Procedures & surgery prices at Lodi Hospital

Lodi, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $2,803.45 $4,313 3.3×
Ablation ire liver 1+ tumors w/img gdn perq (47384) $32,471.40 $49,956 3.2×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $9,701.25 $14,925 3.1×
Anal/Urinary Muscle Study (51784) $468 $720 3.8×
Application cast elbow finger short arm (29075) $794.30 $1,222 3.0×
Application finger splint static (29130) $385.45 $593 3.1×
Application long arm splint shoulder hand (29105) $471.90 $726 3.1×
Application Long Leg Splint (29505) $471.90 $726 3.1×
Application short arm splint forearm-hand static (29125) $385.45 $593 3.1×
Application short leg splint calf foot (29515) $471.90 $726 3.1×
Apply long arm cast (29065) $794.30 $1,222 3.0×
Arterial puncture (36600) $481.65 $741 3.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $882.70 $1,358 3.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $882.70 $1,358 3.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $882.70 $1,358 3.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $882.70 $1,358 3.0×
Aspirate Pleura W/O Imaging (32554) $1,848.60 $2,844 3.1×
Avulsion nail plate partial/complete simple 1 (11730) $387.40 $596 2.0×
Biopsy Prostate Transrectal Ultrasound-Guided (55707) $10,767.90 $16,566 3.2×
Biopsy Salivary Gland Needle (42400) $1,882.40 $2,896 2.8×
Bladder Irrigation (51700) $727.35 $1,119 3.1×
Bladder Scan (51798) $177.45 $273 3.2×
Blepharotomy drainage abscess eyelid (67700) $893.75 $1,375 3.0×
Blood Transfusion Service (36430) $1,634.10 $2,514 3.9×
Bone Marrow Biopsy (38221) $4,212.65 $6,481 2.7×
Bone Marrow; Aspiration Only (38220) $4,212.65 $6,481 2.7×
Brnchsc Brushing/Protected Brushings (31623) $5,156.45 $7,933 3.1×
Bronchoscopy Clear Airways (31645) $5,156.45 $7,933 3.1×
Bronchoscopy Reclear Airway (31646) $1,160.90 $1,786 3.1×
Bronchoscopy W/Biopsy(S) (31625) $5,156.45 $7,933 3.1×
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) $20,697.95 $31,843 3.1×
Bronchoscopy W/Removal Foreign Body (31635) $5,156.45 $7,933 3.1×
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) $11,024 $16,960 3.1×
Bronchoscopy/Needle Bx Each (31629) $11,024 $16,960 3.1×
Bx breast 1st lesion mr imag (19085) $7,267 $11,180 4.7×
Bx prostate in-bore CT/MRI trgt les only 1st (55714) $16,378.70 $25,198 3.2×
Bx prostate tprnl MRI-us gid trgt les 1st (55712) $10,767.90 $16,566 3.2×
Bx prostate transperineal ultrasound-guided (55709) $10,767.90 $16,566 3.2×
Bx prostate transrectal MRI-us gid trgt les 1st (55711) $10,767.90 $16,566 3.2×
Bx prst8 in-bore CT/MRI bx 1 (55713) $16,378.70 $25,198 3.2×
Bx prst8 tprn us w/MRI fus 1 (55710) $10,767.90 $16,566 3.2×
Bx prst8 trct us w/MRI fus 1 (55708) $10,767.90 $16,566 3.2×
Catheter aspiration nasotracheal spx (31720) $608.40 $936 2.9×
Change Cystostomy Tube Simple (51705) $727.35 $1,119 3.1×
Chemodenerv trunk musc 1-5 (64646) $3,105.70 $4,778 4.7×
Chemodenerv trunk musc 6/> (64647) $3,105.70 $4,778 4.7×
Chest tube placement (32551) $4,644.90 $7,146 3.1×
Cl Tx Tib Shft Fx W Manip (27752) $4,785.30 $7,362 3.1×
Clear outer ear canal (69200) $335.40 $516 2.7×
Closed Treatment Ulnar Styloid Fracture (25650) $716.95 $1,103 3.1×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $4,785.30 $7,362 3.1×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $716.95 $1,103 3.1×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $716.95 $1,103 3.1×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $716.95 $1,103 3.1×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $716.95 $1,103 3.1×
Closed tx femoral fracture prox head w/o manj (27267) $9,701.25 $14,925 3.1×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $1,522.95 $2,343 3.0×
Closed tx metatarsal fracture w/o manipulation (28470) $716.95 $1,103 3.1×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $4,429.10 $6,814 3.0×
Closed tx patellar dislocation w/o anesthesia (27560) $716.95 $1,103 3.1×
Closed Tx Patellar Fracture W/O Manipulation (27520) $716.95 $1,103 3.1×
Closed tx radial head/neck fx w/o manipulation (24650) $716.95 $1,103 3.1×
Closed tx radial shaft fracture w/manipulation (25505) $4,785.30 $7,362 3.1×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $716.95 $1,103 3.1×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $4,785.30 $7,362 3.1×
