Procedures & surgery prices at Johnson County Community Hospital

Mountain City, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) $13,674.19 $59,453 2.1×
Abltj 1/+thyroid nodule 1 lobe/isthmus perq rf (60660) $718.75 $3,125 0.5×
Amniocentesis diagnostic (59000) $199.64 $868 0.2×
Amniocentesis therapeutic (59001) $140.53 $611 0.5×
Amputation of finger/thumb (26952) $1,489.71 $6,477 0.5×
Amputation toe interphalangeal joint (28825) $819.95 $3,565 0.3×
Amputation Toe Metatarsophalangeal Joint (28820) $1,318.36 $5,732 0.4×
Anoscopy diagnostic (46600) $135.70 $590 1.1×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $90.16 $392 0.6×
Application cast elbow finger short arm (29075) $127.65 $555 0.5×
Application Cast Finger (29086) $43.24 $188 0.3×
Application Finger Splint Dynamic (29131) $32.20 $140 0.6×
Application finger splint static (29130) $50.83 $221 0.4×
Application long arm splint shoulder hand (29105) $105.80 $460 0.7×
Application long leg splint thigh ankle/toes (29505) $76.36 $332 0.5×
Application of long leg cast (29345) $92 $400 0.4×
Application Of Rigid Total Contact Leg Cast (29445) $114.31 $497 0.5×
Application Short Arm Splint Dynamic (29126) $130.87 $569 1.1×
Application short arm splint forearm-hand static (29125) $75.90 $330 0.6×
Application short leg splint calf foot (29515) $63.48 $276 0.4×
Apply multlay comprs arm/hand (29584) $64.63 $281 0.4×
Apply short leg cast (29405) $97.52 $424 0.4×
Arterial puncture (36600) $18.40 $80 0.2×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $261.97 $1,139 0.9×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $236.90 $1,030 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $289.57 $1,259 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $241.50 $1,050 0.9×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $87.86 $382 0.3×
Aspirat/Injection Ganglion Cyst(S) (20612) $249.55 $1,085 0.9×
Aspiration Bladder Insert Suprapubic Catheter (51102) $892.40 $3,880 0.5×
Avulsion nail plate partial/complete simple 1 (11730) $90.85 $395 0.5×
Biopsy muscle deep (20205) $1,104 $4,800 0.4×
Biopsy of nail unit (11755) $288.42 $1,254 0.4×
Biopsy Vaginal Mucosa Extensive (57105) $1,221.99 $5,313 0.4×
Bl exchange/transfuse nb (36450) $117.07 $509 0.3×
Bladder Irrigation Simple (51700) $134.55 $585 0.6×
Bladder Scan (51798) $134.09 $583 2.5×
Blood transfusion service (36430) $117.07 $509 0.3×
Bone marrow aspiration only (38220) $406.64 $1,768 0.3×
Bone Marrow Biopsy (38221) $544.41 $2,367 0.4×
Brnchsc Brushing/Protected Brushings (31623) $696.90 $3,030 0.4×
Bx anorectal wall anal approach (45100) $1,138.04 $4,948 0.5×
Canthotomy Separate Procedure (67715) $932.65 $4,055 0.4×
Change Cystostomy Tube Simple (51705) $281.06 $1,222 1.2×
Chemical Cautery Tissue (17250) $60.03 $261 0.3×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $119.14 $518 0.4×
Chest tube placement (32551) $481.85 $2,095 0.3×
Chg Collect Blood From Catheter Venous Nos (36592) $25.07 $109 0.2×
Close Rx Fingr Articular Fx,Manip (26742) $62.10 $270 0.0×
Closed Rx Humer Epicondylr Fx,Manip (24565) $278.76 $1,212 0.2×
Closed Rx Humeral Supracondylar Fx (24530) $62.10 $270 0.3×
Closed Rx Med Malleolus Fx,Manip (27762) $567.64 $2,468 0.4×
Closed Rx Mid Humerus Fx,Manipulatn (24505) $62.10 $270 0.0×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $270.25 $1,175 0.2×
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $398.82 $1,734 0.3×
Closed Rx Spontaneous Hip Disloc (27256) $352.59 $1,533 1.6×
Closed Rx Tibia Shaft Fx (27750) $187.45 $815 0.8×
Closed Rx Tibial Plateau Fx (27530) $106.95 $465 0.5×
Closed Rx Trauma Hip Disloc,Anesth (27252) $676.20 $2,940 0.5×
Closed Rx Trimalleolar Fx (27816) $224.94 $978 1.0×
Closed treatment nasal fracture w/stabilization (21320) $278.76 $1,212 0.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $207.92 $904 0.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $207.92 $904 0.9×
Closed treatment pst malleolus fracture w/manj (27768) $646.99 $2,813 0.4×
Closed Treatment Ulnar Styloid Fracture (25650) $187.45 $815 0.8×
