Procedures & surgery prices at Medina Memorial Hospital

Medina, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines		 $96–$400 $240–$1,000 varies
Amputation toe interphalangeal joint (28825) $1,436 $3,590 0.4×
Amputation toe metatarsophalangeal joint (28820) $1,456 $3,640 0.4×
Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) $100 $250 0.0×
Application cast elbow finger short arm (29075) $96 $240 0.3×
Application Finger Splint Dynamic (29131) $76 $190 1.0×
Application finger splint static (29130) $76 $190 0.5×
Application long arm splint shoulder hand (29105) $112 $280 0.6×
Application Long Leg Splint (29505) $112 $280 0.6×
Application of long leg cast (29345) $110 $275 0.3×
Application of rigid total contact leg cast (29445) $204 $510 0.6×
Application short arm splint forearm-hand static (29125) $100 $250 0.6×
Application short leg splint calf foot (29515)
range across 3 matching MRF lines		 $106–$160 $265–$400 varies
Apply hand/wrist cast (29085) $64 $160 0.3×
Apply long arm cast (29065) $96 $240 0.3×
Apply Multlay Comprs Lwr Leg (29581) $114 $285 0.6×
Apply Short Leg Cast (29405)
range across 3 matching MRF lines		 $86–$96 $215–$241.17 varies
Apply short leg cast (29425) $92 $230 0.3×
Arterial puncture (36600) $48 $120 0.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $140–$184 $350–$460 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 8 matching MRF lines		 $126–$234 $315–$585 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $116–$154 $290–$385 varies
Arthrodesis subtalar (28725)
likely a partial charge, not the full procedure		 $2,140 $5,350 0.1×
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $1,312 $3,280 0.7×
Aspirate Pleura W/O Imaging (32554)
range across 5 matching MRF lines		 $110–$480 $275–$1,200 varies
Aspirate/Inj Ganglion Cyst (20612) $52 $130 0.1×
Aspiration & Injection Treatment Bone Cyst (20615) $490 $1,225 0.6×
Avulsion nail plate partial/complete simple 1 (11730)
range across 43 matching MRF lines		 $84–$150 $210–$375 varies
Biopsy bone open superficial (20240) $1,142 $2,855 0.3×
Biopsy Bone Trocar/Needle Superficial (20220) $102 $255 0.0×
Biopsy nail unit (11755) $202 $505 0.2×
Bladder Scan (51798) $54 $135 0.7×
Blood Transfusion Service (36430) $312 $780 0.6×
Bx breast 1st lesion us imag (19083) $232 $580 0.1×
Bx/exc lymph node open superficial (38500) $258 $645 0.1×
Carpal Tunnel Surgery (64721) $480 $1,200 0.2×
Change Cystostomy Tube Simple (51705) $184 $460 0.6×
Change of Windpipe Airway (31502) $180 $450 0.6×
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines		 $122–$178 $305–$445 varies
Chest tube placement (32551)
range across 5 matching MRF lines		 $166–$720 $415–$1,800 varies
Cl Tx Tib Shft Fx W Manip (27752) $328 $820 0.2×
Clear outer ear canal (69200)
range across 3 matching MRF lines		 $74–$140 $185–$350 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $212 $530 0.7×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $214 $535 0.7×
Closed tx ankle dislocation w/o anesthesia (27840) $380 $950 1.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $556 $1,390 0.3×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $160 $400 0.5×
Closed tx metatarsal fracture w/o manipulation (28470) $118 $295 0.4×
Closed tx patellar dislocation w/o anesthesia (27560) $360 $900 1.2×
Closed Tx Patellar Fracture W/O Manipulation (27520) $320 $800 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $128 $320 0.4×
Closed tx radial shaft fracture w/manipulation (25505) $320 $800 0.2×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines		 $388–$480 $970–$1,200 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) $170 $425 0.6×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $286 $715 0.1×
Closed tx ulnar shaft fracture w/o manipulation (25530) $138 $345 0.4×
Clsd tx shoulder dislc w/manipulation req anes (23655) $544 $1,360 0.3×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $214 $535 0.7×
Cltx dstl fibular fx lat malls w/manj (27788) $400 $1,000 1.3×
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines		 $172–$344 $430–$860 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $320 $800 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $158 $395 0.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines		 $156–$240 $390–$600 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $356 $890 0.2×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $800 $2,000 0.4×
Cltx fx grt toe phlx/phlg w/manj (28495) $206 $515 0.7×
Cltx fx grt toe phlx/phlg w/o manj (28490) $102 $255 0.3×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $180 $450 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $98 $245 0.3×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $366 $915 0.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $210 $525 0.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $146 $365 0.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $280 $700 0.9×
