Procedures & surgery prices at INTEGRIS Community Hospital - Council Crossing

Oklahoma City, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $2,608.41 $3,301.78 3.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,793.93 $2,270.80 2.1×
Anoscopy diagnostic (46600) $603.37 $763.76 4.7×
Anoscopy W/Rmvl Foreign Body (46608) $1,230.20 $1,557.21 1.4×
Application cast elbow finger short arm (29075) $357.14 $452.07 1.3×
Application cast shoulder hand long arm (29065) $240.79 $304.80 0.9×
Application Cast Shoulder Spica (29055) $1,682.85 $2,130.19 6.3×
Application finger splint static (29130) $1,005.30 $1,272.53 7.9×
Application long arm splint shoulder hand (29105) $838.77 $1,061.73 5.4×
Application long leg splint thigh ankle/toes (29505) $1,481.34 $1,875.11 9.5×
Application of hip spica cast; one and one-half spica or both legs (29325) $1,413.79 $1,789.61 5.3×
Application of long leg cast (29345) $1,264.17 $1,600.21 4.7×
Application short arm splint forearm-hand static (29125) $752.84 $952.96 5.9×
Application short leg splint calf foot (29515) $784.78 $993.39 5.0×
Apply short leg cast (29405) $808.34 $1,023.22 3.0×
Arterial puncture (36600) $322.72 $408.50 2.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $834.20 $1,055.95 2.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,039.50 $2,581.65 3.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $943.71 $1,194.57 3.2×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $646.22 $818 2.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $703.41 $890.39 2.4×
Aspirat/Injection Ganglion Cyst(S) (20612) $754.62 $955.21 2.6×
Aspiration Bladder Insert Suprapubic Catheter (51102) $5,496.65 $6,957.79 2.7×
Aspiration bladder needle (51100) $1,719.52 $2,176.61 7.2×
Avulsion nail plate partial/complete simple 1 (11730) $485.16 $614.13 2.5×
Bladder Irrigation Simple (51700) $1,209.10 $1,530.51 5.0×
Bladder Scan (51798) $259.63 $328.64 4.6×
Blood transfusion service (36430) $1,671.45 $2,115.76 3.9×
Change Cystostomy Tube Simple (51705) $648.65 $821.08 2.7×
Chemical Cautery Tissue (17250) $540.28 $683.90 2.8×
Chest tube placement (32551) $2,269.16 $2,872.35 1.5×
Chg Collect Blood From Catheter Venous Nos (36592) $322.72 $408.50 2.5×
Close Rx Fingr Articular Fx,Manip (26742) $3,985 $5,044.30 2.6×
Closed Rx Gr Tuberosity Hum Fx (23620) $1,502.76 $1,902.23 6.3×
Closed Rx Humer Epicondylr Fx,Manip (24565) $1,824.30 $2,309.24 1.2×
Closed Rx Humeral Supracondylar Fx (24530) $1,274.50 $1,613.29 5.4×
Closed Rx Med Malleolus Fx (27760) $1,191.38 $1,508.07 5.0×
Closed Rx Med Malleolus Fx,Manip (27762) $1,713.05 $2,168.42 1.1×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $4,113.59 $5,207.08 2.7×
Closed rx prox/neck femur fx,manip (27232) $3,012 $3,812.66 1.9×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $3,867.60 $4,895.70 2.5×
Closed Rx Radial Shaft Fx (25500) $980.27 $1,240.85 4.1×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $3,867.60 $4,895.70 2.5×
Closed Rx Spontaneous Hip Disloc (27256) $956.01 $1,210.14 4.0×
Closed Rx Tibia Shaft Fx (27750) $1,247.99 $1,579.73 5.3×
Closed Rx Tibial Plateau Fx (27530) $1,097.55 $1,389.31 4.6×
Closed Rx Trimalleolar Fx (27816) $1,132.33 $1,433.33 4.8×
Closed treat wrist dislocation (25660) $1,542.94 $1,953.09 6.5×
Closed Treatment Coccygeal Fracture (27200) $743.30 $940.88 3.1×
Closed treatment nasal fracture w/stabilization (21320) $6,713.91 $8,498.62 2.1×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $1,195.42 $1,513.19 5.0×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $1,126.67 $1,426.16 4.7×
Closed treatment of talus fracture; without manipulation (28430) $820.94 $1,039.16 3.5×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $736.83 $932.69 3.1×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,672.97 $2,117.68 7.1×
Closed treatment pst malleolus fracture w/manj (27768) $1,750.26 $2,215.52 1.1×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $1,104.03 $1,397.50 4.7×
Closed Treatment Sternum Fracture (21820) $513.59 $650.12 2.2×
