Procedures & surgery prices at Ellinwood District Hospital
Ellinwood, KS · every code in this section with a posted price and a Medicare benchmark.
295 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen Surgery Procedure (22999) | $216.75 | $255 | 1.0× |
| Anoscopy diagnostic (46600) | $76.50 | $90 | 0.6× |
| Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines |
$165.75–$888.25 | $195–$1,045 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $748 | $880 | 0.3× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $297.50 | $350 | 2.0× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$127.50–$446.25 | $150–$525 | varies |
| Application finger splint static (29130) | $46.75 | $55 | 0.4× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$153–$255 | $180–$300 | varies |
| Application Long Leg Splint (29505) | $63.75 | $75 | 0.4× |
| Application of rigid total contact leg cast (29445) | $102 | $120 | 0.4× |
| Application Short Arm Splint Dynamic (29126) | $127.50 | $150 | 1.0× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$72.25–$170 | $85–$200 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$93.50–$233.75 | $110–$275 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$59.50–$446.25 | $70–$525 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $233.75 | $275 | 1.6× |
| Apply Short Leg Cast (29405) | $148.75 | $175 | 0.6× |
| Apply short leg cast (29425) | $148.75 | $175 | 0.6× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$88.99–$119 | $104.69–$140 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$89.25–$97.75 | $105–$115 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$102–$459.85 | $120–$541 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $76.50 | $90 | 0.3× |
| Aspirate Pleura W/O Imaging (32554) | $705.50 | $830 | 1.2× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$68–$165.75 | $80–$195 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$136–$246.50 | $160–$290 | varies |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$267.75–$658.75 | $315–$775 | varies |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) | $2,567 | $3,020 | 0.8× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $654.50 | $770 | 0.8× |
| Bladder Irrigation (51700) range across 3 matching MRF lines |
$127.50–$255 | $150–$300 | varies |
| Bladder Scan (51798) range across 2 matching MRF lines |
$51–$74.80 | $60–$88 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $221 | $260 | 0.8× |
| Blood Transfusion Service (36430) range across 6 matching MRF lines |
$68–$595 | $80–$700 | varies |
| Catheter aspiration nasotracheal spx (31720) | $493 | $580 | 2.4× |
| Cathj Rmvl Temp Dev Ischmc Rmdlg Bldr Neck&Prst8 (53866) | $153 | $180 | 0.7× |
| Chemical Cautery Tissue (17250) | $55.25 | $65 | 0.3× |
| Circumcision 28 days or older (54161) | $3,187.50 | $3,750 | 1.7× |
| Circumcision w/clamp/oth dev w/block (54150) | $2,596.75 | $3,055 | 1.4× |
| Clear outer ear canal (69200) | $110.50 | $130 | 0.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $399.50 | $470 | 1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $306 | $360 | 1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) | $2,720 | $3,200 | 12.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $888.25 | $1,045 | 3.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $365.50 | $430 | 1.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $233.75 | $275 | 1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $208.25 | $245 | 0.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $340 | $400 | 1.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $297.50 | $350 | 1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$459–$722.50 | $540–$850 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $255 | $300 | 1.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $212.50 | $250 | 0.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $425 | $500 | 1.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $187 | $220 | 0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$403.75–$1,445 | $475–$1,700 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $357 | $420 | 0.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $191.25 | $225 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $259.25 | $305 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $170 | $200 | 0.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $361.25 | $425 | 1.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $59.50 | $70 | 0.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $212.50 | $250 | 0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $229.50 | $270 | 1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $323 | $380 | 1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $263.50 | $310 | 1.2× |
| Cltx prox tibfib jt dislc req anes (27831) | $238 | $280 | 0.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $467.50 | $550 | 2.1× |
| Cltx tibial fx proximal w/o manipulation (27530) | $510 | $600 | 2.2× |
| Cltx tibial shaft fx w/o manipulation (27750) | $467.50 | $550 | 2.1× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$17.17–$38.25 | $20.20–$45 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$17.86–$17.94 | $21.01–$21.10 | varies |
| Colonoscopy thru stoma (44388) | $1,147.50 | $1,350 | 1.3× |
| Colonoscopy w/fb removal (45379) | $531.25 | $625 | 0.5× |
| Colpocleisis (le fort type) (57120) | $12.75 | $15 | 0.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$552.50–$1,428.85 | $650–$1,681 | varies |
