Procedures & surgery prices at Jackson County Memorial Hospital Authority
Altus, OK · every code in this section with a posted price and a Medicare benchmark.
307 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) | $821.27 | $821.27 | 0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
$573.24–$2,357.49 | $573.24–$2,357.49 | varies |
| Amniocentesis diagnostic (59000) | $1,915.17 | $1,915.17 | 2.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines |
$1,891.65–$8,211.45 | $1,891.65–$8,211.45 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$1,909.32–$8,211.45 | $1,909.32–$8,211.45 | varies |
| Application Finger Splint Dynamic (29131) | $100.62 | $100.62 | 1.8× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$87.54–$165.03 | $87.54–$165.03 | varies |
| Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
$231.21–$401.16 | $231.21–$401.16 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$239.49–$401.16 | $239.49–$401.16 | varies |
| Application Short Arm Splint Dynamic (29126) | $142.50 | $142.50 | 1.1× |
| Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$114.39–$327.06 | $114.39–$327.06 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$201.60–$401.16 | $201.60–$401.16 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $251.01 | $251.01 | 1.6× |
| Arterial puncture (36600) range across 3 matching MRF lines |
$85–$327.06 | $85–$327.06 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 8 matching MRF lines |
$106.08–$1,202.72 | $106.08–$1,202.72 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$242.34–$1,874.94 | $242.34–$1,874.94 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$179.31–$785.22 | $179.31–$785.22 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 8 matching MRF lines |
$172–$1,216 | $172–$1,216 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$146.10–$785.22 | $146.10–$785.22 | varies |
| Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$1,400–$1,891.32 | $1,400–$1,891.32 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 5 matching MRF lines |
$629.31–$1,891.32 | $629.31–$1,891.32 | varies |
| Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$699–$2,776.44 | $699–$2,776.44 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$313.98–$524.13 | $313.98–$524.13 | varies |
| Biopsy Abdominal Mass (49180) | $2,181.80 | $2,181.80 | 1.4× |
| Biopsy bone trocar/needle deep (20225) | $2,617.65 | $2,617.65 | 1.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,617.65 | $2,617.65 | 1.6× |
| Biopsy muscle percutaneous needle (20206) | $1,617 | $1,617 | 1.0× |
| Biopsy of liver, needle; percutaneous (47000) | $1,641.15 | $1,641.15 | 1.0× |
| Biopsy Salivary Gland Needle (42400) | $956.94 | $956.94 | 1.4× |
| Biopsy soft tissue neck/thorax (21550) | $3,295 | $3,295 | 2.1× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$262.62–$1,915.17 | $262.62–$1,915.17 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $704.61 | $704.61 | 1.0× |
| Bladder Irrigation (51700) range across 4 matching MRF lines |
$212.52–$704.61 | $212.52–$704.61 | varies |
| Bladder Scan (51798) range across 4 matching MRF lines |
$27.81–$165.03 | $27.81–$165.03 | varies |
| Blepharotomy drainage abscess eyelid (67700) range across 2 matching MRF lines |
$776.79–$811.38 | $776.79–$811.38 | varies |
| Blood Transfusion Service (36430) | $1,164 | $1,164 | 2.7× |
| Bone Marrow Biopsy (38221) | $4,117.35 | $4,117.35 | 2.6× |
| Bx breast 1st lesion us imag (19083) | $3,616.65 | $3,616.65 | 2.3× |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$410–$892.10 | $410–$892.10 | varies |
| Change Cystostomy Tube Simple (51705) range across 4 matching MRF lines |
$250–$704.61 | $250–$704.61 | varies |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$238.14–$524.13 | $238.14–$524.13 | varies |
| Chest tube placement (32551) range across 4 matching MRF lines |
$473.91–$4,892.85 | $473.91–$4,892.85 | varies |
| Circumcision Neonate (54160) | $419 | $419 | 0.6× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$395–$500 | $395–$500 | varies |
| Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
$1,169.07–$4,065.72 | $1,169.07–$4,065.72 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$1,554.15–$4,065.72 | $1,554.15–$4,065.72 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$230.88–$327.06 | $230.88–$327.06 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$646.86–$1,279.65 | $646.86–$1,279.65 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$646.86–$1,415.79 | $646.86–$1,415.79 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$495.83–$904.53 | $495.83–$904.53 | varies |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$1,356.75–$4,065.72 | $1,356.75–$4,065.72 | varies |
| Closed tx carpal scaphoid fracture w/manj (25624) range across 2 matching MRF lines |
