Procedures & surgery prices at Marshall Browning Hospital

Du Quoin, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$630–$1,198.40 $900–$1,712 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $455 $650 0.5×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) $1,852.90 $2,647 0.8×
Amputation Foot Midtarsal (28800) $674.80 $964 0.2×
Amputation foot transmetarsal (28805) $858.90 $1,227 0.2×
Amputation metatarsal with toe single (28810) $1,405.60 $2,008 0.4×
Amputation toe interphalangeal joint (28825) $1,279.60 $1,828 0.4×
Amputation toe metatarsophalangeal joint (28820) $1,543.50 $2,205 0.4×
Anoscopy W/Rmvl Foreign Body (46608) $578.20 $826 0.6×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $406 $580 0.1×
Appendectomy (44950)
unusually low: confirm this is the full procedure
$2,204.30 $3,149 0.3×
Application finger splint static (29130) $115.50 $165 0.8×
Application long arm splint shoulder hand (29105) $165.90 $237 1.0×
Application Long Leg Splint (29505) $171.50 $245 1.0×
Application of rigid total contact leg cast (29445) $363.30 $519 1.2×
Application Short Arm Splint Dynamic (29126) $172.90 $247 1.2×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$142.10–$197.40 $203–$282 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$130.20–$165.90 $186–$237 varies
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines
$170.10–$287.70 $243–$411 varies
Apply Short Leg Cast (29405) $245 $350 0.8×
Apply short leg cast (29425) $278.60 $398 0.9×
Arterial puncture (36600) $99.40 $142 0.7×
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
likely a partial charge, not the full procedure
$2,848.30 $4,069 0.2×
Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760)
unusually low: confirm this is the full procedure
$2,386.30 $3,409 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines
$44.80–$763.70 $64–$1,091 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $683.20 $976 0.9×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines
$57.40–$763.70 $82–$1,091 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $763.70 $1,091 2.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines
$44.10–$143.50 $63–$205 varies
Arthrodesis great toe interphalangeal joint (28755)
likely a partial charge, not the full procedure
$1,395.10 $1,993 0.2×
Arthrodesis great toe metatarsophalangeal joint (28750)
unusually low: confirm this is the full procedure
$2,392.60 $3,418 0.3×
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure
$3,136.70 $4,481 0.2×
Arthrodesis triple (28715)
range across 2 matching MRF lines
$1,687–$4,232.90 $2,410–$6,047 varies
Arthroplasty Ankle (27700)
likely a partial charge, not the full procedure
$2,037.70 $2,911 0.3×
Arthroplasty interphalangeal joint each (26535) $1,833.30 $2,619 0.5×
Arthrotomy ankle w/expl drainage/removal fb (27610) $2,877 $4,110 0.8×
Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531)
unusually low: confirm this is the full procedure
$2,393.30 $3,419 0.3×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $1,658.30 $2,369 1.0×
Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) $2,562.70 $3,661 0.7×
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $1,270.50 $1,815 0.4×
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines
$158.90–$763.70 $227–$1,091 varies
Avulsion nail plate partial/complete simple 1 (11730) $161 $230 0.7×
Biopsy bone open superficial (20240) $732.90 $1,047 0.2×
Biopsy bone trocar/needle deep (20225) $980 $1,400 0.6×
Biopsy Bone Trocar/Needle Superficial (20220) $530.60 $758 0.3×
Biopsy nail unit (11755)
range across 3 matching MRF lines
$79.80–$261.10 $114–$373 varies
Biopsy of liver, needle; percutaneous (47000) $883.40 $1,262 0.5×
Biopsy Soft Tissue Leg/Ankle Area Deep (27614) $590.10 $843 0.2×
Bladder Irrigation (51700) $198.10 $283 0.7×
Bladder Scan (51798)
range across 2 matching MRF lines
$140.70–$150.50 $201–$215 varies
Blood Transfusion Service (36430)
range across 5 matching MRF lines
$760.20–$1,579.20 $1,086–$2,256 varies
Bone Graft Any Donor Area Minor/Small (20900)
likely a partial charge, not the full procedure
$1,529.50 $2,185 0.2×
Brnchsc Brushing/Protected Brushings (31623) $731.50 $1,045 0.4×
Bx/exc lymph node open superficial (38500) $1,262.10 $1,803 0.3×
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $605.50 $865 0.2×
Capsulotomy Iphal Joint Each Joint Spx (28272) $398.30 $569 0.2×
