Procedures & surgery prices at Medicine Lodge Memorial Hospital

Medicine Lodge, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,500 $1,500 1.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $484.15 $484.15 0.6×
Acne Surgery (10040) $145.49 $145.49 0.8×
Amputation Finger/Thumb (26951) $1,715.50 $1,715.50 0.6×
Amputation of finger/thumb (26952) $520 $520 0.2×
Amputation thigh through femur any level (27590) $950 $950 0.3×
Amputation Toe Metatarsophalangeal Joint (28820) $770 $770 0.3×
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) $4,733.50 $4,733.50 1.0×
Appendectomy (44950)
likely a partial charge, not the full procedure
$1,110 $1,110 0.2×
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $366.50 $366.50 2.5×
Application cast elbow finger short arm (29075) $119 $119 0.5×
Application Cast Finger (29086) $53 $53 0.4×
Application Cast Hand & Lower Forearm Gauntlet (29085) $76 $76 0.5×
Application cast shoulder hand long arm (29065) $132 $132 0.5×
Application finger splint static (29130) $75 $75 0.6×
Application long arm splint shoulder hand (29105) $118 $118 0.8×
Application long leg splint thigh ankle/toes (29505) $101 $101 0.7×
Application of long leg cast (29345) $295 $295 1.1×
Application Of Rigid Total Contact Leg Cast (29445) $195.35 $195.35 0.8×
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) $91 $91 0.6×
Apply multlay comprs arm/hand (29584) $370 $370 2.5×
Apply short leg cast (29405) $127 $127 0.5×
Apply short leg cast (29425) $154 $154 0.6×
Arterial puncture (36600) $102.64 $102.64 0.8×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $102.48 $102.48 0.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $300 $300 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $464.50 $464.50 1.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $94 $94 0.3×
Aspirat/Injection Ganglion Cyst(S) (20612) $161 $161 0.6×
Aspiration Bladder Insert Suprapubic Catheter (51102) $375 $375 0.2×
Avulsion nail plate partial/complete simple 1 (11730) $199.65 $199.65 1.1×
Axillary lymphadenectomy; complete (38745)
likely a partial charge, not the full procedure
$850 $850 0.2×
Biopsy bone trocar/needle deep (20225) $860.82 $860.82 0.6×
Biopsy Bone Trocar/Needle Superficial (20220) $831.82 $831.82 0.5×
Biopsy muscle deep (20205) $6,117 $6,117 2.3×
Biopsy Muscle Superficial (20200) $807.84 $807.84 0.5×
Biopsy of lip (40490) $104 $104 0.5×
Biopsy of uterus lining (58100) $2,009.70 $2,009.70 10.8×
Biopsy or excision of lymph node(s); open, superficial (38500) $695 $695 0.2×
Biopsy/removal lymph nodes (38525) $905 $905 0.3×
Bladder Irrigation Simple (51700) $95 $95 0.4×
Bladder Scan (51798) $93.50 $93.50 1.7×
Blood transfusion service (36430) $650 $650 1.6×
Bone Marrow Biopsy (38221) $194 $194 0.1×
Bx/exc lymph node needle superficial (38505) $175 $175 0.1×
Canthotomy Separate Procedure (67715) $298.70 $298.70 0.1×
Change Cystostomy Tube Simple (51705) $89 $89 0.4×
Chemical Cautery Tissue (17250) $2,649.89 $2,649.89 14.4×
Chest tube placement (32551) $185 $185 0.1×
Chg Collect Blood From Catheter Venous Nos (36592) $70 $70 0.6×
Circum 28 days or older (54161) $1,937.50 $1,937.50 1.0×
Circumcision (54150) $337.50 $337.50 0.2×
Closed Rx Radial Shaft Fx (25500) $255 $255 1.1×
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 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×
Closure of vagina (57120) $980 $980 0.2×
Clsd tx clavicular fracture w/o manipulation (23500) $1,100 $1,100 4.8×
Clsd tx shoulder dislc w/manipulation req anes (23655) $741.16 $741.16 0.5×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $787.74 $787.74 3.5×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $821 $821 3.6×
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $350 $350 1.5×
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 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×
