Procedures & surgery prices at Elmore Community Hospital

Wetumpka, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Amputation metatarsal with toe single (28810) $3,893.53 $9,733.83 1.3×
Amputation toe interphalangeal joint (28825) $3,893.53 $9,733.83 1.3×
Amputation toe metatarsophalangeal joint (28820) $3,893.60 $9,734 1.3×
Anoscopy diagnostic (46600) $139.33 $348.33 1.2×
Appendectomy (44950) $7,487.70 $18,719.25 1.3×
Application finger splint static (29130) $154.68 $386.70 1.3×
Application long arm splint shoulder hand (29105) $146 $365 1.0×
Application short arm splint forearm-hand static (29125) $139.33 $348.33 1.2×
Arterial puncture (36600) $139.33 $348.33 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $326.27 $815.67 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $326.27 $815.67 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $326.27 $815.67 1.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $326.27 $815.67 1.2×
Arthrodesis great toe interphalangeal joint (28755) $8,572.48 $21,431.19 1.3×
Arthrodesis great toe metatarsophalangeal joint (28750) $8,572.48 $21,431.19 1.3×
Arthroplasty Ankle W/Implant (27702) $22,068.06 $55,170.15 0.9×
Arthroscopy Ankle Surgical Debridement Limited (29897) $3,893.53 $9,733.83 1.3×
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) $8,572.48 $21,431.19 1.3×
Arthroscopy ankle w/removal loose/foreign body (29894) $3,893.53 $9,733.83 1.3×
Arthroscopy Knee Osteochondral Allograft (29867) $15,657.70 $39,144.24 1.4×
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) $3,893.53 $9,733.83 1.3×
Aspirate/Inj Ganglion Cyst (20612) $2,342.80 $5,857 8.5×
Avulsion nail plate partial/complete simple 1 (11730) $216.70 $541.74 1.2×
Biopsy muscle percutaneous needle (20206) $1,853.60 $4,634 1.3×
Biopsy Muscle Superficial (20200) $1,853.60 $4,634 1.3×
Bladder Irrigation (51700)
range across 2 matching MRF lines		 $78.82–$291.85 $197.04–$729.63 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $68.98–$69.94 $172.44–$174.84 varies
Blepharoplasty Lower Eyelid (15820) $2,085.20 $5,213 1.1×
Blepharoplasty upper eyelid (15822) $2,085.20 $5,213 1.1×
Blood Transfusion Service (36430) $489.30 $1,223.25 1.2×
Bx prostate strtctc saturation sampling img gid (55706) $4,138.76 $10,346.91 1.3×
Bx/exc lymph node open superficial (38500) $4,595.14 $11,487.84 1.3×
Ca vi psp&sp1 igg igm&iga antb cl semiql blood (0522U) $312.60 $781.50 1.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $3,893.53 $9,733.83 1.3×
Carpal Tunnel Surgery (64721) $1,932.80 $4,832 1.1×
Cataract surgery complex (66982) $2,736.88 $6,842.19 1.3×
Catheter aspiration nasotracheal spx (31720) $229.80 $574.50 1.2×
Change of Windpipe Airway (31502) $249.40 $623.49 1.2×
Clear outer ear canal (69200) $139.33 $348.33 1.2×
Closed tx ankle dislocation w/o anesthesia (27840) $248.41 $621.03 1.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,721.42 $4,303.56 1.2×
Closed tx knee dislocation w/o anesthesia (27550) $248.41 $621.03 1.1×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines		 $248.41–$269.63 $621.03–$674.07 varies
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,891.68 $9,729.21 1.3×
Closed tx patellar dislocation w/o anesthesia (27560) $248.41 $621.03 1.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines		 $33.65–$287.86 $84.13–$719.64 varies
Clsd tx clavicular fracture w/o manipulation (23500) $248.41 $621.03 1.1×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,721.42 $4,303.56 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $248.41 $621.03 1.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $248.41 $621.03 1.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $248.41 $621.03 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $248.41 $621.03 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $554.62–$1,721.42 $1,386.54–$4,303.56 varies
Cltx fx grt toe phlx/phlg w/manj (28495) $248.41 $621.03 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $248.41 $621.03 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines		 $248.41–$287.86 $621.03–$719.64 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $248.41 $621.03 1.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $248.41 $621.03 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $248.41 $621.03 1.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $248.41 $621.03 1.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $248.41 $621.03 1.1×
Cltx tibial shaft fx w/o manipulation (27750) $248.41 $621.03 1.1×
Collection of venous blood by venipuncture (36415) $10.28 $25.71 1.1×
Colonoscopy w/submucosal inj (45381) $1,414.90 $3,537.24 1.3×
Complex drainage wound (10180) $3,434.46 $8,586.15 1.3×
Control Nasal Hemorrhage Anterior Complex (30903) $139.33 $348.33 1.2×
Control Nasal Hemorrhage Anterior Simple (30901) $139.33 $348.33 1.2×