Closed tx ankle dislocation w/o anesthesia (27840) $207.92 $904 0.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $207.92 $904 0.1×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $187.45 $815 0.8×
Closed tx carpal scaphoid fracture w/manj (25624) $278.76 $1,212 0.2×
Closed tx femoral fracture prox head w/o manj (27267) $1,418.18 $6,166 0.5×
Closed tx knee dislocation w/anesthesia (27552) $646.99 $2,813 0.4×
Closed tx knee dislocation w/o anesthesia (27550) $201.94 $878 0.9×
Closed tx metatarsal fracture w/o manipulation (28470) $65.55 $285 0.3×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $710.01 $3,087 0.5×
Closed tx patellar fracture w/o manipulation (27520) $106.95 $465 0.5×
Closed tx radial head/neck fx w/manipulation (24655) $201.94 $878 0.1×
Closed tx radial head/neck fx w/o manipulation (24650) $62.10 $270 0.3×
Closed tx radial shaft fracture w/manipulation (25505) $201.94 $878 0.1×
Closed tx talotarsal joint dislc w/o anes (28570) $99.82 $434 0.4×
Closed Tx Talus Fracture W/Manipulation (28435) $278.76 $1,212 0.2×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $201.94 $878 0.9×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $207.92 $904 0.1×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $62.10 $270 0.3×
Clsd tx clavicular fracture w/o manipulation (23500) $62.10 $270 0.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $625.60 $2,720 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $241.50 $1,050 1.1×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $121.90 $530 0.5×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $66.01 $287 0.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $127.42 $554 0.6×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $94.99 $413 0.4×
Cltx dstl fibular fx lat malls w/manj (27788) $207.92 $904 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $72.68 $316 0.3×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $44.85 $195 0.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $232.07 $1,009 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $371.22 $1,614 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $848.70 $3,690 0.6×
Cltx fx grt toe phlx/phlg w/manj (28495) $78.20 $340 0.3×
Cltx fx grt toe phlx/phlg w/o manj (28490) $65.55 $285 0.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $85.79 $373 0.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $278.76 $1,212 0.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $201.94 $878 0.9×
Cltx hip dislocation traumatic w/o anesthesia (27250) $241.50 $1,050 1.1×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $71.53 $311 0.3×
Cltx iphal jt dislc w/manj w/o anes (26770) $127.42 $554 0.6×
Cltx metacarpal fx w/manipulation each bone (26605) $278.76 $1,212 1.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $228.62 $994 1.0×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $77.74 $338 0.3×
Cltx metatarsophlngl jt dislc w/o anes (28630) $62.10 $270 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $85.56 $372 0.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $38.64 $168 0.2×
Cltx Post Hip Arthrp Dislc Req Anes (27266) $709.78 $3,086 0.5×
Cltx post hip arthrp dislc w/o anes (27265) $201.94 $878 0.9×
Cltx prox fibula/shft fx w/manj (27781) $241.50 $1,050 0.2×
Cltx prox fibula/shft fx w/o manj (27780) $217.35 $945 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $617.55 $2,685 0.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $201.94 $878 0.9×
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $710.01 $3,087 0.5×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $676.20 $2,940 0.5×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $617.55 $2,685 0.4×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $567.64 $2,468 0.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $330.51 $1,437 0.2×
Complete replacement picc rs&i (36584) $241.50 $1,050 0.2×
Complex Drainage, Wound (10180) $742.67 $3,229 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $207.92 $904 1.7×
