Procedures & surgery prices at Hodgeman County Health Center
Jetmore, KS · every code in this section with a posted price and a Medicare benchmark.
277 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,406.40 | $1,758 | 1.7× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) | $5,352.80 | $6,691 | 2.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,199.20–$2,134.40 | $1,499–$2,668 | varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $2,625.60 | $3,282 | 1.4× |
| Amputation toe metatarsophalangeal joint (28820) | $5,157.60 | $6,447 | 1.7× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$84.80–$519.20 | $106–$649 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$81.60–$276.80 | $102–$346 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$108–$276.80 | $135–$346 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$140.80–$276.80 | $176–$346 | varies |
| Application of long leg cast (29345) | $333.60 | $417 | 1.3× |
| Application of rigid total contact leg cast (29445) | $330.40 | $413 | 1.3× |
| Application Short Arm Splint Dynamic (29126) | $276.80 | $346 | 2.3× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$267.20–$276.80 | $334–$346 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$128–$276.80 | $160–$346 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$333.60–$693.60 | $417–$867 | varies |
| Apply Short Leg Cast (29405) | $325.60 | $407 | 1.3× |
| Arterial puncture (36600) | $80.80 | $101 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$444.80–$960 | $556–$1,200 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$148.80–$1,056 | $186–$1,320 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$690.40–$960 | $863–$1,200 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$443.20–$960 | $554–$1,200 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $2,400.80 | $3,001 | 1.6× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$321.60–$891.20 | $402–$1,114 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$128–$154.40 | $160–$193 | varies |
| Biopsy Muscle Superficial (20200) | $742.40 | $928 | 0.5× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $400 | $500 | 0.3× |
| Bladder Irrigation (51700) | $374.40 | $468 | 1.6× |
| Bladder Scan (51798) | $80.80 | $101 | 1.5× |
| Blood Transfusion Service (36430) | $619.20 | $774 | 1.5× |
| Bx breast 1st lesion us imag (19083) | $2,430.40 | $3,038 | 1.6× |
| Change Cystostomy Tube Simple (51705) | $365.60 | $457 | 1.6× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$155.20–$462.40 | $194–$578 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 2 matching MRF lines |
$960–$1,039.20 | $1,200–$1,299 | varies |
| Chest tube placement (32551) | $440 | $550 | 0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,745.60 | $2,182 | 1.2× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$180.80–$287.20 | $226–$359 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) | $971.20 | $1,214 | 4.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $2,400.80 | $3,001 | 1.6× |
| Closed tx knee dislocation w/o anesthesia (27550) | $971.20 | $1,214 | 4.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,745.60 | $2,182 | 7.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) | $2,601.60 | $3,252 | 1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) | $2,323.20 | $2,904 | 1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) | $2,342.40 | $2,928 | 0.8× |
| Closed tx patellar dislocation w/anesthesia (27562) | $3,032 | $3,790 | 13.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $971.20 | $1,214 | 4.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $1,745.60 | $2,182 | 7.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $971.20 | $1,214 | 4.3× |
| Closed tx radial shaft fracture w/manipulation (25505) | $918.40 | $1,148 | 0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $1,745.60 | $2,182 | 7.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $2,400.80 | $3,001 | 1.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $1,745.60 | $2,182 | 7.7× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $971.20 | $1,214 | 4.3× |
| Closed tx septal&nose fx (21337) | $742.40 | $928 | 0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $680 | $850 | 3.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $1,745.60 | $2,182 | 7.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $971.20 | $1,214 | 4.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $971.20 | $1,214 | 4.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $679.20 | $849 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$956–$1,077.60 | $1,195–$1,347 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $3,019.20 | $3,774 | 2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,745.60 | $2,182 | 7.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $1,745.60 | $2,182 | 7.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $519.20 | $649 | 2.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$640–$1,728 | $800–$2,160 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,016.80–$2,400.80 | $1,271–$3,001 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $543.20 | $679 | 2.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $717.60 | $897 | 3.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $284 | $355 | 1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $607.20 | $759 | 2.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $519.20 | $649 | 2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,364.80 | $1,706 | 6.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $349.60 | $437 | 1.5× |