$1,389.48–$4,065.72 | $1,389.48–$4,065.72 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$646.86–$1,515.21 | $646.86–$1,515.21 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$770.28–$4,047.57 | $770.28–$4,047.57 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
$716.22–$7,857 | $716.22–$7,857 | varies |
| Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
$646.86–$1,077.96 | $646.86–$1,077.96 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$646.86–$1,077.96 | $646.86–$1,077.96 | varies |
| Closed tx radial head/neck fx w/manipulation (24655) range across 2 matching MRF lines |
$1,271.64–$4,065.72 | $1,271.64–$4,065.72 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$1,455.18–$4,065.72 | $1,455.18–$4,065.72 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,596–$4,065.72 | $1,596–$4,065.72 | varies |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) range across 2 matching MRF lines |
$646.86–$1,120.62 | $646.86–$1,120.62 | varies |
| Closed tx talotarsal joint dislc w/o anes (28570) range across 2 matching MRF lines |
$646.86–$651.27 | $646.86–$651.27 | varies |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 2 matching MRF lines |
$639.21–$862.77 | $639.21–$862.77 | varies |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$327.72–$646.86 | $327.72–$646.86 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$610.86–$787.32 | $610.86–$787.32 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$1,007.40–$1,325.01 | $1,007.40–$1,325.01 | varies |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$1,029.99–$4,065.72 | $1,029.99–$4,065.72 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,173.57–$4,065.72 | $1,173.57–$4,065.72 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$646.86–$922.86 | $646.86–$922.86 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$1,439.52–$4,065.72 | $1,439.52–$4,065.72 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$1,073.28–$4,065.72 | $1,073.28–$4,065.72 | varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 2 matching MRF lines |
$1,323.30–$4,065.72 | $1,323.30–$4,065.72 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$646.86–$991.74 | $646.86–$991.74 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$646.86–$1,226.82 | $646.86–$1,226.82 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$646.86–$913.53 | $646.86–$913.53 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,569.24–$4,065.72 | $1,569.24–$4,065.72 | varies |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 2 matching MRF lines |
$2,240.49–$4,065.72 | $2,240.49–$4,065.72 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) range across 2 matching MRF lines |
$509.58–$646.86 | $509.58–$646.86 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$466.89–$646.86 | $466.89–$646.86 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$556.92–$646.86 | $556.92–$646.86 | varies |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 2 matching MRF lines |
$1,551.15–$4,065.72 | $1,551.15–$4,065.72 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$343.41–$646.86 | $343.41–$646.86 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$689.37–$1,105.86 | $689.37–$1,105.86 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$646.86–$812.79 | $646.86–$812.79 | varies |
| Cltx Med Ankle Fx W/Mnpj (27762) range across 2 matching MRF lines |
$1,385.43–$4,065.72 | $1,385.43–$4,065.72 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$646.86–$931.29 | $646.86–$931.29 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$646.86–$976.98 | $646.86–$976.98 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,704.63–$4,065.72 | $1,704.63–$4,065.72 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$646.86–$1,181.16 | $646.86–$1,181.16 | varies |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,350.72–$4,065.72 | $1,350.72–$4,065.72 | varies |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 2 matching MRF lines |
$646.86–$1,204.98 | $646.86–$1,204.98 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$292.47–$646.86 | $292.47–$646.86 | varies |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 2 matching MRF lines |
$1,600.20–$4,065.72 | $1,600.20–$4,065.72 | varies |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
$1,786.80–$4,065.72 | $1,786.80–$4,065.72 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,410.12–$4,065.72 | $1,410.12–$4,065.72 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $327.06 | $327.06 | 2.5× |
| Collection of venous blood by venipuncture (36415) | $9 | $9 | 1.0× |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$727.68–$6,955.89 | $727.68–$6,955.89 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$111.80–$342.42 | $111.80–$342.42 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$81.78–$342.42 | $81.78–$342.42 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,617.65 | $2,617.65 | 1.6× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) | $16,142.18 | $16,142.18 | 1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$327.06–$948.39 | $327.06–$948.39 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) range across 2 matching MRF lines |
