Procedures & surgery prices at Ivinson Memorial Hospital

Laramie, WY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,844 $1,844 2.0×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,427 $1,427 1.5×
Application cast elbow finger short arm (29075) $493 $493 1.7×
Application long arm splint shoulder hand (29105) $465 $465 2.8×
Application Long Leg Splint (29505) $445 $445 2.7×
Application of long leg cast (29345) $503 $503 1.8×
Application Short Arm Splint Dynamic (29126) $397 $397 2.9×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $386–$404 $386–$404 varies
Application short leg splint calf foot (29515) $452 $452 2.7×
Apply long arm cast (29065) $426 $426 1.5×
Apply Short Leg Cast (29405) $600 $600 2.1×
Arterial puncture (36600) $45 $45 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $160 $160 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $880 $880 1.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $449 $449 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $1,036–$1,068 $1,036–$1,068 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $667 $667 2.1×
Aspirate pleura w/ imaging (32555) $1,816 $1,816 2.8×
Aspirate Pleura W/O Imaging (32554) $1,409 $1,409 2.2×
Aspirate/Inj Ganglion Cyst (20612) $335 $335 1.1×
Aspiration bladder insert suprapubic catheter (51102) $5,069 $5,069 2.4×
Av Fistula Revision Open (36832)
likely a partial charge, not the full procedure		 $335 $335 0.1×
Avulsion nail plate partial/complete simple 1 (11730) $360 $360 1.8×
Biopsy Abdominal Mass (49180) $2,362 $2,362 1.4×
Biopsy muscle percutaneous needle (20206) $2,193 $2,193 1.3×
Biopsy of breast; open, incisional (19101) $6,554 $6,554 1.6×
Biopsy of liver, needle; percutaneous (47000) $2,849 $2,849 1.7×
Biopsy soft tissue neck/thorax (21550) $3,449 $3,449 2.0×
Bladder instillation anticarcinogenic agent (51720) $274 $274 0.4×
Bladder Irrigation (51700) $614 $614 2.4×
Blood Transfusion Service (36430) $625 $625 1.4×
Bone Marrow Biopsy (38221) $2,261 $2,261 1.3×
Bone Marrow; Aspiration Only (38220) $1,637 $1,637 1.0×
Bronchoscopy W/Removal Foreign Body (31635) $3,686 $3,686 2.0×
Bx breast 1st lesion strtctc (19081) $3,076 $3,076 1.8×
Bx breast 1st lesion us imag (19083) $2,795 $2,795 1.7×
Bx breast needle core w/o imaging guidance spx (19100) $2,438 $2,438 1.4×
Canthotomy Separate Procedure (67715) $2,789 $2,789 1.1×
Catheter aspiration nasotracheal spx (31720) $189 $189 0.8×
Change Cystostomy Tube Simple (51705) $355 $355 1.4×
Change of Windpipe Airway (31502) $691 $691 2.9×
Chest tube placement (32551) $1,532 $1,532 1.0×
Circumcision w/clamp/oth dev w/block (54150) $387 $387 0.2×
Cl Tx Scapular Fx; W Manip (23575) $1,975 $1,975 1.2×
Cl Tx Tib Shft Fx W Manip (27752) $3,138 $3,138 1.9×
Clear outer ear canal (69200) $266 $266 2.0×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $775 $775 3.1×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $2,291 $2,291 1.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $2,043 $2,043 8.1×
Closed Treatment Ulnar Styloid Fracture (25650) $707 $707 2.8×
Closed tx ankle dislocation w/o anesthesia (27840) $1,153 $1,153 4.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,168 $1,168 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $564 $564 2.2×
Closed tx knee dislocation w/o anesthesia (27550) $686 $686 2.7×
Closed Tx Lunate Dislocation W/Manipulation (25690) $692 $692 0.4×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,403 $2,403 1.5×
Closed tx patellar dislocation w/anesthesia (27562) $877 $877 3.5×
Closed tx patellar dislocation w/o anesthesia (27560) $663 $663 2.6×
Closed tx radial head/neck fx w/manipulation (24655) $1,089 $1,089 0.7×
Closed tx radial shaft fracture w/manipulation (25505) $1,390 $1,390 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,130 $1,130 0.7×
Closed tx talotarsal joint dislc w/o anes (28570) $685 $685 2.7×
Closed Tx Talus Fracture W/Manipulation (28435) $1,262 $1,262 0.8×
Closed tx tarsometatarsal dislocation w/o anes (28600) $484 $484 1.9×
Closed tx temporomandibular dislc comp 1st/sbsq (21485) $2,125 $2,125 1.3×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $641 $641 2.5×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $583 $583 2.4×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $850 $850 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,656 $2,656 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $928 $928 3.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,848 $1,848 1.1×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,699 $1,699 1.0×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $551 $551 2.2×
