Procedures & surgery prices at Mosaic Medical Center - Albany

Albany, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083) $1,530 $1,800 1.7×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $12,144.80 $14,288 1.7×
Application cast elbow finger short arm (29075) $297.50 $350 1.1×
Application Finger Splint Dynamic (29131) $102 $120 1.7×
Application finger splint static (29130) $127.50 $150 1.0×
Application long arm splint shoulder hand (29105) $127.50 $150 0.8×
Application Long Leg Splint (29505) $127.50 $150 0.8×
Application of long leg cast (29345) $391 $460 1.4×
Application of rigid total contact leg cast (29445) $637.50 $750 2.3×
Application Short Arm Splint Dynamic (29126) $420.75 $495 3.2×
Application short arm splint forearm-hand static (29125) $127.50 $150 1.0×
Application short leg splint calf foot (29515) $127.50 $150 0.8×
Apply long arm cast (29065) $166.60 $196 0.6×
Apply Multlay Comprs Lwr Leg (29581) $467.50 $550 2.9×
Apply Short Leg Cast (29405) $391 $460 1.4×
Arterial puncture (36600) $170 $200 1.3×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $637.50 $750 2.1×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,105 $1,300 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $1,105 $1,300 3.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,105 $1,300 3.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $637.50 $750 2.1×
Aspirate pleura w/ imaging (32555) $1,105 $1,300 1.8×
Aspirate Pleura W/O Imaging (32554) $1,275 $1,500 2.0×
Aspirate/Inj Ganglion Cyst (20612) $1,190 $1,400 3.9×
Avulsion nail plate partial/complete simple 1 (11730) $276.25 $325 1.4×
Biopsy nail unit (11755) $1,020 $1,200 1.4×
Biopsy of rectum (45100) $2,805 $3,300 1.0×
Biopsy soft tissue forearm&/wrist superficial (25065) $382.50 $450 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $1,190 $1,400 1.3×
Bladder Irrigation (51700) $552.50 $650 2.2×
Bladder Scan (51798) $212.50 $250 3.6×
Blood Transfusion Service (36430) $850 $1,000 1.9×
Bx breast 1st lesion us imag (19083) $3,315 $3,900 2.0×
Catheter aspiration nasotracheal spx (31720) $195.50 $230 0.9×
Cautery Cervix Cryocautery Initial/Repeat (57511) $255 $300 0.8×
Change Cystostomy Tube Simple (51705) $195.50 $230 0.8×
Chemical Cautery Tissue (17250) $233.75 $275 1.2×
Chemodenerv 1 extrem 5/> mus (64644) $510 $600 0.7×
Chemodenerv 1 extremity 1-4 (64642) $1,700 $2,000 2.4×
Chemodenerv Musc Migraine (64615) $276.25 $325 0.9×
Chemodenerv musc neck dyston (64616) $595 $700 1.9×
Chemodenerv trunk musc 1-5 (64646) $850 $1,000 1.2×
Chemodenerv trunk musc 6/> (64647) $1,785 $2,100 2.5×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $680 $800 2.2×
Chest tube placement (32551) $2,720 $3,200 1.7×
Cl Tx Tib Shft Fx W Manip (27752) $340 $400 0.2×
Clear outer ear canal (69200) $212.50 $250 1.6×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $1,105 $1,300 0.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $340 $400 0.2×
Closed tx patellar dislocation w/o anesthesia (27560) $340 $400 1.4×
Closed tx radial head/neck fx w/o manipulation (24650) $382.50 $450 1.5×
Closed tx talus fracture w/o manipulation (28430) $408 $480 1.7×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $382.50 $450 1.6×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $807.50 $950 1.5×
Clsd tx shoulder dislc w/manipulation req anes (23655) $340 $400 0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $807.50 $950 3.3×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $318.75 $375 1.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,700 $2,000 1.1×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $297.50 $350 1.2×
Cltx hip dislocation traumatic w/o anesthesia (27250) $340 $400 1.4×
Cltx iphal jt dislc w/manj w/o anes (26770) $382.50 $450 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $323 $380 1.3×
Cltx post hip arthrp dislc w/o anes (27265) $340 $400 1.4×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $340 $400 1.4×
Cltx trimalleolar ankle fx w/manipulation (27818) $340 $400 0.2×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $42.50–$170 $50–$200 varies
Collection of venous blood by venipuncture (36415) $17 $20 1.8×
Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) $4,037.50 $4,750 3.4×
Colonoscopy Through Stoma With Decompression (44408) $1,487.50 $1,750 1.6×
Colonoscopy w/ablation (45388) $1,360 $1,600 1.1×
Colonoscopy w/submucosal inj (45381) $1,360 $1,600 1.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $1,190 $1,400 3.9×
Control Nasal Hemorrhage Anterior Complex (30903) $425 $500 3.2×
Control Nasal Hemorrhage Anterior Simple (30901) $425 $500 3.2×
Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) $2,125 $2,500 1.1×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $191.25 $225 1.4×
Deb Musc/Fascia 20 Sq Cm/< (11043) $1,275 $1,500 1.7×
Debride nail 1-5 (11720) $170 $200 2.9×
Debride nail 6 or more (11721) $127.50 $150 2.2×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $2,465 $2,900 1.5×
Debridement subcutaneous tissue 20 sq cm/< (11042) $765 $900 1.9×
Declot vascular device (36593) $488.75 $575 1.5×
Destr W Neurolytic; Celiac Plexus (64680) $3,995 $4,700 4.5×
Destruct B9 Lesion 1-14 (17110) $255 $300 1.3×
Destruction by neurolytic agent; plantar common digital nerve (64632) $233.75 $275 0.8×
Destruction Internal Hemorrhoid Thermal Energy (46930) $1,105 $1,300 0.9×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $148.75 $175 0.7×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $361.25 $425 1.8×
Destruction premalignant lesion 1st (17000) $212.50 $250 1.1×
Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) $2,868.75 $3,375 2.4×
Dilat rct strix spx under anes oth/thn local (45910) $3,145 $3,700 2.6×
Drain/inj small joint/bursa w/us (20604) $637.50 $750 2.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $935 $1,100 1.3×
Drainage Mouth Roof Lesion (42000) $1,190 $1,400 5.0×
Drainage of finger abscess simple (26010) $255 $300 1.3×
Drainage of gum lesion (41800) $425 $500 3.2×
Drainage of scrotal wall abscess (55100) $2,550 $3,000 1.5×
Draw Blood Off Venous Device (36591) $238 $280 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $552.50 $650 1.4×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $361.25 $425 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $399.50 $470 2.0×
Dstrj lesion anus simple cryosurgery (46916) $144.50 $170 0.7×
Dstrj Lesion Penis Simple Chemical (54050) $191.25 $225 0.5×
Dstrj Lesion Penis Simple Cryosurgery (54056) $212.50 $250 1.1×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) $1,402.50 $1,650 1.6×
Duodenal intubat w/imag guided multiple specimen (43757) $2,890 $3,400 3.2×
Egd endo mucosal resection (43254) $2,635 $3,100 1.4×
Egd Optical Endomicroscopy (43252) $3,400 $4,000 1.8×
Egd Partial/Compl Esophagogastric Fundoplasty (43210) $6,120 $7,200 0.6×
Egd Tube/Cath Insertion (43241) $2,465 $2,900 1.3×
Egd W/Thrml Txmnt Gerd (43257) $2,295 $2,700 0.6×
Endometrial Biopsy (58100) $255 $300 1.3×
Epidural Blood Patch (62273) $1,530 $1,800 2.2×
Esophagoscop Stent Placement (43212) $3,400 $4,000 0.6×
Evacuation of subungual hematoma (11740) $136 $160 1.0×
Exc arm/elbow les sc < 3 cm (24075) $2,754 $3,240 1.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,190 $1,400 1.7×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,700 $2,000 1.0×
Exc Back Les Sc < 3 Cm (21930) $2,754 $3,240 1.7×
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) $1,190 $1,400 1.7×
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) $680 $800 1.0×
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) $1,870 $2,200 1.1×
Exc Face Les Sbq 2 Cm/> (21012) $2,754 $3,240 1.7×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,105 $1,300 1.6×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) $1,190 $1,400 1.7×
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $1,020 $1,200 1.4×
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $1,700 $2,000 1.0×
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) $2,754 $3,240 1.7×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $1,615 $1,900 1.0×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) $1,700 $2,000 2.4×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) $1,870 $2,200 1.1×
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $2,720 $3,200 1.7×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,785 $2,100 2.5×
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) $2,550 $3,000 1.5×
Exc Skin Benig >4 Cm Remaindr Body (11426) $2,380 $2,800 0.8×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,805 $3,300 1.7×
Exc Skin Benig >4cm Face,Facial (11446) $4,865.40 $5,724 1.7×
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) $1,275 $1,500 0.8×
Exc Skin Malig >4 Cm Remaindr Body (11626) $2,550 $3,000 0.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,720 $3,200 1.6×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $1,275 $1,500 3.1×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) $1,020 $1,200 1.4×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,785 $2,100 1.1×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $2,754 $3,240 1.7×
Exc tumor soft tissue leg/ankle subq <3cm (27618) $2,975 $3,500 1.8×
