Procedures & surgery prices at Ellsworth County Medical Center

Ellsworth, KS · every code in this section with a posted price and a Medicare benchmark.

459 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		 $425–$2,246.94 $425–$2,246.94 varies
Acne surgery (10040) $180 $180 1.0×
Adding Walker Previously Applied Cast (29440) $81 $81 0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $2,881 $2,881 1.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $3,394 $3,394 1.1×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $5,824 $5,824 1.9×
Amputation toe metatarsophalangeal joint (28820) $6,964 $6,964 2.3×
Anoscopy diagnostic (46600) $650 $650 5.3×
Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) $1,309 $1,309 1.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $277 $277 1.9×
Application cast elbow finger short arm (29075) $250.25 $250.25 1.0×
Application Cast Finger (29086) $85 $85 0.6×
Application Finger Splint Dynamic (29131) $373 $373 6.9×
Application finger splint static (29130) $75 $75 0.6×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $158–$283 $158–$283 varies
Application Long Leg Splint (29505) $149 $149 1.0×
Application of cylinder cast (thigh to ankle) (29365) $222 $222 0.9×
Application of long leg cast (29345) $246 $246 1.0×
Application Short Arm Splint Dynamic (29126) $373 $373 3.0×
Application short arm splint forearm-hand static (29125) $116 $116 0.9×
Application short leg splint calf foot (29515) $151 $151 1.0×
Apply hand/wrist cast (29085) $170 $170 1.1×
Apply long arm cast (29065) $173 $173 0.7×
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines		 $277–$352 $277–$352 varies
Apply Short Leg Cast (29405) $130 $130 0.5×
Apply short leg cast (29425) $185 $185 0.7×
Arterial puncture (36600)
range across 2 matching MRF lines		 $84–$85.43 $84–$85.43 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines		 $96–$548 $96–$548 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $300–$395 $300–$395 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines		 $117–$1,067 $117–$1,067 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 4 matching MRF lines		 $176–$1,131.65 $176–$1,131.65 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines		 $84–$575 $84–$575 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $2,356 $2,356 1.6×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $2,356 $2,356 0.8×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $2,356 $2,356 0.8×
Aspirate pleura w/ imaging (32555) $425 $425 0.7×
Aspirate Pleura W/O Imaging (32554) $355 $355 0.6×
Aspirate/Inj Ganglion Cyst (20612) $108 $108 0.4×
Aspiration bladder insert suprapubic catheter (51102) $900 $900 0.5×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $194–$294 $194–$294 varies
Biopsy external ear (69100) $200 $200 0.9×
Biopsy of breast; open, incisional (19101) $604 $604 0.2×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $877 $877 0.3×
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $1,310 $1,310 0.9×
Biopsy Vaginal Mucosa Extensive (57105) $246 $246 0.1×
Biopsy/removal lymph nodes (38510) $940 $940 0.3×
Bladder Irrigation (51700) $92 $92 0.4×
Bladder Scan (51798)
range across 2 matching MRF lines		 $33–$85 $33–$85 varies
Blepharotomy drainage abscess eyelid (67700) $482 $482 1.7×
Blood Transfusion Service (36430)
range across 6 matching MRF lines		 $250–$1,818 $250–$1,818 varies
Bone Marrow; Aspiration Only (38220) $750 $750 0.5×
Bx breast needle core w/o imaging guidance spx (19100) $268 $268 0.2×
Bx Cervix (57500) $230 $230 0.3×
Bx/exc lymph node open deep axillary node (38525) $6,119 $6,119 1.7×
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines		 $150–$874 $150–$874 varies
Cautery Cervix Cryocautery Initial/Repeat (57511) $265 $265 0.9×
Cautery Cervix Electro/Thermal (57510) $239 $239 0.1×
Change Cystostomy Tube Complicated (51710) $503 $503 0.8×
Change Cystostomy Tube Simple (51705) $109 $109 0.5×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines		 $130–$141 $130–$141 varies
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines		 $270–$1,600 $270–$1,600 varies
Chemodenerv Musc Migraine (64615)
range across 2 matching MRF lines		 $950–$1,800 $950–$1,800 varies
Chemodenerv trunk musc 1-5 (64646)
range across 2 matching MRF lines		 $1,600–$1,800 $1,600–$1,800 varies
Chemodenervation of internal anal sphincter (46505) $650.03 $650.03 0.6×
Chest tube placement (32551) $433 $433 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $2,356 $2,356 1.6×
Clear outer ear canal (69200) $222 $222 1.8×
Closed Treat Vert Body Fract (22310) $553 $553 2.4×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,310 $1,310 5.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $190 $190 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $574 $574 2.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,356 $2,356 1.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $2,356 $2,356 10.4×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $449 $449 2.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $544 $544 2.4×
Closed tx knee dislocation w/o anesthesia (27550) $1,310 $1,310 5.8×