| Cltx post hip arthrp dislc req anes (27266) | $1,293.60 | $1,617 | 0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) | $858.40 | $1,073 | 3.8× |
| Cltx prox fibula/shft fx w/o manj (27780) | $1,745.60 | $2,182 | 7.7× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) | $748.80 | $936 | 3.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $971.20 | $1,214 | 4.3× |
| Cltx tibial fx proximal w/o manipulation (27530) | $1,745.60 | $2,182 | 7.7× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) | $971.20 | $1,214 | 4.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) | $1,745.60 | $2,182 | 7.7× |
| Collect Blood From Catheter Venous Nos (36592) | $173.60 | $217 | 1.4× |
| Collection of venous blood by venipuncture (36415) | $20.80 | $26 | 2.2× |
| Colonoscopy W/Band Ligation (45398) | $1,768.80 | $2,211 | 1.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,768.80 | $2,211 | 1.6× |
| Complex drainage wound (10180) | $4,541.60 | $5,677 | 1.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $712.80 | $891 | 5.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$181.60–$1,630.40 | $227–$2,038 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $361.60 | $452 | 3.0× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$58.40–$108.80 | $73–$136 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$213.60–$548 | $267–$685 | varies |
| Delivery of placenta (59414) | $2,464 | $3,080 | 0.8× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$960–$2,929.60 | $1,200–$3,662 | varies |
| Destroy lumb/sac facet jnt (64635) range across 4 matching MRF lines |
$960–$2,929.60 | $1,200–$3,662 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$960–$2,662.40 | $1,200–$3,328 | varies |
| Destruction premalignant lesion 1st (17000) | $360 | $450 | 2.0× |
| Diagnostic sigmoidoscopy (45330) | $1,368 | $1,710 | 1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,056 | $1,320 | 1.6× |
| Drainage Mouth Roof Lesion (42000) range across 2 matching MRF lines |
$330.40–$368.80 | $413–$461 | varies |
| Drainage of finger abscess simple (26010) | $356 | $445 | 1.9× |
| Drainage of gum lesion (41800) | $264 | $330 | 2.2× |
| Drainage of hematoma/fluid (10140) | $2,430.40 | $3,038 | 1.6× |
| Draw Blood Off Venous Device (36591) | $152.80 | $191 | 1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$369.60–$446.40 | $462–$558 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $446.40 | $558 | 2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$379.20–$446.40 | $474–$558 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$923.20–$969.60 | $1,154–$1,212 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $2,845.60 | $3,557 | 1.6× |
| Egd Flexible Foreign Body Removal (43247) | $1,571.20 | $1,964 | 1.9× |
| Egd place gastrostomy tube (43246) | $2,845.60 | $3,557 | 1.6× |
| Egd remove lesion snare (43251) | $2,845.60 | $3,557 | 1.6× |
| Episiotomy or vaginal repair (59300) | $4,769.60 | $5,962 | 1.6× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $1,097.60 | $1,372 | 0.6× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) | $1,097.60 | $1,372 | 0.6× |
| Evacuation of subungual hematoma (11740) | $52.80 | $66 | 0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,055.20 | $1,319 | 1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$365.60–$2,430.40 | $457–$3,038 | varies |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) | $5,744 | $7,180 | 1.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$348.80–$788.80 | $436–$986 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$532–$952.80 | $665–$1,191 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$624–$1,578.40 | $780–$1,973 | varies |
| Exc Face Les Sbq 2 Cm/> (21012) | $1,618.40 | $2,023 | 1.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $940 | $1,175 | 1.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $1,672.80 | $2,091 | 2.6× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,638.40 | $2,048 | 1.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $3,095.20 | $3,869 | 2.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $2,430.40 | $3,038 | 1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $1,456 | $1,820 | 2.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $2,430.40 | $3,038 | 1.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$464–$1,568.80 | $580–$1,961 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $2,430.40 | $3,038 | 1.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $4,292.80 | $5,366 | 1.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $2,492.80 | $3,116 | 1.6× |
| Exc Skin Benig >4cm Face,Facial (11446) | $3,468.80 | $4,336 | 1.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $2,166.40 | $2,708 | 1.4× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $3,701.60 | $4,627 | 1.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $2,560 | $3,200 | 1.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $995.20 | $1,244 | 2.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $1,055.20 | $1,319 | 1.6× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $2,430.40 | $3,038 | 1.6× |