Control Nasal Hemorrhage Anterior Simple (30901) $76.13 $331 0.6×
Control Oropharyngeal Hemorrhage Simple (42960) $207.92 $904 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $241.50 $1,050 2.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $153.87 $669 0.4×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $338.79 $1,473 0.5×
Debride nail 6 or more (11721) $24.38 $106 0.5×
Debride skin musc at fx site (11011) $289.11 $1,257 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042) $299 $1,300 0.8×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $284.74 $1,238 0.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $470.35 $2,045 0.3×
Declot vascular device (36593) $256.91 $1,117 0.9×
Destruction Benign Lesions Up To 14 (17110) $38.64 $168 0.2×
Destruction neurolytic agt genicular nerve w/img (64624) $816.04 $3,548 0.5×
Destruction premalignant lesion 1st (17000) $97.52 $424 0.5×
Dilation & curettage dx&/ther nonobstetric (58120) $1,247.98 $5,426 0.4×
Dilation of cervical canal (57800) $1,321.35 $5,745 0.4×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $65.32 $284 0.1×
Drain/inj small joint/bursa w/us (20604) $174.57 $759 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $55.89 $243 0.1×
Drainage Finger Abscess Complicated (26011) $696.44 $3,028 0.5×
Drainage Finger Abscess Simple (26010) $128.34 $558 0.7×
Drainage mouth roof lesion (42000) $144.67 $629 0.7×
Drainage of eyelid abscess (67700) $201.94 $878 0.7×
Drainage of gum lesion (41800) $201.94 $878 1.7×
Drainage of hematoma/fluid (10140) $462.30 $2,010 0.3×
Drainage of hydrocele (55000) $283.13 $1,231 0.4×
Drainage of scrotal wall abscess (55100) $349.60 $1,520 0.2×
Drainage skenes gland abscess (53060) $860.89 $3,743 0.5×
Draw blood off venous device (36591) $33.35 $145 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $100.28 $436 0.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $224.02 $974 1.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $74.52 $324 0.4×
Egd flexible foreign body removal (43247) $377.43 $1,641 0.5×
Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) $694.83 $3,021 0.4×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $694.83 $3,021 0.4×
Evacuation of subungual hematoma (11740) $40.25 $175 0.3×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $37.72 $164 0.1×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $180.32 $784 0.5×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $198.26 $862 0.3×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $218.04 $948 0.3×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $239.66 $1,042 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $264.04 $1,148 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $601.68 $2,616 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $662.17 $2,879 0.6×
Exc tr-ext b9+marg 0.5 cm or less (11400) $173.19 $753 0.3×
Excision h/p/p/u simple/intermediate repair (11470) $507.38 $2,206 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $133.17 $579 0.2×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $288.42 $1,254 0.2×
Excision of lesion other than skin tag </= 0.5 cm (11420) $256.68 $1,116 0.2×
Excision of nail fold toe (11765) $67.85 $295 0.2×
Exploration penetrating wound spx extremity (20103) $218.27 $949 0.1×
Fluoro exam of g/colon tube (49465) $224.02 $974 1.0×
Gastric Intubation/Aspiration, Therapeutic (43753) $63.02 $274 0.3×
Hem inh thrombocytopenia gen seq alys 42 genes (0276U) $502.32 $2,184 0.2×
I&d absc rtrphrngl/parapharyngeal intraoral (42720) $1,301.34 $5,658 0.4×
I&D Abscess Peritonsillar (42700) $207.92 $904 1.0×
I&d abscess simple (10060) $84.87 $369 0.5×
I&d perianal abscess superficial (46050) $207.92 $904 0.2×
I&d pilonidal cyst simple (10080) $120.52 $524 0.2×
Iadna vag pthgn pnl 27 org amp probe vag swab (0330U) $60.49 $263 0.1×
Incision & drainage abscess complicated/multiple (10061) $155.25 $675 0.4×
Incision & drainage pilonidal cyst complicated (10081) $531.30 $2,310 0.8×
Incision & removal foreign body subq tiss compl (10121) $704.03 $3,061 0.5×
