Procedures & surgery prices at Mid Coast Medical Center - Central

Llano, TX · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines
$249–$1,614 $249–$1,614 varies
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $2,548 $2,548 0.7×
Anoscopy diagnostic (46600)
range across 2 matching MRF lines
$57–$122 $57–$122 varies
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines
$195–$542 $195–$542 varies
Application finger splint static (29130)
range across 2 matching MRF lines
$98–$207 $98–$207 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines
$195–$220 $195–$220 varies
Application Long Leg Splint (29505)
range across 3 matching MRF lines
$103–$186 $103–$186 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines
$134–$520 $134–$520 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines
$165–$374 $165–$374 varies
Apply long arm cast (29065) $728 $728 2.6×
Arterial puncture (36600)
range across 2 matching MRF lines
$55–$385 $55–$385 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$141–$191 $141–$191 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $333 $333 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$171–$614 $171–$614 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $333 $333 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$134–$223 $134–$223 varies
Aspirate pleura w/ imaging (32555) $1,364 $1,364 2.2×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines
$176–$466 $176–$466 varies
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines
$200–$426 $200–$426 varies
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)
range across 2 matching MRF lines
$146–$1,511 $146–$1,511 varies
Bladder Irrigation (51700)
range across 2 matching MRF lines
$48–$172 $48–$172 varies
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines
$272–$329 $272–$329 varies
Blood Transfusion Service (36430)
range across 5 matching MRF lines
$924–$3,322 $924–$3,322 varies
Catheter aspiration nasotracheal spx (31720) $219 $219 1.0×
Change Cystostomy Tube Simple (51705) $600 $600 2.4×
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines
$116–$127 $116–$127 varies
Chest tube placement (32551)
range across 2 matching MRF lines
$626–$629 $626–$629 varies
Cl Tx Tib Shft Fx W Manip (27752)
range across 2 matching MRF lines
$1,559–$1,742 $1,559–$1,742 varies
Clear outer ear canal (69200)
range across 2 matching MRF lines
$183–$520 $183–$520 varies
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines
$224–$1,201 $224–$1,201 varies
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines
$224–$862 $224–$862 varies
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines
$518–$1,092 $518–$1,092 varies
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines
$377–$1,121 $377–$1,121 varies
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines
$314–$873 $314–$873 varies
Closed Tx Calcaneal Fracture W/O Manipulation (28400)
range across 2 matching MRF lines
$132–$680 $132–$680 varies
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines
$132–$790 $132–$790 varies
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines
$260–$1,414 $260–$1,414 varies
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines
$138–$1,742 $138–$1,742 varies
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines
$399–$576 $399–$576 varies
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines
$260–$996 $260–$996 varies
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines
$132–$855 $132–$855 varies
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines
$461–$1,208 $461–$1,208 varies
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines
$132–$680 $132–$680 varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500)
range across 2 matching MRF lines
$132–$704 $132–$704 varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines
$518–$1,474 $518–$1,474 varies
Closed tx radial&ulnar shaft fractures w/o man (25560)
range across 2 matching MRF lines
$132–$704 $132–$704 varies
Closed tx septal&nose fx (21337) $7,150 $7,150 2.1×
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines
$132–$619 $132–$619 varies
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines
$110–$194 $110–$194 varies
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines
$128–$384 $128–$384 varies
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines
$132–$766 $132–$766 varies
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines
$132–$668 $132–$668 varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines
$297–$492 $297–$492 varies
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831)
range across 2 matching MRF lines
$662–$699 $662–$699 varies
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines
$142–$518 $142–$518 varies
Clsd Tx Clavicular Fracture W/Manipulation (23505) $2,090 $2,090 1.3×
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines
$187–$626 $187–$626 varies
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines
$1,189–$1,310 $1,189–$1,310 varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines
$231–$814 $231–$814 varies
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines
$48–$624 $48–$624 varies
Cltx Carpal Bone Fx W/O Manj Each Bone (25630)
range across 2 matching MRF lines
$139–$814 $139–$814 varies
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines
$193–$1,201 $193–$1,201 varies
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines
$132–$838 $132–$838 varies
