Procedures & surgery prices at Gordon Memorial Hospital District

Gordon, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $233 $233 0.2×
Acne Surgery (10040) $199 $199 1.0×
Amputation follow-up surgery (23921) $146 $146 0.1×
Amputation metatarsal with toe single (28810) $375 $375 0.1×
Amputation toe interphalangeal joint (28825) $315 $315 0.1×
Amputation, foot; transmetatarsal (28805) $89 $89 0.0×
Anoscopy diagnostic (46600) $124 $124 0.9×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) $11,000 $11,000 2.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $95 $95 0.6×
Application cast elbow finger short arm (29075) $213 $213 0.7×
Application Cast Hand & Lower Forearm Gauntlet (29085) $519 $519 3.1×
Application cast shoulder hand long arm (29065) $649 $649 2.2×
Application finger splint static (29130) $197 $197 1.4×
Application long arm splint shoulder hand (29105) $427 $427 2.5×
Application long leg splint thigh ankle/toes (29505) $214 $214 1.3×
Application of long leg cast (29345) $147 $147 0.5×
Application short arm splint forearm-hand static (29125) $177 $177 1.3×
Application short leg splint calf foot (29515) $50 $50 0.3×
Apply short leg cast (29405) $400 $400 1.4×
Apply short leg cast (29425) $323 $323 1.1×
Arterial puncture (36600) $2,340 $2,340 16.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $233 $233 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $238 $238 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $255 $255 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $228 $228 0.7×
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge, not the full procedure		 $443 $443 0.0×
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888)
likely a partial charge, not the full procedure		 $428 $428 0.1×
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $394 $394 0.1×
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $370 $370 0.1×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $410 $410 0.1×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
likely a partial charge, not the full procedure		 $428 $428 0.1×
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $389 $389 0.1×
Arthroscopy, shoulder, surgical; debridement, limited (29822) $385 $385 0.1×
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $395 $395 0.1×
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
likely a partial charge, not the full procedure		 $433 $433 0.1×
Aspirat/Injection Ganglion Cyst(S) (20612) $270.50 $270.50 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $852 $852 4.1×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $52 $52 0.1×
Biopsy of uterus lining (58100) $123 $123 0.6×
Biopsy Soft Tissue Shoulder Deep (23066) $10 $10 0.0×
Bladder Instillation Anticarcinogenic Agent (51720) $54 $54 0.1×
Bladder Irrigation Simple (51700) $1,800 $1,800 6.9×
Bladder Scan (51798) $126 $126 2.1×
Bx breast needle core w/o imaging guidance spx (19100) $306 $306 0.2×
Bx vulva/perineum 1 lesion (56605) $3,500 $3,500 3.7×
Cataract surgery complex (66982) $384 $384 0.2×
Catheter Aspiration Nasotracheal Spx (31720) $31 $31 0.1×
Cautery Cervix Cryocautery Initial or Repeat (57511) $29 $29 0.1×
Chemodenerv Musc Migraine (64615) $285 $285 0.9×
Chemodenerv Musc Neck Dyston (64616) $264 $264 0.8×
Chemodenervation internal anal sphincter (46505) $285 $285 0.2×
Circumcision (54150) $81 $81 0.0×
Closed Rx Med Malleolus Fx (27760) $128 $128 0.5×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $310 $310 0.2×
Closed Rx Trimalleolar Fx (27816) $76 $76 0.3×
Closed treat wrist dislocation (25660) $377 $377 1.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $950 $950 3.7×
Closed tx calcaneal fracture w/o manipulation (28400) $6,434 $6,434 25.1×
Closed tx knee dislocation w/o anesthesia (27550) $87 $87 0.3×
Closed tx patellar fracture w/o manipulation (27520) $110 $110 0.4×
Closed tx ulnar shaft fracture w/o manipulation (25530) $311 $311 1.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $320 $320 0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $337 $337 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $136 $136 0.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $240 $240 0.1×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $20 $20 0.0×
Cltx metacarpal fx w/manipulation each bone (26605) $213 $213 0.8×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $427 $427 1.7×