Colonoscopy flex w/rem forcep (45384) $1,668.70 $1,668.70 1.5×
Colonoscopy w/ablation (45388) $360 $360 0.3×
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (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 with directed submucosal njx any sbst (45381) $1,267.50 $1,267.50 1.2×
Complex Drainage, Wound (10180) $327 $327 0.1×
Conization of cervix (57520) $2,691 $2,691 0.9×
Control Nasal Hemorrhage Anterior Complex (30903) $163 $163 1.3×
Control Nasal Hemorrhage Anterior Simple (30901) $368.94 $368.94 3.0×
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×
Cystoscopy w/biopsy (52204) $1,100 $1,100 0.6×
Cystoscopy,Dil Urethral Stricture (52281) $1,232 $1,232 0.6×
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) $630 $630 0.3×
Cystourethroscopy (52000) $875.65 $875.65 1.4×
Debride nail 1-5 (11720) $60.43 $60.43 1.1×
Debride nail 6 or more (11721) $67.01 $67.01 1.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $157 $157 0.4×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $286.76 $286.76 0.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $301.68 $301.68 0.2×
Declot vascular device (36593) $190 $190 0.6×
Destroy cerv/thor facet jnt (64633) $738 $738 0.4×
Destroy internal hemorrhoids (46930) $1,490 $1,490 1.4×
Destroy lumb/sac facet jnt (64635) $745 $745 0.4×
Destruc Benign/Premal,15+ Lesions (17004) $578 $578 1.5×
Destruction benign lesions 15 or more (17111) $106 $106 0.6×
Destruction Benign Lesions Up To 14 (17110) $168.51 $168.51 0.9×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $301.98 $301.98 0.4×
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 lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) $175.50 $175.50 1.0×
Destruction of lesion(s), penis, simple; chemicall (54050) $145 $145 0.4×
Destruction of multiple growths of penis (54065) $350 $350 0.2×
Destruction of skin lesions (17106) $425 $425 1.1×
Destruction premalignant lesion 1st (17000) $107 $107 0.6×
Destruction vaginal lesions simple (57061) $95 $95 0.0×
Diagnostic sigmoidoscopy (45330) $1,012 $1,012 1.2×
Dilate Urethra Stricture (53600) $58 $58 0.3×
Dilation & curettage dx&/ther nonobstetric (58120) $945 $945 0.3×
Dilation of female urethra including suppository and/or instillation; initial (53660) $101 $101 0.9×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $225 $225 0.3×
Drainage Finger Abscess Complicated (26011) $173 $173 0.1×
Drainage Finger Abscess Simple (26010) $94 $94 0.5×
Drainage of eyelid abscess (67700) $250 $250 0.9×
Drainage of gum lesion (41800) $200 $200 1.6×
Drainage of hematoma/fluid (10140) $906 $906 0.6×
Drainage of hydrocele (55000) $206.16 $206.16 0.3×
Drainage of scrotal wall abscess (55100) $7,612.85 $7,612.85 5.0×
Draw blood off venous device (36591) $133 $133 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $338.49 $338.49 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $325.54 $325.54 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $72.90 $72.90 0.4×
Dry Needling 3+ Muscles (20561) $70 $70 2.6×
Dstrj lesion anus smpl eltrdsiccation (46910) $435 $435 0.2×
Egd balloon dilation esophagus <30 mm diam (43249) $1,500 $1,500 0.8×
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $800 $800 0.5×
Egd flexible foreign body removal (43247) $957 $957 1.1×
Egd place gastrostomy tube (43246) $1,145.10 $1,145.10 0.6×
Egd remove lesion snare (43251) $1,315 $1,315 0.7×
Endometrial abltj thermal w/o hysteroscopic guid (58353) $1,582 $1,582 0.3×
Esophagoscopy flex biopsy (43202) $130 $130 0.1×
Esophagoscopy flexible removal foreign body (43215) $1,037.30 $1,037.30 0.6×
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $1,251 $1,251 0.7×
Evacuation of subungual hematoma (11740) $67 $67 0.5×
Exc abd les sc 3 cm/> (22903) $600 $600 0.2×
