Procedures & surgery prices at Lost Rivers Medical Center

Arco, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $702.40 $878 0.8×
Acne surgery (10040) $160 $200 0.8×
Adding Walker Previously Applied Cast (29440) $65.60 $82 0.4×
Amniocentesis diagnostic (59000) $180.80 $226 0.2×
Amputation Finger/Thumb (26951) $1,108 $1,385 0.3×
Amputation toe interphalangeal joint (28825) $541.60 $677 0.2×
Amputation toe metatarsophalangeal joint (28820) $549.60 $687 0.2×
Anoscopy diagnostic (46600) $186.40 $233 1.4×
Anoscopy w/control bleeding (46614) $2,184.80 $2,731 1.8×
Appendectomy (44950)
likely a partial charge, not the full procedure
$952.80 $1,191 0.1×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $273.60 $342 1.7×
Application cast elbow finger short arm (29075) $131.20 $164 0.5×
Application Cast Finger (29086) $112.80 $141 0.7×
Application cast shoulder hand long arm (29065) $144 $180 0.5×
Application finger splint static (29130) $78.80 $98.50 0.6×
Application long arm splint shoulder hand (29105) $130 $162.50 0.8×
Application of long leg cast (29345) $201.60 $252 0.7×
Application Short Arm Splint Dynamic (29126) $121.20 $151.50 0.9×
Application short arm splint forearm-hand static (29125) $111.60 $139.50 0.8×
Apply Hand/Wrist Cast (29085) $134 $167.50 0.8×
Apply long leg splint (29505) $156 $195 1.0×
Apply short leg cast (29405) $120 $150 0.4×
Apply short leg cast (29425) $114.40 $143 0.4×
Apply short leg splint (29515) $114.80 $143.50 0.7×
Arterial puncture (36600) $228 $285 1.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $92.40 $115.50 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $108.40 $135.50 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $196 $245 0.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $79.20 $99 0.3×
Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Facility (25040) $3,893.60 $4,867 1.2×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $662.40 $828 0.4×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $2,030 $2,537.50 0.6×
Aspirate/Inj Ganglion Cyst (20612) $102.40 $128 0.3×
Avulsion nail plate partial/complete simple 1 (11730) $293.60 $367 1.5×
Biopsy Bone Trocar/Needle Superficial (20220) $385.60 $482 0.2×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $241.60 $302 0.3×
Biopsy External Auditory Canal (69105) $232.80 $291 0.2×
Biopsy muscle percutaneous needle (20206) $403.20 $504 0.2×
Biopsy Muscle Superficial (20200) $359.20 $449 0.2×
Biopsy of breast; open, incisional (19101) $518.40 $648 0.1×
Biopsy of floor of mouth (41108) $262.40 $328 0.2×
Biopsy of urethra (53200) $243.20 $304 0.1×
Biopsy soft tissue back,superf (21920) $452 $565 0.3×
Biopsy soft tissue back/flank deep (21925) $772.80 $966 0.5×
Biopsy soft tissue neck/thorax (21550) $453.60 $567 0.3×
Biopsy Soft Tissue Shoulder Superficial (23065) $376 $470 0.2×
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $447.20 $559 0.3×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $148 $185 0.2×
Biopsy/removal lymph nodes (38525) $653.60 $817 0.2×
Bladder Irrigation Simple (51700) $262 $327.50 1.1×
Blepharotomy drain absc eyelid (67700) $472 $590 1.5×
Blood patch (62273) $299.20 $374 0.4×
Blood transfusion service (36430) $1,696.80 $2,121 3.9×
Bx anorectal wall anal approach (45100) $452.80 $566 0.2×
Bx breast needle core w/o imaging guidance spx (19100) $260 $325 0.2×
Bx/exc lymph node needle superficial (38505) $245.60 $307 0.2×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $955.20 $1,194 0.3×
Change of cystostomy tube simple (51705) $613.60 $767 2.5×
Chemical cautery tissue (17250) $137.60 $172 0.7×
Chemical exfoliation for acne (eg, acne paste, acid) Facility (17360) $188 $235 0.9×
Circumcision (54150) $237.60 $297 0.1×
Circumcision Neonate (54160) $350.40 $438 0.5×
Close Rx Prox/Mid Fing Shft Fx (26720) $342.40 $428 1.4×
Closed Rx Gr Tuberosity Hum Fx (23620) $464 $580 1.9×
Closed Rx Humeral Supracondylar Fx (24530) $652.80 $816 2.7×
Closed Rx Radial Shaft Fx (25500) $288 $360 1.2×
Closed Treat Vert Body Fract (22310) $521.60 $652 2.1×
Closed Treatment Nasal Fracture W/Stabilization (21320) $412.80 $516 0.1×
Closed treatment of calcaneal fracture; without manipulation (28400) $376.80 $471 1.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $288 $360 1.2×
Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) $651.20 $814 0.4×
Closed treatment of patellar fracture, without manipulation (27520) $288 $360 1.2×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $288 $360 1.2×