Cltx dstl fibular fx lat malls w/manj (27788) $851 $851 3.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $599 $599 2.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $607 $607 2.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,449 $1,449 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,067 $1,067 0.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,939 $2,939 1.8×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,594 $2,594 1.6×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $3,034 $3,034 1.8×
Cltx hip dislocation traumatic w/o anesthesia (27250) $579 $579 2.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,876 $1,876 1.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $792 $792 3.1×
Cltx Medial Ankle Fx (27760) $550 $550 2.2×
Cltx metacarpal fx w/manipulation each bone (26605) $724 $724 2.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $478 $478 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $656 $656 2.6×
Cltx post hip arthrp dislc req anes (27266) $3,139 $3,139 1.9×
Cltx post hip arthrp dislc w/o anes (27265) $522 $522 2.1×
Cltx prox fibula/shft fx w/manj (27781) $1,615 $1,615 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,075 $2,075 1.3×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $578 $578 2.3×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $739 $739 2.9×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,299 $1,299 0.8×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,136 $1,136 0.7×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,778 $1,778 1.1×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,629 $1,629 1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $457 $457 1.8×
Cltx tibial shaft fx w/o manipulation (27750) $659 $659 2.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,242 $1,242 0.8×
Collect Blood From Catheter Venous Nos (36592) $98 $98 0.7×
Collection of venous blood by venipuncture (36415) $22 $22 2.4×
Complex drainage wound (10180) $7,142 $7,142 2.4×
Control Nasal Hemorrhage Anterior Complex (30903) $478 $478 3.5×
Control Nasal Hemorrhage Anterior Simple (30901) $234 $234 1.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,416 $2,416 1.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $545 $545 4.0×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $251 $251 1.0×
Curettage postpartum (59160) $3,729 $3,729 1.1×
Debride nail 6 or more (11721) $210 $210 3.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,299 $1,299 3.1×
Declot vascular device (36593) $489 $489 1.4×
Drain Cerebro Spinal Fluid (62272) $1,824 $1,824 2.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $735 $735 1.0×
Drainage Finger Abscess Complicated (26011) $3,037 $3,037 1.8×
Drainage Mouth Roof Lesion (42000) $611 $611 2.5×
Drainage of finger abscess simple (26010) $481 $481 2.3×
Drainage of gum lesion (41800) $482 $482 3.5×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $3,394–$4,242 $3,394–$4,242 varies
Drainage of rectal abscess (45005) $2,956 $2,956 2.4×
Drainage of scrotal wall abscess (55100) $1,583 $1,583 0.9×
Drainage of scrotum (54700) $4,682 $4,682 2.2×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $111–$147 $111–$147 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $543 $543 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $624 $624 3.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $388 $388 1.9×
Dx Bone Marrow Bx & Aspir (38222) $1,637 $1,637 0.6×
Dx Bronchoscope/Lavage (31624) $2,998 $2,998 1.6×
Dx Bronchoscope/Wash (31622) $3,820 $3,820 2.1×
Dx Laryngoscopy Excl Nb (31525) $4,251 $4,251 2.3×
Dx lmbr spi pnxr w/fluor/CT (62328) $979 $979 1.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,823 $1,823 0.9×
Egd Flexible Foreign Body Removal (43247) $3,096 $3,096 3.3×
Epidural Blood Patch (62273) $499 $499 0.7×
Episiotomy or vaginal repair (59300) $2,408 $2,408 0.7×
Evacuation of subungual hematoma (11740) $224 $224 1.6×
Exc Frenum Labial/Buccal (40819) $1,603 $1,603 1.0×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,977 $2,977 1.8×
Expl penetrating wound spx abdomen/flank/back (20102) $4,587 $4,587 2.2×
Exploration penetrating wound spx extremity (20103) $3,516 $3,516 2.1×
External cephalic version (59412) $1,108 $1,108 0.3×
Fetal non-stress test (59025) $502 $502 2.4×
Fluoro exam of g/colon tube (49465) $643 $643 2.6×
Fna bx w/us gdn 1st les (10005) $836 $836 1.2×
Frenulotomy of penis (54164) $5,164 $5,164 2.4×
I&d abscess peritonsillar (42700) $995 $995 4.1×
I&d abscess simple (10060) $505 $505 2.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,905 $2,905 1.0×
I&d perianal abscess superficial (46050) $1,472 $1,472 1.5×
