Procedures & surgery prices at Jefferson Medical Center

Ranson, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,276 $2,552 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,150 $2,300 1.2×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure		 $6,540 $13,080 0.4×
Application finger splint static (29130)
range across 2 matching MRF lines		 $127.50–$184 $255–$368 varies
Application long arm splint shoulder hand (29105) $262 $524 1.6×
Application Long Leg Splint (29505) $231 $462 1.4×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $127.50–$184 $255–$368 varies
Application short leg splint calf foot (29515) $231 $462 1.4×
Apply Multlay Comprs Lwr Leg (29581) $156 $312 0.9×
Arterial puncture (36600) $114 $228 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $294 $588 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $294–$470.50 $588–$941 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $294–$527.50 $588–$1,055 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $294 $588 0.9×
Arthrodesis sacroiliac joint percutaneous (27279)
unusually low: confirm this is the full procedure		 $6,540 $13,080 0.4×
Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278)
unusually low: confirm this is the full procedure		 $6,540 $13,080 0.4×
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
unusually low: confirm this is the full procedure		 $6,331.50 $12,663 0.5×
Aspirate pleura w/ imaging (32555) $601 $1,202 0.9×
Aspirate Pleura W/O Imaging (32554) $614.50 $1,229 0.9×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $192.50–$342 $385–$684 varies
Biopsy external ear (69100) $227 $454 0.9×
Biopsy nail unit (11755) $678.50 $1,357 0.9×
Biopsy of breast; open, incisional (19101) $3,750 $7,500 0.9×
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines		 $882–$882.50 $1,764–$1,765 varies
Bladder Scan (51798)
range across 2 matching MRF lines		 $57–$91.50 $114–$183 varies
Blood Transfusion Service (36430) $645.50 $1,291 1.4×
Bx breast 1st lesion mr imag (19085) $1,980.50 $3,961 1.2×
Bx breast 1st lesion strtctc (19081) $3,418.50 $6,837 2.0×
Bx breast 1st lesion us imag (19083) $991 $1,982 0.6×
Change Cystostomy Tube Simple (51705) $183 $366 0.7×
Chemical Cautery Tissue (17250) $192.50 $385 0.9×
Chemodenerv musc neck dyston (64616) $294 $588 0.9×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $294 $588 0.9×
Chest tube placement (32551) $1,502 $3,004 0.9×
Circumcision Neonate (54160) $668 $1,336 0.9×
Cl Tx Tib Shft Fx W Manip (27752) $2,272.50 $4,545 1.4×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $127.50–$184 $255–$368 varies
Closed tx knee dislocation w/o anesthesia (27550) $328.50 $657 1.3×
Closed tx patellar dislocation w/o anesthesia (27560) $328.50 $657 1.3×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,272.50 $4,545 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $328.50 $657 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,272.50 $4,545 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $328.50 $657 1.3×
Cltx dstl fibular fx lat malls w/manj (27788) $325.50 $651 1.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $238.50 $477 0.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,556 $3,112 0.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $328.50 $657 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $423 $846 1.7×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $1,591 $3,182 1.0×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,272.50 $4,545 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $328.50 $657 1.3×
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines		 $1,540–$2,272.50 $3,080–$4,545 varies
Cltx post hip arthrp dislc w/o anes (27265) $238.50 $477 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $328.50 $657 1.3×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,218.50 $4,437 1.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,218.50 $4,437 1.3×
Collection of venous blood by venipuncture (36415) $9 $18 1.0×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $292 $584 0.9×
Colposcopy Cervix Endocervical Curettage (57456) $292 $584 0.9×
Colposcopy cervix upper/adjacent vagina (57452) $194 $388 0.9×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $292 $584 0.9×
Colposcopy of vulva (56820) $194 $388 0.9×
Colposcopy Vulva W/Biopsy (56821) $292 $584 0.9×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $882.50 $1,765 0.9×
Complex drainage wound (10180) $2,782.50 $5,565 0.9×
Control Nasal Hemorrhage Anterior Simple (30901) $184 $368 1.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $176 $352 1.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $227 $454 0.9×
Cysto w/irrig & evac multple obstructing clots (52001) $2,881 $5,762 0.8×
Cystostomy Cystotomy W/Drainage (51040) $2,458 $4,916 1.1×
Cystourethroscopy (52000) $571 $1,142 0.8×
Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) $4,834 $9,668 0.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $708 $1,416 0.9×
Debride nail 6 or more (11721) $56.50 $113 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $389.50 $779 0.9×
Declot vascular device (36593) $527.50 $1,055 1.5×
Destroy cerv/thor facet jnt (64633) $1,870.50 $3,741 0.9×
Destroy lumb/sac facet jnt (64635) $1,870.50 $3,741 0.9×
Destruct B9 Lesion 1-14 (17110) $192.50 $385 0.9×
Destruction by neurolytic agent, intercostal nerve (64620) $847.50 $1,695 0.9×
Destruction by neurolytic agent; pudendal nerve (64630) $847.50 $1,695 0.9×
Destruction Lesions Vulva Simple (56501) $1,976.50 $3,953 0.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $192.50 $385 0.9×
Destruction neurolytic agt genicular nerve w/img (64624) $1,870.50 $3,741 0.9×
Destruction premalignant lesion 1st (17000) $192.50 $385 0.9×
Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) $239.50 $479 0.9×
Dilate Urethra Stricture (53620) $668 $1,336 0.9×
Dilate Urethra Stricture (53600) $239.50 $479 0.9×
Drain/inj small joint/bursa w/us (20604) $294 $588 0.9×
Drainage Mouth Roof Lesion (42000) $337.50 $675 1.4×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines		 $192.50–$323 $385–$646 varies
Drainage of gum lesion (41800) $184 $368 1.3×
Drainage of hematoma/fluid (10140) $1,582 $3,164 0.9×
Drainage of scrotal wall abscess (55100) $1,582 $3,164 0.9×
Drainage of scrotum (54700) $2,036 $4,072 0.9×
Draw Blood Off Venous Device (36591) $127.50 $255 0.9×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,028 $2,056 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $342 $684 1.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $847.50 $1,695 0.9×
Endometrial Biopsy (58100) $194 $388 0.9×
Epidural Blood Patch (62273)
range across 2 matching MRF lines		 $676–$676.50 $1,352–$1,353 varies
Evacuation of subungual hematoma (11740) $184 $368 1.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,582 $3,164 0.9×
Exc back tum deep < 5 cm (21932) $2,782 $5,564 0.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,582 $3,164 0.9×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $678.50 $1,357 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,581.50 $3,163 0.9×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $678.50 $1,357 0.9×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $1,582–$2,238.50 $3,164–$4,477 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $678.50 $1,357 0.9×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $1,582 $3,164 0.9×
Exc thigh/knee les sc 3 cm/> (27337) $2,782.50 $5,565 0.9×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $389.50 $779 0.9×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $678.50 $1,357 0.9×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,582 $3,164 0.9×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $2,782 $5,564 0.9×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $678.50 $1,357 0.9×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $389.50 $779 0.9×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,582 $3,164 0.9×
Fetal Contraction Stress Test (59020) $401.50 $803 1.9×
Fetal non-stress test (59025)
range across 2 matching MRF lines		 $194–$267 $388–$534 varies
Fine needle aspiration without imaging guidance (10021) $1,090.50 $2,181 2.6×
I&d abscess peritonsillar (42700) $330 $660 1.3×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $192.50–$322.50 $385–$645 varies
I&d perianal abscess superficial (46050) $891 $1,782 0.9×
I&d pilonidal cyst complicated (10081) $1,028 $2,056 1.4×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $678.50–$1,028 $1,357–$2,056 varies
Implant neuroelectrodes (63650)
unusually low: confirm this is the full procedure		 $3,018 $6,036 0.5×
Incise external hemorrhoid (46083) $346 $692 1.3×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $389.50–$473.50 $779–$947 varies
Incision & removal foreign body subq tiss simple (10120) $389.50 $779 0.9×
Incision and drainage of bartholin's gland abscess (56420) $282 $564 1.3×
Incision and drainage of vulva or perineal abscess (56405) $462.50 $925 1.5×
Incision of Foot Tendon (28234) $1,540 $3,080 0.9×
Incision of rectal abscess (46040) $1,969.50 $3,939 1.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,610.50 $3,221 0.9×
Incisional biopsy skin single lesion (11106) $708 $1,416 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $847.50 $1,695 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $847.50 $1,695 0.9×
Injection 1 tendon sheath/ligament aponeurosis (20550) $294 $588 0.9×
Injection aa&/strd axillary nerve w/img gdn (64417) $847.50 $1,695 0.9×
Injection aa&/strd genicular nrv branches w/img (64454) $676.50 $1,353 0.9×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $847.50 $1,695 0.9×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $676.50 $1,353 0.9×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $676.50 $1,353 0.9×
