Procedures & surgery prices at Jeff Davis Hospital

Hazlehurst, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $302.40 $864 0.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $50.40–$396.90 $144–$1,134 varies
Abdomen Surgery Procedure (22999) $1,338.75 $3,825 6.2×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $420 $1,200 0.2×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $58.10 $166 0.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $52.50 $150 0.0×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $52.50 $150 0.0×
Amputation metatarsal with toe single (28810) $1,228.50 $3,510 0.4×
Anoscopy diagnostic (46600) $61.25 $175 0.5×
Application cast elbow finger short arm (29075) $61.25 $175 0.2×
Application Finger Splint Dynamic (29131) $12.25 $35 0.2×
Application finger splint static (29130)
range across 3 matching MRF lines		 $42.70–$152.60 $122–$436 varies
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines		 $52.85–$188.30 $151–$538 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines		 $43.40–$52.85 $124–$151 varies
Application of long leg cast (29345) $26.25 $75 0.1×
Application of rigid total contact leg cast (29445) $215.60 $616 0.9×
Application Short Arm Splint Dynamic (29126) $12.25 $35 0.1×
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines		 $17.50–$152.60 $50–$436 varies
Application short leg splint calf foot (29515)
range across 5 matching MRF lines		 $38.50–$188.30 $110–$538 varies
Application, cast; figure-of-eight Facility (29049) $26.25 $75 0.1×
Apply hand/wrist cast (29085) $61.25 $175 0.4×
Apply long arm cast (29065) $56 $160 0.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines		 $165.70–$180.60 $473.43–$516 varies
Apply Short Leg Cast (29405) $52.50 $150 0.2×
Apply short leg cast (29425) $43.75 $125 0.2×
Arterial puncture (36600)
range across 5 matching MRF lines		 $39.18–$43.75 $111.95–$125 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $52.50–$79.80 $150–$228 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $50.40 $144 0.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $99.05–$353.50 $283–$1,010 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $50.40 $144 0.2×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines		 $52.50–$79.80 $150–$228 varies
Aspirate pleura w/ imaging (32555) $209.65 $599 0.4×
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $66.50–$199.50 $190–$570 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines		 $48.65–$50.40 $139–$144 varies
Aspiration & Injection Treatment Bone Cyst (20615) $58.10 $166 0.1×
Aspiration bladder insert suprapubic catheter (51102) $65.80 $188 0.0×
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines		 $66.85–$153.30 $191–$438 varies
Biopsy bone open deep (20245) $2,113.30 $6,038 0.8×
Biopsy bone open superficial (20240) $2,113.30 $6,038 0.8×
Biopsy Bone Trocar/Needle Superficial (20220) $1,225.35 $3,501 0.8×
Biopsy muscle percutaneous needle (20206) $67.20 $192 0.0×
Biopsy of floor of mouth (41108) $65.80 $188 0.0×
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) $1,225.35 $3,501 0.8×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $420 $1,200 0.3×
Bladder Irrigation (51700) $65.80 $188 0.3×
Bladder Scan (51798) $65.80 $188 1.3×
Blepharotomy drainage abscess eyelid (67700) $61.25 $175 0.2×
Blood Transfusion Service (36430)
range across 4 matching MRF lines		 $144.90–$162.05 $414–$463 varies
Bone Marrow Biopsy (38221) $52.50 $150 0.0×
Bone Marrow; Aspiration Only (38220) $65.80 $188 0.0×
Brnchsc Brushing/Protected Brushings (31623) $1,228.50 $3,510 0.8×
Bx breast 1st lesion strtctc (19081) $427 $1,220 0.3×
Carpal Tunnel Surgery (64721) $1,228.50 $3,510 0.7×
Catheter aspiration nasotracheal spx (31720) $71.40 $204 0.4×
Change Cystostomy Tube Simple (51705) $82.60 $236 0.4×
Change of Windpipe Airway (31502) $81.55 $233 0.4×
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines		 $43.75–$245 $125–$700 varies
Chemical Pleurodesis (32560) $58.10 $166 0.1×
Chest tube placement (32551)
range across 3 matching MRF lines		 $58.10–$185.50 $166–$530 varies
Cl Tx Tib Shft Fx W Manip (27752) $58.10 $166 0.0×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $49–$58.45 $140–$167 varies
Closed Rx Spontaneous Hip Disloc (27256) $65.80 $188 0.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $50.40 $144 0.2×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $58.10 $166 0.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $58.10 $166 0.3×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $125.94 $359.82 0.6×