Carpal Tunnel Surgery (64721) $1,795.50 $2,565 0.9×
Change Cystostomy Tube Simple (51705) $413 $590 1.5×
Chemical Cautery Tissue (17250) $144.20 $206 0.7×
Chemodenerv 1 extremity 1-4 (64642) $1,784.30 $2,549 2.4×
Chemodenerv Eccrine Glands (64650) $763.70 $1,091 2.3×
Chemodenerv Musc Migraine (64615) $763.70 $1,091 2.3×
Chemodenerv trunk musc 1-5 (64646) $1,784.30 $2,549 2.4×
Chest tube placement (32551) $970.90 $1,387 0.6×
Clear outer ear canal (69200) $156.80 $224 1.1×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $444.50 $635 1.7×
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines
$394.10–$690.20 $563–$986 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,733.20 $2,476 1.0×
Clsd tx clavicular fracture w/o manipulation (23500) $469 $670 1.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,283.80 $1,834 0.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $723.10 $1,033 2.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $590.10 $843 2.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,663.20 $2,376 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $265.30 $379 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $228.90 $327 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $390.60 $558 1.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $195.30 $279 0.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,044.40 $1,492 4.0×
Cltx post hip arthrp dislc w/o anes (27265) $1,472.80 $2,104 5.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $315 $450 1.2×
Collect Blood From Catheter Venous Nos (36592) $115.50 $165 0.8×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$20.30–$30.10 $29–$43 varies
Colonoscopy w/ablation (45388) $2,261 $3,230 1.8×
Colonoscopy W/Band Ligation (45398)
range across 3 matching MRF lines
$454.30–$1,514.10 $649–$2,163 varies
Colonoscopy w/submucosal inj (45381) $1,577.10 $2,253 1.2×
Colsc Flexible W/Control Bleeding Any Method (45382) $2,261 $3,230 1.8×
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) $1,504.30 $2,149 1.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $1,961.40 $2,802 1.5×
Control Nasal Hemorrhage Anterior Complex (30903) $464.10 $663 3.3×
Control Nasal Hemorrhage Anterior Simple (30901) $174.30 $249 1.2×
Correction hammertoe (28285) $1,257.20 $1,796 0.4×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $2,386.30 $3,409 0.7×
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $1,633.80 $2,334 0.5×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure
$2,517.90 $3,597 0.2×
Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298)
range across 2 matching MRF lines
$896.70–$2,161.60 $1,281–$3,088 varies
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,060.50 $1,515 0.3×
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
unusually low: confirm this is the full procedure
$2,669.10 $3,813 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $627.20 $896 4.4×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $720.30 $1,029 2.8×
Cystourethroscopy (52000) $780.50 $1,115 1.0×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $377.30 $539 0.9×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 5 matching MRF lines
$81.90–$631.40 $117–$902 varies
Debride nail 1-5 (11720) $219.10 $313 3.5×
Debride nail 6 or more (11721) $61.60 $88 1.0×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $847.70 $1,211 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$252.70–$295.40 $361–$422 varies
Declot vascular device (36593) $232.40 $332 0.7×
Decompression of tibia nerve (28035) $1,361.50 $1,945 0.7×
Delivery of placenta (59414) $828.10 $1,183 0.2×
Destr W Neurolytic; Celiac Plexus (64680) $2,350.60 $3,358 2.5×
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines
$1,646.40–$4,979.10 $2,352–$7,113 varies
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines
$1,615.60–$4,979.10 $2,308–$7,113 varies
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines
$168–$214.20 $240–$306 varies
Destruction by neurolytic agent, intercostal nerve (64620) $2,350.60 $3,358 2.5×
Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) $4,979.10 $7,113 2.4×
Destruction by neurolytic agent; plantar common digital nerve (64632)
range across 2 matching MRF lines
$74.20–$763.70 $106–$1,091 varies
Destruction by neurolytic agent; pudendal nerve (64630) $2,350.60 $3,358 2.5×
