Procedures & surgery prices at Mary Rutan Health
Bellefontaine, OH · every code in this section with a posted price and a Medicare benchmark.
368 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) | $1,880.80 | $2,351 | 2.1× |
| Amputation toe interphalangeal joint (28825) | $3,432 | $4,290 | 1.1× |
| Amputation toe metatarsophalangeal joint (28820) | $3,252 | $4,065 | 1.0× |
| Anoscopy diagnostic (46600) | $369.60 | $462 | 2.8× |
| Application cast elbow finger short arm (29075) | $234.40 | $293 | 0.9× |
| Application Cast Finger (29086) range across 2 matching MRF lines |
$120–$132.80 | $150–$166 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$128.80–$255.20 | $161–$319 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$171.20–$573.60 | $214–$717 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$167.20–$573.60 | $209–$717 | varies |
| Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
$688.80–$1,029.60 | $861–$1,287 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$161.60–$458.40 | $202–$573 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$162.40–$573.60 | $203–$717 | varies |
| Apply long arm cast (29065) | $234.40 | $293 | 0.9× |
| Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
$402.40–$602.40 | $503–$753 | varies |
| Arterial puncture (36600) range across 3 matching MRF lines |
$68–$110.40 | $85–$138 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
$138.40–$1,344 | $173–$1,680 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$148.80–$1,968 | $186–$2,460 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) | $1,190.40 | $1,488 | 3.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$128.80–$783.20 | $161–$979 | varies |
| Arthrodesis sacroiliac joint percutaneous (27279) range across 2 matching MRF lines |
$15,868.80–$31,736.80 | $19,836–$39,671 | varies |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) | $17,500.80 | $21,876 | 1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) | $2,357.60 | $2,947 | 0.7× |
| Aspirate pleura w/ imaging (32555) | $2,437.60 | $3,047 | 3.9× |
| Aspirate Pleura W/O Imaging (32554) | $718.40 | $898 | 1.2× |
| Aspiration and/or injection thyroid cyst (60300) | $1,222.40 | $1,528 | 1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$149.60–$524 | $187–$655 | varies |
| Biopsy Abdominal Mass (49180) | $1,904 | $2,380 | 1.2× |
| Biopsy bone trocar/needle deep (20225) | $3,720 | $4,650 | 2.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $4,100.80 | $5,126 | 2.5× |
| Biopsy of liver, needle; percutaneous (47000) | $2,313.60 | $2,892 | 1.4× |
| Biopsy ovary uni/bi separate procedure (58900) | $3,961.60 | $4,952 | 1.2× |
| Biopsy Salivary Gland Needle (42400) | $1,816.80 | $2,271 | 2.6× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) | $2,168 | $2,710 | 1.3× |
| Biopsy soft tissue forearm&/wrist superficial (25065) | $2,572.80 | $3,216 | 1.6× |
| Biopsy soft tissue leg/ankle area superficial (27613) | $2,544.80 | $3,181 | 1.6× |
| Biopsy soft tissue neck/thorax (21550) | $2,980.80 | $3,726 | 1.8× |
| Biopsy soft tissue thigh/knee area superficial (27323) range across 2 matching MRF lines |
$1,372–$1,715.20 | $1,715–$2,144 | varies |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) | $2,798.40 | $3,498 | 1.7× |
| Bladder instillation anticarcinogenic agent (51720) | $917.60 | $1,147 | 1.3× |
| Bladder Irrigation (51700) | $344.80 | $431 | 1.4× |
| Bladder Scan (51798) | $117.60 | $147 | 2.0× |
| Blood Transfusion Service (36430) range across 21 matching MRF lines |
$177.60–$1,196 | $222–$1,495 | varies |
| Bx breast 1st lesion strtctc (19081) | $4,768.80 | $5,961 | 2.9× |
| Bx breast 1st lesion us imag (19083) | $3,748 | $4,685 | 2.3× |
| Cerv artific diskectomy (22856) likely a partial charge, not the full procedure |
$4,709.60 | $5,887 | 0.3× |
| Change Cystostomy Tube Complicated (51710) | $951.20 | $1,189 | 1.4× |
| Change Cystostomy Tube Simple (51705) | $664 | $830 | 2.7× |
| Chemical Cautery Tissue (17250) | $524 | $655 | 2.7× |