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines
$187–$814 $187–$814 varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $144 $144 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines
$399–$771 $399–$771 varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines
$365–$1,777 $365–$1,777 varies
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines
$132–$359 $132–$359 varies
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines
$431–$624 $431–$624 varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines
$132–$345 $132–$345 varies
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines
$314–$892 $314–$892 varies
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines
$187–$741 $187–$741 varies
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines
$123–$365 $123–$365 varies
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines
$132–$1,455 $132–$1,455 varies
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $726 $726 2.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660)
range across 2 matching MRF lines
$178–$273 $178–$273 varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) $726 $726 2.6×
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines
$186–$728 $186–$728 varies
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines
$1,377–$1,742 $1,377–$1,742 varies
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines
$132–$892 $132–$892 varies
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines
$624–$862 $624–$862 varies
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines
$399–$747 $399–$747 varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705)
range across 2 matching MRF lines
$256–$332 $256–$332 varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines
$624–$916 $624–$916 varies
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines
$399–$516 $399–$516 varies
Cltx post hip arthrp dislc req anes (27266) $4,452 $4,452 2.8×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines
$625–$1,232 $625–$1,232 varies
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines
$132–$795 $132–$795 varies
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines
$1,227–$3,676 $1,227–$3,676 varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines
$267–$624 $267–$624 varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines
$461–$1,208 $461–$1,208 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 2 matching MRF lines
$132–$1,013 $132–$1,013 varies
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines
$132–$1,111 $132–$1,111 varies
Cltx tibial shaft fx w/o manipulation (27750)
range across 2 matching MRF lines
$624–$941 $624–$941 varies
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines
$518–$1,377 $518–$1,377 varies
Collect Blood From Catheter Venous Nos (36592) $221 $221 1.7×
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines
$3–$17 $3–$17 varies
Colonoscopy w/submucosal inj (45381) $277 $277 0.2×
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines
$128–$273 $128–$273 varies
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines
$186–$213 $186–$213 varies
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines
$201–$353 $201–$353 varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) $259 $259 1.1×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines
$63–$2,412 $63–$2,412 varies
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines
$158–$229 $158–$229 varies
Declot vascular device (36593) $950 $950 2.9×
Delivery of placenta (59414)
range across 2 matching MRF lines
$329–$1,443 $329–$1,443 varies
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines
$361–$1,306 $361–$1,306 varies
Drain/inj small joint/bursa w/us (20604) $333 $333 1.1×
Drainage abscess parotid simple (42300) $3,425 $3,425 2.2×
Drainage external auditory canal abscess (69020)
range across 2 matching MRF lines
$172–$197 $172–$197 varies
Drainage external ear abscess/hematoma cmplx (69005) $4,311 $4,311 2.6×
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines
$108–$639 $108–$639 varies
Drainage Finger Abscess Complicated (26011) $2,970 $2,970 1.8×
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines
$171–$407 $171–$407 varies
Drainage of gum lesion (41800) $330 $330 2.5×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines
$377–$2,210 $377–$2,210 varies
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines
$851–$2,530 $851–$2,530 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $1,891 $1,891 2.7×
Drg Lymph Node Absc/Lymphadenitis Smpl (38300) $3,108 $3,108 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines
$218–$377 $218–$377 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines
$183–$231 $183–$231 varies
Dx gastr intub w/asp spec (43754)
range across 2 matching MRF lines
$146–$416 $146–$416 varies
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines
$103–$131 $103–$131 varies
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $2,401 $2,401 3.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines
$119–$710 $119–$710 varies
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines
$437–$710 $437–$710 varies
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,100 $1,100 2.7×
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines
$1,146–$1,471 $1,146–$1,471 varies
Eye Surg Ant Sgmt Proc Unlisted (66999) $2,200 $2,200 0.9×
Fetal non-stress test (59025) $427 $427 2.1×
Hemorrhoidectomy, external, 2 or more columns/groups (46250)