Closed tx radial&ulnar shaft fractures w/o man (25560) $716.95 $1,103 3.1×
Closed Tx Scapular Fracture W/O Manipulation (23570) $716.95 $1,103 3.1×
Closed tx talus fracture w/o manipulation (28430) $716.95 $1,103 3.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $716.95 $1,103 3.1×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $716.95 $1,103 3.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $716.95 $1,103 3.1×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $1,522.95 $2,343 3.0×
Clsd tx acromioclavicular dislc w/manipulation (23545) $716.95 $1,103 3.1×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $716.95 $1,103 3.1×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $4,785.30 $7,362 3.1×
Clsd tx clavicular fracture w/o manipulation (23500) $716.95 $1,103 3.1×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $716.95 $1,103 3.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $716.95 $1,103 3.1×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $4,785.30 $7,362 3.1×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $716.95 $1,103 3.1×
Cltx dstl fibular fx lat malls w/manj (27788) $716.95 $1,103 3.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $716.95 $1,103 3.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $716.95 $1,103 3.1×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $716.95 $1,103 3.1×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $716.95 $1,103 3.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $4,785.30 $7,362 3.1×
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $716.95 $1,103 3.1×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $716.95 $1,103 3.1×
Cltx fx grt toe phlx/phlg w/o manj (28490) $716.95 $1,103 3.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $716.95 $1,103 3.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $716.95 $1,103 3.1×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,785.30 $7,362 3.1×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $716.95 $1,103 3.1×
Cltx greater humeral tuberosity fx w/o manj (23620) $716.95 $1,103 3.1×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $716.95 $1,103 3.1×
Cltx humeral condylar fx medial/lateral w/manj (24577) $4,785.30 $7,362 3.1×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $716.95 $1,103 3.1×
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $794.30 $1,222 3.0×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $716.95 $1,103 3.1×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $1,183 $1,820 0.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $716.95 $1,103 3.1×
Cltx Medial Ankle Fx (27760) $716.95 $1,103 3.1×
Cltx metacarpal fx w/manipulation each bone (26605) $716.95 $1,103 3.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $716.95 $1,103 3.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $716.95 $1,103 3.1×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $716.95 $1,103 3.1×
Cltx post hip arthrp dislc req anes (27266) $4,785.30 $7,362 3.1×
Cltx post hip arthrp dislc w/o anes (27265) $716.95 $1,103 3.1×
Cltx prox fibula/shft fx w/manj (27781) $4,785.30 $7,362 3.1×
Cltx prox fibula/shft fx w/o manj (27780) $716.95 $1,103 3.1×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $4,785.30 $7,362 3.1×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $716.95 $1,103 3.1×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $716.95 $1,103 3.1×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $716.95 $1,103 3.1×
Cltx tibial fx proximal w/o manipulation (27530) $716.95 $1,103 3.1×
Cltx tibial shaft fx w/o manipulation (27750) $716.95 $1,103 3.1×
Cltx trimalleolar ankle fx w/manipulation (27818) $4,785.30 $7,362 3.1×
Cltx trimalleolar ankle fx w/o manipulation (27816) $716.95 $1,103 3.1×
Collect Blood From Catheter Venous Nos (36592) $481.65 $741 3.8×
Collection of venous blood by venipuncture (36415) $40.95 $63 4.4×
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) $909.35 $1,399 3.2×
Complex Cystometrogram (51726) $727.35 $1,119 3.1×
Complex drainage wound (10180) $5,580.90 $8,586 2.0×
Control Nasal Hemorrhage Anterior Complex (30903) $385.45 $593 3.1×
