Procedures & surgery prices at Limestone Medical Center
Groesbeck, TX · every code in this section with a posted price and a Medicare benchmark.
307 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) range across 2 matching MRF lines |
$625.59–$1,225.98 | $1,042.65–$2,043.30 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
$472.50–$1,339.38 | $787.50–$2,232.30 | varies |
| Acne surgery (10040) | $195.93 | $326.55 | 1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $1,466.64 | $2,444.40 | 0.4× |
| Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
$1,698–$1,702.89 | $2,830–$2,838.15 | varies |
| Amputation toe metatarsophalangeal joint (28820) | $1,833.30 | $3,055.50 | 0.6× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) range across 2 matching MRF lines |
$493.29–$1,170.54 | $822.15–$1,950.90 | varies |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) range across 2 matching MRF lines |
$192.78–$1,359.54 | $321.30–$2,265.90 | varies |
| Anoscopy Ablation Lesion (46615) range across 2 matching MRF lines |
$389.34–$3,817.80 | $648.90–$6,363 | varies |
| Anoscopy diagnostic (46600) range across 4 matching MRF lines |
$178.29–$970.20 | $297.15–$1,617 | varies |
| Anoscopy remove lesion (46610) range across 2 matching MRF lines |
$616.14–$3,817.80 | $1,026.90–$6,363 | varies |
| Anoscopy W/Rmvl Foreign Body (46608) | $835.38 | $1,392.30 | 0.9× |
| Anoscopy; with biopsy, single or multiple (46606) range across 2 matching MRF lines |
$623.70–$1,544.13 | $1,039.50–$2,573.55 | varies |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) | $1,553.58 | $2,589.30 | 1.3× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $234.36 | $390.60 | 1.4× |
| Application cast elbow finger short arm (29075) | $189 | $315 | 0.7× |
| Application finger splint static (29130) | $146.16 | $243.60 | 1.1× |
| Application long arm splint shoulder hand (29105) | $146.16 | $243.60 | 0.9× |
| Application Long Leg Splint (29505) | $146.16 | $243.60 | 0.9× |
| Application of rigid total contact leg cast (29445) | $403.20 | $672 | 1.4× |
| Application short arm splint forearm-hand static (29125) | $146.16 | $243.60 | 1.1× |
| Application short leg splint calf foot (29515) | $146.16 | $243.60 | 0.9× |
| Apply hand/wrist cast (29085) | $198.45 | $330.75 | 1.2× |
| Apply long arm cast (29065) | $189 | $315 | 0.7× |
| Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$165.69–$230.58 | $276.15–$384.30 | varies |
| Arterial puncture (36600) | $233.40 | $389 | 1.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$129.15–$535.50 | $215.25–$892.50 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$132.30–$489.51 | $220.50–$815.85 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$119.07–$463.05 | $198.45–$771.75 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$120.96–$403.83 | $201.60–$673.05 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$249.48–$350.91 | $415.80–$584.85 | varies |
| Bladder Irrigation (51700) | $406.98 | $678.30 | 1.6× |
| Blepharotomy drainage abscess eyelid (67700) | $531.09 | $885.15 | 1.7× |
| Blood Transfusion Service (36430) range across 5 matching MRF lines |
$724.20–$760.41 | $1,207–$1,267.35 | varies |
| Catheter aspiration nasotracheal spx (31720) | $321.93 | $536.55 | 1.5× |
| Change of Windpipe Airway (31502) | $255.15 | $425.25 | 1.1× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$189–$286.65 | $315–$477.75 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$292.95–$1,923.39 | $488.25–$3,205.65 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$171.99–$217.98 | $286.65–$363.30 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $756 | $1,260 | 3.1× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $598.50 | $997.50 | 2.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $819 | $1,365 | 0.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $231.21 | $385.35 | 0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $737.73 | $1,229.55 | 3.0× |
| Closed tx septal&nose fx (21337) | $2,616.39 | $4,360.65 | 0.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $311.85 | $519.75 | 1.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) | $231.21 | $385.35 | 0.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $252.63 | $421.05 | 1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $888.30 | $1,480.50 | 0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $252.63 | $421.05 | 1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $1,539.72 | $2,566.20 | 1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $505.89 | $843.15 | 2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $684.18 | $1,140.30 | 2.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $216.72 | $361.20 | 0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $252.63 | $421.05 | 1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,539.72 | $2,566.20 | 1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $231.21 | $385.35 | 0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$252.63–$302.40 | $421.05–$504 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $325.08 | $541.80 | 1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $252.63 | $421.05 | 1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $267.75 | $446.25 | 1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$267.75–$640.71 | $446.25–$1,067.85 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $446.67 | $744.45 | 1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $231.21 | $385.35 | 0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) | $893.34 | $1,488.90 | 3.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $231.21 | $385.35 | 0.9× |
