Procedures & surgery prices at Keefe Memorial Hospital
Cheyenne Wells, CO · every code in this section with a posted price and a Medicare benchmark.
266 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $1,857.80 | $2,654 | 1.9× |
| Acne surgery (10040) | $156 | $156 | 0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,467.20 | $1,834 | 0.4× |
| Application cast elbow finger short arm (29075) | $137 | $137 | 0.5× |
| Application finger splint static (29130) range across 3 matching MRF lines |
$104–$207 | $104–$207 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$207–$442 | $207–$442 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$239–$490 | $239–$490 | varies |
| Application short arm splint forearm-hand static (29125) | $137 | $137 | 1.0× |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$180–$358 | $180–$358 | varies |
| Apply long arm cast (29065) | $152 | $152 | 0.5× |
| Apply Short Leg Cast (29405) | $206 | $206 | 0.7× |
| Apply short leg cast (29425) | $191 | $191 | 0.6× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$105–$146 | $105–$146 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) | $186 | $186 | 0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $186 | $186 | 0.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $186 | $186 | 0.6× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) | $937.60 | $1,172 | 0.6× |
| Aspirate/Inj Ganglion Cyst (20612) | $165 | $165 | 0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$266–$299 | $266–$299 | varies |
| Biopsy of floor of mouth (41108) | $224 | $224 | 0.1× |
| Biopsy of lip (40490) | $229 | $229 | 0.9× |
| Biopsy of palate, uvula (42100) | $1,000 | $1,250 | 0.6× |
| Biopsy/removal lymph nodes (38510) | $1,586.40 | $1,983 | 0.4× |
| Bladder Irrigation (51700) | $200 | $200 | 0.8× |
| Blepharotomy drainage abscess eyelid (67700) | $755 | $755 | 2.3× |
| Blood Transfusion Service (36430) | $932 | $1,165 | 2.0× |
| Bx Cervix (57500) | $410 | $410 | 0.4× |
| Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$1,586.40–$2,725.80 | $1,983–$3,894 | varies |
| Cautery Cervix Cryocautery Initial/Repeat (57511) | $182 | $182 | 0.6× |
| Change Cystostomy Tube Simple (51705) | $388 | $388 | 1.5× |
| Chest tube placement (32551) range across 2 matching MRF lines |
$386–$1,324.80 | $386–$1,656 | varies |
| Cl Tx Tib Shft Fx W Manip (27752) | $1,100.80 | $1,376 | 0.6× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$207–$367 | $207–$367 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,024.80 | $1,281 | 3.9× |
| Closed Treatment Sternum Fracture (21820) | $385 | $385 | 1.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $859 | $859 | 3.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $980 | $980 | 3.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 2 matching MRF lines |
$600–$666 | $600–$666 | varies |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) | $641 | $641 | 2.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $801 | $801 | 3.1× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 2 matching MRF lines |
$677–$1,068.80 | $677–$1,336 | varies |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$565–$677 | $565–$677 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$394–$3,103.80 | $394–$4,434 | varies |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $847 | $847 | 3.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$677–$687 | $677–$687 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) | $1,044 | $1,305 | 0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$677–$742 | $677–$742 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$1,072–$3,194.80 | $1,340–$4,564 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$677–$756 | $677–$756 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) | $610 | $610 | 2.3× |
| Closed tx talus fracture w/o manipulation (28430) | $624 | $624 | 2.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $372 | $372 | 1.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $763 | $763 | 2.9× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$677–$687 | $677–$687 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $912 | $912 | 3.5× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$577–$677 | $577–$677 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$841.60–$3,194.80 | $1,052–$4,564 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$677–$846 | $677–$846 | varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 2 matching MRF lines |
$716–$1,013.60 | $716–$1,267 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $905 | $905 | 3.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
$716–$955 | $716–$955 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$677–$794 | $677–$794 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$487–$677 | $487–$677 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$677–$884 | $677–$884 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,112.80–$3,194.80 | $1,391–$4,564 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$366–$677 | $366–$677 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$421–$578 | $421–$578 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $310 | $310 | 1.2× |
| Cltx greater humeral tuberosity fx w/o manj (23620) | $705 | $705 | 2.7× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) | $917 | $917 | 3.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $816.80 | $1,021 | 2.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$681–$740 | $681–$740 | varies |
| Cltx Medial Ankle Fx (27760) | $864 | $864 | 3.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$677–$862 | $677–$862 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$677–$785 | $677–$785 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$677–$888 | $677–$888 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$521–$677 | $521–$677 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$677–$806 | $677–$806 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$271–$677 | $271–$677 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
$677–$993 | $677–$993 | varies |
| Cltx tibial shaft fx w/o manipulation (27750) | $902 | $902 | 3.5× |
| Collection of venous blood by venipuncture (36415) | $35 | $35 | 3.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $365 | $365 | 1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) | $182 | $182 | 0.9× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $1,859.90 | $2,657 | 1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$367–$415 | $367–$415 | varies |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) | $133 | $133 | 2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$347–$933 | $347–$933 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $150 | $150 | 0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$339–$756 | $339–$756 | varies |