Cltx metacarpal fx w/manipulation each bone (26605) $340 $850 1.1×
Cltx metacarpal fx w/o manipulation each bone (26600) $280 $700 0.9×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $254 $635 0.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $200 $500 0.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $464 $1,160 0.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $196 $490 0.6×
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 3 matching MRF lines		 $270–$320 $675–$800 varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $556 $1,390 0.3×
Cltx trimalleolar ankle fx w/manipulation (27818) $556 $1,390 0.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $200 $500 0.6×
Collection of venous blood by venipuncture (36415) $8 $20 0.9×
Colonoscopy W/Band Ligation (45398) $406 $1,015 0.3×
Colonoscopy w/submucosal inj (45381) $308 $770 0.2×
Colsc flx w/removal lesion by hot bx forceps (45384) $346 $865 0.2×
Complex drainage wound (10180)
range across 3 matching MRF lines		 $1,502–$1,672 $3,755–$4,180 varies
Control Nasal Hemorrhage Anterior Complex (30903) $124 $310 0.7×
Control Nasal Hemorrhage Anterior Simple (30901) $114 $285 0.7×
Control oropharyngeal hemorrhage simple (42960) $292 $730 0.4×
Correction hammertoe (28285) $1,196 $2,990 0.3×
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $1,744 $4,360 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
likely a partial charge, not the full procedure		 $2,218 $5,545 0.1×
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) $1,530 $3,825 0.4×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $128 $320 0.8×
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $168 $420 0.6×
Cysto/uretero w/lithotripsy (52356)
likely a partial charge, not the full procedure		 $406 $1,015 0.1×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $210 $525 0.4×
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $1,006 $2,515 0.3×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $728 $1,820 0.8×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines		 $140–$684 $350–$1,710 varies
Debride nail 1-5 (11720)
range across 3 matching MRF lines		 $32–$48 $80–$120 varies
Debride nail 6 or more (11721)
range across 2 matching MRF lines		 $40–$64 $100–$160 varies
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines		 $184–$1,162 $460–$2,905 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines		 $80–$400 $200–$1,000 varies
Declot vascular device (36593) $180 $450 0.4×
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines		 $52–$60 $130–$150 varies
Destruction Benign Lesions 15/> (17111) $70 $175 0.3×
Destruction by neurolytic agent; plantar common digital nerve (64632) $62 $155 0.2×
Destruction premalignant lesion 1st (17000) $40 $100 0.2×
Diagnostic sigmoidoscopy (45330) $98 $245 0.1×
Dilate Esophagus 1/Mult Pass (43450) $100 $250 0.1×
Dilation Esophagus Guide Wire (43453) $140 $350 0.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $172 $430 0.2×
Drainage Mouth Roof Lesion (42000) $186 $465 0.6×
Drainage of finger abscess simple (26010) $152 $380 0.6×
Drainage of gum lesion (41800) $146 $365 0.9×
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines		 $886–$1,086 $2,215–$2,715 varies
Drainage of nose lesion (30000) $194 $485 0.7×
Drainage of scrotal wall abscess (55100) $588 $1,470 0.3×
Drainage of scrotum (54700) $1,132 $2,830 0.4×
Draw Blood Off Venous Device (36591) $56 $140 0.3×
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $200 $500 0.2×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $360 $900 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $266 $665 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $188 $470 0.8×
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) $224 $560 0.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $652 $1,630 0.6×
Egd Balloon Dil Esoph30 Mm/> (43233) $210 $525 0.1×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $220 $551 0.1×
Egd cautery tumor polyp (43250) $244 $610 0.1×
Egd dilation gastric/duodenal stricture (43245) $224 $560 0.1×
Egd Flexible Foreign Body Removal (43247) $216 $540 0.2×
Egd guide wire insertion (43248) $250 $625 0.2×
Egd Injection Sclerosis Esophgl/Gastric Varices (43243) $248 $620 0.1×
Egd lesion ablation (43270) $300 $750 0.1×
Egd place gastrostomy tube (43246) $216 $540 0.1×
Egd remove lesion snare (43251) $280 $700 0.1×
Egd W/Transmural Drain Cyst (43240)
likely a partial charge, not the full procedure		 $396 $990 0.1×
Endoscopic plantar fasciotomy (29893) $1,450 $3,625 0.4×
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) $1,896 $4,740 0.7×
