Procedures & surgery prices at Fallon Medical Complex Hospital
Baker, MT · every code in this section with a posted price and a Medicare benchmark.
249 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acne surgery (10040) | $160 | $160 | 0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $1,565 | $1,565 | 0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $2,188 | $2,188 | 0.7× |
| Amputate Metacarpal Bone (26910) | $1,749 | $1,749 | 0.5× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$245–$271 | $245–$271 | varies |
| Application finger splint static (29130) range across 9 matching MRF lines |
$114–$354 | $114–$354 | varies |
| Application long arm splint shoulder hand (29105) range across 9 matching MRF lines |
$213–$663 | $213–$663 | varies |
| Application Long Leg Splint (29505) range across 9 matching MRF lines |
$234–$729 | $234–$729 | varies |
| Application Patellar Tendon Bearing Cast (29435) | $294 | $294 | 1.0× |
| Application short arm splint forearm-hand static (29125) range across 9 matching MRF lines |
$162–$507 | $162–$507 | varies |
| Application short leg splint calf foot (29515) range across 9 matching MRF lines |
$197–$597 | $197–$597 | varies |
| Apply hand/wrist cast (29085) range across 3 matching MRF lines |
$277–$306 | $277–$306 | varies |
| Apply long arm cast (29065) range across 3 matching MRF lines |
$289–$319 | $289–$319 | varies |
| Apply Short Leg Cast (29405) | $260 | $260 | 0.9× |
| Apply short leg cast (29425) | $239 | $239 | 0.8× |
| Arterial puncture (36600) | $98 | $98 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$145–$158 | $145–$158 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$194–$227 | $194–$227 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$123–$141 | $123–$141 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $149 | $149 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 5 matching MRF lines |
$220–$280 | $220–$280 | varies |
| Bladder Scan (51798) range across 5 matching MRF lines |
$61–$66 | $61–$66 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $656 | $656 | 2.0× |
| Blood Transfusion Service (36430) range across 14 matching MRF lines |
$541–$1,444 | $541–$1,444 | varies |
| Chemodenerv 1 extrem 5/> mus (64644) range across 2 matching MRF lines |
$404–$416 | $404–$416 | varies |
| Chest tube placement (32551) range across 3 matching MRF lines |
$466–$663 | $466–$663 | varies |
| Cl Tx Scapular Fx; W Manip (23575) range across 3 matching MRF lines |
$981–$990 | $981–$990 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
$1,440–$1,498 | $1,440–$1,498 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$276–$287 | $276–$287 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,483 | $1,483 | 5.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) | $682 | $682 | 2.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
$1,119–$1,236 | $1,119–$1,236 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $602 | $602 | 2.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $744 | $744 | 3.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) | $1,273 | $1,273 | 5.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
$662–$732 | $662–$732 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 3 matching MRF lines |
$629–$655 | $629–$655 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$1,109–$1,228 | $1,109–$1,228 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $785 | $785 | 3.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
$638–$665 | $638–$665 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,586 | $1,586 | 1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
$823–$911 | $823–$911 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
$1,573–$1,740 | $1,573–$1,740 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
$806–$892 | $806–$892 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
$691–$764 | $691–$764 | varies |
| Closed tx talus fracture w/o manipulation (28430) | $581 | $581 | 2.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $710 | $710 | 2.8× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
$764–$845 | $764–$845 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
$653–$722 | $653–$722 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
$949–$1,049 | $949–$1,049 | varies |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) range across 3 matching MRF lines |
$562–$585 | $562–$585 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) | $1,205 | $1,205 | 0.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $745 | $745 | 3.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
$915–$1,011 | $915–$1,011 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 3 matching MRF lines |
$903–$998 | $903–$998 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
$541–$598 | $541–$598 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$1,008–$1,114 | $1,008–$1,114 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
$1,582–$1,749 | $1,582–$1,749 | varies |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) | $1,280 | $1,280 | 5.1× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
$414–$457 | $414–$457 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $299 | $299 | 1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $452 | $452 | 1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
$835–$922 | $835–$922 | varies |
| Cltx Medial Ankle Fx (27760) | $812 | $812 | 3.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
$964–$1,066 | $964–$1,066 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
$900–$995 | $900–$995 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 3 matching MRF lines |
$990–$1,095 | $990–$1,095 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
$575–$636 | $575–$636 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) | $747 | $747 | 3.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
$335–$349 | $335–$349 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $1,430 | $1,430 | 0.9× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $1,276 | $1,276 | 5.1× |
| Cltx tibial shaft fx w/o manipulation (27750) | $842 | $842 | 3.3× |
| Collection of venous blood by venipuncture (36415) | $26 | $26 | 2.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 5 matching MRF lines |
$202–$514 | $202–$514 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 5 matching MRF lines |
$138–$313 | $138–$313 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 5 matching MRF lines |
