Procedures & surgery prices at Madera Community Hospital
Madera, CA · every code in this section with a posted price and a Medicare benchmark.
387 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,050–$2,043 | $1,750–$3,405 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $3,295.20 | $5,492 | 2.8× |
| Acne surgery (10040) | $75 | $125 | 0.3× |
| Acromiopl/Acromionect Partial (23130) | $500.40 | $834 | 0.1× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $451.20 | $752 | 0.2× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $500.40 | $834 | 0.2× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $429.60 | $716 | 0.2× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) | $573 | $955 | 0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) | $402 | $670 | 0.1× |
| Anoscopy diagnostic (46600) | $27.60 | $46 | 0.2× |
| Anoscopy W/Rmvl Foreign Body (46608) | $144.20 | $240.34 | 0.1× |
| Appendectomy (44950) likely a partial charge, not the full procedure |
$730.20 | $1,217 | 0.1× |
| Application cast elbow finger short arm (29075) | $69.30 | $115.50 | 0.2× |
| Application Cast Finger (29086) range across 2 matching MRF lines |
$36–$389.40 | $60–$649 | varies |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$134.24–$256.20 | $223.74–$427 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$23.31–$817.80 | $38.85–$1,363 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$28.35–$990.60 | $47.25–$1,651 | varies |
| Application Long Leg Splint (29505) | $982.20 | $1,637 | 4.7× |
| Application of long leg cast (29345) | $252 | $420 | 0.7× |
| Application of rigid total contact leg cast (29445) | $482.40 | $804 | 1.3× |
| Application Short Arm Splint Dynamic (29126) | $570.60 | $951 | 3.3× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$56.70–$796.20 | $94.50–$1,327 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$40.95–$978 | $68.25–$1,630 | varies |
| Application uniplane external fixation system (20690) range across 2 matching MRF lines |
$229.50–$365.40 | $382.50–$609 | varies |
| Apply hand/wrist cast (29085) | $126 | $210 | 0.6× |
| Apply long arm cast (29065) | $142.20 | $237 | 0.4× |
| Apply Multlay Comprs Lwr Leg (29581) | $178.68 | $297.80 | 0.9× |
| Apply Short Leg Cast (29405) | $75.60 | $126 | 0.2× |
| Arterial puncture (36600) | $15.49 | $25.81 | 0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$33.60–$35.28 | $56–$58.80 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) | $47.25 | $78.75 | 0.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $32.76 | $54.60 | 0.1× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) | $496.20 | $827 | 0.1× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) | $1,032 | $1,720 | 0.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) likely a partial charge, not the full procedure |
$988.20 | $1,647 | 0.1× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) | $716.04 | $1,193.40 | 0.2× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) likely a partial charge, not the full procedure |
$2,371.20 | $3,952 | 0.1× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) likely a partial charge, not the full procedure |
$1,740 | $2,900 | 0.2× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) | $991.20 | $1,652 | 0.2× |
| Arthrs knee debridement/shaving artclr crtlg (29877) range across 2 matching MRF lines |
$829.80–$830.40 | $1,383–$1,384 | varies |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) | $583.80 | $973 | 0.1× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) | $319.20 | $532 | 0.1× |
| Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$280.70–$1,901.40 | $467.84–$3,169 | varies |
| Aspirate Pleura W/O Imaging (32554) | $280.70 | $467.84 | 0.3× |
| Aspirate/Inj Ganglion Cyst (20612) | $28.80 | $48 | 0.1× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$28.20–$38.10 | $47–$63.50 | varies |
| Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
$2,108.40–$2,400 | $3,514–$4,000 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) | $2,583 | $4,305 | 1.2× |
| Biopsy muscle percutaneous needle (20206) | $3,285.60 | $5,476 | 1.5× |
| Biopsy of breast; open, incisional (19101) likely a partial charge, not the full procedure |
$150.60 | $251 | 0.0× |
| Biopsy of liver, needle; percutaneous (47000) | $2,294.40 | $3,824 | 1.1× |
| Biopsy Oropharynx (42800) | $72 | $120 | 0.0× |
| Biopsy Pleura Percutaneous Needle (32400) | $88.20 | $147 | 0.0× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) | $2,442.60 | $4,071 | 1.1× |
