Procedures & surgery prices at Memorial Community Hospital & Health System

Blair, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $957.20 $1,196.50 1.0×
Acromiopl/Acromionect Partial (23130) $1,343.20 $1,679 0.4×
Ankle Arthroscopy/Surgery (29892)
range across 2 matching MRF lines
$333.60–$1,335.20 $417–$1,669 varies
Application cast elbow finger short arm (29075) $131.20 $164 0.5×
Application finger splint static (29130) $72 $90 0.5×
Application long arm splint shoulder hand (29105) $160.80 $201 1.0×
Application Long Leg Splint (29505) $187.20 $234 1.1×
Application short arm splint forearm-hand static (29125) $136 $170 1.0×
Application short leg splint calf foot (29515) $120.80 $151 0.7×
Arterial puncture (36600) $72.27 $90.34 0.5×
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
range across 2 matching MRF lines
$645.60–$3,228 $807–$4,035 varies
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735)
range across 2 matching MRF lines
$392.80–$1,572.80 $491–$1,966 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $101.89 $127.37 0.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines
$116–$422.22 $145–$527.78 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines
$216–$288 $270–$360 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$93.60–$118.50 $117–$148.13 varies
Arthrodesis great toe metatarsophalangeal joint (28750)
likely a partial charge, not the full procedure
$1,448 $1,810 0.2×
Arthroplasty Ankle W/Implant (27702)
range across 2 matching MRF lines
$508–$2,032 $635–$2,540 varies
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines
$802.40–$3,208.80 $1,003–$4,011 varies
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 2 matching MRF lines
$296.80–$1,186.40 $371–$1,483 varies
Arthroscopy shoulder surgical capsulorrhaphy (29806)
unusually low: confirm this is the full procedure
$2,346.85 $2,933.56 0.3×
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $1,230.40 $1,538 0.4×
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines
$507.20–$2,029.60 $634–$2,537 varies
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines
$225.60–$902.40 $282–$1,128 varies
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines
$484.80–$1,321.60 $606–$1,652 varies
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines
$747.25–$2,989.60 $934.06–$3,737 varies
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
likely a partial charge, not the full procedure
$1,509.48 $1,886.85 0.1×
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines
$226.40–$1,499.20 $283–$1,874 varies
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) $1,460.80 $1,826 0.4×
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines
$342.40–$1,370.40 $428–$1,713 varies
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) $860 $1,075 0.3×
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620)
range across 2 matching MRF lines
$183.20–$914.40 $229–$1,143 varies
Aspirate pleura w/ imaging (32555) $978.40 $1,223 1.5×
Biopsy Salivary Gland Incisional (42405) $644 $805 0.4×
Bladder Scan (51798) $157.75 $197.19 2.6×
Blood Transfusion Service (36430) $980 $1,225 2.1×
Bx breast 1st lesion us imag (19083) $1,219.25 $1,524.07 0.7×
Bx Cervix (57500) $193.60 $242 0.2×
Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) $1,412.80 $1,766 0.8×
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $1,364.80 $1,706 0.4×
Carpal Tunnel Surgery (64721) $596 $745 0.3×
Chest tube placement (32551) $196 $245 0.1×
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines
$721.20–$724.20 $901.50–$905.25 varies
Closed Rx Metacarpal Fx,Percut (26608) $1,061.60 $1,327 0.3×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $674.40 $843 2.6×
Closed tx metatarsal fracture w/o manipulation (28470) $357.60 $447 1.4×
Closed tx patellar dislocation w/o anesthesia (27560) $456 $570 1.8×
Closed Tx Patellar Fracture W/O Manipulation (27520) $702.56 $878.20 2.7×
Closed tx radial head/neck fx w/o manipulation (24650) $449.60 $562 1.8×
Closed tx radial shaft fracture w/manipulation (25505) $754.40 $943 0.5×
Closed tx radial&ulnar shaft fractures w/o man (25560) $349.60 $437 1.4×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $509.20 $636.50 2.0×
Clsd tx clavicular fracture w/o manipulation (23500) $469.60 $587 1.8×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $634.40 $793 2.5×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $529.60 $662 2.1×
