Procedures & surgery prices at Mercy Hospital Healdton, Inc.
Healdton, OK · every code in this section with a posted price and a Medicare benchmark.
291 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) | $935.35 | $1,439 | 1.1× |
| Amniocentesis diagnostic (59000) | $635.05 | $977 | 0.7× |
| Anal/Urinary Muscle Study (51784) | $275.60 | $424 | 2.2× |
| Apheresis Platelets (36513) | $1,740.70 | $2,678 | 4.1× |
| Application cast elbow finger short arm (29075) | $218.40 | $336 | 0.8× |
| Application finger splint static (29130) range across 4 matching MRF lines |
$100.75–$241.15 | $155–$371 | varies |
| Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$191.10–$249.60 | $294–$384 | varies |
| Application Long Leg Splint (29505) range across 3 matching MRF lines |
$189.15–$304.85 | $291–$469 | varies |
| Application of rigid total contact leg cast (29445) | $438.75 | $675 | 1.6× |
| Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$156–$253.50 | $240–$390 | varies |
| Application short leg splint calf foot (29515) range across 3 matching MRF lines |
$165.75–$251.55 | $255–$387 | varies |
| Apply Multlay Comprs Lwr Leg (29581) | $206.70 | $318 | 1.3× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$51.35–$76.05 | $79–$117 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$153.40–$284.70 | $236–$438 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$251.55–$517.40 | $387–$796 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$168.35–$510.25 | $259–$785 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$246.35–$676.65 | $379–$1,041 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$130.65–$256.75 | $201–$395 | varies |
| Aspirate pleura w/ imaging (32555) | $457.60 | $704 | 0.8× |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$388.05–$456.30 | $597–$702 | varies |
| Aspiration & Injection Treatment Bone Cyst (20615) | $798.85 | $1,229 | 1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$155.35–$273 | $239–$420 | varies |
| Biopsy Abdominal Mass (49180) | $1,054.30 | $1,622 | 0.7× |
| Biopsy bone open superficial (20240) | $2,623.40 | $4,036 | 0.9× |
| Biopsy bone trocar/needle deep (20225) | $1,366.30 | $2,102 | 0.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) | $1,058.85 | $1,629 | 0.7× |
| Biopsy muscle percutaneous needle (20206) | $1,111.50 | $1,710 | 0.7× |
| Biopsy Muscle Superficial (20200) | $1,142.70 | $1,758 | 0.7× |
| Biopsy of liver, needle; percutaneous (47000) | $1,318.20 | $2,028 | 0.8× |
| Biopsy Pleura Percutaneous Needle (32400) | $1,065.35 | $1,639 | 0.7× |
| Bladder Irrigation (51700) | $502.45 | $773 | 2.1× |
| Bladder Scan (51798) | $219.05 | $337 | 3.9× |
| Blepharotomy drainage abscess eyelid (67700) | $382.20 | $588 | 1.3× |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$653.90–$2,613.65 | $1,006–$4,021 | varies |
| Bone Marrow Biopsy (38221) | $850.20 | $1,308 | 0.5× |
| Bone Marrow; Aspiration Only (38220) | $569.40 | $876 | 0.4× |
| Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$157.95–$160.55 | $243–$247 | varies |
| Change Cystostomy Tube Simple (51705) | $200.85 | $309 | 0.8× |
| Change ureter stent percut (50382) | $2,447.90 | $3,766 | 1.2× |
| Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$139.10–$261.30 | $214–$402 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$575.90–$915.85 | $886–$1,409 | varies |
| Circumcision Neonate (54160) | $380.90 | $586 | 0.6× |
| Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$412.10–$582.40 | $634–$896 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$172.25–$202.15 | $265–$311 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) | $726.05 | $1,117 | 3.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) | $631.15 | $971 | 2.7× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $665.60 | $1,024 | 2.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$312.65–$367.90 | $481–$566 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $525.85 | $809 | 2.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
$446.55–$525.85 | $687–$809 | varies |
| Closed tx radial head/neck fx w/o manipulation (24650) | $421.20 | $648 | 1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$936–$1,022.45 | $1,440–$1,573 | varies |
| Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