Incision & removal foreign body subq tiss simple (10120) $117.99 $513 0.3×
Incision and drainage of bartholin's gland abscess (56420) $218.27 $949 1.2×
Incision and drainage of vulva or perineal abscess (56405) $323.38 $1,406 1.2×
Incision of achilles tendon (27605) $678.04 $2,948 0.5×
Incision of rectal abscess (46040) $865.26 $3,762 0.8×
Incision thrombosed hemorrhoid external (46083) $241.50 $1,050 1.1×
Incisional biopsy skin single lesion (11106) $112.01 $487 0.2×
Initial tx 1st degree burn local tx (16000) $63.94 $278 0.4×
Inj tendon sheath/ligament (20550) $231.15 $1,005 0.8×
Inject Tendon Origin/Insert (20551) $55.89 $243 0.2×
Injection aa&/strd trigeminal nerve each branch (64400) $191.82 $834 0.7×
Injection anes other peripheral nerve/branch (64450) $201.94 $878 0.3×
Injection for identification of sentinel node (38792) $474.03 $2,061 1.3×
Injection single/mlt trigger point 1/2 muscles (20552) $241.50 $1,050 0.9×
Injection, intralesional; up to and including 7 lesions (11900) $81.88 $356 0.4×
Insert and remove bone pin (20650) $497.26 $2,162 0.2×
Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) $756.93 $3,291 0.4×
Insert non-tunnel cv cath (36556) $529 $2,300 0.2×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $563.73 $2,451 0.2×
Insert picc cath (36569) $505.08 $2,196 0.4×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $480.93 $2,091 0.3×
Insert Temp Bladder Cath (51702) $42.32 $184 0.4×
Insert,Non-Indwelling Bladder Catheter (51701) $34.27 $149 0.3×
Insertion Phrenic Nerve Stimulator System (33276)
unusually low: confirm this is the full procedure
$13,714.21 $59,627 0.3×
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,027.64 $4,468 0.7×
Insertion picc w/rs&i < 5 yr (36572) $1,008.55 $4,385 1.8×
Instlj ther agent renal pelvis&/ureter via tub (50391) $126.50 $550 0.6×
Intubation endotracheal emergency procedure (31500) $230.46 $1,002 1.1×
Irrigate corpora cavernosa for priapism (54220) $251.62 $1,094 1.1×
Klhl11 antb serum/csf cell binding assay qual (0432U) $15.41 $67 0.4×
Laparoscopy appendectomy (44970)
unusually low: confirm this is the full procedure
$2,357.04 $10,248 0.4×
Laryngoscopy Flexible Diagnostic (31575) $50.14 $218 0.3×
Laryngoscopy W/Foreign Body Removal (31530) $588.11 $2,557 0.4×
Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) $310.04 $1,348 0.1×
Liver Biopsy (47000) $678.96 $2,952 0.5×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $744.51 $3,237 0.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $118.45 $515 0.3×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $1,808.03 $7,861 0.9×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $1,386.44 $6,028 6.1×
Open Treatment Bimalleolar Ankle Fracture (27814)
unusually low: confirm this is the full procedure
$3,023.58 $13,146 0.5×
Partial Excision Distal Phalanx Finger (26236) $679.42 $2,954 0.5×
Partial Removal Foot Fascia (28060) $1,347.34 $5,858 0.5×
Perq av fistula creation uxtr sep access sites (36837)
likely a partial charge, not the full procedure
$3,329.48 $14,476 0.2×
Perq av fistula creation uxtr single access (36836)
likely a partial charge, not the full procedure
$3,329.48 $14,476 0.2×
Perq dev breast 1st strtctc (19283) $275.31 $1,197 0.4×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $866.41 $3,767 0.5×
Perq replacement gtube not req revj gstrst trc (43762) $51.06 $222 0.2×
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $3,389.97 $14,739 0.5×
Placement of needle for intraosseous infusion (36680) $61.87 $269 0.2×
Preputial Stretching (54450) $104.65 $455 0.5×
Punch biopsy skin single lesion (11104) $74.06 $322 0.2×
Puncture Aspiration (10160) $248.86 $1,082 0.7×
Reduction of rectal prolapse (45900) $1,203.13 $5,231 1.4×
Removal fb intranasal (30300) $58.42 $254 0.5×
Removal foreign body foot deep (28192) $411.01 $1,787 0.3×
Removal foreign body foot subcutaneous (28190) $302.91 $1,317 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $207.92 $904 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $37.14 $161.50 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $37.95 $165 0.7×
