Procedures & surgery prices at Mc Donough District Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $1,159.20–$1,345.80 $1,932–$2,243 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,223.40 $2,039 1.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) $27,318 $45,530 7.8×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $2,097 $3,495 0.6×
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines		 $156.60–$219.60 $261–$366 varies
Application cast elbow finger short arm (29075) $278.40 $464 0.9×
Application finger splint static (29130) $175.80 $293 1.2×
Application long arm splint shoulder hand (29105) $271.80 $453 1.6×
Application Long Leg Splint (29505) $267.60 $446 1.5×
Application of long leg cast (29345) $345 $575 1.2×
Application short arm splint forearm-hand static (29125) $226.20 $377 1.6×
Application short leg splint calf foot (29515) $277.20 $462 1.6×
Apply hand/wrist cast (29085) $327.60 $546 1.9×
Apply long arm cast (29065) $310.80 $518 1.0×
Apply Multlay Comprs Lwr Leg (29581)
range across 8 matching MRF lines		 $122.40–$281.40 $204–$469 varies
Apply Short Leg Cast (29405) $276.60 $461 0.9×
Arterial puncture (36600) $71.40 $119 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $254.40–$435 $424–$725 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $522.60 $871 0.7×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $462–$554.40 $770–$924 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $661.20 $1,102 2.0×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $235.80–$435 $393–$725 varies
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines		 $1,126.20–$1,348.80 $1,877–$2,248 varies
Aspirate Pleura W/O Imaging (32554)
range across 3 matching MRF lines		 $809.40–$1,112.40 $1,349–$1,854 varies
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines		 $243–$423 $405–$705 varies
Biopsy Abdominal Mass (49180) $1,202.40 $2,004 0.7×
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines		 $1,298.40–$1,402.20 $2,164–$2,337 varies
Biopsy muscle percutaneous needle (20206) $816.60 $1,361 0.5×
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines		 $1,155–$1,247.40 $1,925–$2,079 varies
Biopsy of rectum (45100) $2,104.20 $3,507 0.7×
Bladder Scan (51798) $85.80 $143 1.4×
Blood Transfusion Service (36430) $805.20 $1,342 1.7×
Bone Marrow Biopsy (38221) $1,612.80 $2,688 0.9×
Bone Marrow; Aspiration Only (38220) $814.20 $1,357 0.5×
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines		 $3,418.80–$4,368 $5,698–$7,280 varies
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines		 $2,281.20–$4,368 $3,802–$7,280 varies
Change Cystostomy Tube Simple (51705) $297 $495 1.1×
Chemical Cautery Tissue (17250) $187.80 $313 0.9×
Chemodenerv 1 extremity 1-4 (64642) $1,105.80 $1,843 1.5×
Chemodenerv Musc Migraine (64615) $435 $725 1.3×
Chemodenerv musc neck dyston (64616) $423 $705 1.3×
Chemodenerv trunk musc 1-5 (64646) $435 $725 0.6×
Chest tube placement (32551) $2,877 $4,795 1.7×
Circumcision 28 days or older (54161) $2,803.20 $4,672 1.3×
Circumcision w/clamp/oth dev w/block (54150) $1,354.80 $2,258 0.6×
Cl Tx Tib Shft Fx W Manip (27752) $1,416 $2,360 0.8×
Clear outer ear canal (69200) $192 $320 1.3×
Closed tx ankle dislocation w/o anesthesia (27840) $466.80 $778 1.8×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $2,391 $3,985 1.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $429 $715 1.6×
Closed tx metatarsal fracture w/o manipulation (28470) $374.40 $624 1.4×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,851.60 $3,086 1.1×
Closed tx patellar dislocation w/anesthesia (27562) $989.40 $1,649 3.7×
Closed tx patellar dislocation w/o anesthesia (27560) $514.80 $858 1.9×
Closed tx radial head/neck fx w/manipulation (24655) $768.60 $1,281 0.4×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $2,391 $3,985 1.4×
Closed Tx Talus Fracture W/Manipulation (28435) $727.20 $1,212 0.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $327 $545 1.2×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,347 $2,245 0.8×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $1,363.20 $2,272 0.8×
