Procedures & surgery prices at Hamilton County Hospital

Syracuse, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $556 $556 0.7×
Acne surgery (10040) $109.26 $109.26 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $918.83 $918.83 0.3×
Anoscopy diagnostic (46600) $80.50 $80.50 0.7×
Appendectomy (44950)
likely a partial charge, not the full procedure
$1,525.19 $1,525.19 0.3×
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines
$189.75–$415 $189.75–$415 varies
Application Finger Splint Dynamic (29131) $60.38 $60.38 1.1×
Application finger splint static (29130) $97.75 $97.75 0.8×
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$143.75–$310 $143.75–$310 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$179.69–$315 $179.69–$315 varies
Application of long leg cast (29345) $310.50 $310.50 1.2×
Application Short Arm Splint Dynamic (29126) $315 $315 2.6×
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$11–$140.88 $11–$140.88 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$168.19–$315 $168.19–$315 varies
Application, cast; figure-of-eight Facility (29049) $215.63 $215.63 0.8×
Apply hand/wrist cast (29085) $198.38 $198.38 1.3×
Apply long arm cast (29065) $219.94 $219.94 0.9×
Apply Short Leg Cast (29405)
range across 2 matching MRF lines
$230–$310 $230–$310 varies
Apply short leg cast (29425) $273.13 $273.13 1.1×
Arterial puncture (36600) $109.02 $109.02 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $529 $529 1.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$73.52–$529 $73.52–$529 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $244.38 $244.38 0.9×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,010.56 $1,010.56 0.7×
Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) $537.63 $537.63 0.2×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$300–$1,000 $300–$1,000 varies
Aspirate/Inj Ganglion Cyst (20612) $129.38 $129.38 0.5×
Aspiration & Injection Treatment Bone Cyst (20615) $261.16 $261.16 0.4×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$102–$181.13 $102–$181.13 varies
Biopsy of breast; open, incisional (19101) $547.80 $547.80 0.2×
Biopsy soft tissue forearm&/wrist superficial (25065) $263.06 $263.06 0.2×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $982 $982 0.5×
Blepharotomy drainage abscess eyelid (67700) $147.19 $147.19 0.5×
Blood Transfusion Service (36430)
range across 2 matching MRF lines
$143.75–$152.50 $143.75–$152.50 varies
Brnchsc Brushing/Protected Brushings (31623) $1,024.94 $1,024.94 0.6×
Bx breast needle core w/o imaging guidance spx (19100) $473 $473 0.3×
Carpal Tunnel Surgery (64721) $596.89 $596.89 0.3×
Catheter aspiration nasotracheal spx (31720) $1,000 $1,000 5.0×
Change Cystostomy Tube Simple (51705) $80.40 $80.40 0.3×
Chest tube placement (32551) $263.06 $263.06 0.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$143.74–$187.96 $143.74–$187.96 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $756 $756 0.5×
Closed tx metatarsal fracture w/o manipulation (28470) $405.38 $405.38 1.8×
Closed tx patellar dislocation w/anesthesia (27562) $697.19 $697.19 3.1×
Closed tx radial head/neck fx w/o manipulation (24650) $462.88 $462.88 2.0×
Closed tx radial shaft fracture w/manipulation (25505) $977.50 $977.50 0.7×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,259.25 $1,259.25 0.9×
Closed tx septal&nose fx (21337) $588.43 $588.43 0.2×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines
$524.69–$1,201.25 $524.69–$1,201.25 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $524.69 $524.69 2.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $647 $647 2.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $506 $506 2.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,066.63 $1,066.63 0.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $816.50 $816.50 3.6×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $250 $250 0.2×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $582.19 $582.19 2.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $501.69 $501.69 2.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $562.06 $562.06 2.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $426.45 $426.45 1.9×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines
$871.13–$939.30 $871.13–$939.30 varies
Cltx prox fibula/shft fx w/o manj (27780) $474.38 $474.38 2.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $668 $668 2.9×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines
$873.34–$879.53 $873.34–$879.53 varies
Cltx tibial fx proximal w/o manipulation (27530) $586.50 $586.50 2.6×
Collect Blood From Catheter Venous Nos (36592) $62.50 $62.50 0.5×
Collection of venous blood by venipuncture (36415) $31 $31 3.3×
Colonoscopy thru stoma (44388) $264.50 $264.50 0.3×
Colposcopy cervix upper/adjacent vagina (57452) $163.88 $163.88 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $424.06 $424.06 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines
$156.69–$408 $156.69–$408 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$132.25–$246.79 $132.25–$246.79 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$132.25–$450 $132.25–$450 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $410 $410 1.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $93.44 $93.44 0.2×
Deb Musc/Fascia 20 Sq Cm/< (11043) $877.48 $877.48 1.3×
Debride nail 1-5 (11720) $47.44 $47.44 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$413.75–$475.81 $413.75–$475.81 varies
Destruct B9 Lesion 1-14 (17110) $185.60 $185.60 1.0×
Destruction Benign Lesions 15/> (17111) $200 $200 1.1×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $185.60 $185.60 1.0×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $251.20 $251.20 1.4×
Destruction Premalignant Lesion 15/> (17004) $280 $280 0.7×
Destruction premalignant lesion 1st (17000) $148.80 $148.80 0.8×
Diagnostic sigmoidoscopy (45330) $270.25 $270.25 0.3×
Drainage of finger abscess simple (26010) $392.44 $392.44 2.1×
Drainage of gum lesion (41800) $200 $200 1.6×
Drainage of hematoma/fluid (10140) $185.44 $185.44 0.1×
Drainage of scrotum (54700) $708.69 $708.69 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$131.20–$233.97 $131.20–$233.97 varies
Dx Laryngoscopy Excl Nb (31525) $761.88 $761.88 0.5×
Endometrial Biopsy (58100) $237.19 $237.19 1.3×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $1,252.06 $1,252.06 0.7×
Evacuation of subungual hematoma (11740) $74.75 $74.75 0.6×
Exc arm/elbow les sc < 3 cm (24075)
range across 2 matching MRF lines
$681.78–$682 $681.78–$682 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $287.50 $287.50 0.4×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $421.19 $421.19 0.3×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines
$218.53–$230 $218.53–$230 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $730.25 $730.25 1.1×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,083.88 $1,083.88 0.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines
$137.70–$215.63 $137.70–$215.63 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $445.63 $445.63 0.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $299 $299 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $380.94 $380.94 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $498.81 $498.81 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $316.25 $316.25 0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $240.06 $240.06 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $257.31 $257.31 0.2×
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines
$519.23–$559.86 $519.23–$559.86 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $288.94 $288.94 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $434.13 $434.13 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $553.44 $553.44 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,351.25 $1,351.25 0.9×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $753.25 $753.25 0.5×
Exc Skin Malig >4 Cm Remaindr Body (11626) $1,055.13 $1,055.13 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $915.69 $915.69 0.6×
Exc tendon shth lesion leg/ankle (27630) $526.61 $526.61 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $212.75 $212.75 0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $313.38 $313.38 0.5×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $402.50 $402.50 0.3×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $496.05 $496.05 0.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines
$256.90–$359.38 $256.90–$359.38 varies
Excision Lingual Frenum Frenectomy (41115) $256.28 $256.28 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines
$240.25–$287.50 $240.25–$287.50 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $385.25 $385.25 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 2 matching MRF lines
$226.30–$465.75 $226.30–$465.75 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $678.50 $678.50 1.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $438.44 $438.44 0.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $868.25 $868.25 0.6×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $1,226.19 $1,226.19 0.5×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $330.63 $330.63 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $186.88 $186.88 0.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $589.38 $589.38 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $884.06 $884.06 0.6×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $488.75 $488.75 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $752.21 $752.21 0.3×
Excision or curettage of bone cyst or benign tumor of femur; (27355) $756.85 $756.85 0.3×
Excision prepatellar bursa (27340) $971.01 $971.01 0.3×
Excision soft tissue lesion, external auditory canal (69145) $150.94 $150.94 0.1×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $460.50 $460.50 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $304.75 $304.75 0.2×
Exploration penetrating wound spx extremity (20103) $521.53 $521.53 0.3×