Removal impacted vag fb spx w/anes oth/thn local (57415) $442.29 $1,923 0.2×
Removal of arm foreign body (24200) $207.92 $904 0.1×
Removal of nail bed (11750) $210.22 $914 0.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $37.49 $163 0.2×
Removal phrenic nerve stimulator system (33278) $1,525.59 $6,633 0.5×
Removal Sutures/Staples Requiring Anesthesia (15851) $814.89 $3,543 0.4×
Removal/bivalving full arm/full leg cast (29705) $28.52 $124 0.1×
Removal/bivalving gauntlet boot/body cast (29700) $54.28 $236 0.2×
Remove drug implant device (11982) $126.04 $548 0.3×
Remove foreign body from eye (65210) $141.22 $614 0.3×
Remove shoulder foreign body (23330) $298.31 $1,297 0.2×
Remv Ext Canal Foreign Body (69200) $63.02 $274 0.5×
Remv F.B.,Eye,Superf Conjunc (65205) $71.99 $313 0.6×
Repair Blood Vessel Direct Hand Finger (35207) $674.82 $2,934 0.2×
Repair blood vessel direct neck (35201)
likely a partial charge, not the full procedure
$1,215.78 $5,286 0.2×
Repair Blood Vessel Direct Upper Extremity (35206) $680.11 $2,957 0.2×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $433.32 $1,884 0.6×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $464.83 $2,021 0.7×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $420.90 $1,830 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $422.28 $1,836 1.1×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $408.94 $1,778 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $416.30 $1,810 1.1×
Repair complex trunk 2.6-7.5 cm (13101) $416.76 $1,812 0.6×
Repair extensor tendon finger w/o graft each (26418) $348.22 $1,514 0.2×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $294.17 $1,279 0.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $125.58 $546 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $171.58 $746 0.5×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $243.11 $1,057 0.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $267.49 $1,163 0.7×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $303.60 $1,320 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $109.94 $478 0.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $148.12 $644 0.4×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $246.79 $1,073 0.4×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $305.21 $1,327 0.8×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $97.98 $426 0.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $126.73 $551 0.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $316.48 $1,376 0.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $290.95 $1,265 0.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $134.09 $583 0.1×
Repair Of Foot Tendon (28208) $1,302.95 $5,665 0.4×
Repair of nail bed (11760) $62.56 $272 0.1×
Repair Tongue Laceration (41250) $250.70 $1,090 0.6×
Replace duod/jej tube perc (49451) $340.17 $1,479 0.4×
Repositioning phrenic nrv stimulator transvns ld (33281) $1,525.59 $6,633 0.5×
Revise vag graft via vagina (57295) $1,221.99 $5,313 0.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $376.97 $1,639 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $71.99 $313 0.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $71.53 $311 0.6×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $796.49 $3,463 0.3×
Rmvl phrenic nrv stimulator pulse generator only (33280) $1,525.59 $6,633 0.5×
Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) $1,525.59 $6,633 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $241.27 $1,049 0.4×
Rmvl&rplcmt phrenic nrv stimulator pls generator (33287)
unusually low: confirm this is the full procedure
$13,714.21 $59,627 0.5×
Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) $5,233.65 $22,755 0.5×
Rplc gtube revj gstrst trc (43763) $1,145.86 $4,982 5.1×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $727.49 $3,163 0.5×
Rpr blood vessel direct lower extremity (35226) $684.94 $2,978 1.1×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $5,787.95 $25,165 4.1×
