Procedures & surgery prices at Illini Community Hospital

Pittsfield, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Anoscopy diagnostic (46600) $650.33 $1,083.87 4.6×
Appl cranial tong/strtctc frame w/removal spx (20660) $3,806.69 $6,344.47 2.2×
Application cast elbow finger short arm (29075) $404.01 $673.35 1.3×
Application Cast Finger (29086) $410.52 $684.19 2.4×
Application Finger Splint Dynamic (29131) $354.30 $590.50 5.6×
Application finger splint static (29130) $171.60 $285.99 1.2×
Application long arm splint shoulder hand (29105) $373.38 $622.30 2.1×
Application Long Leg Cast Walker/Ambulatory Type (29355) $582.60 $971 1.9×
Application Long Leg Splint (29505) $320.45 $534.08 1.8×
Application of long leg cast (29345) $571.65 $952.75 1.9×
Application short arm splint forearm-hand static (29125) $305.17 $508.61 2.1×
Application short leg splint calf foot (29515) $314.72 $524.53 1.8×
Apply hand/wrist cast (29085) $367.50 $612.50 2.1×
Apply long arm cast (29065) $468.45 $780.75 1.6×
Apply Short Leg Cast (29405) $197.10 $328.49 0.7×
Apply short leg cast (29425) $504.28 $840.46 1.7×
Arterial puncture (36600) $131.01 $218.34 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $410.12 $683.52 1.2×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,063.53 $1,772.55 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $685.67 $1,142.78 2.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,169.70 $1,949.49 3.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $396.62 $661.03 1.2×
Aspirate pleura w/ imaging (32555) $1,072.04 $1,786.72 1.6×
Aspirate/Inj Ganglion Cyst (20612) $430.38 $717.29 1.3×
Aspiration bladder insert suprapubic catheter (51102) $5,557.14 $9,261.89 2.5×
Aspiration Bladder Needle (51100) $1,612.80 $2,688 6.0×
Aspiration bladder trocar/intracatheter (51101) $3,921.30 $6,535.50 4.3×
Avulsion nail plate partial/complete simple 1 (11730) $560.09 $933.47 2.6×
Bladder instillation anticarcinogenic agent (51720) $2,500.86 $4,168.10 3.3×
Bladder Scan (51798) $240.11 $400.18 3.8×
Blood Transfusion Service (36430) $843.97 $1,406.61 1.8×
Change Cystostomy Tube Complicated (51710) $2,910 $4,850 3.9×
Change Cystostomy Tube Simple (51705) $1,169.53 $1,949.21 4.4×
Chest tube placement (32551) $1,449.56 $2,415.93 0.9×
Cl Tx Scapular Fx; W Manip (23575) $2,611.95 $4,353.25 1.5×
Cl Tx Tib Shft Fx W Manip (27752) $3,354.55 $5,590.91 1.9×
Clear outer ear canal (69200) $292.67 $487.77 2.1×
Closed rx talotarsal disloc,anesth (28575) $6,759.52 $11,265.86 1.9×
Closed Treat Vert Body Fract (22310) $809.61 $1,349.35 3.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $1,135.34 $1,892.22 4.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $2,236.50 $3,727.50 8.5×
Closed Treatment Sesamoid Fracture (28530) $509.58 $849.30 1.9×
Closed Treatment Sternum Fracture (21820) $509.58 $849.30 1.9×
Closed Treatment Ulnar Styloid Fracture (25650) $830.45 $1,384.07 3.1×
Closed tx ankle dislocation w/o anesthesia (27840) $962.51 $1,604.17 3.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,283.28 $2,138.80 0.7×
Closed tx carpal scaphoid fracture w/manj (25624) $2,935.63 $4,892.71 1.7×
Closed Tx Craniofacial Separation (21431) $12,229.58 $20,382.63 1.9×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $3,321.90 $5,536.49 1.9×
Closed tx femoral fracture prox head w/o manj (27267) $6,759.52 $11,265.86 1.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $882 $1,470 3.3×
Closed Tx Knee Dislocation W/Anesthesia (27552) $3,766.80 $6,278 2.2×
Closed tx mandibular fracture w/manipulation (21451) $3,205.37 $5,342.27 1.9×
Closed Tx Mandibular Fx W/Interdental Fixation (21453) $10,195.20 $16,992 1.6×
Closed tx metatarsal fracture w/o manipulation (28470) $650.55 $1,084.25 2.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,048.39 $3,413.98 1.2×
Closed Tx Nasomaxillary Complex Fracture (21345) $3,205.37 $5,342.27 1.9×
Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) $10,104 $16,840 2.8×
Closed tx patellar dislocation w/anesthesia (27562) $2,205.29 $3,675.48 8.3×
Closed tx patellar dislocation w/o anesthesia (27560) $596.82 $994.70 2.3×
Closed Tx Patellar Fracture W/O Manipulation (27520) $656.50 $1,094.16 2.5×
Closed tx radial head/neck fx w/manipulation (24655) $1,207.20 $2,011.99 0.7×