Closed Treatment Ulnar Styloid Fracture (25650) $1,104.16 $1,397.67 4.7×
Closed tx ankle dislocation w/o anesthesia (27840) $2,057.75 $2,604.75 8.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $4,113.59 $5,207.08 2.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,173.58 $1,485.54 4.9×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $1,413.79 $1,789.61 6.0×
Closed tx calcaneal fracture w/o manipulation (28400) $892.12 $1,129.26 3.8×
Closed tx carpal scaphoid fracture w/manj (25624) $1,723.57 $2,181.73 1.1×
Closed tx femoral fracture prox head w/o manj (27267) $4,438.73 $5,618.65 1.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,911.22 $2,419.26 8.1×
Closed tx knee dislocation w/o anesthesia (27550) $1,768.79 $2,238.97 7.5×
Closed Tx Lunate Dislocation W/Manipulation (25690) $4,352.19 $5,509.10 2.8×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,797.98 $2,275.92 3.5×
Closed tx metatarsal fracture w/o manipulation (28470) $752.84 $952.96 3.2×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,762.57 $4,762.75 2.4×
Closed tx nasal fracture w/o stabilization (21315) $5,582.38 $7,066.31 3.7×
Closed tx patellar dislocation w/o anesthesia (27560) $1,244.08 $1,574.79 5.2×
Closed tx patellar fracture w/o manipulation (27520) $1,160.64 $1,469.16 4.9×
Closed tx radial head/neck fx w/manipulation (24655) $1,582.03 $2,002.57 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $936.60 $1,185.57 3.9×
Closed tx radial shaft fracture w/manipulation (25505) $3,867.60 $4,895.70 2.5×
Closed tx scapular fracture w/o manipulation (23570) $658.37 $833.38 2.8×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $3,123.61 $3,953.94 13.2×
Closed tx talotarsal joint dislc w/o anes (28570) $754.62 $955.21 3.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $692 $875.95 2.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,648.35 $2,086.52 1.1×
Closed tx ulnar fracture prox end w/o manipulate (24670) $1,028.80 $1,302.28 4.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $928.51 $1,175.33 3.9×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $1,095.12 $1,386.23 4.8×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $1,482.55 $1,876.64 2.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $1,226.96 $1,553.11 5.2×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $900.21 $1,139.50 3.8×
Clsd tx clavicular fracture w/manipulation (23505) $2,059.22 $2,606.61 1.3×
Clsd tx clavicular fracture w/o manipulation (23500) $968.95 $1,226.52 4.1×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,482.55 $1,876.64 2.9×
Clsd tx pelvic ring fx w/o manipulation (27197) $768.37 $972.62 3.2×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,738.35 $3,466.26 1.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,068.42 $1,352.43 4.5×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $2,059.22 $2,606.61 1.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $2,095.62 $2,652.68 8.8×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,405.39 $3,044.80 1.6×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $2,567.15 $3,249.56 10.8×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $3,056.21 $3,868.62 12.9×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,190.09 $1,506.44 5.0×
Cltx dstl fibular fx lat malls w/manj (27788) $1,518.14 $1,921.69 6.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,053.97 $1,334.14 4.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,009.11 $1,277.35 4.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $676.03 $855.74 2.8×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,970.30 $2,494.05 8.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,867.60 $4,895.70 2.5×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $3,119.57 $3,948.82 2.0×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,958.93 $2,479.66 8.3×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,880.48 $2,380.35 7.9×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,618.22 $2,048.38 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $764.27 $967.43 3.2×
