Procedures & surgery prices at Molokai General Hospital

Kaunakakai, HI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,487.50 $2,125 1.4×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,252.30 $1,789 1.2×
Anoscopy diagnostic (46600) $107.10 $153 0.7×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $491.40 $702 2.6×
Appl Multlay Comprs Arm/Hand (29584) $130.90 $187 0.7×
Application Finger Splint Dynamic (29131) $230.30 $329 3.3×
Application finger splint static (29130) $359.80 $514 2.3×
Application long arm splint shoulder hand (29105) $522.90 $747 2.7×
Application of rigid total contact leg cast (29445) $1,083.60 $1,548 3.3×
Application Short Arm Splint Dynamic (29126) $230.30 $329 1.5×
Application short arm splint forearm-hand static (29125) $378 $540 2.4×
Apply long leg splint (29505) $561.40 $802 2.9×
Apply short leg splint (29515) $561.40 $802 2.9×
Arterial puncture (36600) $317.80 $454 2.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $715.40 $1,022 2.0×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $830.90 $1,187 2.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $740.60 $1,058 2.0×
Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) $4,307.10 $6,153 2.3×
Aspiration bladder insert suprapubic catheter (51102) $3,505.60 $5,008 1.4×
Aspiration bladder needle (51100) $1,171.10 $1,673 4.0×
Avulsion nail plate partial/complete simple 1 (11730) $641.20 $916 2.7×
Biopsy Vaginal Mucosa Simple (57100) $1,446.90 $2,067 1.3×
Blood transfusion service (36430) $1,639.75 $2,342.50 3.1×
Casting/strapping procedure (29799) $148.05 $211.50 0.8×
Chemical cautery tissue (17250) $726.25 $1,037.50 3.1×
Circumcision (54150) $3,586.80 $5,124 1.5×
Circumcision Neonate (54160) $1,523.20 $2,176 1.8×
Close Rx Prox/Mid Fing Shft Fx (26720) $641.20 $916 2.2×
Closed Rx Gr Tuberosity Hum Fx (23620) $1,257.90 $1,797 4.3×
Closed Rx Humer Epicondylr Fx,Manip (24565) $3,984.40 $5,692 2.1×
Closed Rx Mandible Fx+Manipulatn (21451) $4,442.20 $6,346 2.4×
Closed Rx Radial Shaft Fx (25500) $864.50 $1,235 3.0×
Closed Rx Radial Shaft Fx W/Dislocation (25520) $1,327.90 $1,897 0.7×
Closed Rx Spontaneous Hip Disloc (27256) $812.70 $1,161 2.8×
Closed Rx Tibia Shaft Fx (27750) $516.60 $738 1.8×
Closed Rx Tibial Plateau Fx (27530) $1,317.40 $1,882 4.5×
Closed Treatment Coccygeal Fracture (27200) $655.90 $937 2.3×
Closed treatment of calcaneal fracture; without manipulation (28400) $817.60 $1,168 2.8×
Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) $4,601.80 $6,574 2.4×
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) $1,065.40 $1,522 3.7×
Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) $2,692.20 $3,846 0.7×
Closed treatment of patellar fracture, without manipulation (27520) $1,040.20 $1,486 3.6×
Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) $863.10 $1,233 3.0×
Closed treatment of sternoclavicular dislocation; without manipulation (23520) $4,601.80 $6,574 2.4×
Closed treatment of talus fracture; without manipulation (28430) $744.10 $1,063 2.6×
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $687.40 $982 2.4×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,327.90 $1,897 0.7×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $1,155 $1,650 4.0×
Closed Treatment Sesamoid Fracture (28530) $593.60 $848 2.0×
Closed Treatment Ulnar Styloid Fracture (25650) $1,050 $1,500 3.6×
Closed tx ankle dislocation w/o anesthesia (27840) $1,267.70 $1,811 4.4×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,327.90 $1,897 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $998.20 $1,426 3.4×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $2,500.40 $3,572 8.6×
Closed tx carpal scaphoid fracture w/manj (25624) $2,594.20 $3,706 1.4×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $1,696.80 $2,424 5.8×
Closed tx knee dislocation w/o anesthesia (27550) $1,628.90 $2,327 5.6×
Closed tx metatarsal fracture w/o manipulation (28470) $751.10 $1,073 2.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,805.90 $5,437 2.0×
Closed tx nasal fracture w/o stabilization (21315) $4,442.20 $6,346 2.4×