I&d pilonidal cyst complicated (10081) $1,543 $1,543 2.1×
I&d pilonidal cyst simple (10080) $429 $429 0.6×
Image Cath Fluid Peri/Retro (49406) $4,501 $4,501 2.7×
Incise external hemorrhoid (46083) $651 $651 2.6×
Incision & drainage abscess complicated/multiple (10061) $1,249 $1,249 3.0×
Incision & removal foreign body subq tiss compl (10121) $4,723 $4,723 2.8×
Incision & removal foreign body subq tiss simple (10120) $324 $324 0.8×
Incision and drainage of bartholin's gland abscess (56420) $662 $662 3.2×
Incision and drainage of vulva or perineal abscess (56405) $626 $626 2.0×
Incision of lingual frenum (frenotomy) (41010) $1,603 $1,603 1.0×
Incision of rectal abscess (46040) $3,005 $3,005 2.5×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $2,849 $2,849 1.7×
Incisional biopsy skin single lesion (11106) $1,161 $1,161 1.5×
Initial Tx 1st Degree Burn Local Tx (16000) $389 $389 1.9×
Inj W/Fluor Eval Cv Device (36598) $749 $749 3.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,271 $1,271 1.8×
Injection single/mlt trigger point 1/2 muscles (20552) $360 $360 1.1×
Injection single/mlt trigger point 3/> muscles (20553) $456 $456 1.5×
Injection, anesthetic agent; brachial plexus, single (64415) $2,439 $2,439 2.7×
Injection, anesthetic agent; femoral nerve, single (64447) $2,544 $2,544 3.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $784 $784 1.1×
Insert Bladder Cath Complex (51703) $465 $465 3.5×
Insert cath pleura w/o image (32556) $1,759 $1,759 0.9×
Insert Gastrostomy Tube Percutaneous (49440) $3,039 $3,039 1.6×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $2,034–$2,759 $2,034–$2,759 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $3,279 $3,279 2.0×
Insert Temp Bladder Cath (51702) $240 $240 1.8×
Insert tunneled cv cath (36561) $6,569 $6,569 2.0×
Insert,Non-Indwelling Bladder Catheter (51701) $193 $193 1.4×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,855 $2,855 1.8×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $2,698 $2,698 0.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,508 $2,508 1.6×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $9,252 $9,252 0.3×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $9,260 $9,260 1.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,557 $1,557 3.7×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,038 $1,038 2.5×
Intubation endotracheal emergency procedure (31500) $916 $916 3.8×
Irrigation of corpora cavernosa for priapism (54220) $834 $834 3.3×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $518–$615 $518–$615 varies
Myelography Lumbar Injection (62304) $2,797 $2,797 3.5×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $2,659 $2,659 3.3×
N block inj intercost sng (64420) $1,524 $1,524 2.1×
Nasal/Orogastric W/Tube Plmt (43752) $711 $711 1.6×
Needle Biopsy Lymph Nodes (38505) $1,805 $1,805 1.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $106 $106 3.6×
Needle insertion w/o injection 3 or more muscles (20561) $125 $125 4.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $704 $704 1.7×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $562 $562 1.8×
Occipital Nerve Block (64405) $1,087 $1,087 3.5×
Open treatment posterior malleolus fracture (27769)
likely a partial charge, not the full procedure		 $2,060 $2,060 0.3×
Partial Excision Distal Phalanx Finger (26236) $3,160 $3,160 1.9×
Percut Drain/Inject Renal Cyst (50390) $2,007 $2,007 2.8×
Perq dev breast 1st strtctc (19283) $1,615 $1,615 2.2×
Perq dev breast 1st us imag (19285) $1,124 $1,124 1.6×
Perq device breast 1st imag (19281) $1,693 $1,693 1.0×
Place Rt Device/Marker Pros (55876) $3,660 $3,660 2.6×
Placement of needle for intraosseous infusion (36680) $560 $560 1.2×
Punch biopsy skin single lesion (11104) $526 $526 1.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $565 $565 1.4×
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $848–$1,110 $848–$1,110 varies
Removal Foreign Body Foot Complicated (28193) $2,302 $2,302 1.4×
Removal foreign body foot deep (28192) $5,299 $5,299 3.1×
Removal Foreign Body Foot Subcutaneous (28190) $2,020 $2,020 2.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,580 $3,580 2.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $195 $195 3.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $244 $244 4.0×
Removal Implant Deep (20680) $7,208 $7,208 2.4×
Removal implantable contraceptive capsules (11976) $684 $684 0.9×
Removal of nail bed (11750) $1,432 $1,432 3.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $387 $387 1.9×
Remove foreign body from eye (65205) $512 $512 3.8×
Remove Intrauterine Device (58301) $713 $713 2.3×