Closed tx radial head/neck fx w/o manipulation (24650) $585.98 $976.62 2.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $509.14 $848.56 1.9×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,657.28 $4,428.80 1.5×
Closed Tx Scapular Fracture W/O Manipulation (23570) $560.56 $934.26 2.1×
Closed tx septal&nose fx (21337) $740.53 $1,234.21 0.2×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $509.58 $849.30 1.9×
Closed Tx Talus Fracture W/Manipulation (28435) $1,305.52 $2,175.86 0.8×
Closed tx talus fracture w/o manipulation (28430) $542.48 $904.13 2.1×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $3,929.01 $6,548.34 14.9×
Closed tx tarsometatarsal dislocation w/o anes (28600) $509.58 $849.30 1.9×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $4,361.10 $7,268.50 2.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $596.82 $994.70 2.3×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $3,399.52 $5,665.86 2.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $664.35 $1,107.25 2.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $361.23 $602.04 1.4×
Clsd tx acromioclavicular dislc w/manipulation (23545) $745.20 $1,242 2.8×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $568.80 $948 2.2×
Clsd tx clavicular fracture w/o manipulation (23500) $499.82 $833.02 1.9×
Clsd Tx Pelvic Ring Fx (27198) $3,858.39 $6,430.65 14.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,075.90 $3,459.82 1.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $351.80 $586.32 1.3×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $3,321.90 $5,536.49 1.9×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $677.16 $1,128.60 2.6×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,264 $5,440 1.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,407.51 $4,012.51 1.4×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $750.62 $1,251.03 2.8×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $3,519.53 $5,865.87 2.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $560.95 $934.91 2.1×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $605 $1,008.32 2.3×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $509.58 $849.30 1.9×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $3,321.90 $5,536.49 1.9×
Cltx dstl fibular fx lat malls w/manj (27788) $934.53 $1,557.55 3.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $605.30 $1,008.83 2.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $605.88 $1,009.79 2.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $489.50 $815.83 1.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $591.74 $986.22 2.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,333.08 $2,221.80 0.8×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $694.50 $1,157.50 2.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $418.23 $697.05 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $532.62 $887.70 2.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $404.94 $674.90 1.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,772.27 $4,620.44 1.6×
Cltx Greater Trochanteric Fx W/O Manj (27246) $801.96 $1,336.59 3.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,643 $4,405 1.5×
Cltx hip dislocation traumatic req anesthesia (27252) $3,193.95 $5,323.25 1.9×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $601.28 $1,002.13 2.3×
Cltx humeral condylar fx medial/lateral w/manj (24577) $3,710.40 $6,184 2.2×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,521.89 $4,203.15 1.5×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $1,821.45 $3,035.75 6.1×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,321.90 $5,536.49 1.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $537.66 $896.10 2.0×
Cltx Medial Ankle Fx (27760) $951.42 $1,585.69 3.6×
Cltx metacarpal fx w/manipulation each bone (26605) $768.83 $1,281.38 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $544.52 $907.52 2.1×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,960.32 $4,933.86 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $684.82 $1,141.36 2.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $487.85 $813.08 1.8×
Cltx post hip arthrp dislc req anes (27266) $3,986.85 $6,644.75 2.3×
