Procedures & surgery prices at Hospital District #1 of Rice County
Lyons, KS · every code in this section with a posted price and a Medicare benchmark.
427 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) range across 4 matching MRF lines |
$367.50–$1,494.24 | $490–$1,992.32 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,494.24 | $1,992.32 | 1.8× |
| Acne surgery (10040) range across 2 matching MRF lines |
$86.25–$288.75 | $115–$385 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $4,583.63 | $6,111.50 | 1.5× |
| Amputation metatarsal with toe single (28810) | $6,257.18 | $8,342.90 | 2.1× |
| Amputation toe interphalangeal joint (28825) | $5,053.13 | $6,737.51 | 1.7× |
| Amputation toe metatarsophalangeal joint (28820) | $5,480.66 | $7,307.55 | 1.8× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$232.50–$977.25 | $310–$1,303 | varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) | $4,500 | $6,000 | 1.0× |
| Appendectomy (44950) | $9,944.60 | $13,259.47 | 1.7× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $354.14 | $472.18 | 2.4× |
| Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
$105–$369 | $140–$492 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$67.50–$255 | $90–$340 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$197.25–$202.50 | $263–$270 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$106.50–$255 | $142–$340 | varies |
| Application of long leg cast (29345) | $237 | $316 | 0.9× |
| Application short arm splint forearm-hand static (29125) | $255 | $340 | 2.1× |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$106.50–$255 | $142–$340 | varies |
| Apply hand/wrist cast (29085) | $369 | $492 | 2.5× |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$369–$417 | $492–$556 | varies |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$492.75–$985.50 | $657–$1,314 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$172.50–$369 | $230–$492 | varies |
| Arterial puncture (36600) | $86.28 | $115.04 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$80.25–$266.25 | $107–$355 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$123.75–$264.75 | $165–$353 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $264.75 | $353 | 0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$82.50–$121.50 | $110–$162 | varies |
| Aspirate pleura w/ imaging (32555) | $1,099.74 | $1,466.32 | 1.9× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$243.75–$946.50 | $325–$1,262 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $3,264.82 | $4,353.09 | 1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$63.75–$175.50 | $85–$234 | varies |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) | $3,864 | $5,152 | 0.6× |
| Biopsy of breast; open, incisional (19101) | $6,102.92 | $8,137.22 | 1.7× |
| Biopsy of liver, needle; percutaneous (47000) | $2,582.26 | $3,443.01 | 1.7× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) | $6,102.92 | $8,137.22 | 1.7× |
| Biopsy Salivary Gland Incisional (42405) | $2,360.79 | $3,147.72 | 1.7× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $1,387.75 | $1,850.33 | 1.6× |
| Biopsy/removal lymph nodes (38510) | $6,102.92 | $8,137.22 | 1.7× |
| Bladder Irrigation (51700) | $348 | $464 | 1.5× |
| Bladder Scan (51798) | $86.28 | $115.04 | 1.6× |
| Blood Transfusion Service (36430) | $657.50 | $876.67 | 1.6× |
| Bronchoscopy W/Removal Foreign Body (31635) | $2,422.26 | $3,229.68 | 1.5× |
| Bx breast 1st lesion us imag (19083) | $2,582.26 | $3,443.01 | 1.7× |
| Bx Cervix (57500) | $1,475.76 | $1,967.68 | 1.7× |
| Bx/exc lymph node open superficial (38500) | $6,102.92 | $8,137.22 | 1.7× |
| Carpal Tunnel Surgery (64721) | $2,070.71 | $2,760.94 | 1.2× |
| Catheter aspiration nasotracheal spx (31720) | $883.40 | $1,177.86 | 4.4× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) range across 2 matching MRF lines |
$216.75–$3,198.75 | $289–$4,265 | varies |
| Change Cystostomy Tube Simple (51705) | $60 | $80 | 0.3× |
| Chemical Cautery Tissue (17250) | $266.25 | $355 | 1.4× |
| Chest tube placement (32551) | $2,475.80 | $3,301.06 | 1.7× |
| Circumcision 28 days or older (54161) | $3,507.83 | $4,677.11 | 1.8× |
| Circumcision w/clamp/oth dev w/block (54150) range across 3 matching MRF lines |
$225–$3,264.82 | $300–$4,353.09 | varies |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$93.75–$267.75 | $125–$357 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$888.75–$1,589.25 | $1,185–$2,119 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $1,242 | $1,656 | 5.5× |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$375–$935.25 | $500–$1,247 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) | $1,854.36 | $2,472.48 | 8.2× |
| Closed tx patellar dislocation w/anesthesia (27562) | $3,220.67 | $4,294.22 | 14.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
$93.75–$690 | $125–$920 | varies |
| Closed tx septal&nose fx (21337) range across 2 matching MRF lines |
