Procedures & surgery prices at Medicine Lodge Memorial Hospital
Medicine Lodge, KS · every code in this section with a posted price and a Medicare benchmark.
405 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) | $1,500 | $1,500 | 1.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$388.30–$580 | $388.30–$580 | varies |
| Acne surgery (10040) | $145.49 | $145.49 | 0.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$750–$1,206.70 | $750–$1,206.70 | varies |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) | $520 | $520 | 0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$831–$2,600 | $831–$2,600 | varies |
| Amputation thigh through femur any level (27590) | $950 | $950 | 0.3× |
| Amputation toe metatarsophalangeal joint (28820) | $770 | $770 | 0.3× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) range across 2 matching MRF lines |
$800–$30,000 | $800–$30,000 | varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
$767–$8,700 | $767–$8,700 | varies |
| Appendectomy (44950) range across 2 matching MRF lines |
$900–$1,320 | $900–$1,320 | varies |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) | $370 | $370 | 2.5× |
| Application cast elbow finger short arm (29075) | $119 | $119 | 0.5× |
| Application Cast Finger (29086) | $53 | $53 | 0.4× |
| Application finger splint static (29130) | $75 | $75 | 0.6× |
| Application long arm splint shoulder hand (29105) | $118 | $118 | 0.8× |
| Application Long Leg Splint (29505) | $101 | $101 | 0.7× |
| Application of long leg cast (29345) | $295 | $295 | 1.1× |
| Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$134.82–$255.88 | $134.82–$255.88 | varies |
| Application Short Arm Splint Dynamic (29126) | $290.50 | $290.50 | 2.4× |
| Application short arm splint forearm-hand static (29125) | $78 | $78 | 0.6× |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$65.79–$150.13 | $65.79–$150.13 | varies |
| Apply hand/wrist cast (29085) | $76 | $76 | 0.5× |
| Apply long arm cast (29065) | $132 | $132 | 0.5× |
| Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
$38.36–$3,747.26 | $38.36–$3,747.26 | varies |
| Apply Short Leg Cast (29405) | $127 | $127 | 0.5× |
| Apply short leg cast (29425) | $154 | $154 | 0.6× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$97.75–$107.52 | $97.75–$107.52 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$97–$478.80 | $97–$478.80 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$85–$600 | $85–$600 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$170–$759 | $170–$759 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $94 | $94 | 0.3× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$910–$1,080.20 | $910–$1,080.20 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$177–$929.50 | $177–$929.50 | varies |
| Aspirate/Inj Ganglion Cyst (20612) | $161 | $161 | 0.6× |
| Aspiration bladder insert suprapubic catheter (51102) | $375 | $375 | 0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$73.54–$293.91 | $73.54–$293.91 | varies |
| Axillary lymphadenectomy; complete (38745) likely a partial charge, not the full procedure |
$850 | $850 | 0.2× |
| Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
$176.88–$1,544.75 | $176.88–$1,544.75 | varies |
| Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$118.89–$1,544.75 | $118.89–$1,544.75 | varies |
| Biopsy Muscle Superficial (20200) | $807.84 | $807.84 | 0.5× |
| Biopsy of lip (40490) | $104 | $104 | 0.5× |
| Biopsy of liver, needle; percutaneous (47000) | $880 | $880 | 0.6× |
| Bladder Irrigation (51700) | $95 | $95 | 0.4× |
| Bladder Scan (51798) | $93.50 | $93.50 | 1.7× |
| Blepharotomy drainage abscess eyelid (67700) | $250 | $250 | 0.9× |
| Blood Transfusion Service (36430) range across 7 matching MRF lines |
$92–$900 | $92–$900 | varies |
| Bone Marrow Biopsy (38221) | $194 | $194 | 0.1× |
| Bx/exc lymph node open deep axillary node (38525) | $905 | $905 | 0.3× |
| Bx/exc lymph node open superficial (38500) | $695 | $695 | 0.2× |
| Canthotomy Separate Procedure (67715) | $298.70 | $298.70 | 0.1× |
| Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
$920–$1,320 | $920–$1,320 | varies |
| Change Cystostomy Tube Simple (51705) | $89 | $89 | 0.4× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$49.86–$5,249.92 | $49.86–$5,249.92 | varies |
| Chest tube placement (32551) | $185 | $185 | 0.1× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$275–$3,600 | $275–$3,600 | varies |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$275–$400 | $275–$400 | varies |
| Clear outer ear canal (69200) | $101 | $101 | 0.8× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $1,634 | $1,634 | 7.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $670 | $670 | 3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $670 | $670 | 0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) | $150 | $150 | 0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $285 | $285 | 1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $289 | $289 | 1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) | $260 | $260 | 1.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $255 | $255 | 1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) | $370 | $370 | 1.6× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $260 | $260 | 1.1× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) | $907 | $907 | 0.