Procedures & surgery prices at Hansen Family Hospital

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

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $420–$1,404 $420–$1,404 varies
Acne surgery (10040) $238.67 $238.67 1.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,664 $1,664 0.8×
Anoscopy diagnostic (46600) $208.83 $208.83 1.6×
Application cast elbow finger short arm (29075) $260 $260 1.0×
Application finger splint static (29130) $122.71 $122.71 1.0×
Application long arm splint shoulder hand (29105) $76 $76 0.5×
Application Long Leg Splint (29505) $78 $78 0.5×
Application of rigid total contact leg cast (29445) $246.02 $246.02 0.9×
Application short arm splint forearm-hand static (29125) $162.29 $162.29 1.3×
Application short leg splint calf foot (29515) $72 $72 0.5×
Apply hand/wrist cast (29085) $222 $222 1.4×
Apply Multlay Comprs Lwr Leg (29581) $100.52 $100.52 0.6×
Arterial puncture (36600)
range across 3 matching MRF lines		 $29–$99 $29–$99 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines		 $158.29–$200 $158.29–$200 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $66 $66 0.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $173.96–$494 $173.96–$494 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $66 $66 0.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $164.38–$199 $164.38–$199 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,869.75 $1,869.75 1.2×
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines		 $1,288–$1,872 $1,288–$1,872 varies
Aspirate Pleura W/O Imaging (32554) $1,332 $1,332 2.2×
Aspirate/Inj Ganglion Cyst (20612) $74.50 $74.50 0.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $156.75–$167.33 $156.75–$167.33 varies
Biopsy of breast; open, incisional (19101) $1,074 $1,074 0.3×
Bladder Irrigation (51700) $71 $71 0.3×
Bladder Scan (51798)
range across 2 matching MRF lines		 $46.52–$60 $46.52–$60 varies
Blepharotomy drainage abscess eyelid (67700) $539.33 $539.33 1.8×
Blood Transfusion Service (36430)
range across 6 matching MRF lines		 $63–$785 $63–$785 varies
Bone Marrow Biopsy (38221) $525 $525 0.3×
Bx/exc lymph node open superficial (38500) $257.50 $257.50 0.1×
Catheter aspiration nasotracheal spx (31720) $75 $75 0.4×
Cerclage cervix pregnancy vaginal (59320) $495.43 $495.43 0.2×
Change Cystostomy Tube Simple (51705) $74 $74 0.3×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $130.81–$523.24 $130.81–$523.24 varies
Chemodenerv Musc Migraine (64615) $172 $172 0.6×
Chest tube placement (32551) $928 $928 0.6×
Circumcision w/clamp/oth dev w/block (54150) $176 $176 0.1×
Clear outer ear canal (69200) $194.35 $194.35 1.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $212 $212 0.9×
Closed tx ankle dislocation w/o anesthesia (27840) $355 $355 1.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $340 $340 0.2×
Closed Tx Knee Dislocation W/Anesthesia (27552) $392 $392 0.3×
Closed tx patellar dislocation w/o anesthesia (27560) $274 $274 1.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $317 $317 0.2×
Closed tx radial&ulnar shaft fractures w/o man (25560) $171 $171 0.7×
Closed Tx Talus Fracture W/Manipulation (28435) $254 $254 0.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $166 $166 0.7×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $175 $175 0.8×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $282 $282 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $161 $161 0.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $212 $212 0.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $252 $252 1.1×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $354 $354 0.2×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $258 $258 1.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $160 $160 0.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $388 $388 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $360 $360 0.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $160 $160 0.7×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $128 $128 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $127 $127 0.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $106 $106 0.4×
Cltx metacarpal fx w/manipulation each bone (26605) $262 $262 1.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $141 $141 0.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $261 $261 1.1×
Cltx post hip arthrp dislc req anes (27266) $416 $416 0.3×
Cltx post hip arthrp dislc w/o anes (27265) $393 $393 1.7×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $372 $372 0.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $422 $422 1.8×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $310 $310 0.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $265 $265 0.2×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines		 $17.82–$32.96 $17.82–$32.96 varies