Clsd tx clavicular fracture w/o manipulation (23500) $351 $585 1.3×
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,234.60 $5,391 1.9×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $447.60 $746 1.7×
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,234.60 $5,391 1.9×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $768.60 $1,281 0.4×
Cltx dstl fibular fx lat malls w/manj (27788) $396.60 $661 1.5×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $379.80 $633 1.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $308.40 $514 1.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,234.60 $5,391 1.9×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) $768.60 $1,281 0.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,369.20 $2,282 0.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $379.80 $633 1.4×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $2,391 $3,985 1.4×
Cltx hip dislocation traumatic req anesthesia (27252) $2,391 $3,985 1.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $447.60 $746 1.7×
Cltx Med Ankle Fx W/Mnpj (27762) $1,286.40 $2,144 0.7×
Cltx metacarpal fx w/manipulation each bone (26605) $421.80 $703 1.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $289.80 $483 1.1×
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $481.80 $803 0.3×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $379.80 $633 1.4×
Cltx post hip arthrp dislc req anes (27266) $2,814 $4,690 1.6×
Cltx post hip arthrp dislc w/o anes (27265) $379.80 $633 1.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,450.80 $2,418 0.8×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $245.40 $409 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $514.80 $858 1.9×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $768.60 $1,281 0.4×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $768.60 $1,281 0.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $768.60 $1,281 0.4×
Cltx trimalleolar ankle fx w/o manipulation (27816) $388.80 $648 1.5×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $106.80–$400.20 $178–$667 varies
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines		 $13.80–$39 $23–$65 varies
Colporrhaphy (57200) $2,413.80 $4,023 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $305.40 $509 2.1×
Control Nasal Hemorrhage Anterior Simple (30901) $226.20 $377 1.6×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $283.20 $472 2.0×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $910.20 $1,517 0.2×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $6,606 $11,010 3.2×
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $60–$134.40 $100–$224 varies
Debride nail 6 or more (11721) $90 $150 1.4×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $1,599.60 $2,666 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $564 $940 1.3×
Denervation of hip joint (27035) $3,902.40 $6,504 1.1×
Destr W Neurolytic; Celiac Plexus (64680) $1,597.80 $2,663 1.7×
Destroy cerv/thor facet jnt (64633) $2,708.40 $4,514 1.3×
Destroy lumb/sac facet jnt (64635) $2,708.40 $4,514 1.3×
Destruction by neurolytic agent, intercostal nerve (64620) $1,597.80 $2,663 1.7×
Destruction by neurolytic agent; plantar common digital nerve (64632) $423 $705 1.3×
Destruction by neurolytic agent; pudendal nerve (64630) $1,332 $2,220 1.4×
Destruction premalignant lesion 1st (17000) $100.80 $168 0.5×
Drain Cerebro Spinal Fluid (62272) $1,138.80 $1,898 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,076.40 $1,794 1.4×
Drainage of finger abscess simple (26010) $308.40 $514 1.4×
Drainage of gum lesion (41800) $192 $320 1.3×
Drainage of hematoma/fluid (10140) $2,422.20 $4,037 1.4×
Drainage of scrotal wall abscess (55100) $1,251 $2,085 0.7×
Drainage of scrotum (54700) $3,125.40 $5,209 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $298.20 $497 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $240.60 $401 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $203.40–$245.40 $339–$409 varies
Dstrj Lesion Penis Simple Cryosurgery (54056) $159.60 $266 0.7×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,597.80 $2,663 1.7×