Cltx metatarsophlngl jt dislc w/o anes (28630) $400 $400 1.6×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $211 $211 0.1×
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $40,000 $40,000 7.7×
Colonoscopy flex w/rem forcep (45384) $330 $330 0.3×
Colonoscopy w/ablation (45388) $358 $358 0.3×
Colonoscopy w/band ligation (45398) $353 $353 0.3×
Colonoscopy w/fb removal (45379) $353 $353 0.3×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $190 $190 0.6×
Colposcopy cervix upper/adjacent vagina (57452) $450 $450 2.1×
Colposcopy entire vagina w/cervix if present (57420) $288 $288 0.9×
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $1,100 $1,100 3.5×
Colsc flx with directed submucosal njx any sbst (45381) $314 $314 0.3×
Complete replacement picc rs&i (36584) $235 $235 0.1×
Conization of cervix (57520) $11,000 $11,000 3.3×
Conization of cervix (57522) $4,000 $4,000 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $370 $370 2.7×
Control Nasal Hemorrhage Anterior Simple (30901) $367 $367 2.7×
Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) $181 $181 0.1×
Cystourethroscopy (52000) $620.50 $620.50 0.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $609 $609 1.4×
Debride nail 6 or more (11721) $125 $125 2.0×
Destroy cerv/thor facet jnt (64633) $358 $358 0.2×
Destroy lumb/sac facet jnt (64635) $358 $358 0.2×
Destruc Benign/Premal,15+ Lesions (17004) $1,209 $1,209 2.9×
Destruction Benign Lesions Up To 14 (17110) $1,508 $1,508 7.2×
Destruction by neurolytic agent, intercostal nerve (64620) $346 $346 0.4×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $285 $285 0.3×
Destruction neurolytic agt genicular nerve w/img (64624) $326 $326 0.2×
Destruction premalignant lesion 1st (17000) $1,719 $1,719 8.3×
Dilation of cervical canal (57800) $51 $51 0.0×
Dilation of female urethra including suppository and/or instillation; initial (53660) $728 $728 5.4×
Dilation of vagina (57400) $4 $4 0.0×
Drainage of hematoma/fluid (10140) $347 $347 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $1,769 $1,769 8.5×
Dry Needling 3+ Muscles (20561) $820 $820 27.3×
Egd balloon dilation esophagus <30 mm diam (43249) $268 $268 0.1×
Egd flexible foreign body removal (43247) $285 $285 0.3×
Egd rem tumr/polyp forcep (43250) $285 $285 0.1×
Egd remove lesion snare (43251) $315 $315 0.2×
Evacuation of subungual hematoma (11740) $553 $553 4.0×
Exc abd les sc 3 cm/> (22903) $365 $365 0.1×
Exc arm/elbow les sc < 3 cm (24075) $356 $356 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $643 $643 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $638 $638 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $386 $386 0.2×
Exc shoulder les sc 3 cm/> (23071) $360 $360 0.2×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $367 $367 0.5×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $628.50 $628.50 1.5×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $1,170 $1,170 1.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,685 $1,685 2.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $422 $422 0.2×
Exc Skin Benig >4 Cm Face,Facial (11446) $225 $225 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $412.50 $412.50 0.2×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $626 $626 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $455 $455 0.3×
Exc thigh/knee les sc 3 cm/> (27337) $360 $360 0.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $256 $256 0.2×
Exc tr-ext b9+marg 0.5 cm or less (11400) $403.50 $403.50 0.5×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $385 $385 0.1×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $360 $360 0.2×
Excise excess skin & tissue (15839) $5,000 $5,000 1.7×
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $247 $247 0.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $223 $223 0.3×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $269 $269 0.6×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $482 $482 0.7×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $267 $267 0.4×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $636 $636 0.9×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $626 $626 0.9×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $968 $968 1.3×