| Complex drainage wound (10180) | $170 | $200 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $306 | $360 | 2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $170 | $200 | 1.4× |
| Correction of trichiasis; epilation, by forceps only (67820) | $89.25 | $105 | 0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $170 | $200 | 1.4× |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$153–$1,700 | $180–$2,000 | varies |
| Cysto w/insert ureteral stent (52332) range across 2 matching MRF lines |
$161.50–$2,975 | $190–$3,500 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$1,360–$2,125 | $1,600–$2,500 | varies |
| Cystoscopy and radiotracer (52250) range across 2 matching MRF lines |
$2,125–$2,592.50 | $2,500–$3,050 | varies |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$127.50–$680 | $150–$800 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $2,380 | $2,800 | 1.2× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) | $2,975 | $3,500 | 0.9× |
| Cystourethroscopy with biopsy (52204) range across 2 matching MRF lines |
$144.50–$2,125 | $170–$2,500 | varies |
| Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck… (53865) | $5,100 | $6,000 | 0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$233.75–$403.75 | $275–$475 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $3,038.75 | $3,575 | 1.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $722.50 | $850 | 1.1× |
| Debride nail 1-5 (11720) | $51 | $60 | 0.9× |
| Debride nail 6 or more (11721) | $72.25 | $85 | 1.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,759.50 | $2,070 | 1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$76.50–$437.75 | $90–$515 | varies |
| Destroy cerv/thor facet jnt (64633) | $1,564 | $1,840 | 0.9× |
| Destroy lumb/sac facet jnt (64635) | $1,564 | $1,840 | 0.9× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$106.25–$119 | $125–$140 | varies |
| Destruction Benign Lesions 15/> (17111) | $212.50 | $250 | 1.2× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $55.25 | $65 | 0.1× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $255 | $300 | 1.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $425.85 | $501 | 2.3× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $102 | $120 | 0.6× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $212.50 | $250 | 1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $1,530 | $1,800 | 0.9× |
| Destruction of skin lesions (17106) | $340 | $400 | 0.9× |
| Destruction Premalignant Lesion 15/> (17004) | $161.50 | $190 | 0.4× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$93.50–$102 | $110–$120 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$229.50–$850 | $270–$1,000 | varies |
| Dilate Esophagus 1/Mult Pass (43450) range across 2 matching MRF lines |
$263.50–$901 | $310–$1,060 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $80.75 | $95 | 0.1× |
| Drainage of finger abscess simple (26010) | $408 | $480 | 2.2× |
| Drainage of gum lesion (41800) | $348.50 | $410 | 2.8× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$170–$216.75 | $200–$255 | varies |
| Drainage of rectal abscess (45005) range across 2 matching MRF lines |
$246.50–$263.50 | $290–$310 | varies |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$17.17–$38.25 | $20.20–$45 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $204 | $240 | 1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $48.45 | $57 | 0.3× |
| Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$446.25–$1,266.50 | $525–$1,490 | varies |
| Egd place gastrostomy tube (43246) | $1,814.75 | $2,135 | 1.0× |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$467.50–$1,463.70 | $550–$1,722 | varies |
| Electro-Uroflowmetry First (51741) | $8.50 | $10 | 0.0× |
| Endoscopy Upper Small Intestine (44360) | $1,147.50 | $1,350 | 0.7× |
| Endoscopy upper small intestine w/biopsy (44361) | $1,147.50 | $1,350 | 0.7× |
| Epidural Blood Patch (62273) | $561 | $660 | 0.9× |
| Episiotomy or vaginal repair (59300) | $1,517.25 | $1,785 | 0.5× |
| Evacuation of subungual hematoma (11740) | $63.75 | $75 | 0.5× |
| Exc arm/elbow les sc < 3 cm (24075) | $314.50 | $370 | 0.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$161.50–$875.50 | $190–$1,030 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,210 | $2,600 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $246.50 | $290 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $595 | $700 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $484.50 | $570 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$187–$701.25 | $220–$825 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$229.50–$777.75 | $270–$915 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $255 | $300 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$127.50–$153 | $150–$180 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$195.50–$208.25 | $230–$245 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$178.50–$1,976.25 | $210–$2,325 | varies |
| Exc hydrocele sprmatic cord uni spx (55500) | $4,683.50 | $5,510 | 1.4× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $2,422.50 | $2,850 | 1.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
