Procedures & surgery prices at Kit Carson County Memorial Hospital

Burlington, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,806.19 $2,124.93 1.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines		 $709.16–$1,195.06 $834.30–$1,405.95 varies
Adding Walker Previously Applied Cast (29440) $275.78 $324.45 1.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,355.36 $3,947.48 1.0×
Anoscopy diagnostic (46600)
range across 3 matching MRF lines		 $114.91–$335.54 $135.19–$394.75 varies
Anoscopy; with biopsy, single or multiple (46606) $334.62 $393.67 0.3×
Application cast elbow finger short arm (29075) $393 $462.35 1.3×
Application Finger Splint Dynamic (29131) $128.70 $151.41 2.1×
Application finger splint static (29130)
range across 2 matching MRF lines		 $128.70–$144.50 $151.41–$170 varies
Application long arm splint shoulder hand (29105) $476.83 $560.98 2.8×
Application Long Leg Splint (29505) $314.50 $370 1.8×
Application of long leg cast (29345) $478.02 $562.38 1.6×
Application of rigid total contact leg cast (29445) $686.70 $807.88 2.3×
Application Short Arm Splint Dynamic (29126) $258.54 $304.17 1.8×
Application short arm splint forearm-hand static (29125) $372.89 $438.69 2.7×
Application short leg splint calf foot (29515) $344.73 $405.56 2.0×
Apply hand/wrist cast (29085) $413.68 $486.68 2.4×
Apply long arm cast (29065) $413.68 $486.68 1.4×
Apply Multlay Comprs Lwr Leg (29581) $344.73 $405.56 2.0×
Apply Short Leg Cast (29405) $454.12 $534.26 1.5×
Arterial puncture (36600) $46.89 $55.16 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $546.97 $643.49 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines		 $316.20–$990.08 $372–$1,164.80 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $745.05–$990.08 $876.53–$1,164.80 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines		 $352.99–$990.08 $415.28–$1,164.80 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $519.39 $611.05 1.6×
Aspirate pleura w/ imaging (32555) $1,380.03 $1,623.57 2.1×
Aspirate Pleura W/O Imaging (32554) $1,812.81 $2,132.72 2.7×
Avulsion nail plate partial/complete simple 1 (11730) $408 $480 1.9×
Bladder Irrigation (51700) $471.59 $554.81 1.8×
Bladder Scan (51798) $316 $371.77 5.1×
Blood Transfusion Service (36430) $850.33 $1,000.39 1.8×
Cataract surgery complex (66982)
range across 2 matching MRF lines		 $177.01–$1,283.50 $208.25–$1,510 varies
Chemical Cautery Tissue (17250) $262 $308.23 1.2×
Chest tube placement (32551)
range across 2 matching MRF lines		 $306.12–$1,847.31 $360.14–$2,173.30 varies
Cl Tx Scapular Fx; W Manip (23575) $2,528.01 $2,974.13 1.5×
Cl Tx Tib Shft Fx W Manip (27752) $2,528.01 $2,974.13 1.5×
Clear outer ear canal (69200) $284.75 $335 2.0×
Closed Rx Spontaneous Hip Disloc (27256) $413.68 $486.68 1.6×
Closed rx talotarsal disloc,anesth (28575) $2,528.01 $2,974.13 0.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $546.97 $643.49 2.1×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,776.50 $2,090 6.8×
Closed Treatment Sesamoid Fracture (28530) $413.68 $486.68 1.6×
Closed Treatment Sternum Fracture (21820) $413.68 $486.68 1.6×
Closed Treatment Ulnar Styloid Fracture (25650) $546.97 $643.49 2.1×
Closed tx ankle dislocation w/o anesthesia (27840) $413.68 $486.68 1.6×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,528.01 $2,974.13 1.5×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $413.68 $486.68 1.6×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $551.57 $648.90 2.1×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $551.57 $648.90 2.1×
Closed tx carpal scaphoid fracture w/manj (25624) $2,528.01 $2,974.13 1.5×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $517.10 $608.35 2.0×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $551.57 $648.90 2.1×
Closed Tx Knee Dislocation W/Anesthesia (27552) $2,528.01 $2,974.13 1.5×
Closed tx knee dislocation w/o anesthesia (27550) $551.57 $648.90 2.1×
Closed Tx Lunate Dislocation W/Manipulation (25690) $2,528.01 $2,974.13 1.5×