Control Nasal Hemorrhage Anterior Simple (30901) $385.45 $593 3.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $385.45 $593 3.1×
Cysto calibration dilat urtl strix/stenosis (52281) $6,124.95 $9,423 3.1×
Cysto w/irrig & evac multple obstructing clots (52001) $10,312.25 $15,865 3.1×
Cysto W/Simple Removal Stone & Stent (52310) $6,124.95 $9,423 3.1×
Cystourethroscopy (52000) $1,995.50 $3,070 3.0×
Cystourethroscopy with biopsy (52204) $6,124.95 $9,423 3.1×
Dilate Urethra Stricture (53600) $727.35 $1,119 3.1×
Drain Cerebro Spinal Fluid (62272) $3,105.70 $4,778 4.7×
Drain Hand Tendon Sheath (26020) $9,701.25 $14,925 3.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,829.10 $2,814 2.7×
Drainage Finger Abscess Complicated (26011) $4,844.45 $7,453 3.1×
Drainage of finger abscess simple (26010) $594.10 $914 3.1×
Drainage of gum lesion (41800) $385.45 $593 3.1×
Drainage of hematoma/fluid (10140) $3,159.65 $4,861 2.0×
Drainage of scrotal wall abscess (55100) $4,844.45 $7,453 3.1×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $427.70–$481.65 $658–$741 varies
Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) $1,522.95 $2,343 3.0×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $2,104.05 $3,237 3.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $387.40 $596 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $387.40 $596 2.0×
Dx Bone Marrow Bx & Aspir (38222) $7,441.20 $11,448 2.7×
Dx Bronchoscope/Lavage (31624) $5,156.45 $7,933 3.1×
Dx Bronchoscope/Wash (31622) $5,156.45 $7,933 3.1×
Dx lmbr spi pnxr w/fluor/CT (62328) $3,105.70 $4,778 4.7×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $1,344.85 $2,069 4.6×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $1,344.85 $2,069 4.6×
Electro-Uroflowmetry First (51741) $930.80 $1,432 4.6×
Endometrial Biopsy (58100) $601.25 $925 3.1×
Endoscopic injection/implant (51715) $10,312.25 $15,865 3.1×
Epidural Blood Patch (62273) $3,105.70 $4,778 4.7×
Evacuation of subungual hematoma (11740) $251.55 $387 2.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,372.15 $2,111 2.0×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,372.15 $2,111 2.0×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,372.15 $2,111 2.0×
Exploration penetrating wound spx chest (20101) $5,469.10 $8,414 2.8×
Fine needle aspiration without imaging guidance (10021) $1,194.70 $1,838 3.1×
Fna bx w/us gdn 1st les (10005) $2,104.05 $3,237 3.1×
I&d abscess simple (10060) $387.40 $596 2.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $8,557.25 $13,165 3.1×
I&d perianal abscess superficial (46050) $2,726.10 $4,194 3.1×
I&d pilonidal cyst complicated (10081) $1,372.15 $2,111 2.0×
I&d pilonidal cyst simple (10080) $1,372.15 $2,111 2.0×
I&d thyroglossal duct cyst infected (60000) $3,851.25 $5,925 2.6×
Incise external hemorrhoid (46083) $727.35 $1,119 3.1×
Incision & drainage abscess complicated/multiple (10061) $779.35 $1,199 2.0×
Incision & removal foreign body subq tiss simple (10120) $779.35 $1,199 2.0×
Incision and drainage of bartholin's gland abscess (56420) $601.25 $925 3.1×
Incision and drainage of vulva or perineal abscess (56405) $909.35 $1,399 3.2×
Incision of rectal abscess (46040) $3,525.60 $5,424 3.1×
Initial open implantation of baroreflex activation therapy (bat) modulation system, including lead placement onto the… (64654) $117,001.30 $180,002 2.8×
Initial Tx 1st Degree Burn Local Tx (16000) $387.40 $596 2.0×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $3,992.95 $6,143 4.8×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $3,105.70 $4,778 4.7×
Injection single/mlt trigger point 1/2 muscles (20552) $882.70 $1,358 3.0×
Injection single/mlt trigger point 3/> muscles (20553) $882.70 $1,358 3.0×
Injection therapeutic carpal tunnel (20526) $882.70 $1,358 3.0×
Injection, anesthetic agent; femoral nerve, single (64447) $3,105.70 $4,778 4.7×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $3,105.70 $4,778 4.7×
Insert cath pleura w/ image (32557) $4,644.90 $7,146 3.1×
Insert cath pleura w/o image (32556) $5,671.90 $8,726 3.1×
Insert non-tunnel cv cath (36556) $11,763.70 $18,098 3.9×
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $5,805.80 $8,932 3.9×