$675–$2,776.44 | $675–$2,776.44 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$644.70–$2,776.44 | $644.70–$2,776.44 | varies |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$550–$892.10 | $550–$892.10 | varies |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$1,937.55–$6,955.89 | $1,937.55–$6,955.89 | varies |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) | $926 | $926 | 1.4× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) | $1,341.20 | $1,341.20 | 2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$354.69–$958.44 | $354.69–$958.44 | varies |
| Declot vascular device (36593) range across 2 matching MRF lines |
$85.35–$928.68 | $85.35–$928.68 | varies |
| Delivery of placenta (59414) range across 2 matching MRF lines |
$255.72–$4,425.33 | $255.72–$4,425.33 | varies |
| Destroy cerv/thor facet jnt (64633) range across 6 matching MRF lines |
$552–$8,169 | $552–$8,169 | varies |
| Destroy lumb/sac facet jnt (64635) range across 6 matching MRF lines |
$552–$8,169 | $552–$8,169 | varies |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 6 matching MRF lines |
$421–$8,169 | $421–$8,169 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$218.97–$785.22 | $218.97–$785.22 | varies |
| Drainage external auditory canal abscess (69020) range across 2 matching MRF lines |
$646.77–$1,829.82 | $646.77–$1,829.82 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) range across 2 matching MRF lines |
$530.31–$1,829.82 | $530.31–$1,829.82 | varies |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$1,223.04–$4,117.35 | $1,223.04–$4,117.35 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$524.13–$845.97 | $524.13–$845.97 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$327.06–$819.12 | $327.06–$819.12 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$484.32–$4,117.35 | $484.32–$4,117.35 | varies |
| Drainage of mouth lesion (41017) range across 2 matching MRF lines |
$1,294.11–$7,857 | $1,294.11–$7,857 | varies |
| Drainage of nose lesion (30000) range across 2 matching MRF lines |
$610.86–$706.59 | $610.86–$706.59 | varies |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$646.35–$4,117.35 | $646.35–$4,117.35 | varies |
| Draw Blood Off Venous Device (36591) | $327.06 | $327.06 | 2.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$586.68–$1,829.82 | $586.68–$1,829.82 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $958.44 | $958.44 | 2.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$283.38–$308.73 | $283.38–$308.73 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$233.97–$524.13 | $233.97–$524.13 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 12 matching MRF lines |
$328.29–$3,870.59 | $328.29–$3,870.59 | varies |
| Dx Bone Marrow Bx & Aspir (38222) | $6,127.50 | $6,127.50 | 2.2× |
| Dx Laryngoscopy Excl Nb (31525) range across 2 matching MRF lines |
$717.60–$4,291.35 | $717.60–$4,291.35 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,874.94 | $1,874.94 | 2.8× |
| Epidural Blood Patch (62273) range across 3 matching MRF lines |
$496.20–$1,874.94 | $496.20–$1,874.94 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$150.33–$327.06 | $150.33–$327.06 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$353.34–$1,829.82 | $353.34–$1,829.82 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$453.30–$1,829.82 | $453.30–$1,829.82 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$557.43–$1,829.82 | $557.43–$1,829.82 | varies |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$1,440.18–$4,117.35 | $1,440.18–$4,117.35 | varies |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $5,470.20 | $5,470.20 | 2.7× |
| Expl penetrating wound spx abdomen/flank/back (20102) range across 2 matching MRF lines |
$1,461.33–$4,867.68 | $1,461.33–$4,867.68 | varies |
| Explo/Drain Breast Abscess (19020) range across 2 matching MRF lines |
$1,344.45–$4,117.35 | $1,344.45–$4,117.35 | varies |
| Exploration penetrating wound spx extremity (20103) range across 2 matching MRF lines |
$1,653.54–$1,829.82 | $1,653.54–$1,829.82 | varies |
| Exploratory elbow surgery (24000) range across 2 matching MRF lines |
$1,394.64–$8,211.45 | $1,394.64–$8,211.45 | varies |
| External cephalic version (59412) | $7,493.49 | $7,493.49 | 2.4× |
| Fetal Contraction Stress Test (59020) | $498.09 | $498.09 | 2.6× |
| Fetal non-stress test (59025) | $498.09 | $498.09 | 2.6× |
| Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$152.61–$564.42 | $152.61–$564.42 | varies |
| Fluoro exam of g/colon tube (49465) | $699.03 | $699.03 | 3.0× |
| Fna bx w/us gdn 1st les (10005) | $1,757.10 | $1,757.10 | 2.6× |
| Foreskin manipulation (54450) range across 2 matching MRF lines |
