Procedures & surgery prices at Gundersen Moundview Hospital and Clinics

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $437.39 $861 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $437.39 $861 0.5×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,971.29 $5,849 0.9×
Anoscopy diagnostic (46600) $116.33 $229 0.9×
Application cast elbow finger short arm (29075) $213.36 $420 0.8×
Application finger splint static (29130) $52.83 $104 0.4×
Application long arm splint shoulder hand (29105) $147.32 $290 0.9×
Application Long Leg Splint (29505) $160.53 $316 1.0×
Application short arm splint forearm-hand static (29125) $144.78 $285 1.1×
Application short leg splint calf foot (29515) $151.38 $298 1.0×
Apply long arm cast (29065) $128.02 $252 0.5×
Apply Multlay Comprs Lwr Leg (29581) $45.21 $89 0.3×
Apply Short Leg Cast (29405) $216.92 $427 0.8×
Apply short leg cast (29425) $216.92 $427 0.8×
Arterial puncture (36600) $34.04 $67 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $173.23 $341 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $186.94 $368 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $200.66 $395 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $228.09 $449 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $145.29 $286 0.5×
Aspirate pleura w/ imaging (32555) $408.94 $805 0.7×
Aspirate Pleura W/O Imaging (32554) $220.47 $434 0.4×
Aspirate/Inj Ganglion Cyst (20612) $139.70 $275 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $141.73 $279 0.7×
Biopsy muscle percutaneous needle (20206) $1,251.20 $2,463 0.8×
Biopsy of floor of mouth (41108) $763.52 $1,503 0.5×
Biopsy Vaginal Mucosa Simple (57100) $355.09 $699 0.4×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $355.09 $699 0.4×
Biopsy, vestibule of mouth (40808) $245.36 $483 0.5×
Bladder instillation anticarcinogenic agent (51720) $130.56 $257 0.2×
Bladder Irrigation (51700) $281.43 $554 1.2×
Bladder Scan (51798) $80.26 $158 1.4×
Blood Transfusion Service (36430)
range across 4 matching MRF lines
$462.28–$877.32 $910–$1,727 varies
Bx Cervix (57500) $161.54 $318 0.2×
Change Cystostomy Tube Simple (51705) $130.56 $257 0.5×
Change of Windpipe Airway (31502) $157.99 $311 0.7×
Chemical Cautery Tissue (17250) $97.03 $191 0.5×
Chest tube placement (32551) $907.80 $1,787 0.6×
Cl Tx Scapular Fx; W Manip (23575) $246.89 $486 0.2×
Cl Tx Tib Shft Fx W Manip (27752) $1,683 $3,313 1.1×
Clear outer ear canal (69200) $115.32 $227 0.9×
Closed Rx Spontaneous Hip Disloc (27256) $268.73 $529 1.1×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $625.35 $1,231 0.4×
Closed tx ankle dislocation w/o anesthesia (27840) $641.10 $1,262 2.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $753.87 $1,484 0.5×
Closed tx metatarsal fracture w/o manipulation (28470) $212.34 $418 0.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $723.39 $1,424 0.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $1,457.45 $2,869 0.5×
Closed tx radial head/neck fx w/manipulation (24655) $563.88 $1,110 0.4×
Closed tx radial shaft fracture w/manipulation (25505) $333.76 $657 0.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $322.58 $635 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $753.87 $1,484 0.5×
Closed Tx Talus Fracture W/Manipulation (28435) $753.87 $1,484 0.5×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $276.86 $545 1.2×
Clsd tx clavicular fracture w/o manipulation (23500) $140.72 $277 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $753.87 $1,484 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $397.26 $782 1.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $753.87 $1,484 0.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $753.87 $1,484 0.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $179.32 $353 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $1,041.91 $2,051 4.3×
Cltx dstl fibular fx lat malls w/o manj (27786) $316.99 $624 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $296.67 $584 1.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $142.75 $281 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $153.42 $302 0.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $753.87 $1,484 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $161.04 $317 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $119.89 $236 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $174.75 $344 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $128.52 $253 0.5×
Cltx Greater Trochanteric Fx W/O Manj (27246) $157.48 $310 0.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $204.22 $402 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $134.11 $264 0.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $216.92 $427 0.9×
Cltx Med Ankle Fx W/Mnpj (27762) $1,606.30 $3,162 1.0×
Cltx Medial Ankle Fx (27760) $1,130.81 $2,226 4.7×
Cltx metacarpal fx w/manipulation each bone (26605) $147.83 $291 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $131.57 $259 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $181.86 $358 0.8×