| Biopsy Testis Incisional Separate Procedure (54505) | $192 | $320 | 0.0× |
| Biopsy Vaginal Mucosa Simple (57100) | $45.60 | $76 | 0.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) | $40.20 | $67 | 0.0× |
| Biopsy/removal lymph nodes (38510) likely a partial charge, not the full procedure |
$260.82 | $434.70 | 0.1× |
| Bladder Irrigation (51700) | $1,321.20 | $2,202 | 4.1× |
| Blood Transfusion Service (36430) | $1,567.20 | $2,612 | 2.8× |
| Bone Graft Any Donor Area Major/Large (20902) likely a partial charge, not the full procedure |
$427.20 | $712 | 0.0× |
| Bone Marrow Biopsy (38221) | $746.47 | $1,244.11 | 0.4× |
| Bone Marrow; Aspiration Only (38220) | $3.73 | $6.22 | 0.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) | $438 | $730 | 0.1× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) | $231.34 | $385.56 | 0.1× |
| Bx breast 1st lesion us imag (19083) | $3,616.80 | $6,028 | 1.7× |
| Bx breast needle core w/o imaging guidance spx (19100) range across 2 matching MRF lines |
$91.20–$141.32 | $152–$235.53 | varies |
| Bx Cervix (57500) | $51.60 | $86 | 0.0× |
| Bx/exc lymph node open superficial (38500) likely a partial charge, not the full procedure |
$171.60 | $286 | 0.0× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) likely a partial charge, not the full procedure |
$1,378.80 | $2,298 | 0.1× |
| Cerclage Uterine Cervix Nonobstetrical (57700) | $357.60 | $596 | 0.1× |
| Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$22.80–$182.68 | $38–$304.46 | varies |
| Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$36.54–$289.20 | $60.90–$482 | varies |
| Chest tube placement (32551) | $18 | $30 | 0.0× |
| Circumcision 28 days or older (54161) | $220.20 | $367 | 0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $241.20 | $402 | 0.1× |
| Clear outer ear canal (69200) range across 4 matching MRF lines |
$17.64–$85.26 | $29.40–$142.10 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $226.80 | $378 | 0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $430.80 | $718 | 0.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $211.80 | $353 | 0.7× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) | $241.20 | $402 | 0.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 2 matching MRF lines |
$195–$201.60 | $325–$336 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $255.60 | $426 | 0.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $219 | $365 | 0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $345.24 | $575.40 | 0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $81 | $135 | 0.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $183 | $305 | 0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $110.40 | $184 | 0.3× |
| Cltx tibial shaft fx w/o manipulation (27750) | $409.20 | $682 | 1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $295.80 | $493 | 0.1× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$65.23–$171.60 | $108.72–$286 | varies |
| Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$9.45–$32.40 | $15.75–$54 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $165 | $275 | 0.4× |
| Colposcopy Cervix Endocervical Curettage (57456) | $67.20 | $112 | 0.2× |
| Colposcopy entire vagina w/cervix if present (57420) | $61.20 | $102 | 0.2× |
| Colposcopy of vulva (56820) | $57.60 | $96 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $216.72 | $361.20 | 1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) | $154.98 | $258.30 | 0.9× |
| Control oropharyngeal hemorrhage simple (42960) | $172.49 | $287.49 | 0.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $219.87 | $366.45 | 0.7× |
| Cysto w/complex removal stone & stent (52315) | $441 | $735 | 0.2× |
| Cysto w/insert ureteral stent (52332) range across 3 matching MRF lines |
$172.62–$349.86 | $287.70–$583.10 | varies |
| Cysto W/Simple Removal Stone & Stent (52310) | $271.80 | $453 | 0.1× |
| Cystourethroscopy (52000) | $112.80 | $188 | 0.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $19.20 | $32 | 0.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$198.45–$339.52 | $330.75–$565.86 | varies |
| Debride nail 1-5 (11720) | $30.17 | $50.28 | 0.4× |
| Debride nail 6 or more (11721) | $16.80 | $28 | 0.2× |
| Debridement Mastoidectomy Cavity Simple (69220) | $96.60 | $161 | 0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$196.35–$357 | $327.25–$595 | varies |
