Procedures & surgery prices at Mercy St. Francis Hospital
Mountain View, MO · every code in this section with a posted price and a Medicare benchmark.
345 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$523.25–$1,214.20 | $805–$1,868 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$440.05–$447.20 | $677–$688 | varies |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) | $1,621.75 | $2,495 | 0.8× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) | $1,370.20 | $2,108 | 0.7× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) | $1,158.95 | $1,783 | 0.6× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$161.85–$166.40 | $249–$256 | varies |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) | $460.20 | $708 | 0.2× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$215.15–$222.30 | $331–$342 | varies |
| Application finger splint static (29130) | $105.30 | $162 | 0.8× |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$231.40–$234.65 | $356–$361 | varies |
| Application Long Leg Splint (29505) | $233.35 | $359 | 1.4× |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$147.55–$174.20 | $227–$268 | varies |
| Application short leg splint calf foot (29515) | $194.35 | $299 | 1.2× |
| Apply Multlay Comprs Lwr Leg (29581) | $260 | $400 | 1.6× |
| Apply Short Leg Cast (29405) | $191.10 | $294 | 0.7× |
| Arterial puncture (36600) range across 2 matching MRF lines |
$39–$210.60 | $60–$324 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$163.80–$295.75 | $252–$455 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$253.50–$430.30 | $390–$662 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$213.85–$364.65 | $329–$561 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$292.50–$434.20 | $450–$668 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $141.70 | $218 | 0.5× |
| Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$518.70–$1,151.15 | $798–$1,771 | varies |
| Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$439.40–$832 | $676–$1,280 | varies |
| Aspiration bladder insert suprapubic catheter (51102) | $603.85 | $929 | 0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$153.40–$156 | $236–$240 | varies |
| Biopsy external ear (69100) | $198.90 | $306 | 0.8× |
| Biopsy/removal lymph nodes (38510) | $1,058.85 | $1,629 | 0.3× |
| Bladder Irrigation (51700) | $219.05 | $337 | 0.9× |
| Bladder Scan (51798) range across 3 matching MRF lines |
$151.45–$333.45 | $233–$513 | varies |
| Blood Transfusion Service (36430) range across 3 matching MRF lines |
$304.85–$1,405.90 | $469–$2,162.92 | varies |
| Bx/exc lymph node open superficial (38500) | $765.05 | $1,177 | 0.2× |
| Cataract surgery complex (66982) | $5,808.79 | $8,936.60 | 2.5× |
| Catheter aspiration nasotracheal spx (31720) | $134.55 | $207 | 0.6× |
| Change of Windpipe Airway (31502) | $305.50 | $470 | 1.3× |
| Chemical Cautery Tissue (17250) | $138.45 | $213 | 0.7× |
| Chemodenerv 1 extrem 5/> mus (64644) range across 2 matching MRF lines |
$339.95–$652.60 | $523–$1,004 | varies |
| Chemodenerv 1 extremity 1-4 (64642) range across 3 matching MRF lines |
$577.20–$5,343.01 | $888–$8,220.02 | varies |
| Chemodenerv Musc Migraine (64615) range across 3 matching MRF lines |
$381.55–$3,467.27 | $587–$5,334.26 | varies |
| Chemodenerv musc neck dyston (64616) range across 2 matching MRF lines |
$478.40–$576.55 | $736–$887 | varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) range across 3 matching MRF lines |
$317.85–$2,061.10 | $489–$3,170.93 | varies |
| Chest tube placement (32551) range across 2 matching MRF lines |
$598.65–$758.55 | $921–$1,167 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$193.70–$228.15 | $298–$351 | varies |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) | $1,080.95 | $1,663 | 0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $912.60 | $1,404 | 3.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) | $1,201.20 | $1,848 | 0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) | $937.95 | $1,443 | 3.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $429.65 | $661 | 1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) | $1,108.25 | $1,705 | 4.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) | $726.70 | $1,118 | 2.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) | $1,112.15 | $1,711 | 0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) | $330.85 | $509 | 1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) | $828.75 | $1,275 | 3.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) | $1,072.50 | $1,650 | 0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) | $645.45 | $993 | 2.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) | $741.65 | $1,141 | 0.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $624.65 | $961 | 2.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) | $1,116.70 | $1,718 | 4.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) | $638.30 | $982 | 2.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) | $519.35 | $799 | 2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) | $424.45 | $653 | 1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $720.20 | $1,108 | 2.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $1,319.50 | $2,030 | 0.8× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) | $1,561.30 | $2,402 | 1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) | $328.90 | $506 | 1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $393.90 | $606 | 1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) | $272.35 | $419 | 1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) | $1,079.65 | $1,661 | 4.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) | $342.55 | $527 | 1.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) | $739.05 | $1,137 | 2.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) | $534.95 | $823 | 2.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) | $1,638.65 | $2,521 | 1.0× |
