Procedures & surgery prices at Gundersen Boscobel Area Hospital and Clinics

Boscobel, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $697.83 $1,355 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $697.83 $1,355 0.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,459.51 $2,834 0.7×
Amputation toe metatarsophalangeal joint (28820) $976.96 $1,897 0.3×
Anoscopy diagnostic (46600) $136.99 $266 1.1×
Application cast elbow finger short arm (29075) $145.75 $283 0.5×
Application finger splint static (29130) $77.25 $150 0.6×
Application long arm splint shoulder hand (29105) $134.42 $261 0.9×
Application Long Leg Splint (29505) $156.56 $304 1.0×
Application short arm splint forearm-hand static (29125) $64.38 $125 0.5×
Application short leg splint calf foot (29515) $136.99 $266 0.9×
Apply long arm cast (29065) $232.27 $451 0.9×
Apply Multlay Comprs Lwr Leg (29581) $139.05 $270 0.9×
Apply Short Leg Cast (29405) $221.97 $431 0.8×
Arterial puncture (36600) $98.37 $191 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $123.60 $240 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $112.27 $218 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $234.33 $455 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $251.84 $489 0.8×
Aspirate pleura w/ imaging (32555) $732.33 $1,422 1.2×
Aspirate Pleura W/O Imaging (32554) $289.95 $563 0.5×
Aspirate/Inj Ganglion Cyst (20612) $104.55 $203 0.4×
Aspiration Bladder Needle (51100)
range across 2 matching MRF lines		 $108.15–$187.98 $210–$365 varies
Avulsion nail plate partial/complete simple 1 (11730) $130.30 $253 0.7×
Biopsy external ear (69100) $186.43 $362 0.8×
Biopsy of lip (40490) $310.55 $603 1.3×
Biopsy of penis (54100)
range across 2 matching MRF lines		 $358.96–$1,298.32 $697–$2,521 varies
Biopsy Vaginal Mucosa Simple (57100) $628.82 $1,221 0.7×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $623.15 $1,210 0.7×
Bladder Irrigation (51700) $236.39 $459 1.0×
Bladder Scan (51798) $43.26 $84 0.8×
Blepharotomy drainage abscess eyelid (67700) $235.36 $457 0.8×
Blood Transfusion Service (36430)
range across 4 matching MRF lines		 $444.45–$521.70 $863–$1,013 varies
Bx breast 1st lesion us imag (19083) $1,268.45 $2,463 0.8×
Bx Cervix (57500) $227.63 $442 0.3×
Change Cystostomy Tube Simple (51705) $270.38 $525 1.1×
Chemical Cautery Tissue (17250) $80.86 $157 0.4×
Chemical Pleurodesis (32560) $798.77 $1,551 1.3×
Chest tube placement (32551) $404.79 $786 0.3×
Circumcision 28 days or older (54161) $719.97 $1,398 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $1,249.91 $2,427 0.8×
Clear outer ear canal (69200) $68.50 $133 0.5×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,270.51 $2,467 0.8×
Closed Treatment Ulnar Styloid Fracture (25650) $185.40 $360 0.8×
Closed tx ankle dislocation w/o anesthesia (27840) $853.87 $1,658 3.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,039.79 $2,019 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $204.46 $397 0.9×
Closed tx metatarsal fracture w/o manipulation (28470) $295.61 $574 1.2×
Closed tx patellar dislocation w/o anesthesia (27560) $392.43 $762 1.6×
Closed Tx Patellar Fracture W/O Manipulation (27520) $186.95 $363 0.8×
Closed tx radial head/neck fx w/manipulation (24655) $1,212.83 $2,355 0.8×
Closed tx radial head/neck fx w/o manipulation (24650) $198.79 $386 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,249.91 $2,427 0.8×
Closed tx radial&ulnar shaft fractures w/o man (25560) $180.77 $351 0.8×
Closed tx septal&nose fx (21337) $2,424.62 $4,708 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $254.93 $495 1.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $180.77 $351 0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $198.79 $386 0.8×
Clsd tx clavicular fracture w/o manipulation (23500) $180.77 $351 0.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,212.83 $2,355 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $252.35 $490 1.1×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,227.25 $2,383 0.8×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516)
range across 2 matching MRF lines		 $172.53–$1,595.99 $335–$3,099 varies
