Procedures & surgery prices at Little Colorado Medical Center

Winslow, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $459.47 $765.79 0.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$2,334–$2,404.02 $3,890–$4,006.70 varies
Amputation foot transmetarsal (28805)
range across 2 matching MRF lines
$2,550.60–$4,251 $4,251–$7,085 varies
Amputation metatarsal with toe single (28810)
range across 3 matching MRF lines
$1,700.40–$5,101.20 $2,834–$8,502 varies
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines
$850.20–$3,400.80 $1,417–$5,668 varies
Amputation toe metatarsophalangeal joint (28820) $3,400.80 $5,668 1.0×
Anoscopy diagnostic (46600) $169.05 $281.75 1.2×
Anoscopy; with biopsy, single or multiple (46606) $3,400.80 $5,668 2.7×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990)
range across 2 matching MRF lines
$850.20–$1,700.40 $1,417–$2,834 varies
Application finger splint static (29130)
range across 3 matching MRF lines
$154.80–$376.20 $258–$627 varies
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines
$312–$376.20 $520–$627 varies
Application Long Leg Splint (29505)
range across 2 matching MRF lines
$262.02–$269.88 $436.70–$449.80 varies
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines
$285.60–$376.20 $476–$627 varies
Application short leg splint calf foot (29515) $376.20 $627 2.2×
Apply Multlay Comprs Lwr Leg (29581)
range across 5 matching MRF lines
$358.85–$746.40 $598.08–$1,244 varies
Arteriovenous Anastomosis Open Direct (36821) $4,251 $7,085 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,834.22 $3,057.04 2.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$1,743–$1,795.29 $2,905–$2,992.15 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,107.46 $1,845.76 3.4×
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines
$1,700.40–$5,101.20 $2,834–$8,502 varies
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$1,004.71–$1,034.85 $1,674.51–$1,724.75 varies
Aspirate/Inj Ganglion Cyst (20612) $242.26 $403.76 0.7×
Aspiration bladder insert suprapubic catheter (51102) $4,680.03 $7,800.05 2.1×
Blepharotomy drainage abscess eyelid (67700) $939.98 $1,566.63 2.8×
Blood Transfusion Service (36430)
range across 8 matching MRF lines
$810.73–$2,939.21 $1,351.21–$4,898.68 varies
Bx Cervix (57500) $3,400.80 $5,668 3.5×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines
$380.85–$487.60 $634.75–$812.67 varies
Chemodenerv Musc Migraine (64615) $489.46 $815.76 1.5×
Chemodenerv musc neck dyston (64616) $684.74 $1,141.24 2.1×
Chemodenerv trunk musc 1-5 (64646) $925.15 $1,541.91 1.2×
Chemodenerv trunk musc 6/> (64647) $936.27 $1,560.45 1.2×
Chest tube placement (32551)
range across 2 matching MRF lines
$2,677.80–$2,758.13 $4,463–$4,596.89 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines
$321.42–$331.06 $535.70–$551.77 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines
$387.49–$658.17 $645.81–$1,096.95 varies
Closed tx knee dislocation w/o anesthesia (27550) $1,002.40 $1,670.66 3.8×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,163.65 $1,939.42 0.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $703.90 $1,173.17 2.7×
Clsd Tx Pelvic Ring Fx (27198) $977.06 $1,628.43 3.7×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $484.51 $807.52 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines
$1,017.34–$1,317.37 $1,695.57–$2,195.62 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$1,017.34–$1,047.86 $1,695.57–$1,746.44 varies
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines
$2,706.60–$2,787.80 $4,511–$4,646.33 varies
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines
$552–$568.56 $920–$947.60 varies
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $2,839.09 $4,731.81 1.7×
Cltx dstl fibular fx lat malls w/manj (27788) $376.20 $627 1.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$376.20–$1,741.35 $627–$2,902.25 varies
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $376.20 $627 0.2×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $360.91 $601.52 1.4×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines
$473.60–$487.81 $789.34–$813.02 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $2,756.39 $4,593.99 9.2×
Cltx Med Ankle Fx W/Mnpj (27762) $2,706.60 $4,511 1.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $376.20 $627 1.4×
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $1,090.77 $1,817.95 0.3×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $575.98 $959.96 2.2×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines
$9.27–$164.12 $15.45–$273.54 varies
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$16.07–$118.80 $26.78–$198 varies
Complex drainage wound (10180) $5,306.15 $8,843.58 1.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $3,400.80 $5,668 1.0×
Conization of cervix (57520) $1,700.40 $2,834 0.5×
Control Nasal Hemorrhage Anterior Simple (30901) $191.40 $319 1.3×
