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.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $821.27 $821.27 0.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $607.62 $607.62 0.7×
Amniocentesis diagnostic (59000) $1,915.17 $1,915.17 2.2×
Amputation Finger/Thumb (26951) $5,060.38 $5,060.38 1.6×
Amputation of finger/thumb (26952) $5,051.55 $5,051.55 1.6×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $251.01 $251.01 1.6×
Application Finger Splint Dynamic (29131) $100.62 $100.62 1.8×
Application finger splint static (29130) $103.36 $103.36 0.8×
Application long arm splint shoulder hand (29105) $231.21 $231.21 1.5×
Application long leg splint thigh ankle/toes (29505) $320.32 $320.32 2.0×
Application Short Arm Splint Dynamic (29126) $142.50 $142.50 1.1×
Application short arm splint forearm-hand static (29125) $147.48 $147.48 1.1×
Application short leg splint calf foot (29515) $301.38 $301.38 1.9×
Arterial puncture (36600) $86.40 $86.40 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $472.17 $472.17 1.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,058.64 $1,058.64 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $785.22 $785.22 2.7×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $527.82 $527.82 1.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $465.66 $465.66 1.6×
Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) $4,803.04 $4,803.04 1.5×
Aspiration Bladder Insert Suprapubic Catheter (51102) $1,737.72 $1,737.72 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $419.06 $419.06 2.2×
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 Pancrea Percutaneous Needle (48102) $2,617.65 $2,617.65 1.6×
Biopsy Salivary Gland,Needle (42400) $956.94 $956.94 1.4×
Biopsy soft tissue neck/thorax (21550) $3,295 $3,295 2.1×
Bladder Instillation Anticarcinogenic Agent (51720) $704.61 $704.61 1.0×
Bladder Irrigation Simple (51700) $321.92 $321.92 1.3×
Bladder Scan (51798) $165.03 $165.03 2.9×
Blood patch (62273) $1,010.10 $1,010.10 1.5×
Blood transfusion service (36430) $1,164 $1,164 2.7×
Bone Marrow Biopsy (38221) $4,117.35 $4,117.35 2.6×
Bx abdl/retroperitoneal mass prq needle (49180) $2,181.80 $2,181.80 1.4×
Bx breast 1st lesion us imag (19083) $3,616.65 $3,616.65 2.3×
Bx vulva/perineum 1 lesion (56605) $1,088.90 $1,088.90 1.2×
Bx/exc lymph node needle superficial (38505) $3,295 $3,295 2.1×
Change Cystostomy Tube Complicated (51710) $651.05 $651.05 1.0×
Change Cystostomy Tube Simple (51705) $341.74 $341.74 1.4×
Chemical Cautery Tissue (17250) $381.14 $381.14 2.0×
Chest tube placement (32551) $2,638 $2,638 1.7×
Chg Collect Blood From Catheter Venous Nos (36592) $327.06 $327.06 2.5×
Circumcision (54150) $447.50 $447.50 0.2×
Circumcision Neonate (54160) $419 $419 0.6×
Close Rx Fingr Articular Fx,Manip (26742) $2,569.50 $2,569.50 1.7×
Closed Rx Humer Epicondylr Fx,Manip (24565) $2,808.44 $2,808.44 1.8×
Closed Rx Med Malleolus Fx,Manip (27762) $2,725.58 $2,725.58 1.8×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $2,830.86 $2,830.86 1.8×
Closed treat wrist dislocation (25660) $925.92 $925.92 3.9×
Closed treatment nasal fracture w/stabilization (21320) $4,286.61 $4,286.61 1.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $963.26 $963.26 4.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,031.32 $1,031.32 4.3×
Closed tx ankle dislocation w/o anesthesia (27840) $700.18 $700.18 2.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,711.24 $2,711.24 1.7×
Closed tx carpal scaphoid fracture w/manj (25624) $2,727.60 $2,727.60 1.8×
Closed tx knee dislocation w/o anesthesia (27550) $1,081.04 $1,081.04 4.5×
Closed tx nasal fracture w/o stabilization (21315) $2,408.92 $2,408.92 1.6×
Closed tx patellar dislocation w/anesthesia (27562) $862.41 $862.41 3.6×
Closed tx patellar dislocation w/o anesthesia (27560) $862.41 $862.41 3.6×
Closed tx radial head/neck fx w/manipulation (24655) $2,668.68 $2,668.68 1.7×
Closed tx radial shaft fracture w/manipulation (25505) $2,760.45 $2,760.45 1.8×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $883.74 $883.74 3.7×