Closed Treatment Ulnar Styloid Fracture (25650) $58.10 $166 0.3×
Closed tx ankle dislocation w/o anesthesia (27840) $78.75 $225 0.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $65.80 $188 0.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $58.10 $166 0.3×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $65.80 $188 0.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $58.10 $166 0.3×
Closed tx femoral fracture prox head w/o manj (27267) $1,703.42 $4,866.92 0.6×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $65.80 $188 0.3×
Closed Tx Knee Dislocation W/Anesthesia (27552) $61.25 $175 0.0×
Closed tx knee dislocation w/o anesthesia (27550) $59.15 $169 0.3×
Closed Tx Lunate Dislocation W/Manipulation (25690) $52.50 $150 0.0×
Closed tx mandibular fracture w/manipulation (21451) $52.50 $150 0.0×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $52.50 $150 0.1×
Closed tx metatarsal fracture w/o manipulation (28470) $65.80 $188 0.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $49 $140 0.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $49 $140 0.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $49 $140 0.0×
Closed tx patellar dislocation w/anesthesia (27562) $69.65 $199 0.3×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines		 $49.70–$150.50 $142–$430 varies
Closed Tx Patellar Fracture W/O Manipulation (27520) $65.80 $188 0.3×
Closed tx radial head/neck fx w/manipulation (24655) $157.50 $450 0.1×
Closed tx radial head/neck fx w/o manipulation (24650) $78.75 $225 0.4×
Closed tx radial shaft fracture w/manipulation (25505) $58.10 $166 0.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $58.10 $166 0.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $58.10 $166 0.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $58.10 $166 0.3×
Closed Tx Scapular Fracture W/O Manipulation (23570) $52.50 $150 0.2×
Closed Tx Talus Fracture W/Manipulation (28435) $58.10 $166 0.0×
Closed tx talus fracture w/o manipulation (28430) $45.50 $130 0.2×
Closed tx tarsometatarsal dislocation w/o anes (28600) $52.50 $150 0.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $45.50 $130 0.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $58.10 $166 0.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $42 $120 0.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $58.10 $166 0.3×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $101.15 $289 0.5×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $101.15 $289 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $52.50 $150 0.2×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $69.65 $199 0.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $297.50 $850 0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines		 $78.75–$281.40 $225–$804 varies
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $42 $120 0.2×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $61.25 $175 0.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $58.10 $166 0.0×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $125.94 $359.82 0.6×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $58.10 $166 0.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $157.50 $450 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $52.50 $150 0.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $58.10 $166 0.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $33.25 $95 0.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $49 $140 0.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $58.10 $166 0.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $58.10 $166 0.0×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $65.80 $188 0.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $50.40 $144 0.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $58.10 $166 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $58.10 $166 0.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $78.75 $225 0.4×
Cltx fx grt toe phlx/phlg w/o manj (28490) $45.50 $130 0.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $46.55 $133 0.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $46.55 $133 0.2×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $63 $180 0.0×
Cltx Greater Trochanteric Fx W/O Manj (27246) $65.80 $188 0.3×
Cltx hip dislocation traumatic req anesthesia (27252) $65.80 $188 0.0×
Cltx hip dislocation traumatic w/o anesthesia (27250) $65.80 $188 0.3×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $104.30 $298 0.5×
