Procedures & surgery prices at Lexington Medical Center

Lexington, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $436–$454.50 $872–$909 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $560.50 $1,121 0.6×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $3,300.50 $6,601 1.0×
Application cast elbow finger short arm (29075) $283 $566 1.0×
Application Cast Finger (29086) $238.50 $477 1.5×
Application Finger Splint Dynamic (29131) $145 $290 2.5×
Application finger splint static (29130) $711 $1,422 5.5×
Application long arm splint shoulder hand (29105) $328.50 $657 2.1×
Application Long Leg Splint (29505) $289 $578 1.8×
Application of long leg cast (29345) $111.50 $223 0.4×
Application of rigid total contact leg cast (29445) $329.50 $659 1.2×
Application Short Arm Splint Dynamic (29126) $268.50 $537 2.1×
Application short arm splint forearm-hand static (29125) $240.50 $481 1.9×
Application short leg splint calf foot (29515) $199 $398 1.3×
Apply long arm cast (29065) $342 $684 1.3×
Apply Multlay Comprs Lwr Leg (29581) $162.50 $325 1.0×
Apply Short Leg Cast (29405) $310 $620 1.1×
Arterial puncture (36600) $98 $196 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $252 $504 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $402.50 $805 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $340.50 $681 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $414.50 $829 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $252 $504 0.8×
Aspirate pleura w/ imaging (32555) $1,043 $2,086 1.7×
Aspirate Pleura W/O Imaging (32554) $555 $1,110 0.9×
Aspirate/Inj Ganglion Cyst (20612) $264.50 $529 0.9×
Aspiration bladder insert suprapubic catheter (51102) $1,335.50 $2,671 0.7×
Avulsion nail plate partial/complete simple 1 (11730) $219 $438 1.1×
Biopsy Abdominal Mass (49180) $841 $1,682 0.5×
Biopsy bone trocar/needle deep (20225) $283 $566 0.2×
Biopsy External Auditory Canal (69105) $976.50 $1,953 0.6×
Biopsy external ear (69100) $201.50 $403 0.9×
Biopsy muscle percutaneous needle (20206) $826.50 $1,653 0.5×
Biopsy of liver, needle; percutaneous (47000) $869.50 $1,739 0.5×
Biopsy Tongue Anterior Two-Thirds (41100) $469 $938 0.9×
Biopsy Vaginal Mucosa Simple (57100) $418 $836 0.5×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $629 $1,258 0.7×
Bladder Irrigation (51700) $79.50 $159 0.3×
Bladder Scan (51798) $64 $128 1.1×
Blepharotomy drainage abscess eyelid (67700) $670.50 $1,341 2.2×
Blood Transfusion Service (36430) $495 $990 1.2×
Bronchoscopy Clear Airways (31645) $1,380.50 $2,761 0.8×
Bx breast 1st lesion us imag (19083) $1,735 $3,470 1.1×
Bx Cervix (57500) $834.50 $1,669 0.9×
Bx/exc lymph node open superficial (38500) $1,877 $3,754 0.5×
Canthotomy Separate Procedure (67715) $1,010 $2,020 0.4×
Catheter aspiration nasotracheal spx (31720) $85 $170 0.4×
Change Cystostomy Tube Complicated (51710) $1,340.50 $2,681 2.0×
Change Cystostomy Tube Simple (51705) $229.50 $459 0.9×
Change of Windpipe Airway (31502) $230 $460 1.0×
Chemical Cautery Tissue (17250) $173.50 $347 0.9×
Chemodenerv musc neck dyston (64616) $494 $988 1.7×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $395.50 $791 1.3×
Chest tube placement (32551) $759.50 $1,519 0.5×
Cl Tx Tib Shft Fx W Manip (27752) $1,701 $3,402 1.1×
Clear outer ear canal (69200)
range across 2 matching MRF lines		 $97.50–$152 $195–$304 varies
Closed Rx Spontaneous Hip Disloc (27256) $395.50 $791 1.7×
Closed Treat Vert Body Fract (22310) $273 $546 1.1×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $447 $894 1.9×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $520.50 $1,041 2.2×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $483 $966 2.0×
Closed Treatment Sternum Fracture (21820) $397.50 $795 1.7×
Closed Treatment Ulnar Styloid Fracture (25650) $174 $348 0.7×
Closed tx ankle dislocation w/o anesthesia (27840) $191 $382 0.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,918.50 $3,837 1.2×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $757.50 $1,515 3.2×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $135.50 $271 0.6×
Closed tx knee dislocation w/o anesthesia (27550) $404.50 $809 1.7×
Closed tx metatarsal fracture w/o manipulation (28470) $244 $488 1.0×
Closed tx patellar dislocation w/o anesthesia (27560) $214.50 $429 0.9×
Closed Tx Patellar Fracture W/O Manipulation (27520) $119 $238 0.5×
Closed tx radial head/neck fx w/manipulation (24655) $1,873.50 $3,747 1.2×
Closed tx radial shaft fracture w/manipulation (25505) $3,385.50 $6,771 2.2×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $191 $382 0.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $940.50 $1,881 0.6×
