Procedures & surgery prices at Ely - Bloomenson Community Hospital
Ely, MN · every code in this section with a posted price and a Medicare benchmark.
319 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$592.11–$855.36 | $731–$1,056 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $752.49 | $929 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$2,214.54–$2,767.77 | $2,734–$3,417 | varies |
| Amputation metatarsal with toe single (28810) range across 2 matching MRF lines |
$526.50–$791.37 | $650–$977 | varies |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$663.39–$1,129.14 | $819–$1,394 | varies |
| Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
$1,105.65–$1,658.88 | $1,365–$2,048 | varies |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$344.25–$429.30 | $425–$530 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $347.49 | $429 | 0.1× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$119.07–$178.20 | $147–$220 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$166.86–$188.73 | $206–$233 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$246.24–$327.24 | $304–$404 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$271.35–$327.24 | $335–$404 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$264.06–$775.17 | $326–$957 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$179.01–$215.46 | $221–$266 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$188.73–$251.91 | $233–$311 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$251.91–$264.06 | $311–$326 | varies |
| Apply long arm cast (29065) | $582.39 | $719 | 2.0× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$120.69–$180.63 | $149–$223 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$100.44–$152.28 | $124–$188 | varies |
| Arterial puncture (36600) | $212.22 | $262 | 1.5× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) likely a partial charge, not the full procedure |
$1,956.15 | $2,415 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$209.79–$269.73 | $259–$333 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$262.44–$328.86 | $324–$406 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$247.05–$309.42 | $305–$382 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$230.85–$387.18 | $285–$478 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $136.08 | $168 | 0.4× |
| Arthrotomy biopsy interphalangeal joint each (26110) | $793.80 | $980 | 0.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) range across 2 matching MRF lines |
$657.72–$987.39 | $812–$1,219 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$456.03–$676.35 | $563–$835 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$426.06–$676.35 | $526–$835 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$115.02–$195.21 | $142–$241 | varies |
| Biopsy Abdominal Mass (49180) | $1,773.09 | $2,189 | 1.0× |
| Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$218.70–$874.80 | $270–$1,080 | varies |
| Biopsy nail unit (11755) | $1,267.65 | $1,565 | 1.7× |
| Biopsy of rectum (45100) range across 2 matching MRF lines |
$432.54–$648.81 | $534–$801 | varies |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$120.69–$200.88 | $149–$248 | varies |
| Bladder Irrigation (51700) | $303.75 | $375 | 1.2× |
| Bladder Scan (51798) | $81 | $100 | 1.3× |
| Blood Transfusion Service (36430) | $713.61 | $881 | 1.6× |
| Bone Marrow Biopsy (38221) | $1,038.42 | $1,282 | 0.6× |
| Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
$207.36–$259.20 | $256–$320 | varies |
| Carpal Tunnel Surgery (64721) range across 3 matching MRF lines |
$1,639.44–$2,069.55 | $2,024–$2,555 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$144.18–$341.82 | $178–$422 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$841.59–$1,051.38 | $1,039–$1,298 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,939.95–$2,123.01 | $2,395–$2,621 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$132.84–$200.07 | $164–$247 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$873.18–$899.10 | $1,078–$1,110 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$368.55–$552.42 | $455–$682 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$513.54–$1,193.94 | $634–$1,474 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$264.87–$397.71 | $327–$491 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$1,488.78–$1,551.15 | $1,838–$1,915 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$553.23–$831.06 | $683–$1,026 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$706.32–$1,063.53 | $872–$1,313 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) range across 2 matching MRF lines |
$967.14–$1,450.71 | $1,194–$1,791 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$188.73–$285.12 | $233–$352 | varies |
| Closure Gastrostomy Surg (43870) | $3,413.34 | $4,214 | 0.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$349.92–$817.29 | $432–$1,009 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,208.52–$1,511.46 | $1,492–$1,866 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$438.21–$586.44 | $541–$724 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$476.28–$883.71 | $588–$1,091 | varies |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 2 matching MRF lines |