| Declot vascular device (36593) | $888.60 | $1,481 | 2.1× |
| Destruct B9 Lesion 1-14 (17110) range across 3 matching MRF lines |
$31.50–$77.49 | $52.50–$129.15 | varies |
| Destruction Benign Lesions 15/> (17111) | $60 | $100 | 0.2× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $85.75 | $142.91 | 0.3× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $99.04 | $165.07 | 0.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) | $123.20 | $205.33 | 0.2× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $144.07 | $240.11 | 0.2× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) | $193.44 | $322.40 | 0.2× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $63.05 | $105.09 | 0.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $80.04 | $133.40 | 0.3× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) | $88.60 | $147.67 | 0.3× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) | $94.70 | $157.84 | 0.2× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) | $111.04 | $185.07 | 0.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 2 matching MRF lines |
$62.54–$80.64 | $104.24–$134.40 | varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $68.75 | $114.58 | 0.3× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $76.35 | $127.25 | 0.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) | $87.86 | $146.44 | 0.3× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $99.28 | $165.47 | 0.2× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) | $120.82 | $201.37 | 0.2× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 2 matching MRF lines |
$58.59–$126 | $97.65–$210 | varies |
| Destruction of skin lesions (17106) | $233.10 | $388.50 | 0.4× |
| Destruction Premalignant Lesion 15/> (17004) | $146.16 | $243.60 | 0.3× |
| Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$44.10–$110.25 | $73.50–$183.75 | varies |
| Destruction Vaginal Lesions Extensive (57065) | $322.56 | $537.60 | 0.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) | $1,197.60 | $1,996 | 0.3× |
| Drain Cerebro Spinal Fluid (62272) | $4,140 | $6,900 | 4.6× |
| Drainage Finger Abscess Complicated (26011) | $229.95 | $383.25 | 0.1× |
| Drainage of finger abscess simple (26010) | $62.37 | $103.95 | 0.2× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$62.37–$94.50 | $103.95–$157.50 | varies |
| Draw Blood Off Venous Device (36591) | $148.80 | $248 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $204.12 | $340.20 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $75.60 | $126 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $69.30 | $115.50 | 0.3× |
| Dstrj Lesion Anus Simple Chemical (46900) | $165 | $275 | 0.3× |
| Dstrj lesion anus simple surg excision (46922) | $150.57 | $250.95 | 0.0× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) | $144.71 | $241.18 | 0.3× |
| Dx Bronchoscope/Wash (31622) | $9 | $15 | 0.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $2,152.80 | $3,588 | 2.4× |
| Egd place gastrostomy tube (43246) | $165.30 | $275.50 | 0.1× |
| Egd us exam duodenum/jejunum (43259) | $430.50 | $717.50 | 0.2× |
| Endometrial Biopsy (58100) | $303.68 | $506.13 | 1.2× |
| Evacuation of subungual hematoma (11740) | $56.70 | $94.50 | 0.3× |
| Exc arm/elbow les sc < 3 cm (24075) | $229.95 | $383.25 | 0.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$58.59–$58.80 | $97.65–$98 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$153.60–$153.72 | $256–$256.20 | varies |
| Exc Back Les Sc < 3 Cm (21930) | $229.95 | $383.25 | 0.1× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 2 matching MRF lines |
$135–$135.45 | $225–$225.75 | varies |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$153–$153.09 | $255–$255.15 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 2 matching MRF lines |
$323.82–$324 | $539.70–$540 | varies |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$87.57–$87.60 | $145.95–$146 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$117–$117.18 | $195–$195.30 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $138.60 | $231 | 0.2× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$184.59–$184.80 | $307.65–$308 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$196.56–$196.80 | $327.60–$328 | varies |
| Exc Frenum Labial/Buccal (40819) range across 2 matching MRF lines |