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $1,932 $4,830 0.8×
Esophagogastroduodenoscopy Submucosal Injection (43236) $208 $520 0.2×
Evacuation of subungual hematoma (11740) $62 $155 0.4×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $72 $180 0.1×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $120 $300 0.1×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $156 $390 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $80–$248 $200–$620 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $96–$278 $240–$695 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines		 $110–$438 $275–$1,095 varies
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $126 $315 0.1×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $174 $435 0.1×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines		 $60–$558 $150–$1,395 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $80–$404 $200–$1,010 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $100 $250 0.0×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $1,284 $3,210 0.6×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $1,116 $2,790 0.6×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $116 $290 0.1×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $136 $340 0.1×
Exc Skin Benig >4 Cm Remaindr Body (11426) $220 $550 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines		 $190–$1,078 $475–$2,697.05 varies
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $176 $440 0.1×
Exc Skin Malig >4 Cm Remaindr Body (11626) $280 $700 0.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $264 $660 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines		 $86–$208 $215–$520 varies
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $96–$378 $240–$945 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $134 $335 0.1×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $160 $400 0.2×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $112 $280 0.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $140 $350 0.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $180 $450 0.2×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $194 $485 0.1×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $350 $875 0.1×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $144 $360 0.2×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $212 $530 0.1×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $328 $820 0.2×
Excision olecranon bursa (24105) $342 $855 0.1×
Excision Pilonidal Cyst/Sinus Complicated (11772) $500 $1,250 0.1×
Excision Pilonidal Cyst/Sinus Extensive (11771) $220 $550 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $374 $935 0.2×
Excision tumor soft tissue foot/toe subq <1.5cm (28043) $1,200 $3,000 0.6×
Excision, interdigital (morton) neuroma, single, each (28080) $1,316 $3,290 0.7×
Explo/Drain Breast Abscess (19020) $1,058 $2,645 0.5×
Fasciectomy Plantar Fascia Partial Spx (28060) $1,392 $3,480 0.3×
Fine needle aspiration without imaging guidance (10021) $154 $385 0.3×
Fluoro exam of g/colon tube (49465) $180 $450 0.6×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $474 $1,185 0.2×
Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) $440 $1,100 0.1×
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge, not the full procedure		 $2,194 $5,485 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $364 $910 0.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $424 $1,060 0.1×
I&d abscess simple (10060)
range across 5 matching MRF lines		 $150–$212 $375–$530 varies
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $134–$442 $335–$1,105 varies
I&d pilonidal cyst complicated (10081)
range across 3 matching MRF lines		 $182–$564 $455–$1,410 varies
I&d pilonidal cyst simple (10080)
range across 4 matching MRF lines		 $104–$284 $260–$710 varies
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $120–$140 $300–$350 varies
Incision & drainage abscess complicated/multiple (10061)
range across 5 matching MRF lines		 $106–$322 $265–$805 varies
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines		 $138–$1,198 $345–$2,995 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $182–$282 $455–$705 varies
Incision and drainage of bartholin's gland abscess (56420) $152 $380 0.6×
Incision and drainage of vulva or perineal abscess (56405) $192 $480 0.5×
Incision of Foot Tendon (28234) $656 $1,640 0.3×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $402–$1,040 $1,005–$2,600 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $502 $1,255 0.2×
Incisional biopsy skin single lesion (11106)
range across 3 matching MRF lines		 $226–$306 $565–$765 varies
Inj W/Fluor Eval Cv Device (36598) $200 $500 0.8×
Injection 1 tendon sheath/ligament aponeurosis (20550) $98 $245 0.3×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $42–$74 $105–$185 varies