$1,607.04–$1,773.09 | $1,984–$2,189 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$1,087.02–$1,358.37 | $1,342–$1,677 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$285.12–$1,071.63 | $352–$1,323 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $831.47 | $1,026.51 | 3.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$668.25–$1,002.78 | $825–$1,238 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$921.78–$1,382.67 | $1,138–$1,707 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$349.92–$729 | $432–$900 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$220.32–$331.29 | $272–$409 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$1,527.66–$2,293.11 | $1,886–$2,831 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$285.12–$534.60 | $352–$660 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$1,047.33–$1,151.01 | $1,293–$1,421 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$560.52–$737.10 | $692–$910 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$251.10–$376.65 | $310–$465 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$281.07–$421.20 | $347–$520 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $487.62 | $602 | 1.9× |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,432.89–$1,935.90 | $1,769–$2,390 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $1,282.23 | $1,583 | 5.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$153.09–$229.23 | $189–$283 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$2,138.40–$2,456.73 | $2,640–$3,033 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$690.93–$1,150.20 | $853–$1,420 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$443.07–$703.08 | $547–$868 | varies |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$168.48–$179.01 | $208–$221 | varies |
| Collection of venous blood by venipuncture (36415) | $51.03 | $63 | 5.5× |
| Colonoscopy thru stoma (44388) range across 2 matching MRF lines |
$526.50–$791.37 | $650–$977 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$967.14–$5,221.26 | $1,194–$6,446 | varies |
| Colonoscopy W/Resection (45390) range across 2 matching MRF lines |
$965.52–$1,206.90 | $1,192–$1,490 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,003.59–$1,033.56 | $1,239–$1,276 | varies |
| Colporrhaphy (57200) | $886.95 | $1,095 | 0.3× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,033.56 | $1,276 | 0.8× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$1,221.48–$1,999.08 | $1,508–$2,468 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$652.05–$893.43 | $805–$1,103 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$258.39–$387.18 | $319–$478 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$195.21–$290.79 | $241–$359 | varies |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$1,828.98–$6,892.29 | $2,258–$8,509 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $284.31 | $351 | 1.2× |
| Cystourethroscopy (52000) | $1,361.61 | $1,681 | 1.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) | $2,336.04 | $2,884 | 1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $123.12 | $152 | 0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$298.08–$447.93 | $368–$553 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$75.33–$105.37 | $93–$130.08 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$49.41–$80.19 | $61–$99 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$736.29–$920.97 | $909–$1,137 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$220.32–$846.45 | $272–$1,045 | varies |
| Declot vascular device (36593) | $303.75 | $375 | 0.9× |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$256.77–$442.26 | $317–$546 | varies |
| Destruction Benign Lesions 15/> (17111) | $257.58 | $318 | 1.2× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) range across 2 matching MRF lines |
$108.54–$161.19 | $134–$199 | varies |
| Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$408.24–$716.85 | $504–$885 | varies |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$255.15–$382.32 | $315–$472 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$195.21–$292.41 | $241–$361 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$175.77–$263.25 | $217–$325 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$336.15–$713.61 | $415–$881 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$289.98–$395.28 | $358–$488 | varies |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$289.98–$539.46 | $358–$666 | varies |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$374.22–$561.33 | $462–$693 | varies |
| Draw Blood Off Venous Device (36591) | $179.01 | $221 | 1.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$144.18–$216.27 | $178–$267 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $339.39 | $419 | 0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$207.36–$311.04 | $256–$384 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $265.68 | $328 | 1.3× |
| Dx Bone Marrow Bx & Aspir (38222) | $1,487.16 | $1,836 | 0.5× |
| Egd Balloon Dil Esoph30 Mm/> (43233) range across 2 matching MRF lines |
$408.24–$952.56 | $504–$1,176 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$1,472.58–$2,208.87 | $1,818–$2,727 | varies |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$976.86–$1,465.29 | $1,206–$1,809 | varies |
| Egd guide wire insertion (43248) | $1,697.76 | $2,096 | 1.8× |
| Egd remove lesion snare (43251) range across 3 matching MRF lines |
$957.41–$4,333.50 | $1,181.99–$5,350 | varies |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) range across 2 matching MRF lines |
$1,004.40–$1,505.79 | $1,240–$1,859 | varies |
| Epidural Blood Patch (62273) | $468.99 | $579 | 0.6× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) | $287.55 | $355 | 0.3× |
| Evacuation of subungual hematoma (11740) | $98.82 | $122 | 0.7× |
| Exc abdl tum deep 5 cm/> (22901) range across 2 matching MRF lines |