Closed tx radial&ulnar shaft fractures w/o man (25560) $189 $378 0.8×
Closed Tx Scapular Fracture W/O Manipulation (23570) $231 $462 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $121.50 $243 0.1×
Closed tx talus fracture w/o manipulation (28430) $155.50 $311 0.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $209.50 $419 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $135.50 $271 0.6×
Clsd tx clavicular fracture w/o manipulation (23500) $135.50 $271 0.6×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,629.50 $3,259 3.1×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $353.50 $707 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,309 $2,618 0.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $514 $1,028 2.1×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $2,704.50 $5,409 1.7×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,022.50 $2,045 0.7×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $150 $300 0.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $527 $1,054 2.2×
Cltx dstl fibular fx lat malls w/manj (27788) $596.50 $1,193 2.5×
Cltx dstl fibular fx lat malls w/o manj (27786) $227 $454 0.9×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $389.50 $779 1.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $274 $548 1.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $390.50 $781 1.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,123 $2,246 0.7×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $144.50 $289 0.6×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $306 $612 0.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $274 $548 1.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $248.50 $497 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $293.50 $587 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $101.50 $203 0.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,264 $6,528 2.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $205.50 $411 0.9×
Cltx greater humeral tuberosity fx w/o manj (23620) $414.50 $829 1.7×
Cltx Greater Trochanteric Fx W/O Manj (27246) $289 $578 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $541.50 $1,083 2.3×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,133 $2,266 0.7×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $289 $578 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $158.50 $317 0.7×
Cltx iphal jt dislc w/manj w/o anes (26770) $681.50 $1,363 2.8×
Cltx Medial Ankle Fx (27760) $95.50 $191 0.4×
Cltx metacarpal fx w/manipulation each bone (26605) $345 $690 1.4×
Cltx metacarpal fx w/o manipulation each bone (26600) $98 $196 0.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $430.50 $861 1.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $263.50 $527 1.1×
Cltx post hip arthrp dislc req anes (27266) $2,933 $5,866 1.9×
Cltx post hip arthrp dislc w/o anes (27265) $161.50 $323 0.7×
Cltx prox fibula/shft fx w/o manj (27780) $98 $196 0.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,389 $4,778 1.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $265.50 $531 1.1×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,030.50 $2,061 0.7×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) $1,125 $2,250 0.7×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $222 $444 0.9×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $483 $966 2.0×
Cltx tibial fx proximal w/o manipulation (27530) $303.50 $607 1.3×
Cltx tibial shaft fx w/o manipulation (27750) $136 $272 0.6×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $535 $1,070 2.2×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,017 $2,034 0.7×
Cltx trimalleolar ankle fx w/o manipulation (27816) $522.50 $1,045 2.2×
Collection of venous blood by venipuncture (36415) $4.55 $9.09 0.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $417.50 $835 1.4×
Colposcopy Cervix Endocervical Curettage (57456) $303 $606 1.0×
Colposcopy cervix upper/adjacent vagina (57452) $284.50 $569 1.5×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $325.50 $651 1.1×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $1,231 $2,462 0.4×
Colposcopy entire vagina w/cervix if present (57420) $465 $930 1.6×
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $628 $1,256 0.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $1,446 $2,892 0.5×
Control Nasal Hemorrhage Anterior Complex (30903) $240 $480 1.9×
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines		 $201–$284.50 $402–$569 varies
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,188.50 $4,377 1.4×