$158.55–$371.66 | $158.55–$371.66 | varies |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$543.87–$610.86 | $543.87–$610.86 | varies |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$263.55–$524.13 | $263.55–$524.13 | varies |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$616.26–$2,291.40 | $616.26–$2,291.40 | varies |
| I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$861.78–$1,829.82 | $861.78–$1,829.82 | varies |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$589.29–$1,829.82 | $589.29–$1,829.82 | varies |
| Image Cath Fluid Peri/Retro (49406) | $1,680 | $1,680 | 1.1× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$546.87–$704.61 | $546.87–$704.61 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$602.31–$958.44 | $602.31–$958.44 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
$777.42–$4,117.35 | $777.42–$4,117.35 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$428.25–$920.34 | $428.25–$920.34 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$446.07–$498.09 | $446.07–$498.09 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$371.85–$812.07 | $371.85–$812.07 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,572.99–$3,012.30 | $1,572.99–$3,012.30 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) range across 2 matching MRF lines |
$817.32–$4,117.35 | $817.32–$4,117.35 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$211.23–$524.13 | $211.23–$524.13 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 9 matching MRF lines |
$304–$3,830 | $304–$3,830 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $551.16 | $551.16 | 2.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 6 matching MRF lines |
$320–$3,830 | $320–$3,830 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) | $2,436 | $2,436 | 2.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $1,874.94 | $1,874.94 | 2.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$109–$811 | $109–$811 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$124–$911 | $124–$911 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $2,435.88 | $2,435.88 | 2.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,874.94 | $1,874.94 | 2.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$218.19–$1,874.94 | $218.19–$1,874.94 | varies |
| Insert Bladder Cath Complex (51703) range across 3 matching MRF lines |
$216.50–$414.99 | $216.50–$414.99 | varies |
| Insert cath pleura w/ image (32557) | $4,698.39 | $4,698.39 | 3.1× |
| Insert Gastrostomy Tube Percutaneous (49440) | $2,772 | $2,772 | 1.5× |
| Insert non-tunnel cv cath (36556) range across 5 matching MRF lines |
$604.41–$5,505.18 | $604.41–$5,505.18 | varies |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$172.98–$327.06 | $172.98–$327.06 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $327.06 | $327.06 | 2.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$350–$4,892.85 | $350–$4,892.85 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$491.13–$22,923 | $491.13–$22,923 | varies |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$433.32–$610.86 | $433.32–$610.86 | varies |
| Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
$611.46–$704.61 | $611.46–$704.61 | varies |
| Laparo ablate renal mass (50542) | $25,236.54 | $25,236.54 | 2.5× |
| Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
$245.25–$469.62 | $245.25–$469.62 | varies |
| Laser vaporization of prostate (52648) | $12,693.45 | $12,693.45 | 2.5× |
| Late closure of wound (13160) range across 2 matching MRF lines |
$2,240.61–$2,581.32 | $2,240.61–$2,581.32 | varies |
| Lithotripsy, extracorporeal shock wave (50590) | $9,054.60 | $9,054.60 | 2.7× |
| Manipulation tmj therapeutic require anesthesia (21073) range across 2 matching MRF lines |
$680.49–$2,263.59 | $680.49–$2,263.59 | varies |
| Myelography Lumbar Injection (62305) | $2,042.22 | $2,042.22 | 2.7× |
| Myelography Lumbar Injection (62304) | $2,042.22 | $2,042.22 | 2.7× |
| Myelography via lumbar injection rs&i cervical (62302) | $2,042.22 | $2,042.22 | 2.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) | $845.10 | $845.10 | 1.1× |
| N Block Lumbar/Thoracic (64520) range across 6 matching MRF lines |
$235.77–$3,870.59 | $235.77–$3,870.59 | varies |
| Nasal surgery procedure (30999) range across 2 matching MRF lines |
$36.95–$610.86 | $36.95–$610.86 | varies |
| Needle Biopsy Lymph Nodes (38505) | $3,295 | $3,295 | 2.1× |
| Needle Biopsy Pancreas (48102) | $2,617.65 | $2,617.65 | 1.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $74.85 | $74.85 | 2.7× |
| Needle insertion w/o injection 3 or more muscles (20561) | $74.85 | $74.85 | 2.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$301.47–$785.22 | $301.47–$785.22 | varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) | $9,327 | $9,327 | 2.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 6 matching MRF lines |