Colonoscopy w/ablation (45388) $1,406 $1,406 1.2×
Colonoscopy w/fb removal (45379) $2,733 $2,733 2.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,352 $1,352 1.2×
Control Nasal Hemorrhage Anterior Complex (30903) $233.50 $233.50 1.8×
Control Nasal Hemorrhage Anterior Simple (30901) $171 $171 1.3×
Correction of trichiasis; epilation, by forceps only (67820) $23.38 $23.38 0.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $569 $569 4.4×
Curette/treat cornea (65435) $59 $59 0.1×
Cystometrogram W/Vp (51728) $537 $537 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $110.50 $110.50 0.3×
Deb Musc/Fascia 20 Sq Cm/< (11043) $312.17 $312.17 0.4×
Debride nail 1-5 (11720) $60 $60 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,193.51 $1,193.51 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $225.60–$339 $225.60–$339 varies
Declot vascular device (36593)
range across 3 matching MRF lines		 $35–$136 $35–$136 varies
Destr penis lesion(s) (54065) $705 $705 0.4×
Destroy cerv/thor facet jnt (64633) $944 $944 0.5×
Destroy lumb/sac facet jnt (64635) $986 $986 0.5×
Destruct B9 Lesion 1-14 (17110) $182.55 $182.55 0.9×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $83 $83 0.4×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $222 $222 1.2×
Destruction neurolytic agt genicular nerve w/img (64624) $1,248 $1,248 0.7×
Destruction premalignant lesion 1st (17000) $102.97 $102.97 0.5×
Destruction Vaginal Lesions Simple (57061) $322 $322 0.1×
Drain/inj small joint/bursa w/us (20604) $66 $66 0.2×
Drainage of finger abscess simple (26010) $208 $208 1.1×
Drainage of gum lesion (41800) $109 $109 0.9×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $258.75–$658 $258.75–$658 varies
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $80–$83 $80–$83 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $252.74 $252.74 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $175.05 $175.05 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $107.42–$203 $107.42–$203 varies
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $504 $504 0.6×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $579 $579 0.3×
Egd dilation gastric/duodenal stricture (43245) $144 $144 0.1×
Egd Flexible Foreign Body Removal (43247) $779 $779 0.9×
Egd remove lesion snare (43251) $587.33 $587.33 0.3×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $185–$451 $185–$451 varies
Episiotomy or vaginal repair (59300) $460 $460 0.1×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $138 $138 0.1×
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) $123 $123 0.1×
Evacuation of subungual hematoma (11740) $73.17 $73.17 0.6×
Exc arm/elbow les sc < 3 cm (24075) $2,340 $2,340 1.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $203.75 $203.75 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $933.75 $933.75 0.6×
Exc Face Les Sbq 2 Cm/> (21012) $1,622.25 $1,622.25 1.0×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $370 $370 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $328.50 $328.50 0.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,039.50 $1,039.50 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $194.91 $194.91 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $256.75 $256.75 0.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $819 $819 0.5×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $438 $438 0.6×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,458.25 $3,458.25 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,996.87 $1,996.87 1.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $695.25 $695.25 1.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $299.22 $299.22 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,014.75 $1,014.75 0.6×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $523.82 $523.82 1.3×
Excision of pilonidal cyst or sinus; simple (11770) $2,277.08 $2,277.08 0.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,456.77 $2,456.77 1.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $1,957.50 $1,957.50 1.2×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $976 $976 0.6×
Exploration penetrating wound spx extremity (20103) $2,760.75 $2,760.75 1.7×
Fetal non-stress test (59025) $358 $358 1.8×
Foreskin manipulation (54450) $203 $203 0.8×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,155 $1,155 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $491 $491 0.5×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $157–$160.88 $157–$160.88 varies
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $203–$391 $203–$391 varies
Incise external hemorrhoid (46083) $333.60 $333.60 1.4×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $281.41–$282 $281.41–$282 varies
