Procedures & surgery prices at Lake Martin Community Hospital

Dadeville, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $135.75–$246 $181–$328 varies
Amputation metatarsal with toe single (28810) $780.75 $1,041 0.3×
Amputation toe metatarsophalangeal joint (28820) $714.75 $953 0.3×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines		 $73.50–$96 $98–$128 varies
Apheresis Platelets (36513) $201.75 $269 0.5×
Application cast elbow finger short arm (29075) $110.25 $147 0.5×
Application Finger Splint Dynamic (29131) $62.25 $83 1.2×
Application finger splint static (29130) $54 $72 0.5×
Application long arm splint shoulder hand (29105) $77.25 $103 0.5×
Application Long Leg Splint (29505) $91.50 $122 0.6×
Application short arm splint forearm-hand static (29125) $71.25 $95 0.6×
Application short leg splint calf foot (29515) $90 $120 0.6×
Apply long arm cast (29065) $122.25 $163 0.5×
Arterial puncture (36600)
range across 2 matching MRF lines		 $29.25–$67.50 $39–$90 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $69 $92 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines		 $84–$237 $112–$316 varies
Aspirate Pleura W/O Imaging (32554) $167.25 $223 0.3×
Aspiration Bladder Needle (51100) $72 $96 0.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $57–$101.25 $76–$135 varies
Blood Transfusion Service (36430) $59.25 $79 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $611.25 $815 0.2×
Chest tube placement (32551) $291 $388 0.2×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $67.50–$86.25 $90–$115 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines		 $139.50–$676.50 $186–$902 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $539.25 $719 2.5×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $406.50 $542 1.9×
Closed tx knee dislocation w/o anesthesia (27550) $870 $1,160 4.1×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 3 matching MRF lines		 $139.50–$363.75 $186–$485 varies
Closed tx patellar dislocation w/o anesthesia (27560) $615 $820 2.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $529.50 $706 2.5×
Closed tx radial head/neck fx w/o manipulation (24650) $431.25 $575 2.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $58.50 $78 0.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $472.50 $630 2.2×
Closed tx ulnar shaft fracture w/o manipulation (25530) $425.25 $567 2.0×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $411 $548 1.9×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines		 $139.50–$399 $186–$532 varies
Clsd tx shoulder dislc w/manipulation req anes (23655) $725.25 $967 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $521.25 $695 2.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $512.25 $683 2.4×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines		 $135.75–$331.50 $181–$442 varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines		 $139.50–$559.50 $186–$746 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $1,231.50 $1,642 0.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $220.50 $294 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $255 $340 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $213 $284 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 2 matching MRF lines		 $162–$521.25 $216–$695 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $236.25 $315 1.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $165 $220 0.8×
Cltx Medial Ankle Fx (27760) $547.50 $730 2.6×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $686.25 $915 0.5×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines		 $152.25–$329.25 $203–$439 varies
Cltx prox fibula/shft fx w/o manj (27780) $501 $668 2.3×
Cltx tibial shaft fx w/o manipulation (27750) $570 $760 2.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $519 $692 2.4×
Collection of venous blood by venipuncture (36415) $6 $8 0.6×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $316.50 $422 0.3×
Colonoscopy thru stoma (44388) $287.25 $383 0.4×
Colonoscopy w/ablation (45388) $500.25 $667 0.5×
Colsc flx w/removal lesion by hot bx forceps (45384) $420.75 $561 0.4×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines		 $51.75–$145.50 $69–$194 varies
Control Nasal Hemorrhage Anterior Simple (30901) $105 $140 0.9×
Correction hammertoe (28285) $693.75 $925 0.2×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $943.50 $1,258 0.3×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
likely a partial charge, not the full procedure		 $910.50 $1,214 0.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines		 $66.75–$195 $89–$260 varies
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $1,062 $1,416 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $82.50–$111.75 $110–$149 varies
Destroy lumb/sac facet jnt (64635) $407.25 $543 0.2×
Diagnostic sigmoidoscopy (45330) $101.25 $135 0.1×
Dilate Esophagus 1/Mult Pass (43450) $144.75 $193 0.2×
Drainage of finger abscess simple (26010) $247.50 $330 1.4×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $213.75–$214.50 $285–$286 varies
Draw Blood Off Venous Device (36591) $42 $56 0.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $81.75–$242.25 $109–$323 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $71.25–$201 $95–$268 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $97.50 $130 0.6×
Egd cautery tumor polyp (43250) $314.25 $419 0.2×
Egd place gastrostomy tube (43246)
range across 2 matching MRF lines		 $1,380.75–$1,410 $1,841–$1,880 varies
Egd remove lesion snare (43251) $361.50 $482 0.2×
Endoscopic plantar fasciotomy (29893) $786 $1,048 0.3×
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines		 $56.25–$60.75 $75–$81 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $145.50 $194 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $279.75 $373 0.2×
