Procedures & surgery prices at Modoc Medical Center

Alturas, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines
$1,380.67–$3,002.73 $1,380.67–$3,002.73 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,674.46 $1,674.46 1.4×
Anoscopy diagnostic (46600) $576.88 $576.88 3.4×
Appendectomy (44950) $7,428.36 $7,428.36 0.9×
Application cast elbow finger short arm (29075) $333.08 $333.08 0.9×
Application Cast Finger (29086) $309.21 $309.21 1.5×
Application finger splint static (29130) $297.84 $297.84 1.7×
Application long arm splint shoulder hand (29105) $400.14 $400.14 1.9×
Application Long Leg Splint (29505) $425.15 $425.15 2.0×
Application of long leg cast (29345) $644.55 $644.55 1.8×
Application Short Arm Splint Dynamic (29126) $418.32 $418.32 2.4×
Application short arm splint forearm-hand static (29125) $334.22 $334.22 2.0×
Application short leg splint calf foot (29515) $384.22 $384.22 1.8×
Apply hand/wrist cast (29085) $359.22 $359.22 1.7×
Apply long arm cast (29065) $385.37 $385.37 1.1×
Apply Short Leg Cast (29405) $435.39 $435.39 1.2×
Apply short leg cast (29425) $410.37 $410.37 1.1×
Arterial puncture (36600) $176.85 $176.85 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines
$552.89–$569.49 $552.89–$569.49 varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines
$591.48–$609.22 $591.48–$609.22 varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines
$744.70–$767.04 $744.70–$767.04 varies
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines
$1,023.13–$1,943.53 $1,023.13–$1,943.53 varies
Aspirate Pleura W/O Imaging (32554) $1,596.02 $1,596.02 2.0×
Aspirate/Inj Ganglion Cyst (20612) $2,383.79 $2,383.79 6.0×
Aspiration bladder insert suprapubic catheter (51102) $4,975.62 $4,975.62 1.9×
Avulsion nail plate partial/complete simple 1 (11730) $603.63 $603.63 2.3×
Biopsy of breast; open, incisional (19101) $4,995.95 $4,995.95 1.0×
Biopsy of floor of mouth (41108) $1,212.34 $1,212.34 0.6×
Biopsy of liver, needle; percutaneous (47000) $1,385.58 $1,385.58 0.7×
Biopsy Soft Tissue Shoulder Superficial (23065) $3,415.98 $3,415.98 1.6×
Biopsy Vaginal Mucosa Simple (57100) $2,387.61 $2,387.61 2.0×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,906.35 $1,906.35 1.6×
Blepharotomy drainage abscess eyelid (67700) $1,164.05 $1,164.05 2.9×
Blood Transfusion Service (36430) $1,011.73 $1,011.73 1.8×
Bx Cervix (57500) $1,219.65 $1,219.65 1.0×
Bx/exc lymph node open superficial (38500) $5,696.38 $5,696.38 1.1×
Cataract surgery complex (66982) $4,791.61 $4,791.61 1.6×
Change Cystostomy Tube Simple (51705) $1,281.53 $1,281.53 4.0×
Chest tube placement (32551) $1,561.51 $1,561.51 0.8×
Circumcision 28 days or older (54161) $865.44 $865.44 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $2,196.22 $2,196.22 1.1×
Clear outer ear canal (69200) $296.71 $296.71 1.7×
Closed tx ankle dislocation w/o anesthesia (27840) $787.78 $787.78 2.5×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,528.95 $1,528.95 0.7×
Closed tx knee dislocation w/o anesthesia (27550) $854.06 $854.06 2.7×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $3,334.52 $3,334.52 1.7×
Closed tx patellar dislocation w/o anesthesia (27560) $874.17 $874.17 2.8×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,652.85 $1,652.85 0.8×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $745.71 $745.71 2.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $852.58 $852.58 2.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $633.18 $633.18 2.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $925.32 $925.32 2.9×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,599.43 $1,599.43 0.8×
Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) $4,386.76 $4,386.76 2.1×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,941 $1,941 0.9×
Cltx fx grt toe phlx/phlg w/manj (28495) $918.51 $918.51 2.9×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,377.75 $1,377.75 4.3×
