Procedures & surgery prices at Mountains Community Hospital

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

353 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		 $92–$702.40 $230–$1,756 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $375.20 $938 0.3×
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) $1,894.80 $4,737 0.5×
Anoscopy; with biopsy, single or multiple (46606) $66 $165 0.0×
Application cast elbow finger short arm (29075) $297.20 $743 0.8×
Application finger splint static (29130)
range across 2 matching MRF lines		 $30–$131.20 $75–$328 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $52–$131.20 $130–$328 varies
Application Long Leg Cast Brace (29358) $297.20 $743 0.8×
Application Long Leg Cast Walker/Ambulatory Type (29355) $297.20 $743 0.8×
Application Long Leg Splint (29505)
range across 2 matching MRF lines		 $60–$131.20 $150–$328 varies
Application of cylinder cast (thigh to ankle) (29365) $297.20 $743 0.8×
Application of long leg cast (29345) $297.20 $743 0.8×
Application of rigid total contact leg cast (29445) $297.20 $743 0.8×
Application Patellar Tendon Bearing Cast (29435) $297.20 $743 0.8×
Application Short Arm Splint Dynamic (29126) $131.20 $328 0.8×
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $46–$131.20 $115–$328 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $50–$131.20 $125–$328 varies
Apply hand/wrist cast (29085) $131.20 $328 0.6×
Apply long arm cast (29065)
range across 3 matching MRF lines		 $63.20–$297.20 $158–$743 varies
Apply Short Leg Cast (29405) $297.20 $743 0.8×
Apply short leg cast (29425) $297.20 $743 0.8×
Arterial puncture (36600)
range across 2 matching MRF lines		 $13.60–$28.80 $34–$72 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $198.40 $496 0.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $312 $780 0.8×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $142 $355 0.4×
Aspirate pleura w/ imaging (32555) $647.60 $1,619 0.8×
Aspirate Pleura W/O Imaging (32554) $647.60 $1,619 0.8×
Avulsion nail plate partial/complete simple 1 (11730) $234.40 $586 0.9×
Biopsy external ear (69100) $116.80 $292 0.4×
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520)
likely a partial charge, not the full procedure		 $412.40 $1,031 0.1×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $83.60 $209 0.1×
Bladder Irrigation (51700) $238 $595 0.7×
Blood Transfusion Service (36430) $396 $990 0.7×
Bx breast needle core w/o imaging guidance spx (19100) $60.80 $152 0.0×
Bx Cervix (57500) $136.40 $341 0.1×
Chest tube placement (32551)
range across 2 matching MRF lines		 $136.40–$647.60 $341–$1,619 varies
Cl Tx Scapular Fx; W Manip (23575) $339.60 $849 0.2×
Clear outer ear canal (69200) $77.20 $193 0.5×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $184.80 $462 0.6×
Closed treatment of posterior malleolus fracture; with manipulation (27768) $184.80 $462 0.1×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $184.80 $462 0.6×
Closed Treatment Sesamoid Fracture (28530) $184.80 $462 0.6×
Closed Treatment Sternum Fracture (21820) $184.80 $462 0.6×
Closed Treatment Ulnar Styloid Fracture (25650) $184.80 $462 0.6×
Closed tx ankle dislocation w/o anesthesia (27840) $184.80 $462 0.6×
Closed Tx Calcaneal Fracture W/Manipulation (28405) $301.20 $753 0.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $301.20 $753 0.9×
Closed tx carpal scaphoid fracture w/manj (25624) $339.60 $849 0.2×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $184.80 $462 0.6×
Closed tx knee dislocation w/o anesthesia (27550) $184.80 $462 0.6×
Closed Tx Lunate Dislocation W/Manipulation (25690) $339.60 $849 0.2×
Closed tx metatarsal fracture w/o manipulation (28470) $184.80 $462 0.6×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $169.20 $423 0.1×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $282.80 $707 0.1×
Closed Tx Patellar Fracture W/O Manipulation (27520) $184.80 $462 0.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $650.40 $1,626 0.3×
Closed Tx Scapular Fracture W/O Manipulation (23570) $184.80 $462 0.6×
Closed tx septal&nose fx (21337) $395.20 $988 0.1×
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $339.60 $849 1.1×