$355.55–$417.95 | $547–$643 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) | $430.30 | $662 | 1.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$362.05–$425.75 | $557–$655 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$562.25–$662.35 | $865–$1,019 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $540.80 | $832 | 2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $338.65 | $521 | 1.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$332.15–$391.30 | $511–$602 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$596.70–$701.35 | $918–$1,079 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,012.05–$1,190.15 | $1,557–$1,831 | varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $424.45 | $653 | 1.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $271.05 | $417 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $271.70 | $418 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $239.20 | $368 | 1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) | $507.65 | $781 | 2.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
$553.80–$650.65 | $852–$1,001 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $274.95 | $423 | 1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $692.90 | $1,066 | 2.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$437.45–$514.80 | $673–$792 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) | $566.80 | $872 | 2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$431.60–$507 | $664–$780 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$505.70–$595.40 | $778–$916 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$347.10–$408.85 | $534–$629 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$237.25–$278.20 | $365–$428 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $116.35 | $179 | 0.9× |
| Collection of venous blood by venipuncture (36415) | $13 | $20 | 1.4× |
| Complex drainage wound (10180) | $1,758.25 | $2,705 | 0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$326.95–$384.15 | $503–$591 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$191.10–$225.55 | $294–$347 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$460.20–$541.45 | $708–$833 | varies |
| Curettage postpartum (59160) | $119.60 | $184 | 0.0× |
| Cystometrogram W/Vp (51728) | $629.85 | $969 | 0.9× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) | $2,893.15 | $4,451 | 1.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $1,101.10 | $1,694 | 1.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $1,419.60 | $2,184 | 0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $736.45 | $1,133 | 1.9× |
| Declot vascular device (36593) | $323.70 | $498 | 1.0× |
| Destr W Neurolytic; Celiac Plexus (64680) | $1,368.90 | $2,106 | 1.6× |
| Destruct B9 Lesion 1-14 (17110) | $193.70 | $298 | 1.0× |
| Destruction Benign Lesions 15/> (17111) | $175.50 | $270 | 0.9× |
| Destruction Premalignant Lesion 15/> (17004) | $259.35 | $399 | 0.7× |
| Destruction premalignant lesion 1st (17000) | $133.25 | $205 | 0.7× |
| Diagnostic sigmoidoscopy (45330) | $1,517.75 | $2,335 | 1.7× |
| Dilate Esophagus 1/Mult Pass (43450) | $1,436.50 | $2,210 | 1.6× |
| Drain Cerebro Spinal Fluid (62272) | $603.85 | $929 | 0.9× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$158.60–$430.95 | $244–$663 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) range across 2 matching MRF lines |
$349.05–$410.80 | $537–$632 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $341.90 | $526 | 0.5× |
| Drainage Finger Abscess Complicated (26011) | $731.25 | $1,125 | 0.5× |
| Drainage Mouth Roof Lesion (42000) | $360.75 | $555 | 1.6× |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$373.75–$440.05 | $575–$677 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$306.15–$360.10 | $471–$554 | varies |
| Drainage of hematoma/fluid (10140) | $280.15 | $431 | 0.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) | $2,280.85 | $3,509 | 0.7× |
| Draw Blood Off Venous Device (36591) | $116.35 | $179 | 0.9× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) | $1,236.95 | $1,903 | 0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $364 | $560 | 0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $291.20 | $448 | 1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$152.75–$239.20 | $235–$368 | varies |
| Dx Bronchoscope/Wash (31622) | $1,779.70 | $2,738 | 1.0× |
| Egd place gastrostomy tube (43246) | $1,134.25 | $1,745 | 0.6× |
| Electro-Uroflowmetry First (51741) | $249.60 | $384 | 1.2× |
| Epidural Blood Patch (62273) | $1,134.25 | $1,745 | 1.7× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) | $2,297.75 | $3,535 | 0.6× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) | $1,779.70 | $2,738 | 2.0× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$79.30–$134.55 | $122–$207 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $200.85 | $309 | 0.1× |
