Procedures & surgery prices at Grand River Medical Center
Rifle, CO · every code in this section with a posted price and a Medicare benchmark.
376 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) range across 2 matching MRF lines |
$405–$425.50 | $810–$851 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,477 | $2,954 | 1.5× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $5,676 | $11,352 | 2.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $5,100.50 | $10,201 | 1.5× |
| Amputation toe interphalangeal joint (28825) | $3,612 | $7,224 | 1.0× |
| Amputation toe metatarsophalangeal joint (28820) | $3,870 | $7,740 | 1.1× |
| Anoscopy diagnostic (46600) | $201 | $402 | 1.4× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $967.50 | $1,935 | 0.3× |
| Anterior Tibial Tubercleplasty (27418) | $8,127 | $16,254 | 1.1× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$198.50–$465 | $397–$930 | varies |
| Application Cast Finger (29086) | $442.50 | $885 | 2.6× |
| Application Cast Shoulder Spica (29055) | $205 | $410 | 0.7× |
| Application Finger Splint Dynamic (29131) | $137.50 | $275 | 2.2× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$71–$108 | $142–$216 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$177.50–$228.50 | $355–$457 | varies |
| Application Long Leg Splint (29505) | $142 | $284 | 0.8× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$264–$366.50 | $528–$733 | varies |
| Application Short Arm Splint Dynamic (29126) | $210.50 | $421 | 1.5× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$172.50–$180.50 | $345–$361 | varies |
| Application short leg splint calf foot (29515) | $142 | $284 | 0.8× |
| Apply hand/wrist cast (29085) | $465 | $930 | 2.7× |
| Apply long arm cast (29065) | $465 | $930 | 1.6× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) | $5,022.50 | $10,045 | 1.5× |
| Arterial puncture (36600) range across 4 matching MRF lines |
$55–$201 | $110–$402 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$444.50–$466.50 | $889–$933 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$202.50–$1,354.50 | $405–$2,709 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $466.50 | $933 | 1.4× |
| Arthroplasty glenohumeral joint total shoulder (23472) | $12,441.50 | $24,883 | 0.7× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $8,901 | $17,802 | 2.6× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) | $6,034.50 | $12,069 | 1.7× |
| Arthroscopy hip w/femoroplasty (29914) | $13,931.50 | $27,863 | 1.8× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) | $6,063 | $12,126 | 1.8× |
| Arthroscopy shoulder distal claviculectomy (29824) | $5,066 | $10,132 | 1.5× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) | $9,014.50 | $18,029 | 1.2× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) | $11,324 | $22,648 | 1.5× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) | $18,124.50 | $36,249 | 2.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $2,967 | $5,934 | 0.9× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) | $6,332.50 | $12,665 | 1.8× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$10,281–$10,653.50 | $20,562–$21,307 | varies |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 3 matching MRF lines |
$10,688–$18,119.50 | $21,376–$36,239 | varies |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) | $12,218 | $24,436 | 1.6× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$425.50–$989.50 | $851–$1,979 | varies |
| Aspirate Pleura W/O Imaging (32554) | $989.50 | $1,979 | 1.5× |
| Aspiration bladder insert suprapubic catheter (51102) | $3,209.50 | $6,419 | 1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) | $313 | $626 | 1.5× |
| Biopsy Abdominal Mass (49180) | $2,554.50 | $5,109 | 1.5× |
| Biopsy bone trocar/needle deep (20225) | $2,554.50 | $5,109 | 1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,554.50 | $5,109 | 1.5× |
| Biopsy muscle percutaneous needle (20206) | $2,554.50 | $5,109 | 1.5× |
| Biopsy of liver, needle; percutaneous (47000) | $2,554.50 | $5,109 | 1.5× |
| Biopsy Pleura Percutaneous Needle (32400) | $2,554.50 | $5,109 | 1.5× |
| Biopsy/removal lymph nodes (38510) | $3,552 | $7,104 | 0.9× |
| Bladder Irrigation (51700) | $389.50 | $779 | 1.5× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$37.50–$39.50 | $75–$79 | varies |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$120–$672.50 | $240–$1,345 | varies |
| Bone Marrow Biopsy (38221) | $2,554.50 | $5,109 | 1.5× |
| Bx breast 1st lesion mr imag (19085) | $2,127.50 | $4,255 | 1.2× |
| Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
$2,662.50–$2,795.50 | $5,325–$5,591 | varies |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$1,998–$3,552 | $3,996–$7,104 | varies |
| Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$106–$111.50 | $212–$223 | varies |
