Procedures & surgery prices at Ellsworth County Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,335.97 $1,335.97 1.6×
Acne Surgery (10040) $180 $180 1.0×
Adding Walker Previously Applied Cast (29440) $81 $81 0.5×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $3,091 $3,091 1.6×
Amputation Finger/Thumb (26951) $5,824 $5,824 1.9×
Amputation of finger/thumb (26952) $3,394 $3,394 1.1×
Amputation Toe Metatarsophalangeal Joint (28820) $6,964 $6,964 2.3×
Anoscopy diagnostic (46600) $650 $650 5.3×
Anoscopy,W/Dilation - Endoscopy, Anus (46604) $1,309 $1,309 1.2×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $328 $328 2.2×
Application cast elbow finger short arm (29075) $250.25 $250.25 1.0×
Application Cast Finger (29086) $85 $85 0.6×
Application Cast Hand & Lower Forearm Gauntlet (29085) $170 $170 1.1×
Application cast shoulder hand long arm (29065) $173 $173 0.7×
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) $220.50 $220.50 1.5×
Application long leg splint thigh ankle/toes (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 multlay comprs arm/hand (29584) $277 $277 1.9×
Apply short leg cast (29405) $130 $130 0.5×
Apply short leg cast (29425) $185 $185 0.7×
Arterial puncture (36600) $84.72 $84.72 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $371 $371 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $347.50 $347.50 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $450 $450 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $463.05 $463.05 1.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $272.50 $272.50 1.0×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $2,356 $2,356 0.8×
Aspirat/Injection Ganglion Cyst(S) (20612) $108 $108 0.4×
Aspiration Bladder Insert Suprapubic Catheter (51102) $900 $900 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $244 $244 1.3×
Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) $1,020 $1,020 0.9×
Biopsy Breast Open Incisional (19101) $604 $604 0.2×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $230 $230 0.3×
Biopsy external ear (69100) $200 $200 0.9×
Biopsy of uterus lining (58100) $599 $599 3.2×
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 (38525) $6,119 $6,119 1.7×
Biopsy/removal lymph nodes (38510) $940 $940 0.3×
Bladder Irrigation Simple (51700) $92 $92 0.4×
Bladder Scan (51798) $59 $59 1.1×
Blood patch (62273) $375 $375 0.6×
Blood transfusion service (36430) $918.50 $918.50 2.3×
Bone marrow aspiration only (38220) $750 $750 0.5×
Bx breast needle core w/o imaging guidance spx (19100) $268 $268 0.2×
Catheter Aspiration Nasotracheal Spx (31720) $512 $512 2.5×
Cautery Cervix Cryocautery Initial or 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) $135.50 $135.50 0.7×
Chemodenerv 1 extremity 1-4 (64642) $935 $935 1.4×
Chemodenerv Musc Migraine (64615) $1,375 $1,375 4.9×
Chemodenerv trunk musc 1-5 (64646) $1,700 $1,700 2.6×
Chemodenervation internal anal sphincter (46505) $650.03 $650.03 0.6×
Chest tube placement (32551) $433 $433 0.3×
Chg Collect Blood From Catheter Venous Nos (36592) $45 $45 0.4×
Close Rx Fingr Articular Fx,Manip (26742) $4,075 $4,075 2.8×
Closed Rx Med Malleolus Fx (27760) $600 $600 2.6×
Closed Rx Med Malleolus Fx,Manip (27762) $2,356 $2,356 1.6×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $931 $931 0.6×
Closed Rx Radial Shaft Fx (25500) $486 $486 2.1×
Closed Rx Tibia Shaft Fx (27750) $621 $621 2.7×
Closed Rx Tibial Plateau Fx (27530) $541 $541 2.4×
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 of humeral condylar fracture, medial or lateral; without manipulation (24576) $606 $606 2.7×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $575 $575 2.5×
Closed treatment of talus fracture; without manipulation (28430) $424 $424 1.9×
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 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 fracture 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 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 Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,310 $1,310 5.8×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $665 $665 2.9×