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) | $1,100 | $1,100 | 4.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$425–$1,057.32 | $425–$1,057.32 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$402–$1,173.48 | $402–$1,173.48 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) | $821 | $821 | 3.6× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) | $260 | $260 | 1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $148 | $148 | 0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $350 | $350 | 1.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $485 | $485 | 0.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $300 | $300 | 1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $116 | $116 | 0.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $260 | $260 | 1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $222 | $222 | 1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) | $226 | $226 | 1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $1,420 | $1,420 | 6.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $180 | $180 | 0.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $243 | $243 | 1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $550 | $550 | 0.4× |
| Collect Blood From Catheter Venous Nos (36592) | $70 | $70 | 0.6× |
| Collection of venous blood by venipuncture (36415) | $22.90 | $22.90 | 2.5× |
| Colonoscopy w/ablation (45388) | $360 | $360 | 0.3× |
| Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$800–$1,735 | $800–$1,735 | varies |
| Colpocleisis (le fort type) (57120) | $980 | $980 | 0.2× |
| Colpopexy vaginal intraperitoneal approach (57283) likely a partial charge, not the full procedure |
$1,950 | $1,950 | 0.3× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) | $368 | $368 | 1.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) range across 3 matching MRF lines |
$700–$1,850 | $700–$1,850 | varies |
| Complex drainage wound (10180) range across 3 matching MRF lines |
$236.42–$5,109.03 | $236.42–$5,109.03 | varies |
| Conization of cervix (57520) range across 2 matching MRF lines |
$625–$4,757 | $625–$4,757 | varies |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$160–$166 | $160–$166 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$99–$638.88 | $99–$638.88 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $355 | $355 | 2.9× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $57 | $57 | 0.3× |
| Cysto Bladder W/Ureteral Catheterization (52005) | $375 | $375 | 0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) | $1,232 | $1,232 | 0.6× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) | $630 | $630 | 0.3× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$340–$1,411.30 | $340–$1,411.30 | varies |
| Cystourethroscopy with biopsy (52204) | $1,100 | $1,100 | 0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
$200–$945.28 | $200–$945.28 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$19.96–$100.90 | $19.96–$100.90 | varies |
| Debride nail 6 or more (11721) range across 2 matching MRF lines |
$33.12–$100.90 | $33.12–$100.90 | varies |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 3 matching MRF lines |
$296–$2,437.33 | $296–$2,437.33 | varies |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$81.25–$609.08 | $81.25–$609.08 | varies |
| Declot vascular device (36593) | $190 | $190 | 0.6× |
| Deep Muscle Biopsy (20205) | $6,117 | $6,117 | 2.3× |
| Destr penis lesion(s) (54065) | $350 | $350 | 0.2× |
| Destroy cerv/thor facet jnt (64633) range across 3 matching MRF lines |
$567–$2,500 | $567–$2,500 | varies |
| Destroy lumb/sac facet jnt (64635) range across 3 matching MRF lines |
$562–$2,500 | $562–$2,500 | varies |
| Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
$140–$197.02 | $140–$197.02 | varies |
| Destruction Benign Lesions 15/> (17111) | $106 | $106 | 0.6× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) range across 2 matching MRF lines |
$340–$2,640 | $340–$2,640 | varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $223 | $223 | 1.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $256 | $256 | 1.4× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) | $520 | $520 | 0.8× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $182 | $182 | 1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $221 | $221 | 1.2× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $174 | $174 | 0.9× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $186 | $186 | 1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $205 | $205 | 1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $155 | $155 | 0.8× |
| Destruction of skin lesions (17106) | $425 | $425 | 1.1× |
| Destruction Premalignant Lesion 15/> (17004) | $578 | $578 | 1.5× |
| Destruction premalignant lesion 1st (17000) | $107 | $107 | 0.6× |
| Destruction Vaginal Lesions Simple (57061) | $95 | $95 | 0.0× |
| Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$245–$1,235 | $245–$1,235 | varies |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) | $101 | $101 | 0.9× |
| Dilate Urethra Stricture (53600) | $58 | $58 | 0.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
$735–$1,155 | $735–$1,155 | varies |
| Drainage Finger Abscess Complicated (26011) | $173 | $173 | 0.1× |
| Drainage of finger abscess simple (26010) | $94 | $94 | 0.5× |
| Drainage of gum lesion (41800) | $200 | $200 | 1.6× |