| Destruct B9 Lesion 1-14 (17110) | $178 | $178 | 0.8× |
| Destruction Benign Lesions 15/> (17111) | $345 | $345 | 1.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $156 | $156 | 0.7× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $156 | $156 | 0.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $156 | $156 | 0.7× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $156 | $156 | 0.7× |
| Destruction Premalignant Lesion 15/> (17004) | $383 | $383 | 0.9× |
| Destruction premalignant lesion 1st (17000) | $200 | $200 | 0.9× |
| Diagnostic sigmoidoscopy (45330) | $362 | $362 | 0.4× |
| Diaphragm or cervical cap fitting with instructions (57170) | $202 | $202 | 0.9× |
| Drainage external ear abscess/hematoma cmplx (69005) | $328 | $328 | 0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $488 | $488 | 0.7× |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$655–$983 | $655–$983 | varies |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$440–$902 | $440–$902 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $298 | $298 | 0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$404–$589 | $404–$589 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$218–$589 | $218–$589 | varies |
| Egd cautery tumor polyp (43250) | $1,006.40 | $1,258 | 0.5× |
| Endometrial Biopsy (58100) | $264 | $264 | 1.2× |
| Evacuation of subungual hematoma (11740) | $148 | $148 | 1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $334 | $334 | 0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $529 | $529 | 0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $328 | $328 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$328–$692 | $328–$692 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $996 | $996 | 0.6× |
| Exc Face Les Sbq 2 Cm/> (21012) | $962 | $962 | 0.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$328–$1,095.20 | $328–$1,369 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$328–$901.60 | $328–$1,127 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$501–$882.40 | $501–$1,103 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$588–$1,817.60 | $588–$2,272 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $328 | $328 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $328 | $328 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 3 matching MRF lines |
$328–$465 | $328–$465 | varies |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) | $524 | $524 | 0.5× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) | $996.80 | $1,246 | 0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $511 | $511 | 0.7× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $605 | $605 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $818 | $818 | 0.5× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$383–$762 | $383–$762 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $832.80 | $1,041 | 0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $914.40 | $1,143 | 0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $562 | $562 | 0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) | $328 | $328 | 0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $328 | $328 | 0.4× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $580 | $580 | 0.3× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $2,807 | $4,010 | 0.9× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $328 | $328 | 0.2× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $1,041.60 | $1,302 | 0.3× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $2,214.80 | $3,164 | 1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$383–$717 | $383–$717 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $516 | $516 | 0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$328–$593 | $328–$593 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$328–$632 | $328–$632 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $383 | $383 | 0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $328 | $328 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $383 | $383 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $383 | $383 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $517 | $517 | 0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $328 | $328 | 0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $652 | $652 | 0.9× |
| Excision of sublingual salivary cyst (ranula) (42408) | $1,142.40 | $1,428 | 0.3× |
| Explore/Treat Hand Joint (26070) | $823 | $823 | 0.5× |
| Fine needle aspiration without imaging guidance (10021) | $269 | $269 | 0.6× |
| I&d abscess simple (10060) | $589 | $589 | 2.8× |
| I&d perianal abscess superficial (46050) | $630 | $630 | 0.6× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$678–$1,631.20 | $678–$2,039 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$555–$872 | $555–$872 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$545–$1,146.40 | $545–$1,433 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$683–$3,228.40 | $683–$4,612 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$389–$907.20 | $389–$1,134 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $491 | $491 | 2.3× |
| Incision of lingual frenum (frenotomy) (41010) | $578 | $578 | 0.4× |
| Incisional biopsy skin single lesion (11106) | $412 | $412 | 0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $194 | $194 | 0.9× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $146 | $146 | 0.5× |
| Injection single tendon origin/insertion (20551) | $113 | $113 | 0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $137 | $137 | 0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) | $158 | $158 | 0.5× |
| Insert Drug Implant Device (11981) | $266 | $266 | 1.9× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$567–$653 | $567–$653 | varies |
| Insert Temp Bladder Cath (51702) | $162 | $162 | 1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $114 | $114 | 0.8× |
| Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines |
$394–$1,186.40 | $394–$1,483 | varies |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$348–$694 | $348–$694 | varies |
| Laryngoscopy flexible diagnostic (31575) | $291 | $291 | 1.4× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $291 | $291 | 0.7× |
| Late closure of wound (13160) | $1,601.60 | $2,002 | 0.4× |
