Procedures & surgery prices at Faulkton Area Medical Center
Faulkton, SD · every code in this section with a posted price and a Medicare benchmark.
227 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,035.72 | $1,218.49 | 1.1× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) | $569.70 | $633 | 1.8× |
| Anoscopy diagnostic (46600) | $153 | $170 | 1.1× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$137.20–$579.60 | $152.44–$644 | varies |
| Application finger splint static (29130) | $117 | $130 | 0.9× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$120.60–$135.90 | $134–$151 | varies |
| Application Long Leg Splint (29505) | $99 | $110 | 0.6× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$161.10–$206.10 | $179–$229 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$101.70–$107.10 | $113–$119 | varies |
| Apply hand/wrist cast (29085) | $268.83 | $298.70 | 1.6× |
| Apply long arm cast (29065) | $135.90 | $151 | 0.5× |
| Apply Short Leg Cast (29405) | $162.23 | $180.25 | 0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$192.60–$1,168.79 | $214–$1,375.05 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$913.10–$913.50 | $1,014.55–$1,015 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$192.60–$192.82 | $214–$214.24 | varies |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,715.20–$1,715.57 | $2,144–$2,144.46 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$469.99–$880.75 | $522.21–$1,036.18 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $143.69 | $159.65 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) | $99 | $110 | 0.5× |
| Biopsy external ear (69100) | $323.10 | $359 | 1.3× |
| Biopsy nail unit (11755) | $162.23 | $180.25 | 0.2× |
| Biopsy of breast; open, incisional (19101) | $533.03 | $592.25 | 0.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $241.95 | $268.83 | 0.1× |
| Bladder Irrigation (51700) | $191.70 | $213 | 0.8× |
| Blood Transfusion Service (36430) range across 6 matching MRF lines |
$720.90–$1,144.95 | $801–$1,347 | varies |
| Bx/exc lymph node open superficial (38500) | $2,112 | $2,640 | 0.5× |
| Change Cystostomy Tube Simple (51705) | $298.80 | $332 | 1.2× |
| Chest tube placement (32551) | $273.47 | $303.85 | 0.2× |
| Clear outer ear canal (69200) | $189 | $210 | 1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $942.04 | $1,108.28 | 0.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $115.88 | $128.75 | 0.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $455.16 | $505.73 | 1.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $310.55 | $345.05 | 1.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $419 | $465.56 | 1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $749.70 | $833 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $535.50 | $595 | 2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $482.40 | $536 | 1.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,040.40–$1,101.60 | $1,224 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $240.30 | $267 | 1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $402.32 | $447.02 | 1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $961.35 | $1,131 | 3.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $435.60 | $484 | 1.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $421.79 | $468.65 | 1.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $813.60 | $904 | 3.2× |
| Collect Blood From Catheter Venous Nos (36592) | $81 | $90 | 0.6× |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$25.03–$60.30 | $27.81–$67 | varies |
| Colonoscopy w/ablation (45388) | $1,977.60 | $2,472 | 1.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $2,342.63 | $2,928.29 | 1.9× |
| Complex drainage wound (10180) | $332.10 | $369 | 0.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $199.31 | $221.45 | 1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $204.30 | $227 | 1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $225.90 | $251 | 1.7× |
| Cysto w/removal of lesions small (52224) | $2,970.40 | $3,713 | 0.8× |
| Cystourethroscopy (52000) | $576.90 | $641 | 0.8× |
| Cystourethroscopy with biopsy (52204) | $753.30 | $837 | 0.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $97.20 | $108 | 0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $744.38 | $827.09 | 1.0× |
| Debride nail 1-5 (11720) | $97.34 | $108.15 | 1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $379.80 | $422 | 0.9× |
| Destroy cerv/thor facet jnt (64633) | $2,751.34 | $3,439.17 | 1.4× |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$2,751.20–$2,751.34 | $3,439–$3,439.17 | varies |
| Destruct B9 Lesion 1-14 (17110) | $113.40 | $126 | 0.6× |
| Destruction Benign Lesions 15/> (17111) | $301.50 | $335 | 1.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $405.10 | $450.11 | 2.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $595.13 | $661.26 | 1.4× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $298.49 | $331.66 | 1.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $278.10 | $309 | 1.4× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $231.75 | $257.50 | 1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $1,984.80 | $2,481 | 1.0× |
| Destruction of skin lesions (17106) | $675.78 | $750.87 | 1.6× |
| Destruction premalignant lesion 1st (17000) | $192.60 | $214 | 0.9× |
| Diagnostic sigmoidoscopy (45330) | $1,838.55 | $2,163 | 1.9× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$359.68–$1,066.75 | $399.64–$1,255 | varies |
| Drainage of gum lesion (41800) | $245.70 | $273 | 1.8× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$136.80–$323.52 | $152–$359.47 | varies |
