Procedures & surgery prices at Jewell County Hospital

Mankato, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$150–$1,200 $200–$1,600 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$112.50–$1,200 $150–$1,600 varies
Acne surgery (10040)
range across 2 matching MRF lines
$56.63–$127.50 $75.50–$170 varies
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $337.50 $450 0.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $468.75 $625 0.2×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $330 $440 2.2×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) $285 $380 1.9×
Application cast elbow finger short arm (29075)
range across 4 matching MRF lines
$67.50–$527.25 $90–$703 varies
Application Cast Finger (29086) $60 $80 0.4×
Application finger splint static (29130)
range across 4 matching MRF lines
$35.44–$271.50 $47.25–$362 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$93.75–$240 $125–$320 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$56.25–$240 $75–$320 varies
Application of long leg cast (29345) $330 $440 1.3×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines
$56.25–$266.25 $75–$355 varies
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines
$45–$293.25 $60–$391 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$71.25–$175.50 $95–$234 varies
Apply hand/wrist cast (29085)
range across 3 matching MRF lines
$48.75–$570 $65–$760 varies
Apply long arm cast (29065)
range across 4 matching MRF lines
$75–$468.75 $100–$625 varies
Apply Multlay Comprs Lwr Leg (29581) $285 $380 1.9×
Apply Short Leg Cast (29405)
range across 3 matching MRF lines
$78.56–$410.25 $104.75–$547 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines
$63.75–$371.25 $85–$495 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$75–$504 $100–$672 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines
$31.50–$500.25 $42–$667 varies
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $292.50 $390 0.2×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$798.75–$900 $1,065–$1,200 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines
$75–$142.50 $100–$190 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines
$63.75–$180 $85–$240 varies
Biopsy external ear (69100) $112.50 $150 0.5×
Biopsy nail unit (11755) $56.25 $75 0.1×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520)
range across 2 matching MRF lines
$407.81–$3,000 $543.75–$4,000 varies
Biopsy Soft Tissue Back/Flank Superficial (21920) $82.50 $110 0.1×
Bladder Irrigation (51700) $243.75 $325 1.1×
Bladder Scan (51798) $75 $100 1.4×
Blood Transfusion Service (36430) $543.75 $725 1.3×
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines
$56.25–$639 $75–$852 varies
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines
$56.25–$639 $75–$852 varies
Bx/exc lymph node open superficial (38500) $187.50 $250 0.1×
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines
$375–$1,650 $500–$2,200 varies
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines
$67.50–$106.50 $90–$142 varies
Chest tube placement (32551) $150 $200 0.1×
Circumcision 28 days or older (54161) $135 $180 0.1×
Clear outer ear canal (69200) $93.75 $125 0.8×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $239.81 $319.75 1.1×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $161.25 $215 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $339.04 $452.05 1.5×
Closed tx metatarsal fracture w/o manipulation (28470) $120 $160 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $228.75 $305 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $198.75 $265 0.9×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $157.13 $209.50 0.7×
Closed tx radial&ulnar shaft fractures w/o man (25560) $172.50 $230 0.8×
Closed tx ulnar shaft fracture w/o manipulation (25530) $214.99 $286.65 0.9×
Clsd tx clavicular fracture w/o manipulation (23500) $157.13 $209.50 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $272.89 $363.85 1.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $187.50 $250 0.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $169.50 $226 0.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines
$165–$644.25 $220–$859 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $165 $220 0.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $240 $320 1.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $356.25 $475 0.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $123.75 $165 0.5×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $66.15 $88.20 0.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $75 $100 0.3×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines
$326.25–$615 $435–$820 varies
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$240–$1,065 $320–$1,420 varies
Cltx Medial Ankle Fx (27760) $236.25 $315 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $210 $280 0.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $412.50 $550 1.8×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $221.25 $295 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines
$135–$150 $180–$200 varies
Cltx prox fibula/shft fx w/o manj (27780) $169.50 $226 0.7×
Cltx tibial fx proximal w/o manipulation (27530) $262.50 $350 1.2×
Cltx tibial shaft fx w/o manipulation (27750) $243.75 $325 1.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $543.75 $725 0.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $322.50 $430 1.4×
Collect Blood From Catheter Venous Nos (36592) $90.75 $121 0.7×
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines
$11.25–$16.88 $15–$22.50 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$53.25–$71.25 $71–$95 varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $63.75 $85 1.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $131.25 $175 1.1×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $150 $200 0.7×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $71.25 $95 0.2×
Debride nail 1-5 (11720) $41.25 $55 0.8×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines
$90–$247.50 $120–$330 varies
Declot vascular device (36593) $328.50 $438 1.1×
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines
$123.75–$319.50 $165–$426 varies