| Chest tube placement (32551) | $1,722.40 | $2,153 | 1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) | $3,172.80 | $3,966 | 2.0× |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$118.40–$417.60 | $148–$522 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $784 | $980 | 3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $832 | $1,040 | 3.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,545.60 | $1,932 | 1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) | $1,512 | $1,890 | 1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $896 | $1,120 | 3.7× |
| Closed tx radial head/neck fx w/manipulation (24655) | $1,444.80 | $1,806 | 0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,377.60 | $1,722 | 0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $832 | $1,040 | 3.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $2,189.60 | $2,737 | 1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$655.20–$913.60 | $819–$1,142 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$496.80–$1,709.60 | $621–$2,137 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$211.20–$562.40 | $264–$703 | varies |
| Cltx dstl fibular fx lat malls w/manj (27788) | $524 | $655 | 2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $303.20 | $379 | 1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$869.60–$1,541.60 | $1,087–$1,927 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
$136–$832 | $170–$1,040 | varies |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) | $2,709.60 | $3,387 | 1.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $784 | $980 | 3.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$211.20–$383.20 | $264–$479 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$211.20–$913.60 | $264–$1,142 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$472.80–$913.60 | $591–$1,142 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$720–$832 | $900–$1,040 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) | $832 | $1,040 | 3.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) | $2,681.60 | $3,352 | 1.7× |
| Cltx prox tibfib jt dislc w/o anes (27830) | $388 | $485 | 1.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$233.60–$412.80 | $292–$516 | varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $1,465.60 | $1,832 | 0.9× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) | $2,007.20 | $2,509 | 1.3× |
| Cltx tibial shaft fx w/o manipulation (27750) | $832 | $1,040 | 3.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,062.40 | $1,328 | 0.7× |
| Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$8–$10.40 | $10–$13 | varies |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) | $3,175.20 | $3,969 | 2.7× |
| Colonoscopy w/ndl aspir/bx (44407) | $3,175.20 | $3,969 | 2.7× |
| Colsc Flexible W/Control Bleeding Any Method (45382) | $1,568.80 | $1,961 | 1.3× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) | $2,984.80 | $3,731 | 2.5× |
| Complex drainage wound (10180) | $6,282.40 | $7,853 | 2.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $417.60 | $522 | 3.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
$124.80–$199.20 | $156–$249 | varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) | $2,029.60 | $2,537 | 1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
$319.20–$417.60 | $399–$522 | varies |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,485.60 | $1,857 | 2.0× |
| Debride nail 1-5 (11720) | $153.60 | $192 | 2.6× |
| Debride nail 6 or more (11721) | $166.40 | $208 | 2.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $4,100.80 | $5,126 | 2.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $954.40 | $1,193 | 2.4× |
| Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$3,459.20–$6,917.60 | $4,324–$8,647 | varies |
| Diagnostic sigmoidoscopy (45330) | $1,856 | $2,320 | 2.0× |
| Dilat female urethra general/cndj spinal anes (53665) | $89.60 | $112 | 0.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $148.80 | $186 | 0.2× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$208.80–$392.80 | $261–$491 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$106.40–$417.60 | $133–$522 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,301.60–$3,612.80 | $1,627–$4,516 | varies |