| Drainage of hematoma/fluid (10140) range across 4 matching MRF lines |
$158.93–$1,602.11 | $158.93–$1,602.11 | varies |
| Drainage of hydrocele (55000) range across 2 matching MRF lines |
$206–$206.32 | $206–$206.32 | varies |
| Drainage of rectal abscess (45005) | $151 | $151 | 0.1× |
| Drainage of scrotal wall abscess (55100) | $7,612.85 | $7,612.85 | 5.0× |
| Drainage of scrotum (54700) range across 2 matching MRF lines |
$921–$1,845 | $921–$1,845 | varies |
| Draw Blood Off Venous Device (36591) | $133 | $133 | 1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $225 | $225 | 0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$175.21–$501.77 | $175.21–$501.77 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$149.30–$501.77 | $149.30–$501.77 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$58–$501.77 | $58–$501.77 | varies |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) | $435 | $435 | 0.2× |
| Dstrj Lesion Penis Simple Chemical (54050) | $145 | $145 | 0.4× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) range across 2 matching MRF lines |
$175–$176 | $175–$176 | varies |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) | $200 | $200 | 0.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$196–$330 | $196–$330 | varies |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 3 matching MRF lines |
$957–$2,175 | $957–$2,175 | varies |
| Egd dilation gastric/duodenal stricture (43245) | $800 | $800 | 0.5× |
| Egd Flexible Foreign Body Removal (43247) range across 3 matching MRF lines |
$840–$1,820 | $840–$1,820 | varies |
| Egd place gastrostomy tube (43246) range across 3 matching MRF lines |
$985–$2,965 | $985–$2,965 | varies |
| Egd remove lesion snare (43251) range across 2 matching MRF lines |
$750–$1,880 | $750–$1,880 | varies |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) range across 2 matching MRF lines |
$1,239–$1,925 | $1,239–$1,925 | varies |
| Endometrial Biopsy (58100) | $2,009.70 | $2,009.70 | 10.8× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) | $1,251 | $1,251 | 0.7× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) | $130 | $130 | 0.1× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 2 matching MRF lines |
$880–$1,194.60 | $880–$1,194.60 | varies |
| Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$42.26–$170 | $42.26–$170 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 3 matching MRF lines |
$156–$1,620 | $156–$1,620 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $254 | $254 | 0.2× |
| Exc Back Les Sc < 3 Cm (21930) | $574 | $574 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $297 | $297 | 0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
$337–$1,102 | $337–$1,102 | varies |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) | $475 | $475 | 0.3× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) | $174 | $174 | 0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $214 | $214 | 0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $238 | $238 | 0.4× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$292–$1,840 | $292–$1,840 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $354 | $354 | 0.2× |
| Exc Frenum Labial/Buccal (40819) | $355 | $355 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $158 | $158 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $200 | $200 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) | $224 | $224 | 0.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) | $420 | $420 | 0.3× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) | $950 | $950 | 0.4× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$244–$1,665 | $244–$1,665 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $293 | $293 | 0.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$420–$2,485 | $420–$2,485 | varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$400–$2,620 | $400–$2,620 | varies |
| Exc Skin Benig >4cm Face,Facial (11446) | $588 | $588 | 0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) | $374 | $374 | 0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) | $493 | $493 | 0.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$560–$2,613 | $560–$2,613 | varies |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $230 | $230 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$191–$1,055 | $191–$1,055 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines |
$211–$1,160.28 | $211–$1,160.28 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$276–$1,590 | $276–$1,590 | varies |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$565–$1,206.70 | $565–$1,206.70 | varies |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) range across 2 matching MRF lines |
$660–$1,020 | $660–$1,020 | varies |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) range across 2 matching MRF lines |
$895–$6,880 | $895–$6,880 | varies |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $880 | $880 | 0.3× |
| Excis Mouth Mucosa/Sub,No Repair (40810) | $250 | $250 | 0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $351 | $351 | 0.5× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) | $420 | $420 | 0.2× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $322.50 | $322.50 | 0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $246 | $246 | 0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $286 | $286 | 0.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $308 | $308 | 0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 2 matching MRF lines |