$187.50–$528 | $250–$704 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $690 | $920 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$375–$770.25 | $500–$1,027 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,854.36 | $2,472.48 | 8.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $1,242 | $1,656 | 5.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$888.75–$1,589.25 | $1,185–$2,119 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $1,242 | $1,656 | 5.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$220.50–$551.16 | $294–$734.88 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $1,031.49 | $1,375.32 | 4.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$287.25–$1,031.49 | $383–$1,375.32 | varies |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) | $1,564.95 | $2,086.60 | 1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$455.25–$1,450.01 | $607–$1,933.34 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$393.75–$1,462.50 | $525–$1,950 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$238.50–$1,031.49 | $318–$1,375.32 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $2,062.50 | $2,750 | 1.4× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) | $7,867.46 | $10,489.95 | 1.7× |
| Coccygectomy, primary (27080) | $3,247.50 | $4,330 | 1.1× |
| Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$26.25–$115.50 | $35–$154 | varies |
| Collection of venous blood by venipuncture (36415) range across 7 matching MRF lines |
$11.25–$26.25 | $15–$35 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$540–$1,879.16 | $720–$2,505.55 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$216.75–$1,312.50 | $289–$1,750 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) | $1,312.50 | $1,750 | 4.7× |
| Colposcopy cervix upper/adjacent vagina (57452) range across 2 matching MRF lines |
$141–$1,312.50 | $188–$1,750 | varies |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 3 matching MRF lines |
$157.50–$1,312.50 | $210–$1,750 | varies |
| Colposcopy cervix vag eltrd conization cervix (57461) | $1,961.24 | $2,614.99 | 0.7× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) | $3,565.78 | $4,754.37 | 1.2× |
| Colposcopy entire vagina w/cervix if present (57420) | $1,961.24 | $2,614.99 | 7.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $1,312.50 | $1,750 | 1.5× |
| Colpotomy; with drainage of pelvic abscess (57010) | $988.50 | $1,318 | 0.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,879.16 | $2,505.55 | 1.7× |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$363.75–$4,825.20 | $485–$6,433.60 | varies |
| Conization cervix w/wo d&c rpr eltrd exc (57522) | $4,777.55 | $6,370.07 | 1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$142.50–$385.50 | $190–$514 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$127.50–$389.25 | $170–$519 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$328.50–$393 | $438–$524 | varies |
| Curettage postpartum (59160) range across 2 matching MRF lines |
$540–$5,067.38 | $720–$6,756.50 | varies |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) | $14,737.65 | $19,650.20 | 1.7× |
| Cystourethroscopy (52000) | $1,063.79 | $1,418.38 | 1.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 2 matching MRF lines |
$240–$355.42 | $320–$473.89 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $892.77 | $1,190.36 | 1.3× |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$88.56–$131.25 | $118.08–$175 | varies |
| Debride nail 6 or more (11721) | $356.36 | $475.15 | 6.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $2,301.92 | $3,069.23 | 1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
$240–$575.24 | $320–$766.99 | varies |
| Delivery of placenta (59414) range across 4 matching MRF lines |
$142.50–$1,481.25 | $190–$1,975 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 5 matching MRF lines |
$84–$375 | $112–$500 | varies |
| Destruction Benign Lesions 15/> (17111) range across 5 matching MRF lines |
$84–$690.75 | $112–$921 | varies |
| Destruction Internal Hemorrhoid Thermal Energy (46930) | $2,579.36 | $3,439.15 | 2.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $63.75 | $85 | 0.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $303.75 | $405 | 1.6× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$67.50–$264.75 | $90–$353 | varies |
| Diagnostic sigmoidoscopy (45330) range across 5 matching MRF lines |
$115.50–$1,725 | $154–$2,300 | varies |
| Dilation & curettage dx&/ther nonobstetric (58120) | $5,067.38 | $6,756.50 | 1.7× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$277.50–$552.44 | $370–$736.59 | varies |
| Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$304.46–$408.22 | $405.95–$544.29 | varies |
| Drainage of gum lesion (41800) range across 3 matching MRF lines |
$468.75–$877.50 | $625–$1,170 | varies |
| Drainage of hematoma/fluid (10140) range across 5 matching MRF lines |
$138–$2,582.26 | $184–$3,443.01 | varies |