Closed tx patellar dislocation w/o anesthesia (27560) $1,229.20 $1,756 4.2×
Closed tx radial head/neck fx w/manipulation (24655) $2,594.20 $3,706 1.4×
Closed tx radial head/neck fx w/o manipulation (24650) $842.10 $1,203 2.9×
Closed tx radial shaft fracture w/manipulation (25505) $3,126.20 $4,466 1.6×
Closed tx radial&ulnar shaft fractures w/manj (25565) $2,594.20 $3,706 1.4×
Closed Tx Scapular Fracture W/O Manipulation (23570) $840 $1,200 2.9×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $1,208.90 $1,727 4.1×
Closed tx talotarsal joint dislc w/o anes (28570) $751.10 $1,073 2.6×
Closed Tx Talus Fracture W/Manipulation (28435) $2,723.70 $3,891 1.4×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $452.90 $647 1.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $833 $1,190 2.9×
Clsd tx clavicular fracture w/o manipulation (23500) $777.70 $1,111 2.7×
Clsd tx pelvic ring fx w/o manipulation (27197) $1,456 $2,080 5.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $902.30 $1,289 3.1×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $1,867.60 $2,668 6.4×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $2,594.20 $3,706 1.4×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $761.60 $1,088 2.6×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,327.90 $1,897 0.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,044.40 $1,492 3.6×
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $1,683.50 $2,405 5.8×
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) $2,440.20 $3,486 1.3×
Cltx dstl fibular fx lat malls w/manj (27788) $1,383.20 $1,976 4.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $1,014.30 $1,449 3.5×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $740.60 $1,058 2.5×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $938.70 $1,341 3.2×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,327.90 $1,897 0.7×
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $2,466.10 $3,523 1.3×
Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) $1,752.10 $2,503 6.0×
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) $2,710.40 $3,872 1.4×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $1,670.20 $2,386 5.7×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $2,867.20 $4,096 1.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $546.70 $781 1.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $445.90 $637 1.5×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $824.60 $1,178 2.8×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $429.10 $613 1.5×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $4,477.90 $6,397 2.4×
Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) $1,075.90 $1,537 3.7×
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,246.70 $1,781 4.3×
Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) $2,594.20 $3,706 1.4×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,327.90 $1,897 0.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $564.20 $806 1.9×
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,395.70 $4,851 1.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $820.40 $1,172 2.8×
Cltx Medial Malleolus Fx W/O Manipulation (27760) $1,082.20 $1,546 3.7×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $2,438.80 $3,484 1.3×
Cltx metacarpal fx w/manipulation each bone (26605) $1,038.10 $1,483 3.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $959.70 $1,371 3.3×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $1,030.40 $1,472 3.5×
Cltx metatarsophlngl jt dislc w/o anes (28630) $597.80 $854 2.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,078 $1,540 3.7×
Cltx post hip arthrp dislc w/o anes (27265) $655.90 $937 2.3×
Cltx prox fibula/shft fx w/manj (27781) $2,594.20 $3,706 1.4×
Cltx prox fibula/shft fx w/o manj (27780) $977.20 $1,396 3.4×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,050.60 $4,358 1.6×
Cltx prox tibfib jt dislc w/o anes (27830) $1,327.20 $1,896 4.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $938.70 $1,341 3.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $3,126.20 $4,466 1.6×