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 Interphalangeal Joint Dislocation W/O Anes (28660) $210 $210 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $496 $496 2.2×
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 metacarpophalangeal dislc w/manj w/o anes (26700) $584 $584 2.6×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $287 $287 0.2×
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 shaft fx w/manj w/wo skel tracj (27752) $2,356 $2,356 1.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,104 $3,104 2.1×
Colonoscopy flex w/rem forcep (45384) $1,667.70 $1,667.70 1.5×
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×
Colporrhaphy suture injury vagina (57200) $1,250 $1,250 0.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $380 $380 1.4×
Colposcopy cervix vag loop eltrd bx cervix (57460) $1,400.50 $1,400.50 0.5×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $799.50 $799.50 2.9×
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $1,421.35 $1,421.35 1.3×
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $1,836 $1,836 1.7×
Colsc flx with directed submucosal njx any sbst (45381) $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×
Cystoscopy,Dil Urethral Stricture (52281) $480 $480 0.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $97 $97 0.3×
Debride nail 1-5 (11720) $60 $60 1.1×
Debride nail 6 or more (11721) $86 $86 1.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $483 $483 1.3×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $945 $945 1.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $2,437 $2,437 1.6×
Declot vascular device (36593) $59 $59 0.2×
Destroy cerv/thor facet jnt (64633) $1,960 $1,960 1.1×
Destroy internal hemorrhoids (46930) $2,553.83 $2,553.83 2.3×
Destroy lumb/sac facet jnt (64635) $1,871 $1,871 1.0×
Destruc Benign/Premal,15+ Lesions (17004) $420 $420 1.1×
Destruction benign lesions 15 or more (17111) $229 $229 1.2×
Destruction Benign Lesions Up To 14 (17110) $193 $193 1.0×
Destruction by neurolytic agent, intercostal nerve (64620) $890.29 $890.29 1.1×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $748.21 $748.21 0.9×
Destruction by neurolytic agent; plantar common digital nerve (64632) $295.19 $295.19 1.0×
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) $1,724 $1,724 1.0×
Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) $270 $270 1.5×
Destruction of lesion(s), penis, simple; chemicall (54050) $232 $232 0.6×
Destruction premalignant lesion 1st (17000) $133 $133 0.7×
Destruction vaginal lesions simple (57061) $205 $205 0.1×
Diagnostic sigmoidoscopy (45330) $591.50 $591.50 0.7×
Dil urethra,female,subsequent (53661) $123 $123 1.0×
Dilat rct strix spx under anes oth/thn local (45910) $1,225 $1,225 1.1×
Dilation esoph unguided sound/bougie 1/mult pass (43450) $1,035.30 $1,035.30 1.2×
Dilation of female urethra including suppository and/or instillation; initial (53660) $125 $125 1.1×
Drain/inj small joint/bursa w/us (20604) $583.95 $583.95 2.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $338 $338 0.5×
Drainage Finger Abscess Complicated (26011) $1,721 $1,721 1.1×
Drainage Finger Abscess Simple (26010) $469 $469 2.5×
Drainage of deep rectal abscess (45020) $2,732 $2,732 1.1×
Drainage of eyelid abscess (67700) $482 $482 1.7×
Drainage of gum lesion (41800) $286 $286 2.3×
Drainage of hematoma/fluid (10140) $290 $290 0.2×
Drainage of lymph node abscess or lymphadenitis; simple (38300) $503 $503 0.2×
Draw blood off venous device (36591) $47.50 $47.50 0.4×
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×
Dry Needling 3+ Muscles (20561) $40 $40 1.5×
Dstrj lesion anus simple surg excision (46922) $478 $478 0.2×
Dstrj lesion penis simple surg excision (54060) $317 $317 0.2×
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $1,153.88 $1,153.88 0.7×
Egd balloon dilation esophagus <30 mm diam (43249) $1,977.53 $1,977.53 1.1×
Egd flexible foreign body removal (43247) $1,192.20 $1,192.20 1.4×