Cltx fx grt toe phlx/phlg w/o manj (28490) $710.80 $899.75 3.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $907.97 $1,149.33 3.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $902.01 $1,141.79 3.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,116.02 $5,210.15 2.7×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $2,524.29 $3,195.30 10.6×
Cltx greater trochanteric fx w/o manj (27246) $1,537.55 $1,946.26 6.5×
Cltx grter humeral tuberosity fx w/manipulation (23625) $2,059.22 $2,606.61 1.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $698.84 $884.61 2.9×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,992.90 $2,522.66 1.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $618.24 $782.58 2.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $943.71 $1,194.57 4.0×
Cltx metacarpal fx w/manipulation each bone (26605) $1,139.14 $1,441.95 4.8×
Cltx metacarpal fx w/o manipulation each bone (26600) $1,078.14 $1,364.73 4.5×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $1,197.85 $1,516.26 5.0×
Cltx metatarsophlngl jt dislc w/o anes (28630) $618.24 $782.58 2.6×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,120.88 $1,418.84 4.7×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $676.03 $855.74 2.8×
Cltx post hip arthrp dislc w/o anes (27265) $1,586.88 $2,008.71 6.7×
Cltx prox fibula/shft fx w/manj (27781) $1,569.09 $1,986.19 1.0×
Cltx prox fibula/shft fx w/o manj (27780) $1,091.89 $1,382.14 4.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,867.60 $4,895.70 2.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,031.91 $1,306.22 4.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,123.92 $2,688.50 1.4×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $690.72 $874.33 2.9×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $4,384.70 $5,550.25 2.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $3,867.60 $4,895.70 2.5×
Colporrhaphy suture injury vagina (57200) $5,380.18 $6,810.36 1.7×
Complex Drainage, Wound (10180) $7,024.49 $8,891.76 2.5×
Control Nasal Hemorrhage Anterior Complex (30903) $572.61 $724.82 4.5×
Control Nasal Hemorrhage Anterior Simple (30901) $1,737.61 $2,199.51 13.6×
Control Oropharyngeal Hemorrhage Simple (42960) $1,482.55 $1,876.64 2.9×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $695.80 $880.76 5.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $953.59 $1,207.07 4.2×
Curette/treat cornea (65435) $2,053.57 $2,599.45 2.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $7,024.49 $8,891.76 2.5×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $4,688.66 $5,935.01 6.9×
Debride nail 1-5 (11720) $171.47 $217.05 3.0×
Debride nail 6 or more (11721) $291.17 $368.57 5.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,836.47 $2,324.64 4.7×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $2,118.27 $2,681.35 3.0×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $4,843.13 $6,130.55 3.0×
Declot vascular device (36593) $937.41 $1,186.59 3.0×
Delivery placenta separate procedure (59414) $6,874.86 $8,702.36 2.2×
Destruction Benign Lesions Up To 14 (17110) $540.28 $683.90 2.8×
Drain bladder by trocar/cath (51101) $2,757.89 $3,491 3.3×
Drain Ext Ear Absc/Blood,Complic (69005) $3,832.94 $4,851.82 2.4×
Drain lower leg bursa (27604) $6,194.66 $7,841.34 2.0×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $1,627.34 $2,059.93 2.4×
Drain shoulder bursa (23031) $6,003.78 $7,599.72 2.1×
Drain shoulder lesion (23030) $7,151.48 $9,052.50 2.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,589.32 $2,011.80 2.3×
Drainage Finger Abscess Complicated (26011) $5,179.36 $6,556.15 3.3×
Drainage Finger Abscess Simple (26010) $662.34 $838.41 3.4×
Drainage mouth roof lesion (42000) $589.35 $746.01 2.6×
Drainage of abscess; submaxillary or sublingual, intraoral (42310) $1,393.89 $1,764.42 2.7×
Drainage of eyelid abscess (67700) $1,120.88 $1,418.84 3.7×
Drainage of gum lesion (41800) $553.61 $700.77 4.3×