Injection single/mlt trigger point 1/2 muscles (20552) $158 $395 0.4×
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $154–$156 $385–$390 varies
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $306–$380 $765–$950 varies
Insert Bladder Cath Complex (51703) $118 $295 0.7×
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines		 $160–$630 $400–$1,575 varies
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $600 $1,500 0.3×
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines		 $58–$78 $145–$195 varies
Insert tunneled cv cath (36561) $442 $1,105 0.1×
Insert,Non-Indwelling Bladder Catheter (51701) $46 $115 0.3×
Insertion indwelling tunneled pleural catheter (32550) $1,618 $4,045 0.4×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $706 $1,765 0.4×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $248 $620 0.5×
Intubation endotracheal emergency procedure (31500) $220 $550 0.7×
Irrigation of corpora cavernosa for priapism (54220) $224 $560 0.7×
Lap paraesophag hern repair (43281)
likely a partial charge, not the full procedure		 $1,220 $3,050 0.1×
Laparoscopy aspiration (49322)
likely a partial charge, not the full procedure		 $300 $750 0.0×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $872 $2,180 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines		 $110–$394 $275–$985 varies
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $500 $1,250 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure		 $602 $1,505 0.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $480 $1,200 0.1×
Laparoscopy, surgical; with biopsy (single or multiple) (49321)
likely a partial charge, not the full procedure		 $320 $800 0.0×
Late closure of wound (13160) $1,652 $4,130 0.4×
Ligation or biopsy temporal artery (37609) $234 $585 0.1×
Lithotripsy, extracorporeal shock wave (50590) $3,096 $7,740 0.7×
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines		 $64–$100 $160–$250 varies
Nasal/Orogastric W/Tube Plmt (43752) $162 $405 0.3×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $212 $530 0.6×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $534 $1,335 0.1×
Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) $1,494 $3,735 0.4×
Ostc prtl exostc/condylc metar head (28288) $1,170 $2,925 0.3×
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) $1,134 $2,835 0.3×
Ostectomy, complete excision; fifth metatarsal head (28113) $1,194 $2,985 0.3×
Ostectomy, complete excision; first metatarsal head (28111) $1,468 $3,670 0.4×
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) $1,146 $2,865 0.3×
Partical Excision Bone Phalanx Toe (28124) $1,192 $2,980 0.3×
Placement of needle for intraosseous infusion (36680) $138 $345 0.2×
Placement of seton (46020) $246 $615 0.1×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) $1,364 $3,410 0.3×
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines		 $70–$196 $175–$490 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines		 $100–$270 $250–$675 varies
Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) $52 $130 0.0×
Release of big toe (28240) $890 $2,225 0.2×
Removal foreign body foot deep (28192) $1,398 $3,495 0.7×
Removal Foreign Body Foot Subcutaneous (28190) $352 $880 0.4×
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 8 matching MRF lines		 $12–$80 $30–$200 varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines		 $40–$74 $100–$185 varies
Removal impacted vag fb spx w/anes oth/thn local (57415) $1,392 $3,480 0.3×
Removal Implant Deep (20680) $1,910 $4,775 0.5×
Removal of nail bed (11750)
range across 4 matching MRF lines		 $112–$334 $280–$835 varies
Removal of testis (54520) $302 $755 0.1×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $50 $125 0.2×
Removal/bivalving gauntlet boot/body cast (29700) $96 $240 0.3×
Remove foreign body from eye (65205) $88 $220 0.5×
Remove Nasal Foreign Body (30300) $82 $205 0.5×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $414 $1,035 0.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $386 $965 0.8×
Repair inguinal hernia, sliding, any age (49525) $474 $1,185 0.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $504 $1,260 0.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $226 $565 0.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines		 $178–$226 $445–$565 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $226 $565 0.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $236 $590 0.5×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $186 $465 0.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $230 $575 0.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines		 $212–$248 $530–$620 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $304 $760 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $142–$222 $355–$555 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines		 $172–$252 $430–$630 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $256 $640 0.5×