Cltx post hip arthrp dislc w/o anes (27265) $735.08 $1,447 3.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $133.60 $263 0.6×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,379.22 $2,715 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $753.87 $1,484 0.5×
Collect Blood From Catheter Venous Nos (36592) $96.52 $190 0.7×
Collection of venous blood by venipuncture (36415) $20.83 $41 2.2×
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines
$2,108.71–$2,113.28 $4,151–$4,160 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $198.63 $391 0.7×
Colposcopy Cervix Endocervical Curettage (57456) $150.88 $297 0.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $150.88 $297 0.5×
Colposcopy cervix vag eltrd conization cervix (57461) $2,511.55 $4,944 0.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,113.28 $4,160 1.8×
Conization cervix w/wo d&c rpr eltrd exc (57522) $2,598.93 $5,116 0.8×
Control Nasal Hemorrhage Anterior Complex (30903) $80.26 $158 0.6×
Control Nasal Hemorrhage Anterior Simple (30901) $61.47 $121 0.5×
Create Eardrum Opening (69433) $245.36 $483 0.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $133.10 $262 1.0×
Cystourethroscopy (52000) $309.88 $610 0.5×
Cystourethroscopy with biopsy (52204) $1,647.95 $3,244 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $276.35 $544 0.7×
Debride nail 1-5 (11720) $48.77 $96 0.9×
Debride nail 6 or more (11721) $50.80 $100 0.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $763.52 $1,503 0.5×
Debridement Mastoidectomy Cavity Simple (69220) $97.03 $191 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $177.29 $349 0.4×
Declot vascular device (36593) $544.07 $1,071 1.7×
Destruct B9 Lesion 1-14 (17110) $97.03 $191 0.5×
Destruction premalignant lesion 1st (17000) $97.03 $191 0.5×
Diagnostic sigmoidoscopy (45330) $2,655.32 $5,227 2.9×
Drain/inj small joint/bursa w/us (20604) $159.51 $314 0.5×
Drainage external auditory canal abscess (69020) $406.40 $800 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $339.85 $669 0.5×
Drainage Finger Abscess Complicated (26011) $763.52 $1,503 0.5×
Drainage of finger abscess simple (26010) $154.43 $304 0.8×
Drainage of gum lesion (41800) $149.35 $294 1.2×
Drainage of hematoma/fluid (10140) $763.52 $1,503 0.5×
Drainage of scrotal wall abscess (55100) $763.52 $1,503 0.5×
Draw Blood Off Venous Device (36591) $96.52 $190 0.7×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $339.85 $669 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $342.90 $675 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $161.54 $318 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $131.57 $259 0.7×
Dx Laryngoscopy Excl Nb (31525) $1,023.62 $2,015 0.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,774.44 $3,493 1.0×
Egd dilation gastric/duodenal stricture (43245) $1,774.44 $3,493 1.0×
Egd place gastrostomy tube (43246) $1,774.44 $3,493 1.0×
Endocervical curettage (57505) $624.84 $1,230 0.7×
Endometrial Biopsy (58100) $106.68 $210 0.5×
Evacuation of subungual hematoma (11740) $61.47 $121 0.5×
Exc arm/elbow les sc < 3 cm (24075) $1,354.33 $2,666 0.8×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $339.85 $669 0.5×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,072.39 $2,111 0.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $517.65 $1,019 0.8×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $672.59 $1,324 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $980.95 $1,931 0.6×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $339.85 $669 0.5×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $547.12 $1,077 0.8×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $755.40 $1,487 1.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $763.52 $1,503 0.5×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $866.65 $1,706 1.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $968.76 $1,907 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $551.69 $1,086 0.8×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,175 $2,313 0.7×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,379.73 $2,716 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $763.52 $1,503 0.5×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $770.13 $1,516 0.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,379.73 $2,716 0.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $409.96 $807 1.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $480.57 $946 0.7×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $622.30 $1,225 0.4×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,290.32 $2,540 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $763.52 $1,503 0.5×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $753.87 $1,484 0.5×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $419.10 $825 0.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $549.15 $1,081 0.8×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $591.31 $1,164 0.9×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $377.95 $744 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $434.85 $856 1.