Closed treatment of sternoclavicular dislocation; without manipulation (23520) $395.20 $494 0.2×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $646.40 $808 0.4×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $288 $360 1.2×
Closed Treatment Sternum Fracture (21820) $245.60 $307 1.0×
Closed Treatment Ulnar Styloid Fracture (25650) $288 $360 1.2×
Closed tx ankle dislocation w/o anesthesia (27840) $680.40 $850.50 2.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $546.80 $683.50 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $288 $360 1.2×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $288 $360 1.2×
Closed tx knee dislocation w/o anesthesia (27550) $852.80 $1,066 3.5×
Closed tx metatarsal fracture w/o manipulation (28470) $319.60 $399.50 1.3×
Closed tx nasal fracture w/o stabilization (21315) $494.40 $618 0.3×
Closed tx patellar dislocation w/anesthesia (27562) $288 $360 1.2×
Closed tx patellar dislocation w/o anesthesia (27560) $538 $672.50 2.2×
Closed tx radial head/neck fx w/o manipulation (24650) $451.20 $564 1.9×
Closed tx radial shaft fracture w/manipulation (25505) $863.20 $1,079 0.5×
Closed tx radial&ulnar shaft fractures w/manj (25565) $681.60 $852 0.4×
Closed Tx Scapular Fracture W/O Manipulation (23570) $397.60 $497 1.6×
Closed tx septal&nose fx (21337) $710.40 $888 0.2×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $646.40 $808 2.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $210.40 $263 0.9×
Closed tx ulnar shaft fracture w/o manipulation (25530) $452 $565 1.9×
Clsd tx acromioclavicular dislc w/manipulation (23545) $539.60 $674.50 2.2×
Clsd tx clavicular fracture w/o manipulation (23500) $340 $425 1.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $606.80 $758.50 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $471.20 $589 1.9×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $288 $360 1.2×
Cltx dstl fibular fx lat malls w/manj (27788) $780 $975 3.2×
Cltx dstl fibular fx lat malls w/o manj (27786) $480.80 $601 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $477.60 $597 2.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $224.40 $280.50 0.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $500.40 $625.50 2.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $784.80 $981 0.5×
Cltx fx grt toe phlx/phlg w/o manj (28490) $216 $270 0.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $280 $350 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $185.60 $232 0.8×
Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) $288 $360 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $357.60 $447 1.5×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $807.60 $1,009.50 0.5×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $203.20 $254 0.8×
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $598.40 $748 2.2×
Cltx iphal jt dislc w/manj w/o anes (26770) $436 $545 1.8×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $288 $360 1.2×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $817.60 $1,022 0.5×
Cltx metacarpal fx w/manipulation each bone (26605) $472 $590 1.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $512.80 $641 2.1×
Cltx metatarsophlngl jt dislc w/o anes (28630) $161.60 $202 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $453.60 $567 1.9×
Cltx post hip arthrp dislc w/o anes (27265) $614.80 $768.50 2.5×
Cltx prox fibula/shft fx w/o manj (27780) $530.40 $663 2.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $796 $995 0.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $176.80 $221 0.7×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $590.40 $738 0.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,049.60 $1,312 0.7×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $714.40 $893 0.4×
Collect Blood From Catheter Venous Nos (36592) $115.20 $144 0.9×
Colonoscopy flex w/blln dilat (45386) $3,320 $4,150 2.8×
Colonoscopy flex w/rem forcep (45384) $2,581.60 $3,227 2.2×
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $2,108 $2,635 1.8×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,508 $3,135 2.1×
Colonoscopy thru stoma (44388) $492 $615 0.5×
Colonoscopy w/band ligation (45398) $2,318.40 $2,898 2.0×
Colonoscopy w/fb removal (45379) $2,222.40 $2,778 1.9×
Colonoscopy, flexible; with control of bleeding, any method (45382) $2,145.60 $2,682 1.8×
Colonoscopy, flexible; with endoscopic mucosal resection (45390) $2,600.80 $3,251 0.9×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $259.20 $324 0.9×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $501.60 $627 0.2×