Cltx dstl fibular fx lat malls w/manj (27788) $186.95 $363 0.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $407.37 $791 1.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $383.16 $744 1.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $180.25 $350 0.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $198.79 $386 0.8×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $511.40 $993 0.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $256.47 $498 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $371.83 $722 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $186.43 $362 0.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,227.25 $2,383 0.8×
Cltx greater humeral tuberosity fx w/o manj (23620) $355.87 $691 1.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $179.74 $349 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $195.19 $379 0.8×
Cltx Medial Ankle Fx (27760) $198.79 $386 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $533.54 $1,036 2.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $358.44 $696 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $616.46 $1,197 2.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $185.40 $360 0.8×
Cltx prox fibula/shft fx w/o manj (27780) $198.79 $386 0.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,245.27 $2,418 0.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $192.61 $374 0.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,240.64 $2,409 0.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $180.77 $351 0.8×
Cltx tibial fx proximal w/o manipulation (27530) $186.95 $363 0.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,249.91 $2,427 0.8×
Collect Blood From Catheter Venous Nos (36592) $98.37 $191 0.8×
Collection of venous blood by venipuncture (36415) $15.45 $30 1.7×
Colonoscopy w/ablation (45388) $1,603.20 $3,113 1.4×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $470.20 $913 1.6×
Colposcopy Cervix Endocervical Curettage (57456) $270.89 $526 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $152.44 $296 0.8×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $270.89 $526 0.9×
Colposcopy cervix vag eltrd conization cervix (57461) $2,387.54 $4,636 0.8×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $2,355.61 $4,574 0.7×
Colposcopy entire vagina w/cervix if present (57420) $244.63 $475 0.8×
Colposcopy of vulva (56820)
range across 2 matching MRF lines		 $152.44–$248.23 $296–$482 varies
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $569.59 $1,106 0.6×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,501.23 $2,915 0.5×
Control Nasal Hemorrhage Anterior Complex (30903) $198.79 $386 1.5×
Control Nasal Hemorrhage Anterior Simple (30901) $114.85 $223 0.9×
Control oropharyngeal hemorrhage simple (42960) $133.90 $260 0.3×
Correction hammertoe (28285) $843.57 $1,638 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $193.64 $376 1.5×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $186.43 $362 0.8×
Cysto W/Simple Removal Stone & Stent (52310) $1,318.40 $2,560 0.6×
Cystourethroscopy (52000) $745.72 $1,448 1.1×
Cystourethroscopy inj chemodenervation bladder (52287) $1,555.30 $3,020 0.8×
Debride nail 1-5 (11720) $91.67 $178 1.6×
Debride nail 6 or more (11721) $75.71 $147 1.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $304.37 $591 0.8×
Declot vascular device (36593) $80.34 $156 0.3×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $153.47–$210.12 $298–$408 varies
Destruction by neurolytic agent; plantar common digital nerve (64632) $226.09 $439 0.8×
Destruction Lesions Vulva Simple (56501) $983.65 $1,910 0.5×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $367.20 $713 1.9×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $152.96 $297 0.8×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $278.62 $541 1.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $159.14 $309 0.8×
Destruction Premalignant Lesion 15/> (17004) $255.44 $496 0.6×
Destruction premalignant lesion 1st (17000) $98.37 $191 0.5×
Diagnostic sigmoidoscopy (45330) $1,603.20 $3,113 1.8×
Drainage external ear abscess/hematoma cmplx (69005) $1,251.45 $2,430 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $289.43 $562 0.4×
Drainage of finger abscess simple (26010) $87.04 $169 0.4×
Drainage of gum lesion (41800) $176.13 $342 1.4×
Drainage of hematoma/fluid (10140) $489.25 $950 0.3×
Drainage of nose lesion (30000) $183.86 $357 0.8×
Drainage of scrotal wall abscess (55100) $1,371.45 $2,663 0.9×
Draw Blood Off Venous Device (36591) $98.37 $191 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $499.04 $969 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $161.20 $313 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $157.59 $306 0.8×