| Change of Windpipe Airway (31502) | $385 | $770 | 1.5× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$161.50–$169.50 | $323–$339 | varies |
| Chest tube placement (32551) | $2,523.50 | $5,047 | 1.5× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$101.50–$106.50 | $203–$213 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,532.50 | $5,065 | 1.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) | $2,532.50 | $5,065 | 1.5× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $2,532.50 | $5,065 | 1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$2,220–$2,333 | $4,440–$4,666 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
$2,412–$3,799.50 | $4,824–$7,599 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,532.50 | $5,065 | 1.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $371.50 | $743 | 1.4× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) | $177.50 | $355 | 0.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$398.50–$418.50 | $797–$837 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,532.50 | $5,065 | 1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $212.50 | $425 | 0.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$2,412–$2,532.50 | $4,824–$5,065 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,171.50 | $2,343 | 0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$936–$983 | $1,872–$1,966 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$360–$378 | $720–$756 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) | $2,532.50 | $5,065 | 1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $195 | $390 | 0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $378 | $756 | 1.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $418.50 | $837 | 1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $283 | $566 | 1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $378 | $756 | 1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $371.50 | $743 | 1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $371.50 | $743 | 1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) | $405 | $810 | 1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $195 | $390 | 0.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) | $2,532.50 | $5,065 | 1.5× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) | $1,381.50 | $2,763 | 0.8× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$103–$108 | $206–$216 | varies |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$20–$21 | $40–$42 | varies |
| Colonoscopy w/submucosal inj (45381) | $1,828 | $3,656 | 1.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $2,331 | $4,662 | 0.7× |
| Conization of cervix (57520) | $2,886 | $5,772 | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $155.50 | $311 | 1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$108–$113.50 | $216–$227 | varies |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) | $23,797.50 | $47,595 | 1.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,554.50 | $5,109 | 1.5× |
| Correction hammertoe (28285) | $9,997.50 | $19,995 | 2.9× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) range across 2 matching MRF lines |
$7,897–$8,865.50 | $15,794–$17,731 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$283–$297 | $566–$594 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $211.50 | $423 | 0.8× |
| Cysto w/removal of tumors small (52234) | $2,980 | $5,960 | 0.8× |
| Cysto/uretero w/lithotripsy (52356) range across 2 matching MRF lines |
$3,718.50–$4,440 | $7,437–$8,880 | varies |
| Cystostomy Cystotomy W/Drainage (51040) | $1,776 | $3,552 | 0.8× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) | $12,190.50 | $24,381 | 4.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,264 | $2,528 | 1.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$591.50–$2,554.50 | $1,183–$5,109 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$378.50–$3,870 | $757–$7,740 | varies |
| Declot vascular device (36593) | $181.50 | $363 | 0.5× |
| Destruction Premalignant Lesion 15/> (17004) | $316 | $632 | 0.7× |
| Destruction premalignant lesion 1st (17000) | $64.50 | $129 | 0.3× |
| Drainage Finger Abscess Complicated (26011) | $2,554.50 | $5,109 | 1.5× |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$148–$3,354 | $296–$6,708 | varies |
| Drainage of gum lesion (41800) | $319 | $638 | 2.3× |
| Drainage of hematoma/fluid (10140) | $2,554.50 | $5,109 | 1.5× |
| Drainage of nose lesion (30000) | $1,554 | $3,108 | 6.2× |
| Drainage of scrotum (54700) | $3,209.50 | $6,419 | 1.5× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$113–$118.50 | $226–$237 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$283–$289.50 | $566–$579 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$289.50–$315.50 | $579–$631 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$184–$292 | $368–$584 | varies |
