Procedures & surgery prices at Merrick Medical Center
Central City, NE · every code in this section with a posted price and a Medicare benchmark.
380 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 3 matching MRF lines |
$372–$937.20 | $620–$1,562 | varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$250.80–$525 | $418–$875 | varies |
| Adding Walker Previously Applied Cast (29440) | $54.60 | $91 | 0.3× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) | $249.60 | $416 | 0.3× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) | $379.20 | $632 | 0.1× |
| Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$126.60–$139.80 | $211–$233 | varies |
| Anoscopy remove lesion (46610) | $312.60 | $521 | 0.1× |
| Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$105–$213 | $175–$355 | varies |
| Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$64.20–$88.20 | $107–$147 | varies |
| Application finger splint static (29130) range across 2 matching MRF lines |
$51–$88.20 | $85–$147 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$99.60–$211.20 | $166–$352 | varies |
| Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
$172.20–$368.40 | $287–$614 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$97.20–$103.80 | $162–$173 | varies |
| Application of long leg cast (29345) range across 2 matching MRF lines |
$165–$304.20 | $275–$507 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$94.80–$164.40 | $158–$274 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$78.60–$164.40 | $131–$274 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$86.40–$211.20 | $144–$352 | varies |
| Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$114.60–$213 | $191–$355 | varies |
| Apply long arm cast (29065) range across 2 matching MRF lines |
$115.20–$368.40 | $192–$614 | varies |
| Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$97.80–$213 | $163–$355 | varies |
| Apply short leg cast (29425) range across 2 matching MRF lines |
$94.20–$213 | $157–$355 | varies |
| Arterial puncture (36600) range across 2 matching MRF lines |
$68.40–$72.60 | $114–$121 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$65.40–$217.80 | $109–$363 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$105.60–$883.80 | $176–$1,473 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$76.80–$550.20 | $128–$917 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$117–$792.60 | $195–$1,321 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$63–$121.20 | $105–$202 | varies |
| Aspirate pleura w/ imaging (32555) | $385.20 | $642 | 0.6× |
| Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
$274.80–$490.20 | $458–$817 | varies |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$76.80–$319.20 | $128–$532 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$120.60–$138 | $201–$230 | varies |
| Biopsy external ear (69100) | $303.60 | $506 | 1.2× |
| Biopsy muscle percutaneous needle (20206) | $887.40 | $1,479 | 0.5× |
| Biopsy of liver, needle; percutaneous (47000) | $2,416.80 | $4,028 | 1.4× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) range across 3 matching MRF lines |
$335.40–$2,086.80 | $559–$3,478 | varies |
| Biopsy Salivary Gland Needle (42400) | $867 | $1,445 | 1.2× |
| Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
$216.60–$457.80 | $361–$763 | varies |
| Biopsy, vestibule of mouth (40808) range across 2 matching MRF lines |
$226.80–$448.20 | $378–$747 | varies |
| Bladder instillation anticarcinogenic agent (51720) | $617.40 | $1,029 | 0.9× |
| Bladder Scan (51798) range across 2 matching MRF lines |
$16.20–$120.60 | $27–$201 | varies |
| Blood Transfusion Service (36430) | $587.40 | $979 | 1.3× |
| Bone Marrow Biopsy (38221) | $1,444.80 | $2,408 | 0.8× |
| Bone Marrow; Aspiration Only (38220) | $963.60 | $1,606 | 0.6× |
| Bx breast 1st lesion us imag (19083) | $1,558.20 | $2,597 | 0.9× |
| Bx prostate strtctc saturation sampling img gid (55706) range across 2 matching MRF lines |
$470.40–$2,086.80 | $784–$3,478 | varies |
| Catheter aspiration nasotracheal spx (31720) | $51.60 | $86 | 0.2× |
| Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
$164.40–$423 | $274–$705 | varies |
| Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$117.60–$211.80 | $196–$353 | varies |
| Change of Windpipe Airway (31502) | $35.40 | $59 | 0.1× |
| Chest tube placement (32551) | $644.40 | $1,074 | 0.4× |
| Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$127.20–$214.20 | $212–$357 | varies |
| Circumcision Neonate (54160) | $222.60 | $371 | 0.3× |
| Circumcision w/clamp/oth dev w/block (54150) | $469.20 | $782 | 0.2× |
| Cl Tx Scapular Fx; W Manip (23575) | $496.20 | $827 | 0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
$654.60–$2,094 | $1,091–$3,490 | varies |