| Drainage of scrotal wall abscess (55100) range across 2 matching MRF lines |
$380–$2,244 | $475–$2,805 | varies |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $5,024.80 | $6,281 | 1.6× |
| Draw Blood Off Venous Device (36591) | $222.40 | $278 | 1.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$332–$679.20 | $415–$849 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 3 matching MRF lines |
$308.80–$864.80 | $386–$1,081 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $524 | $655 | 2.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $524 | $655 | 2.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$2,428.80–$4,857.60 | $3,036–$6,072 | varies |
| Dx Laryngoscopy Excl Nb (31525) | $2,180.80 | $2,726 | 1.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) | $1,616 | $2,020 | 2.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) | $2,568 | $3,210 | 1.4× |
| Egd control bleeding any (43255) | $2,738.40 | $3,423 | 1.4× |
| Egd Endoscopic Stent Place (43266) | $5,086.40 | $6,358 | 0.9× |
| Egd Flexible Foreign Body Removal (43247) | $2,738.40 | $3,423 | 3.1× |
| Egd guide wire insertion (43248) | $2,347.20 | $2,934 | 2.6× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) | $4,939.20 | $6,174 | 2.6× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) | $5,007.20 | $6,259 | 2.6× |
| Egd us exam duodenum/jejunum (43259) | $4,108.80 | $5,136 | 2.2× |
| Egd us transmural injxn/mark (43253) | $4,304 | $5,380 | 2.3× |
| Egd Varices Ligation (43244) | $2,839.20 | $3,549 | 1.5× |
| Egd W/Transmural Drain Cyst (43240) | $4,500 | $5,625 | 0.8× |
| Endoscopic us exam esoph (43237) | $4,236.80 | $5,296 | 2.2× |
| Endoscopy Upper Small Intestine (44360) | $2,734.40 | $3,418 | 1.4× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) | $4,760.80 | $5,951 | 2.3× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) | $4,760.80 | $5,951 | 2.3× |
| Epidural Blood Patch (62273) | $903.20 | $1,129 | 1.3× |
| Ercp remove forgn body duct (43275) | $935.20 | $1,169 | 0.5× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) | $4,343.20 | $5,429 | 2.3× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) | $4,460.80 | $5,576 | 2.4× |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$82.40–$271.20 | $103–$339 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $1,268 | $1,585 | 1.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$365.60–$1,604 | $457–$2,005 | varies |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) | $2,674.40 | $3,343 | 1.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $1,304.80 | $1,631 | 3.3× |
| External cephalic version (59412) | $1,400 | $1,750 | 0.4× |
| Fetal Contraction Stress Test (59020) | $556.80 | $696 | 2.8× |
| Fetal non-stress test (59025) range across 5 matching MRF lines |
$110.40–$231.20 | $138–$289 | varies |
| Fine needle aspiration without imaging guidance (10021) | $548 | $685 | 1.4× |
| Fluoro exam of g/colon tube (49465) range across 2 matching MRF lines |
$475.20–$594.40 | $594–$743 | varies |
| Fna bx w/us gdn 1st les (10005) | $1,536 | $1,920 | 2.2× |
| Foreskin manipulation (54450) | $165.60 | $207 | 0.7× |
| Guide Cathet Fluid Drainage (10030) | $2,045.60 | $2,557 | 2.9× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $1,495.20 | $1,869 | 1.6× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$179.20–$579.20 | $224–$724 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) | $1,580.80 | $1,976 | 0.6× |
| I&d perianal abscess superficial (46050) | $2,612.80 | $3,266 | 2.9× |
| I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
$526.40–$660.80 | $658–$826 | varies |
| I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
$248.80–$1,653.60 | $311–$2,067 | varies |
| Image Cath Fluid Colxn Visc (49405) | $2,307.20 | $2,884 | 1.4× |
| Implant neuroelectrodes (63650) | $7,494.40 | $9,368 | 1.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) | $28,720 | $35,900 | 1.5× |