Cltx hip dislocation traumatic w/o anesthesia (27250) $877.59 $877.59 2.8×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $591.12 $591.12 1.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $636.58 $636.58 2.0×
Cltx metacarpal fx w/manipulation each bone (26605) $1,024.23 $1,024.23 3.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $991.26 $991.26 3.1×
Cltx post hip arthrp dislc w/o anes (27265) $927.59 $927.59 2.9×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $437.55 $437.55 1.4×
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) $1,997.30 $1,997.30 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,639.21 $1,639.21 0.8×
Collection of venous blood by venipuncture (36415) $22.75 $22.75 2.4×
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $3,269.44 $3,269.44 2.1×
Colonoscopy thru stoma (44388) $2,416.02 $2,416.02 2.0×
Colonoscopy w/ablation (45388) $2,478.30 $2,478.30 1.6×
Colonoscopy W/Band Ligation (45398) $3,289.11 $3,289.11 2.1×
Colonoscopy w/submucosal inj (45381) $2,078.36 $2,078.36 1.4×
Colsc flx w/removal lesion by hot bx forceps (45384) $2,588.67 $2,588.67 1.7×
Control Nasal Hemorrhage Anterior Complex (30903) $535.41 $535.41 3.1×
Control Nasal Hemorrhage Anterior Simple (30901) $433.11 $433.11 2.5×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $613.86 $613.86 3.6×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,909.76 $1,909.76 3.7×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $2,302.80 $2,302.80 2.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,776.77 $1,776.77 1.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $3,642.18 $3,642.18 1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) $692.28 $692.28 1.3×
Diagnostic sigmoidoscopy (45330) $1,010.77 $1,010.77 0.8×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $3,845.31 $3,845.31 2.5×
Dilation & curettage dx&/ther nonobstetric (58120) $4,739.15 $4,739.15 1.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,095.84 $1,095.84 1.2×
Drainage Finger Abscess Complicated (26011) $2,671.40 $2,671.40 1.3×
Drainage of finger abscess simple (26010) $825.29 $825.29 3.2×
Drainage of gum lesion (41800) $628.63 $628.63 3.7×
Drainage of hematoma/fluid (10140) $3,320.80 $3,320.80 1.6×
Drainage of scrotal wall abscess (55100) $2,567.95 $2,567.95 1.2×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines
$93.82–$96.64 $93.82–$96.64 varies
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) $990.11 $990.11 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $595.04 $595.04 2.3×
Dstrj lesion anus simple surg excision (46922)
range across 2 matching MRF lines
$3,174.38–$4,914 $3,174.38–$4,914 varies
Dstrj Lesion Penis Simple Electrodesiccation (54055) $3,756.18 $3,756.18 1.4×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $2,625.82 $2,625.82 1.1×
Egd cautery tumor polyp (43250) $3,866 $3,866 1.6×
Egd control bleeding any (43255) $2,972.22 $2,972.22 1.2×
Egd Flexible Foreign Body Removal (43247) $1,576.69 $1,576.69 1.4×
Egd place gastrostomy tube (43246) $3,203.88 $3,203.88 1.3×
Egd Varices Ligation (43244) $2,974.40 $2,974.40 1.2×
Evacuation of subungual hematoma (11740) $304.66 $304.66 1.8×
Exc arm/elbow les sc < 3 cm (24075) $4,003.75 $4,003.75 1.9×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,744 $1,744 1.9×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,087.22 $3,087.22 1.5×
Exc Back Les Sc < 3 Cm (21930) $3,876.99 $3,876.99 1.8×
Exc Back Tum Deep 5 Cm/> (21933) $6,247.13 $6,247.13 1.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $2,123.17 $2,123.17 2.3×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $2,638.93 $2,638.93 2.9×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $4,530.51 $4,530.51 2.1×
Exc Face Les Sbq 2 Cm/> (21012) $4,905.25 $4,905.25 2.3×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $3,303.31 $3,303.31 3.6×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $2,238.99 $2,238.99 2.5×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,755.01 $1,755.01 0.8×
Exc Forearm Les Sc 3 Cm/> (25071) $4,351.24 $4,351.24 2.0×