Closed tx mandibular fracture w/manipulation (21451) $3,723.07 $4,380.08 2.3×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $721.63 $848.98 1.3×
Closed tx metatarsal fracture w/o manipulation (28470) $413.68 $486.68 1.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $2,528.01 $2,974.13 1.5×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $2,298.19 $2,703.75 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $3,723.07 $4,380.08 1.1×
Closed tx patellar dislocation w/anesthesia (27562) $1,738.25 $2,045 6.7×
Closed tx patellar dislocation w/o anesthesia (27560) $413.68 $486.68 1.6×
Closed Tx Patellar Fracture W/O Manipulation (27520) $413.68 $486.68 1.6×
Closed tx radial head/neck fx w/manipulation (24655) $2,528.01 $2,974.13 1.5×
Closed tx radial head/neck fx w/o manipulation (24650) $413.68 $486.68 1.6×
Closed tx radial shaft fracture w/manipulation (25505) $2,528.01 $2,974.13 1.5×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $393 $462.35 1.5×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,528.01 $2,974.13 1.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $413.68 $486.68 1.6×
Closed Tx Scapular Fracture W/O Manipulation (23570) $413.68 $486.68 1.6×
Closed tx talotarsal joint dislc w/o anes (28570) $413.68 $486.68 1.6×
Closed Tx Talus Fracture W/Manipulation (28435) $2,528.01 $2,974.13 1.5×
Closed tx talus fracture w/o manipulation (28430) $413.68 $486.68 1.6×
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $413.68 $486.68 1.6×
Closed tx tarsometatarsal dislocation w/o anes (28600) $551.57 $648.90 2.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $510 $600 2.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $2,528.01 $2,974.13 1.5×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $413.68 $486.68 1.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $413.68 $486.68 1.6×
Clsd tx acromioclavicular dislc w/manipulation (23545) $413.68 $486.68 1.6×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $413.68 $486.68 1.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,528.01 $2,974.13 1.5×
Clsd tx clavicular fracture w/o manipulation (23500) $413.68 $486.68 1.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $2,749.55 $3,234.77 1.6×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $413.68 $486.68 1.6×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $2,528.01 $2,974.13 1.5×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,528.01 $2,974.13 1.5×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,528.01 $2,974.13 1.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $413.68 $486.68 1.6×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $2,528.01 $2,974.13 1.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $413.68 $486.68 1.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $546.97 $643.49 2.1×
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $2,528.01 $2,974.13 1.5×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $413.68 $486.68 1.6×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $2,528.01 $2,974.13 1.5×
Cltx dstl fibular fx lat malls w/manj (27788) $551.57 $648.90 2.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $551.57 $648.90 2.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $546.97 $643.49 2.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $413.68 $486.68 1.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $765.76 $900.89 2.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,907.54 $3,420.63 1.7×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $2,528.01 $2,974.13 1.5×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $551.57 $648.90 2.1×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $413.68 $486.68 1.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,528.01 $2,974.13 1.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $413.68 $486.68 1.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $413.68 $486.68 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $551.57 $648.90 2.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $413.68 $486.68 1.6×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,528.01 $2,974.13 1.5×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $551.57 $648.90 2.1×