Cltx humeral condylar fx medial/lateral w/manj (24577) $65.80 $188 0.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $125.94 $359.82 0.6×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $52.50 $150 0.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $56 $160 0.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 3 matching MRF lines		 $52.50–$422.45 $150–$1,207 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 3 matching MRF lines		 $49–$313.95 $140–$897 varies
Cltx Med Ankle Fx W/Mnpj (27762) $58.10 $166 0.0×
Cltx Medial Ankle Fx (27760) $58.10 $166 0.3×
Cltx metacarpal fx w/manipulation each bone (26605) $58.10 $166 0.3×
Cltx metacarpal fx w/o manipulation each bone (26600) $46.55 $133 0.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $43.75 $125 0.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $58.10 $166 0.3×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $57.75 $165 0.3×
Cltx post hip arthrp dislc req anes (27266) $69.65 $199 0.0×
Cltx post hip arthrp dislc w/o anes (27265) $69.65 $199 0.3×
Cltx prox fibula/shft fx w/o manj (27780) $88.08 $251.67 0.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $65.80 $188 0.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $157.50 $450 0.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $157.50 $450 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $280 $800 0.2×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $69.65 $199 0.0×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $65.80 $188 0.3×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $52.50 $150 0.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 3 matching MRF lines		 $50.75–$205.45 $145–$587 varies
Cltx tibial shaft fx w/o manipulation (27750) $58.10 $166 0.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $65.80 $188 0.0×
Cltx trimalleolar ankle fx w/o manipulation (27816) $58.10 $166 0.3×
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines		 $31.85–$65.80 $91–$188 varies
Collection of venous blood by venipuncture (36415) $1.64 $4.68 0.2×
Colporrhaphy (57200) $58.10 $166 0.0×
Colposcopy of vulva (56820) $65.80 $188 0.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $499.80 $1,428 0.5×
Complex drainage wound (10180) $69.65 $199 0.0×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines		 $42–$93.45 $120–$267 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines		 $38.15–$50.40 $109–$144 varies
Control oropharyngeal hemorrhage simple (42960) $52.50 $150 0.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 3 matching MRF lines		 $50.40–$127.40 $144–$364 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $50.40 $144 0.2×
Curette/treat cornea (65435) $65.80 $188 0.1×
Cysto Bladder W/Ureteral Catheterization (52005) $58.10 $166 0.0×
Cystostomy Cystotomy W/Drainage (51040) $43.75 $125 0.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines		 $65.80–$443.45 $188–$1,267 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $58.10 $166 0.1×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011)
range across 3 matching MRF lines		 $58.10–$351.05 $166–$1,003 varies
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines		 $58.10–$425.71 $166–$1,216.32 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $47.25–$50.75 $135–$145 varies
Debride nail 6 or more (11721)
range across 3 matching MRF lines		 $50.75–$65.80 $145–$188 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines		 $1,176.34 $166–$3,360.96 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines		 $133–$432.60 $380–$1,236 varies
Declot vascular device (36593) $169.40 $484 0.6×
Delivery of placenta (59414) $65.80 $188 0.0×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines		 $50.40–$66.46 $144–$189.90 varies
Destruction Benign Lesions 15/> (17111) $94.85 $271 0.5×
Diagnostic sigmoidoscopy (45330) $1,338.75 $3,825 1.6×
Dilat rct strix spx under anes oth/thn local (45910) $49 $140 0.0×
Dilate Esophagus 1/Mult Pass (43450) $1,228.50 $3,510 1.5×
Dilate Urethra Stricture (53620) $65.80 $188 0.1×
Drain/inj small joint/bursa w/us (20604) $50.40 $144 0.2×
Drainage Abscess/Hematoma Nasal Septum (30020) $69.65 $199 0.1×
Drainage external auditory canal abscess (69020) $57.75 $165 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $57.75 $165 0.1×
Drainage Finger Abscess Complicated (26011) $65.80 $188 0.0×
Drainage Mouth Roof Lesion (42000) $58.10 $166 0.3×
Drainage of finger abscess simple (26010) $66.85 $191 0.4×