Closed tx talotarsal joint dislc w/o anes (28570) $649.06 $649.06 2.7×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $750.99 $750.99 3.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $487.29 $487.29 2.0×
Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) $699.09 $699.09 3.1×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $1,166.20 $1,166.20 2.2×
Clsd tx clavicular fracture w/manipulation (23505) $2,547.86 $2,547.86 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,619.64 $2,619.64 1.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $784.86 $784.86 3.3×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,752.62 $2,752.62 1.8×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $875.74 $875.74 3.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $819.30 $819.30 3.4×
Cltx dstl fibular fx lat malls w/manj (27788) $936.84 $936.84 3.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $780.20 $780.20 3.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,817.48 $2,817.48 1.8×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,153.10 $3,153.10 2.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $578.22 $578.22 2.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $556.88 $556.88 2.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $601.89 $601.89 2.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $495.14 $495.14 2.1×
Cltx iphal jt dislc w/manj w/o anes (26770) $729.82 $729.82 3.1×
Cltx metacarpal fx w/manipulation each bone (26605) $789.08 $789.08 3.3×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $804.40 $804.40 3.4×
Cltx metatarsophlngl jt dislc w/o anes (28630) $549.32 $549.32 2.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $811.92 $811.92 3.4×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $2,885.18 $2,885.18 1.9×
Cltx post hip arthrp dislc w/o anes (27265) $914.01 $914.01 3.8×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,708.22 $2,708.22 1.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $469.66 $469.66 2.0×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $2,617.40 $2,617.40 1.7×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $2,832.96 $2,832.96 1.8×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,926.26 $2,926.26 1.9×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $2,809.94 $2,809.94 1.8×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,737.92 $2,737.92 1.8×
Complete replacement picc rs&i (36584) $4,892.85 $4,892.85 3.2×
Complex Drainage, Wound (10180) $2,659.65 $2,659.65 0.9×
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $551.16 $551.16 2.7×
Control Nasal Hemorrhage Anterior Complex (30903) $227.11 $227.11 1.8×
Control Nasal Hemorrhage Anterior Simple (30901) $212.10 $212.10 1.7×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,617.65 $2,617.65 1.6×
Cryosurgical ablation prostate w/us & monitori (55873) $16,142.18 $16,142.18 1.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $637.72 $637.72 5.0×
Cysto W/Simple Removal Stone & Stent (52310) $1,710.57 $1,710.57 0.8×
Cystoscopy,Dil Urethral Stricture (52281) $1,725.72 $1,725.72 0.9×
Cystourethroscopy (52000) $721.05 $721.05 1.1×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $4,446.72 $4,446.72 1.6×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $926 $926 1.4×
Debride skin musc at fx site (11011) $1,341.20 $1,341.20 2.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $441 $441 1.1×
Declot vascular device (36593) $507.02 $507.02 1.6×
Delivery placenta separate procedure (59414) $2,340.52 $2,340.52 0.7×
Destroy cerv/thor facet jnt (64633) $3,137 $3,137 1.7×
Destroy lumb/sac facet jnt (64635) $3,137 $3,137 1.7×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $1,529.01 $1,529.01 1.8×
Destruction neurolytic agt genicular nerve w/img (64624) $3,039 $3,039 1.6×
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $1,874.94 $1,874.94 2.8×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $1,208.25 $1,208.25 1.8×
