Procedures & surgery prices at Gouverneur Hospital

Gouverneur, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$1,424.47–$2,641.29 $2,191.49–$4,063.53 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,424.47 $2,191.49 1.3×
Acne surgery (10040) $431.61 $664.02 1.7×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $4,771.98 $7,341.50 1.9×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $4,771.98 $7,341.50 1.9×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $4,771.98 $7,341.50 1.9×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $2,048.16 $3,151.02 0.8×
Anoscopy Control Bleeding (46614) $2,190.45 $3,369.93 1.5×
Anoscopy diagnostic (46600) $348.09 $535.52 2.1×
Anoscopy; with biopsy, single or multiple (46606) $2,425.93 $3,732.20 1.6×
Application cast elbow finger short arm (29075) $797.02 $1,226.19 2.3×
Application finger splint static (29130)
range across 2 matching MRF lines
$135.25–$284.91 $208.07–$438.33 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$247.24–$357.66 $380.37–$550.25 varies
Application Long Leg Cast Walker/Ambulatory Type (29355) $715.15 $1,100.23 2.0×
Application Long Leg Splint (29505) $238.79 $367.37 1.2×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$191.59–$284.91 $294.76–$438.33 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$239.49–$357.66 $368.45–$550.25 varies
Apply Multlay Comprs Lwr Leg (29581) $357.66 $550.25 1.8×
Apply short leg cast (29425) $797.02 $1,226.19 2.3×
Arterial puncture (36600)
range across 3 matching MRF lines
$245–$284.91 $376.93–$438.33 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$119.59–$274.01 $183.99–$421.55 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$287.39–$667.15 $442.14–$1,026.39 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $667.15 $1,026.39 1.7×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$236.78–$667.15 $364.28–$1,026.39 varies
Aspirate pleura w/ imaging (32555) $1,258.15 $1,935.62 1.6×
Aspirate Pleura W/O Imaging (32554) $845.41 $1,300.63 1.1×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines
$3,784.29–$4,551.46 $5,821.98–$7,002.24 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$272.60–$443.10 $419.38–$681.70 varies
Biopsy Bone Trocar/Needle Superficial (20220) $3,679.56 $5,660.86 1.8×
Biopsy Oropharynx (42800) $3,294.95 $5,069.15 1.7×
Biopsy Pleura Percutaneous Needle (32400) $3,334.87 $5,130.57 1.6×
Biopsy Salivary Gland Needle (42400) $1,451.96 $2,233.78 1.6×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,557.19 $2,395.67 1.4×
Bladder instillation anticarcinogenic agent (51720) $1,475.90 $2,270.61 1.7×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$234.57–$272.77 $360.87–$419.64 varies
Bladder Scan (51798)
range across 3 matching MRF lines
$105.66–$162.58 $162.56–$250.12 varies
Blepharotomy drainage abscess eyelid (67700) $726 $1,116.92 1.8×
Blood Transfusion Service (36430) $966.08 $1,486.28 1.8×
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) $7,146.71 $10,994.94 1.5×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $18,947.23 $29,149.59 2.2×
Bx Cervix (57500) $1,629.30 $2,506.62 1.4×
Catheter aspiration nasotracheal spx (31720) $316.98 $487.66 1.2×
Change Cystostomy Tube Complicated (51710) $1,400.79 $2,155.06 1.6×
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$229.63–$533.98 $353.28–$821.50 varies
Change of Windpipe Airway (31502) $549.65 $845.61 1.9×
Chemical Cautery Tissue (17250) $443.10 $681.70 1.8×
Chemodenerv 1 extrem 5/> mus (64644) $1,096.41 $1,686.78 1.2×
Chest tube placement (32551) $1,737.03 $2,672.35 0.9×
Cl Tx Tib Shft Fx W Manip (27752) $3,026.98 $4,656.90 1.5×
Clear outer ear canal (69200) $184.55 $283.92 1.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $436.82 $672.03 1.4×
Closed Treatment Ulnar Styloid Fracture (25650) $586.79 $902.76 1.9×
Closed tx ankle dislocation w/o anesthesia (27840) $671.50 $1,033.08 2.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $619.10 $952.46 2.0×
Closed tx knee dislocation w/o anesthesia (27550) $438.15 $674.07 1.4×
Closed tx mandibular fracture w/manipulation (21451) $2,833.45 $4,359.15 1.5×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,219.38 $6,491.35 2.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,703.41 $4,159.09 1.4×
Closed tx patellar dislocation w/o anesthesia (27560) $594.51 $914.63 1.9×
Closed tx radial head/neck fx w/manipulation (24655) $2,986.09 $4,593.99 1.5×
Closed tx radial head/neck fx w/o manipulation (24650) $715.15 $1,100.23 2.3×