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $570.99 $1,124 0.8×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $363.73 $716 0.5×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $827.02 $1,628 0.5×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,290.32 $2,540 0.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $363.73 $716 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $566.93 $1,116 0.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $973.33 $1,916 0.6×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,220.22 $2,402 0.8×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $1,017.52 $2,003 0.6×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $932.69 $1,836 0.6×
Explo/Drain Breast Abscess (19020) $763.52 $1,503 0.5×
Eye Surg Ant Sgmt Proc Unlisted (66999) $1,005.84 $1,980 0.4×
Fasciotomy palmar percutaneous (26040) $1,051.56 $2,070 0.7×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $693.93 $1,366 0.8×
I&d abscess peritonsillar (42700) $203.71 $401 0.9×
I&d abscess simple (10060) $164.59 $324 0.8×
I&d perianal abscess superficial (46050) $738.12 $1,453 0.8×
I&d pilonidal cyst complicated (10081) $408.94 $805 0.6×
I&d pilonidal cyst simple (10080) $339.85 $669 0.5×
Incise external hemorrhoid (46083) $140.72 $277 0.6×
Incision & drainage abscess complicated/multiple (10061) $177.29 $349 0.4×
Incision & removal foreign body subq tiss compl (10121) $465.84 $917 0.3×
Incision & removal foreign body subq tiss simple (10120) $177.29 $349 0.4×
Incision and drainage of bartholin's gland abscess (56420) $160.02 $315 0.8×
Incision and drainage of vulva or perineal abscess (56405) $222 $437 0.8×
Incision of eardrum (69420) $113.79 $224 0.5×
Incision of Foot Tendon (28234) $753.87 $1,484 0.5×
Incision of rectal abscess (46040) $1,027.68 $2,023 0.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $763.52 $1,503 0.5×
Incisional biopsy skin single lesion (11106) $177.29 $349 0.2×
Initial Tx 1st Degree Burn Local Tx (16000) $161.54 $318 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $145.29 $286 0.5×
Injection single tendon origin/insertion (20551) $259.08 $510 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $145.29 $286 0.5×
Injection single/mlt trigger point 3/> muscles (20553) $145.29 $286 0.5×
Injection therapeutic carpal tunnel (20526) $241.30 $475 0.8×
Injection, anesthetic agent; brachial plexus, single (64415) $145.29 $286 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $145.29 $286 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $97.03 $191 0.5×
Insert cath pleura w/ image (32557) $808.74 $1,592 0.5×
Insert cath pleura w/o image (32556) $1,254.76 $2,470 0.7×
Insert Drug Implant Device (11981) $100.58 $198 0.8×
Insert Nasal Septal Button (30220) $1,233.42 $2,428 0.8×
Insert non-tunnel cv cath (36556) $907.80 $1,787 0.3×
Insert Temp Bladder Cath (51702) $68.07 $134 0.5×
Insert tunneled cv cath (36561) $1,542.29 $3,036 0.5×
Insert,Non-Indwelling Bladder Catheter (51701) $61.47 $121 0.5×
Insertion Picc W/Rs&I 5 Yr/> (36573) $907.80 $1,787 0.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $907.80 $1,787 0.6×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,814.32 $5,540 0.9×
Intubation endotracheal emergency procedure (31500) $153.42 $302 0.7×
Irrigation of corpora cavernosa for priapism (54220) $130.56 $257 0.5×
Laryngoscopy diagnostic (31505) $114.81 $226 0.6×
Laryngoscopy flexible diagnostic (31575) $114.81 $226 0.6×
Laryngoscopy W/Foreign Body Removal (31530) $563.37 $1,109 0.3×
N Block Inj Plantar Digit (64455) $145.29 $286 0.5×
Nasal Endoscopy Dx (31231) $87.88 $173 0.5×
Nasal/Orogastric W/Tube Plmt (43752) $301.24 $593 0.7×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $796.04 $1,567 0.5×
Needle Biopsy Lymph Nodes (38505) $1,251.20 $2,463 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $12.70 $25 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $15.24 $30 0.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,291.34 $2,542 3.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $145.29 $286 0.5×
Occipital Nerve Block (64405) $145.29 $286 0.5×
Partial Excision Distal Phalanx Finger (26236) $753.87 $1,484 0.5×
Perq dev breast 1st us imag (19285) $681.23 $1,341 1.0×
Perq device breast 1st imag (19281) $472.44 $930 0.3×
Placement of needle for intraosseous infusion (36680) $202.69 $399 0.5×
Punch biopsy skin single lesion (11104) $97.03 $191 0.2×
Puncture aspiration abscess hematoma bulla/cyst (10160) $177.29 $349 0.4×
Removal Foreign Body Foot Subcutaneous (28190) $541.53 $1,066 0.8×
Removal impacted cerumen irrigation/lvg unilat (69209) $30.48 $60 0.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $60.45 $119 1.1×
Removal implantable contraceptive capsules (11976) $576.58 $1,135 0.8×
Removal of nail bed (11750) $242.32 $477 0.6×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $97.03 $191 0.5×