Closed tx metatarsal fracture w/o manipulation (28470) $398 $398 1.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $500 $500 0.4×
Closed tx patellar dislocation w/anesthesia (27562) $900 $900 4.0×
Closed tx patellar dislocation w/o anesthesia (27560) $1,310 $1,310 5.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $579 $579 2.6×
Closed tx radial head/neck fx w/o manipulation (24650) $467 $467 2.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $486 $486 2.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $931 $931 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $499 $499 2.2×
Closed tx talus fracture w/o manipulation (28430) $424 $424 1.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $181 $181 0.8×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $520 $520 2.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $467 $467 2.1×
Clsd tx clavicular fracture w/o manipulation (23500) $392 $392 1.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $341 $341 0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $562 $562 2.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $4,075 $4,075 2.8×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,310 $1,310 5.8×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,310 $1,310 5.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $568 $568 2.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $877 $877 3.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $331 $331 1.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $6,151 $6,151 27.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $984 $984 0.7×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $946 $946 4.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,356 $2,356 1.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $2,620 $2,620 11.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $261 $261 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $290 $290 1.3×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $223 $223 1.0×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $564 $564 2.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $877 $877 3.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $606 $606 2.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $575 $575 2.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $210 $210 0.9×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $681 $681 2.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $496 $496 2.2×
Cltx Med Ankle Fx W/Mnpj (27762) $2,356 $2,356 1.6×
Cltx Medial Ankle Fx (27760) $600 $600 2.6×
Cltx metacarpal fx w/manipulation each bone (26605) $574 $574 2.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $526 $526 2.3×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $689 $689 0.5×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635)
range across 2 matching MRF lines		 $280–$294 $280–$294 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $603 $603 2.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $355 $355 1.6×
Cltx post hip arthrp dislc req anes (27266) $900 $900 0.6×
Cltx post hip arthrp dislc w/o anes (27265) $1,361 $1,361 6.0×
Cltx prox fibula/shft fx w/o manj (27780) $549 $549 2.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $450 $450 2.0×
Cltx tibial fx proximal w/o manipulation (27530) $541 $541 2.4×
Cltx tibial shaft fx w/o manipulation (27750) $621 $621 2.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,104 $3,104 2.1×
Collect Blood From Catheter Venous Nos (36592) $45 $45 0.4×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $15–$30 $15–$30 varies
Colonoscopy thru stoma (44388) $1,271.18 $1,271.18 1.5×
Colonoscopy W/Band Ligation (45398) $1,950 $1,950 1.8×
Colonoscopy W/Resection (45390) $1,667 $1,667 0.7×
Colonoscopy w/submucosal inj (45381) $1,667.70 $1,667.70 1.5×
Colporrhaphy (57200) $1,250 $1,250 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $275–$485 $275–$485 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $259–$1,340 $259–$1,340 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines		 $507–$2,294 $507–$2,294 varies
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $1,175–$1,667.70 $1,175–$1,667.70 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,836 $1,836 1.7×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,667.70 $1,667.70 1.5×
Complex drainage wound (10180) $440 $440 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $962 $962 7.9×
Control Nasal Hemorrhage Anterior Simple (30901) $172 $172 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $575 $575 4.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $341 $341 1.6×
Cysto calibration dilat urtl strix/stenosis (52281) $480 $480 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $97 $97 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $490–$971.54 $490–$971.54 varies
Debride nail 1-5 (11720) $60 $60 1.1×
Debride nail 6 or more (11721) $86 $86 1.6×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,437 $2,437 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines		 $240–$626 $240–$626 varies
Declot vascular device (36593) $59 $59 0.2×
Destroy cerv/thor facet jnt (64633)