| Cltx Medial Ankle Fx (27760) | $570.70 | $878 | 2.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) | $789.75 | $1,215 | 3.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $742.30 | $1,142 | 3.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) | $416.65 | $641 | 1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) | $1,006.85 | $1,549 | 4.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) | $306.15 | $471 | 1.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) | $934.70 | $1,438 | 0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) | $1,267.50 | $1,950 | 0.8× |
| Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$61.10–$477.75 | $94–$735 | varies |
| Collection of venous blood by venipuncture (36415) | $16.90 | $26 | 1.8× |
| Colonoscopy w/ablation (45388) | $1,310.40 | $2,016 | 1.1× |
| Colonoscopy w/fb removal (45379) | $758.55 | $1,167 | 0.6× |
| Colonoscopy w/submucosal inj (45381) | $1,080.95 | $1,663 | 0.9× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $913.90 | $1,406 | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $450.45 | $693 | 3.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$203.45–$239.20 | $313–$368 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $490.10 | $754 | 3.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $109.20 | $168 | 0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) | $542.10 | $834 | 0.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) | $726.70 | $1,118 | 0.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) | $234.65 | $361 | 0.6× |
| Declot vascular device (36593) | $332.80 | $512 | 1.0× |
| Destruct B9 Lesion 1-14 (17110) | $176.15 | $271 | 0.9× |
| Destruction Benign Lesions 15/> (17111) | $228.80 | $352 | 1.1× |
| Destruction Lesions Vulva Extensive (56515) | $612.30 | $942 | 0.3× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) | $291.20 | $448 | 1.4× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) | $315.90 | $486 | 1.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) | $255.45 | $393 | 1.3× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) | $292.50 | $450 | 1.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) | $219.05 | $337 | 1.1× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) | $193.05 | $297 | 1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) | $275.60 | $424 | 1.4× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) | $310.70 | $478 | 0.8× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) | $165.10 | $254 | 0.8× |
| Destruction Premalignant Lesion 15/> (17004) | $341.25 | $525 | 0.8× |
| Destruction premalignant lesion 1st (17000) | $117 | $180 | 0.6× |
| Destruction Vaginal Lesions Extensive (57065) | $2,085.20 | $3,208 | 0.6× |
| Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$359.45–$2,719.60 | $553–$4,184 | varies |
| Dilate Esophagus 1/Mult Pass (43450) | $1,377.35 | $2,119 | 1.5× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) | $3,868.59 | $5,951.67 | 2.2× |
| Drain Cerebro Spinal Fluid (62272) | $517.40 | $796 | 0.7× |
| Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$237.25–$240.50 | $365–$370 | varies |
| Drainage external ear abscess/hematoma cmplx (69005) | $578.50 | $890 | 0.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $370.50 | $570 | 0.5× |
| Drainage Finger Abscess Complicated (26011) | $900.25 | $1,385 | 0.5× |
| Drainage of finger abscess simple (26010) | $495.95 | $763 | 2.5× |
| Drainage of gum lesion (41800) | $442 | $680 | 3.3× |
| Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$319.15–$324.35 | $491–$499 | varies |
| Drainage of scrotal wall abscess (55100) | $662.35 | $1,019 | 0.4× |
| Draw Blood Off Venous Device (36591) | $88.40 | $136 | 0.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) | $532.35 | $819 | 1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $394.55 | $607 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $393.90 | $606 | 1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $261.30 | $402 | 1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) | $171.60 | $264 | 0.9× |
| Egd guide wire insertion (43248) | $676 | $1,040 | 0.7× |
| Egd lesion ablation (43270) | $1,019.20 | $1,568 | 0.5× |
| Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$740.35–$1,743.30 | $1,139–$2,682 | varies |
| Egd remove lesion snare (43251) | $817.70 | $1,258 | 0.4× |
| Endometrial Biopsy (58100) | $265.85 | $409 | 1.3× |
| Evacuation of subungual hematoma (11740) | $74.10 | $114 | 0.6× |
| Exc arm/elbow les sc < 3 cm (24075) | $1,282.45 | $1,973 | 0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$206.05–$3,331.25 | $317–$5,125 | varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) | $467.35 | $719 | 0.3× |
| Exc Back Les Sc < 3 Cm (21930) | $978.25 | $1,505 | 0.6× |
| Exc Back Tum Deep 5 Cm/> (21933) | $1,879.80 | $2,892 | 0.6× |
| Exc back tum deep < 5 cm (21932) | $1,303.25 | $2,005 | 0.4× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) | $536.90 | $826 | 0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) | $560.95 | $863 | 0.8× |