Dstrj Lesion Penis Simple Chemical (54050) $333.72 $648 0.8×
Dstrj lesion penis simple surg excision (54060) $219.39 $426 0.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,603.20 $3,113 0.9×
Egd remove lesion snare (43251) $1,603.20 $3,113 0.9×
Endocervical curettage (57505) $610.79 $1,186 0.7×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $843.06 $1,637 0.2×
Endometrial Biopsy (58100) $160.17 $311 0.8×
Episiotomy or vaginal repair (59300) $2,548.22 $4,948 0.8×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,603.20 $3,113 1.8×
Evacuation of subungual hematoma (11740) $87.04 $169 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $548.99 $1,066 0.8×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $670.02 $1,301 0.4×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $548.99 $1,066 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $537.66 $1,044 0.8×
Exc Face Les Sbq 2 Cm/> (21012) $1,356.51 $2,634 0.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $357.93 $695 0.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $599.98 $1,165 0.9×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $599.98 $1,165 0.9×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,328.70 $2,580 0.8×
Exc Forearm Les Sc 3 Cm/> (25071) $1,238.06 $2,404 0.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $923.40 $1,793 0.6×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $508.82 $988 0.7×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $589.68 $1,145 0.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $717.40 $1,393 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $293.04 $569 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $750.87 $1,458 0.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,169.70 $4,213 0.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $538.69 $1,046 0.3×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $795.16 $1,544 0.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $904.86 $1,757 0.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $939.88 $1,825 0.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $248.23 $482 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $270.38 $525 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $314.15 $610 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $2,251.07 $4,371 0.8×
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $1,337.97 $2,598 0.8×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $2,285.57 $4,438 0.8×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $632.94 $1,229 0.9×
Excision Excessive Skin & Subq Tissue Other Area (15839)
range across 2 matching MRF lines		 $2,234.07–$2,400.42 $4,338–$4,661 varies
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $456.29 $886 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $515 $1,000 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $573.71 $1,114 1.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $692.68 $1,345 1.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $814.22 $1,581 1.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,238.06 $2,404 0.8×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $631.39 $1,226 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $779.20 $1,513 1.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $787.44 $1,529 1.1×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $814.22 $1,581 0.5×
Excision of single external papilla or tag, anus (46220) $1,000.13 $1,942 0.9×
Excision Pilonidal Cyst/Sinus Extensive (11771) $2,148.07 $4,171 0.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,380.20 $2,680 0.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $471.74 $916 0.3×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,238.06 $2,404 0.8×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,335.01 $4,534 0.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $2,250.04 $4,369 0.8×
Exploration penetrating wound spx extremity (20103) $1,306.04 $2,536 0.8×
Fasciotomy palmar percutaneous (26040) $1,381.75 $2,683 0.9×
Fine needle aspiration without imaging guidance (10021) $342.48 $665 0.9×
Foreskin manipulation (54450) $200.34 $389 0.8×
Hem vw factor&clgn iii bndg (0279U) $37.08 $72 3.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $786.92 $1,528 0.9×
I&d abscess peritonsillar (42700) $183.86 $357 0.8×
