Procedures & surgery prices at Kiowa District Hospital
Kiowa, KS · every code in this section with a posted price and a Medicare benchmark.
278 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,287.20 | $1,609 | 1.5× |
| Acne surgery (10040) | $107.20 | $134 | 0.6× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $292 | $365 | 2.0× |
| Application cast elbow finger short arm (29075) | $462.40 | $578 | 1.8× |
| Application Cast Finger (29086) | $78.40 | $98 | 0.5× |
| Application finger splint static (29130) | $64 | $80 | 0.5× |
| Application short arm splint forearm-hand static (29125) | $64 | $80 | 0.5× |
| Apply hand/wrist cast (29085) | $100 | $125 | 0.7× |
| Apply long arm cast (29065) | $108 | $135 | 0.4× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$248–$292 | $310–$365 | varies |
| Apply short leg cast (29425) | $300 | $375 | 1.2× |
| Arterial puncture (36600) | $85.60 | $107 | 0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 4 matching MRF lines |
$128–$784 | $160–$980 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$516–$608 | $645–$760 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$68–$740 | $85–$925 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$732–$1,020 | $915–$1,275 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 4 matching MRF lines |
$136–$640 | $170–$800 | varies |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) | $390.40 | $488 | 0.3× |
| Aspirate Pleura W/O Imaging (32554) | $261.60 | $327 | 0.5× |
| Aspirate/Inj Ganglion Cyst (20612) | $68 | $85 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) | $108.80 | $136 | 0.6× |
| Bladder Irrigation (51700) | $101.60 | $127 | 0.4× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$154.40–$228.80 | $193–$286 | varies |
| Blood Transfusion Service (36430) range across 4 matching MRF lines |
$52.80–$360 | $66–$450 | varies |
| Carpal Tunnel Surgery (64721) | $1,625.60 | $2,032 | 0.9× |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$93.60–$100.80 | $117–$126 | varies |
| Change of Windpipe Airway (31502) | $255.20 | $319 | 1.2× |
| Chemical Cautery Tissue (17250) | $220.80 | $276 | 1.2× |
| Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$1,120–$1,980 | $1,400–$2,475 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$404.80–$720 | $506–$900 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$160–$1,035.20 | $200–$1,294 | varies |
| Circumcision Neonate (54160) | $441.60 | $552 | 0.7× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$155.20–$416 | $194–$520 | varies |
| Clear outer ear canal (69200) | $80.80 | $101 | 0.7× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $301.60 | $377 | 1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $217.60 | $272 | 1.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) | $319.20 | $399 | 1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $208 | $260 | 0.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $272.80 | $341 | 1.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $278.40 | $348 | 1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $258.40 | $323 | 1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $216.80 | $271 | 1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $316.80 | $396 | 1.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) | $531.20 | $664 | 2.3× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $1,268.80 | $1,586 | 5.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $301.60 | $377 | 1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $311.20 | $389 | 1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $182.40 | $228 | 0.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $325.60 | $407 | 1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $143.20 | $179 | 0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $122.40 | $153 | 0.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) | $260 | $325 | 1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $290.40 | $363 | 1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $195.20 | $244 | 0.9× |
| Cltx prox fibula/shft fx w/o manj (27780) | $2,072 | $2,590 | 9.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $119.20 | $149 | 0.5× |
| Cltx tibial shaft fx w/o manipulation (27750) | $341.60 | $427 | 1.5× |
| Collection of venous blood by venipuncture (36415) | $40 | $50 | 4.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $142.40 | $178 | 1.2× |
| Cystourethroscopy (52000) | $1,350.40 | $1,688 | 2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $55.20 | $69 | 0.1× |
| Debride nail 1-5 (11720) | $71.20 | $89 | 1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$120.80–$397.60 | $151–$497 | varies |
| Declot vascular device (36593) | $362.40 | $453 | 1.2× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$3,200–$4,480 | $4,000–$5,600 | varies |
| Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$2,880–$4,400 | $3,600–$5,500 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$108.80–$160 | $136–$200 | varies |
| Destruction Benign Lesions 15/> (17111) | $128.80 | $161 | 0.7× |
| Destruction by neurolytic agent, intercostal nerve (64620) range across 2 matching MRF lines |
$2,525.60–$3,760 | $3,157–$4,700 | varies |
| Destruction by neurolytic agent; plantar common digital nerve (64632) range across 2 matching MRF lines |