| Drainage of scrotal wall abscess (55100) | $2,582.26 | $3,443.01 | 1.7× |
| Drainage of scrotum (54700) | $3,264.82 | $4,353.09 | 1.7× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $1,350 | $1,800 | 0.5× |
| Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
$26.25–$101.25 | $35–$135 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $473.90 | $631.86 | 2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$91.50–$473.90 | $122–$631.86 | varies |
| Dstrj lesion anus simple surg excision (46922) | $2,352.72 | $3,136.96 | 0.9× |
| Dstrj lesion penis simple surg excision (54060) | $2,915.34 | $3,887.12 | 1.5× |
| Dx Bronchoscope/Wash (31622) | $1,863.38 | $2,484.50 | 1.1× |
| Dx gastr intub w/asp spec (43754) | $385.50 | $514 | 1.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $852.19 | $1,136.25 | 1.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) | $1,302 | $1,736 | 0.7× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $3,023.33 | $4,031.11 | 1.7× |
| Egd cautery tumor polyp (43250) | $3,023.33 | $4,031.11 | 1.7× |
| Egd dilation gastric/duodenal stricture (43245) | $3,023.33 | $4,031.11 | 1.7× |
| Egd Flexible Foreign Body Removal (43247) | $1,725 | $2,300 | 2.1× |
| Egd place gastrostomy tube (43246) | $3,023.33 | $4,031.11 | 1.7× |
| Egd remove lesion snare (43251) | $3,023.33 | $4,031.11 | 1.7× |
| Egd Tube/Cath Insertion (43241) | $3,023.33 | $4,031.11 | 1.7× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) | $7,867.46 | $10,489.95 | 1.7× |
| Endometrial Biopsy (58100) range across 3 matching MRF lines |
$160.50–$1,312.50 | $214–$1,750 | varies |
| Enterorrhaphy single perforation (44602) | $1,293.75 | $1,725 | 0.4× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) | $1,283.89 | $1,711.85 | 0.7× |
| Epidural Blood Patch (62273) | $571.73 | $762.30 | 0.9× |
| Episiotomy or vaginal repair (59300) range across 2 matching MRF lines |
$225–$881.25 | $300–$1,175 | varies |
| Escharotomy; initial incision (16035) | $417.75 | $557 | 1.1× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,349.57 | $1,799.42 | 0.8× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) | $1,165.42 | $1,553.89 | 0.7× |
| Esophagoscopy Rigid Balloon (43195) | $1,165.42 | $1,553.89 | 0.3× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) | $1,165.42 | $1,553.89 | 0.7× |
| Evacuate mole of uterus (59870) | $12,307.03 | $16,409.37 | 4.1× |
| Evacuation of subungual hematoma (11740) | $63.75 | $85 | 0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $63.75 | $85 | 0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 3 matching MRF lines |
$240–$2,582.26 | $320–$3,443.01 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $2,582.26 | $3,443.01 | 1.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $63.75 | $85 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$63.75–$374.25 | $85–$499 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $386.25 | $515 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$63.75–$999.05 | $85–$1,332.07 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$63.75–$999.05 | $85–$1,332.07 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$63.75–$246 | $85–$328 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $63.75 | $85 | 0.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $317.25 | $423 | 0.2× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $2,283.18 | $3,044.24 | 1.5× |
| Exc Forearm Tum Deep 3 Cm/> (25073) | $1,961.24 | $2,614.99 | 0.7× |
| Exc ganglion wrist recurrent (25112) | $2,787.98 | $3,717.31 | 1.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $63.75 | $85 | 0.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $63.75 | $85 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$1,437.75–$2,582.26 | $1,917–$3,443.01 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$63.75–$317.25 | $85–$423 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$317.25–$2,582.26 | $423–$3,443.01 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $2,085.75 | $2,781 | 0.8× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$1,654.50–$2,648.90 | $2,206–$3,531.87 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $690.75 | $921 | 0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $63.75 | $85 | 0.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $690.75 | $921 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$693.75–$1,706.25 | $925–$2,275 | varies |
| Exc thigh/knee les sc 3 cm/> (27337) | $3,637.90 | $4,850.53 | 1.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
$178.50–$2,156.99 | $238–$2,875.98 | varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 3 matching MRF lines |
$63.75–$636.75 | $85–$849 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 5 matching MRF lines |
$63.75–$1,121.35 | $85–$1,495.13 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