Destruction neurolytic agt genicular nerve w/img (64624) $4,979.10 $7,113 2.4×
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines
$409.50–$492.80 $585–$704 varies
Dilation Esophagus Guide Wire (43453) $668.50 $955 0.3×
Drain Cerebro Spinal Fluid (62272) $1,783.60 $2,548 2.4×
Drainage External Ear Abscess/Hematoma Simple (69000) $387.80 $554 0.5×
Drainage Finger Abscess Complicated (26011) $891.80 $1,274 0.5×
Drainage of finger abscess simple (26010) $611.10 $873 2.8×
Drainage of gum lesion (41800) $315.70 $451 2.2×
Drainage of hematoma/fluid (10140) $1,137.50 $1,625 0.6×
Drainage of scrotum (54700) $617.40 $882 0.3×
Draw Blood Off Venous Device (36591) $137.90 $197 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 3 matching MRF lines
$110.60–$365.40 $158–$522 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $333.20 $476 1.5×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $208.60 $298 1.0×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines
$492.10–$2,350.60 $703–$3,358 varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $2,350.60 $3,358 2.5×
Dx Bronchoscope/Wash (31622) $757.40 $1,082 0.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $1,317.40 $1,882 0.6×
Egd cautery tumor polyp (43250) $1,430.80 $2,044 0.7×
Egd dilation gastric/duodenal stricture (43245) $1,024.80 $1,464 0.5×
Egd Flexible Foreign Body Removal (43247) $957.60 $1,368 1.0×
Egd guide wire insertion (43248)
range across 2 matching MRF lines
$1,000.30–$1,317.40 $1,429–$1,882 varies
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $1,269.80 $1,814 0.6×
Egd place gastrostomy tube (43246) $1,317.40 $1,882 0.6×
Egd remove lesion snare (43251) $1,525.30 $2,179 0.7×
Egd Varices Ligation (43244) $1,269.80 $1,814 0.6×
Endoscopic plantar fasciotomy (29893) $1,621.90 $2,317 0.5×
Epidural Blood Patch (62273)
range across 2 matching MRF lines
$564.90–$1,783.60 $807–$2,548 varies
Esophagogastroduodenoscopy Submucosal Injection (43236) $1,317.40 $1,882 1.4×
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) $945.70 $1,351 0.5×
Esophagoscopy Flexible Guide Wire Dilation (43226) $1,211.70 $1,731 0.6×
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines
$22.40–$74.20 $32–$106 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $255.50 $365 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines
$343.70–$441.70 $491–$631 varies
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $245.70 $351 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $555.80 $794 0.3×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $672 $960 0.4×
Exc Forearm Les Sc 3 Cm/> (25071) $1,673 $2,390 0.9×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 4 matching MRF lines
$53.90–$196 $77–$280 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 6 matching MRF lines
$77–$490.70 $110–$701 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $310.10 $443 0.2×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,216.60 $1,738 0.7×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,089.20 $1,556 0.6×
Exc neuroma hand/foot xcp digital nerve (64782) $1,184.40 $1,692 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 4 matching MRF lines
$117.60–$392 $168–$560 varies
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $527.80 $754 0.3×
Exc Skin Benig >4 Cm Remaindr Body (11426) $796.60 $1,138 0.3×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $667.10 $953 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $926.10 $1,323 0.5×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $483.70 $691 0.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $501.20 $716 0.3×
Exc tumor soft tiss neck/thorax subfascial <5cm (21556) $1,673 $2,390 0.5×
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $1,391.60 $1,988 0.4×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $543.20 $776 0.2×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $1,504.30 $2,149 0.5×
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $470.40 $672 0.3×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 4 matching MRF lines
$150.50–$612.50 $215–$875 varies
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $469.70 $671 1.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $701.40 $1,002 0.9×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $756.70 $1,081 0.4×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)