Closed tx talotarsal joint dislc w/o anes (28570) $184.80 $462 0.6×
Closed Tx Talus Fracture W/Manipulation (28435) $184.80 $462 0.1×
Closed tx talus fracture w/o manipulation (28430) $184.80 $462 0.6×
Closed tx tarsometatarsal dislocation w/o anes (28600) $184.80 $462 0.6×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $210.80 $527 0.7×
Clsd tx acromioclavicular dislc w/manipulation (23545) $339.60 $849 1.1×
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $184.80 $462 0.6×
Clsd Tx Clavicular Fracture W/Manipulation (23505) $936.80 $2,342 0.5×
Clsd tx clavicular fracture w/o manipulation (23500) $184.80 $462 0.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $367.20 $918 0.2×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $702.40 $1,756 2.2×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $184.80 $462 0.1×
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $184.80 $462 0.6×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $184.80 $462 0.6×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $184.80 $462 0.6×
Cltx dstl fibular fx lat malls w/manj (27788) $184.80 $462 0.6×
Cltx dstl fibular fx lat malls w/o manj (27786) $184.80 $462 0.6×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $184.80 $462 0.6×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $184.80 $462 0.6×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $184.80 $462 0.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,030.40 $2,576 0.5×
Cltx fx grt toe phlx/phlg w/manj (28495) $184.80 $462 0.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $184.80 $462 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $184.80 $462 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $184.80 $462 0.6×
Cltx greater humeral tuberosity fx w/o manj (23620) $184.80 $462 0.6×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $936.80 $2,342 0.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $234 $585 0.7×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $184.80 $462 0.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $184.80 $462 0.6×
Cltx Medial Ankle Fx (27760) $184.80 $462 0.6×
Cltx metacarpal fx w/manipulation each bone (26605) $184.80 $462 0.6×
Cltx metacarpal fx w/o manipulation each bone (26600) $339.60 $849 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $184.80 $462 0.6×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $184.80 $462 0.6×
Cltx post hip arthrp dislc w/o anes (27265) $388 $970 1.2×
Cltx prox fibula/shft fx w/manj (27781) $339.60 $849 0.2×
Cltx prox fibula/shft fx w/o manj (27780) $184.80 $462 0.6×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $339.60 $849 0.2×
Cltx prox tibfib jt dislc w/o anes (27830) $184.80 $462 0.6×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $184.80 $462 0.6×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $123.60 $309 0.4×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $184.80 $462 0.6×
Cltx tibial fx proximal w/o manipulation (27530) $184.80 $462 0.6×
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) $184.80 $462 0.6×
Cltx trimalleolar ankle fx w/manipulation (27818) $339.60 $849 0.2×
Cltx trimalleolar ankle fx w/o manipulation (27816) $184.80 $462 0.6×
Collection of venous blood by venipuncture (36415) $13.20 $33 1.4×
Colonoscopy through stoma; with biopsy, single or multiple (44389) $149.60 $374 0.1×
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) $338.40 $846 0.2×
Colonoscopy w/ablation (45388) $382 $955 0.2×
Colonoscopy w/submucosal inj (45381) $174.40 $436 0.1×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines		 $117.60–$145.60 $294–$364 varies
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines		 $88.40–$130.80 $221–$327 varies
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines		 $79.60–$109.20 $199–$273 varies
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines		 $95.20–$139.60 $238–$349 varies
Colposcopy cervix vag eltrd conization cervix (57461)
range across 2 matching MRF lines		 $160.80–$309.20 $402–$773 varies
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460)
range across 2 matching MRF lines		 $139.20–$277.60 $348–$694 varies
