Procedures & surgery prices at Kauai Veterans Memorial Hospital

Waimea, HI · every code in this section with a posted price and a Medicare benchmark.

330 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 4 matching MRF lines
$1,101.75–$2,947.75 $1,695–$4,535 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $2,947.75 $4,535 2.8×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $5,259.15 $8,091 2.2×
Anoscopy diagnostic (46600) $178.10 $274 1.1×
Anoscopy W/Rmvl Foreign Body (46608) $3,539.90 $5,446 3.2×
Application cast elbow finger short arm (29075) $687.70 $1,058 2.1×
Application Cast Shoulder Spica (29055) $950.95 $1,463 2.9×
Application Finger Splint Dynamic (29131) $297.05 $457 4.3×
Application finger splint static (29130)
range across 5 matching MRF lines
$346.45–$416.65 $533–$641 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$346.45–$398.45 $533–$613 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$346.45–$398.45 $533–$613 varies
Application Short Arm Splint Dynamic (29126) $494 $760 3.1×
Application short arm splint forearm-hand static (29125)
range across 5 matching MRF lines
$252.85–$292.50 $389–$450 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$346.45–$398.45 $533–$613 varies
Apply Short Leg Cast (29405) $687.70 $1,058 2.1×
Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640)
range across 2 matching MRF lines
$8,165.30–$9,459.45 $12,562–$14,553 varies
Arterial puncture (36600)
range across 4 matching MRF lines
$165.75–$169 $255–$260 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $523.25 $805 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $872.30 $1,342 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines
$459.55–$485.55 $707–$747 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines
$715–$767 $1,100–$1,180 varies
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines
$1,164.80–$1,391 $1,792–$2,140 varies
Aspirate Pleura W/O Imaging (32554)
range across 5 matching MRF lines
$911.30–$1,190.80 $1,402–$1,832 varies
Aspirate/Inj Ganglion Cyst (20612) $404.30 $622 1.1×
Aspiration bladder insert suprapubic catheter (51102) $6,775.60 $10,424 2.7×
Aspiration Bladder Needle (51100) $666.25 $1,025 2.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$331.50–$393.25 $510–$605 varies
Biopsy Abdominal Mass (49180)
range across 6 matching MRF lines
$1,712.75–$2,067.65 $2,635–$3,181 varies
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines
$2,061.15–$2,067.65 $3,171–$3,181 varies
Biopsy muscle percutaneous needle (20206) $2,375.10 $3,654 1.2×
Biopsy of liver, needle; percutaneous (47000) $1,731.60 $2,664 0.9×
Biopsy soft tissue neck/thorax (21550) $1,681.55 $2,587 0.9×
Bladder Irrigation (51700)
range across 2 matching MRF lines
$957.45–$1,075.75 $1,473–$1,655 varies
Bladder Scan (51798) $231.40 $356 3.3×
Blepharotomy drainage abscess eyelid (67700) $1,157 $1,780 3.1×
Blood Transfusion Service (36430) $1,338.35 $2,059 2.6×
Bone Marrow Biopsy (38221) $2,510.95 $3,863 1.3×
Bone Marrow; Aspiration Only (38220) $2,744.30 $4,222 1.4×
Bx breast 1st lesion strtctc (19081) $1,866.15 $2,871 1.0×
Bx breast 1st lesion us imag (19083) $1,788.80 $2,752 0.9×
Canthotomy Separate Procedure (67715) $3,352.70 $5,158 1.2×
Catheter aspiration nasotracheal spx (31720) $278.20 $428 1.1×
Change Cystostomy Tube Simple (51705) $648.70 $998 2.2×
Change of Windpipe Airway (31502) $855.40 $1,316 3.1×
Chemical Cautery Tissue (17250) $736.45 $1,133 3.1×
Chest tube placement (32551)
range across 7 matching MRF lines
$1,710.80–$2,138.50 $2,632–$3,290 varies
Circumcision w/clamp/oth dev w/block (54150)
range across 4 matching MRF lines
$260–$3,092.05 $400–$4,757 varies
Cl Tx Tib Shft Fx W Manip (27752) $2,212.60 $3,404 1.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines
$239.85–$301.60 $369–$464 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines
$869.70–$902.20 $1,338–$1,388 varies
Closed treatment of posterior malleolus fracture; with manipulation (27768) $4,647.50 $7,150 2.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $936.65 $1,441 3.2×
Closed tx ankle dislocation w/o anesthesia (27840) $932.10 $1,434 3.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $4,647.50 $7,150 2.4×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $932.10 $1,434 3.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $547.95 $843 1.9×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $547.95 $843 1.9×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $702.65 $1,081 2.4×
Closed Tx Knee Dislocation W/Anesthesia (27552) $4,647.50 $7,150 2.4×
Closed tx knee dislocation w/o anesthesia (27550) $932.10 $1,434 3.2×
Closed Tx Lunate Dislocation W/Manipulation (25690) $4,647.50 $7,150 2.4×
Closed tx metatarsal fracture w/o manipulation (28470) $547.95 $843 1.9×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $4,786.60 $7,364 2.5×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $8,659.30 $13,322 2.2×