range across 3 matching MRF lines
$69.30–$229.60 $99–$328 varies
Excision of ganglion, wrist (dorsal or volar); primary (25111) $1,503.60 $2,148 0.9×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $1,441.30 $2,059 0.7×
Excision of pilonidal cyst or sinus; simple (11770)
range across 4 matching MRF lines
$232.40–$1,001.70 $332–$1,431 varies
Excision Pilonidal Cyst/Sinus Complicated (11772)
range across 3 matching MRF lines
$541.80–$1,804.60 $774–$2,578 varies
Excision Pilonidal Cyst/Sinus Extensive (11771)
range across 4 matching MRF lines
$431.90–$1,439.90 $617–$2,057 varies
Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) $1,575 $2,250 0.5×
Excision, interdigital (morton) neuroma, single, each (28080) $1,304.80 $1,864 0.8×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $1,554.70 $2,221 0.5×
Exploration penetrating wound spx extremity (20103) $1,833.30 $2,619 1.0×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,304.80 $1,864 0.4×
Fasciotomy, foot and/or toe (28008) $1,204.70 $1,721 0.3×
Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) $1,479.10 $2,113 0.7×
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines
$89.60–$295.40 $128–$422 varies
Fna bx w/us gdn 1st les (10005) $331.80 $474 0.4×
Foreskin manipulation (54450) $171.50 $245 0.6×
Fusion Finger Joint (26860) $2,135.70 $3,051 0.6×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure
$1,713.60 $2,448 0.2×
Gastrocnemius recession (27687) $1,201.20 $1,716 0.3×
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) $2,458.40 $3,512 1.2×
Guide Cathet Fluid Drainage (10030) $958.30 $1,369 1.3×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
range across 2 matching MRF lines
$2,418.50–$2,463.30 $3,455–$3,519 varies
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $1,188.60 $1,698 0.4×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $1,680.70 $2,401 0.6×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $931 $1,330 0.9×
I&d abscess simple (10060) $331.80 $474 1.5×
I&D Below Fascia Foot 1 Bursal Space (28002) $582.40 $832 0.3×
I&d pilonidal cyst complicated (10081) $612.50 $875 0.8×
I&d pilonidal cyst simple (10080) $418.60 $598 0.6×
Ileoscopy Stoma W/Bx Single/Multiple (44382) $513.10 $733 0.5×
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) $940.10 $1,343 1.0×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines
$3,999.80–$17,635.80 $5,714–$25,194 varies
Implant Neuroelectrodes (64561) $17,636.50 $25,195 2.6×
Implant Spine Infusion Pump (62362) $45,990.70 $65,701 2.4×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $17,178.70 $24,541 1.8×
Incise external hemorrhoid (46083) $968.80 $1,384 3.6×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$513.10–$603.40 $733–$862 varies
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines
$163.80–$618.80 $234–$884 varies
Incision & removal foreign body subq tiss simple (10120)
range across 4 matching MRF lines
$71.40–$284.90 $102–$407 varies
Incision bone cortex foot (28005) $1,789.90 $2,557 0.5×
Incision of Foot Tendon (28234) $464.10 $663 0.3×
Incision of rectal abscess (46040) $825.30 $1,179 0.6×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $973.70 $1,391 0.6×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines
$149.10–$494.20 $213–$706 varies
Initial Tx 1st Degree Burn Local Tx (16000) $133.70 $191 0.6×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$386.40–$1,009.40 $552–$1,442 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$991.90–$2,350.60 $1,417–$3,358 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $131.60 $188 0.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $2,350.60 $3,358 2.5×
Injection aa&/strd genicular nrv branches w/img (64454) $1,783.60 $2,548 2.4×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $2,350.60 $3,358 2.5×
Injection aa&/strd nerves nrvtg si joint w/img (64451) $217.70 $311 0.3×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines
$702.80–$1,783.60 $1,004–$2,548 varies
Injection Anes Agent Sphenopalatine Ganglion (64505) $763.70 $1,091 2.3×
Injection Anes Superior Hypogastric Plexus (64517) $2,350.60 $3,358 2.5×
Injection anesthetic agent suprascapular nerve (64418) $1,783.60 $2,548 2.4×
Injection into disk lesion (62292) $4,979.10 $7,113 2.4×
Injection into spinal artery (62294) $2,350.60 $3,358 2.5×