Drainage of hematoma/fluid (10140) $1,960.42 $2,481.54 1.2×
Drainage of scrotal wall abscess (55100) $4,213.60 $5,333.67 2.7×
Draw blood off venous device (36591) $322.72 $408.50 2.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,859.45 $2,353.73 4.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,225.07 $1,550.72 6.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $1,141.42 $1,444.84 5.9×
Escharotomy initial incision (16035) $739.25 $935.76 1.9×
Evacuation of subungual hematoma (11740) $303.42 $384.07 2.4×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $1,627.34 $2,059.93 2.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $3,429.59 $4,341.25 3.0×
Excision of nail fold toe (11765) $780.50 $987.97 2.0×
Expl penetrating wound spx abdomen/flank/back (20102) $4,784.90 $6,056.84 2.4×
Exploration penetrating wound spx chest (20101) $2,350.39 $2,975.18 1.2×
Exploration penetrating wound spx extremity (20103) $2,449.88 $3,101.11 1.5×
Fine needle aspiration without imaging guidance (10021) $901.89 $1,141.63 2.3×
Gastric Intubation/Aspiration, Therapeutic (43753) $717.10 $907.72 3.5×
I&D Abscess Peritonsillar (42700) $1,060.81 $1,342.80 4.7×
I&d abscess simple (10060) $555.88 $703.65 2.9×
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,362.67 $4,256.54 1.2×
I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) $7,504.12 $9,498.88 2.4×
I&d perianal abscess superficial (46050) $3,088.15 $3,909.05 3.5×
I&d pilonidal cyst simple (10080) $1,762.70 $2,231.26 2.6×
I&D Upper Arm/Elbow Bursa (23931) $3,001.49 $3,799.35 1.9×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,841.75 $4,862.97 1.4×
Incision & drainage abscess complicated/multiple (10061) $921.65 $1,166.65 2.4×
Incision & drainage leg/ankle abscess/hematoma (27603) $8,343.66 $10,561.59 3.0×
Incision & drainage pilonidal cyst complicated (10081) $2,600.32 $3,291.54 3.8×
Incision & removal foreign body subq tiss compl (10121) $3,788.52 $4,795.59 2.4×
Incision & removal foreign body subq tiss simple (10120) $1,783.24 $2,257.26 4.6×
Incision and drainage of bartholin's gland abscess (56420) $514.06 $650.71 2.6×
Incision and drainage of vulva or perineal abscess (56405) $771.85 $977.02 2.6×
Incision of rectal abscess (46040) $4,392.31 $5,559.89 3.8×
Incision of urethra (53000) $5,765.18 $7,297.69 2.9×
Incision thrombosed hemorrhoid external (46083) $729.26 $923.12 3.0×
Initial tx 1st degree burn local tx (16000) $692.76 $876.91 3.6×
Inj tendon sheath/ligament (20550) $748.15 $947.02 2.5×
Inject Nerv Blck,Intercostal,One (64420) $1,820.63 $2,304.59 2.7×
Inject Tendon Origin/Insert (20551) $893.73 $1,131.31 3.0×
Injection aa&/strd trigeminal nerve each branch (64400) $1,171.08 $1,482.38 4.0×
Injection anes other peripheral nerve/branch (64450) $783.25 $991.46 1.2×
Injection single/mlt trigger point 1/2 muscles (20552) $961.95 $1,217.66 3.3×
Injection single/mlt trigger point 3/> muscles (20553) $1,485.78 $1,880.73 5.0×
Injection, anesthetic agent; greater occipital nerve (64405) $1,033.44 $1,308.15 3.5×
Injection, anesthetic agent; sphenopalatine ganglion (64505) $819.32 $1,037.12 2.8×
Insert Bladder Cath Complex (51703) $529.27 $669.96 4.3×
Insert non-tunnel cv cath (36556) $3,068.38 $3,884.03 1.0×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $2,404.52 $3,043.69 0.8×
Insert picc cath (36569) $4,574.61 $5,790.65 3.0×
Insert Temp Bladder Cath (51702) $374.46 $474 2.9×
Insert,Non-Indwelling Bladder Catheter (51701) $278.70 $352.78 2.2×
Insertion Picc W/Rs&I 5 Yr/> (36573) $6,535.99 $8,273.40 4.3×
Intraoral i&d tongue/floor lingual (41000) $1,393.89 $1,764.42 2.7×
Intubation endotracheal emergency procedure (31500) $1,671.45 $2,115.76 7.3×
Irrigate corpora cavernosa for priapism (54220) $838.77 $1,061.73 3.5×
Laryngoscopy Indirect Diagnostic Spx (31505) $190.07 $240.59 1.0×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $949.03 $1,201.30 2.2×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $696.39 $881.50 2.9×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $1,937.60 $2,452.66 1.0×