Create Eardrum Opening (69433) $792 $1,584 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $166 $332 1.3×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $68.50 $137 0.3×
Cystourethroscopy (52000) $929 $1,858 1.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $90.50 $181 0.2×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $416.50 $833 0.6×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,360 $2,720 1.9×
Debride nail 1-5 (11720) $45.50 $91 0.8×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,801 $3,602 1.1×
Debridement Mastoidectomy Cavity Cmplx (69222) $1,249.50 $2,499 2.4×
Debridement Mastoidectomy Cavity Simple (69220) $111.50 $223 0.6×
Debridement subcutaneous tissue 20 sq cm/< (11042) $475 $950 1.2×
Destroy cerv/thor facet jnt (64633) $2,496 $4,992 1.3×
Destroy lumb/sac facet jnt (64635) $2,472 $4,944 1.3×
Destruction by neurolytic agent, intercostal nerve (64620) $1,256.50 $2,513 1.5×
Destruction Lesions Vulva Simple (56501) $929 $1,858 0.5×
Destruction neurolytic agt genicular nerve w/img (64624) $4,103 $8,206 2.2×
Diagnostic sigmoidoscopy (45330) $929 $1,858 1.0×
Dilate Urethra Stricture (53600) $205 $410 0.8×
Drainage external auditory canal abscess (69020) $419.50 $839 0.6×
Drainage external ear abscess/hematoma cmplx (69005) $1,228 $2,456 0.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $508 $1,016 0.7×
Drainage Finger Abscess Complicated (26011) $1,128.50 $2,257 0.7×
Drainage Mouth Roof Lesion (42000) $248 $496 1.1×
Drainage of finger abscess simple (26010) $150 $300 0.8×
Drainage of gum lesion (41800) $108.50 $217 0.8×
Drainage of hematoma/fluid (10140) $3,106.50 $6,213 1.9×
Drainage of nose lesion (30000) $218 $436 0.9×
Drainage of scrotal wall abscess (55100) $1,295 $2,590 0.8×
Drainage of scrotum (54700) $1,401 $2,802 0.7×
Draw Blood Off Venous Device (36591) $301.50 $603 2.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $461 $922 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,479.50 $2,959 3.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $715 $1,430 3.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $361–$362.50 $722–$725 varies
Dstrj lesion anus simple surg excision (46922) $1,242.50 $2,485 0.5×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,148 $2,296 1.3×
Dx Bronchoscope/Lavage (31624) $1,747.50 $3,495 1.0×
Dx Bronchoscope/Wash (31622) $1,771 $3,542 1.0×
Dx Laryngoscopy Excl Nb (31525) $1,766.50 $3,533 1.0×
Dx lmbr spi pnxr w/fluor/CT (62328) $1,133.50 $2,267 1.7×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $149.50 $299 0.5×
Endometrial Biopsy (58100) $401 $802 2.0×
Epidural Blood Patch (62273) $725 $1,450 1.1×
Escharotomy; initial incision (16035) $126 $252 0.3×
Evacuation of subungual hematoma (11740) $94 $188 0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $247.50 $495 0.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $480.50 $961 0.3×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $480.50 $961 0.7×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $256.50 $513 0.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $256.50 $513 0.4×
Fetal non-stress test (59025) $195 $390 1.0×
Fine needle aspiration without imaging guidance (10021) $381.50 $763 1.0×
Fluoro exam of g/colon tube (49465) $251.50 $503 1.1×
Fna bx w/us gdn 1st les (10005) $1,312.50 $2,625 1.9×
I&d abscess peritonsillar (42700) $330.50 $661 1.4×
I&d abscess simple (10060) $134 $268 0.7×
I&D Mouth/Tong Intra,Masticator (41009) $921.50 $1,843 1.8×
I&d perianal abscess superficial (46050) $535 $1,070 0.6×
I&d pilonidal cyst complicated (10081) $1,683.50 $3,367 2.5×
I&d pilonidal cyst simple (10080) $416 $832 0.6×
Implant neuroelectrodes (63650)
likely a partial charge, not the full procedure		 $1,764 $3,528 0.3×
Incise external hemorrhoid (46083) $134 $268 0.6×
Incision & drainage abscess complicated/multiple (10061) $692.50 $1,385 1.8×
Incision & removal foreign body subq tiss compl (10121) $6,043 $12,086 3.8×
Incision & removal foreign body subq tiss simple (10120) $1,466 $2,932 3.7×
Incision and drainage of bartholin's gland abscess (56420) $282.50 $565 1.4×
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $197–$765.50 $394–$1,531 varies
Incision of lingual frenum (frenotomy) (41010) $434 $868 0.3×
Incision of rectal abscess (46040) $1,156.50 $2,313 1.0×
Incisional biopsy skin single lesion (11106) $518 $1,036 0.7×
Initial Tx 1st Degree Burn Local Tx (16000) $146.50 $293 0.8×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $792 $1,584 0.9×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $485 $970 0.6×