| Clear outer ear canal (69200) range across 2 matching MRF lines |
$99.60–$164.40 | $166–$274 | varies |
| Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines |
$333.60–$370.20 | $556–$617 | varies |
| Closed rx talotarsal disloc,anesth (28575) range across 2 matching MRF lines |
$453.60–$4,101 | $756–$6,835 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 2 matching MRF lines |
$333.60–$541.80 | $556–$903 | varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) range across 2 matching MRF lines |
$333.60–$600 | $556–$1,000 | varies |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 2 matching MRF lines |
$333.60–$352.20 | $556–$587 | varies |
| Closed Treatment Ulnar Styloid Fracture (25650) range across 2 matching MRF lines |
$333.60–$399 | $556–$665 | varies |
| Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$333.60–$460.20 | $556–$767 | varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
$333.60–$409.20 | $556–$682 | varies |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) | $290.40 | $484 | 1.1× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) range across 2 matching MRF lines |
$768–$2,094 | $1,280–$3,490 | varies |
| Closed tx knee dislocation w/o anesthesia (27550) range across 2 matching MRF lines |
$333.60–$638.40 | $556–$1,064 | varies |
| Closed tx mandibular fracture w/manipulation (21451) | $937.80 | $1,563 | 0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
$270–$333.60 | $450–$556 | varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$336–$1,765.20 | $560–$2,942 | varies |
| Closed tx patellar dislocation w/o anesthesia (27560) | $283.80 | $473 | 1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
$321–$333.60 | $535–$556 | varies |
| Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines |
$616.80–$2,175.60 | $1,028–$3,626 | varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines |
$333.60–$340.80 | $556–$568 | varies |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
$631.20–$963 | $1,052–$1,605 | varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines |
$333.60–$348 | $556–$580 | varies |
| Closed Tx Talus Fracture W/Manipulation (28435) | $445.20 | $742 | 0.3× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) | $1,824 | $3,040 | 1.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$143.40–$333.60 | $239–$556 | varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 2 matching MRF lines |
$560.40–$2,094 | $934–$3,490 | varies |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 2 matching MRF lines |
$333.60–$356.40 | $556–$594 | varies |
| Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
$321.60–$333.60 | $536–$556 | varies |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines |
$278.40–$342 | $464–$570 | varies |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
$437.40–$714 | $729–$1,190 | varies |
| Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
$333.60–$419.40 | $556–$699 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$269.40–$333.60 | $449–$556 | varies |
| Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$495.60–$1,222.20 | $826–$2,037 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$333.60–$390.60 | $556–$651 | varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$456–$1,997.40 | $760–$3,329 | varies |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
$282–$333.60 | $470–$556 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 2 matching MRF lines |
$333.60–$420.60 | $556–$701 | varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
$333.60–$385.20 | $556–$642 | varies |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 2 matching MRF lines |
$333.60–$389.40 | $556–$649 | varies |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$227.40–$333.60 | $379–$556 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$333.60–$406.20 | $556–$677 | varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$661.20–$1,318.80 | $1,102–$2,198 | varies |
| Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
$176.40–$333.60 | $294–$556 | varies |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $285 | $475 | 1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$151.20–$333.60 | $252–$556 | varies |
| Cltx greater humeral tuberosity fx w/o manj (23620) range across 2 matching MRF lines |
$328.80–$333.60 | $548–$556 | varies |
| Cltx hip dislocation traumatic req anesthesia (27252) range across 2 matching MRF lines |
$922.20–$2,094 | $1,537–$3,490 | varies |
| Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines |
$223.20–$333.60 | $372–$556 | varies |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 2 matching MRF lines |
$192.60–$369 | $321–$615 | varies |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$146.40–$333.60 | $244–$556 | varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines |
$369–$472.20 | $615–$787 | varies |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$333.60–$344.40 | $556–$574 | varies |
| Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
$333.60–$409.20 | $556–$682 | varies |
| Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$333.60–$398.40 | $556–$664 | varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$333.60–$363 | $556–$605 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$333.60–$415.80 | $556–$693 | varies |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$242.40–$333.60 | $404–$556 | varies |
| Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$712.20–$2,094 | $1,187–$3,490 | varies |
| Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
$333.60–$493.80 | $556–$823 | varies |
| Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
$333.60–$375.60 | $556–$626 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$127.80–$333.60 | $213–$556 | varies |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) | $406.80 | $678 | 1.6× |
| Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$333.60–$423 | $556–$705 | varies |
| Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$594–$1,805.40 | $990–$3,009 | varies |
| Cltx trimalleolar ankle fx w/o manipulation (27816) range across 2 matching MRF lines |
$333.60–$399.60 | $556–$666 | varies |
| Collect Blood From Catheter Venous Nos (36592) | $18 | $30 | 0.1× |
| Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$21–$72.60 | $35–$121 | varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 2 matching MRF lines |
$202.20–$271.20 | $337–$452 | varies |
| Colposcopy Cervix Endocervical Curettage (57456) | $180 | $300 | 0.6× |
| Colposcopy cervix upper/adjacent vagina (57452) | $148.20 | $247 | 0.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) | $190.80 | $318 | 0.6× |
| Colposcopy entire vagina w/cervix if present (57420) | $154.80 | $258 | 0.5× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) | $209.40 | $349 | 0.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) | $584.40 | $974 | 0.5× |
| Combined anteroposterior colporrhaphy; (57260) likely a partial charge, not the full procedure |
$1,007.40 | $1,679 | 0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$205.20–$278.40 | $342–$464 | varies |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$176.40–$205.20 | $294–$342 | varies |
| Create Eardrum Opening (69433) | $730.80 | $1,218 | 1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$205.20–$414 | $342–$690 | varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
$189.60–$432.60 | $316–$721 | varies |
| Cysto calibration dilat urtl strix/stenosis (52281) | $391.20 | $652 | 0.2× |
| Cysto w/destruction of lesions (52214) | $939.60 | $1,566 | 0.3× |
| Cysto w/insert ureteral stent (52332) | $617.40 | $1,029 | 0.2× |
| Cysto w/irrig & evac multple obstructing clots (52001) | $520.80 | $868 | 0.1× |
| Cysto w/removal of lesions small (52224) | $954.60 | $1,591 | 0.3× |
| Cysto w/removal of tumors small (52234) | $329.40 | $549 | 0.1× |
| Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$358.80–$1,245.60 | $598–$2,076 | varies |
| Cysto w/ureteroscopy w/lithotripsy (52353) likely a partial charge, not the full procedure |
$525 | $875 | 0.1× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) | $405 | $675 | 0.1× |
| Cysto/uretero w/lithotripsy (52356) likely a partial charge, not the full procedure |
$557.40 | $929 | 0.1× |
| Cystourethroscopy (52000) range across 2 matching MRF lines |
$259.80–$740.40 | $433–$1,234 | varies |
| Cystourethroscopy inj chemodenervation bladder (52287) | $442.80 | $738 | 0.2× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) | $385.80 | $643 | 0.1× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) likely a partial charge, not the full procedure |
$525 | $875 | 0.1× |
| Cystourethroscopy with biopsy (52204) | $495 | $825 | 0.2× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) | $354 | $590 | 0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$282.60–$686.40 | $471–$1,144 | varies |
| Debride nail 1-5 (11720) range across 2 matching MRF lines |
$40.80–$51.60 | $68–$86 | varies |
| Debride nail 6 or more (11721) | $58.80 | $98 | 1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$154.80–$196.20 | $258–$327 | varies |
| Declot vascular device (36593) | $283.80 | $473 | 0.8× |
| Delivery of placenta (59414) | $109.20 | $182 | 0.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) | $1,135.20 | $1,892 | 0.6× |
| Diagnostic sigmoidoscopy (45330) | $215.40 | $359 | 0.2× |
| Drain Cerebro Spinal Fluid (62272) | $603 | $1,005 | 0.8× |
| Drain/inj small joint/bursa w/us (20604) range across 3 matching MRF lines |