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $4,865.40 $5,724 1.7×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $1,615 $1,900 2.3×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,615 $1,900 2.3×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,275 $1,500 1.8×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,275 $1,500 3.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,700 $2,000 2.4×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,870 $2,200 1.1×
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) $2,499 $2,940 0.9×
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $1,700 $2,000 1.0×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) $1,700 $2,000 2.4×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,275 $1,500 1.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $1,870 $2,200 1.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $2,975 $3,500 1.8×
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) $3,145 $3,700 1.9×
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $2,550 $3,000 1.5×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) $1,105 $1,300 1.2×
I&d abscess simple (10060) $510 $600 2.5×
I&d deep absc bursa/hematoma thigh/knee region (27301) $2,550 $3,000 0.9×
I&d perianal abscess superficial (46050) $1,105 $1,300 1.2×
I&d pilonidal cyst complicated (10081) $1,275 $1,500 1.8×
I&d pilonidal cyst simple (10080) $1,003 $1,180 1.4×
Ileoscopy Stoma W/Balloon Dilation (44381) $2,125 $2,500 1.1×
Incise finger tendon sheath (26055) $2,805 $3,300 1.7×
Incision & drainage abscess complicated/multiple (10061) $871.25 $1,025 2.1×
Incision & removal foreign body subq tiss simple (10120) $595 $700 1.5×
Incision and drainage of bartholin's gland abscess (56420) $223.55 $263 1.1×
Incision and drainage of vulva or perineal abscess (56405) $1,105 $1,300 3.6×
Incision of lingual frenum (frenotomy) (41010) $1,275 $1,500 0.8×
Incision&Drainage Upper Arm/Elbow Bursa (23931) $425 $500 0.3×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) $1,955 $2,300 2.2×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $1,445 $1,700 1.6×
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $361.25–$382.50 $425–$450 varies
Injection aa&/strd genicular nrv branches w/img (64454) $1,020 $1,200 1.4×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,593.75 $1,875 2.3×
Injection of sclerosing solution, hemorrhoids (46500) $595 $700 0.6×
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines		 $510–$1,190 $600–$1,400 varies
Injection single/mlt trigger point 1/2 muscles (20552) $1,105 $1,300 3.6×
Injection single/mlt trigger point 3/> muscles (20553) $680 $800 2.2×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $1,020 $1,200 1.4×
Insert Drug Implant Device (11981) $255 $300 1.9×
Insert non-tunnel cv cath (36556) $1,700 $2,000 0.5×
Insert pessary/other device (57160) $170 $200 0.8×
Insert Temp Bladder Cath (51702) $306 $360 2.3×
Insert,Non-Indwelling Bladder Catheter (51701) $212.50 $250 1.6×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,125 $2,500 1.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $1,105 $1,300 0.7×
Intubation endotracheal emergency procedure (31500) $425 $500 1.8×
Laryngoscopy flexible diagnostic (31575) $510 $600 2.6×
N Block Inj Plantar Digit (64455) $476 $560 1.5×
Nasal Endoscopy Dx (31231) $1,020 $1,200 5.1×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $2,550 $3,000 1.4×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $170 $200 0.1×
Needle insertion w/o injection 1 or 2 muscles (20560) $80.75 $95 2.8×
Needle insertion w/o injection 3 or more muscles (20561) $116.45 $137 4.0×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $459 $540 1.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $680 $800 2.2×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,125 $2,500 2.4×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $1,530 $1,800 2.2×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $1,190 $1,400 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $1,530 $1,800 2.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $1,700 $2,000 1.9×
Peritoneal Lavage (49084) $1,275 $1,500 1.4×
Punch biopsy skin single lesion (11104) $297.50 $350 0.7×
Puncture aspiration abscess hematoma bulla/cyst (10160) $1,275 $1,500 3.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $2,550 $3,000 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $110.50 $130 1.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $148.75 $175 2.5×
Removal implantable contraceptive capsules (11976) $255 $300 0.4×
Removal of nail bed (11750) $850 $1,000 2.1×