range across 5 matching MRF lines		 $982–$3,920 $982–$3,920 varies
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines		 $971–$3,600 $971–$3,600 varies
Destruct B9 Lesion 1-14 (17110) $193 $193 1.0×
Destruction Benign Lesions 15/> (17111) $229 $229 1.2×
Destruction by neurolytic agent, intercostal nerve (64620) $890.29 $890.29 1.1×
Destruction by neurolytic agent; plantar common digital nerve (64632) $295.19 $295.19 1.0×
Destruction Internal Hemorrhoid Thermal Energy (46930) $2,553.83 $2,553.83 2.3×
Destruction Lesions Vulva Simple (56501) $237 $237 0.1×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $336 $336 1.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $252 $252 1.4×
Destruction neurolytic agt genicular nerve w/img (64624)
range across 4 matching MRF lines		 $1,104–$2,760 $1,104–$2,760 varies
Destruction Premalignant Lesion 15/> (17004) $420 $420 1.1×
Destruction premalignant lesion 1st (17000) $133 $133 0.7×
Destruction Vaginal Lesions Simple (57061) $205 $205 0.1×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines		 $163–$1,020 $163–$1,020 varies
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) $125 $125 1.1×
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) $123 $123 1.0×
Dilat rct strix spx under anes oth/thn local (45910) $1,225 $1,225 1.1×
Dilate Esophagus 1/Mult Pass (43450) $1,035.30 $1,035.30 1.2×
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines		 $728–$1,458 $728–$1,458 varies
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines		 $146–$624 $146–$624 varies
Drainage External Ear Abscess/Hematoma Simple (69000) $338 $338 0.5×
Drainage Finger Abscess Complicated (26011) $1,721 $1,721 1.1×
Drainage of finger abscess simple (26010) $469 $469 2.5×
Drainage of gum lesion (41800) $286 $286 2.3×
Drainage of hematoma/fluid (10140) $290 $290 0.2×
Drainage of rectal abscess (45020) $2,732 $2,732 1.1×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $45–$50 $45–$50 varies
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $503 $503 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $602 $602 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $602 $602 3.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $146 $146 0.8×
Dstrj lesion anus simple surg excision (46922) $478 $478 0.2×
Dstrj Lesion Penis Simple Chemical (54050) $232 $232 0.6×
Dstrj Lesion Penis Simple Cryosurgery (54056) $270 $270 1.5×
Dstrj lesion penis simple surg excision (54060) $317 $317 0.2×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines		 $365–$1,600 $365–$1,600 varies
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,977.53 $1,977.53 1.1×
Egd cautery tumor polyp (43250) $1,480.28 $1,480.28 0.8×
Egd control bleeding any (43255) $2,500 $2,500 1.4×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $732–$1,652.40 $732–$1,652.40 varies
Egd guide wire insertion (43248) $1,377 $1,377 1.7×
Egd lesion ablation (43270) $1,153.88 $1,153.88 0.7×
Egd place gastrostomy tube (43246) $2,694.08 $2,694.08 1.5×
Egd remove lesion snare (43251) $2,192 $2,192 1.2×
Egd Tube/Cath Insertion (43241) $1,481 $1,481 0.8×
Endocervical curettage (57505) $185 $185 0.2×
Endometrial Biopsy (58100)
range across 2 matching MRF lines		 $198–$1,000 $198–$1,000 varies
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $1,415 $1,415 0.8×
Enteroscopy > 2nd prtn ileum control bleeding (44378) $1,271.18 $1,271.18 0.7×
Enteroscopy > 2nd prtn tndsc stent plmt (44370)
likely a partial charge, not the full procedure		 $1,271.18 $1,271.18 0.2×
Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) $2,769.16 $2,769.16 1.6×
Epidural Blood Patch (62273) $375 $375 0.6×
Episiotomy or vaginal repair (59300) $1,450 $1,450 0.5×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $1,336.20 $1,336.20 0.8×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,481 $1,481 0.8×
Evacuation of subungual hematoma (11740) $96 $96 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $216 $216 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $358 $358 0.2×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $421 $421 0.6×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $479 $479 0.7×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $702 $702 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $239 $239 0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $298 $298 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $333 $333 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $397 $397 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $502 $502 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $216 $216 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $278 $278 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $311 $311 0.2×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $4,642 $4,642 3.1×
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) $412 $412 0.1×
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) $718 $718 0.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $338–$2,154.82 $338–$2,154.82 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $413 $413 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $592 $592 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $555 $555 0.4×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $532 $532 0.4×