$2,032–$3,120 | $2,540–$3,900 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $176 | $220 | 1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $280.93 | $351.16 | 1.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $112.80 | $141 | 0.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $82.40 | $103 | 0.4× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $84 | $105 | 0.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $83.20 | $104 | 0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $138.40 | $173 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $147.20 | $184 | 0.8× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $180 | $225 | 1.0× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $185.60 | $232 | 1.0× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $94.40 | $118 | 0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
$2,600–$3,520 | $3,250–$4,400 | varies |
| Destruction of skin lesions (17106) | $340.80 | $426 | 0.9× |
| Destruction Premalignant Lesion 15/> (17004) | $150.40 | $188 | 0.4× |
| Destruction premalignant lesion 1st (17000) | $105.60 | $132 | 0.6× |
| Diagnostic sigmoidoscopy (45330) | $1,209.60 | $1,512 | 1.4× |
| Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$1,420–$2,460 | $1,775–$3,075 | varies |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$366.40–$640 | $458–$800 | varies |
| Drainage of hematoma/fluid (10140) | $166.40 | $208 | 0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $155.20 | $194 | 0.8× |
| Dstrj lesion anus simple surg excision (46922) | $1,968 | $2,460 | 0.8× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) | $108.80 | $136 | 0.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$2,032–$3,120 | $2,540–$3,900 | varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$1,680–$3,000 | $2,100–$3,750 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $1,200 | $1,500 | 0.7× |
| Egd place gastrostomy tube (43246) | $3,192 | $3,990 | 1.8× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$2,032–$3,600 | $2,540–$4,500 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $122.40 | $153 | 0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $200.80 | $251 | 0.1× |
| Exc Back Les Sc < 3 Cm (21930) | $2,240 | $2,800 | 1.5× |
| Exc Back Tum Deep 5 Cm/> (21933) | $2,068.80 | $2,586 | 0.8× |
| Exc back tum deep < 5 cm (21932) | $1,044 | $1,305 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$136–$235.20 | $170–$294 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$268.80–$664 | $336–$830 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$136–$1,042.40 | $170–$1,303 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $168 | $210 | 0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$187.20–$1,309.60 | $234–$1,637 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $223.20 | $279 | 0.1× |
| Exc ganglion wrist recurrent (25112) | $1,995.20 | $2,494 | 1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$136–$160 | $170–$200 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 3 matching MRF lines |
$156–$1,748 | $195–$2,185 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$176–$1,748 | $220–$2,185 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$192–$1,976 | $240–$2,470 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $280 | $350 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $333.60 | $417 | 0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$312–$2,000 | $390–$2,500 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $388.80 | $486 | 0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $1,484.80 | $1,856 | 1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $404 | $505 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$445.60–$2,214.40 | $557–$2,768 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $960 | $1,200 | 0.9× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$128–$149.60 | $160–$187 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$165.60–$976 | $207–$1,220 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$217.60–$1,988 | $272–$2,485 | varies |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $4,211.20 | $5,264 | 1.6× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) | $453.60 | $567 | 0.2× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $2,350.40 | $2,938 | 0.9× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $280.80 | $351 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$293.60–$868 | $367–$1,085 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $226.40 | $283 | 0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$245.60–$672.80 | $307–$841 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$353.60–$1,200 | $442–$1,500 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $316 | $395 | 0.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $509.60 | $637 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $256 | $320 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $227.20 | $284 | 0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $253.60 | $317 | 0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$280–$440 | $350–$550 | varies |
| Excision Multiple External Papillae/Tags Anus (46230) | $3,628 | $4,535 | 1.4× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $1,995.20 | $2,494 | 1.3× |
| Excision of hydrocele; unilateral (55040) | $1,512 | $1,890 | 0.5× |
| Excision of single external papilla or tag, anus (46220) | $1,580 | $1,975 | 1.4× |