$95.40–$875.40 | $159–$1,459 | varies |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $560.40 | $934 | 0.8× |
| Drainage Finger Abscess Complicated (26011) range across 2 matching MRF lines |
$534.60–$984.60 | $891–$1,641 | varies |
| Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$243–$370.20 | $405–$617 | varies |
| Drainage of gum lesion (41800) range across 2 matching MRF lines |
$243–$360 | $405–$600 | varies |
| Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$210–$2,482.20 | $350–$4,137 | varies |
| Drainage of hydrocele (55000) | $154.20 | $257 | 0.2× |
| Drainage of nose lesion (30000) range across 2 matching MRF lines |
$266.40–$309.60 | $444–$516 | varies |
| Drainage of rectal abscess (45020) | $699 | $1,165 | 0.2× |
| Draw Blood Off Venous Device (36591) | $91.80 | $153 | 0.7× |
| Dressing Change Under Anesthesia (15852) | $862.80 | $1,438 | 1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$258.60–$909.60 | $431–$1,516 | varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $237 | $395 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$100.80–$262.80 | $168–$438 | varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) | $982.20 | $1,637 | 1.1× |
| Dx Bone Marrow Bx & Aspir (38222) | $1,344 | $2,240 | 0.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
$1,075.80–$1,728 | $1,793–$2,880 | varies |
| Endometrial Biopsy (58100) | $170.40 | $284 | 0.8× |
| Epidural Blood Patch (62273) range across 2 matching MRF lines |
$301.20–$749.40 | $502–$1,249 | varies |
| Evacuate mole of uterus (59870) | $607.80 | $1,013 | 0.2× |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$66.60–$113.40 | $111–$189 | varies |
| Exc back tum deep < 5 cm (21932) range across 2 matching MRF lines |
$803.40–$1,346.40 | $1,339–$2,244 | varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$228–$471.60 | $380–$786 | varies |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) | $1,486.80 | $2,478 | 0.9× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$339.60–$942.60 | $566–$1,571 | varies |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $197.40 | $329 | 0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$199.20–$220.80 | $332–$368 | varies |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) | $976.80 | $1,628 | 1.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) | $263.40 | $439 | 0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) | $1,279.20 | $2,132 | 0.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$209.40–$979.20 | $349–$1,632 | varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) | $1,044 | $1,740 | 0.6× |
| Excision of hydrocele; unilateral (55040) | $449.40 | $749 | 0.1× |
| Excision of sublingual salivary cyst (ranula) (42408) range across 2 matching MRF lines |
$447.60–$556.20 | $746–$927 | varies |
| External cephalic version (59412) | $1,940.40 | $3,234 | 0.6× |
| Fetal non-stress test (59025) range across 2 matching MRF lines |
$46.20–$235.20 | $77–$392 | varies |
| Fluoro exam of g/colon tube (49465) | $265.20 | $442 | 1.1× |
| Fna bx w/us gdn 1st les (10005) | $453 | $755 | 0.6× |
| Hysteroscopy Biopsy (58558) | $1,704.60 | $2,841 | 0.5× |
| Hysteroscopy Dx Sep Proc (58555) | $397.80 | $663 | 0.1× |
| I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
$235.20–$278.40 | $392–$464 | varies |
| I&d abscess simple (10060) range across 2 matching MRF lines |
$150.60–$243 | $251–$405 | varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) range across 2 matching MRF lines |
$825–$1,228.80 | $1,375–$2,048 | varies |
| I&D Deep Absc/Hematoma Neck/Chest (21501) | $2,960.40 | $4,934 | 1.0× |
| I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$268.80–$1,136.40 | $448–$1,894 | varies |
| I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$258–$910.20 | $430–$1,517 | varies |
| Image Cath Fluid Colxn Visc (49405) | $420 | $700 | 0.2× |
| Image Cath Fluid Peri/Retro (49406) | $3,048 | $5,080 | 1.8× |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$236.40–$340.80 | $394–$568 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$258.60–$486 | $431–$810 | varies |
| Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$334.20–$1,837.20 | $557–$3,062 | varies |
| Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$187.20–$424.20 | $312–$707 | varies |
| Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$192–$243 | $320–$405 | varies |
| Incision and drainage of vulva or perineal abscess (56405) | $403.20 | $672 | 1.3× |
| Incision of rectal abscess (46040) range across 2 matching MRF lines |
$666.60–$2,089.80 | $1,111–$3,483 | varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) | $355.80 | $593 | 0.2× |
| Incisional biopsy skin single lesion (11106) | $321 | $535 | 0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$91.20–$262.80 | $152–$438 | varies |