Exc Skin Malig >4 Cm Remaindr Body (11626) $727 $727 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $798 $798 0.5×
Exc tendon shth lesion leg/ankle (27630) $3,817 $3,817 1.3×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $344 $344 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $263 $263 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $327.29 $327.29 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $384 $384 0.3×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $902 $902 0.3×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $503 $503 0.3×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $528 $528 0.4×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $499 $499 0.8×
Excision Chalazion Single (67800) $235 $235 0.8×
Excision Lesion Tongue W/O Closure (41110) $309 $309 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $341 $341 0.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $403 $403 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $437 $437 1.2×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $557 $557 0.9×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $355 $355 0.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $569 $569 0.4×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $919 $919 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $344 $344 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $405 $405 0.6×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $453 $453 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $642 $642 0.4×
Excision of single external papilla or tag, anus (46220) $373 $373 0.3×
Excision synovial cyst popliteal space (27345) $5,317 $5,317 1.8×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,637 $1,637 1.1×
Expl penetrating wound spx abdomen/flank/back (20102) $876 $876 0.5×
Exploration of knee joint (27310) $4,642 $4,642 1.5×
Exploration penetrating wound spx extremity (20103) $1,041 $1,041 0.7×
Explore/Treat Hand Joint (26070) $882 $882 0.6×
Fetal non-stress test (59025) $583 $583 3.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $2,060.40 $2,060.40 2.4×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $206–$294 $206–$294 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $5,945 $5,945 2.2×
I&d perianal abscess superficial (46050) $361 $361 0.4×
I&d pilonidal cyst complicated (10081) $482 $482 0.7×
I&d pilonidal cyst simple (10080) $395 $395 0.6×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $1,148.78 $1,148.78 1.4×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $1,148.78 $1,148.78 1.4×
Incise external hemorrhoid (46083) $315 $315 1.4×
Incision & drainage abscess complicated/multiple (10061) $375 $375 1.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $1,325 $1,325 0.5×
Incision & removal foreign body subq tiss compl (10121) $489 $489 0.3×
Incision & removal foreign body subq tiss simple (10120) $270 $270 0.7×
Incision and drainage of bartholin's gland abscess (56420) $219 $219 1.2×
Incision and drainage of vulva or perineal abscess (56405) $245 $245 0.9×
Incision of rectal abscess (46040) $952 $952 0.9×
Incisional biopsy eyelid skin & lid margin (67810) $303 $303 1.0×
Initial Tx 1st Degree Burn Local Tx (16000) $244 $244 1.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines		 $1,240–$4,340 $1,240–$4,340 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines		 $124–$538 $124–$538 varies
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines		 $419–$760 $419–$760 varies
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines		 $1,112–$2,880 $1,112–$2,880 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines		 $1,023–$1,080 $1,023–$1,080 varies
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $98.01–$688.19 $98.01–$688.19 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines		 $760–$1,710 $760–$1,710 varies
Injection Anes Superior Hypogastric Plexus (64517) $1,800 $1,800 2.2×
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines		 $560–$1,900 $560–$1,900 varies
Injection single tendon origin/insertion (20551)
range across 4 matching MRF lines		 $192–$538 $192–$538 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines		 $114–$625 $114–$625 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 3 matching MRF lines		 $124–$750 $124–$750 varies
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines		 $137–$1,150 $137–$1,150 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $420–$1,220 $420–$1,220 varies
Injection, Intralesional; More Than 7 Lesions (11901) $150 $150 0.8×
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines		 $100–$150 $100–$150 varies
Insert Drug Implant Device (11981) $241 $241 2.0×
Insert non-tunnel cv cath (36556) $1,100 $1,100 0.4×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $129–$135 $129–$135 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $129–$194 $129–$194 varies
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $525–$1,190 $525–$1,190 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $652 $652 1.7×