Correction hammertoe (28285) $3,893.60 $9,734 1.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,893.53 $9,733.83 1.3×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $3,893.53 $9,733.83 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) $8,572.48 $21,431.19 1.3×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,893.60 $9,734 1.3×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) $8,572.40 $21,431 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $139.33 $348.33 1.2×
Cysto w/insert ureteral stent (52332) $1,100 $2,750 0.3×
Cysto w/removal of lesions small (52224) $3,986 $9,965 1.3×
Cysto w/removal of tumors small (52234) $3,986 $9,965 1.3×
Cystouretero W/Congen Repr (52400) $3,846.14 $9,615.36 1.2×
Cystourethroscopy (52000) $815.60 $2,039 1.3×
Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) $3,986 $9,965 1.3×
Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) $5,916 $14,790 1.2×
Cystourethroscopy with biopsy (52204) $968 $2,420 0.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,944.29 $4,860.72 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $447.68–$479.44 $1,119.21–$1,198.59 varies
Decompression of tibia nerve (28035) $2,343.32 $5,858.31 1.3×
Deep Muscle Biopsy (20205)
range across 2 matching MRF lines		 $3,099.90–$3,248.80 $7,749.75–$8,122 varies
Destruction premalignant lesion 1st (17000) $238.44 $596.10 1.3×
Diagnostic sigmoidoscopy (45330) $924 $2,310 1.1×
Drain ant chmbr,remv vitreous (65810) $2,736.88 $6,842.19 1.3×
Drainage of gum lesion (41800) $139.33 $348.33 1.2×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $1,799.46–$1,944.29 $4,498.65–$4,860.72 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $447.68 $1,119.21 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $216.70 $541.74 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $216.70 $541.74 1.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,288 $5,720 1.3×
Egd dilation gastric/duodenal stricture (43245) $2,276.39 $5,690.97 1.3×
Egd Flexible Foreign Body Removal (43247) $1,125.07 $2,812.68 1.4×
Egd place gastrostomy tube (43246) $2,332 $5,830 1.4×
Egd remove lesion snare (43251) $2,276.39 $5,690.97 1.3×
Endoscopic plantar fasciotomy (29893) $3,893.60 $9,734 1.3×
Endoven ther chem adhes 1st (36482) $6,486.80 $16,217 1.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,125.07 $2,812.68 1.4×
Evacuation of subungual hematoma (11740) $139.33 $348.33 1.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,944.29 $4,860.72 1.3×
Exc Back Les Sc < 3 Cm (21930) $1,944.29 $4,860.72 1.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $844.31 $2,110.77 1.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,944.29 $4,860.72 1.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,944.29 $4,860.72 1.3×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,920.49 $4,801.23 1.3×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,920.49 $4,801.23 1.3×
Exc neuroma hand/foot xcp digital nerve (64782) $2,343.32 $5,858.31 1.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $844.31 $2,110.77 1.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,944.29 $4,860.72 1.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,944.29 $4,860.72 1.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $844.31 $2,110.77 1.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,944.29 $4,860.72 1.3×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,944.29 $4,860.72 1.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $3,434.46 $8,586.15 1.3×
Excision Lingual Frenum Frenectomy (41115) $1,777.54 $4,443.84 1.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $3,434.46 $8,586.15 1.3×
Excision Pilonidal Cyst/Sinus Extensive (11771) $3,434.46 $8,586.15 1.3×
Excision soft tissue lesion, external auditory canal (69145) $3,434.46 $8,586.15 1.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,944.29 $4,860.72 1.3×
Excision, interdigital (morton) neuroma, single, each (28080) $1,920.49 $4,801.23 1.3×
Excision/destruction intranasal lesion int appr (30117) $3,891.68 $9,729.21 1.3×
Excision; trochanteric bursa or calcification (27062) $3,893.60 $9,734 1.3×
Fasciectomy Plantar Fascia Partial Spx (28060) $3,893.60 $9,734 1.3×
Fasciotomy Plantar Fascia Radical Spx (28062) $3,893.53 $9,733.83 1.3×
Fasciotomy, foot and/or toe (28008) $3,893.60 $9,734 1.3×
Fasciotomy, hip or thigh, any type (27025) $3,893.53 $9,733.83 1.3×
Fracture Nasal Inferior Turbinate Therapeutic (30930) $3,891.60 $9,729 1.3×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $8,572.48 $21,431.19 1.3×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $3,290.87 $8,227.17 1.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,290.87 $8,227.17 1.3×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,290.87 $8,227.17 1.3×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $117.53–$238.44 $293.82–$596.10 varies