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) $1,597.80 $2,663 1.7×
Dx Bone Marrow Bx & Aspir (38222) $1,971.60 $3,286 0.6×
Dx Bronchoscope/Wash (31622) $1,455.60 $2,426 0.8×
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) $468.60 $781 1.4×
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) $468.60 $781 1.4×
Epidural Blood Patch (62273) $1,207.20 $2,012 1.6×
Evacuation of subungual hematoma (11740) $123.60 $206 0.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $499.20 $832 0.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $924 $1,540 1.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $496.20 $827 0.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,052.40 $1,754 0.6×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,195.40 $3,659 1.7×
Expl penetrating wound spx abdomen/flank/back (20102) $2,200.20 $3,667 1.0×
Exploration penetrating wound spx extremity (20103) $1,370.40 $2,284 0.8×
External cephalic version (59412) $3,304.80 $5,508 1.0×
Fetal non-stress test (59025)
range across 3 matching MRF lines		 $494.40–$621 $824–$1,035 varies
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $361.80–$376.20 $603–$627 varies
Fluid Pressure Muscle (20950) $298.20 $497 0.4×
Fluoro exam of g/colon tube (49465) $334.20 $557 1.3×
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines		 $606–$2,427 $1,010–$4,045 varies
I&d abscess peritonsillar (42700) $358.80 $598 1.4×
I&d abscess simple (10060) $362.40 $604 1.7×
I&d perianal abscess superficial (46050) $1,714.80 $2,858 1.7×
I&d pilonidal cyst complicated (10081) $1,062.60 $1,771 1.4×
I&d pilonidal cyst simple (10080) $1,076.40 $1,794 1.4×
Image Cath Fluid Peri/Retro (49406) $10,493.40 $17,489 5.9×
Implant neuroelectrodes (63650) $10,200.60 $17,001 1.5×
Implant Spine Infusion Pump (62362) $29,855.40 $49,759 1.5×
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $6,606 $11,010 0.7×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $481.80–$652.20 $803–$1,087 varies
Incision & drainage abscess complicated/multiple (10061) $591.60 $986 1.4×
Incision & removal foreign body subq tiss compl (10121) $2,665.80 $4,443 1.5×
Incision & removal foreign body subq tiss simple (10120) $762.60 $1,271 1.8×
Incision and drainage of bartholin's gland abscess (56420) $292.80 $488 1.4×
Incision and drainage of vulva or perineal abscess (56405) $477.60 $796 1.5×
Incision of rectal abscess (46040) $2,178.60 $3,631 1.7×
Initial Tx 1st Degree Burn Local Tx (16000) $189 $315 0.9×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,597.80 $2,663 1.7×
Inj W/Fluor Eval Cv Device (36598) $444 $740 1.9×
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $1,221 $2,035 1.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,444.20 $2,407 1.5×
Injection 1 tendon sheath/ligament aponeurosis (20550) $423 $705 1.3×
Injection aa&/strd axillary nerve w/img gdn (64417) $1,434.60 $2,391 1.5×
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,074.60 $1,791 1.1×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,138.80 $1,898 1.5×
Injection Anes Agent Sphenopalatine Ganglion (64505) $435 $725 1.3×
Injection Anes Superior Hypogastric Plexus (64517) $1,598.40 $2,664 1.7×
Injection anesthetic agent suprascapular nerve (64418) $1,138.80 $1,898 1.5×
Injection into disk lesion (62292) $2,708.40 $4,514 1.3×
Injection into spinal artery (62294) $1,138.80 $1,898 1.2×
Injection single tendon origin/insertion (20551) $435 $725 1.3×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $376.20–$435 $627–$725 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $346.80–$423 $578–$705 varies
Injection therapeutic carpal tunnel (20526) $435 $725 1.3×
Injection, anesthetic agent; brachial plexus, single (64415) $1,695 $2,825 1.8×
Injection, anesthetic agent; femoral nerve, single (64447) $1,138.80 $1,898 1.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $669 $1,115 0.9×
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $1,598.40 $2,664 1.7×
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $1,597.80 $2,663 1.7×
Injx/Infusion Neurolytic Substance Subarachnoid (62280) $1,598.40 $2,664 1.7×
