Procedures & surgery prices at Gundersen Palmer Lutheran Hospital and Clinics

West Union, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure
$4,899.91 $8,249 0.5×
Acne surgery (10040) $243.54 $410 1.3×
Anoscopy Control Bleeding (46614) $1,044.85 $1,759 0.9×
Anoscopy diagnostic (46600) $191.27 $322 1.5×
Application cast elbow finger short arm (29075) $269.68 $454 1.0×
Application finger splint static (29130) $163.35 $275 1.3×
Application long arm splint shoulder hand (29105) $202.55 $341 1.3×
Application Long Leg Splint (29505) $224.53 $378 1.4×
Application of rigid total contact leg cast (29445) $330.26 $556 1.2×
Application short arm splint forearm-hand static (29125) $147.91 $249 1.2×
Application short leg splint calf foot (29515) $133.06 $224 0.9×
Apply hand/wrist cast (29085) $141.97 $239 0.9×
Apply long arm cast (29065) $227.50 $383 0.8×
Apply Multlay Comprs Lwr Leg (29581) $136.62 $230 0.9×
Apply Short Leg Cast (29405) $273.83 $461 1.0×
Apply short leg cast (29425) $247.70 $417 0.9×
Arterial puncture (36600) $109.30 $184 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $339.17 $571 1.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $373.03 $628 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $407.48 $686 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $618.35 $1,041 2.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $284.53 $479 1.0×
Aspirate pleura w/ imaging (32555) $1,024.65 $1,725 1.7×
Aspirate Pleura W/O Imaging (32554) $762.70 $1,284 1.3×
Aspirate/Inj Ganglion Cyst (20612) $255.42 $430 0.9×
Aspiration Bladder Needle (51100) $264.33 $445 1.1×
Avulsion nail plate partial/complete simple 1 (11730) $144.94 $244 0.8×
Biopsy of lip (40490) $459.76 $774 2.0×
Biopsy Salivary Gland Incisional (42405) $794.18 $1,337 0.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $375.41 $632 0.4×
Biopsy, vestibule of mouth (40808) $652.21 $1,098 1.3×
Bladder Irrigation (51700) $175.82 $296 0.7×
Bladder Scan (51798) $54.05 $91 1.0×
Blepharotomy drainage abscess eyelid (67700) $339.77 $572 1.1×
Blood Transfusion Service (36430)
range across 5 matching MRF lines
$471.64–$781.70 $794–$1,316 varies
Bx breast 1st lesion us imag (19083) $676.57 $1,139 0.4×
Bx Cervix (57500) $487.08 $820 0.6×
Change Cystostomy Tube Simple (51705) $191.27 $322 0.8×
Chemical Cautery Tissue (17250) $166.91 $281 0.9×
Chest tube placement (32551) $1,398.87 $2,355 0.9×
Circumcision w/clamp/oth dev w/block (54150) $772.79 $1,301 0.4×
Cl Tx Tib Shft Fx W Manip (27752) $1,422.63 $2,395 0.9×
Clear outer ear canal (69200) $209.68 $353 1.6×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $538.76 $907 2.3×
Closed tx ankle dislocation w/o anesthesia (27840) $396.79 $668 1.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,348.38 $2,270 0.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $985.45 $1,659 4.2×
Closed tx knee dislocation w/o anesthesia (27550) $383.72 $646 1.6×
Closed tx metatarsal fracture w/o manipulation (28470) $359.96 $606 1.5×
Closed tx patellar dislocation w/anesthesia (27562) $216.22 $364 0.9×
Closed tx patellar dislocation w/o anesthesia (27560) $347.49 $585 1.5×
Closed Tx Patellar Fracture W/O Manipulation (27520) $370.06 $623 1.6×
Closed tx radial head/neck fx w/o manipulation (24650) $294.03 $495 1.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $379.57 $639 1.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,088.80 $1,833 0.7×
Closed tx radial&ulnar shaft fractures w/o man (25560) $616.57 $1,038 2.6×
Closed tx talus fracture w/o manipulation (28430) $886.84 $1,493 3.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $196.61 $331 0.8×
Clsd tx clavicular fracture w/o manipulation (23500) $383.72 $646 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $820.31 $1,381 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $321.35 $541 1.4×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $883.87 $1,488 0.6×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,787.35 $3,009 1.2×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,138.10 $1,916 4.8×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $349.87 $589 1.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $389.07 $655 1.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $272.65 $459 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $371.25 $625 1.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,348.38 $2,270 0.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,412.53 $2,378 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $235.22 $396 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $288.68 $486 1.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $356.99 $601 1.5×
Cltx hip dislocation traumatic req anesthesia (27252) $1,465.40 $2,467 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $196.61 $331 0.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $472.23 $795 1.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $254.23 $428 1.1×