Exc Forearm Tum Deep 3 Cm/> (25073) $5,641.75 $5,641.75 1.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,489.23 $2,489.23 1.2×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $2,659.70 $2,659.70 1.3×
Exc hydrocele sprmatic cord uni spx (55500) $6,251.49 $6,251.49 1.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $2,516.55 $2,516.55 2.8×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $3,509.46 $3,509.46 1.7×
Exc Skin Benig >4 Cm Remaindr Body (11426) $4,629.88 $4,629.88 1.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,462.85 $3,462.85 1.6×
Exc Skin Benig >4cm Face,Facial (11446) $4,032.16 $4,032.16 1.1×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $4,834.22 $4,834.22 2.3×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $4,081.33 $4,081.33 1.9×
Exc thigh/knee les sc 3 cm/> (27337) $5,352.18 $5,352.18 1.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,406.34 $1,406.34 2.7×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,847.80 $1,847.80 2.0×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $3,104.44 $3,104.44 1.5×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $5,569.63 $5,569.63 1.5×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $4,720.58 $4,720.58 2.2×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $6,901.66 $6,901.66 1.8×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $4,791.61 $4,791.61 2.3×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $5,080.08 $5,080.08 1.4×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $3,004.81 $3,004.81 1.5×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $2,445.75 $2,445.75 2.7×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,588.83 $1,588.83 1.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,880.58 $1,880.58 3.6×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $2,735.09 $2,735.09 3.0×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $2,503.44 $2,503.44 2.7×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $3,554.64 $3,554.64 1.7×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $4,759.92 $4,759.92 1.3×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $2,562.44 $2,562.44 2.8×
Excision Pilonidal Cyst/Sinus Extensive (11771) $5,739.01 $5,739.01 1.5×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $5,217.77 $5,217.77 2.5×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $5,081.19 $5,081.19 2.4×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $6,108.70 $6,108.70 2.9×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $2,633.47 $2,633.47 1.2×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $5,284.43 $5,284.43 1.4×
Exploration penetrating wound spx extremity (20103) $3,352.31 $3,352.31 1.6×
Fetal non-stress test (59025) $502.45 $502.45 1.9×
Fine needle aspiration without imaging guidance (10021) $1,302.46 $1,302.46 2.5×
Fna bx w/us gdn 1st les (10005) $1,568.30 $1,568.30 1.7×
Foreskin manipulation (54450) $1,399.36 $1,399.36 4.4×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $5,251.65 $5,251.65 1.5×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $3,954.05 $3,954.05 1.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) $6,221.99 $6,221.99 1.7×
I&d abscess peritonsillar (42700) $1,183.38 $1,183.38 3.9×
I&d abscess simple (10060) $513.83 $513.83 2.0×
I&d deep absc bursa/hematoma thigh/knee region (27301) $5,293.17 $5,293.17 1.4×
I&d perianal abscess superficial (46050) $2,475.87 $2,475.87 2.1×
I&d pilonidal cyst complicated (10081) $2,013.21 $2,013.21 2.2×
I&d upper arm/elbow deep abscess/hematoma (23930) $5,846.39 $5,846.39 1.6×
Incise external hemorrhoid (46083) $874.17 $874.17 2.7×
Incision & drainage abscess complicated/multiple (10061) $1,180.14 $1,180.14 2.3×
Incision & removal foreign body subq tiss compl (10121) $4,148 $4,148 2.0×
Incision & removal foreign body subq tiss simple (10120) $603.63 $603.63 1.2×
Incision and drainage of bartholin's gland abscess (56420) $783.23 $783.23 3.0×
Incision and drainage of vulva or perineal abscess (56405) $1,141.30 $1,141.30 2.9×
Incision of lingual frenum (frenotomy) (41010) $3,200.60 $3,200.60 1.6×