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines
$534.95–$551.20 $823–$848 varies
Closed tx radial shaft fracture w/manipulation (25505) $4,786.60 $7,364 2.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $932.10 $1,434 3.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $4,786.60 $7,364 2.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $932.10 $1,434 3.2×
Closed Tx Talus Fracture W/Manipulation (28435) $4,647.50 $7,150 2.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines
$603.85–$649.35 $929–$999 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $4,647.50 $7,150 2.4×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $1,073.80 $1,652 3.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $4,786.60 $7,364 2.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$534.95–$551.20 $823–$848 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $4,786.60 $7,364 2.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $4,786.60 $7,364 2.5×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines
$516.10–$561.60 $794–$864 varies
Cltx dstl fibular fx lat malls w/manj (27788) $932.10 $1,434 3.2×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
$502.45–$547.95 $773–$843 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $936.65 $1,441 3.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $547.95 $843 1.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$502.45–$547.95 $773–$843 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$2,303.60–$2,489.50 $3,544–$3,830 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $4,647.50 $7,150 2.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $4,647.50 $7,150 2.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $936.65 $1,441 3.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines
$534.95–$551.20 $823–$848 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines
$502.45–$547.95 $773–$843 varies
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,647.50 $7,150 2.4×
Cltx hip dislocation traumatic w/o anesthesia (27250) $932.10 $1,434 3.2×
Cltx humeral condylar fx medial/lateral w/manj (24577) $4,647.50 $7,150 2.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines
$534.95–$551.20 $823–$848 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $1,047.15 $1,611 3.2×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$534.95–$551.20 $823–$848 varies
Cltx Med Ankle Fx W/Mnpj (27762) $4,647.50 $7,150 2.4×
Cltx metacarpal fx w/manipulation each bone (26605) $936.65 $1,441 3.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $547.95 $843 1.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $936.65 $1,441 3.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines
$502.45–$547.95 $773–$843 varies
Cltx post hip arthrp dislc w/o anes (27265) $932.10 $1,434 3.2×
Cltx prox fibula/shft fx w/o manj (27780) $547.95 $843 1.9×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $4,647.50 $7,150 2.4×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $932.10 $1,434 3.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$534.95–$551.20 $823–$848 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $4,786.60 $7,364 2.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines
$2,303.60–$2,489.50 $3,544–$3,830 varies
Cltx tibial shaft fx w/o manipulation (27750) $547.95 $843 1.9×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $547.95 $843 1.9×
Cltx trimalleolar ankle fx w/manipulation (27818) $4,786.60 $7,364 2.5×
Collect Blood From Catheter Venous Nos (36592)
range across 3 matching MRF lines
$195.65–$214.50 $301–$330 varies
Collection of venous blood by venipuncture (36415) $42.90 $66 4.6×
Colporrhaphy (57200) $6,425.90 $9,886 1.7×
Control Nasal Hemorrhage Anterior Complex (30903) $432.25 $665 2.8×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$377–$408.85 $580–$629 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines
$4,637.75–$4,676.75 $7,135–$7,195 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $448.50 $690 2.9×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $855.40 $1,316 3.1×
Cysto/uretero w/lithotripsy (52356) $4,761.25 $7,325 0.8×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines
$894.40–$1,020.50 $1,376–$1,570 varies
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines
$920.40–$1,053 $1,416–$1,620 varies
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,370.20 $2,108 1.6×
Debride nail 1-5 (11720) $262.60 $404 3.8×
Debride nail 6 or more (11721) $22.75 $35 0.3×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$597.35–$991.90 $919–$1,526 varies
Declot vascular device (36593)
range across 3 matching MRF lines
$820.95–$928.20 $1,263–$1,428 varies
Dilate Urethra Stricture (53620) $2,256.80 $3,472 2.7×
Drain Cerebro Spinal Fluid (62272) $738.40 $1,136 0.9×