| Incise external hemorrhoid (46083) | $140 | $175 | 0.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 4 matching MRF lines |
$308.80–$903.20 | $386–$1,129 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$468.80–$4,211.20 | $586–$5,264 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$238.40–$864.80 | $298–$1,081 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$139.20–$263.20 | $174–$329 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 4 matching MRF lines |
$211.20–$550.40 | $264–$688 | varies |
| Incision of rectal abscess (46040) | $695.20 | $869 | 0.6× |
| Incision&drainage bursa foot (28001) | $4,028 | $5,035 | 2.5× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $1,304 | $1,630 | 0.8× |
| Incisional biopsy skin single lesion (11106) | $954.40 | $1,193 | 1.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $524 | $655 | 2.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,348.80–$4,697.60 | $2,936–$5,872 | varies |
| Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$440.80–$551.20 | $551–$689 | varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $2,358.40 | $2,948 | 2.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $122.40 | $153 | 0.4× |
| Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$1,311.20–$2,620.80 | $1,639–$3,276 | varies |
| Injection enzyme palmar fascial cord (20527) | $335.20 | $419 | 1.1× |
| Injection for identification of sentinel node (38792) | $1,426.40 | $1,783 | 3.6× |
| Injection Into Brain Canal (61055) | $2,636.80 | $3,296 | 8.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) | $651.20 | $814 | 2.2× |
| Injection single/mlt trigger point 3/> muscles (20553) | $703.20 | $879 | 2.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $1,344 | $1,680 | 1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$148.80–$1,324.80 | $186–$1,656 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $251.20 | $314 | 1.3× |
| Ins cath ren art 1st bilat (36252) | $4,939.20 | $6,174 | 1.6× |
| Ins cath ren art 1st unilat (36251) | $6,120.80 | $7,651 | 2.0× |
| Ins cath ren art 2nd+ bilat (36254) | $7,272 | $9,090 | 2.3× |
| Ins cath ren art 2nd+ unilat (36253) | $6,703.20 | $8,379 | 1.2× |
| Ins endovas vena cava filtr (37191) | $10,952 | $13,690 | 2.0× |
| Insert 1 Electrode Pm-Defib (33216) | $12,864 | $16,080 | 1.6× |
| Insert and remove bone pin (20650) | $7,036.80 | $8,796 | 2.2× |
| Insert cath pleura w/ image (32557) | $2,443.20 | $3,054 | 1.6× |
| Insert cath pleura w/o image (32556) | $2,492.80 | $3,116 | 1.3× |
| Insert Heart Pm Atrial (33206) | $15,831.20 | $19,789 | 1.5× |
| Insert non-tunnel cv cath (36556) | $2,840.80 | $3,551 | 0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,455.20 | $1,819 | 0.9× |
| Insert pulse gen dual leads (33213) | $10,770.40 | $13,463 | 1.0× |
| Insert Pulse Gen Sngl Lead (33212) | $13,852.80 | $17,316 | 1.7× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$144–$417.60 | $180–$522 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) | $464 | $580 | 3.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $1,708.80 | $2,136 | 1.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) | $13,852.80 | $17,316 | 1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,309.60 | $1,637 | 0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $5,208 | $6,510 | 1.7× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) | $29,897.60 | $37,372 | 1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $9,894.40 | $12,368 | 1.2× |
| Insrt heart pm atrial & vent (33208) | $20,338.40 | $25,423 | 2.0× |
| Instlj ther agent renal pelvis&/ureter via tub (50391) | $1,361.60 | $1,702 | 5.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $316.80 | $396 | 0.8× |
| Intubation endotracheal emergency procedure (31500) | $849.60 | $1,062 | 3.6× |
| Laparoscopic myomectomy (58545) unusually low: confirm this is the full procedure |
$2,507.20 | $3,134 | 0.4× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) likely a partial charge, not the full procedure |
$1,748.80 | $2,186 | 0.3× |
| Laryngoscopy diagnostic (31505) | $248 | $310 | 1.3× |