$317.25–$2,582.26 | $423–$3,443.01 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $3,926.35 | $5,235.13 | 1.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $1,529.85 | $2,039.80 | 1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $2,718.75 | $3,625 | 1.8× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) | $5,715.04 | $7,620.05 | 1.8× |
| 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 |
$63.75–$624 | $85–$832 | varies |
| Excision Chest Wall Tumor Including Ribs (21601) | $2,818.50 | $3,758 | 1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$63.75–$999.05 | $85–$1,332.07 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $63.75 | $85 | 0.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $63.75 | $85 | 0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$317.25–$999.05 | $423–$1,332.07 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $63.75 | $85 | 0.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $63.75 | $85 | 0.0× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $690.75 | $921 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $63.75 | $85 | 0.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $63.75 | $85 | 0.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $63.75 | $85 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $317.25 | $423 | 0.2× |
| Excision of bartholin's gland or cyst (56740) | $1,747.46 | $2,329.95 | 0.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $2,970.84 | $3,961.12 | 2.0× |
| Excision of hydrocele; bilateral (55041) | $2,584.76 | $3,446.34 | 0.8× |
| Excision of hydrocele; unilateral (55040) | $2,584.76 | $3,446.34 | 0.8× |
| Excision of pilonidal cyst or sinus; simple (11770) | $2,186.60 | $2,915.47 | 0.8× |
| Excision of vaginal cyst or tumor (57135) | $8,481.12 | $11,308.16 | 2.8× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $5,376.36 | $7,168.48 | 2.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $3,912.19 | $5,216.25 | 1.5× |
| Excision synovial cyst popliteal space (27345) | $4,185.19 | $5,580.25 | 1.4× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$1,005.75–$2,657.92 | $1,341–$3,543.89 | varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $395.34 | $527.12 | 0.3× |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) | $3,549 | $4,732 | 1.1× |
| Explo/Drain Breast Abscess (19020) | $2,582.26 | $3,443.01 | 1.7× |
| Fetal non-stress test (59025) | $458.71 | $611.61 | 2.5× |
| Fine needle aspiration without imaging guidance (10021) | $900 | $1,200 | 2.4× |
| Fna bx w/us gdn 1st les (10005) | $750 | $1,000 | 1.2× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) | $1,882.50 | $2,510 | 1.0× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) | $1,200 | $1,600 | 0.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$300–$4,370.69 | $400–$5,827.58 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $4,370.69 | $5,827.58 | 1.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) | $4,370.69 | $5,827.58 | 1.7× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) | $4,370.69 | $5,827.58 | 1.7× |
| Hysteroscopy Endometrial Ablation (58563) | $7,867.46 | $10,489.95 | 1.7× |
| Hysteroscopy Removal Impacted Foreign Body (58562) | $5,067.38 | $6,756.50 | 1.7× |
| I&d abscess simple (10060) range across 6 matching MRF lines |
$86.25–$316.69 | $115–$422.25 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $4,561.39 | $6,081.85 | 1.7× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) | $4,370.69 | $5,827.58 | 1.7× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $1,788.13 | $2,384.17 | 0.6× |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$288.75–$2,509.82 | $385–$3,346.43 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$204–$1,262.20 | $272–$1,682.93 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) | $2,818.50 | $3,758 | 1.1× |
| Incise external hemorrhoid (46083) | $177.75 | $237 | 0.8× |
| Incise finger tendon sheath (26055) | $2,550.65 | $3,400.87 | 1.7× |
| Incision & drainage abscess complicated/multiple (10061) range across 5 matching MRF lines |
$197.25–$1,220.25 | $263–$1,627 | varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) | $1,043.08 | $1,390.77 | 0.4× |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$207.75–$2,582.26 | $277–$3,443.01 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 5 matching MRF lines |
$110.25–$1,371.46 | $147–$1,828.61 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$147–$320.61 | $196–$427.48 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $878.25 | $1,171 | 3.1× |
| Incision of lingual frenum (frenotomy) (41010) range across 2 matching MRF lines |
$131.25–$2,360.79 | $175–$3,147.72 | varies |
| Incision of rectal abscess (46040) | $2,969.55 | $3,959.40 | 2.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $379.50 | $506 | 0.2× |
| Incisional biopsy skin single lesion (11106) | $815.15 | $1,086.86 | 1.2× |