Exc arm/elbow les sc 3 cm/> (24071) $880 $880 0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $254 $254 0.2×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $293 $293 0.2×
Exc back les sc < 3 cm (21930) $574 $574 0.4×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $174 $174 0.3×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,066 $1,066 0.7×
Exc foot/toe tum sc < 1.5 cm (28043) $435 $435 0.3×
Exc frenum labial/buccal (40819) $355 $355 0.2×
Exc hand les sc < 1.5 cm (26115) $420 $420 0.3×
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $250 $250 0.1×
Exc rect tum transanal part (45171) $950 $950 0.4×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $200 $200 0.3×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $623 $623 1.7×
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $1,120 $1,120 1.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $954.50 $954.50 1.5×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $354 $354 0.2×
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $933 $933 0.6×
Exc Skin Benig >4 Cm Face,Facial (11446) $588 $588 0.2×
Exc Skin Benig >4 Cm Remaindr Body (11426) $1,452.50 $1,452.50 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $1,510 $1,510 1.0×
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $397 $397 0.3×
Exc Skin Malig >4 Cm Face,Facial (11646) $637 $637 0.2×
Exc Skin Malig >4 Cm Remaindr Body (11626) $493 $493 0.2×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $1,586.50 $1,586.50 1.0×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $230 $230 0.2×
Exc tr-ext b9+marg 0.5 cm or less (11400) $800 $800 1.2×
Exc tumor soft tiss shoulder subfasc <5cm (23076) $840 $840 0.3×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $3,887.50 $3,887.50 1.5×
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $885.85 $885.85 0.3×
Excis Tendon Sheath Lesion, Hand/Finger (26160) $1,550.70 $1,550.70 1.0×
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 2.1-3.0 Cm (11603) $351 $351 0.5×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $391 $391 0.6×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $253 $253 0.4×
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $297 $297 0.5×
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $447.35 $447.35 0.7×
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $475 $475 0.3×
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 2.1-3.0 Cm (11623) $374 $374 0.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $423 $423 0.3×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $214 $214 0.3×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $238 $238 0.4×
Excision of hydrocele; unilateral (55040) $1,900 $1,900 0.6×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $224 $224 0.1×
Excision of lesion other than skin tag </= 0.5 cm (11420) $158 $158 0.1×
Excision of nail fold toe (11765) $211 $211 0.6×
Excision of pilonidal cyst or sinus; simple (11770) $400 $400 0.1×
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $505 $505 0.2×
Excision olecranon bursa (24105) $2,098.35 $2,098.35 0.7×
Excision pilonidal cyst/sinus complicated (11772) $1,822.50 $1,822.50 0.7×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,745 $2,745 1.8×
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×
Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) $970 $970 0.5×
Hemorrhoidectomy (46255) $1,807.50 $1,807.50 0.7×
Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) $1,320 $1,320 0.5×
Hysteroscopy biopsy (58558) $175 $175 0.1×
I&d abscess simple (10060) $151 $151 0.8×
I&d epididymis tstis&/scrotal space (54700) $1,383 $1,383 0.7×
I&d pilonidal cyst simple (10080) $315 $315 0.5×
I&d submucosal abscess rectum (45005) $151 $151 0.1×
I&D Upper Arm/Elbow Bursa (23931) $225 $225 0.1×
Implant neuroelectrodes (63650) $6,141.56 $6,141.56 1.0×
Incision & drainage abscess complicated/multiple (10061) $265 $265 0.7×