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines		 $102.72–$1,094.05 $256.80–$2,735.13 varies
I&d pilonidal cyst complicated (10081) $778.76 $1,946.91 1.2×
I&d pilonidal cyst simple (10080) $778.76 $1,946.91 1.2×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines		 $328.69–$1,932.80 $821.73–$4,832 varies
Incision & drainage abscess complicated/multiple (10061)
range across 6 matching MRF lines		 $447.68–$479.44 $1,119.21–$1,198.59 varies
Incision & removal foreign body subq tiss compl (10121) $1,799.46 $4,498.65 1.2×
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $447.68–$479.60 $1,119.21–$1,199 varies
Incision and drainage of vulva or perineal abscess (56405) $350.35 $875.88 1.3×
Incision of Foot Tendon (28234) $1,920.49 $4,801.23 1.3×
Incision of labial frenum (frenotomy) (40806) $611.10 $1,527.75 1.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $454.70–$1,414.90 $1,136.76–$3,537.24 varies
Initial Tx 1st Degree Burn Local Tx (16000) $216.70 $541.74 1.2×
Injection 1 tendon sheath/ligament aponeurosis (20550) $3,571.99 $8,929.98 13.0×
Injection single/mlt trigger point 1/2 muscles (20552) $354.23 $885.57 1.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $773.21 $1,933.02 1.2×
Injection, intralesional; up to and including 7 lesions (11900) $238.44 $596.10 1.3×
Insert Bladder Cath Complex (51703) $174.52 $436.29 1.5×
Insert cath pleura w/o image (32556) $2,089.91 $5,224.77 1.2×
Insert non-tunnel cv cath (36556) $3,574.76 $8,936.91 1.3×
Insert Temp Bladder Cath (51702) $139.33 $348.33 1.2×
Insert tissue expander(s) (11960) $4,393.16 $10,982.91 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $139.33 $348.33 1.2×
Intubation endotracheal emergency procedure (31500) $249.40 $623.49 1.2×
Laparoscopy, surgical, appendectomy (44970) $7,001.23 $17,503.08 1.3×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $7,001.20 $17,503 1.3×
Laryngoscopy W/Biopsy (31535) $4,424.34 $11,060.85 1.3×
Laryngoscopy w/biopsy microscope/telescope (31536) $4,424.34 $11,060.85 1.3×
Late closure of wound (13160) $2,195.08 $5,487.69 0.7×
Mastectomy simple complete (19303) $7,825.75 $19,564.38 1.3×
Myringoplasty (69620) $3,891.68 $9,729.21 1.3×
N Block Inj Plantar Digit (64455) $354.23 $885.57 1.3×
N Block Inj Pudendal (64430) $1,068.35 $2,670.87 1.4×
Nasal/Orogastric W/Tube Plmt (43752) $453.08 $1,132.71 1.1×
Nasal/sinus ndsc w/partial ethmoidectomy (31254) $8,306.80 $20,767 1.3×
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) $8,306.96 $20,767.41 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines		 $12.38–$84.24 $30.96–$210.60 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $326.27 $815.67 1.2×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $8,306.80 $20,767 1.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $3,571.99 $8,929.98 1.2×
Ostc compl all metar heads w/prtl prox phalangc (28114) $3,893.53 $9,733.83 1.3×
Ostc prtl exostc/condylc metar head (28288) $3,893.53 $9,733.83 1.3×
Ostectomy calcaneus (28118) $3,893.60 $9,734 1.3×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,893.53 $9,733.83 1.3×
Ostectomy, complete excision; first metatarsal head (28111) $3,893.53 $9,733.83 1.3×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,893.53 $9,733.83 1.3×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $3,893.60 $9,734 1.3×
Osteotomy calcaneus w/wo internal fixation (28300) $8,572.40 $21,431 1.3×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) $8,572.40 $21,431 1.3×
Paracen ant cham rmvl blood w/wo irrig&/air in (65815) $2,736.88 $6,842.19 1.3×
Partical Excision Bone Phalanx Toe (28124) $3,893.53 $9,733.83 1.3×
Phalangectomy toe each toe (28150) $3,893.53 $9,733.83 1.3×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $3,893.60 $9,734 1.3×
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) $8,572.48 $21,431.19 1.3×
Release of big toe (28240) $3,893.53 $9,733.83 1.3×
Removal Foreign Body Foot Subcutaneous (28190) $778.76 $1,946.91 1.2×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,799.46 $4,498.65 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $68.98 $172.44 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $68.98 $172.44 1.3×
Removal Implant Deep (20680) $3,434.46 $8,586.15 1.3×
Removal of adenoids (42831) $3,891.68 $9,729.21 1.3×
Removal of adenoids (42830) $3,891.68 $9,729.21 1.3×
Removal of heel spur (28119) $3,893.53 $9,733.83 1.3×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $447.68–$479.60 $1,119.21–$1,199 varies
Removal of sesamoid bone (28315) $3,893.53 $9,733.83 1.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $238.44 $596.10 1.3×
Removal/bivalving gauntlet boot/body cast (29700) $307.06 $767.64 1.2×
Remove foreign body from eye (65205) $139.33 $348.33 1.2×