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines		 $549–$2,877 $915–$4,795 varies
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines		 $163.20–$169.80 $272–$283 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines		 $217.80–$226.20 $363–$377 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,278 $2,130 0.8×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $2,326.80 $3,878 0.7×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $51,987.60 $86,646 1.6×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $5,362.80 $8,938 0.6×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $379.80 $633 0.9×
Intro Gastrointestinal Tube (44500) $498 $830 0.5×
Intubation endotracheal emergency procedure (31500) $567 $945 2.2×
Laryngoscopy W/Foreign Body Removal (31530) $2,106 $3,510 1.1×
Late closure of wound (13160) $3,063 $5,105 0.8×
Manipulation knee joint under general anesthesia (27570) $1,963.80 $3,273 1.1×
Manometric stds thru tube/ndwellg urtrl cath (50396) $736.80 $1,228 1.0×
Myelography Lumbar Injection (62305) $2,256.60 $3,761 2.7×
Myelography Lumbar Injection (62304) $1,776 $2,960 2.1×
Myelography via lumbar injection rs&i cervical (62302) $1,776 $2,960 2.1×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $1,776 $2,960 2.1×
N Block Inj Celiac Pelus (64530) $1,598.40 $2,664 1.7×
N Block Inj Ilio-Ing/Hypogi (64425) $1,118.40 $1,864 1.5×
N block inj intercost sng (64420) $826.80 $1,378 1.1×
N Block Inj Pudendal (64430) $1,138.80 $1,898 1.2×
N Block Lumbar/Thoracic (64520) $1,471.80 $2,453 1.6×
Nasal/Orogastric W/Tube Plmt (43752) $432.60 $721 0.9×
Needle Biopsy Lymph Nodes (38505) $954.60 $1,591 0.5×
Needle insertion w/o injection 1 or 2 muscles (20560) $13.20 $22 0.4×
Needle insertion w/o injection 3 or more muscles (20561) $25.80 $43 0.8×
Njx anes stellate ganglion crv sympathetic (64510) $1,138.80 $1,898 1.2×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $624.60 $1,041 1.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,597.80 $2,663 1.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,138.80 $1,898 1.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,138.20 $1,897 1.5×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,575 $2,625 1.7×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,138.80 $1,898 1.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,369.20 $2,282 1.4×
Occipital Nerve Block (64405) $681 $1,135 2.1×
Partial Excision Distal Phalanx Finger (26236) $3,234.60 $5,391 1.9×
Partical Excision Bone Phalanx Toe (28124) $3,234.60 $5,391 0.9×
Perq device breast 1st imag (19281)
range across 2 matching MRF lines		 $1,027.20–$1,941 $1,712–$3,235 varies
Placement of needle for intraosseous infusion (36680)
range across 4 matching MRF lines		 $293.40–$755.40 $489–$1,259 varies
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) $1,598.40 $2,664 1.7×
Punch biopsy skin single lesion (11104) $432.60 $721 1.0×
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $398.40–$665.40 $664–$1,109 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $939.60 $1,566 1.2×
Rdctj torsion tstis w/wo fixj clat testis (54600) $3,114 $5,190 0.8×
Reduction of rectal prolapse (45900) $601.20 $1,002 0.6×
Relieve Pressure on Nerve(S) (64722) $2,708.40 $4,514 1.3×
Removal Foreign Body Foot Complicated (28193) $884.40 $1,474 0.5×
Removal foreign body foot deep (28192) $997.20 $1,662 0.6×
Removal Foreign Body Foot Subcutaneous (28190) $1,076.40 $1,794 1.4×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $1,641.60 $2,736 0.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $107.40 $179 1.7×
Removal of nail bed (11750) $465.60 $776 1.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $179.40 $299 0.8×
Remove drug implant device (11982) $423 $705 0.9×
Remove foreign body from eye (65205) $260.40 $434 1.8×
Remove Nasal Foreign Body (30300) $260.40 $434 1.8×
Renal Biopsy Perq (50200) $1,424.40 $2,374 0.8×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure		 $1,914 $3,190 0.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $876.60 $1,461 1.1×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $481.20 $802 1.1×