| Induced abortion dilation and curettage (59840) | $1,961.24 | $2,614.99 | 0.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $121.50 | $162 | 0.4× |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $395.34 | $527.12 | 0.5× |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$87–$296.25 | $116–$395 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$84–$421.43 | $112–$561.90 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $123.75 | $165 | 0.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$150.75–$684.75 | $201–$913 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $50.25 | $67 | 0.3× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) | $238.50 | $318 | 0.3× |
| Insert Bladder Cath Complex (51703) | $60 | $80 | 0.5× |
| Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$262.50–$1,623.14 | $350–$2,164.18 | varies |
| Insert cath pleura w/o image (32556) | $946.50 | $1,262 | 0.5× |
| Insert cervical dilator (59200) | $484.81 | $646.41 | 1.7× |
| Insert Drug Implant Device (11981) | $135 | $180 | 1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,899.75 | $2,533 | 1.1× |
| Insert non-tunnel cv cath (36556) | $5,016.34 | $6,688.45 | 1.7× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$60–$184.73 | $80–$246.31 | varies |
| Insert tun ip cath perc (49418) | $5,253.55 | $7,004.73 | 1.6× |
| Insert tunneled cv cath (36561) | $5,016.34 | $6,688.45 | 1.7× |
| Insert tunneled cv cath (36563) | $8,615.34 | $11,487.12 | 1.7× |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$115.50–$184.73 | $154–$246.31 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $600 | $800 | 0.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $5,016.34 | $6,688.45 | 1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$262.50–$1,623 | $350–$2,164 | varies |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $8,615.34 | $11,487.12 | 1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $5,016.34 | $6,688.45 | 1.7× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $4,370.69 | $5,827.58 | 1.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$690.75–$915.75 | $921–$1,221 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,230 | $1,640 | 3.3× |
| Intro Gastrointestinal Tube (44500) | $375 | $500 | 0.4× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$168.75–$370.11 | $225–$493.48 | varies |
| Laparo-vag hyst incl t/o (58552) | $16,592.89 | $22,123.85 | 1.7× |
| Laparoscopy Enterolysis Separate Procedure (44180) | $6,109.09 | $8,145.45 | 1.1× |
| Laparoscopy fulguration oviducts (58670) range across 2 matching MRF lines |
$3,664.50–$9,298.52 | $4,886–$12,398.02 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) | $9,298.52 | $12,398.02 | 1.7× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) | $16,592.89 | $22,123.85 | 1.7× |
| Laparoscopy W/Lysis Of Adhesions (58660) | $9,298.52 | $12,398.02 | 1.7× |
| Laparoscopy w/rmvl adnexal structures (58661) | $9,298.52 | $12,398.02 | 1.7× |
| Laparoscopy, surgical, appendectomy (44970) | $9,298.52 | $12,398.02 | 1.7× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $10,022.56 | $13,363.41 | 1.8× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $9,298.52 | $12,398.02 | 1.7× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | $16,592.89 | $22,123.85 | 1.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) | $9,298.52 | $12,398.02 | 1.7× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) | $9,298.52 | $12,398.02 | 1.7× |
| Laparoscopy, Tubal Block (58671) | $9,298.52 | $12,398.02 | 1.7× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) | $9,298.52 | $12,398.02 | 1.7× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) | $3,932.04 | $5,242.72 | 1.1× |
| Late closure of wound (13160) | $2,598.68 | $3,464.91 | 0.8× |
| Lig&div long saph vein saphfem junct/interrupj (37700) | $4,162.50 | $5,550 | 1.4× |
| Ligation of hemorrhoids (46946) | $4,464.63 | $5,952.84 | 1.7× |
| Mast mod rad (19307) | $10,605.91 | $14,141.21 | 1.7× |
| Mastectomy partial (19301) | $7,138 | $9,517.33 | 2.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) | $10,393.58 | $13,858.11 | 1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$266.25–$395.34 | $355–$527.12 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $635.97 | $847.96 | 1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$172.50–$461.02 | $230–$614.69 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $770.08 | $1,026.77 | 0.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $682.50 | $910 | 1.1× |
| Occlusion flp tube dev vag/suprapubic appr (58615) | $5,067.38 | $6,756.50 | 1.7× |
| Ostectomy of sternum, partial Facility (21620) | $900 | $1,200 | 0.3× |
| Ovarian cystectomy, unilateral or bilateral (58925) | $7,104.52 | $9,472.69 | 1.5× |
| Partial removal of tibia (27640) | $3,247.50 | $4,330 | 1.1× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) | $9,298.52 | $12,398.02 | 1.7× |
| Pelvic examination under anesthesia (other than local) (57410) range across 2 matching MRF lines |
$1,961.24–$2,403.75 | $2,614.99–$3,205 | varies |