Closed tx radial shaft fracture w/manipulation (25505) $2,848.48 $4,382.28 1.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,525.96 $2,347.63 0.8×
Closed Tx Scapular Fracture W/O Manipulation (23570)
range across 2 matching MRF lines
$463.22–$656.57 $712.65–$1,010.11 varies
Closed tx talus fracture w/o manipulation (28430) $637.35 $980.54 2.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $442.01 $680.02 1.4×
Clsd tx clavicular fracture w/o manipulation (23500) $710.51 $1,093.09 2.3×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $509.51 $783.86 1.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,383.66 $3,667.17 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $546.61 $840.94 1.8×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $514.01 $790.78 1.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,848.48 $4,382.28 1.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,383.84 $2,128.99 0.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $671.50 $1,033.08 2.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $442.01 $680.02 1.4×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $442.01 $680.02 1.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $521.61 $802.47 1.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,895.91 $2,916.78 0.9×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $33.68 $51.81 0.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $433.91 $667.55 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $715.15 $1,100.23 2.3×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,848.48 $4,382.28 1.4×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $507.97 $781.49 1.6×
Cltx Greater Trochanteric Fx W/O Manj (27246) $656.57 $1,010.11 2.1×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,987.24 $4,595.76 1.5×
Cltx hip dislocation traumatic req anesthesia (27252) $4,283.02 $6,589.26 2.1×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $797.02 $1,226.19 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $522.66 $804.09 1.7×
Cltx Med Ankle Fx W/Mnpj (27762) $3,955.24 $6,084.99 2.0×
Cltx metacarpal fx w/manipulation each bone (26605) $463.22 $712.65 1.5×
Cltx metacarpal fx w/o manipulation each bone (26600) $530.65 $816.39 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines
$616.10–$617.08 $947.84–$949.36 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $465.60 $716.31 1.5×
Cltx post hip arthrp dislc req anes (27266) $2,888.33 $4,443.59 1.4×
Cltx post hip arthrp dislc w/o anes (27265) $442.01 $680.02 1.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $4,283.02 $6,589.26 2.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $390.23 $600.36 1.3×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,663.67 $2,559.49 0.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $4,283.02 $6,589.26 2.1×
Cltx tibial fx proximal w/o manipulation (27530) $658.55 $1,013.15 2.1×
Cltx tibial shaft fx w/o manipulation (27750) $463.22 $712.65 1.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,970.18 $3,031.05 1.0×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines
$253.70–$352.82 $390.31–$542.80 varies
Collection of venous blood by venipuncture (36415) $20.14 $30.99 2.2×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $832.58 $1,280.89 2.2×
Colposcopy entire vagina w/cervix if present (57420) $693.11 $1,066.33 1.8×
Complex drainage wound (10180) $5,846.86 $8,995.17 1.6×
Control Nasal Hemorrhage Anterior Complex (30903) $221.88 $341.36 1.3×
Control Nasal Hemorrhage Anterior Simple (30901) $236.68 $364.12 1.4×
Create Eardrum Opening (69433) $1,118.37 $1,720.57 1.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $311.34 $478.99 1.9×
Cysto calibration dilat urtl strix/stenosis (52281) $3,356.67 $5,164.11 1.3×
Cysto w/insert ureteral stent (52332) $6,553.88 $10,082.90 1.5×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,358.16 $3,627.94 0.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,425.53 $2,193.13 1.5×
Debride nail 1-5 (11720) $141.04 $216.98 1.9×
Debride nail 6 or more (11721) $141.04 $216.98 1.9×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines
$762.85–$915.44 $1,173.62–$1,408.37 varies
Delivery of placenta (59414) $2,930.27 $4,508.11 0.7×
Destruct B9 Lesion 1-14 (17110) $137.16 $211.01 0.5×
Destruction Benign Lesions 15/> (17111) $131.87 $202.88 0.5×
Destruction Lesions Vulva Simple (56501) $2,166.46 $3,333.01 0.8×
Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) $1,293.53 $1,990.04 1.4×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $431.61 $664.02 1.7×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $1,093.55 $1,682.38 2.2×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $857.10 $1,318.61 1.7×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $431.61 $664.02 1.7×
Drain/inj small joint/bursa w/us (20604) $639.92 $984.49 1.7×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines
$1,530.35–$1,738.83 $2,354.38–$2,675.13 varies
Drainage Finger Abscess Complicated (26011) $2,967.69 $4,565.67 1.4×
Drainage Mouth Roof Lesion (42000) $549.65 $845.61 1.9×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$381.04–$443.10 $586.22–$681.70 varies
Drainage of gum lesion (41800) $288.10 $443.23 1.7×
Drainage of hematoma/fluid (10140) $3,332.03 $5,126.20 1.6×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$95.43–$352.82 $146.81–$542.80 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $371.16 $571.02 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$302.18–$443.10 $464.90–$681.70 varies
Dstrj lesion choroid pc 1/> sess (67220) $1,302.40 $2,003.69 1.9×
Endocervical curettage (57505) $1,557.19 $2,395.67 1.4×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $4,902.19 $7,541.83 1.2×
Evacuation of subungual hematoma (11740) $150.03 $230.82 0.9×
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) $9,974.41 $15,345.24 2.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,389.90 $2,138.31 1.6×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $4,753.85 $7,313.62 2.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,679.56 $5,660.86 1.8×
Exc Skin Malig >4 Cm Remaindr Body (11626) $6,338.72 $9,751.87 1.7×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,192.50 $3,373.08 1.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines
$739.46–$859.90 $1,137.63–$1,322.92 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,679.56 $5,660.86 1.8×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $5,584.64 $8,591.75 1.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $3,307.66 $5,088.70 1.6×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,592.44 $2,449.91 1.8×
Excision Lesion Conjunctiva </1 Cm (68110) $4,544.49 $6,991.53 1.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $915.44 $1,408.37 1.8×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $7,435.50 $11,439.23 2.1×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $5,173.82 $7,959.72 2.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $3,502.88 $5,389.05 1.7×
External cephalic version (59412) $6,395.56 $9,839.32 1.6×
Fluoro exam of g/colon tube (49465) $908.46 $1,397.63 3.1×
Fna bx w/us gdn 1st les (10005) $1,637.71 $2,519.55 1.9×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines
$487.44–$527.74 $749.91–$811.91 varies
I&d abscess simple (10060)
range across 3 matching MRF lines
$333.88–$523.88 $513.66–$805.97 varies
I&D Deep Absc/Hematoma Neck/Chest (21501) $7,435.50 $11,439.23 2.1×
I&d perianal abscess superficial (46050) $1,691.24 $2,601.90 1.5×
I&d pilonidal cyst complicated (10081) $1,225.34 $1,885.14 1.4×
I&d pilonidal cyst simple (10080) $757.22 $1,164.96 0.9×
Incise external hemorrhoid (46083) $272.60 $419.38 0.9×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$501.81–$1,043.41 $772.02–$1,605.25 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$540.98–$859.90 $832.27–$1,322.92 varies
Incision and drainage of bartholin's gland abscess (56420) $328.95 $506.08 1.3×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines
$616.07–$839.47 $947.80–$1,291.49 varies
Incision of eardrum (69420) $527.74 $811.91 1.8×
Incision of rectal abscess (46040)
range across 2 matching MRF lines
$2,447.76–$2,657.23 $3,765.79–$4,088.05 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $4,292.42 $6,603.72 2.1×
Incisional biopsy skin single lesion (11106) $1,425.53 $2,193.13 1.5×
Initial Tx 1st Degree Burn Local Tx (16000) $381.04 $586.22 1.5×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$640.26–$807.96 $985.01–$1,243.01 varies
Injection single tendon origin/insertion (20551) $434.12 $667.87 1.1×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$266.26–$667.15 $409.63–$1,026.39 varies
Injection single/mlt trigger point 3/> muscles (20553) $667.15 $1,026.39 1.7×
Injection Sinus Tract Therapeutic Separate Proc (20500) $3,143.72 $4,836.50 1.6×
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines
$1,581.07–$1,895.48 $2,432.42–$2,916.13 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$696.64–$1,703.29 $1,071.76–$2,620.44 varies
Insert Bladder Cath Complex (51703) $303.83 $467.43 1.9×
Insert cath pleura w/o image (32556) $4,688.19 $7,212.60 2.0×
Insert Drug Implant Device (11981) $284.91 $438.33 1.7×
Insert Gastrostomy Tube Percutaneous (49440) $3,008.64 $4,628.67 1.3×
Insert non-tunnel cv cath (36556) $1,477.11 $2,272.48 0.4×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$164.83–$284.91 $253.58–$438.33 varies
Insert tunneled cv cath (36561) $6,886.74 $10,594.99 1.7×
Insert,Non-Indwelling Bladder Catheter (51701) $157.78 $242.74 1.0×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $70.06 $107.78 0.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$1,362.58–$2,629.22 $2,096.27–$4,044.96 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $4,679.33 $7,198.97 1.2×
Interdental fixation (21110) $3,431.73 $5,279.58 1.8×
Intraoral i&d tongue/floor lingual (41000) $983.79 $1,513.53 1.5×
Intraoral i&d tongue/floor submndblr space (41008) $5,357.45 $8,242.23 1.3×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$447.29–$579 $688.14–$890.77 varies
Irrigation of corpora cavernosa for priapism (54220) $601.07 $924.72 1.9×
Laryngoscopy flexible diagnostic (31575) $243.15 $374.08 1.0×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $420.87 $647.49 0.9×
Maniplatn palar fascial crd post inj single cord (26341) $75.78 $116.59 0.2×
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $3,229.58 $4,968.59 1.6×
Nasal/Orogastric W/Tube Plmt (43752) $440.28 $677.35 0.8×
Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) $11,304.18 $17,391.04 1.5×
Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) $11,304.18 $17,391.04 1.5×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,734.36 $5,745.17 1.7×
Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) $2,649.50 $4,076.15 3.7×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $846.85 $1,302.85 2.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$303.60–$667.15 $467.07–$1,026.39 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $6,497.26 $9,995.79 1.5×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,006.79 $3,087.37 1.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,581.07 $2,432.42 1.8×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $581 $893.84 0.7×
Place Rt Device/Marker Pros (55876) $2,741.41 $4,217.56 1.6×
Placement of needle for intraosseous infusion (36680) $796.70 $1,225.70 1.4×
Probe lacrimal canaliculi w/wo irrigation (68840) $619.03 $952.36 1.6×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $7,058.36 $10,859.02 1.7×
Punch biopsy skin single lesion (11104) $915.44 $1,408.37 1.8×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines
$488.85–$915.44 $752.07–$1,408.37 varies
Removal foreign body foot deep (28192) $3,297.87 $5,073.65 1.6×
Removal Foreign Body Foot Subcutaneous (28190) $1,307.20 $2,011.08 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$99.32–$141.04 $152.80–$216.98 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$72.90–$123.27 $112.16–$189.64 varies
Removal Implant Superficial Separate Procedure (20670) $3,679.56 $5,660.86 1.8×
Removal of foreign body from pharynx (42809) $740.28 $1,138.89 1.3×
Removal of nail bed (11750)
range across 2 matching MRF lines
$717.07–$915.44 $1,103.19–$1,408.37 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $523.88 $805.97 2.1×
Removal/bivalving gauntlet boot/body cast (29700) $603.08 $927.82 1.7×
Remove foreign body from eye (65205) $185.26 $285.01 1.1×
Remove Intrauterine Device (58301) $604.24 $929.60 1.6×
Remove lung catheter (32552) $1,624.96 $2,499.94 2.1×
Remove Nasal Foreign Body (30300) $243.02 $373.87 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,713.10 $2,635.54 3.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$1,167.97–$1,675.44 $1,796.88–$2,577.60 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $762.87 $1,173.64 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $579.72 $891.87 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $594.51 $914.63 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,037.28 $1,595.82 2.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,274.46 $1,960.71 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$495.96–$915.44 $763.01–$1,408.37 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$897.27–$915.44 $1,380.42–$1,408.37 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,546.82 $2,379.72 1.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $576.89 $887.53 1.1×