| Laryngoscopy flexible diagnostic (31575) | $539.20 | $674 | 2.7× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) | $1,464.80 | $1,831 | 3.8× |
| Late closure of wound (13160) | $2,395.20 | $2,994 | 0.7× |
| Maternity Care Procedure (59899) | $376.80 | $471 | 1.9× |
| N Block Inj Celiac Pelus (64530) | $2,194.40 | $2,743 | 2.5× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $2,096.80 | $2,621 | 3.0× |
| N Block Lumbar/Thoracic (64520) | $2,370.40 | $2,963 | 2.7× |
| Nasal/Orogastric W/Tube Plmt (43752) | $1,121.60 | $1,402 | 2.5× |
| Needle Biopsy Lymph Nodes (38505) | $1,856.80 | $2,321 | 1.1× |
| Needle Biopsy Pancreas (48102) | $2,364.80 | $2,956 | 1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) | $3,521.60 | $4,402 | 4.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $479.20 | $599 | 1.6× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$2,531.20–$5,062.40 | $3,164–$6,328 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) | $2,417.60 | $3,022 | 3.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) | $2,249.60 | $2,812 | 3.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) | $1,393.60 | $1,742 | 2.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) | $3,174.40 | $3,968 | 4.6× |
| Occipital Nerve Block (64405) range across 2 matching MRF lines |
$1,056–$2,111.20 | $1,320–$2,639 | varies |
| Open/Perq Place Stent 1St (37236) | $17,013.60 | $21,267 | 1.5× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) | $4,044.80 | $5,056 | 1.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) | $4,211.20 | $5,264 | 1.3× |
| Ostectomy, complete excision; first metatarsal head (28111) | $5,311.20 | $6,639 | 1.6× |
| Partical Excision Bone Phalanx Toe (28124) | $3,942.40 | $4,928 | 1.2× |
| Percut Drain/Inject Renal Cyst (50390) | $2,492 | $3,115 | 3.6× |
| Peritoneal Lavage (49084) | $3,423.20 | $4,279 | 3.8× |
| Perq Cervicothoracic Inject (22510) | $10,056.80 | $12,571 | 3.1× |
| Perq dev breast 1st strtctc (19283) | $3,572 | $4,465 | 5.1× |
| Perq dev breast 1st us imag (19285) | $3,416.80 | $4,271 | 4.9× |
| Perq Lumbosacral Injection (22511) | $10,056.80 | $12,571 | 3.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,669.60 | $2,087 | 2.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) | $16,452.80 | $20,566 | 2.3× |
| Perq Vertebral Augmentation (22513) | $16,452.80 | $20,566 | 2.3× |
| Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$1,178.40–$7,952.80 | $1,473–$9,941 | varies |
| Place Cath Thoracic Aorta (36221) | $8,680.80 | $10,851 | 2.8× |
| Place Cath Vertebral Art (36226) likely a partial charge, not the full procedure |
$1,510.40 | $1,888 | 0.3× |
| Placement of needle for intraosseous infusion (36680) | $412.80 | $516 | 0.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) | $3,260 | $4,075 | 1.6× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) | $11,039.20 | $13,799 | 1.8× |
| Pseudoaneurysm Injection Trt (36002) | $887.20 | $1,109 | 1.4× |
| Punch biopsy skin single lesion (11104) | $524 | $655 | 1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 7 matching MRF lines |
$308.80–$1,032.80 | $386–$1,291 | varies |
| Puncture Aspiration Cyst Breast (19000) | $818.40 | $1,023 | 1.2× |
| Realignment extensor tendon hand each tendon (26437) | $1,753.60 | $2,192 | 0.5× |
| Reconstruct wrist joint (25445) likely a partial charge, not the full procedure |
$2,054.40 | $2,568 | 0.3× |
| Rem Endovas Vena Cava Filter (37193) | $1,372.80 | $1,716 | 0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$404–$1,723.20 | $505–$2,154 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) | $646.40 | $808 | 0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$64.80–$228.80 | $81–$286 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$64.80–$132 | $81–$165 | varies |
| Removal of nail bed (11750) | $452 | $565 | 1.1× |
| Removal of tunneled intraperitoneal catheter (49422) | $5,423.20 | $6,779 | 1.7× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$131.20–$147.20 | $164–$184 | varies |