| Inj W/Fluor Eval Cv Device (36598) | $500.40 | $834 | 2.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$316.20–$966 | $527–$1,610 | varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$68.40–$160.80 | $114–$268 | varies |
| Injection aa&/strd genicular nrv branches w/img (64454) | $1,135.20 | $1,892 | 1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) | $982.20 | $1,637 | 1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$260.40–$528.60 | $434–$881 | varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) | $722.40 | $1,204 | 1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) | $382.20 | $637 | 1.2× |
| Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$69.60–$307.20 | $116–$512 | varies |
| Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$69–$321.60 | $115–$536 | varies |
| Injection single/mlt trigger point 3/> muscles (20553) | $79.80 | $133 | 0.3× |
| Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$96.60–$135.60 | $161–$226 | varies |
| Injection, anesthetic agent; brachial plexus, single (64415) | $722.40 | $1,204 | 0.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) | $722.40 | $1,204 | 1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$94.80–$572.40 | $158–$954 | varies |
| Injection, intralesional; up to and including 7 lesions (11900) | $135.60 | $226 | 0.7× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$172.80–$185.40 | $288–$309 | varies |
| Insert cath pleura w/ image (32557) | $1,627.20 | $2,712 | 1.0× |
| Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$823.20–$1,039.80 | $1,372–$1,733 | varies |
| Insert Drug Implant Device (11981) | $200.40 | $334 | 1.5× |
| Insert pessary/other device (57160) | $295.20 | $492 | 1.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) | $1,132.20 | $1,887 | 0.7× |
| Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$76.20–$121.80 | $127–$203 | varies |
| Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$55.20–$114.60 | $92–$191 | varies |
| Insertion indwelling tunneled pleural catheter (32550) | $1,606.80 | $2,678 | 0.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) | $2,117.40 | $3,529 | 1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$124.80–$1,360.20 | $208–$2,267 | varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$483–$595.20 | $805–$992 | varies |
| Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines |
$154.80–$189.60 | $258–$316 | varies |
| Laparoscopy, surgical, appendectomy (44970) unusually low: confirm this is the full procedure |
$1,933.80 | $3,223 | 0.3× |
| Laryngoscopy flexible diagnostic (31575) | $118.20 | $197 | 0.6× |
| Lithotripsy, extracorporeal shock wave (50590) | $965.40 | $1,609 | 0.3× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) | $331.20 | $552 | 0.5× |
| Lysis/excision penile postcircumcision adhesions (54162) | $341.40 | $569 | 0.2× |
| Marsupialization of bartholin's gland cyst (56440) range across 2 matching MRF lines |
$225–$3,523.80 | $375–$5,873 | varies |
| N block inj intercost sng (64420) | $687 | $1,145 | 0.9× |
| N Block Inj Plantar Digit (64455) | $61.80 | $103 | 0.2× |
| Nasal Endoscopy Dx (31231) | $144.60 | $241 | 0.7× |
| Needle Biopsy Lymph Nodes (38505) | $484.20 | $807 | 0.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) | $330 | $550 | 0.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$162–$354 | $270–$590 | varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) | $377.40 | $629 | 0.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 3 matching MRF lines |
$377.40–$942 | $629–$1,570 | varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) | $267 | $445 | 0.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) | $267 | $445 | 0.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) | $377.40 | $629 | 0.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$377.40–$1,086.60 | $629–$1,811 | varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) | $267 | $445 | 0.3× |
| Occipital Nerve Block (64405) | $528.60 | $881 | 1.7× |
| Penile Injection (54235) | $211.80 | $353 | 0.8× |
| Perq dev breast 1st us imag (19285) | $1,442.40 | $2,404 | 2.0× |
| Perq device breast 1st imag (19281) | $455.40 | $759 | 0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) | $1,455 | $2,425 | 2.0× |
| Place Rt Device/Marker Pros (55876) range across 2 matching MRF lines |
$181.80–$909.60 | $303–$1,516 | varies |
| Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
$73.80–$525 | $123–$875 | varies |
| Punch biopsy skin single lesion (11104) | $321 | $535 | 0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$161.40–$264 | $269–$440 | varies |
| Puncture Aspiration Cyst Breast (19000) | $360 | $600 | 0.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) | $1,030.80 | $1,718 | 0.5× |