Injection single tendon origin/insertion (20551) $139.30 $199 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $143.50 $205 0.4×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines
$164.50–$245 $235–$350 varies
Injection therapeutic carpal tunnel (20526) $184.10 $263 0.6×
Injection, anesthetic agent; brachial plexus, single (64415) $2,350.60 $3,358 2.5×
Injection, anesthetic agent; femoral nerve, single (64447) $1,783.60 $2,548 2.4×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$324.10–$1,783.60 $463–$2,548 varies
Injection, anesthetic agent; vagus nerve (64408) $763.70 $1,091 2.3×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $2,350.60 $3,358 2.5×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $2,350.60 $3,358 2.5×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $2,350.60 $3,358 2.5×
Insert cath pleura w/ image (32557) $714 $1,020 0.4×
Insert Drug Implant Device (11981) $270.90 $387 1.9×
Insert Gastrostomy Tube Percutaneous (49440) $5,826.10 $8,323 2.8×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines
$863.10–$995.40 $1,233–$1,422 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$328.30–$490.70 $469–$701 varies
Insert tunneled cv cath (36561) $2,734.20 $3,906 0.8×
Insert,Non-Indwelling Bladder Catheter (51701) $301.70 $431 2.1×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$817.60–$1,822.10 $1,168–$2,603 varies
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines
$2,401–$80,077.20 $3,430–$114,396 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $784 $1,120 1.8×
Intmd Rpr Face/Mm 20.1-30.0 (12056) $893.20 $1,276 2.1×
Intubation endotracheal emergency procedure (31500) $683.90 $977 2.7×
Lap paraesophag hern repair (43281) $5,832.40 $8,332 0.5×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure
$1,764.70 $2,521 0.3×
Laparoscopy, surgical, appendectomy (44970)
unusually low: confirm this is the full procedure
$2,993.90 $4,277 0.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $3,999.80 $5,714 0.6×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
unusually low: confirm this is the full procedure
$3,217.20 $4,596 0.5×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure
$1,609.30 $2,299 0.2×
Late closure of wound (13160) $2,256.80 $3,224 0.6×
Ligation of hemorrhoids (46946) $831.60 $1,188 0.3×
Ligation or biopsy temporal artery (37609) $1,071 $1,530 0.6×
N Block Inj Celiac Pelus (64530) $2,350.60 $3,358 2.5×
N Block Inj Ilio-Ing/Hypogi (64425) $1,783.60 $2,548 2.4×
N block inj intercost sng (64420) $1,783.60 $2,548 2.4×
N Block Inj Pudendal (64430) $2,350.60 $3,358 2.5×
N Block Lumbar/Thoracic (64520) $2,350.60 $3,358 2.5×
Neuroeltrd Stim Post Tibial (64566) $763.70 $1,091 2.3×
Njx anes stellate ganglion crv sympathetic (64510) $2,350.60 $3,358 2.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $763.70 $1,091 2.3×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $2,474.50 $3,535 0.6×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $239.40 $342 0.3×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $2,350.60 $3,358 2.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $906.50 $1,295 1.2×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,783.60 $2,548 2.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,350.60 $3,358 2.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $2,350.60 $3,358 2.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $906.50 $1,295 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $2,350.60 $3,358 2.5×
Occipital Nerve Block (64405) $341.60 $488 1.0×
Open Implantation Nea Peripheral Nerve (64575) $35,128.10 $50,183 2.9×
Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) $59,917.90 $85,597 2.9×
Open treatment fracture distal tibia only (27827)
likely a partial charge, not the full procedure
$3,992.80 $5,704 0.3×
Open Treatment Medial Malleolus Fracture (27766)
unusually low: confirm this is the full procedure
$2,359 $3,370 0.3×
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure
$1,032.50 $1,475 0.1×
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585)
likely a partial charge, not the full procedure
$1,217.30 $1,739 0.2×
Open Treatment Tarsal Bone Dislocation (28555)
unusually low: confirm this is the full procedure
$2,464 $3,520 0.3×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
unusually low: confirm this is the full procedure
$2,650.20 $3,786 0.3×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,393 $1,990 0.4×