| Dx laryngoscopy w/oper scope (31526) | $1,887 | $3,774 | 1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$955–$1,003 | $1,910–$2,006 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,231.50 | $2,463 | 0.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $2,164.50 | $4,329 | 1.1× |
| Endometrial Biopsy (58100) | $1,498.50 | $2,997 | 7.0× |
| Endoscopic injection/implant (51715) | $1,276.50 | $2,553 | 0.3× |
| Endoscopic plantar fasciotomy (29893) | $2,220 | $4,440 | 0.6× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) | $4,957.50 | $9,915 | 1.5× |
| Endoven ther chem adhes 1st (36482) | $8,514 | $17,028 | 1.5× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $2,257.50 | $4,515 | 0.6× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$191.50–$201 | $383–$402 | varies |
| Exc arm/elbow les sc < 3 cm (24075) | $1,287.50 | $2,575 | 0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,279 | $2,558 | 1.7× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $2,023 | $4,046 | 1.2× |
| Exc Back Tum Deep 5 Cm/> (21933) | $6,837 | $13,674 | 2.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $130.50 | $261 | 0.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$346–$2,220 | $692–$4,440 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$822–$3,163.50 | $1,644–$6,327 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,465 | $2,930 | 0.8× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $3,025.50 | $6,051 | 1.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $1,672.50 | $3,345 | 1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,770 | $3,540 | 2.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $1,989 | $3,978 | 1.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) range across 2 matching MRF lines |
$2,386.50–$2,838 | $4,773–$5,676 | varies |
| Exc hand tum deep < 1.5 cm (26116) | $3,741 | $7,482 | 2.1× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 2 matching MRF lines |
$3,418.50–$5,676 | $6,837–$11,352 | varies |
| Exc Rct Tum Incl Muscularis Propria (45172) | $1,831.50 | $3,663 | 0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $1,378 | $2,756 | 1.8× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,054.50 | $4,109 | 1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $3,781 | $7,562 | 1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$2,380.50–$2,967 | $4,761–$5,934 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $3,160.50 | $6,321 | 1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $1,289.50 | $2,579 | 3.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,371 | $2,742 | 1.8× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,390.50 | $2,781 | 0.8× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) | $5,772 | $11,544 | 3.3× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $2,053.50 | $4,107 | 1.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $3,741 | $7,482 | 1.2× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $9,499.50 | $18,999 | 22.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $4,644 | $9,288 | 2.7× |
| Excision of single external papilla or tag, anus (46220) | $3,108 | $6,216 | 2.5× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) | $9,933 | $19,866 | 1.4× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) | $22,201 | $44,402 | 3.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$2,941.50–$4,837.50 | $5,883–$9,675 | varies |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) | $3,996 | $7,992 | 1.3× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $2,515.50 | $5,031 | 1.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $4,440 | $8,880 | 1.4× |
| Exploratory elbow surgery (24000) | $5,353.50 | $10,707 | 1.6× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) | $716.50 | $1,433 | 19.6× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $2,941.50 | $5,883 | 1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $3,219 | $6,438 | 1.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $2,442 | $4,884 | 2.5× |
| Hysteroscopy Biopsy (58558) | $2,331 | $4,662 | 0.7× |
| Hysteroscopy Endometrial Ablation (58563) | $5,439 | $10,878 | 1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) unusually low: confirm this is the full procedure |
$2,331 | $4,662 | 0.4× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$366.50–$385 | $733–$770 | varies |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$162–$265.50 | $324–$531 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $4,708.50 | $9,417 | 1.5× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$1,371.50–$1,440 | $2,743–$2,880 | varies |
| I&d pilonidal cyst simple (10080) | $1,109 | $2,218 | 1.5× |
| Incise external hemorrhoid (46083) | $389.50 | $779 | 1.5× |
| Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$2,275.50–$2,941.50 | $4,551–$5,883 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$269.50–$387.50 | $539–$775 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $4,902 | $9,804 | 1.6× |
