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 →
| Procedure | Posted cash | Posted 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.