$391–$1,100 | $391–$1,100 | varies |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $253 | $253 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 2 matching MRF lines |
$397–$1,440 | $397–$1,440 | varies |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $637 | $637 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $235 | $235 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $277 | $277 | 0.4× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $318 | $318 | 0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) | $423 | $423 | 0.3× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$525–$3,230.70 | $525–$3,230.70 | varies |
| Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
$800–$3,000 | $800–$3,000 | varies |
| Excision of pilonidal cyst or sinus; simple (11770) | $400 | $400 | 0.1× |
| Excision olecranon bursa (24105) range across 2 matching MRF lines |
$570–$3,626.70 | $570–$3,626.70 | varies |
| Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
$905–$2,740 | $905–$2,740 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $2,745 | $2,745 | 1.8× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) | $435 | $435 | 0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $600 | $600 | 0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $2,300 | $2,300 | 0.9× |
| Explo/Drain Breast Abscess (19020) | $2,308.68 | $2,308.68 | 1.5× |
| Exploration penetrating wound spx extremity (20103) | $305 | $305 | 0.2× |
| Fine needle aspiration without imaging guidance (10021) | $125 | $125 | 0.3× |
| Foreskin manipulation (54450) | $106 | $106 | 0.5× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) | $970 | $970 | 0.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) range across 2 matching MRF lines |
$645–$2,970 | $645–$2,970 | varies |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) | $945 | $945 | 0.4× |
| Hemorrhoidopexy by stapling (46947) range across 2 matching MRF lines |
$700–$1,940 | $700–$1,940 | varies |
| Hysteroscopy Biopsy (58558) | $175 | $175 | 0.1× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$141.72–$293.92 | $141.72–$293.92 | varies |
| I&d pilonidal cyst simple (10080) | $315 | $315 | 0.5× |
| Implant neuroelectrodes (63650) range across 2 matching MRF lines |
$3,061–$9,222.11 | $3,061–$9,222.11 | varies |
| Incise external hemorrhoid (46083) | $270 | $270 | 1.2× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$247.44–$2,004.35 | $247.44–$2,004.35 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $204 | $204 | 0.1× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$139.91–$1,452.13 | $139.91–$1,452.13 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $250 | $250 | 1.3× |
| Incision of rectal abscess (46040) | $3,196.63 | $3,196.63 | 2.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $225 | $225 | 0.1× |
| Incisional biopsy skin single lesion (11106) range across 3 matching MRF lines |
$76.97–$863.10 | $76.97–$863.10 | varies |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 3 matching MRF lines |
$60.87–$501.77 | $60.87–$501.77 | varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 3 matching MRF lines |
$259–$750.55 | $259–$750.55 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $102 | $102 | 0.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) range across 2 matching MRF lines |
$205–$780 | $205–$780 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $327 | $327 | 0.5× |
| Injection single tendon origin/insertion (20551) | $156 | $156 | 0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 4 matching MRF lines |
$75–$462.74 | $75–$462.74 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 4 matching MRF lines |
$86–$462.74 | $86–$462.74 | varies |
| Injection therapeutic carpal tunnel (20526) | $156 | $156 | 0.6× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $310 | $310 | 0.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 4 matching MRF lines |
$75–$1,203.31 | $75–$1,203.31 | varies |
| Injection, Intralesional; More Than 7 Lesions (11901) | $87 | $87 | 0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) | $67 | $67 | 0.4× |
| Insert Drug Implant Device (11981) | $200 | $200 | 1.6× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,750 | $1,750 | 1.0× |
| Insert non-tunnel cv cath (36556) | $420 | $420 | 0.1× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$85–$195 | $85–$195 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1,331–$5,010 | $1,331–$5,010 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$65–$195 | $65–$195 | varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,250 | $2,250 | 1.6× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $1,607 | $1,607 | 0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $420 | $420 | 0.1× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$588–$1,380.23 | $588–$1,380.23 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $750 | $750 | 2.0× |
| Intubation endotracheal emergency procedure (31500) | $208 | $208 | 1.0× |
| Laparo-vag hyst incl t/o (58552) range across 2 matching MRF lines |
$1,250–$4,400 | $1,250–$4,400 | varies |
| Laparoscopy Enterolysis Separate Procedure (44180) likely a partial charge, not the full procedure |
$1,320 | $1,320 | 0.2× |