Drain/inj small joint/bursa w/us (20604) $750.75 $1,155 2.1×
Drainage Abscess/Hematoma Nasal Septum (30020) $1,801.80 $2,772 2.8×
Drainage external auditory canal abscess (69020) $2,356.25 $3,625 2.8×
Drainage external ear abscess/hematoma cmplx (69005) $3,383.25 $5,205 1.7×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines
$920.40–$1,053 $1,416–$1,620 varies
Drainage Finger Abscess Complicated (26011) $4,711.85 $7,249 2.4×
Drainage Mouth Roof Lesion (42000) $855.40 $1,316 3.1×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$460.85–$506.35 $709–$779 varies
Drainage of gum lesion (41800)
range across 2 matching MRF lines
$521.95–$567.45 $803–$873 varies
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$3,629.60–$4,439.50 $5,584–$6,830 varies
Drainage of nose lesion (30000) $855.40 $1,316 3.1×
Drainage of rectal abscess (45005) $1,008.15 $1,551 0.7×
Drainage of scrotal wall abscess (55100) $2,705.95 $4,163 1.4×
Drainage of scrotum (54700) $5,877.30 $9,042 2.4×
Draw Blood Off Venous Device (36591)
range across 5 matching MRF lines
$263.25–$316.55 $405–$487 varies
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,801.80 $2,772 2.8×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines
$920.40–$1,053 $1,416–$1,620 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,422.85 $2,189 3.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$331.50–$393.25 $510–$605 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$331.50–$393.25 $510–$605 varies
Dx Laryngoscopy Excl Nb (31525)
range across 2 matching MRF lines
$2,641.60–$3,204.50 $4,064–$4,930 varies
Egd Flexible Foreign Body Removal (43247) $2,947.75 $4,535 2.8×
Endoscopic us exam esoph (43237) $3,679 $5,660 1.6×
Epidural Blood Patch (62273) $1,166.10 $1,794 1.4×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$201.50–$230.75 $310–$355 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $2,356.25 $3,625 2.8×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $2,356.25 $3,625 2.8×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $4,711.85 $7,249 2.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines
$1,008.15–$4,363.45 $1,551–$6,713 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $2,356.25 $3,625 2.8×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $4,910.10 $7,554 2.2×
Expl penetrating wound spx abdomen/flank/back (20102) $5,259.15 $8,091 2.2×
Explo/Drain Breast Abscess (19020) $5,324.15 $8,191 2.7×
Exploration of knee joint (27310) $7,105.80 $10,932 1.8×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines
$2,087.15–$2,510.95 $3,211–$3,863 varies
External cephalic version (59412) $4,421.30 $6,802 1.2×
Fetal Contraction Stress Test (59020) $286 $440 1.2×
Fetal non-stress test (59025) $553.15 $851 2.3×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,732.25 $2,665 2.1×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Fna Bx W/Fluor Gdn 1St Les (10007) $1,732.25 $2,665 2.1×
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines
$751.40–$1,732.25 $1,156–$2,665 varies
Guide Cathet Fluid Drainage (10030)
range across 3 matching MRF lines
$831.35–$1,561.30 $1,279–$2,402 varies
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines
$927.55–$1,073.80 $1,427–$1,652 varies
I&d abscess simple (10060)
range across 2 matching MRF lines
$468.65–$484.90 $721–$746 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $7,950.15 $12,231 2.3×
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines
$1,068.60–$1,296.75 $1,644–$1,995 varies
I&d pilonidal cyst complicated (10081) $2,356.25 $3,625 2.8×
I&d pilonidal cyst simple (10080) $2,356.25 $3,625 2.8×
Image Cath Fluid Trns/Vgnl (49407) $9,043.45 $13,913 4.6×
Incise external hemorrhoid (46083) $973.70 $1,498 3.3×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Incision & removal foreign body subq tiss compl (10121) $4,711.85 $7,249 2.4×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines
$760.50–$852.80 $1,170–$1,312 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines
$718.90–$809.25 $1,106–$1,245 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines
$3,691.35–$4,548.70 $5,679–$6,998 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $4,711.85 $7,249 2.4×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines
$289.25–$321.75 $445–$495 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $767 $1,180 2.1×
Injection single/mlt trigger point 1/2 muscles (20552) $440.05 $677 1.2×
Injection single/mlt trigger point 3/> muscles (20553) $811.20 $1,248 2.2×
Injection, anesthetic agent; brachial plexus, single (64415) $1,383.20 $2,128 1.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$1,223.95–$1,431.95 $1,883–$2,203 varies
Insert Bladder Cath Complex (51703)
range across 4 matching MRF lines
$348.40–$411.45 $536–$633 varies
Insert cath pleura w/o image (32556) $2,215.20 $3,408 1.0×