Incision of rectal abscess (46040) $4,162.84 $4,162.84 2.7×
Incisional biopsy skin single lesion (11106) $1,894.99 $1,894.99 2.0×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines
$1,922.28–$1,979.95 $1,922.28–$1,979.95 varies
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines
$1,068.30–$2,034.04 $1,068.30–$2,034.04 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines
$616.12–$634.60 $616.12–$634.60 varies
Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) $2,599.48 $2,599.48 2.3×
Injection single tendon origin/insertion (20551) $892.82 $892.82 2.3×
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines
$573.26–$590.46 $573.26–$590.46 varies
Injection single/mlt trigger point 3/> muscles (20553) $632.19 $632.19 1.6×
Injection therapeutic carpal tunnel (20526) $862.80 $862.80 2.2×
Injection, anesthetic agent; femoral nerve, single (64447) $2,877.15 $2,877.15 3.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,474.39 $1,474.39 1.6×
Insert non-tunnel cv cath (36556) $2,240.55 $2,240.55 0.6×
Insert Temp Bladder Cath (51702) $320.82 $320.82 1.9×
Insert tunneled cv cath (36561) $5,606.56 $5,606.56 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $269.31 $269.31 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines
$1,748.70–$3,361.28 $1,748.70–$3,361.28 varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $2,183.72 $2,183.72 1.1×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $5,110.89 $5,110.89 1.3×
Intmd Rpr Face/Mm 12.6-20 Cm (12055) $1,290.22 $1,290.22 2.5×
Intraoral i&d tongue/floor submndblr space (41008) $6,077.17 $6,077.17 1.4×
Intubation endotracheal emergency procedure (31500) $849.16 $849.16 2.8×
Irrigation of corpora cavernosa for priapism (54220) $1,052.64 $1,052.64 3.3×
Laparoscopy fulguration oviducts (58670) $6,880.90 $6,880.90 0.9×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) $7,541.20 $7,541.20 1.0×
Laparoscopy w/rmvl adnexal structures (58661) $10,529.51 $10,529.51 1.4×
Laparoscopy, surgical, appendectomy (44970) $8,794.26 $8,794.26 1.1×
Mastectomy for gynecomastia (19300) $6,679.84 $6,679.84 1.3×
Myelography via lumbar injection rs&i cervical (62302) $2,344.16 $2,344.16 2.3×
N Block Inj Ilio-Ing/Hypogi (64425) $1,404.75 $1,404.75 1.5×
N block inj intercost sng (64420) $482.17 $482.17 0.5×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $888.52 $888.52 2.1×
Njx anes stellate ganglion crv sympathetic (64510) $2,039.08 $2,039.08 1.8×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $826.42 $826.42 2.1×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines
$1,861.21–$1,917.05 $1,861.21–$1,917.05 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $2,245.94 $2,245.94 2.5×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $2,213.93 $2,213.93 2.4×
Occipital Nerve Block (64405)
range across 2 matching MRF lines
$907.57–$934.80 $907.57–$934.80 varies
Penile Injection (54235) $878.72 $878.72 2.7×
Placement of needle for intraosseous infusion (36680) $545.65 $545.65 0.9×
Punch biopsy skin single lesion (11104) $480.85 $480.85 0.9×
Puncture aspiration abscess hematoma bulla/cyst (10160) $680.92 $680.92 1.3×
Puncture Aspiration Cyst Breast (19000) $1,699.83 $1,699.83 1.9×
Pvb Thoracic Single Injection Site W/Img Gid (64461)
range across 2 matching MRF lines
$585.69–$2,551.26 $585.69–$2,551.26 varies
Removal Embedded Foreign Body Eyelid (67938) $1,260.68 $1,260.68 3.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $143.23 $143.23 1.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $227.36 $227.36 3.0×
Removal of foreign body from pharynx (42809) $920.78 $920.78 1.6×
Removal of nail bed (11750) $1,391.40 $1,391.40 2.7×
Removal of testis (54520) $6,538.88 $6,538.88 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $804.83 $804.83 3.1×
Removal/bivalving gauntlet boot/body cast (29700) $351.26 $351.26 1.0×
Remove drug implant device (11982) $3,476.02 $3,476.02 6.0×
Remove foreign body from eye (65205) $367.18 $367.18 2.1×