Cltx greater humeral tuberosity fx w/o manj (23620) $546.97 $643.49 2.1×
Cltx Greater Trochanteric Fx W/O Manj (27246) $551.57 $648.90 2.1×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $2,528.01 $2,974.13 1.5×
Cltx hip dislocation traumatic req anesthesia (27252) $2,528.01 $2,974.13 1.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $413.68 $486.68 1.6×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $546.97 $643.49 2.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $2,528.01 $2,974.13 1.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $2,528.01 $2,974.13 1.5×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $413.68 $486.68 1.6×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,528.01 $2,974.13 1.5×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $482.62 $567.79 1.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $413.68 $486.68 1.6×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $482.62 $567.79 1.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $1,037 $1,220 4.0×
Cltx Medial Ankle Fx (27760) $413.68 $486.68 1.6×
Cltx metacarpal fx w/manipulation each bone (26605) $546.97 $643.49 2.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $579.15 $681.35 2.2×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $2,528.01 $2,974.13 1.5×
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $2,528.01 $2,974.13 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,236.75 $1,455 4.8×
Cltx post hip arthrp dislc req anes (27266) $2,401.61 $2,825.42 1.4×
Cltx post hip arthrp dislc w/o anes (27265) $551.57 $648.90 2.1×
Cltx prox fibula/shft fx w/manj (27781) $2,528.01 $2,974.13 1.5×
Cltx prox fibula/shft fx w/o manj (27780) $413.68 $486.68 1.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,355.36 $3,947.48 2.0×
Cltx prox tibfib jt dislc req anes (27831) $2,528.01 $2,974.13 0.7×
Cltx prox tibfib jt dislc w/o anes (27830) $413.68 $486.68 1.6×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $546.97 $643.49 2.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $546.97 $643.49 2.1×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $2,528.01 $2,974.13 1.5×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $2,528.01 $2,974.13 1.5×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $2,528.01 $2,974.13 1.5×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $2,528.01 $2,974.13 1.5×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $546.97 $643.49 2.1×
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) $2,528.01 $2,974.13 1.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $551.57 $648.90 2.1×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $5,515.65 $6,489 1.6×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $413.68 $486.68 1.6×
Cltx tibial fx proximal w/o manipulation (27530) $413.68 $486.68 1.6×
Cltx tibial shaft fx w/o manipulation (27750) $551.57 $648.90 2.1×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $546.97 $643.49 2.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $2,528.01 $2,974.13 1.5×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,194.25 $1,405 4.6×
Collection of venous blood by venipuncture (36415)
range across 8 matching MRF lines		 $26.66–$30.64 $31.36–$36.05 varies
Colonoscopy W/Band Ligation (45398) $893.54 $1,051.22 0.7×
Colonoscopy w/fb removal (45379) $585.58 $688.92 0.5×
Colonoscopy w/submucosal inj (45381) $745.54 $877.10 0.6×
Colsc Flexible W/Control Bleeding Any Method (45382)
range across 2 matching MRF lines		 $941.34–$2,016.89 $1,107.46–$2,372.81 varies
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,195.98 $1,407.03 0.9×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,016.89 $2,372.81 1.6×
Complex drainage wound (10180) $3,263.43 $3,839.33 1.1×
Control Nasal Hemorrhage Anterior Complex (30903) $298.77 $351.49 2.1×
Control Nasal Hemorrhage Anterior Simple (30901) $561 $660 4.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $373.46 $439.36 2.7×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $298.77 $351.49 1.2×