Control Nasal Hemorrhage Anterior Complex (30903) $314.80 $393.50 2.4×
Control Nasal Hemorrhage Anterior Simple (30901) $192.40 $240.50 1.5×
Correction hammertoe (28285) $1,097.20 $1,371.50 0.3×
Correction of bunion (28292) $1,191.20 $1,489 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $3,599.20 $4,499 1.1×
Cryotherapy Co2 Slush Liquid N2 Acne (17340) $86.40 $108 1.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $418.80 $523.50 3.2×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $105.60 $132 0.3×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $2,540.80 $3,176 0.9×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $579.20 $724 0.8×
Debride nail 1-5 (11720) $54.40 $68 0.9×
Debride nail 6 or more (11721) $72.80 $91 1.2×
Debride skin musc at fx site (11011) $631.20 $789 0.9×
Debride tissue/muscle (11043) $393.60 $492 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $200 $250 0.5×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $472.80 $591 0.3×
Declot vascular device (36593) $580 $725 1.8×
Destroy cerv/thor facet jnt (64633) $852 $1,065 0.4×
Destruction Benign Lesions 15/> (17111) $216.80 $271 1.1×
Destruction Benign Lesions Up To 14 (17110) $192 $240 1.0×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $398.40 $498 0.5×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $273.60 $342 1.4×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $349.60 $437 1.8×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $247.20 $309 1.2×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $300 $375 1.5×
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) $242.40 $303 1.2×
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $228 $285 1.2×
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $280.80 $351 1.4×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $319.20 $399 1.6×
Destruction malignant lesion t/a/l 0.5 cm/< (17260) $143.20 $179 0.7×
Destruction Premalignant Lesion 15/> (17004) $252 $315 0.6×
Destruction premalignant lesion 1st (17000) $111.20 $139 0.6×
Diagnostic sigmoidoscopy (45330) $1,758.40 $2,198 1.9×
Dilation and curettage (58120) $455.20 $569 0.1×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $324.80 $406 0.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $329.60 $412 0.5×
Drainage Finger Abscess Complicated (26011) $677.60 $847 0.4×
Drainage Finger Abscess Simple (26010) $525.60 $657 2.7×
Drainage of gum lesion (41800) $491.20 $614 3.7×
Drainage of hematoma/fluid (10140) $225.60 $282 0.1×
Drainage of scrotal wall abscess (55100) $358.40 $448 0.2×
Draw blood off venous device (36591) $144 $180 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $320 $400 0.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $251.20 $314 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $188.80 $236 1.0×
Dstrj Lesion Penis Simple Cryosurgery (54056) $217.60 $272 1.1×
Egd balloon dilation esophagus <30 mm diam (43249) $2,800 $3,500 1.5×
Egd band ligation esophgeal/gastric varices (43244) $2,511.20 $3,139 1.3×
Egd control bleeding any (43255) $2,362.40 $2,953 1.2×
Egd dilate stricture (43245) $2,253.60 $2,817 1.2×
Egd endo mucosal resection (43254) $2,666.40 $3,333 1.4×
Egd flex removal lesion(s) by hot biopsy forceps (43250) $2,087.20 $2,609 1.1×
Egd flexible foreign body removal (43247) $2,253.60 $2,817 2.5×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,891.20 $2,364 1.0×
Egd remove lesion snare (43251) $2,164.80 $2,706 1.1×
Egd us transmural injxn/mark (43253) $3,080.80 $3,851 1.6×
Egd w/transmural drain cyst (43240) $3,016 $3,770 0.5×
Endocervical Curettage (57505) $229.60 $287 0.3×
Endometrial Biopsy (58100) $150.40 $188 0.8×
Esophagogastroduodenoscopy submucosal injection (43236) $1,891.20 $2,364 2.1×
Evacuation of subungual hematoma (11740) $95.60 $119.50 0.7×
Exc arm/elbow les sc < 3 cm (24075) $820 $1,025 0.5×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $189.60 $237 0.3×
Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) $198.40 $248 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $333.60 $417 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $392.80 $491 0.2×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $256 $320 0.4×
Exc back les sc < 3 cm (21930) $763.20 $954 0.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $220.80 $276 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $350.40 $438 0.2×