$797.85–$1,197.99 | $985–$1,479 | varies |
| Exc arm/elbow les sc < 3 cm (24075) range across 2 matching MRF lines |
$1,291.95–$2,091.42 | $1,595–$2,582 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $300.20 | $370.62 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$483.57–$604.26 | $597–$746 | varies |
| Exc Back Les Sc < 3 Cm (21930) range across 2 matching MRF lines |
$752.49–$1,128.33 | $929–$1,393 | varies |
| Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$1,756.89–$2,874.69 | $2,169–$3,549 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$384.75–$578.34 | $475–$714 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$396.09–$593.73 | $489–$733 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$328.86–$411.48 | $406–$508 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$412.29–$515.16 | $509–$636 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$567.81–$754.11 | $701–$931 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$552.42–$690.93 | $682–$853 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$254.34–$317.52 | $314–$392 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$293.22–$792.18 | $362–$978 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$524.88–$699.03 | $648–$863 | varies |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) range across 2 matching MRF lines |
$1,049.76–$1,627.29 | $1,296–$2,009 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$461.70–$577.53 | $570–$713 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$477.90–$792.18 | $590–$978 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$835.11–$1,044.09 | $1,031–$1,289 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$959.04–$1,238.49 | $1,184–$1,529 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$391.23–$587.25 | $483–$725 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$1,218.24–$1,739.07 | $1,504–$2,147 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$317.52–$1,725.30 | $392–$2,130 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$328.86–$411.48 | $406–$508 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $359.64 | $444 | 0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$510.30–$636.66 | $630–$786 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$426.87–$640.71 | $527–$791 | varies |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 2 matching MRF lines |
$1,774.71–$2,661.66 | $2,191–$3,286 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$515.97–$1,208.52 | $637–$1,492 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) range across 2 matching MRF lines |
$1,266.03–$1,581.93 | $1,563–$1,953 | 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 |
$744.39–$1,086.21 | $919–$1,341 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$571.86–$890.19 | $706–$1,099 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$622.08–$952.56 | $768–$1,176 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$819.72–$1,209.33 | $1,012–$1,493 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) range across 2 matching MRF lines |
$672.30–$1,220.67 | $830–$1,507 | varies |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$450.36–$673.11 | $556–$831 | varies |
| Excision of hydrocele; unilateral (55040) | $1,207.71 | $1,491 | 0.3× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) range across 2 matching MRF lines |
$952.56–$1,769.85 | $1,176–$2,185 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,816.83 | $2,243 | 1.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$498.15–$1,161.54 | $615–$1,434 | varies |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) range across 2 matching MRF lines |
$534.60–$801.90 | $660–$990 | varies |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $1,830.60 | $2,260 | 0.6× |
| Excision/curettage cyst/tumor phalanx finger (26210) | $1,086.21 | $1,341 | 0.7× |
| Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
$283.50–$527.31 | $350–$651 | varies |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$1,384.29–$2,036.34 | $1,709–$2,514 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$765.45–$1,148.58 | $945–$1,418 | varies |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) range across 2 matching MRF lines |
$522.45–$970.38 | $645–$1,198 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$592.92–$890.19 | $732–$1,099 | varies |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$530.55–$756.54 | $655–$934 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$248.67–$251.91 | $307–$311 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) range across 2 matching MRF lines |
$437.40–$656.91 | $540–$811 | varies |
| I&d perianal abscess superficial (46050) range across 3 matching MRF lines |
$844.83–$1,244.16 | $1,043–$1,536 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$579.99–$630.99 | $716.04–$779 | varies |
| I&d shoulder deep abscess/hematoma (23030) | $1,330.02 | $1,642 | 0.4× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) range across 2 matching MRF lines |
$208.17–$386.37 | $257–$477 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$426.87–$813.24 | $527–$1,004 | varies |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$792.99–$1,189.08 | $979–$1,468 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$477.09–$756.54 | $589–$934 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$553.23–$3,042.36 | $683–$3,756 | varies |