| Incision & removal foreign body subq tiss compl (10121) | $2,554.50 | $5,109 | 1.5× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$256.50–$3,483 | $513–$6,966 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $314 | $628 | 1.5× |
| Incision and drainage of vulva or perineal abscess (56405) | $505.50 | $1,011 | 1.6× |
| Incision of lingual frenum (frenotomy) (41010) | $1,887 | $3,774 | 1.2× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$1,185.50–$1,245 | $2,371–$2,490 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $315.50 | $631 | 1.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$740.50–$1,436.50 | $1,481–$2,873 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $740.50 | $1,481 | 0.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $1,436.50 | $2,873 | 1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $644.50 | $1,289 | 0.9× |
| Injection enzyme palmar fascial cord (20527) | $199 | $398 | 0.6× |
| Injection for identification of sentinel node (38792) | $425.50 | $851 | 1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $466.50 | $933 | 1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) | $2,386.50 | $4,773 | 7.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) | $644.50 | $1,289 | 0.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $644.50 | $1,289 | 0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,038–$1,090 | $2,076–$2,180 | varies |
| Insert cath pleura w/o image (32556) | $1,418.50 | $2,837 | 0.7× |
| Insert non-tunnel cv cath (36556) | $5,022.50 | $10,045 | 1.5× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$81.50–$201 | $163–$402 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$4,063.50–$4,321.50 | $8,127–$8,643 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $61 | $122 | 0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$2,098.50–$2,203.50 | $4,197–$4,407 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $5,022.50 | $10,045 | 1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,830.50–$2,127.50 | $3,661–$4,255 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$340–$385 | $680–$770 | varies |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $18,997.50 | $37,995 | 1.7× |
| Laparoscopy w/rmvl adnexal structures (58661) | $4,023 | $8,046 | 0.6× |
| Laparoscopy, surgical, appendectomy (44970) | $4,917 | $9,834 | 0.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $8,940 | $17,880 | 1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $5,066 | $10,132 | 0.8× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $8,493 | $16,986 | 1.3× |
| Lysis Intranasal Synechia (30560) | $3,805.50 | $7,611 | 6.7× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) | $444 | $888 | 0.3× |
| N block inj intercost sng (64420) | $1,090 | $2,180 | 1.5× |
| Nasal/Orogastric W/Tube Plmt (43752) | $628 | $1,256 | 1.3× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $2,967 | $5,934 | 1.6× |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) | $4,063.50 | $8,127 | 2.2× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) | $4,063.50 | $8,127 | 0.5× |
| Needle Biopsy Lymph Nodes (38505) | $2,554.50 | $5,109 | 1.5× |
| Needle Biopsy Pancreas (48102) | $2,554.50 | $5,109 | 1.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) range across 2 matching MRF lines |
$19.50–$20.50 | $39–$41 | varies |
| Needle insertion w/o injection 3 or more muscles (20561) | $31.50 | $63 | 1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) range across 2 matching MRF lines |
$521–$542 | $1,042–$1,084 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$444.50–$466.50 | $889–$933 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $740.50 | $1,481 | 0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $740.50 | $1,481 | 1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $740.50 | $1,481 | 1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $1,076.50 | $2,153 | 1.5× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) | $629.50 | $1,259 | 1.5× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) range across 2 matching MRF lines |
$4,837.50–$4,902 | $9,675–$9,804 | varies |
| Open biopsy/excision inguinofemoral nodes (38531) | $4,063.50 | $8,127 | 1.0× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) | $13,484.50 | $26,969 | 1.8× |
| Open Treatment of Ulnar Shaft Fracture (25545) | $9,536 | $19,072 | 1.2× |
| Open Treatment Proximal Humeral Fracture (23615) | $12,739.50 | $25,479 | 0.9× |
| Open Treatment Radial Shaft Fracture (25515) range across 2 matching MRF lines |
$8,195–$10,057.50 | $16,390–$20,115 | varies |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) | $7,095 | $14,190 | 2.1× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 3 matching MRF lines |
$6,183.50–$7,822.50 | $12,367–$15,645 | varies |