Remove Nasal Foreign Body (30300) $323.98 $323.98 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,675.59 $1,675.59 3.2×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,993.13 $1,993.13 3.8×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $2,064.16 $2,064.16 3.9×
Repair complex trunk 1.1-2.5 cm (13100) $2,827.98 $2,827.98 3.0×
Repair Entropion Extensive (67924) $5,252 $5,252 1.7×
Repair Entropion Suture (67921) $3,193.69 $3,193.69 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,053.39 $1,053.39 2.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $961.60 $961.60 1.8×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,089.45 $1,089.45 2.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,206.11 $1,206.11 2.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,051.12 $1,051.12 2.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,092.73 $1,092.73 2.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $768.68 $768.68 1.5×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,261.01 $1,261.01 2.4×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,226.04 $1,226.04 2.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $4,399 $4,399 4.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,380.03 $1,380.03 2.6×
Repair of nail bed (11760) $1,418.68 $1,418.68 1.5×
Repair tongue laceration (41250) $726.40 $726.40 1.3×
Replace duodenostomy/jejunostomy tube perq (49451) $1,838.68 $1,838.68 1.6×
Rerepair ing hernia reduce (49520) $3,039.96 $3,039.96 0.7×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $539.97 $539.97 0.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) $5,605.39 $5,605.39 1.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines
$4,145.55–$5,350 $4,145.55–$5,350 varies
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $2,333.75 $2,333.75 1.2×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $2,919.02 $2,919.02 0.6×
Rpr aa hrn 1st 3-10 rdc (49593)
unusually low: confirm this is the full procedure
$3,128.18 $3,128.18 0.4×
Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) $4,451.07 $4,451.07 1.5×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $643.40 $643.40 2.5×
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) $7,035.04 $7,035.04 1.7×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $6,220.77 $6,220.77 1.5×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,135.24 $1,135.24 2.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $459.25 $459.25 1.8×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $494.49 $494.49 1.9×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $576.35 $576.35 2.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $408.10 $408.10 1.6×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $547.91 $547.91 2.1×
Skin sub graft face/nk/hf/g (15275) $3,083.53 $3,083.53 3.2×
Skin sub graft trnk/arm/leg (15271) $2,759.70 $2,759.70 2.9×
Slitting of prepuce (54001) $7,801 $7,801 2.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $453.57 $453.57 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $670.69 $670.69 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $758.23 $758.23 1.5×
Spinal puncture lumbar diagnostic (62270) $1,185.65 $1,185.65 1.3×
Strapping ankle (29540) $223.95 $223.95 1.1×
Strapping elbow or wrist (29260) $228.49 $228.49 3.0×
Strapping hand/finger (29280) $217.12 $217.12 2.9×
Strapping knee (29530) $280.78 $280.78 1.6×
Strapping shoulder (29240) $294.42 $294.42 1.7×
Strapping toes (29550) $227.36 $227.36 3.0×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $5,893.35 $5,893.35 1.7×
Treat Metatarsal Fracture (28475) $2,021.17 $2,021.17 6.4×
Treatment closed elbow dislocation w/o anes (24600) $886.68 $886.68 2.8×
Trim skin lesion (11055) $266 $266 1.0×
Trim skin lesions 2 to 4 (11056) $251.22 $251.22 1.0×
Tubal ligation (58600) $7,396.67 $7,396.67 1.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $4,813.47 $4,813.47 1.2×
Vaginal delivery only (59409) $4,109.40 $4,109.40 1.0×
Vasectomy uni/bi spx w/postop semen exams (55250) $4,116.30 $4,116.30 1.5×

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.