Colposcopy entire vagina w/cervix if present (57420) $112 $280 0.3×
Colposcopy of vulva (56820)
range across 2 matching MRF lines		 $74–$107.60 $185–$269 varies
Colposcopy Vulva W/Biopsy (56821)
range across 2 matching MRF lines		 $99.20–$144.40 $248–$361 varies
Colsc flx w/removal lesion by hot bx forceps (45384) $222 $555 0.1×
Control Nasal Hemorrhage Anterior Complex (30903) $132.40 $331 0.8×
Control Nasal Hemorrhage Anterior Simple (30901) $132.40 $331 0.8×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $132.40 $331 0.8×
Cysto w/irrig & evac multple obstructing clots (52001) $247.20 $618 0.1×
Deb Musc/Fascia 20 Sq Cm/< (11043) $134 $335 0.1×
Debride nail 1-5 (11720) $30 $75 0.4×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $52.80–$936.80 $132–$2,342 varies
Destruction Lesions Vulva Simple (56501) $236 $590 0.1×
Diaphragm or cervical cap fitting with instructions (57170) $20 $50 0.1×
Drain Cerebro Spinal Fluid (62272) $452 $1,130 0.5×
Drainage Finger Abscess Complicated (26011) $339.60 $849 0.2×
Drainage lymph node lesion (38305) $440.40 $1,101 0.1×
Drainage of finger abscess simple (26010) $174.40 $436 0.7×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $104–$564.80 $260–$1,412 varies
Drainage of rectal abscess (45005) $150.40 $376 0.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines		 $22.84–$60 $57.09–$150 varies
Dstrj Lesion Anus Simple Chemical (46900) $120.80 $302 0.2×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $133.60 $334 0.1×
Egd cautery tumor polyp (43250) $148.40 $371 0.1×
Egd Flexible Foreign Body Removal (43247) $154 $385 0.1×
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure		 $376.40 $941 0.0×
Egd place gastrostomy tube (43246) $120.40 $301 0.0×
Egd remove lesion snare (43251) $170.80 $427 0.1×
Endometrial Biopsy (58100) $88.40 $221 0.3×
Epidural Blood Patch (62273) $846.80 $2,117 0.9×
Evacuation of subungual hematoma (11740) $50.80 $127 0.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)
range across 3 matching MRF lines		 $74–$111.20 $185–$278 varies
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $136.80 $342 0.1×
Exc Back Les Sc < 3 Cm (21930) $323.20 $808 0.2×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines		 $124.40–$129.60 $311–$324 varies
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines		 $117.20–$150.80 $293–$377 varies
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) $123.60 $309 0.1×
Exc Forearm Les Sc 3 Cm/> (25071) $377.20 $943 0.2×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 3 matching MRF lines		 $62.40–$110.80 $156–$277 varies
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines		 $96–$138.40 $240–$346 varies
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines		 $119.20–$155.20 $298–$388 varies
Exc Hand Les Sc < 1.5 Cm (26115) $284.40 $711 0.1×
Exc Shoulder Tum Deep 5 Cm/> (23073) $618 $1,545 0.2×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines		 $130.40–$170.80 $326–$427 varies
Exc Skin Benig >4 Cm Remaindr Body (11426) $229.20 $573 0.1×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $218 $545 0.1×
Exc thigh/knee les sc 3 cm/> (27337) $345.20 $863 0.1×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $100.40 $251 0.1×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) $135.60 $339 0.3×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines		 $102–$149.20 $255–$373 varies
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $144.40 $361 0.1×
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) $397.20 $993 0.1×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $296.80 $742 0.1×
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) $281.60 $704 0.1×
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $272.40 $681 0.1×
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) $360.80 $902 0.1×
Excise breast duct fistula (19112)
likely a partial charge, not the full procedure		 $288 $720 0.1×
Excision External Ear Partial Simple Repair (69110) $294.40 $736 0.1×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $186 $465 0.2×
Excision of bartholin's gland or cyst (56740) $270.40 $676 0.1×
Excision of single external papilla or tag, anus (46220)