Exc lesion tendon sheath/capsule w/synvct foot (28090) $722.40 $903 0.5×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $652 $815 0.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $260.80 $326 0.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $240 $300 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $296.80 $371 0.4×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $436 $545 0.3×
Exc Skin Benig >4 Cm Face,Facial (11446) $594.40 $743 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,208 $1,510 0.4×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $483.20 $604 0.3×
Exc Skin Malig >4 Cm Face,Facial (11646) $772.80 $966 0.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $620.80 $776 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $678.40 $848 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $336 $420 0.2×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $5,301.60 $6,627 1.8×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $1,096.80 $1,371 0.4×
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) $1,168 $1,460 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $716.80 $896 0.4×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $3,008 $3,760 1.0×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $991.20 $1,239 0.3×
Exc tumor soft tissue forearm &/wrist subq <3cm (25075) $800.80 $1,001 0.5×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $723.20 $904 0.4×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $624.80 $781 0.2×
Excise/repair mouth lesion (40812) $506.40 $633 0.3×
Excision H/P/P/U Simple/Intermediate Repair (11470) $712 $890 0.2×
Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) $656 $820 0.2×
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) $642.40 $803 0.2×
Excision interdigital morton neuroma single each (28080) $918.40 $1,148 0.6×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $308.80 $386 0.4×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $353.60 $442 0.5×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $376.80 $471 0.9×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $427.20 $534 0.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $476.80 $596 0.7×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $316 $395 0.5×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $366.40 $458 0.5×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $412 $515 0.6×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $484.80 $606 0.3×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $596 $745 0.4×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $309.60 $387 0.2×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $355.20 $444 0.5×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $389.60 $487 0.6×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $454.40 $568 0.3×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $517.60 $647 0.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $268 $335 0.4×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $295.20 $369 0.4×
Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) $1,349.60 $1,687 0.4×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $472 $590 0.3×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $293.60 $367 0.2×
Excision of pilonidal cyst or sinus; simple (11770) $531.20 $664 0.2×
Excision of thrombosed hemorrhoid, external (46320) $328 $410 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $699.20 $874 0.4×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $710.40 $888 0.4×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $626.40 $783 0.4×
Excision tumor soft tissue shoulder subq <3cm (23075) $812.80 $1,016 0.5×
Excision tumor soft tissue thigh/knee subq <3cm (27327) $768 $960 0.5×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $2,884.80 $3,606 1.0×
Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) $2,261.20 $2,826.50 1.4×
Exploration penetrating wound spx extremity (20103) $698.80 $873.50 0.4×
Fetal non-stress test (59025) $82.40 $103 0.4×
Fine needle aspiration without imaging guidance (10021) $156 $195 0.4×
Foreskin manipulation (54450) $292 $365 1.2×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $1,148.80 $1,436 0.6×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $1,324.80 $1,656 0.6×
Gastric Intubation/Aspiration, Therapeutic (43753) $56.40 $70.50 0.3×
Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) $1,176 $1,470 0.4×
Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each Facility (28160) $1,170 $1,462.50 0.4×
Hysteroscopy biopsy (58558) $2,296.80 $2,871 0.7×