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $2,594.20 $3,706 1.4×
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $2,825.90 $4,037 1.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $1,775.20 $2,536 6.1×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $667.10 $953 2.3×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $2,468.90 $3,527 1.3×
Cltx trimalleolar ankle fx w/o manipulation (27816) $1,008 $1,440 3.5×
Collect Blood From Catheter Venous Nos (36592) $347.90 $497 2.2×
Colonoscopy flex w/blln dilat (45386) $978.60 $1,398 0.7×
Colonoscopy flex w/inj submuc (45381) $978.60 $1,398 0.7×
Colonoscopy flex w/rem forcep (45384) $978.60 $1,398 0.7×
Colonoscopy w/fb removal (45379) $978.60 $1,398 0.7×
Colonoscopy, flexible; with control of bleeding, any method (45382) $978.60 $1,398 0.7×
Control Nasal Hemorrhage Anterior Complex (30903) $529.90 $757 3.4×
Control Nasal Hemorrhage Anterior Simple (30901) $499.10 $713 3.2×
Correction hammertoe (28285) $8,393.70 $11,991 2.2×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $361.20 $516 2.3×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $991.90 $1,417 2.1×
Debride nail 1-5 (11720) $191.10 $273 2.7×
Debride nail 6 or more (11721) $227.50 $325 3.3×
Debride tissue/muscle (11043) $1,808.10 $2,583 2.1×
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,151.15 $1,644.50 2.4×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $3,154.20 $4,506 1.6×
Declot vascular device (36593) $1,498 $2,140 3.8×
Drain Ext Ear Absc/Blood,Complic (69005) $3,344.60 $4,778 1.7×
Drain lower leg bursa (27604) $2,692.20 $3,846 0.7×
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $1,149.40 $1,642 1.4×
Drainage external auditory canal abscess (69020) $1,264.20 $1,806 1.5×
Drainage External Ear Abscess/Hematoma Simple (69000) $1,264.20 $1,806 1.5×
Drainage Finger Abscess Complicated (26011) $3,035.90 $4,337 1.6×
Drainage Finger Abscess Simple (26010) $710.50 $1,015 3.0×
Drainage of hematoma/fluid (10140) $2,977.10 $4,253 1.5×
Drainage of scrotal wall abscess (55100) $3,035.90 $4,337 1.6×
Draw blood off venous device (36591) $312.20 $446 2.0×
Drg absc cst hmtma vestibule mouth comp (40801) $2,457.70 $3,511 3.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $956.20 $1,366 2.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $801.50 $1,145 3.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $641.20 $916 2.7×
Dx gastr intub w/asp spec (43754) $258.30 $369 1.0×
Egd place gastrostomy tube (43246) $1,574.30 $2,249 0.7×
Endometrial Biopsy (58100) $594.30 $849 2.5×
Esophagogastroduodenoscopy submucosal injection (43236) $777.70 $1,111 0.7×
Evacuation of subungual hematoma (11740) $200.90 $287 1.3×
Excision of pilonidal cyst or sinus; simple (11770) $6,397.30 $9,139 1.9×
Excision of thrombosed hemorrhoid, external (46320) $5,769.40 $8,242 4.1×
Fetal non-stress test (59025) $490 $700 2.1×
Gastric Intubation/Aspiration, Therapeutic (43753) $578.90 $827 2.3×
I&D Abscess Peritonsillar (42700) $1,086.40 $1,552 3.9×
I&d abscess simple (10060) $515.20 $736 2.2×
I&d deep absc bursa/hematoma thigh/knee region (27301) $5,735.80 $8,194 1.7×
I&d pelvis/hip jt area deep abscess/hematoma (26990) $2,692.20 $3,846 0.7×
I&d pilonidal cyst simple (10080) $1,045.10 $1,493 1.2×
I&D Upper Arm/Elbow Bursa (23931) $1,344.70 $1,921 0.7×
I&d vulva/perineal abscess (56405) $991.90 $1,417 2.8×
Incision & drainage abscess complicated/multiple (10061) $952.70 $1,361 2.0×
Incision & drainage leg/ankle abscess/hematoma (27603) $2,375.10 $3,393 0.7×
Incision & drainage pilonidal cyst complicated (10081) $2,760.10 $3,943 3.3×
Incision & removal foreign body subq tiss compl (10121) $4,911.20 $7,016 2.5×
Incision & removal foreign body subq tiss simple (10120) $872.20 $1,246 1.8×
Incision and drainage of bartholin's gland abscess (56420) $529.90 $757 2.2×
Incision and drainage perianal abscess superficial (46050) $1,939.70 $2,771 1.8×
Incision and drainage, complex, postoperative wound infection (10180) $4,779.60 $6,828 1.4×