range across 2 matching MRF lines		 $107.60–$302.80 $269–$757 varies
Excision Pilonidal Cyst/Sinus Complicated (11772) $518.40 $1,296 0.1×
Excision Pilonidal Cyst/Sinus Extensive (11771) $400 $1,000 0.1×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $417.60 $1,044 0.2×
Excision tumor soft tissue shoulder subq 3 cm/> (23071) $373.60 $934 0.2×
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) $391.20 $978 0.1×
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $230 $575 0.1×
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $366 $915 0.1×
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $416 $1,040 0.1×
Excision/curettage cyst/tumor phalanx finger (26210) $1,006 $2,515 0.5×
Expl penetrating wound spx abdomen/flank/back (20102) $226.40 $566 0.1×
Exploration penetrating wound spx extremity (20103) $304 $760 0.1×
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines		 $19.20–$47.60 $48–$119 varies
Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) $1,200.80 $3,002 0.2×
Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) $318.40 $796 0.1×
Hemorrhoidectomy, external, 2 or more columns/groups (46250) $285.60 $714 0.1×
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines		 $338.80–$431.20 $847–$1,078 varies
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) $526 $1,315 0.1×
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221)
range across 2 matching MRF lines		 $173.60–$936.80 $434–$2,342 varies
Hysteroscopy Biopsy (58558) $202 $505 0.0×
Hysteroscopy Dx Sep Proc (58555) $132 $330 0.0×
I&d abscess peritonsillar (42700) $414 $1,035 1.4×
I&d abscess simple (10060)
range across 3 matching MRF lines		 $98.80–$111.20 $247–$278 varies
I&D Intramural Im/Absc Transanal Anes (46045) $392.80 $982 0.1×
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines		 $89.20–$936.80 $223–$2,342 varies
I&d pilonidal cyst complicated (10081) $339.60 $849 0.4×
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines		 $174.40–$234.40 $436–$586 varies
Incise external hemorrhoid (46083)
range across 2 matching MRF lines		 $98–$238 $245–$595 varies
Incision & drainage abscess complicated/multiple (10061) $174.40 $436 0.3×
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines		 $161.60–$452 $404–$1,130 varies
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines		 $91.20–$468.80 $228–$1,172 varies
Incision and drainage of bartholin's gland abscess (56420)
range across 3 matching MRF lines		 $99.60–$234.40 $249–$586 varies
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines		 $114–$129.46 $285–$323.66 varies
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines		 $49.20–$136.80 $123–$342 varies
Initial Tx 1st Degree Burn Local Tx (16000) $52 $130 0.2×
Injection single/mlt trigger point 1/2 muscles (20552) $43.67 $109.17 0.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $49.76 $124.41 0.1×
Insert cath pleura w/ image (32557) $107.60 $269 0.1×
Insert Drug Implant Device (11981) $60 $150 0.4×
Insert non-tunnel cv cath (36556) $936.80 $2,342 0.2×
Insert tunneled cv cath (36561) $291.20 $728 0.1×
Insert,Non-Indwelling Bladder Catheter (51701) $78.80 $197 0.5×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $508 $1,270 0.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $3,510 $8,775 0.9×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $986.80 $2,467 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines		 $225.60–$873.60 $564–$2,184 varies
Intubation endotracheal emergency procedure (31500) $265.60 $664 0.9×
Irrigation maxillary sinus (31000) $414 $1,035 1.4×
Lap insert tunnel ip cath (49324)
likely a partial charge, not the full procedure		 $342.80 $857 0.0×
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge, not the full procedure		 $812.80 $2,032 0.1×
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure		 $384.80 $962 0.0×
Laparoscopy W/Lysis Of Adhesions (58660)
likely a partial charge, not the full procedure		 $1,348.40 $3,371 0.2×
Laparoscopy, surgical, appendectomy (44970)
likely a partial charge, not the full procedure		 $534.80 $1,337 0.1×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure		 $989.20 $2,473 0.1×