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $252.77 $1,099 1.2×
Rpr Lip Full Thickness Vermilion Only (40650) $310.27 $1,349 0.6×
Sgmdsc Flx With Endoscopic Mucosal Resection (45349) $1,138.04 $4,948 0.5×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $81.88 $356 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $90.39 $393 0.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $243.11 $1,057 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $87.63 $381 0.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $92.23 $401 0.5×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $278.76 $1,212 0.8×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $133.63 $581 0.7×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $173.42 $754 1.0×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $134.09 $583 0.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $82.34 $358 0.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $303.60 $1,320 1.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $121.90 $530 0.7×
Skin pinch graft (15050) $230 $1,000 0.3×
Skin sub graft face/nk/hf/g (15275) $366.39 $1,593 0.5×
Skin sub graft trnk/arm/leg (15271) $366.39 $1,593 0.5×
Skin Sub Grft T/Arm/Lg Child (15273) $844.79 $3,673 0.5×
Skn sub grft f/n/hf/g child (15277) $267.03 $1,161 0.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $83.95 $365 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $290.95 $1,265 0.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $177.79 $773 0.5×
Spinal puncture lumbar diagnostic (62270) $277.38 $1,206 0.4×
Spinal Puncture Therapeutic (62272) $356.96 $1,552 0.6×
Strapping ankle (29540) $50.83 $221 0.3×
Strapping elbow/wrist (29260) $36.80 $160 0.7×
Strapping hand/finger (29280) $55.89 $243 1.0×
Strapping knee (29530) $55.89 $243 0.5×
Strapping shoulder (29240) $50.83 $221 0.4×
Strapping toes (29550) $50.83 $221 0.9×
Strapping unna boot (29580) $54.16 $235.50 0.4×
Suture Digital Nerve Hand/Foot 1 Nerve (64831) $673.21 $2,927 0.4×
Tangential biopsy skin single lesion (11102) $38.64 $168 0.1×
Tenotomy Percutaneous Toe Single Tendon (28010) $739.45 $3,215 0.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $577.99 $2,513 1.0×
Thrombolytic Therapy, Stroke (37195) $1,484.42 $6,454 5.0×
Trach Tube Change (31502) $242.19 $1,053 1.1×
Tracheobrnchsc Thru Est Trachs Inc (31615) $264.50 $1,150 0.5×
Tracheostomy emergency cricothyroid membrane (31605) $231.15 $1,005 1.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $237.82 $1,034 0.2×
Tracheostomy planned (31600) $1,274.43 $5,541 0.4×
Treat Fracture Radius & Ulna (25560) $181.93 $791 0.8×
Treat humerus fracture (24577) $207.92 $904 0.1×
Treat Metatarsal Fracture (28475) $109.48 $476 0.5×
Treat wrist bone fracture (25635) $207.92 $904 0.1×
Treatment closed elbow dislocation req anes (24605) $710.01 $3,087 0.5×
Treatment closed elbow dislocation w/o anes (24600) $241.50 $1,050 1.1×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $62.10 $270 0.3×
Trim skin lesion (11055) $38.64 $168 0.2×
Trim skin lesions 2 to 4 (11056) $47.84 $208 0.3×
Trim skin lesions over 4 (11057) $57.27 $249 0.3×
Trimming Of Nondystrophic Nails, Any Number (11719) $11.73 $51 0.2×
Tx Superficial Wound Dehiscence Simple Closure (12020) $241.50 $1,050 0.4×
Tx superficial wound dehiscence w/packing (12021) $218.27 $949 0.6×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $74.52 $324 0.1×
Unlisted Procedure Casting/Strapping (29799) $53.59 $233 0.4×
Unlisted Procedure Dentoalveolar Structures (41899) $72.68 $316 0.3×
Unlisted Procedure Nervous System (64999) $2,427.88 $10,556 8.7×
Unlisted Procedure Small Intestine (44799) $1,080.31 $4,697 1.3×
Unlisted Procedure Vascular Surgery (37799) $486.22 $2,114 0.9×
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,081.08 $13,396 3.7×
Vaginal delivery only (59409) $455.86 $1,982 0.2×
Venipuncture (36415) $6.67 $29 0.7×
Wound Prep F/N/Hf/G (15004) $254.15 $1,105 0.7×
Wound prep trk/arm/leg 1st 100 sq cm (15002) $305.44 $1,328 0.5×