Destruction Benign Lesions 15/> (17111)
range across 3 matching MRF lines
$135–$637.50 $180–$850 varies
Destruction Premalignant Lesion 15/> (17004) $195 $260 0.5×
Destruction premalignant lesion 1st (17000)
range across 3 matching MRF lines
$63.75–$307.50 $85–$410 varies
Drainage of hematoma/fluid (10140) $105 $140 0.1×
Drainage of hydrocele (55000) $135 $180 0.2×
Draw Blood Off Venous Device (36591) $96 $128 0.8×
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines
$60–$798.75 $80–$1,065 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$42–$67.50 $56–$90 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines
$101.25–$213 $135–$284 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 3 matching MRF lines
$120–$2,348.25 $160–$3,131 varies
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 3 matching MRF lines
$168.75–$700.50 $225–$934 varies
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 3 matching MRF lines
$198.75–$712.50 $265–$950 varies
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $247.50 $330 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 3 matching MRF lines
$150–$1,171.50 $200–$1,562 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 3 matching MRF lines
$187.50–$1,767.75 $250–$2,357 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 3 matching MRF lines
$202.50–$1,810.50 $270–$2,414 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines
$135–$266.25 $180–$355 varies
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines
$150–$1,488.75 $200–$1,985 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 3 matching MRF lines
$74.44–$1,757.25 $99.25–$2,343 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 3 matching MRF lines
$93.75–$1,970.25 $125–$2,627 varies
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) $322.50 $430 0.4×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines
$375–$1,012.50 $500–$1,350 varies
Exc lesion tendon sheath/capsule w/synvct toe ea (28092)
range across 2 matching MRF lines
$225–$1,125 $300–$1,500 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 3 matching MRF lines
$165–$319.50 $220–$426 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines
$277.50–$2,577 $370–$3,436 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $382.50 $510 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines
$270–$479.25 $360–$639 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623)
range across 3 matching MRF lines
$232.50–$463.50 $310–$618 varies
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines
$363.75–$702.75 $485–$937 varies
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606)
range across 3 matching MRF lines
$356.25–$692.25 $475–$923 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 3 matching MRF lines
$116.25–$266.25 $155–$355 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 3 matching MRF lines
$131.25–$276.75 $175–$369 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 3 matching MRF lines
$180–$372.75 $240–$497 varies
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $5,981.25 $7,975 2.2×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines
$431.25–$468.75 $575–$625 varies
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 3 matching MRF lines
$225–$453 $300–$604 varies
Excision Chalazion Single (67800) $62.03 $82.70 0.2×
Excision Lesion Tongue W/O Closure (41110) $266.25 $355 0.1×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600)
range across 2 matching MRF lines
$142.50–$319.50 $190–$426 varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 3 matching MRF lines
$172.50–$362.25 $230–$483 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)
range across 3 matching MRF lines
$189.75–$399.75 $253–$533 varies
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604)
range across 3 matching MRF lines
$244.50–$479.25 $326–$639 varies
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)
range across 3 matching MRF lines
$135–$540 $180–$720 varies
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643)
range across 3 matching MRF lines
$195–$1,118.25 $260–$1,491 varies
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620)
range across 3 matching MRF lines
$150–$330 $200–$440 varies
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 2 matching MRF lines
$180–$372.75 $240–$497 varies
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622)
range across 3 matching MRF lines
$197.25–$675 $263–$900 varies
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624)
range across 3 matching MRF lines
$252–$489.75 $336–$653 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 3 matching MRF lines
$300–$2,662.50 $400–$3,550 varies
I&d abscess simple (10060)
range across 2 matching MRF lines
$120–$150 $160–$200 varies
Incise external hemorrhoid (46083) $240 $320 1.0×
Incise finger tendon sheath (26055)
range across 2 matching MRF lines
$600–$1,597.50 $800–$2,130 varies
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines
$138.75–$383.25 $185–$511 varies
Incision & removal foreign body subq tiss compl (10121) $165 $220 0.1×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$90–$176.25 $120–$235 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines
$120–$172.50 $160–$230 varies
Incision of lingual frenum (frenotomy) (41010) $251.25 $335 0.2×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $168.75 $225 0.1×
Initial Tx 1st Degree Burn Local Tx (16000) $93.75 $125 0.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $67.50 $90 0.2×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines
$146.25–$183.75 $195–$245 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$63.75–$142.50 $85–$190 varies
Injection single/mlt trigger point 3/> muscles (20553) $142.50 $190 0.5×
Injection therapeutic carpal tunnel (20526) $142.50 $190 0.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $876.75 $1,169 1.4×
Injection, intralesional; up to and including 7 lesions (11900) $37.20 $49.60 0.2×
Insert Drug Implant Device (11981)
range across 2 matching MRF lines
$93.75–$319.50 $125–$426 varies
Insert non-tunnel cv cath (36556) $2,662.50 $3,550 0.9×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines
$48.75–$213 $65–$284 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $773.25 $1,031 2.1×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $270 $360 0.7×
Intubation endotracheal emergency procedure (31500) $135 $180 0.6×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$52.50–$525 $70–$700 varies
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines
$198.75–$426 $265–$568 varies
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines
$360–$585.75 $480–$781 varies
Placement of needle for intraosseous infusion (36680) $342 $456 0.8×
Punch biopsy skin single lesion (11104) $146.25 $195 0.4×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines
$150–$731.25 $200–$975 varies
Puncture Aspiration Cyst Breast (19000) $116.25 $155 0.2×
Removal Foreign Body Foot Complicated (28193) $300 $400 0.2×
Removal Foreign Body Foot Subcutaneous (28190) $281.25 $375 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines
$18.75–$117 $25–$156 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$63.75–$71.25 $85–$95 varies
Removal Implant Superficial Separate Procedure (20670) $311.25 $415 0.2×
Removal of nail bed (11750)
range across 2 matching MRF lines
$146.25–$187.50 $195–$250 varies
Removal or bivalving full arm or full leg cast (29705)
range across 2 matching MRF lines
$60–$273.75 $80–$365 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 3 matching MRF lines
$90–$168.75 $120–$225 varies
Remove drug implant device (11982)
range across 2 matching MRF lines
$93.75–$319.50 $125–$426 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$33.75–$51 $45–$68 varies
Remove Intrauterine Device (58301)
range across 3 matching MRF lines
$75–$319.50 $100–$426 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$78.75–$243.75 $105–$325 varies
Remove Tendon Sheath Lesion (26160) $708.75 $945 0.5×
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines
$195–$479.25 $260–$639 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $309.75 $413 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $567 $756 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $213.75 $285 0.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $247.50 $330 0.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $217.50 $290 0.6×
Repair complex trunk 1.1-2.5 cm (13100) $258 $344 0.4×
Repair extensor tendon finger w/o graft each (26418) $618.75 $825 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$213.75–$330 $285–$440 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$213.75–$360 $285–$480 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines
$213.75–$420 $285–$560 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $442.50 $590 1.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $225 $300 0.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$112.50–$307.50 $150–$410 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$213.75–$360 $285–$480 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines
$172.50–$435 $230–$580 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $195 $260 0.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$213.75–$303.75 $285–$405 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$225–$352.50 $300–$470 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,237.50 $1,650 1.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$202.58–$386.25 $270.10–$515 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $48.75 $65 0.1×
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines
$82.50–$90 $110–$120 varies
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines
$45–$124.05 $60–$165.40 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines
$225–$1,932.75 $300–$2,577 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $93.75 $125 0.2×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$262.50–$559.50 $350–$746 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $135 $180 0.7×
Shave skin lesion 0.5 cm/< (11300) $116.25 $155 0.3×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $123.75 $165 0.7×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $142.50 $190 0.8×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $161.25 $215 0.9×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $153.75 $205 0.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$131.25–$198.75 $175–$265 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$135–$213.75 $180–$285 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $180 $240 0.5×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $120 $160 0.7×
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $232.50 $310 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$108.75–$198.75 $145–$265 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $243.75 $325 1.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$153.75–$213.75 $205–$285 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$131.25–$213.75 $175–$285 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$206.25–$225 $275–$300 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $168.75 $225 0.5×
Spinal puncture lumbar diagnostic (62270) $112.50 $150 0.2×
Strapping elbow or wrist (29260) $21.75 $29 0.4×
Strapping shoulder (29240) $300 $400 2.5×
Strapping Unna Boot (29580)
range across 3 matching MRF lines
$75–$351.75 $100–$469 varies
Thrombolytic Therapy Stroke (37195) $422.25 $563 1.4×
Treat humerus fracture (24500) $231.53 $308.70 1.0×
Treat humerus fracture (23600) $210.86 $281.15 0.9×
Treat Thumb Fracture (26645) $228.75 $305 0.2×
Treatment closed elbow dislocation w/o anes (24600) $231.53 $308.70 1.0×
Trim skin lesion (11055)
range across 3 matching MRF lines
$82.50–$123.75 $110–$165 varies
Trim skin lesions 2 to 4 (11056) $97.50 $130 0.5×
Trim skin lesions over 4 (11057) $105 $140 0.6×
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines
$18.75–$82.50 $25–$110 varies
Tx Gastro Intub W/Asp (43753) $618.75 $825 3.1×
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines
$262.50–$293.25 $350–$391 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $90 $120 0.1×
Tx superficial wound dehiscence w/packing (12021) $175.50 $234 0.5×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines
$123.75–$195 $165–$260 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.