Insert Temp Bladder Cath (51702) $385.45 $593 3.1×
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $20,203.95 $31,083 3.8×
Insert,Non-Indwelling Bladder Catheter (51701) $385.45 $593 3.1×
Insertion indwelling tunneled pleural catheter (32550) $10,552.10 $16,234 3.1×
Insertion of cannula (36800) $20,203.95 $31,083 3.8×
Insertion Picc W/Rs&I 5 Yr/> (36573) $5,805.80 $8,932 3.9×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $11,763.70 $18,098 3.9×
Insj Picc Rs&I <5 Yr (36572) $2,310.75 $3,555 3.9×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $11,763.70 $18,098 3.9×
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) $11,763.70 $18,098 3.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $5,805.80 $8,932 3.9×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $11,763.70 $18,098 3.9×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $30,931.55 $47,587 4.0×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $30,931.55 $47,587 4.0×
Intro Gastrointestinal Tube (44500) $2,803.45 $4,313 3.3×
Intubation endotracheal emergency procedure (31500) $694.20 $1,068 3.1×
Irrigation of corpora cavernosa for priapism (54220) $727.35 $1,119 3.1×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,160.90 $1,786 3.1×
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) $9,506.90 $14,626 3.1×
N Block Inj Pudendal (64430) $3,992.95 $6,143 4.8×
Nasal/Orogastric W/Tube Plmt (43752) $1,193.40 $1,836 2.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,869.40 $2,876 4.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $1,324.05 $2,037 4.6×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $3,105.70 $4,778 4.7×
Penile Injection (54235) $727.35 $1,119 3.1×
Perq dev breast 1st strtctc (19283) $1,372.15 $2,111 2.0×
Perq device breast 1st imag (19281) $3,159.65 $4,861 2.0×
Placement of needle for intraosseous infusion (36680) $1,491.10 $2,294 3.5×
Puncture aspiration abscess hematoma bulla/cyst (10160) $779.35 $1,199 2.0×
Puncture Aspiration Cyst Breast (19000) $1,372.15 $2,111 2.0×
Pvb Thoracic Single Injection Site W/Img Gid (64461) $3,105.70 $4,778 4.7×
Removal Foreign Body Foot Subcutaneous (28190) $2,104.05 $3,237 3.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $154.70 $238 2.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $154.70 $238 2.8×
Removal of nail bed (11750) $779.35 $1,199 2.0×
Removal or bivalving full arm or full leg cast (29705) $794.30 $1,222 3.0×
Removal/bivalving gauntlet boot/body cast (29700) $794.30 $1,222 3.0×
Remove foreign body from eye (65205) $385.45 $593 3.1×
Remove Intrauterine Device (58301) $909.35 $1,399 3.2×
Remove lung catheter (32552) $1,848.60 $2,844 3.1×
Remove Nasal Foreign Body (30300) $385.45 $593 3.1×
Remove Shoulder Foreign Body (23330) $4,844.45 $7,453 3.1×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $779.35 $1,199 2.0×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,193.40 $1,836 3.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $779.35 $1,199 2.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $779.35 $1,199 2.0×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $779.35 $1,199 2.0×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $779.35 $1,199 2.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $779.35 $1,199 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $779.35 $1,199 2.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $779.35 $1,199 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $779.35 $1,199 2.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $779.35 $1,199 2.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $779.35 $1,199 2.0×
Repair of nail bed (11760) $1,193.40 $1,836 1.7×
Repair tongue laceration (41250) $1,193.40 $1,836 2.8×
Revj/rplcmt bat mod sys lead (64655) $9,286.55 $14,287 2.8×
Revj/rplcmt bat mod sys pg (64656) $20,491.90 $31,526 0.7×
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) $21,732.75 $33,435 4.0×
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) $21,732.75 $33,435 4.0×
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) $69,998.50 $107,690 4.0×
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) $69,998.50 $107,690 4.0×