Open tx interphalangeal joint dislocation (26785) $1,721.30 $2,459 0.5×
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
likely a partial charge, not the full procedure
$2,209.90 $3,157 0.3×
Ostc prtl exostc/condylc metar head (28288) $1,481.90 $2,117 0.4×
Ostectomy calcaneus (28118) $1,681.40 $2,402 0.5×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,321.60 $1,888 0.4×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,351.70 $1,931 0.4×
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $519.40 $742 0.1×
Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309)
unusually low: confirm this is the full procedure
$2,744.70 $3,921 0.4×
Osteot w/wo lngth shrt/corrj 1st metar (28306)
likely a partial charge, not the full procedure
$1,812.30 $2,589 0.2×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $812.70 $1,161 0.2×
Osteotomy calcaneus w/wo internal fixation (28300)
unusually low: confirm this is the full procedure
$2,525.60 $3,608 0.3×
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
unusually low: confirm this is the full procedure
$3,089.80 $4,414 0.4×
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
likely a partial charge, not the full procedure
$2,307.20 $3,296 0.3×
Part remv talus or calcaneus (28120) $621.60 $888 0.2×
Partical Excision Bone Phalanx Toe (28124) $665.70 $951 0.2×
Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) $35,128.10 $50,183 2.9×
Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) $1,025.50 $1,465 0.3×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $18,385.50 $26,265 2.4×
Perq Vertebral Augmentation (22513) $18,385.50 $26,265 2.4×
Placement of needle for intraosseous infusion (36680) $291.90 $417 0.6×
Placement of seton (46020) $219.80 $314 0.1×
Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) $17,636.50 $25,195 2.6×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,703.10 $2,433 0.5×
Punch biopsy skin single lesion (11104) $560 $800 1.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) $245 $350 0.6×
Puncture shunt tube/reservoir aspiration/inj px (61070) $1,783.60 $2,548 2.4×
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $4,979.10 $7,113 2.4×
Reduction of rectal prolapse (45900) $848.40 $1,212 0.9×
Release foot/toe nerve (64726) $825.30 $1,179 0.4×
Release of big toe (28240) $1,036.70 $1,481 0.3×
Relieve Pressure on Nerve(S) (64722) $4,979.10 $7,113 2.4×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $1,045.80 $1,494 1.1×
Removal foreign body foot deep (28192) $570.50 $815 0.3×
Removal Foreign Body Foot Subcutaneous (28190) $431.20 $616 0.6×
Removal impacted cerumen irrigation/lvg unilat (69209) $44.80 $64 0.7×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $91.70 $131 1.5×
Removal Implant Deep (20680) $1,374.10 $1,963 0.4×
Removal of heel spur (28119) $1,539.30 $2,199 0.4×
Removal of nail bed (11750) $331.10 $473 0.8×
Removal of sesamoid bone (28315) $1,209.60 $1,728 0.3×
Removal of sperm cord lesion (55520) $1,631.70 $2,331 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $142.80 $204 0.7×
Remove Ankle Joint Lining (27626) $3,024.70 $4,321 0.9×
Remove foreign body from eye (65205) $1,052.10 $1,503 7.4×
Remove Intrauterine Device (58301) $527.80 $754 1.6×
Remove Lower Leg Bone Lesion (27635) $2,449.30 $3,499 0.7×
Remove Nasal Foreign Body (30300) $172.20 $246 1.2×
Remove Skin Nerve Lesion (64774) $1,287.30 $1,839 0.6×
Remove/graft foot lesion (28107)
likely a partial charge, not the full procedure
$2,101.40 $3,002 0.3×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure
$1,178.80 $1,684 0.2×
Repair Collat Ankle Ligmnt,Secondary (27698)
unusually low: confirm this is the full procedure
$2,957.50 $4,225 0.4×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $667.10 $953 1.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,061.20 $1,516 2.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $595 $850 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $947.10 $1,353 2.2×
Repair complex trunk 1.1-2.5 cm (13100) $595 $850 0.8×
Repair Flexor Tendon Leg Primary W/O Graft Each (27658) $1,606.50 $2,295 0.5×
Repair Foot Dislocation (28615)
unusually low: confirm this is the full procedure
$2,678.20 $3,826 0.3×