Cltx Medial Ankle Fx (27760) $908.23 $1,529 3.8×
Cltx metacarpal fx w/manipulation each bone (26605) $421.15 $709 1.8×
Cltx metacarpal fx w/o manipulation each bone (26600) $383.13 $645 1.6×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $349.87 $589 0.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $568.46 $957 2.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $331.45 $558 1.4×
Cltx post hip arthrp dislc req anes (27266) $1,348.38 $2,270 0.9×
Cltx prox fibula/shft fx w/manj (27781) $538.76 $907 0.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $158.60 $267 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,348.38 $2,270 0.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $651.02 $1,096 0.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $367.09 $618 1.5×
Collect Blood From Catheter Venous Nos (36592) $108.70 $183 0.8×
Collection of venous blood by venipuncture (36415) $51.68 $87 5.5×
Colonoscopy w/submucosal inj (45381) $1,849.12 $3,113 1.6×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $496.58 $836 1.7×
Colposcopy Cervix Endocervical Curettage (57456) $513.22 $864 1.8×
Colposcopy cervix upper/adjacent vagina (57452) $295.22 $497 1.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $541.73 $912 1.8×
Colposcopy cervix vag eltrd conization cervix (57461) $1,376.30 $2,317 0.4×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,470.15 $2,475 0.5×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $570.83 $961 0.6×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,849.12 $3,113 1.6×
Control Nasal Hemorrhage Anterior Complex (30903) $285.71 $481 2.2×
Control Nasal Hemorrhage Anterior Simple (30901) $117.02 $197 0.9×
Create Eardrum Opening (69433) $592.22 $997 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $386.69 $651 3.0×
Cystourethroscopy (52000) $638.55 $1,075 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $292.84 $493 0.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $292.25 $492 0.4×
Debride nail 1-5 (11720) $67.12 $113 1.2×
Debride nail 6 or more (11721) $93.85 $158 1.7×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $808.43 $1,361 0.5×
Debridement Mastoidectomy Cavity Simple (69220) $296.41 $499 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $187.11 $315 0.5×
Declot vascular device (36593) $292.84 $493 0.9×
Destroy cerv/thor facet jnt (64633) $2,195.42 $3,696 1.2×
Destroy lumb/sac facet jnt (64635) $2,195.42 $3,696 1.2×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$90.88–$181.76 $153–$306 varies
Destruction Benign Lesions 15/> (17111) $317.20 $534 1.6×
Destruction by neurolytic agent, intercostal nerve (64620) $2,195.42 $3,696 2.6×
Destruction Lesions Vulva Simple (56501) $955.75 $1,609 0.5×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $341.55 $575 1.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $402.14 $677 2.1×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $230.47 $388 1.2×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $278.59 $469 1.4×
Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) $325.51 $548 0.8×
Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) $354.62 $597 0.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $324.92 $547 1.7×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $201.96 $340 1.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $225.72 $380 1.2×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $150.28 $253 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $1,787.35 $3,009 1.0×
Destruction Premalignant Lesion 15/> (17004) $251.86 $424 0.6×
Destruction premalignant lesion 1st (17000) $137.81 $232 0.7×
Drain/inj small joint/bursa w/us (20604) $305.91 $515 1.0×
Drainage External Ear Abscess/Hematoma Simple (69000) $284.53 $479 0.4×
Drainage Finger Abscess Complicated (26011) $1,432.73 $2,412 0.9×
Drainage of finger abscess simple (26010) $1,462.43 $2,462 7.6×
Drainage of gum lesion (41800) $251.26 $423 2.0×
Drainage of hematoma/fluid (10140) $837.54 $1,410 0.5×
Draw Blood Off Venous Device (36591) $109.30 $184 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $413.42 $696 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $258.39 $435 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $210.87 $355 1.1×
Dstrj Lesion Penis Simple Cryosurgery (54056) $323.14 $544 1.7×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $2,090.29 $3,519 2.5×
Endocervical curettage (57505) $724.09 $1,219 0.8×
Endometrial Biopsy (58100) $364.72 $614 1.9×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $2,414.61 $4,065 0.8×
Endoven ther chem adhes 1st (36482) $4,383.72 $7,380 0.8×
Evacuation of subungual hematoma (11740) $64.75 $109 0.5×