Cltx post hip arthrp dislc w/o anes (27265) $1,049.09 $1,748.48 4.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,953.78 $3,256.29 1.1×
Cltx prox tibfib jt dislc req anes (27831) $6,759.52 $11,265.86 1.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $834.38 $1,390.63 3.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $468.20 $780.32 1.8×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,556.45 $4,260.75 1.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,398.76 $2,331.26 0.8×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $717.63 $1,196.04 2.7×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $692.41 $1,154.01 2.6×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $6,759.52 $11,265.86 1.9×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $509.58 $849.30 1.9×
Cltx tibial shaft fx w/o manipulation (27750) $580.05 $966.74 2.2×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $837.45 $1,395.75 3.2×
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $6,759.52 $11,265.86 1.9×
Collect Blood From Catheter Venous Nos (36592) $206.77 $344.61 1.5×
Collection of venous blood by venipuncture (36415) $28.32 $47.19 3.0×
Colonoscopy w/submucosal inj (45381) $2,976.83 $4,961.38 2.3×
Control Nasal Hemorrhage Anterior Complex (30903) $528.30 $880.49 3.7×
Control Nasal Hemorrhage Anterior Simple (30901) $414.82 $691.36 2.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $531.10 $885.16 3.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $588 $980 2.3×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,398.64 $3,997.73 1.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $615.63 $1,026.05 1.4×
Declot vascular device (36593) $733.61 $1,222.68 2.1×
Diagnostic sigmoidoscopy (45330) $2,976.83 $4,961.38 3.0×
Dilate Esophagus 1/Mult Pass (43450) $2,976.83 $4,961.38 3.1×
Drain/inj small joint/bursa w/us (20604) $220.35 $367.25 0.7×
Drainage Abscess/Hematoma Nasal Septum (30020) $4,179.72 $6,966.20 7.2×
Drainage external auditory canal abscess (69020) $533.16 $888.59 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $602.19 $1,003.65 0.8×
Drainage Finger Abscess Complicated (26011) $2,905.67 $4,842.77 1.6×
Drainage Mouth Roof Lesion (42000) $605.93 $1,009.88 2.4×
Drainage of gum lesion (41800) $473.09 $788.48 3.3×
Drainage of hematoma/fluid (10140) $3,120.41 $5,200.68 1.8×
Drainage of nose lesion (30000) $3,081.89 $5,136.47 12.1×
Drainage of scrotal wall abscess (55100) $3,404.24 $5,673.72 1.9×
Draw Blood Off Venous Device (36591) $136.22 $227.02 1.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $2,928.60 $4,881 5.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $880.62 $1,467.70 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $527.77 $879.61 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $424.84 $708.06 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $375.02 $625.02 1.7×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,976.83 $4,961.38 1.4×
Egd guide wire insertion (43248) $2,976.83 $4,961.38 3.1×
Egd lesion ablation (43270) $2,976.83 $4,961.38 1.4×
Egd remove lesion snare (43251) $2,976.83 $4,961.38 1.4×
Esophagogastroduodenoscopy Submucosal Injection (43236) $2,976.83 $4,961.38 3.1×
Evacuation of subungual hematoma (11740) $254.32 $423.86 1.8×
I&d abscess simple (10060) $729.32 $1,215.52 3.4×
I&d deep absc bursa/hematoma thigh/knee region (27301) $6,549.42 $10,915.70 2.1×
I&D Deep Absc/Hematoma Neck/Chest (21501) $2,122.26 $3,537.09 0.7×
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $2,252.28 $3,753.80 0.6×
I&d forearm/wrist bursa (25031) $3,321.90 $5,536.49 1.9×
I&D Mouth/Tong Intra,Masticator (41009) $2,179.20 $3,632 3.8×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $8,452.05 $14,086.75 2.4×
I&d perianal abscess superficial (46050) $1,762.86 $2,938.10 1.8×
I&d pilonidal cyst simple (10080) $520.39 $867.31 0.7×
I&d shoulder deep abscess/hematoma (23030) $9,295.20 $15,492 3.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $8,621 $14,368.32 2.8×
Incise external hemorrhoid (46083) $709.13 $1,181.88 2.6×
Incise/Drain Conjunctiva (68020) $2,249.25 $3,748.75 2.1×
Incision & drainage abscess complicated/multiple (10061) $1,193.54 $1,989.23 2.7×
Incision & drainage leg/ankle abscess/hematoma (27603) $6,092.99 $10,154.98 2.0×