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines		 $223–$592 $223–$592 varies
Late closure of wound (13160) $1,466 $1,466 0.4×
Ligation or biopsy temporal artery (37609) $563 $563 0.4×
N Block Inj Celiac Pelus (64530) $1,800 $1,800 2.2×
N Block Inj Ilio-Ing/Hypogi (64425)
range across 4 matching MRF lines		 $419–$1,527 $419–$1,527 varies
N block inj intercost sng (64420)
range across 2 matching MRF lines		 $419–$760 $419–$760 varies
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines		 $440–$1,100 $440–$1,100 varies
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines		 $900–$1,800 $900–$1,800 varies
Nasal/Orogastric W/Tube Plmt (43752) $157 $157 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $40 $40 1.5×
Needle insertion w/o injection 3 or more muscles (20561) $40 $40 1.5×
Njx anes stellate ganglion crv sympathetic (64510)
range across 2 matching MRF lines		 $965–$1,800 $965–$1,800 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $231 $231 0.8×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $1,340–$4,960 $1,340–$4,960 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $1,200–$2,100 $1,200–$2,100 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $601 $601 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $1,000–$2,000 $1,000–$2,000 varies
Occipital Nerve Block (64405)
range across 2 matching MRF lines		 $560–$1,260 $560–$1,260 varies
Open tx acute shoulder dislocation (23660)
unusually low: confirm this is the full procedure		 $2,356 $2,356 0.4×
Open Tx Distal Phalangeal Fracture Each (26765) $3,394 $3,394 1.1×
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) $6,220 $6,220 0.5×
Open tx interphalangeal joint dislocation (26785) $6,220 $6,220 2.1×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $5,893 $5,893 2.0×
Placement of needle for intraosseous infusion (36680) $244 $244 0.6×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $221 $221 0.3×
Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) $434 $434 0.2×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $244–$609 $244–$609 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $231 $231 0.6×
Puncture Aspiration Cyst Breast (19000) $201 $201 0.3×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines		 $829–$1,658 $829–$1,658 varies
Removal Embedded Foreign Body Eyelid (67938) $436 $436 1.5×
Removal Foreign Body Deep Thigh/Knee (27372) $1,090 $1,090 0.4×
Removal Foreign Body Foot Complicated (28193) $968 $968 0.6×
Removal foreign body foot deep (28192) $2,020 $2,020 1.3×
Removal Foreign Body Foot Subcutaneous (28190) $464 $464 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $364 $364 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $25–$50 $25–$50 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $92–$184 $92–$184 varies
Removal implantable contraceptive capsules (11976) $236 $236 0.4×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $399–$674 $399–$674 varies
Removal or bivalving full arm or full leg cast (29705) $451 $451 1.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $155 $155 0.8×
Removal sweat gland lesion (11450) $671 $671 0.3×
Removal/bivalving gauntlet boot/body cast (29700) $111 $111 0.4×
Remove drug implant device (11982) $265 $265 0.6×
Remove Forearm Foreign Body (25248) $746 $746 0.5×
Remove foreign body from eye (65235)
range across 2 matching MRF lines		 $693–$728 $693–$728 varies
Remove foreign body from eye (65205) $151 $151 1.2×
Remove Intrauterine Device (58301) $179 $179 0.6×
Remove Nasal Foreign Body (30300) $418 $418 3.4×
Remove Shoulder Foreign Body (23330) $431 $431 0.3×
Remove/Insert Drug Implant (11983) $391 $391 1.0×
Repair blood vessel lesion (35190)
likely a partial charge, not the full procedure		 $1,411 $1,411 0.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $747 $747 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,621 $2,621 3.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $753 $753 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $841 $841 2.2×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $332 $332 0.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $617 $617 1.7×
Repair complex trunk 1.1-2.5 cm (13100) $846 $846 1.2×
Repair complex trunk 2.6-7.5 cm (13101) $698 $698 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $848 $848 2.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $456 $456 1.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $519 $519 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $611 $611 1.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $719 $719 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $426 $426 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $509 $509 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $636 $636 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $685 $685 1.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $418 $418 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $532 $532 1.4×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $755 $755 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $551 $551 1.5×
Repair intermediate s/a/t/e >30.0 cm (12037) $849 $849 0.4×