I&D Abscess Peritonsillar (42700) $217.60 $272 0.9×
I&d abscess simple (10060) $189.60 $237 1.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $1,032 $1,290 0.4×
I&D Deep Absc/Hematoma Neck/Chest (21501) $793.60 $992 0.3×
I&d pilonidal cyst simple (10080) $290 $362.50 0.4×
I&D Upper Arm/Elbow Bursa (23931) $474.40 $593 0.3×
I&d vulva/perineal abscess (56405) $219.20 $274 0.7×
Incise external hemorrhoid (46083) $284 $355 1.2×
Incise finger tendon sheath (26055) $971.20 $1,214 0.6×
Incision & drainage abscess complicated/multiple (10061) $294.40 $368 0.7×
Incision & drainage pilonidal cyst complicated (10081) $396 $495 0.6×
Incision & removal foreign body subq tiss compl (10121) $344.40 $430.50 0.2×
Incision & removal foreign body subq tiss simple (10120) $208.40 $260.50 0.5×
Incision and drainage of bartholin's gland abscess (56420) $180.80 $226 0.9×
Incision and drainage perianal abscess superficial (46050) $365.60 $457 0.4×
Incision and drainage, complex, postoperative wound infection (10180) $326 $407.50 0.1×
Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) $614.40 $768 0.2×
Incision of lingual frenum (frenotomy) (41010) $368 $460 0.2×
Incision of rectal abscess (46040) $853.60 $1,067 0.7×
Initial tx 1st degree burn local tx (16000) $116.80 $146 0.6×
Inj tendon sheath/ligament (20550) $92 $115 0.3×
Inj therapeutic carpal tunnel (20526) $128 $160 0.4×
Inject Nerv Blck,Intercost,Multpl (64421) $52 $65 0.1×
Inject Nerv Blck,Intercostal,One (64420) $156 $195 0.2×
Inject Tendon Origin/Insert (20551) $87.20 $109 0.3×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $138.80 $173.50 0.2×
Injection aa&/strd trigeminal nerve each branch (64400) $174.40 $218 0.6×
Injection Anes Agent Sphenopalatine Ganglion (64505) $206 $257.50 0.7×
Injection into skin lesions (11900) $94.40 $118 0.5×
Injection single/mlt trigger point 1/2 muscles (20552) $106.40 $133 0.4×
Injection single/mlt trigger point 3/> muscles (20553) $266 $332.50 0.9×
Injection, Intralesional; More Than 7 Lesions (11901) $118.40 $148 0.6×
Insert Bladder Cath Complex (51703) $71.20 $89 0.6×
Insert cath pleura w/o image (32556) $1,259.20 $1,574 0.7×
Insert cervical dilator (59200) $184.80 $231 0.6×
Insert Drug Implant Device (11981) $156.80 $196 1.2×
Insert non-tunnel cv cath (36556) $337.20 $421.50 0.1×
Insert Temp Bladder Cath (51702) $158.40 $198 1.2×
Insert,Non-Indwelling Bladder Catheter (51701) $125.20 $156.50 1.0×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $6,891.20 $8,614 0.8×
Intro Gastrointestinal Tube (44500) $462.40 $578 0.5×
Intubation endotracheal emergency procedure (31500) $208 $260 0.9×
IV injection test vascular flow flap/graft (15860) $159.20 $199 0.4×
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure
$893.60 $1,117 0.1×
Laryngoscopy diagnostic (31505) $146.40 $183 0.7×
Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Facility (31520) $183.20 $229 0.5×
Laryngoscopy indirect w/removal foreign body (31511) $280 $350 1.4×
Late closure of wound (13160) $1,194.40 $1,493 0.3×
Manipulation spine requiring anesthesia (22505) $208 $260 0.1×
Manipulation, elbow, under anesthesia (24300) $709.60 $887 0.4×
N Block Inj, Plantar Digit (64455) $76 $95 0.3×
Nasal endoscopy dx (31231) $312.80 $391 1.6×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $68 $85 0.2×
Needle insertion w/o injection 3 or more muscles (20561) $51.20 $64 1.8×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,632 $2,040 3.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $197.60 $247 0.2×
Occipital Nerve Block (64405) $126.80 $158.50 0.4×
Open tx fracture phalanx/phalanges not great toe (28525) $2,341.20 $2,926.50 0.7×
Ostectomy complete 5th metatarsal head (28113) $970.40 $1,213 0.3×
Ostectomy of sternum, partial Facility (21620) $757.60 $947 0.2×
Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) $750.40 $938 0.2×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $895.20 $1,119 0.3×
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) $1,051.20 $1,314 0.3×
Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) $913.60 $1,142 0.3×
Partical Excision Bone Phalanx Toe (28124) $888 $1,110 0.3×
Pelvic examination under anesthesia (other than local) (57410) $182.40 $228 0.1×
Perq skel fixj distal radial fx/epiphysl sep (25606) $1,125.60 $1,407 0.3×
Phalangectomy toe each toe (28150) $3,150.40 $3,938 1.0×
Picc line placement (36569) $1,864 $2,330 1.2×
Placement of needle for intraosseous infusion (36680) $479.20 $599 1.1×
Punch biopsy skin single lesion (11104) $198.40 $248 0.5×