| Removal Embedded Foreign Body Eyelid (67938) | $321 | $535 | 1.0× |
| Removal foreign body foot deep (28192) | $1,814.40 | $3,024 | 1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$316.20–$888.60 | $527–$1,481 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$259.80–$1,097.40 | $433–$1,829 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$18–$96 | $30–$160 | varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$59.40–$84 | $99–$140 | varies |
| Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$248.40–$513 | $414–$855 | varies |
| Removal of nail bed (11750) range across 2 matching MRF lines |
$195.60–$450 | $326–$750 | varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) | $109.80 | $183 | 0.5× |
| Remove drug implant device (11982) | $625.20 | $1,042 | 1.3× |
| Remove foreign body from eye (65205) range across 2 matching MRF lines |
$56.40–$164.40 | $94–$274 | varies |
| Remove Intrauterine Device (58301) | $399 | $665 | 1.3× |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$164.40–$234 | $274–$390 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
$526.80–$757.20 | $878–$1,262 | varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$624–$757.20 | $1,040–$1,262 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 2 matching MRF lines |
$482.40–$483 | $804–$805 | varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$591–$757.20 | $985–$1,262 | varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
$439.80–$757.20 | $733–$1,262 | varies |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$531.60–$757.20 | $886–$1,262 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) range across 2 matching MRF lines |
$421.20–$757.20 | $702–$1,262 | varies |
| Repair complex trunk 2.6-7.5 cm (13101) range across 2 matching MRF lines |
$495.60–$757.20 | $826–$1,262 | varies |
| Repair extensor tendon finger w/o graft each (26418) | $1,662.60 | $2,771 | 1.0× |
| Repair Eyelid Wound (67935) range across 2 matching MRF lines |
$739.80–$2,808.60 | $1,233–$4,681 | varies |
| Repair Hand Tendon (26410) | $708 | $1,180 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
$297.60–$335.40 | $496–$559 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 3 matching MRF lines |
$280.20–$376.80 | $467–$628 | varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines |
$336.60–$439.80 | $561–$733 | varies |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$415.80–$460.80 | $693–$768 | varies |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$498.60–$757.20 | $831–$1,262 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$310.80–$423 | $518–$705 | varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$370.80–$501.60 | $618–$836 | varies |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$456.60–$757.20 | $761–$1,262 | varies |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$471.60–$774 | $786–$1,290 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$310.20–$408 | $517–$680 | varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$373.20–$586.20 | $622–$977 | varies |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$399–$433.20 | $665–$722 | varies |
| Repair of nail bed (11760) range across 2 matching MRF lines |
$240.60–$738 | $401–$1,230 | varies |
| Repair tongue laceration (41250) | $1,090.20 | $1,817 | 2.4× |
| Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$152.40–$778.80 | $254–$1,298 | varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$243–$1,153.80 | $405–$1,923 | varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$74.40–$513 | $124–$855 | varies |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
$85.20–$164.40 | $142–$274 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
$69–$513 | $115–$855 | varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) | $3,243.60 | $5,406 | 1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$273–$1,881 | $455–$3,135 | varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) | $887.40 | $1,479 | 1.4× |
| Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$277.80–$424.20 | $463–$707 | varies |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$206.40–$478.20 | $344–$797 | varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) range across 2 matching MRF lines |
$623.40–$714 | $1,039–$1,190 | varies |
| Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
$568.20–$714 | $947–$1,190 | varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
$712.20–$1,765.20 | $1,187–$2,942 | varies |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) | $1,141.80 | $1,903 | 0.9× |
| Sigmoidoscopy & Polypectomy (45333) | $384.60 | $641 | 0.4× |
| Sigmoidoscopy w/fb removal (45332) range across 2 matching MRF lines |