Injection 1 tendon sheath/ligament aponeurosis (20550) $151.50 $303 0.5×
Injection aa&/strd genicular nrv branches w/img (64454) $1,355.50 $2,711 2.0×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $458.50 $917 0.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $2,485 $4,970 3.6×
Injection Anes Superior Hypogastric Plexus (64517) $3,793 $7,586 4.4×
Injection anesthetic agent suprascapular nerve (64418) $355.50 $711 0.5×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $445.50–$626.50 $891–$1,253 varies
Injection single/mlt trigger point 3/> muscles (20553) $503 $1,006 1.7×
Injection, anesthetic agent; brachial plexus, single (64415) $3,755 $7,510 4.4×
Injection, anesthetic agent; femoral nerve, single (64447) $218.50 $437 0.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,093 $2,186 1.6×
Insert Bladder Cath Complex (51703) $358 $716 2.9×
Insert cath pleura w/ image (32557) $671.50 $1,343 0.4×
Insert cath pleura w/o image (32556) $1,123 $2,246 0.6×
Insert Drug Implant Device (11981) $119.50 $239 0.9×
Insert non-tunnel cv cath (36556) $576.50 $1,153 0.2×
Insert pessary/other device (57160) $95.50 $191 0.5×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $1,244.50 $2,489 0.8×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $29.50–$285 $59–$570 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $153.50–$181.50 $307–$363 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $1,022.50 $2,045 0.7×
Insj Picc Rs&I <5 Yr (36572) $1,310 $2,620 2.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,651–$1,737.50 $3,302–$3,475 varies
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,296.50 $4,593 0.7×
Intraoral i&d tongue/floor submndblr space (41008) $6,323 $12,646 2.0×
Intro Gastrointestinal Tube (44500) $530 $1,060 0.6×
Intubation endotracheal emergency procedure (31500) $295.50 $591 1.3×
Irrigation of corpora cavernosa for priapism (54220) $166.50 $333 0.7×
Labyrinthotomy Transcanal (69801) $1,968 $3,936 1.3×
Laryngoscopy flexible diagnostic (31575) $388.50 $777 2.0×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $598.50 $1,197 1.6×
Lithotripsy, extracorporeal shock wave (50590) $4,728.50 $9,457 1.4×
Lyse chest fibrin init day (32561) $1,549 $3,098 2.5×
Lyse Chest Fibrin Subq Day (32562) $1,196.50 $2,393 2.0×
N Block Inj Celiac Pelus (64530) $411.50 $823 0.5×
N Block Inj Ilio-Ing/Hypogi (64425) $414 $828 0.6×
N block inj intercost sng (64420) $371.50 $743 0.5×
N Block Lumbar/Thoracic (64520) $1,369 $2,738 1.6×
Nasal Endoscopy Dx (31231) $255.50 $511 1.3×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines		 $224–$224.50 $448–$449 varies
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $3,440 $6,880 2.0×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $3,276 $6,552 1.9×
Needle Biopsy Lymph Nodes (38505) $688 $1,376 0.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $656.50 $1,313 1.6×
Njx anes stellate ganglion crv sympathetic (64510) $417.50 $835 0.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $590.50 $1,181 2.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $846 $1,692 1.0×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $459.50 $919 0.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,475.50 $2,951 2.2×
Occipital Nerve Block (64405) $573 $1,146 1.9×
Partial Excision Distal Phalanx Finger (26236) $3,264 $6,528 2.1×
Penile Injection (54235) $209.50 $419 0.9×
Perq dev breast 1st strtctc (19283) $1,402 $2,804 2.0×
Perq dev breast 1st us imag (19285) $1,584 $3,168 2.3×
Perq device breast 1st imag (19281) $1,096.50 $2,193 0.7×
Placement of needle for intraosseous infusion (36680) $248 $496 0.6×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $14,210 $28,420 2.3×
Punch biopsy skin single lesion (11104) $299 $598 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $185.50 $371 0.5×
Puncture Aspiration Cyst Breast (19000) $306 $612 0.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $4,103 $8,206 2.2×
Rbc DNA gntyp 12 bld grp gen (0282U) $1,512 $3,024 2.1×
Removal Embedded Foreign Body Eyelid (67938) $185 $370 0.6×
Removal Foreign Body Foot Subcutaneous (28190) $126 $252 0.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $37 $74 0.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $62.50 $125 1.1×
Removal of foreign body from pharynx (42809) $864 $1,728 2.0×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $609.50–$627.50 $1,219–$1,255 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200) $122.50 $245 0.6×
Removal/bivalving gauntlet boot/body cast (29700) $348.50 $697 1.3×