$233.75–$865.84 | $275–$1,018.64 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$340–$2,014.50 | $400–$2,370 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $340 | $400 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$612–$2,448 | $720–$2,880 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$518.50–$2,040 | $610–$2,400 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,963.50 | $2,310 | 1.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$187–$195.50 | $220–$230 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $221 | $260 | 0.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$272–$1,976.25 | $320–$2,325 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$306–$535.50 | $360–$630 | varies |
| Excision lesion tendon sheath forearm&/wrist (25110) | $340 | $400 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$221–$777.75 | $260–$915 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$246.50–$535.50 | $290–$630 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$170–$267.75 | $200–$315 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$340–$586.50 | $400–$690 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$191.25–$501.50 | $225–$590 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $212.50 | $250 | 0.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $595 | $700 | 0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) | $340 | $400 | 0.1× |
| Excision of hydrocele; bilateral (55041) | $2,805 | $3,300 | 0.9× |
| Excision of hydrocele; unilateral (55040) | $2,805 | $3,300 | 0.9× |
| Excision spermatocele w/wo epididymectomy (54840) | $1,700 | $2,000 | 0.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$1,789.25–$1,870 | $2,105–$2,200 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$153–$195.50 | $180–$230 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $680 | $800 | 0.3× |
| I&d pilonidal cyst simple (10080) | $238 | $280 | 0.4× |
| Incise external hemorrhoid (46083) | $259.25 | $305 | 1.1× |
| Incise/Drain Conjunctiva (68020) | $127.50 | $150 | 0.1× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$255–$301.75 | $300–$355 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $1,678.75 | $1,975 | 1.1× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$127.50–$1,360 | $150–$1,600 | varies |
| Incision of lingual frenum (frenotomy) (41010) | $170 | $200 | 0.1× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$718.25–$1,436.50 | $845–$1,690 | varies |
| Incisional biopsy skin single lesion (11106) | $743.75 | $875 | 1.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $59.50 | $70 | 0.3× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $620.50 | $730 | 0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $93.50 | $110 | 0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $633.25 | $745 | 1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $344.25 | $405 | 0.5× |
| Injection single tendon origin/insertion (20551) | $119 | $140 | 0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$85–$386.75 | $100–$455 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$46.75–$471.75 | $55–$555 | varies |
| Injection therapeutic carpal tunnel (20526) | $55.25 | $65 | 0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$178.50–$990.25 | $210–$1,165 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $43.35 | $51 | 0.2× |
| Insert Bladder Cath Complex (51703) | $144.50 | $170 | 1.2× |
| Insert Drug Implant Device (11981) | $187 | $220 | 1.5× |
| Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$55.25–$170 | $65–$200 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$55.25–$72.25 | $65–$85 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,049.75 | $1,235 | 0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $510 | $600 | 0.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $935 | $1,100 | 2.5× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$212.50–$289 | $250–$340 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) | $1,700 | $2,000 | 0.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $1,071 | $1,260 | 1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $21.25 | $25 | 0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) | $29.75 | $35 | 1.1× |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) | $386.75 | $455 | 0.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $399.50 | $470 | 1.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $803.25 | $945 | 1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $1,321.75 | $1,555 | 2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$102–$1,321.75 | $120–$1,555 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$191.25–$352.75 | $225–$415 | varies |
| Placement of needle for intraosseous infusion (36680) | $110.50 | $130 | 0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) range across 2 matching MRF lines |
$165.75–$888.25 | $195–$1,045 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$119–$701.25 | $140–$825 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $153 | $180 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) | $89.25 | $105 | 0.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $170 | $200 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$17–$34 | $20–$40 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $119 | $140 | 2.2× |
| Removal implantable contraceptive capsules (11976) | $573.75 | $675 | 0.9× |
| Removal of sperm cord lesion (55520) | $4,556 | $5,360 | 1.4× |
| Removal or bivalving full arm or full leg cast (29705) | $89.25 | $105 | 0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$102–$212.50 | $120–$250 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $63.75 | $75 | 0.2× |
| Remove drug implant device (11982) | $573.75 | $675 | 1.4× |