Exc Back Les Sc < 3 Cm (21930) $3,645.75 $4,861 2.5×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $281.25 $375 0.5×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $330 $440 0.5×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $515.25 $687 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $183.75 $245 0.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $259.50 $346 0.4×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $684.75 $913 1.1×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $318.75 $425 0.2×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $408.75 $545 0.3×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $147 $196 0.1×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $197.25 $263 0.3×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $243.75 $325 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $264.75 $353 0.4×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $321 $428 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $497.25 $663 0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $444.75 $593 0.3×
Exc Skin Benig >4cm Face,Facial (11446) $585 $780 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $381 $508 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $533.25 $711 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $578.25 $771 0.4×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $202.50 $270 0.2×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $186 $248 0.5×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $204.75 $273 0.3×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $291.75 $389 0.2×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $830.25 $1,107 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $348.75 $465 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $217.50 $290 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $267.75 $357 0.4×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $292.50 $390 0.8×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $387 $516 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $225.75 $301 0.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $414 $552 0.3×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $714.75 $953 0.3×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $219.75 $293 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $269.25 $359 0.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $306 $408 0.5×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $433.50 $578 0.3×
Excision of pilonidal cyst or sinus; simple (11770) $4,844.25 $6,459 1.9×
Fasciectomy Plantar Fascia Partial Spx (28060) $656.25 $875 0.2×
Fine needle aspiration without imaging guidance (10021) $147 $196 0.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $645 $860 0.3×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $575.25 $767 0.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $345.75 $461 0.4×
I&d abscess simple (10060) $180 $240 1.0×
I&d pilonidal cyst simple (10080) $183.75 $245 0.3×
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure		 $762 $1,016 0.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $183–$195.75 $244–$261 varies
Incision & drainage abscess complicated/multiple (10061) $327.75 $437 0.9×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $114.75–$336 $153–$448 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $135–$184.50 $180–$246 varies
Incision and drainage of bartholin's gland abscess (56420) $186 $248 1.1×
Incision and drainage of vulva or perineal abscess (56405) $213.75 $285 0.8×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $43.50–$84.75 $58–$113 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $72.75 $97 0.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $99.75 $133 0.2×
Injection Anes Agent Sphenopalatine Ganglion (64505) $174.75 $233 0.7×
Injection anesthetic agent suprascapular nerve (64418) $105.75 $141 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $70.50 $94 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $79.50 $106 0.3×
Injection, anesthetic agent; brachial plexus, single (64415) $117 $156 0.2×
Injection, anesthetic agent; femoral nerve, single (64447) $99 $132 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $78.75 $105 0.1×
Insert Bladder Cath Complex (51703) $142.50 $190 1.3×
Insert cath pleura w/o image (32556) $229.50 $306 0.1×
Insert Gastrostomy Tube Percutaneous (49440) $381.75 $509 0.2×
Insert Temp Bladder Cath (51702) $47.25 $63 0.4×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $159.75 $213 0.1×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure		 $650.25 $867 0.0×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $545.25 $727 1.5×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $111.75–$266.25 $149–$355 varies
Laryngoscopy diagnostic (31505) $87 $116 0.5×
Laryngoscopy W/Foreign Body Removal (31530) $362.25 $483 0.2×
Ligation or biopsy temporal artery (37609) $334.31 $445.75 0.2×
Mastectomy for gynecomastia (19300) $756 $1,008 0.2×
N block inj intercost sng (64420) $110.25 $147 0.2×
N Block Inj Pudendal (64430) $102 $136 0.1×
Njx anes stellate ganglion crv sympathetic (64510) $138 $184 0.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $90 $120 0.3×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $165 $220 0.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $198 $264 0.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $183 $244 0.3×
Obstructive material removal from gi tube (49460) $90.75 $121 0.1×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 3 matching MRF lines		 $135.75–$1,068.75 $181–$1,425 varies
Ostc prtl exostc/condylc metar head (28288) $787.50 $1,050 0.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $570 $760 0.2×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $528.75 $705 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $693.75 $925 0.2×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $111–$137.25 $148–$183 varies
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) $402 $536 0.5×
Punch biopsy skin single lesion (11104) $898.94 $1,198.59 2.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $170.25 $227 0.5×