| Collect Blood From Catheter Venous Nos (36592) | $187.11 | $311.85 | 1.4× |
| Collection of venous blood by venipuncture (36415) range across 4 matching MRF lines |
$12.60–$47.88 | $21–$79.80 | varies |
| Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$1,544.13–$2,079 | $2,573.55–$3,465 | varies |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$917.40–$1,470.60 | $1,529–$2,451 | varies |
| Colposcopy cervix upper/adjacent vagina (57452) | $154.35 | $257.25 | 0.8× |
| Colposcopy of vulva (56820) | $277.83 | $463.05 | 1.4× |
| Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$1,544.13–$1,552.95 | $2,573.55–$2,588.25 | varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$1,118.88–$1,544.13 | $1,864.80–$2,573.55 | varies |
| Complex drainage wound (10180) range across 2 matching MRF lines |
$567–$2,245.32 | $945–$3,742.20 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$195.93–$529.20 | $326.55–$882 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$195.93–$334.53 | $326.55–$557.55 | varies |
| Crd ceramides liq chrom plsm (0119U) | $255.15 | $425.25 | 3.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$195.93–$769.23 | $326.55–$1,282.05 | varies |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $849.24 | $1,415.40 | 2.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$658.35–$869.40 | $1,097.25–$1,449 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$658.35–$2,400.30 | $1,097.25–$4,000.50 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$295.50–$787.50 | $492.50–$1,312.50 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$210.42–$279.09 | $350.70–$465.15 | varies |
| Destruction Internal Hemorrhoid Thermal Energy (46930) range across 2 matching MRF lines |
$476.28–$1,256.85 | $793.80–$2,094.75 | varies |
| Destruction Premalignant Lesion 15/> (17004) range across 2 matching MRF lines |
$353.43–$512.82 | $589.05–$854.70 | varies |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$141.75–$279.09 | $236.25–$465.15 | varies |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$408.24–$912.87 | $680.40–$1,521.45 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $1,019.34 | $1,698.90 | 1.4× |
| Drainage of finger abscess simple (26010) | $218.61 | $364.35 | 1.1× |
| Drainage of gum lesion (41800) | $287.91 | $479.85 | 2.2× |
| Drainage of hematoma/fluid (10140) | $110.25 | $183.75 | 0.1× |
| Drainage of scrotal wall abscess (55100) | $326.34 | $543.90 | 0.2× |
| Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
$178.29–$187.11 | $297.15–$311.85 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $528.57 | $880.95 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
$286.65–$333.90 | $477.75–$556.50 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$189–$286.65 | $315–$477.75 | varies |
| Dstrj Lesion Anus Simple Chemical (46900) | $533.61 | $889.35 | 1.3× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) range across 2 matching MRF lines |
$211.05–$304.92 | $351.75–$508.20 | varies |
| Egd control bleeding any (43255) range across 2 matching MRF lines |
$661.50–$1,467.90 | $1,102.50–$2,446.50 | varies |
| Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$844.20–$1,349.46 | $1,407–$2,249.10 | varies |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$379.89–$851.76 | $633.15–$1,419.60 | varies |
| Endoscopy upper small intestine w/biopsy (44361) range across 2 matching MRF lines |
$305.55–$2,353.05 | $509.25–$3,921.75 | varies |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) range across 2 matching MRF lines |
$378–$2,353.05 | $630–$3,921.75 | varies |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) range across 2 matching MRF lines |
$428.40–$2,353.05 | $714–$3,921.75 | varies |
| Evacuation of subungual hematoma (11740) | $82.53 | $137.55 | 0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$193.41–$944.37 | $322.35–$1,573.95 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$438.48–$2,222.64 | $730.80–$3,704.40 | varies |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$510.30–$944.37 | $850.50–$1,573.95 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$576.45–$944.37 | $960.75–$1,573.95 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$308.07–$944.37 | $513.45–$1,573.95 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$379.26–$944.37 | $632.10–$1,573.95 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$415.80–$944.37 | $693–$1,573.95 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $2,222.64 | $3,704.40 | 1.3× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$607.95–$2,222.64 | $1,013.25–$3,704.40 | varies |
| Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$456.75–$807.03 | $761.25–$1,345.05 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$236.25–$2,222.64 | $393.75–$3,704.40 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$385.56–$944.37 | $642.60–$1,573.95 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$438.48–$2,222.64 | $730.80–$3,704.40 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$378.63–$944.37 | $631.05–$1,573.95 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 3 matching MRF lines |