$325.20–$1,452 | $542–$2,420 | varies |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) | $338.40 | $564 | 0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) | $261.60 | $436 | 0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$135–$265.20 | $225–$442 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$140.40–$297.60 | $234–$496 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $187.80 | $313 | 0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$170.40–$366.60 | $284–$611 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $213 | $355 | 1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$111–$262.80 | $185–$438 | varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$157.20–$336.60 | $262–$561 | varies |
| Skin sub graft face/nk/hf/g (15275) | $310.80 | $518 | 0.4× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) likely a partial charge, not the full procedure |
$956.40 | $1,594 | 0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$135.60–$272.40 | $226–$454 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$207.60–$346.80 | $346–$578 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$244.80–$438 | $408–$730 | varies |
| Spinal puncture lumbar diagnostic (62270) range across 3 matching MRF lines |
$179.40–$291.60 | $299–$486 | varies |
| Strapping ankle (29540) range across 2 matching MRF lines |
$36.60–$211.20 | $61–$352 | varies |
| Strapping elbow or wrist (29260) range across 2 matching MRF lines |
$38.40–$50.40 | $64–$84 | varies |
| Strapping hand/finger (29280) range across 2 matching MRF lines |
$38.40–$50.40 | $64–$84 | varies |
| Strapping knee (29530) range across 2 matching MRF lines |
$39–$164.40 | $65–$274 | varies |
| Strapping shoulder (29240) range across 2 matching MRF lines |
$39.60–$164.40 | $66–$274 | varies |
| Strapping toes (29550) range across 2 matching MRF lines |
$24–$88.20 | $40–$147 | varies |
| Strapping Unna Boot (29580) range across 2 matching MRF lines |
$78.60–$211.20 | $131–$352 | varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) range across 2 matching MRF lines |
$457.80–$2,808.60 | $763–$4,681 | varies |
| Tangential biopsy skin single lesion (11102) | $321 | $535 | 0.8× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) | $1,480.80 | $2,468 | 0.4× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) range across 2 matching MRF lines |
$929.40–$1,075.80 | $1,549–$1,793 | varies |
| Thrombolytic Therapy Stroke (37195) | $576 | $960 | 1.7× |
| Thyroid biopsy (60100) | $367.80 | $613 | 0.5× |
| Transur electr resection of prostate (52601) likely a partial charge, not the full procedure |
$898.80 | $1,498 | 0.2× |
| Transurethral resection bladder neck (52500) | $594.60 | $991 | 0.2× |
| Treat humerus fracture (24500) range across 2 matching MRF lines |
$288.60–$439.20 | $481–$732 | varies |
| Treat Humerus Fracture (24505) range across 2 matching MRF lines |
$394.80–$609 | $658–$1,015 | varies |
| Treat humerus fracture (23600) range across 2 matching MRF lines |
$333.60–$403.20 | $556–$672 | varies |
| Treat Knuckle Dislocation (26700) range across 2 matching MRF lines |
$333.60–$406.20 | $556–$677 | varies |
| Treat Thumb Dislocation (26641) range across 2 matching MRF lines |
$333.60–$468.60 | $556–$781 | varies |
| Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$526.80–$2,094 | $878–$3,490 | varies |
| Treatment Closed Elbow Dislocation Req Anes (24605) range across 2 matching MRF lines |
$579–$2,094 | $965–$3,490 | varies |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$333.60–$453 | $556–$755 | varies |
| Tx Incomplete Abortion Any Trimester Surgical (59812) | $409.20 | $682 | 0.1× |
| Tx Missed Abortion First Trimester Surgical (59820) | $492.60 | $821 | 0.1× |
| Tx Missed Abortion Second Trimester Surgical (59821) | $489 | $815 | 0.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) range across 2 matching MRF lines |
$441.60–$2,094 | $736–$3,490 | varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) | $361.20 | $602 | 0.5× |
| Unlisted Procedure Intestine (44799) | $48.78 | $81.30 | 0.1× |
| Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$164.40–$328.80 | $274–$548 | varies |
| Vaginal delivery only (59409) range across 2 matching MRF lines |
$968.40–$1,940.40 | $1,614–$3,234 | varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) likely a partial charge, not the full procedure |
$1,084.20 | $1,807 | 0.2× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) likely a partial charge, not the full procedure |
$1,258.20 | $2,097 | 0.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$453.60–$1,245.60 | $756–$2,076 | varies |
| Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$210–$483 | $350–$805 | 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.