$258–$3,830 | $258–$3,830 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 4 matching MRF lines |
$310–$1,970 | $310–$1,970 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
$287–$1,970 | $287–$1,970 | varies |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,603.05 | $1,603.05 | 2.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$1,453.53–$8,211.45 | $1,453.53–$8,211.45 | varies |
| Perq dev breast 1st us imag (19285) | $1,624.35 | $1,624.35 | 2.4× |
| Perq device breast 1st imag (19281) | $1,422.75 | $1,422.75 | 0.9× |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$181.26–$1,090.65 | $181.26–$1,090.65 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$371.01–$958.44 | $371.01–$958.44 | varies |
| Puncture Aspiration Cyst Breast (19000) | $964.94 | $964.94 | 1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 6 matching MRF lines |
$562–$8,169 | $562–$8,169 | varies |
| Removal Embedded Foreign Body Eyelid (67938) range across 2 matching MRF lines |
$722.88–$811.38 | $722.88–$811.38 | varies |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$721.77–$1,829.82 | $721.77–$1,829.82 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$601.35–$4,117.35 | $601.35–$4,117.35 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $132 | $132 | 2.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$137.82–$165.03 | $137.82–$165.03 | varies |
| Removal Implant Deep (20680) range across 2 matching MRF lines |
$1,758.96–$6,955.89 | $1,758.96–$6,955.89 | varies |
| Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$419.52–$1,829.82 | $419.52–$1,829.82 | varies |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$574.95–$1,090.65 | $574.95–$1,090.65 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$446.13–$958.44 | $446.13–$958.44 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$251.67–$524.13 | $251.67–$524.13 | varies |
| Remove foreign body from eye (65235) range across 2 matching MRF lines |
$2,061.06–$6,064.92 | $2,061.06–$6,064.92 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$107.70–$327.06 | $107.70–$327.06 | varies |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$294.45–$812.07 | $294.45–$812.07 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$180.81–$336.03 | $180.81–$336.03 | varies |
| Renal Biopsy Perq (50200) | $1,515.15 | $1,515.15 | 1.0× |
| Repair Blood Vessel Direct Hand Finger (35207) range across 2 matching MRF lines |
$2,218.56–$8,312.91 | $2,218.56–$8,312.91 | varies |
| Repair Blood Vessel Direct Upper Extremity (35206) range across 2 matching MRF lines |
$2,340.36–$8,312.91 | $2,340.36–$8,312.91 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$779.76–$889 | $779.76–$889 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$958.44–$1,110.93 | $958.44–$1,110.93 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$1,361.64–$1,490.91 | $1,361.64–$1,490.91 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$1,011.81–$1,490.91 | $1,011.81–$1,490.91 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$1,222.68–$1,490.91 | $1,222.68–$1,490.91 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$968.76–$1,490.91 | $968.76–$1,490.91 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$1,136.97–$1,490.91 | $1,136.97–$1,490.91 | varies |
| Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines |
$1,687.23–$4,065.72 | $1,687.23–$4,065.72 | varies |
| Repair Hand Tendon (26410) range across 2 matching MRF lines |
$1,645.74–$4,065.72 | $1,645.74–$4,065.72 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$769.71–$958.44 | $769.71–$958.44 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$866.49–$958.44 | $866.49–$958.44 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$958.44–$1,012.95 | $958.44–$1,012.95 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$958.44–$1,070.49 | $958.44–$1,070.49 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$1,160.67–$1,490.91 | $1,160.67–$1,490.91 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$715.11–$958.44 | $715.11–$958.44 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$853.05–$958.44 | $853.05–$958.44 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$1,055.28–$1,490.91 | $1,055.28–$1,490.91 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$958.44–$1,100.07 | $958.44–$1,100.07 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$711.96–$958.44 | $711.96–$958.44 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$854.58–$958.44 | $854.58–$958.44 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$1,234.29–$1,490.91 | $1,234.29–$1,490.91 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$922.23–$958.44 | $922.23–$958.44 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$552.09–$1,490.91 | $552.09–$1,490.91 | varies |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) range across 2 matching MRF lines |
$1,388.04–$8,211.45 | $1,388.04–$8,211.45 | varies |