Cystostomy Cystotomy W/Drainage (51040) $4,597.25 $5,408.53 2.1×
Cystourethroscopy inj chemodenervation bladder (52287) $1,385.50 $1,630 0.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $988.22 $1,162.61 2.3×
Debride nail 1-5 (11720) $229.82 $270.38 3.7×
Debride nail 6 or more (11721) $252.80 $297.41 4.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $722.55 $850.06 1.7×
Declot vascular device (36593) $882.50 $1,038.24 2.5×
Destroy lumb/sac facet jnt (64635) $990.08 $1,164.80 0.5×
Diagnostic sigmoidoscopy (45330) $2,047.23 $2,408.50 2.1×
Drain Cerebro Spinal Fluid (62272) $624.75 $735 0.8×
Drainage external auditory canal abscess (69020) $544.56 $640.66 0.7×
Drainage External Ear Abscess/Hematoma Simple (69000) $660.73 $777.33 0.9×
Drainage of finger abscess simple (26010) $502.84 $591.58 2.4×
Drainage of gum lesion (41800) $1,049.75 $1,235 7.5×
Drainage of hematoma/fluid (10140) $3,071.30 $3,613.29 1.8×
Drainage of rectal abscess (45005) $2,013.22 $2,368.49 1.6×
Drainage of scrotal wall abscess (55100) $401.23 $472.04 0.2×
Drainage of scrotum (54700) $3,470.26 $4,082.66 1.6×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $188.45–$202.24 $221.71–$237.93 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $544.56 $640.66 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $545.13 $641.33 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $519.39 $611.05 2.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $275.78 $324.45 1.3×
Egd Balloon Dil Esoph30 Mm/> (43233) $526.75 $619.70 0.3×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249)
range across 3 matching MRF lines		 $1,324.03–$3,033.61 $1,557.68–$3,568.95 varies
Egd cautery tumor polyp (43250) $2,022.18 $2,379.03 1.0×
Egd control bleeding any (43255) $1,723.64 $2,027.81 0.9×
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines		 $751.05–$1,562.77 $883.59–$1,838.55 varies
Egd guide wire insertion (43248)
range across 2 matching MRF lines		 $737.26–$1,562.77 $867.36–$1,838.55 varies
Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) $1,308.12 $1,538.97 0.6×
Egd lesion ablation (43270) $1,723.64 $2,027.81 0.9×
Egd place gastrostomy tube (43246) $572.70 $673.77 0.3×
Endocervical curettage (57505) $579.15 $681.35 0.6×
Endometrial Biopsy (58100) $310.02 $364.73 1.5×
Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) $2,500.43 $2,941.68 1.2×
Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) $2,500.43 $2,941.68 1.2×
Epidural Blood Patch (62273)
range across 3 matching MRF lines		 $990.08–$1,355.93 $1,164.80–$1,595.21 varies
Escharotomy; initial incision (16035) $988.22 $1,162.61 2.3×
Esophagogastroduodenoscopy Submucosal Injection (43236) $723.47 $851.14 0.8×
Esophagoscopy Flexible Transoral Diagnostic (43200) $1,746.62 $2,054.85 1.8×
Evacuation of subungual hematoma (11740) $204 $240 1.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,559.27 $3,010.90 1.5×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $315.31–$1,688.71 $370.95–$1,986.72 varies
Exc/fulguration urethral caruncle (53265) $3,470.26 $4,082.66 1.6×
Excision of single external papilla or tag, anus (46220) $353.92 $416.38 0.3×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $464.24 $546.16 0.3×
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) $1,442.34 $1,696.87 0.5×
Exploration penetrating wound spx extremity (20103) $2,206.26 $2,595.60 1.3×
Fetal non-stress test (59025) $510.42 $600.49 2.4×
Fine needle aspiration without imaging guidance (10021) $735.42 $865.20 1.7×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255)
range across 2 matching MRF lines		 $525.30–$975.35 $618–$1,147.47 varies
I&d abscess peritonsillar (42700) $535.81 $630.36 2.1×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $267.51–$613.73 $314.72–$722.03 varies
I&d pilonidal cyst complicated (10081) $1,103.13 $1,297.80 1.5×
I&d pilonidal cyst simple (10080) $735.42 $865.20 1.0×
Incise external hemorrhoid (46083) $743.75 $875 2.8×
Incision & drainage abscess complicated/multiple (10061) $748 $880 1.7×