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) $69,998.50 $107,690 4.0×
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) $69,998.50 $107,690 4.0×
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) $44,081.05 $67,817 4.0×
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) $44,081.05 $67,817 4.0×
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) $44,081.05 $67,817 4.0×
Revsc evasc imvt angiop uni sf les 1st vsl (37296) $44,081.05 $67,817 4.0×
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) $21,732.75 $33,435 4.0×
Revsc evasc ivt angiop uni sf les 1st vsl (37254) $21,732.75 $33,435 4.0×
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) $44,081.05 $67,817 4.0×
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) $44,081.05 $67,817 4.0×
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) $44,081.05 $67,817 4.0×
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) $44,081.05 $67,817 4.0×
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) $69,998.50 $107,690 4.0×
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) $69,998.50 $107,690 4.0×
Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) $69,998.50 $107,690 4.0×
Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) $69,998.50 $107,690 4.0×
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) $69,998.50 $107,690 4.0×
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) $69,998.50 $107,690 4.0×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,193.40 $1,836 2.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $385.45 $593 3.1×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $1,193.40 $1,836 2.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $5,805.80 $8,932 3.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $2,310.75 $3,555 3.9×
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $5,805.80 $8,932 3.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $11,763.70 $18,098 3.9×
Rpr blood vessel direct lower extremity (35226) $2,629.90 $4,046 3.9×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $387.40 $596 2.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $694.20 $1,068 3.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,522.95 $2,343 3.0×
Rpr Lip Full Thickness Vermilion Only (40650) $1,522.95 $2,343 3.0×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $4,429.10 $6,814 3.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $779.35 $1,199 2.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $387.40 $596 2.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $387.40 $596 2.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $387.40 $596 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $387.40 $596 2.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $387.40 $596 2.0×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $387.40 $596 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $779.35 $1,199 2.0×
Spinal puncture lumbar diagnostic (62270) $3,105.70 $4,778 4.7×
Suprachoroidal space njx pharmacologic agent (67516) $991.90 $1,526 3.2×
Ther Spi Pnxr Csf Fluor/Ct (62329) $3,105.70 $4,778 4.7×
Thrombolytic Therapy Stroke (37195) $1,239.55 $1,907 4.0×
Tracheostomy Emergency Cricothyroid Membrane (31605) $694.20 $1,068 3.1×
Tracheostomy Emergency Procedure Transtracheal (31603) $4,429.10 $6,814 3.0×
Tracheostomy planned (31600) $9,696.70 $14,918 3.1×
Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) $22,110.40 $34,016 3.2×
Treat humerus fracture (24500) $716.95 $1,103 3.1×
Treat humerus fracture (23600) $716.95 $1,103 3.1×
Treat Knee Fracture(S) (27538) $716.95 $1,103 3.1×
Treat Knuckle Dislocation (26700) $716.95 $1,103 3.1×
Treat Metatarsal Fracture (28475) $716.95 $1,103 3.1×
Treatment closed elbow dislocation w/o anes (24600) $716.95 $1,103 3.1×
Tx Gastro Intub W/Asp (43753) $930.80 $1,432 4.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,193.40 $1,836 1.7×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $716.95 $1,103 3.1×
Unlisted Procedure Casting/Strapping (29799) $168.35 $259 1.1×
Ventricular puncture previous burr hole w/inj (61026) $3,105.70 $4,778 4.7×
Wedge excision skin nail fold (11765) $779.35 $1,199 2.0×

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.