Incision & removal foreign body subq tiss compl (10121) $204 $204 0.1×
Incision & removal foreign body subq tiss simple (10120) $189 $189 0.5×
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 thrombosed hemorrhoid external (46083) $270 $270 1.2×
Incisional biopsy skin single lesion (11106) $137 $137 0.2×
Initial tx 1st degree burn local tx (16000) $64 $64 0.3×
Inj paravert f jnt c/t 1 lev (64490) $318 $318 0.4×
Inj tendon sheath/ligament (20550) $102 $102 0.4×
Inj,Anes Agent,Femoral Nerve,Single (64447) $310 $310 0.5×
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $75 $75 0.3×
Inject Nerv Blck,Intercostal,One (64420) $327 $327 0.5×
Inject Tendon Origin/Insert (20551) $156 $156 0.6×
Injection aa&/strd genicular nrv branches w/img (64454) $492.50 $492.50 0.8×
Injection aa&/strd sciatic nerve w/img gdn (64445) $327 $327 0.5×
Injection aa&/strd trigeminal nerve each branch (64400) $435 $435 1.5×
Injection anes other peripheral nerve/branch (64450) $118.50 $118.50 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $91.50 $91.50 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $290.98 $290.98 1.0×
Injection therapeutic carpal tunnel (20526) $156 $156 0.6×
Injection, anesthetic agent; greater occipital nerve (64405) $275.94 $275.94 1.0×
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) $140 $140 1.1×
Insert tunneled cv cath (36561) $3,170.50 $3,170.50 1.1×
Insert,Non-Indwelling Bladder Catheter (51701) $130 $130 1.1×
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×
Insrt/redo spine n generator (63685)
likely a partial charge, not the full procedure
$984.12 $984.12 0.0×
Intubation endotracheal emergency procedure (31500) $208 $208 1.0×
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655)
likely a partial charge, not the full procedure
$1,141 $1,141 0.1×
Lap ing hernia repair init (49650) $5,927 $5,927 1.1×
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure
$1,523.50 $1,523.50 0.3×
Laparoscopy Remove Adnexa (58661) $3,349.50 $3,349.50 0.6×
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552)
likely a partial charge, not the full procedure
$2,825 $2,825 0.3×
Laparoscopy Tubal Cautery (58670)
unusually low: confirm this is the full procedure
$1,870 $1,870 0.3×
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180)
likely a partial charge, not the full procedure
$1,320 $1,320 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure
$1,583.50 $1,583.50 0.3×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure
$1,200 $1,200 0.2×
Laryngoscopy Flexible Diagnostic (31575) $404 $404 2.2×
Laryngoscopy Indirect Diagnostic Spx (31505) $120 $120 0.7×
Ligation or biopsy temporal artery (37609) $263 $263 0.2×
Liver Biopsy (47000) $880 $880 0.6×
Mastectomy gynecomastia (19300) $2,394.25 $2,394.25 0.7×
Mastectomy partial (19301) $818 $818 0.2×
Mastectomy simple complete (19303) $5,152.50 $5,152.50 0.8×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $158 $158 0.4×
Needle insertion w/o injection 1 or 2 muscles (20560) $30 $30 1.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $291 $291 0.4×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $441 $441 0.7×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $441 $441 0.7×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure
$1,331 $1,331 0.2×
Orchiectomy radical tumor inguinal approach (54530) $710 $710 0.2×
Orchiectomy, partial (54522) $1,983.50 $1,983.50 0.6×
Partial Excision Distal Phalanx Finger (26236) $1,469 $1,469 1.0×
Perq replacement gtube not req revj gstrst trc (43762) $457 $457 2.0×
Placement of needle for intraosseous infusion (36680) $640 $640 1.6×
PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) $15,400 $15,400 5.1×
Preputial Stretching (54450) $106 $106 0.5×
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $300 $300 0.3×
Proctosigmoidoscopy w/bx (45305) $1,148 $1,148 1.0×