Incision & removal foreign body subq tiss compl (10121) $4,543.05 $5,344.77 2.6×
Incision & removal foreign body subq tiss simple (10120) $660.73 $777.33 1.5×
Incision and drainage of bartholin's gland abscess (56420) $374.71 $440.84 1.8×
Incision and drainage of vulva or perineal abscess (56405) $527 $620 1.6×
Incision of urethra (53020) $3,470.26 $4,082.66 1.6×
Initial Tx 1st Degree Burn Local Tx (16000) $275.78 $324.45 1.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $990.08 $1,164.80 1.1×
Injection 1 tendon sheath/ligament aponeurosis (20550) $753.81 $886.83 2.3×
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines		 $840.89–$990.08 $989.28–$1,164.80 varies
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $697.73 $820.86 0.9×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $827.35–$990.08 $973.35–$1,164.80 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,368 $1,609.41 1.8×
Insert cath pleura w/o image (32556) $4,223.15 $4,968.41 2.1×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $430.22–$472.51 $506.14–$555.89 varies
Insert Temp Bladder Cath (51702) $218.79 $257.40 1.6×
Insert tunneled cv cath (36561) $1,912.09 $2,249.52 0.6×
Insert tunneled cv cath (36563)
range across 2 matching MRF lines		 $1,394.54–$1,912.09 $1,640.64–$2,249.52 varies
Insert,Non-Indwelling Bladder Catheter (51701) $204.99 $241.17 1.5×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $1,912.09 $2,249.52 0.6×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $906.41–$1,869.80 $1,066.36–$2,199.77 varies
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566)
likely a partial charge, not the full procedure		 $472.51 $555.89 0.1×
Int hrhc by ligation single hroid w/o img gdn (46945) $543.29 $639.17 0.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $153.52–$784.14 $180.61–$922.52 varies
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $1,706.17 $2,007.26 0.3×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $722.55 $850.06 0.1×
Late closure of wound (13160) $4,672.22 $5,496.73 1.2×
Ligation of hemorrhoids (46946) $473.42 $556.97 0.2×
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 2 matching MRF lines		 $37.21–$42.90 $43.78–$50.47 varies
Needle insertion w/o injection 3 or more muscles (20561)
range across 2 matching MRF lines		 $56.07–$64.79 $65.97–$76.22 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines		 $630.22–$990.08 $741.44–$1,164.80 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines		 $751.18–$990.08 $883.74–$1,164.80 varies
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $990.08 $1,164.80 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines		 $922.25–$990.08 $1,085–$1,164.80 varies
Open Tx Carpometacarpal Dislocate Not Thumb (26685) $5,515.65 $6,489 1.6×
Placement of needle for intraosseous infusion (36680) $393.45 $462.88 0.8×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $286.82 $337.43 0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $528.58 $621.86 1.2×
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $2,441.59 $2,872.46 0.8×
Removal Embedded Foreign Body Eyelid (67938) $602.12 $708.38 1.8×
Removal Foreign Body Deep Thigh/Knee (27372) $3,263.43 $3,839.33 1.1×
Removal Foreign Body Foot Complicated (28193) $3,263.43 $3,839.33 1.9×
Removal foreign body foot deep (28192) $3,263.43 $3,839.33 1.9×
Removal Foreign Body Foot Subcutaneous (28190) $2,206.26 $2,595.60 3.0×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,206.26 $2,595.60 1.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $55.25 $65 0.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $179.26 $210.89 2.9×
Removal Implant Superficial Separate Procedure (20670) $4,355.53 $5,124.15 2.5×
Removal of anal fissure (46200) $783.22 $921.44 0.3×
Removal of foreign body from pharynx (42809) $237.26 $279.13 0.5×
Removal of nail bed (11750) $613.16 $721.36 1.4×
Removal Sutures/Staples Requiring Anesthesia (15851) $1,502.36 $1,767.48 0.7×
Removal/bivalving gauntlet boot/body cast (29700) $478.02 $562.38 1.6×
Remove drug implant device (11982) $399.67 $470.20 0.8×