Drain outer ear canal lesion (69020) $1,238.30 $1,238.30 1.8×
Drain/inj small joint/bursa w/us (20604) $502.10 $502.10 1.7×
Drainage abscess/hematoma nasal int approach (30000) $658.72 $658.72 2.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,180.06 $1,180.06 1.7×
Drainage Finger Abscess Complicated (26011) $2,670.20 $2,670.20 1.7×
Drainage Finger Abscess Simple (26010) $685.05 $685.05 3.5×
Drainage of eyelid abscess (67700) $794.08 $794.08 2.6×
Drainage of gum lesion (41800) $573.09 $573.09 4.5×
Drainage of hematoma/fluid (10140) $2,031.75 $2,031.75 1.3×
Drainage of mouth lesion (41017) $4,575.56 $4,575.56 1.4×
Drainage of scrotal wall abscess (55100) $2,381.85 $2,381.85 1.5×
Draw blood off venous device (36591) $327.06 $327.06 2.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $958.44 $958.44 2.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $296.06 $296.06 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $379.05 $379.05 2.0×
Dry Needling 3+ Muscles (20561) $74.85 $74.85 2.7×
Dx bone marrow bx & aspir (38222) $6,127.50 $6,127.50 2.2×
Evacuation of subungual hematoma (11740) $238.70 $238.70 1.9×
Exc forearm les sc < 3 cm (25075) $2,778.76 $2,778.76 1.7×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $1,141.56 $1,141.56 1.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,193.62 $1,193.62 1.7×
Exc tr-ext b9+marg 0.5 cm or less (11400) $1,091.58 $1,091.58 1.6×
Exchange nephrostomy cath (50435) $5,470.20 $5,470.20 2.7×
Excision of nail fold toe (11765) $716.88 $716.88 1.8×
Expl penetrating wound spx abdomen/flank/back (20102) $3,164.50 $3,164.50 1.6×
Explo/Drain Breast Abscess (19020) $2,730.90 $2,730.90 1.7×
Exploration penetrating wound spx extremity (20103) $1,741.68 $1,741.68 1.1×
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 bx w/us gdn 1st lesion (10005) $1,757.10 $1,757.10 2.6×
Fine needle aspiration without imaging guidance (10021) $358.52 $358.52 0.9×
Fluoro exam of g/colon tube (49465) $699.03 $699.03 3.0×
Gastric Intubation/Aspiration, Therapeutic (43753) $460.60 $460.60 2.2×
I&D Abscess Peritonsillar (42700) $577.36 $577.36 2.5×
I&d abscess simple (10060) $344.79 $344.79 1.8×
I&d perianal abscess superficial (46050) $1,453.83 $1,453.83 1.6×
I&d pilonidal cyst simple (10080) $732.90 $732.90 1.1×
I&D Upper Arm/Elbow Bursa (23931) $2,467.34 $2,467.34 1.5×
Image Cath Fluid Peri/Retro (49406) $1,680 $1,680 1.1×
Incision & drainage abscess complicated/multiple (10061) $603.75 $603.75 1.5×
Incision & drainage pilonidal cyst complicated (10081) $1,029 $1,029 1.5×
Incision & removal foreign body subq tiss compl (10121) $2,488.50 $2,488.50 1.6×
Incision & removal foreign body subq tiss simple (10120) $439.95 $439.95 1.1×
Incision and drainage of bartholin's gland abscess (56420) $472.08 $472.08 2.4×
Incision and drainage of vulva or perineal abscess (56405) $591.96 $591.96 2.0×
Incision of rectal abscess (46040) $2,292.64 $2,292.64 2.0×
Incision thrombosed hemorrhoid external (46083) $625.74 $625.74 2.6×
Initial tx 1st degree burn local tx (16000) $367.68 $367.68 1.9×
Inj paravert f jnt c/t 1 lev (64490) $1,186.67 $1,186.67 1.4×
Inj,Anes Agent,Brachial Plexus,Single (64415) $2,435.88 $2,435.88 2.9×
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,874.94 $1,874.94 2.8×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,516.50 $1,516.50 1.8×
Inject Nerv Blck,Axillary Nerv (64417) $2,436 $2,436 2.9×
Inject Nerv Blck,Paravert Sympath (64520) $1,467.02 $1,467.02 1.7×
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,874.94 $1,874.94 2.8×
Injection aa&/strd trigeminal nerve each branch (64400) $543.34 $543.34 1.8×
Injection anes other peripheral nerve/branch (64450) $1,874.94 $1,874.94 2.8×
Injection single/mlt trigger point 1/2 muscles (20552) $460 $460 1.6×
Injection single/mlt trigger point 3/> muscles (20553) $517.50 $517.50 1.7×
Insert Bladder Cath Complex (51703) $365 $365 2.9×
Insert Gastrostomy Tube Percutaneous (49440) $2,772 $2,772 1.5×