Correction hammertoe (28285)
range across 6 matching MRF lines
$850.20–$3,400.80 $1,417–$5,668 varies
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
unusually low: confirm this is the full procedure
$6,801.60 $11,336 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $3,400.80 $5,668 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $191.40 $319 1.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $391.19 $651.99 0.9×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $867.67 $1,446.12 1.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,425.15 $2,375.25 1.8×
Debride nail 1-5 (11720)
range across 2 matching MRF lines
$185.40–$190.96 $309–$318.27 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,619 $6,031.67 2.1×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines
$873.88–$3,400.80 $1,456.47–$5,668 varies
Declot vascular device (36593) $581.62 $969.37 1.7×
Destroy cerv/thor facet jnt (64633) $4,228.36 $7,047.26 2.0×
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines
$4,105.20–$4,228.36 $6,842–$7,047.26 varies
Destruction neurolytic agt genicular nerve w/img (64624) $7,236.78 $12,061.30 3.5×
Destruction premalignant lesion 1st (17000) $148.32 $247.20 0.7×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $1,700.40 $2,834 1.3×
Dilation And Curettage Of Cervical Stump (57558) $2,940.44 $4,900.74 0.9×
Drain/inj small joint/bursa w/us (20604) $673.62 $1,122.70 2.1×
Drainage of gum lesion (41800) $454.23 $757.05 3.2×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$3,257.04–$3,354.75 $5,428.40–$5,591.25 varies
Drainage of rectal abscess (45020)
range across 2 matching MRF lines
$1,166.40–$1,201.39 $1,944–$2,002.32 varies
Drainage of scrotum (54700) $1,303.20 $2,172 0.6×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$9.27–$351.54 $15.45–$585.90 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,303.20 $2,172 1.7×
Dstrj lesion anus simple surg excision (46922) $1,700.40 $2,834 0.6×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$1,719–$1,770.57 $2,865–$2,950.95 varies
Egd Flexible Foreign Body Removal (43247) $1,920 $3,200 2.0×
Endometrial ablation, thermal, without hysteroscopic guidance (58353) $3,400.80 $5,668 0.6×
Epidural Blood Patch (62273) $1,545 $2,575 2.1×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $3,400.80 $5,668 1.9×
Exc hydrocele sprmatic cord uni spx (55500) $7,651.80 $12,753 2.0×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $3,400.80 $5,668 4.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,400.80 $5,668 1.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines
$1,133.60–$4,251 $1,889.34–$7,085 varies
Exc Skin Benig >4cm Face,Facial (11446) $3,400.80 $5,668 1.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,400.80 $5,668 1.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines
$3,400.80–$4,052.54 $5,668–$6,754.23 varies
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $3,400.80 $5,668 1.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $3,400.80 $5,668 1.9×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $1,133.60 $1,889.33 0.6×
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $3,400.80 $5,668 1.0×
Excision of pilonidal cyst or sinus; simple (11770) $3,400.80 $5,668 1.1×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines
$1,700.40–$3,400.80 $2,834–$5,668 varies
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,400.80 $5,668 1.9×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $9,352.20 $15,587 5.3×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $3,400.80 $5,668 1.9×
External cephalic version (59412) $4,863.04 $8,105.07 1.4×
Fetal non-stress test (59025) $430.80 $718 2.0×
Fna bx w/us gdn 1st les (10005) $3,400.80 $5,668 4.5×
Foreskin manipulation (54450) $397.99 $663.32 1.5×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $3,400.80 $5,668 1.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $3,801.32 $6,335.53 3.8×
Hysteroscopy Biopsy (58558) $3,400.80 $5,668 1.0×
Hysteroscopy, surgical; with removal of leiomyomata (58561) $3,400.80 $5,668 0.6×
I&d abscess peritonsillar (42700) $977.06 $1,628.43 3.9×
I&d abscess simple (10060)
range across 6 matching MRF lines
$324.60–$3,400.80 $541–$5,668 varies
I&d pilonidal cyst simple (10080) $581.08 $968.46 0.8×
Incision & drainage abscess complicated/multiple (10061) $3,400.80 $5,668 7.8×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$1,172.57–$1,207.75 $1,954.28–$2,012.91 varies
Incision and drainage of bartholin's gland abscess (56420) $810.82 $1,351.36 3.8×
Incision and drainage of vulva or perineal abscess (56405) $1,303.20 $2,172 4.0×
Incision of rectal abscess (46040) $1,133.60 $1,889.33 0.9×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines
$379.80–$391.19 $633–$651.99 varies
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,982.54 $3,304.24 2.1×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,019.01 $3,365.01 2.1×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines
$168.10–$471.53 $280.16–$785.89 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,331.17 $2,218.62 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines
$507.96–$1,084.59 $846.60–$1,807.65 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $1,058.63 $1,764.39 3.2×
Injection Anes Superior Hypogastric Plexus (64517) $2,002.32 $3,337.20 2.1×
Injection anesthetic agent suprascapular nerve (64418) $1,630.28 $2,717.14 2.2×
Injection single tendon origin/insertion (20551) $471.53 $785.89 1.4×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines
$432–$457.80 $720–$763 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$420–$432.60 $700–$721 varies
Injection therapeutic carpal tunnel (20526) $98.26 $163.77 0.3×
Injection, anesthetic agent; femoral nerve, single (64447) $1,084.59 $1,807.65 1.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines
$507.96–$3,159 $846.60–$5,265 varies
Insert Bladder Cath Complex (51703) $279.34 $465.56 2.0×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$2,318.68–$2,388.23 $3,864.46–$3,980.39 varies
Insert pessary/other device (57160) $352 $586.67 1.6×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $2,019.01 $3,365.01 1.2×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$283.09–$291.58 $471.81–$485.96 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,896.10 $3,160.16 1.1×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,560.15 $9,266.91 0.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $850.20 $1,417 2.0×
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines
$3,400.80–$5,101.20 $5,668–$8,502 varies
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $3,400.80 $5,668 0.6×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$231.66–$732.95 $386.10–$1,221.58 varies
Irrigation of corpora cavernosa for priapism (54220) $453.61 $756.02 1.7×
Lap insert tunnel ip cath (49324) $5,101.20 $8,502 0.8×
Laparoscopy aspiration (49322) $4,251 $7,085 0.7×
Laparoscopy fulguration oviducts (58670) $3,400.80 $5,668 0.5×
Laparoscopy w/rmvl adnexal structures (58661) $5,101.20 $8,502 0.8×
Laparoscopy, surgical, appendectomy (44970) $3,400.80 $5,668 0.5×
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $12,753 $21,255 1.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $3,400.80 $5,668 0.5×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) $5,101.20 $8,502 0.8×
Late closure of wound (13160) $3,400.80 $5,668 0.9×
Ligation Of Neck Artery (37615) $5,630.60 $9,384.33 1.7×
Mastectomy for gynecomastia (19300) $3,400.80 $5,668 0.8×
Mastectomy partial (19301) $3,400.80 $5,668 0.8×
Metatarsectomy (28140) $1,700.40 $2,834 0.5×
N Block Inj Celiac Pelus (64530) $1,664.27 $2,773.79 1.8×
N Block Inj Ilio-Ing/Hypogi (64425) $1,545 $2,575 2.1×
N block inj intercost sng (64420) $2,590.04 $4,316.73 3.4×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines
$207.65–$523.20 $346.08–$872 varies
N Block Lumbar/Thoracic (64520) $1,720.51 $2,867.52 1.8×
Njx anes stellate ganglion crv sympathetic (64510) $2,113.56 $3,522.60 2.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines
$507.96–$1,033.30 $846.60–$1,722.16 varies
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$1,924.80–$1,982.54 $3,208–$3,304.24 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines
$990–$1,019.70 $1,650–$1,699.50 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines
$1,237.80–$1,274.93 $2,063–$2,124.89 varies
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$627–$645.81 $1,045–$1,076.35 varies
Ostc prtl exostc/condylc metar head (28288)
range across 2 matching MRF lines
$781.15–$3,400.80 $1,301.92–$5,668 varies
Ostectomy, complete excision; fifth metatarsal head (28113) $3,400.80 $5,668 1.0×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $3,400.80 $5,668 1.0×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $2,550.60 $4,251 0.7×
Partical Excision Bone Phalanx Toe (28124) $3,400.80 $5,668 1.0×
Pelvic examination under anesthesia (other than local) (57410) $3,400.80 $5,668 1.0×
Peritoneal Lavage (49084) $1,601.24 $2,668.73 1.7×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
unusually low: confirm this is the full procedure
$5,101.20 $8,502 0.4×
Phalangectomy toe each toe (28150) $3,400.80 $5,668 1.0×
Placement of seton (46020) $1,700.40 $2,834 0.6×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $4,251 $7,085 1.2×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$560.53–$691.54 $934.21–$1,152.57 varies
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $3,211.75 $5,352.91 1.5×
Rdctj torsion tstis w/wo fixj clat testis (54600) $5,942.07 $9,903.45 1.6×
Reduction of rectal prolapse (45900) $2,188.34 $3,647.23 2.2×
Removal Anal Seton Other Marker (46030) $850.20 $1,417 0.7×