$459.90–$2,400.30 | $766.50–$4,000.50 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$675.36–$2,222.64 | $1,125.60–$3,704.40 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$635.04–$2,547.09 | $1,058.40–$4,245.15 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
$864.99–$2,996.65 | $1,441.65–$4,994.41 | varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$658.98–$721.98 | $1,098.30–$1,203.30 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $1,723.05 | $2,871.75 | 1.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$305.55–$320.67 | $509.25–$534.45 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$319.41–$944.37 | $532.35–$1,573.95 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$481.95–$2,222.64 | $803.25–$3,704.40 | varies |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 2 matching MRF lines |
$927.99–$1,733.13 | $1,546.65–$2,888.55 | varies |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
$599.13–$944.37 | $998.55–$1,573.95 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$429.03–$944.37 | $715.05–$1,573.95 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$493.29–$944.37 | $822.15–$1,573.95 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$513.45–$527.31 | $855.75–$878.85 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$667.17–$726.39 | $1,111.95–$1,210.65 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$440.37–$944.37 | $733.95–$1,573.95 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$412.65–$674.73 | $687.75–$1,124.55 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$382.73–$2,222.64 | $637.88–$3,704.40 | varies |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 2 matching MRF lines |
$504–$544.32 | $840–$907.20 | varies |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$720.09–$1,733.13 | $1,200.15–$2,888.55 | varies |
| Fine needle aspiration without imaging guidance (10021) | $325.71 | $542.85 | 0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$623.70–$1,170.54 | $1,039.50–$1,950.90 | varies |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$234.36–$300.51 | $390.60–$500.85 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,525.58 | $2,542.63 | 0.5× |
| I&d perianal abscess superficial (46050) | $1,310.40 | $2,184 | 1.4× |
| I&d pilonidal cyst complicated (10081) | $1,102.50 | $1,837.50 | 1.5× |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$529.20–$970.20 | $882–$1,617 | varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) range across 2 matching MRF lines |
$790.02–$1,536.57 | $1,316.70–$2,560.95 | varies |
| Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$449.82–$460.53 | $749.70–$767.55 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$378–$585.90 | $630–$976.50 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $2,419.83 | $4,033.05 | 1.5× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$301.14–$569.52 | $501.90–$949.20 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $326.34 | $543.90 | 1.6× |
| Incision and drainage of vulva or perineal abscess (56405) | $326.34 | $543.90 | 1.1× |
| Incision of rectal abscess (46040) | $2,029.23 | $3,382.05 | 1.7× |
| Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$134.82–$340.20 | $224.70–$567 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) | $286.65 | $477.75 | 1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) | $1,108.17 | $1,846.95 | 1.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $403.83 | $673.05 | 1.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$275.31–$895.86 | $458.85–$1,493.10 | varies |
| Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$285.39–$403.83 | $475.65–$673.05 | varies |
| Injection of sclerosing solution, hemorrhoids (46500) | $992.25 | $1,653.75 | 1.1× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$120.96–$403.83 | $201.60–$673.05 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$115.92–$435.33 | $193.20–$725.55 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$133.56–$472.50 | $222.60–$787.50 | varies |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$150.57–$403.83 | $250.95–$673.05 | varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$255.15–$1,053.36 | $425.25–$1,755.60 | varies |
| Insert Bladder Cath Complex (51703) | $258 | $430 | 2.0× |
| Insert cath pleura w/o image (32556) | $283.50 | $472.50 | 0.1× |
| Insert non-tunnel cv cath (36556) | $2,064.62 | $3,441.04 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$136.08–$157.50 | $226.80–$262.50 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$198.60–$208.53 | $331–$347.55 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $652.68 | $1,087.80 | 0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$179.55–$1,620.36 | $299.25–$2,700.60 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$430.29–$1,081.08 | $717.15–$1,801.80 | varies |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$464.94–$1,245.51 | $774.90–$2,075.85 | varies |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$266.49–$359.13 | $444.15–$598.55 | varies |
| Laryngoscopy diagnostic (31505) | $110.25 | $183.75 | 0.5× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) | $413.91 | $689.85 | 1.1× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) | $212.31 | $353.85 | 1.1× |