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) $1,327.90 $1,897 0.7×
Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) $5,735.80 $8,194 1.7×
Incision of rectal abscess (46040) $5,769.40 $8,242 4.1×
Incision&drainage bursa foot (28001) $1,344.70 $1,921 0.7×
Incisional biopsy skin single lesion (11106) $1,085.70 $1,551 1.2×
Initial tx 1st degree burn local tx (16000) $431.90 $617 1.8×
Insert Bladder Cath Complex (51703) $693.70 $991 4.6×
Insert non-tunnel cv cath (36556) $2,611.70 $3,731 0.7×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $2,611.70 $3,731 0.7×
Insert Temp Bladder Cath (51702) $221.20 $316 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $221.90 $317 1.4×
Intubation endotracheal emergency procedure (31500) $1,003.10 $1,433 3.6×
Laryngoscopy diagnostic (31505) $345.80 $494 1.5×
Ligation of hemorrhoid(s) (46221) $1,551.90 $2,217 1.4×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $620.90 $887 1.2×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $307.30 $439 0.7×
Njx aa&/strd sciatic nerve (64445) $2,357.60 $3,368 2.8×
Placement of needle for intraosseous infusion (36680) $562.80 $804 1.1×
Punch biopsy skin single lesion (11104) $994 $1,420 2.1×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $567.70 $811 1.2×
Removal Foreign Body Foot Complicated (28193) $2,963.80 $4,234 1.5×
Removal foreign body foot deep (28192) $3,919.30 $5,599 2.0×
Removal foreign body foot subcutaneous (28190) $3,271.10 $4,673 3.9×
Removal foreign body intranasal (30300) $470.40 $672 3.0×
Removal foreign body pharynx (42809) $692.30 $989 1.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $230.30 $329 3.3×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $331.10 $473 0.6×
Removal of iud (58301) $872.20 $1,246 2.4×
Removal of nail bed (11750) $1,302.70 $1,861 2.7×
Removal/bivalving full arm/full leg cast (29705) $782.60 $1,118 2.4×
Removal/bivalving gauntlet boot/body cast (29700) $470.40 $672 1.4×
Remove drug implant device (11982) $331.10 $473 0.6×
Remv Ext Canal Foreign Body (69200) $320.60 $458 2.0×
Remv F.B.,Eye,Superf Conjunc (65205) $295.40 $422 1.9×
Remv/revisn shldr/hip spica cast (29710) $782.60 $1,118 2.4×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,885.80 $2,694 2.2×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,447.20 $3,496 2.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,511.30 $2,159 3.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $2,577.40 $3,682 5.4×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $894.60 $1,278 1.9×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,885.80 $2,694 3.9×
Repair complex trunk 1.1-2.5 cm (13100) $1,509.20 $2,156 1.7×
Repair complex trunk 2.6-7.5 cm (13101) $1,760.50 $2,515 2.0×
Repair extensor tendon finger w/o graft each (26418) $5,196.10 $7,423 2.7×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,862.70 $2,661 3.9×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $964.60 $1,378 2.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,187.20 $1,696 2.5×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $2,193.80 $3,134 4.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,313.90 $1,877 2.7×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,447.60 $2,068 3.0×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $2,484.30 $3,549 5.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $861.70 $1,231 1.0×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $620.90 $887 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $723.80 $1,034 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $508.20 $726 0.6×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $2,694.30 $3,849 1.1×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,471.40 $2,102 3.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $879.20 $1,256 1.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,071.70 $1,531 2.2×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,320.90 $1,887 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,098.30 $1,569 2.3×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,694.30 $3,849 1.1×