Remove drug implant device (11982) $135.13 $266 0.3×
Remove foreign body from eye (65205) $69.60 $137 0.5×
Remove Intrauterine Device (58301) $150.88 $297 0.5×
Remove Nasal Foreign Body (30300) $141.73 $279 1.1×
Remove Tendon Sheath Lesion (26160) $1,033.27 $2,034 0.7×
Remove/Insert Drug Implant (11983) $202.69 $399 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $367.79 $724 0.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $364.24 $717 0.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $306.83 $604 0.8×
Repair complex trunk 2.6-7.5 cm (13101) $474.98 $935 0.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $177.29 $349 0.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $196.09 $386 0.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $213.36 $420 0.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $248.92 $490 0.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $276.86 $545 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $177.29 $349 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $209.30 $412 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $256.54 $505 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $346.46 $682 0.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $200.66 $395 0.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $237.24 $467 0.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $274.32 $540 0.7×
Repair of nail bed (11760) $248.92 $490 0.3×
Repair of rectum (45505) $2,159 $4,250 0.8×
Repair tongue laceration (41250) $173.74 $342 0.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $287.53 $566 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $73.66 $145 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $80.77 $159 0.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $314.96 $620 0.7×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $415.04 $817 0.7×
Rplc Gtube No Revj Trc (43762) $130.56 $257 0.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $302.77 $596 1.6×
Shave skin lesion 0.5 cm/< (11300) $97.03 $191 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $97.03 $191 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $97.03 $191 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $162.56 $320 0.8×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $145.29 $286 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $122.43 $241 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $148.84 $293 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $185.93 $366 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $215.39 $424 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $245.36 $483 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $132.08 $260 0.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $183.39 $361 0.9×
Slitting of prepuce (54001) $1,647.95 $3,244 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $155.96 $307 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $215.90 $425 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $253.49 $499 0.6×
Spinal puncture lumbar diagnostic (62270) $347.47 $684 0.5×
Strapping ankle (29540) $38.10 $75 0.2×
Strapping elbow or wrist (29260) $166.62 $328 2.9×
Strapping hand/finger (29280) $140.21 $276 2.4×
Strapping knee (29530) $98.04 $193 0.8×
Strapping shoulder (29240) $168.15 $331 1.3×
Strapping toes (29550) $159 $313 2.8×
Strapping Unna Boot (29580) $47.24 $93 0.3×
Tangential biopsy skin single lesion (11102) $97.03 $191 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $753.87 $1,484 0.5×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $753.87 $1,484 0.5×
Thrombolytic Art Therapy (37211) $4,287.52 $8,440 0.8×
Thrombolytic Therapy Stroke (37195) $542.54 $1,068 1.7×
Thrombolytic Venous Therapy (37212) $1,542.29 $3,036 0.5×
Tracheostomy Emergency Cricothyroid Membrane (31605) $702.06 $1,382 3.1×
Treat humerus fracture (24500) $358.65 $706 1.5×
Treat Humerus Fracture (24505) $1,263.90 $2,488 0.8×
Treat humerus fracture (23600) $417.58 $822 1.7×
Treat Knuckle Dislocation (26700) $179.32 $353 0.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,379.22 $2,715 0.9×
Treatment closed elbow dislocation w/o anes (24600) $383.54 $755 1.6×
Trim skin lesion (11055) $97.03 $191 0.5×
Trim skin lesions 2 to 4 (11056) $97.03 $191 0.5×
Trim skin lesions over 4 (11057) $97.03 $191 0.5×
Trimming Nondystrophic Nails Any Number (11719) $30.48 $60 0.5×
Tx Gastro Intub W/Asp (43753) $233.68 $460 1.1×
Tx open tendon flexor toe 1 tendon spx (28232) $753.87 $1,484 0.5×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $294.13 $579 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $276.35 $544 0.4×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $211.33 $416 0.9×
Vaginal delivery only (59409) $2,358.64 $4,643 0.8×
Vasectomy uni/bi spx w/postop semen exams (55250) $985.52 $1,940 0.5×
Wedge excision skin nail fold (11765) $177.29 $349 0.4×
Xtroral I&D Floor Masticator Space (41018) $1,093.22 $2,152 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.