Cltx dstl fibular fx lat malls w/o manj (27786) $516.80 $646 2.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $527.20 $659 2.1×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,159.20 $1,449 0.7×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $1,016 $1,270 0.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $223.20 $279 0.9×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $657.60 $822 2.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $332 $415 1.3×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $256.80 $321 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $461.87 $577.33 1.8×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $374.20 $467.75 1.5×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,448.80 $1,811 0.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $216.80 $271 0.8×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$24.94–$25.06 $31.17–$31.33 varies
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $354.40 $443 1.1×
Colposcopy Cervix Endocervical Curettage (57456) $235.20 $294 0.7×
Conization cervix w/wo d&c rpr eltrd exc (57522) $554.40 $693 0.2×
Conization of cervix (57520) $703.20 $879 0.2×
Control Nasal Hemorrhage Anterior Simple (30901) $177.60 $222 1.3×
Correction hammertoe (28285) $1,217.60 $1,522 0.4×
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines
$426.40–$1,705.60 $533–$2,132 varies
Cysto W/Simple Removal Stone & Stent (52310) $1,393.60 $1,742 0.6×
Cystourethroscopy (52000) $480 $600 0.7×
Deb Musc/Fascia 20 Sq Cm/< (11043) $389.60 $487 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $177.60 $222 0.4×
Declot vascular device (36593) $114.86 $143.57 0.3×
Destroy cerv/thor facet jnt (64633) $914.40 $1,143 0.5×
Destroy lumb/sac facet jnt (64635) $1,630.08 $2,037.60 0.8×
Destruction neurolytic agt genicular nerve w/img (64624) $884 $1,105 0.4×
Drain/inj small joint/bursa w/us (20604) $170.40 $213 0.5×
Drainage of hematoma/fluid (10140) $349.60 $437 0.2×
Draw Blood Off Venous Device (36591) $98.33 $122.91 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $184 $230 0.9×
Dx Laryngoscopy Excl Nb (31525) $517.60 $647 0.3×
Endometrial Biopsy (58100) $165.60 $207 0.8×
Epidural Blood Patch (62273) $612.80 $766 0.8×
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $844 $1,055 0.5×
Exc arm/elbow les sc < 3 cm (24075) $820 $1,025 0.5×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $424 $530 0.6×
Exc ganglion wrist recurrent (25112) $856.80 $1,071 0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $287.20 $359 0.2×
Exc Hand Les Sc < 1.5 Cm (26115) $1,178.40 $1,473 0.7×
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) $832 $1,040 0.5×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $389.60 $487 0.2×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $611.20 $764 0.4×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $673.60 $842 0.4×
Exc thigh/knee les sc 3 cm/> (27337) $596.80 $746 0.2×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $188.20 $235.25 0.3×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $533.60 $667 0.3×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $1,112.80 $1,391 0.6×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $1,024 $1,280 0.6×
Excise Wrist Tendon Sheath (25118) $811.20 $1,014 0.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $412 $515 0.6×
Excision Distal Ulna Partial/Complete (25240) $880 $1,100 0.3×
Excision of ganglion, wrist (dorsal or volar); primary (25111) $462.40 $578 0.3×
Excision of neuroma; digital nerve, 1 or both, same digit (64776) $669.60 $837 0.3×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $668.80 $836 0.4×
External cephalic version (59412) $2,748.80 $3,436 0.8×
Fasciectomy Palm Only (26121) $1,325.60 $1,657 0.4×
Fasciotomy palmar percutaneous (26040) $575.20 $719 0.3×
Fasciotomy, foot and/or toe (28008) $728.80 $911 0.2×
Fetal non-stress test (59025) $228.28 $285.35 1.1×
Fuse hand bones with graft (25825)
range across 2 matching MRF lines
$290.40–$1,160.80 $363–$1,451 varies
Fusion Finger Joint (26860) $1,298.40 $1,623 0.4×
Fusion of foot bones (28740)
likely a partial charge, not the full procedure
$1,841.67 $2,302.08 0.2×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $279.20 $349 0.3×
Hysteroscopy Biopsy (58558) $1,700.80 $2,126 0.5×
Hysteroscopy Endometrial Ablation (58563)
unusually low: confirm this is the full procedure
$2,480.80 $3,101 0.5×
I&d abscess simple (10060) $211.20 $264 1.0×
Incise finger tendon sheath (26055) $703.20 $879 0.4×