| Laparoscopy fulguration oviducts (58670) unusually low: confirm this is the full procedure |
$1,870 | $1,870 | 0.3× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
$2,454–$9,400 | $2,454–$9,400 | varies |
| Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
$825–$5,874 | $825–$5,874 | varies |
| Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$1,100–$1,947 | $1,100–$1,947 | varies |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
$1,467–$1,700 | $1,467–$1,700 | varies |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) likely a partial charge, not the full procedure |
$1,200 | $1,200 | 0.2× |
| Laryngoscopy diagnostic (31505) | $120 | $120 | 0.7× |
| Laryngoscopy flexible diagnostic (31575) | $404 | $404 | 2.2× |
| Ligation or biopsy temporal artery (37609) | $263 | $263 | 0.2× |
| Mastectomy for gynecomastia (19300) range across 2 matching MRF lines |
$700–$4,088.50 | $700–$4,088.50 | varies |
| Mastectomy partial (19301) | $818 | $818 | 0.2× |
| Mastectomy simple complete (19303) range across 2 matching MRF lines |
$1,305–$9,000 | $1,305–$9,000 | varies |
| N block inj intercost sng (64420) | $327 | $327 | 0.5× |
| N Block Inj Plantar Digit (64455) | $75 | $75 | 0.3× |
| Nasal/Orogastric W/Tube Plmt (43752) | $158 | $158 | 0.4× |
| Needle Biopsy Lymph Nodes (38505) | $175 | $175 | 0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) | $30 | $30 | 1.1× |
| Needle insertion w/o injection 3 or more muscles (20561) | $70 | $70 | 2.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $435 | $435 | 1.5× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 3 matching MRF lines |
$237–$968.84 | $237–$968.84 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$351–$1,600 | $351–$1,600 | varies |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$347–$1,600 | $347–$1,600 | varies |
| Occipital Nerve Block (64405) range across 4 matching MRF lines |
$114.81–$446.82 | $114.81–$446.82 | varies |
| Omntc Epiploectomy Rescj Omentum Spx (49255) range across 2 matching MRF lines |
$1,102–$1,560 | $1,102–$1,560 | varies |
| Orchiectomy partial (54522) range across 2 matching MRF lines |
$752–$3,215 | $752–$3,215 | varies |
| Orchiectomy radical tumor inguinal approach (54530) | $710 | $710 | 0.2× |
| Partial Excision Distal Phalanx Finger (26236) range across 2 matching MRF lines |
$538–$2,400 | $538–$2,400 | varies |
| Placement of needle for intraosseous infusion (36680) | $640 | $640 | 1.6× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) | $1,000 | $1,000 | 0.2× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) | $1,135 | $1,135 | 1.3× |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) | $300 | $300 | 0.3× |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) | $1,130 | $1,130 | 1.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) | $1,148 | $1,148 | 1.0× |
| Punch biopsy skin single lesion (11104) range across 4 matching MRF lines |
$63.53–$836 | $63.53–$836 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
$128.34–$1,278.96 | $128.34–$1,278.96 | varies |
| Puncture Aspiration Cyst Breast (19000) | $110 | $110 | 0.2× |
| Removal Embedded Foreign Body Eyelid (67938) | $225 | $225 | 0.8× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$180.04–$2,688.82 | $180.04–$2,688.82 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$177–$799.92 | $177–$799.92 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $140 | $140 | 2.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) | $59 | $59 | 1.1× |
| Removal implantable contraceptive capsules (11976) | $238.19 | $238.19 | 0.4× |
| Removal of nail bed (11750) range across 3 matching MRF lines |
$138.40–$665 | $138.40–$665 | varies |
| Removal of testis (54520) | $765 | $765 | 0.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $111 | $111 | 0.6× |
| Removal sweat gland lesion (11450) | $505 | $505 | 0.2× |
| Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
$44.10–$376.33 | $44.10–$376.33 | varies |
| Remove drug implant device (11982) | $146 | $146 | 0.4× |
| Remove elbow lesion (24120) range across 2 matching MRF lines |
$750–$4,770.70 | $750–$4,770.70 | varies |
| Remove foreign body from eye (65205) | $141 | $141 | 1.2× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$128–$2,000 | $128–$2,000 | varies |
| Remove lung catheter (32552) | $250 | $250 | 0.4× |
| Remove Nasal Foreign Body (30300) | $87 | $87 | 0.7× |
| Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
$776–$2,325.40 | $776–$2,325.40 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $327 | $327 | 0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $525 | $525 | 1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $404 | $404 | 1.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) | $1,500 | $1,500 | 0.5× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,500 | $1,500 | 0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) | $237.33 | $237.33 | 0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $380 | $380 | 1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $635 | $635 | 1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $681 | $681 | 1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $555.22 | $555.22 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $205 | $205 | 0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $288 | $288 | 0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $427 | $427 | 0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $350 | $350 | 0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $145 | $145 | 0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) | $268 | $268 | 0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $450 | $450 | 0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) | $405 | $405 | 1.1× |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $450 | $450 | 0.2× |