I&d abscess simple (10060) $170.47 $331 0.9×
I&d perianal abscess superficial (46050) $864.17 $1,678 1.0×
I&d pilonidal cyst simple (10080) $189.01 $367 0.3×
Incise external hemorrhoid (46083) $285.83 $555 1.2×
Incise finger tendon sheath (26055) $1,249.91 $2,427 0.8×
Incision & drainage abscess complicated/multiple (10061) $315.18 $612 0.8×
Incision & removal foreign body subq tiss compl (10121) $1,385.35 $2,690 0.9×
Incision & removal foreign body subq tiss simple (10120) $181.28 $352 0.5×
Incision and drainage of bartholin's gland abscess (56420) $158.11 $307 0.8×
Incision and drainage of vulva or perineal abscess (56405) $251.84 $489 0.9×
Incision of rectal abscess (46040) $1,028.97 $1,998 0.9×
Incisional biopsy eyelid skin & lid margin (67810) $510.88 $992 1.7×
Initial Tx 1st Degree Burn Local Tx (16000) $87.04 $169 0.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $59.23 $115 0.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $564.96 $1,097 0.8×
Injection single tendon origin/insertion (20551) $259.05 $503 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $110.21 $214 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $220.42 $428 0.7×
Injection, anesthetic agent; brachial plexus, single (64415) $564.96 $1,097 0.7×
Injection, anesthetic agent; femoral nerve, single (64447) $571.14 $1,109 0.8×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $571.14 $1,109 0.8×
Injection, Intralesional; More Than 7 Lesions (11901) $152.96 $297 0.8×
Injection, intralesional; up to and including 7 lesions (11900) $162.23 $315 0.8×
Insert cath pleura w/o image (32556) $1,520.28 $2,952 0.8×
Insert Drug Implant Device (11981) $108.15 $210 0.8×
Insert non-tunnel cv cath (36556) $2,518.87 $4,891 0.8×
Insert pessary/other device (57160) $163.26 $317 0.8×
Insert Temp Bladder Cath (51702) $104.55 $203 0.8×
Insert,Non-Indwelling Bladder Catheter (51701) $97.85 $190 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,514.62 $2,941 1.0×
Intubation endotracheal emergency procedure (31500) $291.49 $566 1.3×
Ligation or biopsy temporal artery (37609) $1,298.32 $2,521 0.8×
Lysis of labial adhesions (56441)
range across 2 matching MRF lines		 $507.28–$2,445.22 $985–$4,748 varies
Lysis/excision penile postcircumcision adhesions (54162) $1,590.32 $3,088 0.8×
N Block Inj Plantar Digit (64455) $230.21 $447 0.8×
Nasal/Orogastric W/Tube Plmt (43752) $213.21 $414 0.5×
Ndsc eval intstinal pouch w/bx single/multiple (44386)
range across 2 matching MRF lines		 $854.90–$1,603.20 $1,660–$3,113 varies
Needle Biopsy Lymph Nodes (38505) $591.74 $1,149 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $12.88 $25 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $15.45 $30 0.6×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $230.21 $447 0.8×
Perq dev breast 1st us imag (19285) $200.85 $390 0.3×
Perq device breast 1st imag (19281) $284.80 $553 0.2×
Placement of needle for intraosseous infusion (36680) $468.65 $910 1.1×
Punch biopsy skin single lesion (11104) $303.85 $590 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $209.09 $406 0.5×
Puncture Aspiration Cyst Breast (19000) $341.45 $663 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $414.58 $805 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $34.51 $67 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $60.26 $117 1.1×
Removal Implant Deep (20680) $2,288.66 $4,444 0.8×
Removal of foreign body from pharynx (42809) $303.85 $590 0.7×
Removal of nail bed (11750) $304.37 $591 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $260.08 $505 1.3×
Remove drug implant device (11982) $145.23 $282 0.3×
Remove foreign body from eye (65205) $68.50 $133 0.5×
Remove Intrauterine Device (58301) $105.58 $205 0.4×
Remove Nasal Foreign Body (30300) $100.43 $195 0.8×
Remove Tendon Sheath Lesion (26160) $821.94 $1,596 0.5×
Remove/Insert Drug Implant (11983) $260.59 $506 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $556.72 $1,081 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $570.62 $1,108 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $502.13 $975 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $614.91 $1,194 1.6×