Puncture Aspiration Cyst Breast (19000) $164.80 $206 0.2×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $181.60 $227 0.5×
Release of big toe (28240) $757.60 $947 0.2×
Removal foreign body foot subcutaneous (28190) $398.40 $498 0.6×
Removal foreign body intranasal (30300) $265.20 $331.50 2.0×
Removal foreign body muscle/tendon sheath simple (20520) $334.40 $418 0.2×
Removal foreign body shoulder subcutaneous (23330) $470.40 $588 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $50 $62.50 0.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $87.60 $109.50 1.5×
Removal Implantable Contraceptive Capsules (11976) $246.40 $308 0.4×
Removal of arm foreign body (24200) $309.60 $387 0.2×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $106 $132.50 0.2×
Removal of iud (58301) $185.60 $232 0.6×
Removal of nail bed (11750) $274.80 $343.50 0.7×
Removal of sesamoid bone (28315) $745.60 $932 0.2×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $132.80 $166 0.7×
Removal subcutaneous cardiac rhythm monitor (33286) $1,218.40 $1,523 1.7×
Removal Sutures/Staples Requiring Anesthesia (15851) $160 $200 0.1×
Removal/bivalving full arm/full leg cast (29705) $115.20 $144 0.4×
Remove drug implant device (11982) $182.40 $228 0.4×
Remove ext hem groups 2+ (46250) $2,224.40 $2,780.50 0.8×
Remove Tendon Sheath Lesion (26160) $936 $1,170 0.6×
Remove/Insert Drug Implant (11983) $220 $275 0.5×
Remv Ext Canal Foreign Body (69200) $138 $172.50 1.0×
Remv F.B.,Eye,Superf Conjunc (65205) $59.60 $74.50 0.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $722.40 $903 1.0×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $726.40 $908 1.0×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $660.80 $826 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $580.40 $725.50 1.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $442 $552.50 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $526.80 $658.50 1.3×
Repair complex trunk 1.1-2.5 cm (13100) $680 $850 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $734.40 $918 1.0×
Repair extensor tendon finger w/o graft each (26418) $952.80 $1,191 0.6×
Repair forearm tendon/muscle (25260) $1,069.60 $1,337 0.3×
Repair hand tendon (26410) $960.80 $1,201 0.6×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $685.60 $857 1.7×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $349.20 $436.50 0.9×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $412.80 $516 1.0×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $938.40 $1,173 2.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $596 $745 1.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $636 $795 1.6×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $732.80 $916 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $325.60 $407 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $819.20 $1,024 2.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $618.40 $773 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $506 $632.50 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $324 $405 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $383.60 $479.50 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $727.20 $909 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $407.60 $509.50 1.0×
Repair of nail bed (11760) $297.60 $372 0.4×
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) $5,160.80 $6,451 0.7×
Repeat control of nosebleed (30906) $460 $575 2.0×
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) $800 $1,000 0.2×
Resection, partial or complete, phalangeal base, each toe (28126) $1,226.80 $1,533.50 0.4×
Rmvl embedded fb from dentalvlr struxs soft tiss (41805) $497.60 $622 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $124.80 $156 0.9×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $60 $75 0.1×
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $734.40 $918 0.3×
Rpr aa hernia 1st < 3 cm reducible (49591) $6,936 $8,670 2.0×
Rpr aa hernia recr 3-10 cm reducible (49615) $5,467.20 $6,834 0.9×
Rpr Blood Vessel Direct Lower Extremity (35226) $1,213.60 $1,517 1.7×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $766.40 $958 1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $524.80 $656 1.0×
Rpr/advmnt flxr tdn n/z/2 w/o fr graft ea tendon (26350) $3,893.60 $4,867 1.2×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,901.60 $2,377 1.6×
Shave skin lesion 0.5 cm/< (11300) $159.20 $199 0.4×