Incision & removal foreign body subq tiss compl (10121) $5,035.29 $8,392.14 2.8×
Incision & removal foreign body subq tiss simple (10120) $1,328.92 $2,214.86 3.1×
Incision and drainage of bartholin's gland abscess (56420) $557.69 $929.47 2.6×
Incision and drainage of vulva or perineal abscess (56405) $509.52 $849.20 1.6×
Incision of rectal abscess (46040) $3,505.34 $5,842.22 2.7×
Incision&drainage bursa foot (28001) $3,616.50 $6,027.50 2.0×
Initial Tx 1st Degree Burn Local Tx (16000) $286.67 $477.78 1.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $700.11 $1,166.84 0.7×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,657.85 $2,763.08 1.7×
Injection aa&/strd axillary nerve w/img gdn (64417) $700.11 $1,166.84 0.7×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $2,619 $4,365 3.5×
Injection anesthetic agent suprascapular nerve (64418) $529.36 $882.26 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $644.03 $1,073.37 2.0×
Injection, anesthetic agent; brachial plexus, single (64415) $3,530.14 $5,883.56 3.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,160.09 $1,933.48 1.5×
Injection, anesthetic agent; vagus nerve (64408) $223.38 $372.29 0.7×
Insert and remove bone pin (20650) $7,804.53 $13,007.54 2.2×
Insert Temp Bladder Cath (51702) $307.15 $511.91 2.2×
Insert,Non-Indwelling Bladder Catheter (51701) $221.69 $369.47 1.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,938.57 $6,564.28 1.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,096.40 $3,493.99 1.2×
Intraoral i&d tongue/floor lingual (41000) $2,233.35 $3,722.25 3.9×
Intraoral i&d tongue/floor sublngl supfc (41005) $489.30 $815.50 1.9×
Intraoral i&d tongue/floor submental space (41007) $3,205.37 $5,342.27 1.9×
Intraoral i&d tongue/floor submndblr space (41008) $6,532.20 $10,887 1.8×
Intubation endotracheal emergency procedure (31500) $796.08 $1,326.80 3.1×
Marsupialization of bartholin's gland cyst (56440) $8,914.30 $14,857.16 2.6×
N Block Inj Ilio-Ing/Hypogi (64425) $535.55 $892.58 0.7×
N block inj intercost sng (64420) $591.60 $985.99 0.8×
N Block Inj Paracervical (64435) $1,524.10 $2,540.16 2.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $332.91 $554.85 0.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $853.55 $1,422.58 2.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,050.17 $1,750.27 1.1×
Occipital Nerve Block (64405) $921.56 $1,535.92 2.8×
Placement of needle for intraosseous infusion (36680) $388.91 $648.17 0.8×
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $5,709 $9,515 1.9×
Removal Embedded Foreign Body Eyelid (67938) $1,229.91 $2,049.85 3.6×
Removal Foreign Body Foot Complicated (28193) $6,158.33 $10,263.88 3.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,473.52 $5,789.20 2.0×
Removal Foreign Body Pelvis/Hip Deep (27087) $11,116.50 $18,527.50 3.2×
Removal Foreign Body Scrotum (55120) $6,643.65 $11,072.75 3.0×
Removal foreign body upper arm/elbow deep (24201) $6,600 $11,000 2.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $55.07 $91.78 0.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $47.23 $78.71 0.7×
Removal impacted vag fb spx w/anes oth/thn local (57415) $5,490 $9,150 1.6×
Removal of nail bed (11750) $1,593.07 $2,655.11 3.7×
Removal shoulder foreign body deep subfascial/im (23333) $8,104.53 $13,507.55 2.6×
Remove Forearm Foreign Body (25248) $6,600 $11,000 3.8×
Remove foreign body from eye (65205) $370.47 $617.45 2.6×
Remove Nasal Foreign Body (30300) $330.77 $551.28 2.3×
Remove Shoulder Foreign Body (23330) $8,261.85 $13,769.75 4.7×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $932 $1,553.33 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $899.03 $1,498.38 2.1×
Repair complex trunk 1.1-2.5 cm (13100) $477.29 $795.47 0.6×
Repair Eyelid Wound (67935) $4,177.02 $6,961.69 1.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $823.41 $1,372.35 1.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,145.23 $1,908.71 2.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $596.68 $994.46 1.4×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $839.81 $1,399.68 1.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $547.59 $912.65 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $882.99 $1,471.64 2.0×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $4,262.46 $7,104.10 1.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $771.77 $1,286.27 1.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,486.76 $2,477.92 3.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,020.57 $1,700.95 2.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,474.17 $2,456.95 1.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $675.60 $1,125.99 1.6×