| N block inj intercost sng (64420) range across 3 matching MRF lines |
$233.10–$895.86 | $388.50–$1,493.10 | varies |
| Nasal/Orogastric W/Tube Plmt (43752) | $245.07 | $408.45 | 0.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $192.78 | $321.30 | 0.6× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$200.97–$403.83 | $334.95–$673.05 | varies |
| Open bowel to skin (44300) | $1,732.50 | $2,887.50 | 0.9× |
| Pericardiocentesis W/Imaging (33016) | $1,984.50 | $3,307.50 | 1.3× |
| Placement of needle for intraosseous infusion (36680) | $612.36 | $1,020.60 | 1.4× |
| Placement of seton (46020) | $606.69 | $1,011.15 | 0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $2,222.64 | $3,704.40 | 2.4× |
| Proctosgmdsc Rigid Control Bleeding (45317) range across 2 matching MRF lines |
$472.50–$835.38 | $787.50–$1,392.30 | varies |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) | $441 | $735 | 0.2× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) | $493.29 | $822.15 | 0.4× |
| Proctosgmdsc rigid w/dilation (45303) | $1,723.05 | $2,871.75 | 1.4× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) | $2,737.98 | $4,563.30 | 1.0× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) range across 2 matching MRF lines |
$483.84–$3,817.80 | $806.40–$6,363 | varies |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) range across 2 matching MRF lines |
$393.75–$2,222.64 | $656.25–$3,704.40 | varies |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$102.69–$110.88 | $171.15–$184.80 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$252–$569.52 | $420–$949.20 | varies |
| Push Transfusion Blood 2 Yr/Under (36440) | $439.74 | $732.90 | 1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) | $515.97 | $859.95 | 0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $1,612.80 | $2,688 | 1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $143.01 | $238.35 | 2.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $141.75 | $236.25 | 2.4× |
| Removal of foreign body from pharynx (42809) | $612.36 | $1,020.60 | 1.4× |
| Removal of implant from finger or hand (26320) | $905.30 | $1,508.84 | 0.5× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$347.13–$348.39 | $578.55–$580.65 | varies |
| Removal or bivalving full arm or full leg cast (29705) | $134.82 | $224.70 | 0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$193.41–$279.09 | $322.35–$465.15 | varies |
| Remove drug implant device (11982) range across 2 matching MRF lines |
$245.70–$544.32 | $409.50–$907.20 | varies |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$60.48–$220.50 | $100.80–$367.50 | varies |
| Remove Nasal Foreign Body (30300) | $85.68 | $142.80 | 0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $549.36 | $915.60 | 0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $664.65 | $1,107.75 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $483.21 | $805.35 | 1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $598.50 | $997.50 | 1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $449.82 | $749.70 | 1.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $562.59 | $937.65 | 1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) | $417.06 | $695.10 | 0.6× |
| Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
$517.86–$867.51 | $863.10–$1,445.85 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$267.12–$608.58 | $445.20–$1,014.30 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$331.38–$674.73 | $552.30–$1,124.55 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$364.14–$788.13 | $606.90–$1,313.55 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$397.53–$829.71 | $662.55–$1,382.85 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$465.57–$869.40 | $775.95–$1,449 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $300.51 | $500.85 | 0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$385.56–$665.28 | $642.60–$1,108.80 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$432.18–$820.26 | $720.30–$1,367.10 | varies |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $1,102.03 | $1,836.72 | 0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$432.81–$842.94 | $721.35–$1,404.90 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $287.28 | $478.80 | 0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$359.10–$659.61 | $598.50–$1,099.35 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$464.94–$926.10 | $774.90–$1,543.50 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$398.79–$718.20 | $664.65–$1,197 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $1,102.03 | $1,836.72 | 0.5× |
| Repair of nail bed (11760) | $308.07 | $513.45 | 0.4× |
| Repair tongue laceration (41250) | $692.37 | $1,153.95 | 1.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) | $1,952.37 | $3,253.95 | 2.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$126.63–$221.13 | $211.05–$368.55 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $612.36 | $1,020.60 | 1.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $2,789.01 | $4,648.35 | 1.0× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) | $1,539.72 | $2,566.20 | 0.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $1,612.80 | $2,688 | 1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$182.70–$999.81 | $304.50–$1,666.35 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$148.68–$427.14 | $247.80–$711.90 | varies |