Repair Hand Tendon (26410) $2,000.40 $3,334 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $663 $1,105 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $564 $940 1.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $349.20 $582 0.8×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $370.80 $618 0.9×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $426.60 $711 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $469.20 $782 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $388.80 $648 0.9×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $412.20 $687 0.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $409.20 $682 0.9×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $762.60 $1,271 1.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $876.60 $1,461 1.1×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $564 $940 1.3×
Repair of nail bed (11760) $388.80 $648 0.5×
Repair tongue laceration (41252) $741.60 $1,236 2.9×
Repair tongue laceration (41250) $356.40 $594 0.7×
Retrobulbar injection (67500) $493.80 $823 1.5×
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) $10,200.60 $17,001 1.5×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) $4,257 $7,095 1.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $641.40 $1,069 1.3×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $641.40 $1,069 1.3×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $2,896.20 $4,827 0.9×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $699.60 $1,166 0.4×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $2,708.40 $4,514 1.3×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $2,708.40 $4,514 1.3×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $6,606 $11,010 1.8×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $1,028.40 $1,714 0.6×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines		 $406.20–$414 $677–$690 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $417 $695 1.9×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $417 $695 1.9×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $362.40 $604 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $308.40 $514 1.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $417 $695 1.9×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $308.40 $514 1.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $417 $695 1.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $417 $695 1.9×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $564 $940 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $375.60 $626 0.9×
Spinal puncture lumbar diagnostic (62270) $726 $1,210 1.0×
Strapping ankle (29540) $277.20 $462 1.6×
Strapping elbow or wrist (29260) $122.40 $204 1.9×
Strapping hand/finger (29280) $94.80 $158 1.5×
Strapping Hip (29520) $94.80 $158 0.7×
Strapping knee (29530) $226.20 $377 1.6×
Strapping shoulder (29240) $178.20 $297 1.2×
Strapping thorax (29200) $94.80 $158 0.5×
Strapping toes (29550) $94.80 $158 1.5×
Strapping Unna Boot (29580)
range across 5 matching MRF lines		 $75.60–$300.60 $126–$501 varies
Thrombolytic Therapy Stroke (37195) $457.80 $763 1.3×
Treat knee fracture (27532) $1,286.40 $2,144 0.4×
Treat Knuckle Dislocation (26700) $379.80 $633 1.4×
Treat Metatarsal Fracture (28475) $379.80 $633 1.4×
Treat Tail Bone Fracture (27200) $232.80 $388 0.9×
Treat Thumb Dislocation (26641) $1,033.20 $1,722 3.9×
Treat Thumb Fracture (26645) $1,257 $2,095 0.7×
Treatment closed elbow dislocation w/o anes (24600) $379.80 $633 1.4×
Trim skin lesion (11055) $169.20 $282 0.8×
Trim skin lesions 2 to 4 (11056) $180 $300 0.8×
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $60–$210 $100–$350 varies
Tx Gastro Intub W/Asp (43753) $393.60 $656 1.7×
Tx Superficial Wound Dehiscence Simple Closure (12020) $686.40 $1,144 0.9×
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines		 $346.80–$1,207.20 $578–$2,012 varies
Unlisted Procedure Rectum (45999) $535.80 $893 0.5×
Vaginal delivery only (59409) $2,061.60 $3,436 0.6×
Wound Prep F/N/Hf/G (15004) $592.80 $988 1.4×
Wound Prep Trk/Arm/Leg (15002) $992.40 $1,654 1.3×

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.