| Open tx ulnar fx proximal end (24685) | $11,473 | $22,946 | 1.5× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) | $9,387 | $18,774 | 1.2× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) | $10,938.50 | $21,877 | 1.4× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) | $14,378.50 | $28,757 | 1.9× |
| Pericardiocentesis W/Imaging (33016) | $2,403.50 | $4,807 | 1.4× |
| Perq device breast 1st imag (19281) | $455.50 | $911 | 0.3× |
| Prostate laser enucleation (52649) | $4,606.50 | $9,213 | 0.8× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $3,971 | $7,942 | 0.6× |
| Prq skel fixj femoral fx prox end neck (27235) | $5,960 | $11,920 | 0.8× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) | $3,352.50 | $6,705 | 1.0× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$179.50–$188.50 | $359–$377 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $629.50 | $1,259 | 1.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$740.50–$1,177 | $1,481–$2,354 | varies |
| Rdctj torsion tstis w/wo fixj clat testis (54600) | $5,493 | $10,986 | 1.5× |
| Reconstruction Tongue Fold (41520) | $3,552 | $7,104 | 1.0× |
| Reinforce hip bones (27187) | $5,438.50 | $10,877 | 0.7× |
| Removal Embedded Foreign Body Eyelid (67938) | $459 | $918 | 1.4× |
| Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$2,451–$2,554.50 | $4,902–$5,109 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 4 matching MRF lines |
$253.50–$1,109 | $507–$2,218 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$1,349–$1,416.50 | $2,698–$2,833 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$64.50–$67.50 | $129–$135 | varies |
| Removal Implant Deep (20680) | $5,740.50 | $11,481 | 1.9× |
| Removal of adenoids (42830) | $3,441 | $6,882 | 1.0× |
| Removal of nail bed (11750) | $424.50 | $849 | 1.0× |
| Removal of tonsils (42826) | $3,031.50 | $6,063 | 0.9× |
| Removal or bivalving full arm or full leg cast (29705) | $423 | $846 | 1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) | $423 | $846 | 1.4× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$135–$142 | $270–$284 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$101.50–$106.50 | $203–$213 | varies |
| Remove Tendon Sheath Lesion (26160) | $3,225 | $6,450 | 1.9× |
| Renal Biopsy Perq (50200) | $2,554.50 | $5,109 | 1.5× |
| Repair Achilles Tendon (27650) | $7,971.50 | $15,943 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $414 | $828 | 0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $411 | $822 | 0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$269.50–$283 | $539–$566 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$391.50–$411 | $783–$822 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $989.50 | $1,979 | 2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$674–$707.50 | $1,348–$1,415 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $989.50 | $1,979 | 1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) | $566.50 | $1,133 | 0.7× |
| Repair extensor tendon finger w/o graft each (26418) | $2,532.50 | $5,065 | 1.5× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) | $7,673.50 | $15,347 | 2.2× |
| Repair Hand Tendon (26410) | $2,532.50 | $5,065 | 1.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $8,062.50 | $16,125 | 2.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$269.50–$283 | $539–$566 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $354 | $708 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $628.50 | $1,257 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $424.50 | $849 | 1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$256.50–$269.50 | $513–$539 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $269.50 | $539 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $989.50 | $1,979 | 1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $628.50 | $1,257 | 1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$269.50–$283 | $539–$566 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$337–$354 | $674–$708 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$404.50–$424.50 | $809–$849 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$918–$964 | $1,836–$1,928 | varies |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) | $11,251.50 | $22,503 | 1.5× |
| Repair tongue laceration (41252) | $385 | $770 | 1.5× |
| Repair tongue laceration (41250) | $628 | $1,256 | 1.3× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) | $12,608.50 | $25,217 | 0.9× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) | $17,785.50 | $35,571 | 1.3× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) | $721.50 | $1,443 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $283 | $566 | 0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$148–$155.50 | $296–$311 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $1,416.50 | $2,833 | 3.0× |
| Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$1,768.50–$1,857 | $3,537–$3,714 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $4,477 | $8,954 | 1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,935 | $3,870 | 1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $1,320 | $2,640 | 0.8× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $7,095 | $14,190 | 1.1× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $5,998.50 | $11,997 | 1.6× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $10,771.50 | $21,543 | 1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$300.50–$315.50 | $601–$631 | varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) | $385 | $770 | 1.5× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) | $11,026 | $22,052 | 1.4× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) range across 2 matching MRF lines |
$7,611–$11,416.50 | $15,222–$22,833 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,287.50 | $2,575 | 1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$169–$177.50 | $338–$355 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$202.50–$212.50 | $405–$425 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$202.50–$212.50 | $405–$425 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$169–$177.50 | $338–$355 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $298 | $596 | 1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$202.50–$212.50 | $405–$425 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 4 matching MRF lines |
$1,505–$2,873.50 | $3,010–$5,747 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$1,505–$2,091 | $3,010–$4,182 | varies |
| Skin sub grft t/arm/lg child (15273) | $3,182 | $6,364 | 1.5× |
| Skn sub grft f/n/hf/g child (15277) | $2,432.50 | $4,865 | 1.1× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) unusually low: confirm this is the full procedure |
$2,193 | $4,386 | 0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$202.50–$212.50 | $405–$425 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$337–$354 | $674–$708 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $628.50 | $1,257 | 1.5× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$539.50–$566.50 | $1,079–$1,133 | varies |
| Strapping elbow or wrist (29260) | $138.50 | $277 | 2.2× |
| Strapping hand/finger (29280) | $139.50 | $279 | 2.2× |
| Strapping knee (29530) | $201 | $402 | 1.4× |
| Strapping shoulder (29240) | $167 | $334 | 1.2× |
| Strapping Unna Boot (29580) | $134 | $268 | 0.8× |
| Tangential biopsy skin single lesion (11102) | $114 | $228 | 0.3× |
| Thrombolytic Therapy Stroke (37195) | $533.50 | $1,067 | 1.5× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $3,999 | $7,998 | 1.1× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$348.50–$366 | $697–$732 | varies |
| Total Knee Arthroplasty (27447) range across 3 matching MRF lines |
$10,688–$13,527 | $21,376–$27,054 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $385 | $770 | 1.5× |
| Treat ectopic pregnancy (59151) | $5,140.50 | $10,281 | 0.8× |
| Treat fracture radius/ulna (25575) | $8,642 | $17,284 | 1.1× |
| Treat Fx Rad Extra-Articul (25607) | $7,301 | $14,602 | 1.0× |
| Treat Tail Bone Fracture (27200) | $371.50 | $743 | 1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$2,569–$2,697.50 | $5,138–$5,395 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $354 | $708 | 1.4× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$168–$176.50 | $336–$353 | varies |
| Trim skin lesions 2 to 4 (11056) | $166.50 | $333 | 0.8× |
| Trim skin lesions over 4 (11057) | $242 | $484 | 1.1× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) | $2,608.50 | $5,217 | 0.9× |
| Tx Gastro Intub W/Asp (43753) | $494.50 | $989 | 2.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,941.50 | $5,883 | 0.9× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) | $8,418.50 | $16,837 | 1.1× |
| Tx Missed Abortion First Trimester Surgical (59820) | $2,386.50 | $4,773 | 0.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) | $3,352.50 | $6,705 | 2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $964 | $1,928 | 1.2× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) | $8,791 | $17,582 | 0.6× |
| Tympanostomy general anesthesia (69436) | $1,332 | $2,664 | 0.8× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$466.50–$472 | $933–$944 | varies |
| Vag hyst w/t/o & vag repair (58263) | $13,708 | $27,416 | 2.6× |
| Vaginal delivery only (59409) | $4,926 | $9,852 | 1.4× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) | $11,473 | $22,946 | 2.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $6,407 | $12,814 | 1.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $5,676 | $11,352 | 2.6× |
| Vulvectomy simple partial (56620) | $5,418 | $10,836 | 1.6× |
| Wedge excision skin nail fold (11765) | $265.50 | $531 | 0.6× |
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.