Injection Anes Agent Sphenopalatine Ganglion (64505) $294 $588 0.9×
Injection Anes Superior Hypogastric Plexus (64517) $847.50 $1,695 0.9×
Injection anesthetic agent suprascapular nerve (64418) $676.50 $1,353 0.9×
Injection medication/other subst tenon capsule (67515) $304.50 $609 0.9×
Injection single tendon origin/insertion (20551) $294 $588 0.9×
Injection single/mlt trigger point 1/2 muscles (20552) $294 $588 0.9×
Injection single/mlt trigger point 3/> muscles (20553) $294 $588 0.9×
Injection therapeutic carpal tunnel (20526) $294 $588 0.9×
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines		 $847.50–$1,593 $1,695–$3,186 varies
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines		 $676.50–$1,226.50 $1,353–$2,453 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines		 $676.50–$1,226.50 $1,353–$2,453 varies
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure		 $8,735 $17,470 0.3×
Insert 1 Electrode Pm-Defib (33216)
unusually low: confirm this is the full procedure		 $2,628 $5,256 0.3×
Insert cath pleura w/o image (32556) $3,361 $6,722 1.7×
Insert cervical dilator (59200) $501 $1,002 1.6×
Insert Drug Implant Device (11981) $127.50 $255 0.9×
Insert non-tunnel cv cath (36556) $2,388 $4,776 0.7×
Insert Pacing Lead & Connect (33224)
unusually low: confirm this is the full procedure		 $4,157 $8,314 0.4×
Insert pessary/other device (57160) $194 $388 0.9×
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure		 $4,157 $8,314 0.4×
Insert Temp Bladder Cath (51702) $229.50 $459 1.7×
Insert,Non-Indwelling Bladder Catheter (51701) $127.50 $255 0.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,508 $3,016 0.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
unusually low: confirm this is the full procedure		 $2,619.50 $5,239 0.3×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217)
likely a partial charge, not the full procedure		 $2,502.50 $5,005 0.3×
Insj Subq Impltbl Dfb Elctrd (33271)
likely a partial charge, not the full procedure		 $2,502.50 $5,005 0.3×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $2,387.50–$2,388 $4,775–$4,776 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $4,998 $9,996 0.2×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure		 $2,502.50 $5,005 0.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $591 $1,182 1.4×
Intubation endotracheal emergency procedure (31500) $805 $1,610 3.3×
Laryngoscopy flexible diagnostic (31575) $191.50 $383 0.9×
Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) $374.50 $749 0.9×
Manipulation knee joint under general anesthesia (27570) $1,540.50 $3,081 0.9×
Maternity Care Procedure (59899) $103.50 $207 0.5×
N Block Inj Celiac Pelus (64530) $847.50 $1,695 0.9×
N Block Inj Ilio-Ing/Hypogi (64425) $676.50 $1,353 0.9×
N block inj intercost sng (64420) $676.50 $1,353 0.9×
N Block Inj Plantar Digit (64455) $294 $588 0.9×
N Block Inj Pudendal (64430) $847.50 $1,695 0.9×
N Block Lumbar/Thoracic (64520) $847.50 $1,695 0.9×
Nasal/Orogastric W/Tube Plmt (43752) $598 $1,196 1.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $534 $1,068 1.3×
Njx anes stellate ganglion crv sympathetic (64510) $847.50 $1,695 0.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $294–$514 $588–$1,028 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $847.50 $1,695 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $676.50 $1,353 0.9×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $676.50 $1,353 0.9×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $847 $1,694 0.9×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $688 $1,376 0.9×
Occipital Nerve Block (64405) $294 $588 0.9×
Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) $2,250 $4,500 0.8×
Ostectomy, complete excision; fifth metatarsal head (28113) $3,134 $6,268 0.9×
Perq Cervicothoracic Inject (22510) $3,134 $6,268 0.9×
Perq dev breast 1st us imag (19285) $767.50 $1,535 1.0×
Perq device breast 1st imag (19281) $1,519 $3,038 0.9×
Perq Lumbosacral Injection (22511) $3,134 $6,268 0.9×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $4,834 $9,668 0.6×
Perq Vertebral Augmentation (22513) $4,834 $9,668 0.6×
Placement of needle for intraosseous infusion (36680) $550.50 $1,101 1.2×
Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) $2,277.50 $4,555 0.9×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555)
unusually low: confirm this is the full procedure		 $3,018 $6,036 0.5×
Punch biopsy skin single lesion (11104) $389.50 $779 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $389.50–$591 $779–$1,182 varies
Puncture Aspiration Cyst Breast (19000) $678.50 $1,357 0.9×
Puncture shunt tube/reservoir aspiration/inj px (61070) $676.50 $1,353 0.9×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $1,870.50 $3,741 0.9×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,428 $6,856 0.9×