| Exchange Transfusion Blood Newborn (36450) | $651.30 | $1,002 | 1.5× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) | $1,387.75 | $2,135 | 0.8× |
| Excision Lingual Frenum Frenectomy (41115) | $1,084.20 | $1,668 | 0.7× |
| External cephalic version (59412) | $1,743.30 | $2,682 | 0.6× |
| Fetal Contraction Stress Test (59020) | $417.95 | $643 | 2.1× |
| Fine needle aspiration without imaging guidance (10021) | $202.80 | $312 | 0.5× |
| Fluoro exam of g/colon tube (49465) | $236.60 | $364 | 1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) | $2,286.70 | $3,518 | 0.9× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$208.65–$339.30 | $321–$522 | varies |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) | $2,145 | $3,300 | 0.7× |
| I&d pilonidal cyst complicated (10081) | $966.55 | $1,487 | 1.4× |
| I&d pilonidal cyst simple (10080) range across 3 matching MRF lines |
$262.60–$479.05 | $404–$737 | varies |
| Implant neuroelectrodes (63650) | $4,561.70 | $7,018 | 0.7× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) unusually low: confirm this is the full procedure |
$3,625.05 | $5,577 | 0.4× |
| Incise external hemorrhoid (46083) | $385.45 | $593 | 1.6× |
| Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
$395.20–$494.65 | $608–$761 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $500.50 | $770 | 0.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$243.75–$286.65 | $375–$441 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$346.45–$407.55 | $533–$627 | varies |
| Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines |
$299–$598 | $460–$920 | varies |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,008.80–$2,189.85 | $1,552–$3,369 | varies |
| Incisional biopsy skin single lesion (11106) | $544.05 | $837 | 0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $152.10 | $234 | 0.8× |
| Inj W/Fluor Eval Cv Device (36598) | $193.70 | $298 | 0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) | $1,205.10 | $1,854 | 1.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $490.75 | $755 | 1.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $782.60 | $1,204 | 0.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $553.80 | $852 | 0.8× |
| Injection anesthetic agent suprascapular nerve (64418) | $696.80 | $1,072 | 1.0× |
| Injection for identification of sentinel node (38792) | $345.15 | $531 | 0.9× |
| Injection single tendon origin/insertion (20551) | $317.20 | $488 | 1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$169.65–$242.45 | $261–$373 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$193.70–$242.45 | $298–$373 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $638.30 | $982 | 0.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$317.20–$582.40 | $488–$896 | varies |
| Insert 1 Electrode Pm-Defib (33216) unusually low: confirm this is the full procedure |
$2,765.10 | $4,254 | 0.3× |
| Insert Bladder Cath Complex (51703) | $330.20 | $508 | 2.7× |
| Insert cervical dilator (59200) | $297.05 | $457 | 1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) | $1,294.15 | $1,991 | 0.7× |
| Insert Heart Pm Atrial (33206) unusually low: confirm this is the full procedure |
$3,852.55 | $5,927 | 0.4× |
| Insert Heart Pm Ventricular (33207) unusually low: confirm this is the full procedure |
$3,198 | $4,920 | 0.3× |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$384.80–$1,307.15 | $592–$2,011 | varies |
| Insert Pacing Lead & Connect (33224) | $7,690.80 | $11,832 | 0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,297.40 | $1,996 | 0.9× |
| Insert pulse gen dual leads (33213) likely a partial charge, not the full procedure |
$2,419.30 | $3,722 | 0.2× |
| Insert Pulse Gen Sngl Lead (33212) likely a partial charge, not the full procedure |
$2,187.90 | $3,366 | 0.3× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$194.35–$203.45 | $299–$313 | varies |
| Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$1,955.20–$2,604.55 | $3,008–$4,007 | varies |
| Insert tunneled cv cath (36563) | $3,595.80 | $5,532 | 0.7× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$2,428.40 | $3,736 | 0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $173.55 | $267 | 1.4× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) unusually low: confirm this is the full procedure |