range across 2 matching MRF lines
$268–$2,035 $268–$2,035 varies
I&d abscess simple (10060)
range across 2 matching MRF lines
$292–$490 $292–$490 varies
I&d perianal abscess superficial (46050) $2,193 $2,193 2.3×
I&d pilonidal cyst complicated (10081) $1,870 $1,870 2.6×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines
$127–$297 $127–$297 varies
Image Cath Fluid Trns/Vgnl (49407) $3,472 $3,472 2.1×
Incise external hemorrhoid (46083)
range across 2 matching MRF lines
$175–$334 $175–$334 varies
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines
$473–$528 $473–$528 varies
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines
$286–$623 $286–$623 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines
$305–$383 $305–$383 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines
$253–$353 $253–$353 varies
Incision of rectal abscess (46040)
range across 2 matching MRF lines
$1,227–$1,730 $1,227–$1,730 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines
$1,455–$4,366 $1,455–$4,366 varies
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines
$158–$208 $158–$208 varies
Injection 1 tendon sheath/ligament aponeurosis (20550) $660 $660 2.1×
Injection single/mlt trigger point 1/2 muscles (20552) $696 $696 2.3×
Injection single/mlt trigger point 3/> muscles (20553) $667 $667 2.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines
$243–$410 $243–$410 varies
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines
$129–$297 $129–$297 varies
Insert cath pleura w/ image (32557) $1,364 $1,364 0.9×
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines
$466–$1,650 $466–$1,650 varies
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines
$426–$3,322 $426–$3,322 varies
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines
$110–$224 $110–$224 varies
Insert tunneled cv cath (36561) $164 $164 0.1×
Insert,Non-Indwelling Bladder Catheter (51701) $221 $221 1.7×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,257 $2,257 1.4×
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560)
range across 2 matching MRF lines
$160–$2,572 $160–$2,572 varies
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
range across 2 matching MRF lines
$644–$19,093 $644–$19,093 varies
Intmd Rpr Face/Mm 12.6-20 Cm (12055)
range across 2 matching MRF lines
$265–$892 $265–$892 varies
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines
$383–$528 $383–$528 varies
Laryngoscopy diagnostic (31505)
range across 2 matching MRF lines
$79–$158 $79–$158 varies
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines
$273–$1,511 $273–$1,511 varies
Lip Surgery Procedure (40799)
range across 2 matching MRF lines
$340–$1,020 $340–$1,020 varies
Nasal surgery procedure (30999) $689 $689 2.9×
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines
$146–$437 $146–$437 varies
Needle Biopsy Lymph Nodes (38505) $248 $248 0.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $762 $762 2.5×
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines
$806–$4,023 $806–$4,023 varies
Perq dev breast 1st us imag (19285) $1,605 $1,605 2.3×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines
$213–$344 $213–$344 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines
$305–$473 $305–$473 varies
Reduction of rectal prolapse (45900)
range across 2 matching MRF lines
$619–$1,291 $619–$1,291 varies
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines
$450–$761 $450–$761 varies
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 2 matching MRF lines
$450–$761 $450–$761 varies
Removal impacted cerumen irrigation/lvg unilat (69209) $146 $146 2.5×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines
$57–$110 $57–$110 varies
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines
$68–$419 $68–$419 varies
Removal of nail bed (11750)
range across 2 matching MRF lines
$512–$938 $512–$938 varies
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines
$96–$116 $96–$116 varies
Remove foreign body from eye (65205)
range across 2 matching MRF lines
$134–$396 $134–$396 varies
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines
$106–$364 $106–$364 varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,023 $1,023 2.5×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines
$1,462–$4,385 $1,462–$4,385 varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines
$290–$1,013 $290–$1,013 varies
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines
$273–$4,400 $273–$4,400 varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines
$265–$564 $265–$564 varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines
$644–$661 $644–$661 varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines
$188–$680 $188–$680 varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054)
range across 2 matching MRF lines
$208–$728 $208–$728 varies
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045)
range across 2 matching MRF lines
$265–$790 $265–$790 varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines
$173–$528 $173–$528 varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines
$173–$619 $173–$619 varies
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines
$644–$674 $644–$674 varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines
$758–$1,254 $758–$1,254 varies
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines
$173–$498 $173–$498 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines
$290–$601 $290–$601 varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036)