Drainage of gum lesion (41800) $65.80 $188 0.6×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $69.65–$1,225.35 $199–$3,501 varies
Drainage of nose lesion (30000) $58.10 $166 0.3×
Drainage of scrotal wall abscess (55100) $58.10 $166 0.0×
Drainage of scrotum (54700) $65.80 $188 0.0×
Draw Blood Off Venous Device (36591) $5.25 $15 0.0×
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $43.75 $125 0.1×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $57.75 $165 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines		 $50.40–$190.40 $144–$544 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 3 matching MRF lines		 $43.75–$153.30 $125–$438 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines		 $58.10–$153.30 $166–$438 varies
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $614.25 $1,755 0.3×
Dx gastr intub w/asp spec (43754) $52.50 $150 0.3×
Dx Laryngoscopy Excl Nb (31525) $65.80 $188 0.0×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $245 $700 0.1×
Egd dilation gastric/duodenal stricture (43245) $1,338.75 $3,825 0.8×
Egd Flexible Foreign Body Removal (43247) $1,338.75 $3,825 1.7×
Egd place gastrostomy tube (43246) $477.40 $1,364 0.3×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,425.55 $4,073 0.8×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,425.55 $4,073 0.8×
Epidural Blood Patch (62273) $50.40 $144 0.1×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines		 $34.30–$63 $98–$180 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $234.85 $671 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $50.40 $144 0.1×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $234.85 $671 0.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $50.40 $144 0.0×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $65.80 $188 0.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $50.40 $144 0.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,225.35 $3,501 0.8×
Exc Hand Les Sc < 1.5 Cm (26115) $57.75 $165 0.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $157.50–$520.45 $450–$1,487 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $52.50 $150 0.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $42 $120 0.0×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $282.45 $807 0.8×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines		 $50.40–$520.45 $144–$1,487 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,225.35 $3,501 0.8×
Excision Chalazion Single (67800) $58.10 $166 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $131.25 $375 0.1×
Explo/Drain Breast Abscess (19020) $65.80 $188 0.0×
Exploration penetrating wound spx extremity (20103) $43.75 $125 0.0×
Exploration Penetrating Wound Spx Neck (20100) $50.40 $144 0.1×
Eye Surg Ant Sgmt Proc Unlisted (66999) $58.10 $166 0.0×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $58.10 $166 0.0×
Fine needle aspiration without imaging guidance (10021) $133 $380 0.4×
Fluid Pressure Muscle (20950) $43.75 $125 0.1×
Fna bx w/us gdn 1st les (10005) $302.05 $863 0.5×
I&d abscess peritonsillar (42700) $58.80 $168 0.3×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $147.17–$239.05 $420.48–$683 varies
I&D Below Fascia Foot 1 Bursal Space (28002) $1,227.10 $3,506 0.9×
I&d deep absc bursa/hematoma thigh/knee region (27301) $45.50 $130 0.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $65.80 $188 0.0×
I&d perianal abscess superficial (46050) $304.85 $871 0.4×
I&d pilonidal cyst complicated (10081) $66.50 $190 0.1×
I&d pilonidal cyst simple (10080) $234.85 $671 0.4×
Incise external hemorrhoid (46083) $65.80 $188 0.3×
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines		 $133–$282.45 $380–$807 varies
Incision & removal foreign body subq tiss compl (10121) $43.75 $125 0.0×
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines		 $72.45–$133 $207–$380 varies
Incision and drainage of bartholin's gland abscess (56420) $66.50 $190 0.4×
Incision and drainage of vulva or perineal abscess (56405) $107.10 $306 0.4×
Incision of rectal abscess (46040) $393.75 $1,125 0.4×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $65.80 $188 0.0×
Incisional biopsy skin single lesion (11106) $282.45 $807 0.4×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines		 $66.85–$153.30 $191–$438 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $65.80 $188 0.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $50.40 $144 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $50.40 $144 0.2×