| Exc Face Les Sbq 2 Cm/> (21012) | $825.50 | $1,270 | 0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 2 matching MRF lines |
$242.45–$2,476.50 | $373–$3,810 | varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) | $325.65 | $501 | 0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) | $360.10 | $554 | 0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$398.45–$533 | $613–$820 | varies |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) | $689.65 | $1,061 | 0.4× |
| Exc Forearm Les Sc 3 Cm/> (25071) | $655.20 | $1,008 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) | $226.20 | $348 | 0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $310.70 | $478 | 0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$364.65–$3,793.40 | $561–$5,836 | varies |
| Exc Shoulder Tum Deep 5 Cm/> (23073) | $2,737.15 | $4,211 | 0.9× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$416.65–$2,351.70 | $641–$3,618 | varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $612.95 | $943 | 0.4× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) | $751.40 | $1,156 | 0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $611 | $940 | 0.4× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) | $818.35 | $1,259 | 0.5× |
| Exc thigh/knee les sc 3 cm/> (27337) | $1,032.85 | $1,589 | 0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) | $352.30 | $542 | 0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$258.05–$592.15 | $397–$911 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $364 | $560 | 0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $468.65 | $721 | 0.3× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) | $1,046.50 | $1,610 | 0.4× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) | $1,203.80 | $1,852 | 0.4× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) | $1,178.45 | $1,813 | 0.4× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) | $1,103.05 | $1,697 | 0.4× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) | $1,602.25 | $2,465 | 0.6× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) | $1,448.20 | $2,228 | 0.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) | $1,110.85 | $1,709 | 0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) | $560.30 | $862 | 0.8× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) | $838.50 | $1,290 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) | $345.15 | $531 | 0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $399.75 | $615 | 0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) | $436.15 | $671 | 1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) | $650.65 | $1,001 | 0.9× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) | $405.60 | $624 | 0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) | $659.75 | $1,015 | 0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) | $2,254.85 | $3,469 | 0.8× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) | $330.85 | $509 | 0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) | $435.50 | $670 | 0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) | $481.65 | $741 | 0.7× |
| Excision of pilonidal cyst or sinus; simple (11770) | $622.70 | $958 | 0.2× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) | $1,503.45 | $2,313 | 0.5× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$1,028.30–$1,317.55 | $1,582–$2,027 | varies |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) | $1,180.40 | $1,816 | 0.7× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) | $1,086.80 | $1,672 | 0.7× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) | $962 | $1,480 | 0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) | $809.25 | $1,245 | 0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) | $1,031.55 | $1,587 | 0.4× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) | $758.55 | $1,167 | 0.5× |
| Expl penetrating wound spx abdomen/flank/back (20102) | $912.60 | $1,404 | 0.4× |
| Exploration penetrating wound spx extremity (20103) | $1,038.70 | $1,598 | 0.6× |
| Fine needle aspiration without imaging guidance (10021) | $254.80 | $392 | 0.6× |
| Fluoro exam of g/colon tube (49465) | $243.10 | $374 | 1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) | $1,207.05 | $1,857 | 0.4× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$845–$5,047.03 | $1,300–$7,764.66 | varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) | $436.80 | $672 | 0.5× |
| I&d abscess peritonsillar (42700) | $337.35 | $519 | 1.4× |
| I&d abscess simple (10060) range across 4 matching MRF lines |
$174.85–$282.75 | $269–$435 | varies |
| I&d perianal abscess superficial (46050) | $427.70 | $658 | 0.5× |
| I&d pilonidal cyst complicated (10081) | $503.75 | $775 | 0.7× |
| I&d pilonidal cyst simple (10080) | $265.20 | $408 | 0.4× |
| Incise external hemorrhoid (46083) | $440.70 | $678 | 1.8× |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$430.30–$435.50 | $662–$670 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $509.60 | $784 | 0.3× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$247–$620.75 | $380–$955 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $386.75 | $595 | 1.9× |
| Incision and drainage of vulva or perineal abscess (56405) | $351 | $540 | 1.1× |
| Incision of rectal abscess (46040) | $1,042.60 | $1,604 | 0.9× |