Repair of nail bed (11760) $225 $225 0.3×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $2,272 $2,272 0.8×
Repair tongue laceration (41252) $917 $917 4.2×
Repair tongue laceration (41250) $778 $778 1.9×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $6,220 $6,220 4.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $402 $402 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $189 $189 0.5×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $163 $163 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $784 $784 1.4×
Rplc Gtube No Revj Trc (43762) $400 $400 1.7×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $402 $402 2.2×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $713 $713 1.0×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,272 $2,272 0.8×
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $1,800 $1,800 0.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,175.71 $3,175.71 2.9×
Shave skin lesion 0.5 cm/< (11300) $170 $170 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $173 $173 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $213 $213 1.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $187.25 $187.25 1.0×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $195 $195 1.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $308 $308 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $209 $209 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303)
range across 2 matching MRF lines		 $208.88–$1,272.54 $208.88–$1,272.54 varies
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $247 $247 1.3×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $1,020 $1,020 0.9×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $293–$1,020 $293–$1,020 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $394 $394 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $235 $235 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $265 $265 1.4×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $460 $460 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $321 $321 1.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $199–$517 $199–$517 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $2,492 $2,492 13.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $284 $284 1.5×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines		 $648–$9,146 $648–$9,146 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $648–$6,150 $648–$6,150 varies
Skin sub grft t/arm/lg child (15273) $5,042 $5,042 2.7×
Skin Tissue Procedure (17999) $198.70 $198.70 1.1×
Skn sub grft f/n/hf/g child (15277) $1,650 $1,650 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $238 $238 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $367 $367 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $457 $457 1.2×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines		 $287–$587 $287–$587 varies
Strapping ankle (29540) $350 $350 2.3×
Strapping elbow or wrist (29260) $350 $350 6.5×
Strapping hand/finger (29280) $90 $90 1.7×
Strapping knee (29530) $431 $431 3.5×
Strapping shoulder (29240) $335 $335 2.7×
Strapping thorax (29200) $104 $104 0.7×
Strapping toes (29550) $350 $350 6.5×
Strapping Unna Boot (29580)
range across 5 matching MRF lines		 $95–$385.50 $95–$385.50 varies
Tangential biopsy skin single lesion (11102) $212 $212 0.6×
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) $7,216 $7,216 2.4×
Thrombolytic Therapy Stroke (37195) $1,115 $1,115 3.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $3,091 $3,091 1.6×
Transfusion Intrauterine Fetal (36460)
range across 2 matching MRF lines		 $55–$250 $55–$250 varies
Treat Big Toe Fracture (28505) $3,494 $3,494 1.2×
Treat humerus fracture (24500) $639 $639 2.8×
Treat humerus fracture (23600) $2,356 $2,356 10.4×
Treat knee fracture (27532) $2,356 $2,356 0.8×
Treat Kneecap Fracture (27524)
likely a partial charge, not the full procedure		 $1,360 $1,360 0.2×
Treat Knuckle Dislocation (26700) $584 $584 2.6×
Treat Metatarsal Fracture (28475) $2,620 $2,620 11.5×
Treat Thumb Dislocation (26641) $665 $665 2.9×
Treatment closed elbow dislocation w/o anes (24600) $655 $655 2.9×
Treatment of ankle fracture (27823) $14,125 $14,125 2.1×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $90–$109 $90–$109 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $121–$294 $121–$294 varies
Trim skin lesions over 4 (11057) $135 $135 0.7×
Trimming Nondystrophic Nails Any Number (11719) $28 $28 0.5×
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) $950 $950 0.6×
Tx Gastro Intub W/Asp (43753) $85 $85 0.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $264 $264 0.4×
Tx superficial wound dehiscence w/packing (12021) $482 $482 1.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $391 $391 1.7×
Unlisted laparoscopy procedure, lymphatic system (38589) $3,800 $3,800 0.7×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $295.19–$960 $295.19–$960 varies
Vaginal delivery only (59409) $1,505 $1,505 0.5×
Vasectomy uni/bi spx w/postop semen exams (55250) $680 $680 0.4×
Wedge excision skin nail fold (11765) $295 $295 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.