$276–$798 | $276–$798 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$64–$74 | $64–$74 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $135 | $135 | 0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $542 | $542 | 0.7× |
| Debride nail 1-5 (11720) | $80 | $80 | 1.3× |
| Debride nail 6 or more (11721) | $110 | $110 | 1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$263–$341 | $263–$341 | varies |
| Destruct B9 Lesion 1-14 (17110) | $252 | $252 | 1.2× |
| Destruction Benign Lesions 15/> (17111) | $418 | $418 | 2.0× |
| Destruction premalignant lesion 1st (17000) | $175 | $175 | 0.9× |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$380–$454 | $380–$454 | varies |
| Draw Blood Off Venous Device (36591) | $98 | $98 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 4 matching MRF lines |
$549–$698 | $549–$698 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 4 matching MRF lines |
$452–$586 | $452–$586 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
$226–$323 | $226–$323 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $11 | $11 | 0.0× |
| Endometrial Biopsy (58100) | $291 | $291 | 1.4× |
| Evacuation of subungual hematoma (11740) | $127 | $127 | 0.9× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $273 | $273 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $493 | $493 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $604 | $604 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $670 | $670 | 0.9× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $949 | $949 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $329 | $329 | 0.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $404 | $404 | 0.6× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $450 | $450 | 0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $547 | $547 | 0.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $686 | $686 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $298 | $298 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $356 | $356 | 0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $508 | $508 | 0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $461 | $461 | 0.6× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $570 | $570 | 0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $887 | $887 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $750 | $750 | 0.4× |
| Exc Skin Benig >4cm Face,Facial (11446) | $946 | $946 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $723 | $723 | 0.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $990 | $990 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $1,088 | $1,088 | 0.6× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $342 | $342 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $359 | $359 | 0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $502 | $502 | 0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $679 | $679 | 0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $441 | $441 | 0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $668 | $668 | 0.9× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $685 | $685 | 1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $757 | $757 | 1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $490 | $490 | 0.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $769 | $769 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,237 | $1,237 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $467 | $467 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $611 | $611 | 0.8× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $615 | $615 | 0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $819 | $819 | 0.5× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $784 | $784 | 0.5× |
| Excision of pilonidal cyst or sinus; simple (11770) | $739 | $739 | 0.2× |
| I&d abscess simple (10060) range across 5 matching MRF lines |
$283–$339 | $283–$339 | varies |
| I&d pilonidal cyst simple (10080) | $409 | $409 | 0.6× |
| Incision & drainage abscess complicated/multiple (10061) | $558 | $558 | 1.3× |
| Incision & removal foreign body subq tiss compl (10121) | $833 | $833 | 0.5× |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$364–$390 | $364–$390 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$204–$205 | $204–$205 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
$153–$160 | $153–$160 | varies |
| Injection single tendon origin/insertion (20551) range across 5 matching MRF lines |
$144–$190 | $144–$190 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 5 matching MRF lines |
$135–$153 | $135–$153 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 5 matching MRF lines |
$282–$348 | $282–$348 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $106 | $106 | 0.5× |
| Insert Drug Implant Device (11981) | $245 | $245 | 1.8× |
| Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$169–$213 | $169–$213 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 5 matching MRF lines |
$106–$110 | $106–$110 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 3 matching MRF lines |
$1,378–$1,457 | $1,378–$1,457 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 3 matching MRF lines |
$1,624–$1,795 | $1,624–$1,795 | varies |
| Intranasal Biopsy (30100) | $342 | $342 | 0.2× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$354–$694 | $354–$694 | varies |
| N Block Inj Plantar Digit (64455) | $194 | $194 | 0.6× |
| Nasal/Orogastric W/Tube Plmt (43752) range across 3 matching MRF lines |
$157–$158 | $157–$158 | varies |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $31 | $31 | 1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) | $46 | $46 | 1.6× |
| Open Tx Distal Phalangeal Fracture Each (26765) | $1,194 | $1,194 | 0.4× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) | $1,526 | $1,526 | 0.5× |
| Placement of needle for intraosseous infusion (36680) range across 3 matching MRF lines |
$188–$369 | $188–$369 | varies |
| Punch biopsy skin single lesion (11104) | $295 | $295 | 0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 5 matching MRF lines |
$315–$435 | $315–$435 | varies |
| Puncture Aspiration Cyst Breast (19000) | $191 | $191 | 0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $631 | $631 | 0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$136–$156 | $136–$156 | varies |
| Removal implantable contraceptive capsules (11976) | $344 | $344 | 0.5× |
| Removal of nail bed (11750) | $452 | $452 | 1.1× |