| Excision olecranon bursa (24105) | $1,400 | $1,750 | 0.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) | $3,276.80 | $4,096 | 1.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,720 | $2,150 | 1.1× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $400 | $500 | 0.1× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $698.40 | $873 | 0.5× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $309.60 | $387 | 0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $3,404 | $4,255 | 1.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $1,680 | $2,100 | 0.7× |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$282.40–$1,187.20 | $353–$1,484 | varies |
| I&d perianal abscess superficial (46050) | $1,020 | $1,275 | 1.2× |
| I&d pilonidal cyst simple (10080) | $180.80 | $226 | 0.3× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$181.60–$184.80 | $227–$231 | varies |
| Incision & drainage abscess complicated/multiple (10061) | $205.60 | $257 | 0.5× |
| Incision & removal foreign body subq tiss compl (10121) | $270.40 | $338 | 0.2× |
| Incision & removal foreign body subq tiss simple (10120) | $150.40 | $188 | 0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $70.40 | $88 | 0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,500–$4,320 | $3,125–$5,400 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$1,420–$2,460 | $1,775–$3,075 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$136–$640 | $170–$800 | varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$760–$1,240 | $950–$1,550 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$1,920–$3,216 | $2,400–$4,020 | varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 2 matching MRF lines |
$1,040–$1,800 | $1,300–$2,250 | varies |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) range across 2 matching MRF lines |
$800–$1,560 | $1,000–$1,950 | varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$2,016–$4,240 | $2,520–$5,300 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$1,040–$1,800 | $1,300–$2,250 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$960–$1,600 | $1,200–$2,000 | varies |
| Injection Anes Superior Hypogastric Plexus (64517) range across 2 matching MRF lines |
$2,540–$3,760 | $3,175–$4,700 | varies |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$560–$960 | $700–$1,200 | varies |
| Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
$120–$740 | $150–$925 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$128–$740 | $160–$925 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$104.80–$960 | $131–$1,200 | varies |
| Injection therapeutic carpal tunnel (20526) range across 4 matching MRF lines |
$120–$640 | $150–$800 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$760–$1,240 | $950–$1,550 | varies |
| Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$800–$1,560 | $1,000–$1,950 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$83.20–$920 | $104–$1,150 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$516–$640 | $645–$800 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $82.40 | $103 | 0.4× |
| Insert Drug Implant Device (11981) | $154.40 | $193 | 1.3× |
| Insert non-tunnel cv cath (36556) | $1,035.20 | $1,294 | 0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $132 | $165 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$96.80–$101.60 | $121–$127 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $101.60 | $127 | 0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$867.20–$880 | $1,084–$1,100 | varies |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $3,824 | $4,780 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $867.20 | $1,084 | 0.6× |
| Intubation endotracheal emergency procedure (31500) | $145.60 | $182 | 0.7× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) unusually low: confirm this is the full procedure |
$2,253.60 | $2,817 | 0.4× |
| Laparoscopy, surgical, appendectomy (44970) | $4,632.80 | $5,791 | 0.8× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) | $4,868 | $6,085 | 0.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) unusually low: confirm this is the full procedure |
$4,868 | $6,085 | 0.5× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) | $4,868 | $6,085 | 0.9× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) | $6,720 | $8,400 | 0.7× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) unusually low: confirm this is the full procedure |
$2,019.20 | $2,524 | 0.4× |
| Ligation of hemorrhoids (46946) range across 2 matching MRF lines |
$3,024–$4,284 | $3,780–$5,355 | varies |
| Lysis/excision penile postcircumcision adhesions (54162) range across 2 matching MRF lines |
$260.80–$1,168 | $326–$1,460 | varies |
| N Block Inj Celiac Pelus (64530) range across 2 matching MRF lines |
$4,160–$6,320 | $5,200–$7,900 | varies |
| N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
$1,080–$1,860 | $1,350–$2,325 | varies |
| N block inj intercost sng (64420) range across 2 matching MRF lines |
$2,160–$3,840 | $2,700–$4,800 | varies |
| N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$780–$1,440 | $975–$1,800 | varies |
| N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$1,200–$2,020 | $1,500–$2,525 | varies |
| N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$2,140–$3,840 | $2,675–$4,800 | varies |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) | $320 | $400 | 0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) range across 2 matching MRF lines |
