Procedures & surgery prices at Hsa Port Arthur, LLC

Port Arthur, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$3,610.01–$3,790.51 $3,610.01–$3,790.51 varies
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $4,433.59 $4,433.59 2.1×
Amniocentesis diagnostic (59000) $2,202.36 $2,202.36 2.4×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 3 matching MRF lines
$364.05–$546.08 $364.05–$546.08 varies
Application Finger Splint Dynamic (29131)
range across 3 matching MRF lines
$150.30–$225.44 $150.30–$225.44 varies
Application finger splint static (29130)
range across 3 matching MRF lines
$150.30–$225.44 $150.30–$225.44 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines
$420.93–$631.40 $420.93–$631.40 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines
$350.02–$525.02 $350.02–$525.02 varies
Application Short Arm Splint Dynamic (29126)
range across 3 matching MRF lines
$297.89–$446.83 $297.89–$446.83 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$297.89–$446.83 $297.89–$446.83 varies
Application short leg splint calf foot (29515)
range across 3 matching MRF lines
$468.09–$702.14 $468.09–$702.14 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines
$364.05–$546.08 $364.05–$546.08 varies
Arterial puncture (36600) $356 $356 2.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines
$2,091–$4,182 $2,091–$4,182 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,991.43 $1,991.43 6.5×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $3,703.14 $3,703.14 2.3×
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines
$4,312.88–$6,469.32 $4,312.88–$6,469.32 varies
Aspirate Pleura W/O Imaging (32554) $1,643.28 $1,643.28 2.6×
Avulsion nail plate partial/complete simple 1 (11730) $477.39 $477.39 2.4×
Biopsy of liver, needle; percutaneous (47000) $2,219.25 $2,219.25 1.3×
Bladder Scan (51798) $178.71 $178.71 3.0×
Blepharotomy drainage abscess eyelid (67700)
range across 3 matching MRF lines
$739.02–$1,108.53 $739.02–$1,108.53 varies
Blood Transfusion Service (36430) $1,918.79 $1,918.79 4.3×
Bronchoscopy Clear Airways (31645) $4,022.90 $4,022.90 2.2×
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines
$2,572.46–$3,858.69 $2,572.46–$3,858.69 varies
Catheter aspiration nasotracheal spx (31720) $603.54 $603.54 2.7×
Change of Windpipe Airway (31502) $1,031.28 $1,031.28 4.3×
Chest tube placement (32551)
range across 6 matching MRF lines
$1,636.47–$2,464.92 $1,636.47–$2,464.92 varies
Circumcision Neonate (54160) $1,771.09 $1,771.09 2.5×
Circumcision w/clamp/oth dev w/block (54150) $4,453.44 $4,453.44 2.1×
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines
$3,703.14–$5,554.71 $3,703.14–$5,554.71 varies
Clear outer ear canal (69200)
range across 3 matching MRF lines
$420.93–$631.40 $420.93–$631.40 varies
Closed Rx Spontaneous Hip Disloc (27256)
range across 3 matching MRF lines
$614.20–$921.30 $614.20–$921.30 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines
$293.55–$440.33 $293.55–$440.33 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 3 matching MRF lines
$3,703.14–$5,554.71 $3,703.14–$5,554.71 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Closed tx metatarsal fracture w/o manipulation (28470) $638.69 $638.69 2.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 3 matching MRF lines
$3,547.25–$5,320.87 $3,547.25–$5,320.87 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 3 matching MRF lines
$3,703.14–$5,554.71 $3,703.14–$5,554.71 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines
$3,703.14–$5,554.71 $3,703.14–$5,554.71 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 3 matching MRF lines
$3,703.14–$5,554.71 $3,703.14–$5,554.71 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $4,014.45 $4,014.45 2.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $564.36 $564.36 2.3×
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines
$564.36–$846.54 $564.36–$846.54 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines
$564.36–$846.54 $564.36–$846.54 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines
$420.93–$631.40 $420.93–$631.40 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $589.16 $589.16 2.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $614.20 $614.20 2.5×
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 3 matching MRF lines
$614.20–$921.30 $614.20–$921.30 varies
Cltx hip dislocation traumatic req anesthesia (27252)
range across 3 matching MRF lines
$3,860.50–$5,790.75 $3,860.50–$5,790.75 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $589.16 $589.16 2.4×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $627.91 $627.91 2.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $420.93 $420.93 1.7×
Cltx metacarpal fx w/o manipulation each bone (26600) $638.69 $638.69 2.6×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,703.14 $3,703.14 2.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $589.16 $589.16 2.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $614.20 $614.20 2.5×
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines
$3,703.14–$5,554.71 $3,703.14–$5,554.71 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines
$3,703.14–$5,554.71 $3,703.14–$5,554.71 varies
Cltx trimalleolar ankle fx w/o manipulation (27816)
range across 3 matching MRF lines
$589.16–$883.74 $589.16–$883.74 varies
Collection of venous blood by venipuncture (36415) $64.06 $64.06 6.9×
Colonoscopy thru stoma (44388) $4,361.39 $4,361.39 4.7×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines
$297.89–$446.83 $297.89–$446.83 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines
$420.93–$631.40 $420.93–$631.40 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $1,893.53 $1,893.53 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $297.89 $297.89 2.2×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $6,335.58 $6,335.58 2.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $1,737.47 $1,737.47 2.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,640 $1,640 4.0×
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines
$4,561.38–$9,122.75 $4,561.38–$9,122.75 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines
$4,250.36–$8,500.72 $4,250.36–$8,500.72 varies
Drain Cerebro Spinal Fluid (62272) $1,780.30 $1,780.30 2.5×
Drain Hand Tendon Sheath (26020) $7,479.15 $7,479.15 2.3×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines
$1,666.64–$2,499.97 $1,666.64–$2,499.97 varies
Drainage of finger abscess simple (26010) $497.68 $497.68 2.5×
Drainage of gum lesion (41800) $297.89 $297.89 2.2×
Drainage of hematoma/fluid (10140) $4,942.84 $4,942.84 3.0×
Draw Blood Off Venous Device (36591) $347.42 $347.42 2.6×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,679.04 $1,679.04 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $872.95 $872.95 2.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $477.39 $477.39 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $457.29 $457.29 2.3×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines
$5,018.36–$7,527.54 $5,018.36–$7,527.54 varies
Dx Bronchoscope/Wash (31622) $4,470.20 $4,470.20 2.5×
Epidural Blood Patch (62273) $1,971.05 $1,971.05 2.8×
Exploration penetrating wound spx extremity (20103) $1,666.64 $1,666.64 1.0×
Explore for undescended testis (54550)
range across 3 matching MRF lines
$8,137.58–$12,206.37 $8,137.58–$12,206.37 varies
Extensive Retinopathy 1/> Sess Preterm Infant (67229) $1,554.09 $1,554.09 2.8×
External cephalic version (59412) $2,487.58 $2,487.58 0.8×
Fetal Contraction Stress Test (59020) $759.62 $759.62 3.7×
Fetal non-stress test (59025) $919.16 $919.16 4.5×
Foreskin manipulation (54450) $669.06 $669.06 2.7×
Guide Cathet Fluid Drainage (10030) $610.15 $610.15 0.9×
I&d abscess peritonsillar (42700) $556.38 $556.38 2.3×
I&d abscess simple (10060) $757.09 $757.09 3.8×
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 3 matching MRF lines
$6,335.58–$9,503.37 $6,335.58–$9,503.37 varies
I&d perianal abscess superficial (46050) $2,087.04 $2,087.04 2.2×
I&d pilonidal cyst simple (10080) $1,666.64 $1,666.64 2.3×