| Incision & removal foreign body subq tiss simple (10120) | $343.44 | $424 | 0.8× |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$243–$365.31 | $300–$451 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$810.81–$1,216.62 | $1,001–$1,502 | varies |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$173.34–$216.27 | $214–$267 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $287.55 | $355 | 1.4× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) | $741.96 | $916 | 0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$150.66–$224.37 | $186–$277 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $327.24 | $404 | 0.4× |
| Injection single tendon origin/insertion (20551) | $86.63 | $106.95 | 0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$161.19–$183.87 | $199–$227 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$162–$210.60 | $200–$260 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$2,571.75–$3,312.09 | $3,175–$4,089 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$643.95–$768.69 | $795–$949 | varies |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$872.37–$3,089.34 | $1,077–$3,814 | varies |
| Insert Temp Bladder Cath (51702) | $168.48 | $208 | 1.2× |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1,477.44–$2,215.35 | $1,824–$2,735 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $142.56 | $176 | 1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,300.86–$1,463.67 | $1,606–$1,807 | varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,035.18–$1,552.77 | $1,278–$1,917 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$541.89–$558.90 | $669–$690 | varies |
| Lap paraesophag hern repair (43281) unusually low: confirm this is the full procedure |
$5,063.31 | $6,251 | 0.5× |
| Laparoscopy Enterolysis Separate Procedure (44180) range across 2 matching MRF lines |
$999.54–$1,499.31 | $1,234–$1,851 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$609.12–$915.30 | $752–$1,130 | varies |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,446.66 | $1,786 | 0.2× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 2 matching MRF lines |
$3,785.94–$5,712.12 | $4,674–$7,052 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) likely a partial charge, not the full procedure |
$1,323.54 | $1,634 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) range across 2 matching MRF lines |
$1,372.14–$2,058.21 | $1,694–$2,541 | varies |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
$1,333.26–$1,731.78 | $1,646–$2,138 | varies |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
$495.72–$742.77 | $612–$917 | varies |
| Ligation or biopsy temporal artery (37609) range across 2 matching MRF lines |
$599.40–$820.53 | $740–$1,013 | varies |
| N Block Inj Plantar Digit (64455) | $327.24 | $404 | 1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$262.44–$394.47 | $324–$487 | varies |
| Needle Biopsy Lymph Nodes (38505) | $567 | $700 | 0.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $8.10 | $10 | 0.3× |
| Needle insertion w/o injection 3 or more muscles (20561) | $8.10 | $10 | 0.3× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) | $1,397.25 | $1,725 | 0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $187.92 | $232 | 0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$144.18–$216.27 | $178–$267 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines |
$515.97–$775.17 | $637–$957 | varies |
| Partical Excision Bone Phalanx Toe (28124) range across 2 matching MRF lines |
$1,288.71–$1,833.03 | $1,591–$2,263 | varies |
| Placement of needle for intraosseous infusion (36680) | $560.52 | $692 | 1.2× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$170.10–$479.52 | $210–$592 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$157.95–$237.33 | $195–$293 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$299.70–$523.26 | $370–$646 | varies |
| Reconstruction Nail Bed W/Graft (11762) | $1,617.57 | $1,997 | 0.8× |
| Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
$811.62–$1,215.81 | $1,002–$1,501 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$580.77–$872.37 | $717–$1,077 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$29.97–$95.58 | $37–$118 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$180.63–$187.11 | $223–$231 | varies |
| Removal Implant Deep (20680) | $909.63 | $1,123 | 0.3× |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$352.81–$535.41 | $435.56–$661 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$295.65–$354.78 | $365–$438 | varies |
| Remove foreign body from eye (65235) | $2,372.49 | $2,929 | 1.0× |
| Remove foreign body from eye (65205) | $112.59 | $139 | 0.8× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$249.80–$302.94 | $308.40–$374 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$486–$826.20 | $600–$1,020 | varies |
| Remove Peritoneal Foreign Body (49402) range across 2 matching MRF lines |
$3,039.93–$3,316.14 | $3,753–$4,094 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$972–$1,001.97 | $1,200–$1,237 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,178.55 | $1,455 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$592.11–$978.48 | $731–$1,208 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$657.72–$985.77 | $812–$1,217 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$537.84–$806.76 | $664–$996 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$281.07–$421.20 | $347–$520 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $1,488.78 | $1,838 | 0.9× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$1,682.37–$2,111.67 | $2,077–$2,607 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$522.45–$653.67 | $645–$807 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$497.34–$660.15 | $614–$815 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$544.05–$631.51 | $671.67–$779.64 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$343.44–$660.96 | $424–$816 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$443.88–$668.25 | $548–$825 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$557.28–$1,058.67 | $688–$1,307 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$468.18–$585.63 | $578–$723 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$328.05–$549.99 | $405–$679 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$792.18–$1,304.10 | $978–$1,610 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$767.88–$988.20 | $948–$1,220 | varies |