| Removal subcutaneous cardiac rhythm monitor (33286) | $3,068.80 | $3,836 | 4.4× |
| Removal/bivalving gauntlet boot/body cast (29700) | $688.80 | $861 | 2.5× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$130.40–$132 | $163–$165 | varies |
| Remove Intrauterine Device (58301) | $226.40 | $283 | 0.8× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$120–$458.40 | $150–$573 | varies |
| Remove Pulse Generator (33241) | $5,744 | $7,180 | 1.6× |
| Remove renal tube w/fluoro (50389) | $2,304 | $2,880 | 3.4× |
| Remove&replace pm gen singl (33227) | $15,831.20 | $19,789 | 1.9× |
| Remv&replc cvd gen dual lead (33263) | $37,597.60 | $46,997 | 1.7× |
| Remv&replc cvd gen mult lead (33264) | $38,586.40 | $48,233 | 1.2× |
| Remv&replc cvd gen sing lead (33262) | $34,629.60 | $43,287 | 1.6× |
| Remv&replc pm gen dual lead (33228) | $17,414.40 | $21,768 | 1.7× |
| Remv&replc pm gen mult leads (33229) | $22,624.80 | $28,281 | 1.2× |
| Renal Biopsy Perq (50200) | $2,105.60 | $2,632 | 1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$85.60–$529.60 | $107–$662 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $427.20 | $534 | 1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $1,880.80 | $2,351 | 4.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$85.60–$441.60 | $107–$552 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $293.60 | $367 | 0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) | $660 | $825 | 0.9× |
| Repair extensor tendon finger w/o graft each (26418) | $4,215.20 | $5,269 | 2.7× |
| Repair Finger/Hand Tendon (26350) | $2,096.80 | $2,621 | 0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $700.80 | $876 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $1,216 | $1,520 | 3.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$316.80–$375.20 | $396–$469 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $470.40 | $588 | 1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$387.20–$474.40 | $484–$593 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$451.20–$637.60 | $564–$797 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $313.60 | $392 | 0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $85.60 | $107 | 0.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$441.60–$1,147.20 | $552–$1,434 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$110.40–$546.40 | $138–$683 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$220–$366.40 | $275–$458 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$375.20–$393.60 | $469–$492 | varies |
| Repair of biceps tendon (24340) likely a partial charge, not the full procedure |
$1,650.40 | $2,063 | 0.2× |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$335.20–$719.20 | $419–$899 | varies |
| Repair/Graft Wrist Bone (25440) likely a partial charge, not the full procedure |
$2,141.60 | $2,677 | 0.3× |
| Repr Elbw Med Ligmnt W/Tiss (24345) likely a partial charge, not the full procedure |
$2,032 | $2,540 | 0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$114.40–$140 | $143–$175 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$124.80–$160 | $156–$200 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $80 | $100 | 0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) | $2,508.80 | $3,136 | 2.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $6,432 | $8,040 | 1.7× |
| Rplc Gtube No Revj Trc (43762) | $116 | $145 | 0.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$230.40–$245.60 | $288–$307 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $85.60 | $107 | 0.1× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) | $3,429.60 | $4,287 | 2.9× |
| Sigmoidoscopy W/Ultrasound (45341) | $3,104.80 | $3,881 | 3.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $225.60 | $282 | 0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
$188–$700.80 | $235–$876 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$210.40–$637.60 | $263–$797 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $85.60 | $107 | 0.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$224.80–$637.60 | $281–$797 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $296 | $370 | 1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$199.20–$524 | $249–$655 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$222.40–$637.60 | $278–$797 | varies |
