $150 $300 0.4×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $41–$160 $81–$319 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $95 $190 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $155 $309 0.1×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $181 $361 0.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $205 $409 0.3×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $297 $593 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $106 $212 0.1×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $130 $260 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $145 $289 0.2×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $172 $343 0.1×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $215 $429 0.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $96 $192 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $121 $242 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $136 $272 0.1×
Exc Hand Les Sc < 1.5 Cm (26115) $405 $809 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $148 $296 0.2×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $178 $356 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $254 $508 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $239 $478 0.1×
Exc Skin Benig >4cm Face,Facial (11446) $295 $590 0.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $227 $453 0.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $309 $617 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $339 $678 0.2×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $150 $300 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $116 $232 0.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $129 $257 0.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $168 $336 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $213 $426 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $150 $299 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $174 $347 0.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $187 $374 0.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $238 $475 0.3×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $154 $307 0.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $241 $481 0.1×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $386 $771 0.1×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $150 $300 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $175 $349 0.2×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $193 $386 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $256 $512 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $236 $471 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $551 $1,102 0.2×
Excision Pilonidal Cyst/Sinus Extensive (11771) $455 $909 0.2×
Excision, interdigital (morton) neuroma, single, each (28080) $405 $810 0.3×
Expl penetrating wound spx abdomen/flank/back (20102) $1,852 $3,703 0.9×
Explo/Drain Breast Abscess (19020) $593 $1,185 0.4×
Exploration penetrating wound spx extremity (20103) $676 $1,352 0.4×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $75–$109 $149–$217 varies
Fna bx w/us gdn 1st les (10005) $869 $1,738 1.2×
Foreskin manipulation (54450) $84 $167 0.3×
Hymenotomy Simple Incision (56442) $36 $72 0.0×
I&d abscess peritonsillar (42700) $211 $421 0.9×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $92–$329 $183–$658 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $972 $1,944 0.3×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $167–$838 $333–$1,676 varies
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines		 $230–$349 $460–$698 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $160–$869 $319–$1,738 varies
Incise external hemorrhoid (46083) $147 $293 0.6×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $159–$349 $317–$698 varies
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $206–$1,591 $412–$3,182 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $115–$566 $230–$1,132 varies
Incision and drainage of bartholin's gland abscess (56420) $119 $237 0.6×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $98–$317 $195–$634 varies
Incision of rectal abscess (46040) $1,157 $2,313 1.0×
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines		 $221–$302 $441–$604 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $56–$208 $111–$416 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $42 $83 0.1×
Injection enzyme palmar fascial cord (20527) $64 $128 0.2×
Injection single tendon origin/insertion (20551) $43 $85 0.1×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $42–$371 $84–$742 varies
Injection single/mlt trigger point 3/> muscles (20553) $49 $97 0.2×
Injection Sinus Tract Therapeutic Separate Proc (20500) $87 $173 0.1×
Injection therapeutic carpal tunnel (20526) $60 $119 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $58–$87 $116–$174 varies
Injection, Intralesional; More Than 7 Lesions (11901) $53 $105 0.3×
Injection, intralesional; up to and including 7 lesions (11900) $42 $83 0.2×
Insert Bladder Cath Complex (51703) $151 $302 1.2×
Insert cervical dilator (59200) $67 $134 0.2×
Insert non-tunnel cv cath (36556) $1,751 $3,501 0.6×
Insert pessary/other device (57160) $52 $104 0.3×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $39 $78 0.0×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $47–$203 $93–$405 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $34–$86 $68–$172 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $986 $1,972 0.6×
Insj Picc Rs&I <5 Yr (36572) $559 $1,118 0.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $161 $321 0.1×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $170 $339 0.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $823–$1,291 $1,645–$2,582 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines		 $367–$369 $734–$737 varies
Intmd Rpr Face/Mm 20.1-30.0 (12056)
range across 2 matching MRF lines		 $367–$426 $734–$852 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $254–$309 $507–$618 varies
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $1,194 $2,387 0.2×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280)
likely a partial charge, not the full procedure		 $1,954 $3,908 0.2×
Laryngoscopy diagnostic (31505) $186 $371 0.9×
Lysis of labial adhesions (56441) $125 $250 0.0×
Marsupialization of bartholin's gland cyst (56440) $138 $276 0.0×
N Block Inj Plantar Digit (64455) $37 $74 0.1×
Nasal/Orogastric W/Tube Plmt (43752) $411 $822 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $62 $123 0.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,437 $6,873 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $898 $1,796 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $898 $1,796 1.3×
Occipital Nerve Block (64405) $54 $108 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $968 $1,936 0.3×
Perq dev breast 1st us imag (19285) $684 $1,367 1.0×
Perq device breast 1st imag (19281) $869 $1,738 0.5×
Placement of needle for intraosseous infusion (36680) $522 $1,044 1.2×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $94 $188 0.1×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $99–$471 $198–$942 varies
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines		 $83–$676 $166–$1,352 varies
Reconstruction Nail Bed W/Graft (11762) $225 $450 0.1×
Removal Embedded Foreign Body Eyelid (67938) $226 $451 0.7×