Perq replacement gtube not req revj gstrst trc (43762) $654.74 $828.78 2.7×
Placement of needle for intraosseous infusion (36680) $981.09 $1,241.88 2.3×
Preputial Stretching (54450) $1,873.20 $2,371.14 7.8×
Puncture Aspiration (10160) $919.37 $1,163.76 2.4×
Puncture Aspiration Cyst Breast (19000) $1,785.04 $2,259.54 2.6×
Removal fb intranasal (30300) $386.30 $488.99 3.0×
Removal Foreign Body Deep Thigh/Knee (27372) $3,576.54 $4,527.27 1.3×
Removal Foreign Body Foot Complicated (28193) $6,719.57 $8,505.79 4.2×
Removal foreign body foot deep (28192) $5,705.32 $7,221.93 3.6×
Removal foreign body foot subcutaneous (28190) $1,631.90 $2,065.70 2.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,788.52 $4,795.59 2.4×
Removal foreign body pharynx (42809) $494.18 $625.55 1.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $361.97 $458.19 6.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $371.09 $469.74 6.5×
Removal impacted vag fb spx w/anes oth/thn local (57415) $4,949.90 $6,265.70 1.6×
Removal of arm foreign body (24200) $3,788.52 $4,795.59 2.4×
Removal of foreign body in scrotum (55120) $4,949.90 $6,265.70 2.5×
Removal of intrauterine device (iud) (58301) $493.37 $624.52 1.7×
Removal of nail bed (11750) $893.52 $1,131.04 2.3×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $485.16 $614.13 2.5×
Removal/bivalving full arm/full leg cast (29705) $582.34 $737.14 2.2×
Removal/bivalving gauntlet boot/body cast (29700) $683.63 $865.36 2.5×
Remove by ligat int hem grp (46945) $7,756.46 $9,818.31 2.9×
Remove Eyelid Foreign Body (67938) $782.92 $991.04 2.6×
Remove foreign body from eye (65210) $888.96 $1,125.26 2.1×
Remove shoulder foreign body (23330) $1,736.51 $2,198.11 1.1×
Remv Ext Canal F.B.,Gen Anesth (69205) $768.37 $972.62 0.5×
Remv Ext Canal Foreign Body (69200) $342.95 $434.12 2.7×
Remv F.B.,Eye,Superf Conjunc (65205) $740.66 $937.55 5.8×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,229.39 $1,556.19 1.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,403.02 $1,775.97 2.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,114.80 $1,411.14 2.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,403.02 $1,775.97 3.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,492.25 $1,888.92 3.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,870.68 $2,367.95 4.8×
Repair complex trunk 1.1-2.5 cm (13100) $1,492.25 $1,888.92 2.1×
Repair complex trunk 2.6-7.5 cm (13101) $1,834.37 $2,321.99 2.6×
Repair extensor tendon finger w/o graft each (26418) $4,199.32 $5,315.60 2.7×
Repair finger/hand tendon (26350) $7,608.45 $9,630.95 2.4×
Repair forearm tendon/muscle (25270) $6,438.92 $8,150.53 2.0×
Repair forearm tendon/muscle (25260) $7,608.45 $9,630.95 2.4×
Repair hand tendon (26410) $5,251.59 $6,647.58 3.4×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,225.35 $1,551.07 3.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $648.65 $821.08 1.7×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $771.85 $977.02 2.0×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $1,546.44 $1,957.52 4.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $825.84 $1,045.37 2.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $844.09 $1,068.47 2.2×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,735.70 $2,197.09 4.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,700.11 $2,152.04 2.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $893.52 $1,131.04 2.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,190.09 $1,506.44 3.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,279.07 $1,619.07 1.8×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $2,394.07 $3,030.47 1.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,340.65 $1,697.03 3.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $856.26 $1,083.87 2.2×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,088.95 $1,378.42 2.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,567.27 $1,983.88 2.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,161.20 $1,469.87 3.0×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,394.07 $3,030.47 1.2×