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $634 $634 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $569 $569 0.8×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $1,199 $1,199 0.7×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $261.50 $261.50 0.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $35 $35 0.0×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $102 $102 0.1×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $432 $432 0.3×
Excision of lesion other than skin tag </= 0.5 cm (11420) $632 $632 0.4×
Excision of nail fold toe (11765) $362 $362 0.9×
Excision of pilonidal cyst or sinus; simple (11770) $268 $268 0.1×
Excision olecranon bursa (24105) $360 $360 0.1×
Excision pilonidal cyst/sinus complicated (11772) $371 $371 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $367 $367 0.2×
Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) $371 $371 0.1×
Exploration of knee joint (27310) $410 $410 0.1×
Fetal non-stress test (59025) $426 $426 2.0×
Fine needle aspiration without imaging guidance (10021) $373 $373 0.9×
Fusion of foot bones (28715)
likely a partial charge, not the full procedure		 $54 $54 0.0×
Hemorrhoidectomy (46255) $358 $358 0.1×
Hemorrhoidectomy external complete (46250) $351 $351 0.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) $371 $371 0.1×
Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) $3,800 $3,800 1.3×
Hysteroscopy ablation (58563) $7,500 $7,500 1.4×
Hysteroscopy biopsy (58558) $10,000 $10,000 3.0×
Hysteroscopy dx sep proc (58555) $8,000 $8,000 2.4×
Hysteroscopy Removal Impacted Foreign Body (58562) $18,000 $18,000 5.4×
I&D Abscess Peritonsillar (42700) $341 $341 1.4×
I&d abscess simple (10060) $219 $219 1.1×
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure		 $371 $371 0.1×
Incise finger tendon sheath (26055) $371 $371 0.2×
Incision & drainage abscess complicated/multiple (10061) $308 $308 0.7×
Incision & removal foreign body subq tiss simple (10120) $301.50 $301.50 0.7×
Incision extensor tendon sheath wrist (25000) $360 $360 0.2×
Incision thrombosed hemorrhoid external (46083) $264 $264 1.0×
Inj paravert f jnt c/t 1 lev (64490) $285 $285 0.3×
Inj tendon sheath/ligament (20550) $239 $239 0.7×
Inj,Anes Agent,Brachial Plexus,Single (64415) $264 $264 0.3×
Inj,Anes Agent,Femoral Nerve,Single (64447) $264 $264 0.4×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $313 $313 0.3×
Inject Nerv Blck,Axillary Nerv (64417) $260 $260 0.3×
Inject Nerv Blck,Intercost,Multpl (64421) $226 $226 0.2×
Inject Nerv Blck,Intercostal,One (64420) $255 $255 0.3×
Inject Tendon Origin/Insert (20551) $233 $233 0.7×
Injection aa&/strd trigeminal nerve each branch (64400) $220 $220 0.7×
Injection anes other peripheral nerve/branch (64450) $10 $10 0.0×
Injection of agent to destroy presacral nerve bundle (64681) $179 $179 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $228 $228 0.7×
Injection single/mlt trigger point 3/> muscles (20553) $189 $189 0.6×
Injection therapeutic carpal tunnel (20526) $250 $250 0.8×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $285 $285 0.9×
Insert Bladder Cath Complex (51703) $320.50 $320.50 2.4×
Insert Drug Implant Device (11981) $300 $300 2.2×
Insert pessary/other device (57160) $131 $131 0.6×
Insert picc cath (36569) $264 $264 0.2×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $276 $276 0.2×
Insert Temp Bladder Cath (51702) $36 $36 0.3×
Insert tunneled cv cath (36561) $360 $360 0.1×
Insert,Non-Indwelling Bladder Catheter (51701) $370 $370 2.7×
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure		 $371 $371 0.0×
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure		 $365 $365 0.1×
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) $25,000 $25,000 2.3×
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure		 $371 $371 0.1×
Laparoscopy Remove Adnexa (58661) $16,500 $16,500 2.6×
Laparoscopy salpingostomy (58673) $9,000 $9,000 0.8×
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) $22,000 $22,000 2.0×
Laparoscopy tubal block (58671) $16,000 $16,000 2.5×
Laparoscopy Tubal Cautery (58670) $10,000 $10,000 1.6×
Laparoscopy w/lysis of adhesions (58660) $24,000 $24,000 3.8×
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $8,500 $8,500 1.4×
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure		 $401 $401 0.1×
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
likely a partial charge, not the full procedure		 $435 $435 0.0×
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281)
likely a partial charge, not the full procedure		 $434 $434 0.0×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $387 $387 0.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $371 $371 0.1×