$170.10–$170.40 | $283.50–$284 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$66–$66.15 | $110–$110.25 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$85.05–$85.20 | $141.75–$142 | varies |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$109.62–$109.80 | $182.70–$183 | varies |
| Exc hand tum deep < 1.5 cm (26116) | $289.20 | $482 | 0.1× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) | $210 | $350 | 0.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) | $195 | $325 | 0.1× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) | $171 | $285 | 0.0× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) range across 2 matching MRF lines |
$574.56–$574.80 | $957.60–$958 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$115.80–$115.92 | $193–$193.20 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$192–$192.15 | $320–$320.25 | varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$277.80–$277.83 | $463–$463.05 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$161.28–$161.40 | $268.80–$269 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
$253.20–$253.26 | $422–$422.10 | varies |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 2 matching MRF lines |
$18–$231.21 | $30–$385.35 | varies |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $335.79 | $559.65 | 0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$328.20–$328.23 | $547–$547.05 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $69.60 | $116 | 0.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$77.40–$77.49 | $129–$129.15 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$87–$87.57 | $145–$145.95 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $138.60 | $231 | 0.1× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) | $383.67 | $639.45 | 0.2× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $383.67 | $639.45 | 0.1× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $616.14 | $1,026.90 | 0.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) | $383.67 | $639.45 | 0.1× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) | $289.17 | $481.95 | 0.1× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) | $413.91 | $689.85 | 0.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) | $464.94 | $774.90 | 0.1× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) | $238.14 | $396.90 | 0.1× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) | $160.02 | $266.70 | 0.1× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) | $655.83 | $1,093.05 | 0.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) | $647.64 | $1,079.40 | 0.2× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) | $383.67 | $639.45 | 0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) | $141 | $235 | 0.1× |
| 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 |
$192–$192.15 | $320–$320.25 | varies |
| Excision Distal Ulna Partial/Complete (25240) range across 2 matching MRF lines |
$573.30–$573.60 | $955.50–$956 | varies |
| Excision Lesion Tongue W/O Closure (41110) | $277.20 | $462 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 2 matching MRF lines |
$80.64–$81 | $134.40–$135 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 2 matching MRF lines |
$102.60–$102.69 | $171–$171.15 | varies |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$120.96–$121.20 | $201.60–$202 | varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$229.80–$229.95 | $383–$383.25 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 2 matching MRF lines |
$98.91–$99 | $164.85–$165 | varies |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 3 matching MRF lines |
$192.15–$459.90 | $320.25–$766.50 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
$446.67–$447 | $744.45–$745 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 2 matching MRF lines |
$84–$87.57 | $140–$145.95 | varies |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $113.40 | $189 | 0.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $131.67 | $219.45 | 0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $263.97 | $439.95 | 0.1× |
| Excision of bartholin's gland or cyst (56740) | $210 | $350 | 0.1× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) | $219 | $365 | 0.1× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) | $368.55 | $614.25 | 0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $229.95 | $383.25 | 0.1× |
| Excision/destruction lesion pharynx any method (42808) | $111 | $185 | 0.0× |
| Explo/Drain Breast Abscess (19020) | $180 | $300 | 0.1× |
| Fetal Contraction Stress Test (59020) | $206.31 | $343.85 | 0.8× |