$2,879.50 | $4,430 | 0.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,223.30 | $1,882 | 0.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) | $1,797.90 | $2,766 | 0.6× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) | $2,218.45 | $3,413 | 0.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) | $1,537.25 | $2,365 | 1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) | $3,092.70 | $4,758 | 1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) | $3,517.15 | $5,411 | 0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) | $2,093 | $3,220 | 0.7× |
| Insj/Rplcmt Defib W/Lead(S) (33249) likely a partial charge, not the full procedure |
$4,794.40 | $7,376 | 0.2× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) | $4,722.90 | $7,266 | 0.6× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) | $4,722.90 | $7,266 | 0.6× |
| Insrt heart pm atrial & vent (33208) unusually low: confirm this is the full procedure |
$3,554.85 | $5,469 | 0.4× |
| Insrt Pulse Gen W/Singl Lead (33240) likely a partial charge, not the full procedure |
$5,361.20 | $8,248 | 0.3× |
| Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
$378.30–$572 | $582–$880 | varies |
| Laryngoscopy diagnostic (31505) | $291.85 | $449 | 1.5× |
| Laryngoscopy flexible diagnostic (31575) | $468 | $720 | 2.4× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) | $386.10 | $594 | 0.6× |
| Maternity Care Procedure (59899) | $302.25 | $465 | 1.6× |
| N Block Inj Celiac Pelus (64530) | $874.90 | $1,346 | 1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $512.20 | $788 | 0.8× |
| N block inj intercost sng (64420) | $604.50 | $930 | 0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) | $374.40 | $576 | 0.9× |
| Needle Biopsy Lymph Nodes (38505) | $1,181.70 | $1,818 | 0.7× |
| Needle Biopsy Pancreas (48102) | $1,074.45 | $1,653 | 0.7× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $683.80 | $1,052 | 1.6× |
| Njx anes stellate ganglion crv sympathetic (64510) | $1,036.75 | $1,595 | 1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 3 matching MRF lines |
$333.45–$447.85 | $513–$689 | varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) | $1,085.50 | $1,670 | 1.3× |
| Occipital Nerve Block (64405) | $464.10 | $714 | 1.6× |
| Percut Drain/Inject Renal Cyst (50390) | $992.55 | $1,527 | 1.5× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) | $4,171.70 | $6,418 | 1.4× |
| Prim art mech thrombectomy (37184) likely a partial charge, not the full procedure |
$4,767.75 | $7,335 | 0.3× |
| Pseudoaneurysm Injection Trt (36002) | $620.10 | $954 | 1.0× |
| Punch biopsy skin single lesion (11104) | $514.80 | $792 | 1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $313.30 | $482 | 0.8× |
| Puncture Aspiration Cyst Breast (19000) | $461.50 | $710 | 0.7× |
| Push Transfusion Blood 2 Yr/Under (36440) | $274.30 | $422 | 0.6× |
| Relocation Pocket Pacemaker (33222) | $1,687.40 | $2,596 | 0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) | $505.70 | $778 | 0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$61.75–$111.80 | $95–$172 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$99.45–$117.65 | $153–$181 | varies |
| Removal of nail bed (11750) | $704.60 | $1,084 | 1.8× |
| Removal of tunneled intraperitoneal catheter (49422) | $2,245.75 | $3,455 | 0.7× |
| Removal or bivalving full arm or full leg cast (29705) range across 2 matching MRF lines |
$144.95–$173.55 | $223–$267 | varies |
| Removal Pacemaker Electrode (33235) | $2,490.15 | $3,831 | 0.7× |
| Removal ppm generator only (33233) unusually low: confirm this is the full procedure |
$3,406.65 | $5,241 | 0.4× |
| Remove cerclage suture (59871) | $2,743 | $4,220 | 0.9× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$90.35–$105.95 | $139–$163 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$274.95–$324.35 | $423–$499 | varies |
| Remove Pulse Generator (33241) | $3,144.05 | $4,837 | 0.9× |
| Renal Biopsy Perq (50200) | $1,215.50 | $1,870 | 0.8× |
| Repair blood vessel lesion (35190) | $3,577.60 | $5,504 | 0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $718.25 | $1,105 | 1.8× |
| Repair extensor tendon finger w/o graft each (26418) | $1,276.60 | $1,964 | 0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$431.60–$507 | $664–$780 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$433.55–$510.25 | $667–$785 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $598.65 | $921 | 1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$703.95–$830.70 | $1,083–$1,278 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$382.85–$449.80 | $589–$692 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$433.55–$510.25 | $667–$785 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$542.75–$638.30 | $835–$982 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) | $613.60 | $944 | 1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $406.90 | $626 | 1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$401.70–$473.20 | $618–$728 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$542.75–$638.30 | $835–$982 | varies |