| Placement of needle for intraosseous infusion (36680) | $635.97 | $847.96 | 1.5× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) | $5,685.75 | $7,581 | 1.0× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$173.25–$546 | $231–$728 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 4 matching MRF lines |
$115.50–$1,207.91 | $154–$1,610.55 | varies |
| Removal Foreign Body Deep Thigh/Knee (27372) | $6,061.44 | $8,081.92 | 2.3× |
| Removal foreign body foot deep (28192) | $1,589.09 | $2,118.78 | 1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) | $2,539.44 | $3,385.92 | 3.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $747.77 | $997.03 | 13.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
$18.75–$692.72 | $25–$923.63 | varies |
| Removal of anal fissure (46200) | $4,370.69 | $5,827.58 | 1.7× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$262.50–$441 | $350–$588 | varies |
| Removal of sperm cord lesion (55520) | $5,040.26 | $6,720.34 | 1.6× |
| Removal of testis (54520) | $2,480.27 | $3,307.03 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 4 matching MRF lines |
$86.25–$288.75 | $115–$385 | varies |
| Removal sweat gland lesion (11450) | $3,932.81 | $5,243.74 | 1.5× |
| Remove drug implant device (11982) | $635.97 | $847.96 | 1.5× |
| Remove foreign body from eye (65205) range across 3 matching MRF lines |
$94.50–$264.75 | $126–$353 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$97.50–$484.81 | $130–$646.41 | varies |
| Remove lung catheter (32552) | $450 | $600 | 0.8× |
| Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$191.25–$747 | $255–$996 | varies |
| Remove Peritoneal Foreign Body (49402) | $5,253.55 | $7,004.73 | 1.6× |
| Remove Skin Nerve Lesion (64774) | $2,070.71 | $2,760.94 | 1.2× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$1,687.50–$2,645.04 | $2,250–$3,526.72 | varies |
| Remove thyroid lesion (60200) | $9,298.52 | $12,398.02 | 1.7× |
| Repair Bladder-Vagina Lesion (57320) | $1,312.50 | $1,750 | 0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$264.75–$456 | $353–$608 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$675–$690.75 | $900–$921 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$264.75–$393.75 | $353–$525 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$460.50–$617.25 | $614–$823 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $297.75 | $397 | 0.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
$460.50–$687.66 | $614–$916.88 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $270.75 | $361 | 0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$353.25–$687.66 | $471–$916.88 | varies |
| Repair incomplete circumcision (54163) | $1,475.76 | $1,967.68 | 0.8× |
| Repair inguinal hernia, sliding, any age (49525) | $5,624.45 | $7,499.26 | 1.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $5,624.45 | $7,499.26 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$283.50–$911.73 | $378–$1,215.64 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$264.75–$540 | $353–$720 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$294.75–$589.50 | $393–$786 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$690.75–$733.50 | $921–$978 | varies |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $705.75 | $941 | 1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$513–$690.75 | $684–$921 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 3 matching MRF lines |
$265.50–$423.75 | $354–$565 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
$264.75–$901.43 | $353–$1,201.90 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$465–$690.75 | $620–$921 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $746.25 | $995 | 0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$431.25–$690.75 | $575–$921 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 5 matching MRF lines |
$172.50–$575.24 | $230–$766.99 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
$283.50–$1,455.75 | $378–$1,941 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 3 matching MRF lines |
$512.25–$3,198.75 | $683–$4,265 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 3 matching MRF lines |
$345–$1,974.12 | $460–$2,632.16 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $638.25 | $851 | 0.3× |
| Repair of rectocele (45560) | $2,802.75 | $3,737 | 1.1× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) | $11,488.40 | $15,317.87 | 1.9× |
| Repair tongue laceration (41252) range across 3 matching MRF lines |
$264.75–$690 | $353–$920 | varies |
| Repair tongue laceration (41250) range across 3 matching MRF lines |
$632.25–$636 | $843–$848 | varies |
| Rerepair ing hernia reduce (49520) | $5,624.45 | $7,499.26 | 1.7× |
| Revise hernia & sperm veins (55540) | $2,750.63 | $3,667.51 | 0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$202.50–$690.23 | $270–$920.31 | varies |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,475.80 | $3,301.06 | 1.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $562.50 | $750 | 1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $1,684.38 | $2,245.84 | 0.6× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $9,298.52 | $12,398.02 | 1.7× |