Egd guide wire insertion (43248) $1,377 $1,377 1.7×
Egd place gastrostomy tube (43246) $2,694.08 $2,694.08 1.5×
Egd rem tumr/polyp forcep (43250) $1,480.28 $1,480.28 0.8×
Egd remove lesion snare (43251) $2,192 $2,192 1.2×
Egd Transoral Control Bleeding Any Method - Egd (43255) $2,500 $2,500 1.4×
Egd tube/cath insertion (43241) $1,481 $1,481 0.8×
Endocervical Curettage (57505) $185 $185 0.2×
Episiotomy or vaginal repair (59300) $1,450 $1,450 0.5×
Esophagoscopy flexible removal foreign body (43215) $1,481 $1,481 0.8×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $1,336.20 $1,336.20 0.8×
Evacuation of subungual hematoma (11740) $96 $96 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $358 $358 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $413 $413 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $239 $239 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $397 $397 0.3×
Exc foot/toe tum sc < 1.5 cm (28043) $1,637 $1,637 1.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $4,642 $4,642 3.1×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $278 $278 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $263 $263 0.7×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $327.29 $327.29 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,246.41 $1,246.41 1.9×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $502 $502 0.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $384 $384 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 Face,Facial (11643) $569 $569 0.4×
Exc Skin Malig >4 Cm Face,Facial (11646) $919 $919 0.3×
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 Thrombosed Hemorrhoid Xtrnl (46320) $344 $344 0.3×
Exc tr-ext b9+marg 0.5 cm or less (11400) $216 $216 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×
Excise cutaneous neurofibroma (64788) $718 $718 0.4×
Excise/repair mouth lesion (40812) $528 $528 0.4×
Excision Chalazion Single (67800) $235 $235 0.8×
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 2.1-3.0 Cm (11603) $499 $499 0.8×
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 0.6-1.0 cm (11641) $421 $421 0.6×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $479 $479 0.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $702 $702 0.5×
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 2.1-3.0 Cm (11623) $532 $532 0.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $642 $642 0.4×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $298 $298 0.5×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $333 $333 0.5×
Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) $3,817 $3,817 1.3×
Excision of lesion of tongue without closure (41110) $309 $309 0.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $311 $311 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $216 $216 0.1×
Excision of nail fold toe (11765) $295 $295 0.8×
Excision of single external papilla or tag, anus (46220) $373 $373 0.3×
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $671 $671 0.3×
Excision of tongue lesion (41112) $412 $412 0.1×
Excision Synovial Cyst Popliteal Space (27345) $5,317 $5,317 1.8×
Expl penetrating wound spx abdomen/flank/back (20102) $876 $876 0.5×
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $746 $746 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 Metacarpo-Phal Jt (26075) $2,356 $2,356 0.8×
Explore/treat hand joint (26070) $882 $882 0.6×
Explore/Treat Interphalangeal Jt,Ea (26080) $2,356 $2,356 1.6×
Fetal non-stress test (59025) $583 $583 3.1×
Gastric Intubation/Aspiration, Therapeutic (43753) $85 $85 0.4×
I&d abscess simple (10060) $250 $250 1.4×
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 simple (10080) $395 $395 0.6×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) $1,148.78 $1,148.78 1.4×
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) $1,148.78 $1,148.78 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 & drainage pilonidal cyst complicated (10081) $482 $482 0.7×
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×
Incision thrombosed hemorrhoid external (46083) $315 $315 1.4×