Removal or bivalving full arm or full leg cast (29705) $106.25 $125 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $340 $400 1.7×
Remove foreign body from eye (65205) $191.25 $225 1.4×
Remove Intrauterine Device (58301) $680 $800 2.2×
Remove Nasal Foreign Body (30300) $191.25 $225 1.4×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,020 $1,200 2.5×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,275 $1,500 3.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $850 $1,000 2.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $935 $1,100 2.3×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,275 $1,500 3.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,275 $1,500 3.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,020 $1,200 2.5×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,020 $1,200 2.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,105 $1,300 1.5×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,275 $1,500 3.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $935 $1,100 2.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,020 $1,200 2.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,105 $1,300 2.7×
Repair tongue laceration (41252) $425 $500 1.8×
Repair tongue laceration (41250) $1,190 $1,400 2.7×
Replace duodenostomy/jejunostomy tube perq (49451) $1,020 $1,200 1.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $191.25 $225 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $1,275 $1,500 9.6×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $573.75 $675 1.3×
Rplc Gtube No Revj Trc (43762) $582.25 $685 2.3×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $425 $500 2.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $212.50 $250 1.1×
Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) $255 $300 0.6×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $212.50 $250 0.5×
Sigmoidoscopy & decompress (45337) $4,250 $5,000 4.6×
Sigmoidoscopy Flx With With Band Ligation(S) (45350) $3,123.75 $3,675 2.6×
Sigmoidoscopy W/Resection (45349) $2,975 $3,500 1.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $233.75 $275 0.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $255 $300 1.3×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $255 $300 1.3×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $425 $500 2.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $255 $300 1.3×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $221 $260 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $255 $300 1.3×
Skin sub graft face/nk/hf/g (15275) $2,975 $3,500 4.0×
Skin sub graft trnk/arm/leg (15271) $3,400 $4,000 4.6×
Skin sub grft t/arm/lg child (15273) $4,930 $5,800 2.4×
Skin Tissue Procedure (17999) $1,275 $1,500 6.3×
Skn sub grft f/n/hf/g child (15277) $2,805 $3,300 1.4×
Small bowel endoscopy (44384) $2,380 $2,800 1.2×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $255 $300 1.3×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $425 $500 1.0×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $255 $300 0.6×
Spinal puncture lumbar diagnostic (62270) $1,530 $1,800 2.2×
Strapping ankle (29540) $59.50 $70 0.4×
Strapping elbow or wrist (29260) $63.75 $75 1.1×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $297.50–$531.25 $350–$625 varies
Therapeutic plasma exchange (36514) $2,720 $3,200 1.7×
Transoral lower esophageal myotomy (43497) $6,800 $8,000 1.1×
Treat Humerus Fracture (24505) $340 $400 0.2×
Treat Knuckle Dislocation (26700) $365.50 $430 1.5×
Treatment closed elbow dislocation w/o anes (24600) $340 $400 1.4×
Trim skin lesion (11055) $297.50 $350 1.5×
Trim skin lesions 2 to 4 (11056) $212.50 $250 1.1×
Trim skin lesions over 4 (11057) $637.50 $750 3.2×
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $5,100 $6,000 1.8×
Tx Gastro Intub W/Asp (43753) $425 $500 2.0×
Tx Superficial Wound Dehiscence Simple Closure (12020) $467.50 $550 0.6×
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) $3,740 $4,400 2.4×
Unlisted procedure anus (46999) $1,105 $1,300 1.2×
Unlisted Procedure Biliary Tract (47999) $3,111 $3,660 3.4×
Unlisted procedure colon (45399) $1,870 $2,200 2.0×
Unlisted Procedure Esophagus (43499) $2,125 $2,500 2.3×
Unlisted Procedure Intestine (44799) $1,955 $2,300 2.2×
Unlisted Procedure Muscskeletal System General (20999) $127.50 $150 0.5×
Unlisted procedure nervous system (64999) $1,275 $1,500 4.1×
Unlisted procedure pancreas (48999) $3,697.50 $4,350 5.2×
Unlisted Procedure Rectum (45999) $1,105 $1,300 1.2×
Unlisted Procedure Vascular Surgery (37799) $148.75 $175 0.2×
Vasectomy uni/bi spx w/postop semen exams (55250) $2,805 $3,300 1.3×

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.