Procedures & surgery prices at Jackson Healthcare Center

Edna, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $264 $330 0.3×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $176–$241 $220–$301 varies
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $591 $739 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $665 $831 0.2×
Amputate Thigh,Re-Amputatn (27596) $1,523 $1,904 0.5×
Amputation foot transmetarsal (28805) $882 $1,102 0.3×
Amputation metatarsal with toe single (28810) $617 $771 0.2×
Amputation thigh through femur any level (27590) $1,588 $1,985 0.5×
Amputation toe interphalangeal joint (28825) $406 $507 0.1×
Amputation toe metatarsophalangeal joint (28820) $458 $573 0.1×
Amputation, leg, through tibia and fibula; (27880)
likely a partial charge, not the full procedure		 $1,486 $1,857 0.2×
Anoplasty, plastic operation for stricture; adult Facility (46700) $934 $1,168 0.3×
Anoscopy diagnostic (46600) $54 $67 0.4×
Anoscopy W/Rmvl Foreign Body (46608) $106 $132 0.1×
Appendectomy (44950)
likely a partial charge, not the full procedure		 $1,129 $1,411 0.2×
Arterial puncture (36600) $38 $48 0.3×
Arteriovenous Anastomosis Open Direct (36821) $1,318 $1,648 0.4×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $104 $130 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $119 $149 0.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $95 $119 0.3×
Arthrodesis triple (28715)
likely a partial charge, not the full procedure		 $2 $2 0.0×
Aspirate Pleura W/O Imaging (32554) $216 $270 0.3×
Aspirate/Inj Ganglion Cyst (20612) $118 $148 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $191 $239 0.9×
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure		 $1,233 $1,541 0.2×
Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554)
likely a partial charge, not the full procedure		 $513 $641 0.0×
Biopsy external ear (69100) $150 $188 0.6×
Biopsy of breast; open, incisional (19101) $528 $660 0.1×
Biopsy of lip (40490) $111 $139 0.5×
Biopsy of liver, needle; percutaneous (47000) $304 $380 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $147 $184 0.2×
Biopsy/removal lymph nodes (38510) $617 $771 0.2×
Bladder Irrigation (51700) $317 $396 1.3×
Bladder Scan (51798) $42 $52 0.7×
Blepharotomy drainage abscess eyelid (67700) $224 $280 0.7×
Blood Transfusion Service (36430)
range across 3 matching MRF lines		 $99–$511 $124–$639 varies
Bronchoscopy W/Biopsy(S) (31625) $609 $761 0.3×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $676 $845 0.2×
Bx breast 1st lesion us imag (19083) $400 $500 0.2×
Bx breast needle core w/o imaging guidance spx (19100) $160 $200 0.1×
Bx Cervix (57500) $184 $230 0.2×
Bx/exc lymph node open deep axillary node (38525) $532 $665 0.1×
Bx/exc lymph node open superficial (38500) $370 $462 0.1×
Catheter aspiration nasotracheal spx (31720) $154 $193 0.7×
Change Cystostomy Tube Complicated (51710) $5 $6 0.0×
Chemical Cautery Tissue (17250) $212 $265 1.1×
Chemical Pleurodesis (32560) $36 $45 0.1×
Circumcision 28 days or older (54161) $420 $525 0.2×
Circumcision Neonate (54160) $142 $177 0.2×
Circumcision w/clamp/oth dev w/block (54150) $126 $157 0.1×
Clear outer ear canal (69200) $240 $300 1.8×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $526 $657 0.2×
Closed Tx Scapular Fracture W/O Manipulation (23570) $254 $318 1.0×
Closure Gastrostomy Surg (43870) $596 $745 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $214 $267 0.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $5 $6 0.0×
Cltx greater humeral tuberosity fx w/o manj (23620) $305 $381 1.2×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines		 $8–$10 $10–$12 varies
Colonoscopy through stoma; with biopsy, single or multiple (44389) $795 $994 0.7×
Colonoscopy thru stoma (44388) $682 $852 0.7×
Colsc Flexible W/Control Bleeding Any Method (45382) $939 $1,174 0.8×
Colsc flx w/removal lesion by hot bx forceps (45384) $998 $1,247 0.8×
Complex drainage wound (10180) $482 $603 0.2×
Correction of inverted nipples (19355) $426 $532 0.1×
Cystostomy Cystotomy W/Drainage (51040) $889 $1,111 0.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $55 $69 0.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $396 $495 0.5×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $486 $608 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042) $221 $276 0.5×
Decomp forearm,1 compart,w/o debride (25020) $764 $955 0.5×
Destruct B9 Lesion 1-14 (17110) $108 $135 0.5×
Destruction Benign Lesions 15/> (17111) $249 $311 1.2×
Destruction by neurolytic agent, intercostal nerve (64620) $228 $285 0.3×
Destruction of lesion of lid margin (up to 1 cm) (67850) $148 $185 0.1×
Destruction Premalignant Lesion 15/> (17004) $14 $18 0.0×
Destruction premalignant lesion 1st (17000) $112 $140 0.6×
Diagnostic sigmoidoscopy (45330) $165 $206 0.2×
Dilation & curettage dx&/ther nonobstetric (58120) $703 $879 0.2×
Dilation of vagina (57400) $10 $13 0.0×
Drain shoulder bursa (23031) $28 $35 0.0×
Drainage Finger Abscess Complicated (26011) $294 $368 0.2×
Drainage of finger abscess simple (26010) $78 $98 0.4×
Drainage of hematoma/fluid (10140) $248 $310 0.1×
Drainage of scrotal wall abscess (55100) $117 $146 0.1×
Drainage of scrotum (54700) $274 $342 0.1×