Removal Foreign Body Foot Complicated (28193) $677.25 $903 0.5×
Removal foreign body foot deep (28192) $572.25 $763 0.4×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines		 $87.75–$243.75 $117–$325 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 3 matching MRF lines		 $93.75–$339.75 $125–$453 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $61.50 $82 1.2×
Removal Implant Deep (20680) $762 $1,016 0.3×
Removal of nail bed (11750) $185.25 $247 0.5×
Removal or bivalving full arm or full leg cast (29705) $83.25 $111 0.3×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $131.25 $175 0.8×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $38.25–$53.25 $51–$71 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines		 $50.25–$201 $67–$268 varies
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines		 $219.75–$513 $293–$684 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines		 $324.75–$446.25 $433–$595 varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines		 $345.75–$559.50 $461–$746 varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines		 $146.25–$421.50 $195–$562 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines		 $357–$476.25 $476–$635 varies
Repair complex trunk 1.1-2.5 cm (13100) $367.50 $490 0.6×
Repair complex trunk 2.6-7.5 cm (13101) $451.50 $602 0.7×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,068.75 $1,425 0.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $189.75–$306 $253–$408 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $165–$363 $220–$484 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines		 $198–$391.50 $264–$522 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $401.25 $535 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $487.50 $650 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines		 $234.75–$266.25 $313–$355 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 3 matching MRF lines		 $166.50–$356.25 $222–$475 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $359.25–$388.50 $479–$518 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines		 $212.25–$436.50 $283–$582 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $104.25–$274.50 $139–$366 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $262.50–$344.25 $350–$459 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines		 $201.75–$372.75 $269–$497 varies
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,308.75 $1,745 0.2×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $575.25 $767 0.2×
Replace g/c tube perc (49450) $123.75 $165 0.2×
Rerepair ing hernia reduce (49520) $1,152.75 $1,537 0.4×
Resection, partial or complete, phalangeal base, each toe (28126) $450.75 $601 0.2×
Revision of foot fascia (28250) $737.25 $983 0.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines		 $27.75–$75.75 $37–$101 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $93.75 $125 0.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $66.75 $89 0.2×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $228–$446.25 $304–$595 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines		 $177.75–$209.25 $237–$279 varies
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $221.25 $295 0.2×
Shave skin lesion 0.5 cm/< (11300) $63.75 $85 0.2×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $85.50 $114 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $72.75 $97 0.4×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $93.75 $125 0.5×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $120 $160 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $117 $156 0.7×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $138.75 $185 0.4×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $96 $128 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $132.75 $177 0.4×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $112.50 $150 0.6×
Sigmoidoscopy & Polypectomy (45333) $172.50 $230 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines		 $131.25–$1,207.50 $175–$1,610 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $240 $320 0.7×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 4 matching MRF lines		 $103.50–$357 $138–$476 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $109.50–$165 $146–$220 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines		 $140.25–$198 $187–$264 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $82.50 $110 0.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $136.50 $182 0.8×
Skin sub graft face/nk/hf/g (15275) $176.25 $235 0.3×
Skin sub graft trnk/arm/leg (15271) $156 $208 0.2×
Skin sub grft t/arm/lg child (15273) $369 $492 0.2×
Skn sub grft f/n/hf/g child (15277) $418.50 $558 0.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $110.25 $147 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $178.50 $238 0.5×
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines		 $110.25–$219 $147–$292 varies
Strapping ankle (29540) $33.75 $45 0.2×
Tangential biopsy skin single lesion (11102) $87.75 $117 0.2×
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $514.50 $686 0.4×
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 2 matching MRF lines		 $474–$616.50 $632–$822 varies
Tracheostomy Emergency Procedure Transtracheal (31603) $592.50 $790 0.4×
Tracheostomy planned (31600) $564 $752 0.2×
Treat humerus fracture (24500)
range across 2 matching MRF lines		 $306.75–$586.50 $409–$782 varies
Treat Knuckle Dislocation (26700) $139.50 $186 0.7×
Treatment closed elbow dislocation w/o anes (24600) $606 $808 2.8×
Tx open tendon flexor toe 1 tendon spx (28232) $440.25 $587 0.3×
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines		 $145.50–$556.50 $194–$742 varies
Vaginal delivery only (59409) $1,479.75 $1,973 0.5×
Vein Access Cutdown < 1 Yr (36420)
range across 2 matching MRF lines		 $88.50–$143.25 $118–$191 varies
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines		 $73.50–$143.25 $98–$191 varies

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.