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
likely a partial charge, not the full procedure		 $384.80 $962 0.0×
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure		 $477.20 $1,193 0.1×
Laryngoscopy diagnostic (31505) $64 $160 0.2×
Late closure of wound (13160) $702.80 $1,757 0.2×
Lavage cannulation sphenoid sinus (31002) $480 $1,200 0.2×
Ligation of hemorrhoids (46946) $336.80 $842 0.1×
Marsupialization of bartholin's gland cyst (56440) $159.60 $399 0.0×
Nasal surgery procedure (30999) $132.40 $331 0.4×
Nasal/Orogastric W/Tube Plmt (43752) $90 $225 0.2×
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) $63.60 $159 0.1×
Njx Anes Trigeminal Nrv Any Div/Branch (64400) $62.68 $156.69 0.2×
Occlusion flp tube dev vag/suprapubic appr (58615) $226.40 $566 0.1×
Omntc Epiploectomy Rescj Omentum Spx (49255)
likely a partial charge, not the full procedure		 $699.20 $1,748 0.1×
Pelvic examination under anesthesia (other than local) (57410) $92.40 $231 0.0×
Peritoneal Lavage (49084) $93.20 $233 0.1×
Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300)
range across 2 matching MRF lines		 $165.60–$1,642.40 $414–$4,106 varies
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines		 $40.80–$110.40 $102–$276 varies
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines		 $160.80–$174.40 $402–$436 varies
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) $1,132.80 $2,832 0.3×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $452 $1,130 0.2×
Removal Foreign Body Pelvis/Hip Deep (27087) $545.60 $1,364 0.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $19.86 $49.65 0.3×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines		 $36–$85.20 $90–$213 varies
Removal implantable contraceptive capsules (11976) $10 $25 0.0×
Removal of nail bed (11750) $80 $200 0.2×
Removal of sperm cord lesion (55520) $408 $1,020 0.1×
Removal or bivalving full arm or full leg cast (29705) $131.20 $328 0.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $66.80–$77.20 $167–$193 varies
Remove drug implant device (11982) $70 $175 0.1×
Remove foreign body from eye (65205)
range across 2 matching MRF lines		 $40–$169.20 $100–$423 varies
Remove Intrauterine Device (58301)
range across 2 matching MRF lines		 $56.80–$95.60 $142–$239 varies
Remove Nasal Foreign Body (30300) $78.80 $197 0.5×
Remove/Insert Drug Implant (11983) $100 $250 0.2×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $211.20 $528 0.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $224.40 $561 0.4×
Repair complex trunk 1.1-2.5 cm (13100) $423.60 $1,059 0.4×
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines		 $217.20–$542 $543–$1,355 varies
Repair inguinal hernia, sliding, any age (49525) $510.40 $1,276 0.1×
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $522 $1,305 0.1×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $56.80 $142 0.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $56.80 $142 0.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $98.80 $247 0.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $936.80 $2,342 1.8×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $155.20 $388 0.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $113.60 $284 0.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $113.60 $284 0.2×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $155.20 $388 0.2×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $226 $565 0.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines		 $132.40–$702.40 $331–$1,756 varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $702.40 $1,756 1.3×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $936.80 $2,342 1.0×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $226 $565 0.4×
Repair of nail bed (11760) $155.20 $388 0.2×
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521)
likely a partial charge, not the full procedure		 $1,041.20 $2,603 0.1×
Rerepair ing hernia reduce (49520) $563.20 $1,408 0.1×
Revise hernia & sperm veins (55540) $493.60 $1,234 0.1×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $353.20 $883 0.6×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $230.27 $575.68 0.1×
Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) $244.54 $611.34 0.1×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $167.20 $418 0.1×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $120 $300 0.1×
Rplc Gtube No Revj Trc (43762) $274.80 $687 0.9×
Rplcmt compl tun ctr vad w/subq port (36582) $251.60 $629 0.1×
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge, not the full procedure		 $640.40 $1,601 0.1×
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) $294.40 $736 0.1×
Rpr Aa Hernia 1st > 10 Cm Reducible (49595)
likely a partial charge, not the full procedure		 $661.20 $1,653 0.1×
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge, not the full procedure		 $549.20 $1,373 0.1×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure		 $491.20 $1,228 0.1×
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $362.40 $906 0.1×
Rpr aa hrn 1st 3-10 rdc (49593)
likely a partial charge, not the full procedure		 $492.40 $1,231 0.1×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure		 $409.60 $1,024 0.1×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $98.80 $247 0.4×
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $105.20 $263 0.1×
Shave skin lesion 0.5 cm/< (11300) $122.80 $307 0.2×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $52 $130 0.2×
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) $108.40 $271 0.1×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $155.20 $388 0.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines		 $48–$56.80 $120–$142 varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $56.80 $142 0.2×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $98.80 $247 0.4×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $56.80 $142 0.2×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $234.40 $586 0.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $56.80 $142 0.2×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $936.80 $2,342 1.8×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $155.20 $388 0.3×
Spinal puncture lumbar diagnostic (62270) $458.80 $1,147 0.5×
Strapping ankle (29540) $131.20 $328 0.6×
Strapping elbow or wrist (29260) $131.20 $328 1.7×
Strapping hand/finger (29280) $131.20 $328 1.7×
Strapping knee (29530) $131.20 $328 0.8×
Strapping shoulder (29240) $131.20 $328 0.8×
Strapping thorax (29200) $131.20 $328 0.6×
Strapping toes (29550) $131.20 $328 1.7×
Strapping Unna Boot (29580) $131.20 $328 0.6×
Surg tx anal fistula subq (46270) $358.80 $897 0.1×
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $377.60 $944 0.1×
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines		 $32.80–$88.80 $82–$222 varies
Tattooing incl micropigmentation 6.1-20.0 cm (11921) $167.60 $419 0.2×
Treat humerus fracture (23600) $184.80 $462 0.6×
Treat Knuckle Dislocation (26700) $184.80 $462 0.6×
Treat Metatarsal Fracture (28475) $184.80 $462 0.6×
Treat Tail Bone Fracture (27200) $184.80 $462 0.6×
Treat Thumb Dislocation (26641) $184.80 $462 0.6×
Treat Thumb Fracture (26645) $339.60 $849 0.2×
Treat toe dislocation (28630) $184.80 $462 0.6×
Treatment closed elbow dislocation w/o anes (24600) $351.20 $878 1.1×
Trim skin lesion (11055) $40 $100 0.2×
Tubal ligation (58600) $329.20 $823 0.1×
Tx Incomplete Abortion Any Trimester Surgical (59812) $272.80 $682 0.1×
Tx Missed Abortion First Trimester Surgical (59820) $342.80 $857 0.1×
Tx Missed Abortion Second Trimester Surgical (59821) $334.80 $837 0.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $254.80 $637 0.3×
Tx superficial wound dehiscence w/packing (12021) $368.80 $922 0.7×
Unlisted Procedure Casting/Strapping (29799) $131.20 $328 0.6×
Unlisted procedure foot or toes (28899) $184.80 $462 0.6×
Unlisted Procedure Leg/Ankle (27899) $184.80 $462 0.6×
Unlisted procedure neck or thorax (21899) $132.40 $331 0.4×
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) $132.40 $331 0.4×
Unlisted Px Salivary Glands/Ducts (42699) $132.40 $331 0.4×
Vaginal delivery only (59409) $2,538.40 $6,346 0.6×
Vein Access Cutdown < 1 Yr (36420) $31.20 $78 0.2×
Venous Cutdown >1 Y/O (36425) $31.20 $78 0.1×
Wedge excision skin nail fold (11765) $106.80 $267 0.2×

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.