| Ligation or biopsy temporal artery (37609) | $908 | $908 | 0.5× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) | $291 | $291 | 0.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $874 | $874 | 2.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) range across 2 matching MRF lines |
$1,028–$4,639 | $1,285–$9,278 | varies |
| Parathyroidectomy or exploration of parathyroid(s); (60500) unusually low: confirm this is the full procedure |
$1,976 | $2,470 | 0.3× |
| Partial removal of thyroid (60220) | $4,377 | $7,295 | 0.7× |
| Punch biopsy skin single lesion (11104) | $332 | $332 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $334 | $334 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) | $631 | $631 | 0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $565 | $565 | 0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $40 | $40 | 0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $74 | $74 | 1.2× |
| Removal Implant Superficial Separate Procedure (20670) | $950 | $950 | 0.5× |
| Removal implantable contraceptive capsules (11976) | $368 | $368 | 0.5× |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$527–$886 | $527–$886 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$338–$415 | $338–$415 | varies |
| Removal of tonsils (42825) likely a partial charge, not the full procedure |
$1,524.80 | $1,906 | 0.2× |
| Removal of tonsils (42826) | $1,524.80 | $1,906 | 0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$233–$344 | $233–$344 | varies |
| Remove drug implant device (11982) | $300 | $300 | 0.6× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$73–$584 | $73–$584 | varies |
| Remove Intrauterine Device (58301) | $286 | $286 | 0.9× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$367–$557 | $367–$557 | varies |
| Remove/Insert Drug Implant (11983) | $300 | $300 | 0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$1,027.20–$1,410.40 | $1,284–$1,763 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$806.40–$907.20 | $1,008–$1,134 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$978.40–$1,375.20 | $1,223–$1,719 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $926 | $926 | 2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$884.80–$1,025.60 | $1,106–$1,282 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$742–$907.20 | $742–$1,134 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$821–$907.20 | $821–$1,134 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$907.20–$950 | $950–$1,134 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$801.60–$907.20 | $1,002–$1,134 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$693–$907.20 | $693–$1,134 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$808–$907.20 | $808–$1,134 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$992–$1,375.20 | $992–$1,719 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$807.20–$907.20 | $1,009–$1,134 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$690–$907.20 | $690–$1,134 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$788–$907.20 | $788–$1,134 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$896–$1,375.20 | $1,120–$1,719 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $402 | $402 | 0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$997.60–$3,373.80 | $1,247–$5,623 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$152–$886 | $152–$886 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $172 | $172 | 1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $369 | $369 | 0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$440–$589 | $440–$589 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$1,042.40–$1,375.20 | $1,303–$1,719 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $862 | $862 | 0.7× |
| Shave skin lesion 0.5 cm/< (11300) | $156 | $156 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $156 | $156 | 0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $156 | $156 | 0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $156 | $156 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $322 | $322 | 1.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $156 | $156 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $156 | $156 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $156 | $156 | 0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $156 | $156 | 0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $156 | $156 | 0.7× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $605 | $605 | 0.2× |
| Sigmoidoscopy & Polypectomy (45333) | $931 | $931 | 0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $362 | $362 | 0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$289–$589 | $289–$589 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$300–$589 | $300–$589 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$368–$589 | $368–$589 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$242–$589 | $242–$589 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$337–$589 | $337–$589 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$290–$589 | $290–$589 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$453–$907.20 | $453–$1,134 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$529–$907.20 | $529–$1,134 | varies |
| Spinal puncture lumbar diagnostic (62270) | $1,664.80 | $2,081 | 2.2× |
| Strapping elbow or wrist (29260) | $76 | $76 | 1.2× |
| Tangential biopsy skin single lesion (11102) | $268 | $268 | 0.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $1,630.40 | $2,038 | 0.7× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) | $1,524.80 | $1,906 | 0.4× |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) | $1,497.60 | $1,872 | 0.4× |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$677–$869 | $677–$869 | varies |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$657–$677 | $657–$677 | varies |
| Treat Tail Bone Fracture (27200) | $486 | $486 | 1.9× |
| Treat Thumb Dislocation (26641) | $871.20 | $1,089 | 3.3× |
| Treat Thumb Fracture (26645) | $898.40 | $1,123 | 0.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$982.40–$3,194.80 | $1,228–$4,564 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $965 | $965 | 3.7× |
| Trim skin lesion (11055) | $190 | $190 | 0.9× |
| Trim skin lesions 2 to 4 (11056) | $217 | $217 | 1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $780 | $780 | 1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$547–$677 | $547–$677 | varies |
| Vasectomy uni/bi spx w/postop semen exams (55250) | $1,945.30 | $2,779 | 0.9× |
| Vermilionectomy lip shv w/mucosal advmnt (40500) range across 2 matching MRF lines |
$1,041.60–$2,022.30 | $1,302–$2,889 | varies |
| Wedge excision skin nail fold (11765) | $434 | $434 | 1.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.