Exc arm/elbow les sc < 3 cm (24075) $1,607.96 $2,707 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $377.19 $635 0.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $457.38 $770 0.3×
Exc Back Les Sc < 3 Cm (21930) $425.90 $717 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $504.90 $850 0.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $580.34 $977 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $821.50 $1,383 0.5×
Exc Face Les Sbq 2 Cm/> (21012) $1,415.50 $2,383 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $374.81 $631 0.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $372.44 $627 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $419.36 $706 0.6×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $831.60 $1,400 0.5×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $826.85 $1,392 0.5×
Exc Forearm Les Sc 3 Cm/> (25071) $2,615.38 $4,403 1.6×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $286.90 $483 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $373.63 $629 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $401.54 $676 0.3×
Exc Hand Les Sc < 1.5 Cm (26115) $1,624.59 $2,735 1.0×
Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) $1,542.62 $2,597 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $421.74 $710 0.6×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $525.10 $884 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $729.43 $1,228 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $824.47 $1,388 0.5×
Exc Skin Benig >4cm Face,Facial (11446) $1,389.37 $2,339 0.5×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,086.43 $1,829 0.7×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,386.40 $2,334 0.5×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $942.68 $1,587 0.6×
Exc thigh/knee les sc 3 cm/> (27337) $1,662.61 $2,799 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,018.12 $1,714 0.9×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $336.20 $566 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $372.44 $627 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $832.19 $1,401 0.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $1,682.80 $2,833 0.6×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,906.15 $3,209 1.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $828.04 $1,394 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $998.51 $1,681 0.6×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $1,295.51 $2,181 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $611.82 $1,030 0.9×
Excision Lesion Tongue W/O Closure (41110) $609.44 $1,026 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $501.93 $845 0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $542.32 $913 1.4×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $662.90 $1,116 1.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $442.53 $745 0.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $656.96 $1,106 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $808.43 $1,361 0.5×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $901.10 $1,517 1.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $993.17 $1,672 1.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,179.68 $1,986 0.7×
Excision of pilonidal cyst or sinus; simple (11770) $730.62 $1,230 0.3×
Excision of vaginal septum (57130) $1,470.15 $2,475 0.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $1,434.51 $2,415 0.9×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,410.16 $2,374 0.9×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $2,175.82 $3,663 1.4×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $1,340.06 $2,256 0.8×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $1,757.65 $2,959 0.6×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $1,410.16 $2,374 0.9×
Fetal non-stress test (59025) $222.75 $375 1.1×
Hem vw factor&clgn iii bndg (0279U) $78.41 $132 6.8×
I&d abscess simple (10060) $214.43 $361 1.1×
I&d perianal abscess superficial (46050) $781.70 $1,316 0.9×
I&d pilonidal cyst simple (10080) $360.56 $607 0.5×
Incision & drainage abscess complicated/multiple (10061) $293.44 $494 0.8×
Incision & removal foreign body subq tiss compl (10121) $593.41 $999 0.4×
Incision & removal foreign body subq tiss simple (10120) $327.89 $552 0.8×
Incision and drainage of bartholin's gland abscess (56420) $459.76 $774 2.4×
Incision and drainage of vulva or perineal abscess (56405) $160.38 $270 0.5×
Incision of eardrum (69420) $432.43 $728 1.9×
Incision of lingual frenum (frenotomy) (41010) $117.02 $197 0.1×
Incision of rectal abscess (46040) $1,018.12 $1,714 0.9×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,410.16 $2,374 0.9×
Incisional biopsy skin single lesion (11106) $188.30 $317 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $126.52 $213 0.7×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,316.90 $2,217 1.5×