| Fetal non-stress test (59025) | $694.20 | $1,157 | 2.7× |
| Fine needle aspiration without imaging guidance (10021) | $137.44 | $229.07 | 0.3× |
| Fluoro exam of g/colon tube (49465) | $634.80 | $1,058 | 2.1× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $132 | $220 | 0.1× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) | $153.72 | $256.20 | 0.0× |
| I&d abscess peritonsillar (42700) | $262.89 | $438.15 | 0.9× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$66–$185.45 | $110–$309.08 | varies |
| I&D Below Fascia Foot 1 Bursal Space (28002) | $132 | $220 | 0.1× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) range across 2 matching MRF lines |
$300–$766.71 | $500–$1,277.85 | varies |
| I&d pilonidal cyst complicated (10081) | $92.61 | $154.35 | 0.1× |
| I&d pilonidal cyst simple (10080) | $72 | $120 | 0.1× |
| Image Cath Fluid Colxn Visc (49405) | $3,930 | $6,550 | 1.9× |
| Image Cath Fluid Peri/Retro (49406) | $2,091.60 | $3,486 | 1.0× |
| Incise finger tendon sheath (26055) | $200.40 | $334 | 0.1× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$92.40–$185.45 | $154–$309.08 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $177.03 | $295.05 | 0.1× |
| Incision & removal foreign body subq tiss simple (10120) | $29.61 | $49.35 | 0.1× |
| Incision and drainage of bartholin's gland abscess (56420) | $253.06 | $421.77 | 1.0× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$177.03–$288 | $295.05–$480 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $108 | $180 | 0.1× |
| Incisional biopsy skin single lesion (11106) | $21 | $35 | 0.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $63 | $105 | 0.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $34.65 | $57.75 | 0.1× |
| Injection Into Brain Canal (61055) | $1,365.60 | $2,276 | 3.5× |
| Injection single tendon origin/insertion (20551) | $27 | $45 | 0.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $34.65 | $57.75 | 0.1× |
| Injection single/mlt trigger point 3/> muscles (20553) | $42 | $70 | 0.1× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) | $10,372.80 | $17,288 | 5.2× |
| Injection therapeutic carpal tunnel (20526) | $39 | $65 | 0.1× |
| Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
$111.97–$113.40 | $186.61–$189 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$107.10–$111.97 | $178.50–$186.61 | varies |
| Ins endovas vena cava filtr (37191) range across 2 matching MRF lines |
$1,228.50–$11,112 | $2,047.50–$18,520 | varies |
| Insert non-tunnel cv cath (36556) | $3,461.40 | $5,769 | 0.9× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$15.60–$49.60 | $26–$82.67 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $16.80 | $28 | 0.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) likely a partial charge, not the full procedure |
$109.20 | $182 | 0.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $242.40 | $404 | 0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,542.66–$4,026 | $2,571.10–$6,710 | varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$52.80 | $88 | 0.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) | $234 | $390 | 0.1× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$187.69–$1,602.09 | $312.82–$2,670.15 | varies |
| Knee arthroscopy/drainage (29871) | $649.80 | $1,083 | 0.2× |
| Knee Arthroscopy/Surgery (29874) | $365.40 | $609 | 0.1× |
| Laryngoscopy diagnostic (31505) | $33 | $55 | 0.1× |
| Late closure of wound (13160) range across 3 matching MRF lines |
$546–$553.16 | $910–$921.94 | varies |
| Manometric stds thru tube/ndwellg urtrl cath (50396) | $773.31 | $1,288.85 | 0.9× |
| Marsupialization of bartholin's gland cyst (56440) | $123 | $205 | 0.0× |
| N Block Inj Plantar Digit (64455) | $24 | $40 | 0.1× |
| Nasal/Orogastric W/Tube Plmt (43752) | $99.97 | $166.61 | 0.2× |
| Needle Biopsy Lymph Nodes (38505) | $48 | $80 | 0.0× |
| Needle Biopsy Pancreas (48102) | $2,235 | $3,725 | 1.1× |
| Open biopsy/excision inguinofemoral nodes (38531) likely a partial charge, not the full procedure |
$295.80 | $493 | 0.1× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) likely a partial charge, not the full procedure |
$740.40 | $1,234 | 0.1× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) likely a partial charge, not the full procedure |
$112.14 | $186.90 | 0.0× |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) unusually low: confirm this is the full procedure |
$4,217.64 | $7,029.40 | 0.5× |