range across 2 matching MRF lines
$246–$1,255 $246–$1,255 varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines
$146–$637 $146–$637 varies
Repair intermediate s/a/t/e >30.0 cm (12037) $2,100 $2,100 1.0×
Repair of nail bed (11760)
range across 2 matching MRF lines
$413–$1,671 $413–$1,671 varies
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines
$223–$5,086 $223–$5,086 varies
Repair tongue laceration (41252)
range across 2 matching MRF lines
$200–$662 $200–$662 varies
Repair tongue laceration (41250)
range across 2 matching MRF lines
$204–$450 $204–$450 varies
Replantation digit complete (20822)
range across 2 matching MRF lines
$1,675–$2,488 $1,675–$2,488 varies
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines
$124–$744 $124–$744 varies
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $435 $435 0.5×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 2 matching MRF lines
$134–$189 $134–$189 varies
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $350 $350 2.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $284 $284 0.6×
Rmvl fecal impaction/fb spx under anes (45915)
range across 2 matching MRF lines
$692–$2,075 $692–$2,075 varies
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $2,090 $2,090 1.3×
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines
$176–$359 $176–$359 varies
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015)
range across 2 matching MRF lines
$365–$595 $365–$595 varies
Rpr Lip Full Thickness Vermilion Only (40650)
range across 2 matching MRF lines
$662–$911 $662–$911 varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 2 matching MRF lines
$363–$728 $363–$728 varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines
$233–$353 $233–$353 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines
$231–$395 $231–$395 varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines
$231–$474 $231–$474 varies
Simple Repair F/E/E/N/L/M >30.0 Cm (12018)
range across 2 matching MRF lines
$245–$1,074 $245–$1,074 varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines
$334–$389 $334–$389 varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines
$231–$437 $231–$437 varies
Skin Full Grft Face/Genit/Hf (15240)
range across 2 matching MRF lines
$1,211–$4,106 $1,211–$4,106 varies
Skin Tissue Procedure (17999) $95 $95 0.5×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines
$370–$389 $370–$389 varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines
$365–$540 $365–$540 varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines
$162–$685 $162–$685 varies
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines
$262–$1,306 $262–$1,306 varies
Strapping ankle (29540)
range across 2 matching MRF lines
$23–$69 $23–$69 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines
$122–$256 $122–$256 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines
$110–$329 $110–$329 varies
Strapping knee (29530)
range across 2 matching MRF lines
$122–$123 $122–$123 varies
Strapping shoulder (29240)
range across 3 matching MRF lines
$111–$207 $111–$207 varies
Strapping thorax (29200)
range across 2 matching MRF lines
$64–$96 $64–$96 varies
Strapping toes (29550)
range across 2 matching MRF lines
$103–$265 $103–$265 varies
Thrombolytic Art Therapy (37211)
likely a partial charge, not the full procedure
$1,073 $1,073 0.2×
Thrombolytic Therapy Stroke (37195)
range across 2 matching MRF lines
$208–$351 $208–$351 varies
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 2 matching MRF lines
$766–$794 $766–$794 varies
Treat humerus fracture (24500)
range across 2 matching MRF lines
$399–$939 $399–$939 varies
Treat humerus fracture (23600)
range across 2 matching MRF lines
$187–$880 $187–$880 varies
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines
$224–$873 $224–$873 varies
Treat Thumb Fracture (26645) $706 $706 0.4×
Treat toe dislocation (28630)
range across 2 matching MRF lines
$138–$364 $138–$364 varies
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines
$1,301–$1,700 $1,301–$1,700 varies
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines
$844–$1,008 $844–$1,008 varies
Tx Gastro Intub W/Asp (43753) $365 $365 1.7×
Tx Incomplete Abortion Any Trimester Surgical (59812) $7,700 $7,700 2.4×
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines
$388–$595 $388–$595 varies
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines
$226–$431 $226–$431 varies
Unlisted procedure anus (46999) $2,310 $2,310 2.5×
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines
$102–$129 $102–$129 varies
Unlisted Procedure Male Genital System (55899)
range across 2 matching MRF lines
$128–$156 $128–$156 varies
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $278 $278 1.2×
Unlisted Procedure Rectum (45999) $1,348 $1,348 1.4×
Unlisted procedure stomach (43999) $2,460 $2,460 2.7×
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 2 matching MRF lines
$414–$2,213 $414–$2,213 varies
Unlisted px female genital system nonobstetrical (58999) $367 $367 1.8×
Vaginal delivery only (59409)
range across 2 matching MRF lines
$2,717–$6,089 $2,717–$6,089 varies
Venous Cutdown >1 Y/O (36425)
range across 2 matching MRF lines
$43–$134 $43–$134 varies
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines
$213–$637 $213–$637 varies
Wedging of cast (29740)
range across 2 matching MRF lines
$96–$102 $96–$102 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.