Repair of nail bed (11760) $674.81 $1,038.17 0.7×
Replace g/c tube perc (49450) $2,372.05 $3,649.31 2.1×
Reposition Gastrostomy Tube (43761) $358.10 $550.93 1.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,039.82 $3,138.18 1.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $235.97 $363.03 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $198.64 $305.60 1.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $986.17 $1,517.19 1.8×
Rmvl fecal impaction/fb spx under anes (45915) $2,985.46 $4,593.01 2.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,650.02 $4,076.96 1.3×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines
$1,280.16–$1,419.51 $1,969.48–$2,183.86 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$459.19–$615.93 $706.44–$947.58 varies
Rplc gtube revj gstrst trc (43763) $317.86 $489.02 1.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $342.34 $526.67 1.4×
Rpr Lip Full Thickness Vermilion Only (40650) $1,031.74 $1,587.30 1.5×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $443.10 $681.70 1.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $426.75 $656.54 1.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $155.95 $239.93 0.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $482.79 $742.76 1.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $302.89 $465.98 1.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$310.64–$443.10 $477.90–$681.70 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $311.34 $478.99 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $273.31 $420.47 1.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $371.42 $571.42 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$319.79–$597.57 $491.99–$919.34 varies
Skin sub graft face/nk/hf/g (15275) $4,234.88 $6,515.20 4.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $307.11 $472.48 1.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $440.28 $677.35 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $739.46 $1,137.63 1.5×
Spinal puncture lumbar diagnostic (62270)
range across 5 matching MRF lines
$745.24–$1,581.07 $1,146.53–$2,432.42 varies
Strapping ankle (29540)
range across 2 matching MRF lines
$217.66–$357.66 $334.86–$550.25 varies
Strapping elbow or wrist (29260) $113.65 $174.84 1.5×
Strapping hand/finger (29280) $116.93 $179.89 1.6×
Strapping knee (29530) $185.96 $286.09 1.1×
Strapping shoulder (29240) $191.59 $294.76 1.2×
Strapping toes (29550) $180.03 $276.97 2.4×
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$208.08–$357.66 $320.12–$550.25 varies
Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) $8,876.49 $13,656.14 2.1×
Suture digital nerve hand/foot 1 nerve (64831) $3,600.45 $5,539.16 1.5×
Tangential biopsy skin single lesion (11102) $443.10 $681.70 0.9×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $3,312.43 $5,096.04 1.7×
Thrombolytic Therapy Stroke (37195) $492.57 $757.80 1.2×
Tooth extraction (41899) $453.82 $698.19 1.5×
Tprnl Plmt Biodegrdabl Matrl (55874) $11,538.11 $17,750.94 1.7×
Tracheostomy Emergency Cricothyroid Membrane (31605) $438.54 $674.68 1.5×
Treat humerus fracture (24500) $442.01 $680.02 1.4×
Treat Humerus Fracture (24505) $1,320.06 $2,030.86 0.7×
Treat knee fracture (27532) $5,565.22 $8,561.88 1.4×
Treat Metatarsal Fracture (28475) $442.01 $680.02 1.4×
Treat Thumb Fracture (26645) $1,243.18 $1,912.59 0.6×
Treat toe dislocation (28630) $530.65 $816.39 1.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,848.48 $4,382.28 1.4×
Treatment closed elbow dislocation w/o anes (24600) $626.35 $963.61 2.0×
Trim skin lesion (11055) $443.10 $681.70 1.8×
Trim skin lesions 2 to 4 (11056) $443.10 $681.70 1.8×
Trimming Nondystrophic Nails Any Number (11719) $141.04 $216.98 1.9×
Tx Gastro Intub W/Asp (43753) $317.68 $488.74 1.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $8,180.93 $12,586.05 2.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $857.95 $1,319.92 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $514.01 $790.78 1.7×
Unlisted procedure femur or knee (27599) $617.08 $949.36 2.0×
Unlisted procedure nervous system (64999) $884.14 $1,360.21 2.3×
Unlisted Procedure Trachea Bronchi (31899) $470.57 $723.95 1.9×
Unlisted Procedure Vascular Surgery (37799) $1,100.86 $1,693.63 1.4×
Vaginal delivery only (59409) $3,695.80 $5,685.85 0.9×
Wedge excision skin nail fold (11765) $477.58 $734.74 0.9×

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.