Insert cervical dilator (59200) $586.95 $903 1.6×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines
$3,445–$4,078.75 $5,300–$6,275 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,170.35 $3,339 1.2×
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines
$258.05–$293.15 $397–$451 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 5 matching MRF lines
$207.35–$293.15 $319–$451 varies
Insertion indwelling tunneled pleural catheter (32550) $9,534.85 $14,669 2.3×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 3 matching MRF lines
$1,959.10–$2,383.55 $3,014–$3,667 varies
Insj Picc Rs&I <5 Yr (36572) $2,250.95 $3,463 3.0×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines
$2,135.90–$2,604.55 $3,286–$4,007 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,289.60 $1,984 2.7×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $1,036.75 $1,595 2.2×
Intubation endotracheal emergency procedure (31500)
range across 5 matching MRF lines
$754–$1,072.50 $1,160–$1,650 varies
Irrigation of corpora cavernosa for priapism (54220) $957.45 $1,473 3.2×
Laryngoscopy diagnostic (31505) $686.40 $1,056 2.9×
Laryngoscopy flexible diagnostic (31575) $326.30 $502 1.4×
Laryngoscopy Flx Rmvl Foreign Body(S) (31577) $1,450.80 $2,232 3.1×
Laryngoscopy W/Foreign Body Removal (31530)
range across 2 matching MRF lines
$2,974.40–$3,620.50 $4,576–$5,570 varies
N Block Inj Plantar Digit (64455) $702 $1,080 1.9×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$349.70–$506.35 $538–$779 varies
Needle Biopsy Lymph Nodes (38505)
range across 6 matching MRF lines
$1,665.30–$2,067.65 $2,562–$3,181 varies
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,773.85 $2,729 4.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $720.85 $1,109 2.0×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $5,202.60 $8,004 1.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,487.20 $2,288 1.4×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $2,021.50 $3,110 1.9×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$1,114.10–$1,294.80 $1,714–$1,992 varies
Open Tx Distal Phalangeal Fracture Each (26765) $8,963.50 $13,790 2.3×
Open tx interphalangeal joint dislocation (26785) $8,927.10 $13,734 2.3×
Penile Injection (54235) $770.90 $1,186 2.6×
Pericardiocentesis W/Imaging (33016) $4,772.30 $7,342 2.6×
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines
$895.05–$1,025.05 $1,377–$1,577 varies
Perq device breast 1st imag (19281)
range across 3 matching MRF lines
$3,171.35–$3,344.90 $4,879–$5,146 varies
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines
$525.85–$571.35 $809–$879 varies
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $7,600.45 $11,693 3.1×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$669.50–$695.50 $1,030–$1,070 varies
Puncture Aspiration Cyst Breast (19000) $1,067.95 $1,643 1.3×
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines
$494–$507.65 $760–$781 varies
Removal Foreign Body Deep Thigh/Knee (27372) $8,119.80 $12,492 2.4×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$1,190.15–$1,389.70 $1,831–$2,138 varies
Removal Foreign Body Scrotum (55120) $5,877.30 $9,042 2.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines
$31.20–$262.60 $48–$404 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$195.65–$214.50 $301–$330 varies
Removal implantable contraceptive capsules (11976) $2,356.25 $3,625 2.8×
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines
$525.85–$571.35 $809–$879 varies
Removal of nail bed (11750)
range across 2 matching MRF lines
$1,190.15–$1,389.70 $1,831–$2,138 varies
Removal or bivalving full arm or full leg cast (29705) $1,047.15 $1,611 3.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $736.45 $1,133 3.1×
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$386.10–$447.85 $594–$689 varies
Remove Intrauterine Device (58301) $730.60 $1,124 2.0×
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$260.65–$293.15 $401–$451 varies
Remove Shoulder Foreign Body (23330) $2,855.45 $4,393 1.5×
Renal Biopsy Perq (50200)
range across 3 matching MRF lines
$2,061.15–$2,067.65 $3,171–$3,181 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines
$1,508.65–$1,788.15 $2,321–$2,751 varies
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,097.55 $3,227 2.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines
$1,485.90–$1,759.55 $2,286–$2,707 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines
$1,903.85–$2,314.65 $2,929–$3,561 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $2,071.55 $3,187 4.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$1,631.50–$1,974.05 $2,510–$3,037 varies
Repair complex trunk 1.1-2.5 cm (13100) $1,968.20 $3,028 2.3×
Repair complex trunk 2.6-7.5 cm (13101) $1,968.20 $3,028 2.3×