Remove foreign body from eye (65205) $206.84 $243.34 1.5×
Remove Nasal Foreign Body (30300) $206.84 $243.34 1.5×
Repair extensor tendon finger w/o graft each (26418) $3,355.36 $3,947.48 2.0×
Repair inguinal hernia, sliding, any age (49525) $1,085.66 $1,277.25 0.3×
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $1,299.85 $1,529.24 0.3×
Repair initial femoral hernia, any age; reducible (49550) $1,483.71 $1,745.54 0.4×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,379.83 $1,623.33 0.4×
Repair of nail bed (11760) $988.22 $1,162.61 1.3×
Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) $1,766.84 $2,078.64 0.5×
Repair recurrent femoral hernia; reducible Facility (49555) $1,444.18 $1,699.04 0.4×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,570.12 $1,847.20 0.2×
Repair tongue laceration (41250) $1,020 $1,200 2.2×
Rerepair ing hernia reduce (49520) $1,526 $1,795.29 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $206.84 $243.34 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $206.84 $243.34 1.5×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $237.26 $279.13 0.5×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $3,263.43 $3,839.33 1.1×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $1,231.83 $1,449.21 0.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines		 $531.34–$697.73 $625.11–$820.86 varies
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $250.96 $295.25 0.2×
Rplcmt compl tun ctr vad w/subq port (36582) $1,653.78 $1,945.62 0.5×
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $774.95 $911.70 0.5×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,746.62 $2,054.85 1.4×
Sigmoidoscopy & Polypectomy (45333) $1,436.37 $1,689.85 1.5×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,436.37 $1,689.85 1.5×
Spinal puncture lumbar diagnostic (62270) $1,535.19 $1,806.11 2.1×
Strapping ankle (29540) $275.78 $324.45 1.6×
Strapping elbow or wrist (29260) $104.80 $123.29 1.7×
Strapping hand/finger (29280) $104.80 $123.29 1.7×
Strapping knee (29530) $128.70 $151.41 0.9×
Strapping shoulder (29240) $128.70 $151.41 0.9×
Strapping thorax (29200) $206.84 $243.34 1.2×
Strapping toes (29550) $128.70 $151.41 2.1×
Strapping Unna Boot (29580) $747.37 $879.26 4.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,585.75 $1,865.59 1.0×
Treat humerus fracture (24500) $546.97 $643.49 2.1×
Treat Humerus Fracture (24505) $2,528.01 $2,974.13 1.5×
Treat humerus fracture (23600) $413.68 $486.68 1.6×
Treat knee fracture (27532) $2,528.01 $2,974.13 0.7×
Treat Knee Fracture(S) (27538) $551.57 $648.90 2.1×
Treat Knuckle Dislocation (26700) $546.97 $643.49 2.1×
Treat metacarpal fracture (26607) $2,528.01 $2,974.13 0.7×
Treat Metatarsal Fracture (28475) $413.68 $486.68 1.6×
Treat Tail Bone Fracture (27200) $413.68 $486.68 1.6×
Treat Thumb Dislocation (26641) $546.97 $643.49 2.1×
Treat Thumb Fracture (26645) $2,528.01 $2,974.13 1.5×
Treat toe dislocation (28630) $413.68 $486.68 1.6×
Treatment Closed Elbow Dislocation Req Anes (24605) $3,018.31 $3,550.95 1.8×
Treatment closed elbow dislocation w/o anes (24600) $413.68 $486.68 1.6×
Treatment of anal fissure (46940) $352.08 $414.21 0.1×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $888.94 $1,045.81 0.3×
Tx Incomplete Abortion Any Trimester Surgical (59812) $5,545.07 $6,523.61 1.6×
Tx Missed Abortion First Trimester Surgical (59820) $5,655.38 $6,653.39 1.7×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $2,401.61 $2,825.42 1.4×
Tx Superficial Wound Dehiscence Simple Closure (12020) $988.22 $1,162.61 1.3×
Tx superficial wound dehiscence w/packing (12021) $988.22 $1,162.61 2.3×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $2,528.01 $2,974.13 1.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $551.57 $648.90 2.1×
Unlisted Procedure Casting/Strapping (29799) $295.92 $348.14 1.7×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $924.43–$990.08 $1,087.56–$1,164.80 varies
Wedge excision skin nail fold (11765) $302.92 $356.38 0.7×

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.