| Repair of nail bed (11760) | $245 | $245 | 0.4× |
| Rerepair ing hernia reduce (49520) | $1,560 | $1,560 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $179 | $179 | 0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $150 | $150 | 1.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $87 | $87 | 0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $220 | $220 | 0.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $2,266 | $2,266 | 1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$420–$1,252.68 | $420–$1,252.68 | varies |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$310–$604 | $310–$604 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) | $3,148 | $3,148 | 0.6× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) | $5,300 | $5,300 | 1.6× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$752–$10,200 | $752–$10,200 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $387 | $387 | 2.1× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) | $1,056 | $1,056 | 1.2× |
| Shave skin lesion 0.5 cm/< (11300) range across 2 matching MRF lines |
$97.68–$125 | $97.68–$125 | varies |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $144 | $144 | 0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) | $231 | $231 | 0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $131 | $131 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $154 | $154 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $180 | $180 | 1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) | $193 | $193 | 0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $171 | $171 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $198 | $198 | 0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $152 | $152 | 0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) | $193 | $193 | 0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $175 | $175 | 0.9× |
| Sigmoidoscopy & Polypectomy (45333) | $1,065 | $1,065 | 1.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $380 | $380 | 0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $361.49 | $361.49 | 1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) | $161 | $161 | 0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) | $219 | $219 | 1.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $296 | $296 | 1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) | $128 | $128 | 0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $1,400 | $1,400 | 7.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) | $215.67 | $215.67 | 1.2× |
| Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$750–$3,500 | $750–$3,500 | varies |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) | $1,020 | $1,020 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) | $151 | $151 | 0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $296 | $296 | 0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $260 | $260 | 0.7× |
| Sphincterotomy anal division sphincter spx (46080) | $450 | $450 | 0.2× |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$180–$566.28 | $180–$566.28 | varies |
| Strapping ankle (29540) | $363 | $363 | 2.4× |
| Strapping hand/finger (29280) | $38 | $38 | 0.7× |
| Strapping shoulder (29240) | $363 | $363 | 3.0× |
| Strapping Unna Boot (29580) range across 5 matching MRF lines |
$36.33–$749.92 | $36.33–$749.92 | varies |
| Surg Implnt Neuroelect,Epidural (63655) likely a partial charge, not the full procedure |
$1,141 | $1,141 | 0.1× |
| Surg tx anal fistula subq (46270) | $550 | $550 | 0.2× |
| Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
$51.04–$293.91 | $51.04–$293.91 | varies |
| Thrombolytic Therapy Stroke (37195) | $800 | $800 | 2.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $250 | $250 | 1.1× |
| Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
$947–$5,707 | $947–$5,707 | varies |
| Treat humerus fracture (23600) | $318 | $318 | 1.4× |
| Treat Thumb Dislocation (26641) | $350 | $350 | 1.5× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$600–$1,057.32 | $600–$1,057.32 | varies |
| Trim skin lesion (11055) range across 3 matching MRF lines |
$21.89–$293.91 | $21.89–$293.91 | varies |
| Trim skin lesions 2 to 4 (11056) range across 3 matching MRF lines |
$30.68–$293.91 | $30.68–$293.91 | varies |
| Trim skin lesions over 4 (11057) range across 2 matching MRF lines |
$39.71–$293.91 | $39.71–$293.91 | varies |
| Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$10.48–$100.90 | $10.48–$100.90 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $2,097.70 | $2,097.70 | 0.7× |
| Tx superficial wound dehiscence w/packing (12021) | $361.80 | $361.80 | 1.0× |
| Vaginal delivery only (59409) | $1,696 | $1,696 | 0.6× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 3 matching MRF lines |
$735–$1,700 | $735–$1,700 | varies |
| Wedge excision skin nail fold (11765) | $211 | $211 | 0.6× |
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.