| Rerepair ing hernia reduce (49520) | $1,687.23 | $2,083 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$269.73–$284.31 | $333–$351 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$158.82–$240.69 | $196.08–$297.15 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$183.06–$276.21 | $226–$341 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $976.05 | $1,205 | 0.6× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$279.45–$418.77 | $345–$517 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$1,059.48–$1,323.54 | $1,308–$1,634 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) unusually low: confirm this is the full procedure |
$2,980.80 | $3,680 | 0.4× |
| Rpr aa hernia recr 3-10 cm reducible (49615) unusually low: confirm this is the full procedure |
$2,473.74 | $3,054 | 0.4× |
| Rpr aa hrn 1st 3-10 rdc (49593) unusually low: confirm this is the full procedure |
$2,216.97 | $2,737 | 0.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) likely a partial charge, not the full procedure |
$1,841.13 | $2,273 | 0.3× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$1,130.76–$2,098.71 | $1,396–$2,591 | varies |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) | $1,255.50 | $1,550 | 0.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) range across 2 matching MRF lines |
$425.25–$637.47 | $525–$787 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$1,454.76–$1,818.45 | $1,796–$2,245 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$1,119.42–$1,511.46 | $1,382–$1,866 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$285.12–$392.04 | $352–$484 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$319.14–$579.15 | $394–$715 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$384.75–$696.60 | $475–$860 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $605.88 | $748 | 2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$248.67–$264.06 | $307–$326 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$384.75–$521.64 | $475–$644 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$599.40–$733.05 | $740–$905 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$291.60–$413.10 | $360–$510 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$320.76–$480.33 | $396–$593 | varies |
| Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines |
$447.12–$515.97 | $552–$637 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$581.58–$599.40 | $718–$740 | varies |
| Strapping ankle (29540) | $230.04 | $284 | 1.4× |
| Strapping elbow or wrist (29260) | $53.46 | $66 | 0.9× |
| Strapping hand/finger (29280) | $53.46 | $66 | 0.9× |
| Strapping knee (29530) | $257.58 | $318 | 1.9× |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$93.15–$140.13 | $115–$173 | varies |
| Strapping toes (29550) | $95.58 | $118 | 1.6× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$74.52–$112.59 | $92–$139 | varies |
| Surg tx anal fistula subq (46270) range across 2 matching MRF lines |
$834.30–$1,249.83 | $1,030–$1,543 | varies |
| Tangential biopsy skin single lesion (11102) range across 2 matching MRF lines |
$144.99–$395.28 | $179–$488 | varies |
| Thrombolytic Therapy Stroke (37195) | $506.25 | $625 | 1.5× |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$1,794.15–$2,002.32 | $2,215–$2,472 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$1,463.67–$1,618.38 | $1,807–$1,998 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$210.60–$306.18 | $260–$378 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$637.47–$955.80 | $787–$1,180 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$323.19–$600.21 | $399–$741 | varies |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$123.12–$169.09 | $152–$208.75 | varies |
| Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
$133.65–$176.40 | $165–$217.78 | varies |
| Trim skin lesions over 4 (11057) | $149.04 | $184 | 0.7× |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$34.83–$90.72 | $43–$112 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$375.03–$423.63 | $463–$523 | varies |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$310.23–$465.75 | $383–$575 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$358.02–$537.84 | $442–$664 | varies |
| Unlisted procedure anus (46999) range across 2 matching MRF lines |
$810.81–$1,217.43 | $1,001–$1,503 | varies |
| Unlisted Procedure Casting/Strapping (29799) | $268.11 | $331 | 1.6× |
| Unlisted Procedure Male Genital System (55899) range across 2 matching MRF lines |
$810.81–$1,216.62 | $1,001–$1,502 | varies |
| Vaginal delivery only (59409) | $2,953.26 | $3,646 | 0.9× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$178.20–$340.20 | $220–$420 | varies |
| Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$484.38–$727.38 | $598–$898 | 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.