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) $866 $1,083 0.3×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $51–$77 $64–$96 varies
Dressing Change Under Anesthesia (15852) $106 $132 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $194 $242 0.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $250 $313 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $58 $73 0.3×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $171 $214 0.1×
Dx Bronchoscope/Wash (31622) $569 $711 0.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $656 $820 0.3×
Egd cautery tumor polyp (43250) $747 $934 0.4×
Egd control bleeding any (43255) $792 $990 0.4×
Egd Flexible Foreign Body Removal (43247) $679 $849 0.7×
Egd place gastrostomy tube (43246) $996 $1,245 0.5×
Egd remove lesion snare (43251) $747 $934 0.4×
Egd Tube/Cath Insertion (43241) $160 $200 0.1×
Egd us exam duodenum/jejunum (43259) $600 $750 0.3×
Ercp Dx Collection Specimen Brushing/Washing (43260) $838 $1,047 0.2×
Esophagoscopy Flexible Transoral Diagnostic (43200) $498 $622 0.5×
Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) $160 $200 0.1×
Evacuation of subungual hematoma (11740) $57 $71 0.4×
Exc arm/elbow les sc < 3 cm (24075) $358 $448 0.2×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $148 $185 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $246 $307 0.1×
Exc Back Les Sc < 3 Cm (21930) $754 $942 0.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $300 $375 0.4×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $378 $472 0.5×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $562 $702 0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $197 $246 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $162 $203 0.2×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $216 $270 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $228 $285 0.1×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $354 $442 0.2×
Exc ganglion wrist recurrent (25112) $698 $873 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $179 $224 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $133 $166 0.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $167 $209 0.1×
Exc hydrocele sprmatic cord uni spx (55500) $2 $3 0.0×
Exc Lesion Tongue W/Clsr Posterior One-Third (41113) $506 $632 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $278 $348 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $314 $393 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $432 $540 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $602 $752 0.4×
Exc Skin Benig >4cm Face,Facial (11446) $506 $632 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $368 $460 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $582 $727 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $523 $654 0.3×
Exc tendon shth lesion leg/ankle (27630) $1,094 $1,368 0.3×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $204 $255 0.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $211 $264 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $408 $510 0.2×
Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) $655 $819 0.4×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $356 $445 0.1×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $646 $807 0.2×
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $560 $700 0.2×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $640 $800 0.4×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $793 $991 0.5×
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103)
likely a partial charge, not the full procedure		 $6 $8 0.0×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $461 $576 0.3×
Excis Mouth Mucosa/Sub,No Repair (40810) $232 $290 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $271 $339 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $150 $188 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $165 $206 0.2×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $218 $273 0.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $358 $448 0.5×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $233 $291 0.3×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $485 $606 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $698 $872 0.2×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $213 $266 0.1×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $252 $315 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $300 $375 0.4×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $465 $581 0.3×
Excision Multiple External Papillae/Tags Anus (46230) $169 $211 0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $917 $1,146 0.6×
Excision of hydrocele; unilateral (55040) $810 $1,013 0.2×
Excision of local lesion of epididymis (54830) $506 $633 0.1×
Excision of pilonidal cyst or sinus; simple (11770) $504 $630 0.2×
Excision of single external papilla or tag, anus (46220) $135 $169 0.1×
Excision Pilonidal Cyst/Sinus Extensive (11771) $722 $903 0.2×
Expl penetrating wound spx abdomen/flank/back (20102) $1,131 $1,414 0.5×
Explo/Drain Breast Abscess (19020) $393 $491 0.2×
Exploration penetrating wound spx chest (20101) $1,306 $1,632 0.6×
Exploration Penetrating Wound Spx Neck (20100) $957 $1,196 1.8×