Implant neuroelectrodes (63650) $16,945.07 $16,945.07 2.6×
Incise external hemorrhoid (46083) $614.77 $614.77 2.4×
Incision & drainage abscess complicated/multiple (10061) $1,097.54 $1,097.54 2.7×
Incision & removal foreign body subq tiss simple (10120) $946.34 $946.34 2.3×
Incision and drainage of bartholin's gland abscess (56420) $434.58 $434.58 2.1×
Incision and drainage of vulva or perineal abscess (56405) $801.83 $801.83 2.6×
Incision bone cortex foot (28005) $7,479.15 $7,479.15 2.3×
Incision of rectal abscess (46040) $2,764.11 $2,764.11 2.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines
$3,071.21–$6,148.42 $3,071.21–$6,148.42 varies
Injection for identification of sentinel node (38792)
range across 3 matching MRF lines
$1,048.32–$1,572.48 $1,048.32–$1,572.48 varies
Injection single/mlt trigger point 1/2 muscles (20552) $944.62 $944.62 3.1×
Injection single/mlt trigger point 3/> muscles (20553) $964.58 $964.58 3.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines
$1,045.39–$1,886.25 $1,045.39–$1,886.25 varies
Ins cath ren art 1st bilat (36252) $12,934.32 $12,934.32 4.1×
Ins endovas vena cava filtr (37191) $13,004.36 $13,004.36 2.3×
Insert Bladder Cath Complex (51703) $394.06 $394.06 3.0×
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines
$3,467.80–$5,201.70 $3,467.80–$5,201.70 varies
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines
$4,435.88–$6,653.82 $4,435.88–$6,653.82 varies
Insert cervical dilator (59200) $821.80 $821.80 2.7×
Insert Heart Pm Ventricular (33207) $23,349.17 $23,349.17 2.2×
Insert non-tunnel cv cath (36556) $5,813.60 $5,813.60 1.8×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $3,729.21 $3,729.21 2.4×
Insert Temp Bladder Cath (51702) $426.34 $426.34 3.2×
Insert,Non-Indwelling Bladder Catheter (51701) $426.34 $426.34 3.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,494.21 $3,494.21 2.2×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $17,585.61 $17,585.61 2.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $7,571.58 $7,571.58 2.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $3,110.15 $3,110.15 2.0×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 5 matching MRF lines
$4,437.51–$10,056.96 $4,437.51–$10,056.96 varies
Insj/Rplcmt Defib W/Lead(S) (33249) $67,213.34 $67,213.34 2.1×
Insrt heart pm atrial & vent (33208) $39,522.84 $39,522.84 3.8×
Intubation endotracheal emergency procedure (31500) $1,031.28 $1,031.28 4.3×
Maternity Care Procedure (59899) $503.43 $503.43 2.5×
Myelography via lumbar injection rs&i cervical (62302) $2,202.19 $2,202.19 2.8×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines
$715.20–$1,072.80 $715.20–$1,072.80 varies
Nasal/Orogastric W/Tube Plmt (43752) $1,000.77 $1,000.77 2.2×
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines
$1,881.63–$2,822.44 $1,881.63–$2,822.44 varies
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines
$715.20–$1,072.80 $715.20–$1,072.80 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines
$3,297.03–$6,594.05 $3,297.03–$6,594.05 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,396.73 $2,396.73 3.4×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $2,178.88 $2,178.88 3.1×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $6,938.81 $6,938.81 9.8×
Pericardiocentesis W/Imaging (33016) $5,708.95 $5,708.95 3.6×
Place Cath Thoracic Aorta (36221) $16,837.59 $16,837.59 5.3×
Place Cath Vertebral Art (36226) $17,346.42 $17,346.42 3.1×
Puncture aspiration abscess hematoma bulla/cyst (10160) $2,798.26 $2,798.26 6.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 3 matching MRF lines
$6,259.40–$9,389.10 $6,259.40–$9,389.10 varies
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines
$420.93–$631.40 $420.93–$631.40 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $1,014.64 $1,014.64 17.1×
Removal of nail bed (11750) $872.95 $872.95 2.1×
Remove cerclage suture (59871) $7,494.30 $7,494.30 2.3×
Remove foreign body from eye (65205) $322.93 $322.93 2.4×
Remove Intrauterine Device (58301) $159.20 $159.20 0.5×