| Open tx ulnar fx proximal end (24685) | $5,753.48 | $9,589.13 | 0.6× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) range across 2 matching MRF lines |
$1,024.20–$4,217.64 | $1,707–$7,029.40 | varies |
| Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$139.57–$280.70 | $232.62–$467.84 | varies |
| Perq dev breast 1st us imag (19285) | $621 | $1,035 | 0.7× |
| Perq device breast 1st imag (19281) | $2,734.20 | $4,557 | 1.3× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $16,833.60 | $28,056 | 1.8× |
| Perq Vertebral Augmentation (22513) | $15,307.80 | $25,513 | 1.6× |
| Placement of needle for intraosseous infusion (36680) | $1,407 | $2,345 | 2.4× |
| Plmt Bile Duct Stent Prq Existing Access (47538) likely a partial charge, not the full procedure |
$252 | $420 | 0.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) | $198.66 | $331.10 | 0.0× |
| Punch biopsy skin single lesion (11104) | $21 | $35 | 0.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $344.88 | $574.80 | 0.7× |
| Puncture Aspiration Cyst Breast (19000) | $30 | $50 | 0.0× |
| Release of shoulder ligament (23415) likely a partial charge, not the full procedure |
$730.20 | $1,217 | 0.1× |
| Removal Foreign Body Deep Thigh/Knee (27372) | $379.80 | $633 | 0.1× |
| Removal Foreign Body Foot Complicated (28193) | $275.94 | $459.90 | 0.1× |
| Removal foreign body foot deep (28192) | $462.42 | $770.70 | 0.2× |
| Removal Foreign Body Foot Subcutaneous (28190) | $173.25 | $288.75 | 0.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $131.04 | $218.40 | 0.1× |
| Removal foreign body upper arm/elbow deep (24201) | $354.69 | $591.15 | 0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $120.83 | $201.39 | 1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$85.26–$120.60 | $142.10–$201 | varies |
| Removal Implant Deep (20680) | $330.75 | $551.25 | 0.1× |
| Removal Implant Superficial Separate Procedure (20670) | $330.75 | $551.25 | 0.2× |
| Removal implantable contraceptive capsules (11976) | $63.60 | $106 | 0.1× |
| Removal of foreign body from pharynx (42809) | $844.80 | $1,408 | 1.5× |
| Removal of nail bed (11750) | $201.60 | $336 | 0.4× |
| Removal or bivalving full arm or full leg cast (29705) | $15.75 | $26.25 | 0.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$51–$111.97 | $85–$186.61 | varies |
| Removal/bivalving gauntlet boot/body cast (29700) | $15 | $25 | 0.0× |
| Remove drug implant device (11982) | $111 | $185 | 0.2× |
| Remove foreign body from eye (65205) | $22.05 | $36.75 | 0.1× |
| Remove Intrauterine Device (58301) | $451.62 | $752.70 | 1.2× |
| Remove Nasal Foreign Body (30300) | $220.20 | $367 | 1.3× |
| Remove Shoulder Foreign Body (23330) | $689.85 | $1,149.75 | 0.3× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$306.60–$306.81 | $511–$511.35 | varies |
| Renal Biopsy Perq (50200) | $2,178 | $3,630 | 1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $192.15 | $320.25 | 0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $401.40 | $669 | 0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$211.80–$398.79 | $353–$664.65 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$382.28–$401.40 | $637.14–$669 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $401.40 | $669 | 0.8× |
| Repair complex trunk 1.1-2.5 cm (13100) | $90.72 | $151.20 | 0.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $172.52 | $287.53 | 0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $172.52 | $287.53 | 0.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$105–$172.52 | $175–$287.53 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $117 | $195 | 0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) | $6,103.20 | $10,172 | 4.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $303.03 | $505.05 | 0.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $139.86 | $233.10 | 0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$129.60–$3,214.80 | $216–$5,358 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
$96–$2,499 | $160–$4,165 | varies |
| Rplc Gtube No Revj Trc (43762) | $25.80 | $43 | 0.1× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $8,659.20 | $14,432 | 2.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $8,614.20 | $14,357 | 4.3× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) | $2,458.80 | $4,098 | 0.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 2 matching MRF lines |
$680.36–$2,019 | $1,133.94–$3,365 | varies |