Incision & removal foreign body subq tiss compl (10121) $1,257.75 $1,257.75 0.8×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $258–$287.67 $258–$287.67 varies
Incision and drainage of bartholin's gland abscess (56420) $177.50 $177.50 0.9×
Incision and drainage of vulva or perineal abscess (56405) $540 $540 1.8×
Incision of lingual frenum (frenotomy) (41010) $112 $112 0.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $344.50 $344.50 0.2×
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $107.67–$247.28 $107.67–$247.28 varies
Initial Tx 1st Degree Burn Local Tx (16000) $34 $34 0.2×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $798 $798 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $744 $744 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $164.69–$197 $164.69–$197 varies
Injection aa&/strd genicular nrv branches w/img (64454) $521 $521 0.8×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $685 $685 0.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $422 $422 0.6×
Injection anesthetic agent suprascapular nerve (64418) $389 $389 0.6×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $782–$900 $782–$900 varies
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $125.60–$170 $125.60–$170 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $174.67–$237 $174.67–$237 varies
Injection single/mlt trigger point 3/> muscles (20553) $242 $242 0.8×
Injection therapeutic carpal tunnel (20526) $101.22 $101.22 0.3×
Injection, anesthetic agent; brachial plexus, single (64415) $1,834 $1,834 2.2×
Injection, anesthetic agent; femoral nerve, single (64447) $430 $430 0.6×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $369 $369 0.5×
Injection, intralesional; up to and including 7 lesions (11900) $76 $76 0.4×
Insert Drug Implant Device (11981) $300.87 $300.87 2.4×
Insert non-tunnel cv cath (36556) $212 $212 0.1×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $64–$147.61 $64–$147.61 varies
Insert,Non-Indwelling Bladder Catheter (51701) $44 $44 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,378 $3,378 2.2×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $2,179 $2,179 0.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $2,345–$2,413 $2,345–$2,413 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $265 $265 0.7×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $371–$515 $371–$515 varies
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,304 $1,304 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure		 $2,219 $2,219 0.4×
Laryngoscopy flexible diagnostic (31575) $115 $115 0.6×
N Block Inj Ilio-Ing/Hypogi (64425) $459 $459 0.7×
N block inj intercost sng (64420) $460 $460 0.7×
N Block Lumbar/Thoracic (64520) $716 $716 0.8×
Needle insertion w/o injection 1 or 2 muscles (20560) $40 $40 1.4×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $55 $55 0.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $843 $843 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $130 $130 0.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $826 $826 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $585 $585 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $87 $87 0.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $135 $135 0.2×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $928 $928 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $91 $91 0.1×
Occipital Nerve Block (64405) $313 $313 1.1×
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $442–$676 $442–$676 varies
Placement of needle for intraosseous infusion (36680) $100 $100 0.2×
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $148.27–$247.28 $148.27–$247.28 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $207.75 $207.75 0.5×
Puncture Aspiration Cyst Breast (19000) $395 $395 0.6×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,283 $1,283 0.7×
Removal foreign body foot deep (28192) $329 $329 0.2×
Removal Foreign Body Foot Subcutaneous (28190) $775 $775 1.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $76 $76 0.0×
Removal impacted cerumen irrigation/lvg unilat (69209) $32 $32 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $131.76 $131.76 2.3×
Removal of nail bed (11750) $336.03 $336.03 0.9×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $129.16 $129.16 0.7×
Removal/bivalving gauntlet boot/body cast (29700) $107 $107 0.4×
Remove drug implant device (11982) $439.39 $439.39 1.0×
Remove foreign body from eye (65205) $157 $157 1.2×
Remove Intrauterine Device (58301) $237 $237 0.8×
Remove Nasal Foreign Body (30300) $150 $150 1.2×
Remove Tendon Sheath Lesion (26160) $399 $399 0.3×
Remove/Insert Drug Implant (11983) $556.92 $556.92 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $267 $267 0.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $237 $237 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $325 $325 0.8×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $221 $221 0.6×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $260 $260 0.7×