Incision & drainage abscess complicated/multiple (10061) $324.80 $406 0.8×
Incision and drainage of vulva or perineal abscess (56405) $200 $250 0.6×
Incision extensor tendon sheath wrist (25000) $751.20 $939 0.4×
Incision of Foot Tendon (28234) $848.80 $1,061 0.5×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $395.20 $494 0.4×
Injection 1 tendon sheath/ligament aponeurosis (20550) $117.46 $146.82 0.4×
Injection aa&/strd axillary nerve w/img gdn (64417) $294.40 $368 0.3×
Injection aa&/strd genicular nrv branches w/img (64454) $1,907.20 $2,384 2.6×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $275.20 $344 0.4×
Injection anesthetic agent suprascapular nerve (64418) $188.80 $236 0.3×
Injection single tendon origin/insertion (20551) $120.80 $151 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $95.20 $119 0.3×
Injection single/mlt trigger point 3/> muscles (20553) $108 $135 0.3×
Injection, anesthetic agent; femoral nerve, single (64447) $152 $190 0.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $131.20 $164 0.2×
Insert cervical dilator (59200) $265.60 $332 0.8×
Insert Temp Bladder Cath (51702) $130.40 $163 0.9×
Insert tunneled cv cath (36561) $651.47 $814.33 0.2×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines
$1,670.40–$1,703.80 $2,088–$2,129.75 varies
Intranasal Biopsy (30100) $279.20 $349 0.2×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$200.36–$688 $250.44–$860 varies
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure
$1,241.16 $1,551.44 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure
$1,040 $1,300 0.2×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
likely a partial charge, not the full procedure
$1,274.40 $1,593 0.2×
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure
$620 $775 0.1×
Laryngoscopy flexible diagnostic (31575) $276 $345 1.3×
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines
$355.20–$1,422.40 $444–$1,778 varies
Manipulation knee joint under general anesthesia (27570) $316.80 $396 0.2×
Muscle transfer, any type, shoulder or upper arm; single Facility (23395)
range across 2 matching MRF lines
$637.60–$2,550.40 $797–$3,188 varies
N block inj intercost sng (64420) $203.20 $254 0.3×
N Block Inj Plantar Digit (64455) $75.20 $94 0.2×
N Block Lumbar/Thoracic (64520) $496 $620 0.5×
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines
$391.20–$392.61 $489–$490.76 varies
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $1,129.60 $1,412 0.7×
Nerve repair w/conduit each nerve (64910)
range across 2 matching MRF lines
$404–$1,616 $505–$2,020 varies
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) $919.20 $1,149 0.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $288 $360 0.7×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $3,556 $4,445 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $635.12 $793.90 0.7×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines
$556.80–$562.40 $696–$703 varies
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $552.74 $690.92 0.8×
Occipital Nerve Block (64405) $230.40 $288 0.7×
Open biopsy/excision inguinofemoral nodes (38531) $892.80 $1,116 0.2×
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines
$253.60–$1,013.60 $317–$1,267 varies
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines
$449.60–$2,247.20 $562–$2,809 varies
Open treatment metatarsal fracture each (28485)
likely a partial charge, not the full procedure
$1,192.80 $1,491 0.2×
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines
$376.80–$1,507.20 $471–$1,884 varies
Open Treatment of Ulnar Shaft Fracture (25545)
range across 2 matching MRF lines
$327.20–$1,309.60 $409–$1,637 varies
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
likely a partial charge, not the full procedure
$917.60 $1,147 0.1×
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines
$388–$1,552.80 $485–$1,941 varies
Open Tx Metacarpal Fracture Single Ea Bone (26615) $1,212.80 $1,516 0.4×
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines
$362.40–$1,507.20 $453–$1,884 varies
Ostectomy calcaneus (28118)
range across 2 matching MRF lines
$260–$1,040 $325–$1,300 varies
Osteot w/wo lngth shrt/corrj 1st metar (28306)
range across 2 matching MRF lines
$280–$1,120 $350–$1,400 varies
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 2 matching MRF lines
$292.80–$1,172.80 $366–$1,466 varies
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines
$332.80–$1,332 $416–$1,665 varies
Osteotomy tarsal bones oth/thn calcaneus/talus (28304)
range across 2 matching MRF lines
$311.20–$1,245.60 $389–$1,557 varies
Part remv talus or calcaneus (28120) $1,346.40 $1,683 0.4×
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines
$264.80–$1,059.20 $331–$1,324 varies
Puncture aspiration abscess hematoma bulla/cyst (10160) $236.80 $296 0.6×
Release Intrinsic Muscles Hand Each Muscle (26593) $1,297.60 $1,622 0.4×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $84 $105 1.4×
Removal Implant Deep (20680) $1,402.50 $1,753.13 0.5×
Removal of adenoids (42830) $459.20 $574 0.1×
Removal of heel spur (28119) $1,060 $1,325 0.3×
Removal of nail bed (11750) $335.20 $419 0.8×
Removal of tonsils (42825)
likely a partial charge, not the full procedure
$563.20 $704 0.1×
Removal of wrist bone (25210) $878.40 $1,098 0.3×
Remove drug implant device (11982) $244.80 $306 0.5×
Remove foreign body from eye (65205) $86.40 $108 0.6×
Remove Intrauterine Device (58301) $147.20 $184 0.5×
Remove Lower Leg Bone Lesion (27635) $1,026.40 $1,283 0.3×
Remove Nasal Foreign Body (30300) $234 $292.50 1.7×
Remove Tendon Sheath Lesion (26160) $1,304.80 $1,631 0.8×
Repair Achilles Tendon (27650)
likely a partial charge, not the full procedure
$1,469.60 $1,837 0.2×
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 2 matching MRF lines
$336–$1,344 $420–$1,680 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $928.80 $1,161 2.2×
Repair Hand Joint (26540) $1,100 $1,375 0.3×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $347.20 $434 0.8×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $272 $340 0.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $291.20 $364 0.7×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $337.60 $422 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $465.60 $582 1.1×
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines
$412.80–$1,650.40 $516–$2,063 varies
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines
$306.40–$1,225.60 $383–$1,532 varies
Revise ulnar nerve at wrist (64719) $892 $1,115 0.4×
Revise Wrist/Forearm Tendon (25280) $1,254.40 $1,568 0.4×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $210.40 $263 0.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $356 $445 0.2×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,196.80 $1,496 1.8×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure
$1,500 $1,875 0.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $694.40 $868 0.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure
$1,089.60 $1,362 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure
$931.20 $1,164 0.1×
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) $1,020.80 $1,276 0.3×
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines
$305.60–$1,222.40 $382–$1,528 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $211.16 $263.94 1.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $236 $295 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $270.40 $338 1.3×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $201.32 $251.65 1.0×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $235.20 $294 1.1×
Skin sub graft face/nk/hf/g (15275) $328.80 $411 0.4×
Skin sub graft trnk/arm/leg (15271) $547.20 $684 0.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $216.93 $271.16 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $212.80 $266 0.5×
Spinal puncture lumbar diagnostic (62270) $359.20 $449 0.5×
Surg tx anal fistula subq (46270) $1,144.80 $1,431 0.4×
Syndactylization toes (28280) $1,103.20 $1,379 0.3×
Tenodesis long tendon biceps (23430)
likely a partial charge, not the full procedure
$1,582.40 $1,978 0.2×
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) $1,022.40 $1,278 0.3×
Tonsillectomy and adenoidectomy; age 12 or over (42821) $655.20 $819 0.2×
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines
$559.20–$2,295.66 $699–$2,869.58 varies
Transection/Avulsion Oth Spinal Nrv Xdrl (64772) $1,376 $1,720 0.7×
Treat humerus fracture (24500) $757.60 $947 3.0×
Treat humerus fracture (23600) $749.60 $937 2.9×
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245)
range across 2 matching MRF lines
$637.60–$2,550.40 $797–$3,188 varies
Tympanostomy general anesthesia (69436) $570.40 $713 0.4×
Xfer Single Deep Low Leg Tendon (27691)
range across 2 matching MRF lines
$349.60–$1,398.40 $437–$1,748 varies

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.