| Skin sub graft face/nk/hf/g (15275) | $4,318.40 | $5,398 | 5.9× |
| Skin sub graft trnk/arm/leg (15271) | $4,318.40 | $5,398 | 5.9× |
| Skin sub grft t/arm/lg child (15273) | $8,735.20 | $10,919 | 4.3× |
| Skn sub grft f/n/hf/g child (15277) | $4,760.80 | $5,951 | 2.3× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) range across 2 matching MRF lines |
$1,002.40–$9,629.60 | $1,253–$12,037 | varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) | $14,429.60 | $18,037 | 2.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$206.40–$524 | $258–$655 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$308.80–$569.60 | $386–$712 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$85.60–$399.20 | $107–$499 | varies |
| Spinal puncture lumbar diagnostic (62270) | $1,379.20 | $1,724 | 2.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) | $8,735.20 | $10,919 | 2.5× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) | $4,848 | $6,060 | 2.4× |
| Strapping ankle (29540) range across 3 matching MRF lines |
$132.80–$412.80 | $166–$516 | varies |
| Strapping elbow or wrist (29260) | $118.40 | $148 | 2.0× |
| Strapping hand/finger (29280) | $115.20 | $144 | 2.0× |
| Strapping Hip (29520) | $92.80 | $116 | 0.7× |
| Strapping knee (29530) | $132.80 | $166 | 1.0× |
| Strapping shoulder (29240) | $132.80 | $166 | 1.0× |
| Strapping thorax (29200) | $132.80 | $166 | 0.8× |
| Strapping toes (29550) | $112.80 | $141 | 1.9× |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
$602.40–$1,204.80 | $753–$1,506 | varies |
| Tangential biopsy skin single lesion (11102) | $524 | $655 | 1.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) | $4,049.60 | $5,062 | 2.6× |
| Thrombolytic Therapy Stroke (37195) | $917.60 | $1,147 | 2.8× |
| Thrombolytic Venous Therapy (37212) | $3,297.60 | $4,122 | 1.1× |
| Thyroid biopsy (60100) | $1,557.60 | $1,947 | 2.2× |
| Tooth extraction (41899) | $176.80 | $221 | 0.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $1,805.60 | $2,257 | 7.7× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) | $1,556.80 | $1,946 | 0.8× |
| Transfer/transplant tendon palmar w/o graft each (26485) | $2,234.40 | $2,793 | 0.7× |
| Transplant hand tendon (26480) | $1,957.60 | $2,447 | 0.6× |
| Transplant/graft hand tendon (26483) | $2,176 | $2,720 | 0.7× |
| Treat Humerus Fracture (24505) | $1,455.20 | $1,819 | 0.9× |
| Treat Knuckle Dislocation (26700) | $832 | $1,040 | 3.4× |
| Treat Thumb Dislocation (26641) | $258.40 | $323 | 1.1× |
| Treat toe dislocation (28630) range across 2 matching MRF lines |
$211.20–$393.60 | $264–$492 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,465.60 | $1,832 | 0.9× |
| Treatment closed elbow dislocation w/o anes (24600) | $913.60 | $1,142 | 3.8× |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$164.80–$524 | $206–$655 | varies |
| Trim skin lesions 2 to 4 (11056) | $524 | $655 | 2.7× |
| Trim skin lesions over 4 (11057) | $524 | $655 | 2.7× |
| Trimming Nondystrophic Nails Any Number (11719) | $166.40 | $208 | 2.9× |
| Trluml Balo Angiop 1St Art (37246) | $9,335.20 | $11,669 | 1.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $1,485.60 | $1,857 | 2.0× |
| Unlisted procedure breast (19499) | $4,497.60 | $5,622 | 1.2× |
| Unlisted Procedure Hands/Fingers (26989) | $1,600 | $2,000 | 6.6× |
| Unlisted procedure larynx (31599) | $394.40 | $493 | 1.7× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$90.40–$2,653.60 | $113–$3,317 | varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) | $444 | $555 | 1.9× |
| Upgrade of pacemaker system (33214) | $18,304.80 | $22,881 | 1.8× |
| Wedge excision skin nail fold (11765) | $308.80 | $386 | 0.8× |
| Wound Prep F/N/Hf/G (15004) | $1,459.20 | $1,824 | 3.6× |
| Wound Prep Trk/Arm/Leg (15002) | $4,760.80 | $5,951 | 6.5× |
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.