| Repair tongue laceration (41252) range across 2 matching MRF lines |
$610.86–$916.95 | $610.86–$916.95 | varies |
| Repair tongue laceration (41250) range across 2 matching MRF lines |
$327.06–$789 | $327.06–$789 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$171.66–$1,090.65 | $171.66–$1,090.65 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$195.42–$327.06 | $195.42–$327.06 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $1,676.31 | $1,676.31 | 2.8× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$627.75–$704.61 | $627.75–$704.61 | varies |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) | $4,892.85 | $4,892.85 | 3.2× |
| Rpr blood vessel direct lower extremity (35226) range across 2 matching MRF lines |
$1,829.82–$2,500.44 | $1,829.82–$2,500.44 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$487.98–$524.13 | $487.98–$524.13 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$1,325.01–$1,448.01 | $1,325.01–$1,448.01 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$1,318.26–$1,325.01 | $1,318.26–$1,325.01 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$1,651.77–$4,047.57 | $1,651.77–$4,047.57 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$622.98–$958.44 | $622.98–$958.44 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$314.97–$524.13 | $314.97–$524.13 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$330.18–$524.13 | $330.18–$524.13 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$402.51–$524.13 | $402.51–$524.13 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$257.55–$524.13 | $257.55–$524.13 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
$524.13–$665.94 | $524.13–$665.94 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$371.22–$524.13 | $371.22–$524.13 | varies |
| Skin Tissue Procedure (17999) range across 2 matching MRF lines |
$36.95–$524.13 | $36.95–$524.13 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$316.77–$524.13 | $316.77–$524.13 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$491.70–$958.44 | $491.70–$958.44 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$581.13–$958.44 | $581.13–$958.44 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 5 matching MRF lines |
$395.58–$1,874.94 | $395.58–$1,874.94 | varies |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
$179.31–$401.16 | $179.31–$401.16 | varies |
| Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$371.50–$743 | $371.50–$743 | varies |
| Thyroid biopsy (60100) | $1,757.10 | $1,757.10 | 2.6× |
| Tooth extraction (41899) range across 2 matching MRF lines |
$36.95–$610.86 | $36.95–$610.86 | varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$610.86–$1,007.67 | $610.86–$1,007.67 | varies |
| Treat knee fracture (27532) range across 2 matching MRF lines |
$1,793.97–$8,211.45 | $1,793.97–$8,211.45 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$646.86–$961.95 | $646.86–$961.95 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$646.86–$1,104.63 | $646.86–$1,104.63 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$1,242.33–$4,065.72 | $1,242.33–$4,065.72 | varies |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$451.77–$646.86 | $451.77–$646.86 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$1,366.80–$2,115.26 | $1,366.80–$2,115.26 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$646.86–$1,074.84 | $646.86–$1,074.84 | varies |
| Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$162–$759.21 | $162–$759.21 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$838.86–$1,490.91 | $838.86–$1,490.91 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$492.75–$958.44 | $492.75–$958.44 | varies |
| Unlisted procedure anus (46999) | $2,291.40 | $2,291.40 | 2.6× |
| Unlisted Procedure Casting/Strapping (29799) range across 2 matching MRF lines |
$36.95–$401.16 | $36.95–$401.16 | varies |
| Unlisted Procedure Hands/Fingers (26989) range across 2 matching MRF lines |
$36.95–$646.86 | $36.95–$646.86 | varies |
| Unlisted procedure lacrimal system (68899) range across 2 matching MRF lines |
$73.88–$811.38 | $73.88–$811.38 | varies |
| Unlisted Procedure Leg/Ankle (27899) range across 2 matching MRF lines |
$36.95–$646.86 | $36.95–$646.86 | varies |
| Unlisted Procedure Muscskeletal System General (20999) range across 2 matching MRF lines |
$443.23–$646.86 | $443.23–$646.86 | varies |
| Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$113.57–$2,435.88 | $113.57–$2,435.88 | varies |
| Unlisted Procedure Rectum (45999) range across 2 matching MRF lines |
$67.01–$2,291.40 | $67.01–$2,291.40 | varies |
| Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
$73.88–$1,891.32 | $73.88–$1,891.32 | varies |
| Vaginal delivery only (59409) | $5,996 | $5,996 | 1.9× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$475.32–$958.44 | $475.32–$958.44 | varies |
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.