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$1,214.06–$3,400.80 $2,023.44–$5,668 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $4,748.77 $7,914.62 2.7×
Removal Implant Deep (20680)
range across 2 matching MRF lines
$3,400.80–$5,101.20 $5,668–$8,502 varies
Removal of heel spur (28119) $3,400.80 $5,668 1.0×
Removal of nail bed (11750)
range across 2 matching MRF lines
$802.56–$826.64 $1,337.60–$1,377.73 varies
Remove drug implant device (11982)
range across 2 matching MRF lines
$850.20–$3,400.80 $1,417–$5,668 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$568.80–$585.86 $948–$976.44 varies
Remove Intrauterine Device (58301) $1,700.40 $2,834 5.2×
Remove Nasal Foreign Body (30300) $367.09 $611.82 2.6×
Repair blood vessel lesion (35190) $6,352.42 $10,587.37 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $807 $1,345 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,183.20 $1,972 2.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$807–$2,550.60 $1,345–$4,251 varies
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $2,550.60 $4,251 0.7×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $1,700.40 $2,834 0.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $654 $1,090 1.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $654 $1,090 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $654 $1,090 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $654 $1,090 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $654 $1,090 1.5×
Repair of fibula nonunion and/or malunion with internal fixation (27726)
unusually low: confirm this is the full procedure
$3,400.80 $5,668 0.4×
Repair of nail bed (11760) $446.38 $743.96 0.6×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) $4,251 $7,085 0.6×
Repair, primary, disrupted ligament, ankle; collateral (27695)
unusually low: confirm this is the full procedure
$3,400.80 $5,668 0.4×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $473.92 $789.87 0.1×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines
$1,700.40–$3,400.80 $2,834–$5,668 varies
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,795.29 $2,992.15 2.7×
Rmvl/revj sling stress incontinence (57287) $3,400.80 $5,668 1.0×
Rplc Gtube No Revj Trc (43762) $681.65 $1,136.09 2.6×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,745.16 $4,575.26 1.6×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,400.80 $5,668 0.5×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $3,400.80 $5,668 0.9×
Rpr aa hrn 1st 3-10 rdc (49593) $5,951.40 $9,919 0.9×
Rpr aa hrn 1st < 3 ncr/strn (49592) $3,400.80 $5,668 0.5×
Rpr blood vessel direct lower extremity (35226) $1,323.76 $2,206.26 1.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $522.60 $871 2.4×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $1,620 $2,700 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $522.60 $871 2.4×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $522.60 $871 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $538.28 $897.13 2.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $522.60 $871 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $522.60 $871 2.4×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines
$3,104.40–$3,197.53 $5,174–$5,329.22 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines
$2,920.80–$3,008.42 $4,868–$5,014.04 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $522.60 $871 2.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $522.60 $871 1.2×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$805.05–$829.20 $1,341.75–$1,382 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines
$247.82–$481.20 $413.03–$802 varies
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $850.20 $1,417 0.3×
Syndactylization toes (28280) $850.20 $1,417 0.2×
Tenotomy Percutaneous Toe Single Tendon (28010) $3,400.80 $5,668 2.0×
Treat ectopic pregnancy (59151) $3,400.80 $5,668 0.5×
Treat Humerus Fracture (24505)
range across 2 matching MRF lines
$1,741.35–$1,793.59 $2,902.25–$2,989.32 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines
$1,813.95–$1,868.37 $3,023.25–$3,113.95 varies
Treatment closed elbow dislocation w/o anes (24600) $768.02 $1,280.03 2.9×
Trimming Nondystrophic Nails Any Number (11719) $12.98 $21.63 0.2×
Tx Gastro Intub W/Asp (43753)
range across 2 matching MRF lines
$383.40–$394.90 $639–$658.17 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,400.80 $5,668 1.0×
Tx Missed Abortion First Trimester Surgical (59820) $3,400.80 $5,668 1.0×
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $1,905.51 $3,175.85 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $522.60 $871 0.7×
Unlisted Procedure Casting/Strapping (29799) $376.20 $627 2.2×
Unlisted Procedure Muscskeletal System General (20999) $2,957.12 $4,928.53 11.2×
Unlisted procedure nervous system (64999) $1,084.59 $1,807.65 3.3×
Wedge excision skin nail fold (11765) $391.19 $651.99 0.9×

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.