Remove drug implant device (11982) $255 $510 0.6×
Remove foreign body from eye (65205) $205 $410 1.6×
Remove Intrauterine Device (58301) $185 $370 0.6×
Remove Nasal Foreign Body (30300) $169 $338 1.3×
Remove/Insert Drug Implant (11983) $39 $78 0.1×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,198 $2,396 1.7×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,135 $2,270 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,897 $3,794 4.8×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,370.50 $4,741 6.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $562 $1,124 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines		 $292–$822 $584–$1,644 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $939.50 $1,879 2.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,005 $2,010 2.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,023.50 $2,047 2.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $967.50 $1,935 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,128 $2,256 2.9×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,443.50 $2,887 3.7×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $967.50 $1,935 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $359.50 $719 0.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $314.50 $629 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,168 $2,336 3.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,806.50 $3,613 2.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $437 $874 1.1×
Repair of nail bed (11760) $941.50 $1,883 1.3×
Repair tongue laceration (41252) $1,085 $2,170 4.7×
Repair tongue laceration (41250) $314 $628 0.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,881 $3,762 2.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $239.50 $479 0.6×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $362 $724 2.8×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $230 $460 0.5×
Rplc Gtube No Revj Trc (43762) $698 $1,396 2.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $79 $158 0.4×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $1,338 $2,676 0.6×
Rpr Lip Full Thickness Vermilion Only (40650) $379.50 $759 0.7×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $3,395.50 $6,791 2.3×
Shave skin lesion 0.5 cm/< (11300) $55.50 $111 0.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $302 $604 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines		 $311.50–$317 $623–$634 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $79 $158 0.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $520.50 $1,041 2.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $288 $576 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $884 $1,768 4.5×
Skin sub graft face/nk/hf/g (15275) $678.50 $1,357 0.9×
Skin sub graft trnk/arm/leg (15271) $1,304 $2,608 1.8×
Skin sub grft t/arm/lg child (15273) $2,616 $5,232 1.3×
Skn sub grft f/n/hf/g child (15277) $1,248 $2,496 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $713 $1,426 3.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,101 $2,202 2.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $226.50 $453 0.6×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $372–$702.50 $744–$1,405 varies
Strapping ankle (29540) $175 $350 1.1×
Strapping knee (29530) $162 $324 1.3×
Strapping shoulder (29240) $125 $250 1.0×
Strapping Unna Boot (29580) $211.50 $423 1.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $1,140 $2,280 1.7×
Thrombolytic Therapy Stroke (37195) $298 $596 0.9×
Tracheobrnchsc Thru Est Trachs Inc (31615) $469 $938 0.9×
Tracheostomy planned (31600) $1,302 $2,604 0.4×
Treat humerus fracture (24500) $262 $524 1.1×
Treat Humerus Fracture (24505) $1,020 $2,040 0.7×
Treat humerus fracture (23600) $198 $396 0.8×
Treat Knuckle Dislocation (26700) $173 $346 0.7×
Treat Metatarsal Fracture (28475) $264 $528 1.1×
Treat Tail Bone Fracture (27200) $145 $290 0.6×
Treatment closed elbow dislocation w/o anes (24600) $390.50 $781 1.6×
Trim skin lesion (11055) $201.50 $403 1.0×
Tx Gastro Intub W/Asp (43753) $194.50 $389 0.9×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,934.50 $5,869 0.9×
Tx Superficial Wound Dehiscence Simple Closure (12020) $378 $756 0.5×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $98 $196 0.4×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $1,487.50 $2,975 1.0×
Unlisted procedure nervous system (64999)
range across 4 matching MRF lines		 $160.50–$3,701 $321–$7,402 varies
Vaginal delivery only (59409) $6,582 $13,164 2.1×
Wedge excision skin nail fold (11765) $290.50 $581 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.