Laps vaginal hysterectomy uterus 250 gm/< (58550) $20,000 $20,000 3.2×
Laryngoscopy Indirect Diagnostic Spx (31505) $275 $275 1.3×
Lateral retinacular release open (27425) $371 $371 0.1×
Lavage by cannulation; sphenoid sinus (31002) $53 $53 0.0×
Ligation of hemorrhoid(s) (46221) $268 $268 0.3×
Manipulation of spine (22505) $3 $3 0.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $820 $820 27.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $205 $205 0.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $264 $264 0.3×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $285 $285 0.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $156 $156 0.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,738 $1,738 2.4×
Open rx distal radius fx, intra-articular, 2 frag (25608)
likely a partial charge, not the full procedure		 $425 $425 0.1×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
likely a partial charge, not the full procedure		 $410 $410 0.1×
Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve… (21433)
likely a partial charge, not the full procedure		 $1,595 $1,595 0.3×
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) $6,974 $6,974 0.5×
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524)
likely a partial charge, not the full procedure		 $411 $411 0.1×
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609)
likely a partial charge, not the full procedure		 $430 $430 0.1×
Osteochondral allograft, knee, open (27415)
likely a partial charge, not the full procedure		 $435 $435 0.0×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $32 $32 0.0×
Pelvic exam under anesthesia (57410) $3,000 $3,000 0.9×
Pericardiocentesis W/Imaging (33016) $177 $177 0.1×
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
likely a partial charge, not the full procedure		 $389 $389 0.1×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure		 $387 $387 0.1×
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $383 $383 0.1×
Punch biopsy skin single lesion (11104) $83 $83 0.2×
Puncture Aspiration (10160) $444 $444 1.1×
Puncture Aspiration Cyst Breast (19000) $669 $669 0.9×
Pvb thoracic single inj site (64461) $276 $276 0.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $360 $360 0.2×
Removal foreign body foot subcutaneous (28190) $364 $364 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $1,178 $1,178 19.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $143 $143 2.3×
Removal Implant Deep (20680) $371 $371 0.1×
Removal Implantable Contraceptive Capsules (11976) $32 $32 0.0×
Removal of intrauterine device (iud) (58301) $2,527.50 $2,527.50 8.0×
Removal of nail bed (11750) $951 $951 2.3×
Removal of sesamoid bone (28315) $54 $54 0.0×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $346 $346 1.7×
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $371 $371 0.2×
Remove drug implant device (11982) $182 $182 0.4×
Remove in/ex hem groups 2+ (46260) $366 $366 0.1×
Remove Peritoneal Foreign Body (49402) $390 $390 0.1×
Remove Pilonidal Cyst Exten (11771) $366 $366 0.1×
Remove/graft foot lesion (28103)
likely a partial charge, not the full procedure		 $12 $12 0.0×
Remv F.B.,Eye,Superf Conjunc (65205) $128 $128 0.9×
Repair achilles tendon (27650)
likely a partial charge, not the full procedure		 $395 $395 0.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,238 $2,238 2.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $246 $246 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $153 $153 0.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $127 $127 0.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $569 $569 1.3×
Repair complex trunk 2.6-7.5 cm (13101) $1,230 $1,230 1.6×
Repair ectropion suture (67914) $328 $328 0.1×
Repair elbow deb/attch open (24359) $395 $395 0.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,401 $1,401 3.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $203 $203 0.5×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $421 $421 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $246 $246 0.6×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $140 $140 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $195 $195 0.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $17 $17 0.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $341 $341 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $15 $15 0.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $274 $274 0.1×