Repair Laceration Palate </2 Cm (42180) $1,222.20 $2,037 2.1×
Repair Laceration Palate >2 Cm/Complex (42182) $12,229.58 $20,382.63 1.9×
Repair of nail bed (11760) $586.55 $977.57 0.7×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $10,830.60 $18,051 1.4×
Repair tongue laceration (41250) $410.85 $684.74 0.9×
Reposition Gastrostomy Tube (43761) $818.32 $1,363.86 3.1×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $3,205.37 $5,342.27 1.9×
Rmvl embedded fb vestibule mouth comp (40805) $1,114.19 $1,856.97 1.9×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $665.85 $1,109.75 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $449.82 $749.69 0.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $416.77 $694.61 2.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $499.82 $833.02 1.0×
Rmvl fecal impaction/fb spx under anes (45915) $5,157.15 $8,595.25 4.0×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $7,001.10 $11,668.50 2.2×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $6,000.76 $10,001.26 1.9×
Rplc Gtube No Revj Trc (43762) $950.76 $1,584.59 3.6×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $535.10 $891.83 2.5×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,536.29 $2,560.47 2.7×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,203.37 $5,338.95 1.9×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $3,637.86 $6,063.09 1.0×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,976.83 $4,961.38 3.0×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,976.83 $4,961.38 2.3×
Sigmoidoscopy w/fb removal (45332) $2,976.83 $4,961.38 2.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $2,976.83 $4,961.38 3.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $567.45 $945.75 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $496.53 $827.55 2.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $468.80 $781.32 2.2×
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $892.03 $1,486.71 2.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $507.51 $845.85 2.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $516.67 $861.11 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $516.39 $860.64 2.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $482.10 $803.49 2.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $576.25 $960.41 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $626.23 $1,043.71 1.4×
Strapping ankle (29540) $299.55 $499.24 1.7×
Strapping elbow or wrist (29260) $234 $390 3.7×
Strapping hand/finger (29280) $283.18 $471.96 4.5×
Strapping Hip (29520) $196.80 $328 1.4×
Strapping knee (29530) $294.30 $490.50 2.1×
Strapping shoulder (29240) $382.07 $636.77 2.7×
Strapping toes (29550) $258.96 $431.60 4.1×
Strapping Unna Boot (29580) $270.17 $450.28 1.6×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $3,755.65 $6,259.41 1.5×
Treat Dental Ridge Fracture (21440) $6,172.32 $10,287.19 1.7×
Treat Hip Socket Fracture (27222) $509.58 $849.30 1.9×
Treat humerus fracture (23600) $637.83 $1,063.05 2.4×
Treat Knee Fracture(S) (27538) $562.96 $938.26 2.1×
Treat Knuckle Dislocation (26700) $544.77 $907.94 2.1×
Treat Tail Bone Fracture (27200) $1,636.80 $2,728 6.2×
Treat Thumb Fracture (26645) $1,266.39 $2,110.65 0.7×
Treatment Closed Elbow Dislocation Req Anes (24605) $4,010.81 $6,684.67 2.3×
Treatment closed elbow dislocation w/o anes (24600) $761.13 $1,268.54 2.9×
Trimming Nondystrophic Nails Any Number (11719) $133.40 $222.33 2.1×
Tx Gastro Intub W/Asp (43753) $454.23 $757.05 2.0×
Tx superficial wound dehiscence w/packing (12021) $1,965.30 $3,275.50 4.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,321.90 $5,536.49 1.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $701.72 $1,169.53 2.7×
Unlisted procedure nervous system (64999) $815.81 $1,359.68 2.5×
Wedge excision skin nail fold (11765) $583.22 $972.02 1.3×