Inj W/Fluor Eval Cv Device (36598) $344.52 $580 1.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $785.86 $1,323 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $118.80 $200 0.4×
Injection aa&/strd genicular nrv branches w/img (64454) $677.75 $1,141 1.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,316.90 $2,217 1.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $1,756.46 $2,957 6.0×
Injection anesthetic agent suprascapular nerve (64418) $877.93 $1,478 1.3×
Injection single tendon origin/insertion (20551) $235.22 $396 0.8×
Injection single/mlt trigger point 1/2 muscles (20552) $408.67 $688 1.4×
Injection single/mlt trigger point 3/> muscles (20553) $463.32 $780 1.6×
Injection therapeutic carpal tunnel (20526) $144.94 $244 0.5×
Injection Turbinate Therapeutic (30200) $499.55 $841 1.0×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $461.54 $777 0.7×
Injection, intralesional; up to and including 7 lesions (11900) $198.99 $335 1.0×
Insert Drug Implant Device (11981) $278.59 $469 2.2×
Insert non-tunnel cv cath (36556) $1,462.43 $2,462 0.5×
Insert pessary/other device (57160) $303.53 $511 1.6×
Insert Temp Bladder Cath (51702) $116.42 $196 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $93.85 $158 0.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,474.90 $2,483 1.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,008.02 $1,697 2.6×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,154.74 $1,944 3.0×
Intranasal Biopsy (30100) $700.92 $1,180 0.5×
Intubation endotracheal emergency procedure (31500) $413.42 $696 1.8×
Laryngoscopy flexible diagnostic (31575) $134.24 $226 0.7×
N Block Inj Ilio-Ing/Hypogi (64425) $877.93 $1,478 1.3×
N block inj intercost sng (64420) $877.93 $1,478 1.3×
N Block Inj Plantar Digit (64455) $281.56 $474 1.0×
N Block Lumbar/Thoracic (64520) $801.31 $1,349 0.9×
Nasal Endoscopy Dx (31231) $921.89 $1,552 4.8×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $510.84 $860 1.4×
Needle Biopsy Lymph Nodes (38505) $1,410.16 $2,374 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $14.26 $24 0.5×
Needle insertion w/o injection 3 or more muscles (20561) $17.23 $29 0.6×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,547.37 $2,605 3.7×
Njx anes stellate ganglion crv sympathetic (64510) $1,756.46 $2,957 2.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $256.01 $431 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,316.90 $2,217 1.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $2,103.35 $3,541 2.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $3,244.43 $5,462 4.8×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $2,458.57 $4,139 3.6×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,316.90 $2,217 1.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $2,103.35 $3,541 2.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,839.62 $3,097 2.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,316.90 $2,217 1.5×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $350.46 $590 0.9×
Occipital Nerve Block (64405) $877.93 $1,478 3.0×
Partical Excision Bone Phalanx Toe (28124) $1,562.81 $2,631 0.5×
Perq dev breast 1st us imag (19285) $610.04 $1,027 0.9×
Phleb Veins - Extrem 20+ (37766) $851.20 $1,433 0.3×
Placement of needle for intraosseous infusion (36680) $355.21 $598 0.8×
Punch biopsy skin single lesion (11104) $151.47 $255 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160) $209.09 $352 0.5×
Puncture Aspiration Cyst Breast (19000) $428.27 $721 0.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,787.35 $3,009 1.0×
Rbc DNA gntyp 12 bld grp gen (0282U) $356.40 $600 0.5×
Removal Foreign Body Foot Subcutaneous (28190) $730.03 $1,229 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $58.81 $99 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $66.53 $112 1.2×
Removal implantable contraceptive capsules (11976) $359.96 $606 0.5×
Removal intact breast implant (19328) $3,231.95 $5,441 0.9×
Removal of nail bed (11750) $531.04 $894 1.4×
Removal of tunneled intraperitoneal catheter (49422) $2,333.83 $3,929 0.8×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $190.67 $321 1.0×
Remove drug implant device (11982) $334.42 $563 0.8×
Remove foreign body from eye (65205) $64.75 $109 0.5×
Remove Intrauterine Device (58301) $288.68 $486 1.0×
Remove Nasal Foreign Body (30300) $63.56 $107 0.5×
Remove/Insert Drug Implant (11983) $446.69 $752 1.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $555.98 $936 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $555.98 $936 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $664.09 $1,118 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $545.89 $919 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $573.80 $966 1.5×
Repair complex trunk 2.6-7.5 cm (13101) $637.36 $1,073 0.9×
Repair Eyelid Wound (67935)
range across 2 matching MRF lines