Repair kneecap tendon (27380)
likely a partial charge, not the full procedure		 $389 $389 0.1×
Repair of ankle ligament (27695)
likely a partial charge, not the full procedure		 $377 $377 0.1×
Repair of nail bed (11760) $268 $268 0.3×
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412)
likely a partial charge, not the full procedure		 $428 $428 0.1×
Repair of vagina (57260) $15,000 $15,000 2.9×
Repair rectum & vagina (57250) $10,000 $10,000 1.9×
Repair wrist joints (25447) $426 $426 0.1×
Revise median n/carpal tunnel surg (64721) $371 $371 0.2×
Revise ulnar nerve at elbow (64718) $385 $385 0.2×
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137)
likely a partial charge, not the full procedure		 $445 $445 0.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $303 $303 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $285 $285 0.2×
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $400 $400 0.9×
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge, not the full procedure		 $371 $371 0.1×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge, not the full procedure		 $371 $371 0.1×
Rpr aa hernia 1st < 3 cm reducible (49591) $360 $360 0.1×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $370 $370 0.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $549 $549 2.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $90 $90 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $474 $474 2.3×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $477 $477 1.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $50 $50 0.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $595 $595 2.9×
Sigmoidoscopy flx w/biopsy single/multiple (45331) $227 $227 0.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $268 $268 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $162 $162 0.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $1,298 $1,298 6.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $4,030 $4,030 19.3×
Slitting of prepuce (54001) $10 $10 0.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $515 $515 2.5×
Strapping unna boot (29580) $317.50 $317.50 1.9×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure		 $411 $411 0.1×
Tenotomy elbow lateral/medial debride open (24358) $380 $380 0.1×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $235 $235 0.4×
Total hip arthroplasty (27130)
likely a partial charge, not the full procedure		 $435 $435 0.0×
Total knee arthroplasty (27447)
likely a partial charge, not the full procedure		 $435 $435 0.0×
Transcatheter biopsy (37200)
likely a partial charge, not the full procedure		 $34 $34 0.0×
Transplant hand tendon (26480) $385 $385 0.1×
Treat elbow fracture (24586)
likely a partial charge, not the full procedure		 $310 $310 0.0×
Treat Finger Fracture Each (26727) $371 $371 0.1×
Treat fx rad extra-articul (25607)
likely a partial charge, not the full procedure		 $410 $410 0.1×
Treat ulnar fracture (24685)
likely a partial charge, not the full procedure		 $389 $389 0.1×
Treat wrist bone fracture (25622) $264 $264 1.0×
Treatment of ankle fracture (27822)
likely a partial charge, not the full procedure		 $426 $426 0.1×
Treatment of ankle fracture (27792)
likely a partial charge, not the full procedure		 $389 $389 0.1×
Trim skin lesion (11055) $228 $228 1.1×
Trim skin lesions 2 to 4 (11056) $292 $292 1.4×
Trimming Of Nondystrophic Nails, Any Number (11719) $701 $701 11.4×
Tx Missed Abortion First Trimester Surgical (59820) $670 $670 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $280 $280 0.4×
Unlisted Procedure Dentoalveolar Structures (41899) $272 $272 1.1×
Unlisted procedure shoulder (23929) $1,304 $1,304 5.1×
Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) $18,000 $18,000 3.5×
Vag hyst complex (58290) $16,000 $16,000 2.1×
Vag hyst w/enterocele repair (58270) $25,000 $25,000 4.8×
Vaginal hysterectomy (58260) $14,000 $14,000 2.7×
Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of… (58292) $32,000 $32,000 4.2×
Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele (58294) $27,000 $27,000 5.2×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $16,000 $16,000 3.1×
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) $30,000 $30,000 5.8×
Vbac delivery only (59612) $550 $550 0.2×
Venipuncture (36415) $438 $438 46.9×
Vulvectomy simple partial (56620) $4,000 $4,000 1.2×