| Removal or bivalving full arm or full leg cast (29705) | $225 | $225 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $199 | $199 | 1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) | $161 | $161 | 0.6× |
| Remove drug implant device (11982) | $383 | $383 | 0.8× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$142–$150 | $142–$150 | varies |
| Remove Intrauterine Device (58301) | $318 | $318 | 1.0× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$511–$516 | $511–$516 | varies |
| Remove/Insert Drug Implant (11983) | $372 | $372 | 0.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $1,270 | $1,270 | 1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
$920–$957 | $920–$957 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
$1,324–$1,377 | $1,324–$1,377 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
$1,032–$1,141 | $1,032–$1,141 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$1,176–$1,190 | $1,176–$1,190 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 3 matching MRF lines |
$957–$965 | $957–$965 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$1,038–$1,082 | $1,038–$1,082 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$640–$665 | $640–$665 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$776–$784 | $776–$784 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
$966–$1,005 | $966–$1,005 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
$969–$1,009 | $969–$1,009 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 3 matching MRF lines |
$1,794–$1,984 | $1,794–$1,984 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 3 matching MRF lines |
$1,152–$1,216 | $1,152–$1,216 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$625–$650 | $625–$650 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$762–$792 | $762–$792 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 3 matching MRF lines |
$834–$868 | $834–$868 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 3 matching MRF lines |
$1,331–$1,384 | $1,331–$1,384 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 3 matching MRF lines |
$1,050–$1,092 | $1,050–$1,092 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$550–$572 | $550–$572 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$652–$714 | $652–$714 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$1,223–$1,350 | $1,223–$1,350 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$803–$836 | $803–$836 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 3 matching MRF lines |
$1,217–$1,267 | $1,217–$1,267 | varies |
| Repair of nail bed (11760) | $598 | $598 | 0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $508 | $508 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $186 | $186 | 0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $237 | $237 | 1.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $165 | $165 | 0.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $707 | $707 | 0.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $700 | $700 | 1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
$469–$487 | $469–$487 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 3 matching MRF lines |
$1,452–$1,536 | $1,452–$1,536 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $224 | $224 | 0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $346 | $346 | 1.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $448 | $448 | 1.1× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $284 | $284 | 1.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $350 | $350 | 1.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $330 | $330 | 1.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $362 | $362 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $298 | $298 | 1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $383 | $383 | 0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $256 | $256 | 1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $373 | $373 | 0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $428 | $428 | 2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
$610–$674 | $610–$674 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$264–$306 | $264–$306 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$333–$347 | $333–$347 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 3 matching MRF lines |
$676–$747 | $676–$747 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
$357–$372 | $357–$372 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$254–$280 | $254–$280 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 3 matching MRF lines |
$651–$740 | $651–$740 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 3 matching MRF lines |
$299–$312 | $299–$312 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$264–$289 | $264–$289 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
$397–$409 | $397–$409 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$633–$700 | $633–$700 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$82–$96 | $82–$96 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$77–$117 | $77–$117 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$77–$115 | $77–$115 | varies |
| Strapping knee (29530) | $114 | $114 | 0.8× |
| Strapping shoulder (29240) | $112 | $112 | 0.8× |
| Strapping thorax (29200) | $192 | $192 | 1.2× |
| Strapping toes (29550) | $72 | $72 | 1.2× |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$156–$210 | $156–$210 | varies |
| Treat humerus fracture (24500) | $1,203 | $1,203 | 4.8× |
| Treat humerus fracture (23600) range across 3 matching MRF lines |
$1,089–$1,200 | $1,089–$1,200 | varies |
| Treat Knuckle Dislocation (26700) | $790 | $790 | 3.1× |
| Treat Metatarsal Fracture (28475) | $626 | $626 | 2.5× |
| Treat thumb fracture (26665) range across 3 matching MRF lines |
$1,525–$1,541 | $1,525–$1,541 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$1,100–$1,216 | $1,100–$1,216 | varies |
| Trim skin lesion (11055) | $147 | $147 | 0.7× |
| Trim skin lesions 2 to 4 (11056) | $174 | $174 | 0.8× |
| Trim skin lesions over 4 (11057) | $191 | $191 | 0.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $48 | $48 | 0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) | $702 | $702 | 0.4× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $520 | $520 | 2.1× |
| Unlisted Procedure Casting/Strapping (29799) | $192 | $192 | 1.2× |
| Wedge excision skin nail fold (11765) | $349 | $349 | 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.