Repair extensor tendon finger w/o graft each (26418) $5,662.80 $8,712 3.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,036.75 $1,595 2.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,968.20 $3,028 2.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$386.10–$572 $594–$880 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines
$975–$1,129.05 $1,500–$1,737 varies
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) $5,259.15 $8,091 2.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,968.20 $3,028 2.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$547.95–$564.20 $843–$868 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $5,259.15 $8,091 2.2×
Repair of nail bed (11760)
range across 2 matching MRF lines
$975–$1,129.05 $1,500–$1,737 varies
Repair tongue laceration (41252) $855.40 $1,316 3.1×
Repair tongue laceration (41250)
range across 2 matching MRF lines
$525.85–$571.35 $809–$879 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$525.85–$571.35 $809–$879 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 2 matching MRF lines
$386.10–$447.85 $594–$689 varies
Rmvl fecal impaction/fb spx under anes (45915) $1,008.15 $1,551 0.7×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $4,711.85 $7,249 2.4×
Rplc Gtube No Revj Trc (43762) $1,119.30 $1,722 3.8×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $7,016.75 $10,795 1.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) $11,553.10 $17,774 1.5×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $384.15 $591 0.1×
Rpr aa hrn 1st 3-10 rdc (49593) $4,813.25 $7,405 0.6×
Rpr aa hrn 1st < 3 ncr/strn (49592) $6,162 $9,480 0.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$454.35–$499.85 $699–$769 varies
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $1,289.60 $1,984 1.5×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $855.40 $1,316 3.1×
Rpr Lip Full Thickness Vermilion Only (40650) $1,836.90 $2,826 2.9×
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $4,428.45 $6,813 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $736.45 $1,133 3.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines
$1,397.50–$1,636.70 $2,150–$2,518 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$510.90–$543.40 $786–$836 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$510.90–$543.40 $786–$836 varies
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) $1,289.60 $1,984 2.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$454.35–$499.85 $699–$769 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) $736.45 $1,133 3.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$510.90–$543.40 $786–$836 varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $736.45 $1,133 3.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$510.90–$543.40 $786–$836 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$510.90–$543.40 $786–$836 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$526.50–$572 $810–$880 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines
$1,413.75–$1,656.20 $2,175–$2,548 varies
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines
$731.25–$905.45 $1,125–$1,393 varies
Strapping ankle (29540) $367.90 $566 1.9×
Strapping elbow or wrist (29260)
range across 4 matching MRF lines
$179.40–$278.20 $276–$428 varies
Strapping hand/finger (29280) $343.20 $528 4.9×
Strapping knee (29530) $367.90 $566 2.3×
Strapping shoulder (29240) $293.15 $451 1.9×
Strapping thorax (29200) $233.35 $359 1.2×
Strapping toes (29550)
range across 2 matching MRF lines
$278.20–$343.20 $428–$528 varies
Strapping Unna Boot (29580) $562.25 $865 2.9×
Thyroid biopsy (60100) $751.40 $1,156 0.9×
Tooth extraction (41899) $429.65 $661 1.5×
Tracheostomy Emergency Procedure Transtracheal (31603) $4,347.20 $6,688 2.4×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $731.25 $1,125 2.0×
Treat Humerus Fracture (24505) $4,786.60 $7,364 2.5×
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines
$534.95–$551.20 $823–$848 varies
Treat Metatarsal Fracture (28475) $547.95 $843 1.9×
Treat Thumb Dislocation (26641)
range across 2 matching MRF lines
$670.15–$702.65 $1,031–$1,081 varies
Treat toe dislocation (28630) $932.10 $1,434 3.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $4,786.60 $7,364 2.5×
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines
$534.95–$551.20 $823–$848 varies
Trim skin lesion (11055) $736.45 $1,133 3.1×
Trimming Nondystrophic Nails Any Number (11719) $229.45 $353 3.3×
Tx Gastro Intub W/Asp (43753)
range across 4 matching MRF lines
$353.60–$507 $544–$780 varies
Tx Superficial Wound Dehiscence Simple Closure (12020) $2,097.55 $3,227 2.4×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $1,021.80 $1,572 3.7×
Unlisted Procedure Rectum (45999) $653.25 $1,005 0.6×
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines
$165.75–$2,691 $255–$4,140 varies
Wedge excision skin nail fold (11765) $1,289.60 $1,984 2.7×

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.