| Rpr aa hernia recr 3-10 cm reducible (49615) | $5,718.90 | $7,625.20 | 1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) | $9,944.60 | $13,259.47 | 1.7× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) | $9,298.52 | $12,398.02 | 1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$330.75–$690.75 | $441–$921 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $556.50 | $742 | 0.8× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) | $1,350 | $1,800 | 0.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) | $3,247.50 | $4,330 | 1.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,453.04 | $1,937.39 | 1.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,879.16 | $2,505.55 | 1.7× |
| Shave skin lesion 0.5 cm/< (11300) | $63.75 | $85 | 0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $63.75 | $85 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $318.75 | $425 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $63.75 | $85 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $63.75 | $85 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $63.75 | $85 | 0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $318.75 | $425 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $63.75 | $85 | 0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $63.75 | $85 | 0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $63.75 | $85 | 0.3× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $318.75 | $425 | 0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $63.75 | $85 | 0.3× |
| Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$1,453.04–$1,725 | $1,937.39–$2,300 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 3 matching MRF lines |
$255.03–$1,725 | $340.04–$2,300 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$428.25–$690.75 | $571–$921 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$175.50–$378.75 | $234–$505 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
$207–$378.75 | $276–$505 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $469.50 | $626 | 1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$246–$264.75 | $328–$353 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $469.50 | $626 | 2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 5 matching MRF lines |
$146.25–$305.25 | $195–$407 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $375.75 | $501 | 2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 6 matching MRF lines |
$191.25–$690.75 | $255–$921 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$330–$5,716.32 | $440–$7,621.76 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$300–$3,843.94 | $400–$5,125.25 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 5 matching MRF lines |
$161.25–$364.50 | $215–$486 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 6 matching MRF lines |
$208.50–$690.75 | $278–$921 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
$277.50–$427.50 | $370–$570 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$115.50–$552.44 | $154–$736.59 | varies |
| Surg tx anal fistula subq (46270) | $4,370.69 | $5,827.58 | 1.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) | $4,370.69 | $5,827.58 | 1.7× |
| Thyroid biopsy (60100) | $1,121.35 | $1,495.13 | 1.7× |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$316.50–$1,031.49 | $422–$1,375.32 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
$690–$1,031.49 | $920–$1,375.32 | varies |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$44.25–$262.50 | $59–$350 | varies |
| Trim skin lesions 2 to 4 (11056) | $356.25 | $475 | 1.9× |
| Trimming Nondystrophic Nails Any Number (11719) | $95.30 | $127.06 | 1.8× |
| Tubal ligation (58600) | $5,067.38 | $6,756.50 | 1.7× |
| Tx Gastro Intub W/Asp (43753) | $496.30 | $661.73 | 2.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $5,067.38 | $6,756.50 | 1.7× |
| Tx Missed Abortion First Trimester Surgical (59820) | $5,067.38 | $6,756.50 | 1.7× |
| Tx superficial wound dehiscence w/packing (12021) | $275.58 | $367.44 | 0.7× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) | $5,685.75 | $7,581 | 1.0× |
| Unlisted procedure anus (46999) | $1,263.75 | $1,685 | 1.5× |
| Unlisted Procedure Casting/Strapping (29799) | $543.75 | $725 | 3.6× |
| Unlisted procedure excision pressure ulcer (15999) | $750 | $1,000 | 1.2× |
| Unlisted procedure, vestibule of mouth (40899) | $13.13 | $17.50 | 0.1× |
| Vaginal Delivery After Cesarean Delivery (59612) | $1,274.25 | $1,699 | 0.4× |
| Vaginal delivery only (59409) | $1,336.50 | $1,782 | 0.4× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) | $7,867.46 | $10,489.95 | 1.7× |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $3,264.82 | $4,353.09 | 1.7× |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) | $7,104.52 | $9,472.69 | 1.0× |
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.