Repair Spica Body Cast/Jacket (29720) $130.90 $187 0.7×
Repeat control of nosebleed (30906) $478.10 $683 1.7×
Reposition gastric feeding tube thru duodenum (43761) $686.70 $981 2.3×
Rmvl embedded fb vestibule mouth comp (40805) $6,824.30 $9,749 10.7×
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) $1,278.20 $1,826 1.2×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $414.40 $592 2.6×
Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) $331.10 $473 0.6×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,457.40 $2,082 2.0×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,020.60 $1,458 1.2×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,219.40 $1,742 2.5×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $496.30 $709 2.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $561.40 $802 2.4×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $1,446.90 $2,067 3.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $714.70 $1,021 3.0×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $900.90 $1,287 3.8×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $1,642.20 $2,346 6.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $499.10 $713 2.1×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $1,352.40 $1,932 5.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $712.60 $1,018 3.0×
Skin sub graft face/nk/hf/g (15275) $3,022.95 $4,318.50 3.5×
Skin sub graft trnk/arm/leg (15271) $4,553.50 $6,505 5.2×
Skin sub grft t/arm/lg child (15273) $3,038 $4,340 1.2×
Skn sub grft f/n/hf/g child (15277) $1,517.60 $2,168 0.6×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $553.70 $791 2.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $918.40 $1,312 1.9×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,114.40 $1,592 2.3×
Spinal puncture lumbar diagnostic (62270) $1,355.20 $1,936 1.6×
Strapping ankle (29540) $448.70 $641 2.3×
Strapping elbow or wrist (29260) $305.90 $437 4.4×
Strapping hand/finger (29280) $305.90 $437 4.4×
Strapping Hip (29520) $220.50 $315 1.4×
Strapping knee (29530) $239.40 $342 1.5×
Strapping shoulder (29240) $275.10 $393 1.8×
Strapping thorax (29200) $239.40 $342 1.2×
Strapping toes (29550) $195.30 $279 2.8×
Strapping unna boot (29580) $642.60 $918 3.3×
Tangential biopsy skin single lesion (11102) $507.50 $725 1.1×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,950.90 $2,787 2.6×
Thrombolytic Therapy Stroke (37195) $476.70 $681 1.2×
Tracheostomy emergency cricothyroid membrane (31605) $776.30 $1,109 2.8×
Treat clavicle dislocation (23540) $785.40 $1,122 2.7×
Treat clavicle fracture (23505) $2,495.50 $3,565 1.3×
Treat humerus fracture (24500) $1,138.90 $1,627 3.9×
Treat humerus fracture (23600) $1,069.60 $1,528 3.7×
Treat Knee Fracture(S) (27538) $1,688.40 $2,412 5.8×
Treat Metatarsal Fracture (28475) $835.80 $1,194 2.9×
Treat shoulder blade fx (23575) $1,327.90 $1,897 0.7×
Treat Thigh Fracture (27246) $1,375.50 $1,965 4.7×
Treat Thumb Dislocation (26641) $1,159.90 $1,657 4.0×
Treat Thumb Fx/Disloc,Manip (26645) $2,594.20 $3,706 1.4×
Treat Vaginal Bleeding (57180) $459.20 $656 1.9×
Treat wrist bone fracture (25622) $970.20 $1,386 3.3×
Treat Wrist Bone Fracture (25630) $982.80 $1,404 3.4×
Treatment closed elbow dislocation w/o anes (24600) $1,152.20 $1,646 4.0×
Treatment of missed abortion, completed surgically; second trimester (59821) $7,387.80 $10,554 1.9×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $690.20 $986 2.4×
Trim skin lesion (11055) $484.40 $692 2.0×
Trim skin lesions 2 to 4 (11056) $507.50 $725 2.1×
Trim skin lesions over 4 (11057) $482.30 $689 2.0×
Trimming Of Nondystrophic Nails, Any Number (11719) $368.55 $526.50 5.3×
Tube thoracostomy includes water seal (32551) $1,737.40 $2,482 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,327.90 $1,897 0.7×
Unlisted procedure nervous system (64999) $592.90 $847 1.6×
Venipuncture (36415) $30.80 $44 3.3×
Wedge excision skin nail fold (11765) $624.40 $892 1.3×
Wedging of cast (29740) $470.40 $672 1.4×
Wedging of clubfoot cast (29750) $220.50 $315 0.7×
Windowing of cast (29730) $448.70 $641 2.3×