Relocation Pocket Pacemaker (33222) $1,715 $3,430 0.8×
Removal Anal Seton Other Marker (46030) $1,146.50 $2,293 0.9×
Removal Foreign Body Foot Subcutaneous (28190) $1,057 $2,114 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines		 $57–$108.50 $114–$217 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $57–$108 $114–$216 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $3,160 $6,320 0.9×
Removal implantable contraceptive capsules (11976) $678.50 $1,357 0.9×
Removal of nail bed (11750) $591 $1,182 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $192.50 $385 0.9×
Remove drug implant device (11982) $428 $856 0.9×
Remove foreign body from eye (65205) $154 $308 1.1×
Remove Intrauterine Device (58301) $292 $584 0.9×
Remove Nasal Foreign Body (30300) $184 $368 1.3×
Remove/Insert Drug Implant (11983) $428 $856 0.9×
Repair Blood Vessel Direct Upper Extremity (35206) $2,449.50 $4,899 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $623 $1,246 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $889.50 $1,779 2.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $943 $1,886 2.2×
Repair Ectropion Excision Tarsal Wedge (67916) $2,277.50 $4,555 0.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $591 $1,182 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $389.50–$591 $779–$1,182 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $591 $1,182 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $591 $1,182 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $591 $1,182 1.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $700 $1,400 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $591 $1,182 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $591 $1,182 1.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $389.50–$591 $779–$1,182 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $591 $1,182 1.4×
Repair lead pace-defib dual (33220) $2,537.50 $5,075 0.7×
Repair Lead Pace-Defib One (33218) $2,537.50 $5,075 0.7×
Repair of nail bed (11760) $889.50 $1,779 1.2×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $7,099 $14,198 0.9×
Repos Previously Implanted Subq Implantable Dfb (33273) $2,537.50 $5,075 0.7×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
unusually low: confirm this is the full procedure		 $3,018 $6,036 0.5×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $2,843 $5,686 0.8×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $500.50 $1,001 1.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $160.50 $321 1.2×
Rmvl of subq implantable defibrillator electrode (33272) $2,537.50 $5,075 0.7×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $1,870.50 $3,741 0.9×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $239.50–$434.50 $479–$869 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $286 $572 1.4×
Shave skin lesion 0.5 cm/< (11300) $389.50 $779 0.9×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $192.50 $385 0.9×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $192.50 $385 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $551 $1,102 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $342 $684 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $286 $572 1.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $286 $572 1.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $286 $572 1.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $342 $684 1.6×
Skin sub graft face/nk/hf/g (15275) $708 $1,416 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $286 $572 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $591 $1,182 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $591 $1,182 1.4×
Spinal puncture lumbar diagnostic (62270) $1,135.50 $2,271 1.6×
Strapping Unna Boot (29580) $156 $312 0.9×
Tangential biopsy skin single lesion (11102) $389.50 $779 0.9×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
unusually low: confirm this is the full procedure		 $6,332 $12,664 0.5×
Thrombolytic Therapy Stroke (37195) $533.50 $1,067 1.6×
Tracheostoma revj smpl w/o flap rotation (31613) $3,175.50 $6,351 0.9×
Tracheostomy planned (31600) $3,175.50 $6,351 0.9×
Treat Knuckle Dislocation (26700) $350 $700 1.4×
Treat toe dislocation (28630) $371 $742 1.5×
Treatment Closed Elbow Dislocation Req Anes (24605) $2,272.50 $4,545 1.4×
Treatment closed elbow dislocation w/o anes (24600) $328.50 $657 1.3×
Trim skin lesion (11055) $192.50 $385 0.9×
Unlisted Procedure Conjunctiva (68399) $304 $608 0.9×
Unlisted procedure nervous system (64999) $294 $588 0.9×
Upgrade of pacemaker system (33214)
unusually low: confirm this is the full procedure		 $4,157 $8,314 0.4×
Vaginal Delivery After Cesarean Delivery (59612) $3,160 $6,320 0.9×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,002.50 $4,005 0.9×
Wound Prep F/N/Hf/G (15004) $389.50 $779 0.9×

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.