| Rplcmt compl tun ctr vad w/subq pmp (36583) | $3,914.86 | $6,524.76 | 0.5× |
| Rplcmt compl tun ctr vad w/subq port (36582) | $6,696.60 | $11,161 | 1.6× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) | $6,592.80 | $10,988 | 1.6× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) | $1,503 | $2,505 | 0.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) | $2,706.60 | $4,511 | 3.4× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$111.97–$113.40 | $186.61–$189 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 2 matching MRF lines |
$111.97–$113.40 | $186.61–$189 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $126 | $210 | 0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 2 matching MRF lines |
$111.97–$113.40 | $186.61–$189 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 2 matching MRF lines |
$111.97–$116.55 | $186.61–$194.25 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 2 matching MRF lines |
$111.97–$119.70 | $186.61–$199.50 | varies |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $126 | $210 | 0.2× |
| Shoulder arthroscopy diagnostic (29805) | $1,255.80 | $2,093 | 0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 2 matching MRF lines |
$111.97–$116.55 | $186.61–$194.25 | varies |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $111.97 | $186.61 | 0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 2 matching MRF lines |
$111.97–$116.55 | $186.61–$194.25 | varies |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $126 | $210 | 0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 2 matching MRF lines |
$111.97–$119.70 | $186.61–$199.50 | varies |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) | $111 | $185 | 0.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$63–$172.52 | $105–$287.53 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $39 | $65 | 0.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$28.80–$81.90 | $48–$136.50 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $43.20 | $72 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$39.60–$172.52 | $66–$287.53 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $76.80 | $128 | 0.1× |
| Spinal puncture lumbar diagnostic (62270) | $2,152.80 | $3,588 | 2.4× |
| Strapping ankle (29540) | $552 | $920 | 2.6× |
| Strapping elbow or wrist (29260) | $552 | $920 | 7.3× |
| Strapping hand/finger (29280) | $552 | $920 | 7.3× |
| Strapping knee (29530) | $466.80 | $778 | 2.7× |
| Strapping shoulder (29240) | $513.60 | $856 | 3.0× |
| Strapping thorax (29200) | $102.84 | $171.40 | 0.5× |
| Strapping toes (29550) | $7.80 | $13 | 0.1× |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
$33.39–$273 | $55.65–$455 | varies |
| Subcutaneous Hormone Pellet Implantation (11980) | $1,237.20 | $2,062 | 2.2× |
| Tangential biopsy skin single lesion (11102) | $21 | $35 | 0.0× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) | $400.80 | $668 | 0.1× |
| Thrombolytic Art Therapy (37211) likely a partial charge, not the full procedure |
$146.16 | $243.60 | 0.0× |
| Thyroid biopsy (60100) | $900.60 | $1,501 | 1.0× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) | $408 | $680 | 0.2× |
| Total Knee Arthroplasty (27447) likely a partial charge, not the full procedure |
$1,839 | $3,065 | 0.1× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $584.83 | $974.72 | 0.3× |
| Tracheostomy planned (31600) | $1,806.89 | $3,011.48 | 0.4× |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) | $2,032.15 | $3,386.92 | 0.8× |
| Treatment of ankle fracture (27823) likely a partial charge, not the full procedure |
$1,101.60 | $1,836 | 0.1× |
| Trim skin lesion (11055) | $47.25 | $78.75 | 0.2× |
| Trim skin lesions 2 to 4 (11056) | $53.55 | $89.25 | 0.2× |
| Trim skin lesions over 4 (11057) | $63 | $105 | 0.2× |
| Trimming Nondystrophic Nails Any Number (11719) | $120.83 | $201.39 | 1.6× |
| Tx Gastro Intub W/Asp (43753) | $571.80 | $953 | 2.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$565.47–$4,003.80 | $942.45–$6,673 | varies |
| Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$429.66–$777.60 | $716.10–$1,296 | varies |
| Unlisted Procedure Casting/Strapping (29799) | $479.40 | $799 | 2.3× |
| Vein Access Cutdown < 1 Yr (36420) | $1,117.80 | $1,863 | 6.5× |
| Venous Cutdown >1 Y/O (36425) | $1,597.80 | $2,663 | 2.8× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$65.10–$180.18 | $108.50–$300.30 | varies |
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.