Repair Laceration Palate </2 Cm (42180) $4,643.36 $5,877.67 9.0×
Repair of nail bed (11760) $1,403.02 $1,775.97 2.0×
Repair Tongue Laceration (41250) $739.15 $935.63 1.7×
Rmvl embedded fb vestibule mouth comp (40805) $4,373.22 $5,535.72 8.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $2,133.80 $2,701.01 2.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $712.53 $901.94 1.7×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $876.03 $1,108.90 6.8×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $10,985.22 $13,905.34 3.9×
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $3,841.75 $4,862.97 1.4×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,880.48 $2,380.35 3.1×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,967.83 $2,490.92 2.8×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $789.34 $999.16 3.5×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $679.40 $860 3.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,261.55 $2,862.72 4.4×
Rpr Lip Full Thickness Vermilion Only (40650) $2,766.12 $3,501.42 5.3×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,897.96 $3,668.30 1.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $3,039.49 $3,847.45 7.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $1,311 $1,659.49 6.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $1,377.92 $1,744.20 7.1×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $3,879.04 $4,910.18 9.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $1,778.67 $2,251.48 9.2×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $2,234.18 $2,828.07 11.6×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $4,389.40 $5,556.20 22.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $434.97 $550.59 2.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,431.91 $1,812.55 7.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $711.77 $900.98 3.7×
Slitting of prepuce (54001) $5,496.65 $6,957.79 2.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $572.61 $724.82 3.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $929.25 $1,176.27 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,140.66 $1,443.87 2.9×
Spinal puncture lumbar diagnostic (62270) $2,669.14 $3,378.66 3.9×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $2,053.57 $2,599.45 3.4×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,829.52 $2,315.85 3.0×
Thrombolytic Therapy, Stroke (37195) $448.89 $568.21 1.4×
Trach Tube Change (31502) $528.51 $669 2.3×
Tracheostomy emergency cricothyroid membrane (31605) $2,782.30 $3,521.90 12.2×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,678.77 $3,390.85 1.8×
Treat Fracture Radius & Ulna (25560) $926.21 $1,172.42 3.9×
Treat humerus fracture (24500) $1,723.91 $2,182.17 7.3×
Treat humerus fracture (24577) $2,059.22 $2,606.61 1.3×
Treat humerus fracture (23600) $1,200.27 $1,519.33 5.1×
Treat knee fracture (27532) $7,684.48 $9,727.19 2.4×
Treat Metatarsal Fracture (28475) $844.85 $1,069.43 3.6×
Treat Thumb Fx/Disloc,Manip (26645) $4,116.02 $5,210.15 2.7×
Treat Vaginal Bleeding (57180) $507.12 $641.93 2.6×
Treat wrist bone fracture (25635) $1,545.97 $1,956.93 1.0×
Treat wrist bone fracture (25622) $1,090.27 $1,380.09 4.6×
Treat Wrist Bone Fracture (25630) $1,104.03 $1,397.50 4.7×
Treatment closed elbow dislocation req anes (24605) $1,936.08 $2,450.74 1.3×
Treatment closed elbow dislocation w/o anes (24600) $1,244.08 $1,574.79 5.2×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $753.81 $954.19 3.2×
Trim skin lesion (11055) $839.54 $1,062.71 4.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,492.25 $1,888.92 2.1×
Tx superficial wound dehiscence w/packing (12021) $1,170.35 $1,481.45 3.0×
Unlisted Procedure Nervous System (64999) $1,252.85 $1,585.88 4.2×
Vaginal delivery only (59409) $5,380.18 $6,810.36 1.7×
Venipuncture (36415) $53.99 $68.34 5.8×
Venipuncture, cutdown; age 1 or over (36425) $1,032.85 $1,307.40 2.4×