| Rplc Gtube No Revj Trc (43762) | $406.35 | $677.25 | 1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$332.01–$362.88 | $553.35–$604.80 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$496.44–$1,073.52 | $827.40–$1,789.20 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$769.86–$956.34 | $1,283.10–$1,593.90 | varies |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) | $3,470.67 | $5,784.45 | 1.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$661.50–$1,544.13 | $1,102.50–$2,573.55 | varies |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$226.80–$279.09 | $378–$465.15 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$255.15–$279.09 | $425.25–$465.15 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) range across 2 matching MRF lines |
$359.10–$512.82 | $598.50–$854.70 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$232.47–$279.09 | $387.45–$465.15 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$233.73–$279.09 | $389.55–$465.15 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$296.10–$309.96 | $493.50–$516.60 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
$328.86–$512.82 | $548.10–$854.70 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$279.09–$298.62 | $465.15–$497.70 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 2 matching MRF lines |
$342.09–$512.82 | $570.15–$854.70 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$193.41–$279.09 | $322.35–$465.15 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
$279.09–$334.53 | $465.15–$557.55 | varies |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$269.01–$279.09 | $448.35–$465.15 | varies |
| Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$735.21–$1,170.54 | $1,225.35–$1,950.90 | varies |
| Sigmoidoscopy w/fb removal (45332) range across 2 matching MRF lines |
$610.47–$1,544.13 | $1,017.45–$2,573.55 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$642.60–$862.47 | $1,071–$1,437.45 | varies |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) range across 2 matching MRF lines |
$1,178.10–$1,544.13 | $1,963.50–$2,573.55 | varies |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$364.14–$461.16 | $606.90–$768.60 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$234.36–$238.14 | $390.60–$396.90 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$247.59–$265.23 | $412.65–$442.05 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$283.50–$398.79 | $472.50–$664.65 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$297.99–$302.40 | $496.65–$504 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $496.44 | $827.40 | 2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $221.13 | $368.55 | 1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $496.44 | $827.40 | 2.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$283.50–$331.38 | $472.50–$552.30 | varies |
| Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$340.20–$2,663.01 | $567–$4,438.35 | varies |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$330.75–$2,663.01 | $551.25–$4,438.35 | varies |
| Skin sub grft t/arm/lg child (15273) | $4,602.78 | $7,671.30 | 2.2× |
| Skn sub grft f/n/hf/g child (15277) | $2,663.01 | $4,438.35 | 1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$238.14–$299.25 | $396.90–$498.75 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$366.66–$370.44 | $611.10–$617.40 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$403.83–$434.70 | $673.05–$724.50 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$279.72–$408.57 | $466.20–$680.95 | varies |
| Strapping ankle (29540) | $146.16 | $243.60 | 0.9× |
| Strapping elbow or wrist (29260) | $146.16 | $243.60 | 2.5× |
| Strapping hand/finger (29280) | $146.16 | $243.60 | 2.5× |
| Strapping knee (29530) | $146.16 | $243.60 | 1.1× |
| Strapping shoulder (29240) | $146.16 | $243.60 | 1.1× |
| Strapping thorax (29200) | $133.56 | $222.60 | 0.8× |
| Strapping toes (29550) | $81.60 | $136 | 1.4× |
| Strapping Unna Boot (29580) range across 7 matching MRF lines |
$230.58–$395.64 | $384.30–$659.40 | varies |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$226.80–$360.36 | $378–$600.60 | varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $2,292.57 | $3,820.95 | 1.4× |
| Thrombolytic Therapy Stroke (37195) | $378 | $630 | 1.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $769.86 | $1,283.10 | 0.5× |
| Treat humerus fracture (24500) | $252.63 | $421.05 | 1.0× |
| Treat humerus fracture (23600) | $231.21 | $385.35 | 0.9× |
| Treat Knuckle Dislocation (26700) | $231.21 | $385.35 | 0.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $174.51 | $290.85 | 0.7× |
| Trim skin lesion (11055) range across 2 matching MRF lines |
$151.20–$300.51 | $252–$500.85 | varies |
| Tx Gastro Intub W/Asp (43753) | $239.43 | $399.05 | 1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$529.20–$644.49 | $882–$1,074.15 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $562.59 | $937.65 | 1.4× |
| Vaginal delivery only (59409) | $2,063.25 | $3,438.75 | 0.6× |
| Vein Access Cutdown < 1 Yr (36420) | $98.91 | $164.85 | 0.7× |
| Venous Cutdown >1 Y/O (36425) | $612.36 | $1,020.60 | 1.4× |
| Wedge excision skin nail fold (11765) | $623.07 | $1,038.45 | 1.5× |
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.