Incisional biopsy eyelid skin & lid margin (67810) $303 $303 1.0×
Initial tx 1st degree burn local tx (16000) $244 $244 1.3×
Inj paravert f jnt c/t 1 lev (64490) $2,325 $2,325 2.9×
Inj tendon sheath/ligament (20550) $395 $395 1.4×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $770 $770 2.7×
Inject Nerv Blck,Axillary Nerv (64417) $589.50 $589.50 0.7×
Inject Nerv Blck,Celiac Plexus (64530) $1,800 $1,800 2.2×
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $1,082.50 $1,082.50 1.7×
Inject Nerv Blck,Intercost,Multpl (64421) $1,051.50 $1,051.50 1.3×
Inject Nerv Blck,Intercostal,One (64420) $589.50 $589.50 0.9×
Inject Nerv Blck,Paravert Sympath (64520) $1,350 $1,350 1.7×
Inject Tendon Origin/Insert (20551) $379.50 $379.50 1.3×
Injection aa&/strd genicular nrv branches w/img (64454) $1,996 $1,996 3.1×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $393.10 $393.10 0.6×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,235 $1,235 1.9×
Injection aa&/strd suprascapular nerve (64418) $1,230 $1,230 1.9×
Injection aa&/strd trigeminal nerve each branch (64400) $231 $231 0.8×
Injection anes other peripheral nerve/branch (64450) $820 $820 1.3×
Injection Anes Superior Hypogastric Plexus (64517) $1,800 $1,800 2.2×
Injection single/mlt trigger point 1/2 muscles (20552) $370 $370 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $395 $395 1.4×
Injection therapeutic carpal tunnel (20526) $485 $485 1.7×
Injection, anesthetic agent; greater occipital nerve (64405) $910 $910 3.2×
Injection, Intralesional; More Than 7 Lesions (11901) $150 $150 0.8×
Injection, intralesional; up to and including 7 lesions (11900) $125 $125 0.7×
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) $132 $132 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $185 $185 1.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $857.50 $857.50 0.6×
Intro windpipe wire/tube (31730) $950 $950 0.6×
Intubation endotracheal emergency procedure (31500) $250 $250 1.1×
Late closure of wound (13160) $1,466 $1,466 0.4×
Ligation of hemorrhoid(s) (46221) $2,060.40 $2,060.40 2.4×
Ligation or biopsy temporal artery (37609) $563 $563 0.4×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $157 $157 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $40 $40 1.5×
Njx anes stellate ganglion crv sympathetic (64510) $1,382.50 $1,382.50 1.7×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,580 $2,580 3.2×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,650 $1,650 2.5×
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) $1,500 $1,500 2.3×
Open treatment of acute shoulder dislocation (23660)
unusually low: confirm this is the full procedure
$2,356 $2,356 0.4×
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) $6,220 $6,220 0.5×
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure
$1,360 $1,360 0.2×
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) $14,125 $14,125 2.1×
Open Tx Distal Phalangeal Fracture Each (26765) $3,394 $3,394 1.1×
Open tx fracture great toe/phalanx/phalanges (28505) $3,494 $3,494 1.2×
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×
Perq replacement gtube not req revj gstrst trc (43762) $400 $400 1.7×
Placement of needle for intraosseous infusion (36680) $244 $244 0.6×
Proctosigmoidoscopy ablate (45320) $434 $434 0.2×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $221 $221 0.3×
Punch biopsy skin single lesion (11104) $426.50 $426.50 1.1×
Puncture Aspiration (10160) $231 $231 0.6×
Puncture Aspiration Cyst Breast (19000) $201 $201 0.3×
Release wrist/forearm tendon (25295) $7,216 $7,216 2.4×
Removal fb intranasal (30300) $418 $418 3.4×
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) $37.50 $37.50 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $138 $138 2.5×
Removal Implantable Contraceptive Capsules (11976) $236 $236 0.4×
Removal of intrauterine device (iud) (58301) $179 $179 0.6×
Removal of nail bed (11750) $399 $399 1.1×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $155 $155 0.8×