Fine needle aspiration without imaging guidance (10021) $160 $200 0.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $898 $1,123 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $674 $843 0.2×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,123 $1,404 0.4×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $202 $253 0.2×
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines		 $1,065–$1,200 $1,331–$1,500 varies
Hysteroscopy Dx Sep Proc (58555) $757 $946 0.2×
I&d abscess simple (10060) $196 $245 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $430 $538 0.1×
I&D Intramural Im/Absc Transanal Anes (46045) $450 $562 0.2×
I&D Ischiorct/Intramural Absc W/WO Seton (46060) $1,015 $1,269 0.4×
I&d perianal abscess superficial (46050) $169 $211 0.2×
I&d pilonidal cyst complicated (10081) $570 $713 0.8×
I&d pilonidal cyst simple (10080) $324 $405 0.5×
I&d upper arm/elbow deep abscess/hematoma (23930) $300 $375 0.1×
Incision & drainage abscess complicated/multiple (10061) $730 $912 1.8×
Incision & drainage leg/ankle abscess/hematoma (27603) $2,585 $3,231 0.9×
Incision & removal foreign body subq tiss compl (10121) $479 $599 0.3×
Incision & removal foreign body subq tiss simple (10120) $483 $604 1.2×
Incision and drainage of bartholin's gland abscess (56420) $193 $241 1.0×
Incision and drainage of vulva or perineal abscess (56405) $170 $212 0.6×
Incision of rectal abscess (46040) $402 $502 0.3×
Initial Tx 1st Degree Burn Local Tx (16000) $54 $67 0.3×
Injection 1 tendon sheath/ligament aponeurosis (20550) $120 $150 0.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $324 $405 0.4×
Injection single tendon origin/insertion (20551) $120 $150 0.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $120–$334 $150–$417 varies
Injection single/mlt trigger point 3/> muscles (20553) $211 $264 0.7×
Injection therapeutic carpal tunnel (20526) $96 $120 0.3×
Injection, intralesional; up to and including 7 lesions (11900) $71 $89 0.4×
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines		 $16–$194 $20–$242 varies
Insert Drug Implant Device (11981) $200 $250 1.5×
Insert non-tunnel cv cath (36556) $180 $225 0.1×
Insert Temp Bladder Cath (51702) $71 $89 0.5×
Insert tunneled cv cath (36561) $1,808 $2,260 0.6×
Insert,Non-Indwelling Bladder Catheter (51701) $66 $82 0.5×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $500 $625 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $182 $228 0.1×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $601 $751 1.5×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $202–$362 $253–$452 varies
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $532 $665 0.1×
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure		 $800 $1,000 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $560 $700 0.1×
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571)
likely a partial charge, not the full procedure		 $2,400 $3,000 0.2×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure		 $410 $512 0.1×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,088 $1,360 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $1,813 $2,266 0.3×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $734 $917 0.1×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $470 $588 0.1×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure		 $1,528 $1,910 0.3×
Late closure of wound (13160) $594 $742 0.2×
Lavage cannulation sphenoid sinus (31002) $27 $34 0.0×
Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) $1,298 $1,622 0.4×
Ligation of hemorrhoids (46946) $274 $342 0.1×
Marsupialization of bartholin's gland cyst (56440) $623 $779 0.2×
N Block Inj Ilio-Ing/Hypogi (64425) $192 $240 0.3×
N Block Inj Plantar Digit (64455) $115 $144 0.4×
Needle Biopsy Lymph Nodes (38505) $164 $205 0.1×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,096 $1,370 0.2×
Open tx femoral supracondylar fracture w/o xtn (27511)
likely a partial charge, not the full procedure		 $5 $6 0.0×
Ostc prtl exostc/condylc metar head (28288) $646 $808 0.2×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure		 $2 $3 0.0×
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge, not the full procedure		 $1,482 $1,852 0.3×
Partial removal of thyroid (60220)
likely a partial charge, not the full procedure		 $1,711 $2,139 0.3×
Pelvic examination under anesthesia (other than local) (57410) $192 $240 0.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $95 $119 0.1×
Proctosgmdsc Rigid Control Bleeding (45317) $335 $419 0.3×
Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) $358 $447 0.3×
Proctosgmdsc rigid w/dilation (45303) $123 $154 0.1×
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) $157 $196 0.1×
Punch biopsy skin single lesion (11104) $200 $250 0.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $262 $327 0.6×
Puncture Aspiration Cyst Breast (19000) $91 $114 0.1×
Removal Foreign Body Deep Thigh/Knee (27372) $512 $640 0.2×
Removal foreign body foot deep (28192) $612 $765 0.4×
Removal Foreign Body Foot Subcutaneous (28190) $249 $311 0.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $145 $181 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $41 $51 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $104 $130 1.8×
Removal of anal fissure (46200) $697 $871 0.2×