| 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 |
$340.80–$1,332 | $426–$1,665 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $960 | $1,200 | 1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $978.40 | $1,223 | 1.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$338.40–$1,074.40 | $423–$1,343 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $2,409.60 | $3,012 | 3.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$504.80–$2,786.40 | $631–$3,483 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$808–$2,680 | $1,010–$3,350 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $940 | $1,175 | 1.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$517.60–$2,166.40 | $647–$2,708 | varies |
| Excision nasal polyp(s) simple (30110) | $328 | $410 | 0.2× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,058.40 | $2,573 | 0.8× |
| Exploration penetrating wound spx extremity (20103) | $372.80 | $466 | 0.2× |
| Fetal non-stress test (59025) | $432 | $540 | 2.3× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,958.40 | $2,448 | 2.3× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$183.20–$942.40 | $229–$1,178 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $4,403.20 | $5,504 | 1.6× |
| I&d perianal abscess superficial (46050) | $1,368 | $1,710 | 1.6× |
| Incise external hemorrhoid (46083) | $365.60 | $457 | 1.6× |
| Incision & drainage abscess complicated/multiple (10061) | $1,764 | $2,205 | 4.7× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$220–$1,290.40 | $275–$1,613 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $352 | $440 | 1.9× |
| Incision and drainage of vulva or perineal abscess (56405) | $456.80 | $571 | 1.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $298.40 | $373 | 1.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$960–$1,336 | $1,200–$1,670 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$171.20–$960 | $214–$1,200 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$372.80–$960 | $466–$1,200 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 3 matching MRF lines |
$960–$2,720 | $1,200–$3,400 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$909.60–$960 | $1,137–$1,200 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 3 matching MRF lines |
$655.20–$1,296 | $819–$1,620 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$442.40–$960 | $553–$1,200 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
$960–$2,337.60 | $1,200–$2,922 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) | $960 | $1,200 | 1.2× |
| Injection anesthetic agent suprascapular nerve (64418) range across 3 matching MRF lines |
$372.80–$960 | $466–$1,200 | varies |
| Injection of sclerosing solution, hemorrhoids (46500) | $180.80 | $226 | 0.2× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$171.20–$960 | $214–$1,200 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$126.40–$960 | $158–$1,200 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$413.60–$960 | $517–$1,200 | varies |
| Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
$443.20–$960 | $554–$1,200 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$236.80–$2,043.20 | $296–$2,554 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$78.40–$298.40 | $98–$373 | varies |
| Insert non-tunnel cv cath (36556) | $4,721.60 | $5,902 | 1.6× |
| Insert Temp Bladder Cath (51702) | $174.40 | $218 | 1.4× |
| Insert tunneled cv cath (36561) | $4,721.60 | $5,902 | 1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $174.40 | $218 | 1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $3,200 | $4,000 | 2.2× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) | $4,944.80 | $6,181 | 1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$253.60–$2,928.80 | $317–$3,661 | varies |
| Intubation endotracheal emergency procedure (31500) | $271.20 | $339 | 1.2× |
| Laparoscopy w/rmvl adnexal structures (58661) | $7,500 | $9,375 | 1.3× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $8,752 | $10,940 | 1.6× |
| Laryngoscopy W/Foreign Body Removal (31530) | $4,988.80 | $6,236 | 3.0× |
| Maternity Care Procedure (59899) | $74.40 | $93 | 0.4× |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$372.80–$960 | $466–$1,200 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$372.80–$960 | $466–$1,200 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$442.40–$960 | $553–$1,200 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$568.80–$960 | $711–$1,200 | varies |
| Nasal surgery procedure (30999) range across 2 matching MRF lines |
$90.40–$180.80 | $113–$226 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $2,845.60 | $3,557 | 6.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,678.40 | $2,098 | 4.0× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$858.40–$960 | $1,073–$1,200 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$434.40–$960 | $543–$1,200 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$960–$5,369.60 | $1,200–$6,712 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$960–$1,370.40 | $1,200–$1,713 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
$720–$1,443.20 | $900–$1,804 | varies |
| Occipital Nerve Block (64405) range across 3 matching MRF lines |