| Repair lead pace-defib dual (33220) | $2,484.95 | $3,823 | 0.7× |
| Repair Lead Pace-Defib One (33218) | $2,089.75 | $3,215 | 0.6× |
| Repair tongue laceration (41250) | $449.15 | $691 | 1.0× |
| Replace g/c tube perc (49450) | $648.70 | $998 | 0.7× |
| Reposition Gastrostomy Tube (43761) | $378.30 | $582 | 1.6× |
| Reposition L Ventric Lead (33226) | $2,327.65 | $3,581 | 0.8× |
| Reposition Pacing-Defib Lead (33215) | $2,569.45 | $3,953 | 0.8× |
| Reposition Venous Catheter (36597) | $913.90 | $1,406 | 0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$158.60–$186.55 | $244–$287 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $157.30 | $242 | 1.2× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $118.30 | $182 | 0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) | $331.50 | $510 | 0.2× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) | $1,250.60 | $1,924 | 0.7× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) | $2,341.30 | $3,602 | 0.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) | $1,393.60 | $2,144 | 0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $955.50 | $1,470 | 1.6× |
| Rplc Gtube No Revj Trc (43762) | $150.80 | $232 | 0.6× |
| Rplc gtube revj gstrst trc (43763) | $165.10 | $254 | 0.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) | $2,128.75 | $3,275 | 0.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) | $1,276.60 | $1,964 | 0.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $529.75 | $815 | 2.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,021.15 | $1,571 | 0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $142.35 | $219 | 0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$268.45–$315.25 | $413–$485 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$282.75–$331.50 | $435–$510 | varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$338.65–$397.80 | $521–$612 | varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$229.45–$270.40 | $353–$416 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$347.10–$408.85 | $534–$629 | varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$277.55–$327.60 | $427–$504 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$390–$506.35 | $600–$779 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $595.40 | $916 | 1.5× |
| Spinal puncture lumbar diagnostic (62270) | $702 | $1,080 | 1.0× |
| Strapping Unna Boot (29580) | $196.95 | $303 | 1.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) | $1,149.85 | $1,769 | 0.7× |
| Ther Apheresis,Red Blood Cells (36512) | $2,657.20 | $4,088 | 1.8× |
| Therapeutic Apheresis White Blood Cells (36511) | $2,657.20 | $4,088 | 1.8× |
| Therapeutic plasma exchange (36514) | $2,574 | $3,960 | 1.7× |
| Thyroid biopsy (60100) | $761.15 | $1,171 | 1.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $585.65 | $901 | 2.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $995.15 | $1,531 | 0.7× |
| Transcatheter biopsy (37200) likely a partial charge, not the full procedure |
$1,199.25 | $1,845 | 0.2× |
| Treat Knuckle Dislocation (26700) | $515.45 | $793 | 2.2× |
| Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$469.30–$551.85 | $722–$849 | varies |
| Treat toe dislocation (28630) | $376.35 | $579 | 1.6× |
| Treatment closed elbow dislocation w/o anes (24600) | $683.80 | $1,052 | 2.9× |
| Tx Gastro Intub W/Asp (43753) | $286 | $440 | 1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $464.10 | $714 | 0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) | $423.15 | $651 | 1.8× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$485.55–$534.95 | $747–$823 | varies |
| Upgrade of pacemaker system (33214) unusually low: confirm this is the full procedure |
$4,434.30 | $6,822 | 0.4× |
| Vaginal delivery only (59409) | $146.25 | $225 | 0.0× |
| Vein Access Cutdown < 1 Yr (36420) | $136.50 | $210 | 1.1× |
| Venous Cutdown >1 Y/O (36425) | $100.10 | $154 | 0.2× |
| Venous Mech Thrombectomy (37187) unusually low: confirm this is the full procedure |
$4,965.35 | $7,639 | 0.4× |
| Wedge excision skin nail fold (11765) | $281.45 | $433 | 0.7× |
| Wound Prep F/N/Hf/G (15004) | $936 | $1,440 | 2.4× |
| Wound Prep Trk/Arm/Leg (15002) | $1,285.05 | $1,977 | 1.8× |
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.