Injection single/mlt trigger point 3/> muscles (20553) $50.40 $144 0.2×
Injection, anesthetic agent; brachial plexus, single (64415) $65.80 $188 0.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $230.65 $659 0.4×
Insert Bladder Cath Complex (51703) $65.80 $188 0.6×
Insert cath pleura w/o image (32556) $59.50 $170 0.0×
Insert Gastrostomy Tube Percutaneous (49440) $52.50 $150 0.0×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $58.10–$61.25 $166–$175 varies
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $52.50–$61.25 $150–$175 varies
Insert tunneled cv cath (36561) $392.70 $1,122 0.1×
Insert tunneled cv cath (36563) $431.55 $1,233 0.1×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $43.75 $125 0.0×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $26.25–$52.50 $75–$150 varies
Insertion indwelling tunneled pleural catheter (32550) $52.50 $150 0.0×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines		 $52.50–$131.25 $150–$375 varies
Insj prph ctr vad w/subq port age 5 yr/> (36571) $368.90 $1,054 0.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $52.50 $150 0.0×
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $87.50 $250 0.0×
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) $422.80 $1,208 0.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $52.50 $150 0.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $122.50 $350 0.3×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $101.15 $289 0.3×
Intubation endotracheal emergency procedure (31500)
range across 5 matching MRF lines		 $81.55–$168 $233–$480 varies
Irrigation of corpora cavernosa for priapism (54220) $65.80 $188 0.3×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,228.50 $3,510 0.2×
Laryngoscopy diagnostic (31505) $52.50 $150 0.3×
Laryngoscopy flexible diagnostic (31575) $52.50 $150 0.3×
Laryngoscopy W/Foreign Body Removal (31530) $65.80 $188 0.0×
Late closure of wound (13160) $122.50 $350 0.0×
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) $1,227.10 $3,506 0.4×
Ligation or biopsy temporal artery (37609) $42 $120 0.0×
Nasal/Orogastric W/Tube Plmt (43752)
range across 4 matching MRF lines		 $133–$475.65 $380–$1,359 varies
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $63 $180 0.0×
Needle Biopsy Lymph Nodes (38505) $52.50 $150 0.0×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines		 $42.70–$130.55 $122–$373 varies
Occipital Nerve Block (64405) $42.70 $122 0.2×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $1,228.50 $3,510 0.2×
Open Tx Distal Phalangeal Fracture Each (26765) $58.10 $166 0.0×
Partial Excision Distal Phalanx Finger (26236) $42 $120 0.0×
Penile Injection (54235) $65.80 $188 0.3×
Peritoneal Lavage (49084) $58.10 $166 0.1×
Perq dev breast 1st us imag (19285) $272.65 $779 0.4×
Placement of needle for intraosseous infusion (36680)
range across 3 matching MRF lines		 $58.10–$72.30 $166–$206.57 varies
Punch biopsy skin single lesion (11104) $282.45 $807 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $133–$282.45 $380–$807 varies
Reconstruction Nail Bed W/Graft (11762) $50.40 $144 0.0×
Reduction of rectal prolapse (45900) $49 $140 0.1×
Removal Embedded Foreign Body Eyelid (67938) $52.50 $150 0.2×
Removal Foreign Body Foot Complicated (28193) $49 $140 0.0×
Removal foreign body foot deep (28192) $58.10 $166 0.0×
Removal Foreign Body Foot Subcutaneous (28190) $42 $120 0.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $42 $120 0.0×
Removal Foreign Body Scrotum (55120) $65.80 $188 0.0×
Removal foreign body upper arm/elbow deep (24201) $50.40 $144 0.0×
Removal foreign body, intranasal; requiring general anesthesia (30310) $58.10 $166 0.0×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines		 $16.80–$57.75 $48–$165 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $49 $140 0.9×
Removal Implant Superficial Separate Procedure (20670) $58.10 $166 0.0×
Removal implantable contraceptive capsules (11976) $49 $140 0.1×
Removal of foreign body from pharynx (42809) $58.10 $166 0.1×
Removal of nail bed (11750) $133 $380 0.4×
Removal or bivalving full arm or full leg cast (29705) $42 $120 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $43.75 $125 0.2×
Remove drug implant device (11982) $88.55 $253 0.2×
Remove Forearm Foreign Body (25248) $65.80 $188 0.0×
Remove foreign body from eye (65235) $65.80 $188 0.0×
Remove foreign body from eye (65205)
range across 3 matching MRF lines		 $33.95–$50.75 $97–$145 varies
Remove Intrauterine Device (58301) $57.75 $165 0.2×