$396–$960 | $495–$1,200 | varies |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $10,716 | $13,395 | 1.6× |
| Placement of needle for intraosseous infusion (36680) | $599.20 | $749 | 1.5× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$172–$760 | $215–$950 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $1,136.80 | $1,421 | 3.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$541.60–$960 | $677–$1,200 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$960–$1,055.20 | $1,200–$1,319 | varies |
| Removal Embedded Foreign Body Eyelid (67938) | $416 | $520 | 1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) | $322.40 | $403 | 0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $587.20 | $734 | 10.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $100 | $125 | 1.8× |
| Removal of nail bed (11750) | $613.60 | $767 | 1.6× |
| Remove foreign body from eye (65205) | $89.60 | $112 | 0.7× |
| Remove Nasal Foreign Body (30300) | $1,115.20 | $1,394 | 9.1× |
| Remove Tendon Sheath Lesion (26160) | $2,489.60 | $3,112 | 1.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $543.20 | $679 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $652 | $815 | 1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $575.20 | $719 | 1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$399.20–$408 | $499–$510 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $3,621.60 | $4,527 | 2.4× |
| Repair Hand Tendon (26410) | $2,376.80 | $2,971 | 1.6× |
| Repair inguinal hernia, sliding, any age (49525) | $5,293.60 | $6,617 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$251.20–$388.80 | $314–$486 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $495.20 | $619 | 1.3× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $1,168.80 | $1,461 | 3.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $335.20 | $419 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $424.80 | $531 | 1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $971.20 | $1,214 | 1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $356.80 | $446 | 1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $416 | $520 | 1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$481.60–$1,857.60 | $602–$2,322 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $3,128.80 | $3,911 | 1.6× |
| Rerepair ing hernia reduce (49520) | $5,329.60 | $6,662 | 1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $650.40 | $813 | 1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $626.40 | $783 | 5.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $372.80 | $466 | 0.9× |
| Rmvl fecal impaction/fb spx under anes (45915) | $1,768.80 | $2,211 | 1.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,330.40 | $2,913 | 1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$280.80–$1,150.40 | $351–$1,438 | varies |
| Rplc Gtube No Revj Trc (43762) | $560 | $700 | 2.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $446.40 | $558 | 1.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $89.60 | $112 | 0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $261.60 | $327 | 1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $296.80 | $371 | 1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $332.80 | $416 | 1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $368 | $460 | 2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$183.20–$248.80 | $229–$311 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $314.40 | $393 | 1.7× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$308.80–$5,380.80 | $386–$6,726 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$268–$3,618.40 | $335–$4,523 | varies |
| Skin Tissue Procedure (17999) | $352 | $440 | 1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $280.80 | $351 | 1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $412 | $515 | 1.1× |
| Spinal puncture lumbar diagnostic (62270) | $543.20 | $679 | 0.8× |
| Strapping ankle (29540) | $333.60 | $417 | 2.2× |
| Strapping elbow or wrist (29260) | $333.60 | $417 | 6.1× |
| Strapping Unna Boot (29580) | $333.60 | $417 | 2.2× |
| Treat humerus fracture (24500) | $647.20 | $809 | 2.9× |
| Treat Humerus Fracture (24505) | $956 | $1,195 | 0.6× |
| Treat Metatarsal Fracture (28475) | $1,940.80 | $2,426 | 8.6× |
| Treat Thumb Fracture (26645) | $971.20 | $1,214 | 0.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$720–$1,340.80 | $900–$1,676 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$557.60–$1,160 | $697–$1,450 | varies |
| Tubal ligation (58600) | $4,769.60 | $5,962 | 1.6× |
| Tx Gastro Intub W/Asp (43753) | $2,845.60 | $3,557 | 14.3× |
| Unlisted Procedure Casting/Strapping (29799) | $85.60 | $107 | 0.6× |
| Unlisted Procedure Hands/Fingers (26989) | $136 | $170 | 0.6× |
| Unlisted procedure humerus/elbow (24999) | $132 | $165 | 0.6× |
| Unlisted Procedure Leg/Ankle (27899) | $264 | $330 | 1.2× |
| Unlisted Procedure Muscskeletal System General (20999) | $356.80 | $446 | 1.6× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $317.60 | $397 | 1.5× |
| Unlisted Procedure, Urinary System (53899) | $88 | $110 | 0.4× |
| Wedge excision skin nail fold (11765) | $831.20 | $1,039 | 2.2× |
| Windowing of cast (29730) range across 2 matching MRF lines |
$102.40–$120 | $128–$150 | varies |
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.