Removal of small bowel polyps or growths with electrical cautery (44365) $2,769.16 $2,769.16 1.6×
Removal/bivalving full arm/full leg cast (29705) $451 $451 1.8×
Removal/bivalving gauntlet boot/body cast (29700) $111 $111 0.4×
Remove drug implant device (11982) $265 $265 0.6×
Remove Eyelid Foreign Body (67938) $436 $436 1.5×
Remove foreign body from eye (65235) $710.50 $710.50 0.3×
Remove foreign body from eye (65210) $163 $163 0.4×
Remove shoulder foreign body (23330) $431 $431 0.3×
Remv Ext Canal Foreign Body (69200) $222 $222 1.8×
Remv F.B.,Eye,Superf Conjunc (65205) $151 $151 1.2×
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 forearm tendon/muscle (25260) $2,272 $2,272 0.8×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $652 $652 1.7×
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 eye socket wound (65290) $1,800 $1,800 0.5×
Repair Of Foot Tendon (28208) $2,272 $2,272 0.8×
Repair of nail bed (11760) $225 $225 0.3×
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 Tun Cvc W/O Subq Port/Pmp (36589) $784 $784 1.4×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $391 $391 1.0×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $713 $713 1.0×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $917 $917 4.2×
Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370)
likely a partial charge, not the full procedure
$1,271.18 $1,271.18 0.2×
Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) $1,271.18 $1,271.18 0.7×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $3,175.71 $3,175.71 2.9×
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×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $170 $170 0.5×
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) $740.71 $740.71 2.0×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $247 $247 1.3×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $656.50 $656.50 0.8×
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 f/e/e/n/l/m 7.6cm-12.5 cm (12015) $402 $402 2.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $358 $358 1.9×
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) $2,933 $2,933 4.3×
Skin sub graft trnk/arm/leg (15271) $2,933 $2,933 4.3×
Skin Sub Grft T/Arm/Lg Child (15273) $10,265.46 $10,265.46 5.4×
Skin Tissue Procedure (17999) $198.70 $198.70 1.1×
Skin tissue rearrangement (14040) $2,881 $2,881 1.5×
Skn sub grft f/n/hf/g child (15277) $5,217.99 $5,217.99 2.7×
Small bowel endoscopy/biopsy (44377) $1,415 $1,415 0.8×
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) $546 $546 0.8×
Spinal Puncture Therapeutic (62272) $1,093 $1,093 1.7×
Strapping ankle (29540) $350 $350 2.3×
Strapping elbow/wrist (29260) $350 $350 6.5×
Strapping hand/finger (29280) $90 $90 1.7×
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) $344.50 $344.50 2.3×
Tangential biopsy skin single lesion (11102) $212 $212 0.6×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $425 $425 0.7×
Thoracentesis needle/cath pleura w/o imaging (32554) $355 $355 0.6×
Thrombolytic Therapy, Stroke (37195) $1,115 $1,115 3.7×
Transfusion intrauterine fetal (36460) $152.50 $152.50 0.4×
Treat finger dislocation (26775) $681 $681 2.6×
Treat Fracture Radius & Ulna (25560) $499 $499 2.2×
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 Metatarsal Fracture (28475) $2,620 $2,620 11.5×
Treat wrist bone fracture (25622) $544 $544 2.4×
Treatment closed elbow dislocation w/o anes (24600) $655 $655 2.9×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $391 $391 1.7×
Trim skin lesion (11055) $99.50 $99.50 0.5×
Trim skin lesions 2 to 4 (11056) $207.50 $207.50 1.1×
Trim skin lesions over 4 (11057) $135 $135 0.7×
Trimming Of Nondystrophic Nails, Any Number (11719) $28 $28 0.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $264 $264 0.4×
Tx superficial wound dehiscence w/packing (12021) $482 $482 1.3×
Unlisted laparoscopy procedure, lymphatic system (38589) $3,800 $3,800 0.7×
Unlisted Procedure Nervous System (64999) $762.50 $762.50 2.7×
Vaginal delivery only (59409) $1,505 $1,505 0.5×
Vasectomy (55250) $680 $680 0.4×
Venipuncture (36415) $16 $16 1.7×