Remove Nasal Foreign Body (30300) $294 $294 2.2×
Repair Blood Vessel Direct Hand Finger (35207) $4,104 $4,104 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,716 $1,716 2.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,810 $1,810 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,369 $1,369 3.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,460 $1,460 3.5×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,399 $1,399 3.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,664 $1,664 4.0×
Repair complex trunk 2.6-7.5 cm (13101) $2,475 $2,475 3.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $863–$958 $863–$958 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $807 $807 1.9×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $797 $797 1.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,010 $1,010 2.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,176 $1,176 1.6×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $786 $786 1.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $875 $875 2.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,193 $1,193 1.6×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,638 $1,638 3.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $964 $964 2.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,005 $1,005 2.4×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,936 $1,936 2.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,339 $1,339 3.2×
Repair of nail bed (11760) $1,441 $1,441 1.9×
Repair tongue laceration (41252) $1,253 $1,253 5.2×
Repair tongue laceration (41250) $550 $550 1.2×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $496 $496 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $542 $542 1.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $637 $637 4.7×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $620 $620 1.4×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $6,127 $6,127 2.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines		 $443–$643 $443–$643 varies
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $386–$852 $386–$852 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $1,454 $1,454 0.9×
Rpr blood vessel direct lower extremity (35226) $1,481 $1,481 2.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $600 $600 2.9×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $2,143 $2,143 3.9×
Rpr Lip Full Thickness Vermilion Only (40650) $1,827 $1,827 3.3×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,349 $2,349 1.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $779 $779 1.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $499 $499 2.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $523 $523 2.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $564 $564 2.8×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $373 $373 1.8×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $459 $459 2.2×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $555 $555 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $210 $210 1.0×
Skin sub graft trnk/arm/leg (15271) $2,888 $2,888 3.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $483 $483 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $595 $595 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $734 $734 1.8×
Spinal puncture lumbar diagnostic (62270) $1,039 $1,039 1.4×
Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) $2,934 $2,934 1.5×
Strapping ankle (29540) $266 $266 1.6×
Strapping shoulder (29240) $318 $318 2.3×
Strapping toes (29550) $189 $189 3.1×
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) $4,034 $4,034 1.7×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $4,495 $4,495 1.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $979 $979 1.4×
Treat Big Toe Fracture (28505) $6,455 $6,455 1.9×
Treat Dental Ridge Fracture (21440) $3,682 $3,682 1.1×
Treat Humerus Fracture (24505) $789 $789 0.5×
Treat Knuckle Dislocation (26700) $687 $687 2.7×
Treat Thumb Dislocation (26641) $680 $680 2.7×
Treat toe dislocation (28630) $506 $506 2.0×
Treatment closed elbow dislocation w/o anes (24600) $668 $668 2.7×
Trimming Nondystrophic Nails Any Number (11719) $149 $149 2.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $584 $584 0.8×
Unlisted procedure femur or knee (27599) $6,392 $6,392 25.4×
Unlisted Procedure Intestine (44799) $686 $686 0.7×
Unlisted Procedure Vascular Surgery (37799) $111 $111 0.2×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $5,771 $5,771 6.2×
Vaginal delivery only (59409) $2,514 $2,514 0.8×
Wedge excision skin nail fold (11765) $457 $457 1.1×

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.