Remove Nasal Foreign Body (30300) $322.93 $322.93 2.4×
Remv&replc pm gen dual lead (33228) $36,352.26 $36,352.26 3.5×
Renal Biopsy Perq (50200)
range across 6 matching MRF lines
$2,023.09–$4,235.27 $2,023.09–$4,235.27 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,357.94 $1,357.94 3.3×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,357.94 $1,357.94 3.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,014.64 $1,014.64 2.5×
Repair complex trunk 2.6-7.5 cm (13101) $1,357.94 $1,357.94 1.8×
Repair Finger/Hand Tendon (26350) $7,479.15 $7,479.15 2.3×
Repair Hand Tendon (26410) $3,703.14 $3,703.14 2.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $836.20 $836.20 2.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $836.20 $836.20 2.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $187.90 $187.90 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $872.95 $872.95 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $872.95 $872.95 2.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $836.20 $836.20 2.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $946.34 $946.34 2.3×
Repair tongue laceration (41250) $285.35 $285.35 0.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines
$993.39–$1,490.08 $993.39–$1,490.08 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines
$297.89–$446.83 $297.89–$446.83 varies
Rplc Gtube No Revj Trc (43762) $641.78 $641.78 2.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $517.52 $517.52 2.6×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $836.20 $836.20 2.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $589.40 $589.40 2.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $497.68 $497.68 2.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $477.39 $477.39 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $477.39 $477.39 2.4×
Skin Full Grft Face/Genit/Hf (15240) $4,433.59 $4,433.59 2.1×
Skin sub graft face/nk/hf/g (15275) $5,748.86 $5,748.86 7.7×
Skin sub graft trnk/arm/leg (15271) $4,641.74 $4,641.74 6.3×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $15,711.68 $15,711.68 2.8×
Slctv cath carotid/innom art angio xtrcranl art (36222) $14,617.79 $14,617.79 4.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $477.39 $477.39 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $872.95 $872.95 2.1×
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines
$589.40–$4,328.52 $589.40–$4,328.52 varies
Strapping shoulder (29240)
range across 3 matching MRF lines
$347.42–$521.13 $347.42–$521.13 varies
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$364.05–$546.08 $364.05–$546.08 varies
Tenolysis flexor tendon palm/finger each tendon (26440) $3,703.14 $3,703.14 2.3×
Tenolysis, extensor tendon, hand or finger, each tendon (26445) $7,479.15 $7,479.15 2.3×
Ther Apheresis,Red Blood Cells (36512) $3,970.86 $3,970.86 2.5×
Therapeutic plasma exchange (36514) $3,970.86 $3,970.86 2.5×
Thrombolytic Therapy Stroke (37195) $881.82 $881.82 2.7×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $4,433.59 $4,433.59 2.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,937.65 $1,937.65 1.2×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $455.51 $455.51 1.5×
Treat humerus fracture (24500)
range across 3 matching MRF lines
$614.20–$921.30 $614.20–$921.30 varies
Treat Humerus Fracture (24505)
range across 3 matching MRF lines
$3,703.14–$5,554.71 $3,703.14–$5,554.71 varies
Treat humerus fracture (23600) $638.69 $638.69 2.6×
Treat Knuckle Dislocation (26700) $589.16 $589.16 2.4×
Treat thumb fracture (26665)
range across 3 matching MRF lines
$7,796.97–$11,695.45 $7,796.97–$11,695.45 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines
$3,860.50–$5,790.75 $3,860.50–$5,790.75 varies
Treatment closed elbow dislocation w/o anes (24600) $638.69 $638.69 2.6×
Unlisted Procedure Casting/Strapping (29799) $365.40 $365.40 2.2×
Vaginal delivery only (59409) $3,719.01 $3,719.01 1.1×
Wound Prep F/N/Hf/G (15004) $1,357.94 $1,357.94 3.3×

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.