Repair Hallux Rigidus (28289) $2,182.60 $3,118 0.6×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $2,150.40 $3,072 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $475.30 $679 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $513.10 $733 1.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $578.90 $827 1.3×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $610.40 $872 1.4×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $771.40 $1,102 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $419.30 $599 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $499.80 $714 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $590.10 $843 0.7×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $910 $1,300 2.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $371.70 $531 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $453.60 $648 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $8,425.20 $12,036 10.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines
$154–$511.70 $220–$731 varies
Repair lower leg tendons (27676)
unusually low: confirm this is the full procedure
$2,487.10 $3,553 0.3×
Repair lumbar hernia (49540)
unusually low: confirm this is the full procedure
$2,338 $3,340 0.4×
Repair Nonunion/Malunion Tarsal Bones (28320)
likely a partial charge, not the full procedure
$2,067.80 $2,954 0.2×
Repair of metatarsals (28322)
likely a partial charge, not the full procedure
$1,099.70 $1,571 0.1×
Repair of nail bed (11760) $431.20 $616 0.5×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
unusually low: confirm this is the full procedure
$2,436.70 $3,481 0.4×
Repair secondary achilles tendon w/wo graft (27654)
unusually low: confirm this is the full procedure
$3,228.40 $4,612 0.4×
Repair Toe Dislocation (28645) $876.40 $1,252 0.2×
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
likely a partial charge, not the full procedure
$1,831.20 $2,616 0.2×
Repair, primary, disrupted ligament, ankle; collateral (27695)
likely a partial charge, not the full procedure
$2,034.20 $2,906 0.3×
Repair/graft achilles tendon (27652)
unusually low: confirm this is the full procedure
$3,150 $4,500 0.4×
Replace duodenostomy/jejunostomy tube perq (49451) $1,101.10 $1,573 1.1×
Rerepair ing hernia reduce (49520) $2,010.40 $2,872 0.5×
Resection of scrotum (55150) $1,326.50 $1,895 0.4×
Resection, partial or complete, phalangeal base, each toe (28126) $621.60 $888 0.2×
Retrobulbar injection (67500) $763.70 $1,091 2.2×
Revise Hand/Foot Nerve (64704) $1,339.80 $1,914 0.6×
Revise knuckle joint (26530)
likely a partial charge, not the full procedure
$2,112.60 $3,018 0.3×
Revise lower leg tendon (27690)
likely a partial charge, not the full procedure
$2,125.20 $3,036 0.3×
Revision of big toe (28310)
likely a partial charge, not the full procedure
$1,348.20 $1,926 0.2×
Revision of lower leg tendon (27685)
range across 2 matching MRF lines
$1,162.70–$2,317 $1,661–$3,310 varies
Revision of toe (28312) $680.40 $972 0.2×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $17,635.80 $25,194 2.6×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines
$2,000.60–$8,774.50 $2,858–$12,535 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $658 $940 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $141.40 $202 0.3×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $280.70 $401 0.6×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $1,297.80 $1,854 0.4×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $537.60 $768 0.3×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $4,979.10 $7,113 2.4×
Rmvl spinal nstim eltrd prq array incl fluor (63661)
range across 2 matching MRF lines
$2,800.70–$4,979.10 $4,001–$7,113 varies
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $17,178.70 $24,541 4.7×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines
$740.60–$1,101.10 $1,058–$1,573 varies
Rplc Gtube No Revj Trc (43762) $1,022.70 $1,461 3.8×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
unusually low: confirm this is the full procedure
$3,223.50 $4,605 0.5×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,160.90 $3,087 0.6×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
unusually low: confirm this is the full procedure
$2,159.50 $3,085 0.3×
Rpr aa hernia recr 3-10 cm reducible (49615)
unusually low: confirm this is the full procedure
$2,895.90 $4,137 0.4×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $1,999.90 $2,857 0.5×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure
$2,549.40 $3,642 0.4×
Rpr aa hrn 1st < 3 ncr/strn (49592)
unusually low: confirm this is the full procedure
$2,226.70 $3,181 0.3×
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) $1,831.20 $2,616 0.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $665 $950 3.1×
Rpr flexor tendon leg secondary w/o graft each (27659)
likely a partial charge, not the full procedure
$2,062.90 $2,947 0.3×
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) $717.50 $1,025 0.9×
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
unusually low: confirm this is the full procedure
$2,471 $3,530 0.3×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $2,695.70 $3,851 0.8×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $1,150.10 $1,643 0.9×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $185.50 $265 0.9×
Sigmoidoscopy & Polypectomy (45333) $840.70 $1,201 0.8×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331)
range across 2 matching MRF lines
$507.50–$557.20 $725–$796 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $886.90 $1,267 2.0×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $541.10 $773 2.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $514.50 $735 2.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $546 $780 2.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $375.20 $536 1.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $919.10 $1,313 4.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $546 $780 2.5×
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines
$497–$564.20 $710–$806 varies
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines
$427.70–$2,595.60 $611–$3,708 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $439.60 $628 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $574 $820 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $364.70 $521 0.8×
Spinal puncture lumbar diagnostic (62270) $1,783.60 $2,548 2.4×
Strapping ankle (29540)
range across 2 matching MRF lines
$57.40–$133.70 $82–$191 varies
Strapping knee (29530) $107.10 $153 0.8×
Strapping shoulder (29240) $114.80 $164 0.8×
Strapping toes (29550) $80.50 $115 1.3×
Strapping Unna Boot (29580) $87.50 $125 0.5×
Surg Tx Anal Fistula 2nd Stage (46285) $1,467.90 $2,097 0.5×
Synovectomy Tendon Sheath Foot Flexor (28086) $653.10 $933 0.2×
Tangential biopsy skin single lesion (11102)
range across 4 matching MRF lines
$70–$233.10 $100–$333 varies
Tenolysis flexor foot single tendon (28220) $1,040.20 $1,486 0.6×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,654.80 $2,364 0.5×
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $35,984.20 $51,406 2.6×
Thyroid biopsy (60100) $692.30 $989 0.9×
Thyroidectomy, total or complete (60240) $3,915.10 $5,593 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $1,367.10 $1,953 5.4×
Tracheostomy Emergency Procedure Transtracheal (31603) $1,561.70 $2,231 0.9×
Treat Knuckle Dislocation (26700) $924.70 $1,321 3.5×
Treat Thumb Dislocation (26641) $1,031.80 $1,474 3.9×
Treat toe dislocation (28630) $462 $660 1.7×
Treatment closed elbow dislocation w/o anes (24600) $1,901.90 $2,717 7.2×
Treatment of foot infection (28003) $1,009.40 $1,442 0.3×
Trim skin lesion (11055) $42.70 $61 0.2×
Trim skin lesions 2 to 4 (11056)
range across 4 matching MRF lines
$19.60–$63.70 $28–$91 varies
Trim skin lesions over 4 (11057)
range across 4 matching MRF lines
$39.20–$127.40 $56–$182 varies
Trimming Nondystrophic Nails Any Number (11719) $106.40 $152 1.7×
Tx Gastro Intub W/Asp (43753) $343 $490 1.5×
Tx open tendon flexor toe 1 tendon spx (28232) $835.10 $1,193 0.5×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $989.10 $1,413 0.6×
Tx Superficial Wound Dehiscence Simple Closure (12020) $559.30 $799 0.7×
Tx superficial wound dehiscence w/packing (12021) $439.60 $628 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $661.50 $945 2.5×
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659)
likely a partial charge, not the full procedure
$1,764.70 $2,521 0.3×
Unlisted procedure nervous system (64999) $763.70 $1,091 2.3×
Vaginal delivery only (59409) $4,146.80 $5,924 1.2×
Wound Prep F/N/Hf/G (15004)
range across 4 matching MRF lines
$189.70–$1,355.90 $271–$1,937 varies
Xfer Single Deep Low Leg Tendon (27691)
unusually low: confirm this is the full procedure
$2,795.80 $3,994 0.4×

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.