Removal of sperm cord lesion (55520) $578 $722 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $87 $109 0.4×
Remove blood clot from eye (65930) $2 $3 0.0×
Remove drug implant device (11982) $240 $300 0.5×
Remove Intrauterine Device (58301) $80 $100 0.3×
Remove/Insert Drug Implant (11983) $260 $325 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $346 $433 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $673 $841 1.6×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $541 $676 1.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $455 $569 1.1×
Repair complex trunk 1.1-2.5 cm (13100) $188 $235 0.3×
Repair complex trunk 2.6-7.5 cm (13101) $538 $673 0.7×
Repair inguinal hernia, sliding, any age (49525) $1,185 $1,481 0.3×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,203 $1,504 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $218 $273 0.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $274 $342 0.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $361 $451 0.9×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $470 $587 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $371 $464 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $175 $219 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $218 $273 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $284 $355 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $438 $547 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $368 $460 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $577 $721 1.4×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $246 $307 0.6×
Repair of rectocele (45560) $711 $889 0.3×
Repair tongue laceration (41252) $701 $876 2.9×
Reposition Gastrostomy Tube (43761) $238 $297 0.9×
Rerepair ing hernia reduce (49520) $1,254 $1,567 0.3×
Rmvl FB Xtrnl Auditory Canal Anes (69205) $120 $150 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $76 $95 0.2×
Rmvl fecal impaction/fb spx under anes (45915) $355 $444 0.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $426 $532 0.1×
Rplc Gtube No Revj Trc (43762) $715 $894 2.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $281 $351 1.4×
Rpr ing hernia init reduce (49500)
likely a partial charge, not the full procedure		 $985 $1,231 0.2×
Shave skin lesion 0.5 cm/< (11300) $100 $125 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $160 $200 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $252 $315 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $189 $236 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $125 $156 0.6×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $183 $229 0.9×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $194 $243 0.5×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $176 $220 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $200 $250 0.5×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $120 $150 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $217 $271 0.5×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $138 $172 0.7×
Sigmoidoscopy & Polypectomy (45333) $520 $650 0.6×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $240 $300 0.3×
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) $220 $275 0.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $346 $433 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $176 $220 0.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $189 $236 0.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $224 $280 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $392 $490 1.9×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $764 $955 3.8×
Slitting of prepuce (54001) $175 $219 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $491 $614 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $525 $656 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $646 $808 1.6×
Sphincterotomy anal division sphincter spx (46080) $444 $555 0.2×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $134–$694 $168–$867 varies
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) $898 $1,122 0.4×
Strapping hand/finger (29280) $112 $140 1.9×
Surg tx anal fistula subq (46270) $674 $843 0.2×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $360 $450 0.1×
Tangential biopsy skin single lesion (11102) $196 $245 0.5×
Tenotomy shoulder area single tendon (23405)
likely a partial charge, not the full procedure		 $9 $11 0.0×
Thyroid biopsy (60100) $181 $226 0.3×
Thyroidectomy Post Prev Thyr Surg (60260)
unusually low: confirm this is the full procedure		 $1,946 $2,432 0.3×
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) $1,447 $1,809 0.7×
Tracheobrnchsc Thru Est Trachs Inc (31615) $450 $563 0.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $902 $1,127 0.6×
Treat humerus fracture (24500) $246 $308 1.0×
Treat humerus fracture (23600) $325 $406 1.3×
Trim skin lesion (11055) $88 $110 0.4×
Trim skin lesions 2 to 4 (11056) $103 $129 0.5×
Trimming Nondystrophic Nails Any Number (11719) $38 $48 0.6×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $1,146 $1,432 0.4×
Tx Gastro Intub W/Asp (43753) $50 $63 0.2×
Tx superficial wound dehiscence w/packing (12021) $274 $343 0.7×
Unlisted Procedure Rectum (45999) $240 $300 0.3×
Wedge excision skin nail fold (11765) $190 $238 0.5×

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.