| Incisional biopsy skin single lesion (11106) | $182 | $280 | 0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $163.15 | $251 | 0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$147.55–$460.20 | $227–$708 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$151.45–$152.10 | $233–$234 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $187.20 | $288 | 0.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$255.45–$263.25 | $393–$405 | varies |
| Insert Bladder Cath Complex (51703) | $278.20 | $428 | 2.2× |
| Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$529.75–$1,215.50 | $815–$1,870 | varies |
| Insert pessary/other device (57160) | $157.95 | $243 | 0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,154.40 | $1,776 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$151.45–$182 | $233–$280 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$123.50–$133.90 | $190–$206 | varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) | $1,157 | $1,780 | 0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$456.30–$1,306.50 | $702–$2,010 | varies |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) likely a partial charge, not the full procedure |
$298.35 | $459 | 0.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $926.90 | $1,426 | 2.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $1,080.95 | $1,663 | 2.7× |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$501.15–$555.10 | $771–$854 | varies |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) likely a partial charge, not the full procedure |
$1,263.60 | $1,944 | 0.2× |
| Laparoscopy, surgical, appendectomy (44970) likely a partial charge, not the full procedure |
$1,511.25 | $2,325 | 0.2× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) unusually low: confirm this is the full procedure |
$2,128.75 | $3,275 | 0.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) likely a partial charge, not the full procedure |
$1,076.40 | $1,656 | 0.2× |
| Ligation or biopsy temporal artery (37609) | $687.05 | $1,057 | 0.4× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) | $405.60 | $624 | 0.6× |
| Mastectomy partial (19301) | $1,297.40 | $1,996 | 0.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) | $414.05 | $637 | 0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $1,043.90 | $1,606 | 2.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) | $376.35 | $579 | 1.2× |
| Occipital Nerve Block (64405) | $358.80 | $552 | 1.2× |
| Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines |
$1,067.30–$3,406 | $1,642–$5,240 | varies |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) | $41,119.37 | $63,260.57 | 1.3× |
| Placement of needle for intraosseous infusion (36680) | $293.80 | $452 | 0.7× |
| Plmt expandable cath brst following prtl mast (19296) likely a partial charge, not the full procedure |
$921.70 | $1,418 | 0.1× |
| Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$202.80–$219.05 | $312–$337 | varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $239.85 | $369 | 0.6× |
| Puncture Aspiration Cyst Breast (19000) | $215.80 | $332 | 0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) | $3,475.55 | $5,347 | 1.2× |
| Removal Embedded Foreign Body Eyelid (67938) | $335.40 | $516 | 1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) | $564.85 | $869 | 0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
$59.80–$117.65 | $92–$181 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$107.90–$166.40 | $166–$256 | varies |
| Removal implantable contraceptive capsules (11976) | $275.60 | $424 | 0.4× |
| Removal of nail bed (11750) | $373.10 | $574 | 0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$152.75–$155.35 | $235–$239 | varies |
| Removal sweat gland lesion (11450) | $796.25 | $1,225 | 0.3× |
| Remove foreign body from eye (65205) | $131.30 | $202 | 1.0× |
| Remove Intrauterine Device (58301) | $213.85 | $329 | 0.7× |
| Remove Nasal Foreign Body (30300) | $294.45 | $453 | 2.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $867.75 | $1,335 | 1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $1,122.55 | $1,727 | 1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $653.90 | $1,006 | 1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$1,001.65–$1,012.70 | $1,541–$1,558 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $588.25 | $905 | 1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) | $873.60 | $1,344 | 2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) | $785.20 | $1,208 | 1.1× |
| Repair Ectropion Excision Tarsal Wedge (67916) | $4,058.85 | $6,244.39 | 1.7× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) | $1,541.15 | $2,371 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$515.45–$526.50 | $793–$810 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$572.65–$578.50 | $881–$890 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $651.30 | $1,002 | 1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$560.30–$829.40 | $862–$1,276 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $692.25 | $1,065 | 0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$302.25–$365.95 | $465–$563 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 3 matching MRF lines |
$410.80–$497.90 | $632–$766 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $651.30 | $1,002 | 0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$623.35–$733.20 | $959–$1,128 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
$342.55–$5,222.25 | $527–$8,034.23 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines |
$404.95–$475.80 | $623–$732 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $837.20 | $1,288 | 1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$582.40–$590.20 | $896–$908 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $975.65 | $1,501 | 0.5× |
| Repair Leg Fascia Defect (27656) | $1,396.85 | $2,149 | 0.4× |
| Repair of nail bed (11760) | $453.70 | $698 | 0.6× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) range across 2 matching MRF lines |
$1,456.65–$9,885.57 | $2,241–$15,208.57 | varies |
| Repair tongue laceration (41252) | $704.60 | $1,084 | 3.0× |
| Repair tongue laceration (41250) | $391.30 | $602 | 0.9× |
| Rerepair ing hernia reduce (49520) | $1,641.90 | $2,526 | 0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) | $212.55 | $327 | 0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) | $177.45 | $273 | 1.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $122.20 | $188 | 0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$691.60–$3,979.79 | $1,064–$6,122.76 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$493.35–$952.25 | $759–$1,465 | varies |
| Rplc Gtube No Revj Trc (43762) range across 4 matching MRF lines |
$320.45–$1,459.90 | $493–$2,246 | varies |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$1,600.30–$1,881.75 | $2,462–$2,895 | varies |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 3 matching MRF lines |
$967.20–$5,692.89 | $1,488–$8,758.30 | varies |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) range across 2 matching MRF lines |
$1,600.30–$1,881.75 | $2,462–$2,895 | varies |
| Rpr aa hernia recr 3-10 cm reducible (49615) range across 2 matching MRF lines |
$1,600.30–$1,881.75 | $2,462–$2,895 | varies |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) range across 2 matching MRF lines |
$969.15–$1,140.75 | $1,491–$1,755 | varies |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines |
$967.20–$1,138.80 | $1,488–$1,752 | varies |
| Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$1,473.55–$1,733.55 | $2,267–$2,667 | varies |
| Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$969.15–$1,140.75 | $1,491–$1,755 | varies |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) | $4,120.06 | $6,338.56 | 1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) | $533 | $820 | 2.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $681.20 | $1,048 | 0.9× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) | $1,312.35 | $2,019 | 0.8× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $605.15 | $931 | 0.5× |
| Shave skin lesion 0.5 cm/< (11300) | $150.80 | $232 | 0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) | $171.60 | $264 | 0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) | $102.05 | $157 | 0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) | $170.30 | $262 | 0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) | $170.95 | $263 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) | $176.80 | $272 | 0.9× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) | $245.70 | $378 | 0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $165.10 | $254 | 0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $186.55 | $287 | 0.9× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $369.20 | $568 | 0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $579.15 | $891 | 1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$290.55–$341.25 | $447–$525 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$359.45–$422.50 | $553–$650 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $625.30 | $962 | 1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) | $465.40 | $716 | 2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$212.55–$249.60 | $327–$384 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$362.05–$426.40 | $557–$656 | varies |
| Skin Tissue Procedure (17999) | $165.10 | $254 | 0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$299.65–$352.95 | $461–$543 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) | $515.45 | $793 | 1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) | $572.65 | $881 | 1.4× |
| Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines |
$761.80–$4,170.26 | $1,172–$6,415.79 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$313.30–$728 | $482–$1,120 | varies |
| Strapping hand/finger (29280) | $73.45 | $113 | 1.2× |
| Strapping shoulder (29240) | $72.80 | $112 | 0.5× |
| Strapping Unna Boot (29580) | $254.80 | $392 | 1.6× |
| Tangential biopsy skin single lesion (11102) | $191.75 | $295 | 0.5× |
| Tooth extraction (41899) | $191.75 | $295 | 0.8× |
| Treat humerus fracture (23600) | $732.55 | $1,127 | 3.0× |
| Treat Knuckle Dislocation (26700) | $616.85 | $949 | 2.5× |
| Treat Thumb Dislocation (26641) | $668.85 | $1,029 | 2.7× |
| Treat toe dislocation (28630) | $285.35 | $439 | 1.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) | $1,203.15 | $1,851 | 0.7× |
| Treatment closed elbow dislocation w/o anes (24600) | $1,032.85 | $1,589 | 4.2× |
| Tx Gastro Intub W/Asp (43753) | $307.45 | $473 | 1.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $551.85 | $849 | 0.7× |
| Tx superficial wound dehiscence w/packing (12021) | $326.95 | $503 | 0.8× |
| Unlisted procedure anus (46999) range across 2 matching MRF lines |
$202.80–$817.05 | $312–$1,257 | varies |
| Vaginal delivery only (59409) | $1,911 | $2,940 | 0.6× |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$223.60–$228.15 | $344–$351 | varies |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) | $8,528.16 | $13,120.25 | 1.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.