| Drainage of rectal abscess (45005) | $844.50 | $938.33 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $237.60 | $264 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $112.50 | $125 | 0.5× |
| Egd remove lesion snare (43251) | $2,583.15 | $3,039 | 1.3× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) | $673.20 | $748 | 2.1× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) | $387 | $430 | 1.2× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) | $330.30 | $367 | 1.1× |
| Evacuation of subungual hematoma (11740) | $208.80 | $232 | 1.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $289.22 | $321.36 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $385.63 | $428.48 | 0.2× |
| Exc Back Les Sc < 3 Cm (21930) | $988.44 | $1,162.87 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $212.40 | $236 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $468.14 | $520.15 | 0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $793.51 | $881.68 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $310.55 | $345.05 | 0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $299.70 | $333 | 0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $406.80 | $452 | 0.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $370.80 | $412 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$122.40–$324.45 | $136–$360.50 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $306.84 | $340.93 | 0.2× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) | $893.01 | $1,050.60 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $363.60 | $404 | 0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $585.86 | $650.96 | 0.3× |
| Exc Skin Benig >4cm Face,Facial (11446) | $683.20 | $759.11 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $933.28 | $1,097.98 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $637.20 | $708 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $275.40 | $306 | 0.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $328.50 | $365 | 0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $400.46 | $444.96 | 0.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $1,066.36 | $1,254.54 | 0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $147.60 | $164 | 0.2× |
| Excision External Ear Partial Simple Repair (69110) | $362.46 | $402.73 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $359.68 | $399.64 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $165.60 | $184 | 0.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $147.60 | $164 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $639.90 | $711 | 0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $385.63 | $428.48 | 0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $746.24 | $829.15 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $1,026.09 | $1,207.16 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $343.92 | $382.13 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $487.60 | $541.78 | 0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $414.37 | $460.41 | 0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $695.25 | $772.50 | 0.4× |
| Excision/destruction intranasal lesion int appr (30117) | $186.33 | $207.03 | 0.1× |
| Exploration of knee joint (27310) | $841.72 | $935.24 | 0.3× |
| Exploration penetrating wound spx extremity (20103) | $129.78 | $144.20 | 0.1× |
| Fine needle aspiration without imaging guidance (10021) | $141.83 | $157.59 | 0.3× |
| Hepcidin-25 elisa serum or plasma (0251U) | $472.50 | $525 | 27.4× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$187.20–$198 | $208–$220 | varies |
| I&d perianal abscess superficial (46050) | $1,138.15 | $1,339 | 1.2× |
| Implant neuroelectrodes (63650) unusually low: confirm this is the full procedure |
$2,432.80 | $3,041 | 0.4× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$254.93–$292.93 | $283.25–$325.48 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$333–$372.65 | $370–$414.06 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $218.70 | $243 | 0.1× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$181.80–$243.90 | $202–$271 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $392.12 | $435.69 | 1.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $241.95 | $268.83 | 0.1× |
| Incisional biopsy eyelid skin & lid margin (67810) | $413.44 | $459.38 | 1.3× |
| Incisional biopsy skin single lesion (11106) | $266.98 | $296.64 | 0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $98.10 | $109 | 0.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$1,168.75–$1,168.79 | $1,375–$1,375.05 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,454.21–$1,454.35 | $1,710.83–$1,711 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $185.40 | $206 | 0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,077.80 | $1,268 | 1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$1,633.68–$1,633.70 | $1,921.98–$1,922 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) | $1,168.79 | $1,375.05 | 3.7× |
| Injection single/mlt trigger point 3/> muscles (20553) | $1,744 | $2,051.76 | 5.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,732.80–$1,732.87 | $2,166–$2,166.09 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $191.89 | $213.21 | 0.9× |
| Insert Bladder Cath Complex (51703) | $218.77 | $243.08 | 1.7× |
| Insert cath pleura w/o image (32556) | $261.90 | $291 | 0.1× |
| Insert Drug Implant Device (11981) | $255.85 | $284.28 | 1.9× |
| Insert Temp Bladder Cath (51702) | $84.60 | $94 | 0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $172.42 | $191.58 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $525.61 | $584.01 | 0.3× |