Eye Surg Ant Sgmt Proc Unlisted (66999) $132.25 $132.25 0.1×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $1,725 $1,725 0.6×
Fine needle aspiration without imaging guidance (10021) $127.94 $127.94 0.3×
Foreskin manipulation (54450) $93.79 $93.79 0.4×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $245.25 $245.25 0.1×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,006.25 $1,006.25 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,374.25 $1,374.25 0.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $425.50 $425.50 0.5×
I&d abscess peritonsillar (42700) $364 $364 1.7×
I&d abscess simple (10060) $189.75 $189.75 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,286.56 $1,286.56 0.5×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $914.25 $914.25 0.3×
I&d perianal abscess superficial (46050) $224.25 $224.25 0.3×
I&d pilonidal cyst simple (10080) $189.75 $189.75 0.3×
Incise external hemorrhoid (46083) $287.50 $287.50 1.3×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines
$414.25–$1,114.06 $414.25–$1,114.06 varies
Incision & drainage abscess complicated/multiple (10061) $257.31 $257.31 0.7×
Incision & drainage leg/ankle abscess/hematoma (27603) $882.63 $882.63 0.3×
Incision & removal foreign body subq tiss compl (10121) $356.50 $356.50 0.2×
Incision & removal foreign body subq tiss simple (10120) $526 $526 1.4×
Incision and drainage of bartholin's gland abscess (56420) $270.91 $270.91 1.5×
Incision and drainage of vulva or perineal abscess (56405) $251.56 $251.56 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $176.81 $176.81 0.6×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$62–$138 $62–$138 varies
Injection single/mlt trigger point 3/> muscles (20553) $212.18 $212.18 0.8×
Injection therapeutic carpal tunnel (20526) $158.13 $158.13 0.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $138 $138 0.2×
Injection, intralesional; up to and including 7 lesions (11900) $125.06 $125.06 0.7×
Insert and remove bone pin (20650) $45 $45 0.0×
Insert Drug Implant Device (11981) $77 $77 0.6×
Insert non-tunnel cv cath (36556) $415.44 $415.44 0.1×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$46.89–$147 $46.89–$147 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines
$42.78–$103.50 $42.78–$103.50 varies
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $415.44 $415.44 0.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $415.44 $415.44 0.3×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $1,645.94 $1,645.94 0.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $790.63 $790.63 2.1×
Intraoral i&d tongue/floor sublngl supfc (41005) $258.75 $258.75 1.2×
Intubation endotracheal emergency procedure (31500) $500 $500 2.3×
Laryngoscopy Indirect W/Removal Foreign Body (31511)
range across 2 matching MRF lines
$323.44–$1,437.50 $323.44–$1,437.50 varies
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) $1,007.69 $1,007.69 0.7×
Needle insertion w/o injection 3 or more muscles (20561) $45 $45 1.7×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure
$1,437.50 $1,437.50 0.2×
Pin Finger Dislocation (26776) $1,545.31 $1,545.31 0.5×
Placement of needle for intraosseous infusion (36680) $125 $125 0.3×
Punch biopsy skin single lesion (11104) $353.06 $353.06 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$152.09–$163.88 $152.09–$163.88 varies
Removal Embedded Foreign Body Eyelid (67938) $173.94 $173.94 0.6×
Removal Foreign Body Deep Thigh/Knee (27372) $484.44 $484.44 0.2×
Removal Foreign Body Foot Subcutaneous (28190) $491.63 $491.63 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $432.69 $432.69 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $220 $220 4.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $65.10 $65.10 1.2×
Removal Implant Deep (20680) $471.51 $471.51 0.2×
Removal implantable contraceptive capsules (11976) $107.81 $107.81 0.2×
Removal of nail bed (11750)
range across 2 matching MRF lines
$333.50–$552 $333.50–$552 varies
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines
$139.44–$413.75 $139.44–$413.75 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $150.94 $150.94 0.8×
Removal Sutures/Staples Requiring Anesthesia (15851) $181.50 $181.50 0.1×
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines
$117.88–$413.75 $117.88–$413.75 varies
Remove drug implant device (11982) $77 $77 0.2×
Remove Forearm Foreign Body (25248) $930.06 $930.06 0.6×
Remove foreign body from eye (65235) $862.50 $862.50 0.4×
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$69.75–$132.25 $69.75–$132.25 varies
Remove Intrauterine Device (58301) $235.75 $235.75 0.8×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$1,000–$1,100 $1,000–$1,100 varies
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines
$391–$421.60 $391–$421.60 varies
Remove/Insert Drug Implant (11983) $777 $777 1.9×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $566.91 $566.91 0.8×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,128.44 $1,128.44 1.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines
$388.49–$393.26 $388.49–$393.26 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines
$620–$1,055.13 $620–$1,055.13 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines
$592.25–$665 $592.25–$665 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$718.75–$856.90 $718.75–$856.90 varies
Repair complex trunk 1.1-2.5 cm (13100) $386.69 $386.69 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $550.56 $550.56 0.8×
Repair extensor tendon finger w/o graft each (26418) $681.38 $681.38 0.5×
Repair Finger Tendon (26433) $681.38 $681.38 0.2×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $3,025.94 $3,025.94 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $337.81 $337.81 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$282.61–$431.25 $282.61–$431.25 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines
$320–$539.06 $320–$539.06 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $546.25 $546.25 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$227.56–$284.63 $227.56–$284.63 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$318.17–$359.38 $318.17–$359.38 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $460 $460 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$350.43–$377.84 $350.43–$377.84 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$260.19–$350 $260.19–$350 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$303.18–$337.81 $303.18–$337.81 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $455.69 $455.69 1.2×
Repair Spica/Body/Jacket Cast (29720) $152.38 $152.38 1.0×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $244.38 $244.38 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$506–$805 $506–$805 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $136.56 $136.56 1.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $161 $161 0.4×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $447.06 $447.06 0.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines
$437–$885.95 $437–$885.95 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $575 $575 0.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $902.75 $902.75 1.6×
Rpr blood vessel direct lower extremity (35226) $1,490.69 $1,490.69 2.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $416.88 $416.88 2.3×
Shave skin lesion 0.5 cm/< (11300) $127.94 $127.94 0.3×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $126.50 $126.50 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $127.94 $127.94 0.7×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $162.44 $162.44 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $127.94 $127.94 0.7×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $232.88 $232.88 1.3×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines
$500–$527.56 $500–$527.56 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$152.49–$347.88 $152.49–$347.88 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$174.36–$424.06 $174.36–$424.06 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $793.50 $793.50 2.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$190.65–$327.75 $190.65–$327.75 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$147.06–$301.88 $147.06–$301.88 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $557.75 $557.75 3.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$176.46–$281.75 $176.46–$281.75 varies
Skin Full Grft Face/Genit/Hf (15240) $1,824.75 $1,824.75 1.0×
Skin Pinch Graft (15050) $491 $491 0.7×
Skin Tissue Procedure (17999) $160 $160 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$164.56–$261.63 $164.56–$261.63 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $376.63 $376.63 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $460 $460 1.2×
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines
$1,028.18–$1,437.50 $1,028.18–$1,437.50 varies
Strapping ankle (29540) $106.38 $106.38 0.7×
Strapping shoulder (29240) $129.38 $129.38 1.1×
Strapping Unna Boot (29580) $12 $12 0.1×
Surg tx anal fistula subq (46270) $425.50 $425.50 0.2×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines
$115.74–$233.68 $115.74–$233.68 varies
Treat Big Toe Fracture (28505) $1,046.99 $1,046.99 0.3×
Treat humerus fracture (24500) $497.38 $497.38 2.2×
Treat Knuckle Dislocation (26700) $261.63 $261.63 1.2×
Treat Thumb Dislocation (26641) $623.88 $623.88 2.8×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines
$850–$972 $850–$972 varies
Trim skin lesions over 4 (11057) $86.25 $86.25 0.5×
Trimming Nondystrophic Nails Any Number (11719) $115.58 $115.58 2.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $376.63 $376.63 0.6×
Unlisted procedure anus (46999) $425.50 $425.50 0.5×
Unlisted Procedure Muscskeletal System General (20999) $310 $310 1.4×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $244.38 $244.38 1.1×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $661.25 $661.25 0.8×
Unlisted Px Salivary Glands/Ducts (42699) $230 $230 1.1×
Wedge excision skin nail fold (11765) $230 $230 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.