Shave skin lesion 0.5 cm/< (11305) $166.40 $208 0.8×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $196 $245 1.0×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $319.20 $399 0.8×
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $192 $240 1.0×
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $221.60 $277 1.1×
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $236 $295 0.6×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $213.60 $267 1.1×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) $244 $305 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $190.40 $238 1.0×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $239.20 $299 0.6×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $216.80 $271 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $366.40 $458 0.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $160.40 $200.50 0.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $165.60 $207 0.8×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $227.20 $284 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $206.80 $258.50 1.0×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $309.20 $386.50 1.6×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $238.40 $298 1.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $144 $180 0.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $200.80 $251 1.0×
Skin pinch graft (15050) $980.80 $1,226 1.3×
Skin sub graft face/nk/hf/g (15275) $292 $365 0.4×
Skin sub graft trnk/arm/leg (15271) $909.20 $1,136.50 1.2×
Skin tissue rearrangement (14040) $1,484.80 $1,856 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $189.20 $236.50 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $228.40 $285.50 0.6×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $288.80 $361 0.7×
Spinal puncture lumbar diagnostic (62270) $236.80 $296 0.3×
Strapping ankle (29540) $42.40 $53 0.3×
Strapping elbow or wrist (29260) $45.60 $57 0.8×
Strapping hand/finger (29280) $87.20 $109 1.5×
Strapping knee (29530) $154.40 $193 1.2×
Strapping shoulder (29240) $47.20 $59 0.4×
Strapping toes (29550) $53.60 $67 0.9×
Strapping unna boot (29580) $188 $235 1.2×
Subcutaneous Hormone Pellet Implantation (11980) $148 $185 0.3×
Tangential biopsy skin single lesion (11102) $159.20 $199 0.4×
Tenolysis extensor foot single tendon (28225) $1,797.20 $2,246.50 0.6×
Tenolysis flexor foot single tendon (28220) $3,124 $3,905 2.0×
Tenolysis, extensor, foot; multiple tendons Facility (28226) $1,036.80 $1,296 0.3×
Tenotomy open extensor foot/toe each tendon (28234) $759.20 $949 0.5×
Tenotomy Percutaneous Toe Single Tendon (28010) $906.80 $1,133.50 0.6×
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $1,386.40 $1,733 0.9×
Ther Apheresis,Red Blood Cells (36512) $3,007.20 $3,759 2.0×
Therapeutic pneumothorax (32960) $960 $1,200 1.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $306 $382.50 0.5×
Thrombolytic Therapy Stroke (37195) $620 $775 1.9×
Tracheostomy planned (31600) $3,161.60 $3,952 1.0×
Treat clavicle dislocation (23540) $384.80 $481 1.6×
Treat clavicle fracture (23505) $603.20 $754 0.4×
Treat humerus fracture (24500) $615.20 $769 2.5×
Treat humerus fracture (23600) $564 $705 2.3×
Treat knee fracture (27532) $3,893.60 $4,867 1.2×
Treat shoulder blade fx (23575) $684.80 $856 0.4×
Treat Thumb Dislocation (26641) $288 $360 1.2×
Treat wrist bone fracture (25622) $525.60 $657 2.2×
Treatment closed elbow dislocation w/o anes (24600) $567.60 $709.50 2.3×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $288 $360 1.2×
Trim skin lesion (11055) $107.20 $134 0.5×
Trim skin lesions 2 to 4 (11056) $136.80 $171 0.7×
Trim skin lesions over 4 (11057) $135.20 $169 0.7×
Trimming Of Nondystrophic Nails, Any Number (11719) $22.40 $28 0.4×
Tubal ligation (58600) $624.80 $781 0.2×
Tube thoracostomy includes water seal (32551) $219.20 $274 0.1×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $2,324.80 $2,906 1.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $372 $465 0.5×
Tx superficial wound dehiscence w/packing (12021) $292 $365 0.7×
Unlisted procedure nervous system (64999) $164.80 $206 0.5×
Unlisted procedure, hands or fingers (26989) $204 $255 0.8×
Us urine capacity measure (51798) $228 $285 3.9×
Vaginal delivery only (59409) $1,232.80 $1,541 0.4×
Vaginal Delivery Only, After Previous Cesarean Delivery (59612) $1,403.20 $1,754 0.4×
Vasectomy uni/bi spx w/postop semen exams (55250) $556.80 $696 0.3×
Venipuncture (36415) $14.80 $18.50 1.6×
Wedge excision skin nail fold (11765) $260.80 $326 0.6×
Wound Prep F/N/Hf/G (15004) $612.80 $766 1.5×