Remove Nasal Foreign Body (30300) $139.33 $348.33 1.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $697.14 $1,742.85 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $697.14 $1,742.85 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $447.68 $1,119.21 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $697.14 $1,742.85 1.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $697.14 $1,742.85 1.9×
Repair Elbow Perc (24357) $3,893.60 $9,734 1.3×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $3,893.53 $9,733.83 1.3×
Repair Hallux Rigidus (28289) $3,893.60 $9,734 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $447.68 $1,119.21 1.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines		 $447.68–$479.44 $1,119.21–$1,198.59 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $447.68 $1,119.21 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 3 matching MRF lines		 $447.68–$479.44 $1,119.21–$1,198.59 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $447.68 $1,119.21 1.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $447.68–$479.44 $1,119.21–$1,198.59 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $697.14 $1,742.85 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $447.68 $1,119.21 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines		 $447.68–$479.41 $1,119.21–$1,198.53 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $447.68 $1,119.21 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $447.68 $1,119.21 1.2×
Repair of nail bed (11760) $697.14 $1,742.85 1.1×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,893.53 $9,733.83 1.3×
Repair, primary, disrupted ligament, ankle; collateral (27695) $8,572.40 $21,431 1.3×
Rerepair ing hernia reduce (49520) $4,234.87 $10,587.18 1.3×
Revise Hand/Foot Nerve (64704) $2,343.32 $5,858.31 1.3×
Revision of big toe (28310) $8,572.48 $21,431.19 1.3×
Revision of foot (28116) $3,893.60 $9,734 1.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $453.08 $1,132.71 1.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,864.13 $4,660.32 1.3×
Rplc Gtube No Revj Trc (43762) $291.85 $729.63 1.3×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $4,234.80 $10,587 1.3×
Rpr aa hrn 1st 3-10 rdc (49593) $7,487.70 $18,719.25 1.3×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $3,893.53 $9,733.83 1.3×
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) $3,891.60 $9,729 1.3×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $3,891.68 $9,729.21 1.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,012 $2,530 1.2×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $1,414.90 $3,537.24 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $216.70 $541.74 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $216.70 $541.74 1.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $216.70 $541.74 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $216.70 $541.74 1.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $216.70 $541.74 1.2×
Skin sub graft face/nk/hf/g (15275) $2,195.08 $5,487.69 3.3×
Skin sub graft trnk/arm/leg (15271) $2,071.03 $5,177.58 3.1×
Skin Tissue Procedure (17999) $238.44 $596.10 1.3×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $216.70 $541.74 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $447.68 $1,119.21 1.2×
Spinal puncture lumbar diagnostic (62270) $773.21 $1,933.02 1.2×
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) $3,891.60 $9,729 1.3×
Surg tx anal fistula subq (46270) $3,290.87 $8,227.17 1.3×
Tenotomy Hip Abd/Ext Open (27006) $3,893.60 $9,734 1.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $1,920.49 $4,801.23 1.3×
Tenotomy Prq Achilles Tendon Spx Local Anes (27605) $1,920.40 $4,801 1.3×
Tenotomy shoulder area single tendon (23405) $8,572.40 $21,431 1.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $3,891.60 $9,729 1.3×
Treat Knuckle Dislocation (26700) $248.41 $621.03 1.1×
Treat toe dislocation (28630) $248.41 $621.03 1.1×
Treatment closed elbow dislocation w/o anes (24600) $248.41 $621.03 1.1×
Treatment of foot infection (28003) $3,893.53 $9,733.83 1.3×
Trim skin lesion (11055) $238.44 $596.10 1.3×
Tx open tendon flexor toe 1 tendon spx (28232) $1,920.49 $4,801.23 1.3×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,777.51 $4,443.78 1.3×
Tympanoplasty (69631) $7,098.80 $17,747 1.3×
Tympanostomy general anesthesia (69436) $1,777.60 $4,444 1.3×
Unlisted procedure foot or toes (28899) $287.86 $719.64 1.3×
Unlisted Procedure Muscskeletal System General (20999) $287.86 $719.64 1.3×
Unlisted procedure pelvis/hip joint (27299) $287.86 $719.64 1.3×
Unlisted procedure shoulder (23929) $287.86 $719.64 1.3×
Uvulectomy excision of uvula (42140) $3,891.68 $9,729.21 1.3×
Vaginal delivery only (59409) $3,392.93 $8,482.32 1.2×
Ventilating tube removal requiring general anesthesia (69424) $3,891.68 $9,729.21 1.3×
Wedge excision skin nail fold (11765) $447.68 $1,119.21 1.2×

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.