Repair complex trunk 2.6-7.5 cm (13101) $479.98 $932 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $118.45 $230 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $221.45 $430 0.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $193.13 $375 0.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $272.44 $529 0.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $191.58 $372 0.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $527.88 $1,025 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $505.22 $981 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $469.68 $912 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $138.54 $269 0.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $295.61 $574 0.7×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $389.34 $756 1.0×
Repair of nail bed (11760) $392.43 $762 0.5×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $730.79 $1,419 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $69.53 $135 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $105.58 $205 0.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $319.82 $621 0.7×
Rmvl fecal impaction/fb spx under anes (45915) $901.25 $1,750 0.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,395.14 $2,709 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $586.07 $1,138 1.0×
Rplc Gtube No Revj Trc (43762) $315.18 $612 1.3×
Rplc gtube revj gstrst trc (43763) $190.55 $370 0.8×
Rpr blood vessel direct lower extremity (35226) $1,277.72 $2,481 1.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $304.37 $591 1.6×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $123.09 $239 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $85.49 $166 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $100.94 $196 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $152.96 $297 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $304.37 $591 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $152.96 $297 0.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,603.20 $3,113 1.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $345.57 $671 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $134.42 $261 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $209.09 $406 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $256.47 $498 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $152.44 $296 0.8×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $178.71 $347 0.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $170.47 $331 0.9×
Skin sub graft face/nk/hf/g (15275) $1,392.56 $2,704 1.9×
Skin sub graft trnk/arm/leg (15271) $1,654.18 $3,212 2.3×
Skin Tissue Procedure (17999) $51.50 $100 0.3×
Slitting of prepuce (54001) $1,641.82 $3,188 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $152.44 $296 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $321.88 $625 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $333.72 $648 0.8×
Spinal puncture lumbar diagnostic (62270) $544.87 $1,058 0.8×
Strapping ankle (29540) $124.12 $241 0.8×
Strapping elbow or wrist (29260) $54.08 $105 0.9×
Strapping hand/finger (29280) $54.08 $105 0.9×
Strapping knee (29530) $108.15 $210 0.8×
Strapping shoulder (29240) $42.23 $82 0.3×
Strapping toes (29550) $54.08 $105 0.9×
Strapping Unna Boot (29580) $82.40 $160 0.5×
Tangential biopsy skin single lesion (11102) $247.72 $481 0.6×
Tenotomy Percutaneous Single Each Digit (26060) $1,381.75 $2,683 0.9×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,249.91 $2,427 0.8×
Treat humerus fracture (24500) $198.79 $386 0.8×
Treat humerus fracture (23600) $198.79 $386 0.8×
Treat Knuckle Dislocation (26700) $185.40 $360 0.8×
Treat toe dislocation (28630) $358.96 $697 1.5×
Treatment closed elbow dislocation w/o anes (24600) $839.45 $1,630 3.5×
Trim skin lesion (11055) $61.29 $119 0.3×
Trim skin lesions 2 to 4 (11056) $60.77 $118 0.3×
Trim skin lesions over 4 (11057) $159.65 $310 0.8×
Trimming Nondystrophic Nails Any Number (11719) $55.62 $108 1.0×
Tx Gastro Intub W/Asp (43753) $766.84 $1,489 3.7×
Tx open tendon flexor toe 1 tendon spx (28232) $1,270.51 $2,467 0.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $558.26 $1,084 0.8×
Tx superficial wound dehiscence w/packing (12021) $332.69 $646 0.8×
Unlisted Procedure Hands/Fingers (26989)
range across 2 matching MRF lines		 $238.45–$292.01 $463–$567 varies
Vaginal Delivery After Cesarean Delivery (59612) $2,391.15 $4,643 0.8×
Vaginal delivery only (59409) $2,462.73 $4,782 0.8×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,027.94 $1,996 0.5×
Wedge excision skin nail fold (11765) $284.80 $553 0.7×

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.