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $1,135 $1,135 1.3×
Punch biopsy skin single lesion (11104) $387.04 $387.04 1.0×
Puncture Aspiration (10160) $163 $163 0.4×
Puncture Aspiration Cyst Breast (19000) $110 $110 0.2×
Removal fb intranasal (30300) $87 $87 0.7×
Removal foreign body foot subcutaneous (28190) $320 $320 0.5×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $488.46 $488.46 0.3×
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 arm foreign body (24200) $220 $220 0.1×
Removal of indwelling tunneled pleural catheter with cuff (32552) $250 $250 0.4×
Removal of intrauterine device (iud) (58301) $1,064 $1,064 3.8×
Removal of nail bed (11750) $609.08 $609.08 1.6×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $111 $111 0.6×
Removal of testis (54520) $765 $765 0.2×
Removal/bivalving gauntlet boot/body cast (29700) $210.22 $210.22 0.8×
Remove anal fist subq (46270) $550 $550 0.2×
Remove drug implant device (11982) $146 $146 0.4×
Remove elbow lesion (24120) $2,760.35 $2,760.35 0.9×
Remove Eyelid Foreign Body (67938) $225 $225 0.8×
Remove foreign body from eye (65210) $87 $87 0.2×
Remove in/ex hem groups 2+ (46260) $945 $945 0.4×
Remove wrist tendon lesion (25111) $1,877.85 $1,877.85 1.3×
Remv Ext Canal Foreign Body (69200) $101 $101 0.8×
Remv F.B.,Eye,Superf Conjunc (65205) $141 $141 1.2×
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 12.6-20.0cm (12055) $750 $750 2.0×
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×
Repair rectum & vagina (57250) $1,000 $1,000 0.2×
Rerepair ing hernia reduce (49520) $1,560 $1,560 0.5×
Revise median n/carpal tunnel surg (64721) $1,120 $1,120 0.6×
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 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) $836.34 $836.34 1.4×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $3,148 $3,148 0.6×
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $3,021.19 $3,021.19 0.5×
Rpr aa hernia 1st < 3 cm reducible (49591) $5,300 $5,300 1.6×
Sgmdsc flx dired sbmcsl njx any sbst (45335) $1,056 $1,056 1.2×
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×
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $111.34 $111.34 0.3×
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 flx w/biopsy single/multiple (45331) $380 $380 0.4×
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $1,065 $1,065 1.2×
Simple destruction of growth of penis using electric current (54055) $200 $200 0.1×
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 f/e/e/n/l/m 7.6cm-12.5 cm (12015) $387 $387 2.1×
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) $2,125 $2,125 3.1×
Skin tissue rearrangement (14040) $978.35 $978.35 0.5×
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 (46080) $450 $450 0.2×
Spinal puncture lumbar diagnostic (62270) $373.14 $373.14 0.6×
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) $363 $363 2.4×
Tangential biopsy skin single lesion (11102) $137 $137 0.4×
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $995.10 $995.10 1.7×
Thoracentesis needle/cath pleura w/o imaging (32554) $553.25 $553.25 1.0×
Thrombolytic Therapy, Stroke (37195) $800 $800 2.6×
Tracheostomy emergency cricothyroid membrane (31605) $250 $250 1.1×
Treat ectopic pregnancy (59151) $3,327 $3,327 0.6×
Treat finger dislocation (26775) $260 $260 1.0×
Treat Fracture Radius & Ulna (25560) $370 $370 1.6×
Treat humerus fracture (23600) $318 $318 1.4×
Treat Wrist Bone Fracture (25630) $260 $260 1.1×
Treatment closed elbow dislocation w/o anes (24600) $828.66 $828.66 3.7×
Trim skin lesion (11055) $90 $90 0.5×
Trim skin lesions 2 to 4 (11056) $81 $81 0.4×
Trim skin lesions over 4 (11057) $166.81 $166.81 0.9×
Trimming Of Nondystrophic Nails, Any Number (11719) $55.69 $55.69 1.0×
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 (55250) $1,500 $1,500 0.8×
Venipuncture (36415) $22.90 $22.90 2.5×