| Intubation endotracheal emergency procedure (31500) | $525.60 | $584 | 2.2× |
| Late closure of wound (13160) | $1,649.65 | $2,062.06 | 0.5× |
| N Block Inj Celiac Pelus (64530) | $1,868 | $2,335 | 2.1× |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$1,139–$1,139.03 | $1,340–$1,340.03 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$1,357.90–$1,358.30 | $1,597.53–$1,598 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,168.75 | $1,375 | 1.3× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$1,318.35–$1,358.30 | $1,551–$1,598 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$1,208.70–$1,209.07 | $1,422–$1,422.43 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,173.85–$1,208.70 | $1,381–$1,422 | varies |
| Occipital Nerve Block (64405) | $1,168.75 | $1,375 | 3.7× |
| Placement of needle for intraosseous infusion (36680) | $534.60 | $594 | 1.2× |
| Punch biopsy skin single lesion (11104) | $240.09 | $266.77 | 0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $301.50 | $335 | 0.7× |
| Removal foreign body foot deep (28192) | $328.50 | $365 | 0.2× |
| Removal Foreign Body Foot Subcutaneous (28190) | $597.92 | $664.35 | 0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $153.88 | $170.98 | 2.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $76.50 | $85 | 1.3× |
| Removal of nail bed (11750) | $400.46 | $444.96 | 1.0× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$163.15–$323.10 | $181.28–$359 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $86.40 | $96 | 0.4× |
| Removal subcutaneous cardiac rhythm monitor (33286) | $1,460.30 | $1,718 | 2.0× |
| Remove drug implant device (11982) | $289.22 | $321.36 | 0.6× |
| Remove foreign body from eye (65205) | $88.20 | $98 | 0.6× |
| Remove Intrauterine Device (58301) | $348.55 | $387.28 | 1.1× |
| Remove Nasal Foreign Body (30300) | $120.60 | $134 | 0.9× |
| Remove Tendon Sheath Lesion (26160) | $896.51 | $1,054.72 | 0.5× |
| Remove/Insert Drug Implant (11983) | $448.67 | $498.52 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $635.40 | $706 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $635.40 | $706 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $920.70 | $1,023 | 2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $494.10 | $549 | 1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $631.80 | $702 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$270–$350.10 | $300–$389 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $401.40 | $446 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $450.90 | $501 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $491.40 | $546 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$126–$323.10 | $140–$359 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $378.90 | $421 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $418.50 | $465 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $473.40 | $526 | 1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$111.60–$298.80 | $124–$332 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$308.70–$378.90 | $343–$421 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $396 | $440 | 1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $88.20 | $98 | 0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $444.03 | $493.37 | 0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $508 | $564.44 | 2.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $110.70 | $123 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $155.74 | $173.04 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $122.36 | $135.96 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $183.55 | $203.94 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $235.46 | $261.62 | 1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $266.98 | $296.64 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $122.40 | $136 | 0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $275.40 | $306 | 1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $280.80 | $312 | 1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $294.30 | $327 | 1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $417.60 | $464 | 2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $486.90 | $541 | 2.4× |
| Slitting of prepuce (54001) | $1,362.55 | $1,603 | 0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $440.10 | $489 | 2.1× |
| Strapping elbow or wrist (29260) | $88.99 | $98.88 | 1.5× |
| Strapping shoulder (29240) | $88.99 | $98.88 | 0.7× |
| Strapping Unna Boot (29580) | $122.36 | $135.96 | 0.7× |
| Tangential biopsy skin single lesion (11102) | $218.77 | $243.08 | 0.5× |
| Treat Knuckle Dislocation (26700) | $385.63 | $428.48 | 1.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $649.80 | $722 | 0.4× |
| Treatment closed elbow dislocation w/o anes (24600) | $377.29 | $419.21 | 1.5× |
| Trim skin lesion (11055) | $127 | $141.11 | 0.6× |
| Trim skin lesions 2 to 4 (11056) | $152.96 | $169.95 | 0.7× |
| Trim skin lesions over 4 (11057) | $152.03 | $168.92 | 0.7× |
| Trimming Nondystrophic Nails Any Number (11719) range across 3 matching MRF lines |
$17.61–$67.67 | $19.57–$75.19 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $568.25 | $631.39 | 0.8× |
| Unlisted Procedure Casting/Strapping (29799) | $92.70 | $103 | 0.6× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$900.01–$900.15 | $1,058.84–$1,059 | varies |
| Unlisted px female genital system nonobstetrical (58999) | $185.40 | $206 | 0.9× |
| Vaginal delivery only (59409) | $1,033.60 | $1,216 | 0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,024.34 | $1,205.10 | 0.5× |
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.