$415.80–$623.11 $700–$1,049 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $503.71 $848 1.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $585.09 $985 1.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $636.17 $1,071 1.6×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $696.76 $1,173 1.8×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,198.69 $2,018 3.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $290.47 $489 0.7×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $335.02 $564 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $425.90 $717 0.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $750.82 $1,264 1.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $639.74 $1,077 1.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $683.69 $1,151 1.7×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $873.18 $1,470 1.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $737.15 $1,241 1.9×
Repair intermediate s/a/t/e >30.0 cm (12037) $958.72 $1,614 0.5×
Repair of nail bed (11760) $413.42 $696 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $64.75 $109 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $109.30 $184 0.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $537.57 $905 0.9×
Rplc Gtube No Revj Trc (43762) $314.23 $529 1.3×
Rpr blood vessel direct lower extremity (35226) $592.81 $998 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $356.99 $601 1.9×
Shave skin lesion 0.5 cm/< (11300) $137.81 $232 0.4×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $176.42 $297 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $143.75 $242 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $197.21 $332 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $231.07 $389 1.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $220.37 $371 1.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $256.01 $431 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $192.46 $324 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $270.27 $455 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $245.92 $414 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $433.03 $729 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $139 $234 0.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $204.34 $344 1.1×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $509.65 $858 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $280.37 $472 1.5×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $769.82 $1,296 4.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $121.18 $204 0.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $446.69 $752 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $222.75 $375 1.2×
Skin sub graft face/nk/hf/g (15275) $1,345.41 $2,265 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $166.32 $280 0.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $307.69 $518 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $342.74 $577 0.9×
Spinal puncture lumbar diagnostic (62270) $781.70 $1,316 1.2×
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $851.20 $1,433 0.3×
Strapping ankle (29540) $62.37 $105 0.4×
Strapping elbow or wrist (29260) $87.91 $148 1.6×
Strapping hand/finger (29280) $77.81 $131 1.4×
Strapping shoulder (29240) $109.30 $184 0.9×
Strapping Unna Boot (29580) $124.15 $209 0.8×
Tangential biopsy skin single lesion (11102) $120.58 $203 0.3×
Tenotomy Percutaneous Toe Single Tendon (28010) $929.02 $1,564 0.6×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $1,261.06 $2,123 0.8×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,465.99 $2,468 0.7×
Treat humerus fracture (23600) $268.49 $452 1.1×
Treat Knuckle Dislocation (26700) $266.11 $448 1.1×
Treat Thumb Dislocation (26641) $333.23 $561 1.4×
Treat toe dislocation (28630) $401.54 $676 1.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $1,348.38 $2,270 0.9×
Treatment closed elbow dislocation w/o anes (24600) $539.95 $909 2.3×
Trim skin lesion (11055) $102.17 $172 0.5×
Trim skin lesions 2 to 4 (11056) $138.40 $233 0.7×
Trim skin lesions over 4 (11057) $160.38 $270 0.8×
Trimming Nondystrophic Nails Any Number (11719) $33.26 $56 0.6×
Tx open tendon flexor toe 1 tendon spx (28232) $1,495.69 $2,518 1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,465.40 $2,467 0.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $592.81 $998 0.8×
Tx superficial wound dehiscence w/packing (12021) $310.07 $522 0.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $346.90 $584 1.5×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines
$1,312.74–$2,282.74 $2,210–$3,843 varies
Unlisted Procedure Vascular Surgery (37799) $76.63 $129 0.1×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,122.07 $1,889 0.6×
Vulvectomy simple partial (56620) $2,215.62 $3,730 0.7×
Wedge excision skin nail fold (11765) $187.70 $316 0.5×

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.