$2,540–$3,760 | $3,175–$4,700 | varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$3,840–$5,840 | $4,800–$7,300 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$768–$3,520 | $960–$4,400 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$2,400–$4,240 | $3,000–$5,300 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$1,920–$3,360 | $2,400–$4,200 | varies |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$1,520–$2,720 | $1,900–$3,400 | varies |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) | $2,146.40 | $2,683 | 0.7× |
| Placement of needle for intraosseous infusion (36680) | $132 | $165 | 0.3× |
| Punch biopsy skin single lesion (11104) | $295.20 | $369 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$194.40–$204 | $243–$255 | varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
$1,020–$1,680 | $1,275–$2,100 | varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) range across 2 matching MRF lines |
$5,440–$6,880 | $6,800–$8,600 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $48 | $60 | 0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $47.20 | $59 | 0.9× |
| Removal of nail bed (11750) | $193.60 | $242 | 0.5× |
| Removal of sperm cord lesion (55520) | $2,616.80 | $3,271 | 0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$88–$2,520 | $110–$3,150 | varies |
| Remove drug implant device (11982) | $160 | $200 | 0.4× |
| Remove foreign body from eye (65205) | $73.60 | $92 | 0.6× |
| Remove Nasal Foreign Body (30300) | $182.40 | $228 | 1.5× |
| Remove Tendon Sheath Lesion (26160) | $1,596 | $1,995 | 1.1× |
| Remove/Insert Drug Implant (11983) | $104 | $130 | 0.3× |
| Repair incomplete circumcision (54163) | $1,168 | $1,460 | 0.6× |
| Repair inguinal hernia, sliding, any age (49525) | $574.40 | $718 | 0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $431.20 | $539 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $242.40 | $303 | 0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $294.40 | $368 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $614.40 | $768 | 0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $378.40 | $473 | 1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $241.60 | $302 | 0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$300–$1,965.60 | $375–$2,457 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $419.20 | $524 | 0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $315.20 | $394 | 0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $600 | $750 | 1.5× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $56.80 | $71 | 0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,093.60 | $2,617 | 1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $956.80 | $1,196 | 1.7× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $2,997.60 | $3,747 | 0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$176–$214.40 | $220–$268 | varies |
| Shave skin lesion 0.5 cm/< (11300) | $96 | $120 | 0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $112 | $140 | 0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $184 | $230 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $101.60 | $127 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $120 | $150 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $142.40 | $178 | 0.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $134.40 | $168 | 0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $156.80 | $196 | 0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $118.40 | $148 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $152.80 | $191 | 0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $138.40 | $173 | 0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $1,209.60 | $1,512 | 1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $280 | $350 | 0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $143.20 | $179 | 0.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $112.80 | $141 | 0.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $257.60 | $322 | 0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $136 | $170 | 0.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $174.40 | $218 | 0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $104 | $130 | 0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $126.40 | $158 | 0.7× |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$140–$4,788 | $175–$5,985 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $120 | $150 | 0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $193.60 | $242 | 0.5× |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$160–$2,760 | $200–$3,450 | varies |
| Strapping hand/finger (29280) | $436 | $545 | 8.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) range across 2 matching MRF lines |
$1,520–$2,720 | $1,900–$3,400 | varies |
| Treatment closed elbow dislocation w/o anes (24600) | $368 | $460 | 1.6× |
| Trim skin lesion (11055) | $56 | $70 | 0.3× |
| Trim skin lesions 2 to 4 (11056) | $66.40 | $83 | 0.4× |
| Tx Gastro Intub W/Asp (43753) | $520 | $650 | 2.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $308.80 | $386 | 0.5× |
| Unlisted procedure foot or toes (28899) range across 2 matching MRF lines |
$516–$640 | $645–$800 | varies |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$1,200–$1,760 | $1,500–$2,200 | varies |
| Vaginal delivery only (59409) | $1,383.41 | $1,729.26 | 0.5× |
| Wedge excision skin nail fold (11765) | $167.20 | $209 | 0.4× |
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.