Insert non-tunnel cv cath (36556) $714.90 $714.90 0.2×
Insert picc cath (36569) $350 $350 0.2×
Insert Temp Bladder Cath (51702) $327.06 $327.06 2.5×
Insert,Non-Indwelling Bladder Catheter (51701) $327.06 $327.06 2.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $11,707.06 $11,707.06 1.5×
Intubation endotracheal emergency procedure (31500) $522.09 $522.09 2.3×
Irrigate corpora cavernosa for priapism (54220) $658.04 $658.04 2.7×
Laps abltj renal mass lesion w/intraop us (50542) $25,236.54 $25,236.54 2.5×
Laryngoscopy Indirect Diagnostic Spx (31505) $357.44 $357.44 1.9×
Laryngoscopy,Direct,Diagnostic (31525) $2,504.48 $2,504.48 1.5×
Laser vaporization surgery prostate, complete (52648) $12,693.45 $12,693.45 2.5×
Late closure of wound (13160) $2,410.96 $2,410.96 0.7×
Lithotripsy (50590) $9,054.60 $9,054.60 2.7×
Liver Biopsy (47000) $1,641.15 $1,641.15 1.0×
Manipulation tmj therapeutic require anesthesia (21073) $1,472.04 $1,472.04 1.0×
Musculoskeletal surgery (20999) $545.04 $545.04 2.3×
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×
Nasal surgery procedure (30999) $323.90 $323.90 1.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $74.85 $74.85 2.7×
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) $1,470 $1,470 1.7×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,140 $1,140 1.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,128.50 $1,128.50 1.7×
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $1,603.05 $1,603.05 2.4×
Open Tx Distal Phalangeal Fracture Each (26765) $4,832.49 $4,832.49 1.5×
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×
Perq Drainage Pleura Insert Cath W/Imaging (32557) $4,698.39 $4,698.39 3.1×
Perq replacement gtube not req revj gstrst trc (43762) $666.18 $666.18 2.8×
Placement of needle for intraosseous infusion (36680) $635.96 $635.96 1.5×
Preputial Stretching (54450) $265.10 $265.10 1.1×
Puncture Aspiration (10160) $603.75 $603.75 1.5×
Puncture Aspiration Cyst Breast (19000) $964.94 $964.94 1.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,144.50 $3,144.50 1.7×
Removal fb intranasal (30300) $258.42 $258.42 2.0×
Removal foreign body foot subcutaneous (28190) $1,275.80 $1,275.80 1.9×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,359.35 $2,359.35 1.5×
Removal foreign body pharynx (42809) $832.80 $832.80 1.9×
Removal impacted cerumen irrigation/lvg unilat (69209) $132 $132 2.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $151.42 $151.42 2.7×
Removal Implant Deep (20680) $4,357.42 $4,357.42 1.6×
Removal Implantable Contraceptive Capsules (11976) $1,124.67 $1,124.67 1.6×
Removal of intrauterine device (iud) (58301) $553.26 $553.26 1.9×
Removal of nail bed (11750) $702.28 $702.28 1.8×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $387.90 $387.90 2.0×
Remove Eyelid Foreign Body (67938) $767.13 $767.13 2.5×
Remove foreign body from eye (65235) $4,062.99 $4,062.99 1.8×
Remv Ext Canal Foreign Body (69200) $278.97 $278.97 2.2×
Remv F.B.,Eye,Superf Conjunc (65205) $217.38 $217.38 1.7×
Renal biopsy (50200) $1,515.15 $1,515.15 1.0×
Repair Blood Vessel Direct Hand Finger (35207) $5,265.74 $5,265.74 1.7×
Repair Blood Vessel Direct Upper Extremity (35206) $5,326.64 $5,326.64 1.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $834.38 $834.38 1.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,034.68 $1,034.68 2.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,426.28 $1,426.28 3.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,251.36 $1,251.36 3.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,356.80 $1,356.80 3.5×
Repair complex trunk 1.1-2.5 cm (13100) $1,229.84 $1,229.84 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $1,313.94 $1,313.94 1.8×
Repair extensor tendon finger w/o graft each (26418) $2,876.48 $2,876.48 1.9×