Repair of nail bed (11760) $236 $590 0.3×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $56 $140 0.0×
Repair tongue laceration (41250) $136 $340 0.2×
Replace g/c tube perc (49450)
range across 2 matching MRF lines		 $92–$600 $230–$1,500 varies
Rerepair ing hernia reduce (49520) $534 $1,335 0.1×
Resection, partial or complete, phalangeal base, each toe (28126) $1,106 $2,765 0.3×
Revision of foot (28116) $1,760 $4,400 0.4×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $122 $305 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $124 $310 0.2×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $68 $170 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $900 $2,250 0.5×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $576 $1,440 0.7×
Rplc Gtube No Revj Trc (43762) $220 $550 0.7×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $358 $895 0.0×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $164 $410 0.0×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure		 $370 $925 0.0×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $240 $600 0.0×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $276 $690 0.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $164 $410 0.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $512 $1,280 0.8×
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $452 $1,130 0.6×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $194 $485 0.1×
Shave skin lesion 0.5 cm/< (11300) $50 $125 0.1×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $54 $135 0.2×
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302)
range across 2 matching MRF lines		 $66–$72 $165–$180 varies
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $122 $305 0.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $180 $450 0.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $134 $335 0.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $140 $350 0.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $150 $375 0.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $126 $315 0.5×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $194 $485 0.8×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $146 $365 0.6×
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines		 $710–$808 $1,775–$2,020 varies
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines		 $662–$752 $1,655–$1,880 varies
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines		 $840–$1,048 $2,100–$2,620 varies
Skn sub grft f/n/hf/g child (15277) $1,204 $3,010 0.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $136 $340 0.5×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $170 $425 0.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $182 $455 0.4×
Spinal puncture lumbar diagnostic (62270) $348 $870 0.4×
Strapping ankle (29540) $56 $140 0.3×
Strapping elbow or wrist (29260) $52 $130 0.7×
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $46–$50 $115–$125 varies
Strapping Hip (29520) $50 $125 0.3×
Strapping knee (29530) $68 $170 0.4×
Strapping shoulder (29240) $76 $190 0.5×
Strapping thorax (29200) $74 $185 0.4×
Strapping Unna Boot (29580)
range across 4 matching MRF lines		 $94–$188 $235–$470 varies
Surg tx anal fistula subq (46270) $382 $955 0.1×
Tangential biopsy skin single lesion (11102) $200 $500 0.4×
Tracheobrnchsc Thru Est Trachs Inc (31615) $376 $940 0.6×
Tracheostomy Emergency Cricothyroid Membrane (31605) $370 $926 1.3×
Tracheostomy Emergency Procedure Transtracheal (31603) $778 $1,945 0.4×
Treat humerus fracture (23600)
range across 3 matching MRF lines		 $150–$240 $375–$600 varies
Treat Knuckle Dislocation (26700) $180 $450 0.6×
Treat Metatarsal Fracture (28475) $230 $575 0.7×
Treat Thumb Dislocation (26641) $380 $950 1.2×
Treatment closed elbow dislocation w/o anes (24600) $206 $515 0.7×
Trim skin lesion (11055)
range across 4 matching MRF lines		 $66–$94 $165–$235 varies
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines		 $60–$92 $150–$230 varies
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines		 $58–$96 $145–$240 varies
Trimming Nondystrophic Nails Any Number (11719)
range across 3 matching MRF lines		 $22–$30 $55–$75 varies
Tx Gastro Intub W/Asp (43753) $110 $275 0.4×
Tx open tendon flexor toe 1 tendon spx (28232) $662 $1,655 0.3×
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $700 $1,750 0.3×
Tx superficial wound dehiscence w/packing (12021) $196 $490 0.4×
Vaginal delivery only (59409) $1,414 $3,535 0.3×
Vasectomy uni/bi spx w/postop semen exams (55250) $342 $855 0.1×
Wedge excision skin nail fold (11765) $98 $245 0.2×

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.