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33 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Application long arm splint shoulder hand (29105)
$91.20
$228
0.6×
Application Long Leg Splint (29505)
$218
$545
1.5×
Application short leg splint calf foot (29515)
$90
$225
0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
$186
$465
0.7×
Chest tube placement (32551)
$522.80
$1,307
0.4×
Closed tx metatarsal fracture w/o manipulation (28470)
$108
$270
0.5×
Closed tx radial head/neck fx w/o manipulation (24650)
$767.20
$1,918
3.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
$275.60
$689
1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655)
$627.60
$1,569
0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
$108
$270
0.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
$108
$270
0.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
$548.80
$1,372
0.4×
Cltx metacarpal fx w/o manipulation each bone (26600)
$108
$270
0.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
$107.60
$269
0.5×
Control Nasal Hemorrhage Anterior Simple (30901)
$130
$325
1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
$90
$225
0.5×
I&d abscess simple (10060) range across 2 matching MRF lines
$162.40–$280
$406–$700
varies
Incision & removal foreign body subq tiss simple (10120)
$801.60
$2,004
2.3×
Intubation endotracheal emergency procedure (31500)
$282
$705
1.4×
Remove Nasal Foreign Body (30300)
$60
$150
0.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
$111.20
$278
0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
$599.20
$1,498
1.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines
$50.80–$293.60
$127–$734
varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
$197.60
$494
1.1×
Rpr Lip Full Thickness Vermilion Only (40650)
$629.20
$1,573
1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
$292.80
$732
1.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
$323.60
$809
1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
$104.40
$261
0.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
$150.40
$376
0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
$311.60
$779
1.8×
Strapping shoulder (29240)
$87.20
$218
0.7×
Total Knee Arthroplasty (27447) unusually low: confirm this is the full procedure
$5,378.80
$13,447
0.5×
Treat humerus fracture (24500)
$1,000
$2,500
4.6×
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.