Repair hand tendon (26410) $2,855.73 $2,855.73 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $864.08 $864.08 2.2×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $912.46 $912.46 2.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $985.70 $985.70 2.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,014.46 $1,014.46 2.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,325.79 $1,325.79 1.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $836.78 $836.78 2.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $905.74 $905.74 2.3×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,273.10 $1,273.10 1.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,029.26 $1,029.26 2.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $835.20 $835.20 2.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $906.51 $906.51 2.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,362.60 $1,362.60 1.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $940.34 $940.34 2.4×
Repair Of Foot Tendon (28208) $4,799.74 $4,799.74 1.5×
Repair of nail bed (11760) $1,021.50 $1,021.50 1.4×
Repair Tongue Laceration (41250) $558.03 $558.03 1.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $631.16 $631.16 1.5×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $261.24 $261.24 2.0×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,676.31 $1,676.31 2.8×
Rpr blood vessel direct lower extremity (35226) $2,165.13 $2,165.13 3.2×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $763.90 $763.90 3.3×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,386.51 $1,386.51 2.7×
Rpr Lip Full Thickness Vermilion Only (40650) $1,321.64 $1,321.64 2.5×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $2,849.67 $2,849.67 1.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $790.71 $790.71 2.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $419.55 $419.55 2.2×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $427.16 $427.16 2.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $463.32 $463.32 2.4×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $506.06 $506.06 2.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $390.84 $390.84 2.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $595.04 $595.04 3.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $447.68 $447.68 2.3×
Skin Tissue Procedure (17999) $280.54 $280.54 1.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $420.45 $420.45 2.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $725.07 $725.07 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $769.78 $769.78 2.0×
Spinal puncture lumbar diagnostic (62270) $432.10 $432.10 0.6×
Strapping unna boot (29580) $268.97 $268.97 1.7×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,400 $1,400 2.3×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,338.50 $1,338.50 2.2×
Thrombolytic Therapy, Stroke (37195) $557.25 $557.25 1.7×
Thyroid biopsy (60100) $1,757.10 $1,757.10 2.6×
Tracheostomy emergency cricothyroid membrane (31605) $809.26 $809.26 3.5×
Treat finger dislocation (26775) $897.62 $897.62 3.3×
Treat knee fracture (27532) $5,002.71 $5,002.71 1.6×
Treat Thumb Fx/Disloc,Manip (26645) $2,654.02 $2,654.02 1.7×
Treat wrist bone fracture (25635) $2,694.51 $2,694.51 1.7×
Treatment closed elbow dislocation req anes (24605) $1,741.03 $1,741.03 1.1×
Treatment closed elbow dislocation w/o anes (24600) $860.85 $860.85 3.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,164.88 $1,164.88 1.6×
Tx superficial wound dehiscence w/packing (12021) $725.60 $725.60 1.9×
Unlisted procedure anus (46999) $2,291.40 $2,291.40 2.6×
Unlisted Procedure Casting/Strapping (29799) $219.06 $219.06 1.4×
Unlisted Procedure Dentoalveolar Structures (41899) $323.90 $323.90 1.4×
Unlisted procedure lacrimal system (68899) $442.63 $442.63 1.4×
Unlisted procedure leg/ankle (27899) $341.90 $341.90 1.4×
Unlisted Procedure Nervous System (64999) $785.22 $785.22 2.7×
Unlisted Procedure Rectum (45999) $1,179.20 $1,179.20 1.3×
Unlisted Procedure Vascular Surgery (37799) $982.60 $982.60 1.6×
Unlisted procedure, hands or fingers (26989) $341.90 $341.90 1.4×
Vaginal delivery only (59409) $5,996 $5,996 1.9×
Venipuncture (36415) $9 $9 1.0×