Remove lung catheter (32552) $209.65 $599 0.4×
Remove Nasal Foreign Body (30300) $59.50 $170 0.5×
Remove Shoulder Foreign Body (23330) $58.10 $166 0.0×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $52.50 $150 0.0×
Repair blood vessel direct neck (35201) $50.40 $144 0.0×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $101.15 $289 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $209.65 $599 0.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $133 $380 0.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 3 matching MRF lines		 $209.65–$443.45 $599–$1,267 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $45.50–$270.20 $130–$772 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $209.65 $599 0.6×
Repair complex trunk 1.1-2.5 cm (13100) $209.65 $599 0.3×
Repair complex trunk 2.6-7.5 cm (13101) $209.65 $599 0.3×
Repair extensor tendon finger w/o graft each (26418) $42 $120 0.0×
Repair Finger/Hand Tendon (26350) $50.40 $144 0.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $101.15 $289 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $133 $380 0.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $101.15 $289 0.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $101.15 $289 0.3×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $101.15 $289 0.3×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $122.50 $350 0.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 3 matching MRF lines		 $101.15–$169.40 $289–$484 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $157.50–$282.45 $450–$807 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $122.50 $350 0.2×
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $101.15 $289 0.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $133 $380 0.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 3 matching MRF lines		 $133–$282.45 $380–$807 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines		 $133–$476 $380–$1,360 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $101.15 $289 0.2×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $133 $380 0.4×
Repair intermediate s/a/t/e >30.0 cm (12037) $101.15 $289 0.1×
Repair of nail bed (11760) $56 $160 0.1×
Repair tongue laceration (41250) $101.15 $289 0.3×
Replace duodenostomy/jejunostomy tube perq (49451) $43.75 $125 0.1×
Replace g/c tube perc (49450) $43.75 $125 0.1×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $49 $140 0.1×
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 3 matching MRF lines		 $52.50–$112.35 $150–$321 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $56 $160 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $61.25 $175 0.5×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $50.75 $145 0.1×
Rmvl fecal impaction/fb spx under anes (45915) $58.10 $166 0.1×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $65.80 $188 0.0×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $58.10 $166 0.0×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 3 matching MRF lines		 $122.50–$534.10 $350–$1,526 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 3 matching MRF lines		 $50.40–$556.50 $144–$1,590 varies
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines		 $82.60–$295.05 $236–$843 varies
Rplc gtube revj gstrst trc (43763) $52.50 $150 0.2×
Rplcmt cath ctr vad subq port/pmp (36578) $240.10 $686 0.1×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $78.05 $223 0.1×
Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) $331.10 $946 0.1×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $69.65 $199 0.1×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $214.90 $614 0.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $1,228.50 $3,510 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $42 $120 0.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $56.70 $162 0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $101.15 $289 0.2×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $101.15 $289 0.5×
Rpr Lip Full Thickness Vermilion Only (40650) $101.15 $289 0.2×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 2 matching MRF lines		 $39.55–$45.50 $113–$130 varies
Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) $65.80 $188 0.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $50.40 $144 0.3×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,228.50 $3,510 1.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $133 $380 0.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines		 $66.85–$239.05 $191–$683 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 4 matching MRF lines		 $56.70–$239.05 $162–$683 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $66.50 $190 0.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 3 matching MRF lines		 $56.70–$66.85 $162–$191 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $57.05 $163 0.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines		 $109.61–$215.39 $313.17–$615.39 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $56.70 $162 0.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $66.85–$239.05 $191–$683 varies
Skin Full Grft Face/Genit/Hf (15240) $50.40 $144 0.0×
Skin sub graft face/nk/hf/g (15275) $1,835.17 $5,243.34 2.8×
Skin sub graft trnk/arm/leg (15271) $978.50 $2,795.71 1.5×
Skin sub grft t/arm/lg child (15273) $2,463.65 $7,039 1.4×
Skn sub grft f/n/hf/g child (15277) $1,425.55 $4,073 0.8×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines		 $79.66–$262.50 $227.61–$750 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $133 $380 0.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $101.15 $289 0.3×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $65.80–$230.65 $188–$659 varies
Strapping ankle (29540) $22.75 $65 0.2×
Strapping elbow or wrist (29260) $55.07 $157.35 1.1×
Strapping hand/finger (29280) $12.25 $35 0.2×
Strapping Hip (29520) $67.67 $193.35 0.6×
Strapping knee (29530) $26.25 $75 0.2×
Strapping shoulder (29240) $15.75 $45 0.1×
Strapping toes (29550) $15.75 $45 0.3×
Strapping Unna Boot (29580)
range across 3 matching MRF lines		 $26.25–$91.88 $75–$262.50 varies
Tenotomy Percutaneous Toe Single Tendon (28010) $1,227.10 $3,506 0.9×
Thrombolytic Therapy Stroke (37195) $52.50 $150 0.2×
Tooth extraction (41899) $43.75 $125 0.2×
Tracheostomy Emergency Cricothyroid Membrane (31605) $52.50 $150 0.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $63 $180 0.0×
Treat Finger Fracture Each (26727) $58.10 $166 0.0×
Treat Hip Socket Fracture (27222) $58.10 $166 0.3×
Treat humerus fracture (24500) $45.50 $130 0.2×
Treat Humerus Fracture (24505) $52.50 $150 0.0×
Treat humerus fracture (23600) $43.75 $125 0.2×
Treat Knuckle Dislocation (26700) $78.75 $225 0.4×
Treat Metatarsal Fracture (28475) $58.10 $166 0.3×
Treat Thumb Dislocation (26641) $49 $140 0.2×
Treat toe dislocation (28630)
range across 3 matching MRF lines		 $52.50–$131.60 $150–$376 varies
Treatment Closed Elbow Dislocation Req Anes (24605) $157.50 $450 0.1×
Treatment closed elbow dislocation w/o anes (24600) $157.50 $450 0.7×
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge, not the full procedure		 $52.50 $150 0.0×
Trim skin lesion (11055)
range across 2 matching MRF lines		 $60.90–$153.30 $174–$438 varies
Trim skin lesions 2 to 4 (11056)
range across 3 matching MRF lines		 $50.40–$153.30 $144–$438 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $50.75–$65.80 $145–$188 varies
Tx Gastro Intub W/Asp (43753) $52.50 $150 0.3×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $43.75 $125 0.0×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 3 matching MRF lines		 $56–$443.45 $160–$1,267 varies
Tx superficial wound dehiscence w/packing (12021) $57.05 $163 0.2×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $133.70 $382 0.6×
Unlisted Procedure Casting/Strapping (29799) $42 $120 0.3×
Unlisted procedure femur or knee (27599) $42 $120 0.2×
Unlisted Procedure Hands/Fingers (26989) $42 $120 0.2×
Unlisted procedure humerus/elbow (24999) $43.75 $125 0.2×
Unlisted procedure lungs and pleura (32999) $42 $120 0.1×
Unlisted Procedure Male Genital System (55899) $58.10 $166 0.3×
Unlisted procedure nervous system (64999) $58.10 $166 0.2×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $43.75 $125 0.2×
Unlisted Procedure Tongue Floor Mouth (41599) $65.80 $188 0.3×
Unlisted Procedure Trachea Bronchi (31899) $42 $120 0.2×
Unlisted Procedure Vascular Surgery (37799) $80.50 $230 0.1×
Unlisted Procedure, Urinary System (53899) $38.50 $110 0.2×
Vaginal delivery only (59409) $65.80 $188 0.0×
Vein Access Cutdown < 1 Yr (36420) $42 $120 0.4×
Wedge excision skin nail fold (11765)
range across 3 matching MRF lines		 $101.15–$133 $289–$380 varies
Wound Prep F/N/Hf/G (15004) $1,425.55 $4,073 4.0×
Wound Prep Trk/Arm/Leg (15002) $1,425.55 $4,073 2.2×
Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016)
likely a partial charge, not the full procedure		 $42 $120 0.0×

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.