Removal Foreign Body Foot Subcutaneous (28190) $194 $388 0.3×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $160 $320 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $11–$66 $21–$132 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $26–$66 $52–$132 varies
Removal of foreign body from pharynx (42809) $390 $779 0.9×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $119–$371 $238–$742 varies
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines		 $48–$90 $96–$179 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $67 $134 0.3×
Removal sweat gland lesion (11450) $308 $616 0.1×
Removal/bivalving gauntlet boot/body cast (29700) $47 $94 0.2×
Remove drug implant device (11982) $62 $123 0.1×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $29–$160 $57–$319 varies
Remove Intrauterine Device (58301) $63 $126 0.2×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $144–$203 $288–$405 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $577 $1,153 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $577 $1,153 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $471 $942 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $725 $1,449 1.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $577 $1,153 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $844 $1,687 2.1×
Repair complex trunk 1.1-2.5 cm (13100) $577 $1,153 0.8×
Repair complex trunk 2.6-7.5 cm (13101) $577 $1,153 0.8×
Repair Entropion Suture (67921) $442 $883 0.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $728 $1,455 0.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $206–$471 $412–$942 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $231–$471 $462–$942 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $271–$371 $541–$742 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines		 $285–$367 $569–$734 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $460 $919 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines		 $308–$577 $616–$1,153 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $192–$471 $383–$942 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines		 $228–$471 $455–$942 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $282–$725 $563–$1,449 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047)
range across 2 matching MRF lines		 $405–$1,852 $810–$3,703 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $292–$844 $584–$1,687 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $191–$471 $382–$942 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $229–$410 $458–$820 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines		 $326–$725 $651–$1,449 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $246–$471 $491–$942 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $369 $738 0.2×
Repair of nail bed (11760)
range across 2 matching MRF lines		 $148–$577 $296–$1,153 varies
Repair tongue laceration (41252) $543 $1,086 2.3×
Repair tongue laceration (41250) $124 $248 0.3×
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491)
likely a partial charge, not the full procedure		 $1,194 $2,387 0.2×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $45–$522 $90–$1,044 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines		 $52–$101 $104–$202 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $35 $70 0.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $361 $722 0.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,591 $3,182 1.0×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $74–$345 $147–$689 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,015 $2,030 0.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $128–$265 $255–$529 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046)
range across 2 matching MRF lines		 $367–$370 $734–$739 varies
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $211 $421 0.9×
Rpr Lip Full Thickness Vermilion Only (40650) $588 $1,176 1.1×
Shave skin lesion 0.5 cm/< (11300) $76 $152 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $88 $176 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $141 $281 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $80 $160 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $94 $187 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $110 $219 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $117 $234 0.3×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $104 $208 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $121 $241 0.3×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $92 $184 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $118 $235 0.3×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $107 $213 0.5×
Simple Cystometrogram (51725) $162 $323 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines		 $162–$367 $324–$734 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $83–$265 $166–$529 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $87–$265 $173–$529 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017)
range across 2 matching MRF lines		 $116–$367 $232–$734 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $106–$265 $211–$529 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $132 $263 0.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $69–$265 $137–$529 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 2 matching MRF lines		 $173–$200 $346–$399 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $97–$265 $194–$529 varies
Skin sub graft trnk/arm/leg (15271) $114 $227 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $84 $167 0.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines		 $129–$471 $257–$942 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines		 $152–$471 $303–$942 varies
Spinal puncture lumbar diagnostic (62270) $898 $1,796 1.3×
Strapping ankle (29540) $22 $43 0.1×
Strapping elbow or wrist (29260) $23 $46 0.4×
Strapping hand/finger (29280) $24 $47 0.4×
Strapping knee (29530) $24 $47 0.2×
Strapping shoulder (29240)
range across 2 matching MRF lines		 $24–$142 $47–$283 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $15–$38 $29–$75 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $48–$202 $96–$404 varies
Tracheostoma revj smpl w/o flap rotation (31613) $841 $1,681 0.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,344 $2,687 0.9×
Treat Humerus Fracture (24505) $865 $1,730 0.5×
Treat Knuckle Dislocation (26700) $338 $675 1.4×
Treat Thumb Dislocation (26641) $266 $531 1.1×
Treat toe dislocation (28630) $254 $507 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,594 $3,187 1.0×
Treatment closed elbow dislocation w/o anes (24600) $254 $507 1.0×
Trim skin lesion (11055) $48 $95 0.2×
Trim skin lesions 2 to 4 (11056) $56 $112 0.3×
Trim skin lesions over 4 (11057) $62 $124 0.3×
Trimming Nondystrophic Nails Any Number (11719) $11 $21 0.2×
Tx Gastro Intub W/Asp (43753) $294 $587 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines		 $223–$577 $446–$1,153 varies
Tx superficial wound dehiscence w/packing (12021) $130 $259 0.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $162 $323 0.7×
Unlisted Procedure Casting/Strapping (29799) $61 $122 0.4×
Urine Flow Measurement (51736) $11 $21 0.1×
Vaginal delivery only (59409) $2,788 $5,575 0.9×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $129–$367 $257–$734 varies

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.