Repair complex trunk 1.1-2.5 cm (13100) $215 $215 0.3×
Repair complex trunk 2.6-7.5 cm (13101) $1,001.24 $1,001.24 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $575 $575 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $163 $163 0.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $199 $199 0.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $221 $221 0.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $255 $255 0.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $523 $523 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $513.48 $513.48 1.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $199 $199 0.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $260 $260 0.7×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $130 $130 0.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,437.75 $1,437.75 3.7×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $198 $198 0.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $580.57 $580.57 1.5×
Repair intermediate s/a/t/e >30.0 cm (12037) $213 $213 0.1×
Repair of nail bed (11760) $244.50 $244.50 0.3×
Repair tongue laceration (41252) $248 $248 1.1×
Repair tongue laceration (41250) $180 $180 0.4×
Replantation digit complete (20822) $1,413 $1,413 0.9×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $145 $145 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $136 $136 1.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $148 $148 0.3×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $431 $431 0.3×
Rplc Gtube No Revj Trc (43762) $1,048.50 $1,048.50 4.4×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $200 $200 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $410 $410 0.8×
Shave skin lesion 0.5 cm/< (11300) $83 $83 0.2×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $105.50 $105.50 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $149.50 $149.50 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $74 $74 0.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $400 $400 0.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $225 $225 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $249.67 $249.67 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $417 $417 2.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $277 $277 0.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $143 $143 0.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines		 $158.07–$285.91 $158.07–$285.91 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $141 $141 0.7×
Skin sub graft face/nk/hf/g (15275) $2,582.21 $2,582.21 3.6×
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines		 $454–$725 $454–$725 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $3,445.35–$4,962.01 $3,445.35–$4,962.01 varies
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines		 $1,634.58–$4,374.41 $1,634.58–$4,374.41 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines		 $172–$321.83 $172–$321.83 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $168 $168 0.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $221 $221 0.6×
Spinal puncture lumbar diagnostic (62270) $540 $540 0.8×
Strapping ankle (29540) $25 $25 0.2×
Strapping elbow or wrist (29260) $36 $36 0.6×
Strapping hand/finger (29280) $37 $37 0.7×
Strapping shoulder (29240) $44 $44 0.3×
Strapping toes (29550) $22 $22 0.4×
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $138.71–$213 $138.71–$213 varies
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $141.41–$247.28 $141.41–$247.28 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $2,343.44 $2,343.44 1.5×
Tracheostomy Emergency Cricothyroid Membrane (31605) $266 $266 1.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $286 $286 0.2×
Treat Humerus Fracture (24505) $472 $472 0.3×
Treat Knuckle Dislocation (26700) $258 $258 1.1×
Treat Thumb Fracture (26645) $238 $238 0.2×
Treat toe dislocation (28630) $117 $117 0.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $351 $351 0.2×
Treatment closed elbow dislocation w/o anes (24600) $314 $314 1.3×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $71.85–$112 $71.85–$112 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $71–$136.94 $71–$136.94 varies
Trimming Nondystrophic Nails Any Number (11719) $36 $36 0.6×
Tx Gastro Intub W/Asp (43753) $58 $58 0.3×
Tx Superficial Wound Dehiscence Simple Closure (12020) $132 $132 0.2×
Vaginal delivery only (59409) $2,039 $2,039 0.7×
Vasectomy uni/bi spx w/postop semen exams (55250) $1,398.50 $1,398.50 0.7×
Wedge excision skin nail fold (11765) $206.75 $206.75 0.5×
Windowing of cast (29730) $70 $70 0.4×

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.