| Remove foreign body from eye (65205) | $85 | $100 | 0.7× |
| Remove Intrauterine Device (58301) | $110.50 | $130 | 0.4× |
| Remove Nasal Foreign Body (30300) | $170 | $200 | 1.4× |
| Remove Shoulder Foreign Body (23330) | $255 | $300 | 0.2× |
| Remove/Insert Drug Implant (11983) | $573.75 | $675 | 1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $272 | $320 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $591.60 | $696 | 1.6× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $216.75 | $255 | 0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $429.25 | $505 | 1.1× |
| Repair incomplete circumcision (54163) | $1,343 | $1,580 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $289 | $340 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $255 | $300 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,066.75 | $1,255 | 2.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $680.85 | $801 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $674.05 | $793 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $212.50 | $250 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $331.50 | $390 | 0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $493 | $580 | 1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $255 | $300 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $361.25 | $425 | 1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$110.50–$1,785 | $130–$2,100 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,530 | $1,800 | 0.8× |
| Repair of hydrocele (55060) | $2,826.25 | $3,325 | 0.9× |
| Repair of nail bed (11760) | $276.25 | $325 | 0.4× |
| Repair tongue laceration (41250) | $561 | $660 | 1.4× |
| Respir iadna 18 viral&2 bact (0115U) | $195.50 | $230 | 0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $62.90 | $74 | 0.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $106.25 | $125 | 0.3× |
| Rplc Gtube No Revj Trc (43762) | $510 | $600 | 2.2× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $8,406.50 | $9,890 | 1.5× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $5,083 | $5,980 | 1.5× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $4,250 | $5,000 | 0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $382.50 | $450 | 2.1× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$85–$110.50 | $100–$130 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$102–$212.50 | $120–$250 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $408 | $480 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$72.25–$102 | $85–$120 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$57.80–$102 | $68–$120 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $170 | $200 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$119–$127.50 | $140–$150 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $89.25 | $105 | 0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$110.50–$221 | $130–$260 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $80.75 | $95 | 0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$80.75–$212.50 | $95–$250 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$284.75–$850 | $335–$1,000 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $684.25 | $805 | 1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $221 | $260 | 1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$238–$488.75 | $280–$575 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $297.50 | $350 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$212.50–$382.50 | $250–$450 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $276.25 | $325 | 1.5× |
| Skin sub graft face/nk/hf/g (15275) | $2,907 | $3,420 | 4.3× |
| Skin sub graft trnk/arm/leg (15271) | $2,061.25 | $2,425 | 3.0× |
| Skin sub grft t/arm/lg child (15273) | $2,320.50 | $2,730 | 1.2× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $7,611.75 | $8,955 | 1.7× |
| Slitting of prepuce (54001) | $1,700 | $2,000 | 0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $221 | $260 | 1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $318.75 | $375 | 0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $357 | $420 | 1.0× |
| Spinal puncture lumbar diagnostic (62270) | $539.75 | $635 | 0.8× |
| Strapping ankle (29540) | $297.50 | $350 | 2.0× |
| Strapping knee (29530) | $297.50 | $350 | 2.4× |
| Strapping shoulder (29240) | $297.50 | $350 | 2.4× |
| Strapping toes (29550) | $233.75 | $275 | 4.3× |
| Strapping Unna Boot (29580) range across 6 matching MRF lines |
$51–$488.75 | $60–$575 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$165.75–$701.25 | $195–$825 | varies |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $1,874.25 | $2,205 | 1.0× |
| Transur electr resection of prostate (52601) | $4,194.75 | $4,935 | 0.9× |
| Treat humerus fracture (23600) | $323 | $380 | 1.4× |
| Treat Knuckle Dislocation (26700) | $212.50 | $250 | 0.9× |
| Treat toe dislocation (28630) | $59.50 | $70 | 0.3× |
| Treatment of anal fissure (46940) | $55.25 | $65 | 0.0× |
| Trim skin lesion (11055) | $46.75 | $55 | 0.3× |
| Trim skin lesions 2 to 4 (11056) | $38.25 | $45 | 0.2× |
| Trim skin lesions over 4 (11057) | $93.50 | $110 | 0.5× |
| Trimming Nondystrophic Nails Any Number (11719) | $21.25 | $25 | 0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $127.50 | $150 | 0.2× |
| Vaginal delivery only (59409) | $1,870 | $2,200 | 0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$229.50–$2,596.75 | $270–$3,055 | 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.